Science.gov

Sample records for access roads rehabilitation

  1. ROAD: domestic assistant and rehabilitation robot.

    PubMed

    Carrera, Isela; Moreno, Héctor A; Saltarén, Roque; Pérez, Carlos; Puglisi, Lisandro; Garcia, Cecilia

    2011-10-01

    This study introduces the concept design and analysis of a robotic system for the assistance and rehabilitation of disabled people. Based on the statistical data of the most common types of disabilities in Spain and other industrialized countries, the different tasks that the device must be able to perform have been determined. In this study, different robots for rehabilitation and assistance previously introduced have been reviewed. This survey is focused on those robots that assist with gait, balance and standing up. The structure of the ROAD robot presents various advantages over these robots, we discuss some of them. The performance of the proposed architecture is analyzed when it performs the sit to stand activity.

  2. Predatory Open Access in Rehabilitation.

    PubMed

    Manca, Andrea; Martinez, Gianluca; Cugusi, Lucia; Dragone, Daniele; Mercuro, Giuseppe; Deriu, Franca

    2017-05-01

    Increasingly scholars and researchers are being solicited by predatory open access journals seeking manuscript submissions and abusing the author-pays model by charging authors with publishing fees without any or proper peer review. Such questionable editorial practices are threatening the reputation and credibility of scholarly publishing. To date, no investigation has been conducted on this phenomenon in the field of rehabilitation. This study attempts to identify specific predatory journals operating in this field to quantify the phenomenon and its geographic distribution. Beall's List has been used to this end which, although not perfect, is a comprehensive and up-to-date report of predatory publishers. Of the 1113 publishers on the list, 59 journals were identified, for a total of 5610 published articles. The median number of articles published by each journal was 21, and the median amount of article processing charges was $499. Only 1 out of 59 journals was included in the Directory of Open Access Journals, whereas 7 (12%) were indexed by PubMed. Most of the publishers were based in India (36%) followed by the United States (25%) and Pakistan (5%), and 25% were without a verifiable address. The data indicate that the threat of predatory publishing in rehabilitation is real. Physiatrists, physiotherapists, researchers, and academics operating in this field are advised to use the tools available to recognize predatory practices before considering publishing in open access journals. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  3. Curecanti-Blue Mesa-Salida 115-kV transmission lines access roads rehabilitation, maintenance, and construction project. Environmental Assessment

    SciTech Connect

    Not Available

    1993-07-01

    Western Area Power Administration (Western) is a power marketing agency of the US Department of Energy, with jurisdiction in 15 western states. The Salt Lake City Area (SLCA) of Western performs the agency`s mission in parts of Colorado, New Mexico, Texas, Utah, Arizona, Wyoming, and Nevada. As part of its mission, Western owns, operates, and maintains a system of transmission lines for transmitting bulk electrical energy from points of generation to and between delivery points. Part of that system in southwestern Colorado includes the Blue Mesa-Curecanti and Blue Mesa-Salida 115-kV transmission lines. Western proposes to conduct maintenance and improve its access roads for these two transmission lines. This paper discusses the impacts to the existing environment as well as the environmental consequences resulting from the maintenance and construction that is proposed.

  4. Road analysis: a tool for cost-effective rehabilitation measures for Finnish roads

    NASA Astrophysics Data System (ADS)

    Roimela, Petri; Salmenkaita, Seppo; Maijala, Pekka; Saarenketo, Timo

    2000-04-01

    Public funding for road network maintenance has decreased 30% during the last few years in Finland. Reduced resources, together with the current rehabilitation strategies, will in the long term result in increasing deterioration of the Finnish road network. For this reason road rehabilitation funding should be focused more specifically on those roads and road sections requiring measures and these measures should be optimized to ensure that only the specific problem structure will be repaired. Roadscanners Oy, in cooperation with the Finnish National Road Administration (Finnra), has developed a new and effective Road Analysis technique to survey the condition of roads and road networks. Road Analysis is based on the integrated analysis of the measured data collected from the road under survey. The basic survey methods used in Road Analysis include Ground Penetrating Data (GPR), falling weight deflectometer (FWD), roughness and rutting measurements, pavement distress mapping and GPS-positioning, as well as reference drilling based on preliminary GPR data analysis. The collected road survey data is processed, interpreted, analyzed and classified using Road Doctor software, specifically developed for this purpose. GPR measurements in road analysis are carried out using a 400 MHz ground-coupled antenna and a 1.0 GHz horn antenna. Horn antenna data is used to measure the thickness of the pavement and base course layers, as well as to evaluate their quality based on their dielectric properties. The 400 MHz ground-coupled data is used to estimate the thickness of the pavement structure and embankment. Ground-coupled antenna data is used for subgrade quality estimations and in evaluating the causes of subgrade- related frost defects. GPR data also provides important location information about special structures, such as steel reinforcements, cables and pipelines. Road Analysis includes a classification of the critical elements affecting the lifetime of the road: (1

  5. 4. View of Building 802 from the access road, facing ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    4. View of Building 802 from the access road, facing northwest. - Naval Air Station Fallon, 100-man Fallout Shelter, 800 Complex, off Carson Road near intersection of Pasture & Berney Roads, Fallon, Churchill County, NV

  6. Automated analysis of timber access road alternatives.

    Treesearch

    Doyle. Burke

    1974-01-01

    The evaluation of timber access road alternatives is one of the primary tasks in timber harvest planning and design. During the planning stages, it is also one of the most difficult to accomplish quantitatively because a basis for comparison is related to such values as grade, length, horizontal and vertical curvature, and volumes of excavation and embankment. Within...

  7. 25 CFR 170.121 - What is a cultural access road?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... PROGRAM Indian Reservation Roads Program Policy and Eligibility Use of Irr and Cultural Access Roads § 170.121 What is a cultural access road? (a) A cultural access road is a public road that provides access... 25 Indians 1 2010-04-01 2010-04-01 false What is a cultural access road? 170.121 Section 170.121...

  8. A Landowner's Guide to Building Forest Access Roads

    Treesearch

    Richard L. Wiest

    1998-01-01

    This guide is designed for landowners in the northeastern United States who will use a tractor and ordinary earth moving equipment to build the simplest access roads on their property, or who will contract for these services. Logging roads on small woodland properties are usually constructed by the logging contractor, sawmill operator, or by a road contractor.

  9. A synthesis of postfire road treatments for BAER teams: methods, treatment effectiveness, and decisionmaking tools for rehabilitation

    Treesearch

    Randy B. Foltz; Peter R. Robichaud; Hakjun Rhee

    2008-01-01

    We synthesized post-fire road treatment information to assist BAER specialists in making road rehabilitation decisions. We developed a questionnaire; conducted 30 interviews of BAER team engineers and hydrologists; acquired and analyzed gray literature and other relevant publications; and reviewed road rehabilitation procedures and analysis tools. Post-fire road...

  10. 9. SOUTHERLY VIEW OF THE ACCESS ROAD TO THE DOWNSTREAM ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    9. SOUTHERLY VIEW OF THE ACCESS ROAD TO THE DOWNSTREAM SIDE OF BIG DALTON DAM EXTENDING FROM THE DAM TO THE FOOTBRIDGE. VIEW FROM BIG DALTON DAM SHOWING THE TOE WEIR IN FOREGROUND AND FOOTBRIDGE IN BACKGROUND. - Big Dalton Dam, 2600 Big Dalton Canyon Road, Glendora, Los Angeles County, CA

  11. 5. WESTERLY VIEW OF THE ACCESS ROAD TO THE DOWNSTREAM ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    5. WESTERLY VIEW OF THE ACCESS ROAD TO THE DOWNSTREAM SIDE OF BIG TUJUNGA DAM EXTENDING FROM THE DAM TO THE FOOTBRIDGE. VIEW FROM BIG TUJUNGA DAM CREST SHOWING THE END OF PLUNGE POOL IN FOREGROUND AND FOOTBRIDGE IN BACKGROUND. - Big Tujunga Dam, 809 West Big Tujunga Road, Sunland, Los Angeles County, CA

  12. 9. NORTHEAST VIEW OF THE ACCESS ROAD TO THE DOWNSTREAM ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    9. NORTHEAST VIEW OF THE ACCESS ROAD TO THE DOWNSTREAM SIDE OF BIG TUJUNGA DAM EXTENDING FROM THE DAM TO THE FOOTBRIDGE. BIG TUJUNGA DAM SPILLWAY BRIDGE IN BACKGROUND. - Big Tujunga Dam, 809 West Big Tujunga Road, Sunland, Los Angeles County, CA

  13. Context view shows approach of access road to summit, communication ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Context view shows approach of access road to summit, communication towers and NW corner of lookout tower at center right. Camera is pointed SE. - Chelan Butte Lookout, Summit of Chelan Butte, Chelan, Chelan County, WA

  14. 2. AVENUE 43 ACCESS ROAD AND BRIDGE ACROSS ARROYO SECO ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    2. AVENUE 43 ACCESS ROAD AND BRIDGE ACROSS ARROYO SECO WITH NORTHBOUND PARKWAY LANES IN FOREGROUND. LOOKING 76°E. - Arroyo Seco Parkway, Avenue 43 Bridge, Milepost 27.12, Los Angeles, Los Angeles County, CA

  15. 25 CFR 170.122 - Can a tribe close a cultural access road?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Use of Irr and Cultural Access Roads § 170.122 Can a tribe close a cultural access road? (a) A tribe with jurisdiction over a cultural... 25 Indians 1 2010-04-01 2010-04-01 false Can a tribe close a cultural access road? 170.122 Section...

  16. 25 CFR 170.122 - Can a tribe close a cultural access road?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true Can a tribe close a cultural access road? 170.122 Section... ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Use of Irr and Cultural Access Roads § 170.122 Can a tribe close a cultural access road? (a) A tribe with jurisdiction over a cultural...

  17. 25 CFR 170.122 - Can a tribe close a cultural access road?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false Can a tribe close a cultural access road? 170.122 Section... ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Use of Irr and Cultural Access Roads § 170.122 Can a tribe close a cultural access road? (a) A tribe with jurisdiction over a cultural...

  18. 25 CFR 170.122 - Can a tribe close a cultural access road?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false Can a tribe close a cultural access road? 170.122 Section... ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Use of Irr and Cultural Access Roads § 170.122 Can a tribe close a cultural access road? (a) A tribe with jurisdiction over a cultural...

  19. Street rehab: Linking accessibility and rehabilitation.

    PubMed

    Holloway, Catherine; Heravi, Behzad; Barbareschi, Giulia; Nicholson, Sarah; Hailes, Stephen

    2016-08-01

    As part of the Accessible Routes from Crowdsourced Cloud Services project (ARCCS) we conducted a series of experiments using the ARCCS sensor to identify push style of wheelchair users. The aim of ARCCS is to make use of a set of well-calibrated sensors to establish a processing chain that then provides ground truth of known accuracy about location, the nature of the environment, and physiological effort. In this paper we focus on two classification problems 1) The push style employed by people as they push themselves and 2) Whether the person is being pushed by an attendant or pushing themselves (independent of push style). Solving the first enables us to develop a level of granularity to pushing classification which transcends rehabilitation and accessibility. The first problem was solved using a wrist-mounted ARCCS sensor, and the second using a wheel-mounted ARCCS sensor. Push styles were classified between semi-circular and arc styles in both indoor and outdoor environments with a high-decrees of precision and recall (>95%). The ARCCS sensor also proved capable of discerning attendant from self-propulsion with near perfect accuracy and recall, without the need for a body-worn sensor.

  20. The Priority of Road Rehabilitation in Karanganyar Regency Using IRI Estimation from Roadroid

    NASA Astrophysics Data System (ADS)

    Achmadi, F.; Suprapto, M.; Setyawan, A.

    2017-02-01

    The IRI (International Roughness Index) is a road roughness index commonly obtained from measured longitudinal road profiles. This is one of the functional performance a surface of road pavement. Therefore, needs to be done evaluation and monitoring periodically to getting priority of road rehabilitation right on target. The IRI standard has commonly been used worldwide for evaluating road system. The Roadroid is an application to measure road quality with a website to view road quality. It is designed for Android smartphones, so we can easily measure and monitor the road and also use the camera for GPS-tagged photo. By using the built-in vibration sensor in smartphones, it is possible to collect IRI value which can be an indicator road conditions. This study attempts to explain the priority of road rehabilitation in Karanganyar Regency. The location of the study focused on a collector street (primary, secondary and locally road). The result of IRI estimation will be combined with other aspects that influences; land use, policy, the connectivity of road and traffic average daily. Based on IRI estimation using Roadroid, the road conditions in Karanganyar Regency can be described 59,60% were good (IRI<4,5) 21,30% fair (4,512).

  1. 25 CFR 170.122 - Can a tribe close a cultural access road?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false Can a tribe close a cultural access road? 170.122 Section... Roads § 170.122 Can a tribe close a cultural access road? (a) A tribe with jurisdiction over a cultural access road can close it. The tribe can do this: (1) During periods when the tribe or tribal members...

  2. Study of a rehabilitated road using GPR and FWD

    NASA Astrophysics Data System (ADS)

    Marecos, Vania; Fontul, Simona; de Lurdes Antunes, Maria; Solla, Mercedes; Pajewski, Lara

    2017-04-01

    This work focus on the structural evaluation of a rehabilitated road after the conclusion of the first phase of the improvement works. The activities developed in the study comprised the characterization of the pavement layers condition (before the application of the asphalt surface layer) and the prediction of the pavement bearing capacity (taking into account the contribution of the wearing course, to be placed in accordance with the project specifications). For this study two non-destructive tests (NDT) were combined: Falling Weight Deflectometer (FWD) and Ground Penetrating Radar (GPR). The original pavement was essentially composed by a granular layer treated with a bituminous emulsion. The main objectives of the rehabilitation works were the enlargement of the road platform in selected locations, with the construction of a new pavement, and also the reinforcement of the existing pavement to increase its bearing capacity. The FWD tests were performed to assess the bearing capacity of the pavement and were conducted along the outer wheel path, in both directions. The spacing between measurement points was 75 m and the applied impulse load was 50 kN. The results showed a great variability of the deflections measured along the section under study. A preliminary zonation of the pavement was carried out, and was latter adjusted based on the results of the GPR. To determine the thickness of the pavement layers a GPR survey was carried out using a 1.8 GHz antenna and a radar control unit SIR-20, both from GSSI. The GPR tests were performed continuously along the same line as the FWD tests. The GPR tests allowed for the identification of the different structures of the pavement, corresponding to the zones with the new pavement and the existing pavement with reinforcement. Some cores were extracted to calibrate the thickness of the GPR bituminous layers, to verify the conditions of adhesion between layers and also to perform laboratory tests to characterize the

  3. 16. LOG AND PLANK BRIDGE ON ACCESS ROAD NEAR BRIDGE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    16. LOG AND PLANK BRIDGE ON ACCESS ROAD NEAR BRIDGE SITE; SAME STRUCTURE AS SHOWN IN PHOTO #12. ZION NP NEGATIVE NO. 967 ZIO. - Zion-Mount Carmel Highway, Virgin River Bridge, Spanning North Fork of Virgin River on Zion-Mount Carmel Highway, Springdale, Washington County, UT

  4. 3. VIEW OF WATER TANKS FROM ACCESS ROAD TO HATCH ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    3. VIEW OF WATER TANKS FROM ACCESS ROAD TO HATCH ADIT. VIEW NORTH. LUCKY TIGER MILL OFFICE (FEATURE B-I) IN DISTANCE. (OCTOBER, 1995) - Nevada Lucky Tiger Mill & Mine, Water Tanks, East slope of Buckskin Mountain, Paradise Valley, Humboldt County, NV

  5. 11. VIEW TO EAST; ACCESS ROAD AT SOUTH END OF ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    11. VIEW TO EAST; ACCESS ROAD AT SOUTH END OF TERMINAL AT TRACK LEVEL, LOOKING ALONG GENERAL ALIGNMENT OF PROPOSED EXTENSION OF EL MONTE BUSWAY (Asano) - Los Angeles Union Passenger Terminal, Mail, Baggage, & Express Building, 800 North Alameda Street, Los Angeles, Los Angeles County, CA

  6. Access to Vocational Rehabilitation: The Impact of Race and Ethnicity

    ERIC Educational Resources Information Center

    Giesen, J. Martin; Cavenaugh, Brenda S.; Sansing, William K.

    2004-01-01

    This study, of racial and ethnic minorities' access (application and entry) to the state-federal vocational rehabilitation (VR) system, found that access percentages were higher for African Americans, lower for Whites, and about the same for Hispanic Americans relative to the percentages of persons of the same race and ethnicity who are visually…

  7. African Americans' Access to Vocational Rehabilitation Services after Antidiscrimination Legislation

    ERIC Educational Resources Information Center

    Mwachofi, Ari K.

    2008-01-01

    The purpose of this study was to determine changes in African Americans' access to occasional rehabilitation (VR) services subsequent to landmark legislative and judicial antidiscrimination provisions of the mid-20th century. This study compared African American VR access before the antidiscrimination legislation in 1937 and after the legislation…

  8. African Americans' Access to Vocational Rehabilitation Services after Antidiscrimination Legislation

    ERIC Educational Resources Information Center

    Mwachofi, Ari K.

    2008-01-01

    The purpose of this study was to determine changes in African Americans' access to occasional rehabilitation (VR) services subsequent to landmark legislative and judicial antidiscrimination provisions of the mid-20th century. This study compared African American VR access before the antidiscrimination legislation in 1937 and after the legislation…

  9. 25 CFR 170.121 - What is a cultural access road?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true What is a cultural access road? 170.121 Section 170.121 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Use of Irr and Cultural Access Roads §...

  10. 25 CFR 170.121 - What is a cultural access road?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false What is a cultural access road? 170.121 Section 170.121 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Use of Irr and Cultural Access Roads §...

  11. 25 CFR 170.121 - What is a cultural access road?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false What is a cultural access road? 170.121 Section 170.121 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Use of Irr and Cultural Access Roads §...

  12. 25 CFR 170.121 - What is a cultural access road?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false What is a cultural access road? 170.121 Section 170.121 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Use of Irr and Cultural Access Roads § 170...

  13. Road Maintenance and Rehabilitation Program Using Functional and Structural Assessment

    NASA Astrophysics Data System (ADS)

    Setianingsih, A. I.; Sangaji, S.; Setyawan, A.

    2017-02-01

    Road sector development policy in Bangka Belitung emphasis on equitable development, which is opening up new areas for industrial development zones of potential marine and coastal tourism, so that having an impact on the budget priority to build a new road. This led to a minimal budget provided for the maintenance of the existing road. This study aimed to evaluate the condition of the pavement both functionally and structurally, the growth of traffic density and the availability of existing road maintenance costs. Then, to analyze the influence of existing road conditions, traffic density and road maintenance costs to the type of road maintenance management. The results are compared with the results of the existing maintenance conducted by the Public Works Department of Bangka Belitung province. Evaluation of pavement conditions consists of visual assessment of pavement condition using IRI, pavement condition assessment functionally with deflection method using test data tool Benkelman Beam (BB) and the actual traffic load. IRI value, deflections and traffic growth gained from years 2011-2015 subsequently created regression models to obtain the relationship and the correlation coefficient. The analysis showed that using the same relative magnitude of the budget from 2011 to 2015, giving priority to the maintenance of the road with good conditions capable of providing the road with a steady state of 100%. Recommendations can be given that maintain the road with good conditions reflecting that preservation provide maximum results with the more efficient maintenance cost.

  14. PERSPECTIVE OF HANGAR AND ACCESS ROAD LOOKING EAST (During the ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    PERSPECTIVE OF HANGAR AND ACCESS ROAD LOOKING EAST (During the 1940s the Arnold family leased part of their land to serve as a runway and airplane hangar. The building on the right of the photograph was originally two separate airplane hangars - they were joined in the early 1950s to provide covered combine parking between them. The building on the left of the photograph is a tractor shed. The building at a distance was gasoline and oil shed for the planes) - Arnold Farm, Hangar / Workshop, 1948 Arnold Road, Coupeville, Island County, WA

  15. 75 FR 20034 - Over-the-Road Bus Accessibility Program Grants: Corrections

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-16

    ... Federal Transit Administration Over-the-Road Bus Accessibility Program Grants: Corrections AGENCY: Federal..., 2010 Federal Transit Administration (FTA) Notice titled ``Over-the-Road Bus Accessibility Program... the Special Warranty for the Over-the-Road Bus Accessibility Program that is most current as of...

  16. 33 CFR 211.78 - Maintenance and conveyance of access roads.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... access roads. 211.78 Section 211.78 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE... Site Development and Use § 211.78 Maintenance and conveyance of access roads. The Government will not construct any roads for the sole purpose of providing access to lands sold or to be sold for cottage site...

  17. 33 CFR 211.78 - Maintenance and conveyance of access roads.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... access roads. 211.78 Section 211.78 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE... Site Development and Use § 211.78 Maintenance and conveyance of access roads. The Government will not construct any roads for the sole purpose of providing access to lands sold or to be sold for cottage site...

  18. 33 CFR 211.78 - Maintenance and conveyance of access roads.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... access roads. 211.78 Section 211.78 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE... Site Development and Use § 211.78 Maintenance and conveyance of access roads. The Government will not construct any roads for the sole purpose of providing access to lands sold or to be sold for cottage site...

  19. Access to rehabilitation: patient perceptions of inequalities in access to specialty pain rehabilitation from a gender and intersectional perspective

    PubMed Central

    Wiklund, Maria; Fjellman-Wiklund, Anncristine; Stålnacke, Britt-Marie; Hammarström, Anne; Lehti, Arja

    2016-01-01

    Background Long-term musculoskeletal pain is common, particularly among women. Pain conditions are a concern in primary health care, and people with severe and complex pain are referred to specialty health care. There is gender bias in access, counselling, assessment, and treatment of long-term pain. Objective This study explores patient accounts and perceptions about important (social) factors for accessing specialised pain rehabilitation from gender and intersectional equality perspectives. We aimed to identify potential biases and inequalities in accessing rehabilitation resources at a specialised rehabilitation clinic. Design Individual semi-structured interviews were conducted with 10 adults after an assessment or completion of a specialised rehabilitation programme in northern Sweden. Qualitative content analysis was used to explore patients’ perceptions of important factors for accessing rehabilitation. Results One main theme was formulated as Access to rehab – not a given. Three categories of perceived inequality were demonstrated: power of gender, power of social status, and power of diagnosis. Participants perceived rehabilitation as a resource that is not equally available, but dependent on factors such as gender, socio-economic status, ability to work, ethnicity, or age, and more subtle aspects of social status and habitus (e.g. appearance, fitness, and weight). The character of diagnosis received (medical versus psychiatric or social) was also noted. Conclusions It is crucial that professionals are aware of how potential inequalities related to gender, social status, and diagnosis, and their intersections, can be created, perceived, and have influence on the processes of assessment and treatment. Reduction of social determinants of health and biases remain important within global, national, and local contexts. PMID:27569592

  20. 25 CFR 170.128 - Are housing access roads and housing streets eligible for IRR Program funding?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Are housing access roads and housing streets eligible for... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Irr Housing Access Roads § 170.128 Are housing access roads and housing streets eligible for IRR...

  1. 1. View of McKenzieRichey property from access road, facing northwest. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. View of McKenzie-Richey property from access road, facing northwest. Note covered well, house, root cellar, barn and access road - McKenzie Property, North Bank of Sailor Gulch 750 feet northwest of intersection of U.S.F.S. Roads 651 & 349, Placerville, Boise County, ID

  2. 25 CFR 170.128 - Are housing access roads and housing streets eligible for IRR Program funding?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false Are housing access roads and housing streets eligible for... Eligibility Irr Housing Access Roads § 170.128 Are housing access roads and housing streets eligible for IRR Program funding? Yes. IRR housing access roads and housing streets on public rights-of-way are eligible...

  3. 25 CFR 170.128 - Are housing access roads and housing streets eligible for IRR Program funding?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false Are housing access roads and housing streets eligible for... Eligibility Irr Housing Access Roads § 170.128 Are housing access roads and housing streets eligible for IRR Program funding? Yes. IRR housing access roads and housing streets on public rights-of-way are eligible...

  4. 25 CFR 170.128 - Are housing access roads and housing streets eligible for IRR Program funding?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false Are housing access roads and housing streets eligible for... Eligibility Irr Housing Access Roads § 170.128 Are housing access roads and housing streets eligible for IRR Program funding? Yes. IRR housing access roads and housing streets on public rights-of-way are eligible...

  5. 25 CFR 170.128 - Are housing access roads and housing streets eligible for IRR Program funding?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true Are housing access roads and housing streets eligible for... Eligibility Irr Housing Access Roads § 170.128 Are housing access roads and housing streets eligible for IRR Program funding? Yes. IRR housing access roads and housing streets on public rights-of-way are eligible...

  6. 27. AERIAL VIEW LOOKING EAST DOWN THE WEST ACCESS ROAD. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    27. AERIAL VIEW LOOKING EAST DOWN THE WEST ACCESS ROAD. THE FIRST LARGE PROTEST AT THE PLANT CAME IN 1978. IT WAS THE FIRST MAJOR PROTEST AT ANY DEPARTMENT OF ENERGY PLANT. IN RESPONSE TO CONTINUING ANTI- NUCLEAR PROTESTS, IN PARTICULAR A 1979 RALLY THAT DREW 10,000 PARTICIPANTS, ROCKWELL EMPLOYEES AT THE PLANT FORMED A GRASSROOT ORGANIZATION, CITIZENS FOR ENERGY AND FREEDOM, AND ORGANIZED A PRO-NUCLEAR RALLY, 'POWER TO THE PEOPLE,' THAT ATTRACTED 16,000 PEOPLE (5/4/78). - Rocky Flats Plant, Bounded by Indiana Street & Routes 93, 128 & 72, Golden, Jefferson County, CO

  7. Tablet and Smartphone Accessibility Features in the Low Vision Rehabilitation.

    PubMed

    Irvine, Danielle; Zemke, Alex; Pusateri, Gregg; Gerlach, Leah; Chun, Rob; Jay, Walter M

    2014-01-01

    Tablet and smartphone use is rapidly increasing in developed countries. With this upsurge in popularity, the devices themselves are becoming more user-friendly for all consumers, including the visually impaired. Traditionally, visually impaired patients have received optical rehabilitation in the forms of microscopes, stand magnifiers, handheld magnifiers, telemicroscopes, and electronic magnification such as closed circuit televisions (CCTVs). In addition to the optical and financial limitations of traditional devices, patients do not always view them as being socially acceptable. For this reason, devices are often underutilised by patients due to lack of use in public forums or when among peers. By incorporating smartphones and tablets into a patient's low vision rehabilitation, in addition to traditional devices, one provides versatile and mainstream options, which may also be less expensive. This article explains exactly what the accessibility features of tablets and smartphones are for the blind and visually impaired, how to access them, and provides an introduction on usage of the features.

  8. Title III Evaluation for the Access Road System

    SciTech Connect

    H.R. Montalv

    1998-07-28

    The objective of this evaluation is to provide recommendations to ensure consistency between the technical baseline requirements, baseline design, and the as-constructed Access Roads. Recommendations for resolving discrepancies between the as-constructed system, the technical baseline requirements, and the baseline design are included in this report. Cost and Schedule estimates are provided for all recommended modifications. This report does not address items which do not meet current safety or code requirements. These items are identified to the CMO and immediate action is taken to correct the situation. The report does identify safety and code items for which the A/E is recommending improvements. The recommended improvements will exceed the minimum requirements of applicable code and safety guide lines. These recommendations are intended to improve and enhance the operation and maintenance of the facility.

  9. 25 CFR 170.127 - What terms apply to access roads?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... provides access to a housing cluster. (b) IRR housing street means a public road on the IRR System that provides access to adjacent homes within a housing cluster. (c) Housing cluster means three or...

  10. 25 CFR 170.127 - What terms apply to access roads?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... provides access to a housing cluster. (b) IRR housing street means a public road on the IRR System that provides access to adjacent homes within a housing cluster. (c) Housing cluster means three or...

  11. 25 CFR 170.127 - What terms apply to access roads?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... provides access to a housing cluster. (b) IRR housing street means a public road on the IRR System that provides access to adjacent homes within a housing cluster. (c) Housing cluster means three or...

  12. 25 CFR 170.127 - What terms apply to access roads?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... provides access to a housing cluster. (b) IRR housing street means a public road on the IRR System that provides access to adjacent homes within a housing cluster. (c) Housing cluster means three or...

  13. 25 CFR 170.127 - What terms apply to access roads?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... provides access to a housing cluster. (b) IRR housing street means a public road on the IRR System that provides access to adjacent homes within a housing cluster. (c) Housing cluster means three or...

  14. The effect of agency budgets on minimizing greenhouse gas emissions from road rehabilitation policies

    NASA Astrophysics Data System (ADS)

    Reger, Darren; Madanat, Samer; Horvath, Arpad

    2015-11-01

    Transportation agencies are being urged to reduce their greenhouse gas (GHG) emissions. One possible solution within their scope is to alter their pavement management system to include environmental impacts. Managing pavement assets is important because poor road conditions lead to increased fuel consumption of vehicles. Rehabilitation activities improve pavement condition, but require materials and construction equipment, which produce GHG emissions as well. The agency’s role is to decide when to rehabilitate the road segments in the network. In previous work, we sought to minimize total societal costs (user and agency costs combined) subject to an emissions constraint for a road network, and demonstrated that there exists a range of potentially optimal solutions (a Pareto frontier) with tradeoffs between costs and GHG emissions. However, we did not account for the case where the available financial budget to the agency is binding. This letter considers an agency whose main goal is to reduce its carbon footprint while operating under a constrained financial budget. A Lagrangian dual solution methodology is applied, which selects the optimal timing and optimal action from a set of alternatives for each segment. This formulation quantifies GHG emission savings per additional dollar of agency budget spent, which can be used in a cap-and-trade system or to make budget decisions. We discuss the importance of communication between agencies and their legislature that sets the financial budgets to implement sustainable policies. We show that for a case study of Californian roads, it is optimal to apply frequent, thin overlays as opposed to the less frequent, thick overlays recommended in the literature if the objective is to minimize GHG emissions. A promising new technology, warm-mix asphalt, will have a negligible effect on reducing GHG emissions for road resurfacing under constrained budgets.

  15. Tablet and Smartphone Accessibility Features in the Low Vision Rehabilitation

    PubMed Central

    Irvine, Danielle; Zemke, Alex; Pusateri, Gregg; Gerlach, Leah; Chun, Rob; Jay, Walter M.

    2014-01-01

    Abstract Tablet and smartphone use is rapidly increasing in developed countries. With this upsurge in popularity, the devices themselves are becoming more user-friendly for all consumers, including the visually impaired. Traditionally, visually impaired patients have received optical rehabilitation in the forms of microscopes, stand magnifiers, handheld magnifiers, telemicroscopes, and electronic magnification such as closed circuit televisions (CCTVs). In addition to the optical and financial limitations of traditional devices, patients do not always view them as being socially acceptable. For this reason, devices are often underutilised by patients due to lack of use in public forums or when among peers. By incorporating smartphones and tablets into a patient’s low vision rehabilitation, in addition to traditional devices, one provides versatile and mainstream options, which may also be less expensive. This article explains exactly what the accessibility features of tablets and smartphones are for the blind and visually impaired, how to access them, and provides an introduction on usage of the features. PMID:27928274

  16. 25 CFR 162.019 - May a lease address access to the leased premises by roads or other infrastructure?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... roads or other infrastructure? 162.019 Section 162.019 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF... lease address access to the leased premises by roads or other infrastructure? A lease may address access to the leased premises by roads or other infrastructure, as long as the access complies with...

  17. 25 CFR 162.019 - May a lease address access to the leased premises by roads or other infrastructure?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... roads or other infrastructure? 162.019 Section 162.019 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF... lease address access to the leased premises by roads or other infrastructure? A lease may address access to the leased premises by roads or other infrastructure, as long as the access complies with...

  18. Forest access roads: design, maintenance, and soil loss

    Treesearch

    Lloyd W. Swift

    1988-01-01

    The Regional Guide for,the South (United States Department of Agriculture 1984b) recognizes that roads and skid trails are the major sources of sediment from forestry-related activities. The overall environmental impact statement for Region 8 (United States Department of Agriculture 1984a) estimates an existing national forest road network of 56,300 km (3 1,000 miles)...

  19. Road Maintenance Experience Using Polyurethane (PU) Foam Injection System and Geocrete Soil Stabilization as Ground Rehabilitation

    NASA Astrophysics Data System (ADS)

    Fakhar, A. M. M.; Asmaniza, A.

    2016-07-01

    There are many types of ground rehabilation and improvement that can be consider and implement in engineering construction works for soil improvement in order to prevent road profile deformation in later stage. However, when comes to road maintenance especially on operated expressways, not all method can be apply directly as it must comply to opreation's working window and lane closure basis. Key factors that considering ideal proposal for ground rehabilitation are time, cost, quality and most importantly practicality. It should provide long lifespan structure in order to reduce continuous cycle of maintenance. Thus, this paper will present two approaches for ground rehabilitation, namely Polyurethane (PU) Foam Injection System and Geocrete Soil Stabilization. The first approach is an injection system which consists two-parts chemical grout of Isocynate and Polyol when mixed together within soil structure through injection will polymerized with volume expansion. The strong expansion of grouting causes significant compression and compacting of the surrounding soil and subsequently improve ground properties and uplift sunken structure. The later is a cold in-place recyclying whereby mixture process that combines in-situ soil materials, cement, white powder (alkaline) additive and water to produce hard yet flexible and durable ground layer that act as solid foundation with improved bearing capacity. The improvement of the mechanical behaviour of soil through these two systems is investigated by an extensive testing programme which includes in-situ and laboratory test in determining properties such as strength, stiffness, compressibility, bearing capacity, differential settlement and etc.

  20. Broken bodies, healing spirits: road trauma survivor's perceptions of pastoral care during inpatient orthopaedic rehabilitation.

    PubMed

    Calder, Andy; Badcoe, Andrew; Harms, Louise

    2011-01-01

    The aim of this article is to present findings from an Australian study that explored road trauma survivors' perceptions of spirituality and of a hospital-based pastoral care service throughout their inpatient rehabilitation. All participants had experienced severe orthopaedic injury. A mixed-method research design was used. The survey method elicited demographic, pastoral care contact and hospitalisation data. It included the Posttraumatic Growth Inventory (PTGI; Tedeschi and Calhoun 1996) and an adapted World Health Organisation Pastoral Intervention (WHO 2002) coding schema (Constitution of the World Health Organisation, basic documents, supplement. 45 ed.). An interview method was used to elicit information about participants' prior and current experiences of faith and spirituality, expectations, and experiences of the pastoral care service, and perceptions of the role of pastoral care in their rehabilitation. A thematic analysis of both quantitative and qualitative data identified nine core themes of supportive pastoral care. Pastoral care was seen as a valued and supportive intervention. Participants who completed the PTGI reported at least some degree of posttraumatic growth. Further research is recommended to examine the role and efficacy of pastoral care that is integral to road trauma recovery support.

  1. Cognitive-communication disorder following right hemisphere stroke: exploring rehabilitation access and outcomes.

    PubMed

    Hewetson, Ronelle; Cornwell, Petrea; Shum, David

    2017-07-01

    Rehabilitation positively influences return to activities and social roles in people with aphasia. The cognitive-communication disorder (CCD) found following a right hemisphere stroke has been less extensively researched with rehabilitation access and outcomes yet to be determined. To document rehabilitation access and outcomes for people with CCD post-stroke; and compare outcomes based on presence (viz CCD; aphasia) or absence of communication impairment. A retrospective chart audit was completed for patients with first onset unilateral stroke, with a hospital length of stay (LOS) of at least two days and a communication assessment by a speech pathologist. Data extracted included presence and severity of communication impairment, access to and LOS in a rehabilitation unit, and functional outcome measures recorded at rehabilitation discharge. The majority of the 115 patients who met inclusion criteria were living independently (n = 112, 97.4%) at the time of stroke. CCD (66%) was diagnosed with similar frequency to aphasia (68%). The presence of communication impairment did not result in significant differences in rehabilitation LOS and discharge destination when compared to hemispheric strokes without communication impairment. Severity of CCD was an independent predictor of functional gain by rehabilitation discharge. People with CCD require comparable access to rehabilitation as people with aphasia, and severity of CCD should be considered in determining rehabilitation LOS. A large number of people are discharged with ongoing CCD which warrants exploration of potential participation restrictions created by the communication impairment.

  2. Warning! Slippery Road Ahead: Internet Access and District Liability.

    ERIC Educational Resources Information Center

    Mazur, Joan M.

    1995-01-01

    As schools merge onto the information highway, districts must address their liability associated with Internet access. Schools need a practical policy supporting high access to global educational resources while limiting district liability. USENET provides easy access to controversial and pornographic materials. This article outlines federal…

  3. Advocacy and Accessibility Standards in the New "Code of Professional Ethics for Rehabilitation Counselors"

    ERIC Educational Resources Information Center

    Waldmann, Ashley K.; Blackwell, Terry L.

    2010-01-01

    This article addresses the changes in the Commission on Rehabilitation Counselor Certification's 2010 "Code of Professional Ethics for Rehabilitation Counselors" as they relate to Section C: Advocacy and Accessibility. Ethical issues are identified and discussed in relation to advocacy skills and to advocacy with, and on behalf of, the client; to…

  4. Advocacy and Accessibility Standards in the New "Code of Professional Ethics for Rehabilitation Counselors"

    ERIC Educational Resources Information Center

    Waldmann, Ashley K.; Blackwell, Terry L.

    2010-01-01

    This article addresses the changes in the Commission on Rehabilitation Counselor Certification's 2010 "Code of Professional Ethics for Rehabilitation Counselors" as they relate to Section C: Advocacy and Accessibility. Ethical issues are identified and discussed in relation to advocacy skills and to advocacy with, and on behalf of, the client; to…

  5. A synthesis of studies of access point density as a risk factor for road accidents.

    PubMed

    Elvik, Rune

    2017-10-01

    Studies of the relationship between access point density (number of access points, or driveways, per kilometre of road) and accident frequency or rate (number of accidents per unit of exposure) have consistently found that accident rate increases when access point density increases. This paper presents a formal synthesis of the findings of these studies. It was found that the addition of one access point per kilometre of road is associated with an increase of 4% in the expected number of accidents, controlling for traffic volume. Although studies consistently indicate an increase in accident rate as access point density increases, the size of the increase varies substantially between studies. In addition to reviewing studies of access point density as a risk factor, the paper discusses some issues related to formally synthesising regression coefficients by applying the inverse-variance method of meta-analysis. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Universal access: but when? Treating the right patient at the right time: access to cardiac rehabilitation.

    PubMed

    Dafoe, William; Arthur, Heather; Stokes, Helen; Morrin, Louise; Beaton, Louise

    2006-09-01

    The Canadian Cardiovascular Society formed an Access to Care Working Group ('Working Group') in the spring of 2004. The mandate of the group was to use the best science and information to establish reasonable triage categories and safe wait times for access to common cardiovascular services and procedures. The present commentary presents the rationale for benchmarks for cardiac rehabilitation (CR) services. The Working Group's search for evidence included: a full literature review of the efficacy of CR, and the factors affecting access and referral to CR; a review of existing guidelines for access to CR; and a national survey of 14 CR programs across Canada undertaken in May 2005 to solicit information on referral to, and wait times for, CR. The Working Group also reviewed the results of The Ontario Cardiac Rehabilitation Pilot Project (2002) undertaken by the Cardiac Care Network of Ontario, which reported the average and median wait times for CR. Some international agencies have formulated their own guidelines relating to the optimal wait time for the onset of CR. However, due to the limited amount of supporting literature, these guidelines have generally been formed as consensus statements. The Canadian national survey showed that few programs had guidelines for individual programs. The Cardiac Care Network of Ontario pilot project reported that the average and median times from a cardiac event to the intake into CR were 99 and 70 days, respectively. The national survey of sampled CR programs also revealed quite remarkable differences across programs in terms of the length of time between first contact to first attendance and to commencement of exercise. Programs that required a stress test before program initiation had the longest wait for exercise initiation. Some patients need to be seen within a very short time frame to prevent a marked deterioration in their medical or psychological state. In some cases, early intervention and advocacy may reduce the risk

  7. A three-stage heuristic for harvest scheduling with access road network development

    Treesearch

    Mark M. Clark; Russell D. Meller; Timothy P. McDonald

    2000-01-01

    In this article we present a new model for the scheduling of forest harvesting with spatial and temporal constraints. Our approach is unique in that we incorporate access road network development into the harvest scheduling selection process. Due to the difficulty of solving the problem optimally, we develop a heuristic that consists of a solution construction stage...

  8. 77 FR 5295 - Over-the-Road Bus Accessibility Program Announcement of Project Selections

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-02

    ... TRANSPORTATION Federal Transit Administration Over-the-Road Bus Accessibility Program Announcement of Project Selections AGENCY: Federal Transit Administration (FTA), DOT. ACTION: Notice. SUMMARY: The U.S. Department of Transportation (DOT) Federal Transit Administration (FTA) announces the selection of projects to be funded...

  9. Parent-School Partnerships: Forked Roads to College Access

    ERIC Educational Resources Information Center

    Sil, Susmita

    2007-01-01

    This article utilizes a social capital perspective to explore the benefits and harmful effects of strong ties between parents and schools in enhancing college access for students. While focusing on social capital in the form of parental participation, the article goes beyond a functionalist approach of the social capital theory as adopted by…

  10. Factors associated with access to physical rehabilitation for victims of traffic accidents

    PubMed Central

    Sousa, Kelienny de Meneses; de Oliveira, Wagner Ivan Fonsêca; Alves, Emanuel Augusto; Gama, Zenewton André da Silva

    2017-01-01

    ABSTRACT OBJECTIVE Evaluate the level of access to physical rehabilitation for survivors of traffic accidents and the associated factors. METHODS A cross-sectional study performed in Natal, Northeastern Brazil, through a telephone survey of 155 victims of traffic accidents admitted to an emergency hospital between January and August of 2013, with a diagnosis of fracture, traumatic brain injury or amputation. Participants were identified in the database of the reference hospital for care of traffic accident victims. We calculated point estimates and confidence interval (95%CI) for the frequency of subjects who had access, in addition to multivariate analysis (logistic regression) between access (dependent variable) and sociodemographic, clinical, and assistance variables. RESULTS Among the 155 respondents, the majority were adolescents and adults between 15–29 years of age (47.7%), men (82.6%), education up to high school (92.3%), income of up to two minimum wages (78.0%) and bikers (75.5%). Although 85.8% of traffic accident survivors reported the need for physical rehabilitation, there was little access (51.6%; 95%CI 43.7–59.4) and a delay to start the physical rehabilitation (average = 67 days). We classified factors associated with access to physical rehabilitation as: (i) unmodifiable individuals in the short term – family income greater than two minimum wages (OR = 3.7), informal worker (OR = 0.11) or unemployed (OR = 0.15) and possession of a private health care plan (OR = 0.07); and (ii) assistance modifiable by service management – written referral for physical rehabilitation (OR = 27.5) and perceived need of physical rehabilitation (OR = 10). CONCLUSIONS This study found a low and slow access to physical rehabilitation for individuals potentially in need. The associated factors were the organizational processes of health care (health information and referral) and social determinants (income, occupation and private health care plan). PMID:28658365

  11. Amphibian and reptile road-kills on tertiary roads in relation to landscape structure: using a citizen science approach with open-access land cover data.

    PubMed

    Heigl, Florian; Horvath, Kathrin; Laaha, Gregor; Zaller, Johann G

    2017-06-26

    Amphibians and reptiles are among the most endangered vertebrate species worldwide. However, little is known how they are affected by road-kills on tertiary roads and whether the surrounding landscape structure can explain road-kill patterns. The aim of our study was to examine the applicability of open-access remote sensing data for a large-scale citizen science approach to describe spatial patterns of road-killed amphibians and reptiles on tertiary roads. Using a citizen science app we monitored road-kills of amphibians and reptiles along 97.5 km of tertiary roads covering agricultural, municipal and interurban roads as well as cycling paths in eastern Austria over two seasons. Surrounding landscape was assessed using open access land cover classes for the region (Coordination of Information on the Environment, CORINE). Hotspot analysis was performed using kernel density estimation (KDE+). Relations between land cover classes and amphibian and reptile road-kills were analysed with conditional probabilities and general linear models (GLM). We also estimated the potential cost-efficiency of a large scale citizen science monitoring project. We recorded 180 amphibian and 72 reptile road-kills comprising eight species mainly occurring on agricultural roads. KDE+ analyses revealed a significant clustering of road-killed amphibians and reptiles, which is an important information for authorities aiming to mitigate road-kills. Overall, hotspots of amphibian and reptile road-kills were next to the land cover classes arable land, suburban areas and vineyards. Conditional probabilities and GLMs identified road-kills especially next to preferred habitats of green toad, common toad and grass snake, the most often found road-killed species. A citizen science approach appeared to be more cost-efficient than monitoring by professional researchers only when more than 400 km of road are monitored. Our findings showed that freely available remote sensing data in combination with a

  12. Factors determining eligibility and access to subacute rehabilitation for elderly people with dementia and hip fracture.

    PubMed

    McFarlane, Rosemary A; Isbel, Stephen T; Jamieson, Maggie I

    2017-05-01

    With hip fracture and dementia increasing in incidence in the global ageing population, there is a need for the development of specific procedures targeting optimal treatment outcomes for these patients. This paper looks primarily at the factors that limit access to subacute rehabilitation services as a growing body of evidence suggests that access to timely inpatient rehabilitation increases functional outcomes for patients both with dementia and without. Information was gathered by searching electronic data bases (SCOPUS, Medline, CINAHL, Health Source Nursing/Academic Addition, Psychinfo and the Cochrane Library) for relevant articles using the search terms dementia OR Alzheimer* AND hip fracture AND subacute rehabilitation OR convalescence for the period 2005-2015. Abstracts were scanned to identify articles discussing eligibility and access. A total of nine papers were identified that directly addressed this topic. Other papers discussing success or failure of rehabilitation and improved models of care were also reviewed. Barriers to access discussed in the literature include information management, management of comorbidities, attitudes, resource availability, and the quality of evidence and education. By identifying these factors we can identify strategic points of intervention across the trajectory of prevention, treatment and rehabilitation that may improve outcomes for this growing group of vulnerable patients. Emerging best practice for these patients is also discussed.

  13. Increasing Access to Cost Effective Home-Based Rehabilitation for Rural Veteran Stroke Survivors

    PubMed Central

    Housley, SN; Garlow, AR; Ducote, K; Howard, A; Thomas, T; Wu, D; Richards, K; Butler, AJ

    2016-01-01

    Introduction An estimated 750,000 Americans experience a stroke annually. Most stroke survivors require rehabilitation. Limited access to rehabilitation facilities has a pronounced burden on functional outcomes and quality of life. Robotic devices deliver reproducible therapy without the need for real-time human oversight. This study examined the efficacy of using home-based, telerobotic-assisted devices (Hand and Foot Mentor: HM and FM) to improve functional ability and reduce depression symptoms, while improving access and cost savings associated with rehabilitation. Methods Twenty stroke survivors performed three months of home-based rehabilitation using a robotic device, while a therapist remotely monitored progress. Baseline and end of treatment function and depression symptoms were assessed. Satisfaction with the device and access to therapy were determined using qualitative surveys. Cost analysis was performed to compare home-based, robotic-assisted therapy to clinic-based physical therapy. Results Compared to baseline, significant improvement in upper extremity function (30.06%, p= 0.046), clinically significant benefits in gait speed (29.03%), moderate improvement in depressive symptoms (28.44%) and modest improvement in distance walked (30.2%) were observed. Participants indicated satisfaction with the device. Home-based robot therapy expanded access to post-stroke rehabilitation for 35% of the people no longer receiving formal services and increased daily access for the remaining 65%, with a cost savings of $2,352 (64.97%) compared to clinic-based therapy. Conclusion Stroke survivors made significant clinically meaningful improvements in the use of their impaired extremities using a robotic device in the home. Home-based, robotic therapy reduced costs, while expanding access to a rehabilitation modality for people who would not otherwise have received care. PMID:28018979

  14. Rehabilitation

    MedlinePlus

    ... doing things you did before. This process is rehabilitation. Rehabilitation often focuses on Physical therapy to help your ... who has had a stroke may simply want rehabilitation to be able to dress or bathe without ...

  15. Leaching of nitrogen and phenolics from wood waste and co-composts used for road rehabilitation.

    PubMed

    Venner, K H; Prescott, C E; Preston, C M

    2009-01-01

    Rehabilitation and reforestation of disused forest roads and landings can be facilitated by the incorporation of organic matter. The British Columbia forest industry creates residual woody materials, but they are nutrient poor and may leach phenolic compounds. We assessed the potential for wood wastes (chipped cedar wood waste, sort-yard waste, hogfuel) and co-composts with shellfish waste or municipal biosolids to provide inorganic N and release phenolics and condensed tannins, compared with natural forest floor and mineral soil. Initial concentrations of tannins and phenolics were low, and 13C cross-polarization and magic-angle spinning nuclear magnetic resonance spectroscopy showed that composts were still dominated by wood. During a 426-d laboratory leaching experiment, release of phenolics from woody amendments (other than cedar wood) was lower than from native forest floor. The pH levels of woody amendments and their leachates were also within the range of native forest floor and soil (except cedar wood, which was the most acidic material). Co-composts had higher total N and available P, greatly reduced tannins and phenolics, and negligible leaching of polyphenols. Uncomposted materials released very little N during the incubation. Hogfuel-biosolids compost released a large amount of nitrate, but only during the first 100 d. Shrimp-wood compost released moderate amounts of ammonium and nitrate throughout the incubation, had high available P and low tannin content, and released less polyphenols than did native forest floors. Our results indicate that appropriate use of these amendments does not pose an environmental risk with regard to the parameters measured in this study.

  16. Research and data systems to promote equal access to postacute rehabilitation.

    PubMed

    Resnik, Linda

    2013-07-23

    The first national study in Israel of post-acute rehabilitation service use for elderly patients with stroke and hip fracture reported regional variation in care receipt. Although lower likelihood of admission to inpatient rehabilitation was observed in districts with known shortages of rehabilitation beds, supply alone did not explain the findings. This commentary explores other potential contributing factors. It argues that greater uniformity in the process and documentation of discharge planning in combination with decision support would help to standardize provider behavior. Implementation of a system of functional status data collection that is linked to administrative data is recommended to enable examination of the impact of care receipt and variation. Additional research is needed to provide a clearer understanding of factors contributing to regional variation and to identify solutions to ensure equal access to post-acute rehabilitation services in Israel.

  17. Health Benefits for Vocational Rehabilitation Consumers: Comparison of Access Rates with Workers in the General Population

    ERIC Educational Resources Information Center

    Lustig, Daniel C.; Strauser, David R.

    2010-01-01

    Access to health insurance is one of the critical aspects of securing employment for people with disabilities. This study investigated whether vocational rehabilitation consumers secured employment with an employer who offered health insurance at similar rates to workers in the general population. In general, the results show that vocational…

  18. Health Benefits for Vocational Rehabilitation Consumers: Comparison of Access Rates with Workers in the General Population

    ERIC Educational Resources Information Center

    Lustig, Daniel C.; Strauser, David R.

    2010-01-01

    Access to health insurance is one of the critical aspects of securing employment for people with disabilities. This study investigated whether vocational rehabilitation consumers secured employment with an employer who offered health insurance at similar rates to workers in the general population. In general, the results show that vocational…

  19. Motorcycles entering from access points and merging with traffic on primary roads in Malaysia: behavioral and road environment influence on the occurrence of traffic conflicts.

    PubMed

    Abdul Manan, Muhammad Marizwan

    2014-09-01

    This paper uses data from an observational study, conducted at access points in straight sections of primary roads in Malaysia in 2012, to investigate the effects of motorcyclists' behavior and road environment attributes on the occurrence of serious traffic conflicts involving motorcyclists entering primary roads via access points. In order to handle the unobserved heterogeneity in the small sample data size, this study applies mixed effects logistic regression with multilevel bootstrapping. Two statistically significant models (Model 2 and Model 3) are produced, with 2 levels of random effect parameters, i.e. motorcyclists' attributes and behavior at Level 1, and road environment attributes at Level 2. Among all the road environment attributes tested, the traffic volume and the speed limit are found to be statistically significant, only contributing to 26-29% of the variations affecting the traffic conflict outcome. The implication is that 71-74% of the unmeasured or undescribed attributes and behavior of motorcyclists still have an importance in predicting the outcome: a serious traffic conflict. As for the fixed effect parameters, both models show that the risk of motorcyclists being involved in a serious traffic conflict is 2-4 times more likely if they accept a shorter gap to a single approaching vehicle (time lag <4s) and in between two vehicles (time gap <4s) when entering the primary road from the access point. A road environment factor, such as a narrow lane (seen in Model 2), and a behavioral factor, such as stopping at the stop line (seen in Model 3), also influence the occurrence of a serious traffic conflict compared to those entering into a wider lane road and without stopping at the stop line, respectively. A discussion of the possible reasons for this seemingly strange result, including a recommendation for further research, concludes the paper.

  20. Effects of road traffic noise and the benefit of access to quietness

    NASA Astrophysics Data System (ADS)

    Öhrström, E.; Skånberg, A.; Svensson, H.; Gidlöf-Gunnarsson, A.

    2006-08-01

    Socio-acoustic surveys were carried out as part of the Soundscape Support to Health research programme to assess the health effects of various soundscapes in residential areas. The study was designed to test whether having access to a quiet side of one's dwelling enhances opportunities for relaxation and reduces noise annoyance and other adverse health effects related to noise. The dwellings chosen were exposed to sound levels from road traffic ranging from about L=45-68 dB at the most-exposed side. The study involved 956 individuals aged 18-75 years. The results demonstrate that access to quiet indoor and outdoor sections of one's dwelling supports health; it produces a lower degree and extent of annoyance and disturbed daytime relaxation, improves sleep and contributes to physiological and psychological well-being. Having access to a quiet side of one's dwelling reduces disturbances by an average of 30-50% for the various critical effects, and corresponds to a reduction in sound levels of ( LAeq,24h) 5 dB at the most-exposed side. To protect most people (80%) from annoyance and other adverse effects, sound levels from road traffic should not exceed ( LAeq,24h) 60 dB at the most-exposed side, even if there is access to a quiet side of one's dwelling ( LAeq,24h⩽45 dB).

  1. Public expectations about access fees and road closures on public lands

    USGS Publications Warehouse

    Cline, K.; Lamb, B.L.; Ponds, P.D.

    2006-01-01

    It is sometimes suggested that land managers could better communicate with the general public by relying on people who are active in community affairs to frame the message. By comparing responses from the 'attentive' and general public on the Colorado Plateau in the USA, this study investigated the expected effects of using recreation access fees or road closures to manage recreation on public lands. Although neither the attentive nor general public strongly anticipated benefits from the two management options, the attentive public was more likely than the general public to report positive expectations. Those more likely to expect fewer benefits from the management options do so because of factors that are outside the influence of managers (e.g., socio-demographics and value orientation). The results point out challenges for building public support through mobilizing the attentive public to develop a positive management atmosphere with fees and road closures. ?? 2006 University of Newcastle upon Tyne.

  2. Accessibility

    EPA Pesticide Factsheets

    Federal laws, including Section 508 of the Rehabilitation Act, mandate that people with disabilities have access to the same information that someone without a disability would have. 508 standards cover electronic and information technology (EIT) products.

  3. RCRA Facility Investigation/Remedial Investigation Report for the Gunsite 113 Access Road Unit (631-24G) - March 1996

    SciTech Connect

    Palmer, E.

    1996-03-01

    Gunsite 113 Access Road Unit is located in the northeast corner of SRS. In the mid 1980`s, sparse vegetation, dead trees, and small mounds of soil were discovered on a portion of the road leading to Gunsite 113. This area became the Gunsite 113 Access Road Unit (Gunsite 113). The unit appears to have been used as a spoil dirt and / or road construction debris disposal area. There is no documentation or record of any hazardous substance management, disposal, or any type of waste disposal at this unit. Based upon the available evidence, there are no potential contaminants of concern available for evaluation by a CERCLA baseline risk assessment. Therefore, there is no determinable health risk associated with Gunsite 113. In addition, it is also reasonable to conclude that, since contamination is below risk-based levels, the unit presents no significant ecological risk. It is recommended that no further remedial action be performed at this unit.

  4. "Dance and go on": a project of psychosocial rehabilitation on the road.

    PubMed

    Tavormina, Romina; Tavormina, Maurilio Giuseppe Maria; Nemoianni, Eugenio

    2015-09-01

    The project "Dance and go on" was created with the intention of bringing out of the Day Centre of the Department of Mental Health of Torre del Greco, the dance group "Dance That you go" active since 2009. Dancing Bachata becomes a rehabilitation tool to express emotions through the body and to open to the outside, on the territory (local society), overcoming the fear of being judged by others, the prejudice and the social stigma about mental illness. The rehabilitation activities of the dancing group allowed patients to improve their care of self, self-esteem, confidence in their capacities and an increase in their social relations. The strength and cohesion of the rehabilitation group has given to the patients the opportunity to believe in their own abilities, to accept themselves with their difficulties and to improve the relationship with their body in relation with each other.

  5. Buzzard Island Dredged Material Beneficial Use Access Road, Upper Mississippi River, River Mile 349, Pool 20. General Design Memorandum and Environmental Assessment

    DTIC Science & Technology

    1988-06-01

    Geometrics , including horizontal alignment, vertical alignment and cross sections for the proposed access road are based on the AASHTO 1984 design ...the design of the proposed access road , the following site investigations were conducted. A. Geotechnical. In May 1987 a total of 5 hand auger borings...proposed access road are presented in Plates 2-4. The following are considerations relevant to the development of these design drawings. A. Existing levee

  6. Severe road traffic injuries in Kenya, quality of care and access.

    PubMed

    Macharia, W M; Njeru, E K; Muli-Musiime, F; Nantulya, V

    2009-06-01

    Road traffic injuries (RTI) are on increase in developing countries. Health care facilities are poorly equipped to provide the needed services. Determine access and quality of care for RTI casualties in Kenya. Cross-sectional survey 53 large and medium size private, faith-based and public hospitals. In-patient road traffic crash casualties and health personnel in the selected hospitals were interviewed on availability of emergency care and resources. Onsite verification of status was undertaken. Out of 310 RTI casualties interviewed, 72.3%, 15.6% and 12.2% were in public, faith-based and private hospitals, respectively. Peak age of the injured was 15-49 years. First aid was availed to 16.0% of casualties. Unknown persons transported 76.5% of the injured. Police and ambulance vehicles transported 6.1% and 1.4%, respectively. 51.9% reached health facilities within 30 minutes of crash and medical care provided to 66.2% within one hour. 40.8% of recipient facilities were adequately prepared for RTI emergencies. Most RTI casualties were young and from poor backgrounds. Training of motorists and general public in first aid should be considered in RTI control initiatives. Availability of basic trauma care medical supplies in public health facilities was highly deficient.

  7. Access to Rehabilitation at Six Months Post Stroke: A Profile from the Action on Secondary Prevention Interventions and Rehabilitation in Stroke (ASPIRE-S) Study.

    PubMed

    Hall, Patricia; Williams, David; Hickey, Anne; Brewer, Linda; Mellon, Lisa; Dolan, Eamon; Kelly, Peter J; Shelley, Emer; Horgan, N Frances

    2016-01-01

    Stroke is the third leading cause of death and disability. Few studies have assessed the profile and adequacy of access to rehabilitation services after ischaemic stroke both in the inpatient and community setting. The objectives of the Action on Secondary Prevention Interventions and Rehabilitation in Stroke (ASPIRE-S) study were to assess the disability and rehabilitation profile, adherence with rehabilitation recommendations and needs of patients 6 months following hospital admission for stroke. A rehabilitation prescription was completed before hospital discharge for each participant, and adherence to this prescription was assessed at 6 months to determine whether patients received their recommended rehabilitation needs. Two hundred and fifty six patients were recruited to ASPIRE-S. The average age was 69 (SD 12.8). A majority (n = 221, 86%) were referred to the hospital multidisciplinary team, 59% (n = 132) were referred to all services (physiotherapy (PT), occupational therapy (OT), speech and language therapy (SLT)). Fifty-four percent (n = 119) of patients (seen by the multidisciplinary team) were referred for further rehabilitation in the community on discharge. Of these 119 patients, 112 (95%) recalled receiving community rehabilitation services. However, while most (68%) patients were referred for several disciplines (PT, OT, SLT), the most commonly recalled therapy (55%) was from a single discipline. The most commonly recommended frequency of therapy required was on a weekly basis. Sixty-one patients (51%) reported a delay in services, with some still awaiting services at 6 months. Results from this prospective study revealed that a significant number of patients (57%) did not receive the therapy recommended on discharge. Future initiatives should include the development of policies, which support more effective, equitable multidisciplinary rehabilitation for stroke patients in the community. © 2016 S. Karger AG, Basel.

  8. Accessing Inpatient Rehabilitation after Acute Severe Stroke: Age, Mobility, Prestroke Function and Hospital Unit Are Associated with Discharge to Inpatient Rehabilitation

    ERIC Educational Resources Information Center

    Hakkennes, Sharon; Hill, Keith D.; Brock, Kim; Bernhardt, Julie; Churilov, Leonid

    2012-01-01

    The objective of this study was to identify the variables associated with discharge to inpatient rehabilitation following acute severe stroke and to determine whether hospital unit contributed to access. Five acute hospitals in Victoria, Australia participated in this study. Patients were eligible for inclusion if they had suffered an acute severe…

  9. Accessing Inpatient Rehabilitation after Acute Severe Stroke: Age, Mobility, Prestroke Function and Hospital Unit Are Associated with Discharge to Inpatient Rehabilitation

    ERIC Educational Resources Information Center

    Hakkennes, Sharon; Hill, Keith D.; Brock, Kim; Bernhardt, Julie; Churilov, Leonid

    2012-01-01

    The objective of this study was to identify the variables associated with discharge to inpatient rehabilitation following acute severe stroke and to determine whether hospital unit contributed to access. Five acute hospitals in Victoria, Australia participated in this study. Patients were eligible for inclusion if they had suffered an acute severe…

  10. A Pulmonary Rehabilitation Decisional Score to Define Priority Access for COPD Patients

    PubMed Central

    Comini, Laura; Barbisoni, Marilena; Francolini, Gloria; Paneroni, Mara; Ramponi, Jean Pierre

    2017-01-01

    This retrospective study aimed to evaluate, through an ad hoc 17-item tool, the Pulmonary Rehabilitation Decisional Score (PRDS), the priority access to PR prescription by respiratory specialists. The PRDS, scoring functional, clinical, disability, frailty, and participation parameters from 0 = low priority to 34 = very high priority for PR access, was retrospectively calculated on 124 specialist reports sent to the GP of subjects (aged 71 ± 11 years, FEV1%  51 ± 17) consecutively admitted to our respiratory outpatient clinic. From the specialist's report the final subject's allocation could be low priority (LP) (>60 days), high priority (HP) (30–60 days), or very high priority (VHP) (<30 days) to rehabilitation. The PRDS calculation showed scores significantly higher in VHP versus LP (p < 0.001) and significantly different between HP and VHP (p < 0.001). Comparing the specialist's allocation decision and priority choice based on PRDS cut-offs, PR prescription was significantly more appropriate in VHP than in HP (p = 0.016). Specialists underprescribed PR in 49% of LP cases and overprescribed it in 46% and 30% of the HP and VHP prescriptions, respectively. A multicomprehensive score is feasible being useful for staging the clinical priorities for PR prescription and facilitating sustainability of the health system. PMID:28239495

  11. Factors associated with access to physical rehabilitation for victims of traffic accidents.

    PubMed

    Sousa, Kelienny de Meneses; Oliveira, Wagner Ivan Fonsêca de; Alves, Emanuel Augusto; Gama, Zenewton André da Silva

    2017-06-22

    Evaluate the level of access to physical rehabilitation for survivors of traffic accidents and the associated factors. A cross-sectional study performed in Natal, Northeastern Brazil, through a telephone survey of 155 victims of traffic accidents admitted to an emergency hospital between January and August of 2013, with a diagnosis of fracture, traumatic brain injury or amputation. Participants were identified in the database of the reference hospital for care of traffic accident victims. We calculated point estimates and confidence interval (95%CI) for the frequency of subjects who had access, in addition to multivariate analysis (logistic regression) between access (dependent variable) and sociodemographic, clinical, and assistance variables. Among the 155 respondents, the majority were adolescents and adults between 15-29 years of age (47.7%), men (82.6%), education up to high school (92.3%), income of up to two minimum wages (78.0%) and bikers (75.5%). Although 85.8% of traffic accident survivors reported the need for physical rehabilitation, there was little access (51.6%; 95%CI 43.7-59.4) and a delay to start the physical rehabilitation (average = 67 days). We classified factors associated with access to physical rehabilitation as: (i) unmodifiable individuals in the short term - family income greater than two minimum wages (OR = 3.7), informal worker (OR = 0.11) or unemployed (OR = 0.15) and possession of a private health care plan (OR = 0.07); and (ii) assistance modifiable by service management - written referral for physical rehabilitation (OR = 27.5) and perceived need of physical rehabilitation (OR = 10). This study found a low and slow access to physical rehabilitation for individuals potentially in need. The associated factors were the organizational processes of health care (health information and referral) and social determinants (income, occupation and private health care plan). Avaliar o nível de acesso à reabilitação física para

  12. A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil.

    PubMed

    Sousa, Kelienny de Meneses; Oliveira, Wagner Ivan Fonsêca de; Melo, Laiza Oliveira Mendes de; Alves, Emanuel Augusto; Piuvezam, Grasiela; Gama, Zenewton André da Silva

    2017-03-01

    Purpose To identify access barriers to physical rehabilitation for traffic accident (TA) victims with severe disability and build a theoretical model to provide guidance towards the improvement of these services. Methods Qualitative research carried out in the city of Natal (Northeast Brazil), with semi-structured interviews with 120 subjects (19 key informer health professionals and 101 TA victims) identified in a database made available by the emergency hospital. The interviews were analyzed using Alceste software, version 4.9. Results The main barriers present in the interviews were: (1) related to services: bureaucratic administrative practises, low offer of rehabilitation services, insufficient information on rehabilitation, lack of guidelines that integrate hospital and ambulatory care and (2) related to patients: financial difficulties, functional limitations, geographic distance, little information on health, association with low education levels and disbelief in the system and in rehabilitation. Conclusion The numerous access barriers were presented in a theoretical model with causes related to organizational structure, processes of care, professionals and patients. This model must be tested by health policy-makers and managers to improve the quality of physical rehabilitation and avoid unnecessary prolongation of the suffering and disability experienced by TA survivors. Implications for rehabilitation Traffic accidents (TAs) are a global health dilemma that demands integrality of preventive actions, pre-hospital and hospital care and physical rehabilitation (PR). This study lays the foundation for improving access to PR for TA survivors, an issue of quality of care that results in preventable disabilities. The words of the patients interviewed reveal the suffering of victims, which is often invisible to society and given low priority by health policies that relegate PR to a second plan ahead of prevention and urgent care. A theoretical model of the

  13. Access road from State Route 240 to the 200 West Area, Hanford Site, Richland, Washington: Environmental assessment

    SciTech Connect

    Not Available

    1994-02-01

    The US Department of Energy (DOE) proposes to construct an access road on the Hanford Site, from State Route (SR) 240 to Beloit Avenue in the 200 West Area. Traffic volume during shift changes creates an extremely serious congestion and safety problem on Route 4S from the Wye barricade to the 200 Areas. A Risk Evaluation (Trost 1992) indicated that there is a probability of 1.53 fatal accidents on Route 4S within 2 years. To help alleviate this danger, a new 3.5-kilometer (2.2-mile)-long access road would be constructed from Beloit Avenue in the 200 West Area to SR 240. In addition, administrative controls such as redirecting traffic onto alternate routes would be used to further reduce traffic volume. The proposed access road would provide an alternative travel-to-work route for many outer area personnel, particularly those with destinations in the 200 West Area. This proposal is the most reasonable alternative to reduce the problem. While traffic safety would be greatly improved, a small portion of the shrub-steppe habitat would be disturbed. The DOE would offset any habitat damage by re-vegetation or other appropriate habitat enhancement activities elsewhere on the Hanford Site. This Environmental Assessment (EA) provides information about the environmental impacts of the proposed action, so a decision can be made to either prepare an Environmental Impact Statement or issue a Finding of No Significant Impact.

  14. Disability, caregiver's dependency and patterns of access to rehabilitation care: results from a national representative study in Peru.

    PubMed

    Bernabe-Ortiz, Antonio; Diez-Canseco, Francisco; Vásquez, Alberto; Miranda, J Jaime

    2016-01-01

    To determine the prevalence of disability in Peru, explore dependency on caregiver's assistance and assess access to rehabilitation care. Data from Disability National Survey (ENEDIS), including urban and rural areas, were analyzed. Disability was defined as a permanent limitation on movement, vision, communication, hearing, learning/remembering or social relationships. Dependency was defined as the self-reported need for a caregiver to help with daily activities; and access to rehabilitation care was defined as the self-report of any therapy for disabilities. Estimates and projections were calculated using sample strata, primary sampling units and population weights, and prevalence ratios (PRs) and 95%CI were reported. From 798,308 people screened, 37,524 (5.1%; 95%CI 4.9--5.2%) had at least one disability. A total of 37,117 were included in further analysis, mean age 57.8 (SD ± 24.1) years, 52.1% women. Dependency was self-reported by 14,980 (40.5%; 95%CI: 39.2-41.9%) individuals with disabilities. A family member, usually female, was identified as a caregiver in 94.3% (95%CI: 93.3-95.3%) of dependent participants. Only 2881 (10.7%; 95%CI: 9.7-11.9%) of people with disabilities reported access to rehabilitation care. Major inequality patterns of disability burden versus access to rehabilitation care were observed by age and education level. Older age groups had higher disability burden yet lower chances of access to rehabilitation care. Conversely, the higher the education level, the lesser the overall disability burden but also the higher chances of reporting receiving care. Private healthcare insurance doubled the probability of having access to rehabilitation compared with those without insurance. Approximately 1.6 million Peruvians have at least one disability, and 40% of them require assistance with daily activities. Informal caregiving, likely female and relative-provided, is highly common. Rehabilitation care access is low and inequitable. Our results

  15. Women's experiences accessing a women-centered cardiac rehabilitation program: a qualitative study.

    PubMed

    Rolfe, Danielle E; Sutton, Erica J; Landry, Mireille; Sternberg, Len; Price, Jennifer A D

    2010-01-01

    The health benefits of cardiac rehabilitation (CR) for women living with heart disease are well documented, yet women remain underrepresented in traditionally structured CR programs. This health service delivery gap has been attributed to a number of sex-related factors experienced by women, including lower rates of physician referral, travel-related barriers, competing work and caregiving responsibilities, greater cardiovascular disease severity, and number of comorbid health conditions. Whether a program specifically designed for women is able to address these barriers and facilitate women's participation is a question that has seldom been explored in the CR literature. As part of a larger study exploring whether 6 predefined principles of women's health (empowerment of women, accessible programs, broad definition of health care, high-quality of care, collaborative planning, and innovative and creative approaches) are reflected in the practices of the Women's Cardiovascular Health Initiative (WCHI) (a comprehensive CR and primary prevention program designed for women), the objective of this analysis was to explore how the principle of "accessible programs" is experienced by women participating in the WCHI. Fourteen women previously enrolled in the WCHI program participated in a single, in-person qualitative interview. Transcripts were analyzed using a constant-comparative approach to identify relevant themes related to program accessibility. Key themes identified included participants' experiences with acquiring physician referral, negotiating transportation issues, and navigating program schedules. Women discussed how peer support and staff members' willingness to address their health-related concerns facilitated their participation. While a women-centered CR/primary prevention program may facilitate and encourage women's participation by providing flexible program schedules as well as peer and professional support, efforts are still required to address

  16. Effect of referral strategies on access to cardiac rehabilitation among women.

    PubMed

    Gravely, Shannon; Anand, Sonia S; Stewart, Donna E; Grace, Sherry L

    2014-08-01

    Despite its proven benefits and need, women's access to cardiac rehabilitation (CR) is suboptimal. Referral strategies, such as systematic referral, have been advocated to improve access to CR. This study examined sex differences in CR referral and enrollment by referral strategies; and the impact of referral strategies for referral and enrollment concordance among women. Prospective cohort study. This prospective study included 2635 coronary artery disease inpatients from 11 Ontario hospitals that utilized one of four referral strategies. Participants completed a sociodemographic survey, and clinical data were extracted from charts. One year later, 1809 participants (452 (25%) women) completed a mailed survey that assessed CR utilization. Referral strategies were compared among women using generalized estimating equations to control for the effect of hospital. Overall, significantly more men than women were referred (67.2% and 57.8% respectively, p < 0.001), and enrolled in CR (58.6% and 49.3% respectively, p = 0.001). Of the retained women, combined systematic and liaison-facilitated referral resulted in significantly greater CR referral (OR 10.3, 95% CI 4.11-25.58) and enrollment (OR 6.6, 95% CI 4.34-9.92) among women when compared with usual referral. Conversely, concordance between referral and enrollment was greatest following usual referral (K = 0.85), and decreased with referral intensity. While a lower proportion of referred patients enroll, systematic and liaison-facilitated inpatient referral strategies result in the greatest CR enrollment rates among women. Such strategies have the potential to improve access among women, and reduce 'cherry picking' of patients for referral. © The European Society of Cardiology 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  17. The Challenge of Access: Using Road Construction as a Tool in Counterinsurgency

    DTIC Science & Technology

    2011-06-10

    Page Table 1. Case Study Selection Criteria ..........................................................................38 Table 2. Assessment ...Roads, but Assessments for Determining Impact and a Sustainable Maintenance Program Are Needed (Washington, DC: Government Printing Office, July 2008... autonomy sprang from their inaccessible strongholds along the Afghan border, he advocated the construction of routes and penetration of tribal lands

  18. Improving access to cardiac rehabilitation using the internet: a randomized trial.

    PubMed

    Lear, Scott A; Singer, Joel; Banner-Lukaris, Davina; Horvat, Dan; Park, Julie E; Bates, Joanna; Ignaszewski, Andrew

    2015-01-01

    Cardiac rehabilitation (CR) is essential for secondary prevention, yet only 10%-30% of eligible patients attend as geographical proximity is a major barrier. We evaluated a 'virtual' CR program (vCRP) delivered by the Internet to patients in small urban and rural areas. In our study, in-patients (n=78) with acute coronary syndrome or post-revascularization were randomized to usual care (UC) or vCRP. The vCRP was a four-month program that included heart rate monitoring; physiologic data capture; education sessions; ask-an-expert sessions; and chat sessions with a nurse, exercise specialist and dietitian. Participants were assessed at baseline and four months, and followed for another 12 months. The primary outcome was change in maximal time on the treadmill stress test (MTT) between groups adjusted for age, sex, diabetes status and Internet use for health information. The vCRP resulted in a greater increase in MTT by 45.7 seconds (95% CI: 1.0, 90.5) compared to usual care (p=0.045). Cholesterol levels and dietary quality improved in the vCRP compared to the UC group. Participants perceived the vCRP to be an accessible, convenient and effective way to received healthcare. Eleven (30%) and 6 (18%) participants in the UC and vCRP groups, respectively, had cardiovascular-related events (p=0.275). In conclusion, the vCRP was safe and effective and resulted in sustainable risk reduction without the requirement of face-to-face visits and directly monitored exercise.

  19. Auditing Access to Outpatient Rehabilitation Services for Children With Traumatic Brain Injury and Public Insurance in Washington State.

    PubMed

    Fuentes, Molly M; Thompson, Leah; Quistberg, D Alex; Haaland, Wren L; Rhodes, Karin; Kartin, Deborah; Kerfeld, Cheryl; Apkon, Susan; Rowhani-Rahbar, Ali; Rivara, Frederick P

    2017-09-01

    To identify insurance-based disparities in access to outpatient pediatric neurorehabilitation services. Audit study with paired calls, where callers posed as a mother seeking services for a simulated child with history of severe traumatic brain injury and public or private insurance. Outpatient rehabilitation clinics. Sample of rehabilitation clinics (N=287): 195 physical therapy (PT) clinics, 109 occupational therapy (OT) clinics, 102 speech therapy (ST) clinics, and 11 rehabilitation medicine clinics. Not applicable. Acceptance of public insurance and the number of business days until the next available appointment. Therapy clinics were more likely to accept private insurance than public insurance (relative risk [RR] for PT clinics, 1.33; 95% confidence interval [CI], 1.22-1.44; RR for OT clinics, 1.40; 95% CI, 1.24-1.57; and RR for ST clinics, 1.42; 95% CI, 1.25-1.62), with no significant difference for rehabilitation medicine clinics (RR, 1.10; 95% CI, 0.90-1.34). The difference in median wait time between clinics that accepted public insurance and those accepting only private insurance was 4 business days for PT clinics and 15 days for ST clinics (P≤.001), but the median wait time was not significantly different for OT clinics or rehabilitation medicine clinics. When adjusting for urban and multidisciplinary clinic statuses, the wait time at clinics accepting public insurance was 59% longer for PT (95% CI, 39%-81%), 18% longer for OT (95% CI, 7%-30%), and 107% longer for ST (95% CI, 87%-130%) than that at clinics accepting only private insurance. Distance to clinics varied by discipline and area within the state. Therapy clinics were less likely to accept public insurance than private insurance. Therapy clinics accepting public insurance had longer wait times than did clinics that accepted only private insurance. Rehabilitation professionals should attempt to implement policy and practice changes to promote equitable access to care. Copyright © 2017

  20. Environmental Assessment for Flight Line Access Road Seymour Johnson Air Force Base

    DTIC Science & Technology

    2009-01-01

    that flows into Stoney Creek, a tributary of the Neuse River . The curbed road would be 28’ wide and 2,700 feet in length. There would also be a 600...is located in Goldsboro, North Carolina in central Wayne County (Figure 1). The Base is within the Neuse River -Stoney Creek watershed. The...waters of the US and fall under USACE’s jurisdiction and therefore a permit would be required to construct a stream crossing. The Neuse River

  1. Environmental Assessment. Sugar Bottom Day Use Access Road, Coralville Reservoir, Johnson County, Iowa

    DTIC Science & Technology

    1987-12-01

    proposed road passes through old field succes- sion habitat. Vegetation includes brome grass (Bromus sp.), goldenrod (Solidago sp.), and common milkweed...lot. The planted prairie and old field provide habitat for a number of animal species including the cottontail rabbit, ring-necked pheasant, eastern...and parking lots would displace approximately .6 of an acre of restored prairie and 1.3 acres of old field habitat. A small number of trees also would

  2. 76 FR 17738 - Over-the-Road Bus Accessibility Program Announcement of Project Selections

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-30

    ...) Accessibility Program, authorized by Section 3038 of the Transportation Equity Act for the 21st Century (TEA-21..., the effective date of TEA-21, is eligible for funding under the OTRB Accessibility Program. Awards are...--New York, One Administrator, Region 7-- Bowling Green, Room 429, New York, NY Kansas City, MO, 901...

  3. Safety and accessibility effects of code modifications and traffic calming of an arterial road.

    PubMed

    Leden, Lars; Wikström, Per-Erik; Gårder, Per; Rosander, Peter

    2006-05-01

    The European Road E12 through the community center of Storuman, Sweden was reconstructed in 1999 and 2000. Pedestrian walkways, traffic islands, chicanes of a type referred to as "Danish buns", a roundabout and a two-directional cycle track along the E12 were installed. The purpose of the reconstruction was to improve safety for pedestrians and bicyclists, primarily for children, the elderly and the disabled, and to reduce the barrier effect of the E12 thoroughfare. In May 2000, the code governing the conduct of drivers at marked crosswalks in Sweden became stricter to improve safety and mobility for pedestrians. The combined effect of reconstructions and change of code was analyzed. Traffic behavior was studied at the intersection where the roundabout was constructed. Yield behavior towards pedestrians changed significantly. The difference was even greater with respect to yielding to child bicyclists - from 6% before to 84% after - even though the code change only related to pedestrians. Crash data analysis suggests a minor increase in fall injuries after reconstructions and change of code. Measures of speed, behavioral studies, questionnaires, face-to-face interviews and crash data analysis suggest that safety has increased not only along the E12 but also along adjacent roads. The final conclusion is that a bypass is not needed in a case like Storuman. Traffic calming of the main arterial through the town seems sufficient.

  4. 77 FR 71865 - Over-the-Road Bus Accessibility Grant Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-04

    ... OTRB accessibility rule, contact Peter Chandler, Federal Motor Carrier Safety Administration, 202-366... discretionary funding should work with their FTA regional office to finalize the electronic grant application...

  5. Web Accessibility of the Higher Education Institute Websites Based on the World Wide Web Consortium and Section 508 of the Rehabilitation Act

    ERIC Educational Resources Information Center

    Alam, Najma H.

    2014-01-01

    The problem observed in this study is the low level of compliance of higher education website accessibility with Section 508 of the Rehabilitation Act of 1973. The literature supports the non-compliance of websites with the federal policy in general. Studies were performed to analyze the accessibility of fifty-four sample web pages using automated…

  6. Web Accessibility of the Higher Education Institute Websites Based on the World Wide Web Consortium and Section 508 of the Rehabilitation Act

    ERIC Educational Resources Information Center

    Alam, Najma H.

    2014-01-01

    The problem observed in this study is the low level of compliance of higher education website accessibility with Section 508 of the Rehabilitation Act of 1973. The literature supports the non-compliance of websites with the federal policy in general. Studies were performed to analyze the accessibility of fifty-four sample web pages using automated…

  7. EPA GHG certification of medium- and heavy-duty vehicles: Development of road grade profiles representative of US controlled access highways

    SciTech Connect

    Wood, Eric; Duran, Adam; Kelly, Kenneth

    2016-09-27

    In collaboration with the U.S. Environmental Protection Agency and the U.S. Department of Energy, the National Renewable Energy Laboratory has conducted a national analysis of road grade characteristics experienced by U.S. medium- and heavy-duty trucks on controlled access highways. These characteristics have been developed using TomTom's commercially available street map and road grade database. Using the TomTom national road grade database, national statistics on road grade and hill distances were generated for the U.S. network of controlled access highways. These statistical distributions were then weighted using data provided by the U.S. Environmental Protection Agency for activity of medium- and heavy-duty trucks on controlled access highways. Here, the national activity-weighted road grade and hill distance distributions were then used as targets for development of a handful of sample grade profiles potentially to be used in the U.S. Environmental Protection Agency's Greenhouse Gas Emissions Model certification tool as well as in dynamometer testing of medium- and heavy-duty vehicles and their powertrains.

  8. EPA GHG certification of medium- and heavy-duty vehicles: Development of road grade profiles representative of US controlled access highways

    DOE PAGES

    Wood, Eric; Duran, Adam; Kelly, Kenneth

    2016-09-27

    In collaboration with the U.S. Environmental Protection Agency and the U.S. Department of Energy, the National Renewable Energy Laboratory has conducted a national analysis of road grade characteristics experienced by U.S. medium- and heavy-duty trucks on controlled access highways. These characteristics have been developed using TomTom's commercially available street map and road grade database. Using the TomTom national road grade database, national statistics on road grade and hill distances were generated for the U.S. network of controlled access highways. These statistical distributions were then weighted using data provided by the U.S. Environmental Protection Agency for activity of medium- and heavy-dutymore » trucks on controlled access highways. Here, the national activity-weighted road grade and hill distance distributions were then used as targets for development of a handful of sample grade profiles potentially to be used in the U.S. Environmental Protection Agency's Greenhouse Gas Emissions Model certification tool as well as in dynamometer testing of medium- and heavy-duty vehicles and their powertrains.« less

  9. EPA GHG certification of medium- and heavy-duty vehicles: Development of road grade profiles representative of US controlled access highways

    SciTech Connect

    Wood, Eric; Duran, Adam; Kelly, Kenneth

    2016-09-27

    In collaboration with the U.S. Environmental Protection Agency and the U.S. Department of Energy, the National Renewable Energy Laboratory has conducted a national analysis of road grade characteristics experienced by U.S. medium- and heavy-duty trucks on controlled access highways. These characteristics have been developed using TomTom's commercially available street map and road grade database. Using the TomTom national road grade database, national statistics on road grade and hill distances were generated for the U.S. network of controlled access highways. These statistical distributions were then weighted using data provided by the U.S. Environmental Protection Agency for activity of medium- and heavy-duty trucks on controlled access highways. Here, the national activity-weighted road grade and hill distance distributions were then used as targets for development of a handful of sample grade profiles potentially to be used in the U.S. Environmental Protection Agency's Greenhouse Gas Emissions Model certification tool as well as in dynamometer testing of medium- and heavy-duty vehicles and their powertrains.

  10. Student Access: A Resource Guide for Educators. Section 504 of the Rehabilitation Act of 1973.

    ERIC Educational Resources Information Center

    Council of Administrators of Special Education, Inc.

    This collection of information pieces is intended to help school personnel make better decisions regarding compliance with, first, Section 504 of the Rehabilitation Act of 1973 which prohibits discrimination against persons with disabilities and, second, with the Individuals with Disabilities Education Act (IDEA). It is stressed that some students…

  11. The road to recovery and rehabilitation for injured service members with limb loss: a focus on Iraq and Afghanistan.

    PubMed

    Isaacson, Brad M; Weeks, Sharon R; Pasquina, Paul F; Webster, Joseph B; Beck, James P; Bloebaum, Roy D

    2010-01-01

    Amputation of an extremity due to traumatic injury or a vascular occlusive disease is a life-altering event that occurs when limb salvage is not possible. While an amputation is viewed as a life saving procedure clinically, limb deficiency may result in an immediate loss in social, physical and financial well-being for the patient. Military personnel returning from Operation Enduring Freedom and Operation Iraqi Freedom face unique challenges due to short residual limbs, unplanned amputations, high incidences of multiple limb loss, and accustomed activity levels prior to an amputation. The primary rehabilitation goal for these individuals is to provide them with an expedited recovery and progressive reintroduction into the civilian or active duty population. It is the purpose of this review to discuss the most frequent rehabilitation hardships service members endure following combat related trauma and future of prosthetic limb technology.

  12. 76 FR 41323 - Over-the-Road Bus Accessibility Program Grants

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-13

    ... Act for the 21st Century (TEA-21). The OTRB Accessibility Program makes funds available to private... 21st Century (TEA-21), Public Law 105-85 as amended by the Safe, Accountable, Flexible, Efficient..., and tour bus services. These services are an important element of the U.S. transportation system....

  13. Variation in access to community rehabilitation services and length of stay in hospital following a hip fracture: a cross-sectional study

    PubMed Central

    Neuburger, Jenny; Harding, Karen A; Bradley, Rachel J D; Cromwell, David A; Gregson, Celia L

    2014-01-01

    Objectives To assess variation in access to and use of community rehabilitation services for patients with a hip fracture, and whether this affects length of stay in hospital. Design Cross-sectional study using administrative patient-level data from Hospital Episode Statistics (HES) and organisational survey data. Setting A regional health economy in South West England served by four acute National Health Service (NHS) hospital trusts and six former Primary Care Trusts (PCTs). Population 1230 hip fracture patients treated in an acute hospital between 1 April 2011 and 29 February 2012. Main outcomes Information about access to community rehabilitation services for each acute hospital and PCT, reported by organisational survey. Rates of patients transferred from acute hospital to community rehabilitation hospitals (CRH) across eight groups with varying access; determined by acute hospital and PCT. Median lengths of stay in the acute hospital, and in the acute hospital plus CRH combined. Associations between the rate of transfer to a CRH and median lengths of stay assessed using Spearman's rank correlation coefficient (rs). Results Access to community rehabilitation services varied, including the number of CRH inpatient beds, formal access criteria and waiting times. In one PCT, no home-based rehabilitation service was available. The percentage of patients transferred to a CRH ranged from 2.1% to 54.7%. A higher transfer rate was associated with a shorter median length of stay in the acute hospital (rs=−0.8; p=0.01), but a longer median combined length of stay in the acute hospital and CRH (rs=+0.7; p=0.04). Conclusions Within one geographical area, there was wide variation in availability and use of community rehabilitation services for patients discharged from an acute hospital following a hip fracture. Reliance on transfers to community rehabilitation hospitals was associated with a longer length of stay in the NHS. PMID:25208849

  14. Albania’s Road Toward Integrated and Accession into the European Union

    DTIC Science & Technology

    2014-06-13

    European Common Aviation Area Agreement ECB European Central Bank ECJ the European Court of Justice ECT Energy Community Treaty EEAS European...obligations under the treaties and interprets the EU law at the requests of the national courts and tribunals.14 European Central Bank ( ECB ). The ECB ...curia.europa.eu/jcms/ jcms/j_6/ (accessed May 11, 2014). 6 power and thus price stability in the euro area (keep inflation under control). The ECB is

  15. A secondary meta-synthesis of qualitative studies of gender and access to cardiac rehabilitation.

    PubMed

    Angus, Jan E; King-Shier, Kathryn M; Spaling, Melisa A; Duncan, Amanda S; Jaglal, Susan B; Stone, James A; Clark, Alexander M

    2015-08-01

    To discuss issues in the theorization and study of gender observed during a qualitative meta-synthesis of influences on uptake of secondary prevention and cardiac rehabilitation services. Women and men can equally benefit from secondary prevention/cardiac rehabilitation and there is a need to understand gender barriers to uptake. Meta-method analysis secondary to meta-synthesis. For the meta-synthesis, a systematic search was performed to identify and retrieve studies published as full papers during or after 1995 and contained: a qualitative research component wholly or in a mixed method design, extractable population specific data or themes for referral to secondary prevention programmes and adults ≥18 years. Databases searched between January 1995-31 October 2011 included: CSA Sociological Abstracts, EBSCOhost CINAHL, EBSCOhost Gender Studies, EBSCOhost Health Source Nursing: Academic Edition, EBSCOhost SPORTDiscus, EBSCOhost SocINDEX. Studies were reviewed against inclusion/exclusion criteria. Included studies were subject to quality appraisal and standardized data extraction. Of 2264 screened articles, 69 were included in the meta-method analysis. Only four studies defined gender or used gender theories. Findings were mostly presented as inherently the characteristic of gendered worldviews of participants. The major themes suggest a mismatch between secondary prevention/cardiac rehabilitation services and consumers' needs, which are usually portrayed as differing according to gender but may also be subject to intersecting influences such as age or socioeconomic status. There is a persistent lack of theoretically informed gender analysis in qualitative literature in this field. Theory-driven gender analysis will improve the conceptual clarity of the evidence base for gender-sensitive cardiac rehabilitation programme development. © 2015 John Wiley & Sons Ltd.

  16. The Road from the NASA Access to Space Study to a Reusable Launch Vehicle

    NASA Technical Reports Server (NTRS)

    Powell, Richard W.; Cook, Stephen A.; Lockwood, Mary Kae

    1998-01-01

    NASA is cooperating with the aerospace industry to develop a space transportation system that provides reliable access-to-space at a much lower cost than is possible with today's launch vehicles. While this quest has been on-going for many years it received a major impetus when the U.S. Congress mandated as part of the 1993 NASA appropriations bill that: "In view of budget difficulties, present and future..., the National Aeronautics and Space Administration shall ... recommend improvements in space transportation." NASA, working with other organizations, including the Department of Transportation, and the Department of Defense identified three major transportation architecture options that were to be evaluated in the areas of reliability, operability and cost. These architectural options were: (1) retain and upgrade the Space Shuttle and the current expendable launch vehicles; (2) develop new expendable launch vehicles using conventional technologies and transition to these new vehicles beginning in 2005; and (3) develop new reusable vehicles using advanced technology, and transition to these vehicles beginning in 2008. The launch needs mission model was based on 1993 projections of civil, defense, and commercial payload requirements. This "Access to Space" study concluded that the option that provided the greatest potential for meeting the cost, operability, and reliability goals was a rocket-powered single-stage-to-orbit fully reusable launch vehicle (RLV) fleet designed with advanced technologies.

  17. Defense Infrastructure: High-Level Federal Interagency Coordination Is Warranted to Address Transportation Needs beyond the Scope of the Defense Access Roads Program

    DTIC Science & Technology

    2011-01-01

    Authorization Act for Fiscal Year 2006, it is the sense of Congress that the Secretary of Defense should seek to ensure that the permanent facilities... common type of DAR project at the growth installations involves intersection improvements (8 of the 20), which can accommodate an increase in...funds to build Mulligan Road, as shown in figure 4 below, which will be the new public access connection through the installation between Richmond

  18. Accessing timely rehabilitation services for a global aging society? Exploring the realities within Canada's universal health care system.

    PubMed

    Landry, Michel D; Raman, Sudha; Al-Hamdan, Elham

    2010-07-01

    The proportion of older persons is increasing in developed and developing countries: this aging trend can be viewed as a two-edged sword. On the one hand, it represents remarkable successes regarding advances in health care; and on the other hand, it represents a considerable challenge for health systems to meet growing demand. A growing disequilibrium between supply and demand may be particularly challenging within publicly funding health systems that 'guarantee' services to eligible populations. Rehabilitation, including physical therapy, is a service that if provided in a timely manner, can maximize function and mobility for older persons, which may in turn optimize efficiency and effectiveness of overall health care systems. However, physical therapy services are not considered an insured service under the legislative framework of the Canadian health system, and as such, a complex public/private mix of funding and delivery has emerged. In this article, we explore the consequences of a public/private mix of physical therapy on timely access to services, and use the World Health Organization (WHO) health system performance framework to assess the extent to which the emerging system influences the goal of aggregated and equitable health. Overall, we argue that a shift to a public/private mix may not have positive influences at the population level, and that innovative approaches to deliver services would be desirable to strengthening rather than weaken the publicly funded system. We signal that strategies aimed at scaling up rehabilitation interventions are required in order to improve health outcomes in an evolving global aging society.

  19. Exploring Wait List Prioritization and Management Strategies for Publicly Funded Ambulatory Rehabilitation Services in Ontario, Canada: Further Evidence of Barriers to Access for People with Chronic Disease

    PubMed Central

    Passalent, Laura A.; Landry, Michel D.; Cott, Cheryl A.

    2010-01-01

    Background: Timely access to publicly funded health services is a priority issue across the healthcare continuum in Canada. The purpose of this study was to examine wait list management strategies for publicly funded ambulatory rehabilitation services in Ontario, Canada. Methods: Ambulatory rehabilitation services were defined as community occupational therapy (OT) and physiotherapy (PT) services. A mailed self-administered questionnaire was sent to all 374 Ontario publicly funded sites. Descriptive statistics were used to explore management strategies. Results: The response rate was 57.2%. Client acuity was the most common method used to prioritize access across all settings. The most frequently reported methods to manage wait lists included teaching self-management strategies (85.0%), implementing attendance policies (69.5%) and conducting wait list audits (67.3%). Conclusion: Ambulatory rehabilitation settings have implemented a number of strategies for wait list management. The results of this study suggest that an increasing number of Ontarians encounter barriers when accessing publicly funded ambulatory rehabilitation services. PMID:21532763

  20. Post accessive social policy in the rehabilitation of adolescents following TBI

    PubMed Central

    Bulinski, Leszek

    2011-01-01

    Summary Background The aim of this research was to evaluate the effectiveness of the post-accessive Conduct Disorder Therapy Program administered within the “Academy of Life” in the reduction of behavioural disorder in adolescents following traumatic brain injury (TBI). Material/Methods 100 adolescents from Gdansk and adjacent areas, psychiatrically diagnosed with “frontal lobe syndrome” following a TBI, were examined. Group A included 50 participants examined and treated at the Reintegration and Training Center of the Foundation for Persons with Brain Dysfunctions. Group B comprised 50 people matched for age and sex, under treatment at the Gdansk Center for Neuropsychological Studies, Gdansk-Południe Non-Public Health Care Center. Group A used the above therapy programme, while group B did not. The studies included an analysis of documentation, neuro-imaging (CT or MRI), clinical interviews, the Mini-Mental State Examination and the Frontal Behavioural Inventory. Results The therapy program had a significant impact on conduct disorders, the most visible differences being within neurological disorders and the least visible within cognitive disorders. It also influenced the social reintegration of adolescents following TBI, as demonstrated by the greater increase in the percentage of participants from group A returning to school and hobbies practised before the accident. Conclusions The results indicate that the evaluated therapy program is effective in reducing behavioral disorders in adolescents following brain injury, and their reintegration into society. PMID:21169906

  1. Pre-hospital trauma care resources for road traffic injuries in a middle-income country--a province based study on need and access in Iran.

    PubMed

    Haghparast Bidgoli, Hassan; Bogg, Lennart; Hasselberg, Marie

    2011-09-01

    Access to pre-hospital trauma care can help minimize many of traffic related mortality and morbidity in low- and middle-income countries with high rate of traffic deaths such as Iran. The aim of this study was to assess if the distribution of pre-hospital trauma care facilities reflect the burden of road traffic injury and mortality in different provinces in Iran. This national cross-sectional study is based on ecological data on road traffic mortality (RTM), road traffic injuries (RTIs) and pre-hospital trauma facilities for all 30 provinces in Iran in 2006. Lorenz curves and Gini coefficients were used to describe the distributions of RTM/RTIs and pre-hospital trauma care facilities across provinces. Spearman rank-order correlation was performed to assess the relationship between RTM/RTI and pre-hospital trauma care facilities. RTM and RTIs as well as pre-hospital trauma care facilities were distributed unequally between different provinces. There was no significant association between the rate of RTM and RTIs and the number of pre-hospital trauma care facilities across the country. The distribution of pre-hospital trauma care facilities does not reflect the needs in terms of RTM and RTIs for different provinces. These results suggest that traffic related mortality and morbidity could be reduced if the needs in terms of RTM and RTIs were taken into consideration when distributing pre-hospital trauma care facilities between the provinces. Copyright © 2010 Elsevier Ltd. All rights reserved.

  2. Access, timing and frequency of very early stroke rehabilitation - insights from the Baden-Wuerttemberg stroke registry.

    PubMed

    Reuter, Björn; Gumbinger, Christoph; Sauer, Tamara; Wiethölter, Horst; Bruder, Ingo; Diehm, Curt; Ringleb, Peter A; Hacke, Werner; Hennerici, Michael G; Kern, Rolf

    2016-11-16

    While the precise timing and intensity of very early rehabilitation (VER) after stroke onset is still under discussion, its beneficial effect on functional disability is generally accepted. The recently published randomized controlled AVERT trial indicated that patients with severe stroke might be more susceptible to harmful side effects of VER, which we hypothesized is contrary to current clinical practice. We analyzed the Baden-Wuerttemberg stroke registry to gain insight into the application of VER in acute ischemic stroke (IS) and intracerebral hemorrhage (ICH) in clinical practice. 99,753 IS patients and 8824 patients with ICH hospitalized from January 2008 to December 2012 were analyzed. Data on the access to physical therapy (PT), occupational therapy (OT), and speech therapy (ST), the time from admission to first contact with a therapist and the average number of therapy sessions during the first 7 days of admission are reported. Multiple logistic regression models adjusted for patient and treatment characteristics were carried out to investigate the influence of VER on clinical outcome. PT was applied in 90/87% (IS/ICH), OT in 63/57%, and ST in 70/65% of the study population. Therapy was mostly initiated within 24 h (PT 87/82%) or 48 h after admission (OT 91/89% and ST 93/90%). Percentages of patients under therapy and also the average number of therapy sessions were highest in those with a discharge modified Rankin Scale score of 2 to 5 and lowest in patients with complete recovery or death during hospitalization. The outcome analyses were fundamentally hindered due to biases by individual decision making regarding the application and frequency of VER. While most patients had access to PT we noticed an undersupply of OT and ST. Only little differences were observed between patients with IS and ICH. The staff decisions for treatment seem to reflect attempts to optimize resources. Patients with either excellent or very unfavorable prognosis were less

  3. Plan PreRehabilitation 2009, Plan PostRehabilitation 2010 Gilpin's Falls Covered ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Plan Pre-Rehabilitation 2009, Plan Post-Rehabilitation 2010 - Gilpin's Falls Covered Bridge, Spanning North East Creek at Former (Bypassed) Section of North East Road (SR 272), North East, Cecil County, MD

  4. Section CC PreRehabilitation 2009; Section DD PostRehabilitation Gilpin's Falls ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Section C-C Pre-Rehabilitation 2009; Section D-D Post-Rehabilitation - Gilpin's Falls Covered Bridge, Spanning North East Creek at Former (Bypassed) Section of North East Road (SR 272), North East, Cecil County, MD

  5. Early access to vocational rehabilitation for inpatients with spinal cord injury: A qualitative study of staff perceptions.

    PubMed

    Johnston, Deborah; Ramakrishnan, Kumaran; Garth, Belinda; Murphy, Gregory; Middleton, James W; Cameron, Ian D

    2016-10-12

    Early intervention is among the factors frequently associated with more positive vocational rehabilitation outcomes; however, vocational rehabilitation is not generally a core component of inpatient rehabilitation following spinal cord injury. This qualitative study explored the opinions and perceptions of health professionals regarding InVoc, an early vocational rehabilitation intervention provided to spinal cord injury unit inpatients. The aim of this evaluation was to determine the critical elements of the InVoc programme, and whether it was perceived as successfully implemented in the hospital setting. Twenty-five medical and allied health staff working in the 3 Spinal Cord Injury Units in New South Wales, Australia, participated in the qualitative study. Three staff focus-group discussions were conducted and data analysed thematically. Four themes emerged: timeliness of the intervention, support and advocacy, value of early intervention, and conflicting messages to patients. Three critical programme elements were identified: flexibility, coordinators working on the ward, and good communication between all staff. Early vocational rehabilitation was perceived as appropriate and successfully implemented in the spinal injury unit in-patient setting, addressing an existing gap in patient care. The InVoc programme was seen to assist patients identify the possibility of returning to work and/or education. The importance of programme flexibility was highlighted.

  6. Access roads for RAG-ged terrains: control of T cell receptor gene rearrangement at multiple levels.

    PubMed

    Livák, Ferenc; Petrie, Howard T

    2002-10-01

    Antigen-specific immune response requires the generation of a diverse antigen (Ag)-receptor repertoire. The primary repertoire is generated through somatic gene rearrangement and molded by subsequent cellular selection. Constraints during gene recombination influence the ultimate shape of the repertoire. One major control mechanism of gene rearrangement, investigated for many years, is exerted through regulated chromosomal accessibility of the recombinase to the antigen receptor loci. More recent studies began to explore the role of interactions between the recombinase and its cognate recognition DNA sequences. The emerging results suggest that formation of the primary repertoire is controlled by two, partially independent factors: chromosomal accessibility and direct recombinase-DNA interactions.

  7. 24 CFR 1710.110 - Roads.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Roads. 1710.110 Section 1710.110... (INTERSTATE LAND SALES REGISTRATION PROGRAM) LAND REGISTRATION Reporting Requirements § 1710.110 Roads. (a) Access to the subdivision. (1) Is access to the subdivision provided by public or private roads? What...

  8. 24 CFR 1710.110 - Roads.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 5 2013-04-01 2013-04-01 false Roads. 1710.110 Section 1710.110... (INTERSTATE LAND SALES REGISTRATION PROGRAM) LAND REGISTRATION Reporting Requirements § 1710.110 Roads. (a) Access to the subdivision. (1) Is access to the subdivision provided by public or private roads? What...

  9. 12 CFR 1010.110 - Roads.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 8 2012-01-01 2012-01-01 false Roads. 1010.110 Section 1010.110 Banks and... § 1010.110 Roads. (a) Access to the subdivision. (1) Is access to the subdivision provided by public or private roads? What type of surface do they have? How many lanes? What is the width of the wearing surface...

  10. 24 CFR 1710.110 - Roads.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 5 2012-04-01 2012-04-01 false Roads. 1710.110 Section 1710.110... (INTERSTATE LAND SALES REGISTRATION PROGRAM) LAND REGISTRATION Reporting Requirements § 1710.110 Roads. (a) Access to the subdivision. (1) Is access to the subdivision provided by public or private roads? What...

  11. 24 CFR 1710.110 - Roads.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 5 2011-04-01 2011-04-01 false Roads. 1710.110 Section 1710.110... (INTERSTATE LAND SALES REGISTRATION PROGRAM) LAND REGISTRATION Reporting Requirements § 1710.110 Roads. (a) Access to the subdivision. (1) Is access to the subdivision provided by public or private roads? What...

  12. 12 CFR 1010.110 - Roads.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 8 2014-01-01 2014-01-01 false Roads. 1010.110 Section 1010.110 Banks and... § 1010.110 Roads. (a) Access to the subdivision. (1) Is access to the subdivision provided by public or private roads? What type of surface do they have? How many lanes? What is the width of the wearing surface...

  13. 12 CFR 1010.110 - Roads.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 8 2013-01-01 2013-01-01 false Roads. 1010.110 Section 1010.110 Banks and... § 1010.110 Roads. (a) Access to the subdivision. (1) Is access to the subdivision provided by public or private roads? What type of surface do they have? How many lanes? What is the width of the wearing surface...

  14. EPA GHG Certification of Medium- and Heavy-Duty Vehicles: Development of Road Grade Profiles Representative of US Controlled Access Highways

    SciTech Connect

    Wood, Eric; Duran, Adam; Burton, Evan; Gonder, Jeffrey; Kelly, Kenneth

    2015-05-12

    This report includes a detailed comparison of the TomTom national road grade database relative to a local road grade dataset generated by Southwest Research Institute and a national elevation dataset publically available from the U.S. Geological Survey. This analysis concluded that the TomTom national road grade database was a suitable source of road grade data for purposes of this study.

  15. Going Off Road: The First Case Reports of the Use of the Transbronchial Access Tool With Electromagnetic Navigational Bronchoscopy.

    PubMed

    Anciano, Carlos; Brown, Craig; Bowling, Mark

    2016-12-21

    The ability to reach the peripheral pulmonary nodule/mass with bronchoscopy has improved greatly over the past several years with the use of Electromagnetic navigational bronchoscopy; however, many of these lesions are unable to be adequately sampled due to their location outside the bronchial airways. We report the first use of the transbronchial access tool that creates a pathway from the bronchial airway through the lung parenchyma into the targeted lung abnormality.

  16. Improving Vocational Rehabilitation Access and Return to Work and Career Outcomes among African American Wounded Warriors, Gulf War, and Vietnam War Era Veterans with Disabilities: A White Paper Series

    ERIC Educational Resources Information Center

    Moore, Corey L., Ed.: Johnson, Jean E., Ed.; Washington, Andre L., Ed.

    2011-01-01

    The purpose of this monograph is to present documents that discuss issues related to improving access to vocational rehabilitation services and return to work rates of African American Wounded Warriors, Gulf War and Vietnam War Era veterans with disabilities. This monograph also includes a review of relevant literature on barriers to employment…

  17. Forest roads, chronic turbidity, and salmon

    Treesearch

    L. M. Reid

    1998-01-01

    Certain impacts of forest roads on habitats used by anadromous salmonids are widely recognized and well-understood: road-related landslides increase sediment loads and modify channel morphology, and culverts restrict access to parts of the channel network. Other influences are less obvious, but may be even more pervasive. For example, road-related erosion significantly...

  18. Extracting Road Vector Data from Raster Maps

    NASA Astrophysics Data System (ADS)

    Chiang, Yao-Yi; Knoblock, Craig A.

    Raster maps are an important source of road information. Because of the overlapping map features (e.g., roads and text labels) and the varying image quality, extracting road vector data from raster maps usually requires significant user input to achieve accurate results. In this paper, we present an accurate road vectorization technique that minimizes user input by combining our previous work on extracting road pixels and road-intersection templates to extract accurate road vector data from raster maps. Our approach enables GIS applications to exploit the road information in raster maps for the areas where the road vector data are otherwise not easily accessible, such as the countries of the Middle East. We show that our approach requires minimal user input and achieves an average of 93.2% completeness and 95.6% correctness in an experiment using raster maps from various sources.

  19. [Social inequality in medical rehabilitation].

    PubMed

    Deck, Ruth; Hofreuter-Gätgens, Kerstin

    2016-02-01

    The analysis of inequalities in health care provision in Germany is of high sociopolitical relevance. For medical rehabilitation, which is an essential part of health care provision, only a few studies exist. With the example of psychosomatic and orthopedic medical rehabilitation, the present article investigates how features of social inequality influence different aspects of medical rehabilitation. The database consists of a written survey on the quality assurance of medical rehabilitation in northern Germany that includes 687 patients aged between 21 and 87 years. Aspects of the access to rehabilitation (e.g., the motivation for application), the process (participation in therapies) and the outcomes (e.g., subjective health and occupational risk) of rehabilitation were investigated in relation to social inequality. Social inequality was measured by means of a social class index. For the analysis, Chi-squared tests, t tests and a repeated measures analysis of variance, adjusted for sex and age, were conducted. Initially, the analyses indicate that social inequality is of minor importance for access to rehabilitation and processes within rehabilitation. As subjective health is unequally distributed at the beginning of rehabilitation, however, equal treatment has to be discussed critically in terms of demand-driven treatment. In rehabilitation outcome distinct differences between social classes exist. To reduce these differences, rehabilitation aftercare close to the individual's living environment is necessary, which promotes the empowerment of vulnerable social groups in burdensome living conditions.

  20. Private Rehabilitation.

    ERIC Educational Resources Information Center

    McMahon, Brian T., Ed.

    1983-01-01

    Discusses the expanding role of the rehabilitation counselor into private sector rehabilitation in the seven articles of this special issue. Topics cover private rehabilitation in an insurance context including forensics issues, computer applications, recent trends, services in a multiprogram private clinic, and rehabilitation counselor training.…

  1. Tundra Rehabilitation in Alaska's Arctic

    NASA Astrophysics Data System (ADS)

    Lynn, L. A.

    2012-12-01

    Oil exploration in Alaska's Arctic has been conducted for more than 40 years, resulting in over 3,640 ha of gravel fill placed for roads, pads, and airstrips to support the industry. Likewise, tundra disturbance from burying power lines and by tundra vehicle travel are also common. Rehabilitation of disturbed sites began around 2002, with well over 150 ha that has been previously treated or is currently being rehabilitated. Two primary goals of rehabilitation efforts have been 1) revegetation by indigenous species, and 2) limiting thermokarst. Early efforts were concerned that removing gravel and having exposed bare ground would lead to extensive subsidence and eolian erosion. Native grass cultivars (e.g. Poa glauca, Arctagrostis latifolia, and Festuca rubra) were seeded to create vegetation cover quickly with the expectation that these grasses would survive only temporarily. The root masses and leaf litter were also expected to trap indigenous seed to enhance natural recolonization by indigenous plants. Due to the remote location of these sites, many of which are only accessible by helicopter, most are visited only two to three times following cultivation treatments, providing a limited data pool. At many sites, the total live seeded grass cover declined about 15% over the first 5¬-6 years (from around 30% to 15% cover), while total live indigenous vascular cover increased from no or trace cover to an average of 10% cover in that time. Cover of indigenous vascular plants at sites that were not seeded with native grass cultivars averaged just less than 10% after 10 years, showing no appreciable difference between the two approaches. Final surface elevations at the sites affect local hydrology and soil moisture. Other factors that influence the success of vegetation cover are proximity to the Arctic coast (salt effects), depth of remaining gravel, and changes in characteristics of the near-surface soil. Further development of rehabilitation techniques and the

  2. Adding access to a video magnifier to standard vision rehabilitation: initial results on reading performance and well-being from a prospective, randomized study.

    PubMed

    Jackson, Mary Lou; Schoessow, Kimberly A; Selivanova, Alexandra; Wallis, Jennifer

    2017-01-01

    Both optical and electronic magnification are available to patients with low vision. Electronic video magnifiers are more expensive than optical magnifiers, but they offer additional benefits, including variable magnification and contrast. This study aimed to evaluate the effect of access to a video magnifier (VM) added to standard comprehensive vision rehabilitation (VR). In this prospective study, 37 subjects with central field loss were randomized to receive standard VR (VR group, 18 subjects) or standard VR plus VM (VM group, 19 subjects). Subjects read the International Reading Speed Texts (IReST), a bank check, and a phone number at enrollment, at 1 month, and after occupational therapy (OT) as indicated to address patient goals. The Impact of Vision Impairment (IVI) questionnaire, a version of the Activity Inventory (AI), and the Depression Anxiety and Stress Scale (DASS) were administered at enrollment, 1 month, after OT, 1 month later, and 1 year after enrollment. Assessments at enrollment and 1 month later were evaluated. At 1 month, the VM group displayed significant improvement in reading continuous print as measured by the IReST (P = 0.01) but did not differ on IVI, AI, or DASS. From enrollment to 1 month all subjects improved in their ability to spot read (phone number and check; P < 0.01 for both). The VM group improved in their ability to find and read a number in a phone book more than the VR group at 1 month after initial consultation (P = 0.02). All reported better well-being (P = 0.02). All subjects reported better well-being on the IVI. The VM group read faster and was better at two spot reading tasks but did not differ from the VR group in other outcome measures.

  3. Adding access to a video magnifier to standard vision rehabilitation: initial results on reading performance and well-being from a prospective, randomized study

    PubMed Central

    Jackson, Mary Lou; Schoessow, Kimberly A.; Selivanova, Alexandra; Wallis, Jennifer

    2017-01-01

    Purpose Both optical and electronic magnification are available to patients with low vision. Electronic video magnifiers are more expensive than optical magnifiers, but they offer additional benefits, including variable magnification and contrast. This study aimed to evaluate the effect of access to a video magnifier (VM) added to standard comprehensive vision rehabilitation (VR). Methods In this prospective study, 37 subjects with central field loss were randomized to receive standard VR (VR group, 18 subjects) or standard VR plus VM (VM group, 19 subjects). Subjects read the International Reading Speed Texts (IReST), a bank check, and a phone number at enrollment, at 1 month, and after occupational therapy (OT) as indicated to address patient goals. The Impact of Vision Impairment (IVI) questionnaire, a version of the Activity Inventory (AI), and the Depression Anxiety and Stress Scale (DASS) were administered at enrollment, 1 month, after OT, 1 month later, and 1 year after enrollment. Assessments at enrollment and 1 month later were evaluated. Results At 1 month, the VM group displayed significant improvement in reading continuous print as measured by the IReST (P = 0.01) but did not differ on IVI, AI, or DASS. From enrollment to 1 month all subjects improved in their ability to spot read (phone number and check; P < 0.01 for both). The VM group improved in their ability to find and read a number in a phone book more than the VR group at 1 month after initial consultation (P = 0.02). All reported better well-being (P = 0.02). Conclusions All subjects reported better well-being on the IVI. The VM group read faster and was better at two spot reading tasks but did not differ from the VR group in other outcome measures. PMID:28924412

  4. Research related to roads in USDA experimental forests [Chapter 16

    Treesearch

    W. J. Elliot; P. J. Edwards; R. B. Foltz

    2014-01-01

    Forest roads are essential in experimental forests and rangelands (EFRs) to allow researchers and the public access to research sites and for fire suppression, timber extraction, and fuel management. Sediment from roads can adversely impact watershed health. Since the 1930s, the design and management of forest roads has addressed both access issues and watershed health...

  5. [Prevention of road accidents in the road haulage field].

    PubMed

    Rosso, G L; Zanelli, R; Corino, P; Bruno, S

    2007-01-01

    Every year many traffic accidents with fatal outcomes occur in our Country. According to the recent indications of the European Agency for Safety and Health at Work, the Piedmont region has financed the plan: Prevention of road accidents in the road haulage field. The aims of the plan are to stimulate transport companies to the target of road safety and to improve and enforce sanitary surveillance, in order to improve the safety on road haulage and to prevent traffic injuries. the plan foresees, over a period of two years, a few encounters with all the interested parties (companies, police forces, labour unions etc). During those encounters we have to give a questionnaire for evaluating the companies' knowledge about the problem and we have to choose a common plan with the aim of improving road safety. The Piedmont regional plan recalls the need to increase the attention to numerous and diversified hazards for safety on road haulage. It also imposes the choice of measures that include: risk assessment, health education, technical and environmental prevention, sanitary surveillance and clinical interventions (diagnosis and rehabilitation of occupational accidents).

  6. Pulmonary Rehabilitation

    MedlinePlus

    Pulmonary Rehabilitation If you have shortness of breath because of lung problems, you may have asked yourself: • Can I ... medications do I really need to take? Pulmonary rehabilitation can help answer these and other questions. Enrolling ...

  7. Paralysis: Rehabilitation

    MedlinePlus

    ... your health and quality of life. Find a rehabilitation center near you and become familiar with different therapies. > ... NeuroRecovery Network® The NRN is a network of rehabilitation centers located across the country. > Christopher's exercise program Learn ...

  8. Feline rehabilitation.

    PubMed

    Drum, Marti G; Bockstahler, Barbara; Levine, David; Marcellin-Little, Denis J

    2015-01-01

    Cats have orthopedic problems, including osteoarthritis, fractures, and luxations that are positively impacted by physical rehabilitation. Most cats have an independent behavior that requires using a tactful approach to rehabilitation. Cats often do well with manual therapy and electrophysical modalities. Feline rehabilitation sessions may be shorter than canine rehabilitation sessions. Cats do best with therapeutic exercises when these exercises are linked to hunting, playing, or feeding. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. Rehabilitation in Russia

    ERIC Educational Resources Information Center

    Martz, Erin

    2005-01-01

    For several decades, the disability community in Russia has battled for its rights. In 1995, a disability rights law was passed that covered multiple areas, such as environmental access, education, and work. This article focuses on Russian rehabilitation philosophy and practice. It is written from a mixture of perspectives?personal experience,…

  10. Distributed road assessment system

    DOEpatents

    Beer, N. Reginald; Paglieroni, David W

    2014-03-25

    A system that detects damage on or below the surface of a paved structure or pavement is provided. A distributed road assessment system includes road assessment pods and a road assessment server. Each road assessment pod includes a ground-penetrating radar antenna array and a detection system that detects road damage from the return signals as the vehicle on which the pod is mounted travels down a road. Each road assessment pod transmits to the road assessment server occurrence information describing each occurrence of road damage that is newly detected on a current scan of a road. The road assessment server maintains a road damage database of occurrence information describing the previously detected occurrences of road damage. After the road assessment server receives occurrence information for newly detected occurrences of road damage for a portion of a road, the road assessment server determines which newly detected occurrences correspond to which previously detected occurrences of road damage.

  11. Contemporary vocational rehabilitation in Australia.

    PubMed

    Buys, Nicholas; Matthews, Lynda R; Randall, Christine

    2015-01-01

    of training in the vocational rehabilitation sector result in people with complex needs not consistently receiving the services they need to access and maintain employment. Practitioners need to focus increasingly on individualized service delivery where the client has significant control over decisions about their rehabilitation program.

  12. Longitudinal Study of the Vocational Rehabilitation Services Program. Final Report 1: How Consumer Characteristics Affect Access to, Receipt of, and Outcomes of VR Services.

    ERIC Educational Resources Information Center

    Hayward, Becky J.; Schmidt-Davis, Holly

    This report is the first in a series of four final reports that present the findings of the Longitudinal Study of the Vocational Rehabilitation (VR) Services Program. Initiated in fall 1992, the study has tracked VR participation and post-VR experiences of applicants to and consumers of VR services (n=8,500) for up to 3 years following exit from…

  13. Rates of Access to the State/Federal Vocational Rehabilitation Program, Service Provision, Successful Closure, and Reasons for Closure for Persons Living with HIV/AIDS

    ERIC Educational Resources Information Center

    Jung, Youngoh; Bellini, James

    2009-01-01

    This descriptive population study was prepared to provide descriptive analysis of the population of vocational rehabilitation (VR) consumers with HIV/AIDS in the years 2002-2007, with comparisons made to the population estimates for numbers of persons identified as living with HIV/AIDS and comparison to the larger population of VR service…

  14. Celtic Roads

    ERIC Educational Resources Information Center

    Kinney, Jan

    2009-01-01

    Building upon lessons learned is relevant to art and life. As an art teacher dealing with teens, the author tries to give her students an understanding of art as a window to the "big picture" as well as a practical, relevant skill. She developed this lesson plan, "Celtic Roads," with that objective in mind. The success rate is high, the product is…

  15. [Social inequality in medical rehabilitation].

    PubMed

    Deck, R

    2008-10-01

    The association of social inequality and health is well known and well documented. Numerous studies have shown that a lower socio-economic status is associated with higher morbidity and mortality. This association is caused by various circumstances such as unfavourable work and living conditions, unhealthy life styles and risk factors and, last but not least, the access to medical care depending on socio-economic status. These aspects are correlated in various ways, at any rate they cause a higher prevalence of diseases and lower quality of life in persons with lower socio-economic status. The present article discusses the association between social inequality and medical rehabilitation, a problem which is rarely investigated in present research on social inequality and health. In our study, 911 rehabilitation patients were included. Analyses of socio-economic differences with respect to rehabilitation care address the following questions: are there differences in access to medical rehabilitation, in rehabilitation care, with respect to success of rehabilitation and satisfaction with rehabilitation? To assign patients to a social class - lower, middle and upper class - we constructed an indicator of social status based on education, occupation and income level. Our findings in a sample of rehabilitation patients are in line with the results of existing research on social inequality and health. Patients from the lower social class enter the rehabilitation care system with a poorer health state and leave it with less favourable results than patients with higher social status. However, with regard to the effect of rehabilitation care, middle class patients benefit least. It can be speculated that systematic information of patients about the aims of the rehabilitation programme and specific after care focusing on relevant aspects of daily living may reduce the disadvantages of lower class patients.

  16. 36 CFR 9.32 - Access.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... MANAGEMENT Non-Federal Oil and Gas Rights § 9.32 Access. (a) No access on, across or through lands or waters... access is by foot, pack animal, or designated road. Persons using designated roads for access to such a...

  17. 36 CFR 9.32 - Access.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... MANAGEMENT Non-Federal Oil and Gas Rights § 9.32 Access. (a) No access on, across or through lands or waters... access is by foot, pack animal, or designated road. Persons using designated roads for access to such a...

  18. 36 CFR 9.32 - Access.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... MANAGEMENT Non-Federal Oil and Gas Rights § 9.32 Access. (a) No access on, across or through lands or waters... access is by foot, pack animal, or designated road. Persons using designated roads for access to such a...

  19. 24 CFR 1710.210 - Roads.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... complete any roads providing access to the subdivision, submit copies of any bonds or escrow agreements which have been posted to guarantee completion thereof. (c) Submit copies of any bonds or escrow...

  20. 24 CFR 1710.210 - Roads.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... complete any roads providing access to the subdivision, submit copies of any bonds or escrow agreements which have been posted to guarantee completion thereof. (c) Submit copies of any bonds or escrow...

  1. 12 CFR 1010.210 - Roads.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... developer is to complete any roads providing access to the subdivision, submit copies of any bonds or escrow agreements which have been posted to guarantee completion thereof. (c) Submit copies of any bonds or escrow...

  2. 24 CFR 1710.210 - Roads.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... complete any roads providing access to the subdivision, submit copies of any bonds or escrow agreements which have been posted to guarantee completion thereof. (c) Submit copies of any bonds or escrow...

  3. 12 CFR 1010.210 - Roads.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... developer is to complete any roads providing access to the subdivision, submit copies of any bonds or escrow agreements which have been posted to guarantee completion thereof. (c) Submit copies of any bonds or escrow...

  4. 24 CFR 1710.210 - Roads.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... complete any roads providing access to the subdivision, submit copies of any bonds or escrow agreements which have been posted to guarantee completion thereof. (c) Submit copies of any bonds or escrow...

  5. 12 CFR 1010.210 - Roads.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... developer is to complete any roads providing access to the subdivision, submit copies of any bonds or escrow agreements which have been posted to guarantee completion thereof. (c) Submit copies of any bonds or escrow...

  6. Cardiac Rehabilitation.

    ERIC Educational Resources Information Center

    Thoreson, Richard W.; And Others

    1981-01-01

    Describes rehabilitation implications associated with psychosocial factors, patient reaction, and family adjustment to coronary heart disease. Patient education and counseling must stress specific long-term care and follow-up and deal with family anxiety and depression. The rehabilitation counselor can help patients incorporate medical…

  7. [Neurological rehabilitation].

    PubMed

    Hömberg, V

    2010-10-01

    This article describes state of the art concepts of neurological rehabilitation in Germany. In parallel to enormous growth of knowledge in the neurosciences also neurological rehabilitation has made significant progress. The increasing use of concepts of evidence based medicine and an early translation of knowledge from the neurosciences into clinical rehabilitation practice contribute to therapeutic advances. It is now widely accepted, that rehabilitation should start early and should be organized in a multidisciplinary professional team. Therapeutic procedures selected should be evidence based and have to be modified to find custom tailored solutions for individual patients. General rules derived from neuroscientific knowledge have been shown to be useful to design new therapeutic techniques. Neuromodulatory stimulation and special pharmacological treatments provide further options for enhancing results of rehabilitation.

  8. Washboard Road

    NASA Astrophysics Data System (ADS)

    McElwaine, Jim; Dalziel, Stuart; Taberlet, Nicolas; Morris, Stephen

    2006-11-01

    The tendency of unpaved road surfaces to develop lateral ripples (``washboard'' or ``corrugated'' road) is annoyingly familiar to drivers on dry gravel roads. Similar ripples are well known on railroad tracks and many other rolling or sliding, load bearing surfaces. Our approach combined laboratory experiments, soft-particle direct numerical simulations and simple nonlinear dynamics models. The experiment consisted of a rotating table 60 cm in radius with a thick layer of sand forming a roadbed around the circumference. A 6 cm radius hard rubber wheel, with a support stationary in the lab frame, rolled on the sand layer. We varied the speed of the table and the details of the suspension of the wheel. The onset of the ripple pattern exhibits a sharp threshold and was strongly subcritical with a large hysteresis as a function of the speed of the table. The ripple pattern appears as small patches of travelling waves which eventually spread to the entire circumference. The ripples move slowly in the driving direction. Interesting secondary dynamics of the saturated ripples were observed. All of these effects are captured qualitatively by a 2D soft particle simulations. The simulations clearly indicate that neither compaction nor particle size segregation are crucial for the appearance of the ripples, and we present a simple model to describe the wavelength and amplitude of the ripples.

  9. Longitudinal Section AA/South ElevationPreRehabilitation 2009; Longitudinal Section BB/PostRehabilitation 2010 ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Longitudinal Section A-A/South Elevation-Pre-Rehabilitation 2009; Longitudinal Section B-B/Post-Rehabilitation 2010 - Gilpin's Falls Covered Bridge, Spanning North East Creek at Former (Bypassed) Section of North East Road (SR 272), North East, Cecil County, MD

  10. EPA Accessibility Statement

    EPA Pesticide Factsheets

    EPA is committed to making its websites and other electronic and information technology (EIT) accessible to the widest possible audience, including people with disabilities, in accordance with Section 508 of the Rehabilitation Act.

  11. Equal Access to All.

    ERIC Educational Resources Information Center

    Schettler, Joel

    2002-01-01

    Discusses the Section 508 amendment to the Rehabilitation Act of 1973 that directs the use of technology. Describes guidelines for online training accessibility with which vendors hoping for government business must fully comply. (JOW)

  12. 23 CFR 661.21 - When is a bridge eligible for rehabilitation?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 23 Highways 1 2012-04-01 2012-04-01 false When is a bridge eligible for rehabilitation? 661.21... TRAFFIC OPERATIONS INDIAN RESERVATION ROAD BRIDGE PROGRAM § 661.21 When is a bridge eligible for rehabilitation? To be eligible for rehabilitation, the bridge must be considered structurally deficient or...

  13. 23 CFR 661.21 - When is a bridge eligible for rehabilitation?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 23 Highways 1 2011-04-01 2011-04-01 false When is a bridge eligible for rehabilitation? 661.21... TRAFFIC OPERATIONS INDIAN RESERVATION ROAD BRIDGE PROGRAM § 661.21 When is a bridge eligible for rehabilitation? To be eligible for rehabilitation, the bridge must be considered structurally deficient or...

  14. 23 CFR 661.21 - When is a bridge eligible for rehabilitation?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 23 Highways 1 2014-04-01 2014-04-01 false When is a bridge eligible for rehabilitation? 661.21... TRAFFIC OPERATIONS INDIAN RESERVATION ROAD BRIDGE PROGRAM § 661.21 When is a bridge eligible for rehabilitation? To be eligible for rehabilitation, the bridge must be considered structurally deficient or...

  15. 23 CFR 661.21 - When is a bridge eligible for rehabilitation?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false When is a bridge eligible for rehabilitation? 661.21... TRAFFIC OPERATIONS INDIAN RESERVATION ROAD BRIDGE PROGRAM § 661.21 When is a bridge eligible for rehabilitation? To be eligible for rehabilitation, the bridge must be considered structurally deficient or...

  16. 23 CFR 661.21 - When is a bridge eligible for rehabilitation?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 23 Highways 1 2013-04-01 2013-04-01 false When is a bridge eligible for rehabilitation? 661.21... TRAFFIC OPERATIONS INDIAN RESERVATION ROAD BRIDGE PROGRAM § 661.21 When is a bridge eligible for rehabilitation? To be eligible for rehabilitation, the bridge must be considered structurally deficient or...

  17. Telecommunications technology in cognitive rehabilitation.

    PubMed

    Caltagirone, Carlo; Zannino, Gian Daniele

    2008-01-01

    Cognitive disorders are a common long-term consequence of many forms of acquired neurological damage of different aetiology. The already high prevalence of diseases causing cognitive deficits (in particular stroke) is expected to increase in the near future, leading to a greater need for cognitive rehabilitation. The impact of cognitive impairment on daily functioning may be even greater than that of physical limitations in affected patients, contributing to the high cost of brain disorders. New technologies, including telerehabilitation, may provide an effective response to this challenge, allowing increased access to rehabilitation services as well as reduced care costs for individuals needing cognitive rehabilitation.

  18. Stroke rehabilitation

    PubMed Central

    Bindawas, Saad M.; Vennu, Vishal S.

    2016-01-01

    Stroke is a major cause of death and other complications worldwide. In Saudi Arabia, stroke has become an emerging health issue leading to disability and death. However, stroke care including rehabilitation services, in Saudi Arabia lags behind developed countries. Stroke rehabilitation is an essential recovery option after stroke and should start as early as possible to avoid potential complications. The growing evidence on stroke rehabilitation effectiveness in different health care settings and outcome measures used widely are reviewed in this call to action paper. PMID:27744457

  19. Stroke Rehabilitation

    MedlinePlus

    ... Skill on the part of the rehabilitation team Cooperation of family and friends. Caring family/friends can ... Opportunities About Funding Funding Types: Know the Differences International Activities Grant Mechanisms Research Program Award (R35) Javits ...

  20. Rehabilitation robotics.

    PubMed

    Munih, Marko; Bajd, Tadej

    2011-01-01

    The paper presents the background, main achievements and components of rehabilitation robotics in a simple way, using non-technical terms. The introductory part looks at the development of robotic approaches in the rehabilitation of neurological patients and outlines the principles of robotic device interactions with patients. There follows a section on virtual reality in rehabilitation. Hapticity and interaction between robot and human are presented in order to understand the added value of robotics that cannot be exploited in other devices. The importance of passive exercise and active tasks is then discussed using the results of various clinical trials, followed by the place of upper and lower extremity robotic devices in rehabilitation practice. The closing section refers to the general importance of measurements in this area and stresses quantitative measurements as one of the advantages in using robotic devices.

  1. Stroke rehabilitation.

    PubMed

    Langhorne, Peter; Bernhardt, Julie; Kwakkel, Gert

    2011-05-14

    Stroke is a common, serious, and disabling global health-care problem, and rehabilitation is a major part of patient care. There is evidence to support rehabilitation in well coordinated multidisciplinary stroke units or through provision of early supported provision of discharge teams. Potentially beneficial treatment options for motor recovery of the arm include constraint-induced movement therapy and robotics. Promising interventions that could be beneficial to improve aspects of gait include fitness training, high-intensity therapy, and repetitive-task training. Repetitive-task training might also improve transfer functions. Occupational therapy can improve activities of daily living; however, information about the clinical effect of various strategies of cognitive rehabilitation and strategies for aphasia and dysarthria is scarce. Several large trials of rehabilitation practice and of novel therapies (eg, stem-cell therapy, repetitive transcranial magnetic stimulation, virtual reality, robotic therapies, and drug augmentation) are underway to inform future practice. Copyright © 2011 Elsevier Ltd. All rights reserved.

  2. Cardiac Rehabilitation

    MedlinePlus

    ... eating a heart-healthy diet, keeping a healthy weight and quitting smoking. The goals of cardiac rehabilitation include establishing an individualized plan to help you regain strength, preventing your condition from worsening, reducing your ...

  3. Stroke Rehabilitation.

    PubMed

    Belagaje, Samir R

    2017-02-01

    Rehabilitation is an important aspect of the continuum of care in stroke. With advances in the acute treatment of stroke, more patients will survive stroke with varying degrees of disability. Research in the past decade has expanded our understanding of the mechanisms underlying stroke recovery and has led to the development of new treatment modalities. This article reviews and summarizes the key concepts related to poststroke recovery. Good data now exist by which one can predict recovery, especially motor recovery, very soon after stroke onset. Recent trials have not demonstrated a clear benefit associated with very early initiation of rehabilitative therapy after stroke in terms of improvement in poststroke outcomes. However, growing evidence suggests that shorter and more frequent sessions of therapy can be safely started in the first 24 to 48 hours after a stroke. The optimal amount or dose of therapy for stroke remains undetermined, as more intensive treatments have not been associated with better outcomes compared to standard intensities of therapy. Poststroke depression adversely affects recovery across a variety of measures and is an important target for therapy. Additionally, the use of selective serotonin reuptake inhibitors (SSRIs) appears to benefit motor recovery through pleiotropic mechanisms beyond their antidepressant effect. Other pharmacologic approaches also appear to have a benefit in stroke rehabilitation. A comprehensive rehabilitation program is essential to optimize poststroke outcomes. Rehabilitation is a process that uses three major principles of recovery: adaptation, restitution, and neuroplasticity. Based on these principles, multiple different approaches, both pharmacologic and nonpharmacologic, exist to enhance rehabilitation. In addition to neurologists, a variety of health care professionals are involved in stroke rehabilitation. Successful rehabilitation involves understanding the natural history of stroke recovery and a

  4. Assistive technology access and service delivery in resource-limited environments: introduction to a special issue of Disability and Rehabilitation: Assistive Technology.

    PubMed

    Harniss, Mark; Samant Raja, Deepti; Matter, Rebecca

    2015-07-01

    This special issue addresses access to and service delivery of assistive technology (AT) in resource-limited environments (RLEs). Access to AT is complicated not simply by limited funds to purchase AT, but by larger ecosystem weaknesses in RLEs related to legislation and policy, supply, distribution, human resources, consumer demand and accessible design. We present eight diverse articles that address various aspects of the AT ecosystem. These articles represent a wide range of AT, many different countries and different research methods. Our goal is to highlight a topic that has received scant research investigation and limited investment in international development efforts, and offer an insight into how different countries and programs are promoting access to AT. We encourage researchers, funders and non-profit organizations to invest additional effort and resources in this area.

  5. 30 CFR 784.18 - Relocation or use of public roads.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 3 2014-07-01 2014-07-01 false Relocation or use of public roads. 784.18... PLAN § 784.18 Relocation or use of public roads. Each application shall describe, with appropriate maps...-of-way line of any public road, except where mine access or haul roads join that right-of-way; or (b...

  6. 30 CFR 784.18 - Relocation or use of public roads.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 3 2011-07-01 2011-07-01 false Relocation or use of public roads. 784.18... PLAN § 784.18 Relocation or use of public roads. Each application shall describe, with appropriate maps...-of-way line of any public road, except where mine access or haul roads join that right-of-way; or (b...

  7. 30 CFR 780.33 - Relocation or use of public roads.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Relocation or use of public roads. 780.33... PLAN § 780.33 Relocation or use of public roads. Each application shall describe, with appropriate maps... line of any public road, except where mine access or haul roads join that right-of-way; or (b...

  8. 30 CFR 780.33 - Relocation or use of public roads.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 3 2011-07-01 2011-07-01 false Relocation or use of public roads. 780.33... PLAN § 780.33 Relocation or use of public roads. Each application shall describe, with appropriate maps... line of any public road, except where mine access or haul roads join that right-of-way; or (b...

  9. 30 CFR 780.33 - Relocation or use of public roads.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 3 2012-07-01 2012-07-01 false Relocation or use of public roads. 780.33... PLAN § 780.33 Relocation or use of public roads. Each application shall describe, with appropriate maps... line of any public road, except where mine access or haul roads join that right-of-way; or (b...

  10. 30 CFR 780.33 - Relocation or use of public roads.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Relocation or use of public roads. 780.33... PLAN § 780.33 Relocation or use of public roads. Each application shall describe, with appropriate maps... line of any public road, except where mine access or haul roads join that right-of-way; or (b...

  11. 30 CFR 784.18 - Relocation or use of public roads.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Relocation or use of public roads. 784.18... PLAN § 784.18 Relocation or use of public roads. Each application shall describe, with appropriate maps...-of-way line of any public road, except where mine access or haul roads join that right-of-way; or (b...

  12. 30 CFR 780.33 - Relocation or use of public roads.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 3 2014-07-01 2014-07-01 false Relocation or use of public roads. 780.33... PLAN § 780.33 Relocation or use of public roads. Each application shall describe, with appropriate maps... line of any public road, except where mine access or haul roads join that right-of-way; or (b...

  13. 30 CFR 784.18 - Relocation or use of public roads.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 3 2012-07-01 2012-07-01 false Relocation or use of public roads. 784.18... PLAN § 784.18 Relocation or use of public roads. Each application shall describe, with appropriate maps...-of-way line of any public road, except where mine access or haul roads join that right-of-way; or (b...

  14. 30 CFR 784.18 - Relocation or use of public roads.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Relocation or use of public roads. 784.18... PLAN § 784.18 Relocation or use of public roads. Each application shall describe, with appropriate maps...-of-way line of any public road, except where mine access or haul roads join that right-of-way; or (b...

  15. Attitudes toward roads on the National Forests: An analysis of the News Media.

    Treesearch

    David Bengston; David Fan

    1997-01-01

    Key Findings: *Recreational uses of roads were expressed most often: Recreational uses and benefits of roads on the national forests were discussed most often in the news media overall. This discussion included both expressions of opinion about the value of roads for recreational purposes and, more commonly, descriptions of roads being useful for recreational access....

  16. Rehabilitation robotics.

    PubMed

    Krebs, H I; Volpe, B T

    2013-01-01

    This chapter focuses on rehabilitation robotics which can be used to augment the clinician's toolbox in order to deliver meaningful restorative therapy for an aging population, as well as on advances in orthotics to augment an individual's functional abilities beyond neurorestoration potential. The interest in rehabilitation robotics and orthotics is increasing steadily with marked growth in the last 10 years. This growth is understandable in view of the increased demand for caregivers and rehabilitation services escalating apace with the graying of the population. We provide an overview on improving function in people with a weak limb due to a neurological disorder who cannot properly control it to interact with the environment (orthotics); we then focus on tools to assist the clinician in promoting rehabilitation of an individual so that s/he can interact with the environment unassisted (rehabilitation robotics). We present a few clinical results occurring immediately poststroke as well as during the chronic phase that demonstrate superior gains for the upper extremity when employing rehabilitation robotics instead of usual care. These include the landmark VA-ROBOTICS multisite, randomized clinical study which demonstrates clinical gains for chronic stroke that go beyond usual care at no additional cost. Copyright © 2013 Elsevier B.V. All rights reserved.

  17. Rehabilitation robotics

    PubMed Central

    KREBS, H.I.; VOLPE, B.T.

    2015-01-01

    This chapter focuses on rehabilitation robotics which can be used to augment the clinician’s toolbox in order to deliver meaningful restorative therapy for an aging population, as well as on advances in orthotics to augment an individual’s functional abilities beyond neurorestoration potential. The interest in rehabilitation robotics and orthotics is increasing steadily with marked growth in the last 10 years. This growth is understandable in view of the increased demand for caregivers and rehabilitation services escalating apace with the graying of the population. We will provide an overview on improving function in people with a weak limb due to a neurological disorder who cannot properly control it to interact with the environment (orthotics); we will then focus on tools to assist the clinician in promoting rehabilitation of an individual so that s/he can interact with the environment unassisted (rehabilitation robotics). We will present a few clinical results occurring immediately poststroke as well as during the chronic phase that demonstrate superior gains for the upper extremity when employing rehabilitation robotics instead of usual care. These include the landmark VA-ROBOTICS multisite, randomized clinical study which demonstrates clinical gains for chronic stroke that go beyond usual care at no additional cost. PMID:23312648

  18. Vocational Rehabilitation for Women with Disabilities.

    ERIC Educational Resources Information Center

    Stace, Sheila

    1987-01-01

    Women with disabilities have limited access to the labor market owing to the double disadvantage of being both disabled and female. The current rehabilitation system is inadequate to meet this population's needs. Further research, broader action programs, changes in vocational rehabilitation, and active measures against discrimination are needed.…

  19. ANALYSIS OF GROUP MAINTENANCE STRATEGY -ROAD PAVEMENT AND SEWERAGE PIPES-

    NASA Astrophysics Data System (ADS)

    Tanimoto, Keishi; Sugimoto, Yasuaki; Miyamoto, Shinya; Nada, Hideki; Hosoi, Yoshihiko

    Recently, it is critical to manage deteriorating sewerage and road facilities efficiently and strategically. Since the sewerage pipes are mostly installed under road pavement, the works for the replacement of the sewerage pipes are partially common to the works for the road. This means that the replacement cost can be saved by coordinating the timing of the replacements by sewerage pipe and road pavement. The purpose of the study is to develop the model based on Markov decision process to derive the optimal group maintenance policy so as to minimize lifecycle cost. Then the model is applied to case study area and demonstrated to estimate the lifecycle cost using statistical data such as pipe replacement cost, road pavement rehabilitation cost, and state of deterioration of pipes and road pavement.

  20. Sustainable road safety: a new (?) neighbourhood road pattern that saves VRU lives.

    PubMed

    Wei, Vicky Feng; Lovegrove, Gord

    2012-01-01

    Both the UN (2007) and World Health Organizations (2004) have declared the enormous social and economic burden imposed on society by injuries due to road collisions as a major global problem. While the road safety problem is not new, this prominent global declaration sends an important signal of frustration regarding progress to date on reducing road collisions. It is clear that governments, communities, businesses and the public must discover ways of reducing this burden, especially as it relates to vulnerable road users (VRUs), typically meaning pedestrian and bicyclist road users. Recent comparisons of global VRU collisions statistics suggest that, in addition to mixed land use density, the layout of neighbourhood roads plays a vital role in the encouragement of walkable, safe and quiet, yet accessible and sustainable communities. The purpose of this paper was to: The Dutch Sustainable Road Safety (SRS) Program has produced a number of innovative land use and transportation initiatives for vehicular road users as well as non-vehicular VRUs. Following from the Dutch initiatives, these new 3-way offset, and fused grid neighbourhood patterns appear to not only have positive effects in encouraging mode split (i.e. increasing walking and bicycling, and transit), slowing traffic, and reducing energy consumption and GHG emissions; but also, to hold potential to improve road safety. To test the road safety hypothesis, UBCO researchers evaluated the level of road safety relative to five neighbourhood patterns - grid, culs-de-sac, and Dutch Sustainable Road Safety (SRS) (or limited access), 3-way offset, and fused grid networks. Analysis using standard transportation planning methodology revealed that they would maintain both mobility and accessibility. Analysis using standard road safety analysis methodology further revealed that these 3-way offset, and fused grid patterns would significantly improve road safety levels by as much as 60% compared to prevalent patterns (i

  1. Stroke rehabilitation: an international perspective.

    PubMed

    Teasell, Robert; Meyer, Matthew J; McClure, Andrew; Pan, Cheng; Murie-Fernandez, Manuel; Foley, Norine; Salter, Katherine

    2009-01-01

    There is a revolution underway in stroke rehabilitation. International comparative studies coupled with an impressive evidence base have provided a platform from which an ideal system for stroke rehabilitation can be envisioned. Using the concepts of structure and process of care, different systems of stroke rehabilitation can be compared and evaluated against best evidence. Two structures of care are examined: specialized interdisciplinary stroke rehabilitation units and outpatient programs. Although specialized interdisciplinary stroke rehabilitation units remain the "gold standard" of care, access to them is often limited. Outpatient programs are essential to stroke rehabilitation systems of care; however, while some countries are investing in outpatient programs, others are scaling back. Even though structures of care have been shown to affect processes of care, it is the processes of care that have proven to be more influential in altering patient outcomes. Four key processes of care are examined: time to admission, intensity of therapy, task-specific therapy, and discharge planning. Within international stroke rehabilitation systems, differences in these processes have resulted in significant differences in outcomes. This allows for "real-world" comparisons of how differing processes affect patient outcomes. Those systems whose structures and processes of care best reflect current best evidence appear to achieve better outcomes.

  2. 24 CFR 8.30 - Rental rehabilitation program.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Rental rehabilitation program. 8.30... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Program Accessibility § 8.30 Rental rehabilitation program. Each grantee or state recipient in the rental rehabilitation program shall, subject to the priority in 24 CFR...

  3. 24 CFR 8.30 - Rental rehabilitation program.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 1 2011-04-01 2011-04-01 false Rental rehabilitation program. 8.30... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Program Accessibility § 8.30 Rental rehabilitation program. Each grantee or state recipient in the rental rehabilitation program shall, subject to the priority in 24 CFR...

  4. Cumulative effects of developed road network on woodland--a landscape approach.

    PubMed

    Hosseini Vardei, Mahla; Salmanmahiny, Abdolrasoul; Monavari, Seyed Masoud; Kheirkhah Zarkesh, Mir Masoud

    2014-11-01

    Population growth, during the twentieth century, has increased demand for new farmlands. Accordingly, road networks have rapidly been developed to facilitate and accelerate human access to the essential resources resulted in extensive land use changes. The present study aims at assessing cumulative effects of developed road network on tree cover of Golestan Province in northern Iran. In order to detect changes over the study period of 1987-2002, the LULC map of the study area was initially prepared from the satellite images of Landsat TM (1987) and ETM+ (2002) using maximum likelihood supervised classification method. Afterwards, a total number of seven landscape matrices were selected to detect cumulative effects of the developed road network on woodland cover. The obtained results indicated that the fragile patches are mainly located at a distance of 171-342 m from the roadside. Furthermore, the majority of the patches affected by cumulative effects of development activities are situated at a distance of 342-684 m from the roadside, over an approximate area of 55 ha. The analysis of landscape metrics revealed that the developed road network has increased the landscape metrics of "the number of patches" and "patches perimeter-area ratio". It has also followed by a decrease in metrics such as "patches area", "Euclidean nearest neighbor distance", "patches proximity", "shape index", "contiguity", and "mean patches fractal dimension". The road network has also increased the "number of patches" and decreased the "mean patches area" representing further fragmentation of the landscape. With identification of highly affected wooldland cover patches, it would be possible to apply adaptive environmental management strategies to preserve and rehabilitate high-priority patches.

  5. Cardiac Rehabilitation Series: Canada

    PubMed Central

    Grace, Sherry L.; Bennett, Stephanie; Ardern, Chris I.; Clark, Alexander

    2015-01-01

    Cardiovascular disease is among the leading causes of mortality and morbidity in Canada. Cardiac rehabilitation (CR) has a long robust history here, and there are established clinical practice guidelines. While the effectiveness of CR in the Canadian context is clear, only 34% of eligible patients participate, and strategies to increase access for under-represented groups (e.g., women, ethnic minority groups) are not yet universally applied. Identified CR barriers include lack of referral and physician recommendation, travel and distance, and low perceived need. Indeed there is now a national policy position recommending systematic inpatient referral to CR in Canada. Recent development of 30 CR Quality Indicators and the burgeoning national CR registry will enable further measurement and improvement of the quality of CR care in Canada. Finally, the Canadian Association of CR is one of the founding members of the International Council of Cardiovascular Prevention and Rehabilitation, to promote CR globally. PMID:24607018

  6. Pavement evaluation and rehabilitation

    SciTech Connect

    Ali, N.A.; Khosla, N.P.; Johnson, E.G.; Hicks, R.G.; Uzan, J.

    1987-01-01

    The 20 papers in this report deal with the following areas: determination of layer moduli using a falling weight deflectometer; evaluation of effect of uncrushed base layers on pavement performance; the effect of contact area shape and pressure distribution on multilayer systems response; sensitivity analysis of selected backcalculation procedures; performance of a full-scale pavement design experiment in Jamaica; subsealing and load-transfer restoration; development of a demonstration prototype expert system for concrete pavement evaluation; numerical assessment of pavement test sections; development of a distress index and rehabilitation criteria for continuously reinforced concrete pavements using discriminant analysis; a mechanistic model for thermally induced reflection cracking of portland cement concrete pavement with reinforced asphalt concrete overlay; New Mexico study of interlayers used in reflective crack control; status of the South Dakota profilometer; incorporating the effects of tread pattern in a dynamic tire excitation mechanism; external methods for evaluating shock absorbers for road-roughness measurements; factor analysis of pavement distresses for surface condition predictions; development of a utility evaluation for nondestructive-testing equipment used on asphalt-concrete pavements; estimating the life of asphalt overlays using long-term pavement performance data; present serviceability-roughness correlations using rating panel data; video image distress analysis technique for Idaho transportation department pavement-management system; acceptability of shock absorbers for road roughness-measuring trailers.

  7. Improving playground surface accessibility

    Treesearch

    Theodore L. Laufenberg

    2004-01-01

    Could accessibility be improved and maintenance be reduced for wood fiber- based playgrounds? In July 2001, the US Access Board asked the Forest Products Laboratory (FPL) for advice and a potential solution. Since that time new product standards have been adopted by ASTM for engineered wood fiber (EWF), new test techniques have been promulgated by RESNA (Rehabilitation...

  8. Facility rehabilitation

    Treesearch

    Edwin H. Ketchledge

    1971-01-01

    Restoration of vegetation on damaged sites is the most perplexing challenge in facility rehabilitation. In the Adirondack Mountains, the ecological impact of recreationists on the natural environment has become critical in two high-quality interior areas: on the steep higher slopes where trails soon become eroding stream channels, washing away the thin mountain soils;...

  9. Cardiac Rehabilitation

    MedlinePlus

    ... your risk of future heart problems, and to improve your health and quality of life. Cardiac rehabilitation programs increase ... exercise routine at home or at a local gym. You may also continue to ... health concerns. Education about nutrition, lifestyle and weight loss ...

  10. Rehabilitation Aids.

    ERIC Educational Resources Information Center

    National Center on Educational Media and Materials for the Handicapped, Columbus, OH.

    Selected from the National Instructional Materials Information System (NIMIS)--a computer based on-line interactive retrieval system on special education materials--the bibliography covers 40 equipment items for rehabilitation and physical therapy programs for all levels of handicapped children. Described are such items as a handygym, a suspension…

  11. Rehabilitation Aids.

    ERIC Educational Resources Information Center

    National Center on Educational Media and Materials for the Handicapped, Columbus, OH.

    Selected from the National Instructional Materials Information System (NIMIS)--a computer based on-line interactive retrieval system on special education materials--the bibliography covers 40 equipment items for rehabilitation and physical therapy programs for all levels of handicapped children. Described are such items as a handygym, a suspension…

  12. Rehabilitation News.

    ERIC Educational Resources Information Center

    International Journal of Rehabilitation Research, 1987

    1987-01-01

    Rehabilitation news items include, among others: a midpoint review of the implementation of the World Programme of Action Concerning Disabled Persons, an international study on the impact of new technologies on employment of disabled people, and a U.S. project to investigate disability service provision and innovations in other countries. (JDD)

  13. Educational Rehabilitation.

    ERIC Educational Resources Information Center

    Jorgensen, I. Skov, Ed.

    1986-01-01

    Fourteen author contributed chapters provide an overview of rehabilitation and special education for the disabled from a Danish perspective. Chapters have the following titles and authors: "Handicapped persons right to education, training and employment" (B. Haarder); "Mutual acceptance and empathy between handicapped and…

  14. Native plant restoration on the Going-to-the-Sun Road, Glacier National Park

    Treesearch

    David E. Lange; Joyce Lapp

    1999-01-01

    Since 1991, 53 acres of roadside vegetation and soil were removed along sections of the historic Going-to-the-Sun Road during road rehabilitation activities. Restoration strategies used indigenous plant material to re-establish plant cover, prevent erosion, compete with exotics, and improve aesthetics. From several hundred collections, simple seed mixes were created...

  15. [Motor rehabilitation].

    PubMed

    Doménech, J; García-Aymerich, V; Juste, J; Ortiz, A

    2002-02-01

    The child's rehabilitation objectives are the same of the early intervention. The early intervention include motor approaches to facilitate the unique way of the newborn's expression: the movement and with it his holistic development. The motor approach is a classic aspect of early intervention but it is not itself early intervention. When the treatment objective is a term or preterm newborn or neonate the motor approach may be the principal method to facilitate perceptions experiences and basic habits. This intervention is not made with a specific physiotherapeutic technique. It is a sequential stimulation or development, without forget that the child must be taken as a whole. This point of view has special importance the first days of life and must be included in perinatal approach routines. In this paper we expose the work method of a Child Rehabilitation Team liked to a Newborn Unit.

  16. 2. Big Creek Road, worm fence and road at trailhead. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    2. Big Creek Road, worm fence and road at trailhead. - Great Smoky Mountains National Park Roads & Bridges, Big Creek Road, Between State Route 284 & Big Creek Campground, Gatlinburg, Sevier County, TN

  17. 5. Big Creek Road, old bridge on Walnut Bottom Road, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    5. Big Creek Road, old bridge on Walnut Bottom Road, deck view. - Great Smoky Mountains National Park Roads & Bridges, Big Creek Road, Between State Route 284 & Big Creek Campground, Gatlinburg, Sevier County, TN

  18. 4. Big Creek Road, old bridge on Walnut Bottom Road, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    4. Big Creek Road, old bridge on Walnut Bottom Road, elevation view. - Great Smoky Mountains National Park Roads & Bridges, Big Creek Road, Between State Route 284 & Big Creek Campground, Gatlinburg, Sevier County, TN

  19. New Roads and Human Health: A Systematic Review

    PubMed Central

    Egan, Matt; Petticrew, Mark; Ogilvie, David; Hamilton, Val

    2003-01-01

    We sought to synthesize evidence of the health effects of construction of new roads by systematically reviewing observational studies of such effects. We included and critically appraised 32 studies. The review suggested that out-of-town bypasses decrease injuries on main roads through or around towns, although more robust evidence is needed on effects on secondary roads. New major urban roads have statistically insignificant effects on injury incidence. New major roads between towns decrease injuries. Out-of-town bypasses reduce disturbance and community severance in towns but increase them elsewhere. Major urban roads increase disturbance and severance. More robust research is needed in this area, particularly regarding effects of new roads on respiratory health, mental health, access to health services, and physical activity. PMID:12948964

  20. New roads and human health: a systematic review.

    PubMed

    Egan, Matt; Petticrew, Mark; Ogilvie, David; Hamilton, Val

    2003-09-01

    We sought to synthesize evidence of the health effects of construction of new roads by systematically reviewing observational studies of such effects. We included and critically appraised 32 studies. The review suggested that out-of-town bypasses decrease injuries on main roads through or around towns, although more robust evidence is needed on effects on secondary roads. New major urban roads have statistically insignificant effects on injury incidence. New major roads between towns decrease injuries. Out-of-town bypasses reduce disturbance and community severance in towns but increase them elsewhere. Major urban roads increase disturbance and severance. More robust research is needed in this area, particularly regarding effects of new roads on respiratory health, mental health, access to health services, and physical activity.

  1. CROCKETT BARN AND BLOCKHOUSE FROM SOUTH FORT CASEY ROAD, LOOKING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    CROCKETT BARN AND BLOCKHOUSE FROM SOUTH FORT CASEY ROAD, LOOKING SOUTHEAST. The Crockett blockhouse was moved from its original location to a tract of land along South Fort Casey Road in 1938, making it more accessible to tourists. During the same year it was given to the Daughters of the Pioneers of Washington and restored by Works Progress Administration crews. - Crockett Farm, 1056 Fort Casey Road, Coupeville, Island County, WA

  2. Driving and off-road impairments underlying failure on road testing in Parkinson's disease.

    PubMed

    Devos, Hannes; Vandenberghe, Wim; Tant, Mark; Akinwuntan, Abiodun E; De Weerdt, Willy; Nieuwboer, Alice; Uc, Ergun Y

    2013-12-01

    Parkinson's disease (PD) affects driving ability. We aimed to determine the most critical impairments in specific road skills and in clinical characteristics leading to failure on a road test in PD. In this cross-sectional study, certified driving assessment experts evaluated specific driving skills in 104 active, licensed drivers with PD using a standardized, on-road checklist and issued a global decision of pass/fail. Participants also completed an off-road evaluation assessing demographic features, disease characteristics, motor function, vision, and cognition. The most important driving skills and off-road predictors of the pass/fail outcome were identified using multivariate stepwise regression analyses. Eighty-six (65%) passed and 36 (35%) failed the on-road driving evaluation. Persons who failed performed worse on all on-road items. When adjusted for age and gender, poor performances on lateral positioning at low speed, speed adaptations at high speed, and left turning maneuvers yielded the best model that determined the pass/fail decision (R(2) = 0.56). The fail group performed poorer on all motor, visual, and cognitive tests. Measures of visual scanning, motor severity, PD subtype, visual acuity, executive functions, and divided attention were independent predictors of pass/fail decisions in the multivariate model (R(2) = 0.60). Our study demonstrated that failure on a road test in PD is determined by impairments in specific driving skills and associated with deficits in motor, visual, executive, and visuospatial functions. These findings point to specific driving and off-road impairments that can be targeted in multimodal rehabilitation programs for drivers with PD.

  3. Accessible Electronic and Information Technology

    EPA Pesticide Factsheets

    This Policy establishes EPA's responsibilities and procedures for making its Electronic and Information Technology (EIT) products accessible to all people, including people with disabilities, in accordance with Section 508 of the Rehabilitation Act.

  4. 1. VIEW OF THE WATER FILTRATION PLANT FROM THE ACCESS ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. VIEW OF THE WATER FILTRATION PLANT FROM THE ACCESS ROAD, LOOKING NORTHWEST. - Tower Hill No. 2 Mine, Approximately 0.47 mile Southwest of intersection of Stone Church Road & Township Route 561, Hibbs, Fayette County, PA

  5. Rehabilitation assessments for patients with stroke in Australian hospitals do not always reflect the patients' rehabilitation requirements.

    PubMed

    Lynch, Elizabeth A; Luker, Julie A; Cadilhac, Dominique A; Hillier, Susan L

    2015-05-01

    To examine the frequency and factors associated with patients with stroke in Australian hospitals receiving documented rehabilitation assessments; to examine the criteria used when rehabilitation was not recommended; and to examine whether being assessed for rehabilitation affected access to rehabilitation. Retrospective medical record audit of patients with a diagnosis of stroke who were discharged consecutively between 2013 and 2014. Acute care public hospitals. Adults with stroke (N=333) receiving care in participating hospitals. Not applicable. Documented assessment regarding patient suitability for rehabilitation during acute hospitalization. Data from 292 patients were included for analysis (60% men; mean age, 72y). Of the patients, 42% were assessed for rehabilitation by a health professional providing care in the hospital, 43% were assessed for rehabilitation by a representative from a rehabilitation service, and 37% did not receive any documented rehabilitation assessment. In multivariable analysis, patients were significantly more likely to be assessed for rehabilitation if they lived in the community before their stroke, had moderate severity strokes, or received occupational therapy during hospital admission. Rehabilitation was not recommended in 9% of assessments despite the presence of stroke-related symptoms. Patients not assessed for rehabilitation were significantly less likely to access rehabilitation than patients who were assessed. More than one third of patients were not assessed for rehabilitation. When assessed, rehabilitation was not consistently recommended for patients with stroke-related symptoms. This study highlights factors that increase the likelihood of being assessed for rehabilitation. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  6. Perspectives on rehabilitation research.

    PubMed

    Gordon, Wayne A

    2010-02-01

    Gordon WA. Perspectives on rehabilitation research. The author provides his perspectives on both the methodologic and funding challenges faced by rehabilitation researchers. His concerns are conveyed about the devaluing of rehabilitation research by federal funding agencies and Congress.

  7. Overview of Rehabilitation

    MedlinePlus

    ... injury or after surgery) also need rehabilitation. Physical therapy , occupational therapy , treatment of any pain and inflammation , and retraining ... 1 Spotlight On Aging Rehabilitation Overview of Rehabilitation Occupational Therapy (OT) Physical Therapy (PT) Treatment of Pain and ...

  8. Balance (or Vestibular) Rehabilitation

    MedlinePlus

    ... the Public / Hearing and Balance Balance (or Vestibular) Rehabilitation Audiologic (hearing), balance, and medical diagnostic tests help ... whether you are a candidate for vestibular (balance) rehabilitation. Vestibular rehabilitation is an individualized balance retraining exercise ...

  9. Rehabilitation Services Administration

    MedlinePlus

    ... Contacts OSEP Reports & Resources RSA Welcome to RSA Rehabilitation Services Administration RSA Spotlight News Commissioner's Quarterly Newsletter ... The Office of Special Education and Rehabilitative Services’ Rehabilitation Services Administration is proud to announce the publication ...

  10. Democratizing Neurorehabilitation: How Accessible are Low-Cost Mobile-Gaming Technologies for Self-Rehabilitation of Arm Disability in Stroke?

    PubMed

    Rinne, Paul; Mace, Michael; Nakornchai, Tagore; Zimmerman, Karl; Fayer, Susannah; Sharma, Pankaj; Liardon, Jean-Luc; Burdet, Etienne; Bentley, Paul

    2016-01-01

    Motor-training software on tablets or smartphones (Apps) offer a low-cost, widely-available solution to supplement arm physiotherapy after stroke. We assessed the proportions of hemiplegic stroke patients who, with their plegic hand, could meaningfully engage with mobile-gaming devices using a range of standard control-methods, as well as by using a novel wireless grip-controller, adapted for neurodisability. We screened all newly-diagnosed hemiplegic stroke patients presenting to a stroke centre over 6 months. Subjects were compared on their ability to control a tablet or smartphone cursor using: finger-swipe, tap, joystick, screen-tilt, and an adapted handgrip. Cursor control was graded as: no movement (0); less than full-range movement (1); full-range movement (2); directed movement (3). In total, we screened 345 patients, of which 87 satisfied recruitment criteria and completed testing. The commonest reason for exclusion was cognitive impairment. Using conventional controls, the proportion of patients able to direct cursor movement was 38-48%; and to move it full-range was 55-67% (controller comparison: p>0.1). By comparison, handgrip enabled directed control in 75%, and full-range movement in 93% (controller comparison: p<0.001). This difference between controllers was most apparent amongst severely-disabled subjects, with 0% achieving directed or full-range control with conventional controls, compared to 58% and 83% achieving these two levels of movement, respectively, with handgrip. In conclusion, hand, or arm, training Apps played on conventional mobile devices are likely to be accessible only to mildly-disabled stroke patients. Technological adaptations such as grip-control can enable more severely affected subjects to engage with self-training software.

  11. Democratizing Neurorehabilitation: How Accessible are Low-Cost Mobile-Gaming Technologies for Self-Rehabilitation of Arm Disability in Stroke?

    PubMed Central

    Rinne, Paul; Mace, Michael; Nakornchai, Tagore; Zimmerman, Karl; Fayer, Susannah; Sharma, Pankaj; Liardon, Jean-Luc; Burdet, Etienne; Bentley, Paul

    2016-01-01

    Motor-training software on tablets or smartphones (Apps) offer a low-cost, widely-available solution to supplement arm physiotherapy after stroke. We assessed the proportions of hemiplegic stroke patients who, with their plegic hand, could meaningfully engage with mobile-gaming devices using a range of standard control-methods, as well as by using a novel wireless grip-controller, adapted for neurodisability. We screened all newly-diagnosed hemiplegic stroke patients presenting to a stroke centre over 6 months. Subjects were compared on their ability to control a tablet or smartphone cursor using: finger-swipe, tap, joystick, screen-tilt, and an adapted handgrip. Cursor control was graded as: no movement (0); less than full-range movement (1); full-range movement (2); directed movement (3). In total, we screened 345 patients, of which 87 satisfied recruitment criteria and completed testing. The commonest reason for exclusion was cognitive impairment. Using conventional controls, the proportion of patients able to direct cursor movement was 38–48%; and to move it full-range was 55–67% (controller comparison: p>0.1). By comparison, handgrip enabled directed control in 75%, and full-range movement in 93% (controller comparison: p<0.001). This difference between controllers was most apparent amongst severely-disabled subjects, with 0% achieving directed or full-range control with conventional controls, compared to 58% and 83% achieving these two levels of movement, respectively, with handgrip. In conclusion, hand, or arm, training Apps played on conventional mobile devices are likely to be accessible only to mildly-disabled stroke patients. Technological adaptations such as grip-control can enable more severely affected subjects to engage with self-training software. PMID:27706248

  12. The three R's of roads: redesign, reconstruction, and restoration

    Treesearch

    Lloyd W. Swift; Richard G. Burns

    1999-01-01

    All too often, unpaved forest access roads in the Southern Appalachian Mountains were located near streams and rivers, thereby contributing storm flow and sediment to the aquatic ecosystem.Landowners may not have the resources to reconstruct and relocate all these roads to protect water quality.However, simple techniques for redesign of storm water drainage structures...

  13. 4. What do we need to know about roads?

    Treesearch

    Leslie M. Reid; Robert R. Ziemer; Michael J. Furniss

    1994-01-01

    Abstract - Roads facilitate forest management activities, recreational access, and fire suppression. At the same time, they damage wildlife habitat, destroy the remoteness many seek in wildland recreation, produce sediment, alter aquatic ecosystems, and abet the dispersal of noxious weeds. Design of appropriate road networks is thus a controversial task for land...

  14. Water Quality Effects of Forest Roads in Bottomland Hardwood Stands

    Treesearch

    Robert B. Rummer

    1999-01-01

    Management of bottomland hardwood sites requires adequate access to support forest operations. A study conducted in a bottomland forest in central Georgia has evaluated the effect of forest road design on sediment movement and water quality. Five years of measurement indicate that a conventional crowned road design is a net sink for sediment, primarily due to settling...

  15. Incorporating aquatic ecology into decisions on prioritization of road decommissioning

    Treesearch

    Charles H. Luce; Bruce E. Rieman; Jason B. Dunham; James L. Clayton; John G. King; Thomas A. Black

    2001-01-01

    Roads provide increased access to lands rich in natural resources and beauty, but they can also damage those lands and the ecological values therein. In particular, much interest has been focused on the hydrologic and geomorphic changes in roaded watersheds and their effects on aquatic ecosystems (Lee et al., 1997; Dunham and Rieman, 1999; also see papers in Luce and...

  16. Science You Can Use Bulletin: Road scholars for the western states: Protecting natural areas by improving road management research

    Treesearch

    Brian Cooke; Charlie Luce; Tom Black; David. Tarboton

    2016-01-01

    A poorly placed or unsuitably designed road can result in landslides, flooding, gullies, stream damage, and wildlife habitat destruction. Particularly in natural areas, benefits of roads, such as accessibility and convenience, must be weighed against potential water quality degradation, scenic and wildlife habitat destruction, and hazardous driving conditions...

  17. Unofficial Road Building in the Amazon: Socioeconomic and Biophysical Explanations

    NASA Technical Reports Server (NTRS)

    Perz, Stephen G.; Caldas, Marcellus M.; Arima, Eugenio; Walker, Robert J.

    2007-01-01

    Roads have manifold social and environmental impacts, including regional development, social conflicts and habitat fragmentation. 'Road ecology' has emerged as an approach to evaluate the various ecological and hydrological impacts of roads. This article aims to complement road ecology by examining the socio-spatial processes of road building itself. Focusing on the Brazilian Amazon, a heavily-studied context due to forest fragmentation by roads, the authors consider non-state social actors who build 'unofficial roads' for the purpose of gaining access to natural resources to support livelihoods and community development. They examine four case studies of roads with distinct histories in order to explain the socio-spatial processes behind road building in terms of profit maximization, land tenure claims, co-operative and conflictive political ecologies, and constraints as well as opportunities afforded by the biophysical environment. The study cases illustrate the need for a multi-pronged theoretical approach to understanding road building, and call for more attention to the role of non-state actors in unofficial road construction.

  18. Creating engaging experiences for rehabilitation.

    PubMed

    McClusky, John F

    2008-01-01

    The traditional model of rehabilitation center design based on usability and function falls short of addressing the aspirations of those who use them. To better serve the motivational needs of both patients and therapists, we need to reconsider the gymnasium-inspired designs of current rehabilitation centers. Designers Patricia Moore and David Guynes have drawn inspiration from the everyday to create more engaging rehabilitation experiences with their Easy Street, Independence Square, Rehab 1-2-3, Our Town, and WorkSyms rehabilitation environments. Their designs simulate real-life situations to motivate patients by helping them connect their therapy to the life in which they aspire to return. Utilizing an empathic research process, Moore and Guynes build a deeper understanding of both patients' and therapists' values and apply that understanding to designs that are more directly connected to patients' aspirational goals while still meeting their functional rehabilitation needs. This same research-based design approach is utilized in all of their design work that has included, most recently, the design of the Phoenix Valley Transit Authority's Metro Light Rail Train. The train and stations have won awards for accessibility and will begin public operation in late 2008.

  19. Estimating diesel fuel consumption and carbon dioxide emissions from forest road construction

    Treesearch

    Dan Loeffler; Greg Jones; Nikolaus Vonessen; Sean Healey; Woodam Chung

    2009-01-01

    Forest access road construction is a necessary component of many on-the-ground forest vegetation treatment projects. However, the fuel energy requirements and associated carbon dioxide emissions from forest road construction are unknown. We present a method for estimating diesel fuel consumed and related carbon dioxide emissions from constructing forest roads using...

  20. Effects of off-road recreation on mule deer and elk.

    Treesearch

    Michael J. Wisdom; Alan A. Ager; Haiganoush K. Preisler; Norman J. Cimon; Bruce K. Johnson

    2004-01-01

    Off-road recreation is increasing rapidly in the United States, especially on public land (Havlick 2002, U.S. Department of Agriculture Forest Service 2004). An expansive network of roads provides easy access to much public land, which facilitates off-road uses in the form of all-terrain vehicles (ATVs), horses, mountain bikes and foot traffic. No research, however,...

  1. Web accessibility standards and disability: developing critical perspectives on accessibility.

    PubMed

    Lewthwaite, Sarah

    2014-01-01

    Currently, dominant web accessibility standards do not respect disability as a complex and culturally contingent interaction; recognizing that disability is a variable, contrary and political power relation, rather than a biological limit. Against this background there is clear scope to broaden the ways in which accessibility standards are understood, developed and applied. Commentary. The values that shape and are shaped by legislation promote universal, statistical and automated approaches to web accessibility. This results in web accessibility standards conveying powerful norms fixing the relationship between technology and disability, irrespective of geographical, social, technological or cultural diversity. Web accessibility standards are designed to enact universal principles; however, they express partial and biopolitical understandings of the relation between disability and technology. These values can be limiting, and potentially counter-productive, for example, for the majority of disabled people in the "Global South" where different contexts constitute different disabilities and different experiences of web access. To create more robust, accessible outcomes for disabled people, research and standards practice should diversify to embrace more interactional accounts of disability in different settings. Implications for Rehabilitation Creating accessible experiences is an essential aspect of rehabilitation. Web standards promote universal accessibility as a property of an online resource or service. This undervalues the importance of the user's intentions, expertize, their context, and the complex social and cultural nature of disability. Standardized, universal approaches to web accessibility may lead to counterproductive outcomes for disabled people whose impairments and circumstances do not meet Western disability and accessibility norms. Accessible experiences for rehabilitation can be enhanced through an additional focus on holistic approaches to

  2. Rehabilitation Tool

    NASA Technical Reports Server (NTRS)

    1993-01-01

    Biotran, or Fastex as named by Cybex, the company that manufactures it, is a force sensing system that helps physicians and physical therapists treat people with movement deficiencies. Based on NASA sensor technology, it also has applications in sports training and evaluation. Biotran provides a means of testing weight-bearing capabilities that may have been compromised by injury or disease. It also assists in the rehabilitation process by putting patients through a course of computer-directed exercises designed to improve strength and balance reaction time. The system tests and documents progress until maximum medical improvement is achieved. Lewis Research Center also assisted the company in the selection of the material used in the Biotran force sensing platforms. Biotran is currently manufactured by Cybex under the name Fastex.

  3. A Serious Games Platform for Cognitive Rehabilitation with Preliminary Evaluation.

    PubMed

    Rego, Paula Alexandra; Rocha, Rui; Faria, Brígida Mónica; Reis, Luís Paulo; Moreira, Pedro Miguel

    2017-01-01

    In recent years Serious Games have evolved substantially, solving problems in diverse areas. In particular, in Cognitive Rehabilitation, Serious Games assume a relevant role. Traditional cognitive therapies are often considered repetitive and discouraging for patients and Serious Games can be used to create more dynamic rehabilitation processes, holding patients' attention throughout the process and motivating them during their road to recovery. This paper reviews Serious Games and user interfaces in rehabilitation area and details a Serious Games platform for Cognitive Rehabilitation that includes a set of features such as: natural and multimodal user interfaces and social features (competition, collaboration, and handicapping) which can contribute to augment the motivation of patients during the rehabilitation process. The web platform was tested with healthy subjects. Results of this preliminary evaluation show the motivation and the interest of the participants by playing the games.

  4. Barriers to low vision rehabilitation: the Montreal Barriers Study.

    PubMed

    Overbury, Olga; Wittich, Walter

    2011-11-21

    One objective of the Montreal Barriers Study was to examine demographic characteristics of people with vision impairment that may hinder their referral or decision to access rehabilitation services. Data collection was conducted in three phases, whereby during phase I, patients in ophthalmology department waiting rooms underwent a structured interview to ascertain demographic variables that may be related to their utilization of the rehabilitation process. Phase II examined variables recorded in the rehabilitation agency file of those who had made the choice to access services. Phase III examined the rehabilitation access behavior of those participants who were referred as part of phase I. In phase I, 54% of the 702 participants had been referred to and received rehabilitation services. An additional 13% were aware of these services but chose not to access them, whereas 33% were unaware of their existence. The variables associated with positive access choice were education, diagnosis, race, acuity at the time of interview, and living situation. In phase II, it was found that acuity at agency intake was markedly better than at the study interview. Of the participants who were referred to rehabilitation services as part of the phase I protocol, it was found in phase III that only 56% had engaged in rehabilitation services. It seems that even under ideal referral situations, there remain barriers to vision rehabilitation services that have not been specifically identified in the present study. Further research is necessary on the psychological and psychosocial contributors to this process.

  5. Control of road trauma epidemic in Australia.

    PubMed Central

    McDermott, F.

    1978-01-01

    This lecture discusses initiatives taken by the Road Trauma Committee of the Royal Australasian College of Surgeons to reduce fatality and injury on Australian roads. In 1970 the Road Trauma Committee and the communications media initiated a national campaign in support of legislation for the compulsory wearing of seat belts. Public ignorance and Parliamentary inertia were countered. Victoria became the first State in the Western world to introduce this legislation. All other Australian States followed. Significant and marked reductions in fatality and injury were achieved and have been maintained. Recognising alcohol as the single most important cause of serious road crashes and injuries in Australia, the committee advocated legislation for compulsory blood alcohol tests on all adult road crash casualties. In 1973-74 legislation was enacted in South Australia and Victoria and in 1976 in Queensland. Results show that more than one-quarter of driver casualties have alcohol concentrations above the legal limit of 0.05 g%. Half of these exceed 0.15 g%. On the other hand less than 3% of the general driving population exceed the legal limit. Further advocacy led in 1976 to the enactment of random roadside breath-test legislation in Victoria. The majority of Australian convicted drinking drivers have alcohol-related social problems. A quarter incur reconvictions. The conventional penal approach has failed. At present the Road Trauma Committee is campaigning for compulsory medical assessment of convicted drinking drivers. Reissue of a driving licence would be dependent upon evidence of re-education and/or rehabilitation. Pilot re-education programmes have been shown to lessen recidivism markedly. Prevention of drink-driving behaviour is the major strategy. The tactics entail deterence, improved secondary-school and driver education, and the implementation of a national policy for control of alcohol abuse. PMID:718071

  6. Geophysical methods for road construction and maintenance

    NASA Astrophysics Data System (ADS)

    Rasul, Hedi; Karlson, Caroline; Jamali, Imran; Earon, Robert; Olofsson, Bo

    2015-04-01

    Infrastructure, such as road transportation, is a vital in civilized societies; which need to be constructed and maintained regularly. A large part of the project cost is attributed to subsurface conditions, where unsatisfactory conditions could increase either the geotechnical stabilization measures needed or the design cost itself. A way to collect information of the subsurface and existing installations which can lead to measures reducing the project cost and damage is to use geophysical methods during planning, construction and maintenance phases. The moisture in road layers is an important factor, which will affect the bearing capacity of the construction as well as the maintenances. Moisture in the road is a key factor for a well-functioning road. On the other hand the excessive moisture is the main reason of road failure and problems. From a hydrological point of view geophysical methods could help road planners identify the water table, geological strata, pollution arising from the road and the movement of the pollution before, during and after construction. Geophysical methods also allow road planners to collect valuable data for a large area without intrusive investigations such as with boreholes, i.e. minimizing the environmental stresses and costs. However, it is important to specify the investigation site and to choose the most appropriate geophysical method based on the site chosen and the objective of the investigation. Currently, numerous construction and rehabilitation projects are taking places around the world. Many of these projects are focused on infrastructural development, comprising both new projects and expansion of the existing infrastructural network. Geophysical methods can benefit these projects greatly during all phases. During the construction phase Ground Penetrating radar (GPR) is very useful in combination with Electrical Resistivity (ER) for detecting soil water content and base course compaction. However, ER and Electromagnetic

  7. Future Roads Near Streams

    EPA Pesticide Factsheets

    Roads are a source of auto related pollutants (e.g. gasoline, oil and other engine fluids). When roads are near streams, rain can wash these pollutants directly into the stream, harming both water and habitat quality. This metric measured the length of roads within 30 meters of a stream. More information about these resources, including the variables used in this study, may be found here: https://edg.epa.gov/data/Public/ORD/NERL/ReVA/ReVA_Data.zip.

  8. 7. LASSEN PARK ROAD BRIDGE AT SULFUR WORKS. NOTE ROAD ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    7. LASSEN PARK ROAD BRIDGE AT SULFUR WORKS. NOTE ROAD TRAVERSING DISTANT RIDGE BEYOND BRIDGE. SEEN FROM WEST OF HIGHWAY FROM OLD HIGHWAY LOOP. LOOKING E. - Lassen Park Road, Mineral, Tehama County, CA

  9. Final priority; National Institute on Disability and Rehabilitation Research--Disability and Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research Centers. Final priority.

    PubMed

    2013-06-14

    The Assistant Secretary for Special Education and Rehabilitative Services announces a priority for a Rehabilitation Engineering Research Center (RERC) on Universal Interfaces and Information Technology Access under the Disability and Rehabilitation Research Projects and Centers Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR). The Assistant Secretary may use this priority for a competition in fiscal year (FY) 2013 and later years. We take this action to focus research attention on areas of national need. We intend to use this priority to improve outcomes for individuals with disabilities.

  10. Medical Rehabilitation in Natural Disasters: A Review.

    PubMed

    Khan, Fary; Amatya, Bhasker; Gosney, James; Rathore, Farooq A; Burkle, Frederick M

    2015-09-01

    To present an evidence-based overview of the effectiveness of medical rehabilitation intervention in natural disaster survivors and outcomes that are affected. A literature search was conducted using medical and health science electronic databases (PubMed, MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, PsycINFO) up to September 2014. Two independent reviewers selected studies reporting outcomes for natural disaster survivors after medical rehabilitation that addressed functional restoration and participation. Two reviewers independently extracted data and assessed the methodologic quality of the studies using the Critical Appraisal Skills Program's appraisal tools. A meta-analysis was not possible because of heterogeneity among included trials; therefore, a narrative analysis was performed for best evidence synthesis. Ten studies (2 randomized controlled trials, 8 observational studies) investigated a variety of medical rehabilitation interventions for natural disaster survivors to evaluate best evidence to date. The interventions ranged from comprehensive multidisciplinary rehabilitation to community educational programs. Studies scored low on quality assessment because of methodologic limitations. The findings suggest some evidence for the effectiveness of inpatient rehabilitation in reducing disability and improving participation and quality of life and for community-based rehabilitation for participation. There were no data available for associated costs. The findings highlight the need to incorporate medical rehabilitation into response planning and disaster management for future natural catastrophes. Access to rehabilitation and investment in sustainable infrastructure and education are crucial. More methodologically robust studies are needed to build evidence for rehabilitation programs, cost-effectiveness, and outcome measurement in such settings. Copyright © 2015 American Congress of Rehabilitation Medicine

  11. Final priority; National Institute on Disability and Rehabilitation Research--Rehabilitation Engineering Research Centers. Final priority.

    PubMed

    2014-07-09

    The Assistant Secretary for Special Education and Rehabilitative Services announces a priority under the Disability and Rehabilitation Research Projects and Centers Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR). Specifically, we announce a priority for a Rehabilitation Engineering Research Center (RERC) on Improving the Accessibility, Usability, and Performance of Technology for Individuals who are Deaf or Hard of Hearing. The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years. We take this action to focus research attention on an area of national need. We intend the priority to contribute to improving the accessibility, usability, and performance of technology for individuals who are deaf or hard of hearing.

  12. Understanding Community-Based Rehabilitation and the role of physical and rehabilitation medicine: a discussion paper.

    PubMed

    Seijas, Vanessa; Lugo, Luz H; Cano, Blanca; Escobar, Luz M; Quintero, Carlos; Nugraha, Boya; Gutenbrunner, Christoph

    2016-12-19

    Community Based Rehabilitation (CBR) is an accepted model to improve the delivery of rehabilitation in the community. It includes the access to health care, education, labor and accessible environments. The role of Specialists in Physical and Rehabilitation Medicine in this strategy (SPRM) is not very well defined. On the occasion of the international consultation for the WHO Action Plan for persons with disabilities, a discussion about the meaning of CBR and the role of SPRM on CBR has occurred among the International Society of Physical and Rehabilitation medicine (ISPRM) members. The following major questions were identified; what is CBR? What is the role of Specialists in Physical and Rehabilitation Medicine (SPMR) in CBR? A review of the literature and a discussion among experts was held to answer these questions. It is of major importance to distinguish between the two concepts of CBR: The first one is the policy or management strategy of CBR that was developed by WHO about 30 years ago. The second one is the provision of basic rehabilitation services offered at the community level. CBR strategy must also addresses the need for optimal access to specialized rehabilitation services and will have a key role in the design and building of so-called "Basic Rehabilitation Services". The authors proposed a scheme, which integrates all relevant aspects surrounding the concept of CBR; levels of care rehabilitation services and the roles proposed for SPRM. In addition, the convention for the rights of persons with disabilities and the conceptual framework of the ICF was taken into account.

  13. Roads to Safety.

    ERIC Educational Resources Information Center

    Hauer, Ezra

    1991-01-01

    Contends that the level of safety built into roads is largely unpremeditated and that roads and highways are not as safe as they might be. Discusses practices, standards, and deficiencies in highway and traffic safety related to geometric design and traffic engineering. Recommends increased transportation engineering professionalism and public…

  14. Vehicular road influence areas

    NASA Astrophysics Data System (ADS)

    Huertas, María E.; Huertas, José I.; Valencia, Alexander

    2017-02-01

    Vehicle operation over paved and unpaved roads is an emission source that significantly contributes to air pollution. Emissions are derived from vehicle exhaust pipes and re-suspension of particulate matter generated by wind erosion and tire to road surface interactions. Environmental authorities require a methodology to evaluate road impact areas, which enable managers to initiate counter-measures, particularly under circumstances where historic meteorological and/or air quality data is unavailable. The present study describes an analytical and experimental work developed to establish a simplified methodology to estimate the area influenced by vehicular roads. AERMOD was chosen to model pollutant dispersion generated by two roads of common attributes (straight road over flat terrain) under the effects of several arbitrary chosen weather conditions. The resulting pollutant concentration vs. Distance curves collapsed into a single curve when concentration and distance were expressed as dimensionless numbers and this curve can be described by a beta distribution function. This result implied that average concentration at a given distance was proportional to emission intensity and that it showed minor sensitivity to meteorological conditions. Therefore, road influence was defined by the area adjacent to the road limited by distance at which the beta distribution function equaled the limiting value specified by the national air quality standard for the pollutant under consideration.

  15. Future Road Density

    EPA Pesticide Factsheets

    Road density is generally highly correlated with amount of developed land cover. High road densities usually indicate high levels of ecological disturbance. More information about these resources, including the variables used in this study, may be found here: https://edg.epa.gov/data/Public/ORD/NERL/ReVA/ReVA_Data.zip.

  16. Roads to Safety.

    ERIC Educational Resources Information Center

    Hauer, Ezra

    1991-01-01

    Contends that the level of safety built into roads is largely unpremeditated and that roads and highways are not as safe as they might be. Discusses practices, standards, and deficiencies in highway and traffic safety related to geometric design and traffic engineering. Recommends increased transportation engineering professionalism and public…

  17. Final priorities; National Institute on Disability and Rehabilitation Research--Disability and Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research Centers. Final priorities.

    PubMed

    2013-06-11

    The Assistant Secretary for Special Education and Rehabilitative Services announces priorities under the Disability and Rehabilitation Research Projects and Centers Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR). Specifically, we announce priorities for a Rehabilitation Engineering Research Center (RERC) on Rehabilitation Strategies, Techniques, and Interventions (Priority 1), Information and Communication Technologies Access (Priority 2), Individual Mobility and Manipulation (Priority 3), and Physical Access and Transportation (Priority 4). The Assistant Secretary may use one or more of these priorities for competitions in fiscal year (FY) 2013 and later years. We take this action to focus research attention on areas of national need. We intend these priorities to improve community living and participation, health and function, and employment outcomes of individuals with disabilities.

  18. Rehabilitation robotics ontology on the cloud.

    PubMed

    Dogmus, Zeynep; Papantoniou, Agis; Kilinc, Muhammed; Yildirim, Sibel A; Erdem, Esra; Patoglu, Volkan

    2013-06-01

    We introduce the first formal rehabilitation robotics ontology, called RehabRobo-Onto, to represent information about rehabilitation robots and their properties; and a software system RehabRobo-Query to facilitate access to this ontology. RehabRobo-Query is made available on the cloud, utilizing Amazon Web services, so that 1) rehabilitation robot designers around the world can add/modify information about their robots in RehabRobo-Onto, and 2) rehabilitation robot designers and physical medicine experts around the world can access the knowledge in RehabRobo-Onto by means of questions about robots, in natural language, with the guide of the intelligent userinterface of RehabRobo-Query. The ontology system consisting of RehabRobo-Onto and RehabRobo-Query is of great value to robot designers as well as physical therapists and medical doctors. On the one hand, robot designers can access various properties of the existing robots and to the related publications to further improve the state-of-the-art. On the other hand, physical therapists and medical doctors can utilize the ontology to compare rehabilitation robots and to identify the ones that serve best to cover their needs, or to evaluate the effects of various devices for targeted joint exercises on patients with specific disorders.

  19. Integrating Rehabilitation Engineering Technology With Biologics

    PubMed Central

    Collinger, Jennifer L.; Dicianno, Brad E.; Weber, Douglas J.; Cui, Xinyan Tracy; Wang, Wei; Brienza, David M.; Boninger, Michael L.

    2017-01-01

    Rehabilitation engineers apply engineering principles to improve function or to solve challenges faced by persons with disabilities. It is critical to integrate the knowledge of biologics into the process of rehabilitation engineering to advance the field and maximize potential benefits to patients. Some applications in particular demonstrate the value of a symbiotic relationship between biologics and rehabilitation engineering. In this review we illustrate how researchers working with neural interfaces and integrated prosthetics, assistive technology, and biologics data collection are currently integrating these 2 fields. We also discuss the potential for further integration of biologics and rehabilitation engineering to deliver the best technologies and treatments to patients. Engineers and clinicians must work together to develop technologies that meet clinical needs and are accessible to the intended patient population. PMID:21703573

  20. European Organizations of Physical and Rehabilitation Medicine.

    PubMed

    Tederko, Piotr; Kujawa, Jolanta; Księżopolska-Orłowska, Krystyna

    2015-01-01

    Physical and Rehabilitation Medicine (PRM) is a basic medical specialty officially recognized in Europe since 1962. This article briefly presents the significance, attainments and tasks recently undertaken by the leading structures responsible for international harmonization and management of the specialty within healthcare systems in Europe and for scientific development: the Section and Board of the European Union of Medical Specialists (UEMS-PRM), European Academy of Rehabilitation Medicine (AEMR) and European Society of PRM (ESPRM). The concept of rehabilitation according to the biopsychosocial model of functioning recently promoted by the World Health Organization (WHO) closely follows the assumptions of the Polish Model of Rehabilitation, formulated in the 1960's and approved by the WHO in 1970. Since its accession to the European Union in 2004, Poland has been gradually increasing active participation in the European structures of PRM.

  1. How Does Rehabilitative & Assistive Technology Benefit People With Disabilities?

    MedlinePlus

    ... to disease, injury, or aging. Rehabilitative and assistive technology can enable individuals to: Care for themselves and their families Work Learn in schools and other educational institutions Access information through computers ...

  2. Unifying and Elevating Rehabilitation Counseling through Model-Driven, Diversity-Sensitive Evidence-Based Practice

    ERIC Educational Resources Information Center

    Chan, Fong; Tarvydas, Vilia; Blalock, Kacie; Strauser, David; Atkins, Bobbie J.

    2009-01-01

    Rehabilitation counseling must embrace an evidence-based practice paradigm to remain a vital and respected member of the future community of professions in rehabilitation and mental health care and to fully discharge its responsibility to assist consumers in accessing effective rehabilitation interventions and exercising truly informed choice. The…

  3. Code of Ethics for Rehabilitation Educators and Counselors: A Call for Evidence-Based Practice

    ERIC Educational Resources Information Center

    Burker, Eileen J.; Kazukauskas, Kelly A.

    2010-01-01

    Given the emphasis on evidence-based practice (EBP) in the 2010 Code of Professional Ethics for Rehabilitation Counselors, it has become even more critical for rehabilitation educators and rehabilitation counselors to understand EBP, how to implement it in teaching and in practice, and how to access available EBP resources. This paper defines and…

  4. Unifying and Elevating Rehabilitation Counseling through Model-Driven, Diversity-Sensitive Evidence-Based Practice

    ERIC Educational Resources Information Center

    Chan, Fong; Tarvydas, Vilia; Blalock, Kacie; Strauser, David; Atkins, Bobbie J.

    2009-01-01

    Rehabilitation counseling must embrace an evidence-based practice paradigm to remain a vital and respected member of the future community of professions in rehabilitation and mental health care and to fully discharge its responsibility to assist consumers in accessing effective rehabilitation interventions and exercising truly informed choice. The…

  5. Code of Ethics for Rehabilitation Educators and Counselors: A Call for Evidence-Based Practice

    ERIC Educational Resources Information Center

    Burker, Eileen J.; Kazukauskas, Kelly A.

    2010-01-01

    Given the emphasis on evidence-based practice (EBP) in the 2010 Code of Professional Ethics for Rehabilitation Counselors, it has become even more critical for rehabilitation educators and rehabilitation counselors to understand EBP, how to implement it in teaching and in practice, and how to access available EBP resources. This paper defines and…

  6. Advances in rehabilitation medicine.

    PubMed

    Ng, Yee Sien; Chew, Effie; Samuel, Geoffrey S; Tan, Yeow Leng; Kong, Keng He

    2013-10-01

    Rehabilitation medicine is the medical specialty that integrates rehabilitation as its core therapeutic modality in disability management. More than a billion people worldwide are disabled, and the World Health Organization has developed the International Classification of Functioning, Disability and Health as a framework through which disability is addressed. Herein, we explore paradigm shifts in neurorehabilitation, with a focus on restoration, and provide overviews on developments in neuropharmacology, rehabilitation robotics, virtual reality, constraint-induced therapy and brain stimulation. We also discuss important issues in rehabilitation systems of care, including integrated care pathways, very early rehabilitation, early supported discharge and telerehabilitation. Finally, we highlight major new fields of rehabilitation such as spasticity management, frailty and geriatric rehabilitation, intensive care and cancer rehabilitation.

  7. Specialized stroke rehabilitation services in seven countries: Preliminary results from nine rehabilitation centers.

    PubMed

    Langhammer, Birgitta; Becker, Frank; Sunnerhagen, Katharina S; Zhang, Tong; Du, Xiaoxia; Bushnik, Tamara; Panchenko, Maria; Keren, Ofer; Banura, Samir; Elessi, Khamis; Luzon, Fuad; Lundgren-Nilsson, Åsa; Li, Xie; Sällström, Susanne; Stanghelle, Johan Kvalvik

    2015-12-01

    There is a lack of defined levels of rehabilitation, indicating possibly random content and access to specialized services. The aim of the study was to perform a multinational descriptive study of specialized rehabilitation in persons with stroke, to elucidate what the different centers define as prerequisites for specialized rehabilitation, and to analyze whether these descriptions map to currently applied standards or constructs of specialized rehabilitation. A secondary aim was to look for similarities and differences between therapies and services for persons with stroke in the sub-acute stage in the different institutions. Descriptive data of the collaborating centers regarding structure and processes of services were recorded and compared with the British Society of Rehabilitation Medicine and Specialized Services National Definitions sets. Comparisons of the definitions showed that all centers admitted severely disabled persons with stroke, in need of complex rehabilitation, and provided high levels of physical services, with specialized equipment and facilities. However, funding, size, university affiliation, quality accreditation, staffing levels, specialist training, cognitive and vocational services, coordination of the professional teams, admission procedures, time and type of therapies, estimated length of stay, and follow-up procedures differed between the centers. This multinational study of specialized stroke rehabilitation centers shows that a universal definition of specialized rehabilitation is possible, even in quite different countries and settings, in terms of general principles. There were however differences in structures and procedures, which may influence patients' outcomes, indicating a need for refinement of the definitions to be globally applicable. © 2015 World Stroke Organization.

  8. Rheumatologic rehabilitation: towards recommendations.

    PubMed

    Maddali Bongi, S; Del Rosso, A; Matucci Cerinic, M

    2014-11-06

    Rheumatic patients are highly complex and often affected by chronic diseases. Rehabilitation is generally needed for proper management of the underlying disease. This article describes the characteristics of an effective rheumatologic rehabilitation, takes into account data published in international literature, suggests recommendations based on scientific evidence to develop a correct rehabilitation plan for rheumatic patients and proposes the basis to draw up guidelines in the field of rheumatologic rehabilitation.

  9. 14. VIEW OF NORTHSOUTH ROAD WHICH PARALLELS ROAD TO HATCH ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    14. VIEW OF NORTH-SOUTH ROAD WHICH PARALLELS ROAD TO HATCH ADIT (FEATURE B-28). NOTE MODERN 'LAY DOWN' FENCE ON ROAD. ROAD LIES TO THE WEST OF THE HATCH ADIT AND PHOTOGRAPH IS VIEW TO THE SOUTH. (OCTOBER, 1995) - Nevada Lucky Tiger Mill & Mine, East slope of Buckskin Mountain, Paradise Valley, Humboldt County, NV

  10. New optimization strategies of pavement maintenance: A case study for national road network in Indonesia using integrated road management system

    NASA Astrophysics Data System (ADS)

    Hamdi, Hadiwardoyo, Sigit P.; Correia, A. Gomes; Pereira, Paulo

    2017-06-01

    A road network requires timely maintenance to keep the road surface in good condition onward better services to improve accessibility and mobility. Strategies and maintenance techniques must be chosen in order to maximize road service level through cost-effective interventions. This approach requires an updated database, which the road network in Indonesia is supported by a manual and visual survey, also using NAASRA profiler. Furthermore, in this paper, the deterministic model of deterioration was used. This optimization model uses life cycle cost analysis (LCCA), applied in an integrated manner, using IRI indicator, and allows determining the priority of treatment, type of treatment and its relation to the cost. The purpose of this paper was focussed on the aspects of road maintenance management, i.e., maintenance optimization models for different levels of traffic and various initial of road distress conditions on the national road network in Indonesia. The implementation of Integrated Road Management System (IRMS) can provide a solution to the problem of cost constraints in the maintenance of the national road network. The results from this study found that as the lowest as agency cost, it will affect the increasing of user cost. With the achievement of the target plan scenario Pl000 with initial value IRI 2, it was found that the routine management throughout the year and in early reconstruction and periodic maintenance with a 30 mm thick overlay, will simultaneously provide a higher net benefit value and has the lowest total cost of transportation.

  11. Pediatric rehabilitation psychology: Rehabilitating a moving target.

    PubMed

    Kaufman, Jacqueline N; Lahey, Sarah; Slomine, Beth S

    2017-08-01

    The current special section includes manuscripts focusing on four aspects of pediatric rehabilitation psychology that are unique to this practice area. The first domain addressed is natural developmental progression in the context of a disability (i.e., habilitation). The next domain addressed in this special section is pediatric rehabilitation; pediatric rehabilitation psychology addresses the reacquisition of previously attained skills and abilities within the context of the natural developmental milieu. This special section also highlights the inherently interdisciplinary and transdisciplinary nature of pediatric rehabilitation psychology given the complex environment in which children exist. Finally, the special section includes illustrations of the crucial role pediatric rehabilitation psychologists play in facilitating transitions through major milestones, particularly from pediatrics to adulthood when living with a disability. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  12. Research in Correctional Rehabilitation.

    ERIC Educational Resources Information Center

    Rehabilitation Services Administration (DHEW), Washington, DC.

    Forty-three leaders in corrections and rehabilitation participated in the seminar planned to provide an indication of the status of research in correctional rehabilitation. Papers include: (1) "Program Trends in Correctional Rehabilitation" by John P. Conrad, (2) "Federal Offenders Rahabilitation Program" by Percy B. Bell and Merlyn Mathews, (3)…

  13. Offender Rehabilitation Down Under

    ERIC Educational Resources Information Center

    Ward, Tony; Day, Andrew; Casey, Sharon

    2006-01-01

    In this paper we offer an overview of reintegration policies in both Australia and New Zealand. We describe the rehabilitative practices of both countries, and their basis in the Risk-Needs-Responsivity model of offender rehabilitation, before outlining the recently developed Good Lives Model of offender rehabilitation. Our conclusion is that the…

  14. Offender Rehabilitation Down Under

    ERIC Educational Resources Information Center

    Ward, Tony; Day, Andrew; Casey, Sharon

    2006-01-01

    In this paper we offer an overview of reintegration policies in both Australia and New Zealand. We describe the rehabilitative practices of both countries, and their basis in the Risk-Needs-Responsivity model of offender rehabilitation, before outlining the recently developed Good Lives Model of offender rehabilitation. Our conclusion is that the…

  15. Issues in International Rehabilitation.

    ERIC Educational Resources Information Center

    Nathanson, Jeanne H., Ed.

    1991-01-01

    Eight articles address issues and programs in international rehabilitation. The issue is introduced by a message from the Assistant Secretary of the United States Department of Education for the Office of Special Education and Rehabilitation Services, Robert R. Davila. Next, "A History of International Rehabilitation" (Nora Ellen Groce)…

  16. The Rights of Consumers of Rehabilitation Services

    ERIC Educational Resources Information Center

    Cull, John G.; Levinson, Kathy F.

    1977-01-01

    Discusses some of the basic rights of clients in the rehabilitation process, which are divided into legal and professional rights. Topics discussed include the right to services, determining eligibility or ineligibility, the right to periodic review, all-pervasive rights (such as access to client-related material), and consumer involvement. (TA)

  17. The Rights of Consumers of Rehabilitation Services

    ERIC Educational Resources Information Center

    Cull, John G.; Levinson, Kathy F.

    1977-01-01

    Discusses some of the basic rights of clients in the rehabilitation process, which are divided into legal and professional rights. Topics discussed include the right to services, determining eligibility or ineligibility, the right to periodic review, all-pervasive rights (such as access to client-related material), and consumer involvement. (TA)

  18. Wildland road removal: research needs

    Treesearch

    T. Adam Switalski; John A. Bissonette; Tom H. Deluca; Charles H. Luce; Mary Ann Madej

    2003-01-01

    Wildland road removal is a common practice across the U.S. and in some parts of Canada. The main types of road removal include ripping, stream crossing restoration, and full recontour. Road removal creates a short-term disturbance that may temporarily increase sediment loss. However, research and long-term monitoring have shown that road removal both reduces erosion...

  19. Configuration of Appalachian logging roads

    Treesearch

    John E. Baumgras; John E. Baumgras

    1971-01-01

    The configuration - the curvature and grade - of logging roads in southern Appalachia is seldom severe, according to a recent Forest Service study. To improve the efficiency of logging roads, we must first define the characteristics of these roads; and in this report we provide a quantitative description of the configuration of over 200 miles of logging roads.

  20. Improving Web Accessibility in a University Setting

    ERIC Educational Resources Information Center

    Olive, Geoffrey C.

    2010-01-01

    Improving Web accessibility for disabled users visiting a university's Web site is explored following the World Wide Web Consortium (W3C) guidelines and Section 508 of the Rehabilitation Act rules for Web page designers to ensure accessibility. The literature supports the view that accessibility is sorely lacking, not only in the USA, but also…

  1. Improving Web Accessibility in a University Setting

    ERIC Educational Resources Information Center

    Olive, Geoffrey C.

    2010-01-01

    Improving Web accessibility for disabled users visiting a university's Web site is explored following the World Wide Web Consortium (W3C) guidelines and Section 508 of the Rehabilitation Act rules for Web page designers to ensure accessibility. The literature supports the view that accessibility is sorely lacking, not only in the USA, but also…

  2. Rehabilitation of cancer patients.

    PubMed

    Pandey, M; Thomas, B C

    2001-01-01

    With the developments in cancer treatment, more and more patients are surviving their disease. However, very little emphasis is being placed to rehabilitate these cancer survivors. Ignorance, social structure, stigma attached in seeking psychological help, and poor communication skills of oncology staff all contribute to poor rehabilitative efforts. The priority of governmental agencies and health efforts to fight rampant communicable diseases, malnutrition, maternal health, and the frequent natural calamities, puts rehabilitation movements in the back seat. Treatment and prevention of disability and its rehabilitation requires comprehensive and multidisciplinary approach. There is an urgent need to promote physical and psychological rehabilitation.

  3. Handbook of road safety research

    SciTech Connect

    Grime, G.

    1987-01-01

    This book describes the road safety, accident investigation or vehicle and highway design. This book also discusses the nature and cause of road accidents. It discusses the following contents: Forward; Preface; The main features of the accident situation in Great Britain; The interacting roles of road environment, vehicle and road user in accidents; Roads - features which may be related to accidents; Movements of vehicles and road users before accidents; What happens to vehicles during and after accidents; Injuries to road users; The potential for savings in accidents involving injury; General remarks on accident investigation; Appendices References.

  4. Road rage and collision involvement.

    PubMed

    Mann, Robert E; Zhao, Jinhui; Stoduto, Gina; Adlaf, Edward M; Smart, Reginald G; Donovan, John E

    2007-01-01

    To assess the contribution of road rage victimization and perpetration to collision involvement. The relationship between self-reported collision involvement and road rage victimization and perpetration was examined, based on telephone interviews with a representative sample of 4897 Ontario adult drivers interviewed between 2002 and 2004. Perpetrators and victims of both any road rage and serious road rage had a significantly higher risk of collision involvement than did those without road rage experience. This study provides epidemiological evidence that both victims and perpetrators of road rage experience increased collision risk. More detailed studies of the contribution of road rage to traffic crashes are needed.

  5. Seerley Road Fire Site

    EPA Pesticide Factsheets

    A barn caught fire at on Seerley Road, Indianapolis. Five storage drums believed to contain metallic potassium were involved in the fire. EPA will perform additional sampling as part of removal operations and safe offsite transportation.

  6. A Holographic Road Show.

    ERIC Educational Resources Information Center

    Kirkpatrick, Larry D.; Rugheimer, Mac

    1979-01-01

    Describes the viewing sessions and the holograms of a holographic road show. The traveling exhibits, believed to stimulate interest in physics, include a wide variety of holograms and demonstrate several physical principles. (GA)

  7. A Holographic Road Show.

    ERIC Educational Resources Information Center

    Kirkpatrick, Larry D.; Rugheimer, Mac

    1979-01-01

    Describes the viewing sessions and the holograms of a holographic road show. The traveling exhibits, believed to stimulate interest in physics, include a wide variety of holograms and demonstrate several physical principles. (GA)

  8. Polarimetric road ice detection

    NASA Astrophysics Data System (ADS)

    Drummond, Krista

    This thesis investigated the science behind polarimetric road ice detection systems. Laboratory Mueller matrix measurements of a simulated road under differing surface conditions were collected searching for a discriminatory polarization property. These Mueller matrices were decomposed into depolarization, diattenuation, and retardance. Individual sample surface polarization properties were then calculated from these three unique matrices and compared. Specular and off-specular reflection responses of each sample were collected. Four polarization properties stood out for having high separation between dry and iced measurements: Depolarization Index, Linear Diattenuation, Linear Polarizance, and Linear Retardance. Through our investigation polarimetric ice detection is possible. Continued research of the polarization properties of road ice can result in the development of a road ice detection system. Proposed deployment methods of such a system have been outlined following the analysis of the data collected in this experiment.

  9. Rapid road repair vehicle

    DOEpatents

    Mara, L.M.

    1998-05-05

    Disclosed is a rapid road repair vehicle capable of moving over a surface to be repaired at near normal posted traffic speeds to scan for and find at the high rate of speed, imperfections in the pavement surface, prepare the surface imperfection for repair by air pressure and vacuum cleaning, applying a correct amount of the correct patching material to effect the repair, smooth the resulting repaired surface, and catalog the location and quality of the repairs for maintenance records of the road surface. The rapid road repair vehicle can repair surface imperfections at lower cost, improved quality, at a higher rate of speed than was not heretofor possible, with significantly reduced exposure to safety and health hazards associated with this kind of road repair activities in the past. 2 figs.

  10. Rapid road repair vehicle

    DOEpatents

    Mara, Leo M.

    1998-01-01

    Disclosed is a rapid road repair vehicle capable of moving over a surface to be repaired at near normal posted traffic speeds to scan for and find an the high rate of speed, imperfections in the pavement surface, prepare the surface imperfection for repair by air pressure and vacuum cleaning, applying a correct amount of the correct patching material to effect the repair, smooth the resulting repaired surface, and catalog the location and quality of the repairs for maintenance records of the road surface. The rapid road repair vehicle can repair surface imperfections at lower cost, improved quality, at a higher rate of speed than was was heretofor possible, with significantly reduced exposure to safety and health hazards associated with this kind of road repair activities in the past.

  11. Road boundary detection

    NASA Technical Reports Server (NTRS)

    Sowers, J.; Mehrotra, R.; Sethi, I. K.

    1989-01-01

    A method for extracting road boundaries using the monochrome image of a visual road scene is presented. The statistical information regarding the intensity levels present in the image along with some geometrical constraints concerning the road are the basics of this approach. Results and advantages of this technique compared to others are discussed. The major advantages of this technique, when compared to others, are its ability to process the image in only one pass, to limit the area searched in the image using only knowledge concerning the road geometry and previous boundary information, and dynamically adjust for inconsistencies in the located boundary information, all of which helps to increase the efficacy of this technique.

  12. [A review on road ecology].

    PubMed

    Li, Yuehui; Hu, Yuanman; Li, Xiuzhen; Xiao, Duning

    2003-03-01

    Roads are a widespread and increasing feature of most landscapes, and have great ecological effects, e.g., increased mortality of animals and plants and habitat loss from road construction, alteration of the physical and chemical environment, and changes in roadsides vegetation. The great impact on animal population includes road-kills, limiting population, road avoidance causing home arrange shift, modification of movement pattern and barrier effect subdividing habitat and populations. Roads alter landscape spatial pattern and interrupt horizontal ecological flows strongly. These impacts can be assayed by indices of road density, road-effect zone and road location. Furthermore, important applications of road ecology to planning, conservation and management are essential and potential. Road ecology presents us a surprising frontier of ecology.

  13. Stroke rehabilitation in Canada: a work in progress.

    PubMed

    Teasell, Robert; Meyer, Matthew J; Foley, Norine; Salter, Katherine; Willems, Deb

    2009-01-01

    Stroke rehabilitation in Canada continues to function under models and practices that have changed little in the last four decades and struggles to implement new evidence-based or best practices. Ontario, Canada's largest province, has had a coordinated stroke strategy since 2000. The Ontario Stroke System has developed an extensive infrastructure of research syntheses, consensus panel recommendations, practice guidelines, standards of care, and centralized data collection across the continuum of stroke care. This has produced a solid foundation upon which an evidence-based stroke rehabilitation system can be developed. However, failure to invest in stroke rehabilitation or provide incentives to implement change has resulted in the stroke rehabilitation system and critical outcomes remaining largely unchanged. Improvements in time to admission have been countered by rising admission FIM scores such that severe stroke patients often cannot access the stroke rehabilitation system. Many stroke patients are still rehabilitated on general rehabilitation units, therapy intensities remain unacceptably low, and many outpatient programs are being reduced or even closed. Although there are pockets of innovation, the stroke rehabilitation system continues to function more according to traditional ways of practicing. The hope is that with appropriate investments and incentives, Canadians and Ontarians can build upon the existing infrastructure to ensure stroke patients receive optimal rehabilitative care based on best evidence. In the meantime, stroke rehabilitation in Canada remains a work in progress.

  14. Outpatient spinal cord injury rehabilitation: managing costs and funding in a changing health care environment.

    PubMed

    Riis, V; Verrier, M C

    2007-10-15

    To examine the literature describing the cost of outpatient rehabilitation for patients with spinal cord injury (SCI) as well as the effect of funding type on cost and outcome. A SCI rehabilitation planning and funding model is presented that calls for structured assessment of the client's economic environment, with follow through to promote full access to funding for rehabilitation plans. Literature review of specific outpatient rehabilitation intervention costs and effect of funding type, followed by development of a funding model to improve access to available funding for SCI rehabilitation. There is insufficient economic data to draw conclusions about the relationship between an individual's rehabilitation needs and access to appropriate funding for outpatient rehabilitation. Consequently, health providers and payers need to adopt an approach that will improve consistency of payment decisions and access to necessary funding for rehabilitation. A model for a more formal approach to: (a) Assessment of a client's economic environment; (b) use of evidence-based SCI rehabilitation; and (c) use of available financial resources should promote better access to appropriate rehabilitation following SCI.

  15. Advances in wearable technology for rehabilitation.

    PubMed

    Bonato, Paolo

    2009-01-01

    Assessing the impact of rehabilitation interventions on the real life of individuals is a key element of the decision-making process required to choose a rehabilitation strategy. In the past, therapists and physicians inferred the effectiveness of a given rehabilitation approach from observations performed in a clinical setting and self-reports by patients. Recent developments in wearable technology have provided tools to complement the information gathered by rehabilitation personnel via patient's direct observation and via interviews and questionnaires. A new generation of wearable sensors and systems has emerged that allows clinicians to gather measures in the home and community settings that capture patients' activity level and exercise compliance, the effectiveness of pharmacological interventions, and the ability of patients to perform efficiently specific motor tasks. Available unobtrusive sensors allow clinical personnel to monitor patients' movement and physiological data such as heart rate, respiratory rate, and oxygen saturation. Cell phone technology and the widespread access to the Internet provide means to implement systems designed to remotely monitor patients' status and optimize interventions based on individual responses to different rehabilitation approaches. This chapter summarizes recent advances in the field of wearable technology and presents examples of application of this technology in rehabilitation.

  16. 30 CFR 816.150 - Roads: general.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... classified as either a primary road or an ancillary road. (2) A primary road is any road which is— (i) Used... is any road not classified as a primary road. (b) Performance standards. Each road shall be located...; (5) Protecting the natural drainage patterns by installing dikes or cross drains as necessary to...

  17. 30 CFR 817.150 - Roads: General.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... classified as either a primary road or an ancillary road. (2) A primary road is any road which is— (i) Used... is any road not classified as a primary road (b) Performance standards. Each road shall be located...; (5) Protecting the natural drainage patterns by installing dikes or cross drains as necessary to...

  18. Arrive alive: road safety in Kenya and South Africa.

    PubMed

    Lamont, Mark; Lee, Rebekah

    2015-04-01

    This article is among the first historical considerations of road safety in Africa. It argues that race and class, as colonial dualisms, analytically frame two defining moments in the development of African automobility and its infrastructure-"Africanization" in the first decade of Kenya's political independence from Britain, 1963-75, and democratization in postapartheid South Africa. We argue that recent road safety interventions in both countries exemplify an "epidemiological turn" influenced by public health constructions of the HIV/AIDS epidemic. African states' framing of road safety in behaviorist terms has obscured larger debates around redressing the historical legacies of racialized access to roads and the technopolitics of African automobility. Civic involvement in road safety initiatives has tended to be limited, although the specter of road carnage has entered into the public imagination, largely through the death of high profile Africans. However, some African road users continue to pursue alternative, and often culturally embedded, strategies to mitigate the dangers posed by life "on the road."

  19. View southwest along Brown Road showing residential and commercial buildings ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View southwest along Brown Road showing residential and commercial buildings on the north and south sides of the road - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  20. View north along Canterbury Road (Route 169) showing residences on ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View north along Canterbury Road (Route 169) showing residences on west side of the road - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  1. View northwest along Wolf Den Road showing residences on the ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View northwest along Wolf Den Road showing residences on the north side of the road - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  2. View southwest along Hartford Road (Route 6) showing residences on ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View southwest along Hartford Road (Route 6) showing residences on the north side of the road - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  3. View east along Wolf Den Road showing residences on the ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View east along Wolf Den Road showing residences on the north side of the road - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  4. View northeast along Pomfret Road (Route 169) showing rersidences on ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View northeast along Pomfret Road (Route 169) showing rersidences on the east side of the road - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  5. View southeast along Pomfret Road (Route 169) showing residence on ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View southeast along Pomfret Road (Route 169) showing residence on the east side of the road - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  6. View north along Canterbury Road (Route 169) showing residences on ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View north along Canterbury Road (Route 169) showing residences on the east side of the road - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  7. View northeast across Hyde Road showing a residenc on the ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View northeast across Hyde Road showing a residenc on the east side of the road - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  8. View southeast across Providence Road (Route 6) showing a residence ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View southeast across Providence Road (Route 6) showing a residence on the south side of the road - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  9. [Comparison of Psychosomatic Rehabilitation for German and Foreign Patients].

    PubMed

    Zollmann, P; Pimmer, V; Rose, A D; Erbstößer, S

    2016-12-01

    Aim: This study aims to comprehensively analyse the course of psychosomatic rehabilitation - from access to quantifiable rehabilitation outcomes. A comparison is made between 3 groups of patients: German citizens, patients of Turkish nationality or patients of foreign or unknown nationality. Methods: The data set used comprises routine data of the German Pension Insurance regarding psychosomatic rehabilitation from the so called Reha-Statistik-Database (RSD, database for rehabilitation statistics) over a period from 2007 to 2014. We included 128,165 compulsorily insured persons who underwent psychosomatic rehabilitation in 2012. Results: Among the patients in psychosomatic rehabilitation in 2012 5.8 % were of foreign nationality. Turkish patients were with 2.0 % the largest group, patients with another or unknown nationality or stateless patients constitute the additional group. The most common diagnoses for all groups were affective disorders and neurotic, somatoform and stress disorders. Differences between the groups can be demonstrated with regard to sociodemographics and employment status prior to rehabilitation: Patients of foreign nationality, and here especially Turkish patients, are on average younger, more often married and have less advanced vocational training than German patients. Accordingly, they work more often in less qualified jobs with lower wages. The health status prior rehabilitation, measured as days of sick leave, is also worse compared to German patients. In contrast to other indications there is no disadvantage regarding access to psychosomatic rehabilitation. On the contrary: the age-standardised uptake ratios of Turkish patients, especially of women, are markedly higher than in Germans. Treatment during psychosomatic rehabilitation is more or less identical. With regards to outcome of rehabilitation, reintegration into working life or transition into disability pension Turkish patients are less successful. As important influential

  10. Accessibility | Smokefree 60+

    Cancer.gov

    60plus.smokefree.gov is committed to making its websites accessible to all individuals—disabled or not—who are seeking information. To provide this information, the Smokefree 60+ website has been designed to comply with Section 508 of the Rehabilitation Act (as amended). Section 508 requires that all individuals with disabilities (whether they are federal government employees or members of the general public) have access to and use of information and data comparable to that provided to individuals without disabilities, unless an undue burden would be imposed.

  11. [Child neurology and rehabilitation].

    PubMed

    Kumagai, K

    2000-05-01

    The history of child neurology and the changing pattern of research methods in this field are reviewed with special reference to holoprosencephaly and recent technical advances in sleep research. This is followed by a discussion on the relationship between child neurology and rehabilitation. The majority of child neurologic disorders are developmental disabilities, but acquired child neurological diseases also show chronic progressive course in many cases. Therefore, child neurologist should understand the basis of rehabilitation approach and appreciate the three classes of disabilities; subsequently, a plan needs to be incorporating medical treatment and a program of rehabilitation for the disabled children. It is important that the role of the various rehabilitation specialists (rehabilitation doctor, physiotherapist, occupational therapist, and others) are understood in relation to the work of pediatric neurologist. Finally, a brief discussion is presented on the rehabilitation approach of patients with hypoxic encephalopathy and the information of welfare equipment.

  12. Rehabilitation in psoriatic arthritis.

    PubMed

    Lubrano, Ennio; Spadaro, Antonio; Parsons, Wendy J; Atteno, Mariangela; Ferrara, Nicola

    2009-08-01

    This article summarizes the state of the art of rehabilitation in psoriatic arthritis (PsA). Very little evidence was available to assess the efficacy of rehabilitation. Some data were borrowed from studies on ankylosing spondylitis. Covering certain aspects of the disease by the standard measure of functioning was difficult. However, rehabilitation was considered by the GRAPPA Group (Group for Research and Assessment of Psoriasis and Psoriatic Arthritis), as part of treatment of axial PsA.

  13. Color road segmentation for autonomous land vehicle (ALV) road following

    NASA Astrophysics Data System (ADS)

    Liu, Lei-Jian; Wu, Yong-Ge; Liu, Ke; Yang, Jingyu

    1994-02-01

    As the efficiency of road segmentation has a direct effect on the reliability of road following and planning -- and consequently the speed of the Autonomous Land Vehicle (ALV) -- road segmentation is one of the most preliminary and important tasks for the road following and planning of ALV, and a variety of methods for color road segmentation have been proposed. This presentation proposes a new data-fusion-based color road segmentation method in which a pyramid-based data structure and the corresponding region splitting and combination techniques for the classification of sensed areas are adopted. In the segmentation process, the roads are first segmented in two 1-D color spaces, and the data fusion technique is then used to combine the two classification results, improving the accuracy of the road segmentation.

  14. Robotics in shoulder rehabilitation

    PubMed Central

    Sicuri, Chiara; Porcellini, Giuseppe; Merolla, Giovanni

    2014-01-01

    Summary In the last few decades, several researches have been conducted in the field of robotic rehabilitation to meet the intensive, repetitive and task-oriented training, with the goal to recover the motor function. Up to now, robotic rehabilitation studies of the upper extremity have generally focused on stroke survivors leaving less explored the field of orthopaedic shoulder rehabilitation. In this review we analyse the present status of robotic technologies, in order to understand which are the current indications and which may be the future perspective for their application in both neurological and orthopaedic shoulder rehabilitation. PMID:25332937

  15. Psychiatrists and psychiatric rehabilitation.

    PubMed

    Torrey, William C; Green, Ronald L; Drake, Robert E

    2005-05-01

    Interventions that focus directly on functional impairments related to mental illnesses are termed psychiatric rehabilitation. Research demonstrates that rehabilitation services are increasingly able to help adults with psychiatric disabilities achieve the functional outcomes they desire, particularly in the areas of housing and employment. To support the community lives of adults with severe mental illnesses, psychiatrists must stay current with advances in this field and know how to integrate psychiatric rehabilitation with other interventions. This article reviews the concept of psychiatric rehabilitation, current approaches in the field, the psychiatrist's role in these services, and implications for psychiatric training and continuing education.

  16. [Neurorehabilitation, neurology, rehabilitation medicine].

    PubMed

    Urbán, Edina; Szél, István; Fáy, Veronika; Dénes, Zoltán; Lippai, Zoltán; Fazekas, Gábor

    2013-05-30

    We have read several publications of great authority on the neurological profession in the last two years in which were expressed assessments of the current situation combined with opinions about neurology and the necessity to reorganize neurological patient care. These articles took up the question of neurorehabilitation too. The authors, who on a daily basis, deal with the rehabilitation of people with disabilities as a consequence of neurological conditions, summarize some important definitions of rehabilitation medicine and the present system of neurological rehabilitation, as it is defined by the rehabilitation profession.

  17. Pulmonary rehabilitation in emphysema.

    PubMed

    Ries, Andrew L; Make, Barry J; Reilly, John J

    2008-05-01

    Pulmonary rehabilitation is an established treatment for patients with chronic lung disease. Benefits include improvement in exercise tolerance, symptoms, and quality of life, with a reduction in the use of health care resources. As an adjunct to surgical programs, such as lung volume reduction surgery, pulmonary rehabilitation plays an important role not just in preparing patients for surgery and facilitating recovery but also in selecting patients and ensuring informed choices about treatment options after optimal medical care. In the National Emphysema Treatment Trial (NETT), subjects completed 6-10 weeks of comprehensive pulmonary rehabilitation before randomization and continued rehabilitation throughout the trial, both at home and with intermittent supervision at either an NETT center or an NETT-certified satellite center. Sessions included a combination of upper and lower extremity exercise, education, and psychosocial support. Before randomization, pulmonary rehabilitation resulted in highly significant changes in exercise capacity, dyspnea, and quality of life. As expected, improvements were significantly greater in those without prior rehabilitation experience. Results for patients completing rehabilitation at satellites were similar to those at NETT centers. Prerandomization pulmonary rehabilitation had a significant effect on outcome after lung volume reduction surgery. NETT identified subgroups with differential outcome by treatment (surgical vs. nonsurgical), defined in part by postrehabilitation maximum exercise capacity. Overall, NETT demonstrated the effectiveness of pulmonary rehabilitation in improving function, symptoms, and health status in a large cohort of patients with advanced emphysema treated in a cross-section of programs in the United States.

  18. [Challenges in the Analysis of Health Care Inequalities in Pediatric Rehabilitation].

    PubMed

    Fach, E-M; Schumann, N; Günther, S; Richter, M

    2016-04-01

    Social inequalities on access and utilization of inpatient rehabilitation among adolescents have rarely been studied. Parents of children with chronic health conditions (age of 7-17) were interviewed about access and utilization of inpatient rehabilitation. Parents were recruited through pediatricians as well as rehabilitation centers in Central Germany. Despite of numerous recruitment measures the participation by pediatricians was low. Also expanding the sample did not remedial. Furthermore, fewer adolescents with need of rehabilitation were achieved than expected. The analysis is subject to these restrictions, nevertheless, they still allow explorative statements about access and utilization of pediatric rehabilitation. Despite major challenges in recruitment, pediatricians should be considered into analysis of inequalities in rehabilitation because of their gatekeeper function. © Georg Thieme Verlag KG Stuttgart · New York.

  19. Exercise-Based Oncology Rehabilitation: Leveraging the Cardiac Rehabilitation Model

    PubMed Central

    Dittus, Kim L.; Lakoski, Susan G.; Savage, Patrick D.; Kokinda, Nathan; Toth, Michael; Stevens, Diane; Woods, Kimberly; O’Brien, Patricia; Ades, Philip A.

    2014-01-01

    PURPOSE The value of exercise and rehabilitative interventions for cancer survivors is increasingly clear and oncology rehabilitation programs could provide these important interventions. However, a pathway to create oncology rehabilitation has not been delineated. Community-based cardiac rehabilitation (CR) programs staffed by health care professionals with experience in providing rehabilitation and secondary prevention services to individuals with coronary heart disease are widely available and provide a potential model and location for oncology rehabilitation programs. Our purpose is to outline the rehabilitative needs of cancer survivors and demonstrate how oncology rehabilitation can be created using a cardiac rehabilitation model. METHODS We identify the impairments associated with cancer and its therapy that respond to rehabilitative interventions. Components of the CR model that would benefit cancer survivors are described. An example of an oncology rehabilitation program using a CR model is presented. RESULTS Cancer survivors have impairments associated with cancer and its therapy that improve with rehabilitation. Our experience demonstrates that effective rehabilitation services can be provided utilizing an existing CR infrastructure. Few adjustments to current cardiac rehabilitation models would be needed to provide oncology rehabilitation. Preliminary evidence suggests that cancer survivors participating in an oncology rehabilitation program experience improvements in psychological and physiologic parameters. CONCLUSIONS Utilizing the CR model of rehabilitative services and disease management provides a much needed mechanism to bring oncology rehabilitation to larger numbers of cancer survivors. PMID:25407596

  20. Rapid road repair vehicle

    SciTech Connect

    Mara, L.M.

    1999-09-07

    Disclosed are improvements to a rapid road repair vehicle comprising an improved cleaning device arrangement, two dispensing arrays for filling defects more rapidly and efficiently, an array of pre-heaters to heat the road way surface in order to help the repair material better bond to the repaired surface, a means for detecting, measuring, and computing the number, location and volume of each of the detected surface imperfection, and a computer means schema for controlling the operation of the plurality of vehicle subsystems. The improved vehicle is, therefore, better able to perform its intended function of filling surface imperfections while moving over those surfaces at near normal traffic speeds.

  1. Detection of road boundary

    NASA Technical Reports Server (NTRS)

    Sowers, James P.; Mehrotra, Rajiv

    1988-01-01

    Several researchers have proposed and implemented various systems pertaining to the development of autonomous land vehicles (ALVs). One fundamental problem associated with the navigation of an ALV is the ability to efficiently extract the boundaries of the pathway that need to be navigated. In this paper a method is presented that will determine the road boundaries in one pass using a limited search area in the input image. The method employs the statistical information regarding the gray levels present in the images along with geometrical constraints concerning the road. Some examples are given to demonstrate the efficacy of the method.

  2. Rapid road repair vehicle

    DOEpatents

    Mara, Leo M.

    1999-01-01

    Disclosed are improvments to a rapid road repair vehicle comprising an improved cleaning device arrangement, two dispensing arrays for filling defects more rapidly and efficiently, an array of pre-heaters to heat the road way surface in order to help the repair material better bond to the repaired surface, a means for detecting, measuring, and computing the number, location and volume of each of the detected surface imperfection, and a computer means schema for controlling the operation of the plurality of vehicle subsystems. The improved vehicle is, therefore, better able to perform its intended function of filling surface imperfections while moving over those surfaces at near normal traffic speeds.

  3. 24. OLD TIOGA ROAD VIEW, NOW MAY LAKE ROAD , ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    24. OLD TIOGA ROAD VIEW, NOW MAY LAKE ROAD , AT SNOW FLAT. MOUNT HOFFMAN AT CENTER REAR. LOOKING NW. GIS: N-37 49 34.6 / W-119 29 58.2 - Tioga Road, Between Crane Flat & Tioga Pass, Yosemite Village, Mariposa County, CA

  4. CCP Crew Access Arm Arrival

    NASA Image and Video Library

    2016-08-11

    A heavy-lift transport truck, carrying the Crew Access Arm for Space Launch Complex 41, travels along the road toward Complex 41 at Cape Canaveral Air Force Station in Florida. The arm will be installed on the Complex 41 Crew Access Tower. It will be used as a bridge by astronauts to board Boeing's CST-100 Starliner spacecraft as it stands on the launch pad atop a United Launch Alliance Atlas V rocket.

  5. Classification of road surface profiles

    SciTech Connect

    Rouillard, V.; Bruscella, B.; Sek, M.

    2000-02-01

    This paper introduces a universal classification methodology for discretely sampled sealed bituminous road profile data for the study of shock and vibrations related to the road transportation process. Data representative of a wide variety of Victorian (Australia) road profiles were used to develop a universal classification methodology with special attention to their non-Gaussian and nonstationary properties. This resulted in the design of computer software to automatically detect and extract transient events from the road spatial acceleration data as well as to identify segments of the constant RMS level enabling transients to be analyzed separately from the underlying road process. Nine universal classification parameters are introduced to describe road profile spatial acceleration based on the statistical characteristics of the transient amplitude and stationary RMS segments. Results from this study are aimed at the areas of road transport simulation as well as road surface characterization.

  6. Survival, neurological recovery and morbidity after spinal cord injuries following road accidents in Israel.

    PubMed

    Tchvaloon, E; Front, L; Gelernter, I; Ronen, J; Bluvshtein, V; Catz, A

    2008-02-01

    A retrospective cohort study. Assess outcomes in patients with spinal cord injuries (SCI) following road accidents, and factors that affect them. Loewenstein Rehabilitation Hospital, Raanana, Israel. A total of 143 patients admitted for rehabilitation between 1962 and 2004. Survival rates were estimated using the product limit (Kaplan-Meyer) method and their association with risk factors was analyzed with the Cox model. Neurological recovery was determined by comparing the Frankel grade at admission to rehabilitation and at discharge. The relation between recovery and various factors was tested with logistic regression. The risk of SCI in road accidents is higher among car drivers and motorcycle or bicycle riders. Median survival was 43 years. Survival was negatively associated with age at injury (P<0.0002) and with diagnosis of pressure sores (P=0.0065). Recovery of at least one Frankel grade occurred in 29.1% of patients. Useful recovery (upgrade to Frankel grade D or E) occurred in 23.1% of all patients. Neurological recovery was negatively associated with the severity of neurological deficit (P<0.001) and with thoracic injuries (P=0.046). The most common complications were pressure sores and those of the urinary and respiratory systems. In SCI following road accidents, survival rates were higher and recovery rates lower than in mixed types of trauma. This may be related to better compensation followed by better nursing for road accident victims in Israel, which may prevent life-shortening complications, and to more severe injuries caused by road accidents.

  7. Provider perspectives on rehabilitation of patients with polytrauma.

    PubMed

    Friedemann-Sánchez, Greta; Sayer, Nina A; Pickett, Treven

    2008-01-01

    To describe, from the perspective of U.S. Department of Veterans Affairs (VA) polytrauma rehabilitation providers, (1) patients with combat-related polytrauma and their rehabilitation, (2) polytrauma patient family member involvement in rehabilitation, and (3) the impact on providers of providing polytrauma rehabilitation. Qualitative study based on rapid assessment process methodology, which included semistructured interviews, observation, and use of a field liaison. The 4 VA polytrauma rehabilitation centers (PRCs). Fifty-six purposefully selected PRC providers and providers from consulting services. Not applicable. Provider self-report of polytrauma patient characteristics, polytrauma patient family member involvement in rehabilitation, and the impact of polytrauma rehabilitation on providers themselves. According to PRC providers, polytrauma patients are younger than VA rehabilitation patients. Strong military identities affect rehabilitation needs and reactions to severe injury. The public and the media have particular interest in war-injured patients. Patients with blast-related polytrauma have unique constellations of visible (including amputations, craniectomies, and burns) and invisible (including traumatic brain injury, pain, and posttraumatic stress disorder) injuries. Providers have adjusted treatment strategies and involved services outside of rehabilitation because of this clinical complexity. Family members are intensely involved in rehabilitation and have service needs that may surpass those of families of rehabilitation patients without polytrauma. Sources of provider stress include new responsibilities, media attention, increased oversight, and emotional costs associated with treating severely injured young patients and their families. Providers also described the work as deeply rewarding. The VA should prioritize the identification or development and implementation of strategies to address family member needs and to monitor and ensure that PRC

  8. 25 CFR 247.20 - What are the road and trail prohibitions?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 247.20 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FISH AND WILDLIFE USE OF COLUMBIA RIVER TREATY FISHING ACCESS SITES § 247.20 What are the road and trail prohibitions? (a) You cannot damage or leave in a damaged condition any road, trail, or segment thereof. (b) You cannot block...

  9. 25 CFR 247.20 - What are the road and trail prohibitions?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 247.20 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FISH AND WILDLIFE USE OF COLUMBIA RIVER TREATY FISHING ACCESS SITES § 247.20 What are the road and trail prohibitions? (a) You cannot damage or leave in a damaged condition any road, trail, or segment thereof. (b) You cannot block...

  10. 25 CFR 247.20 - What are the road and trail prohibitions?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 247.20 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FISH AND WILDLIFE USE OF COLUMBIA RIVER TREATY FISHING ACCESS SITES § 247.20 What are the road and trail prohibitions? (a) You cannot damage or leave in a damaged condition any road, trail, or segment thereof. (b) You cannot block...

  11. 25 CFR 247.20 - What are the road and trail prohibitions?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 247.20 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FISH AND WILDLIFE USE OF COLUMBIA RIVER TREATY FISHING ACCESS SITES § 247.20 What are the road and trail prohibitions? (a) You cannot damage or leave in a damaged condition any road, trail, or segment thereof. (b) You cannot block...

  12. 25 CFR 247.20 - What are the road and trail prohibitions?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 247.20 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FISH AND WILDLIFE USE OF COLUMBIA RIVER TREATY FISHING ACCESS SITES § 247.20 What are the road and trail prohibitions? (a) You cannot damage or leave in a damaged condition any road, trail, or segment thereof. (b) You cannot block...

  13. Effectiveness of post-fire Burned Area Emergency Response (BAER) road treatments: Results from three wildfires

    Treesearch

    Randy B. Foltz; Peter Robichaud

    2013-01-01

    Wildland fires often cause extreme changes in the landscape that drastically influence surface runoff and soil erosion, which can impact forest resources, aquatic habitats, water supplies, public safety, and forest access infrastructure such as forest roads. Little information is available on the effectiveness of various post-fire road treatments, thus this study was...

  14. Sedimentation associated with forest road surfacing in a bottomland hardwood ecosystem

    Treesearch

    Robert B. Rummer; Bryce Stokes; Graeme Lockaby

    1997-01-01

    Access systems are a necessary element of resource production in bottomland hardwood sites. However, road building may have a detrimental effect on hydrologic function of the site. This report describes initial results of a study designed to examine the effect of different road surfacing treatments on water quality.Four Surfacing treatments installed on two...

  15. Road-Cleaning Device

    ERIC Educational Resources Information Center

    Roman, Harry T.

    2014-01-01

    Roadways are literally soaked with petrochemical byproducts, oils, gasoline, and other volatile substances that eventually run off into sewers and end up in rivers, waterways, and other undesirable places. Can the roads be cleaned of these wastes, with their proper disposal? Can vehicles, robots, or other devices be designed that could be driven…

  16. Road-Cleaning Device

    ERIC Educational Resources Information Center

    Roman, Harry T.

    2014-01-01

    Roadways are literally soaked with petrochemical byproducts, oils, gasoline, and other volatile substances that eventually run off into sewers and end up in rivers, waterways, and other undesirable places. Can the roads be cleaned of these wastes, with their proper disposal? Can vehicles, robots, or other devices be designed that could be driven…

  17. The Road Home

    ERIC Educational Resources Information Center

    O'Shaughnessy, Molly

    2016-01-01

    "Children have the potential to create a world we cannot imagine. This is our hope." In choosing Montessori, O'Shaughnessy says that we are choosing the road less traveled. We are choosing education as an aid to life. We are choosing an approach that respects the innate and unique potential of each child and that calls upon us to serve…

  18. On the Road

    ERIC Educational Resources Information Center

    Collins, Mary Ellen

    2012-01-01

    Veteran development officers say the experience of visiting and traveling to different places or countries often feels like an endless cycle of getting lost, missing flights, and eating midnight dinners from hotel vending machines. Despite ongoing travel challenges, experienced road warriors have learned how to maximize their effectiveness,…

  19. Training Guide: Road Transport.

    ERIC Educational Resources Information Center

    Kogan Page, Ltd., London (England).

    The third in a series of guides to British industrial training, this publication begins with a survey of training issues and tasks confronting the Road Transport Industry Training Board (RTITB). This is followed by information on RTITB policies and provisions; RTITB members, officers, and committees; apprenticeships and other training schemes;…

  20. On the Road

    ERIC Educational Resources Information Center

    Collins, Mary Ellen

    2012-01-01

    Veteran development officers say the experience of visiting and traveling to different places or countries often feels like an endless cycle of getting lost, missing flights, and eating midnight dinners from hotel vending machines. Despite ongoing travel challenges, experienced road warriors have learned how to maximize their effectiveness,…

  1. Revisiting forest road retirement

    Treesearch

    Randy Kolka; Mathew Smidt

    2001-01-01

    Determining the sources of nonpoint source pollution in a watershed is difficult, although the largest source of sediment in forested systems is from skld trails, haul roads, and landings associated with forest harvest- ing (Ketcheson et al., 1999; Swft, 1988) The transport of sediment to streams and subsequent sedimentation leads to the loss of...

  2. Rehabilitation Counseling Revisited

    ERIC Educational Resources Information Center

    Stude, E. W.

    1976-01-01

    A 10-week paid summer internship for a rehabilitation counseling faculty in a state vocational rehabilitation agency is described. The benefits of the internship in relation to increasing faculty relevance in and outside the classroom are discussed, and recommendations for improving the internship are presented. (Author)

  3. Rehabilitating torture survivors.

    PubMed

    Sjölund, Bengt H; Kastrup, Marianne; Montgomery, Edith; Persson, Ann L

    2009-09-01

    Refugees have often been exposed to torture in their countries of origin. A core issue is the resulting multifaceted presentation of somatic, psychological and social problems in the same individual, leading to severe activity limitations and participation restrictions. An international conference, "Rehabilitating Torture Survivors", was organized by the Rehabilitation and Research Centre for Torture Victims (a rehabilitation clinic and global knowledge and research centre with government support) in collaboration with the Centre for Transcultural Psychiatry at Rigshospitalet in Copenhagen, Denmark, in December 2008. The main topics were: the context of torture; mental problems including psychotherapy; internet-based therapy and pharmaco-therapy; chronic pain; social integration and family; and functioning and rehabilitation. Available evidence highlights the importance of an interdisciplinary approach to rehabilitation, but scientifically rigorous studies of comprehensive rehabilitation programmes for torture survivors are lacking. Therefore, effect studies are urgently warranted. Nevertheless, by combining expertise from different scientific and professional areas, important elements in the problems of torture survivors can be addressed from an evidence base generated both from traumatized and non-traumatized patient populations. Thus, trauma-focused cognitive behavioural therapy and/or eye movement desensitization and reprocessing, as well as interdisciplinary pain rehabilitation, should be components of a successful rehabilitation process, and great attention should be paid to contextual components.

  4. Rehabilitation of Hearing.

    ERIC Educational Resources Information Center

    World Federation of the Deaf, Rome (Italy).

    Rehabilitation of hearing is considered in five conference papers. Two papers come from Poland: "Rehabilitation of Hearing in Children 'Deaf' in First 5 Years of Age" by D. Borkowska-Gaertig and others and "Possibilities of Hearing Improvement in Adults with Conservative Methods" by T. Bystrzanowska. Also included are…

  5. Technology Utilization in Rehabilitation.

    ERIC Educational Resources Information Center

    Roessler, Richard T.

    1986-01-01

    The use of technology in the rehabilitation of disabled individuals is hampered by the lack of financial resources, information on such technology, consumer involvement, and support services such as consumer training and product service. Federal and local money and resources plus the involvement of rehabilitation professionals are needed to…

  6. The New Smartphone Application for Wrist Rehabilitation.

    PubMed

    Matera, Giuseppe; Boonyasirikool, Chinnakart; Saggini, Raul; Pozzi, Alessandro; Pegoli, Loris

    2016-02-01

    The rehabilitation after wrist surgery is extremely important. An instructed therapy in hospital is widely practiced. However, a dependent aging society and rush life style in younger generation have precluded patients to access to the frequent formal therapy. With the advancement in telecommunication technology, we have invented an application for smartphone for home-based wrist motion rehabilitation. Twenty participants were included in four-week wrist motion rehabilitation programme after wrist surgery. Participants were instructed to use the application by physical therapist and informed details of home-based wrist rehabilitation. The feasibility of application was evaluated by satisfaction level in various aspects and the adherence to the therapy was monitored by function provided in the application. The degrees of motion were compared at the end of prescribed programme. Patient satisfaction was consistently high in every aspects. Also, the adherence to the therapy was high (90.42%). Ranges of motion significantly gained in every plane of wrist motion ([Formula: see text]). This novel smartphone application seems to be a promising and convenient alternative for patients who need to gain wrist motion without formal rehabilitation in the hospital. Adherence to the therapy is also easily traced with this application.

  7. Lighting the Road Back

    ERIC Educational Resources Information Center

    Sherman, Richard L.

    1975-01-01

    The article discusses the role that the Foxboro Company Plant in East Bridgewater, Massachusetts, played in the C.H.I.R.P. and H.I.R.E. programs for the vocational rehabilitation of restored mental patients. (Author/BP)

  8. Neurology or rehabilitation medicine?

    PubMed Central

    McLellan, D L

    1992-01-01

    Rehabilitation is a process of active change by which a person who is disabled acquires and uses the knowledge and skills necessary for optimal physical, psychological and social function. Rehabilitation medicine is now established in Britain as a specialty concerned primarily with three groups: 1) those with multiple disability; 2) disabled people undergoing personal or social transitions, for example, school leavers; and 3) those with disabilities requiring complex technical or medical solutions. Rehabilitation medicine is distinguished from traditional clinical neurology by its emphasis on teamwork and on the analysis and reduction of disability rather than the diagnosis and treatment of impairment. Both neurology and rehabilitation medicine are dwarfed by the size of the problems they are expected to overcome and there is no justification for competition between the two specialties. The training of neurologists requires fundamental changes if they are to be equipped to assist rehabilitation effectively and contribute to the scientific development of the subject. PMID:1532980

  9. [Phototherapy in rehabilitation medicine].

    PubMed

    Okuni, Ikuko

    2012-07-01

    Rehabilitation can be classified into four types: medical, vocational, educational, and social rehabilitation. The goal of medical rehabilitation is to maintain and improve a patient's physical and mental capabilities. Phototherapy is an important means of treatment in rehabilitation medicine and is usually performed with ultraviolet, infrared, or laser light. Among them, laser light has been shown to have various biological effects, such as increasing blood flow, promoting wound healing, reducing inflammation, and improving immune function. Laser therapy is as important a treatment option as exercise therapy in rehabilitation medicine, and is considered to be worth evaluating as a therapeutic means to relieve pain in musculoskeletal disorders, promote healing in peripheral neuropathy, and alleviate muscle spasticity.

  10. View northwest along Canterbury Road (Route 169) showing the Unitarian ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View northwest along Canterbury Road (Route 169) showing the Unitarian Church and the Federated Church of Christ - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  11. View southeast to Canterbury Road (Route 169) showing the Israel ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View southeast to Canterbury Road (Route 169) showing the Israel Putnam Memorial - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  12. [Supervising road safety in Peru].

    PubMed

    Sagástegui, Freddy

    2010-06-01

    In this article some problems in road safety are described, which have been detected by the Ombudsman of Peru, as part of its role of public administration supervisor, amongst these problems we mention: lack of and inadequate elaboration of the statistics on road traffic accidents, the inconsistency of the National Council for Road Security and the lack of responsibility of the local and regional governments reflected by the lack of application of the National Plan of Road Safety. Facing this, the Ombudsman suggests that the State develops a rigorous statistical system, strengthens the National Council of Road Safety and that the different sectors of the government develop the mentioned National Plan.

  13. 36 CFR 294.23 - Road construction and reconstruction in Idaho Roadless Areas.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Act, or the Oil Pollution Act; (iii) A road is needed pursuant to statute, treaty, reserved or... is deemed essential for public or private access, natural resource management, or public health and...

  14. Can we prevent road rage?

    PubMed

    Asbridge, Mark; Smart, Reginald G; Mann, Robert E

    2006-04-01

    Road rage has become a serious concern in many countries, and preventive efforts are required. This article reviews what can be done to prevent road rage by exploring potential prevention avenues in five areas. First, legal changes aimed at increasing the penalties for road rage behavior could be instituted, drawing on models from aggressive-driving or impaired-driving laws. A second approach would involve the adoption of court programs for convicted road ragers. Third, car redesign offers a means of reducing crime through environmental design. Fourth, mass media education could be implemented to inform drivers of the risk from road rage and how to avoid situations that facilitate road rage. Finally, prevention efforts could be directed to long-term societal changes that emphasize structural modifications, such as reducing congestion on the roads, reduced driver stress, or promoting public transportation. The strengths and weaknesses of these strategies are discussed.

  15. Human Rehabilitation Techniques. Modeling Rehabilitation. Volume VI.

    ERIC Educational Resources Information Center

    Burns, J. R.; Marcy, W. M.

    The final volume of a six-volume final report (which covers the findings of a research project on policy and technology related to rehabilitation of disabled individuals) examines the methodology and findings of the geometric-simulation modeling effort which support the consequence- and policymaking-analysis efforts of the technology assessment…

  16. Roads On The U.S. nation Forests: An Analysis of Public Attitudes, Beliefs, and Values Expressed in the News Media

    Treesearch

    David N. Bengston; David P. Fan

    1999-01-01

    Public attitudes, beliefs, and underlying values about roads on the U.S. national forests expressed in more than 4,000 on-line news stories during a 3-year period are analyzed by using computer methods. The belief that forest roads provide access for recreation was expressed most frequently, accounting for about 40% of all beliefs expressed. The belief that roads cause...

  17. Verification of road databases using multiple road models

    NASA Astrophysics Data System (ADS)

    Ziems, Marcel; Rottensteiner, Franz; Heipke, Christian

    2017-08-01

    In this paper a new approach for automatic road database verification based on remote sensing images is presented. In contrast to existing methods, the applicability of the new approach is not restricted to specific road types, context areas or geographic regions. This is achieved by combining several state-of-the-art road detection and road verification approaches that work well under different circumstances. Each one serves as an independent module representing a unique road model and a specific processing strategy. All modules provide independent solutions for the verification problem of each road object stored in the database in form of two probability distributions, the first one for the state of a database object (correct or incorrect), and a second one for the state of the underlying road model (applicable or not applicable). In accordance with the Dempster-Shafer Theory, both distributions are mapped to a new state space comprising the classes correct, incorrect and unknown. Statistical reasoning is applied to obtain the optimal state of a road object. A comparison with state-of-the-art road detection approaches using benchmark datasets shows that in general the proposed approach provides results with larger completeness. Additional experiments reveal that based on the proposed method a highly reliable semi-automatic approach for road data base verification can be designed.

  18. Coal-mine road technology: An assessment of references and annotated bibliography, June 1982. Final report

    SciTech Connect

    Not Available

    1982-06-01

    The report identifies the sources of information regarding specific aspects of the design, construction, maintenance, and reclamation of coal-mine roads (haul or access roads) in accordance with Public Law 95-87. Its purpose is to assist persons in the design, construction, and maintenance of coal mine roads by providing a reference list to aid individuals in developing their own libraries regarding various aspects of roads, particularly in subject areas outside their specialty, and also to evaluate the availability of information in various subject areas.

  19. Coal-mine road technology: An assessment of references and annotated bibliography. Final report

    SciTech Connect

    Not Available

    1983-01-01

    The report identifies the sources of information regarding specific aspects of the design, construction, maintenance, and reclamation of coal mine roads (haul or access roads) in accordance with Public Law 95-87. Its purpose is to assist persons in the design, construction, and maintenance of coal mine roads by providing a reference list to aid individuals in developing their own libraries regarding various aspects of roads, particularly in subject areas outside their specialty, and also to evaluate the availability of information in various subject areas.

  20. Achilles tendon rehabilitation.

    PubMed

    Strom, Adam C; Casillas, Mark M

    2009-12-01

    The operative management of acute Achilles tendon rupture marks the beginning of a comprehensive rehabilitation program. The goals of the rehabilitation program start with the reduction of pain and swelling and the recovery of ankle motion and power. They conclude with the restoration of coordinated activity and safe return to athletic activity. The rehabilitation protocol is directed by the injury and the quality of the repair, along with the patient's age, medical and social history, and athletic inclination. The protocol is dynamic and responsive to changing clinical findings.

  1. Rehabilitation Management of Hemicorporectomy.

    PubMed

    Cavalheiro, Daniela Potas; Marten Teixeira, João Eduardo; Braga, Douglas Martins; Pessoa, Claudia Vöhringer; Ceregatti, Marina; McNeill Ingham, Sheila Jean

    2015-07-01

    This is a case report of a 55-year-old woman who was treated with a hemicorporectomy consequent to an invasive undifferentiated sacral chordoma. We describe the clinical course and rehabilitation process in an amputee outpatient clinic and report outcome measures such as the modified Functional Reach Test, the Amputee Mobility Predictor, the Functional Independence Measure, and the Short-Form Health Survey after 9 months of rehabilitation. Copyright © 2015 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  2. Outpatient Pain Rehabilitation Programs

    PubMed Central

    Chen, Joseph J

    2006-01-01

    Outpatient pain rehabilitation programs that include an interdisciplinary approach have been shown to be effective treatments for patients with chronic pain. The objectives of this article are to describe the common interdisciplinary pain rehabilitation programs available, the appropriate indications for use, the components of typical pain rehabilitation programs, the short-term and long-term success rates, the costs of attending these programs, and the significant societal costs of those patients who do not complete these programs and do not return to work. PMID:16789457

  3. Introduction to rehabilitation.

    PubMed

    Konin, Jeff G

    2010-01-01

    Rehabilitation plays an integral role when it comes to managing sports injuries in a safe and timely manner. Doing so competently allows for a greater chance of quick recovery and ultimate success on and off the field. Understanding the goals of rehabilitation and how to enhance communication between all providers who are involved with athlete care is critical to the process. The purpose of this article is to thoroughly explain the steps and critical components of a rehabilitation process designed specifically for each athlete's needs.

  4. Road Traffic Noise

    NASA Astrophysics Data System (ADS)

    Beckenbauer, Thomas

    Road traffic is the most interfering noise source in developed countries. According to a publication of the European Union (EU) at the end of the twentieth century [1], about 40% of the population in 15 EU member states is exposed to road traffic noise at mean levels exceeding 55 dB(A). Nearly 80 million people, 20% of the population, are exposed to levels exceeding 65 dB(A) during daytime and more than 30% of the population is exposed to levels exceeding 55 dB(A) during night time. Such high noise levels cause health risks and social disorders (aggressiveness, protest, and helplessness), interference of communication and disturbance of sleep; the long- and short-term consequences cause adverse cardiovascular effects, detrimental hormonal responses (stress hormones), and possible disturbance of the human metabolism (nutrition) and the immune system. Even performance at work and school could be impaired.

  5. Simulator of Road Tunnel

    NASA Astrophysics Data System (ADS)

    Danišovič, Peter; Schlosser, František; Šrámek, Juraj; Rázga, Martin

    2015-05-01

    A Tunnel Traffic & Operation Simulator is a device of the Centre of Transport Research at the University of Žilina. The Simulator allows managing technological equipment of virtual two-tube highway tunnel, which is interconnected with simulation of vehicle traffic in tunnel. Changes of the traffic-operation states and other equipment are reflecting at the simulated traffic, as well as simulations of various emergency events in traffic initiate changes in tunnel detecting and measuring devices. It is thus possible to simulate emergency states, which can be affected by various faults of technology as well as by climatic conditions. The solutions can be found in irreplaceable experiences of Slovak road tunnel operators, changes of trafficoperation states, visualizations of operator technological display screens, technological devices labelling in order to increase operational safety of road tunnels.

  6. Postacute Care in Cancer Rehabilitation.

    PubMed

    Guo, Ying; Fu, Jack B; Guo, Hong; Camp, Jennifer; Shin, Ki Y; Tu, Shi-Ming; Palmer, Lynn J; Yadav, Rajesh

    2017-02-01

    Acute care is usually associated with disease progression, treatments for cancer, and medical comorbidities. Patients with cancer may develop sudden functional deficits that require rehabilitation. Some of these patients benefit from acute rehabilitation, others benefit from subacute rehabilitation. After acute rehabilitation, continuous care for these patients has not been well described. Three studies are presented to demonstrate that cancer rehabilitation is a continuous process. Rehabilitation professionals should know how to detect fall risk, monitor symptoms, and render symptom management. Patients with cancer often require rehabilitation services during their entire disease trajectory.

  7. Tweets on the Road

    PubMed Central

    Lenormand, Maxime; Tugores, Antònia; Colet, Pere; Ramasco, José J.

    2014-01-01

    The pervasiveness of mobile devices, which is increasing daily, is generating a vast amount of geo-located data allowing us to gain further insights into human behaviors. In particular, this new technology enables users to communicate through mobile social media applications, such as Twitter, anytime and anywhere. Thus, geo-located tweets offer the possibility to carry out in-depth studies on human mobility. In this paper, we study the use of Twitter in transportation by identifying tweets posted from roads and rails in Europe between September 2012 and November 2013. We compute the percentage of highway and railway segments covered by tweets in 39 countries. The coverages are very different from country to country and their variability can be partially explained by differences in Twitter penetration rates. Still, some of these differences might be related to cultural factors regarding mobility habits and interacting socially online. Analyzing particular road sectors, our results show a positive correlation between the number of tweets on the road and the Average Annual Daily Traffic on highways in France and in the UK. Transport modality can be studied with these data as well, for which we discover very heterogeneous usage patterns across the continent. PMID:25141161

  8. Experiments on Washboard Road

    NASA Astrophysics Data System (ADS)

    Morris, Stephen; Taberlet, Nicolas; McElwaine, James; Dalziel, Stuart

    2007-03-01

    Granular surfaces to develop lateral ripples (so-called ``washboard" or ``corrugated" road) under the action of rolling wheels. Similar ripples are observed on railroad tracks and many other rolling, load bearing surfaces. Our aim was to investigate this instability of the flat road surface from the point of view of driven, dissipative granular dynamics. We report the results of both laboratory experiments and soft-particle direct numerical simulations. The experiment consisted of a rotating table 60 cm in radius with a thick layer of sand forming a roadbed around the circumference. A 6 cm radius hard rubber wheel, with a support stationary in the lab frame, rolled on the sand layer. We varied the speed of the table, the details of the grains and the suspension of the wheel. The ripple pattern appears as small patches of travelling waves which eventually spread to the entire circumference. The ripples drift slowly in the driving direction. Interesting secondary dynamics of the saturated ripples were observed, as well as various ripple creation and destruction events. The wavelength of the ripples can be quantized by the finite circumference of the road. All of these effects are captured qualitatively by 2D soft particle simulations in which a disk rolls over a 2D bed of polydisperse particles in a periodic box.

  9. Road to the Future: Strategies for Wildlife Crossings and Youth Empowerment to Improve Wildlife Habitat in Roaded Landscapes

    ERIC Educational Resources Information Center

    Tanner, Dawn Renee

    2010-01-01

    As the footprint of human society expands upon the earth, habitat loss and landscape fragmentation is an increasing global problem. That problem includes loss of native habitats as these areas are harvested, converted to agricultural crops, and occupied by human settlement. Roads increase human access to previously inaccessible areas, encourage…

  10. Road to the Future: Strategies for Wildlife Crossings and Youth Empowerment to Improve Wildlife Habitat in Roaded Landscapes

    ERIC Educational Resources Information Center

    Tanner, Dawn Renee

    2010-01-01

    As the footprint of human society expands upon the earth, habitat loss and landscape fragmentation is an increasing global problem. That problem includes loss of native habitats as these areas are harvested, converted to agricultural crops, and occupied by human settlement. Roads increase human access to previously inaccessible areas, encourage…

  11. Psychiatric rehabilitation education for physicians.

    PubMed

    Rudnick, Abraham; Eastwood, Diane

    2013-06-01

    As part of a rapidly spreading reform toward recovery-oriented services, mental health care systems are adopting Psychiatric/Psychosocial Rehabilitation (PSR). Accordingly, PSR education and training programs are now available and accessible. Although psychiatrists and sometimes other physicians (such as family physicians) provide important services to people with serious mental illnesses and may, therefore, need knowledge and skill in PSR, it seems that the medical profession has been slow to participate in PSR education. Based on our experience working in Canada as academic psychiatrists who are also Certified Psychiatric Rehabilitation Practitioners (CPRPs), we offer descriptions of several Canadian initiatives that involve physicians in PSR education. Multiple frameworks guide PSR education for physicians. First, guidance is provided by published PSR principles, such as the importance of self-determination (www.psrrpscanada.ca). Second, guidance is provided by adult education (andragogy) principles, emphasizing the importance of addressing attitudes in addition to knowledge and skills (Knowles, Holton, & Swanson, 2011). Third, guidance in Canada is provided by Canadian Medical Education Directives for Specialists (CanMEDS) principles, which delineate the multiple roles of physicians beyond that of medical expert (Frank, 2005) and have recently been adopted in Australia (Boyce, Spratt, Davies, & McEvoy, 2011).

  12. Space flight rehabilitation.

    PubMed

    Payne, Michael W C; Williams, David R; Trudel, Guy

    2007-07-01

    The weightless environment of space imposes specific physiologic adaptations on healthy astronauts. On return to Earth, these adaptations manifest as physical impairments that necessitate a period of rehabilitation. Physiologic changes result from unloading in microgravity and highly correlate with those seen in relatively immobile terrestrial patient populations such as spinal cord, geriatric, or deconditioned bed-rest patients. Major postflight impairments requiring rehabilitation intervention include orthostatic intolerance, bone demineralization, muscular atrophy, and neurovestibular symptoms. Space agencies are preparing for extended-duration missions, including colonization of the moon and interplanetary exploration of Mars. These longer-duration flights will result in more severe and more prolonged disability, potentially beyond the point of safe return to Earth. This paper will review and discuss existing space rehabilitation plans for major postflight impairments. Evidence-based rehabilitation interventions are imperative not only to facilitate return to Earth but also to extend the safe duration of exposure to a physiologically hostile microgravity environment.

  13. VI.3. Rehabilitation robotics.

    PubMed

    Munih, Marko; Bajd, Tadej

    2010-01-01

    The paper presents the background, main achievements and components of rehabilitation robotics in a simple way, using non-technical terms. The introductory part looks at the development of robotic approaches in the rehabilitation of neurological patients and outlines the principles of robotic device interactions with patients. There follows a section on virtual reality in rehabilitation. Hapticity and interaction between robot and human are presented in order to understand the added value of robotics that cannot be exploited in other devices. The importance of passive exercise and active tasks is then discussed using the results of various clinical trials, followed by the place of upper and lower extremity robotic devices in rehabilitation practice. The closing section refers to the general importance of measurements in this area and stresses quantitative measurements as one of the advantages in using robotic devices.

  14. Who Needs Pulmonary Rehabilitation?

    MedlinePlus

    ... recommend pulmonary rehabilitation (PR) if you have a chronic (ongoing) lung disease. He or she also may ... may benefit from PR if you have: COPD (chronic obstructive pulmonary disease). COPD includes emphysema (em-fi- ...

  15. [Dermato-oncological rehabilitation].

    PubMed

    Buhles, N; Sander, C

    2005-07-01

    National insurance companies in Germany support health cures for patients with malignant tumors (malignant melanoma, squamous cell carcinoma, Merkel cell tumor, malignant cutaneous lymphoma). The clinical requirements are an invasively growing tumor, problems of self-assurance, and dis-integration of the patient regarding his social and/or professional environment. The decision for a health cure is made by the treating dermatologist in the hospital. In this context, the following sociomedical criteria should be applied: impairment, disability, and handicap. Usually, rehabilitation starts after the patient is discharged from the hospital. The inpatient rehabilitation program should be performed at an institution capable of providing dermatological and psychological treatment. The dermatologist acts as a manager for the members of the rehabilitation team (psychologists, physiotherapists, social workers, and ergo-therapists). In conclusion, dermato-oncologic rehabilitation plays an important role in re-integrating the patient into his professional life to avoid retirement.

  16. Consumer Involvement in Rehabilitation

    ERIC Educational Resources Information Center

    Daniels, Susan

    1976-01-01

    With the emphasis on consumer involvement in the Rehabilitation Act of 1973, changes in the counseling relationship must occur. This article discusses new interaction patterns for consumer and counselor. (Author)

  17. Rehabilitation of Poststroke Cognition

    PubMed Central

    Shigaki, Cheryl L.; Frey, Scott H.; Barrett, A.M.

    2015-01-01

    Given the increasing rates of stroke and our aging population, it is critical that we continue to foster innovation in stroke rehabilitation. Although there is evidence supporting cognitive rehabilitation in stroke, the set of cognitive domains effectively addressed to date represents only a small subset of the problems experienced by stroke survivors. Further, a gap remains between investigational treatments and our evolving theories of brain function. These limitations present opportunities for improving the functional impact of stroke rehabilitation. The authors use a case example to encourage the reader to consider the evidence base for cognitive rehabilitation in stroke, focusing on four domains critical to daily life function: (1) speech and language, (2) functional memory, (3) executive function and skilled learned purposive movements, and (4) spatial-motor systems. Ultimately, they attempt to draw neuroscience and practice closer together by using translational reasoning to suggest possible new avenues for treating these disorders. PMID:25520021

  18. Rehabilitation in transverse myelitis.

    PubMed

    Sadowsky, Cristina L; Becker, Daniel; Bosques, Glendaliz; Dean, Janet M; McDonald, John W; Recio, Albert; Frohman, Elliot M

    2011-08-01

    The consequences of neurologic injuries related to transverse myelitis (TM) are long-lasting and require rehabilitative interventions in about two-thirds of cases. Because numerous neural repair mechanisms are dependent on maintenance of an optimal amount of activity both above and below the injury level, rehabilitation and exercise are useful not only for compensatory functional purposes but also as tools in neural system restoration. The application of established neurophysiologic principles to post-TM rehabilitation has substantial impact on optimizing residual functional capabilities while facilitating the processes of central plasticity and reorganization of sensory and motor programming. The process of neurorehabilitation thereby serves both to treat the patient with TM and to help physicians interrogate and dissect the mechanisms involved in spinal cord injury, neuroprotection, and, ultimately, recovery. Post-TM rehabilitation is lifelong and should be integrated into daily living in a home setting as part of the global management of paralysis, a chronic condition with significant comorbidities.

  19. Cardiac rehabilitation in Latin America.

    PubMed

    Anchique Santos, Claudia Victoria; Lopez-Jimenez, Francisco; Benaim, Briseida; Burdiat, Gerard; Fernandez Coronado, Rosalia; Gonzalez, Graciela; Herdy, Arthur; Medina-Inojosa, Jose; Santibañez, Claudio; Uriona Villarroel, Juan E; Zeballos, Cecilia

    2014-01-01

    This article provides a description of the status of cardiovascular (CV) rehabilitation (CVR) in Latin America (LA) and the potential impact on CV disease in the region. We discuss the insufficient number of CVR programs in the region and describe the components of CVR that are more commonly available, like exercise interventions, medical assessment and patient education. Additionally, we discuss the heterogeneity in other components, like the evaluation of depression, sleep apnea, and smoking cessation programs. Lastly, we provide a brief review on the main characteristics of the health systems of each country regarding access to CVR programs and compare the average cost of CV procedures and treatments with CVR. Copyright © 2014 Elsevier Inc. All rights reserved.

  20. Between ideals and reality in home-based rehabilitation

    PubMed Central

    Steihaug, Sissel; Lippestad, Jan-W.; Werner, Anne

    2016-01-01

    Setting and objective The growing elderly population and the rising number of people with chronic diseases indicate an increasing need for rehabilitation. Norwegian municipalities are required by law to offer rehabilitation. The aim of this study was to investigate how rehabilitation work is perceived and carried out by first-line service providers compared with the guidelines issued by Norway’s health authorities. Design and subjects In this action research project, qualitative data were collected through 24 individual interviews and seven group interviews with employees – service providers and managers – in the home-based service of two boroughs in Oslo, Norway. The data were analysed using a systematic text-condensation method. Results The results show that rehabilitation receives little attention in the boroughs and that patients are seldom rehabilitated at home. There is disagreement among professional staff as to what rehabilitation is and should be. The purchaser–provider organization, high speed of service delivery, and scarcity of resources are reported to hamper rehabilitation work. Conclusion and implications A discrepancy exists between the high level of ambitious goals of Norwegian health authorities and the possibilities that practitioners have to achieve them. This situation results in healthcare staff being squeezed by the increasing expectations and demands of the population and the promises and statutory rights coming from politicians and administrators. For the employees in the municipalities to place rehabilitation on the agenda, it is a requirement that authorities understand the clinical aspect of rehabilitation and provide the municipalities with adequate framework conditions for successful rehabilitation work. Key pointsHome-based rehabilitation is documented to be effective, and access to rehabilitation has been established in Norwegian law.The purchaser–provider organization, high rate of speed, and a scarcity of resources in

  1. Rehabilitation after amputation.

    PubMed

    Esquenazi, A; DiGiacomo, R

    2001-01-01

    The principles of amputee rehabilitation, from preamputation to reintegration into the work force and community, are reviewed. The authors discuss exercise techniques, training programs, and environmental modifications that have been found to be helpful in the rehabilitation of the amputee. The exercise programs presented here are divided into four main components: flexibility, muscle strength, cardiovascular training, and balance and gait. The programs include interventions by the physical, occupational, and recreational therapist under the supervision and guidance of a physician.

  2. Pulmonary rehabilitation and pharmacotherapy.

    PubMed

    Varadi, Robert G; Goldstein, Roger

    2009-12-01

    Though pulmonary rehabilitation can have potent effects on exercise capacity and quality of life in chronic obstructive pulmonary disease (COPD), not all patients benefit to the same degree. Enabling patients to achieve higher training intensities may improve exercise capacity. Adding pharmacological agents to target the abnormal ventilatory mechanics or skeletal muscle dysfunction may enhance the effects of exercise training. This review discusses the rationale and clinical evidence supporting the use of pharmacological adjuncts during the course of pulmonary rehabilitation.

  3. Pulmonary rehabilitation in the acute inpatient rehabilitation hospital.

    PubMed

    Glassman, S J

    1998-03-01

    In closing, pulmonary rehabilitation in an inpatient rehabilitation hospital is not a new idea, but is now becoming more popular as the burden of care shifts away from the acute care hospital. Pulmonary rehabilitation has been demonstrated to be cost-effective, improve quality of life, and decrease the number of future hospital days for the patient. A few surveys have shown, however, that only 5% of pulmonary rehabilitation programs serviced inpatients in a rehabilitation hospital, and only 1% of 283 programs had a physiatrist as the medical director of the pulmonary rehabilitation program. Nine percent of programs surveyed serviced inpatients in rehabilitation units within the acute care hospital. Clearly, the majority of pulmonary rehabilitation programs are on an outpatient basis, and many of these are located within the walls of a rehabilitation hospital. Effective pulmonary rehabilitation can be done in the home setting when combined with outpatient therapy visits over a 12-week duration. The spectrum of pulmonary rehabilitation will continue to evolve into the twenty-first century, and clearly the rehabilitation hospital will be part of that change. Whether caring for very elderly COPD patients who are too debilitated to return home from the acute care hospital or managing ventilator-dependent patients with COPD, spinal cord injury, or neuromuscular disease, the IPR team and the rehabilitation hospital will have to demonstrate cost-effective outcomes. Physiatrists should play a major role in this evolution, on both a patient-benefit level and legislative level, to increase awareness of pulmonary rehabilitation.

  4. 'Surfing the Silk Road': a study of users' experiences.

    PubMed

    Van Hout, Marie Claire; Bingham, Tim

    2013-11-01

    The online drug marketplace called 'Silk Road' has operated anonymously on the 'Deep Web' since 2011. It is accessible through computer encrypting software (Tor) and is supported by online transactions using peer to peer anonymous and untraceable crypto-currency (Bit Coins). The study aimed to describe user motives and realities of accessing, navigating and purchasing on the 'Silk Road' marketplace. Systematic online observations, monitoring of discussion threads on the site during four months of fieldwork and analysis of anonymous online interviews (n=20) with a convenience sample of adult 'Silk Road' users was conducted. The majority of participants were male, in professional employment or in tertiary education. Drug trajectories ranged from 18 months to 25 years, with favourite drugs including MDMA, 2C-B, mephedrone, nitrous oxide, ketamine, cannabis and cocaine. Few reported prior experience of online drug sourcing. Reasons for utilizing 'Silk Road' included curiosity, concerns for street drug quality and personal safety, variety of products, anonymous transactioning, and ease of product delivery. Vendor selection appeared to be based on trust, speed of transaction, stealth modes and quality of product. Forums on the site provided user advice, trip reports, product and transaction reviews. Some users reported solitary drug use for psychonautic and introspective purposes. A minority reported customs seizures, and in general a displacement away from traditional drug sourcing (street and closed markets) was described. Several reported intentions to commence vending on the site. The study provides an insight into 'Silk Road' purchasing motives and processes, the interplay between traditional and 'Silk Road' drug markets, the 'Silk Road' online community and its communication networks. Copyright © 2013 Elsevier B.V. All rights reserved.

  5. Closer view from west to east of limited access sentry ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Closer view from west to east of limited access sentry station, sally port. Seen in the left background is the fuel oil pumping station (Building #805) - Stanley R. Mickelsen Safeguard Complex, LImited Area Sentry Station, Intersection of Service Road C & Service Road A, Nekoma, Cavalier County, ND

  6. Final priority; Rehabilitation Training: Rehabilitation Long-Term Training program--rehabilitation specialty areas. Final priority.

    PubMed

    2014-07-23

    The Assistant Secretary for Special Education and Rehabilitative Services announces a priority under the Rehabilitation Training: Rehabilitation Long-Term Training program. The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years in order to fund any of the rehabilitation specialty areas listed in this notice. The specific rehabilitation specialty areas to be funded in a given year will be listed in a notice inviting applications. This priority is designed to ensure that the Department funds high-quality rehabilitation programs in the following nine rehabilitation specialty areas of national need: Rehabilitation Administration (84.129C); Rehabilitation Technology (84.129E); Vocational Evaluation and Work Adjustment (84.129F); Rehabilitation of Individuals Who Are Mentally Ill (84.129H); Rehabilitation Psychology (84.129J); Rehabilitation of Individuals Who are Blind or Have Vision Impairments (84.129P); Rehabilitation of Individuals Who are Deaf or Hard of Hearing (84.129Q); Job Development and Job Placement Services (84.129R); and Comprehensive System of Personnel Development (84.129W). These programs must meet rigorous standards in order to provide rehabilitation professionals the training and qualifications necessary to meet the current challenges facing State vocational rehabilitation (VR) agencies and related agencies and assist individuals with disabilities in achieving high-quality employment outcomes.

  7. Identifying unstable sites on logging roads

    Treesearch

    R. M. Rice; J. Lewis

    1986-01-01

    Logging roads are an important source of forestry-related erosion. The amount of erosion on a forest road is determined by the interaction between how the road is constructed and maintained and the environment in which it is built. The roads in this study were constructed with large bulldozers, and most excavated material was sidecast. The roads studied were...

  8. Road traffic injuries in Colombia.

    PubMed

    Rodríguez, Deysi Yasmin; Fernández, Francisco José; Acero Velásquez, Hugo

    2003-01-01

    Road traffic injuries are a leading public health problem in Colombia. Pedestrians are the most vulnerable road users, especially in the main urban centers of Bogotá, Medellin and Cali. Data analyzed in this report include official statistics from the National Police and the National Institute of Legal Medicine and Forensic Sciences for 1996-2000, and results of a study conducted at the National University of Colombia in 2000. Methods from the Highway Capacity Manual were used for determining physical and technical variables, and a Geographical Information System tool was used for the location and spatial analysis of the road traffic crashes. Pedestrians accounted for close to 32% of injuries and 40% of the deaths from road traffic crashes. The problem of road traffic crashes existed predominately in urban areas. In the main urban centers, pedestrians constituted nearly 68% of road traffic crash victims. The high level of risky road use behaviors demonstrated by pedestrians and drivers, and inadequate infrastructure for safe mobility of pedestrians in some sections of the road network were the main contributing factors. Major improvements were achieved in Bogotá following enhancements to the municipal transport system and other policies introduced since 1995. In conclusion, policies and programs for improving road safety, in particular pedestrian safety, and strengthening urban planning are top priority.

  9. Trenchless rehabilitation: Which choice for gas distribution pipe replacement?

    SciTech Connect

    Kramer, S.R.; Gauthier, S.W.

    1995-01-01

    Replacement or rehabilitation of deteriorating gas piping currently relies largely on open-cut excavation or pipe insertion. Open-cut replacement is satisfactory for communities where adverse environmental impact can be tolerated and road closures and traffic delays are kept to a minimum. However, most of the systems in need of replacement/rehabilitation are in urban areas where environmental impact, traffic delays, and site restoration costs are costly. With these parameters in mind, the Gas Research Institute (GRI); and its member organizations designed a research program to test and evaluate promising trenchless technologies for potential use in gas distribution rehabilitation projects. The programs`s goals were to identify product strengths, weaknesses, cost, applications, and recognition of areas which needed modification or further development. During this research a significant amount of data were gathered. All rehabilitation systems maximize pipe capacity while minimizing surface disruptions. Cost savings realized by some of the participating utilities was significant. This is even more impressive when one considers that this was the first gas installation for some of the methods. A summary of advantages, disadvantages, and lessons learned from each process is shown on Tables 2--6. Comments listed are for field trials conducted and may not be accurate or applicable to other projects. A common limitation of all rehabilitation methods is lack of a complete system with appropriate tees, fittings, transition materials, and other connection devices.

  10. DETAIL VIEW OF SRB/ET ACCESS PANELS, THROUGH VEHICLE ACCESS PLATFORMS ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    DETAIL VIEW OF SRB/ET ACCESS PANELS, THROUGH VEHICLE ACCESS PLATFORMS E-NORTH, E-SOUTH, B-NORTH, AND B-SOUTH, HB-3, FACING NORTH - Cape Canaveral Air Force Station, Launch Complex 39, Vehicle Assembly Building, VAB Road, East of Kennedy Parkway North, Cape Canaveral, Brevard County, FL

  11. 77 FR 8234 - National Institute on Disability and Rehabilitation Research-Disability and Rehabilitation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-14

    ... National Institute on Disability and Rehabilitation Research-- Disability and Rehabilitation Research... Disability and Rehabilitation Research-- Disability and Rehabilitation Research Projects and Centers Program-- Disability and Rehabilitation Research Project--Center on Knowledge Translation for Disability and...

  12. 78 FR 12002 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-21

    ... CFR Chapter III Proposed Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... and Rehabilitative Services proposes a priority for the Rehabilitation Research and Training...

  13. 76 FR 22084 - Applications for New Awards; Rehabilitation Training: Rehabilitation Long-Term Training

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-20

    ... Applications for New Awards; Rehabilitation Training: Rehabilitation Long-Term Training AGENCY: Office of... Information: Rehabilitation Training: Rehabilitation Long- Term Training notice inviting applications for new... Opportunity Description Purpose of Program: The Rehabilitation Long-Term Training program (Training...

  14. 78 FR 35808 - Proposed priority-Rehabilitation Training: Rehabilitation Long-Term Training Program-Vocational...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-14

    ... CFR Chapter III Proposed priority--Rehabilitation Training: Rehabilitation Long- Term Training Program... and Rehabilitative Services proposes a priority under the Rehabilitation Training: Rehabilitation Long-Term Training program. The Assistant Secretary may use this priority for competitions in fiscal...

  15. Surface-Water Exchange through Culverts beneath State Road 9336 within Everglades National Park, 2004-05

    USGS Publications Warehouse

    Schaffranek, Raymond W.; Stewart, Marc A.; Nowacki, Daniel J.

    2008-01-01

    The U.S. Geological Survey collected hydrologic data between June 2004 and December 2005 to investigate the temporal and spatial nature of flow exchanges through culverts beneath State Road 9336 within Everglades National Park. Continuous data collected during the study measured flow velocity, water level, salinity, conductivity, and water-temperature in or near seven culverts between Pa-hay-okee Overlook access road and Nine Mile Pond. The two culverts east of Pa-hay-okee Overlook access road flowed into Taylor Slough Basin from 87 to 96 percent of the study period, whereas flows through five culverts between Pa-hay-okee Overlook access road and Nine Mile Pond flowed into Shark River Slough Basin from 70 to 99 percent of the study period. Synoptic flow discharges measured at all culverts during three intensive field efforts revealed a net discharge into Taylor Slough Basin from Shark River Slough Basin through culverts between Royal Palm Road and Pa-hay-okee Overlook access road, and into Shark River Slough Basin from Taylor Slough Basin through culverts between Pa-hay-okee Overlook access road and Nine Mile Pond. Data collected during the study and presented in this report provided additional knowledge of the magnitude, direction, and nature of flow exchanges through the road culverts.

  16. Test-Enhanced Learning versus Errorless Learning in Aphasia Rehabilitation: Testing Competing Psychological Principles

    ERIC Educational Resources Information Center

    Middleton, Erica L.; Schwartz, Myrna F.; Rawson, Katherine A.; Garvey, Kelly

    2015-01-01

    Because individuals with acquired language disorders are frequently unable to reliably access the names of common everyday objects (i.e., naming impairment), rehabilitation efforts often focus on improving naming. The present study compared 2 rehabilitation strategies for naming impairment, reflecting contradictory prescriptions derived from…

  17. 76 FR 73989 - Redelegation of Administrative Authority Under Section 504 of the Rehabilitation Act of 1973

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-29

    ... URBAN DEVELOPMENT Redelegation of Administrative Authority Under Section 504 of the Rehabilitation Act... the Assistant Secretary for FHEO under Section 504 of the Rehabilitation Act of 1973, and HUD's... number.) Hearing- and speech- impaired individuals may access this number through TTY by calling the toll...

  18. Test-Enhanced Learning versus Errorless Learning in Aphasia Rehabilitation: Testing Competing Psychological Principles

    ERIC Educational Resources Information Center

    Middleton, Erica L.; Schwartz, Myrna F.; Rawson, Katherine A.; Garvey, Kelly

    2015-01-01

    Because individuals with acquired language disorders are frequently unable to reliably access the names of common everyday objects (i.e., naming impairment), rehabilitation efforts often focus on improving naming. The present study compared 2 rehabilitation strategies for naming impairment, reflecting contradictory prescriptions derived from…

  19. Use of certain alternative fuels in road transport in Poland

    NASA Astrophysics Data System (ADS)

    Gis, W.; Pielecha, J.; Waśkiewicz, J.; Gis, M.; Menes, M.

    2016-09-01

    The development of biomethane and hydrogen technology in the road transport in the EU countries is recommended, among the others, in the Directive of the European Parliament and of the Council 2014/94/EU of 22 October 2014. Under the provisions of the said Directive, it is recommended to EU countries to use biomethane and progressively ensure accessibility to hydrogen cars on their territories, and above all to ensure the possibility of driving hydrogen vehicles between the member States. The territorial accessibility for biomethane vehicles is determined by the availability of biomethane refuelling infrastructure in the first place in cities and then on the road network distances recommended in this directive. The territorial accessibility for hydrogen vehicles is determined by the availability of hydrogen refuelling infrastructure, in the first place along the TEN-T network. The article presents the possibilities of using these alternative fuels in Poland, presenting some of the results of research and analysis in this area.

  20. Systematic Development of Intelligent Systems for Public Road Transport.

    PubMed

    García, Carmelo R; Quesada-Arencibia, Alexis; Cristóbal, Teresa; Padrón, Gabino; Alayón, Francisco

    2016-07-16

    This paper presents an architecture model for the development of intelligent systems for public passenger transport by road. The main objective of our proposal is to provide a framework for the systematic development and deployment of telematics systems to improve various aspects of this type of transport, such as efficiency, accessibility and safety. The architecture model presented herein is based on international standards on intelligent transport system architectures, ubiquitous computing and service-oriented architecture for distributed systems. To illustrate the utility of the model, we also present a use case of a monitoring system for stops on a public passenger road transport network.

  1. Systematic Development of Intelligent Systems for Public Road Transport

    PubMed Central

    García, Carmelo R.; Quesada-Arencibia, Alexis; Cristóbal, Teresa; Padrón, Gabino; Alayón, Francisco

    2016-01-01

    This paper presents an architecture model for the development of intelligent systems for public passenger transport by road. The main objective of our proposal is to provide a framework for the systematic development and deployment of telematics systems to improve various aspects of this type of transport, such as efficiency, accessibility and safety. The architecture model presented herein is based on international standards on intelligent transport system architectures, ubiquitous computing and service-oriented architecture for distributed systems. To illustrate the utility of the model, we also present a use case of a monitoring system for stops on a public passenger road transport network. PMID:27438836

  2. Planning practice in support of economically and environmentally sustainable roads in floodplains: the case of the Mekong delta floodplains.

    PubMed

    Douven, Wim; Buurman, Joost

    2013-10-15

    Road development in relatively undisturbed floodplain systems, such as the floodplains of the Mekong River, will impact hydraulics and interrupt the natural flow of water. This affects the ecology and environment, and the livelihoods of people who depend on fishing and agriculture. On the other hand, floods can severely damage road infrastructure in years with large floods and can cause high annual maintenance costs. Improving road development practices in floodplains is a complex, multidimensional task involving hydraulic and geotechnical analysis, ecosystem analysis, socio-economic analysis, policy analysis, etc. This paper analyses the planning practice of road development and rehabilitation and how this practice can be improved in support of economically and environmentally sustainable roads in floodplains. It is concluded that although ample technical, planning and environmental assessment guidelines exist, guidelines need updating to address cumulative impacts at floodplain level and factors hampering the implementation in guidelines should be addressed in the guideline design (process). Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. Aerodynamics of road vehicles

    SciTech Connect

    Hucho, W.H.

    1987-01-01

    This introduction to aerodynamic aspects of motor vehicle design will be of use both to vehicle designers and students of automobile engineering. Content covers vehicle systems, ventilation and aerodynamic design to reduce drag and increase stability of cars, commercial vehicles and PSVs. Topics considered include automobile aerodynamics; some fundamentals of fluid mechanics; performance of cars and light vans; aerodynamic drag of passenger cars; driving stability in sidewinds; operation, safety and comfort; high-performance vehicle aerodynamics; commercial vehicles; engine cooling systems; heating, ventilation and air conditioning of motor vehicles; wind tunnels for automobile aerodynamics; measuring and testing techniques; and numerical methods for computation of flow around road vehicles.

  4. Prioritizing Road Treatments using the Geomorphic Roads Analysis and Inventory Package (GRAIP) to Improve Watershed Conditions in the Wall Creek Watershed, Oregon

    NASA Astrophysics Data System (ADS)

    Day, K. T.; Black, T.; Clifton, C.; Luce, C.; McCune, S.; Nelson, N.

    2010-12-01

    the current rate. These data are being used by the Umatilla National Forest to prioritize road rehabilitation activities including storm risk reduction and road decommissioning, and to move toward an ecologically and economically sustainable road system. The highest sediment-delivering road segments were evaluated in 2010 to prioritize stabilization and storm damage risk reduction projects. Approximately 30 km of hydrologically connected road segments will be proposed for treatments including closure, decommissioning, and stabilization activities. Once complete, these improvements would result in the reduction of about 7,000 kg/year of fine sediment delivered to the fluvial system from the road network, or a third of the total road contribution to stream sedimentation. Methods and results presented are part of federal land management agency involvement in Total Maximum Daily Load development in the John Day Basin. The project is a collaborative effort with funding and support from the Environmental Protection Agency, Bureau of Land Management, and Oregon Department of Environmental Quality.

  5. Osteoarthritis year in review: rehabilitation and outcomes.

    PubMed

    Davis, A M

    2012-03-01

    . In one study, there were larger effects in combined activity/participation than for activity alone for arthroscopic lavage compared to intraarticular steroid and, in a second study, the effect was larger for activity with an advanced pharmacy intervention whereas the physiotherapy intervention demonstrated a larger effect for activity/participation. Interventions of manual therapy for hip and knee OA provided limited evidence of effectiveness. These studies are of limited quality due to lack of blinding and disclosure of co-intervention. Tele-rehabilitation may be a viable option to improve access to rehabilitation post joint replacement for those in rural and remote areas. Data continue to support the need to include performance measures as well as patient-reported outcomes in evaluating outcomes in OA. Additionally, measures of participation should be considered as core outcomes. Copyright © 2012 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

  6. 25. White Plains Road Bridge in foreground; Unionport Road Bridge ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    25. White Plains Road Bridge in foreground; Unionport Road Bridge in background. Van Nest, Bronx Co., NY. Sec. 4207, MP 12.75./78. - Northeast Railroad Corridor, Amtrak Route between New Jersey/New York & New York/Connecticut State Lines, New York County, NY

  7. Road profile estimation of city roads using DTPS

    NASA Astrophysics Data System (ADS)

    Wang, Qi; McDaniel, J. Gregory; Sun, Nian X.; Wang, Ming L.

    2013-04-01

    This work presents a non-destructive and non-contact acoustic sensing approach for measuring road profile of road and bridge deck with vehicles running at normal speed without stopping traffic. This approach uses an instantaneous and real-time dynamic tire pressure sensor (DTPS) that can measure dynamic response of the tire-road interaction and increases the efficiency of currently used road profile measuring systems with vehicle body-mounted profilers and axle-mounted accelerometers. In this work, a prototype of real-time DTPS system has been developed and demonstrated on a testing van at speeds from 5 to 80 miles per hour (mph). A data analysis algorithm has been developed to remove axle dynamic motions from the measured DTPS data and to find the transfer function between dynamic tire pressure change and the road profile. Field test has been performed to estimate road profiles. The road profile resolution is approximately 5 to 10 cm in width and sensitivity is 0. 3 cm for the height road surface features at driving speeds of 5 to 80 mph.

  8. 12. View west of access bridge to top of filtration ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    12. View west of access bridge to top of filtration bed building. - Lake Whitney Water Filtration Plant, Filtration Plant, South side of Armory Street between Edgehill Road & Whitney Avenue, Hamden, New Haven County, CT

  9. 17. Sliding access doors typical of those covering opening to ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    17. Sliding access doors typical of those covering opening to filtration bed. - Lake Whitney Water Filtration Plant, Filtration Plant, South side of Armory Street between Edgehill Road & Whitney Avenue, Hamden, New Haven County, CT

  10. 49 CFR 38.159 - Mobility aid accessibility.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SPECIFICATIONS FOR TRANSPORTATION VEHICLES Over-the-Road Buses and Systems § 38.159 Mobility aid accessibility... by the Department of Transportation, the bus is not required to be equipped with a...

  11. DETAIL VIEW OF THE PORT TSM ACCESS DOOR Cape ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    DETAIL VIEW OF THE PORT TSM ACCESS DOOR - Cape Canaveral Air Force Station, Launch Complex 39, Mobile Launcher Platforms, Launcher Road, East of Kennedy Parkway North, Cape Canaveral, Brevard County, FL

  12. Establishing Accessibility for E-Journals: A Suggested Approach.

    ERIC Educational Resources Information Center

    Coonin, Bryna

    2002-01-01

    Examines 11 electronic research journals for accessibility to users with visual or mobility impairments and suggests that librarians need to consider accessibility issues. Discusses the Americans with Disabilities Act and the Rehabilitation Act (1998); usability and universal design; accessibility errors; following links; browser compatibility;…

  13. Distribution of green infrastructure along walkable roads ...

    EPA Pesticide Factsheets

    Low-income and minority neighborhoods frequently lack healthful resources to which wealthier communities have access. Though important, the addition of facilities such as recreation centers can be costly and take time to implement. Urban green infrastructure, such as street trees and other green space, can be a low-cost alternative to promote frequency and duration of outdoor physical activity. Street trees and other green space may increase outdoor physical activity levels by providing shade, improving aesthetics, and promoting social engagement. Though street trees and green space provide many benefits and are publicly accessible at all times, these resources are not evenly distributed between neighborhoods. An objective analysis of street tree cover and green space in 6,407 block groups across 10 urban areas was conducted using fine-scale land cover data. Distribution of green infrastructure was then analyzed by minority status, income, car ownership, housing density, and employment density. The objective measure of street tree cover and green space is based on 1-meter resolution land cover data from the U.S. EPA-led EnviroAtlas. Tree cover was analyzed along each side of walkable road centerlines in the areas where sidewalks are estimated to be. Green space was calculated within 25 meters of road centerlines. Percent tree cover and green space per city block were then summarized to census block group (CBG). CBG demographics from the U.S. Census and built env

  14. View southwest along Route Canterbury Road (Route 169) showing commercial ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View southwest along Route Canterbury Road (Route 169) showing commercial and residential buildings on the east and west sides of the road - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  15. View northeast along Wauregan Road (Route 205) showing a residence ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View northeast along Wauregan Road (Route 205) showing a residence on east side of the road from just south of the intersection of Routes 205 and 169 - Brooklyn Green, North Green, South Green, & West Green, parts of Brown Road, Canterbury Road (Route 169), Hartford Road (Route 6), Hyde Road, Pomfret Road (Route 169), Prince Hill Road, Providence Road (Route 6), Wauregan Road (Routes 169 & 205), & Wolf Den Road, Brooklyn, Windham County, CT

  16. [Selection criteria for referral to cardiac rehabilitation centers].

    PubMed

    Greco, Cesare; Cacciatore, Giuseppe; Gulizia, Michele; Martinelli, Luigi; Oliva, Fabrizio; Olivari, Zoran; Seccareccia, Fulvia; Temporelli, Pier Luigi; Urbinati, Stefano

    2011-03-01

    Current guidelines state that cardiac rehabilitation is indicated after the acute phase of major cardiovascular diseases and interventions; on the other hand implementation of these indications is difficult because of several barriers, i.e. the number of patients per year with an indication exceeds by far the accommodation offer of cardiac rehabilitation centers; the demand for access to cardiac rehabilitation from acute cardiac care hospitals is low because the attention is focused on the acute phase of cardiac diseases. The present Consensus Document describes the changes in clinical epidemiology of the main cardiovascular diseases, showing that complications are increasingly more frequent in the postacute phase, especially in the setting of myocardial infarction. The Joint ANMCO/IACPR-GICR Committee defines priority criteria based on clinical risk for admission to cardiac rehabilitation centers as inpatients. This Consensus Document represents, therefore, an important step forward in the search for continuity of care in high-risk patients during the post-acute phase.

  17. 75 FR 54543 - Americans With Disabilities Act (ADA) Accessibility Guidelines for Transportation Vehicles

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-08

    ... accessibility guidelines for buses, over-the-road buses, and vans. DATES: The first public hearing will be held...) in the Federal Register to revise and update its accessibility guidelines for buses, over-the-road buses, and vans. 75 FR 43748 (July 26, 2010). The comment period on the proposed rule ends on...

  18. 25 CFR 170.813 - When can access to IRR transportation facilities be restricted?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false When can access to IRR transportation facilities be... WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.813 When can access to IRR transportation facilities be restricted? IRR transportation facilities must be open and available for public...

  19. 25 CFR 170.813 - When can access to IRR transportation facilities be restricted?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false When can access to IRR transportation facilities be... WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.813 When can access to IRR transportation facilities be restricted? IRR transportation facilities must be open and available for public...

  20. Seismic damage to road networks subjected to earthquakes in Nepal, 2015

    NASA Astrophysics Data System (ADS)

    Xie, Quancai; Gaohu, Lü; Chen, Hao; Xu, Chong; Feng, Biao

    2017-07-01

    The Gorkha earthquake in Nepal led to many landslides and severe damage to the transportation infrastructure. After careful comparison of the aerial photographs and satellite images before and after the earthquake, partially verified by a field study, more than 2,064 landslides and many road failures were observed. Many bridges, especially steel-truss and suspension bridges, suffered little damage from inertia loads during the earthquake, but were severely damaged due to rockfalls. Potential geological hazards hindered the delivery of supplies in mountainous areas, and road closures impeded the overall speed of rehabilitation.

  1. Scale invariance in road networks

    NASA Astrophysics Data System (ADS)

    Kalapala, Vamsi; Sanwalani, Vishal; Clauset, Aaron; Moore, Cristopher

    2006-02-01

    We study the topological and geographic structure of the national road networks of the United States, England, and Denmark. By transforming these networks into their dual representation, where roads are vertices and an edge connects two vertices if the corresponding roads ever intersect, we show that they exhibit both topological and geographic scale invariance. That is, we show that for sufficiently large geographic areas, the dual degree distribution follows a power law with exponent 2.2⩽α⩽2.4 , and that journeys, regardless of their length, have a largely identical structure. To explain these properties, we introduce and analyze a simple fractal model of road placement that reproduces the observed structure, and suggests a testable connection between the scaling exponent α and the fractal dimensions governing the placement of roads and intersections.

  2. Arteriovenous Access

    PubMed Central

    MacRae, Jennifer M.; Dipchand, Christine; Oliver, Matthew; Moist, Louise; Yilmaz, Serdar; Lok, Charmaine; Leung, Kelvin; Clark, Edward; Hiremath, Swapnil; Kappel, Joanne; Kiaii, Mercedeh; Luscombe, Rick; Miller, Lisa M.

    2016-01-01

    Complications of vascular access lead to morbidity and may reduce quality of life. In this module, we review both infectious and noninfectious arteriovenous access complications including neuropathy, aneurysm, and high-output access. For the challenging patients who have developed many complications and are now nearing their last vascular access, we highlight some potentially novel approaches. PMID:28270919

  3. Skilled nursing or rehabilitation facilities

    MedlinePlus

    ... skilled nursing or rehabilitation facility. Who Needs to go to a Skilled Nursing or Rehabilitation Facility? Your ... ones can manage at home. Before you can go home from the hospital, you should be able ...

  4. [In-patient (early) rehabilitation].

    PubMed

    Wallesch, Claus-W; Lautenschläger, Sindy

    2017-04-01

    It is difficult to develop the financing and hospital provision of interventions for early rehabilitation within the diagnosis-related group (DRG) system. In addition to a range of partially rehabilitative complex interventions, the system recognizes three main forms of early rehabilitative interventions: geriatric, neurological/neurosurgical, and interdisciplinary and others. In this article, the appropriate definitions and cost-effectiveness of these procedures are analyzed and compared. The early rehabilitative interventions are characterized by constant cooperation in the therapeutic team, especially neurological early rehabilitation through the incorporation of nursing as a therapeutic profession. Whereas geriatric and neurological early rehabilitation are reflected in the DRG system, the former provided in many general hospitals and the latter mainly in specialized institutions, interdisciplinary early rehabilitation has only occasionally been represented in the DRG system so far. If all acute in-patients who require early rehabilitation should receive such an intervention, an additional fee must be implemented for this this interdisciplinary service.

  5. Cardiac rehabilitation after heart valve surgery.

    PubMed

    Kiel, Martin K

    2011-10-01

    Cardiac rehabilitation (CR) is approved by the Centers for Medicare and Medicaid Services for patients who have had heart valve surgery. Analysis of data shows that CR increases exercise capacity and quality of life, and facilitates return to work, with minimal risk of significant adverse effects. In spite of this, CR is vastly underused. Recommendations to improve this include an automatic referral system, liaison assistance to speak with inpatients about CR, and establishment of CR programs in areas that have poor access to the large hospital-based facilities. Components of CR for patients who have had heart valve surgery also are discussed in this review. Copyright © 2011 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  6. Robotic arm skate for stroke rehabilitation.

    PubMed

    Wong, Chee Kit; Jordan, Kimberlee; King, Marcus

    2011-01-01

    Upper limb paresis after stroke greatly affects the performance of Activities of Daily Living (ADL). Unfortunately, rehabilitation for upper limb impairment can have poor results. The current robot-assisted devices are expensive and not readily accessible for homecare. This paper presents the development of a low-cost tabletop robotic device for upper limb rehabilitation. Conceptually, patients perform computer-based goal-directed tasks using the robotic platform. Their progress is monitored and intervention, in the form of assistance or resistance, is introduced accordingly. A prototype platform is described. Experiments demonstrate the ability of the device to provide the necessary forces during movement exercises, in relation to task completion progress, device and target location. Appropriate exercises need to be developed before clinical trials can proceed. © 2011 CROWN

  7. [Dysphagia and swallowing rehabilitation].

    PubMed

    Shigematsu, Takashi; Fujishima, Ichiro

    2015-02-01

    Dysphagia is a life-threatening disorder caused by many medical conditions such as stroke, neurological disorders, tumors, etc. The symptoms of dysphagia are quite variable and diagnosed by observation or through screening involving instrumental swallowing examinations such as video-fluoroscopy and video-endoscopy, to determine functional severity and treatment-prognosis. Direct- and indirect-therapy is used with and without food, respectively. Swallowing rehabilitation is very effective, and could be used in conjunction with compensatory techniques. Here we present an overview of dysphagia and swallowing rehabilitation.

  8. Logistics of companion animal rehabilitation.

    PubMed

    Marcellin-Little, Denis J; Danoff, Kim; Taylor, Robert; Adamson, Caroline

    2005-11-01

    Setting up rehabilitation services presents several challenges to the veterinary practitioner. Members of the rehabilitation team need to have a solid knowledge base of acute and chronic orthopedic and neurologic disorders and a knowledge of rehabilitation principles and applications. The working environment has to be adapted to patients with limited mobility, specific equipment and supplies are to be used, and a fee structure should be implemented. This article reviews these logistic aspects of companion animal rehabilitation.

  9. Road safety performance indicators for the interurban road network.

    PubMed

    Yannis, George; Weijermars, Wendy; Gitelman, Victoria; Vis, Martijn; Chaziris, Antonis; Papadimitriou, Eleonora; Azevedo, Carlos Lima

    2013-11-01

    Various road safety performance indicators (SPIs) have been proposed for different road safety research areas, mainly as regards driver behaviour (e.g. seat belt use, alcohol, drugs, etc.) and vehicles (e.g. passive safety); however, no SPIs for the road network and design have been developed. The objective of this research is the development of an SPI for the road network, to be used as a benchmark for cross-region comparisons. The developed SPI essentially makes a comparison of the existing road network to the theoretically required one, defined as one which meets some minimum requirements with respect to road safety. This paper presents a theoretical concept for the determination of this SPI as well as a translation of this theory into a practical method. Also, the method is applied in a number of pilot countries namely the Netherlands, Portugal, Greece and Israel. The results show that the SPI could be efficiently calculated in all countries, despite some differences in the data sources. In general, the calculated overall SPI scores were realistic and ranged from 81 to 94%, with the exception of Greece where the SPI was relatively lower (67%). However, the SPI should be considered as a first attempt to determine the safety level of the road network. The proposed method has some limitations and could be further improved. The paper presents directions for further research to further develop the SPI.

  10. Joint road safety operations in tunnels and open roads

    NASA Astrophysics Data System (ADS)

    Adesiyun, Adewole; Avenoso, Antonio; Dionelis, Kallistratos; Cela, Liljana; Nicodème, Christophe; Goger, Thierry; Polidori, Carlo

    2017-09-01

    The objective of the ECOROADS project is to overcome the barrier established by the formal interpretation of the two Directives 2008/96/EC and 2004/54/EC, which in practice do not allow the same Road Safety Audits/Inspections to be performed inside tunnels. The projects aims at the establishment of a common enhanced approach to road infrastructure and tunnel safety management by using the concepts and criteria of the Directive 2008/96/CE on road infrastructure safety management and the results of related European Commission (EC) funded projects. ECOROADS has already implemented an analysis of national practices regarding Road Safety Inspections (RSI), two Workshops with the stakeholders, and an exchange of best practices between European tunnel experts and road safety professionals, which led to the definition of common agreed safety procedures. In the second phase of the project, different groups of experts and observers applied the above common procedures by inspecting five European road sections featuring both open roads and tunnels in Belgium, Albania, Germany, Serbia and Former Yugoslav Republic of Macedonia. This paper shows the feedback of the 5 joint safety operations and how they are being used for a set of - recommendations and guidelines for the application of the RSA and RSI concepts within the tunnel safety operations.

  11. Cost of and soil loss on "minimum-standard" forest truck roads constructed in the central Appalachians

    Treesearch

    J. N. Kochenderfer; G. W. Wendel; H. Clay Smith

    1984-01-01

    A "minimum-standard" forest truck road that provides efficient and environmentally acceptable access for several forest activities is described. Cost data are presented for eight of these roads constructed in the central Appalachians. The average cost per mile excluding gravel was $8,119. The range was $5,048 to $14,424. Soil loss was measured from several...

  12. Silk Roads or Steppe Roads? The Silk Roads in World History.

    ERIC Educational Resources Information Center

    Christian, David

    2000-01-01

    Explores the prehistory of the Silk Roads, reexamines their structure and history in the classical era, and explores shifts in their geography in the last one thousand years. Explains that a revised understanding of the Silk Roads demonstrates how the Afro-Eurasian land mass has been linked by networks of exchange since the Bronze Age. (CMK)

  13. Silk Roads or Steppe Roads? The Silk Roads in World History.

    ERIC Educational Resources Information Center

    Christian, David

    2000-01-01

    Explores the prehistory of the Silk Roads, reexamines their structure and history in the classical era, and explores shifts in their geography in the last one thousand years. Explains that a revised understanding of the Silk Roads demonstrates how the Afro-Eurasian land mass has been linked by networks of exchange since the Bronze Age. (CMK)

  14. Challenging Developments in Rehabilitation Counseling.

    ERIC Educational Resources Information Center

    Miller, Mary Ball

    Rehabilitation psychology and medicine are growing rapidly and can provide rehabilitation psychologists many opportunities for the integration of psychological approaches with adjustment realities resulting from client functional limitations. This paper discusses significant developments in rehabilitation counseling in medical settings over the…

  15. Challenging Developments in Rehabilitation Counseling.

    ERIC Educational Resources Information Center

    Miller, Mary Ball

    Rehabilitation psychology and medicine are growing rapidly and can provide rehabilitation psychologists many opportunities for the integration of psychological approaches with adjustment realities resulting from client functional limitations. This paper discusses significant developments in rehabilitation counseling in medical settings over the…

  16. Vitiligo road map.

    PubMed

    Lee, Brian W; Schwartz, Robert A; Hercogová, Jana; Valle, Yan; Lotti, Torello M

    2012-01-01

    Vitiligo is a depigmenting disorder stemming from melanocyte loss or dysfunction. It has a complex, multifaceted etiology. We constructed a "vitiligo road map," consisting of basic science, clinical, and treatment components, in order to better portray our current understanding of vitiligo pathogenesis and reflect upon novel biomarkers and therapeutic targets for future research. The melanocyte map elaborates on the molecular processes and intracellular signaling pathways initiated by various external autocrine/paracrine factors in representing normal melanocyte homeostatic functions modulating its viability, proliferation, differentiation, dendricity, migration, and melanogenic processes. This vitiligo map identifies known inducers/triggers of vitiligo onset and progression that cultivate a microenvironment for melanocyte disappearance, real or functional. This map describes the molecular mechanisms of currently utilized clinical and experimental treatments of vitiligo that facilitate repigmentation.

  17. Universal Design for Instruction in Rehabilitation Counselor Education

    ERIC Educational Resources Information Center

    Hennessey, Mary L.; Koch, Lynn

    2007-01-01

    Universal Design for Instruction (UDI) allows educators to provide accessible education on the basis of individual learner needs. This article describes strategies for applying principles of UDI to rehabilitation education as well as an overview of its history and philosophy. Illustrative examples as well as supportive literature germane to the…

  18. Barriers to Low Vision Rehabilitation: A Qualitative Approach

    ERIC Educational Resources Information Center

    Southall, Kenneth; Wittich, Walter

    2012-01-01

    Introduction: This study sought to describe and better understand barriers to accessing low vision rehabilitation services. Methods: A qualitative description research paradigm was employed. Focus group participants were recruited through their involvement in the Montreal Barriers Study in Montreal, Canada. Six focus groups (n = 21 participants)…

  19. Barriers to Low Vision Rehabilitation: A Qualitative Approach

    ERIC Educational Resources Information Center

    Southall, Kenneth; Wittich, Walter

    2012-01-01

    Introduction: This study sought to describe and better understand barriers to accessing low vision rehabilitation services. Methods: A qualitative description research paradigm was employed. Focus group participants were recruited through their involvement in the Montreal Barriers Study in Montreal, Canada. Six focus groups (n = 21 participants)…

  20. 4. General view of road with grey birch trees looking ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    4. General view of road with grey birch trees looking E. - Great Smoky Mountains National Park Roads & Bridges, Heintooga Round Bottom Road & Balsam Mountain Road, Between Blue Ridge Parkway & Big Cove Road, Gatlinburg, Sevier County, TN

  1. 1. Entrance to Heintooga Round Bottom Road and sign looking ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. Entrance to Heintooga Round Bottom Road and sign looking N. - Great Smoky Mountains National Park Roads & Bridges, Heintooga Round Bottom Road & Balsam Mountain Road, Between Blue Ridge Parkway & Big Cove Road, Gatlinburg, Sevier County, TN

  2. Modelling Drug Abuse Epidemics in the Presence of Limited Rehabilitation Capacity.

    PubMed

    Mushanyu, J; Nyabadza, F; Muchatibaya, G; Stewart, A G R

    2016-12-01

    The abuse of drugs is now an epidemic globally whose control has been mainly through rehabilitation. The demand for drug abuse rehabilitation has not been matched with the available capacity resulting in limited placement of addicts into rehabilitation. In this paper, we model limited rehabilitation through the Hill function incorporated into a system of nonlinear ordinary differential equations. Not every member of the community is equally likely to embark on drug use, risk structure is included to help differentiate those more likely (high risk) to abuse drugs and those less likely (low risk) to abuse drugs. It is shown that the model has multiple equilibria, and using the centre manifold theory, the model exhibits the phenomenon of backward bifurcation whose implications to rehabilitation are discussed. Sensitivity analysis and numerical simulations are performed. The results show that saturation in rehabilitation will in the long run lead to the escalation of drug abuse. This means that limited access to rehabilitation has negative implications in the fight against drug abuse where rehabilitation is the main form of control. This suggests that increased access to rehabilitation is likely to lower the drug abuse epidemic.

  3. Surviving severe traumatic brain injury in Denmark: incidence and predictors of highly specialized rehabilitation

    PubMed Central

    Odgaard, Lene; Poulsen, Ingrid; Kammersgaard, Lars Peter; Johnsen, Søren Paaske; Nielsen, Jørgen Feldbæk

    2015-01-01

    Purpose To identify all hospitalized patients surviving severe traumatic brain injury (TBI) in Denmark and to compare these patients to TBI patients admitted to highly specialized rehabilitation (HS-rehabilitation). Patients and methods Patients surviving severe TBI were identified from The Danish National Patient Registry and The Danish Head Trauma Database. Overall incidence rates of surviving severe TBI and incidence rates of admission to HS-rehabilitation after severe TBI were estimated and compared. Patient-related predictors of no admission to HS-rehabilitation among patients surviving severe TBI were identified using multivariable logistic regression. Results The average incidence rate of surviving severe TBI was 2.3 per 100,000 person years. Incidence rates of HS-rehabilitation were generally stable around 2.0 per 100,000 person years. Overall, 84% of all patients surviving severe TBI were admitted to HS-rehabilitation. Female sex, older age, and non-working status pre-injury were independent predictors of no HS-rehabilitation among patients surviving severe TBI. Conclusion The incidence rate of hospitalized patients surviving severe TBI was stable in Denmark and the majority of the patients were admitted to HS-rehabilitation. However, potential inequity in access to HS-rehabilitation may still be present despite a health care system based on equal access for all citizens. PMID:25848317

  4. Evaluating drug trafficking on the Tor Network: Silk Road 2, the sequel.

    PubMed

    Dolliver, Diana S

    2015-11-01

    Housing an illicit, online drug retail market generating sales in the millions of USD, the Silk Road was a profitable marketplace with a growing and loyal consumer base. Following its FBI-forced shut down in October 2013, the Silk Road enjoyed newfound fame that contributed to an increase in new users downloading and accessing the Tor Network; however, with this particular marketplace out of order, Silk Road 2 was launched to fill the void. The goals of this study were to (1) compare the metrics of Silk Road 2 to the original site, and to (2) determine if there were any indications of the presence of more sophisticated drug trafficking operations. Data were collected from Silk Road 2 during the months of August and September 2014 using webcrawling software. Silk Road 2 was a much smaller marketplace than the original Silk Road. Of the 1834 unique items for sale, 348 were drug items sold by 145 distinct vendors shipping from 19 countries. Of the drug items advertised, most were stimulants and hallucinogens. The United States is both the number one country of origin for drug sales on Silk Road 2 and the number one destination country. Interestingly, 73% of all vendor accounts on Silk Road 2 advertised drug items, even though drugs only constituted 19% of all items advertised. This study was the first to research Silk Road 2, the replacement illicit marketplace to the original virtual Silk Road. This study was also the first to examine indications of the presence of more coordinated drug trafficking efforts in an online setting. The findings indicated that while Silk Road 2 was not primarily a drug market, there were indications that some vendor accounts may have connections reaching beyond a base retail market. Copyright © 2015 Elsevier B.V. All rights reserved.

  5. A protocol for the methodological steps used to evaluate the alignment of rehabilitation services in the Western Cape, South Africa with the National Rehabilitation Policy.

    PubMed

    Mji, Gubela; Rhoda, Anthea; Statham, Sue; Joseph, Conran

    2017-03-14

    Rehabilitation medicine plays an integral part in attainment of optimal functioning after injury or disease. The National Rehabilitation Policy of South Africa (NRP) (2000) highlights the need for access to professional health care services, redistribution and optimal utilisation of resources and research in the field of disability and rehabilitation. The government further ratified the Convention on the Rights of Persons with Disabilities (CRPD) (2007), which validate the urgency in advancing the agenda of persons with disabilities. This paper outlines the methodological plan for evaluating rehabilitation services in the Western Cape, South Africa against the aims and objectives of the NRP as well as its principles and concepts. The evaluation process further focused on specific articles in the CRPD that were aligned with disability, health and rehabilitation. A mixed-method design was used to evaluate the alignment of rehabilitation services with the NRP in the Western Cape. Four rehabilitation study settings were selected to ensure that both inpatient and outpatient rehabilitation levels of care were covered at different contexts (rural and peri-urban). The sites were checked for the most prevalent rehabilitation-related conditions to ensure the identification of suitable instruments for measuring rehabilitation outcomes. Each study setting was linked to two researchers with one exploring the rehabilitation organizational structure of the sites and the other exploring the client outcomes after receiving rehabilitation services. Patients were evaluated at baseline and discharge, within seven days after admission and seven days prior to discharge. The evaluation was based on the rehabilitation organizational capacity to provide patient-oriented rehabilitation and the measurement of rehabilitation outcomes. Kaplan's framework of organisational capacity was used in the context of each study setting. For the measurement of service users' outcomes, the International

  6. Rehabilitation Technology Review.

    ERIC Educational Resources Information Center

    Hatherleigh Co., Ltd., New York, NY.

    Designed as a special continuing education program for rehabilitation professionals, this document is divided into five lessons. Lesson 1, "Technology Assessment: Determining the Needs" (Ricardo G. Cerna), includes discussion on technology assessment and determining the needs of the clients as well as different types of assistive…

  7. Acupuncture and Equine Rehabilitation.

    PubMed

    le Jeune, Sarah; Henneman, Kimberly; May, Kevin

    2016-04-01

    Acupuncture is one of the most common veterinary integrative medicine modalities. Acupuncture can greatly contribute to a rehabilitation protocol by promoting analgesia, tissue healing, and muscle strength. Acupuncture is safe, has minimal detrimental side effects, and is well tolerated by most horses.

  8. Rehabilitation in Japan, 1988.

    ERIC Educational Resources Information Center

    Japanese Society for Rehabilitation of the Disabled, Tokyo.

    The scope of Japan's rehabilitation services for persons with disabilities is reviewed and discussed from the perspective of social and demographic change in that country. An introductory chapter on the current situation in Japan looks at characteristics of the land, the people, the government, industry and the economy, and the culture. The second…

  9. The Juvenile Rehabilitation Reader.

    ERIC Educational Resources Information Center

    Greenwood, Peter W., Ed.; And Others

    This document contains several essays on topics of interest to researchers of rehabilitative efforts. The subjects covered include an historical look at chronic delinquents and their treatment programs; a review of West European programs; legal constraints on intervention; a review of evidence concerning biological contributions to criminality and…

  10. [Blindness and visual rehabilitation].

    PubMed

    Matonti, F; Roux, S; Denis, D; Picaud, S; Chavane, F

    2015-02-01

    Blindness and visual impairment are a major public health problem all over the world and in all societies. A large amount of basic science and clinical research aims to rehabilitate patients and help them become more independent. Various methods are explored from cell and molecular therapy to prosthetic interfaces. We review the various treatment alternatives, describing their results and their limitations.

  11. [Quality in rehabilitation].

    PubMed

    Jäckel, W H

    2010-12-01

    Particularly in the context of introduction of quality assurance programmes 15 years ago, "quality" became a central issue for rehabilitation, and its importance is bound to grow in the years to come. After giving a general definition of quality, this article deals more closely with 3 aspects of quality: quality development, quality assurance, and data on quality. Quality development in rehabilitation centres demands an atmosphere that supports change, encourages creativity, courage, transparency and involvement, and reduces fear. The creation of such an atmosphere is, in particular, the responsibility of a centre's management. Routine interviews regarding patient as well as employee satisfaction, and the use of strategic planning and management systems have proven successful instruments in the practice of quality development. Compared with other sectors of the health system, quality assurance in rehabilitation is marked by its comprehensive approach, intense patient orientation, scientific underpinning, and nationwide implementation. Regarding the benefits of these programmes for the health system at large, however, no clear scientific proof is available yet. Data gained from quality assurance programmes on the whole show a high amount of patient satisfaction, good quality of structures and processes as well as an improvement of the patients' health status. Between centres, however, there are marked differences of quality in a number of cases, and long-term effectiveness could be improved in some indications. Finally, suggestions are offered concerning further development of quality in rehabilitation as well as of the quality assurance programmes. © Georg Thieme Verlag KG Stuttgart · New York.

  12. Neuropsychological technologies in rehabilitation.

    PubMed

    Chute, Douglas L

    2002-10-01

    To provide an introduction and a conceptual context for the articles presented in this special edition of the Journal of Head Trauma Rehabilitation on neuropsychological technologies. Many clinical assessments in neuropsychology are metamorphosing from a psychometric search for a lesion to a functional image of the working brain. Behavioral probes increasingly employ technology to provide more ecologically valid stimuli to elicit diagnostically relevant responses. Intervention strategies include an expanding range of assistive devices and technologically based treatments. The advent of the microprocessor and discipline specific programming have allowed certain aspects of rehabilitation practice to incorporate these new assessment and intervention strategies. For example, the development of neuropsychological technologies has already lead to computer based prosthetics and orthotics, cognitive probes with millisecond accurate links to functional imaging, virtual reality managed ecological assessments, cognitive retraining, assistive devices, and online, and "real-time" database-driven evaluations. Emerging technologies offer the potential for personal, portable, everyday brain imaging and rehabilitation systems. Few psychologists, physiatrists, or allied health professionals are formally trained in technological development. What has emerged thus far is a collection of individual efforts that remain to be integrated into more comprehensive tools for the rehabilitation professions. The selective history of neuropsychological technologies presented here is meant to illustrate past difficulties in the emergence of this sub-specialty and point to new applications and technological integration that may prove fruitful. The convergence of neuroengineering, adaptive assessments, everyday neuroimaging, neuroinformatics, and educational neuroimaging, presage such future developments in neuropsychological technologies.

  13. [Psychosocial rehabilitation in France].

    PubMed

    Vidon, Gilles

    2015-01-01

    For a long time in France, readaptation and reinsertion have been considered separately. While readaptation focuses on the way the patient "adapts again", reintegration looks at the place of the readaptation, the society or the group. Today, psychosocial rehabilitation encompasses both of these notions by taking into account the medical and social aspects.

  14. Trends in Rehabilitation

    ERIC Educational Resources Information Center

    Sink, Jack

    1977-01-01

    Discusses major potential trends in rehabilitation (identified through informal interviews with 94 individuals representing various organizations, progessions, or programs) e.g., services for the severely handicapped, return to the vocational emphasis, increased interagency cooperation, and consumer involvement. Modification of programs as a…

  15. Consumer Involvement in Rehabilitation.

    ERIC Educational Resources Information Center

    Thursz, Daniel

    A new approach to rehabilitation of the disabled and disadvantaged is necessary, but the problem of how to involve consumers and how to organize groups for community action is a big one. Moreover, citizen participation cannot be a substitute for basic improvement in the quality of service. Service agencies need to be decentralized and staff…

  16. [Rehabilitation in Huntington's Disease].

    PubMed

    Rollnik, J D

    2015-06-01

    Huntington's disease (HD) is a chronic neurodegenerative disease for which as yet no disease-modifying therapy is available. Even at the early stage of the disease, HD patients suffer from motor and cognitive impairments. They are in need of physical, occupational and speech therapy or (inpatient) multidisciplinary rehabilitation. This paper reviews the available evidence for the usefulness of these therapeutic interventions. Studies using HD animal models have shown that motor training per se or as part of an enriched environment setting may have a positive impact on disease onset and progression. There are four clinical randomized controlled trials (RCT) showing beneficial effects of physical therapy (standardized home-based training program). In particular, inpatient neurological rehabilitation may have positive effects on activities of daily living (ADL) in HD patients. A non-controlled trial on multidisciplinary rehabilitation showed a reduction of oxidative stress and associated neurodegeneration, with another study even demonstrating an increase in the volume of the right caudate and the dorsolateral prefrontal cortex. Among the studies focusing on multidisciplinary rehabilitation, there is only one RCT. Further controlled studies are needed. © Georg Thieme Verlag KG Stuttgart · New York.

  17. Token Economies in Rehabilitation

    ERIC Educational Resources Information Center

    Walls, Richard T.; Nicholas, Heather

    1973-01-01

    Behavior modification has become a widely known practice in rehabilitation during the past decade. A medium of exchange or token is typically used to facilitate transactions and can be traded for backup reinforcers later on. This review of the use of token economies focuses on groups of individuals usually considered target rehabilitation…

  18. Smart portable rehabilitation devices.

    PubMed

    Mavroidis, Constantinos; Nikitczuk, Jason; Weinberg, Brian; Danaher, Gil; Jensen, Katherine; Pelletier, Philip; Prugnarola, Jennifer; Stuart, Ryan; Arango, Roberto; Leahey, Matt; Pavone, Robert; Provo, Andrew; Yasevac, Dan

    2005-07-12

    The majority of current portable orthotic devices and rehabilitative braces provide stability, apply precise pressure, or help maintain alignment of the joints with out the capability for real time monitoring of the patient's motions and forces and without the ability for real time adjustments of the applied forces and motions. Improved technology has allowed for advancements where these devices can be designed to apply a form of tension to resist motion of the joint. These devices induce quicker recovery and are more effective at restoring proper biomechanics and improving muscle function. However, their shortcoming is in their inability to be adjusted in real-time, which is the most ideal form of a device for rehabilitation. This introduces a second class of devices beyond passive orthotics. It is comprised of "active" or powered devices, and although more complicated in design, they are definitely the most versatile. An active or powered orthotic, usually employs some type of actuator(s). In this paper we present several new advancements in the area of smart rehabilitation devices that have been developed by the Northeastern University Robotics and Mechatronics Laboratory. They are all compact, wearable and portable devices and boast re-programmable, real time computer controlled functions as the central theme behind their operation. The sensory information and computer control of the three described devices make for highly efficient and versatile systems that represent a whole new breed in wearable rehabilitation devices. Their applications range from active-assistive rehabilitation to resistance exercise and even have applications in gait training. The three devices described are: a transportable continuous passive motion elbow device, a wearable electro-rheological fluid based knee resistance device, and a wearable electrical stimulation and biofeedback knee device. Laboratory tests of the devices demonstrated that they were able to meet their design

  19. Smart portable rehabilitation devices

    PubMed Central

    Mavroidis, Constantinos; Nikitczuk, Jason; Weinberg, Brian; Danaher, Gil; Jensen, Katherine; Pelletier, Philip; Prugnarola, Jennifer; Stuart, Ryan; Arango, Roberto; Leahey, Matt; Pavone, Robert; Provo, Andrew; Yasevac, Dan

    2005-01-01

    Background The majority of current portable orthotic devices and rehabilitative braces provide stability, apply precise pressure, or help maintain alignment of the joints with out the capability for real time monitoring of the patient's motions and forces and without the ability for real time adjustments of the applied forces and motions. Improved technology has allowed for advancements where these devices can be designed to apply a form of tension to resist motion of the joint. These devices induce quicker recovery and are more effective at restoring proper biomechanics and improving muscle function. However, their shortcoming is in their inability to be adjusted in real-time, which is the most ideal form of a device for rehabilitation. This introduces a second class of devices beyond passive orthotics. It is comprised of "active" or powered devices, and although more complicated in design, they are definitely the most versatile. An active or powered orthotic, usually employs some type of actuator(s). Methods In this paper we present several new advancements in the area of smart rehabilitation devices that have been developed by the Northeastern University Robotics and Mechatronics Laboratory. They are all compact, wearable and portable devices and boast re-programmable, real time computer controlled functions as the central theme behind their operation. The sensory information and computer control of the three described devices make for highly efficient and versatile systems that represent a whole new breed in wearable rehabilitation devices. Their applications range from active-assistive rehabilitation to resistance exercise and even have applications in gait training. The three devices described are: a transportable continuous passive motion elbow device, a wearable electro-rheological fluid based knee resistance device, and a wearable electrical stimulation and biofeedback knee device. Results Laboratory tests of the devices demonstrated that they were able to

  20. [Cardiac rehabilitation after myocardial infarction].

    PubMed

    Ghannem, M; Ghannem, L; Ghannem, L

    2015-12-01

    Although the proofs of the benefits of cardiac rehabilitation accumulate, many patients are not sent to rehabilitation units, especially younger and very elderly patients. As the length of stay in acute care units decreases, rehabilitation offers more time to fully assess the patients' conditions and needs. Meta-analyses of randomised trials suggest that mortality can be improved by as much as 20-30%. In addition, rehabilitation helps managing risk factors, including hyperlipidemia, diabetes, smoking and sedentary behaviours. Physical training also helps improving exercise capacity. Because of all of these effects, cardiac rehabilitation for post-myocardial infarction patients has been given a class IA recommendation in current guidelines.

  1. Coal-mine road technology: An assessment of references and annotated bibliography, January 1983. Final report

    SciTech Connect

    Not Available

    1983-01-01

    The report identifies the sources of information regarding specific aspects of the design, construction, maintenance, and reclamation of coal mine roads (haul or access roads) in accordance with Public Law 95-87. Its purpose is to assist persons in the design, construction, and maintenance of coal mine roads by providing a reference list to aid individuals in developing their own libraries regarding various aspects of roads. The report is the result of an intensive literature search (including use of computerized information retrieval systems as well as published bibliographies). Guidelines and requirements for design, construction, and maintenance of coal mine roads have been developed by the Office of Surface Mining as well as state regulatory authorities. The information provides operating standards or design guidelines with limited information regarding the actual design process.

  2. 76 FR 5755 - Medicare and Medicaid Programs; Patient Notification of Right To Access State Survey Agencies and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-02

    ... Hospitals (CAHs). Clinics and Rehabilitation Agencies. Portable X-Ray Services. Rural Health Clinics (RHCs...) Critical Access Hospitals (CAHs); (8) Clinics and Rehabilitation Agencies; (9) Portable X-ray Services; and... and suppliers: Hospices, Hospitals, CORFs, CAHs, Clinics and Rehabilitation Agencies, Portable X-ray...

  3. Rehabilitation time before disability pension.

    PubMed

    Støver, Morten; Pape, Kristine; Johnsen, Roar; Fleten, Nils; Sund, Erik R; Claussen, Bjørgulf; Ose, Solveig Osborg; Bjørngaard, Johan Håkon

    2012-10-30

    The decision to grant a disability pension is usually the end of a long process of medical examinations, treatment and rehabilitation attempts. This study investigates to what extent the time spent on rehabilitation time prior to disability pension is associated with characteristics of the individual or the local employment and welfare office, measured as municipality variance. A study of 2,533 40 to 42 year olds who received disability pension over a period of 18 years. The logarithm of the rehabilitation time before granting a disability pension was analysed with multilevel regression. The rehabilitation time before a disability pension was granted ranged from 30 to 5,508 days. Baseline health characteristics were only moderately associated with rehabilitation time. Younger people and people with unemployment periods had longer rehabilitation time before a disability pension was granted. There were only minor differences in rehabilitation time between men and women and between different levels of education. Approximately 2% of the total variance in rehabilitation time could be attributed to the municipality of residence. There is a higher threshold for granting a disability pension to younger persons and those who are expecting periods of unemployment, which is reflected in the extended rehabilitation requirements for these groups. The longer rehabilitation period for persons with psychiatric disorders might reflect a lack of common knowledge on the working capacity of and the fitted rehabilitation programs for people with psychiatric disorders.

  4. Physiological profiles of elite off-road and road cyclists.

    PubMed

    Wilber, R L; Zawadzki, K M; Kearney, J T; Shannon, M P; Disalvo, D

    1997-08-01

    There are minimal scientific data describing international caliber off-road cyclists (mountain bikers), particularly as they compare physiologically with international caliber road cyclists. Elite female (N = 10) and male (N = 10) athletes representing the United States National Off-Road Bicycle Association (NORBA) Cross-Country Team were compared with elite female (N = 10) and male (N = 10) athletes representing the United States Cycling Federation (USCF) National Road Team. Submaximal and maximal exercise responses were evaluated during the "championship" phase of the training year when athletes were in peak condition. All physiological tests were conducted at 1860 m. Among the female athletes, physiological responses at lactate threshold (LT) and during maximal exercise (MAX) were similar between NORBA and USCF cyclists with two exceptions: 1) USCF cyclists demonstrated a significantly greater (P < 0.05) absolute (16%) and relative (10%) maximal aerobic power, and 2) MAX heart rate was significantly higher (P < 0.05) for the USCF athletes (6%). Among the male athletes, physiological responses at LT and MAX were similar between NORBA and USCF cyclists with two exceptions: 1) USCF cyclists produced significantly greater (P < 0.05) absolute (18%) and relative (16%) power at LT, and 2) USCF cyclists produced significantly greater (P < 0.05) absolute (12%) and relative (10%) power at MAX. These data suggest that, in general, elite off-road cyclists possess physiological profiles that are similar to elite road cyclists.

  5. Physical rehabilitation in post-conflict settings: analysis of public policy and stakeholder networks.

    PubMed

    Blanchet, Karl; Girois, Susan; Urseau, Isabelle; Smerdon, Christine; Drouet, Yann; Jama, Ali

    2014-01-01

    Physical rehabilitation plays a determinant role in post-conflict contexts to restore disabled citizens' mobility and independence. While the main objectives of any physical rehabilitation programme are to ensure that the services provided are accessible and of good quality to meet existing needs, it is intended that the services need to be supported over the long term by public health and social welfare authorities. This article presents the results of a study conducted in three post-conflict countries on the relationships between the level of commitment of national governments to rehabilitation services and the influence of social networks on national policy related to physical rehabilitation. From a policy and resource standpoint, the environment in Nepal is the most favourable for creating leverage at the national level to influence the commitment of ministries in the rehabilitation sector, compared with Cambodia and Somaliland. Stakeholder network analysis in Nepal, furthermore, reveals a dominant civil society and private sector supporting rehabilitation services, including intense involvement of local organisations and user groups. Implications for Rehabilitation Physical rehabilitation is not on the top of the agenda of governments in fragile states. The commitment and involvement of national authorities in the rehabilitation sector is positively influenced by civil society and international organisations. The denser the social network of the rehabilitation sector is, the more influence the actors can exert influence over national authorities.

  6. Road Safety: The Vital but Neglected Subject.

    ERIC Educational Resources Information Center

    Hollins, Patsy

    1989-01-01

    Teacher training students (N=153) in England were surveyed about road safety education. Attitudes of students about their preparation for teaching road safety, ways of integrating road safety into the primary and secondary curriculum, and obstacles to teaching road safety in schools are discussed. (IAH)

  7. 25 CFR 265.3 - Roads prohibited.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true Roads prohibited. 265.3 Section 265.3 Indians BUREAU OF... ON INDIAN RESERVATIONS § 265.3 Roads prohibited. (a) Within the boundaries of this officially... highways, roads, truck trails, work roads, and all other types of ways constructed to make possible the...

  8. 25 CFR 265.3 - Roads prohibited.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false Roads prohibited. 265.3 Section 265.3 Indians BUREAU OF... ON INDIAN RESERVATIONS § 265.3 Roads prohibited. (a) Within the boundaries of this officially... highways, roads, truck trails, work roads, and all other types of ways constructed to make possible the...

  9. Rehabilitation in the real-life environment of a shopping mall.

    PubMed

    Labbé, Delphine; Poldma, Tiiu; Fichten, Catherine; Havel, Alice; Kehayia, Eva; Mazer, Barbara; McKinley, Patricia; Rochette, Annie; Swaine, Bonnie

    2017-01-27

    The aim of this study was to explore how shopping malls could be used during rehabilitation and to identify the facilitators and barriers to their use. Two focus groups, conducted with 15 rehabilitation professionals from various disciplines and working with people with disabilities of all ages were structured around two topics: (i) The usage of malls for rehabilitation and (ii) Factors that facilitate or limit rehabilitation professionals' use of the mall as an environment for clinical assessment and/or intervention. The thematic analysis revealed that shopping malls were used to achieve several rehabilitation goals targeting physical and cognitive skills, psychological health and socialization. This real-life environment is motivating and helps foster independence and normalization. Factors affecting mall use during rehabilitation included personal factors (e.g. clients' personality and level of readiness) and environmental factors (e.g. clinical context, accessibility of the mall and social attitudes of store owners). Shopping malls may be a relevant rehabilitation assessment and treatment environment that could contribute to optimizing community integration of people with disabilities. Implications for rehabilitation To ensure successful community reintegration, clients could be trained at some point during their rehabilitation, to perform activities in real-life settings, such as a shopping mall. Shopping malls appear to enable the attainment of rehabilitation goals targeting a variety of skills. This real-life environment appears to be motivating and helps foster independence and normalization. Factors felt to affect mall use during rehabilitation include personal factors (e.g. clients' personality and level of readiness) and environmental factors (e.g. clinical context, accessibility of the mall and social attitudes of store owners). The shopping mall may be an untapped resource as it appears to be a relevant rehabilitation assessment and treatment

  10. Accessibility | FNLCR

    Cancer.gov

    The Frederick National Laboratory for Cancer Research campus is making every effort to ensure that the information available on our website is accessible to all. If you use special adaptive equipment to access the web and encounter problems when usin

  11. Freedom Road: Colonial Life

    ERIC Educational Resources Information Center

    Auerbach, Barbara

    2010-01-01

    While historical fiction by Jean Fritz as well as titles like Robert Lawson's "Ben and Me" (1939) or "Mr. Revere and I" (1954) and Esther Forbes's "Johnny Tremain" (1943) are widely known classics that bring this period to life, recent years have yielded a wealth of new offerings--many of which are accessible picture books or read-alouds. These…

  12. Freedom Road: Colonial Life

    ERIC Educational Resources Information Center

    Auerbach, Barbara

    2010-01-01

    While historical fiction by Jean Fritz as well as titles like Robert Lawson's "Ben and Me" (1939) or "Mr. Revere and I" (1954) and Esther Forbes's "Johnny Tremain" (1943) are widely known classics that bring this period to life, recent years have yielded a wealth of new offerings--many of which are accessible picture books or read-alouds. These…

  13. Measuring Function for Medicare Inpatient Rehabilitation Payment

    PubMed Central

    Carter, Grace M.; Relies, Daniel A.; Ridgeway, Gregory K.; Rimes, Carolyn M.

    2003-01-01

    We studied 186,766 Medicare discharges to the community in 1999 from 694 inpatient rehabilitation facilities (IRF). Statistical models were used to examine the relationship of functional items and scales to accounting cost within impairment categories. For most items, more independence leads to lower costs. However, two items are not associated with cost in the expected way. The probable causes of these anomalies are discussed along with implications for payment policy. We present the rules used to construct administratively simple, homogeneous, resource use groups that provide reasonable incentives for access and quality care and that determine payments under the new IRF prospective payment system (PPS). PMID:12894633

  14. The contribution of on-road studies of road user behaviour to improving road safety.

    PubMed

    Lenné, Michael G

    2013-09-01

    For over 40 years transport safety researchers have been using methods of vehicle instrumentation to gain greater insights into the factors that contribute to road user crash risk and the associated crash factors. In the previous decade in particular the widespread availability of lower cost and more advanced methods of vehicle instrumentation and recording technologies are supporting the increasing number of on-road research studies worldwide. The design of these studies ranges from multi-method studies using instrumented test vehicles and defined driving routes, to field operational tests, through to much larger and more naturalistic studies. It is timely to assess the utility of these methods for studying the influences of driver characteristics and states, the design and operation of the road system, and the influences of in-vehicle technologies on behaviour and safety for various road user groups. This special issue considers the extent to which on-road studies using vehicle instrumentation have been used to advance knowledge across these areas of road safety research. The papers included in this issue illustrate how research using instrumented test vehicles continues to generate new knowledge, and how the larger scale United States and European naturalistic and field operational test studies are providing a wealth of data about road user behaviour in real traffic. This is balanced with a number of studies that present methodological developments in data collection and analysis methods that, while promising, need further validation. The use of on-road methods to accurately describe the behaviours occurring in everyday real-world conditions, to quantify risks for safety critical events, and an improved understanding of the factors that contribute to risk, clearly has huge potential to promote further road trauma reductions.

  15. 34. COULTERVILLE ROAD AT CENTER AND EL PORTAL ROAD/HIGHWAY 140 ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    34. COULTERVILLE ROAD AT CENTER AND EL PORTAL ROAD/HIGHWAY 140 AT BOTTOM. ROCK SLIDES ARE AT THE COOKIE CLIFFS, BOTTOM RIGHT. NOTE OLD STAGE COACH ROAD JUST ABOVE THE EL PORTAL ROAD IN LOWER RIGHT TO LEFT OF ROCK SLIDE AREA. - Yosemite National Park Roads & Bridges, Yosemite Village, Mariposa County, CA

  16. [Needs in rehabilitation and rehabilitative care of new target groups. Immigrants in psychosomatic rehabilitation].

    PubMed

    Kobelt, A; Göbber, J; Petermann, F

    2011-04-01

    Treatment of patients with migration background in psychosomatic rehabilitation is gaining in importance. Cultural differences and increased barriers are considered the most important causes for the inferior effective treatment results in psychosomatic rehabilitation and a higher percentage of pensions due to impairment. We discuss perspectives in psychosomatic rehabilitation which not only focus on the migration background as the main cause for inferior effective treatment results, but place greater focus on typical barriers of this patient group. For this reason, the need for more integrative and adapted forms of psychosomatic rehabilitation becomes more evident. Psychosomatic rehabilitation can be adapted by introducing case management, psychosomatic aftercare, and outpatient information groups.

  17. Physical functioning and rehabilitation for the cancer survivor.

    PubMed

    Stubblefield, Michael D; Schmitz, Kathryn H; Ness, Kirsten K

    2013-12-01

    There are more than 13.8 million survivors of cancer living in the United States. Up to 20% of survivors of childhood-onset and 53% of survivors of adult-onset cancer have problems with physical function as a result of their cancer and or its treatment. These problems may be immediately apparent, during, or soon after initial cancer treatment, or may appear days, months, or years later as the cancer survivor ages. Unfortunately, rehabilitation services and providers are not easily or systematically accessible in today's healthcare system. Rehabilitation services that restore or ameliorate early functional loss or that protect against or minimize the impact of later-onset organ system dysfunction are available, at least in larger comprehensive cancer center settings. This report describes physical function, details the evolution of cancer rehabilitation, and identifies cancer survivors who may benefit from rehabilitation services. Additionally, the evidence for specific approaches to rehabilitation, intervention, and prevention of functional loss are reviewed. Finally, we summarize the mechanisms used to measure physical function and stress the need for additional research to support rehabilitation services for cancer survivors.

  18. CONTEMPORARY SITUATIONS AND PROBLEMS OF ROAD/BRIDGE MAINTENANCE TECHNICAL COOPERATION PROJECTS

    NASA Astrophysics Data System (ADS)

    Nishimiya, Noriaki; Sanui, Kazumasa; Mizota, Yuzo

    It is widely acknowledged that roads are the most important transport infrastructure in developing countries. Unlike railroads requiring organizations and systems to operate, individuals can drive on roads. Almost all donors have assisted developing countr ies for new road constructions and rehabilitations. Report of insufficient maintenance in the developing countries, however, has been notable. As a result of the maintenance problems, deterioration of roads is pr ogressing with speed more than expected. It causes the traffic safety problems and an obstacle of economic development. JICA and other donors recognize that this situation can not be overlooked and reci pient countries are increasing their expectation of obtaining assistance on road/bridge maintenance. JICA has implemented over 10 technical cooper ation projects for road/b ridge maintenance in developing countries. JICA conducted a study to review those projects comprehensively. That study aims at obtaining problems, lessons learned and discussion material for policy making and method improvement for future similar pr ojects. This report introduces the outline of the study including additional analysis and recommendations by the authors.

  19. Road Rage: What's Driving It?

    PubMed

    Sansone, Randy A; Sansone, Lori A

    2010-07-01

    Up to one-third of community participants report being perpetrators of road rage, indicating that various forms of road rage are relatively commonplace. However, only two percent or less of incidents culminate in serious damage to persons or vehicles. The most common offenders appear to be young and male. A number of factors may contribute to road rage, including environmental factors (e.g., greater number of miles driven per day, traffic density), nonspecific psychological factors (e.g., displaced aggression, attribution of blame to others), and bona fide Axis I and II disorders. The most common Axis I disorders appear to be related to alcohol and substance misuse, whereas possible Axis II disorders include borderline and antisocial personality disorders. Being aware of these contributory factors to road rage may improve general clinical awareness of the nature and treatment of perpetrators.

  20. Perceived density of road maps.

    PubMed

    Schwartz-Chassidim, Hadas; Meyer, Joachim; Parmet, Yisrael; Rogatka, Efrat; Amzaleg, Ohad

    2014-11-01

    Maps should be designed so that users can comprehend and use the information. Display decisions, such as choosing the scale at which an area is shown, depend on properties of the displayed information such as the perceived density (PD) of the information. Taking a psychophysical approach we suggest that the PD of information in a road map is related to the scale and properties of the mapped area. 54 participants rated the PD of 60 maps from different regions. We provide a simple model that predicts the PD of electronic road map displays, using the logarithm of the number of roads, the logarithm of the number of junctions and the length of the shown roads. The PD model was cross-validated using a different set of 60 maps (n = 44). The model can be used for automatically adjusting display scales and for evaluating map designs, considering the required PD to perform a map-related task.

  1. Road traffic injuries: a stocktaking.

    PubMed

    Mohan, Dinesh

    2008-08-01

    Once we accept that road traffic injury control is a public health problem, and that we have an ethical responsibility to arrange for the safety of individuals, then it follows that health and medical professionals have to assume responsibility for participating in efforts to control this pandemic. Over 1.2 million people die of road traffic crashes annually. Road traffic injuries are among the second to the sixth leading causes of death in the age groups 15-60 years in all countries around the world. Control of road traffic injuries is going to require very special efforts as patterns are different in high- and lower-income countries, and while some countermeasures are applicable internationally, others will need further research and innovation. We will need to focus on the safety of pedestrians, bicyclists and motorcyclists, speed control, and prevention of driving under the influence of alcohol.

  2. The Dilemma of Mountain Roads

    EPA Science Inventory

    Mountain roads and trails are proliferating throughout developing Southeast Asia with severe but largely unrecognized long-term consequences related to effects of landslides and surface erosion on communities and downstream resources.

  3. The Dilemma of Mountain Roads

    EPA Science Inventory

    Mountain roads and trails are proliferating throughout developing Southeast Asia with severe but largely unrecognized long-term consequences related to effects of landslides and surface erosion on communities and downstream resources.

  4. Influence of solid noise barriers on near-road and on-road air quality

    NASA Astrophysics Data System (ADS)

    Baldauf, Richard W.; Isakov, Vlad; Deshmukh, Parikshit; Venkatram, Akula; Yang, Bo; Zhang, K. Max

    2016-03-01

    Public health concerns regarding adverse health effects for populations spending significant amounts of time near high traffic roadways has increased substantially in recent years. Roadside features, including solid noise barriers, have been investigated as potential methods that can be implemented in a relatively short time period to reduce air pollution exposures from nearby traffic. A field study was conducted to determine the influence of noise barriers on both on-road and downwind pollutant concentrations near a large highway in Phoenix, Arizona, USA. Concentrations of nitrogen dioxide, carbon monoxide, ultrafine particles, and black carbon were measured using a mobile platform and fixed sites along two limited-access stretches of highway that contained a section of noise barrier and a section with no noise barrier at-grade with the surrounding terrain. Results of the study showed that pollutant concentrations behind the roadside barriers were significantly lower relative to those measured in the absence of barriers. The reductions ranged from 50% within 50 m from the barrier to about 30% as far as 300 m from the barrier. Reductions in pollutant concentrations generally began within the first 50 m of the barrier edge; however, concentrations were highly variable due to vehicle activity behind the barrier and along nearby urban arterial roadways. The concentrations on the highway, upwind of the barrier, varied depending on wind direction. Overall, the on-road concentrations in front of the noise barrier were similar to those measured in the absence of the barrier, contradicting previous modeling results that suggested roadside barriers increase pollutant levels on the road. Thus, this study suggests that noise barriers do reduce potential pollutant exposures for populations downwind of the road, and do not likely increase exposures to traffic-related pollutants for vehicle passengers on the highway.

  5. Road Weather and Connected Vehicles

    NASA Astrophysics Data System (ADS)

    Pisano, P.; Boyce, B. C.

    2015-12-01

    On average, there are over 5.8 M vehicle crashes each year of which 23% are weather-related. Weather-related crashes are defined as those crashes that occur in adverse weather or on slick pavement. The vast majority of weather-related crashes happen on wet pavement (74%) and during rainfall (46%). Connected vehicle technologies hold the promise to transform road-weather management by providing improved road weather data in real time with greater temporal and geographic accuracy. This will dramatically expand the amount of data that can be used to assess, forecast, and address the impacts that weather has on roads, vehicles, and travelers. The use of vehicle-based measurements of the road and surrounding atmosphere with other, more traditional weather data sources, and create road and atmospheric hazard products for a variety of users. The broad availability of road weather data from mobile sources will vastly improve the ability to detect and forecast weather and road conditions, and will provide the capability to manage road-weather response on specific roadway links. The RWMP is currently demonstrating how weather, road conditions, and related vehicle data can be used for decision making through an innovative Integrated Mobile Observations project. FHWA is partnering with 3 DOTs (MN, MI, & NV) to pilot these applications. One is a mobile alerts application called the Motorists Advisories and Warnings (MAW) and a maintenance decision support application. These applications blend traditional weather information (e.g., radar, surface stations) with mobile vehicle data (e.g., temperature, brake status, wiper status) to determine current weather conditions. These weather conditions, and other road-travel-relevant information, are provided to users via web and phone applications. The MAW provides nowcasts and short-term forecasts out to 24 hours while the EMDSS application can provide forecasts up to 72 hours in advance. The three DOTs have placed readers and external

  6. Environmental Assessment for a Commercial Vehicle Inspection Point at the Downs Road Gate

    DTIC Science & Technology

    2013-02-01

    NWFWMD Northwest Florida Water Management District O3 Ozone OSHA Occupational Safety and Health Administration PL Public Law PM Particulate Matter...installation, the gate at the Downs Road ECF is open so base traffic can travel along Downs Road to the Plasma Resource Recovery System Facility and the...in each direction. Under the Proposed Action, the new CVI point will be open from 0600 hours to 1800 hours allowing access to the Plasma Resource

  7. Observations of Novae From ROAD

    NASA Astrophysics Data System (ADS)

    Hambsch, F.-J.

    2014-12-01

    The author discusses observations of galactic novae and some extragalactic supernovae from his remote observatory ROAD (Remote Observatory Atacama Desert) he commenced in August 2011 with Nova Lupi 2011 (PR Lup). The observed novae are mainly chosen according to AAVSO Alert Notices and AAVSO Special Notices as published on their website. Examples of dense observations of different novae are presented. The focus goes to the different behaviors of their light curves. It also demonstrates the capability of the remote observatory ROAD.

  8. Vehicle road sensor

    SciTech Connect

    Tromp, C.M.

    1989-01-24

    A vehicle road sensor is described for signaling the passage of a vehicle over a predetermined location on a roadway, comprising: a force sensing resistor formed of a pair of overlapped nonconductive substrates, each having a controllable conductive coating, with the coatings being overlapped in adjacent surface to surface relationship; at least one of the coatings being formed of a force responsive material characterized by normally resisting the passage of electrical current therethrough, but whose resistance decreases upon the application of pressure upon the coating; and the second of the coatings having at least one area which precludes the passage of electrical current therethrough, and with the area being overlapped by a portion of the one coating so that the portion functions to shunt current across the area upon the application of pressure to the portion; the substrates being completely embedded within a block formed of a resilient, rubber-like material; the block having an upper, contact surface, with the substrates being embedded within the block beneath the contact surface so that vehicle pressure upon the contact surface is transmitted to the substrates.

  9. Roads and traffic: Effects on ecology and wildlife habitat use; applications for cooperative adaptive management

    USGS Publications Warehouse

    Ouren, Douglas S.; Watts, Raymond D.

    2005-01-01

    The land of the United States in dissected by more than 4 million miles of roads that fragment wildlife habitat on both public and private lands. Traffic on these roads causes additional effects. On secondary roads, which provide access to the most natural habitat, the levels, timing, and types of traffic are seldom known. In order to understand the effects of traffic on wildlife, USGS is conducting research cooperatively with the Bureau of Land Management, the U.S. Forest Service, the National Park Service, and the Colorado Division of Wildlife.

  10. Road rage victimization among adolescents.

    PubMed

    Smart, Reginald G; Stoduto, Gina; Adlaf, Edward M; Mann, Robert E; Sharpley, Justin M

    2007-09-01

    Although much has been learned about road rage among adults, data on road rage experiences among adolescents has not been available previously. We examine the prevalence and demographic correlates of road rage victimization based on a population survey of Ontario students. Based on the 2005 Ontario Student Drug Use Survey, a self-administered survey of Ontario students in grades 7-12 (n = 7726), the contribution of demographic factors (gender, region, driver's license status, grade, overall marks) to three road rage victimization measures was examined with logistic regression analysis. Just over half of students (53.2%) had been victims of shouts, curses and rude gestures in the past year, 8.9% were threatened with damage to their vehicle or personal injury and 6.2% experienced an attempt or actual damage to their vehicle or personal injury. Logistic regression analyses revealed that being a victim of shouting was significantly related to region, driver's license status, and grade. Victimization by threats was significantly related to gender, driver's license, grade, and marks. Being a victim of attempts or actual vehicle damage or injury was significantly related to region, driver's license, and marks. This study provides the first indication of prevalence of road rage victimization among adolescents. Road rage victimization in its milder form is common, involving just over half of Ontario students in grades 7-12. About 1 in 10 students were threatened with vehicle damage or personal injury, and about 1 in 20 were victims of attempts or actual damage or injury.

  11. [Transfer of research findings into the practice of rehabilitation and effects on the development and stabilization of the infrastructure of rehabilitation sciences--the pension insurance perspective].

    PubMed

    Klosterhuis, H; Zwingmann, C; Gerwinn, H

    2005-10-01

    The programme for research in rehabilitation has been established by the Federal Ministry of Education and Research and the German Pension Insurance scheme in 1998 to further develop the methodology in this field. In addition to other effects, the large number of projects has strengthened the research structure in Germany. An important aim of the programme is the transfer of the research findings into the practice of rehabilitation. The initiators also organize this transformation process in terms of a long-term task. The paper describes the transfer of findings in the topics selected by the Pension Insurance scheme: patient education, access to rehabilitation, and vocational orientation in medical rehabilitation. Furthermore, additional activities concerning the transfer are outlined. To improve the practice of rehabilitation by transferring research findings is of great importance for the Pension Insurance scheme.

  12. Are web-based questionnaires accepted in patients attending rehabilitation?

    PubMed

    Engan, Harald K; Hilmarsen, Christina; Sittlinger, Sverre; Sandmæl, Jon Arne; Skanke, Frode; Oldervoll, Line M

    2016-12-01

    The aim of the present paper was to study preferences for web based self-administered questionnaires (web SAQs) vs. paper-based self-administered questionnaires (paper SAQs) and to evaluate the feasibility of using web SAQs in patients referred to cardiac, lung, occupational and cancer rehabilitation programs. The patients were approached by mail and given the choice to answer the compulsory SAQs either on paper or on a web-based platform. Hundred and twenty seven out of 183 eligible patients (69.3%) were willing to participate and 126 completed the study. Web SAQs were preferred by 77.7%, and these patients were significantly younger, more often cohabiting and tended to have higher level of education than paper SAQ users. Mean number of data missing per patient was less among the web SAQ users than the paper SAQ users (0.55 vs. 2.15, p < 0.001). Costs related to human resources were estimated to be 60% lower with web SAQs compared to paper SAQs. Web SAQs were well accepted among the patients scheduled for rehabilitation, led to less missing data and considerable cost savings related to human resources. Patients referred to rehabilitation should be offered the choice to complete self-administered questionnaires on internet platforms when internet access is common and available. Implications for Rehabilitation The high acceptability of web-based self-administered questionnaires among rehabilitation patients suggests that internet platforms are suitable tools to collect patient information for rehabilitation units. Web-based modes of patient data collection demonstrate low number of missing data and can therefore improve the quality of data collection from rehabilitation patients. Use of web-based questionnaires considerably reduces administrative costs of data collection in rehabilitation settings compared to traditional pen and paper methods.

  13. Alternative models of cardiac rehabilitation: a systematic review.

    PubMed

    Clark, Robyn A; Conway, Aaron; Poulsen, Vanessa; Keech, Wendy; Tirimacco, Rosy; Tideman, Phillip

    2015-01-01

    The traditional hospital-based model of cardiac rehabilitation faces substantial challenges, such as cost and accessibility. These challenges have led to the development of alternative models of cardiac rehabilitation in recent years. The aim of this study was to identify and critique evidence for the effectiveness of these alternative models. A total of 22 databases were searched to identify quantitative studies or systematic reviews of quantitative studies regarding the effectiveness of alternative models of cardiac rehabilitation. Included studies were appraised using a Critical Appraisal Skills Programme tool and the National Health and Medical Research Council's designations for Level of Evidence. The 83 included articles described interventions in the following broad categories of alternative models of care: multifactorial individualized telehealth, internet based, telehealth focused on exercise, telehealth focused on recovery, community- or home-based, and complementary therapies. Multifactorial individualized telehealth and community- or home-based cardiac rehabilitation are effective alternative models of cardiac rehabilitation, as they have produced similar reductions in cardiovascular disease risk factors compared with hospital-based programmes. While further research is required to address the paucity of data available regarding the effectiveness of alternative models of cardiac rehabilitation in rural, remote, and culturally and linguistically diverse populations, our review indicates there is no need to rely on hospital-based strategies alone to deliver effective cardiac rehabilitation. Local healthcare systems should strive to integrate alternative models of cardiac rehabilitation, such as brief telehealth interventions tailored to individual's risk factor profiles as well as community- or home-based programmes, in order to ensure there are choices available for patients that best fit their needs, risk factor profile, and preferences. © The European

  14. SEFRE: Semiexoskeleton Rehabilitation System

    PubMed Central

    Supsi, Witsarut

    2016-01-01

    SEFRE (Shoulder-Elbow-Forearm Robotics Economic) rehabilitation system is presented in this paper. SEFRE Rehab System is composed of a robotic manipulator and an exoskeleton, so-called Forearm Supportive Mechanism (FSM). The controller of the system is developed as the Master PC consisting of five modules, that is, Intelligent Control (IC), Patient Communication (PC), Training with Game (TG), Progress Monitoring (PM), and Patient Supervision (PS). These modules support a patient to exercise with SEFRE in six modes, that is, Passive, Passive Stretching, Passive Guiding, Initiating Active, Active Assisted, and Active Resisted. To validate the advantages of the system, the preclinical trial was carried out at a national rehabilitation center. Here, the implement of the system and the preclinical results are presented as the verifications of SEFRE. PMID:27578961

  15. SEFRE: Semiexoskeleton Rehabilitation System.

    PubMed

    Chonnaparamutt, Winai; Supsi, Witsarut

    2016-01-01

    SEFRE (Shoulder-Elbow-Forearm Robotics Economic) rehabilitation system is presented in this paper. SEFRE Rehab System is composed of a robotic manipulator and an exoskeleton, so-called Forearm Supportive Mechanism (FSM). The controller of the system is developed as the Master PC consisting of five modules, that is, Intelligent Control (IC), Patient Communication (PC), Training with Game (TG), Progress Monitoring (PM), and Patient Supervision (PS). These modules support a patient to exercise with SEFRE in six modes, that is, Passive, Passive Stretching, Passive Guiding, Initiating Active, Active Assisted, and Active Resisted. To validate the advantages of the system, the preclinical trial was carried out at a national rehabilitation center. Here, the implement of the system and the preclinical results are presented as the verifications of SEFRE.

  16. [Rehabilitation and algodystrophies].

    PubMed

    Simon, L; Blotman, F; Leroux, J L; Claustre, J; Azema, M J; Brun-Meyer, M

    1982-12-01

    Based on 20 years experience, and a personal series of 272 cases of reflex dystrophy (84 cases involving upper limbs, 188 cases involving lower limbs) admitted under a rheumatology unit equipped with all the available techniques of rehabilitative medicine, the authors stress the value of well conducted functional rehabilitation which, even alone, can obtain excellent results in the treatment of this disease, whatever the stage. The authors detail the modalities of this treatment. A local intra-articular or intra-canal injection of corticosteroids permits pain-free physiotherapy. The mobilisation of the lower limb is an urgent priority. Non-aggressive physiotherapeutic techniques should be adapted to the stage and the site of reflex dystrophy. Hydrokinesitherapy and the adaptation of craft techniques to occupational therapy also play an important part.

  17. 75 FR 21614 - Office of Special Education and Rehabilitative Services; Overview Information; Rehabilitation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-26

    ... Office of Special Education and Rehabilitative Services; Overview Information; Rehabilitation Short-Term... single budget period of 12 months. The Assistant Secretary for Special Education and Rehabilitative... 21, 2010. Alexa Posny, Assistant Secretary for Special Education and Rehabilitative Services. BILLING...

  18. 75 FR 21606 - Office of Special Education and Rehabilitative Services; Overview Information; Rehabilitation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-26

    ... Office of Special Education and Rehabilitative Services; Overview Information; Rehabilitation Training... single budget period of 12 months. The Assistant Secretary for Special Education and Rehabilitative.... Alexa Posny, Assistant Secretary for Special Education and Rehabilitative Services. BILLING CODE 4000-01...

  19. Web Accessibility in Europe and the United States: What We Are Doing to Increase Inclusion

    ERIC Educational Resources Information Center

    Wheaton, Joseph; Bertini, Patrizia

    2007-01-01

    Accessibility is hardly a new problem and certainly did not originate with the Web. Lack of access to buildings long preceded the call for accessible Web content. Although it is unlikely that rehabilitation educators look at Web page accessibility with indifference, many may also find it difficult to implement. The authors posit three reasons why…

  20. Web Accessibility in Europe and the United States: What We Are Doing to Increase Inclusion

    ERIC Educational Resources Information Center

    Wheaton, Joseph; Bertini, Patrizia

    2007-01-01

    Accessibility is hardly a new problem and certainly did not originate with the Web. Lack of access to buildings long preceded the call for accessible Web content. Although it is unlikely that rehabilitation educators look at Web page accessibility with indifference, many may also find it difficult to implement. The authors posit three reasons why…