375 research outputs found
How well are the All-Wales Core Data Sets used to inform self-evaluation and planning for improvement?
Validity and Reliability of a Smartphone App for Gait and Balance Assessment
Advances in technology provide an opportunity to enhance the accuracy of gait and balance assessment, improving the diagnosis and rehabilitation processes for people with acute or chronic health conditions. This study investigated the validity and reliability of a smartphone-based application to measure postural stability and spatiotemporal aspects of gait during four static balance and two gait tasks. Thirty healthy participants (aged 20–69 years) performed the following tasks: (1) standing on a firm surface with eyes opened, (2) standing on a firm surface with eyes closed, (3) standing on a compliant surface with eyes open, (4) standing on a compliant surface with eyes closed, (5) walking in a straight line, and (6) walking in a straight line while turning their head from side to side. During these tasks, the app quantified the participants’ postural stability and spatiotemporal gait parameters. The concurrent validity of the smartphone app with respect to a 3D motion capture system was evaluated using partial Pearson’s correlations (r(p)) and limits of the agreement (LoA%). The within-session test–retest reliability over three repeated measures was assessed with the intraclass correlation coefficient (ICC) and the standard error of measurement (SEM). One-way repeated measures analyses of variance (ANOVAs) were used to evaluate responsiveness to differences across tasks and repetitions. Periodicity index, step length, step time, and walking speed during the gait tasks and postural stability outcomes during the static tasks showed moderate-to-excellent validity (0.55 ≤ r(p) ≤ 0.98; 3% ≤ LoA% ≤ 12%) and reliability scores (0.52 ≤ ICC ≤ 0.92; 1% ≤ SEM% ≤ 6%) when the repetition effect was removed. Conversely, step variability and asymmetry parameters during both gait tasks generally showed poor validity and reliability except step length asymmetry, which showed moderate reliability (0.53 ≤ ICC ≤ 0.62) in both tasks when the repetition effect was removed. Postural stability and spatiotemporal gait parameters were found responsive (p < 0.05) to differences across tasks and test repetitions. Along with sound clinical judgement, the app can potentially be used in clinical practice to detect gait and balance impairments and track the effectiveness of rehabilitation programs. Further evaluation and refinement of the app in people with significant gait and balance deficits is needed
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Wake characteristics of tall buildings in a realistic urban Canopy
The presence of tall buildings in cities affects momentum and scalar exchange within and above the urban canopy. As wake effects can be important over large distances, they are crucial for urban-flow modelling on and across different spatial scales. We explore the aerodynamic effects of tall buildings on the microscale to local scales with a focus on the interaction between the wake structure, canopy and roughness sublayer (RSL) flow of the surroundings in a realistic urban setting in central London. Flow experiments in a boundary-layer wind tunnel use a 1:200 scale model with two tall buildings (81 m and 134.3 m) for two wind directions. Large changes in mean flow, turbulence statistics and instantaneous flow structure of the wake are evident when tall buildings are part of the complex urban canopy rather than isolated. In the near–wake, the presence of lower buildings displaces the core of the recirculation zone upwards, thereby reducing the vertical depth over which flow reversal occurs. This amplifies vertical shear at the rooftop and enhances turbulent momentum exchange. In the near part of the main–wake, lateral velocity fluctuations and hence turbulence kinetic energy are reduced compared to the isolated building case as eddies generated in the urban canopy and RSL distribute energy down to smaller scales that dissipate more rapidly. Evaluation of a wake model for flow past isolated buildings suggests model refinements are needed to account for such flow-structure changes in tall-building canopies
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High-resolution global climate simulations: representation of cities
Ensemble runs of high-resolution (~10 km; N1280) global climate simulations (2005–2010) with the Met Office HadGEM3 model are analysed over large urban areas in the south-east UK (London) and south-east China (Shanghai, Hangzhou, Nanjing region). With a focus on urban areas, we compare meteorological observations to study the response of modelled surface heat fluxes and screen-level temperatures to urbanisation. HadGEM3 has a simple urban slab scheme with prescribed, globally fixed bulk parameters. Misrepresenting the magnitude or the extent of urban land cover can result in land-surface model bias. As urban land-cover fractions are severely under-estimated in China, this impacts surface heat-flux partitioning and quintessential features such as the urban heat island. Combined with the neglect of anthropogenic heat emissions, this can result in misrepresentation of heat-wave intensities (or cold spells) in cities. The model performance in urban areas could be improved if bulk parameters are modelled instead of prescribed, but this necessitates the availability of local morphology data on a global level. Improving land-cover information and providing more flexible ways to account for differences between cities (e.g. anthropogenic emission; morphology) is essential for realistic future projections of city climates, especially if model output is intended for urban climate services
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