Science.gov

Sample records for access roads rehabilitation

  1. Access to postacute rehabilitation.

    PubMed

    Buntin, Melinda Beeuwkes

    2007-11-01

    Each year, more than 10 million Medicare beneficiaries are discharged from acute care hospitals into postacute care (PAC) settings, including inpatient rehabilitation facilities, skilled nursing facilities, and homes with services from home health agencies. These beneficiaries include very frail and vulnerable elders, many of whom have suffered from an acute event such as a stroke or a fall resulting in hip fracture, all of whom are judged unable to return to their homes without further care. Whether beneficiaries receive PAC and the type and intensity of care they receive is influenced not only by clinical factors, but by nonclinical factors including provider supply and financing, especially Medicare's methods of payment. This article provides a definition of PAC and discusses the wide cross-sectional variation in the use of postacute rehabilitation. It then discusses recent changes to PAC provider payment that have raised concerns about access to postacute rehabilitation, trends in the use of PAC, and what these trends imply about the appropriateness of PAC as it is now delivered. It concludes by identifying issues about the policy and research implications of recent developments and the PAC literature reviewed.

  2. 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.

  3. 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. PMID:21789672

  4. 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.

  5. Effectiveness of Three Rehabilitation Treatments for Unpaved Forest Roads

    NASA Astrophysics Data System (ADS)

    Donnellycolt, A. K.; MacDonald, L. H.

    2008-12-01

    Up to $1 million per year is being spent to reduce sediment production and delivery from unpaved roads and protect the remaining Chinook salmon habitat on the Lassen National Forest in northeastern California, but little is known about the effectiveness of these treatments. The goal of this study is to estimate the reduction in road sediment production and road-stream connectivity due to three road rehabilitation treatments: 1) rocking and out-sloping, 2) road closures, and 3) road decommissioning. Sediment production was estimated for 4.6 km of untreated roads and 27 km of treated roads by measuring the volumes of erosion features. Road-stream connectivity was assessed by following the rills and sediment plumes emanating from each road segment. The mean volume of erosion features from the untreated roads was 16 m3 km-1 (s.d. = 15 m3 km-1). The measured mean volume for 26 rocked and out-sloped road sections was 5.9 m3 km- 1 (s.d.= 16 m3 km-1), which was 37% of the mean for the untreated roads. However, just three of the 26 treated sections accounted for 88% of the total volume. The closed roads had a similar mean volume of erosional features as the rocked and out-sloped roads, and three of the 11 sections accounted for 97% of the total volume. The mean erosion volume for the decommissioned roads was an order of magnitude higher at 41 m3 km-1 (s.d.= 92 m3 km-1). Again the distribution was highly skewed with three of the 22 sections accounting for 83% of the total, while 11 sections had no significant erosion features. Road-stream connectivity was less than 10% of the surveyed length for the untreated roads, the rocked and out-sloped roads, and the closed roads. In contrast, 28% of the surveyed length of the decommissioned roads was connected to the stream channel network. The highly skewed distributions of erosion volumes show that most of the road-related sediment is coming from a few 'bad' roads. This indicates that detailed road surveys are needed to identify

  6. 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

  7. 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

  8. Detail view of Bonita Ridge Access Road Retaining Wall showing ...

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

    Detail view of Bonita Ridge Access Road Retaining Wall showing drainpipes, camera facing northwest - Fort Barry, Bonita Ridge Access Road, Retaining Wall, Point Bonita, Marin Headlands, Sausalito, Marin County, CA

  9. View of northern end of Bonita Ridge Access Road Retaining ...

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

    View of northern end of Bonita Ridge Access Road Retaining Wall, camera facing northwest - Fort Barry, Bonita Ridge Access Road, Retaining Wall, Point Bonita, Marin Headlands, Sausalito, Marin County, CA

  10. Detail view of reinforced concrete of Bonita Ridge Access Road ...

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

    Detail view of reinforced concrete of Bonita Ridge Access Road Retaining Wall, camera facing northwest - Fort Barry, Bonita Ridge Access Road, Retaining Wall, Point Bonita, Marin Headlands, Sausalito, Marin County, CA

  11. Increasing Access to Rehabilitation for Persons with Low Vision.

    ERIC Educational Resources Information Center

    Coco, F.

    1995-01-01

    This article addresses the lack of access to low-vision rehabilitation services by individuals needing them, due to lack of coverage by public or private health insurance. Improved insurance coverage would result in improved access as well as more direct referrals by ophthalmologists, more consumer choice, more timely rehabilitation, reduced…

  12. View of middle portion of Bonita Ridge Access Road Retaining ...

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

    View of middle portion of Bonita Ridge Access Road Retaining Wall, showing Signal Corps Radar 296 Station 5 Tower concrete pier (top center), camera facing northwest - Fort Barry, Bonita Ridge Access Road, Retaining Wall, Point Bonita, Marin Headlands, Sausalito, Marin County, CA

  13. Oblique view of Bonita Ridge Access Road Retaining Wall, showing ...

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

    Oblique view of Bonita Ridge Access Road Retaining Wall, showing southernmost portion of intact wall and portion of concrete drainage ditch from Signal Corps Radar 296 Station 5 Transmitter Building foundation above, camera facing west-north - Fort Barry, Bonita Ridge Access Road, Retaining Wall, Point Bonita, Marin Headlands, Sausalito, Marin County, CA

  14. Contextual view of Bonita Ridge Access Road Retaining Wall, showing ...

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

    Contextual view of Bonita Ridge Access Road Retaining Wall, showing concrete stairway and ramp with Army Fire Control Station (Buildings 621 and 622) at far left, camera facing southwest - Fort Barry, Bonita Ridge Access Road, Retaining Wall, Point Bonita, Marin Headlands, Sausalito, Marin County, CA

  15. 10. EASTERLY VIEW OF THE ACCESS ROAD TO THE DOWNSTREAM ...

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

    10. EASTERLY VIEW OF THE ACCESS ROAD TO THE DOWNSTREAM SIDE OF BIG DALTON DAM EXTENDING FROM THE FOOTBRIDGE TO THE GAGING STATION. BIG DALTON DAM IN BACKGROUND. - Big Dalton Dam, 2600 Big Dalton Canyon Road, Glendora, Los Angeles County, CA

  16. 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

  17. 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

  18. 2. THREEQUARTER VIEW FROM ADJACENT ACCESS ROAD SHOWING THREE SPANS ...

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

    2. THREE-QUARTER VIEW FROM ADJACENT ACCESS ROAD SHOWING THREE SPANS AND NORTHWEST APPROACH SPANS, LOOKING SOUTHEAST - Red River Bridge, Spanning Red River at U.S. Highway 82, Garland, Miller County, AR

  19. 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...

  20. 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...

  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 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...

  2. 25 CFR 170.122 - Can a tribe close a cultural access road?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 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...

  3. 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...

  4. 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…

  5. 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…

  6. 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

  7. CONTEXT PHOTOGRAPH OF BASE END STATIONS FROM ACCESS ROAD AT ...

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

    CONTEXT PHOTOGRAPH OF BASE END STATIONS FROM ACCESS ROAD AT MIDSLOPE, FACING NORTH. FROM LEFT TO RIGHT ARE STATIONS BARLOW, SAXTON, LEARY, MERRIAM (OUT OF VIEW BEHIND WW n ERA CONSTRUCTION), OSGOOD, AND FARLEY - White's Point Reservation, Base End Stations, Bounded by Voyager Circle & Mariner Drive, San Pedro, Los Angeles County, CA

  8. 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

  9. 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

  10. 9. ACCESS ROAD FOR NORTHBOUND PARKWAY LANES AT AVENUE 60. ...

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

    9. ACCESS ROAD FOR NORTHBOUND PARKWAY LANES AT AVENUE 60. NOTE RAILING AT LEFT FOR BRIDGE SEEN IN CA-265-T-8. LOOKING 308°N. - Arroyo Seco Parkway, Avenue 60 Bridge, Milepost 28.76, Los Angeles, Los Angeles County, CA

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

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What terms apply to access roads? 170.127 Section 170.127 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Irr Housing Access Roads § 170.127...

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

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false What terms apply to access roads? 170.127 Section 170.127 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Irr Housing Access Roads § 170.127...

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

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false What terms apply to access roads? 170.127 Section 170.127 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Irr Housing Access Roads § 170.127...

  14. 25 CFR 170.127 - What terms apply to access roads?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false What terms apply to access roads? 170.127 Section 170.127 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Irr Housing Access Roads § 170.127...

  15. 25 CFR 170.127 - What terms apply to access roads?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true What terms apply to access roads? 170.127 Section 170.127 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Irr Housing Access Roads § 170.127...

  16. 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

  17. 75 FR 2583 - Over-the-Road Bus Accessibility Program Grants

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-15

    ...) announces the availability of funds in Fiscal Year (FY) 2009 for the Over-the-Road Bus (OTRB) Accessibility... of an accessible over-the-road bus are listed in 49 CFR part 38, subpart G. The rule required 50.... Specifications describing the design features of an accessible over-the-road bus are listed in 49 CFR part...

  18. 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... Fiscal Year (FY) 2011 appropriations for the Over-the-Road Bus (OTRB) Accessibility Program, authorized... Accessibility Program makes funds available to private operators of over-the-road buses to help finance...

  19. 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...

  20. 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

  1. 76 FR 17738 - Over-the-Road Bus Accessibility Program Announcement of Project Selections

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-30

    ... Federal Transit Administration Over-the-Road Bus Accessibility Program Announcement of Project Selections... be funded under Fiscal Year (FY) 2009 and 2010 appropriations for the Over-the- Road Bus (OTRB...). The OTRB Accessibility Program makes funds available to private operators of over-the-road buses...

  2. 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

  3. 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.

  4. PAH Accessibility in Particulate Matter from Road-Impacted Environments.

    PubMed

    Allan, Ian J; O'Connell, Steven G; Meland, Sondre; Bæk, Kine; Grung, Merete; Anderson, Kim A; Ranneklev, Sissel B

    2016-08-01

    Snowmelt, surface runoff, or stormwater releases in urban environments can result in significant discharges of particulate matter-bound polycyclic aromatic hydrocarbons (PAHs) into aquatic environments. Recently, more-specific activities such as road-tunnel washing have been identified as contributing to contaminant load to surface waters. However, knowledge of PAH accessibility in particulate matter (PM) of urban origin that may ultimately be released into urban surface waters is limited. In the present study, we evaluated the accessibility of PAHs associated with seven distinct (suspended) particulate matter samples collected from different urban sources. Laboratory-based infinite sink extractions with silicone rubber (SR) as the extractor phase demonstrated a similar pattern of PAH accessibility for most PM samples. Substantially higher accessible fractions were observed for the less-hydrophobic PAHs (between 40 and 80% of total concentrations) compared with those measured for the most-hydrophobic PAHs (<5% of total concentrations). When we focused on PAHs bound to PM from tunnel-wash waters, first-order desorption rates for PAHs with log Kow > 5.5 were found in line with those commonly found for slowly or very slowly desorbing sediment-associated contaminants. PAHs with log Kow < 5.5 were found at higher desorbing rates. The addition of detergents did not influence the extractability of lighter PAHs but increased desorption rates for the heavier PAHs, potentially contributing to increases in the toxicity of tunnel-wash waters when surfactants are used. The implications of total and accessible PAH concentrations measured in our urban PM samples are discussed in a context of management of PAH and PM emission to the surrounding aquatic environment. Although we only fully assessed PAHs in this work, further study should consider other contaminants such as OPAHs, which were also detected in all PM samples. PMID:27312518

  5. 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.

  6. 75 FR 20034 - Over-the-Road Bus Accessibility Program Grants: Corrections

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-16

    ... 215 (73 FR 47046, Aug. 13, 2008). On October 1, 2008, DOL began using a revised special warranty for... 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...

  7. 77 FR 25529 - Over-the-Road Bus Accessibility Program Grants

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-30

    ... this authorization, the DOL amended its implementing regulations at 29 CFR part 215 (73 FR 47046, Aug... TRANSPORTATION Federal Transit Administration Over-the-Road Bus Accessibility Program Grants AGENCY: Federal... availability of funds in Fiscal Year (FY) 2012 for the Over-the-Road Bus Accessibility (OTRB)...

  8. 33 CFR 211.78 - Maintenance and conveyance of access roads.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Site Development and Use § 211.78 Maintenance and conveyance of access roads. The Government will not... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Maintenance and conveyance of access roads. 211.78 Section 211.78 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF...

  9. 33 CFR 211.78 - Maintenance and conveyance of access roads.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Site Development and Use § 211.78 Maintenance and conveyance of access roads. The Government will not... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Maintenance and conveyance of access roads. 211.78 Section 211.78 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF...

  10. 33 CFR 211.78 - Maintenance and conveyance of access roads.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Site Development and Use § 211.78 Maintenance and conveyance of access roads. The Government will not... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Maintenance and conveyance of access roads. 211.78 Section 211.78 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF...

  11. 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.

  12. 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…

  13. 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

  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. 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…

  16. BARN EXTERIOR PERSPECTIVE OF WEST FAÇADE FROM ACCESS ROAD, LOOKING ...

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

    BARN EXTERIOR PERSPECTIVE OF WEST FAÇADE FROM ACCESS ROAD, LOOKING EAST. (A shed addition was added to the north end of the barn in the mid-1950s for squash storage. Another addition was built in the early 1970s to provide feeding and watering troughs for cattle. This image also shows the granary, on the right.) - Smith Farm, Barn, 399 Ebey Road, Coupeville, Island County, WA

  17. 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

    ... the transportation planning process as required in subpart D, may include housing access roads and housing street projects on the Tribal Transportation Improvement Program (TTIP). IRR Program funds...

  18. Assessment of micro-regional internal accessibility based on road network

    NASA Astrophysics Data System (ADS)

    Nie, Ting; Li, Manchun; Jiang, Zhixin; Huang, Kang

    2007-06-01

    Accessibility is an important indicator of regional land-use, social justice and quality of life. It means the convenience from one place to another in a specified kind of transportation system. Wide-region based, most of the present domestic accessibility research took the high-grade highway such as highway and railway as entirely open road, without considering the service that high-grade highway provides based on intersection and railway station. This study extended to put forward arithmetic to deal with this problem in a micro-regional study area. Taking New District, Wuxi City, Jiangsu Province as a study case, this study researched the assessment of micro-regional internal accessibility based on road network including closed road. This study provides a tool to regional economical and social decision, and introduces a new view for studying relationship between people and land-use in micro-district.

  19. 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…

  20. 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.

  1. Hills, ridges, mountains, and roads: geographical factors and access to care in rural Kentucky.

    PubMed

    Ramsbottom-Lucier, M; Emmett, K; Rich, E C; Wilson, J F

    1996-01-01

    Access to health care remains an important issue facing many individuals. Barriers to health care include financial factors, characteristics of the individuals and of the health care delivery system, as well as geographical factors. Using a telephone survey of Kentucky residents, this study investigated the relationship between the road quality and county elevation and access to health care for individuals in rural and urban areas of the state. Controlling the comparison for known individual characteristics, community characteristics, and medical infrastructure characteristics, this study uncovered that worse road conditions, measured by a road "rideability" index, were associated with longer times to reach medical care. It also found an association between higher county elevations and shorter times to reach medical care.

  2. 33 CFR 211.78 - Maintenance and conveyance of access roads.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... access roads. 211.78 Section 211.78 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE REAL ESTATE ACTIVITIES OF THE CORPS OF ENGINEERS IN CONNECTION WITH CIVIL... of Engineers or the Director of Civil Works (Assistant to the Chief of Engineers for Civil Works)...

  3. 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).

  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. PMID:26417750

  5. 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.

  6. 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…

  7. 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.

  8. Accessing inpatient rehabilitation after acute severe stroke: age, mobility, prestroke function and hospital unit are associated with discharge to inpatient rehabilitation.

    PubMed

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

    2012-12-01

    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 stroke (Mobility Scale for Acute Stroke ≤ 15). Physiotherapists assessed patients on day 3 poststroke, collecting demographic information and information relating to their prestroke status, social status and current status. Stepwise logistic-regression modelling was used to examine the association between age, type of stroke, prestroke living situation, comorbidities, availability of carer on discharge, current mobility, bladder continence, bowel continence, cognition and communication and the dependent variable, discharge destination (rehabilitation/other). The resulting model was analysed using hierarchical logistic regression with hospital unit as the clustering variable. Of the 108 patients fulfilling the inclusion criteria, 70 (64.8%) were discharged to rehabilitation. The variables independently associated with discharge to rehabilitation were younger age [odds ratio (OR)=0.89, 95% confidence interval (CI)=0.83-0.95, P=0.001], independent premorbid functional status (OR=14.92, 95% CI=2.43-91.60, P=0.004) and higher level of current mobility (OR=1.31, 95% CI=1.02-1.66, P<0.03). The multilevel model estimated that 12% of the total variability in discharge destination was explained by differences between the hospital units (ρ=0.12, 95% CI=0.02-0.55, P=0.048). The results indicate that the variables associated with discharge to rehabilitation following severe stroke are younger age, independent prestroke functional status and higher level of current mobility. In addition, organizational factors play a role in selection for rehabilitation, suggesting inequity in access for this patient group. PMID:22728683

  9. 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.

  10. 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. PMID:25980706

  11. Salting our landscape: an integrated catchment model using readily accessible data to assess emerging road salt contamination to streams.

    PubMed

    Jin, Li; Whitehead, Paul; Siegel, Donald I; Findlay, Stuart

    2011-05-01

    A new integrated catchment model for salinity has been developed to assess the transport of road salt from upland areas in watersheds to streams using readily accessible landscape, hydrologic, and meteorological data together with reported salt applications. We used Fishkill Creek (NY) as a representative watershed to test the model. Results showed good agreement between modeled and measured stream water chloride concentrations. These results suggest that a dominant mode of catchment simulation that does not entail complex deterministic modeling is an appropriate method to model salinization and to assess effects of future applications of road salt to streams. We heuristically increased and decreased salt applications by 100% and results showed that stream chloride concentrations increased by 13% and decreased by 7%, respectively. The model suggests that future management of salt application can reduce environmental concentrations, albeit over some time.

  12. Medical necessity: is current documentation practice and payment denial limiting access to inpatient rehabilitation?

    PubMed

    Granger, Carl V; Carlin, Marsha; Diaz, Pedro; Dorval, Jane; Forer, Steve; Kessler, Corby; Melvin, John L; Miller, Lawrence S; Riggs, Richard V; Roberts, Pamela

    2009-09-01

    Medical necessity is a legal, not medical, term. Depending on the stakeholder's point of view, it may seem less about human need and dispensing medical care and more about a web of rules, rulings, regulations, and manuals, especially for Medicare patients, who use the lion's share of rehabilitation services. In other words, the term medical necessity seems, to some stakeholders, to refer more to what determines payment by Medicare instead of what should be done to determine optimal patient health. Such a perspective on medical necessity has major implications, considering that Medicare pays for most of the rehabilitation treatment in some 1200 inpatient rehabilitation facilities and that its policies determine which patients qualify for admission to an inpatient rehabilitation facility. Medicare's medical necessity policies are often described by inpatient rehabilitation facility administrators and physiatrists as complicated and unfair, as well as being demeaning to the standing of physicians. Ask some physiatrists about their patients meeting Medicare guidelines for medical necessity, and they might bark, "Medical necessity?! That's what I was taught to know!" PMID:19487918

  13. 77 FR 71865 - Over-the-Road Bus Accessibility Grant Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-04

    ...-route carriers after October 30, 2000, must be accessible with wheelchair lifts and tie downs that allow passengers to ride in their own wheelchairs. October 29, 2012 was the deadline whereby the fixed-route...

  14. Barriers to cardiac rehabilitation access of older heart failure patients and strategies for better implementation.

    PubMed

    Pulignano, Giovanni; Tinti, Maria Denitza; Del Sindaco, Donatella; Tolone, Stefano; Minardi, Giovanni; Lax, Antonio; Uguccioni, Massimo

    2016-01-01

    In heart failure (HF), cardiac rehabilitation (CR) may reduce decompensations, hospitalization, and ultimately mortality in long term. Many studies over the past decade have demonstrated that aerobic exercise training is effective and safe in stable patients with HF. Exercise CR resulted in a clinically important improvement in the QOL. Several clinical and psychosocial factors are associated with decreased participation in CR programs of elderly HF patients, such as perception of exercise as tiring or painful, comorbidities, lack of physician encouragement, and opinion that CR will not improve their health status. Besides low functional capacity, and chronic deconditioning may also deter patients from participating in CR programs. Recent data suggest that current smoking, a BMI ≥30 kg/m2, diabetes mellitus, and cognitive dysfunction are associated with failure to enroll in outpatient CR in older age group. Moreover the lack of availability of CR facilities or the absence of financial refunds for enrolment of CHF patients in cardiac rehabilitation programs can play a crucial role. Many of this factors are modifiable through patient education and self care strategy instruction, health providers sensibilization, and implementing economic measures in order to make CR affordable.

  15. 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.

  16. The Road to Work: An Introduction to Vocational Rehabilitation. A Booklet for Youth and Adults with Disabilities, Family Members and Advocates.

    ERIC Educational Resources Information Center

    McDonald, Shauna; And Others

    This booklet for Minnesota young people with disabilities and their families is intended to explain vocational rehabilitation services required under the Rehabilitation Act as amended in 1992. The first section considers eligibility for vocational rehabilitation, the role of state agencies, the application process, and assessment. The next section…

  17. The Road to Work: An Introduction to Vocational Rehabilitation. A Booklet for Youth and Adults with Disabilities, Family Members and Advocates. Second Edition.

    ERIC Educational Resources Information Center

    McDonald, Shauna; Parker, Rachel; Goldberg, Paula

    This booklet for Minnesota young people with disabilities and their families is intended to explain vocational rehabilitation services required under the Rehabilitation Act as amended in 1992 and transition services under the Individuals with Disabilities Education Act. The first section discusses vocational rehabilitation, transition services for…

  18. 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

  19. Region V Study of Access, Services and Benefits from Vocational Rehabilitation 1972 to 1984: A Gender Perspective.

    ERIC Educational Resources Information Center

    Wisconsin Univ.-Stout, Menomonie. Stout Vocational Rehabilitation Inst.

    The vocational rehabilitation agencies in Region V (Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin) cooperated in a study to determine whether there were systematic gender differences along input, program, and output dimensions among the state vocational rehabilitation programs in the region over a 13-year period, 1972-1984. The…

  20. 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

    ... applicable statutory and regulatory requirements, including 25 CFR part 169. Roads or other infrastructure within the leased premises do not require compliance with 25 CFR part 169 during the term of the lease... roads or other infrastructure? 162.019 Section 162.019 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT...

  1. 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

    ... applicable statutory and regulatory requirements, including 25 CFR part 169. Roads or other infrastructure within the leased premises do not require compliance with 25 CFR part 169 during the term of the lease... roads or other infrastructure? 162.019 Section 162.019 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT...

  2. 12 CFR 1010.210 - Roads.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... § 1010.210 Roads. (a) State the estimated cost to the developer of the proposed road system. (b) If the developer is to complete any roads providing access to the subdivision, submit copies of any bonds or...

  3. Access to Education for the Disabled. A Guide to Compliance with Section 504 of the Rehabilitation Act of 1973.

    ERIC Educational Resources Information Center

    Heyward, Salome M.

    This book presents an analysis of and guide to Section 504 of the Rehabilitation Act of 1973. Part I considers the evolution of compliance standards under Section 504 with chapters on civil rights compliance standards, nondiscrimination versus affirmative action, and the recipient's obligation. Part II provides an overview of Section 504 covering:…

  4. The Neurorehabilitation Training Toolkit (NTT): A Novel Worldwide Accessible Motor Training Approach for At-Home Rehabilitation after Stroke

    PubMed Central

    Bermúdez i Badia, Sergi; Cameirão, M. S.

    2012-01-01

    After stroke, enduring rehabilitation is required for maximum recovery, and ideally throughout life to prevent functional deterioration. Hence we developed a new concept for at-home low-cost motor rehabilitation, the NTT, an Internet-based interactive system for upper-limb rehabilitation. In this paper we present the NTT design concepts, its implementation and a proof of concept study with 10 healthy participants. The NTT brings together concepts of optimal learning, engagement, and storytelling to deliver a personalized training to its users. In this study we evaluate the feasibility of NTT as a tool capable of automatically assessing and adapting to its user. This is achieved by means of a psychometric study where we show that the NTT is able to assess movement kinematics—movement smoothness, range of motion, arm displacement and arm coordination—in healthy users. Subsequently, a modeling approach is presented to understand how the measured movement kinematics relate to training parameters, and how these can be modified to adapt the training to meet the needs of patients. Finally, an adaptive algorithm for the personalization of training considering motivational and performance aspects is proposed. In the next phase we will deploy and evaluate the NTT with stroke patients at their homes. PMID:22619741

  5. [Occupational choice and biography - biographical diagnostics as an approach to accessing the individual's perceptual horizons and resources in the context of vocational rehabilitation].

    PubMed

    Dern, W; Hanses, A

    2001-10-01

    This contribution is focused on the core tenet that the process of choice of occupation must encompass in its everyday routines the disabled person's biography, his or her life experiences, biographical self-appraisals as well as action orientations. Unless this is achieved, its professional strategies and interventions will remain prone to missing, or even counteracting, the biographical resources as well as thinking and perceptions of its clients. Biographical Diagnostics is presented here as a method seeking to access the individual in the process of choice of occupation in an understanding manner. It constitutes a new concept in terms of a biography-based, hermeneutic case approach conceived for implementation in the everyday routines of vocational rehabilitation. Two case examples serve to explicate the method of Biographical Diagnostics and set out the relevancy of a biographical orientation in the process of occupational choice. PMID:11579376

  6. [Occupational choice and biography - biographical diagnostics as an approach to accessing the individual's perceptual horizons and resources in the context of vocational rehabilitation].

    PubMed

    Dern, W; Hanses, A

    2001-10-01

    This contribution is focused on the core tenet that the process of choice of occupation must encompass in its everyday routines the disabled person's biography, his or her life experiences, biographical self-appraisals as well as action orientations. Unless this is achieved, its professional strategies and interventions will remain prone to missing, or even counteracting, the biographical resources as well as thinking and perceptions of its clients. Biographical Diagnostics is presented here as a method seeking to access the individual in the process of choice of occupation in an understanding manner. It constitutes a new concept in terms of a biography-based, hermeneutic case approach conceived for implementation in the everyday routines of vocational rehabilitation. Two case examples serve to explicate the method of Biographical Diagnostics and set out the relevancy of a biographical orientation in the process of occupational choice.

  7. 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…

  8. Cardiac Rehabilitation

    MedlinePlus

    ... from the NHLBI on Twitter. What Is Cardiac Rehabilitation? Cardiac rehabilitation (rehab) is a medically supervised program ... be designed to meet your needs. The Cardiac Rehabilitation Team Cardiac rehab involves a long-term commitment ...

  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; 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.

  10. 12 CFR 1010.210 - Roads.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 8 2012-01-01 2012-01-01 false Roads. 1010.210 Section 1010.210 Banks and... § 1010.210 Roads. (a) State the estimated cost to the developer of the proposed road system. (b) If the developer is to complete any roads providing access to the subdivision, submit copies of any bonds or...

  11. 12 CFR 1010.210 - Roads.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 8 2013-01-01 2013-01-01 false Roads. 1010.210 Section 1010.210 Banks and... § 1010.210 Roads. (a) State the estimated cost to the developer of the proposed road system. (b) If the developer is to complete any roads providing access to the subdivision, submit copies of any bonds or...

  12. 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 ...

  13. Rehabilitation Research.

    ERIC Educational Resources Information Center

    Wright, George N.; Trotter, Ann Beck

    A total of 97 studies are reported in this review of research in vocational rehabilitation. Projects were selected on the following criteria: (1) pertinence to rehabilitation counseling practice, (2) research approach, (3) broad generalizability, and (4) supported by the Vocational Rehabilitation Administration for a one-to-five-year period and…

  14. 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,…

  15. Making pulmonary rehabilitation a success in COPD.

    PubMed

    Bourbeau, J

    2010-01-01

    A truly successful pulmonary rehabilitation entails implementing physical activity maintenance. This article reviews the current knowledge on pulmonary rehabilitation and the expected benefits, the setting, the relationship between self-management and pulmonary rehabilitation, in order to develop and implement clinically-effective physical activity maintenance interventions. The effectiveness of pulmonary rehabilitation is well-established. However, access to pulmonary rehabilitation is limited. Home-based pulmonary rehabilitation has been shown to be an effective, equivalent alternative to outpatient pulmonary rehabilitation in COPD patients. The opportunity to offer different pulmonary rehabilitation settings tailored to individual needs should improve accessibility to this intervention. Sustained long-term physical activity remains the most important challenge for COPD patients. We need a dependable system of coordinated health care interventions and communication, and components that include self-management support. Self-management should be an integrated part of pulmonary rehabilitation and remain long after the pulmonary rehabilitation is completed. By early identification of patients who may have difficulty maintaining exercise and implementing appropriate self-management interventions during and after the rehabilitation program, it may be possible to promote better long-term involvement in physical activity. Pulmonary rehabilitation should not stand alone; the best program is that which can be maintained to translate into a continuous increase in the activities of daily living. Future research should evaluate the effect of self-management interventions combined with pulmonary rehabilitation to improve long-term activity and exercise maintenance. PMID:20809435

  16. 78 FR 12002 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-21

    ... 15, 2006 (71 FR 8165), can be accessed on the Internet at the following site: www.ed.gov/about... CFR Chapter III Proposed Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative...

  17. 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…

  18. 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…

  19. [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.

  20. 23 CFR 660.517 - Maneuver area roads.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Maneuver area roads. 660.517 Section 660.517 Highways... PROGRAMS (DIRECT FEDERAL) Defense Access Roads § 660.517 Maneuver area roads. (a) Claims by a highway agency for costs incurred to restore, to their former condition, roads damaged by maneuvers involving...

  1. 23 CFR 660.517 - Maneuver area roads.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 23 Highways 1 2013-04-01 2013-04-01 false Maneuver area roads. 660.517 Section 660.517 Highways... PROGRAMS (DIRECT FEDERAL) Defense Access Roads § 660.517 Maneuver area roads. (a) Claims by a highway agency for costs incurred to restore, to their former condition, roads damaged by maneuvers involving...

  2. 23 CFR 660.517 - Maneuver area roads.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 23 Highways 1 2012-04-01 2012-04-01 false Maneuver area roads. 660.517 Section 660.517 Highways... PROGRAMS (DIRECT FEDERAL) Defense Access Roads § 660.517 Maneuver area roads. (a) Claims by a highway agency for costs incurred to restore, to their former condition, roads damaged by maneuvers involving...

  3. 23 CFR 660.517 - Maneuver area roads.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 23 Highways 1 2011-04-01 2011-04-01 false Maneuver area roads. 660.517 Section 660.517 Highways... PROGRAMS (DIRECT FEDERAL) Defense Access Roads § 660.517 Maneuver area roads. (a) Claims by a highway agency for costs incurred to restore, to their former condition, roads damaged by maneuvers involving...

  4. 23 CFR 660.517 - Maneuver area roads.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 23 Highways 1 2014-04-01 2014-04-01 false Maneuver area roads. 660.517 Section 660.517 Highways... PROGRAMS (DIRECT FEDERAL) Defense Access Roads § 660.517 Maneuver area roads. (a) Claims by a highway agency for costs incurred to restore, to their former condition, roads damaged by maneuvers involving...

  5. 36 CFR 9.32 - Access.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... MANAGEMENT Non-Federal Oil and Gas Rights § 9.32 Access. (a) No access on, across or through lands or waters... CFR 2.17. (d) No access to a site outside a unit will be permitted across unit lands unless such access is by foot, pack animal, or designated road. Persons using designated roads for access to such...

  6. 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... CFR 2.17. (d) No access to a site outside a unit will be permitted across unit lands unless such access is by foot, pack animal, or designated road. Persons using designated roads for access to such...

  7. 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... CFR 2.17. (d) No access to a site outside a unit will be permitted across unit lands unless such access is by foot, pack animal, or designated road. Persons using designated roads for access to such...

  8. 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.

  9. [Pulmonary rehabilitation].

    PubMed

    Senjyu, Hideaki

    2016-05-01

    Pulmonary rehabilitation commenced in Japan in 1957. However, the development of pulmonary rehabilitation took a long time due to the lack of the necessary health and medical services. Pulmonary rehabilitation is a comprehensive intervention based on a thorough patient assessment followed by patient-tailored therapies that include, but are not limited to, exercise training, education, and behavior change, designed to improve the physical and psychological condition of people with chronic respiratory disease and to promote the long-term adherence to health-enhancing behaviors. The benefits of pulmonary rehabilitation include a decrease in breathlessness and an improvement in exercise tolerance. It is important that the gains in exercise tolerance lead to an increase in daily physical activity. PMID:27254948

  10. Road Rage

    PubMed Central

    Sansone, Lori A.

    2010-01-01

    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. PMID:20805914

  11. 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

  12. 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.

  13. 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.

  14. 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.…

  15. 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.

  16. Pulmonary rehabilitation.

    PubMed

    Troosters, Thierry; Demeyer, Heleen; Hornikx, Miek; Camillo, Carlos Augusto; Janssens, Wim

    2014-03-01

    Pulmonary rehabilitation is a therapy that offers benefits to patients with chronic obstructive pulmonary disease that are complementary to those obtained by pharmacotherapy. The main objective of pulmonary rehabilitation is to restore muscle function and exercise tolerance, reverse other nonrespiratory consequences of the disease, and help patients to self-manage chronic obstructive pulmonary disease and its exacerbations and symptoms. To do so, a multidisciplinary program tailored to the patient in terms of program content, exercise prescription, and setting must be offered. Several settings and programs have shown to spin off in significant immediate results. The challenge lies in maintaining the benefits outside the program. PMID:24507849

  17. 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…

  18. 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.

  19. 36 CFR 228.12 - Access.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... other means of access, including but not limited to off-road vehicles, be used until the operator has... Minerals § 228.12 Access. An operator is entitled to access in connection with operations, but no...

  20. View west along Tatnic Road and Hartford Road (Route 6) ...

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

    View west along Tatnic Road and Hartford Road (Route 6) showing West Brooklyn Green, 10 Tatnic Road, and 126 Hartford Road - West Brooklyn Green, Tatnic Road & Hartford Road, Brooklyn, Windham County, CT

  1. The road not taken*

    PubMed Central

    Messerle, Judith

    2001-01-01

    The annual Janet Doe Lecture was established in l966 to honor Janet Doe, emerita librarian of the New York Academy of Medicine. The lecture focuses on either the history or philosophy of health sciences librarianship. This lecture addresses three fundamental values of the field, highlighting basic beliefs of the profession that are at risk: privacy, intellectual property rights, and access to quality information. It calls upon readers to make the everyday choices required to keep the value system of health sciences librarianship in place. Robert Frost's poignant poem ”The Road Not Taken” provides the metaphor for examining choices in an information economy. PMID:11209796

  2. 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.

  3. 77 FR 33805 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-07

    ... Terminal entrance road construction. Taxilanes construction, phase II. Terminal apron reconstruction... fencing. Rehabilitate terminal building. Rehabilitate taxiway A (west). Access road repair. Rehabilitate... beacon. Security enhancements. Access road and parking lot. Terminal center--phase III. Acquire...

  4. Balance (or Vestibular) Rehabilitation

    MedlinePlus

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

  5. Physical medicine and rehabilitation

    MedlinePlus

    Rehabilitation; Physical rehab; Physiatry ... or developmental disorders Speech disorders and language problems Physical medicine and rehabilitation services also include sports medicine and injury prevention. WHERE REHABILITATION IS DONE People can have ...

  6. What Is Cardiac Rehabilitation?

    MedlinePlus

    ANSWERS by heart Treatments + Tests What Is Cardiac Rehabilitation? A cardiac rehabilitation (rehab) program takes place in a hospital or ... special help in making lifestyle changes. During your rehabilitation program you’ll… • Have a medical evaluation to ...

  7. 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.

  8. 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.

  9. [Dysphagia rehabilitation].

    PubMed

    Saitoh, Eiichi

    2008-11-01

    Recently, many medical professionals become to realize eating problem affect deeply patient's quality of life (QOL), and they are very interested in dysphagia rehabilitation. I overviewed dysphagia rehabilitation along with the followings; (1) impact of dysphagia, (2) assessment of dysphagia, and (3) management of dysphagia. Eating is the most enjoyable activity. Dysphagia changes this enjoyable activity to the most fearful one. Dysphagia makes three major problems: risk of aspiration pneumonia and suffocation, risk of dehydration and malnutrition, and depriving enjoyable activity. As a recent conceptualization of eating, the Process model is the most important, that reveals eating (chew-swallow) is very different from just chewing plus swallowing in physiologically. In assessment, standardized functional tests such as the Repetitive saliva swallowing test, the Modified water swallowing test, and the Graded food test are used. The most important point in clinical assessment is identifying indication of direct therapy using food or starting period of oral feeding. Videofluorographic and videoendoscopic examinations are used as precise diagnostic and management-oriented assessment tools. In management, exercise, posture adjustment, and modification of food promote eating possibility. Oral care is essential in dysphagic patients. Surgical intervention is effective method if a patient has severe dysphagia. PMID:19198104

  10. 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...

  11. 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...

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. 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...

  17. 25 CFR 170.120 - What restrictions apply to the use of an Indian Reservation Road?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Reservation Road? 170.120 Section 170.120 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 § 170.120 What restrictions apply to the use of an...

  18. 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...

  19. 25 CFR 170.120 - What restrictions apply to the use of an Indian Reservation Road?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Reservation Road? 170.120 Section 170.120 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 § 170.120 What restrictions apply to the use of an...

  20. 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...

  1. 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...

  2. 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

  3. 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

  4. 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.

  5. 23 CFR 661.21 - When is a bridge eligible for rehabilitation?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... functionally obsolete and must be in accordance with 23 CFR part 650.409(a) for bridge rehabilitation. A bridge... 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...

  6. 23 CFR 661.21 - When is a bridge eligible for rehabilitation?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... functionally obsolete and must be in accordance with 23 CFR part 650.409(a) for bridge rehabilitation. A bridge... 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...

  7. 23 CFR 661.21 - When is a bridge eligible for rehabilitation?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... functionally obsolete and must be in accordance with 23 CFR part 650.409(a) for bridge rehabilitation. A bridge... 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...

  8. [Cardiac rehabilitation in Germany: a successful model with promising prospects].

    PubMed

    Korsukéwitz, C; Falk, J; Lindow, B

    2012-02-01

    Over the past 20 years the German Pension Insurance has rehabilitated nearly 800,000 patients with coronary heart disease. In particular, phase-II rehabilitation has been established as an integral part of cardiac patient care. However, the decreasing number of participants in phase-III must be seen critically. Today's cardiac rehabilitation is characterised by evidence-based treatment modules and a sophisticated quality assurance system that ensures quality orientation in all aspects, from access to rehabilitation through to aftercare. Future developments such as vocationally-oriented medical rehabilitation and the use of new technologies will further improve cardiac rehabilitation. Positive patient feedback and scientific evidence of the effectiveness of cardiac rehabilitation are further incentives to maintain this forward-looking approach. PMID:22190191

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

    PubMed

    2014-07-01

    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. PMID:25016623

  11. 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.

  12. Supporting drivers in forming correct expectations about transitions between rural road categories.

    PubMed

    Stelling-Konczak, Agnieszka; Aarts, Letty; Duivenvoorden, Kirsten; Goldenbeld, Charles

    2011-01-01

    In order to support drivers in forming the right expectations on the road, road categories are being made recognisable and predictable in the Netherlands. The present study investigated which of the selected road layouts can make rural road categories most recognisable for road users, especially in transitions from one road category to another. A second objective was to study whether explicit information could contribute to a better recognisability of transitions. The experiment was performed with a series of photographs showing sections of two road categories with an intersection in between. The road layout of road categories varied in markings and separation of driving direction (within-subjects factor). Informed and non-informed participants (between-subjects factor) had to indicate their expectations regarding speed limit and access restriction of each road section, before and after a transition. The results show that for transitions between distributor and through roads, the physicality of separation of driving direction is a better distinctive characteristic than the currently used edge marking. The green centre marking on through roads also enhances recognisability, but only with additional information. As far as transitions between distributor and access roads are concerned, the results demonstrate that this type of transitions is better recognised when no markings on access roads are present. Physical separation of driving directions on distributor roads also improves recognisability, although this layout is associated with higher speed limits. Providing explicit information has in general a positive effect on the reconisability of transitions. Implications are discussed in the light of potential safety effects.

  13. 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.

  14. Steps Toward Campus Accessibility.

    ERIC Educational Resources Information Center

    Association of Physical Plant Administrators of Universities and Colleges, Washington, DC.

    Photo-essays focus on the progress colleges and universities have made in achieving program accessibility for handicapped persons in compliance with Section 504 of the Rehabilitation Act of 1973. Both common problems and innovative solutions to unique problems are included. "People We Never See" introduces the challenge higher education faces to…

  15. 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.

  16. 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…

  17. 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…

  18. 77 FR 24934 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Disability and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-26

    ..., which was published in the Federal Register on February 15, 2006 (71 FR 8165), can be accessed on the... Proposed Priority--National Institute on Disability and Rehabilitation Research--Disability and Rehabilitation Research Projects and Centers Program--Disability and Rehabilitation Research Project...

  19. 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

  20. 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.

  1. 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

  2. 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…

  3. National Developments in Rehabilitation.

    ERIC Educational Resources Information Center

    Skelley, Thomas J.; TenHoor, William J.

    1980-01-01

    As legislation permits, the state and federal rehabilitation programs have become increasingly involved in rehabilitation of psychiatrically disabled persons. The National Institute of Mental Health and the Rehabilitation Services Administration cooperate to implement federal policy in a number of programs. (JAC)

  4. 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)…

  5. 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

  6. 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

  7. [Cardiac Rehabilitation 2015].

    PubMed

    Hoffmann, Andreas

    2015-11-25

    The goals of cardiac rehabilitation are (re-)conditioning and secondary prevention in patients with heart disease or an elevated cardiovascular risk profile. Rehabilitation is based on motivation through education, on adapted physical activity, instruction of relaxation techniques, psychological support and optimized medication. It is performed preferably in groups either in outpatient or inpatient settings. The Swiss working group on cardiac rehabilitation provides a network of institutions with regular quality auditing. Positive effects of rehabilitation programs on mortality and morbidity have been established by numerous studies. Although a majority of patients after cardiac surgery are being referred to rehabilitation, these services are notoriously underused after catheter procedures. PMID:26602848

  8. Organization of rehabilitation services.

    PubMed

    Graham, Laura A

    2013-01-01

    In the past 20 years there have been many changes in the way that neurological rehabilitation is delivered worldwide. This is in part a reflection of improved acute medical therapies and intensive care and also related to the development of a more holistic approach to recovery, embracing the principles of the WHO International Classification of Functioning as a model for rehabilitation. Traditionally, rehabilitation services have tended to develop piecemeal according to local resources and need. By definition such services should be driven by a patient-centered approach and thus there is wide variety in service provision nationally and internationally. This chapter describes the background to current service set-ups and provision, exploring models of rehabilitation delivery and common presentations in neurological rehabilitation. Relevant legislation and guidance documents are reviewed. The text provides an overview of different aspects of rehabilitation services including acute and inpatient provision, outpatient services, community-based rehabilitation, residential facilities, and vocational services.

  9. 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.

  10. 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.

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

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What are the road and trail prohibitions? 247.20 Section... 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...

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

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false What are the road and trail prohibitions? 247.20 Section... 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...

  13. 25 CFR 247.20 - What are the road and trail prohibitions?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true What are the road and trail prohibitions? 247.20 Section... 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...

  14. 25 CFR 247.20 - What are the road and trail prohibitions?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false What are the road and trail prohibitions? 247.20 Section... 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...

  15. 25 CFR 247.20 - What are the road and trail prohibitions?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false What are the road and trail prohibitions? 247.20 Section... 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...

  16. Predicting Road Test Performance in Drivers With Stroke

    PubMed Central

    Barco, Peggy P.; Wallendorf, Michael J.; Snellgrove, Carol A.; Ott, Brian R.

    2014-01-01

    OBJECTIVE. The aim of this study was to develop a brief screening battery to predict the on-road performance of drivers who had experienced a stroke. METHOD. We examined 72 people with stroke referred by community physicians to an academic rehabilitation center. The outcome variable was pass or fail on the modified Washington University Road Test. Predictor measures were tests of visual, motor, and cognitive functioning. RESULTS. The best predictive model for failure on the road test included Trail Making Test Part A and the Snellgrove Maze Task®. CONCLUSION. A screening battery that can be performed in less than 5 min was able to assist in the prediction of road test performance in a sample of drivers with stroke. A probability of failure calculator may be useful for clinicians in their decision to refer clients with stroke for a comprehensive driving evaluation. PMID:24581409

  17. 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

  18. [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.

  19. 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

  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. 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

  2. Rehabilitative and Assistive Technology: Overview

    MedlinePlus

    ... simple as a magnifying glass to improve visual perception or as complex as a computerized communication system. ... aids Independent living aids Mobility aids Prosthetics Rehabilitation robotics Wheelchairs Medical rehabilitative aids and devices Rehabilitative engineering ...

  3. 77 FR 27035 - Rehabilitation Research and Training Center (RRTCs) on Vocational Rehabilitation (VR) and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-08

    ...) How to market in a downturn, Harvard Business Review, 87, 4, 52-62. Rehabilitation Services... 15, 2006 (71 FR 8165), can be accessed on the Internet at the following site: www.ed.gov/about... appropriate accommodation or auxiliary aid to an individual with a disability who needs assistance to...

  4. 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

  5. 7. VIEW OF OLD ENTRANCE ROAD (NOW WILLOW FLATS ROAD) ...

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

    7. VIEW OF OLD ENTRANCE ROAD (NOW WILLOW FLATS ROAD) FACING EAST INTO PARK. - Arches National Park Main Entrance Road, Beginning at U.S. Highway 191, approximately 6 miles north of Moab, Moab, Grand County, UT

  6. Rehabilitation Facility Training

    ERIC Educational Resources Information Center

    Gardner, Keith A.

    1976-01-01

    The objective of the Rehabilitation Facility Training (RFT) project is to develop a short-term training extension series, in response to expressed needs of rehabilitation facility personnel in Hawaii, Guam and the Trust Territory of the Pacific. These training programs are for agency personnel, including administrators, work evaluators, work…

  7. Rehabilitation in German Prisons.

    ERIC Educational Resources Information Center

    Dammer, Harry R.

    1996-01-01

    Using interviews, literature reviews, and prison visits, describes three prominent features that promote rehabilitation in one country's prisons: unique environmental conditions, extensive work and training programs, and frequent use of community reintegration programs. Attributes rehabilitation success to its high priority in correctional law and…

  8. 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)

  9. 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 "Re-Education and…

  10. Rehabilitation of the athlete.

    PubMed

    Crockett, Boyd

    2011-01-01

    Rehabilitation of an athlete after an injury takes a team approach for a successful return to competition. The five steps of rehabilitation are discussed, including diagnosis, control of inflammation, promote healing, increase fitness, and control abuse. Return to activity can occur once these things are accomplished and everyone is in agreement.

  11. [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. PMID:22860298

  12. Cardiac rehabilitation in Germany.

    PubMed

    Karoff, Marthin; Held, Klaus; Bjarnason-Wehrens, Birna

    2007-02-01

    The purpose of this review is to give an overview of the rehabilitation measures provided for cardiac patients in Germany and to outline its legal basis and outcomes. In Germany the cardiac rehabilitation system is different from rehabilitation measures in other European countries. Cardiac rehabilitation in Germany since 1885 is based on specific laws and the regulations of insurance providers. Cardiac rehabilitation has predominantly been offered as an inpatient service, but has recently been complemented by outpatient services. A general agreement on the different indications for offering these two services has yet to be reached. Cardiac rehabilitation is mainly offered after an acute cardiac event and bypass surgery. It is also indicated in severe heart failure and special cases of percutaneous coronary intervention. Most patients are men (>65%) and the age at which events occur is increasing. The benefits obtained during the 3-4 weeks after an acute event, and confirmed in numerous studies, are often later lost under 'usual care' conditions. Many attempts have been made by rehabilitation institutions to improve this deficit by providing intensive aftercare. One instrument set up to achieve this is the nationwide institution currently comprising more than 6000 heart groups with approximately 120000 outpatients. After coronary artery bypass grafting or acute coronary syndrome cardiac rehabilitation can usually be started within 10 days. The multidisciplinary rehabilitation team consists of cardiologists, psychologists, exercise therapists, social workers, nutritionists and nurses. The positive effects of cardiac rehabilitation are also important economically, for example, for the improvement of secondary prevention and vocational integration. PMID:17301623

  13. Geriatric rehabilitation and resilience from a cultural perspective.

    PubMed

    Yee-Melichar, Darlene; Boyle, Andrea Renwanz; Wanek, Linda J; Pawlowsky, Sarah B

    2014-01-01

    Resiliency is a key aspect to aging successfully. Promoting healthy lifestyles, strong social bonds, enhancements to one's environment, accessibility to quality care and rehabilitation are critical in a positive aging experience. Issues of personal, social, medical, and rehabilitative care are addressed in the context of resiliency from a cultural perspective. Various research studies explore resiliency through the progression of aging within changing environments, medical needs, and social conditions. Findings suggest that a strong connection to culture, accessibility to medical attention, and comprehensive assessment of a patient's background can effectively improve the rehabilitation for an aging individual. This article addresses aspects of caregiving that are essential in raising cultural sensitivity and resiliency, discussing three case studies (i.e. fall risk; stroke; congestive heart failure) in the geriatric patient. Resiliency in culture and rehabilitation has a connection needed to advance the quality of care and quality of life for an aging patient population.

  14. 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…

  15. The Road Less Traveled

    ERIC Educational Resources Information Center

    McKim, Brent

    2007-01-01

    The federal journey into public education has followed a long and winding road. Most educators know that the federal No Child Left Behind (NCLB) Act is simply the latest version of the Elementary and Secondary Education Act (ESEA), which dates all the way back to 1965. In the years since its initial passage, the ESEA road has taken a number of…

  16. Rehabilitation of anterior teeth with customised incisal guide table

    PubMed Central

    Mall, Priyanka; Singh, Kamleshwar; Rao, Jitendra; Kumar, Lakshya

    2013-01-01

    Restoration of anterior guidance is a major challenge to the clinician in planning of all restorative treatments. An accurate anterior guidance is important for proper function, aesthetics, comfort and phonetics. This article describes anterior rehabilitation of a patient who met with a road traffic accident and lost his anterior teeth. Anterior guidance developed in the provisional restorations was accurately recorded in the customised incisal guide table and permanent restorations were fabricated accordingly. PMID:23709546

  17. [Pediatric neurology in rehabilitation].

    PubMed

    Kurihara, Mana

    2007-07-01

    There are some criteria for administering pediatric rehabilitation, such as (1) plasticity of the child's brain sometimes plays an enormous roles in recovery, (2) on the other hand, break-down of the child's brain is sometimes worse than expected, (3) rehabilitation should be continued with the prospect that child grows and develops everyday, (4) family members should join their child's rehabilitation. The team approach is very effective for pediatric rehabilitation. The pediatric neurologist will be one of the best members of the team because he/she can manage a disabled child and his/her family members well, and is familiar with a normal child's development. Rehabilitation should be performed appropriates, which means that the child is evaluated first, a rehabilitation program is developed and rehabilitation is implemented. The World Health Organization published the International Classification of Functioning, Disability and Health (ICF), which moves away from being a "consequence of disease" classification to "components of health". The concept of disability is changing.

  18. Work With Families in Rehabilitation

    ERIC Educational Resources Information Center

    Lindenberg, Ruth Ellen

    1977-01-01

    Although studies suggest that family influences are significantly related to rehabilitation outcome, rehabilitation practice has generally excluded the family and focused almost exclusively on the individual rehabilitant. The article reviews research and empirical evidence that suggest the rehabilitation process would be greatly enhanced by…

  19. A technology roadmap for rehabilitation engineering.

    PubMed

    Price, S; Summers, R

    2004-01-01

    During September 2003, interviews took place to collect data to develop a technology roadmap for rehabilitation engineering. The emerging themes were used to create the roadmap. Criteria were developed to endorse the data prior to the representation process. Added value was by the collection and representation of supporting evidence. Roadmapping 'best practice will facilitate the capture of essential data, represented in a format that is accessible, delivered in an appropriate format, to the right person at the right time. PMID:17271033

  20. [Neglect rehabilitation after stroke].

    PubMed

    Jehkonen, Mervi; Yliranta, Aino; Rasimus, Susanna; Saunamäki, Tiia

    2013-01-01

    Neglect is a common neuropsychological disorder after right hemisphere stroke. Neglect worsens the prognosis of functional recovery but responds well to targeted neuropsychological rehabilitation. Several methods for rehabilitation have been developed and research to-date lends best support to visual scanning training, prism adaptation, limb activation and feedback training. Core features of effective neglect rehabilitation include early initiation, daily held sessions at acute and subacute stages, increasing awareness of deficit and considering the psychosocial status of the patient as well as that of the family.

  1. The stroke rehabilitation paradigm.

    PubMed

    Kelly, Brian M; Pangilinan, Percival H; Rodriguez, Gianna M

    2007-11-01

    The matrix of stroke rehabilitation is evolving as we look outside the box of traditional therapy type, timing, and intensity of rehabilitation techniques. For inpatient wards, the goal of medical stability and prompt resolution of complications to maximize participation in therapy remains paramount. In the current medical model, we focus on teaching compensatory strategies and rarely on restorative approaches because of time and financial limitations. Researchers aim to identify new technologic and molecular approaches to improve functional outcomes and more accurately predict disability. This article examines different concepts surrounding the comprehensive rehabilitation paradigm of stroke survivors.

  2. Improving pulmonary rehabilitation services.

    PubMed

    Beckford, Katy

    The Clinical Audit of Pulmonary Rehabilitation Services in England and Wales was the first national audit of pulmonary rehabilitation services in England and Wales. Forming part of the National Chronic Obstructive Pulmonary Disease Audit Programme, it was commissioned by Healthcare Quality Improvement Programme and conducted by the Royal College of Physicians and British Thoracic Society. The audit was undertaken to geographically map pulmonary rehabilitation services and identify how they can improve. This article summarises the key findings of the audit, and its recommendations. PMID:27400620

  3. Equine back rehabilitation.

    PubMed

    Ridgway, K; Harman, J

    1999-04-01

    This article introduces the importance of considering all related physical findings, evaluating the whole horse and determining the root cause in order to achieve the best treatment results, prevent recurrence, and return the patient to full function. The roles of shoeing, turnout, teeth, training aids and devices, compensatory lameness, working surface (footing), longing, ponying, hot walkers, and swimming are discussed in relationship to back dysfunction and rehabilitation. Postural analysis and measures for muscle and postural corrections are also presented. Ground and under saddle rehabilitative exercises are explained as to value, concept, and methodology. Rehabilitative modalities including stretching, massage, magnetic therapy, heat, and cold are explored as adjunctive therapy.

  4. Haul road dust control

    SciTech Connect

    Reed, W.R.; Organiscak, J.A.

    2007-10-15

    A field study was conducted to measure dust from haul trucks at a limestone quarry and a coal preparation plant waste hauling operation. The study found that primarily wind, distance and road treatment conditions notably affected the dust concentrations at locations next to, 50 ft from, and 100 ft away from the unpaved haulage road. Airborne dust measured along the unpaved haul road showed that high concentrations of fugitive dust can be generated with these concentrations rapidly decreasing to nearly background levels within 100 ft of the road. Instantaneous respirable dust measurements illustrated that the trucks generate a real-time dust cloud that has a peak concentration with a time-related decay rate as the dust moves past the sampling locations. The respirable dust concentrations and peak levels were notably diminished as the dust cloud was transported, diluted, and diffused by the wind over the 100 ft distance from the road. Individual truck concentrations and peak levels measured next to the dry road surface test section were quite variable and dependent on wind conditions, particularly wind direction, with respect to reaching the sampling location. The vast majority of the fugitive airborne dust generated from unpaved and untreated haulage roads was non-respirable. 6 figs.

  5. Corrugation of roads

    NASA Astrophysics Data System (ADS)

    Both, Joseph A.; Hong, Daniel C.; Kurtze, Douglas A.

    2001-12-01

    We present a one dimensional model for the development of corrugations in roads subjected to compressive forces from a flux of cars. The cars are modeled as damped harmonic oscillators translating with constant horizontal velocity across the surface, and the road surface is subject to diffusive relaxation. We derive dimensionless coupled equations of motion for the positions of the cars and the road surface H( x, t), which contain two phenomenological variables: an effective diffusion constant Δ( H) that characterizes the relaxation of the road surface, and a function a( H) that characterizes the plasticity or erodibility of the road bed. Linear stability analysis shows that corrugations grow if the speed of the cars exceeds a critical value, which decreases if the flux of cars is increased. Modifying the model to enforce the simple fact that the normal force exerted by the road can never be negative seems to lead to restabilized, quasi-steady road shapes, in which the corrugation amplitude and phase velocity remain fixed.

  6. 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

  7. Competency Evaluation in Rehabilitation (CEIR): Rehabilitation Counseling Competencies. Michigan Studies in Rehabilitation, Series 1, Monograph II.

    ERIC Educational Resources Information Center

    Harrison, Don K.; And Others

    The development of competencies for a rehabilitation counselor education program can enable the rehabilitation counselor to assist clients effectively. Survey results of members of the National Rehabilitation Counseling Association (NRCA) agreed that 70% of the Michigan Competencies for Rehabilitation Counselors were a legitimate part of the…

  8. Orthopaedic trauma from road crashes: is enough being done?

    PubMed

    Donaldson, Lachlan H; Brooke, Kathryn; Faux, Steven G

    2009-02-01

    A file review of patients presenting to the Emergency Department of St Vincent's Hospital with fractures sustained in a road crash was completed to describe patterns of orthopaedic injury, acute intervention and separation as well as the cost of care for adult road crash victims. One-hundred and eighty-seven patients were included. 65.8% were male; 48.1% were pedestrians. Differing patterns of injury corresponded to the role of the patient in the road crash (eg, pedestrian, driver of vehicle, etc). The mean length of stay was 8.8 days. 35.2% of patients were prescribed a different analgesic at discharge to that which they had received in the previous 24 hours. 35.8% had a documented discussion regarding insurance matters, usually with a social worker. 11.9% were discharged to inpatient rehabilitation. 56.2% had orthopaedic follow-up arranged at discharge, while 4.8% were discharged to an outpatient rehabilitation clinic. The mean overall cost was $13 336, with patients aged over 65 costing the most. The quality of acute care for fractures sustained in road crashes could be improved with evidence-based analgesia management, increased screening for psychiatric sequelae, enhanced assistance with insurance matters and vocational issues, and closer follow-up. Further research into the impact of these factors on long-term recovery is warranted. PMID:19203336

  9. 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.

  10. Pulmonary rehabilitation in adults.

    PubMed

    2016-06-01

    Pulmonary rehabilitation can help people with long-term lung conditions whose symptoms, such as breathlessness and being easily tired out by daily activities, seriously impact their lives. PMID:27408642

  11. 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. PMID:17167347

  12. 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

  13. 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

  14. 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. PMID:11196327

  15. 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)

  16. 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.

  17. 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.

  18. Rehabilitation in the nursing home.

    PubMed

    Joseph, C L; Wanlass, W

    1993-11-01

    Despite the considerable challenges to providing high-quality rehabilitation in a long-term care facility, growing demographic and fiscal pressures are likely to push the nursing home into the forefront of rehabilitation for the frail elderly. Model programs have been implemented in recent years that present alternative ways to increase access to skilled services and improve quality of care in nursing homes without a drastic increase in costs. The teaching nursing home program has supported projects to make longterm care facilities centers for education, innovative clinical care, and research, thus bringing nursing homes into the mainstream of the medical establishment. A majority of US medical schools have recognized the need for training in long-term care and have formed affiliations with nursing homes. The Department of Veterans Affairs has a large national system of nursing homes, which has made a significant contribution to the training of health professionals in many fields. Demonstration projects such as the Social Health Maintenance Organization and On Lok have sought to decrease the fragmentation of health care services for the elderly and bring nursing homes into a continuum of care. The adoption of the OBRA regulations is building a base for comprehensive assessment and improved provision of care in nursing homes nationwide. Nursing home rehabilitation has the potential to decrease institutionalization in the short-term resident, whereas maintenance therapy can improve quality of life and decrease the cost of caring for patients who must be institutionalized. But to achieve this potential, significant barriers must be overcome. Negative attitudes about aging and nursing homes percolate through all levels of health care from lack of reimbursement at the federal and state levels to the professional priorities that continue to favor "high-tech" medicine and stigmatize nursing homes and those who work in them, to low expectations of caregivers and the

  19. 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.

  20. 78 FR 66344 - Applications for New Awards; Rehabilitation Training: Rehabilitation Long-Term Training Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-05

    ... Applications for New Awards; Rehabilitation Training: Rehabilitation Long-Term Training Program--Vocational... Education. ACTION: Notice. Overview Information: Rehabilitation Training: Rehabilitation Long- Term Training... Program: The Rehabilitation Long-Term Training program provides financial assistance for-- (1)...

  1. Learning Disabilities and Eligibility for Vocational Rehabilitation Services: A Chronology of Events.

    ERIC Educational Resources Information Center

    Gerber, Paul J.

    1981-01-01

    After initial efforts to maintain the traditional posture toward learning disabilities in the rewriting of the Rehabilitation Comprehensive Services and Developmental Disabilities Amendments of 1978 (P.L. 95-602), the Rehabilitation Services Administration yielded to a new conceptualization which will now allow the severely LD access to…

  2. 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…

  3. 76 FR 37090 - Final Priorities; Disability and Rehabilitation Research Projects and Centers Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ... Register on February 15, 2006 (71 FR 8165), can be accessed on the Internet at the following site: http..., scientific achievement, and psychological and social knowledge to solve rehabilitation problems and to remove... Rehabilitation Research Projects and Centers Program in the Federal Register on March 29, 2011 (76 FR...

  4. 77 FR 41387 - Applications for New Awards; Rehabilitation Research and Training Center on Vocational...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-13

    ... accessibility of application information posted on the Department's Web site, applicants selected for funding... Applications for New Awards; Rehabilitation Research and Training Center on Vocational Rehabilitation and... inviting applications for new awards for fiscal year (FY) 2012. Catalog of Federal Domestic...

  5. 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." PMID:26005088

  6. 48 CFR 871.208 - Rehabilitation facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Rehabilitation facilities... DEPARTMENT SUPPLEMENTARY REGULATIONS LOAN GUARANTY AND VOCATIONAL REHABILITATION AND EMPLOYMENT PROGRAMS Vocational Rehabilitation and Employment Service 871.208 Rehabilitation facilities. Charges by...

  7. 48 CFR 871.208 - Rehabilitation facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Rehabilitation facilities... DEPARTMENT SUPPLEMENTARY REGULATIONS LOAN GUARANTY AND VOCATIONAL REHABILITATION AND EMPLOYMENT PROGRAMS Vocational Rehabilitation and Employment Service 871.208 Rehabilitation facilities. Charges by...

  8. Prevention, The Beginning of the Rehabilitation Process: A View from New Zealand. Monograph #46.

    ERIC Educational Resources Information Center

    Campbell, Ian B.

    The monograph argues that prevention should be considered the first step in the rehabilitation process, and examines preventive efforts in the areas of occupational safety, road safety, home safety, and sporting and recreational safety. Following an introductory chapter, other chapters discuss: (1) the close relationship between compensation,…

  9. Current perspectives and emerging issues on cancer rehabilitation.

    PubMed

    Stubblefield, Michael D; Hubbard, Gill; Cheville, Andrea; Koch, Uwe; Schmitz, Kathryn H; Dalton, Susanne Oksbjerg

    2013-06-01

    Cancer rehabilitation is a rapidly emerging and evolving medical field in both Europe and the United States, in large part because of increases in the number of cancer survivors. Although few argue with the need to restore function and quality of life to patients affected by cancer and its treatments, differences exist between European countries with regard to the funding, accessibility, and even the definition of cancer rehabilitation services. In the United States, there is tremendous variability in the provision of rehabilitation services resulting from a variety of factors, including a lack of highly trained cancer rehabilitation physicians and therapists as well as a lack of comprehensive cancer rehabilitation programs, even at the majority of top cancer centers. Although studies evaluating the effectiveness of rehabilitation programs in the cancer setting, particularly exercise, have influenced clinical decision-making in both Europe and the United States for some time, this emerging evidence base also is now starting to influence guideline and policy making. Coordinated research efforts are essential to establish a robust framework to support future investigation and establish shared initiatives. Determining the best way forward for cancer survivors will require investment in large-scale prospective cohort studies that sufficiently describe their rehabilitation needs through the continuum of the survivorship experience.

  10. Rehabilitation After Stroke

    PubMed Central

    Kottke, Frederic J.

    1970-01-01

    The more severely involved the stroke patient is or the greater is the pre-existing physical disability, the greater is the need for special rehabilitation services to restore him to his optimal level of performance. The availability of resources in the family and community are important factors in determining whether or not the patient will need to be treated in a rehabilitation center. There is no contraindication to early initiation of rehabilitation and those patients for whom rehabilitation is initiated immediately after the stroke have the most rapid and optimal recovery. Ninety to 95 percent of hemiplegics can learn to walk. Forty percent of hemiplegics get good return of function in their upper extremity. Sixty-five percent of hemiplegics become independent in self-care and ambulation. For the stroke patient who does not have complicating disabilities independence in self-care and ambulation can be accomplished in 4 to 8 weeks. Intellectual or emotional problems indicate the need for a carefully planned rehabilitation program. The families of stroke patients need counseling and training regarding their responsibilities and duties to the patient. Imagesp47-aFigure 2Figure 3Figure 6Figure 8 PMID:20468595

  11. Skilled nursing or rehabilitation facilities

    MedlinePlus

    ... page: //medlineplus.gov/ency/patientinstructions/000435.htm Skilled nursing or rehabilitation facilities To use the sharing features ... facility. Who Needs to go to a Skilled Nursing or Rehabilitation Facility? Your health care provider may ...

  12. 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

  13. 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

  14. [Rehabilitation after periprosthetic fractures].

    PubMed

    Schmitt-Sody, M; Valle, C

    2016-03-01

    Periprosthetic fractures of the upper and lower extremities not only represent a challenge for surgeons but also for the rehabilitation team. The sometimes multimorbid patients have often undergone several surgical operations and need special planning and cooperation between an interdisciplinary team in order to achieve the best possible functional result and social reintegration. A structured rehabilitation planning after surgical treatment is a prerequisite for the patient to return to life as normal as possible. The aim is always rapid mobilization to achieve independence in activities of daily living. Special attention should be paid to postoperative immobilization and weight bearing. PMID:26923872

  15. Rehabilitation approaches to stroke.

    PubMed

    Aichner, F; Adelwöhrer, C; Haring, H P

    2002-01-01

    This article describes the state of the science in stroke rehabilitation dealing with three main topics: (1) General approach to stroke rehabilitation (stroke services and stroke units), (2) Neurophysiological and pharmacological interventions (facilitation of brain repair mechanisms) and (3) Experimental approaches (neuronal transplantation). Stroke rehabilitation is an active process beginning during acute hospitalisation, progressing to a systematic program of rehabilitation services and continuing after the individual returns to the community. There is world-wide consensus that stroke patients should be treated at specialised stroke unit with specially trained medical and nursing staff, co-ordinated multidisciplinary rehabilitation and education programs for patients and their families. Stroke Unit has been shown to be associated with a long-term reduction of death and of the combined poor outcomes of death and dependency, independent of patients age, sex, or variations in stroke unit organisations. No study has clearly shown to what extent the beneficial effect is due to specific rehabilitation strategies. New imaging studies in stroke patients indicate altered post stroke activation patterns, which suggest some functional reorganisation. Reorganisation may be the principle process responsible for recovery after stroke. It is assumed that different post ischaemic interventions like physiotherapy, occupational therapy, speech therapy, electrical stimulation, etc. facilitates such changes. Scientific evidence demonstrating the values of specific rehabilitation interventions after stroke is limited. Comparisons between different methods in current use have so far mostly failed to show that any particular physiotherapy, occupational therapy, speech therapy or stroke rehabilitation strategy is superior to another. Clinical data are strongly in favour of early mobilisation and training. Pharmacological interventions in animals revealed that norepinephrine

  16. [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.

  17. 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.

  18. 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)

  19. Rehabilitation for the overhead athlete.

    PubMed

    Litchfield, R; Hawkins, R; Dillman, C J; Atkins, J; Hagerman, G

    1993-08-01

    Rehabilitation of the shoulder of the overhead athlete has undergone significant changes during the past few years. This article illustrates shoulder problems related to repetitive overhead activities, such as throwing. Additionally, we present basic science contributions in this area, principles of shoulder rehabilitation, and a comprehensive rehabilitation program for the symptomatic or asymptomatic athlete based on these principles.

  20. Off-road cycling injuries. An overview.

    PubMed

    Pfeiffer, R P; Kronisch, R L

    1995-05-01

    Off-road bicycles, commonly called 'mountain bikes', have become increasingly popular worldwide since their introduction in the western US in the late 1970s. This popularity is partly because these vehicles can be ridden on a wide variety of terrain which is not accessible to other types of bicycle. Although early versions were rather crude, off-road bicycles today typically include high strength, lightweight frames with a wide array of available suspension and braking systems. Virtually all aspects of the technology continue to evolve, including components and protective equipment. As the popularity of off-road cycling has increased, so too has the interest and level of participation in the competitive aspects of the sport. Currently, 2 organisations--the National Off-Road Bicycle Association (NORBA) and the Union Cycliste Internationale (UCI)--sponsor the major events within the US and around the world. To date, the majority of studies have been descriptive in nature, with data collected via self-report, questionnaire formats. Only 1 prospective study has been reported thus far, which surveyed a major international competition held in the US in 1994. Injury rates calculated on the basis of injuries per ride or event in competitive venues have been reported, ranging from 0.2 to 0.39% compared with 0.30% for recreational participants. Retrospective data collected from recreational and competitive riders indicate that from 20 to 88% of those surveyed reported having sustained an injury during the previous year of participation. The majority of injuries appear to be acute, traumatic episodes involving the extremities, with contusions and abrasions being the most common. In general, the incidence of more severe injuries such as dislocations, fractures and concussions is low. Comparisons between road and off-road cycling events indicate that off-road cyclists sustain more fractures, dislocations and concussions than their road-event counterparts. Future research should

  1. 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.

  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. VIEW OF MAIN ENTRANCE ROAD FACING SOUTH. SPUR ROAD TO ...

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

    VIEW OF MAIN ENTRANCE ROAD FACING SOUTH. SPUR ROAD TO WINDOWS SECTION AT LEFT, BALANCED ROCK NEAR CENTER OF PHOTO - Arches National Park Main Entrance Road, Beginning at U.S. Highway 191, approximately 6 miles north of Moab, Moab, Grand County, UT

  5. 6. VIEW OF MAIN ENTRANCE ROAD FACING SOUTH. SPUR ROAD ...

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

    6. VIEW OF MAIN ENTRANCE ROAD FACING SOUTH. SPUR ROAD TO WINDOWS SECTION AT LEFT, BALANCED ROCK NEAR CENTER OF PHOTO. - Arches National Park Main Entrance Road, Beginning at U.S. Highway 191, approximately 6 miles north of Moab, Moab, Grand County, UT

  6. 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)…

  7. 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…

  8. [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.

  9. 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;…

  10. 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…

  11. 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,…

  12. 43 CFR 2812.3-2 - Other roads and rights-of-way controlled by applicant.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... controlled by applicant. In addition to the private road systems and rights-of-way described in § 2812.3-1 in the event the applicant controls directly or indirectly other roads or rights-of-way in any O. and C... pendency of the application, the United States is unreasonably denied access to its timber for...

  13. Creating a pipeline rehabilitation plan

    SciTech Connect

    Marshall, W.F.

    1997-05-01

    This paper will highlight the various aspects of planning a pipeline rehabilitation project to maximize used resources. The paper will visit in some detail the aspect of pipeline data collection to make rehabilitation decisions, including intelligent pig data and its use, close interval survey and its use, hydrotest data and its use, etc. This paper will also review the analysis of the hydrotest data, the close interval survey data, and its meaning to the overall rehabilitation design and plan. The paper will also assess the various types of pipeline coatings and methods of recoating and typical and innovative cathodic protection methods. The paper will stress analysis of pipeline structural integrity prior to making rehabilitation decisions. It will review cost estimating for various types of pipeline rehabilitation, and look at various alternatives. Finally, this paper will review typical results from various types of rehabilitation and soil conditions. It will emphasize the need to assess the results of the different rehabilitation methods and detail the future pipeline rehabilitation project decision making. The paper will discuss the use of RAP sheets (rehabilitation analysis profile) for data review and suggest various methods to invest rehabilitation dollars to get the greatest quantity of rehabilitation work done for the least cost.

  14. A rationale and training agenda for rehabilitation informatics: roadmap for an emerging discipline.

    PubMed

    Schopp, Laura H; Hales, Joseph W; Brown, Gordon D; Quetsch, Joseph L

    2003-01-01

    Decreased length of inpatient rehabilitation stay, greater long-term injury survival rates, broader access to information technologies, and the growing role of the Internet create potential for new models of rehabilitation that are more community- and person-centered rather than historically hospital- and provider-centered services. In recent years, information-based rehabilitation technologies have grown rapidly, expanding the possibilities for numerous interventions to promote independent living. These programs have centered primarily on providing rehabilitation health services over a distance ("telerehabilitation"). Telerehabilitation can be conceived as part of a broader approach that includes elements of direct rehabilitation services, service coordination, community resources, and information relay between numerous individuals, service providers, and community members ("rehabilitation informatics"). Because of the complexity of these information types and sectors, this broader conceptual approach of rehabilitation informatics borrows heavily from fields such as adaptive computing, robotics, computer networking, and high-level systems programming. As such, innovation in rehabilitation informatics will require new models of training that span these domains. This paper proposes a rationale for the new field of rehabilitation informatics, and offers a multidisciplinary training model for the next generation of rehabilitation informaticians. PMID:12867678

  15. 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. PMID:23672208

  16. [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.

  17. 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.

  18. [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.

  19. 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.

  20. 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. PMID:27578961

  1. 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

  2. Pulmonary rehabilitation in patients referred for lung transplantation.

    PubMed

    Jastrzebski, D; Ochman, M; Ziora, D; Labus, L; Kowalski, K; Wyrwol, J; Lutogniewska, W; Maksymiak, M; Ksiazek, B; Magner, A; Bartoszewicz, A; Kubicki, P; Hydzik, G; Zebrowska, A; Kozielski, J

    2013-01-01

    Effectiveness of pulmonary rehabilitation in patients with chronic obstructive lung diseases, cystic fibrosis, and interstitial lung disease is well documented but little is known about the results of pulmonary rehabilitation in patients referred for lung transplantation. The purpose of this study is to prospectively examine the efficacy of Nordic walking, a low cost, accessible, and proven beneficial form of physical exercise, as a form of pulmonary rehabilitation in patients referred for lung transplantation. Twenty-two male patients referred for lung transplantation at the Department of Lung Diseases and Tuberculosis in Zabrze, Poland, were invited to take part in the study. The rehabilitation program, which was conducted for 12 weeks, was based on Nordic walking exercise training with ski poles. Lung function tests (FVC, FEV1), mobility (6 min walking test (6MWT)), rating of dyspnea (Oxygen Cost Index, MRC and Baseline Dyspnea Index), and quality of life assessments (SF-36) were performed before and after the completion of the exercise program. No adverse events were observed after completing the pulmonary rehabilitation program in patients referred for lung transplantation. After 12 weeks of pulmonary rehabilitation with Nordic walking we observed a significant increase in the mean distance walked in the 6MWT (310.2 m vs. 372.1 m, p < 0.05). The results of lung function tests also showed improvement in FVC. There were no significant differences in the perception of dyspnea before and after completing the rehabilitation program. General health and quality of life questionnaire (SF-36) showed improvement in the domain of social functioning (p < 0.05). In conclusion, pulmonary rehabilitation with a Nordic walking program is a safe and feasible physical activity in end-stage lung disease patients referred for lung transplantation and results in improvements in patients' mobility and quality of life. PMID:22826045

  3. 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.

  4. [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. PMID:16208595

  5. 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...

  6. [Rehabilitation in ankylosing spondylitis].

    PubMed

    Skoumal, Martin; Haberhauer, Guenther; Strehblow, Christoph

    2010-05-01

    Modern treatment of patients with ankylosing spondylitis consists of therapies according to the ASAS criteria. Rehabilitation is a necessary process for enabling persons with disabilities caused by inflammatory destructions. The goal is to reach optimal physical, sensory, psychiatric and social health to reach higher levels of independence. It includes a wide range of measures and activities for changing the behaviour and increases activity, participation, strength, stability and coordination. PMID:20632148

  7. Pediatric facial nerve rehabilitation.

    PubMed

    Banks, Caroline A; Hadlock, Tessa A

    2014-11-01

    Facial paralysis is a rare but severe condition in the pediatric population. Impaired facial movement has multiple causes and varied presentations, therefore individualized treatment plans are essential for optimal results. Advances in facial reanimation over the past 4 decades have given rise to new treatments designed to restore balance and function in pediatric patients with facial paralysis. This article provides a comprehensive review of pediatric facial rehabilitation and describes a zone-based approach to assessment and treatment of impaired facial movement.

  8. 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.

  9. 38 CFR 21.70 - Vocational rehabilitation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Vocational rehabilitation...) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Duration of Rehabilitation Programs § 21.70 Vocational rehabilitation. (a) General. The goal of...

  10. 38 CFR 21.70 - Vocational rehabilitation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Vocational rehabilitation...) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Duration of Rehabilitation Programs § 21.70 Vocational rehabilitation. (a) General. The goal of...

  11. [Rehabilitation in Alzheimer's dementia].

    PubMed

    Cicconetti, P; Fionda, A; Zannino, G; Ettorre, E; Marigliano, V

    2000-09-01

    Alzheimer's disease is a neurodegenerative disease that causes a progressive decline of cognitive and behavioural functions. The simultaneous presence of these disorders requires a treatment not only for cognitive decline, but also for behavioural symptoms, depression and caregiver's stress. Research has made many efforts to develop a wide range of treatments, different from current pharmacological therapy, which is not resolutive, owing to the absence of an exact etiopathogenetic mechanism. Since new drugs have not been shown to be really effective in slowing cognitive impairment, various forms of rehabilitative interventions have been proposed in order to treat Alzheimer's disease. Their efficacy in the improvement of cognitive functions is still not completely clear. Surely, interesting results have been obtained from studies about Reality Orientation Therapy, Occupational Therapy and Memory Training. Music therapy might provide a new form of rehabilitative intervention, especially acting on the reducing of behavioural symptoms. These alternative forms of non pharmacological treatment may have a positive effect on caregiver. The heavy emotional burden of seeing a loved one becoming confused and isolated and of having to accept new responsibilities, may be reduced by rehabilitative supports, complementary to the pharmacological therapy. Caregiver stress could be reduced in two ways: by promoting the hope that something is being done for the patient and providing free time for himself. PMID:11021168

  12. Cardiac rehabilitation in Germany.

    PubMed

    Cantwell, J D

    1976-09-01

    The concept of cardiac reconditioning centers for the prevention and rehabilitation of coronary patients has been tremendously successful in Germany over the past 20 years. At least 40 such centers are located throughout the country. Physicians, nurses, and physical therapists work closely together in the various facets of the rehabilitation process. The financial backing for these facilities is primarily through governmental and regional insurance companies, whose officials are apparently convinced that in the long run supporting preventive measures is financially sound. Objective data supporting their convictions come from studies such as that of Brusis, who showed that such as that of 1,500 employees was diminished by nearly 70 percent during a two-year period after cardiac reconditioning, as compared to a similar time period before the rehabilitation experience. Subjective benefits, which are extremely difficult to quantitate in meaningful terms, were nonetheless expressed by nearly all the patients with whom I conversed. Perhaps they have experienced the same feelings that Mark Twain did when he observed that "all frets and worries and chafings sank to sleep in the presence of the benignant serenity of the Alps; the Great Spirit of the Mountains breathed his own peace upon their hurt minds and sore hearts and healed them." PMID:959329

  13. 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…

  14. 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

  15. Vocational rehabilitation: a multidisciplinary intervention.

    PubMed

    Gobelet, C; Luthi, F; Al-Khodairy, A T; Chamberlain, M A

    2007-09-15

    Vocational rehabilitation is by definition a multidisciplinary intervention in a process linked to the facilitation of return to work or to the prevention of loss of the work. Clinical staff in contact with a person who has lost his job (general practitioner, specialized physician) must promote vocational rehabilitation. Medical rehabilitation for those with disabilities, whether new or old, has to be followed without delay by vocational rehabilitation. It is even better if these two intertwined processes are overlapping. They involve many professionals including physiotherapists, occupational therapists, psychologists, vocational trainers, job counsellors, teachers, case-managers, job placement agencies. Vocational rehabilitation has a financial cost, borne by many state organizations (security, social system, social affairs) as well as by employers and private insurances, which are in case of accident, concerned by this process. However, the evidence suggests that this is recouped 2- to 10-fold as suggested by the British Society of Rehabilitation Medicine.

  16. [Experiences with ambulatory cardiologic rehabilitation].

    PubMed

    Augusta, K

    1999-04-01

    Since the founding of the Düsseldorf Outpatient Cardiologic Rehabilitation Center (Berliner Allee) in 1990 approximately 500 outpatient rehabilitation measures were performed, predominantly as follow-up treatment. The Center is currently participating in 2 pilot programs in outpatient cardiologic rehabilitation initiated by pension scheme providers and health insurance companies. A holistic approach to the concept of therapy is fundamental to an intensive rehabilitation of the heart patients. In conjunction with physiotherapeutic exercise, a health education program and extensive psychological care form the basis of the broader therapy program. An on-going implementation of measures designed to assure the maintenance of structural and procedural quality is fundamental to the creation of a positive subjective experience on the part of the person undergoing rehabilitation as well as the attainment of the individual's specified rehabilitation goals. PMID:10372307

  17. Wearable feedback systems for rehabilitation

    PubMed Central

    Sung, Michael; Marci, Carl; Pentland, Alex

    2005-01-01

    In this paper we describe LiveNet, a flexible wearable platform intended for long-term ambulatory health monitoring with real-time data streaming and context classification. Based on the MIT Wearable Computing Group's distributed mobile system architecture, LiveNet is a stable, accessible system that combines inexpensive, commodity hardware; a flexible sensor/peripheral interconnection bus; and a powerful, light-weight distributed sensing, classification, and inter-process communications software architecture to facilitate the development of distributed real-time multi-modal and context-aware applications. LiveNet is able to continuously monitor a wide range of physiological signals together with the user's activity and context, to develop a personalized, data-rich health profile of a user over time. We demonstrate the power and functionality of this platform by describing a number of health monitoring applications using the LiveNet system in a variety of clinical studies that are underway. Initial evaluations of these pilot experiments demonstrate the potential of using the LiveNet system for real-world applications in rehabilitation medicine. PMID:15987514

  18. Biofeedback in rehabilitation

    PubMed Central

    2013-01-01

    This paper reviews the literature relating to the biofeedback used in physical rehabilitation. The biofeedback methods used in rehabilitation are based on biomechanical measurements and measurements of the physiological systems of the body. The physiological systems of the body which can be measured to provide biofeedback are the neuromuscular system, the respiratory system and the cardiovascular system. Neuromuscular biofeedback methods include electromyography (EMG) biofeedback and real-time ultrasound imaging (RTUS) biofeedback. EMG biofeedback is the most widely investigated method of biofeedback and appears to be effective in the treatment of many musculoskeletal conditions and in post cardiovascular accident (CVA) rehabilitation. RTUS biofeedback has been demonstrated effective in the treatment of low back pain (LBP) and pelvic floor muscle dysfunction. Cardiovascular biofeedback methods have been shown to be effective in the treatment of a number of health conditions such as hypertension, heart failure, asthma, fibromyalgia and even psychological disorders however a systematic review in this field has yet to be conducted. Similarly, the number of large scale studies examining the use of respiratory biofeedback in rehabilitation is limited. Measurements of movement, postural control and force output can be made using a number of different devices and used to deliver biomechanical biofeedback. Inertial based sensing biofeedback is the most widely researched biomechanical biofeedback method, with a number of studies showing it to be effective in improving measures of balance in a number of populations. Other types of biomechanical biofeedback include force plate systems, electrogoniometry, pressure biofeedback and camera based systems however the evidence for these is limited. Biofeedback is generally delivered using visual displays, acoustic or haptic signals, however more recently virtual reality (VR) or exergaming technology have been used as biofeedback

  19. Rehabilitation - a new approach. Part three: the implications of the theories.

    PubMed

    Wade, Derick

    2016-01-01

    The last editorial suggested that rehabilitation needed to involve the patient in learning, and depended upon a group of professionals to identify what actions might help the patient, and to undertake or arrange the necessary actions. In many cases there will be both a wide variety of actions needed from a reasonably large number of people and organisations, and the process is likely to be extended over weeks, months or occasionally years. This editorial shows that these features characterise the rehabilitation process as complex and therefore it needs to be managed by a trans-disciplinary team. Some of the characteristics of teamwork are discussed. This leads to a discussion of teams in rehabilitation, showing that there are currently many different types of teams organised around different areas of interest and that a patient might need access to several specialised teams. It is then argued that the complexity of team coordination is best resolved by formal rehabilitation planning meetings, held early in a patient's involvement with rehabilitation; this should increase effectiveness and efficiency. Finally the editorial argues that rehabilitation would be improved by having rehabilitation teams that mirror the existing medical specialities, ensuring that all patients thereby have easy and early access to rehabilitation planning.

  20. Improving brain injury cognitive rehabilitation by personalized telerehabilitation services: Guttmann neuropersonal trainer.

    PubMed

    Solana, Javier; Cáceres, César; García-Molina, Alberto; Opisso, Eloy; Roig, Teresa; Tormos, José M; Gómez, Enrique J

    2015-01-01

    Cognitive rehabilitation aims to remediate or alleviate the cognitive deficits appearing after an episode of acquired brain injury (ABI). The purpose of this work is to describe the telerehabilitation platform called Guttmann Neuropersonal Trainer (GNPT) which provides new strategies for cognitive rehabilitation, improving efficiency and access to treatments, and to increase knowledge generation from the process. A cognitive rehabilitation process has been modeled to design and develop the system, which allows neuropsychologists to configure and schedule rehabilitation sessions, consisting of set of personalized computerized cognitive exercises grounded on neuroscience and plasticity principles. It provides remote continuous monitoring of patient's performance, by an asynchronous communication strategy. An automatic knowledge extraction method has been used to implement a decision support system, improving treatment customization. GNPT has been implemented in 27 rehabilitation centers and in 83 patients' homes, facilitating the access to the treatment. In total, 1660 patients have been treated. Usability and cost analysis methodologies have been applied to measure the efficiency in real clinical environments. The usability evaluation reveals a system usability score higher than 70 for all target users. The cost efficiency study results show a relation of 1-20 compared to face-to-face rehabilitation. GNPT enables brain-damaged patients to continue and further extend rehabilitation beyond the hospital, improving the efficiency of the rehabilitation process. It allows customized therapeutic plans, providing information to further development of clinical practice guidelines.

  1. Rehabilitation - a new approach. Part three: the implications of the theories.

    PubMed

    Wade, Derick

    2016-01-01

    The last editorial suggested that rehabilitation needed to involve the patient in learning, and depended upon a group of professionals to identify what actions might help the patient, and to undertake or arrange the necessary actions. In many cases there will be both a wide variety of actions needed from a reasonably large number of people and organisations, and the process is likely to be extended over weeks, months or occasionally years. This editorial shows that these features characterise the rehabilitation process as complex and therefore it needs to be managed by a trans-disciplinary team. Some of the characteristics of teamwork are discussed. This leads to a discussion of teams in rehabilitation, showing that there are currently many different types of teams organised around different areas of interest and that a patient might need access to several specialised teams. It is then argued that the complexity of team coordination is best resolved by formal rehabilitation planning meetings, held early in a patient's involvement with rehabilitation; this should increase effectiveness and efficiency. Finally the editorial argues that rehabilitation would be improved by having rehabilitation teams that mirror the existing medical specialities, ensuring that all patients thereby have easy and early access to rehabilitation planning. PMID:26659136

  2. Accessibility Videos.

    PubMed

    Kurppa, Ari; Nordlund, Marika

    2016-01-01

    It can be difficult to understand accessibility, if you do not have the personal experience. The Accessibility Centre ESKE produced short videos which demonstrate the meaning of accessibility in different situations. Videos will raise accessibility awareness of architects, other planners and professionals in the construction field and maintenance. PMID:27534282

  3. JNER: a forum to discuss how neuroscience and biomedical engineering are reshaping physical medicine & rehabilitation

    PubMed Central

    Bonato, Paolo

    2004-01-01

    Advances in neuroscience and biomedical engineering deeply affect the clinical practice of physical medicine & rehabilitation. New research findings and engineering tools are continuously made available that have the potential of dramatically enhancing the ability of clinicians to design effective rehabilitation interventions. This quickly evolving research field is difficult to track because related literature appears in a wide range of scientific journals. There is a need for a scientific journal that offers to its readership a forum at the intersection of neuroscience, biomedical engineering, and physical medicine & rehabilitation. The Journal of NeuroEngineering and Rehabilitation (JNER) is intended to fill this gap and foster cross-fertilizations among these disciplines. By making readily available to clinicians selected studies with potential impact on physical medicine & rehabilitation, JNER is anticipated to foster the development of novel and more effective rehabilitation strategies. Conversely, by presenting clinical problems to a readership of neuroscientists and engineers, JNER is expected to generate innovative work in neuroscience and biomedical engineering with future applications to physical medicine & rehabilitation. JNER will leverage on Open Access as a means to guarantee that its content is readily available to scientists, clinicians, and the general public thus promoting scientific and technological advances that are relevant to rehabilitation. JNER is an Open Access initiative. Open Access assures dissemination to the widest possible audience and is seen by many as essential for publicly funded research. BioMed Central offers an outstanding platform to make JNER possible and allow neuroscientists, biomedical engineers, and clinicians to see their work published in a timely manner and thus make an immediate impact in the field of rehabilitation. JNER will focus on innovative work with higher likelihood of a dramatic impact on rehabilitation

  4. JNER: a forum to discuss how neuroscience and biomedical engineering are reshaping physical medicine & rehabilitation.

    PubMed

    Bonato, Paolo

    2004-10-13

    Advances in neuroscience and biomedical engineering deeply affect the clinical practice of physical medicine & rehabilitation. New research findings and engineering tools are continuously made available that have the potential of dramatically enhancing the ability of clinicians to design effective rehabilitation interventions. This quickly evolving research field is difficult to track because related literature appears in a wide range of scientific journals. There is a need for a scientific journal that offers to its readership a forum at the intersection of neuroscience, biomedical engineering, and physical medicine & rehabilitation. The Journal of NeuroEngineering and Rehabilitation (JNER) is intended to fill this gap and foster cross-fertilizations among these disciplines. By making readily available to clinicians selected studies with potential impact on physical medicine & rehabilitation, JNER is anticipated to foster the development of novel and more effective rehabilitation strategies. Conversely, by presenting clinical problems to a readership of neuroscientists and engineers, JNER is expected to generate innovative work in neuroscience and biomedical engineering with future applications to physical medicine & rehabilitation. JNER will leverage on Open Access as a means to guarantee that its content is readily available to scientists, clinicians, and the general public thus promoting scientific and technological advances that are relevant to rehabilitation. JNER is an Open Access initiative. Open Access assures dissemination to the widest possible audience and is seen by many as essential for publicly funded research. BioMed Central offers an outstanding platform to make JNER possible and allow neuroscientists, biomedical engineers, and clinicians to see their work published in a timely manner and thus make an immediate impact in the field of rehabilitation. JNER will focus on innovative work with higher likelihood of a dramatic impact on rehabilitation

  5. New tools in pulmonary rehabilitation.

    PubMed

    Wijkstra, P J; Wempe, J B

    2011-12-01

    In patients with more severe chronic obstructive pulmonary disease (COPD), the benefits of rehabilitation might not be clear and, therefore, new treatment options have been developed to increase the benefits of rehabilitation. This review provides an overview of new approaches being developed as an addition to exercise training. In turn, the benefits of adding ventilatory support, oxygen, anabolics or neuromuscular stimulation to a rehabilitation programme will be discussed. While positive benefits for a number of these approaches have been found, many questions remain unsolved. Therefore, at present, we cannot recommend these new tools as part of the routine management of patients with COPD who start a rehabilitation programme. PMID:21828026

  6. Health-related rehabilitation and human rights: analyzing states' obligations under the United Nations Convention on the Rights of Persons with Disabilities.

    PubMed

    Skempes, Dimitrios; Stucki, Gerold; Bickenbach, Jerome

    2015-01-01

    Globally, disability represents a major challenge for health systems and contributes to the rising demand for rehabilitation care. An extensive body of evidence testifies to the barriers that people with disabilities confront in accessing rehabilitation services and to the enormous impact this has on their lives. The international legal dimension of rehabilitation is underexplored, although access to rehabilitation is a human right enshrined in numerous legal documents, specifically the Convention on the Rights of Persons with Disabilities. However, to date, no study has analyzed the implications of the Convention for Rehabilitation Policy and Organization. This article clarifies states' obligations with respect to health-related rehabilitation for persons with disabilities under the Convention. These obligations relate to the provision of rehabilitation but extend across several key human right commitment areas such as equality and nondiscrimination; progressive realization; international cooperation; participation in policymaking processes; the accessibility, availability, acceptability, and quality of rehabilitation services; privacy and confidentiality; and informed decision making and accountability. To support effective implementation of the Convention, governments need to focus their efforts on all these areas and devise appropriate measures to monitor compliance with human rights principles and standards in rehabilitation policy, service delivery, and organization. This article lays the foundations for a rights-based approach to rehabilitation and offers a framework that may assist in the evaluation of national rehabilitation strategies and the identification of gaps in the implementation of the Convention.

  7. Computer Technology/Special Education/Rehabilitation: Proceedings of the Conference (2nd, Northridge, California, October 16-18, 1986).

    ERIC Educational Resources Information Center

    Murphy, Harry J., Ed.

    The following 25 papers (with their authors) are presented from a conference on computer technology in special education and rehabilitation: "Computers for Business--Computers for Life" (I. Keith Austin); "Rehabilitation and the Computer: How to Find What You Need" (Thomas Backer); "Computer Access Alternatives for Visually Impaired People in…

  8. Northern approach stone arch permits access to park in panther ...

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

    Northern approach stone arch permits access to park in panther hollow below. - Schenley Park Bridge over Panther Hollow, Spanning Panther Hollow at Panther Hollow Road, Pittsburgh, Allegheny County, PA

  9. 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

  10. 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

  11. 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).

  12. 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). PMID:23735460

  13. 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.

  14. Urbanization, roads, and rural population change in the Ecuadorian Andes.

    PubMed

    Rudel, T K; Richards, S

    1990-01-01

    "Like many developing countries Ecuador has experienced extensive ubanization in the past twenty-five years as well as a shift in the pattern of rural population change between the 1960s and 1970s. Rural places with difficult access to cities (without roads and located far from cities) gained population during the 1960s but lost population during the 1970s. Rural places with easy access to cities (i.e., located near cities or on all-weather roads) continued to gain population during the 1970s. The explanation for the differential ability of rural places to retain their population during the 1970s focuses on increases in labor circulation by peasants and growth in the numbers of small, urban-oriented manufacturing and agricultural enterprises in accessible rural areas. The article concludes with a discussion on the implications of these findings for policies to reduce rates of rural-urban migration."

  15. Rheumatoid arthritis: vocational rehabilitation.

    PubMed

    Cochrane, G M

    1982-01-01

    The consequences of inflation and accelerating introduction of automation and microprocessors into industry are a shift from unskilled to skilled work, the lessening of opportunities for the unskilled worker, and growing unemployment. If disabled people are competing for employment they must take every opportunity to extend education and acquire skills. Juvenile chronic arthritis presents one set of problems in vocational rehabilitation at the beginning of a working career and adult rheumatoid arthritis another, commonly in those over 45 years old and previously established in work. The prevalence of severe disability in juvenile chronic arthritis is about 1 in 20 000 of the population, females are affected twice as often as males and 1 in 10 has defective vision or blindness due to chronic iridocyclitis. At school, besides education, there must be emphasis on encouraging independence, self-confidence, mobility and determination. A School Leavers' Conference early in the last year at school gives the adolescent the best chance of choosing a career. Rheumatoid arthritis is three times more common in women and increasingly, over the last 40 years, women are working besides home-making. Morning stiffness, fatigue, immobility and pain are the common symptoms of widespread involvement of joints and systemic disturbance. The principal determinant in the success of vocational rehabilitation is personality, and the social and environmental factors are more significant than the degree of disability. The Disablement Resettlement Officer can assure continuity of rehabilitation between the health and employment services: a favourable outcome is work, self-derived income independence and freedom of movement using whatever technical aids are required to achieve this.

  16. 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.

  17. 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 restricted? 170.813 Section 170.813 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.813 When can access to...

  18. 36 CFR 212.7 - Access procurement by the United States.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... AGRICULTURE TRAVEL MANAGEMENT Administration of the Forest Transportation System § 212.7 Access procurement by... 36 Parks, Forests, and Public Property 2 2010-07-01 2010-07-01 false Access procurement by the... system of a State, county, or other local public road authority. Forest roads that are or will be part...

  19. 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 restricted? 170.813 Section 170.813 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.813 When can access to...

  20. 25 CFR 170.813 - When can access to IRR transportation facilities be restricted?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false When can access to IRR transportation facilities be restricted? 170.813 Section 170.813 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.813 When can access to...

  1. 25 CFR 170.813 - When can access to IRR transportation facilities be restricted?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false When can access to IRR transportation facilities be restricted? 170.813 Section 170.813 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.813 When can access to...

  2. 25 CFR 170.813 - When can access to IRR transportation facilities be restricted?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true When can access to IRR transportation facilities be restricted? 170.813 Section 170.813 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.813 When can access to...

  3. Psychosocial Recovery and Rehabilitation.

    PubMed

    Antai-Otong, Deborah

    2016-06-01

    This article discusses a psychosocial recovery and rehabilitation recovery model that uses an intensive case management approach. The approach offers an interdisciplinary model that integrates pharmacotherapy, social skills training, cognitive remediation, family involvement, and community integration. This evidence-based plan of care instills hope and nurtures one's capacity to learn and improve function and quality of life. It is cost-effective and offers psychiatric nurses opportunities to facilitate symptomatic remission, facilitate self-efficacy, and improve communication and social cognition skills. Nurses in diverse practice settings must be willing to plan and implement innovative treatment models that provide seamless mental health care across the treatment continuum. PMID:27229282

  4. [Rehabilitation of facial paralysis].

    PubMed

    Martin, F

    2015-10-01

    Rehabilitation takes an important part in the treatment of facial paralysis, especially when these are severe. It aims to lead the recovery of motor activity and prevent or reduce sequelae like synkinesis or spasms. It is preferable that it be proposed early in order to set up a treatment plan based on the results of the assessment, sometimes coupled with an electromyography. In case of surgery, preoperative work is recommended, especially in case of hypoglossofacial anastomosis or lengthening temporalis myoplasty (LTM). Our proposal is to present an original technique to enhance the sensorimotor loop and the cortical control of movement, especially when using botulinum toxin and after surgery.

  5. Rehabilitation of basketball injuries.

    PubMed

    Malanga, Gerard A; Chimes, Gary P

    2006-08-01

    Basketball is one of the most popular sports in the United States and throughout the world, and therefore represents one of the most common sources of sports-related injuries. Basketball injuries should be managed by the same general rehabilitation principles as other sports injuries. Additionally, the clinician should be aware not only of general sports injuries but of those injuries most commonly seen in basketball players. By maintaining knowledge of the most common basketball injuries as well as their diagnosis and treatment, the clinician can help to optimize the athlete's return to play and enjoyment of the sport.

  6. 24 CFR 1710.110 - Roads.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... (4) Who is responsible for road maintenance? If the roads are to be maintained by a public authority... for maintaining the roads and that, if maintenance is not performed, the roads may soon deteriorate... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Roads. 1710.110 Section...

  7. 12 CFR 1010.110 - Roads.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... paragraph. (4) Who is responsible for road maintenance? If the roads are to be maintained by a public... responsible for maintaining the roads and that, if maintenance is not performed, the roads may soon... 12 Banks and Banking 8 2012-01-01 2012-01-01 false Roads. 1010.110 Section 1010.110 Banks...

  8. 24 CFR 1710.110 - Roads.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... (4) Who is responsible for road maintenance? If the roads are to be maintained by a public authority... for maintaining the roads and that, if maintenance is not performed, the roads may soon deteriorate... 24 Housing and Urban Development 5 2014-04-01 2014-04-01 false Roads. 1710.110 Section...

  9. 24 CFR 1710.110 - Roads.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... (4) Who is responsible for road maintenance? If the roads are to be maintained by a public authority... for maintaining the roads and that, if maintenance is not performed, the roads may soon deteriorate... 24 Housing and Urban Development 5 2011-04-01 2011-04-01 false Roads. 1710.110 Section...

  10. 24 CFR 1710.110 - Roads.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... (4) Who is responsible for road maintenance? If the roads are to be maintained by a public authority... for maintaining the roads and that, if maintenance is not performed, the roads may soon deteriorate... 24 Housing and Urban Development 5 2012-04-01 2012-04-01 false Roads. 1710.110 Section...

  11. 12 CFR 1010.110 - Roads.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... paragraph. (4) Who is responsible for road maintenance? If the roads are to be maintained by a public... responsible for maintaining the roads and that, if maintenance is not performed, the roads may soon... 12 Banks and Banking 8 2014-01-01 2014-01-01 false Roads. 1010.110 Section 1010.110 Banks...

  12. 12 CFR 1010.110 - Roads.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... paragraph. (4) Who is responsible for road maintenance? If the roads are to be maintained by a public... responsible for maintaining the roads and that, if maintenance is not performed, the roads may soon... 12 Banks and Banking 8 2013-01-01 2013-01-01 false Roads. 1010.110 Section 1010.110 Banks...

  13. 24 CFR 1710.110 - Roads.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... (4) Who is responsible for road maintenance? If the roads are to be maintained by a public authority... for maintaining the roads and that, if maintenance is not performed, the roads may soon deteriorate... 24 Housing and Urban Development 5 2013-04-01 2013-04-01 false Roads. 1710.110 Section...

  14. 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.

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

    PubMed

    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

  16. 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

  17. 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…

  18. Access to the Arts through Assistive Technology.

    ERIC Educational Resources Information Center

    Frame, Charles

    Personnel in the rehabilitation field have come to recognize the possibilities and implications of computers as assistive technology for disabled persons. This manual provides information on how to adapt the Unicorn Board, Touch Talker/Light Talker overlays, the Adaptive Firmware Card setup disk, and Trace-Transparent Access Module (T-TAM) to…

  19. Qualitative Research in Rehabilitation Counseling

    ERIC Educational Resources Information Center

    Hanley-Maxwell, Cheryl; Al Hano, Ibrahim; Skivington, Michael

    2007-01-01

    Qualitative research approaches offer rehabilitation scholars and practitioners avenues into understanding the lives and experiences of people with disabilities and those people and systems with whom they interact. The methods used often parallel those used in counseling and appear to be well matched with the field of rehabilitation counseling.…

  20. Directions in Rehabilitation Counseling, 2001.

    ERIC Educational Resources Information Center

    Flach, Frederic, Ed.

    2001-01-01

    This volume of 12 lessons provides expert information on a variety of medical and psychological issues in rehabilitative counseling. The lessons, which may be applied toward continuing education credits, are: (1) "Integration of Psychiatric Treatment and Rehabilitation" (Jeanne Steiner, Larry Davidson, Michael A. Hoge, and Selby Jacobs); (2)…

  1. Rehabilitation Technologies for Water Mains

    EPA Science Inventory

    This paper presents on-going research work for the USEPA Research Project on “Rehabilitation of Water and Wastewater Systems.” It will compare various renewal methods (i.e. replacement, rehabilitation and repair technologies that are available in the market). The paper discusse...

  2. Learning Disabilities and Vocational Rehabilitation.

    ERIC Educational Resources Information Center

    Dowdy, Carol A.; And Others

    1992-01-01

    This paper describes the definitions, diagnostic criteria, and eligibility criteria used by vocational rehabilitation agencies in serving adults with learning disabilities. The paper emphasizes that the focus of all vocational rehabilitation services is on employment and that counseling is at the core of the service program for persons with…

  3. Statistical Prediction in Proprietary Rehabilitation.

    ERIC Educational Resources Information Center

    Johnson, Kurt L.; And Others

    1987-01-01

    Applied statistical methods to predict case expenditures for low back pain rehabilitation cases in proprietary rehabilitation. Extracted predictor variables from case records of 175 workers compensation claimants with some degree of permanent disability due to back injury. Performed several multiple regression analyses resulting in a formula that…

  4. Directions in Rehabilitation Counseling, 1990.

    ERIC Educational Resources Information Center

    Directions in Rehabilitation Counseling, 1990

    1990-01-01

    This volume of 12 lessons--each one written by either a medical or a mental health professional--provides expert information on a variety of medical and psychological issues in rehabilitative counseling. The lessons, each of which concludes with a few multiple-choice questions, are as follows: (1) "Rehabilitation of the Seriously Mentally Ill"…

  5. Computer Assisted Rehabilitation Service Delivery.

    ERIC Educational Resources Information Center

    West Virginia Rehabilitation Research and Training Center, Dunbar.

    This volume consisting of state of the art reviews, suggestions and guidelines for practitioners, and program descriptions deals with the current and potential applications of computers in the delivery of services for vocational rehabilitation (VR). Discussed first are current applications of computer technology in rehabilitative service delivery.…

  6. [Long-term cardiac rehabilitation].

    PubMed

    Tormo Alfonso, V

    1995-01-01

    Cardiac rehabilitation for life-time in a patient who has suffered coronary pathology is considered as appropriate. The reasons for such an opinion are given, as well as the two most indicated courses of action, being this rehabilitation at home and coronary clubs.

  7. Rehabilitation with a Future Orientation

    ERIC Educational Resources Information Center

    Journal of Rehabilitation, 1975

    1975-01-01

    A question-answer interview with Carl Schleicher, cofounder and technical director of the Center for Preventive Therapy and Rehabilitation, Inc. (CEPTAR) and president and research/development director of Mankind Research Unlimited, Inc. (MRU), Washington, D. C., provides explicit information on recent developments in the rehabilitation field and…

  8. On the road to prevention: road injury and health promotion.

    PubMed

    Stevenson, Mark; Thompson, Jason

    2014-04-01

    Road traffic injuries are already the leading cause of injury mortality and morbidity globally and by 2030 are predicted to be the fifth leading cause of mortality in the world. Australia has seen a dramatic reduction in road deaths and serious injuries since the 1970s and holds an international reputation for road traffic injury prevention due, in part, to its success in pioneering the multidisciplinary and intersectoral approach needed to address this significant issue and by applying an evidence-led approach to policy development. The paper will discuss Australia's early success in road traffic injury prevention (road safety), particularly the achievements following the implementation of targeted programs that focussed on road user behaviours for which health promotion played a role. The most successful of these programs was the introduction of comprehensive seat belt laws, random breath testing and more recently, strategic speed enforcement programs. Amid an array of significant challenges faced by the transport system in the future, the rapid development in information and communication technologies applied to transport is likely to provide the next generation of road safety benefits. The potential for a semi-autonomous transport system is likely to provide the next significant decline in road fatalities and serious injuries over the next 2 decades and the role of health promotion in relation to raising community engagement and building coalitions to increase uptake of new technologies will be discussed. PMID:24739772

  9. 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

  10. Survey of wildlife rehabilitators on infection control and personal protective behaviors

    USGS Publications Warehouse

    Saito, E.K.; Shreve, A.A.

    2005-01-01

    Wildlife veterinarians and rehabilitators treat a number of wildlife species that can carry infectious and zoonotic diseases. These can rapidly spread within a facility and to the caregivers when adequate measures are not taken. Financial constraints and reduced access to laboratories often limit identification of disease etiology of many cases admitted into wildlife rehabilitation centers. A survey to investigate wildlife rehabilitator illness during the 2002 West Nile virus season indicated that many rehabilitators do not follow adequate protective measures in their facilities and may not seek medical care when disease symptoms arise or even linger. The recommended precautions and proper infection control measures for those handling and housing wildlife cases should be discussed between rehabilitators and their attending veterinarian(s).

  11. Movement-Based Interaction Applied to Physical Rehabilitation Therapies

    PubMed Central

    Ruiz Penichet, Victor Manuel; Lozano Pérez, María Dolores

    2014-01-01

    interaction with the system allowed us to obtain important feedback needed to improve the system. Conclusions The system improves the rehabilitation conditions of people with balance disorder. The main contribution comes from the fact that it allows patients to carry out the rehabilitation process at home under the supervision of physiotherapists. As a result, patients avoid having to attend medical centers. Additionally, medical staff have access to an assistant, which means their presence is not required in many exercises that involve constant repetition. PMID:25491148

  12. Home-based versus centre-based cardiac rehabilitation

    PubMed Central

    Taylor, Rod S; Dalal, Hayes; Jolly, Kate; Moxham, Tiffany; Zawada, Anna

    2014-01-01

    Background The burden of cardiovascular disease world-wide is one of great concern to patients and health care agencies alike. Traditionally centre-based cardiac rehabilitation (CR) programmes are offered to individuals after cardiac events to aid recovery and prevent further cardiac illness. Home-based cardiac rehabilitation programmes have been introduced in an attempt to widen access and participation. Objectives To determine the effectiveness of home-based cardiac rehabilitation programmes compared with supervised centre-based cardiac rehabilitation on mortality and morbidity, health-related quality of life and modifiable cardiac risk factors in patients with coronary heart disease. Search methods We updated the search of a previous review by searching the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library (2007, Issue 4), MEDLINE, EMBASE and CINAHL from 2001 to January 2008. We checked reference lists and sought advice from experts. No language restrictions were applied. Selection criteria Randomised controlled trials (RCTs) that compared centre-based cardiac rehabilitation (e.g. hospital, gymnasium, sports centre) with home-based programmes, in adults with myocardial infarction, angina, heart failure or who had undergone revascularisation. Data collection and analysis Studies were selected independently by two reviewers, and data extracted by a single reviewer and checked by a second one. Authors were contacted where possible to obtain missing information. Main results Twelve studies (1,938 participants) met the inclusion criteria. The majority of studies recruited a lower risk patient following an acute myocardial infarction (MI) and revascularisation. There was no difference in outcomes of home- versus centre-based cardiac rehabilitation in mortality risk ratio (RR) was 1.31 (95% confidence interval (C) 0.65 to 2.66), cardiac events, exercise capacity standardised mean difference (SMD) −0.11 (95% CI −0.35 to 0.13), as well

  13. Assessment of Vestibular Rehabilitation Therapy Training and Practice Patterns

    PubMed Central

    Bush, Matthew L.; Dougherty, William

    2015-01-01

    Objective Vestibular rehabilitation therapy (VRT) can benefit patients with a variety of balance and vestibular disorders. This expanding field requires knowledgeable and experienced therapists; however, the practice and experience of those providing this care may vary greatly. The purpose of this study was to analyze variations in training and practice patterns among practicing vestibular rehabilitation therapists. Study Design Case-controlled cohort study Setting Investigation of outpatient physical therapy and audiology practices that offer vestibular rehabilitation conducted by a tertiary academic referral center. Main Outcome Measure Questionnaire-based investigation of level of training in vestibular disorders and therapy, practice patterns of vestibular rehabilitation, and referral sources for VRT patients. Results We identified 27 subjects within the state of Kentucky who practice vestibular rehabilitation and the questionnaire response rate was 63%. Responses indicated that 53% of respondents had no training in VRT during their professional degree program. Attendance of a course requiring demonstration of competence and techniques was 24% of participants. The development of VRT certification was significantly more favored by those who attended such courses compared with those who did not (p=0.01). 50% of therapists have direct access to patients without physician referrals. Conclusions There is a wide range of educational background and training among those practicing VRT. This variability in experience may affect care provided within some communities. Certification is not necessary for the practice of VRT but the development of certification is favored among some therapists to improve standardization of practice of this important specialty. PMID:25700790

  14. Assessment of Vestibular Rehabilitation Therapy Training and Practice Patterns.

    PubMed

    Bush, Matthew L; Dougherty, William

    2015-08-01

    Vestibular rehabilitation therapy (VRT) can benefit patients with a variety of balance and vestibular disorders. This expanding field requires knowledgeable and experienced therapists; however, the practice and experience of those providing this care may vary greatly. The purpose of this study was to analyze variations in training and practice patterns among practicing vestibular rehabilitation therapists. Case-controlled cohort study. Investigation of outpatient physical therapy and audiology practices that offer vestibular rehabilitation conducted by a tertiary academic referral center. Questionnaire-based investigation of level of training in vestibular disorders and therapy, practice patterns of vestibular rehabilitation, and referral sources for VRT patients. We identified 27 subjects within the state of Kentucky who practice vestibular rehabilitation and the questionnaire response rate was 63%. Responses indicated that 53% of respondents had no training in VRT during their professional degree program. Attendance of a course requiring demonstration of competence and techniques was 24% of participants. The development of VRT certification was significantly more favored by those who attended such courses compared with those who did not (p = 0.01). 50% of therapists have direct access to patients without physician referrals. There is a wide range of educational background and training among those practicing VRT. This variability in experience may affect care provided within some communities. Certification is not necessary for the practice of VRT but the development of certification is favored among some therapists to improve standardization of practice of this important specialty. PMID:25700790

  15. Neurobiology of Rehabilitation

    PubMed Central

    Dobkin, Bruce H.

    2014-01-01

    Rehabilitation aims to lessen the physical and cognitive impairments and disabilities of patients with stroke, multiple sclerosis, spinal cord or brain injury, and other neurologic diseases. Conventional approaches beyond compensatory adjustments to disability may be augmented by applying some of the myriad experimental results about mechanisms of intrinsic biological changes after injury and the effects of extrinsic manipulations on spared neuronal assemblies. The organization and inherent adaptability of the anatomical nodes within distributed pathways of the central nervous system offer a flexible substrate for treatment strategies that drive activity-dependent plasticity. Opportunities for a new generation of approaches are manifested by rodent and non-human primate studies that reveal morphologic and physiologic adaptations induced by injury, by learning-associated practice, by the effects of pharmacologic neuromodulators, by the behavioral and molecular bases for enhancing activity-dependent synaptic plasticity, and by cell replacement, gene therapy, and regenerative biologic strategies. Techniques such as functional magnetic resonance imaging and transcranial magnetic stimulation will help determine the most optimal physiologic effects of interventions in patients as the cortical representations for skilled movements and cognitive processes are modified by the combination of conventional and biologic therapies. As clinicians digest the finer details of the neurobiology of rehabilitation, they will translate laboratory data into controlled clinical trials. By determining how much they can influence neural reorganization, clinicians will extend the opportunities for neurorestoration. PMID:15838110

  16. Rehabilitating asphalt highways

    SciTech Connect

    Butalia, T.S.

    2007-07-01

    Coal fly ash has been used on two Ohio full-depth reclamation projects in Delaware and Warren. The object of the project carried out with the Department of Civil and Environmental Engineering and Geodetic Science at Ohio State University is to demonstrate the effective use of Class fly ash in combination with lime or lime kiln dust in the full depth reclamation of asphalt pavements. The article describes the mixes used for the highway reconstruction of part of Section Line Road Delaware County and of a road in Warren County. During construction the pavement sections were instrumented with several structural and environmental monitoring devices and data is being collected on a quarterly basis. Falling Weight Deflectometer (FWD) tests to measure load defection behaviour, resilient of pavement layers and soil and base structural layer coefficient are being carried out twice a year. It was shown that use of fly ash increased the elastic modulus of base layers. This article first appeared in the Feb/May 2007 issue of Asphalt Contractor. 4 photos.

  17. Web Accessibility and Accessibility Instruction

    ERIC Educational Resources Information Center

    Green, Ravonne A.; Huprich, Julia

    2009-01-01

    Section 508 of the Americans with Disabilities Act (ADA) mandates that programs and services be accessible to people with disabilities. While schools of library and information science (SLIS*) and university libraries should model accessible Web sites, this may not be the case. This article examines previous studies about the Web accessibility of…

  18. Rehabilitation in spinal infection diseases.

    PubMed

    Nas, Kemal; Karakoç, Mehmet; Aydın, Abdulkadir; Öneş, Kadriye

    2015-01-18

    Spinal cord infections were the diseases defined by Hypocrite yet the absence of modern medicine and there was not a real protocol in rehabilitation although there were many aspects in surgical treatment options. The patients whether surgically or conservatively treated had a lot of neurological, motor, and sensory disturbances. Our clinic has quite experience from our previous researchs. Unfortunately, serious spinal cord infections are still present in our region. In these patients the basic rehabilitation approaches during early, pre-operation, post-operation period and in the home environment will provide significant contributions to improve the patients' sensory and motor skills, develop the balance and proriocaption, increase the independence of patients in daily living activities and minimize the assistance of other people. There is limited information in the literature related with the nature of the rehabilitation programmes to be applied for patients with spinal infections. The aim of this review is to share our clinic experience and summarise the publications about spinal infection rehabilitation. There are very few studies about the rehabilitation of spinal infections. There are still not enough studies about planning and performing rehabilitation programs in these patients. Therefore, a comprehensive rehabilitation programme during the hospitalisation and home periods is emphasised in order to provide optimal management and prevent further disability.

  19. Rehabilitation in spinal infection diseases

    PubMed Central

    Nas, Kemal; Karakoç, Mehmet; Aydın, Abdulkadir; Öneş, Kadriye

    2015-01-01

    Spinal cord infections were the diseases defined by Hypocrite yet the absence of modern medicine and there was not a real protocol in rehabilitation although there were many aspects in surgical treatment options. The patients whether surgically or conservatively treated had a lot of neurological, motor, and sensory disturbances. Our clinic has quite experience from our previous researchs. Unfortunately, serious spinal cord infections are still present in our region. In these patients the basic rehabilitation approaches during early, pre-operation, post-operation period and in the home environment will provide significant contributions to improve the patients’ sensory and motor skills, develop the balance and proriocaption, increase the independence of patients in daily living activities and minimize the assistance of other people. There is limited information in the literature related with the nature of the rehabilitation programmes to be applied for patients with spinal infections. The aim of this review is to share our clinic experience and summarise the publications about spinal infection rehabilitation. There are very few studies about the rehabilitation of spinal infections. There are still not enough studies about planning and performing rehabilitation programs in these patients. Therefore, a comprehensive rehabilitation programme during the hospitalisation and home periods is emphasised in order to provide optimal management and prevent further disability. PMID:25621205

  20. [Challenges and trends in rehabilitation].

    PubMed

    Bautz-Holter, Erik; Sveen, Unni; Søberg, Helene; Røe, Cecilie

    2007-02-01

    The definition of rehabilitation is debated, but the true sense of the word is "reinstatement in dignity." There is often a need for rehabilitation after diseases and injuries. Rehabilitation is founded on the individual's right to participate in society and to have equal opportunities in general, and can be considered both in a medical and a sociological perspective. WHO has developed "International Classification of Functioning, disability and health"-ICF. ICF reflects an understanding of function and disability in a bio-psychosocial model. The issues discussed in this article will be limited to rehabilitation within the Norwegian healthcare system. Rehabilitation is based on the individual's loss of function, irrespective of the injury or disease, and should focus on resources. Its main issue is the subject's own goals and wishes with respect to quality of life and total life situation. Many groups that have, or are in danger of acquiring reduced function are in need of rehabilitation, if this can prevent or reduce loss of function or participation. The measures taken can be directed over a wide spectrum, directed towards function and activity, and often with participation in a variety of life aspects as the main goal. Rehabilitation is presented with many challenges caused by the general development in society, including implementation of the medical and technological development and demand of scientific documentation.

  1. Rehabilitation of patients with glioma.

    PubMed

    Vargo, Mary; Henriksson, Roger; Salander, Pär

    2016-01-01

    Disabling sequelae occur in a majority of patients diagnosed with brain tumor, including glioma, such as cognitive deficits, weakness, and visual perceptual changes. Often, multiple impairments are present concurrently. Healthcare staff must be aware of the "biographic disruption" the patient with glioma has experienced. While prognostic considerations factor into rehabilitation goals and expectations, regardless of prognosis the treatment team must offer cohesive support, facilitating hope, function, and quality of life. Awareness of family and caregiver concerns plays an important role in the overall care. Inpatient rehabilitation, especially after surgical resection, has been shown to result in functional improvement and homegoing rates on a par with individuals with other neurologic conditions, such as stroke or traumatic brain injury. Community integration comprises a significant element of life satisfaction, as has been shown in childhood glioma survivors. Employment is often affected by the glioma diagnosis, but may be ameliorated, when appropriate, by addressing modifiable factors such as depression, fatigue, or sleep disturbance, or by workplace accommodations. Further research is needed into many facets of rehabilitation in the setting of glioma, including establishing better care models for consistently identifying and addressing functional limitations in this population, measuring outcomes of various levels of rehabilitation care, identifying optimal physical activity strategies, delineating the long-term effects of rehabilitation interventions, and exploring impact of rehabilitation interventions on caregiver burden. The effective elements of cognitive rehabilitation, including transition of cognitive strategies to everyday living, need to be better defined. PMID:26948361

  2. 38 CFR 21.283 - Rehabilitated.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Induction into A Rehabilitation Program § 21.283 Rehabilitated. (a) General. For purposes of chapter 31 a... of the veteran's rehabilitation program under this chapter; and (ii) Achievement of employment..., including a veteran in a rehabilitation program consisting solely of employment services, is considered...

  3. 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)

  4. Canadian stroke best practice recommendations: Stroke rehabilitation practice guidelines, update 2015.

    PubMed

    Hebert, Debbie; Lindsay, M Patrice; McIntyre, Amanda; Kirton, Adam; Rumney, Peter G; Bagg, Stephen; Bayley, Mark; Dowlatshahi, Dar; Dukelow, Sean; Garnhum, Maridee; Glasser, Ev; Halabi, Mary-Lou; Kang, Ester; MacKay-Lyons, Marilyn; Martino, Rosemary; Rochette, Annie; Rowe, Sarah; Salbach, Nancy; Semenko, Brenda; Stack, Bridget; Swinton, Luchie; Weber, Valentine; Mayer, Matthew; Verrilli, Sue; DeVeber, Gabrielle; Andersen, John; Barlow, Karen; Cassidy, Caitlin; Dilenge, Marie-Emmanuelle; Fehlings, Darcy; Hung, Ryan; Iruthayarajah, Jerome; Lenz, Laura; Majnemer, Annette; Purtzki, Jacqueline; Rafay, Mubeen; Sonnenberg, Lyn K; Townley, Ashleigh; Janzen, Shannon; Foley, Norine; Teasell, Robert

    2016-06-01

    Stroke rehabilitation is a progressive, dynamic, goal-orientated process aimed at enabling a person with impairment to reach their optimal physical, cognitive, emotional, communicative, social and/or functional activity level. After a stroke, patients often continue to require rehabilitation for persistent deficits related to spasticity, upper and lower extremity dysfunction, shoulder and central pain, mobility/gait, dysphagia, vision, and communication. Each year in Canada 62,000 people experience a stroke. Among stroke survivors, over 6500 individuals access in-patient stroke rehabilitation and stay a median of 30 days (inter-quartile range 19 to 45 days). The 2015 update of the Canadian Stroke Best Practice Recommendations: Stroke Rehabilitation Practice Guidelines is a comprehensive summary of current evidence-based recommendations for all members of multidisciplinary teams working in a range of settings, who provide care to patients following stroke. These recommendations have been developed to address both the organization of stroke rehabilitation within a system of care (i.e., Initial Rehabilitation Assessment; Stroke Rehabilitation Units; Stroke Rehabilitation Teams; Delivery; Outpatient and Community-Based Rehabilitation), and specific interventions and management in stroke recovery and direct clinical care (i.e., Upper Extremity Dysfunction; Lower Extremity Dysfunction; Dysphagia and Malnutrition; Visual-Perceptual Deficits; Central Pain; Communication; Life Roles). In addition, stroke happens at any age, and therefore a new section has been added to the 2015 update to highlight components of stroke rehabilitation for children who have experienced a stroke, either prenatally, as a newborn, or during childhood. All recommendations have been assigned a level of evidence which reflects the strength and quality of current research evidence available to support the recommendation. The updated Rehabilitation Clinical Practice Guidelines feature several

  5. Canadian stroke best practice recommendations: Stroke rehabilitation practice guidelines, update 2015.

    PubMed

    Hebert, Debbie; Lindsay, M Patrice; McIntyre, Amanda; Kirton, Adam; Rumney, Peter G; Bagg, Stephen; Bayley, Mark; Dowlatshahi, Dar; Dukelow, Sean; Garnhum, Maridee; Glasser, Ev; Halabi, Mary-Lou; Kang, Ester; MacKay-Lyons, Marilyn; Martino, Rosemary; Rochette, Annie; Rowe, Sarah; Salbach, Nancy; Semenko, Brenda; Stack, Bridget; Swinton, Luchie; Weber, Valentine; Mayer, Matthew; Verrilli, Sue; DeVeber, Gabrielle; Andersen, John; Barlow, Karen; Cassidy, Caitlin; Dilenge, Marie-Emmanuelle; Fehlings, Darcy; Hung, Ryan; Iruthayarajah, Jerome; Lenz, Laura; Majnemer, Annette; Purtzki, Jacqueline; Rafay, Mubeen; Sonnenberg, Lyn K; Townley, Ashleigh; Janzen, Shannon; Foley, Norine; Teasell, Robert

    2016-06-01

    Stroke rehabilitation is a progressive, dynamic, goal-orientated process aimed at enabling a person with impairment to reach their optimal physical, cognitive, emotional, communicative, social and/or functional activity level. After a stroke, patients often continue to require rehabilitation for persistent deficits related to spasticity, upper and lower extremity dysfunction, shoulder and central pain, mobility/gait, dysphagia, vision, and communication. Each year in Canada 62,000 people experience a stroke. Among stroke survivors, over 6500 individuals access in-patient stroke rehabilitation and stay a median of 30 days (inter-quartile range 19 to 45 days). The 2015 update of the Canadian Stroke Best Practice Recommendations: Stroke Rehabilitation Practice Guidelines is a comprehensive summary of current evidence-based recommendations for all members of multidisciplinary teams working in a range of settings, who provide care to patients following stroke. These recommendations have been developed to address both the organization of stroke rehabilitation within a system of care (i.e., Initial Rehabilitation Assessment; Stroke Rehabilitation Units; Stroke Rehabilitation Teams; Delivery; Outpatient and Community-Based Rehabilitation), and specific interventions and management in stroke recovery and direct clinical care (i.e., Upper Extremity Dysfunction; Lower Extremity Dysfunction; Dysphagia and Malnutrition; Visual-Perceptual Deficits; Central Pain; Communication; Life Roles). In addition, stroke happens at any age, and therefore a new section has been added to the 2015 update to highlight components of stroke rehabilitation for children who have experienced a stroke, either prenatally, as a newborn, or during childhood. All recommendations have been assigned a level of evidence which reflects the strength and quality of current research evidence available to support the recommendation. The updated Rehabilitation Clinical Practice Guidelines feature several

  6. Cortical plasticity and rehabilitation.

    PubMed

    Moucha, Raluca; Kilgard, Michael P

    2006-01-01

    The brain is constantly adapting to environmental and endogenous changes (including injury) that occur at every stage of life. The mechanisms that regulate neural plasticity have been refined over millions of years. Motivation and sensory experience directly shape the rewiring that makes learning and neurological recovery possible. Guiding neural reorganization in a manner that facilitates recovery of function is a primary goal of neurological rehabilitation. As the rules that govern neural plasticity become better understood, it will be possible to manipulate the sensory and motor experience of patients to induce specific forms of plasticity. This review summarizes our current knowledge regarding factors that regulate cortical plasticity, illustrates specific forms of reorganization induced by control of each factor, and suggests how to exploit these factors for clinical benefit.

  7. A critical evaluation of the rehabilitation of children with cerebral palsy.

    PubMed

    Kwołek, Andrzej; Pabis, Maria; Lewicka, Krystyna; Korab, Dorota

    2002-01-31

    Background. The aim of this study is to present the authors clinical experience in the rehabilitation of cerebral palsied children in the Podkarpacie district of Poland. Material and method. During the period 1989-2001 the authors treated 1980 children in the Outpatient Rehabilitation Clinic for Children at District Hospital No. 2 in Rzeszow, Poland. 712 of these children suffered from cerebral palsy. At present there are 1300 children living in Rzeszow and the vicinity under the permanent care of our outpatient clinic. The rehabilitation procedure consists of physioteraphy, long-term follow-up by rehabilitation specialists, otolaryngologists, and psychologists, and parent education. The children are also provided with orthopedic equipment and orthopedic treatment in all cases requiring surgery (4,7% of all the CP children). Conclusions. All problems involving the comprehensive rehabilitation of the children treated in our Outpatient Rehabilitation Clinic for Children are discussed. We also present conclusions on how to make access to rehabilitation easier for patients and improve the cooperation of the rehabilitation team.

  8. Women's compliance with cardiac rehabilitation programs.

    PubMed

    Ginzel, A R

    1996-01-01

    As the incidence of cardiovascular disease in women increases, the process of cardiac rehabilitation in women is becoming increasingly important to nurses. Specifically, the issue of women's compliance with cardiac rehabilitation needs to be addressed by nurses. Most past and current research on cardiac rehabilitation and compliance with rehabilitation programs has been conducted on male subjects and cannot be accurately generalized to the female population. This article reviews current literature which addresses the issues of heart disease in women, cardiac rehabilitation and compliance in the general population, gender differences in cardiac rehabilitation, and compliance of women in cardiac rehabilitation. PMID:8657707

  9. An overview of vestibular rehabilitation.

    PubMed

    Whitney, S L; Alghwiri, A A; Alghadir, A

    2016-01-01

    Data related to the efficacy of vestibular rehabilitation and its evolution as an intervention are provided. Concepts and various treatment strategies are described, with explanations of why people with uncompensated peripheral and central vestibular disorders might improve with rehabilitation. Various tests and measures are described that are commonly used to examine patients and determine their level of ability to participate in their environment. Factors that affect recovery, both positively and negatively, are described in order to better prognosticate recovery. A case utilizing many of the principles discussed is included to provide insight into how to utilize vestibular rehabilitation with a person with an uncompensated peripheral vestibular loss. PMID:27638071

  10. [Surgical rehabilitation of stomal disease].

    PubMed

    La Torre, F; Persico Stella, L; Nicolai, A P; Nicastro, A; Gasparrini, M; de Anna, L; Lucidi, V; Montori, A

    1997-10-01

    The Authors report their experience in the surgical rehabilitation of patients with complicated ileo- or colostomy. Mechanical and psychosocial implications as well as different rehabilitative methods are discussed. The results of a surgical protocol in the treatment of stomal diseases observed in 63 patients are herein reported. In 14 patients the surgical treatment was performed in general anaesthesia, while in 49 local anaesthesia was used. The latter was better tolerated by the patients. In conclusion, surgery should play a major role in this rehabilitation protocol, either in terms of prevention or definitive treatment.

  11. Pediatric family-centered rehabilitation.

    PubMed

    Hostler, S L

    1999-08-01

    Family-centered rehabilitation programs are derived from a philosophy of heath care delivery known as family-centered care. The principles of family-centered care are presented with clinical examples. Its origins are reviewed, and the 10-year process of implementation of family-centered care practice and policy at a children's rehabilitation center are described. Profound changes in behavior are required of the health care professionals as meaningful collaboration with families develops. Key elements of a family-centered rehabilitation program include meaningful participation by families in medical decision making and an institutional culture flexible enough to respond to the ongoing collaboration between families and practitioners.

  12. Restoration and Rehabilitation of world heritage Site of Chupan Church

    NASA Astrophysics Data System (ADS)

    Darvish Rohani, S.

    2015-08-01

    Church of Chupan is located in Jolfa cityin north of Iran and is laid at south side of Arax River. Built of the church traced back to 14th to 15th century and the time when Armenians were inhabited in the region. Chupan church had been inscribed at World Heritage List of UNESCO under no 1262 in 2008, as one of the five churches of "Armenian Monasteries of Azerbaijan province of Iran" dossier. As it is located at a religious and tourism road of Darresham and each year most of Armenian from all over the world visited the church as a part of a religious ceremony, also as the same church on opposite side of the Arax in Republic of Nakhchivan is completely destroyed between 1998-2002 and the church is the only existing evidence of these two couple church, the restoration and rehabilitation of chupan church is very important. Because of very bad statues of structure stability and long-term neglect of the conservation and preservation of the building, restoration and rehabilitation of the church in the earliest was necessary. Restoration of this church was my MA degree thesis and now as a Ph.D student in field of urban design and planning student, I am working on the next step which is to revitalization and rehabilitation of the church.

  13. Prosthetic rehabilitation of an ocular defect with post-enucleation socket syndrome: A case report.

    PubMed

    Amornvit, Pokpong; Rokaya, Dinesh; Shrestha, Binit; Srithavaj, Theerathavaj

    2014-01-01

    Ocular trauma can be caused by road traffic accidents, falls, assaults, or work-related accidents. Enucleation is often indicated after ocular injury or for the treatment of intraocular tumors, severe ocular infections, and painful blind eyes. Rehabilitation of an enucleated socket without an intraocular implant or with an inappropriately sized implant can result in superior sulcus deepening, enophthalmos, ptosis, ectropion, and lower lid laxity, which are collectively known as post-enucleation socket syndrome. This clinical report describes the rehabilitation of post-enucleation socket syndrome with a modified ocular prosthesis. Modifications to the ocular prosthesis were performed to correct the ptosis, superior sulcus deepening, and enophthalmos. The rehabilitation procedure produced satisfactory results. PMID:24526826

  14. Prosthetic rehabilitation of an ocular defect with post-enucleation socket syndrome: A case report.

    PubMed

    Amornvit, Pokpong; Rokaya, Dinesh; Shrestha, Binit; Srithavaj, Theerathavaj

    2014-01-01

    Ocular trauma can be caused by road traffic accidents, falls, assaults, or work-related accidents. Enucleation is often indicated after ocular injury or for the treatment of intraocular tumors, severe ocular infections, and painful blind eyes. Rehabilitation of an enucleated socket without an intraocular implant or with an inappropriately sized implant can result in superior sulcus deepening, enophthalmos, ptosis, ectropion, and lower lid laxity, which are collectively known as post-enucleation socket syndrome. This clinical report describes the rehabilitation of post-enucleation socket syndrome with a modified ocular prosthesis. Modifications to the ocular prosthesis were performed to correct the ptosis, superior sulcus deepening, and enophthalmos. The rehabilitation procedure produced satisfactory results.

  15. 2. General Road view looking SW. Great Smoky Mountains ...

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

    2. General Road view looking SW. - 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

  16. 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…

  17. A rehabilitation model as key to comprehensive care in the era of HIV as a chronic disease in South Africa

    PubMed Central

    Chetty, Verusia; Hanass-Hancock, Jill

    2016-01-01

    ABSTRACT In the era of widespread access to antiretroviral therapy, people living with HIV survive; however, this comes with new experiences of comorbidities and HIV-related disability posing new challenges to rehabilitation professionals and an already fragile health system in Southern Africa. Public health approaches to HIV need to include not only prevention, treatment and support but also rehabilitation. While some well-resourced countries have developed rehabilitation approaches for HIV, resource-poor settings of Southern Africa lack a model of care that includes rehabilitation approaches providing accessible and comprehensive care for people living with HIV. In this study, a learning in action approach was used to conceptualize a comprehensive model of care that addresses HIV-related disability and a feasible rehabilitation framework for resource-poor settings. The study used qualitative methods in the form of a focus group discussion with thirty participants including people living with HIV, the multidisciplinary healthcare team and community outreach partners at a semi-rural health facility in South Africa. The discussion focused on barriers and enablers of access to rehabilitation. Participants identified barriers at various levels, including transport, physical access, financial constraints and poor multi-stakeholder team interaction. The results of the group discussions informed the design of an inclusive model of HIV care. This model was further informed by established integrated rehabilitation models. Participants emphasized that objectives need to respond to policy, improve access to patient-centered care and maintain a multidisciplinary team approach. They proposed that guiding principles should include efficient communication, collaboration of all stakeholders and leadership in teams to enable staff to implement the model. Training of professional staff and lay personnel within task-shifting approaches was seen as an essential enabler to

  18. A rehabilitation model as key to comprehensive care in the era of HIV as a chronic disease in South Africa.

    PubMed

    Chetty, Verusia; Hanass-Hancock, Jill

    2016-01-01

    In the era of widespread access to antiretroviral therapy, people living with HIV survive; however, this comes with new experiences of comorbidities and HIV-related disability posing new challenges to rehabilitation professionals and an already fragile health system in Southern Africa. Public health approaches to HIV need to include not only prevention, treatment and support but also rehabilitation. While some well-resourced countries have developed rehabilitation approaches for HIV, resource-poor settings of Southern Africa lack a model of care that includes rehabilitation approaches providing accessible and comprehensive care for people living with HIV. In this study, a learning in action approach was used to conceptualize a comprehensive model of care that addresses HIV-related disability and a feasible rehabilitation framework for resource-poor settings. The study used qualitative methods in the form of a focus group discussion with thirty participants including people living with HIV, the multidisciplinary healthcare team and community outreach partners at a semi-rural health facility in South Africa. The discussion focused on barriers and enablers of access to rehabilitation. Participants identified barriers at various levels, including transport, physical access, financial constraints and poor multi-stakeholder team interaction. The results of the group discussions informed the design of an inclusive model of HIV care. This model was further informed by established integrated rehabilitation models. Participants emphasized that objectives need to respond to policy, improve access to patient-centered care and maintain a multidisciplinary team approach. They proposed that guiding principles should include efficient communication, collaboration of all stakeholders and leadership in teams to enable staff to implement the model. Training of professional staff and lay personnel within task-shifting approaches was seen as an essential enabler to implementation. The

  19. In-place rehabilitation of process sewers

    SciTech Connect

    Arles, K.R.; Faller, C.C.

    1996-07-01

    The majority of petrochemical manufacturing facilities have thousands of feet of existing underground gravity sewers that convey the site`s industrial wastes to treatment facilities. The integrity of these sewer systems is a serious concern to owners. A potential consequence of leaks is soil and groundwater contamination. Prior to 1992, only two options were available to remedy this situation. The sewer systems could be replaced with either a new dual-walled, monitored underground pipe system via direct bury, or with an above ground pumped system. In 1992, Engineering, in conjunction with several trenchless technology vendors, developed and demonstrated modified relining systems that can rehabilitate existing sewers and result in monitored dual-walled gravity sewer systems. These proven systems have since been enhanced, upgraded, and installed at two operating facilities. With thorough sewer investigation and assessments, industry now has viable, cost effective options to rehabilitate underground chemical process sewers. These upgraded sewer systems provide the environmental security of monitored dual-walled pipe, enhanced flow characteristics, and retain accessibility for maintenance and inspections.

  20. 78 FR 76131 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-16

    ... Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research Centers AGENCY: Office... Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research Centers (RERCs... authorized under the Rehabilitation Act of 1973, as amended (Rehabilitation Act). Rehabilitation...

  1. Practical Rehabilitation and Physical Therapy for the General Equine Practitioner.

    PubMed

    Kaneps, Andris J

    2016-04-01

    Physical treatment and rehabilitation play major roles in recovery and maintenance of the equine athlete, and many therapeutic measures are accessible by the veterinarian in general practice. An accurate diagnosis of the condition undergoing treatment is a requirement, and measurable parameters obtained at diagnosis allows for quantification of treatment outcomes. Therapeutic modalities accessible to the general practicing veterinarian are reviewed. Mechanisms of action, indications, and treatment protocols of thermal therapy, therapeutic ultrasound, extracorporeal shock wave, and laser are discussed. Manipulative therapies, including stretching and use of core strengthening exercises and equipment, are outlined. PMID:26898959

  2. 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.

  3. Rehabilitation Counselor Certification: Moving Forward

    ERIC Educational Resources Information Center

    Saunders, Jodi L.; Barros-Bailey, Mary; Chapman, Cindy; Nunez, Patricia

    2009-01-01

    This article provides a brief history of the Commission on Rehabilitation Counselor Certification and presents recent changes and strategic goals for moving forward. Challenges and opportunities for the profession in relation to certification are also discussed. (Contains 3 tables.)

  4. Cardiac Rehabilitation: Then and Now.

    ERIC Educational Resources Information Center

    Wilson, Philip K.

    1988-01-01

    As more and more patients survive a coronary event, the need for cardiac rehabilitation will increase. The author reviews the history and current status of this field and predicts what lies ahead. (JD)

  5. [The rehabilitation of elderly amputees].

    PubMed

    Welraeds, D

    1998-06-01

    Rehabilitation of elderly amputees raises several issues. Taking into account that amputations are frequently performed in elderly patients, with vascular diseases, it seems relevant to ask whether it is preferable to perform an amputation and quickly rehabilitate the patient or to attempt revascularisation and save the patient's limb. The knowledge of the outcome of amputation is crucial for the choice of treatment. Therefore, we discuss limb amputation in old patients in terms of epidemiology, aetiology, functional characteristics, specific problems and results with regards to expectations. Types and characteristics of prostheses, as well as rehabilitation and cost-effectiveness are briefly discussed. It is concluded that amputation is a mutilating procedure which carries for the elderly a poor outcome in terms of rehabilitation. Consequently any surgical procedure that may spare the limb should be preferred. PMID:9697394

  6. Rehabilitation and the Veterans' Administration

    NASA Technical Reports Server (NTRS)

    Meister, F.

    1974-01-01

    The Veteran's Administration health care system provides prosthetic and sensory aids for the rehabilitation of neurologically handicapped veterans. Research and development centers include prosthetic clinic teams, orthopedic shops, restoration clinics, bioengineering services, orthotics, etc.

  7. MedlinePlus: Pulmonary Rehabilitation

    MedlinePlus

    ... available Research Clinical Trials Journal Articles Resources Reference Desk Find an Expert For You Patient Handouts Summary Pulmonary rehabilitation (rehab) is a medically supervised program to help people who have chronic breathing problems, including COPD ( ...

  8. MedlinePlus: Cardiac Rehabilitation

    MedlinePlus

    ... available Research Clinical Trials Journal Articles Resources Reference Desk Find an Expert For You Patient Handouts Summary Cardiac rehabilitation (rehab) is a medically supervised program to help people who have A heart attack Angioplasty or ...

  9. Rehabilitation of the thrower's elbow.

    PubMed

    Wilk, Kevin E; Reinold, Michael M; Andrews, James R

    2003-12-01

    The elbow joint is susceptible to injuries in the overhead athlete due to the large amount of forces observed during the act of throwing. Injuries often occur due to repetitive microtrauma nature of throwing. Rehabilitation following injury or surgery to the throwing elbow is vital to fully restore normal function and return the athlete to competition as quickly and safely as possible. Rehabilitation of the elbow, whether post-injury or postsurgical, must follow a progressive and sequential order to ensure that healing tissues are not overstressed. Emphasis is placed on restoring full motion, muscular strength, and neuromuscular control. The purpose of this article is to provide an overview of a multiphased rehabilitation program for the thrower's elbow. In addition, rehabilitation for specific nonoperative and postoperative pathologies often observed in the throwing athlete is discussed.

  10. Rehabilitation of the thrower's elbow.

    PubMed

    Wilk, Kevin E; Reinold, Michael M; Andrews, James R

    2004-10-01

    The elbow joint is frequently injured in the overhead athlete, due to the large amount of forces in throwing. Injuries often occur due to repetitive microtrauma, especially in pitching. Rehabilitation following injury or surgery is vital to fully restore normal elbow function and return the athlete to competition as quickly and safely as possible. Elbow rehabilitation must follow a progressive and sequential order to ensure that healing tissues have not been compromised. Emphasis is on restoring full motion, muscular strength, and neuromuscular control, and gradually applying loads to healing tissue. This article provides an overview of a multiphased rehabilitation program for the thrower's elbow. Rehabilitation for specific nonoperative and postoperative pathologies often observed in the throwing athlete is also discussed.

  11. Psychosocial rehabilitation in developing countries.

    PubMed

    Rangaswamy, Thara; Sujit, John

    2012-10-01

    Psychosocial rehabilitation (PSR) is an essential component in the management of schizophrenia. It is especially relevant in the improvement of functioning and the quality of life of these individuals. The scarcity of mental health personnel and lack of training in many low and middle income countries (LAMIC) has led to low priority being accorded to PSR. This paper describes some of the PSR initiatives in LAMIC, especially those undertaken after disasters, home-based interventions and community-based rehabilitation programmes.

  12. Barriers and Facilitators Related to Rehabilitation Stays in Multiple Sclerosis

    PubMed Central

    Holmøy, Trygve; Gulbrandsen, Pål

    2015-01-01

    Background: Studies have shown the positive effects of multidisciplinary rehabilitation on disability and health-related quality of life in multiple sclerosis (MS). However, many patients do not seek such treatment, even if it is available free of charge. The aim of this study was to identify facilitators and barriers related to use of such treatment options. Methods: Five focus group interviews with 27 MS patients were conducted. Three groups included patients who had been admitted to a multidisciplinary MS rehabilitation institution, and two groups included outpatients of a university hospital who had not applied for specialized rehabilitation. Interviews were audiotaped and transcribed, and were analyzed qualitatively by means of a modified form of systematic text condensation. Results: Important factors influencing the use of an MS rehabilitation service were 1) the availability and suitability of initial information about the disease and the service, 2) assumptions and expectations about such a service, and 3) practical barriers in the patient's life. The prospect of having a retreat from work and family was described as a motivational factor. Lack of reorientation after diagnosis, fears and perceptions of being labeled as an MS patient, or having information overload and being confronted with disabled individuals were identified as barriers. Conclusions: Communication skills, including information-giving skills, of neurologists in relation to newly diagnosed MS patients need improvement. Rehabilitation programs for MS patients should include stays of different durations and purposes to fit patients' needs. Health-care authorities should take measures to secure equal access to information about rehabilitation options across institutions and practicing physicians. PMID:26052257

  13. Global availability of cardiac rehabilitation.

    PubMed

    Turk-Adawi, Karam; Sarrafzadegan, Nizal; Grace, Sherry L

    2014-10-01

    Cardiovascular disease (CVD) is the most-prevalent noncommunicable disease and leading cause of death globally. Over 80% of deaths from CVD occur in low-income and middle-income countries (LMICs). To limit the socioeconomic impact of CVD, a comprehensive approach to health care is needed. Cardiac rehabilitation delivers a cost-effective and structured exercise, education, and risk reduction programme, which can reduce mortality by up to 25% in addition to improving a patient's functional capacity and lowering rehospitalization rates. Despite these benefits and recommendations in clinical practice guidelines, cardiac rehabilitation programmes are grossly under-used compared with revascularization or medical therapy for patients with CVD. Worldwide, only 38.8% of countries have cardiac rehabilitation programmes. Specifically, 68.0% of high-income and 23% of LMICs (8.3% for low-income and 28.2% for middle-income countries) offer cardiac rehabilitation programmes to patients with CVD. Cardiac rehabilitation density estimates range from one programme per 0.1 to 6.4 million inhabitants. Multilevel strategies to augment cardiac rehabilitation capacity and availability at national and international levels, such as supportive public health policies, systematic referral strategies, and alternative models of delivery are needed. PMID:25027487

  14. Neural Coding for Effective Rehabilitation

    PubMed Central

    2014-01-01

    Successful neurological rehabilitation depends on accurate diagnosis, effective treatment, and quantitative evaluation. Neural coding, a technology for interpretation of functional and structural information of the nervous system, has contributed to the advancements in neuroimaging, brain-machine interface (BMI), and design of training devices for rehabilitation purposes. In this review, we summarized the latest breakthroughs in neuroimaging from microscale to macroscale levels with potential diagnostic applications for rehabilitation. We also reviewed the achievements in electrocorticography (ECoG) coding with both animal models and human beings for BMI design, electromyography (EMG) interpretation for interaction with external robotic systems, and robot-assisted quantitative evaluation on the progress of rehabilitation programs. Future rehabilitation would be more home-based, automatic, and self-served by patients. Further investigations and breakthroughs are mainly needed in aspects of improving the computational efficiency in neuroimaging and multichannel ECoG by selection of localized neuroinformatics, validation of the effectiveness in BMI guided rehabilitation programs, and simplification of the system operation in training devices. PMID:25258708

  15. 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.

  16. 30 CFR 816.151 - Primary roads.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Primary roads. 816.151 Section 816.151 Mineral... roads. Primary roads shall meet the requirements of section 816.150 and the additional requirements of this section. (a) Certification. The construction or reconstruction of primary roads shall be...

  17. 30 CFR 817.151 - Primary roads.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 3 2013-07-01 2013-07-01 false Primary roads. 817.151 Section 817.151 Mineral... roads. Primary roads shall meet the requirements of § 817.150 and the additional requirements of this section. (a) Certification. The construction or reconstruction of primary roads shall be certified in...

  18. 25 CFR 265.3 - Roads prohibited.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 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...

  19. Gold or green: the debate on open access policies.

    PubMed

    Abadal, Ernest

    2013-09-01

    The movement for open access to science seeks to achieve unrestricted and free access to academic publications on the Internet. To this end, two mechanisms have been established: the gold road, in which scientific journals are openly accessible, and the green road, in which publications are self-archived in repositories. The publication of the Finch Report in 2012, advocating exclusively the adoption of the gold road, generated a debate as to whether either of the two options should be prioritized. The recommendations of the Finch Report stirred controversy among academicians specialized in open access issues, who felt that the role played by repositories was not adequately considered and because the green road places the burden of publishing costs basically on authors. The Finch Report's conclusions are compatible with the characteristics of science communication in the UK and they could surely also be applied to the (few) countries with a powerful publishing industry and substantial research funding. In Spain, both the current national legislation and the existing rules at universities largely advocate the green road. This is directly related to the structure of scientific communication in Spain, where many journals have little commercial significance, the system of charging a fee to authors has not been adopted, and there is a good repository infrastructure. As for open access policies, the performance of the scientific communication system in each country should be carefully analyzed to determine the most suitable open access strategy. PMID:24568035

  20. Gold or green: the debate on open access policies.

    PubMed

    Abadal, Ernest

    2013-09-01

    The movement for open access to science seeks to achieve unrestricted and free access to academic publications on the Internet. To this end, two mechanisms have been established: the gold road, in which scientific journals are openly accessible, and the green road, in which publications are self-archived in repositories. The publication of the Finch Report in 2012, advocating exclusively the adoption of the gold road, generated a debate as to whether either of the two options should be prioritized. The recommendations of the Finch Report stirred controversy among academicians specialized in open access issues, who felt that the role played by repositories was not adequately considered and because the green road places the burden of publishing costs basically on authors. The Finch Report's conclusions are compatible with the characteristics of science communication in the UK and they could surely also be applied to the (few) countries with a powerful publishing industry and substantial research funding. In Spain, both the current national legislation and the existing rules at universities largely advocate the green road. This is directly related to the structure of scientific communication in Spain, where many journals have little commercial significance, the system of charging a fee to authors has not been adopted, and there is a good repository infrastructure. As for open access policies, the performance of the scientific communication system in each country should be carefully analyzed to determine the most suitable open access strategy.

  1. Access Denied

    ERIC Educational Resources Information Center

    Villano, Matt

    2008-01-01

    Building access control (BAC)--a catchall phrase to describe the systems that control access to facilities across campus--has traditionally been handled with remarkably low-tech solutions: (1) manual locks; (2) electronic locks; and (3) ID cards with magnetic strips. Recent improvements have included smart cards and keyless solutions that make use…

  2. Open Access

    ERIC Educational Resources Information Center

    Suber, Peter

    2012-01-01

    The Internet lets us share perfect copies of our work with a worldwide audience at virtually no cost. We take advantage of this revolutionary opportunity when we make our work "open access": digital, online, free of charge, and free of most copyright and licensing restrictions. Open access is made possible by the Internet and copyright-holder…

  3. 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.

  4. State Government on the Road

    ERIC Educational Resources Information Center

    Conn, Bernard

    1977-01-01

    A traveling road show of performing artists and craftsman has been organized in the state of New York to bring shows and demonstrations of creative art to the parks of rural communities throughout the state. (JD)

  5. 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.

  6. Road impacts in Brazilian Amazonia

    NASA Astrophysics Data System (ADS)

    Pfaff, Alexander; Barbieri, Alisson; Ludewigs, Thomas; Merry, Frank; Perz, Stephen; Reis, Eustaquio

    We examine the evidence on Amazonian road impacts with a strong emphasis on context. Impacts of a new road, on either deforestation or socioeconomic outcomes, depend upon the conditions into which roads are placed. Conditions that matter include the biophysical setting, such as slope, rainfall, and soil quality, plus externally determined socioeconomic factors like national policies, exchange rates, and the global prices of beef and soybeans. Influential conditions also include all prior infrastructural investments and clearing rates. Where development has already arrived, with significant economic activity and clearing, roads may decrease forest less and raise output more than where development is arriving, while in pristine areas, short-run clearing may be lower than immense long-run impacts. Such differences suggest careful consideration of where to invest further in transport.

  7. Music therapy in neurological rehabilitation settings.

    PubMed

    Galińska, Elżbieta

    2015-01-01

    The neurologic music therapy is a new scope of music therapy. Its techniques deal with dysfunctions resulting from diseases of the human nervous system. Music can be used as an alternative modality to access functions unavailable through non-musical stimulus. Processes in the brain activated by the influence of music can be generalized and transferred to non-musical functions. Therefore, in clinical practice, the translation of non-musical therapeutic exercises into analogous, isomorphic musical exercises is performed. They make use of the executive peculiarity of musical instruments and musical structures to prime, cue and coordinate movements. Among musical components, a repetitive rhythm plays a significant role. It regulates physiologic and behavioural functions through the mechanism of entrainment (synchronization of biological rhythms with musical rhythm based on acoustic resonance). It is especially relevant for patients with a deficient internal timing system in the brain. Additionally, regular rhythmic patterns facilitate memory encoding and decoding of non-musical information hence music is an efficient mnemonic tool. The music as a hierarchical, compound language of time, with its unique ability to access affective/motivational systems in the brain, provides time structures enhancing perception processes, mainly in the range of cognition, language and motor learning. It allows for emotional expression and improvement of the motivation for rehabilitation activities. The new technologies of rhythmic sensory stimulation (i.e. Binaural Beat Stimulation) or rhythmic music in combination with rhythmic light therapy appear. This multimodal forms of stimulation are used in the treatment of stroke, brain injury, dementia and other cognitive deficits. Clinical outcome studies provide evidence of the significant superiority of rehabilitation with music over the one without music. PMID:26488358

  8. Music therapy in neurological rehabilitation settings.

    PubMed

    Galińska, Elżbieta

    2015-01-01

    The neurologic music therapy is a new scope of music therapy. Its techniques deal with dysfunctions resulting from diseases of the human nervous system. Music can be used as an alternative modality to access functions unavailable through non-musical stimulus. Processes in the brain activated by the influence of music can be generalized and transferred to non-musical functions. Therefore, in clinical practice, the translation of non-musical therapeutic exercises into analogous, isomorphic musical exercises is performed. They make use of the executive peculiarity of musical instruments and musical structures to prime, cue and coordinate movements. Among musical components, a repetitive rhythm plays a significant role. It regulates physiologic and behavioural functions through the mechanism of entrainment (synchronization of biological rhythms with musical rhythm based on acoustic resonance). It is especially relevant for patients with a deficient internal timing system in the brain. Additionally, regular rhythmic patterns facilitate memory encoding and decoding of non-musical information hence music is an efficient mnemonic tool. The music as a hierarchical, compound language of time, with its unique ability to access affective/motivational systems in the brain, provides time structures enhancing perception processes, mainly in the range of cognition, language and motor learning. It allows for emotional expression and improvement of the motivation for rehabilitation activities. The new technologies of rhythmic sensory stimulation (i.e. Binaural Beat Stimulation) or rhythmic music in combination with rhythmic light therapy appear. This multimodal forms of stimulation are used in the treatment of stroke, brain injury, dementia and other cognitive deficits. Clinical outcome studies provide evidence of the significant superiority of rehabilitation with music over the one without music.

  9. 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

  10. 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

  11. 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.

  12. Observations of Novae from ROAD

    NASA Astrophysics Data System (ADS)

    Hambsch, Franz-Josef

    2014-05-01

    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 alert notices and special notices of the AAVSO 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.

  13. 7. Southeast end and northeast rear, dock no. 492. Access ...

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

    7. Southeast end and northeast rear, dock no. 492. Access road in foreground. View to northwest. - Offutt Air Force Base, Looking Glass Airborne Command Post, Nose Docks, On either side of Hangar Access Apron at Northwest end of Project Looking Glass Historic District, Bellevue, Sarpy County, NE

  14. 12. Northwest end and southwest rear, dock no. 493. Access ...

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

    12. Northwest end and southwest rear, dock no. 493. Access road in foreground. View to east. - Offutt Air Force Base, Looking Glass Airborne Command Post, Nose Docks, On either side of Hangar Access Apron at Northwest end of Project Looking Glass Historic District, Bellevue, Sarpy County, NE

  15. Prospect for Development of Open Access in Argentina

    ERIC Educational Resources Information Center

    Miguel, Sandra; Bongiovani, Paola C.; Gomez, Nancy D.; Bueno-de-la-Fuente, Gema

    2013-01-01

    This perspective article presents an overview of the Open Access movement in Argentina, from a global and regional (Latin American) context. The article describes the evolution and current state of initiatives by examining two principal approaches to Open Access in Argentina: "golden" and "green roads". The article will then turn its attention to:…

  16. Disability and employee benefits receipt: evidence from the U.S. Vocational Rehabilitation Services Program.

    PubMed

    Sosulski, Marya R; Donnell, Chandra; Kim, Woo Jong

    2012-01-01

    Studies indicate positive effects of the U.S. Vocational Rehabilitation Services (VRS) in assisting people with disabilities to find independent employment. Underemployment continues to impact access to adequate health care and other benefits. Workers with disabilities receive fewer benefits, overall. With data from the Longitudinal Study of Vocational Rehabilitation Services Program (LSVRSP), the authors compare the rates of receipt of 6 types of benefits for people with physical, mental, and sensory impairments. Although those with physical disabilities are most likely to receive benefits, all groups lack adequate access to health care, sick leave, and vacation. The authors discuss implications for services provision in the current job market. PMID:22409637

  17. Achilles tendon rupture rehabilitation

    PubMed Central

    Kearney, R. S.; Parsons, N.; Underwood, M.; Costa, M. L.

    2015-01-01

    Objectives The evidence base to inform the management of Achilles tendon rupture is sparse. The objectives of this research were to establish what current practice is in the United Kingdom and explore clinicians’ views on proposed further research in this area. This study was registered with the ISRCTN (ISRCTN68273773) as part of a larger programme of research. Methods We report an online survey of current practice in the United Kingdom, approved by the British Orthopaedic Foot and Ankle Society and completed by 181 of its members. A total of ten of these respondents were invited for a subsequent one-to-one interview to explore clinician views on proposed further research in this area. Results The survey showed wide variations in practice, with patients being managed in plaster cast alone (13%), plaster cast followed by orthoses management (68%), and orthoses alone (19%). Within these categories, further variation existed regarding the individual rehabilitation facets, such as the length of time worn, the foot position within them and weight-bearing status. The subsequent interviews reflected this clinical uncertainty and the pressing need for definitive research. Conclusions The gap in evidence in this area has resulted in practice in the United Kingdom becoming varied and based on individual opinion. Future high-quality randomised trials on this subject are supported by the clinical community. Cite this article: Bone Joint Res 2015;4:65–9 PMID:25868938

  18. Facial Reconstruction and Rehabilitation.

    PubMed

    Guntinas-Lichius, Orlando; Genther, Dane J; Byrne, Patrick J

    2016-01-01

    Extracranial infiltration of the facial nerve by salivary gland tumors is the most frequent cause of facial palsy secondary to malignancy. Nevertheless, facial palsy related to salivary gland cancer is uncommon. Therefore, reconstructive facial reanimation surgery is not a routine undertaking for most head and neck surgeons. The primary aims of facial reanimation are to restore tone, symmetry, and movement to the paralyzed face. Such restoration should improve the patient's objective motor function and subjective quality of life. The surgical procedures for facial reanimation rely heavily on long-established techniques, but many advances and improvements have been made in recent years. In the past, published experiences on strategies for optimizing functional outcomes in facial paralysis patients were primarily based on small case series and described a wide variety of surgical techniques. However, in the recent years, larger series have been published from high-volume centers with significant and specialized experience in surgical and nonsurgical reanimation of the paralyzed face that have informed modern treatment. This chapter reviews the most important diagnostic methods used for the evaluation of facial paralysis to optimize the planning of each individual's treatment and discusses surgical and nonsurgical techniques for facial rehabilitation based on the contemporary literature.

  19. 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.

  20. Accessibility Dynamics in a Warming Arctic

    NASA Astrophysics Data System (ADS)

    Stephenson, S.; Smith, L. C.; Agnew, J. A.

    2010-12-01

    A promising area of future research is the intersection of the physical manifestations of climate change with the human response. We present a first modeling framework integrating the changing accessibility regimes of the Arctic maritime and terrestrial environments. Climate change has spurred global interest in the Arctic as an arena of new potential for petroleum exploration and intercontinental shipping. While General Circulation Models predict thickness and extent of sea ice throughout the 21st century, the degree to which ice thinning and recession will increase transportation access at the circumpolar scale is not well understood. At the same time, warming of the Arctic terrestrial environment foreshadows a shorter winter road operating season and reduced access for communities and industries reliant on these temporary roads for winter ground transport. CCSM3 temperature data and CSIM5 sea ice data for two periods of analysis (2000-2014; 2045-2059) were integrated with GLC2000 land cover, ETOPO2 elevation and slope, VMAP0 infrastructure, and other terrain feature datasets to calculate circumpolar accessibility for a baseline and a future scenario. Accessibility data were combined in a GIS to produce maps of changing transportation access on land and at sea by mid-century. For the period 2045-2059, access at sea was found to increase substantially throughout the Arctic for ships with some icebreaking capability: previously inaccessible thick ice cover decreased in the central Arctic Ocean by an average of 64% annually. Conversely, terrestrial access by winter roads was found to decrease markedly in November and April while access along inland waterways increased in October. As climate change brings warmer temperatures to some of the world’s remotest communities, the remoteness of communities itself undergoes a profound change. This study attempts to provide a physical basis to the discussion of human activity in the Arctic over the next 50 years.

  1. Comparing Recruitment and Retention Strategies for Rehabilitation Professionals among Hospital and Home Care Employers

    PubMed Central

    Tran, Diem; Davis, Aileen; McGillis Hall, Linda

    2012-01-01

    ABSTRACT Purpose: The objective of this study was to compare hospital and home care employers' rankings of both the importance and the feasibility of workforce strategies for recruiting and retaining rehabilitation professionals. Methods: An online self-administered questionnaire was distributed to all employers of rehabilitation professionals in Ontario hospitals (n=144) and Community Care Access Centre home care providers (n=34). Importance and feasibility rankings were based on the percentage of high ratings; 95% CIs were used to determine significant differences between hospital and home care rankings of recruitment and retention strategies. Results: The response rate was 50% (72/144) from hospitals and 73.5% (25/34) from home-care settings. The recruitment and retention strategies considered most important and feasible for rehabilitation therapists, regardless of setting, were communication between employer and worker, compensation packages, access to research, and professional development in budget planning. Tangible resources, support personnel, work safety, and marketing rehabilitation careers to high school students were ranked significantly higher by hospitals than by home care providers. Conclusions: Similarities exist between hospital and home care employers in terms of the importance and feasibility of recruitment and retention strategies for rehabilitation professionals. However, when developing a rehabilitation health human resources plan, the strategies identified as different between hospital and home care settings should be taken into account. PMID:23277683

  2. Assistive Technology: A Funding Workbook. Part I, A Road Map to Funding Sources. Part II, An Outline of Federal Laws and Rules. 1991 Edition. RESNA Technical Assistance Project.

    ERIC Educational Resources Information Center

    Morris, Michael W.; Golinker, Lewis A.

    This compilation on assistive technology devices and services aims to improve understanding of funding streams and creative ways to eliminate funding barriers in Medicaid, special education, and vocational rehabilitation. The first part comprises a workbook titled "A Road Map to Funding Sources." It assists in creating a systematic approach to…

  3. Road safety and road traffic accidents in Saudi Arabia

    PubMed Central

    Mansuri, Farah A.; Al-Zalabani, Abdulmohsen H.; Zalat, Marwa M.; Qabshawi, Reem I.

    2015-01-01

    Objectives: To identify the changing trends and crucial preventive approaches to road traffic accidents (RTAs) adopted in the Kingdom of Saudi Arabia (KSA) over the last 2.5 decades, and to analyze aspects previously overlooked. Methods: This systematic review was based on evidence of RTAs in KSA. All articles published during the last 25 years on road traffic accident in KSA were analyzed. This study was carried out from December 2013 to May 2014 in the Department of Family and Community Medicine, Taibah University, Al-Madinah Al-Munawwarah, KSA. Results: Road traffic accidents accounted for 83.4% of all trauma admissions in 1984-1989, and no such overall trend was studied thereafter. The most frequently injured body regions as reported in the latest studies were head and neck, followed by upper and lower extremities, which was found to be opposite to that of the studies reported earlier. Hospital data showed an 8% non-significant increase in road accident mortalities in contrast to police records of a 27% significant reduction during the years 2005-2010. Excessive speeding was the most common cause reported in all recent and past studies. Conclusion: Disparity was common in the type of reporting of RTAs, outcome measures, and possible causes over a period of 2.5 decade. All research exclusively looked into the drivers’ faults. A sentinel surveillance of road crashes should be kept in place in the secondary and tertiary care hospitals for all regions of KSA. PMID:25828277

  4. The impact of roads on the demography of grizzly bears in Alberta.

    PubMed

    Boulanger, John; Stenhouse, Gordon B

    2014-01-01

    One of the principal factors that have reduced grizzly bear populations has been the creation of human access into grizzly bear habitat by roads built for resource extraction. Past studies have documented mortality and distributional changes of bears relative to roads but none have attempted to estimate the direct demographic impact of roads in terms of both survival rates, reproductive rates, and the interaction of reproductive state of female bears with survival rate. We applied a combination of survival and reproductive models to estimate demographic parameters for threatened grizzly bear populations in Alberta. Instead of attempting to estimate mean trend we explored factors which caused biological and spatial variation in population trend. We found that sex and age class survival was related to road density with subadult bears being most vulnerable to road-based mortality. A multi-state reproduction model found that females accompanied by cubs of the year and/or yearling cubs had lower survival rates compared to females with two year olds or no cubs. A demographic model found strong spatial gradients in population trend based upon road density. Threshold road densities needed to ensure population stability were estimated to further refine targets for population recovery of grizzly bears in Alberta. Models that considered lowered survival of females with dependant offspring resulted in lower road density thresholds to ensure stable bear populations. Our results demonstrate likely spatial variation in population trend and provide an example how demographic analysis can be used to refine and direct conservation measures for threatened species.

  5. Introduction to the special issue from the proceedings of the 2006 International Workshop on Virtual Reality in Rehabilitation.

    PubMed

    Keshner, Emily A; Weiss, Patrice Tamar

    2007-06-06

    New technologies are rapidly having a great impact on the development of novel rehabilitation interventions. One of the more popular of these technological advances is virtual reality. The wide range of applications of this technology, from immersive environments to tele-rehabilitation equipment and care, lends versatility to its use as a rehabilitation intervention. But increasing access to this technology requires that we further our understanding about its impact on a performer. The International Workshop on Virtual Reality in Rehabilitation (IWVR), now known as Virtual Rehabilitation 2007, is a conference that emerged from the need to discover how virtual reality could be applied to rehabilitation practice. Individuals from multiple disciplines concerned with the development, transmission, and evaluation of virtual reality as a technology applied to rehabilitation attend this meeting to share their work. In this special issue of the Journal of NeuroEngineering and Rehabilitation we are sharing some of the papers presented at the 2006 meeting of IWVR with the objective of offering a description of the state of the art in this research field. A perusal of these papers will provide a good cross-section of the emerging work in this area as well as inform the reader about new findings relevant to research and practice in rehabilitation.

  6. Gaining Access.

    ERIC Educational Resources Information Center

    Kennedy, Mike

    2000-01-01

    Discusses issues schools and universities have encountered in complying with the Americans with Disabilities Act (ADA) and making their facilities more accessible to the disabled. The ADA's vagueness and the architect's need for understanding the regulations is highlighted. (GR)

  7. Equal Access.

    ERIC Educational Resources Information Center

    De Patta, Joe

    2003-01-01

    Presents an interview with Stephen McCarthy, co-partner and president of Equal Access ADA Consulting Architects of San Diego, California, about designing schools to naturally integrate compliance with the Americans with Disabilities Act (ADA). (EV)

  8. Capital access.

    PubMed

    Towne, Jennifer

    2004-06-01

    To maintain their viability, hospitals are being compelled to invest in big capital projects such as information technology and renovation and construction. This gatefold examines the trends in credit and capital, and how they affect hospitals' access to money.

  9. Getting beyond the plateau: bridging the gap between rehabilitation and community-based exercise.

    PubMed

    Rimmer, James H

    2012-11-01

    Rehabilitation specialists have a unique opportunity to serve as the drivers of change in promoting the use of exercise facilities by people with newly acquired disabilities. Identifying programs that are effective and sustainable for extending recovery in a community-based exercise facility after rehabilitation may reduce the risk of secondary health complications and optimize health and function. This article describes an approach for closing the gap between inpatient and outpatient rehabilitation and the use of community-based exercise facilities by people with disabilities. Extending recovery from rehabilitation to community-based exercise requires a transitional setting (eg, hospital-based fitness facilities and specialized fitness centers and programs for people with disabilities) that provides greater support and supervision in teaching individuals with disabilities (and, when necessary, their caregivers) how to exercise safely and effectively and access the programs, equipment, and services available in these facilities. With the shortened amount of rehabilitation time that many patients are given after acquiring a disability or being treated for a new health condition, community-based exercise facilities and the fitness professionals who are employed in them must become part of the rehabilitation continuum and obtain additional training to better serve the needs of people with newly acquired disabilities who are leaving rehabilitation.

  10. Rehabilitation of spinal cord injuries

    PubMed Central

    Nas, Kemal; Yazmalar, Levent; Şah, Volkan; Aydın, Abdulkadir; Öneş, Kadriye

    2015-01-01

    Spinal cord injury (SCI) is the injury of the spinal cord from the foramen magnum to the cauda equina which occurs as a result of compulsion, incision or contusion. The most common causes of SCI in the world are traffic accidents, gunshot injuries, knife injuries, falls and sports injuries. There is a strong relationship between functional status and whether the injury is complete or not complete, as well as the level of the injury. The results of SCI bring not only damage to independence and physical function, but also include many complications from the injury. Neurogenic bladder and bowel, urinary tract infections, pressure ulcers, orthostatic hypotension, fractures, deep vein thrombosis, spasticity, autonomic dysreflexia, pulmonary and cardiovascular problems, and depressive disorders are frequent complications after SCI. SCI leads to serious disability in the patient resulting in the loss of work, which brings psychosocial and economic problems. The treatment and rehabilitation period is long, expensive and exhausting in SCI. Whether complete or incomplete, SCI rehabilitation is a long process that requires patience and motivation of the patient and relatives. Early rehabilitation is important to prevent joint contractures and the loss of muscle strength, conservation of bone density, and to ensure normal functioning of the respiratory and digestive system. An interdisciplinary approach is essential in rehabilitation in SCI, as in the other types of rehabilitation. The team is led by a physiatrist and consists of the patients’ family, physiotherapist, occupational therapist, dietician, psychologist, speech therapist, social worker and other consultant specialists as necessary. PMID:25621206

  11. Value-sensitive psychiatric rehabilitation.

    PubMed

    Greenberg, David; Kalian, Moshe; Witztum, Eliezer

    2010-09-01

    Psychiatric rehabilitation contains value-laden concepts that may be unacceptable to certain cultures and many individuals. The concepts of independence and work are examined in a clash between mental health professionals in charge of national policies in psychiatric rehabilitation in Israel and a rehabilitation center for the severely mentally ill within the ultra-orthodox Jewish community. The government professionals considered that having the living quarters and work site in the same building deemed it unsuitable for rehabilitation, and too few progressed to independent living and working. As such, they ordered the center to be closed. Clients' families turned to the Supreme Court and the claims and counter claims reveal value-laden positions. The bases for misunderstanding and lack of cooperation between the government professionals and the rehabilitation center are explained in the context of everyday life and values in the ultra-orthodox Jewish community and attitudes in the general population. Fruitful cooperation is based on appreciating core values, identifying and working with the community's figures of authority, and accepting that the role of the mental health professional is to advise the community, within which the professional has no status.

  12. Perception From Barrier and Facilitator for Providing Early Rehabilitation Care for RTI Victims

    PubMed Central

    Pashaei Sabet, Fatemeh; Norouzi Tabrizi, Kian; Saadat, Soheil; Khankeh, Hamid Reza; Abedi, Heidar Ali; Danial, Zahra

    2015-01-01

    Background: Road traffic injuries (RTIs) are a major public health problem and the most important cause of disability, morbidity and mortality worldwide. Early rehabilitation can play a significant role in minimizing complications, morbidity and mortality. Objectives: The aim of this study was to describe perceptions of barriers precluding provision of early rehabilitation care for RTI victims. Patients and Methods: A qualitative content analysis was carried out on 15 nurses with at least one year experience caring for RTI victims. The nurses were selected from various wards (emergency, orthopedic, neurosurgery, and clinic) of Sina and Imam Khomeini Hospitals via targeted sampling. Data were collected through semi-structured interviews and targeted sampling until data saturation. Data were analyzed and assessed. Results: After continuous analysis and comparison of data, major causes precluding nurses from early rehabilitation of RTI patients were retrieved. These barriers included: (a) lack of insight, (b) lack of comprehensive care (c) excessive costs; facilitating factors included (d) training for cooperation and (e) support for coping. Conclusions: The findings of this study show that the need for early rehabilitation in the hospital phase of care for RTI victims is needed. Knowledge about the barriers precluding nurses from early rehabiltiation of RTI patients and facilitators that can help health care workers and policy makers eliminate the barriers precluding early rehabilitation can help health care workers, especially nurses enable patients get over their disability and gain social and family support. PMID:26543841

  13. Evaluation of a telerehabilitation system for community-based rehabilitation.

    PubMed

    Schutte, Jamie; Gales, Sara; Filippone, Ashlee; Saptono, Andi; Parmanto, Bambang; McCue, Michael

    2012-01-01

    The use of web-based portals, while increasing in popularity in the fields of medicine and research, are rarely reported on in community-based rehabilitation programs. A program within the Pennsylvania Office of Vocational Rehabilitation's Hiram G. Andrews Center, the Cognitive Skills Enhancement Program (CSEP), sought to enhance organization of program and participant information and communication between part- and full-time employees, supervisors and consultants. A telerehabilitation system was developed consisting of (1) a web-based portal to support a variety of clinical activities, and (2) the Versatile Integrated System for Telerehabilitation (VISYTER) video-conferencing system to support the collaboration and delivery of rehabilitation services remotely. This descriptive evaluation examines the usability of the telerehabilitation system incorporating both the portal and VISYTER. Telerehabilitation system users include CSEP staff members from three geographical locations and employed by two institutions. The IBM After-Scenario Questionnaire (ASQ) and Post-Study System Usability Questionnaire (PSSUQ), the Telehealth Usability Questionnaire (TUQ), and two demographic surveys were administered to gather both objective and subjective information. Results showed generally high levels of usability. Users commented that the telerehabilitation system improved communication, increased access to information, improved speed of completing tasks, and had an appealing interface. Areas where users would like to see improvements, including ease of accessing/editing documents and searching for information, are discussed.

  14. Road Nail: Experimental Solar Powered Intelligent Road Marking System

    NASA Astrophysics Data System (ADS)

    Samardžija, Dragan; Teslić, Nikola; Todorović, Branislav M.; Kovač, Erne; Isailović, Đorđe; Miladinović, Bojan

    2012-03-01

    Driving in low visibility conditions (night time, fog or heavy precipitation) is particularly challenging task with an increased probability of traffic accidents and possible injuries. Road Nail is a solar powered intelligent road marking system of wirelessly networked signaling devices that improve driver safety in low visibility conditions along hazardous roadways. Nails or signaling devices are autonomous nodes with capability to accumulate energy, exchange wireless messages, detect approaching vehicles and emit signalization light. We have built an experimental test-bed that consists of 20 nodes and a cellular gateway. Implementation details of the above system, including extensive measurements and performance evaluations in realistic field deployments are presented. A novel distributed network topology discovery scheme is proposed which integrates both sensor and wireless communication aspects, where nodes act autonomously. Finally, integration of the Road Nail system with the cellular network and the Internet is described.

  15. Encapsulating Urban Traffic Rhythms into Road Networks

    NASA Astrophysics Data System (ADS)

    Wang, Junjie; Wei, Dong; He, Kun; Gong, Hang; Wang, Pu

    2014-02-01

    Using road GIS (geographical information systems) data and travel demand data for two U.S. urban areas, the dynamical driver sources of each road segment were located. A method to target road clusters closely related to urban traffic congestion was then developed to improve road network efficiency. The targeted road clusters show different spatial distributions at different times of a day, indicating that our method can encapsulate dynamical travel demand information into the road networks. As a proof of concept, when we lowered the speed limit or increased the capacity of road segments in the targeted road clusters, we found that both the number of congested roads and extra travel time were effectively reduced. In addition, the proposed modeling framework provided new insights on the optimization of transport efficiency in any infrastructure network with a specific supply and demand distribution.

  16. Encapsulating urban traffic rhythms into road networks.

    PubMed

    Wang, Junjie; Wei, Dong; He, Kun; Gong, Hang; Wang, Pu

    2014-01-01

    Using road GIS (geographical information systems) data and travel demand data for two U.S. urban areas, the dynamical driver sources of each road segment were located. A method to target road clusters closely related to urban traffic congestion was then developed to improve road network efficiency. The targeted road clusters show different spatial distributions at different times of a day, indicating that our method can encapsulate dynamical travel demand information into the road networks. As a proof of concept, when we lowered the speed limit or increased the capacity of road segments in the targeted road clusters, we found that both the number of congested roads and extra travel time were effectively reduced. In addition, the proposed modeling framework provided new insights on the optimization of transport efficiency in any infrastructure network with a specific supply and demand distribution.

  17. Encapsulating urban traffic rhythms into road networks.

    PubMed

    Wang, Junjie; Wei, Dong; He, Kun; Gong, Hang; Wang, Pu

    2014-01-01

    Using road GIS (geographical information systems) data and travel demand data for two U.S. urban areas, the dynamical driver sources of each road segment were located. A method to target road clusters closely related to urban traffic congestion was then developed to improve road network efficiency. The targeted road clusters show different spatial distributions at different times of a day, indicating that our method can encapsulate dynamical travel demand information into the road networks. As a proof of concept, when we lowered the speed limit or increased the capacity of road segments in the targeted road clusters, we found that both the number of congested roads and extra travel time were effectively reduced. In addition, the proposed modeling framework provided new insights on the optimization of transport efficiency in any infrastructure network with a specific supply and demand distribution. PMID:24553203

  18. 36 CFR 910.63 - Rehabilitation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... DEVELOPMENT AREA Glossary of Terms § 910.63 Rehabilitation. Rehabilitation means the process of adapting improvements on real property to make possible an efficient contemporary use achieved by means of a...

  19. American Academy of Physical Medicine and Rehabilitation

    MedlinePlus

    ... Payment System Rule Inpatient Rehabilitation Facility Medicare Physician Fee Schedule Rule Outpatient Prospective Payment System/Ambulatory Surgical ... Payment System Rule Inpatient Rehabilitation Facility Medicare Physician Fee Schedule Rule Outpatient Prospective Payment System/Ambulatory Surgical ...

  20. What Are Some Types of Rehabilitative Technologies

    MedlinePlus

    ... and Publications What are some types of rehabilitative technologies? Skip sharing on social media links Share this: Page Content Rehabilitative technologies are any technologies that help people recover function ...

  1. National Institute on Disability and Rehabilitation Research

    MedlinePlus

    ... sponsors grantees to generate new disability and rehabilitation knowledge and promote its use and adoption. Promoting the use and adoption of new disability and rehabilitation knowledge by various stakeholders helps people with disabilities in ...

  2. Vocational Rehabilitation: Outlook for Persons with Cancer

    ERIC Educational Resources Information Center

    Goldberg, Richard T.

    1977-01-01

    Incidence, treatment methods, psychological rehabilitation, and vocational rehabilitation considerations are reviewed for cancer of the head and neck, cancer of the digestive organs, breast cancer, lymphomas, and cancer of the genital organs. (CL)

  3. Prerequisites for Computer-Aided Cognitive Rehabilitation.

    ERIC Educational Resources Information Center

    Legrand, Colette

    1989-01-01

    This paper describes computer-aided cognitive rehabilitation for mentally deficient persons. It lists motor, cognitive, emotional, and educational prerequisites to such rehabilitation and states advantages and disadvantages in using the prerequisites. (JDD)

  4. Stroke Rehabilitation: What Research is Being Done?

    MedlinePlus

    ... this page please turn Javascript on. Feature: Stroke Rehabilitation What Research is Being Done? Past Issues / Spring ... of Contents To Find Out More MedlinePlus: Stroke Rehabilitation medlineplus.gov/strokerehabilitation.html National Institute of Neurological ...

  5. Stroke rehabilitation and discharge planning.

    PubMed

    Kerr, Peter

    Nurses play a pivotal role in the rehabilitation and discharge planning process of patients who have had a stroke. The nurse's role in the wider stroke multidisciplinary team is complex and diverse and, as such, stroke nurses may find it hard to describe their role and how it fits into the rehabilitation and discharge planning process. A definition of the stroke nurse role in prominent publications such as those of the Scottish Intercollegiate Guidelines Network and the Royal College of Physicians is lacking. This article emphasises the role of the stroke nurse in the rehabilitation and discharge planning process in the stroke unit, while highlighting the complexity, diversity and importance of this role in providing holistic care and support for patients who have survived a stroke. The author draws on his clinical experience of stroke nursing practice in primary, secondary and tertiary care in west central Scotland.

  6. Rehabilitation of mentally ill women.

    PubMed

    Chatterjee, Rajni; Hashim, Uzma

    2015-07-01

    Women, the fair sex, are principal providers of care and support to families. But, they are considered to be the weaker sex and one of the most powerless and marginalized sections of our society. The provision of Rehabilitation for mentally ill women has been, and still is, one of the major challenges for mental health systems reform in the last decades, for various reasons. The present paper discusses the global and Indian scenario of rehabilitation of mentally ill women and goes on to detail the contribution of the state and voluntary agencies in this regard. It explores the need of recovery, multilayered strategy of Rehabilitation services and the availability of present services. The stigma attached and legal defects which interfere in good quality of life for the mentally ill women are reviewed. Strategies for changes in future are recommended. PMID:26330653

  7. Rehabilitation of mentally ill women

    PubMed Central

    Chatterjee, Rajni; Hashim, Uzma

    2015-01-01

    Women, the fair sex, are principal providers of care and support to families. But, they are considered to be the weaker sex and one of the most powerless and marginalized sections of our society. The provision of Rehabilitation for mentally ill women has been, and still is, one of the major challenges for mental health systems reform in the last decades, for various reasons. The present paper discusses the global and Indian scenario of rehabilitation of mentally ill women and goes on to detail the contribution of the state and voluntary agencies in this regard. It explores the need of recovery, multilayered strategy of Rehabilitation services and the availability of present services. The stigma attached and legal defects which interfere in good quality of life for the mentally ill women are reviewed. Strategies for changes in future are recommended. PMID:26330653

  8. Rehabilitation: strategic, proactive, flexible, risky?

    PubMed

    Green, R H

    2000-12-01

    Rehabilitation after armed conflict is a direct intellectual descendant of thinking about rehabilitation after natural calamity. It is related, generally, to poverty reduction and, operationally, to associated action at the micro level. This history has limited its strategic conceptualisation and, in particular, its links with reconciliation and state re-legitimation and also with macro-economic stabilisation and renewed growth. In post-war--or more generally, a lull in conflict with the potential to become permanent--a country's rapid, focused, prioritised action within a strategic framework is urgent. It is not risk-free for political and natural disasters as well as for those with economic and social bases. Flexibility, learning from initial experience and asking intended household beneficiaries about their needs in advance can reduce risk as can pre-positioning of contingency or standby resources to avert post-war calamities (for example, drought, flood) and catastrophes (renewed violence) from delaying and discrediting rehabilitation efforts.

  9. Occupational therapy and rehabilitation engineering.

    PubMed

    Gordon, R E; Kozole, K P

    1984-01-01

    Occupational therapists in clinical settings are often challenged with difficult problems in the selection, application and modification of complex mechanical, electrical or structural aids for persons with severe disability who wish to improve their levels of independence. At the Rehabilitation Institute of Chicago, solutions to such situations are facilitated by interaction between the occupational therapist and the rehabilitation engineer. In this paper, following the identification of the population served and their specialized needs, the working relationship between the occupational therapist and rehabilitation engineer will be discussed through presentation of two case studies. Various commercially available equipment will be considered along with modifications possible, and finally, customer design solutions will be given for some problems. Given the growing store of resources for assisting clients who have special needs, many creative systems can be developed in therapists and engineers combine their respective knowledge and skills in problem solving.

  10. Physical rehabilitation of pediatric burns

    PubMed Central

    Atiyeh, B.; Janom, H.H.

    2014-01-01

    Summary Significant improvements have been made in the acute treatment of pediatric burn injuries over the past 3 decades which have significantly decreased mortality. Each year, more burned children are necessitating serious medical attention during their convalescence. For children with serious consequences resulting from burns that can persist from childhood through adolescence into adulthood, the value of long-term rehabilitation cannot be over stated. Burn injury management should not focus only on the immediate treatment. Long-term functional outcome and the required rehabilitation that burn victims must go through should be given equal if not more attention. The present is a review of the available modalities utilized for the physical rehabilitation of convalescent pediatric burns in order to overcome the catabolic state, improve muscle power and fitness, reduce disfiguring scars and prevent contractures. PMID:25249846

  11. 24 CFR 572.100 - Acquisition and rehabilitation of eligible properties; rehabilitation standards.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Acquisition and rehabilitation of eligible properties; rehabilitation standards. 572.100 Section 572.100 Housing and Urban Development... § 572.100 Acquisition and rehabilitation of eligible properties; rehabilitation standards. (a)...

  12. 24 CFR 572.100 - Acquisition and rehabilitation of eligible properties; rehabilitation standards.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true Acquisition and rehabilitation of eligible properties; rehabilitation standards. 572.100 Section 572.100 Housing and Urban Development... § 572.100 Acquisition and rehabilitation of eligible properties; rehabilitation standards. (a)...

  13. A Tough-Love Pedagogy in Rehabilitation: Integration of Rehabilitation Ideology with Local Cultures

    ERIC Educational Resources Information Center

    Chang, Ling-Hui; Wang, Jye

    2009-01-01

    This study problematizes a unique therapeutic relationship in rehabilitation and how the interaction reflects the integration of rehabilitation ideology with local cultures. The data drew from a larger ethnographic study of a rehabilitation unit in Taiwan. Participants included 21 patient-caregiver pairs and their rehabilitation professionals.…

  14. Survey of rehabilitation support for children 0–15 years in a rural part of Kenya

    PubMed Central

    Gona, Joseph K.; Odera-Mung’ala, Victor; Newton, Charles R.; Geere, Jo-Anne; Hong, Chia Swee; Hartley, Sally

    2014-01-01

    Purpose Information regarding the nature, availability and distribution of rehabilitation services for children with disabilities across developing countries is scarce, and data that do exist are of variable quality. If planning and development are to progress, information about service provision is vital. The aim was to establish the scope and nature of rehabilitation support available to children with disabilities (0–15 years) and their families in rural Kenya. Method A comprehensive sample comprising service provision in the health and special education sectors was established. Non-governmental and community-based organisations were also included. A survey of rehabilitation services was conducted through examination of service-related documentation and key informant interviews with the heads of services. Results Rehabilitation comprised hospital-based occupational therapy, physiotherapy and orthopaedic technology; and seven special education establishments plus an education assessment resource centre. There was one non-government organisation and one community-based organisation relevant to children with disabilities. Activities focused on assessment, diagnosis and raising community awareness. Provision was challenged by inadequate staffing, resources and transport. Government funding was supplemented variously by donations and self-sufficiency initiatives. Rehabilitation approaches appeared to be informed by professional background of practitioner, rather than the needs of child. Service documentation revealed use of inconsistent recording methods. Conclusions The data highlight the challenges of rehabilitation, demanding greater investment in personnel and their training, more material resources, improved access to the community and better recording mechanisms. Implications for Rehabilitation There needs to be greater investment in rehabilitation provision in developing countries. Consideration of community-based initiatives is required to support better

  15. Vocational rehabilitation process and work life.

    PubMed

    Robinson, Rick; Paquette, Sonia

    2013-08-01

    This article describes the evolution of vocational rehabilitation and the development of the rehabilitation counselor's role as the generally accepted expert in forensic vocational rehabilitation assessment. The vocational rehabilitation process is discussed within an empirically derived structural model of forensic vocational assessment. The concept of work-life expectancy is discussed as a key feature in estimating the duration of time vocational damages are likely to occur based on a person's remaining work participation. PMID:23910489

  16. Rehabilitation of anterior cruciate ligament injuries.

    PubMed

    Halling, A H; Howard, M E; Cawley, P W

    1993-04-01

    Rehabilitation of the anterior cruciate ligament absent or reconstructed knee is becoming a true artform. Accelerated, but controlled rehabilitation, is becoming more commonplace. Scientific-based data along with clinical experiences are the basis of the rehabilitation guidelines brought forth in this article. Anterior cruciate ligament strain and implications for exercise, continuous passive motion, proprioceptive exercise, and the role of knee bracing are all discussed in relation to the overall rehabilitation program.

  17. Medication safety in rehabilitation medicine.

    PubMed

    Dinescu, Laurentiu Iulius; Todorov, Darko; Biglow, Michael; Toderika, Yuliana; Cohen, Henry; Patel, Karishma

    2012-05-01

    Rehabilitation medicine is practiced in a variety of settings. Physiatrists are an integral part of the care provided in many of these settings and are often consulted to provide diagnostic and therapeutic services and expertise to individuals with a variety of diagnoses. In this role, it is imperative that physiatrists have a working knowledge of various medications as well as the principles of medication safety. This article provides a foundation in the general and specific aspects of medication safety as they apply to the practice of rehabilitation medicine.

  18. Post-operative rehabilitation and nutrition in osteoarthritis.

    PubMed

    Musumeci, Giuseppe; Mobasheri, Ali; Trovato, Francesca Maria; Szychlinska, Marta Anna; Imbesi, Rosa; Castrogiovanni, Paola

    2014-01-01

    Osteoarthritis (OA) is a degenerative process involving the progressive loss of articular cartilage, synovial inflammation and structural changes in subchondral bone that lead to loss of synovial joint structural features and functionality of articular cartilage. OA represents one of the most common causes of physical disability in the world. Different OA treatments are usually considered in relation to the stage of the disease. In the early stages, it is possible to recommend physical activity programs that can maintain joint health and keep the patient mobile, as recommended by OA Research Society International (OARSI) and European League Against Rheumatism (EULAR). In the most severe and advanced cases of OA, surgical intervention is necessary. After, in early postoperative stages, it is essential to include a rehabilitation exercise program in order to restore the full function of the involved joint. Physical therapy is crucial for the success of any surgical procedure and can promote recovery of muscle strength, range of motion, coordinated walking, proprioception and mitigate joint pain. Furthermore, after discharge from the hospital, patients should continue the rehabilitation exercise program at home associated to an appropriate diet. In this review, we analyze manuscripts from the most recent literature and provide a balanced and comprehensive overview of the latest developments on the effect of physical exercise on postoperative rehabilitation in OA. The literature search was conducted using PubMed, Scopus, Web of Science and Google Scholar, using the keywords 'osteoarthritis', 'rehabilitation', 'exercise' and 'nutrition'. The available data suggest that physical exercise is an effective, economical and accessible to everyone practice, and it is one of the most important components of postoperative rehabilitation for OA. PMID:26962431

  19. Cardiac Rehabilitation. A Handbook for Vocational Rehabilitation Counselors.

    ERIC Educational Resources Information Center

    Brammell, H. L.; And Others

    Basic information about heart disease and functional capacity assessment and its application to activity/job counseling are presented in this handbook for vocational rehabilitation counselors. Sections include the following: impact of heart disease; basic anatomy and physiology (e.g., the heart, pulmonary circulation, causes of cardiac pain, and…

  20. Telerehabilitation Technologies: Accessibility and Usability

    PubMed Central

    Pramuka, Michael; van Roosmalen, Linda

    2009-01-01

    In the fields of telehealth and telemedicine, phone and/or video technologies are key to the successful provision of services such as remote monitoring and visits. How do these technologies affect service accessibility, effectiveness, quality, and usefulness when applied to rehabilitation services in the field of telerehabilitation? To answer this question, we provide a overview of the complex network of available technologies and discuss how they link to rehabilitation applications, services, and practices as well as to the telerehabilitation end-user. This white paper will first present the numerous professional considerations that shape the use of technology in telerehabilitation service and set it somewhat apart from telemedicine. It will then provide an overview of concepts essential to usability analysis; present a summary of various telerehabilitation technologies and their strengths and limitations, and consider how the technologies interface with end users’ clinical needs for service accessibility, effectiveness, quality, and usefulness. The paper will highlight a conceptual framework (including task analyses and usability issues) that underlies a functional match between telerehabilitation technologies, clinical applications, and end-user capabilities for telerehabilitation purposes. Finally, we will discuss pragmatic issues related to user integration of telerehabilitation technology versus traditional face-to-face approaches. PMID:25945165

  1. Introduction to Positive Psychology in Rehabilitation

    ERIC Educational Resources Information Center

    Chou, Chih-Chin; Chan, Fong; Phillips, Brian; Chan, Jacob Yui Chung

    2013-01-01

    Positive psychology has received increasing attention in rehabilitation counseling research and practice. The rehabilitation counseling philosophy shares a similar emphasis of personal assets and strengths, which provides a solid foundation for the integration of positive psychology into the professional practice of rehabilitation counseling. In…

  2. Incorporating Feminism into Rehabilitation Counselor Education

    ERIC Educational Resources Information Center

    Jeon, Mookyong

    2015-01-01

    Purpose: The author describes how rehabilitation counselor educators can incorporate the feminist perspective in teaching rehabilitation counselors-in-training by exploring history, core values, and training methods of feminism. Method: Based on a literature review, the author compares philosophy and concepts of rehabilitation counseling and…

  3. 36 CFR 910.63 - Rehabilitation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Rehabilitation. 910.63 Section 910.63 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT CORPORATION GENERAL... DEVELOPMENT AREA Glossary of Terms § 910.63 Rehabilitation. Rehabilitation means the process of...

  4. 44 CFR 208.43 - Rehabilitation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Rehabilitation. 208.43... Agreements § 208.43 Rehabilitation. DHS will reimburse costs incurred to return System equipment and... Activation. (3) Personnel costs associated with equipment cache rehabilitation. DHS will reimburse...

  5. 40 CFR 35.927-3 - Rehabilitation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Rehabilitation. 35.927-3 Section 35.927... Rehabilitation. (a) Subject to State concurrence, the Regional Administrator may authorize the grantee to perform minor rehabilitation concurrently with the sewer system evaluation survey in any step under a grant...

  6. 40 CFR 35.927-3 - Rehabilitation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Rehabilitation. 35.927-3 Section 35.927... Rehabilitation. (a) Subject to State concurrence, the Regional Administrator may authorize the grantee to perform minor rehabilitation concurrently with the sewer system evaluation survey in any step under a grant...

  7. Putting a Vocational Focus Back into Rehabilitation

    ERIC Educational Resources Information Center

    Murphy, Gregory C.

    2009-01-01

    Traditionally, rehabilitation has been closely associated with vocational potential and return to work post-injury, or the maintenance of work attendance following the onset of chronic disease. Indeed, so close was the association that the terms "rehabilitation" and "vocational rehabilitation" were virtually synonymous. Over the recent past there…

  8. Can Psychiatric Rehabilitation Be Core to CORE?

    ERIC Educational Resources Information Center

    Olney, Marjorie F.; Gill, Kenneth J.

    2016-01-01

    Purpose: In this article, we seek to determine whether psychiatric rehabilitation principles and practices have been more fully incorporated into the Council on Rehabilitation Education (CORE) standards, the extent to which they are covered in four rehabilitation counseling "foundations" textbooks, and how they are reflected in the…

  9. 34 CFR 674.39 - Loan rehabilitation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 3 2011-07-01 2011-07-01 false Loan rehabilitation. 674.39 Section 674.39 Education..., DEPARTMENT OF EDUCATION FEDERAL PERKINS LOAN PROGRAM Terms of Loans § 674.39 Loan rehabilitation. (a) Each institution must establish a loan rehabilitation program for all borrowers for the purpose of...

  10. 24 CFR 886.332 - Rehabilitation period.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 4 2011-04-01 2011-04-01 false Rehabilitation period. 886.332... Assistance Program for the Disposition of HUD-Owned Projects § 886.332 Rehabilitation period. (a) Immediate start of rehabilitation after sales closing. After the execution of the Agreement and the sales...

  11. 24 CFR 886.332 - Rehabilitation period.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Rehabilitation period. 886.332... Assistance Program for the Disposition of HUD-Owned Projects § 886.332 Rehabilitation period. (a) Immediate start of rehabilitation after sales closing. After the execution of the Agreement and the sales...

  12. 24 CFR 401.472 - Rehabilitation funding.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 2 2011-04-01 2011-04-01 false Rehabilitation funding. 401.472... (MARK-TO-MARKET) Restructuring Plan § 401.472 Rehabilitation funding. (a) Sources of funds—(1) Project accounts. The Restructuring Plan for funding rehabilitation must include funds from the project's...

  13. 36 CFR 910.63 - Rehabilitation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 36 Parks, Forests, and Public Property 3 2011-07-01 2011-07-01 false Rehabilitation. 910.63 Section 910.63 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT CORPORATION GENERAL... DEVELOPMENT AREA Glossary of Terms § 910.63 Rehabilitation. Rehabilitation means the process of...

  14. 24 CFR 401.472 - Rehabilitation funding.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Rehabilitation funding. 401.472... (MARK-TO-MARKET) Restructuring Plan § 401.472 Rehabilitation funding. (a) Sources of funds—(1) Project accounts. The Restructuring Plan for funding rehabilitation must include funds from the project's...

  15. 34 CFR 674.39 - Loan rehabilitation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false Loan rehabilitation. 674.39 Section 674.39 Education..., DEPARTMENT OF EDUCATION FEDERAL PERKINS LOAN PROGRAM Terms of Loans § 674.39 Loan rehabilitation. (a) Each institution must establish a loan rehabilitation program for all borrowers for the purpose of...

  16. 44 CFR 208.43 - Rehabilitation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Rehabilitation. 208.43... Agreements § 208.43 Rehabilitation. DHS will reimburse costs incurred to return System equipment and... Activation. (3) Personnel costs associated with equipment cache rehabilitation. DHS will reimburse...

  17. Rehabilitation Literature: A Guide to Selection Materials.

    ERIC Educational Resources Information Center

    Bopp, Richard E.; Anstine, Francesca A.

    1981-01-01

    Describes and evaluates various selection tools on the basis of their coverage of rehabilitation literature and their usefulness to librarians. Appendices provide annotated selected bibliographies of rehabilitation materials, a list of specialized sources for rehabilitation literature, and an annotated list of selection tools for audiovisuals.…

  18. A personalised approach to cardiac rehabilitation.

    PubMed

    Normington, K; Goodwin, S

    2000-04-01

    Patients' beliefs about their myocardial infarction will affect their physical and emotional recovery. An individualised, behavioural approach to rehabilitation aims to treat the patient as an adult learner who participates fully in negotiating priorities for rehabilitation. Initiating rehabilitation advice in the very early stages post-AMI requires the use of specific nursing interventions. PMID:11129924

  19. Rehabilitation Counseling Student Perceptions of Obese Clients.

    ERIC Educational Resources Information Center

    Kaplan, Steven P.; Thomas, Kenneth R.

    1981-01-01

    Investigated whether stigmatization of obese persons has affected rehabilitation counseling students' perceptions of such clients. Results suggest that rehabilitation students perceive obese clients more negatively. If a counselor's first impression of an obese client is that he is less competent and less attractive, rehabilitation outcome could…

  20. 24 CFR 401.472 - Rehabilitation funding.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 2 2014-04-01 2014-04-01 false Rehabilitation funding. 401.472... (MARK-TO-MARKET) Restructuring Plan § 401.472 Rehabilitation funding. (a) Sources of funds—(1) Project accounts. The Restructuring Plan for funding rehabilitation must include funds from the project's...

  1. 24 CFR 401.472 - Rehabilitation funding.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 2 2013-04-01 2013-04-01 false Rehabilitation funding. 401.472... (MARK-TO-MARKET) Restructuring Plan § 401.472 Rehabilitation funding. (a) Sources of funds—(1) Project accounts. The Restructuring Plan for funding rehabilitation must include funds from the project's...

  2. 24 CFR 401.472 - Rehabilitation funding.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 2 2012-04-01 2012-04-01 false Rehabilitation funding. 401.472... (MARK-TO-MARKET) Restructuring Plan § 401.472 Rehabilitation funding. (a) Sources of funds—(1) Project accounts. The Restructuring Plan for funding rehabilitation must include funds from the project's...

  3. Labour Market Conditions and the Rehabilitation Process.

    ERIC Educational Resources Information Center

    Suikkanen, Asko

    1993-01-01

    The Finnish system for persons injured at work or contracting industrial diseases is compared before and after legislative changes made in 1982, focusing on rehabilitation client selection, rehabilitation method effectiveness, and long-term vocational and economic outcomes. Data concerning longer term outcomes demonstrate that rehabilitation is…

  4. Validating the Master's Degree in Rehabilitation Counseling.

    ERIC Educational Resources Information Center

    Dunn, Dennis J.

    1990-01-01

    Sees universal adoption of master's degree in rehabilitation counseling as hiring criterion requiring its validation in relation to job performance. Proposes large-scale validation study involving state-federal vocational rehabilitation agencies that would make use of extensive existing vocational rehabilitation database, and relate type and level…

  5. Photogrammetric Techniques for Road Surface Analysis

    NASA Astrophysics Data System (ADS)

    Knyaz, V. A.; Chibunichev, A. G.

    2016-06-01

    The quality and condition of a road surface is of great importance for convenience and safety of driving. So the investigations of the behaviour of road materials in laboratory conditions and monitoring of existing roads are widely fulfilled for controlling a geometric parameters and detecting defects in the road surface. Photogrammetry as accurate non-contact measuring method provides powerful means for solving different tasks in road surface reconstruction and analysis. The range of dimensions concerned in road surface analysis can have great variation from tenths of millimetre to hundreds meters and more. So a set of techniques is needed to meet all requirements of road parameters estimation. Two photogrammetric techniques for road surface analysis are presented: for accurate measuring of road pavement and for road surface reconstruction based on imagery obtained from unmanned aerial vehicle. The first technique uses photogrammetric system based on structured light for fast and accurate surface 3D reconstruction and it allows analysing the characteristics of road texture and monitoring the pavement behaviour. The second technique provides dense 3D model road suitable for road macro parameters estimation.

  6. A global strategy for road building.

    PubMed

    Laurance, William F; Clements, Gopalasamy Reuben; Sloan, Sean; O'Connell, Christine S; Mueller, Nathan D; Goosem, Miriam; Venter, Oscar; Edwards, David P; Phalan, Ben; Balmford, Andrew; Van Der Ree, Rodney; Arrea, Irene Burgues

    2014-09-11

    The number and extent of roads will expand dramatically this century. Globally, at least 25 million kilometres of new roads are anticipated by 2050; a 60% increase in the total length of roads over that in 2010. Nine-tenths of all road construction is expected to occur in developing nations, including many regions that sustain exceptional biodiversity and vital ecosystem services. Roads penetrating into wilderness or frontier areas are a major proximate driver of habitat loss and fragmentation, wildfires, overhunting and other environmental degradation, often with irreversible impacts on ecosystems. Unfortunately, much road proliferation is chaotic or poorly planned, and the rate of expansion is so great that it often overwhelms the capacity of environmental planners and managers. Here we present a global scheme for prioritizing road building. This large-scale zoning plan seeks to limit the environmental costs of road expansion while maximizing its benefits for human development, by helping to increase agricultural production, which is an urgent priority given that global food demand could double by mid-century. Our analysis identifies areas with high environmental values where future road building should be avoided if possible, areas where strategic road improvements could promote agricultural development with relatively modest environmental costs, and 'conflict areas' where road building could have sizeable benefits for agriculture but with serious environmental damage. Our plan provides a template for proactively zoning and prioritizing roads during the most explosive era of road expansion in human history.

  7. China takes to the roads.

    PubMed

    Roberts, I

    1995-05-20

    China is undergoing rapid motorisation--motor vehicle registrations are growing at a rate of 10%-20% a year. Road trauma is already a major public health problem, and road deaths, officially estimated to be around 50,000 a year, will almost certainly rise with increasing motorisation. China, with its millions of bicycles, currently has one of the most environmentally friendly transportation systems on the planet. However, as the trend towards car travel continues, the problems of congestion and environmental pollution so evident in the West will also become critical public health issues in China.

  8. Hemodialysis access - self care

    MedlinePlus

    Kidney failure - chronic-hemodialysis access; Renal failure - chronic-hemodialysis access; Chronic renal insufficiency - hemodialysis access; Chronic kidney failure - hemodialysis access; Chronic renal failure - hemodialysis access; dialysis - hemodialysis access

  9. Exploring Barriers of the Health System to Rehabilitation Services for People with Disabilities in Iran: A Qualitative Study

    PubMed Central

    Abdi, Kianoush; Arab, Mohammad; Rashidian, Arash; Kamali, Mohammad; Khankeh, Hamid Reza; Farahani, Farideh Khalajabadi

    2015-01-01

    Introduction The United Nations (UN) identified health as a basic human right, but, unfortunately, the evidence shows that people with disabilities (PWD) often have lower levels of health than the general population. This can be associated with problems in access to the services and programs. The aim of this study was to explore barriers of the health system to rehabilitation services for PWD in Iran. Methods This was a qualitative study conducted on 21 participants using semi-structured, in-depth interviews and content analysis from June 2014 to July 2015. Data analysis was performed by MAXQDA version 10. Results “Barriers” were the most prominent challenge of people with disabilities that needed access to rehabilitation services. These barriers were categorized into eight concepts of deficiency in the system that provides rehabilitation services, defect of education, deficiency in detecting and screening of people with disability, defect of stewardship in rehabilitation, ignoring socio-cultural factors, accessibility hardships, lack of identification, and financial hardships in rehabilitation. Conclusions An efficient rehabilitation plan requires a common understanding, considering the long-term complications involved in addressing the barriers. Understanding the barriers of the health system to rehabilitation services requires comprehensive management that first should be familiar with all of PWD, providers, policy makers, and other beneficiaries. It also is necessary for policy makers to consider rehabilitation services as a main part of the health plan; especially, they must change their oversight of rehabilitation services and programs. Thus, policy makers should have need comprehensive management and recommended further research. PMID:26767101

  10. Rehabilitation of asbestos mining waste: a Rehabilitation Prioritisation Index (RPI) for South Africa

    NASA Astrophysics Data System (ADS)

    van Rensburg, L.; Claassens, S.; Bezuidenhout, J. J.; Jansen van Rensburg, P. J.

    2009-03-01

    The much publicised problem with major asbestos pollution and related health issues in South Africa, has called for action to be taken to negate the situation. The aim of this project was to establish a prioritisation index that would provide a scientifically based sequence in which polluted asbestos mines in Southern Africa ought to be rehabilitated. It was reasoned that a computerised database capable of calculating such a Rehabilitation Prioritisation Index (RPI) would be a fruitful departure from the previously used subjective selection prone to human bias. The database was developed in Microsoft Access and both quantitative and qualitative data were used for the calculation of the RPI value. The logical database structure consists of a number of mines, each consisting of a number of dumps, for which a number of samples have been analysed to determine asbestos fibre contents. For this system to be accurate as well as relevant, the data in the database should be revalidated and updated on a regular basis.

  11. 78 FR 35890 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-14

    ... Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research Centers AGENCY: Office... Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research Centers (RERCs... amended (Rehabilitation Act). Rehabilitation Engineering Research Centers Program The purpose of...

  12. 78 FR 22860 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-17

    ... Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research Centers AGENCY: Office... Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research Centers (RERCs... of 1973, as amended (Rehabilitation Act). Rehabilitation Engineering Research Centers (RERCs)...

  13. The Effective Use of Virtual Environments in the Education and Rehabilitation of Students with Intellectual Disabilities.

    ERIC Educational Resources Information Center

    Standen, P. J.; Brown, D. J.; Cromby, J. J.

    2001-01-01

    Reviews the use of one type of computer software, virtual environments, for its potential in the education and rehabilitation of people with intellectual disabilities. Topics include virtual environments in special education; transfer of learning; adult learning; the role of the tutor; and future directions, including availability, accessibility,…

  14. Building the Case for Delivering Health Promotion Services within the Vocational Rehabilitation System

    ERIC Educational Resources Information Center

    Ipsen, Catherine; Seekins, Tom; Ravesloot, Craig

    2010-01-01

    Research studies report a negative relationship between employment and secondary conditions. Access to health promotion programs to manage secondary conditions, however, is limited for people with disabilities due to employment, financial, and insurance barriers. Vocational rehabilitation (VR) is one possible delivery point to overcome these…

  15. 77 FR 40601 - Final Priority: Disability and Rehabilitation Research Projects and Centers Program; Disability...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-10

    ... on February 15, 2006 (71 FR 8165), can be accessed on the Internet at the following site: www.ed.gov... notice of proposed priority for this program in the Federal Register on April 26, 2012 (77 FR 24934... Final Priority: Disability and Rehabilitation Research Projects and Centers Program;...

  16. 76 FR 33744 - Final Priority; National Institute on Disability and Rehabilitation Research (NIDRR)-Disability...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-09

    ... on February 15, 2006 (71 FR 8165), can be accessed on the Internet at the following site: http://www... March 29, 2011 (76 FR 17403). That notice contained background information and our reasons for proposing... Final Priority; National Institute on Disability and Rehabilitation Research...

  17. 75 FR 27324 - National Institute on Disability and Rehabilitation Research (NIDRR)-Disability and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-14

    ... rehabilitation topics, such as virtual reality training applications (Erren-Wolters, van Dijk, de Kort, Ijzerman... FR 8165), can be accessed on the Internet at the following site: http://www.ed.gov/about/offices/list.../index.php . Erron-Wolters, C., Van Dijk, H., de Kort, A., Ijzerman, M., & Jannink, M. (2007)....

  18. Development, Implementation, and Evaluation of the Apollo Model of Pediatric Rehabilitation Service Delivery

    ERIC Educational Resources Information Center

    Camden, Chantal; Swaine, Bonnie; Tetreault, Sylvie; Bergeron, Sophie; Lambert, Carole

    2013-01-01

    This article presents the experience of a rehabilitation program that undertook the challenge to reorganize its services to address accessibility issues and improve service quality. The context in which the reorganization process occurred, along with the relevant literature justifying the need for a new service delivery model, and an historical…

  19. Transition Activities in the Office of Special Education and Rehabilitative Services

    ERIC Educational Resources Information Center

    Office of Special Education and Rehabilitative Services, US Department of Education, 2009

    2009-01-01

    The mission of the Office of Special Education and Rehabilitative Services (OSERS) is to provide leadership to achieve full integration and participation in society of people with disabilities and to ensure equal opportunities in, access to, and excellence in education, employment and community living. In implementing this mission, OSERS…

  20. 75 FR 36237 - National Institute on Disability and Rehabilitation Research (NIDRR)-Disability and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-24

    ... in the Federal Register on February 15, 2006 (71 FR 8165), can be accessed on the Internet at the... knowledge and understanding of the unique needs of traditionally underserved populations; (3) determine best strategies and programs to improve rehabilitation outcomes for underserved populations; (4) identify...

  1. 78 FR 2919 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Disability and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-15

    ... FR 8165), can be accessed on the Internet at the following site: www2.ed.gov/legislation/FedRegister...--Disability and Rehabilitation Research Project--Inclusive Cloud and Web Computing CFDA Number: 84.133A-01... and Web computing. The Assistant Secretary may use this priority for competitions in fiscal year...

  2. Suggested Guidelines for Local Education Agency Compliance with Section 504 of the Rehabilitation Act of 1973.

    ERIC Educational Resources Information Center

    Oklahoma State Dept. of Education, Oklahoma City.

    The manual provides suggestions to help local education agencies comply with regulations of Section 504 of the Rehabilitation Act of 1973. Chapter 1 reviews the general provisions of Section 504 on such topics as program and structural accessibility, transportation, and specific prohibitions. Chapter 2 deals with requirements for employment…

  3. 77 FR 33729 - Disability and Rehabilitation Research Projects and Centers Program-National Data and Statistical...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-07

    ... published in the Federal Register on February 15, 2006 (71 FR 8165), can be accessed on the Internet at the... notice of proposed priority for this program in the Federal Register on March 7, 2012 (77 FR 13575). That... the Burn Model Systems AGENCY: Office of Special Education and Rehabilitative Services, Department...

  4. 75 FR 81253 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ... Register on February 15, 2006 (71 FR 8165), can be accessed on the Internet at the following site: http... Disability and Rehabilitation Research (NIDRR)--Research Fellowships Program; Notice Inviting Applications... purpose of the Research Fellowships Program is to build research capacity by providing support to...

  5. Ethics in Rehabilitation Counselor Supervision.

    ERIC Educational Resources Information Center

    Blackwell, Terry L.; Strohmer, Douglas C.; Belcas, Eva M.; Burton, Kathryn A.

    2002-01-01

    Article is an exploration of some of the ethical issues facing rehabilitation counselors who provide clinical supervision. Ethical issues related to competence, evaluation and due process, dual relationships, confidentiality, and informed consent are discussed. (Contains 28references, 2 tables, and 1 appendix.) (Author)

  6. Modeling Rehabilitation Counselor Clinical Judgment.

    ERIC Educational Resources Information Center

    Strohmer, Douglas C.; Leierer, Stephen J.

    2000-01-01

    Evaluate three proposed models of the rehabilitation counselor judgment process. Counselors made multiple judgments about clients whose information systematically varied across three dimensions. These data were then analyzed using path analytic techniques to determine which of the models was the best description of the process rehabilitation…

  7. Vocational Indecision and Rehabilitation Clients.

    ERIC Educational Resources Information Center

    Strohmer, Douglas C.; And Others

    1984-01-01

    Assessed the vocational decision-making problems of rehabilitation clients (N=60). Revealed that decision-making problems of clients can be grouped into three areas: employment readiness, self-appraisal, and decision-making readiness. Suggested that vocationally decided and undecided subjects differ significantly in the extent to which they have…

  8. An Inpatient Vocational Rehabilitation Unit.

    ERIC Educational Resources Information Center

    Bielefeld, Martin

    This paper describes the Cleveland Veterans Administration inpatient Vocational Rehabilitation Unit (VRU), an intensive vocational assessment and counseling program designed to maximize the self-reliance and productivity of patients. The VRU is presented as a minimal care, 3-month maximum treatment program in which patients work on incentive pay…

  9. Prosthodontic rehabilitation of dentinogenesis imperfecta.

    PubMed

    Goud, Anil; Deshpande, Saee

    2011-04-01

    Dentinogenesis imperfecta and its prosthodontic management is a challenging task. Treatment protocol varies according to clinical case. Although various reports in the literature suggest general guidelines for treatment planning, the present case report describes a full mouth rehabilitation of a young patient with dentinogenesis imperfecta treated by maxillary fixed partial dentures and mandibular fiber reinforced overdenture with metal occlusal surfaces.

  10. Directions in Rehabilitation Counseling, 1993.

    ERIC Educational Resources Information Center

    Directions in Rehabilitation Counseling, 1993

    1993-01-01

    This volume of 12 lessons--each written by either a medical or a mental health professional--provides expert information on a variety of medical and psychological issues in rehabilitative counseling. The lessons, each of which concludes with a few multiple-choice questions, are: (1) "Geriatric Alcoholism: Identification and Elder-Specific…

  11. Knowledge Translation in Rehabilitation Counseling

    ERIC Educational Resources Information Center

    Johnson, Kurt; Brown, Pat; Harniss, Mark; Schomer, Katherine

    2010-01-01

    The process and importance of Knowledge Translation (KT) for the field of rehabilitation counseling is described. One element of the KT process, systematic reviews of the literature, is described along with several strategies for grading evidence. Practicing clinicians, as do consumers, encounter a number of barriers to using primary source…

  12. Directions in Rehabilitation Counseling, 1994.

    ERIC Educational Resources Information Center

    Directions in Rehabilitation Counseling, 1994

    1994-01-01

    This volume of 12 lessons--each one written by either a medical or mental health professional--provides expert information on a variety of medical and psychological issues in rehabilitative counseling. The lessons, each of which concludes with a few multiple-choice questions, are as follows: (1) "Behavioral Techniques for Treatment of Obesity" (S.…

  13. Exercise rehabilitation for smartphone addiction.

    PubMed

    Kim, Hyunna

    2013-12-31

    Internet addiction after launching smartphone is becoming serious. Therefore this paper has attempted to sketch out the diverse addiction treatment and then check the feasibility of exercise rehabilitation. The reason to addict the internet or smartphone is personalized individual characters related personal psychological and emotional factors and social environmental factors around them. We have shown that 2 discernible approaches due to 2 different addiction causes: that is behavioral treatment and complementary treatment. In the behavioral treatment, cognitive behavioral approach (CBT) is representative methods for changing additive thoughts and behaviors. Motivational interviewing (MI) is also the brief approach for persons not ready to change their behavior. Mindfulness behavioral cognitive treatment (MBCT) also the adapted treatment based on CBT. There are different types following the emphatic point, mindfulness-based relapse prevention (MBRP) or mindfulness oriented recovery enhancement (MORE). It is apparent that therapeutic recreation, music therapy using drumming activity, and art therapy are useful complementary treatment. Exercise rehabilitation contained the systematic procedures and comprehensive activities compared to previous addiction treatments by contents and techniques. Exercise rehabilitation can treat both physical symptoms at first and mental problems in the next step. So more evidence-based exercise rehabilitation researches need to do, but it is highly probable that exercise rehab can apply for smartphone addiction.

  14. Exercise rehabilitation for smartphone addiction.

    PubMed

    Kim, Hyunna

    2013-01-01

    Internet addiction after launching smartphone is becoming serious. Therefore this paper has attempted to sketch out the diverse addiction treatment and then check the feasibility of exercise rehabilitation. The reason to addict the internet or smartphone is personalized individual characters related personal psychological and emotional factors and social environmental factors around them. We have shown that 2 discernible approaches due to 2 different addiction causes: that is behavioral treatment and complementary treatment. In the behavioral treatment, cognitive behavioral approach (CBT) is representative methods for changing additive thoughts and behaviors. Motivational interviewing (MI) is also the brief approach for persons not ready to change their behavior. Mindfulness behavioral cognitive treatment (MBCT) also the adapted treatment based on CBT. There are different types following the emphatic point, mindfulness-based relapse prevention (MBRP) or mindfulness oriented recovery enhancement (MORE). It is apparent that therapeutic recreation, music therapy using drumming activity, and art therapy are useful complementary treatment. Exercise rehabilitation contained the systematic procedures and comprehensive activities compared to previous addiction treatments by contents and techniques. Exercise rehabilitation can treat both physical symptoms at first and mental problems in the next step. So more evidence-based exercise rehabilitation researches need to do, but it is highly probable that exercise rehab can apply for smartphone addiction. PMID:24409425

  15. Spinal Injury Rehabilitation in Singapore.

    ERIC Educational Resources Information Center

    Yen, H. L.; Chua, K.; Chan, W.

    1998-01-01

    This study reviewed 231 cases of spinal cord injury treated in Singapore. Data on demographic characteristics, common causes (mostly falls and traffic accidents), types of spinal damage, and outcomes are reported. Following rehabilitation, 68 patients were able to ambulate independently and 45 patients achieved independence in activities of daily…

  16. Juvenile Diabetes and Rehabilitation Counseling.

    ERIC Educational Resources Information Center

    Stone, J. Blair; Gregg, Charles H.

    1981-01-01

    Severe complications of diabetes are more likely to occur with the juvenile diabetic and problems of psychosocial adjustment are recurring and difficult. Implications for the rehabilitation counselor are discussed in terms of employment considerations, the effects of complications, genetic counseling, and cooperation with other professionals.…

  17. Fostering Clients' Cooperation with Rehabilitation.

    ERIC Educational Resources Information Center

    Dale, B.

    1996-01-01

    This paper examines common causes of visually impaired clients' noncooperation with activities recommended by rehabilitation professionals. Recent literature on effective strategies for increasing compliance is reviewed, and techniques such as contingency contracts, task analysis, and openness to client innovation and modification of activities…

  18. Prison Rehabilitation: Concept Associates, Inc.

    ERIC Educational Resources Information Center

    McCoy, Robert D.

    1973-01-01

    A self-help project called Concept Associates, Inc., was started at Parish Prison in New Orleans. While most penal rehabilitation programs educate inmates and teach them a trade, the work of Concept is more thorough. The inmates aid each other with their problems by concentrating on inner changes and the power of positive thinking through four…

  19. Adaptation Research in Rehabilitation Counseling

    ERIC Educational Resources Information Center

    Parker, Randall M.

    2007-01-01

    This paper reviews current research concerning psychosocial adaptation to chronic illness and disability and presents recommendations for future development of theories in this area. First, those who craft or adapt theories must use nondisabling, respectful, and empowering language. Rehabilitation professionals must avoid terms that connote…

  20. Work Measurement in Rehabilitation Workshops.

    ERIC Educational Resources Information Center

    Stroud, Ronald R.; Lamb, Auburn J.

    Partially funded by a research grant from the Department of Health, Education, and Welfare, this technical monograph is the first of a series to be published on production-management aspects of vocational rehabilitation workshops. In order to meet information needs in this area, selected techniques used by industrial profit-making enterprises…