Clinicians’ views and practices in quality of life in aphasia rehabilitation: a preliminary study

Background: Quality of life (QOL) is important to people with aphasia and their family members and is influenced by a range of factors within the scope of practice for speech and language therapy. Interestingly though, clinicians largely assess patients’/ clients’ QOL informally through discussion, and rarely measure QOL as an outcome from aphasia rehabilitation. Research is needed to understand why there is relatively little consideration of QOL in clinical practice and little use of formal assessments. Aims: This study explores aphasia clinicians’ views and reported practices regarding QOL as a concept and its assessment. Methods & Procedures: Nineteen practising speech and language therapists working in rehabilitation with adult clients with neurogenic communication disorders volunteered and completed the study. They completed an online survey of 48 questions with a range of response options, including free text. Descriptive and inferential statistics were used for count and categorical data, and content analysis for text responses. Outcomes & Results: These clinicians felt initially unprepared for practice, and had limited awareness, knowledge and confidence in using QOL assessments, but nonetheless thought QOL was important in clinical management. They considered QOL as being individualized, pertaining to life satisfaction and enjoyment, and additionally considered it as communication, participation in activities, education, and emotional support. The majority used informal methods, although some formal assessment use was reported. Many perceived barriers related to lack of resources (physical, staff, and time). Clinicians also reported scope of practice issues with the broader multidisciplinary rehabilitation team and specifically clinical psychology. Conclusions: Training and access to existing available QOL assessments are clear implications from this study. Further research is needed to assess the extent to which these findings are representative of the broader aphasia clinician community in England

Practitioners’ perspectives on quality of life in aphasia rehabilitation in Denmark

Objective: This study reports on Danish speech and language therapists’ knowledge and understanding of quality of life (QOL) in aphasia, including therapists’ views on education and training in relation to preparedness for working on QOL, use of measures, and barriers to applying QOL in practice. Methods: 14 Danish clinicians completed a 48-item online questionnaire regarding their views, perspectives and practices that included multiple-choice questions, rating scales, and boxes permitting free text responses. Descriptive statistics were used to characterize the numerical data, and content analysis was applied to text responses. Results: The clinicians interpreted QOL as subjective wellbeing and participation, and explored it with most clients and relatives using informal methods, primarily conversation, for the purposes of identifying relevant goals to direct treatment. Clinicians perceived a need for greater theoretical, practical and experiential knowledge regarding QOL. They also identified a need for translated QOL instruments and training in these measures in practice. Conclusion: Despite a reported lack of knowledge about and tools for measuring QOL, Danish clinicians are applying QOL issues in their practice and perceive these issues as valuable and important in assessment and therapy. The findings have clear implications for tool development, and workforce education

Test Results of a 1.2 kg/s Centrifugal Liquid Helium Pump for the ATLAS Superconducting Toroid Magnet System

The toroid superconducting magnet of ATLAS-LHC experiment at CERN will be indirectly cooled by means of forced flow of liquid helium at about 4.5 K. A centrifugal pump will be used, providing a mass flow of 1.2 kg/s and a differential pressure of 40 kPa (ca. 400 mbar) at about 4300 rpm. Two pumps are foreseen, one for redundancy, in order to feed in parallel the cooling circuits of the Barrel and the two End-Caps toroid magnets. The paper describes the tests carried out at CERN to measure the characteristic curves, i.e. the head versus the mass flow at different rotational speeds, as well as the pump total efficiency. The pump is of the "fullemission" type, i.e. with curved blades and it is equipped with an exchangeable inducer. A dedicated pump test facility has been constructed at CERN, which includes a Coriolis-type liquid helium mass flow meter. This facility is connected to the helium refrigerator used for the tests at CERN of the racetrack magnets of the Barrel and of the End-Cap toroids

Cryogenic Characteristics of the ATLAS Barrel Toroid Superconducting Magnet

ATLAS, one of the experiments of the LHC accelerator under commissioning at CERN, is equipped with a large superconducting magnet the Barrel Toroid (BT) that has been tested at nominal current (20500 A). The BT is composed of eight race-track superconducting coils (each one weights about 45 tons) forming the biggest air core toroidal magnet ever built. By means of a large throughput centrifugal pump, a forced flow (about 10 liter/second at 4.5 K) provides the indirect cooling of the coils in parallel. The paper describes the results of the measurements carried out on the complete cryogenic system assembled in the ATLAS cavern situated 100 m below the ground level. The measurements include, among other ones, the static heat loads, i.e., with no or constant current in the magnet, and the dynamic ones, since additional heat losses are produced, during the current ramp-up or slow dump, by eddy currents induced on the coil casing

A general scaling relation for the critical current density in Nb3Sn

We review the scaling relations for the critical current density (Jc) in Nb3Sn wires and include recent findings on the variation of the upper critical field (Hc2) with temperature (T) and A15 composition. We highlight deficiencies in the Summers/Ekin relations, which are not able to account for the correct Jc(T) dependence. Available Jc(H) results indicate that the magnetic field dependence for all wires can be described with Kramer's flux shear model, if non-linearities in Kramer plots are attributed to A15 inhomogeneities. The strain (eps) dependence is introduced through a temperature and strain dependent Hc2*(T,eps) and Ginzburg- Landau parameter kappa1(T,eps) and a strain dependent critical temperature Tc(eps). This is more consistent than the usual Ekin unification, which uses two separate and different dependencies on Hc2*(T) and Hc2*(eps). Using a correct temperature dependence and accounting for the A15 inhomogeneities leads to a remarkable simple relation for Jc(H,T,eps). Finally, a new relation for s(eps) is proposed, based on the first, second and third strain invariants.Comment: Accepted Topical Review for Superconductor, Science and Technolog

First Cool-down and Test at 4.5 K of the ATLAS Superconducting Barrel Toroid Assembled in the LHC Experimental Cavern

The large ATLAS superconducting magnets system consists of the Barrel, two End-Caps Toroids and the Central Solenoid. The eight separate coils making the Barrel Toroid (BT) have been individually tested with success in a dedicated surface test facility in 2004 and 2005 and afterwards assembled in the underground cavern of the ATLAS experiment. In order to fulfil all the cryogenic scenarios foreseen for these magnets with a cold mass of 370 tons, two separate helium refrigerators and a complex helium distribution system have been used. This paper describes the results of the first cool-down, steady-state operation at 4.5 K and quench recovery of the BT in its final configuration

A superconducting transformer system for high current cable testing

This article describes the development of a direct-current (dc) superconducting transformer system for the high current test of superconducting cables. The transformer consists of a core-free 10 464 turn primary solenoid which is enclosed by a 6.5 turn secondary. The transformer is designed to deliver a 50 kA dc secondary current at a dc primary current of about 50 A. The secondary current is measured inductively using two toroidal-wound Rogowski coils. The Rogowski coil signal is digitally integrated, resulting in a voltage signal that is proportional to the secondary current. This voltage signal is used to control the secondary current using a feedback loop which automatically compensates for resistive losses in the splices to the superconducting cable samples that are connected to the secondary. The system has been commissioned up to 28 kA secondary current. The reproducibility in the secondary current measurement is better than 0.05% for the relevant current range up to 25 kA. The drift in the secondary current, which results from drift in the digital integrator, is estimated to be below 0.5 A/min. The system's performance is further demonstrated through a voltage-current measurement on a superconducting cable sample at 11 T background magnetic field. The superconducting transformer system enables fast, high resolution, economic, and safe tests of the critical current of superconducting cable samples

Ultimate Performance of the ATLAS Superconducting Solenoid

A 2 tesla, 7730 ampere, 39 MJ, 45 mm thin superconducting solenoid with a 2.3 meters warm bore and 5.3 meters length, is installed in the center of the ATLAS detector and successfully commissioned. The solenoid shares its cryostat with one of the detector's calorimeters and provides the magnetic field required for the inner detectors to accurately track collision products from the LHC at CERN. After several years of a stepwise construction and test program, the solenoid integration 100 meters underground in the ATLAS cavern is completed. Following the on-surface acceptance test, the solenoid is now operated with its final cryogenic, powering and control system. A re-validation of all essential operating parameters is completed. The performance and test results of underground operation are reported and compared to those previously measured

Machine detector interface for the e+e−e^+e^- future circular collider

The international Future Circular Collider (FCC) study aims at a design of $pp$, $e^+e^-$, $ep$ colliders to be built in a new 100 km tunnel in the Geneva region. The $e^+e^-$ collider (FCC-ee) has a centre of mass energy range between 90 (Z-pole) and 375 GeV (tt_bar). To reach such unprecedented energies and luminosities, the design of the interaction region is crucial. The crab-waist collision scheme has been chosen for the design and it will be compatible with all beam energies. In this paper we will describe the machine detector interface layout including the solenoid compensation scheme. We will describe how this layout fulfills all the requirements set by the parameters table and by the physical constraints. We will summarize the studies of the impact of the synchrotron radiation, the analysis of trapped modes and of the backgrounds induced by single beam and luminosity effects giving an estimate of the losses in the interaction region and in the detector.Comment: 6 pages, 7 figures, 62th ICFA ABDW on High Luminosity Circular $e^+e^-$ Colliders, eeFACT2018, Hong Kong, Chin

Baby MIND: A magnetised spectrometer for the WAGASCI experiment

The WAGASCI experiment being built at the J-PARC neutrino beam line will measure the difference in cross sections from neutrinos interacting with a water and scintillator targets, in order to constrain neutrino cross sections, essential for the T2K neutrino oscillation measurements. A prototype Magnetised Iron Neutrino Detector (MIND), called Baby MIND, is being constructed at CERN to act as a magnetic spectrometer behind the main WAGASCI target to be able to measure the charge and momentum of the outgoing muon from neutrino charged current interactions.Comment: Poster presented at NuPhys2016 (London, 12-14 December 2016). Title + 4 pages, LaTeX, 6 figure