557 research outputs found
Use of Standardized Assessments and Online Resources in Stroke Rehabilitation
Background: The extent to which movement-related standardized assessments and online resources are used in stroke rehabilitation is unclear in the United States.
Method: The researchers used a cross-sectional descriptive survey that examined (a) therapists use of movement-related standardized assessments, (b) factors influencing learning of new assessments, and (c) use of frequency of online resources by occupational therapists and physical therapists in the United States.
Results: Of 151 respondents (46.4% occupational therapists, 53.6% physical therapists), the most frequently used movement-related assessments by occupational and physical therapists were the Berg and Fugl-Meyer Assessment, respectively. More physical therapists use motor-related standardized assessments regularly than occupational therapists, and physical therapists showed more consensus among standardized assessments. Both professions cited quality of patient care for motivating them to integrate outcome measures into practice. Most therapists in stroke rehabilitation used online resources to access movement-related standardized assessment content at least 25% of the time. The Rehabilitation Measures Database was the most frequently used website.
Conclusion: Both occupational and physical therapists use online resources for movement-related standardized assessments on a regular basis. However, occupational therapists do not use standardized assessments as frequently as physical therapists. A systematic study of factors that impact the integration of standardized assessments is needed to further identify barriers and inform clinical practice change
Detection Of KOI-13.01 Using The Photometric Orbit
We use the KOI-13 transiting star-planet system as a test case for the
recently developed BEER algorithm (Faigler & Mazeh 2011), aimed at identifying
non-transiting low-mass companions by detecting the photometric variability
induced by the companion along its orbit. Such photometric variability is
generated by three mechanisms, including the beaming effect, tidal ellipsoidal
distortion, and reflection/heating. We use data from three Kepler quarters,
from the first year of the mission, while ignoring measurements within the
transit and occultation, and show that the planet's ephemeris is clearly
detected. We fit for the amplitude of each of the three effects and use the
beaming effect amplitude to estimate the planet's minimum mass, which results
in M_p sin i = 9.2 +/- 1.1 M_J (assuming the host star parameters derived by
Szabo et al. 2011). Our results show that non-transiting star-planet systems
similar to KOI-13.01 can be detected in Kepler data, including a measurement of
the orbital ephemeris and the planet's minimum mass. Moreover, we derive a
realistic estimate of the amplitudes uncertainties, and use it to show that
data obtained during the entire lifetime of the Kepler mission, of 3.5 years,
will allow detecting non-transiting close-in low-mass companions orbiting
bright stars, down to the few Jupiter mass level. Data from the Kepler Extended
Mission, if funded by NASA, will further improve the detection capabilities.Comment: Accepted to AJ on October 4, 2011. Kepler Q5 Long Cadence data will
become publicly available on MAST by October 23. Comments welcome (V2: minor
changes, to reflect proof corrections
Exoplanet Catalogues
One of the most exciting developments in the field of exoplanets has been the
progression from 'stamp-collecting' to demography, from discovery to
characterisation, from exoplanets to comparative exoplanetology. There is an
exhilaration when a prediction is confirmed, a trend is observed, or a new
population appears. This transition has been driven by the rise in the sheer
number of known exoplanets, which has been rising exponentially for two decades
(Mamajek 2016). However, the careful collection, scrutiny and organisation of
these exoplanets is necessary for drawing robust, scientific conclusions that
are sensitive to the biases and caveats that have gone into their discovery.
The purpose of this chapter is to discuss and demonstrate important
considerations to keep in mind when examining or constructing a catalogue of
exoplanets. First, we introduce the value of exoplanetary catalogues. There are
a handful of large, online databases that aggregate the available exoplanet
literature and render it digestible and navigable - an ever more complex task
with the growing number and diversity of exoplanet discoveries. We compare and
contrast three of the most up-to-date general catalogues, including the data
and tools that are available. We then describe exoplanet catalogues that were
constructed to address specific science questions or exoplanet discovery space.
Although we do not attempt to list or summarise all the published lists of
exoplanets in the literature in this chapter, we explore the case study of the
NASA Kepler mission planet catalogues in some detail. Finally, we lay out some
of the best practices to adopt when constructing or utilising an exoplanet
catalogue.Comment: 14 pages, 6 figures. Invited review chapter, to appear in "Handbook
of Exoplanets", edited by H.J. Deeg and J.A. Belmonte, section editor N.
Batalh
Interrater Reliability of the Wolf Motor Function Test–Functional Ability Scale: Why It Matters
Background. One important objective for clinical trialists in rehabilitation is determining efficacy of interventions to enhance motor behavior. In part, limitation in the precision of measurement presents a challenge. The few valid, low-cost observational tools available to assess motor behavior cannot escape the variability inherent in test administration and scoring. This is especially true when there are multiple evaluators and raters, as in the case of multisite randomized controlled trials (RCTs). One way to enhance reliability and reduce variability is to implement rigorous quality control (QC) procedures. Objective. This article describes a systematic QC process used to refine the administration and scoring procedures for the Wolf Motor Function Test (WMFT)–Functional Ability Scale (FAS). Methods. The QC process, a systematic focus-group collaboration, was developed and used for a phase III RCT, which enlisted multiple evaluators and an experienced WMFT-FAS rater panel. Results. After 3 staged refinements to the administration and scoring instructions, we achieved a sufficiently high interrater reliability (weighted κ = 0.8). Conclusions and Implications. A systematic focus-group process was shown to be an effective method to improve reliability of observational assessment tools for motor behavior in neurorehabilitation. A reduction in noise-related variability in performance assessments will increase power and potentially lower the number needed to treat. Improved precision of measurement can lead to more cost-effective and efficient clinical trials. Finally, we suggest that improved precision in measures of motor behavior may provide more insight into recovery mechanisms than a single measure of movement time alone
Oxidative Stress Promotes Peroxiredoxin Hyperoxidation and Attenuates Pro-survival Signaling in Aging Chondrocytes
Oxidative stress-mediated post-translational modifications of redox-sensitive proteins are postulated as a key mechanism underlying age-related cellular dysfunction and disease progression. Peroxiredoxins (PRX) are critical intracellular antioxidants that also regulate redox signaling events. Age-related osteoarthritis is a common form of arthritis that has been associated with mitochondrial dysfunction and oxidative stress. The objective of this study was to determine the effect of aging and oxidative stress on chondrocyte intracellular signaling, with a specific focus on oxidation of cytosolic PRX2 and mitochondrial PRX3. Menadione was used as a model to induce cellular oxidative stress. Compared with chondrocytes isolated from young adult humans, chondrocytes from older adults exhibited higher levels of PRX1–3 hyperoxidation basally and under conditions of oxidative stress. Peroxiredoxin hyperoxidation was associated with inhibition of pro-survival Akt signaling and stimulation of pro-death p38 signaling. These changes were prevented in cultured human chondrocytes by adenoviral expression of catalase targeted to the mitochondria (MCAT) and in cartilage explants from MCAT transgenic mice. Peroxiredoxin hyperoxidation was observed in situ in human cartilage sections from older adults and in osteoarthritic cartilage. MCAT transgenic mice exhibited less age-related osteoarthritis. These findings demonstrate that age-related oxidative stress can disrupt normal physiological signaling and contribute to osteoarthritis and suggest peroxiredoxin hyperoxidation as a potential mechanism
Detection of Potential Transit Signals in the First Three Quarters of Kepler Mission Data
We present the results of a search for potential transit signals in the first
three quarters of photometry data acquired by the Kepler Mission. The targets
of the search include 151,722 stars which were observed over the full interval
and an additional 19,132 stars which were observed for only 1 or 2 quarters.
From this set of targets we find a total of 5,392 detections which meet the
Kepler detection criteria: those criteria are periodicity of the signal, an
acceptable signal-to-noise ratio, and a composition test which rejects spurious
detections which contain non-physical combinations of events. The detected
signals are dominated by events with relatively low signal-to-noise ratio and
by events with relatively short periods. The distribution of estimated transit
depths appears to peak in the range between 40 and 100 parts per million, with
a few detections down to fewer than 10 parts per million. The detected signals
are compared to a set of known transit events in the Kepler field of view which
were derived by a different method using a longer data interval; the comparison
shows that the current search correctly identified 88.1% of the known events. A
tabulation of the detected transit signals, examples which illustrate the
analysis and detection process, a discussion of future plans and open,
potentially fruitful, areas of further research are included
Validation of Kepler's Multiple Planet Candidates. III: Light Curve Analysis & Announcement of Hundreds of New Multi-planet Systems
The Kepler mission has discovered over 2500 exoplanet candidates in the first
two years of spacecraft data, with approximately 40% of them in candidate
multi-planet systems. The high rate of multiplicity combined with the low rate
of identified false-positives indicates that the multiplanet systems contain
very few false-positive signals due to other systems not gravitationally bound
to the target star (Lissauer, J. J., et al., 2012, ApJ 750, 131). False
positives in the multi- planet systems are identified and removed, leaving
behind a residual population of candidate multi-planet transiting systems
expected to have a false-positive rate less than 1%. We present a sample of 340
planetary systems that contain 851 planets that are validated to substantially
better than the 99% confidence level; the vast majority of these have not been
previously verified as planets. We expect ~2 unidentified false-positives
making our sample of planet very reliable. We present fundamental planetary
properties of our sample based on a comprehensive analysis of Kepler light
curves and ground-based spectroscopy and high-resolution imaging. Since we do
not require spectroscopy or high-resolution imaging for validation, some of our
derived parameters for a planetary system may be systematically incorrect due
to dilution from light due to additional stars in the photometric aperture.
None the less, our result nearly doubles the number of verified exoplanets.Comment: 138 pages, 8 Figures, 5 Tables. Accepted for publications in the
Astrophysical Journa
Terrestrial Planet Occurrence Rates for the Kepler GK Dwarf Sample
We measure planet occurrence rates using the planet candidates discovered by
the Q1-Q16 Kepler pipeline search. This study examines planet occurrence rates
for the Kepler GK dwarf target sample for planet radii, 0.75<Rp<2.5 Rearth, and
orbital periods, 50<Porb<300 days, with an emphasis on a thorough exploration
and identification of the most important sources of systematic uncertainties.
Integrating over this parameter space, we measure an occurrence rate of F=0.77
planets per star, with an allowed range of 0.3<F<1.9. The allowed range takes
into account both statistical and systematic uncertainties, and values of F
beyond the allowed range are significantly in disagreement with our analysis.
We generally find higher planet occurrence rates and a steeper increase in
planet occurrence rates towards small planets than previous studies of the
Kepler GK dwarf sample. Through extrapolation, we find that the one year
orbital period terrestrial planet occurrence rate, zeta_1=0.1, with an allowed
range of 0.01<zeta_1<2, where zeta_1 is defined as the number of planets per
star within 20% of the Rp and Porb of Earth. For G dwarf hosts, the zeta_1
parameter space is a subset of the larger eta_earth parameter space, thus
zeta_1 places a lower limit on eta_earth for G dwarf hosts. From our analysis,
we identify the leading sources of systematics impacting Kepler occurrence rate
determinations as: reliability of the planet candidate sample, planet radii,
pipeline completeness, and stellar parameters.Comment: 19 Pages, 17 Figures, Submitted ApJ. Python source to support Kepler
pipeline completeness estimates available at
http://github.com/christopherburke/KeplerPORTs
Detection of Potential Transit Signals in Sixteen Quarters of Kepler Mission Data
We present the results of a search for potential transit signals in four
years of photometry data acquired by the Kepler Mission. The targets of the
search include 111,800 stars which were observed for the entire interval and
85,522 stars which were observed for a subset of the interval. We found that
9,743 targets contained at least one signal consistent with the signature of a
transiting or eclipsing object, where the criteria for detection are
periodicity of the detected transits, adequate signal-to-noise ratio, and
acceptance by a number of tests which reject false positive detections. When
targets that had produced a signal were searched repeatedly, an additional
6,542 signals were detected on 3,223 target stars, for a total of 16,285
potential detections. Comparison of the set of detected signals with a set of
known and vetted transit events in the Kepler field of view shows that the
recovery rate for these signals is 96.9%. The ensemble properties of the
detected signals are reviewed.Comment: Accepted by ApJ Supplemen
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