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

PubMed

2013-06-19

The Assistant Secretary for Special Education and Rehabilitative Services announces a priority for a Rehabilitation Engineering Research Center (RERC) on Technologies to Support Successful Aging with Disability 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.

Spawning habitat unsuitability: an impediment to cisco rehabilitation in Lake Michigan?

USGS Publications Warehouse

Madenjian, Charles P.; Rutherford, Edward S.; Blouin, Marc A.; Sederberg, Bryan J.; Elliott, Jeff R.

2011-01-01

The cisco Coregonus artedi was one of the most important native prey fishes in Lake Michigan and in the other four Laurentian Great Lakes. Most of the cisco spawning in Lake Michigan was believed to have occurred in Green Bay. The cisco population in Lake Michigan collapsed during the 1950s, and the collapse was attributed in part to habitat degradation within Green Bay. Winter water quality surveys of lower Green Bay during the 1950s and 1960s indicated that the bottom dissolved oxygen (DO) concentration was less than 2 mg/L throughout much of the lower bay, and most cisco eggs would not successfully hatch at such low DO concentrations. To determine present-day spawning habitat suitability in lower Green Bay, we compared cisco egg survival in lower Green Bay with survival at a reference site (St. Marys River, Michigan–Ontario) during 2009. We also conducted winter water quality surveys in lower Green Bay and the St. Marys River during 2009 and 2010. Cisco egg survival in lower Green Bay averaged 65.3%, which was remarkably similar to and not significantly different from the mean at the St. Marys River site (64.0%). Moreover, the lowest bottom DO concentrations recorded during the winter surveys were 11.2 mg/L in lower Green Bay and 12.7 mg/L in the St. Marys River. These relatively high DO concentrations would not be expected to have any negative effect on cisco egg survival. We conclude that winter water quality conditions in lower Green Bay were suitable for successful hatching of cisco eggs and that water quality during the egg incubation period did not represent an impediment to cisco rehabilitation in Lake Michigan. Our approach to determining spawning habitat suitability for coregonids would be applicable to other aquatic systems.

78 FR 38840 - Final Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-28

... Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and... 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...

Restoration ecology: longterm evaluation as an essential feature of rehabilitation

USGS Publications Warehouse

Gannon, John E.

1993-01-01

In its brief existence as a recognized scientific discipline, restoration ecology has focused almost exclusively on terrestrial and wetland habitat. As a consequence, aquatic restoration and rehabilitation, an important component of restoration ecology is a relatively new discipline. This article examines the ecosystem approach to rehabilitation of the Great Lakes Basin and proposes that waterfront redevlopment and terrestrial and wetland habitat restoration should be accompanied by aquatic habitat restoration. Furthermore, aquatic habitat restoration must include rehabilitation of hard-bottom substrates and structures as well as pollution cleanup and management of soft sediments. Lastly, the article suggests that longterm evaluation is indispensable for aquatic habitat restoration and rehabiliation to be truly successful in the Great Lakes region. Only through longterm evaluation can we determine whether habitat restoration goals have been met at specific sites and transfer successful lessons learned at other locations.

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.

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.

78 FR 42868 - Final Priority; National Institute on Disability and Rehabilitation Research-Rehabilitation...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-18

... Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY... for 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...

78 FR 29237 - Final Priority; National Institute on Disability and Rehabilitation Research-Rehabilitation...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-20

..., producing observational findings, and creating other sources of research-based information. This research... Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY... for the Disability and Rehabilitation Research Projects and Centers Program administered by the...

78 FR 34261 - Final Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-07

..., such as observational research or research toward the development of diagnostic or outcome assessment... Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY... for the Disability and Rehabilitation Research Projects and Centers Program administered by the...

Patterns of fish assemblage structure and habitat use among main- and side-channel environments in the lower Kootenai River, Idaho

USGS Publications Warehouse

Watkins, Carson J.; Stevens, Bryan S.; Quist, Michael C.; Shepard, Bradley B.; Ireland, Susan C.

2015-01-01

The lower Kootenai River, Idaho, was sampled during the summers of 2012 and 2013 to evaluate its fish assemblage structure at seven sites within main- and side-channel habitats where large-scale habitat rehabilitation was undertaken. Understanding the current patterns of fish assemblage structure and their relationships with habitat is important for evaluating the effects of past and future rehabilitation projects on the river. Species-specific habitat associations were modeled, and the variables that best explained the occurrence and relative abundance of fish were identified in order to guide future habitat rehabilitation so that it benefits native species. The results indicated that the side-channel habitats supported higher species richness than the main-channel habitats and that nonnative fishes were closely associated with newly rehabilitated habitats. This research provides valuable insight on the current fish assemblages in the Kootenai River and the assemblage-level responses that may occur as a result of future rehabilitation activities.

Final inpatient rehabilitation PPS rule improves on proposed rule.

PubMed

Reynolds, M

2001-10-01

On August 7, 2001, the Centers for Medicare and Medicaid Services (CMS--formerly HCFA) released the final rule for a new prospective payment system (PPS) for inpatient rehabilitation services describing the process that must be used to receive payment for such services provided to Medicare beneficiaries. The process consists of five steps: First, a clinician performs assessments of the patient upon admission and at discharge. Second, the patient is classified into a case-mix group (CMG) with an assigned relative-value weight within that CMG. Third, the Federal prospective payment rate is determined by multiplying the relative-value weight by an annually updated, budget-neutral conversion factor. Fourth, the Federal prospective payment rate is adjusted to account for facility-specific factors. Finally, the facility-adjusted payment rate may be adjusted for case-specific factors. The final rule eliminates three deficiencies in the proposed rule by providing increased payment for treating any comorbidities documented prior to the second day before discharge, providing more appropriate payment for transfer cases, and minimizing the paperwork associated with patient assessment.

Final disposition and quality auditing of the rehabilitation process in wild raptors admitted to a Wildlife Rehabilitation Centre in Catalonia, Spain, during a twelve year period (1995-2007).

PubMed

Molina-López, Rafael A; Casal, Jordi; Darwich, Laila

2013-01-01

Variability in reporting and classification methods in previous published data of the final dispositions in the rehabilitation of wild raptors makes use of this data limited in trying to audit the quality of the rehabilitation process. Crude as well as stratified disposition rates are needed if quality auditing of the rehabilitation process is to be adequately performed. Final dispositions of 6221 hospitalized wild raptors admitted at a wildlife rehabilitation centre (WRC) of Catalonia during 1995-2007 were analyzed. These dispositions were calculated as the euthanasia (Er), unassisted mortality (Mr), release (Rr) and captivity rates (Cr)., time to death (Td) for dead and euthanized raptors, and length of stay for released (Tr) raptors was estimated. Stratified analyses by main causes of admission and clinical signs were performed. THE DISPOSITION FOR THE TOTAL POPULATION WERE: Er = 30.6%, Mr = 19.1%, Rr = 47.2%, and Cr = 3%. By main causes of admission, Er was higher in the trauma category (34.2%), whereas Mr was found similar between trauma (37.4%) and non-trauma categories (34.8%). The highest Rr was observed for the orphaned group (77.9%). Furthermore, Cr was low in all the categories (<4%). By clinical signs, the highest Er was found in animals suffering musculoskeletal (37.9%) or skin (32.3%) lesions; Mr was high in infectious/parasitic diseases (66.7%) and in case of neurological symptoms (64.5%). The euthanized birds had a median Td = 1 day (P10 = 0-P90 = 59) for both trauma and non-trauma categories, and Td = 36 days for the orphaned young group (P10 = 0; P90 = 596). The median Td in the unassisted dead birds was 2 days for all the categories (P10 = 0-P90 = 31). Finally, the median Tr in the centre was variable among categories. Reporting of final dispositions in wildlife rehabilitation should include the crude and stratified rates (Er, Mr, Rr, and Cr), by causes and clinical presentation, as well as Td and Tr, to allow meaningful auditing of the

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

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-10

... analyses of data, producing observational findings, and creating other sources of research-based... provide a rationale for the stage of research being proposed and the research methods associated with the... DEPARTMENT OF EDUCATION Final Priority: Disability and Rehabilitation Research Projects and...

National Institute on Disability and Rehabilitation Research--Notice of Final Long-Range Plan for Fiscal Years 2005-2009. Federal Register, Part III: Department of Education

ERIC Educational Resources Information Center

National Archives and Records Administration, 2006

2006-01-01

The Assistant Secretary for Special Education and Rehabilitative Services (OSERS) publishes the Final Long-Range Plan (Final Plan) for the National Institute on Disability and Rehabilitation Research (NIDRR) for FY 2005 through 2009. As required by the Rehabilitation Act of 1973, as amended (Act), the Assistant Secretary takes this action to…

Medicare program; inpatient rehabilitation facility prospective payment system for federal fiscal year 2014. Final rule.

PubMed

2013-08-06

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2014 (for discharges occurring on or after October 1, 2013 and on or before September 30, 2014) as required by the statute. This final rule also revised the list of diagnosis codes that may be counted toward an IRF's "60 percent rule'' compliance calculation to determine "presumptive compliance,'' update the IRF facility-level adjustment factors using an enhanced estimation methodology, revise sections of the Inpatient Rehabilitation Facility-Patient Assessment Instrument, revise requirements for acute care hospitals that have IRF units, clarify the IRF regulation text regarding limitation of review, update references to previously changed sections in the regulations text, and revise and update quality measures and reporting requirements under the IRF quality reporting program.

Reservoir rehabilitations: Seeking the Fountain of Youth

USGS Publications Warehouse

Pegg, Mark A.; Pope, Kevin L.; Powell, L.A.; Turek, Kelly C.; Spurgeon, Jonathan J.; Stewart, Nathaniel T.; Hogberg, Nick P.; Porath, Mark T.

2017-01-01

Aging of reservoirs alters the functions, and associated services, of these systems through time. The goal of habitat rehabilitation is often to alter the trajectory of the aging process such that the duration of the desired state is prolonged. There are two important characteristics in alteration of the trajectory—the amplitude relative to current state and the subsequent rate of change, or aging—that ultimately determine the duration of extension for the desired state. Rehabilitation processes largely fall into three main categories: fish community manipulation, water quality manipulation, and physical habitat manipulation. We can slow aging of reservoirs through carefully implemented management actions, perhaps even turning back the hands of time, but we cannot stop aging. We call for new, innovative perspectives that incorporate an understanding of aging processes in all steps of rehabilitation of reservoirs, especially in planning and assessing.

78 FR 34402 - Final Environmental Impact Statement, Habitat Conservation Plan, and Implementing Agreement...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-07

...-FF03E15000] Final Environmental Impact Statement, Habitat Conservation Plan, and Implementing Agreement, Ni... Environmental Impact Statement (FEIS) associated with an application received from NiSource Inc. (hereafter ``Ni... Endangered Species Act of 1973, as amended (ESA). If issued, the ITP would authorize NiSource to take 10...

Final Disposition and Quality Auditing of the Rehabilitation Process in Wild Raptors Admitted to a Wildlife Rehabilitation Centre in Catalonia, Spain, during a Twelve Year Period (1995–2007)

PubMed Central

Molina-López, Rafael A.; Casal, Jordi; Darwich, Laila

2013-01-01

Background Variability in reporting and classification methods in previous published data of the final dispositions in the rehabilitation of wild raptors makes use of this data limited in trying to audit the quality of the rehabilitation process. Crude as well as stratified disposition rates are needed if quality auditing of the rehabilitation process is to be adequately performed. Methodology Final dispositions of 6221 hospitalized wild raptors admitted at a wildlife rehabilitation centre (WRC) of Catalonia during 1995–2007 were analyzed. These dispositions were calculated as the euthanasia (Er), unassisted mortality (Mr), release (Rr) and captivity rates (Cr)., time to death (Td) for dead and euthanized raptors, and length of stay for released (Tr) raptors was estimated. Stratified analyses by main causes of admission and clinical signs were performed. Results The disposition for the total population were: Er  = 30.6%, Mr = 19.1%, Rr  = 47.2%, and Cr  = 3%. By main causes of admission, Er was higher in the trauma category (34.2%), whereas Mr was found similar between trauma (37.4%) and non-trauma categories (34.8%). The highest Rr was observed for the orphaned group (77.9%). Furthermore, Cr was low in all the categories (<4%). By clinical signs, the highest Er was found in animals suffering musculoskeletal (37.9%) or skin (32.3%) lesions; Mr was high in infectious/parasitic diseases (66.7%) and in case of neurological symptoms (64.5%). The euthanized birds had a median Td  = 1 day (P10 = 0-P90 = 59) for both trauma and non-trauma categories, and Td  = 36 days for the orphaned young group (P10 = 0; P90 = 596). The median Td in the unassisted dead birds was 2 days for all the categories (P10 = 0-P90 = 31). Finally, the median Tr in the centre was variable among categories. Conclusions/Significance Reporting of final dispositions in wildlife rehabilitation should include the crude and stratified rates (Er, Mr, Rr

Pediatric rehabilitation psychology: Rehabilitating a moving target.

PubMed

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

2017-08-01

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

Final priority; Rehabilitation Services Administration--Assistive Technology Alternative Financing Program. Final priority.

PubMed

2014-08-14

The Assistant Secretary for Special Education and Rehabilitative Services announces a priority under the Assistive Technology Alternative Financing Program administered by the Rehabilitation Services Administration (RSA). The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years. This priority is designed to ensure that the Department funds high-quality assistive technology (AT) alternative financing programs (AFPs) that meet rigorous standards in order to enable individuals with disabilities to access and acquire assistive technology devices and services necessary to achieve education, community living, and employment goals.

Stimulating a Great Lakes coastal wetland seed bank using portable cofferdams: implications for habitat rehabilitation

USGS Publications Warehouse

Kowalski, K.P.; Wilcox, D.A.; Wiley, M.J.

2009-01-01

Coastal wetland seed banks exposed by low lake levels or through management actions fuel the reestablishment of emergent plant assemblages (i.e., wetland habitat) critical to Great Lakes aquatic biota. This project explored the effectiveness of using portable, water-filled cofferdams as a management tool to promote the natural growth of emergent vegetation from the seed bank in a Lake Erie coastal wetland. A series of dams stretching approximately 450??m was installed temporarily to isolate hydrologically a 10-ha corner of the Crane Creek wetland complex from Lake Erie. The test area was dewatered in 2004 to mimic a low-water year, and vegetation sampling characterized the wetland seed bank response at low, middle, and high elevations in areas open to and protected from bird and mammal herbivory. The nearly two-month drawdown stimulated a rapid seed-bank-driven response by 45 plant taxa. Herbivory had little effect on plant species richness, regardless of the location along an elevation gradient. Inundation contributed to the replacement of immature emergent plant species with submersed aquatic species after the dams failed and were removed prematurely. This study revealed a number of important issues that must be considered for effective long-term implementation of portable cofferdam technology to stimulate wetland seed banks, including duration of dewatering, product size, source of clean water, replacement of damaged dams, and regular maintenance. This technology is a potentially important tool in the arsenal used by resource managers seeking to rehabilitate the functions and values of Great Lakes coastal wetland habitats.

Functional Limitations of Vocational Rehabilitation (VR) Consumers Final Report

ERIC Educational Resources Information Center

Overman, Beth; Schmidt-Davis, Holly

2006-01-01

In response to a request from the Rehabilitation Services Administration (RSA), the Research Triangle Institute (RTI) conducted a study to examine the feasibility of developing functional status measures for planning and implementing services to consumers in the State-Federal Vocational Rehabilitation (VR) Services Program. To investigate this…

Analysis of Costs and Benefits in Rehabilitation. Final Report.

ERIC Educational Resources Information Center

Berkowitz, Monroe, Ed.; And Others

This report suggests feasible alternatives to the present methods of calculating benefits and costs of the joint federal-state vocational rehabilitation program. "Summary and Guide to Reading This Report" (Monroe Berkowitz) appears first. Part I, Background, Theory and Models, includes "The Cost Benefit Tradition in Vocational Rehabilitation"…

Longitudinal Study of the Vocational Rehabilitation Services Program. Final Report 2: VR Services and Outcomes.

ERIC Educational Resources Information Center

Hayward, Becky J.; Schmidt-Davis, Holly

This report is the second 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…

Advances in rehabilitation medicine.

PubMed

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

2013-10-01

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

Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2016. Final rule.

PubMed

2015-08-06

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2016 as required by the statute. As required by section 1886(j)(5) of the Act, this rule includes the classification and weighting factors for the IRF PPS's case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2016. This final rule also finalizes policy changes, including the adoption of an IRF-specific market basket that reflects the cost structures of only IRF providers, a 1-year phase-in of the revised wage index changes, a 3-year phase-out of the rural adjustment for certain IRFs, and revisions and updates to the quality reporting program (QRP).

75 FR 71325 - Wildlife Habitat Incentive Program

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-23

... Wildlife Habitat Incentive Program AGENCY: Commodity Credit Corporation, Natural Resources Conservation... final rule for the Wildlife Habitat Incentive Program (WHIP). This final rule sets forth how NRCS, using... Albert Cerna, National Wildlife Habitat Incentive Program Manager, Financial Assistance Programs Division...

EFFECTIVENESS OF LARGE WOODY DEBRIS IN STREAM REHABILITATION PROJECTS IN URBAN BASINS. (R825284)

EPA Science Inventory

Urban stream rehabilitation projects commonly include log placement to establish the types of habitat features associated with large woody debris (LWD) in undisturbed streams. Six urban in-stream rehabilitation projects were examined in the Puget Sound Lowland of western Washi...

Rehabilitation Counseling Information: Programmed Instruction for the Practitioner. Final Report.

ERIC Educational Resources Information Center

Phelps, William R.

This programmed instruction rehabilitation counseling information test attempts to cover six areas as follows: testing, psychological information, medical information, counseling concepts, history of rehabilitation, and counselor-agency functioning. The information may be utilized for research purposes and/or replicated by others. (Author)

Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2018. Final rule.

PubMed

2017-08-03

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2018 as required by the statute. As required by section 1886(j)(5) of the Social Security Act (the Act), this rule includes the classification and weighting factors for the IRF prospective payment system's (IRF PPS) case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2018. This final rule also revises the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) diagnosis codes that are used to determine presumptive compliance under the "60 percent rule," removes the 25 percent payment penalty for inpatient rehabilitation facility patient assessment instrument (IRF-PAI) late transmissions, removes the voluntary swallowing status item (Item 27) from the IRF-PAI, summarizes comments regarding the criteria used to classify facilities for payment under the IRF PPS, provides for a subregulatory process for certain annual updates to the presumptive methodology diagnosis code lists, adopts the use of height/weight items on the IRF-PAI to determine patient body mass index (BMI) greater than 50 for cases of single-joint replacement under the presumptive methodology, and revises and updates measures and reporting requirements under the IRF quality reporting program (QRP).

DAY-CARE REHABILITATION CENTER FOR EMOTIONALLY DISTURBED ADOLESCENTS. FINAL REPORT.

ERIC Educational Resources Information Center

CRAWFORD, HUGH A.; VAN DUYNE, WILLIAM V.

IN THIS FIVE YEAR DEMONSTRATION PROJECT, EMOTIONALLY DISTURBED ADULTS AND ADOLESCENTS RECEIVED TREATMENT AT A DAY CARE REHABILITATION CENTER SPONSORED BY THE RHODE ISLAND DIVISION OF VOCATIONAL REHABILITATION (DVR) LOCATED IN A PRIVATE PSYCHIATRIC HOSPITAL (BUTLER HOSPITAL). THE MAJOR TREATMENT GOALS WERE PRESERVATION AND RESTORATION OF…

78 FR 34901 - Final Priority; National Institute on Disability and Rehabilitation Research-Advanced...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-11

... Institute on Disability and Rehabilitation Research--Advanced Rehabilitation Research Training Program... priority for the Advanced Rehabilitation Research Training (ARRT) program under the Disability and Rehabilitation Research Projects and Centers Program administered by the National Institute on Disability and...

Bat habitat research. Final technical report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Keller, B.L.; Bosworth, W.R.; Doering, R.W.

This progress report describes activities over the current reporting period to characterize the habitats of bats on the INEL. Research tasks are entitled Monitoring bat habitation of caves on the INEL to determine species present, numbers, and seasons of use; Monitor bat use of man-made ponds at the INEL to determine species present and rates of use of these waters; If the Big Lost River is flowing on the INEL and/or if the Big Lost River sinks contain water, determine species present, numbers and seasons of use; Determine the habitat requirement of Townsend`s big-eared bats, including the microclimate of cavesmore » containing Townsend`s big-eared bats as compared to other caves that do not contain bats; Determine and describe an economical and efficient bat census technique to be used periodically by INEL scientists to determine the status of bats on the INEL; and Provide a suggestive management and protective plan for bat species on the INEL that might, in the future, be added to the endangered and sensitive list;« less

Rehabilitation Research Capacity Building: Followup Studies. Final Report. Coppin State College Rehabilitation Research Studies, Monograph No. 2.

ERIC Educational Resources Information Center

Mitra, Sudhansu B.

This series of followup studies concerned mentally retarded rehabilitation clients of the Social and Rehabilitation Service research and development projects in the District of Columbia, and the Model Cities Project in Maryland. The clientele were primarily black, urban ghetto residents. The studies dealt with (1) vocational success of…

78 FR 26509 - Final Priority; National Institute on Disability and Rehabilitation Research-Disability and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-07

... Institute on Disability and Rehabilitation Research--Disability and Rehabilitation Research Projects... Rehabilitative Services announces a priority under the Disability Rehabilitation Research Projects and Centers Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR...

Northwest Montana Wildlife Mitigation Habitat Protection : Advance Design : Final Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wood, Marilyn A.

1993-02-01

This report summarizes the habitat protection process developed to mitigate for certain wildlife and wildlife habitat losses due to construction of Hungry Horse and Libby dams in northwestern Montana.

Methods for Detecting Defects in Composite Rehabilitated Concrete Structures : Final Report

DOT National Transportation Integrated Search

2005-04-01

Fiber reinforced polymer (FRP) composites are increasingly being used to rehabilitate under-strength or deteriorating concrete structural elements and to prolong useful service-life of bridge structures. The rehabilitation is conducted through the ex...

78 FR 29234 - Final Priority; National Institute on Disability and Rehabilitation Research-Disability and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-20

... Institute on Disability and Rehabilitation Research--Disability and Rehabilitation Research Projects and... Center (RRTC) on Disability Statistics and Demographics under the Disability and Rehabilitation Research Projects and Centers program administered by the National Institute on Disability and Rehabilitation...

78 FR 22780 - Final Priority; National Institute on Disability and Rehabilitation Research-Disability and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-17

... Institute on Disability and Rehabilitation Research--Disability and Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research Centers AGENCY: Office of Special Education and... Research Center (RERC) on Hearing Enhancement under the Disability and Rehabilitation Research Projects and...

78 FR 35758 - Final Priority; National Institute on Disability and Rehabilitation Research-Rehabilitation...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-14

... focus its activities on the Federal-State vocational rehabilitation (VR) program and its mission of... focus their research activities on topics related to the Federal-State VR program, they are not required... implementation of the Plan, NIDRR seeks to improve the health and functioning, employment, and community living...

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

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-09

... and Rehabilitation Research (NIDRR)--Disability Rehabilitation Research Project (DRRP)--Disability in... Rehabilitative Services announces a funding priority for the Disability and Rehabilitation Research Projects and...) 2011 and later years. We take this action to focus research attention on areas of national need. We...

Potential ‘Ecological Traps’ of Restored Landscapes: Koalas Phascolarctos cinereus Re-Occupy a Rehabilitated Mine Site

PubMed Central

Cristescu, Romane H.; Banks, Peter B.; Carrick, Frank N.; Frère, Céline

2013-01-01

With progressively increasing anthropogenic habitat disturbances, restoration of impacted landscapes is becoming a critical element of biodiversity conservation. Evaluation of success in restoration ecology rarely includes faunal components, usually only encompassing abiotic and floral components of the ecosystems. Even when fauna is explicitly included, it is usually only species presence/absence criteria that are considered. If restoration is to have a positive outcome, however, populations in restored habitats should exhibit comparable survival and reproductive rates to populations found in undisturbed surroundings. If a species recolonises restored areas but later experiences decreased fitness, restored areas could become ecological sinks or traps. We investigated this possibility in a case study of koalas Phascolarctos cinereus occupying rehabilitated mining areas on North Stradbroke Island, Australia. Our holistic approach compared rehabilitated and undisturbed areas on the basis of their vegetation characteristics, of koalas' body condition, roosting trees, diet, as well as predator index. Koalas using rehabilitated areas appeared to be able to access an adequate supply of roosting and fodder trees, were in good condition and had high reproductive output. We did not find any significant differences in predator density between rehabilitated areas and undisturbed surroundings. The results presented in this study showed there was no evidence that the post-mining rehabilitated areas constitute ecological sinks or traps. However, to reach a definitive conclusion as to whether areas rehabilitated post-mining provide at least equivalent habitat to undisturbed locations, additional research could be undertaken to assess foliar nutrient/water/toxin differences and predation risk in rehabilitated areas compared with undisturbed areas. More generally, the evaluation of whether restoration successfully produces a functional ecological community should include criteria

Using standardized fishery data to inform rehabilitation efforts

USGS Publications Warehouse

Spurgeon, Jonathan J.; Stewart, Nathaniel T.; Pegg, Mark A.; Pope, Kevin L.; Porath, Mark T.

2016-01-01

Lakes and reservoirs progress through an aging process often accelerated by human activities, resulting in degradation or loss of ecosystem services. Resource managers thus attempt to slow or reverse the negative effects of aging using a myriad of rehabilitation strategies. Sustained monitoring programs to assess the efficacy of rehabilitation strategies are often limited; however, long-term standardized fishery surveys may be a valuable data source from which to begin evaluation. We present 3 case studies using standardized fishery survey data to assess rehabilitation efforts stemming from the Nebraska Aquatic Habitat Plan, a large-scale program with the mission to rehabilitate waterbodies within the state. The case studies highlight that biotic responses to rehabilitation efforts can be assessed, to an extent, using standardized fishery data; however, there were specific areas where minor increases in effort would clarify the effectiveness of rehabilitation techniques. Management of lakes and reservoirs can be streamlined by maximizing the utility of such datasets to work smarter, not harder. To facilitate such efforts, we stress collecting both biotic (e.g., fish lengths and weight) and abiotic (e.g., dissolved oxygen, pH, and turbidity) data during standardized fishery surveys and designing rehabilitation actions with an appropriate experimental design.

38 CFR 21.294 - Selecting the training or rehabilitation facility.

Code of Federal Regulations, 2010 CFR

2010-07-01

... AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under... the veteran's preference for a particular training or rehabilitation facility but VA has final...

78 FR 35886 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-14

... Disability and Rehabilitation Research (NIDRR)--Disability and Rehabilitation Research Projects and Centers... notice of final priorities for the Disability and Rehabilitation Research Projects and Centers Program... included in the notice of final priorities for the Disability and Rehabilitation Research Projects and...

NASA Habitat Demonstration Unit (HDU) Deep Space Habitat Analog

NASA Technical Reports Server (NTRS)

Howe, A. Scott; Kennedy, Kriss J.; Gill, Tracy

2013-01-01

The NASA Habitat Demonstration Unit (HDU) vertical cylinder habitat was established as a exploration habitat testbed platform for integration and testing of a variety of technologies and subsystems that will be required in a human-occupied planetary surface outpost or Deep Space Habitat (DSH). The HDU functioned as a medium-fidelity habitat prototype from 2010-2012 and allowed teams from all over NASA to collaborate on field analog missions, mission operations tests, and system integration tests to help shake out equipment and provide feedback for technology development cycles and crew training. This paper documents the final 2012 configuration of the HDU, and discusses some of the testing that took place. Though much of the higher-fidelity functionality has 'graduated' into other NASA programs, as of this writing the HDU, renamed Human Exploration Research Analog (HERA), will continue to be available as a volumetric and operational mockup for NASA Human Research Program (HRP) research from 2013 onward.

Fishery population and habitat assessment in Puerto Rico streams: phase 2 final report

USGS Publications Warehouse

Kwak, Thomas J.; Smith, William E.; Buttermore, Elissa N.; Cooney, Patrick B.; Cope, W. Gregory

2013-01-01

This document serves as the Final Report for research on Puerto Rico stream fishes and their habitat funded by the Puerto Rico Department of Natural and Environmental Resources, in the form of a grant to the North Carolina Cooperative Fish and Wildlife Research Unit. This research was also conducted to meet the thesis requirement for a Master of Science degree granted to Elissa Buttermore (Chapters 3–4) and the dissertation requirement for a Doctor of Philospophy degree granted to William Smith (Chapters 5–8). Formatting differs among chapters, as each was developed to target a specific scientific journal and to conform to journal style.

Application of Wind Fetch and Wave Models for Habitat Rehabilitation and Enhancement Projects

USGS Publications Warehouse

Rohweder, Jason J.; Rogala, James T.; Johnson, Barry L.; Anderson, Dennis; Clark, Steve; Chamberlin, Ferris; Runyon, Kip

2008-01-01

Models based upon coastal engineering equations have been developed to quantify wind fetch length and several physical wave characteristics including significant height, length, peak period, maximum orbital velocity, and shear stress. These models, developed using Environmental Systems Research Institute's ArcGIS 9.2 Geographic Information System platform, were used to quantify differences in proposed island construction designs for three Habitat Rehabilitation and Enhancement Projects (HREPs) in the U.S. Army Corps of Engineers St. Paul District (Capoli Slough and Harpers Slough) and St. Louis District (Swan Lake). Weighted wind fetch was calculated using land cover data supplied by the Long Term Resource Monitoring Program (LTRMP) for each island design scenario for all three HREPs. Figures and graphs were created to depict the results of this analysis. The difference in weighted wind fetch from existing conditions to each potential future island design was calculated for Capoli and Harpers Slough HREPs. A simplistic method for calculating sediment suspension probability was also applied to the HREPs in the St. Paul District. This analysis involved determining the percentage of days that maximum orbital wave velocity calculated over the growing seasons of 2002-2007 exceeded a threshold value taken from the literature where fine unconsolidated sediments may become suspended. This analysis also evaluated the difference in sediment suspension probability from existing conditions to the potential island designs. Bathymetric data used in the analysis were collected from the LTRMP and wind direction and magnitude data were collected from the National Oceanic and Atmospheric Administration, National Climatic Data Center.

The Rehabilitation Counselor's Guide to Psychopathology. Final Report.

ERIC Educational Resources Information Center

Atkinson, John; Phelps, William R.

This paper is prepared for the rehabilitation practitioner and hopefully will meet some of the needs of the academician as well. The data covers the following major areas: How personality develops, How emotional pathology develops, Defense mechanisms, Classification of psychological makeup, Treatment of emotional pathology, Commonly used glossary,…

An index of reservoir habitat impairment

USGS Publications Warehouse

Miranda, L.E.; Hunt, K.M.

2011-01-01

Fish habitat impairment resulting from natural and anthropogenic watershed and in-lake processes has in many cases reduced the ability of reservoirs to sustain native fish assemblages and fisheries quality. Rehabilitation of impaired reservoirs is hindered by the lack of a method suitable for scoring impairment status. To address this limitation, an index of reservoir habitat impairment (IRHI) was developed by merging 14 metrics descriptive of common impairment sources, with each metric scored from 0 (no impairment) to 5 (high impairment) by fisheries scientists with local knowledge. With a plausible range of 5 to 25, distribution of the IRHI scores ranged from 5 to 23 over 482 randomly selected reservoirs dispersed throughout the USA. The IRHI reflected five impairment factors including siltation, structural habitat, eutrophication, water regime, and aquatic plants. The factors were weakly related to key reservoir characteristics including reservoir area, depth, age, and usetype, suggesting that common reservoir descriptors are poor predictors of fish habitat impairment. The IRHI is rapid and inexpensive to calculate, provides an easily understood measure of the overall habitat impairment, allows comparison of reservoirs and therefore prioritization of restoration activities, and may be used to track restoration progress. The major limitation of the IRHI is its reliance on unstandardized professional judgment rather than standardized empirical measurements. ?? 2010 US Government.

[(Re)habilitation after cochlear implantation].

PubMed

Diller, G

2009-07-01

Over the last years, indications for cochlear implants (CIs) have changed dramatically. The benefits depend on the preconditions of the individual patient as well as on the subsequent (re)habilitation. Therefore, many variables influencing the hearing and speech perception of a CI user must be kept in mind. As an example, the special situation of children having Turkish as their mother tongue is described. The most convincing argument concerning (re)habilitation is its benefit. Indeed, this benefit represents the final standard of quality and serves as the yardstick for standard assessments of (re)habilitation quality. CI (re)habilitation includes medical, pedagogical, audiological, hearing and speech, and psychological therapeutic aspects.

77 FR 41391 - Final Priority; Rehabilitation Research and Training Center on Vocational Rehabilitation and...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-13

... Research and Training Center (RRTCs) on Vocational Rehabilitation (VR) and Developing Strategies to Meet... Projects and Centers Program administered by NIDRR. Specifically, this priority is for an RRTC on VR and... effective VR practices that take into account economic conditions, labor market trends, and employer needs...

78 FR 22783 - Final Priority; National Institute on Disability and Rehabilitation Research-Disability and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-17

... Institute on Disability and Rehabilitation Research--Disability and Rehabilitation Research Projects and Centers Program--Disability Rehabilitation Research Project AGENCY: Office of Special Education and... Research Project (DRRP) on Knowledge Translation for Technology Transfer under the Disability and...

78 FR 36667 - Final Priority; National Institute on Disability and Rehabilitation Research-Disability and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-19

... Institute on Disability and Rehabilitation Research--Disability and Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research Centers AGENCY: Office of Special Education and... Research Center (RERC) on Technologies to Support Successful Aging with Disability under the Disability and...

The geomorphic and ecological effectiveness of habitat rehabilitation works: Continuous measurement of scour and fill around large logs in sand-bed streams

NASA Astrophysics Data System (ADS)

Borg, Dan; Rutherfurd, Ian; Stewardson, Mike

2007-09-01

Geomorphologists, ecologists and engineers have all contributed to stream rehabilitation projects by predicting the physical effect of habitat restoration structures. In this study we report the results of a stream rehabilitation project on the Snowy River, SE Australia; that aims to improve fish habitat and facilitate migration associated with scour holes around large wood in the streambed. Whilst engineering models allow us to predict maximum scour, the key management issue here was not the maximum scour depth but whether the holes persisted at a range of flows, and if they were present when fish actually required them. This led to the development of a new method to continuously monitor scour in a sand-bed, using a buried pressure transducer. In this study we monitored fluctuations in the bed level below three large logs (1 m diameter) on the Snowy River. Each log had a different scour mechanism: a plunge pool, a horseshoe vortex (analogous to a bridge pier), and a submerged jet beneath the log. The continuous monitoring demonstrated a complex relationship between discharge and pool scour. The horseshoe vortex pool maintained a constant level, whilst, contrary to expectations, both the plunge pool and the submerged jet pool gradually filled over the 12 months. Filling was associated with the average rise in flows in winter, and occurred despite several freshes and discharge spikes. The plunge pool showed the most variation, with bed levels fluctuating by over 1 m. A key factor in pool scour here may not be the local water depth at the log, but the position of the log in relation to larger scale movements of sand-waves in the stream. These results question assumptions on the relative importance of small floods or channel-maintenance flows that lead to beneficial scour around large wood in sand-bed streams. Further, the continuous measurement of scour and fill around the logs suggested the presence of pool scour holes would have met critical requirements for

Application of Wind Fetch and Wave Models for Habitat Rehabilitation and Enhancement Projects

USGS Publications Warehouse

Rohweder, Jason J.; Rogala, James T.; Johnson, Barry L.; Anderson, Dennis; Clark, Steve; Chamberlin, Ferris

2012-01-01

Models based upon coastal engineering equations have been developed to quantify wind fetch length and several physical wave characteristics including significant height, length, peak period, maximum orbital velocity, and shear stress. These models were used to quantify differences in proposed island construction designs for three Habitat Rehabilitation and Enhancement Projects (HREPs) in the U.S. Army Corps of Engineers St. Paul District (Capoli Slough and Harpers Slough) and St. Louis District (Swan Lake). Weighted wind fetch was calculated using land cover data supplied by the Long Term Resource Monitoring Program (LTRMP) for each island design scenario for all three HREPs. Figures and graphs were created to depict the results of this analysis. The difference in weighted wind fetch from existing conditions to each potential future island design was calculated for Capoli and Harpers Slough HREPs. A simplistic method for calculating sediment suspension probability was also applied to the HREPs in the St. Paul District. This analysis involved determining the percentage of days that maximum orbital wave velocity calculated over the growing seasons of 2002–2007 exceeded a threshold value taken from the literature where fine unconsolidated sediments may become suspended. This analysis also evaluated the difference in sediment suspension probability from existing conditions to the potential island designs. Bathymetric data used in the analysis were collected from the LTRMP and wind direction and magnitude data were collected from the National Oceanic and Atmospheric Administration, National Climatic Data Center. These models are scheduled to be updated to operate using the most current Environmental Systems Research Institute ArcGIS Geographic Information System platform, and have several improvements implemented to wave calculations, data processing, and functions of the toolbox.

Lower Columbia River and Estuary Habitat Monitoring Study, 2011 - Final Report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Borde, Amy B.; Kaufmann, Ronald M.; Cullinan, Valerie I.

The Ecosystem Monitoring Program is a collaborative effort between the Lower Columbia River Estuary Partnership (LCREP), University of Washington, Wetland Ecosystem Team (UW), US Geological Survey, Water Science Center (USGS), National Oceanic and Atmospheric Administration, National Marine Fisheries Service (NOAA-Fisheries, hereafter NOAA), and Pacific Northwest National Laboratory, Marine Sciences Laboratory (PNNL). The goal of the program is to conduct emergent wetland monitoring aimed at characterizing salmonid habitats in the lower Columbia River and estuary (LCRE) from the mouth of the estuary to Bonneville Dam (Figure 1). This is an ecosystem based monitoring program focused on evaluating status and trends inmore » habitat and reducing uncertainties regarding these ecosystems to ultimately improve the survival of juvenile salmonids through the LCRE. This project comprehensively assesses habitat, fish, food web, and abiotic conditions in the lower river, focusing on shallow water and vegetated habitats used by juvenile salmonids for feeding, rearing and refugia. The information is intended to be used to guide management actions associated with species recovery, particularly that of threatened and endangered salmonids. PNNL’s role in this multi-year study is to monitor the habitat structure (e.g., vegetation, topography, channel morphology, and sediment type) as well as hydrologic patterns.« less

50 CFR 424.19 - Final rules-impact analysis of critical habitat.

Code of Federal Regulations, 2010 CFR

2010-10-01

... ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A... exclude any portion of such an area from the critical habitat if the benefits of such exclusion outweigh the benefits of specifying the area as part of the critical habitat. The Secretary shall not exclude...

Genetic strategies for lake trout rehabilitation: a synthesis

USGS Publications Warehouse

Burnham-Curtis, Mary K.; Krueger, Charles C.; Schreiner, Donald R.; Johnson, James E.; Stewart, Thomas J.; Horrall, Ross M.; MacCallum, Wayne R.; Kenyon, Roger; Lange, Robert E.

1995-01-01

The goal of lake trout rehabilitation efforts in the Great Lakes has been to reestablish inshore lake trout (Salvelinus namaycush) populations to self-sustaining levels. A combination of sea lamprey control, stocking of hatchery-reared lake trout, and catch restrictions were used to enhance remnant lake trout stocks in Lake Superior and reestablish lake trout in Lakes Michigan, Huron, Erie, and Ontario. Genetic diversity is important for the evolution and maintenance of successful adaptive strategies critical to population restoration. The loss of genetic diversity among wild lake trout stocks in the Great Lakes imposes a severe constraint on lake trout rehabilitation. The objective of this synthesis is to address whether the particular strain used for stocking combined with the choice of stocking location affects the success or failure of lake trout rehabilitation. Poor survival, low juvenile recruitment, and inefficient habitat use are three biological impediments to lake trout rehabilitation that can be influenced by genetic traits. Evidence supports the hypothesis that the choices of appropriate lake trout strain and stocking locations enhance the survival of lake trout stocked into the Great Lakes. Genetic strategies proposed for lake trout rehabilitation include conservation of genetic diversity in remnant stocks, matching of strains with target environments, stocking a greater variety of lake trout phenotypes, and rehabilitation of diversity at all trophic levels.

Evaluating stream trout habitat on large-scale aerial color photographs

Treesearch

Wallace J. Greentree; Robert C. Aldrich

1976-01-01

Large-scale aerial color photographs were used to evaluate trout habitat by studying stream and streambank conditions. Ninety-two percent of these conditions could be identified correctly on the color photographs. Color photographs taken 1 year apart showed that rehabilitation efforts resulted in stream vegetation changes. Water depth was correlated with film density:...

General patterns of managerial approaches to work motivation: Implications for rehabilitation professionals involved in occupational rehabilitation.

PubMed

Murphy, G C; Foreman, P

1993-03-01

Calls for rehabilitation counselors to learn more about the world of work have been recently repeated. The validity of these calls is suggested by a group of studies which indicate that the rehabilitation counseling literature has an established emphasis on matters of counseling and adjustment rather than on matters related to behavior in organizations. A survey of rehabilitation counsellors' beliefs about key topics in organizational behavior indicates that their beliefs are often discrepant with those of practicing managers and supervisors. A summary of dominant models of work motivation adopted by managerial workers is presented and some implications for occupational rehabilitation practice identified. Finally, some contemporary literature relevant to managerial approaches to employee motivation are identified and it is suggested that familiarity with this literature could assist rehabilitation practitioners move from a more narrow occupational rehabilitation role to a broader involvement in organizational life via the expansion of the disability management approach in work organizations.

Wildlife Habitat Restoration: Chapter 12

USGS Publications Warehouse

Conway, Courtney J.; Borgmann, Kathi L.; Morrison, Michael L.; Mathewson, Heather A.

2015-01-01

As the preceding chapters point out, many wildlife species and the habitat they depend on are in peril. However, opportunities exist to restore habitat for many imperiled wildlife species. But what is wildlife habitat restoration? We begin this chapter by defining habitat restoration and then provide recommendations on how to maximize success of future habitat restoration efforts for wildlife. Finally, we evaluate whether we have been successful in restoring wildlife habitat and supply recommendations to advance habitat restoration. Successful restoration requires clear and explicit goals that are based on our best understanding of what the habitat was like prior to the disturbing event. Ideally, a restoration project would include: (1) a summary of prerestoration conditions that define the existing status of wildlife populations and their habitat; (2) a description of habitat features required by the focal or indicator species for persistence; (3) an a priori description of measurable, quantitative metrics that define restoration goals and measures of success; (4) a monitoring plan; (5) postrestoration comparisons of habitat features and wildlife populations with adjacent unmodified areas that are similar to the restoration site; and (6) expert review of the entire restoration plan (i.e., the five aforementioned components).

An approach of habitat degradation assessment for characterization on coastal habitat conservation tendency.

PubMed

Zhou, Xi-Yin; Lei, Kun; Meng, Wei

2017-09-01

Coastal zones are population and economy highly intensity regions all over the world, and coastal habitat supports the sustainable development of human society. The accurate assessment of coastal habitat degradation is the essential prerequisite for coastal zone protection. In this study, an integrated framework of coastal habitat degradation assessment including landuse classification, habitat classifying and zoning, evaluation criterion of coastal habitat degradation and coastal habitat degradation index has been established for better regional coastal habitat assessment. Through establishment of detailed three-class landuse classification, the fine landscape change is revealed, the evaluation criterion of coastal habitat degradation through internal comparison based on the results of habitat classifying and zoning could indicate the levels of habitat degradation and distinguish the intensity of human disturbances in different habitat subareas under the same habitat classification. Finally, the results of coastal habitat degradation assessment could be achieved through coastal habitat degradation index (CHI). A case study of the framework is carried out in the Circum-Bohai-Sea-Coast, China, and the main results show the following: (1) The accuracy of all land use classes are above 90%, which indicates a satisfactory accuracy for the classification map. (2) The Circum-Bohai-Sea-Coast is divided into 3 kinds of habitats and 5 subareas. (3) In the five subareas of the Circum-Bohai-Sea-Coast, the levels of coastal habitat degradation own significant difference. The whole Circum-Bohai-Sea-Coast generally is in a worse state according to area weighting of each habitat subarea. This assessment framework of coastal habitat degradation would characterize the landuse change trend, realize better coastal habitat degradation assessment, reveal the habitat conservation tendency and distinguish intensity of human disturbances. Furthermore, it would support for accurate coastal

Rehabilitation after traumatic brain injury.

PubMed

Barnes, M P

1999-01-01

Head injury is a common disabling condition but regrettably facilities for rehabilitation are sparse. There is now increasing evidence of the efficacy of a comprehensive multidisciplinary rehabilitation team compared to natural recovery following brain injury. This chapter outlines some basic concepts of rehabilitation and emphasises the importance of valid and reliable outcome measures. The evidence of the efficacy of a rehabilitation programme is discussed in some detail. A number of specific rehabilitation problems are outlined including the management of spasticity, nutrition, pressure sores and urinary continence. The increasingly important role of assistive technology is illustrated, particularly in terms of communication aids and environmental control equipment. However, the major long-term difficulties after head injury focus around the cognitive, intellectual, behavioural and emotional problems. The complex management of these disorders is briefly addressed and the evidence of the efficacy of some techniques discussed. The importance of recognition of the vegetative stage and avoidance of misdiagnosis is emphasised. Finally, the important, but often neglected, area of employment rehabilitation is covered.

Robotics in Lower-Limb Rehabilitation after Stroke

PubMed Central

2017-01-01

With the increase in the elderly, stroke has become a common disease, often leading to motor dysfunction and even permanent disability. Lower-limb rehabilitation robots can help patients to carry out reasonable and effective training to improve the motor function of paralyzed extremity. In this paper, the developments of lower-limb rehabilitation robots in the past decades are reviewed. Specifically, we provide a classification, a comparison, and a design overview of the driving modes, training paradigm, and control strategy of the lower-limb rehabilitation robots in the reviewed literature. A brief review on the gait detection technology of lower-limb rehabilitation robots is also presented. Finally, we discuss the future directions of the lower-limb rehabilitation robots. PMID:28659660

Robotics in Lower-Limb Rehabilitation after Stroke.

PubMed

Zhang, Xue; Yue, Zan; Wang, Jing

2017-01-01

With the increase in the elderly, stroke has become a common disease, often leading to motor dysfunction and even permanent disability. Lower-limb rehabilitation robots can help patients to carry out reasonable and effective training to improve the motor function of paralyzed extremity. In this paper, the developments of lower-limb rehabilitation robots in the past decades are reviewed. Specifically, we provide a classification, a comparison, and a design overview of the driving modes, training paradigm, and control strategy of the lower-limb rehabilitation robots in the reviewed literature. A brief review on the gait detection technology of lower-limb rehabilitation robots is also presented. Finally, we discuss the future directions of the lower-limb rehabilitation robots.

Vision rehabilitation in the case of blindness.

PubMed

Veraart, Claude; Duret, Florence; Brelén, Marten; Oozeer, Medhy; Delbeke, Jean

2004-09-01

This article examines the various vision rehabilitation procedures that are available for early and late blindness. Depending on the pathology involved, several vision rehabilitation procedures exist, or are in development. Visual aids are available for low vision individuals, as are sensory aids for blind persons. Most noninvasive sensory substitution prostheses as well as implanted visual prostheses in development are reviewed. Issues dealing with vision rehabilitation are also discussed, such as problems of biocompatibility, electrical safety, psychosocial aspects, and ethics. Basic studies devoted to vision rehabilitation such as simulation in mathematical models and simulation of artificial vision are also presented. Finally, the importance of accurate rehabilitation assessment is addressed, and tentative market figures are given.

[Cardiac rehabilitation. Recent advances].

PubMed

Lellamo, Ferdinando; Volterrani, Maurizio

2010-03-01

Evidence derived from studies which support the relevance of exercise as a core component of cardiac rehabilitation programs are presented, along with the beneficial effects of exercise training in counteracting the mechanisms sustaining the atherosclerotic process and cardiovascular risk factors in the context of secundary, as well as primary, cardiovascular prevention. Practical guides to plan exercise training programs are also provided with suggestions for specific pathological conditions and advanced age. Recent advances on the benefits of exercise training in patients with heart failure are reported along with the potential of telemedicine for home rehabilitation aiming to a widespread diffusion of exercise as a cardiovascular therapy. Finally, the possible risks of exercise and practical open questions in cardiac rehabilitation are discussed.

Assessment of River Habitat Quality in the Hai River Basin, Northern China.

PubMed

Ding, Yuekui; Shan, Baoqing; Zhao, Yu

2015-09-17

We applied a river habitat quality (RHQ) assessment method to the Hai River Basin (HRB); an important economic centre in China; to obtain baseline information for water quality improvement; river rehabilitation; and watershed management. The results of the assessment showed that the river habitat in the HRB is seriously degraded. Specifically; 42.41% of the sites; accounting for a river length of 3.31 × 10⁴ km; were designated poor and bad. Habitat in the plain areas is seriously deteriorated; and nearly 50% of the sites; accounting for a river length of 1.65 × 10⁴ km; had either poor or bad habitats. River habitat degradation was attributable to the limited width of the riparian zone (≤5 m); lower coverage of riparian vegetation (≤40%); artificial land use patterns (public and industrial land); frequent occurrence of farming on the river banks and high volumes of solid waste (nearly 10 m³); single flow channels; and rare aquatic plants (≤1 category). At the regional scale; intensive artificial land use types caused by urbanization had a significant impact on the RHQ in the HRB. RHQ was significantly and negatively correlated with farmland (r = 1.000; p < 0.01) and urban land (r = 0.998; p < 0.05); and was significantly and positively correlated with grassland and woodland (r = 1.000; p < 0.01). Intensive artificial land use; created through urbanization processes; has led to a loss of the riparian zone and its native vegetation; and has disrupted the lateral connectivity of the rivers. The degradation of the already essentially black rivers is exacerbated by poor longitudinal connectivity (index of connectivity is 2.08-16.56); caused by reservoirs and sluices. For river habitat rehabilitation to be successful; land use patterns need to be changed and reservoirs and sluices will have to be regulated.

Assessment of River Habitat Quality in the Hai River Basin, Northern China

PubMed Central

Ding, Yuekui; Shan, Baoqing; Zhao, Yu

2015-01-01

We applied a river habitat quality (RHQ) assessment method to the Hai River Basin (HRB); an important economic centre in China; to obtain baseline information for water quality improvement; river rehabilitation; and watershed management. The results of the assessment showed that the river habitat in the HRB is seriously degraded. Specifically; 42.41% of the sites; accounting for a river length of 3.31 × 104 km; were designated poor and bad. Habitat in the plain areas is seriously deteriorated; and nearly 50% of the sites; accounting for a river length of 1.65 × 104 km; had either poor or bad habitats. River habitat degradation was attributable to the limited width of the riparian zone (≤5 m); lower coverage of riparian vegetation (≤40%); artificial land use patterns (public and industrial land); frequent occurrence of farming on the river banks and high volumes of solid waste (nearly 10 m3); single flow channels; and rare aquatic plants (≤1 category). At the regional scale; intensive artificial land use types caused by urbanization had a significant impact on the RHQ in the HRB. RHQ was significantly and negatively correlated with farmland (r = 1.000; p < 0.01) and urban land (r = 0.998; p < 0.05); and was significantly and positively correlated with grassland and woodland (r = 1.000; p < 0.01). Intensive artificial land use; created through urbanization processes; has led to a loss of the riparian zone and its native vegetation; and has disrupted the lateral connectivity of the rivers. The degradation of the already essentially black rivers is exacerbated by poor longitudinal connectivity (index of connectivity is 2.08–16.56); caused by reservoirs and sluices. For river habitat rehabilitation to be successful; land use patterns need to be changed and reservoirs and sluices will have to be regulated. PMID:26393628

Challenging the assumption of habitat limitation: An example from centrarchid fishes over an intermediate spatial scale

USGS Publications Warehouse

Gutreuter, S.

2004-01-01

Habitat rehabilitation efforts are predicated on the frequently untested assumption that habitat is limiting to populations. These efforts are typically costly and will be ineffective if habitat is not limiting. Therefore it is important to assess, rather than assume, habitat limitation wherever habitat rehabilitation projects are considered. Catch-count data from a standardized probability-based stratified-random monitoring programme were examined for indirect evidence of backwater habitat limitation by centrarchid fishes in the Upper Mississippi River System. The monitoring design enabled fitting statistical models of the association between mean catch at the spatial scale of tens of river kilometres and the percentage of contiguous aquatic area in backwater at least 1 m deep by maximizing a stratum-area weighted negative binomial log-likelihood function. Statistical models containing effects for backwater limitation failed to account for substantial variation in the data. However, 95% confidence intervals on the backwater parameter estimates excluded zero, indicating that population abundance may be limited by backwater prevalence where backwaters are extremely scarce. The combined results indicate, at most, a weak signal of backwater limitation where backwaters are extremely scarce in the lower reaches, but not elsewhere in the Upper Mississippi River System. This suggests that habitat restoration projects designed to increase the area of backwaters suitable for winter survival of centrarchids are unlikely to produce measurable benefits over intermediate spatial scales in much of the Upper Mississippi River System, and indicates the importance of correct identification of limiting processes. Published in 2004 by John Wiley and Sons, Ltd.

Final priority; National Institute on Disability and Rehabilitation Research--Research Fellowships Program (also known as the Mary E. Switzer Research Fellowships). Final priority.

PubMed

2014-07-28

The Assistant Secretary for Special Education and Rehabilitative Services announces a priority for the Research Fellowships Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR). Specifically, this notice announces a priority for a Distinguished Residential Disability and Rehabilitation Policy Fellowship. We take this action to focus attention on an area of national need. We intend the priority to build research capacity by providing support to highly qualified, experienced researchers, including those who are individuals with disabilities, to conduct policy research in the areas of disability and rehabilitation.

Going-to-the-Sun Road rehabilitation plan/final environmental impact statement : Glacier National Park

DOT National Transportation Integrated Search

2003-04-01

Glacier National Park is considering the rehabilitation of the 50-mile (80-kilometer) Going-to-the-Sun Road, a National Historic Landmark. Road rehabilitation is needed to correct structural deficiencies in the deteriorating roadway, improve safety, ...

Kootenai River Wildlife Habitat Enhancement Project : Long-term Bighorn Sheep/Mule Deer Winter and Spring Habitat Improvement Project : Wildlife Mitigation Project, Libby Dam, Montana : Management Plan.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Yde, Chis

1990-06-01

The Libby hydroelectric project, located on the Kootenai River in northwestern Montana, resulted in several impacts to the wildlife communities which occupied the habitats inundated by Lake Koocanusa. Montana Department of Fish, Wildlife and Parks, in cooperation with the other management agencies, developed an impact assessment and a wildlife and wildlife habitat mitigation plan for the Libby hydroelectric facility. In response to the mitigation plan, Bonneville Power Administration funded a cooperative project between the Kootenai National Forest and Montana Department of Fish, Wildlife and Parks to develop a long-term habitat enhancement plan for the bighorn sheep and mule deer wintermore » and spring ranges adjacent to Lake Koocanusa. The project goal is to rehabilitate 3372 acres of bighorn sheep and 16,321 acres of mule deer winter and spring ranges on Kootenai National Forest lands adjacent to Lake Koocanusa and to monitor and evaluate the effects of implementing this habitat enhancement work. 2 refs.« less

Assessment of Shallow-Water Habitat Availability in Modified Dike Structures, Lower Missouri River, 2004

USGS Publications Warehouse

Jacobson, Robert B.; Elliott, Caroline M.; Johnson, Harold E.

2004-01-01

This study documented the effects of wing-dike notching on the availabilit of shallow water habitat in the Lower Missouri River. Five wing dikes were surveyed in late May 2004 after they were notched in early May as part of shallow-water habitat (SWH) rehabilitation activities undertaken by the U.S. Army Corps of Engineers. Surveys included high-resolution hydroacoustic depth, velocity, and substrate mapping. Relations of bottom elevations within the wing dike fields to index discharges and water-surface elevations indicate that little habitat meeting the SWH definition was created immediately following notching. This result is not unexpected, as significant geomorphic adjustment may require large flow events. Depth, velocity, and substrate measurements in the post-rehabilitation time period provide baseline data for monitoring ongoing changes. Differences in elevation and substrate were noted at all sites. Most dike fields showed substantial aggradation and replacement of mud substrate with sandier sediment, although the changes did not result in increased availability of SWH at the index discharge. It is not known how much of the elevation and substrate changes can be attributed directly to notching and how much would result from normal sediment transport variation.

Role of Kabat physical rehabilitation in Bell's palsy: a randomized trial.

PubMed

Barbara, Maurizio; Antonini, Giovanni; Vestri, Annarita; Volpini, Luigi; Monini, Simonetta

2010-01-01

When applied at an early stage, Kabat's rehabilitation was shown to provide a better and faster recovery rate in comparison with non-rehabilitated patients. To assess the validity of an early rehabilitative approach to Bell's palsy patients. A randomized study involved 20 consecutive patients (10 males, 10 females; aged 35-42 years) affected by Bell's palsy, classified according to the House-Brackmann (HB) grading system and grouped on the basis of undergoing or not early physical rehabilitation according to Kabat, i.e. a proprioceptive neuromuscular rehabilitation. The evaluation was carried out by measuring the amplitude of the compound motor action potential (CMAP), as well as by observing the initial and final HB grade, at days 4, 7 and 15 after onset of facial palsy. Patients belonging to the rehabilitation group clearly showed an overall improvement of clinical stage at the planned final observation, i.e. 15 days after onset of facial palsy, without presenting greater values of CMAP.

78 FR 27036 - Final Priority. National Institute on Disability and Rehabilitation Research-Traumatic Brain...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-09

... individuals with disabilities in conducting TBIMS research. Types of Priorities When inviting applications for... Rehabilitation Research--Traumatic Brain Injury Model Systems Centers Collaborative Research Project AGENCY... Services announces a priority for the Disability and Rehabilitation Research Projects and Centers Program...

Virtual reality and physical rehabilitation: a new toy or a new research and rehabilitation tool?

PubMed Central

Keshner, Emily A

2004-01-01

Virtual reality (VR) technology is rapidly becoming a popular application for physical rehabilitation and motor control research. But questions remain about whether this technology really extends our ability to influence the nervous system or whether moving within a virtual environment just motivates the individual to perform. I served as guest editor of this month's issue of the Journal of NeuroEngineering and Rehabilitation (JNER) for a group of papers on augmented and virtual reality in rehabilitation. These papers demonstrate a variety of approaches taken for applying VR technology to physical rehabilitation. The papers by Kenyon et al. and Sparto et al. address critical questions about how this technology can be applied to physical rehabilitation and research. The papers by Sveistrup and Viau et al. explore whether action within a virtual environment is equivalent to motor performance within the physical environment. Finally, papers by Riva et al. and Weiss et al. discuss the important characteristics of a virtual environment that will be most effective for obtaining changes in the motor system. PMID:15679943

Chapter 13. Incorporating wildlife habitat needs into restoration and rehabilitation projects

Treesearch

Richard Stevens

2004-01-01

Wildlife species richness, densities, and distribution are directly related to the quality and quantity of habitat (Autenrieth 1983; Autenrieth and others 1982; Bodurtha and others 1989; Call and Maser 1985; Caughley 1979; Kindschy and others 1982; Leckenby and others 1982; Reynolds 1980; Russo 1964; Thomas and others 1979a,c; Yoakum 1980). Productive big game ranges,...

Investigating the Geomorphic and Ecologic Functions of Wood in Relationship to Habitat Type and Salmonid Redds on a Regulated California River

NASA Astrophysics Data System (ADS)

Senter, A. E.; Pasternack, G. B.

2006-12-01

Most river rehabilitation projects incorporate little to no wood in current designs, and those that do have little science to guide them. The overall goal of this research is to investigate the role of wood in a regulated, mid- sized (where river width is greater than most tree heights), Mediterranean-climate (where smaller, softer-wood trees dominate the landscape) river in order to provide a scientific foundation for the potential use of wood in rehabilitation projects within such systems. Wood structures in the active salmonid spawning reach of the Lower Mokelumne River in Central California were measured, mapped, and described during summer and fall 2006. Digital photos and GPS coordinates were used to establish wood location within the stream channel. Structural morphology was determined by measuring physical properties such as individual diameter and length, orientation to stream flow, and jam dimensions. In addition, qualitative attributes were recorded such as decay class and leaf, limb, bark, and root characteristics. A GIS wood layer will be created and added to a database of existing Mokelumne River GIS layers containing salmonid redd (salmon egg nests) densities, hydraulic conditions associated with individual redds, and sub-reach habitat types. An analysis of wood properties, redd locations and conditions, and habitat types will be used to develop a conceptual model of wood dynamics in relation to salmonid habitat on the Lower Mokelumne River. The primary products of this study will be (1) a scientific conceptual model of the role of wood in regulated gravel reaches of mid-size rivers in Mediterranean California and (2) a decision-making framework that will enable river managers to include scientifically based wood structures into rehabilitation designs, thereby enhancing spawning habitat, stream complexity, and biological diversity. These tools will be developed in collaboration with East Bay Municipal Utilities District to aid in the continuing

Spawning Habitat Studies of Hanford Reach Fall Chinook Salmon (Oncorhynchus tshawytscha), Final Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Geist, David R.; Arntzen, Evan V.; Chien, Yi-Ju

2009-03-02

The Pacific Northwest National Laboratory conducted this study for the Bonneville Power Administration (BPA) with funding provided through the Northwest Power and Conservation Council(a) and the BPA Fish and Wildlife Program. The study was conducted in the Hanford Reach of the Columbia River. The goal of study was to determine the physical habitat factors necessary to define the redd capacity of fall Chinook salmon that spawn in large mainstem rivers like the Hanford Reach and Snake River. The study was originally commissioned in FY 1994 and then recommissioned in FY 2000 through the Fish and Wildlife Program rolling review ofmore » the Columbia River Basin projects. The work described in this report covers the period from 1994 through 2004; however, the majority of the information comes from the last four years of the study (2000 through 2004). Results from the work conducted from 1994 to 2000 were covered in an earlier report. More than any other stock of Pacific salmon, fall Chinook salmon (Oncorhynchus tshawytscha) have suffered severe impacts from the hydroelectric development in the Columbia River Basin. Fall Chinook salmon rely heavily on mainstem habitats for all phases of their life cycle, and mainstem hydroelectric dams have inundated or blocked areas that were historically used for spawning and rearing. The natural flow pattern that existed in the historic period has been altered by the dams, which in turn have affected the physical and biological template upon which fall Chinook salmon depend upon for successful reproduction. Operation of the dams to produce power to meet short-term needs in electricity (termed power peaking) produces unnatural fluctuations in flow over a 24-hour cycle. These flow fluctuations alter the physical habitat and disrupt the cues that salmon use to select spawning sites, as well as strand fish in near-shore habitat that becomes dewatered. The quality of spawning gravels has been affected by dam construction, flood

Human Rehabilitation Techniques. Contract Papers. Volume III, Part B.

ERIC Educational Resources Information Center

Ross, E. C.; And Others

Volume III, Section B of a six-volume final report (which covers the findings of a research project on policy and technology related to rehabilitation of disabled individuals) presents four papers which examine important rehabilitation-oriented issues. In the first paper, "Transportation Problems of Persons with Disabilities--The Federal Response"…

Rehabilitation and Flood Management Planning in a Steep, Boulder-Bedded Stream

NASA Astrophysics Data System (ADS)

Caruso, Brian S.; Downs, Peter W.

2007-08-01

This study demonstrates the integration of rehabilitation and flood management planning in a steep, boulder-bedded stream in a coastal urban catchment on the South Island of New Zealand. The Water of Leith, the primary stream flowing through the city of Dunedin, is used as a case study. The catchment is steep, with a short time of concentration and rapid hydrologic response, and the lower stream reaches are highly channelized with floodplain encroachment, a high potential for debris flows, significant flood risks, and severely degraded aquatic habitat. Because the objectives for rehabilitation and flood management in urban catchments are often conflicting, a number of types of analyses at both the catchment and the reach scales and careful planning with stakeholder consultation were needed for successful rehabilitation efforts. This included modeling and analysis of catchment hydrology, fluvial geomorphologic assessment, analysis of water quality and aquatic ecology, hydraulic modeling and flood risk evaluation, detailed feasibility studies, and preliminary design to optimize multiple rehabilitation and flood management objectives. The study showed that all of these analyses were needed for integrated rehabilitation and flood management and that some incremental improvements in stream ecological health, aesthetics, and public recreational opportunities could be achieved in this challenging environment. These methods should be considered in a range of types of stream rehabilitation projects.

75 FR 21270 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-23

... Information; National Institute on Disability and Rehabilitation Research (NIDRR)--Disability and... notice of final priorities for the Disability and Rehabilitation Research Projects and Centers program... priority for the Disability and Rehabilitation Research Projects and Centers Program, published elsewhere...

Rehabilitate Newsome Creek Watershed, 2007-2008 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bransford, Stephanie

2009-05-01

The Nez Perce Tribe Department of Fisheries Resource Management, Watershed Division approaches watershed restoration with a ridge-top to ridgetop approach. The Nez Perce Tribe (NPT) and the Nez Perce National Forest (NPNF) have formed a partnership in completing watershed restoration activities, and through this partnership more work is accomplished by sharing funding and resources in our effort. The Nez Perce Tribe began watershed restoration projects within the Newsome Creek watershed of the South Fork Clearwater River in 1997. Progress has been made in restoring the watershed through road decommissioning and culvert replacement. Starting in FY 2001 and continuing into themore » present, a major stream restoration effort on the mainstem of Newsome Creek has been pursued. From completing a watershed assessment to a feasibility study of 4 miles of mainstem rehabilitation to carrying that forward into NEPA and a final design, we will begin the effort of restoring the mainstem channel of Newsome Creek to provide spawning and rearing habitat for anadromous and resident fish species. Roads have been surveyed and prioritized for removal or improvement as well as culverts being prioritized for replacement to accommodate fish passage throughout the watershed.« less

78 FR 26626 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-07

... Rehabilitation Research--Disability and Rehabilitation Research Projects--Inclusive Cloud and Web Computing... Rehabilitation Research Projects (DRRPs)--Inclusive Cloud and Web Computing Notice inviting applications for new...#DRRP . Priorities: Priority 1--DRRP on Inclusive Cloud and Web Computing-- is from the notice of final...

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…

Performance of freestanding inpatient rehabilitation hospitals before and after the rehabilitation prospective payment system.

PubMed

Thompson, Jon M; McCue, Michael J

2010-01-01

Inpatient rehabilitation hospitals provide important services to patients to restore physical and cognitive functioning. Historically, these hospitals have been reimbursed by Medicare under a cost-based system; but in 2002, Medicare implemented a rehabilitation prospective payment system (PPS). Despite the implementation of a PPS for rehabilitation, there is limited published research that addresses the operating and financial performance of these hospitals. We examined operating and financial performance in the pre- and post-PPS periods for for-profit and nonprofit freestanding inpatient rehabilitation hospitals to test for pre- and post-PPS differences within the ownership groups. We identified freestanding inpatient rehabilitation hospitals from the Centers for Medicare and Medicaid Services Health Care Cost Report Information System database for the first two fiscal years under PPS. We excluded facilities that had fiscal years less than 270 days, facilities with missing data, and government facilities. We computed average values for performance variables for the facilities in the two consecutive fiscal years post-PPS. For the pre-PPS period, we collected data on these same facilities and, once facilities with missing data and fiscal years less than 270 days were excluded, computed average values for the two consecutive fiscal years pre-PPS. Our final sample of 140 inpatient rehabilitation facilities was composed of 44 nonprofit hospitals and 96 for-profit hospitals both pre- and post-PPS. We utilized a pairwise comparison test (t-test comparison) to measure the significance of differences on each performance variable between pre- and post-PPS periods within each ownership group. Findings show that both nonprofit and for-profit freestanding inpatient rehabilitation hospitals reduced length of stay, increased discharges, and increased profitability. Within the for-profit ownership group, the percentage of Medicare discharges increased and operating expense per

Mangrove Forests: a Tough System to Invade but an Easy one to Rehabilitate

Treesearch

ARIEL E. LUGO

1998-01-01

Mangrove forests are tough ecosystems to invade because few species can tolerate the hydrological and edaphic conditions that prevail in mangrove habitats. The small pantropical mangrove species pool is also the basis for asserting that mangrove forests are easy to rehabilitate, at least in terms of tree species composition. The high complexity of the animal and...

Final Report for the Intermountain Center for River Rehabilitation and Restoration (ICRRR)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Schmidt, John C.

2016-08-19

The Intermountain Center for River Rehabilitation and Restoration (ICRRR) was created in 2006 by the Department of Watershed Sciences to help meet the challenge of reversing national trends in freshwater ecosystem degradation. The ICRRR was disbanded in 2015, and its activities were transferred to other research centers within the Department of Watershed Sciences. The mission of the ICRRR was to advance the science and practice of river restoration and environmental management and to transfer that knowledge to the public and private sectors by undertaking targeted research, teaching, and extension/outreach activities. The ICRRR had two foci: restoration practices of small streamsmore » and rehabilitation of intermediate and large rivers. The ICRRR focused its work in the western United States.« less

Rehabilitation Therapy Discipline Advisory Group Final Report. Kentucky Allied Health Project.

ERIC Educational Resources Information Center

Kentucky Council on Public Higher Education, Frankfort.

Rehabilitation therapy education in Kentucky and articulation within the fields of physical therapy and occupational therapy are examined, based on the Kentucky Allied Health Project (KAHP). The KAHP's model system of allied health education promotes articulation in learning, planning, and resource utilization, and seeks to meet the needs of…

Pulmonary rehabilitation in lung transplant candidates.

PubMed

Li, Melinda; Mathur, Sunita; Chowdhury, Noori A; Helm, Denise; Singer, Lianne G

2013-06-01

While awaiting lung transplantation, candidates may participate in pulmonary rehabilitation to improve their fitness for surgery. However, pulmonary rehabilitation outcomes have not been systematically evaluated in lung transplant candidates. This investigation was a retrospective cohort study of 345 pre-transplant pulmonary rehabilitation participants who received a lung transplant between January 2004 and June 2009 and had available pre-transplant exercise data. Data extracted included: 6-minute walk tests at standard intervals; exercise training details; health-related quality-of-life (HRQL) measures; and early post-transplant outcomes. Paired t-tests were used to examine changes in the 6MW distance (6MWD), exercise training volume and HRQL during the pre-transplant period. We evaluated the association between pre-transplant 6MWD and transplant hospitalization outcomes. The final 6MWD prior to transplantation was only 15 m less than the listing 6MWD (n = 200; p = 0.002). Exercise training volumes increased slightly from the start of the pulmonary rehabilitation program until transplant: treadmill, increase 0.69 ml/kg/min (n = 238; p < 0.0001); biceps resistance training, 18 lbs. × reps (n = 286; p < 0.0001); and quadriceps resistance training, 15 lbs. × reps (n = 278; p < 0.0001). HRQL measures declined. A greater final 6MWD prior to transplant correlated with a shorter length of stay in the hospital (n = 207; p = 0.003). Exercise capacity and training volumes are well preserved among lung transplant candidates participating in pulmonary rehabilitation, even in the setting of severe, progressive lung disease. Participants with greater exercise capacity prior to transplantation have more favorable early post-transplant outcomes. Copyright © 2013 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.

Discrete choice modeling of shovelnose sturgeon habitat selection in the Lower Missouri River

USGS Publications Warehouse

Bonnot, T.W.; Wildhaber, M.L.; Millspaugh, J.J.; DeLonay, A.J.; Jacobson, R.B.; Bryan, J.L.

2011-01-01

Substantive changes to physical habitat in the Lower Missouri River, resulting from intensive management, have been implicated in the decline of pallid (Scaphirhynchus albus) and shovelnose (S. platorynchus) sturgeon. To aid in habitat rehabilitation efforts, we evaluated habitat selection of gravid, female shovelnose sturgeon during the spawning season in two sections (lower and upper) of the Lower Missouri River in 2005 and in the upper section in 2007. We fit discrete choice models within an information theoretic framework to identify selection of means and variability in three components of physical habitat. Characterizing habitat within divisions around fish better explained selection than habitat values at the fish locations. In general, female shovelnose sturgeon were negatively associated with mean velocity between them and the bank and positively associated with variability in surrounding depths. For example, in the upper section in 2005, a 0.5 m s-1 decrease in velocity within 10 m in the bank direction increased the relative probability of selection 70%. In the upper section fish also selected sites with surrounding structure in depth (e.g., change in relief). Differences in models between sections and years, which are reinforced by validation rates, suggest that changes in habitat due to geomorphology, hydrology, and their interactions over time need to be addressed when evaluating habitat selection. Because of the importance of variability in surrounding depths, these results support an emphasis on restoring channel complexity as an objective of habitat restoration for shovelnose sturgeon in the Lower Missouri River.

77 FR 59035 - Notice of Final Federal Agency Action on Proposed Bridge Rehabilitation and Restoration in...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-25

... on Proposed Bridge Rehabilitation and Restoration in Massachusetts AGENCY: Federal Highway...(l)(1). The action relates to the proposed Longfellow Bridge Rehabilitation and Restoration Project... issuing approval for the following bridge/highway improvement project in the Commonwealth of Massachusetts...

Applications of Brain–Machine Interface Systems in Stroke Recovery and Rehabilitation

PubMed Central

Francisco, Gerard E.; Contreras-Vidal, Jose L.

2014-01-01

Stroke is a leading cause of disability, significantly impacting the quality of life (QOL) in survivors, and rehabilitation remains the mainstay of treatment in these patients. Recent engineering and technological advances such as brain-machine interfaces (BMI) and robotic rehabilitative devices are promising to enhance stroke neu-rorehabilitation, to accelerate functional recovery and improve QOL. This review discusses the recent applications of BMI and robotic-assisted rehabilitation in stroke patients. We present the framework for integrated BMI and robotic-assisted therapies, and discuss their potential therapeutic, assistive and diagnostic functions in stroke rehabilitation. Finally, we conclude with an outlook on the potential challenges and future directions of these neurotechnologies, and their impact on clinical rehabilitation. PMID:25110624

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

[Education, advanced and further training in the field "psychology in rehabilitation"].

PubMed

Bengel, J; Gall, H; Grande, G; Küch, D; Mittag, O; Schmucker, D; Spijkers, W; Arling, V; Jahed, J; Lutze, B; Morfeld, M

2014-04-01

The commission for vocational training, training and further education of the German Society of Rehabilitation Science tends to discuss and to give recommendations for various professions in rehabilitation. The working group, which is led by J. Bengel/Freiburg and M. Morfeld/Magdeburg-Stendal created an inventory of Rehabilitation Psychology. The training programs for Rehabilitation Psychology at universities and universities of applied science in Germany are based on a job profile of psychologists in medical and vocational rehabilitation. The different universities have diverse priorities focusing on Rehabilitation Psychology. The offer changes because of the adaption of requirements and implementation of Bologna Reform. The training and further education offers are specific and available for large indication areas. Finally outstanding issues and problems are pointed out. © Georg Thieme Verlag KG Stuttgart · New York.

Implementation of Clinical Quality Management for Rehabilitation in Malaysia.

PubMed

Engkasan, Julia Patrick; Stucki, Gerold; Ali, Sadeeq; Yusof, Yusniza Mohd; Hussain, Hafez; Latif, Lydia Abdul

2018-04-18

In February 2017, the World Health Organization (WHO) launched its historic "Rehabilitation 2030: A Call for Action". Scaling up rehabilitation in health systems requires concerted action across all 6 components of WHO's Health Systems Framework. For rehabilitation, information about functioning is essential, as it is required for effective rehabilitation at all levels of the health system. What is missing is a countrywide demonstration project involving the implementation of a clinical quality management system for the continuous improvement of rehabilitation, both at the level of clinical care for individual patients and at the level of rehabilitation service provision. Consequently, the Department of Rehabilitation Medicine at the University of Malaya and University Malaya Medical Centre, together with the Cheras Rehabilitation Hospital of the Ministry of Health, and the Social Security Organisation (SOCSO) Rehabilitation Centre in Malacca, Malaysia, initiated a project to develop a Malaysian-wide clinical quality management system for rehabilitation (CQM-R Malaysia). The objective of this paper is to describe CQM-R Malaysia. First, a conceptual description of a CQM-R based on the International Classification of Functioning, Disability and Health (ICF) is set out. The methods, results and conclusions of a situation analysis conducted in January 2017 are then reported. Finally, the building blocks and implementation action plan developed for CQM-R Malaysia are presented.

Causes of Stranding and Mortality, and Final Disposition of Loggerhead Sea Turtles (Caretta caretta) Admitted to a Wildlife Rehabilitation Center in Gran Canaria Island, Spain (1998-2014): A Long-Term Retrospective Study

PubMed Central

Orós, Jorge; Montesdeoca, Natalia; Camacho, María; Arencibia, Alberto; Calabuig, Pascual

2016-01-01

Aims The aims of this study were to analyze the causes of stranding of 1,860 loggerhead turtles (Caretta caretta) admitted at the Tafira Wildlife Rehabilitation Center in Gran Canaria Island, Spain, from 1998 to 2014, and to analyze the outcomes of the rehabilitation process to allow meaningful auditing of its quality. Methods Primary causes of morbidity were classified into seven categories: entanglement in fishing gear and/or plastics, ingestion of hooks and monofilament lines, trauma, infectious disease, crude oil, other causes, and unknown/undetermined. Final dispositions were calculated as euthanasia (Er), unassisted mortality (Mr), and release (Rr) rates. Time to death (Td) for euthanized and dead turtles, and length of stay for released (Tr) turtles were evaluated. Results The most frequent causes of morbidity were entanglement in fishing gear and/or plastics (50.81%), unknown/undetermined (20.37%), and ingestion of hooks (11.88%). The final disposition of the 1,634 loggerhead turtles admitted alive were: Er = 3.37%, Mr = 10.34%, and Rr = 86.29%. Er was significantly higher in the trauma category (18.67%) compared to the other causes of admission. The highest Mr was observed for turtles admitted due to trauma (30.67%). The highest Rr was observed in the crude oil (93.87%) and entanglement (92.38%) categories. The median Tr ranged from 12 days (unknown) to 70 days (trauma). Conclusions This survey is the first large-scale epidemiological study on causes of stranding and mortality of Eastern Atlantic loggerheads and demonstrates that at least 71.72% of turtles stranded due to anthropogenic causes. The high Rr (86.29%) emphasizes the importance of marine rehabilitation centers for conservation purposes. The stratified analysis by causes of admission of the three final disposition rates, and the parameters Td and Tr should be included in the outcome research of the rehabilitation process of sea turtles in order to allow comparative studies between marine

Causes of Stranding and Mortality, and Final Disposition of Loggerhead Sea Turtles (Caretta caretta) Admitted to a Wildlife Rehabilitation Center in Gran Canaria Island, Spain (1998-2014): A Long-Term Retrospective Study.

PubMed

Orós, Jorge; Montesdeoca, Natalia; Camacho, María; Arencibia, Alberto; Calabuig, Pascual

2016-01-01

The aims of this study were to analyze the causes of stranding of 1,860 loggerhead turtles (Caretta caretta) admitted at the Tafira Wildlife Rehabilitation Center in Gran Canaria Island, Spain, from 1998 to 2014, and to analyze the outcomes of the rehabilitation process to allow meaningful auditing of its quality. Primary causes of morbidity were classified into seven categories: entanglement in fishing gear and/or plastics, ingestion of hooks and monofilament lines, trauma, infectious disease, crude oil, other causes, and unknown/undetermined. Final dispositions were calculated as euthanasia (Er), unassisted mortality (Mr), and release (Rr) rates. Time to death (Td) for euthanized and dead turtles, and length of stay for released (Tr) turtles were evaluated. The most frequent causes of morbidity were entanglement in fishing gear and/or plastics (50.81%), unknown/undetermined (20.37%), and ingestion of hooks (11.88%). The final disposition of the 1,634 loggerhead turtles admitted alive were: Er = 3.37%, Mr = 10.34%, and Rr = 86.29%. Er was significantly higher in the trauma category (18.67%) compared to the other causes of admission. The highest Mr was observed for turtles admitted due to trauma (30.67%). The highest Rr was observed in the crude oil (93.87%) and entanglement (92.38%) categories. The median Tr ranged from 12 days (unknown) to 70 days (trauma). This survey is the first large-scale epidemiological study on causes of stranding and mortality of Eastern Atlantic loggerheads and demonstrates that at least 71.72% of turtles stranded due to anthropogenic causes. The high Rr (86.29%) emphasizes the importance of marine rehabilitation centers for conservation purposes. The stratified analysis by causes of admission of the three final disposition rates, and the parameters Td and Tr should be included in the outcome research of the rehabilitation process of sea turtles in order to allow comparative studies between marine rehabilitation centers around the world.

Environmental Assessment: Conestoga Reservoir Maintenance and Aquatic Habitat Rehabilitation Project Lancaster County, Nebraska

DTIC Science & Technology

2014-06-01

use and camping facilities, a boat launch and mooring area, sanitary facilities, and wells for drinking water at Conestoga Reservoir. Additional...gently sloping to very steep, well drained, loamy clay soils that formed in glacial till. The Sharpsburg series is a deep, moderately drained soil...Unfortunately, due to the number of potential sources ( sanitary wastewater, storm water, Conestoga Reservoir Rehabilitation Project U.S. Army Corps of

[Quality in rehabilitation].

PubMed

Jäckel, W H

2010-12-01

Particularly in the context of introduction of quality assurance programmes 15 years ago, "quality" became a central issue for rehabilitation, and its importance is bound to grow in the years to come. After giving a general definition of quality, this article deals more closely with 3 aspects of quality: quality development, quality assurance, and data on quality. Quality development in rehabilitation centres demands an atmosphere that supports change, encourages creativity, courage, transparency and involvement, and reduces fear. The creation of such an atmosphere is, in particular, the responsibility of a centre's management. Routine interviews regarding patient as well as employee satisfaction, and the use of strategic planning and management systems have proven successful instruments in the practice of quality development. Compared with other sectors of the health system, quality assurance in rehabilitation is marked by its comprehensive approach, intense patient orientation, scientific underpinning, and nationwide implementation. Regarding the benefits of these programmes for the health system at large, however, no clear scientific proof is available yet. Data gained from quality assurance programmes on the whole show a high amount of patient satisfaction, good quality of structures and processes as well as an improvement of the patients' health status. Between centres, however, there are marked differences of quality in a number of cases, and long-term effectiveness could be improved in some indications. Finally, suggestions are offered concerning further development of quality in rehabilitation as well as of the quality assurance programmes. © Georg Thieme Verlag KG Stuttgart · New York.

Ecosystem Services Linking People to Coastal Habitats ...

EPA Pesticide Factsheets

Background/Question/Methods: There is a growing need to incorporate and prioritize ecosystem services/condition information into land-use decision making. While there are a number of place-based studies looking at how land-use decisions affect the availability and delivery of coastal services, many of these methods require data, funding and/or expertise that may be inaccessible to many coastal communities. Using existing classification standards for beneficiaries and coastal habitats, (i.e., Final Ecosystem Goods and Services Classification System (FEGS-CS) and Coastal and Marine Ecological Classification Standard (CMECS)), a comprehensive literature review was coupled with a “weight of evidence” approach to evaluate linkages between beneficiaries and coastal habitat features most relevant to community needs. An initial search of peer-reviewed journal articles was conducted using JSTOR and ScienceDirect repositories identifying sources that provide evidence for coastal beneficiary:habitat linkages. Potential sources were further refined based on a double-blind review of titles, abstracts, and full-texts, when needed. Articles in the final list were then scored based on habitat/beneficiary specificity and data quality (e.g., indirect evidence from literature reviews was scored lower than direct evidence from case studies with valuation results). Scores were then incorporated into a weight of evidence framework summarizing the support for each benefici

Macroinvertebrate Taxonomic and Functional Trait Compositions within Lotic Habitats Affected By River Restoration Practices

NASA Astrophysics Data System (ADS)

White, J. C.; Hill, M. J.; Bickerton, M. A.; Wood, P. J.

2017-09-01

The widespread degradation of lotic ecosystems has prompted extensive river restoration efforts globally, but many studies have reported modest ecological responses to rehabilitation practices. The functional properties of biotic communities are rarely examined within post-project appraisals, which would provide more ecological information underpinning ecosystem responses to restoration practices and potentially pinpoint project limitations. This study examines macroinvertebrate community responses to three projects which aimed to physically restore channel morphologies. Taxonomic and functional trait compositions supported by widely occurring lotic habitats (biotopes) were examined across paired restored and non-restored (control) reaches. The multivariate location (average community composition) of taxonomic and functional trait compositions differed marginally between control and restored reaches. However, changes in the amount of multivariate dispersion were more robust and indicated greater ecological heterogeneity within restored reaches, particularly when considering functional trait compositions. Organic biotopes (macrophyte stands and macroalgae) occurred widely across all study sites and supported a high alpha (within-habitat) taxonomic diversity compared to mineralogical biotopes (sand and gravel patches), which were characteristic of restored reaches. However, mineralogical biotopes possessed a higher beta (between-habitat) functional diversity, although this was less pronounced for taxonomic compositions. This study demonstrates that examining the functional and structural properties of taxa across distinct biotopes can provide a greater understanding of biotic responses to river restoration works. Such information could be used to better understand the ecological implications of rehabilitation practices and guide more effective management strategies.

Rehabilitation of cheatgrass-infested rangelands: management

USDA-ARS?s Scientific Manuscript database

This is the final part of a three part series specifically addressing lessons learned concerning the management of rehabilitated cheatgrass-infested rangelands. Steve Novak and Richard Mack reported in 2003 that they found no evidence of outcrossing in 2,000 cheatgrass seedlings from 60 North Americ...

Virtual reality rehabilitation for stroke patients: Recent review and research issues

NASA Astrophysics Data System (ADS)

Arip, Eza Surya Mohd; Ismail, Waidah; Nordin, Md Jan; Radman, Abduljalil

2017-11-01

Stroke is one of the main causes of disability in the world. In order for stroke survivors to reduce their disability, they need to go through a rehabilitation process to regain back their independence and improve their quality of life. To guide patients in their rehabilitation process and improve their receptiveness in performing repetitive exercises, a new rehabilitation training program using Virtual Reality (VR) technology has been introduced. This has attracted many researchers to explore more on VR technology as a new tool for stroke patient's rehabilitation. This paper presents a review on existing VR systems that have been developed for stroke rehabilitation. First, recent VR systems utilized for rehabilitation after stroke are delineated and categorized. Each of these categories concludes with a discussion on limitations and any issues that arise from it. Finally, a concise summary with significant findings and future possibilities in VR rehabilitation research is presented in table format.

Terrrestrialization of isolated habitats

NASA Astrophysics Data System (ADS)

Kolodziejczyk, Agata; Harasymczuk, Matt; Foing, Bernard

2017-04-01

One of the most prominent issue for habitability of the solar system and beyond is to adjust a habitat for human life. Since the human life adapted to terrestrial environment during millions of years of evolution, terrestrialization of the base should be a natural trend strictly applied in habitat design. We discuss basic concerns about introducing biomimetic backup safety solutions such modularity, circularity, autonomy and plasticity into life support systems. Particularly we describe critical life processes such briefing, drinking, eating, homeostatic regulation, activity and sleep, in relation to symbiosis and competition with other species living together. Finally, we analyze ecological tolerance and transformation factors, which seem to be crucial in future habitability projects.

Flow and form in rehabilitation of large-river ecosystems: an example from the Lower Missouri River

USGS Publications Warehouse

Jacobson, R.B.; Galat, D.L.

2006-01-01

On large, intensively engineered rivers like the Lower Missouri, the template of the physical habitat is determined by the nearly independent interaction of channel form and flow regime. We evaluated the interaction between flow and form by modeling four combinations of modern and historical channel form and modern and historical flow regimes. The analysis used shallow, slow water (shallow-water habitat, SWH, defined as depths between 0 and 1.5 m, and current velocities between 0 and 0.75 m/s) as an indicator of habitat that has been lost on many intensively engineered rivers and one that is thought to be especially important in rearing of young fishes. Two-dimensional hydrodynamic models for modern and historical channels of the Lower Missouri River at Hermann, Missouri, indicate substantial differences between the two channels in total availability and spatial characteristics of SWH. In the modern channel, SWH is maximized at extremely low flows and in overbank flows, whereas the historical channel had substantially more SWH at all discharges and SWH increased with increasing discharge. The historical channel form produced 3-7 times the SWH area of the modern channel regardless of flow regime. The effect of flow regime is evident in increased within-year SWH variability with the natural flow regime, including significant seasonal peaks of SWH associated with spring flooding. Comparison with other reaches along the Lower Missouri River indicates that a) channel form is the dominant control of the availability of habitat even in reaches where the hydrograph is more intensively altered, and b) rehabilitation projects that move toward the historical condition can be successful in increasing topographic diversity and thereby decreasing sensitivity of the availability of habitat to flow regime. The relative efficacy of managing flow and form in creating SWH is useful information toward achieving socially acceptable rehabilitation of the ecosystem in large river systems.

Task-oriented rehabilitation robotics.

PubMed

Schweighofer, Nicolas; Choi, Younggeun; Winstein, Carolee; Gordon, James

2012-11-01

Task-oriented training is emerging as the dominant and most effective approach to motor rehabilitation of upper extremity function after stroke. Here, the authors propose that the task-oriented training framework provides an evidence-based blueprint for the design of task-oriented robots for the rehabilitation of upper extremity function in the form of three design principles: skill acquisition of functional tasks, active participation training, and individualized adaptive training. The previous robotic systems that incorporate elements of task-oriented trainings are then reviewed. Finally, the authors critically analyze their own attempt to design and test the feasibility of a TOR robot, ADAPT (Adaptive and Automatic Presentation of Tasks), which incorporates the three design principles. Because of its task-oriented training-based design, ADAPT departs from most other current rehabilitation robotic systems: it presents realistic functional tasks in which the task goal is constantly adapted, so that the individual actively performs doable but challenging tasks without physical assistance. To maximize efficacy for a large clinical population, the authors propose that future task-oriented robots need to incorporate yet-to-be developed adaptive task presentation algorithms that emphasize acquisition of fine motor coordination skills while minimizing compensatory movements.

Wildlife guilds in Arizona desert habitats

USGS Publications Warehouse

Short, Henry L.

1983-01-01

This report summarizes information produced from Interagency Agreement No. AA-851-IA1-27 between the Bureau of Land Management (BLM), USDI, and the Fish and Wildlife Service (FWS), USDI. The contract was instrumental in the final development of wildlife guilds for the Hualapai-Aquarius planning area of the BLM in westcentral Arizona, reported herein. The Arizona study area was selected for the application of the guilding technology because a thorough assessment of the floral and faunal resources had recently occurred in conjunction with the development of a grazing Environmental Impact Statement (EIS). Thus, the association of wildlife species with habitat type was well known, which aided in the compilation of the data base necessary for the development of guilds. Some data were also available that described the vegetative structure of habitats. This was useful in the development of a model that evaluated the quality of habitat on the basis of the diversity of cover in those habitats (Short 1982).

Clackamas/Hood River Habitat Enhancement Program, 1987 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

MacDonald, Ken; Cain, Thomas C.; Heller, David A.

1988-03-01

a variety of species and age group: of salmon and trout can rear. It also results in the sorting of gravel, rubble, and boulders being transported downstream, creating high quality spawning and rearing habitats, and food producing areas. In 1987, a total of 11.0 miles of stream were treated; 334 log structures (Including: ''deflector'', ''digger'', ''sill'', and ''cover'' logs) and 141 boulder structures (including: single boulder placement, ''berms'', ''alcoves'', and ''clusters'') were completed to meet habitat improvement objectives. In addition to these direct habitat improvement activities, BPA and the Forest Service financed a number of project and program assessment activities that have improved the efficiency and effectiveness of the Forest's fisheries management program. Notable findings relate to the durability of habitat improvement structures, the associated changes in physical habitat, and biological response to the improvement activities. A discussion of the 1987 habitat monitoring and evaluation program results can be found in the supplemental document, Appendix: Monitoring and Evaluation of Mt. Hood National Forest Stream Habitat Improvement and Rehabilitation Projects: 1987 Annual Report (Forsgren, Heller, and Ober, 1988).« less

Distribution, habitat and adaptability of the genus Tapirus.

PubMed

García, Manolo J; Medici, Emília Patrícia; Naranjo, Eduardo J; Novarino, Wilson; Leonardo, Raquel S

2012-12-01

In this manuscript, as a starting point, the ancient and current distribution of the genus Tapirus are summarized, from its origins, apparently in Europe, to current ranges. Subsequently, original and current tapir habitats are described, as well as changes in ancient habitats. As the manuscript goes on, we examine the ways in which tapir species interact with their habitats and the main aspects of habitat use, spatial ecology and adaptability. Having reviewed the historic and current distribution of tapirs, as well as their use and selection of habitats, we introduce the concept of adaptability, considering that some of the tapir physiological characteristics and behavioral strategies can reduce the negative impact of habitat alteration and climate change. Finally, we provide recommendations for future research priorities. The conservation community is still missing important pieces of information for the effective conservation of tapirs and their remaining habitats in Central and South America and Southeast Asia. Reconstructing how tapir species reached their current distribution ranges, interpreting how they interact with their habitats and gathering information regarding the strategies they use to cope with habitat changes will increase our understanding about these animals and contribute to the development of conservation strategies. © 2012 Wiley Publishing Asia Pty Ltd, ISZS and IOZ/CAS.

Modeling sensitive elasmobranch habitats

NASA Astrophysics Data System (ADS)

Pennino, M. Grazia; Muñoz, Facundo; Conesa, David; López-Quílez, Antonio; Bellido, José Marí; a

2013-10-01

Basic information on the distribution and habitat preferences of ecologically important species is essential for their management and protection. In the Mediterranean Sea there is increasing concern over elasmobranch species because their biological (ecological) characteristics make them highly vulnerable to fishing pressure. Their removal could affect the structure and function of marine ecosystems, inducing changes in trophic interactions at the community level due to the selective elimination of predators or prey species, competitors and species replacement. In this study Bayesian hierarchical spatial models are used to map the sensitive habitats of the three most caught elasmobranch species (Galeus melastomus, Scyliorhinus canicula, Etmopterus spinax) in the western Mediterranean Sea, based on fishery-dependent bottom trawl data. Results show that habitats associated with hard substrata and sandy beds, mainly in deep waters and with a high seabed gradient, have a greater probability registering the presence of the studied species than those associated with muddy shallow waters. Temperature and chlorophyll-α concentration show a negative relationship with S. canicula occurrence. Our results identify some of the sensitive habitats for elasmobranchs in the western Mediterranean Sea (GSA06 South), providing essential and easy-to-use interpretation tools, such as predictive distribution maps, with the final aim of improving management and conservation of these vulnerable species.

New developments in stroke rehabilitation.

PubMed

Rocksmith, Eugenio R; Reding, Michael J

2002-07-01

There is increasing evidence that environmental and neuropharmacologic treatments enhance stroke recovery. Functional magnetic resonance imaging and transcranial magnetic stimulation have significantly broadened our understanding of the neuroanatomic relationships involved in recovery from brain injury due to stroke. These tools have also demonstrated the role for pharmacologic enhancement of cortical plasticity coupled with behavioral interventions. Robot-assisted therapy and partial body weight-supported treadmill gait training have demonstrated the role for technologic intervention in the modern neuro-rehabilitation setting. Current research using hemi-field ocular prisms and patching techniques suggest a role in the rehabilitation of hemianopsia and visual neglect. Finally, many advances have been made in the understanding of common stroke complications, such as depression, dysphagia, venous thromboembolic disease, incontinence, and spasticity.

[Domiciliary rehabilitation: an innovative form of outpatient medical rehabilitation].

PubMed

Schmidt-Ohlemann, M; Schweizer, C

2009-02-01

Domiciliary rehabilitation is an innovative form of outpatient medical rehabilitation. All components of service provision are delivered in the rehabilitant's home by a multidisciplinary team headed by a physician. The key context factors in the rehab process can be taken into account firsthand. The target group of domiciliary rehabilitation consists of multimorbid patients with severe functional limitations and complex assistance needs, whose rehabilitation options would be poor without this outreach service. Here, as suggested by the WHO concept of functional health, the interaction between health condition and environmental factors is kept in view much better than in other forms of rehabilitation. The positive effects and the efficiency of the rehabilitation measures provided can be assessed very well at a high descriptive level. This fact had been a precondition for legal establishment of domiciliary rehabilitation as a regular service. Domiciliary rehabilitation not only complies with key demands in the health and social policy fields, such as priority of outpatient over inpatient treatment or rehabilitation to precede and accompany long term care, it also constitutes an alternative concept challenging the traditional inpatient rehabilitation approach. The patient, hence, no longer is to fit into the institutional framework of outpatient or inpatient rehabilitation, but the team will fit into the specifics of the patient's unique social and material situation.

Computer-Vision-Assisted Palm Rehabilitation With Supervised Learning.

PubMed

Vamsikrishna, K M; Dogra, Debi Prosad; Desarkar, Maunendra Sankar

2016-05-01

Physical rehabilitation supported by the computer-assisted-interface is gaining popularity among health-care fraternity. In this paper, we have proposed a computer-vision-assisted contactless methodology to facilitate palm and finger rehabilitation. Leap motion controller has been interfaced with a computing device to record parameters describing 3-D movements of the palm of a user undergoing rehabilitation. We have proposed an interface using Unity3D development platform. Our interface is capable of analyzing intermediate steps of rehabilitation without the help of an expert, and it can provide online feedback to the user. Isolated gestures are classified using linear discriminant analysis (DA) and support vector machines (SVM). Finally, a set of discrete hidden Markov models (HMM) have been used to classify gesture sequence performed during rehabilitation. Experimental validation using a large number of samples collected from healthy volunteers reveals that DA and SVM perform similarly while applied on isolated gesture recognition. We have compared the results of HMM-based sequence classification with CRF-based techniques. Our results confirm that both HMM and CRF perform quite similarly when tested on gesture sequences. The proposed system can be used for home-based palm or finger rehabilitation in the absence of experts.

Early versus delayed rehabilitation following arthroscopic rotator cuff repair: A systematic review.

PubMed

Gallagher, Brian P; Bishop, Meghan E; Tjoumakaris, Fotios P; Freedman, Kevin B

2015-05-01

Early passive range of motion (ROM) following arthroscopic cuff repair is thought to decrease postoperative stiffness and improve functionality. However, early aggressive rehabilitation may compromise repair integrity. Our purpose was to perform a systematic review to determine if there are differences between early and delayed rehabilitation after arthroscopic rotator cuff repair in terms of clinical outcomes and healing. We performed a literature search with the terms 'arthroscopic rotator cuff', 'immobilization', 'early', 'delayed', 'late', and 'rehabilitation' using PubMed, Cochrane Central Register of Controlled Trials, and EMBASE. Selection criteria included: level I/II evidence ≤ 6 months in duration, comparing early versus delayed rehabilitation following arthroscopic repair. Data regarding demographics, sample sizes, duration, cuff pathology, surgery, rehabilitation, functional outcomes, pain, ROM and anatomic assessment of healing were analyzed. PRIMSA criteria were followed. We identified six articles matching our criteria. Three reported significantly increased functional scores within the first 3-6 months with early rehabilitation compared to the delayed group, only one of which continued to observe a difference at a final follow-up of 15 months. Four articles showed improved ROM in the first 3-6 months post-operatively with early rehabilitation. One noted transient differences in pain scores. Only one study noted significant differences in ROM at final follow-up. No study reported any significant difference in rates of rotator cuff re-tear. However, two studies noted a trend towards increased re-tear with early rehabilitation that did not reach significance. This was more pronounced in studies including medium-large tears. Early rehabilitation after arthroscopic cuff repair is associated with some initial improvements in ROM and function. Ultimately, similar clinical and anatomical outcomes between groups existed at 1 year. While there was no

Seasonal variation in coastal marine habitat use by the European shag: Insights from fine scale habitat selection modeling and diet

NASA Astrophysics Data System (ADS)

Michelot, Candice; Pinaud, David; Fortin, Matthieu; Maes, Philippe; Callard, Benjamin; Leicher, Marine; Barbraud, Christophe

2017-07-01

Studies of habitat selection by higher trophic level species are necessary for using top predator species as indicators of ecosystem functioning. However, contrary to terrestrial ecosystems, few habitat selection studies have been conducted at a fine scale for coastal marine top predator species, and fewer have coupled diet data with habitat selection modeling to highlight a link between prey selection and habitat use. The aim of this study was to characterize spatially and oceanographically, at a fine scale, the habitats used by the European Shag Phalacrocorax aristotelis in the Special Protection Area (SPA) of Houat-Hœdic in the Mor Braz Bay during its foraging activity. Habitat selection models were built using in situ observation data of foraging shags (transect sampling) and spatially explicit environmental data to characterize marine benthic habitats. Observations were first adjusted for detectability biases and shag abundance was subsequently spatialized. The influence of habitat variables on shag abundance was tested using Generalized Linear Models (GLMs). Diet data were finally confronted to habitat selection models. Results showed that European shags breeding in the Mor Braz Bay changed foraging habitats according to the season and to the different environmental and energetic constraints. The proportion of the main preys also varied seasonally. Rocky and coarse sand habitats were clearly preferred compared to fine or muddy sand habitats. Shags appeared to be more selective in their foraging habitats during the breeding period and the rearing of chicks, using essentially rocky areas close to the colony and consuming preferentially fish from the Labridae family and three other fish families in lower proportions. During the post-breeding period shags used a broader range of habitats and mainly consumed Gadidae. Thus, European shags seem to adjust their feeding strategy to minimize energetic costs, to avoid intra-specific competition and to maximize access

Restoration versus invasive species: Bigheaded carps’ use of a rehabilitated backwater

USGS Publications Warehouse

Coulter, Alison A.; Schultz, Douglas; Tristano, Elizabeth; Brey, Marybeth; Garvey, James E.

2017-01-01

Knowledge of how invasive species use invaded habitats can aid in developing management practices to exclude them. Swan Lake, a 1100-ha Illinois River (USA) backwater, was rehabilitated to restore ecosystem functions, but may provide valuable habitat for invasive bigheaded carps [bighead carp (Hypophthalmichthys nobilis) and silver carp (H. molitrix)]. Use (residency and passages) of Swan Lake by invasive bigheaded carps was monitored using acoustic telemetry (n = 50 individuals/species) to evaluate the use of a large, restored habitat from 2004 to 2005. Passages (entrances/exits) by bigheaded carps were highest in winter, and residency was highest in the summer. Bighead carp backwater use was associated with the differences in temperature between the main channel and backwater, and passages primarily occurred between 18:00 h and midnight. Silver carp backwater use was positively correlated with water level and main channel discharge, and fewer passages occurred between 12:00 h and 18:00 h than during any other time of day. Harvest occurring during summer or high main channel discharge could reduce backwater abundances while maintenance of low water levels could reduce overall backwater use. Conclusions from this study regarding the timing of bigheaded carps' use of backwater habitats are critical to integrated pest management plans to control invasive species.

Private Rehabilitation.

ERIC Educational Resources Information Center

McMahon, Brian T., Ed.

1983-01-01

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

50 CFR 424.18 - Final rules-general.

Code of Federal Regulations, 2010 CFR

2010-10-01

... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A LISTING ENDANGERED AND THREATENED SPECIES AND DESIGNATING CRITICAL HABITAT Revision of the Lists § 424.18 Final rules—general. (a) Contents... reclassify a species or designate or revise critical habitat shall also provide a summary of factors...

[Role of occupational rehabilitation therapy in returning to work: experimental experience].

PubMed

Bazzini, Giacomo; Panigazzil, Monica; Prestifilippo, Elena; Capodaglio, Edda Maria; Candura, Stefano M; Scafa, Fabrizio; Nuccio, Carla; Cortese, Giovanni; Matarrese, Maria Rosaria; Miccio, Antonella

2014-01-01

The experimental experience is the result of combining cultural, clinical and scientific interest in rehabilitative, occupational and forensic mnedicine and in ergonomics. It deals with the rehabilitation and return at work of patients with physical disabilities caused by occupational trauma or disease. The programme described starts with a selection by INAIL and involves with an outpatient surgery inclusion. It is composed of: preliminary physical examination, functional assessment, the formulation of a rehabilitation plan and its successive implementation. At the end of the evaluation plan, there is a final assessment to identify outcome indicators and residual functional and work capacity.

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

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-24

... development of innovative technologies that are designed to solve particular rehabilitation problems, or to... of universal design in its product research and development. Universal design is the design of... adaptation or specialized design (North Carolina State University, 1997, The Center for Universal Design...

Goal attainment in cognitive rehabilitation in MS patients.

PubMed

Hanssen, Kjersti Træland; Saltytė Benth, Jūratė; Beiske, Antonie Giæver; Landrø, Nils Inge; Hessen, Erik

2015-01-01

The aim of the study was to investigate the predictive value of important disease-related variables on goal attainment in cognitive rehabilitation in multiple sclerosis (MS). The possible predictive value of executive functions, neurological disability, depression and general cognitive ability was assessed, employing Goal Attainment Scaling (GAS). Fifty-seven patients with MS were assessed for executive functions, neurological disability, depression and general cognitive ability, and guided through the process of formulating GAS-goals for coping with cognitive challenges in everyday life during a four week in-patient cognitive rehabilitation programme. GAS-goal attainment was scored during biweekly follow-up calls in the first three months post-discharge from the rehabilitation centre, and finally at seven months after the start of the rehabilitation. Consistent with the first study hypothesis MS patients succeeded in formulating and achieving GAS goals for coping with cognitive problems in everyday life. The patients were able to maintain a satisfactory level of goal attainment from the first measurement point after six weeks to seven months after the start of the rehabilitation. However, contrary to the second hypothesis, attainment of GAS goals was not predicted by executive functions. Neither was it predicted by neurological disability, depression or general cognitive ability. The findings suggest that GAS may be a practical and robust method in cognitive rehabilitation in MS patients, regardless of important disease-related characteristics.

Spatial patterns of aquatic habitat richness in the Upper Mississippi River floodplain, USA

USGS Publications Warehouse

De Jager, Nathan R.; Rohweder, Jason J.

2012-01-01

Interactions among hydrology and geomorphology create shifting mosaics of aquatic habitat patches in large river floodplains (e.g., main and side channels, floodplain lakes, and shallow backwater areas) and the connectivity among these habitat patches underpins high levels of biotic diversity and productivity. However, the diversity and connectivity among the habitats of most floodplain rivers have been negatively impacted by hydrologic and structural modifications that support commercial navigation and control flooding. We therefore tested the hypothesis that the rate of increase in patch richness (# of types) with increasing scale reflects anthropogenic modifications to habitat diversity and connectivity in a large floodplain river, the Upper Mississippi River (UMR). To do this, we calculated the number of aquatic habitat patch types within neighborhoods surrounding each of the ≈19 million 5-m aquatic pixels of the UMR for multiple neighborhood sizes (1–100 ha). For all of the 87 river-reach focal areas we examined, changes in habitat richness (R) with increasing neighborhood length (L, # pixels) were characterized by a fractal-like power function R = Lz (R2 > 0.92 (P z) measures the rate of increase in habitat richness with neighborhood size and is related to a fractal dimension. Variation in z reflected fundamental changes to spatial patterns of aquatic habitat richness in this river system. With only a few exceptions, z exceeded the river-wide average of 0.18 in focal areas where side channels, contiguous floodplain lakes, and contiguous shallow-water areas exceeded 5%, 5%, and 10% of the floodplain respectively. In contrast, z was always less than 0.18 for focal areas where impounded water exceeded 40% of floodplain area. Our results suggest that rehabilitation efforts that target areas with <5% of the floodplain in side channels, <5% in floodplain lakes, and/or <10% in shallow-water areas could improve habitat diversity across multiple scales in the UMR.

78 FR 34962 - American Indian Vocational Rehabilitation Services Program; Proposed Waivers and Extensions of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-11

... Vocational Rehabilitation Services (AIVRS) Program in the Rehabilitation Services Administration (RSA): eight... funds under this program. Further, if the proposed waivers and extensions are made final, RSA would not... that RSA has the authority to make an AIVRS grant effective for more than 60 months, pursuant to...

Modeling the influence of river rehabilitation scenarios on bed material sediment flux in a large river over decadal timescales

USGS Publications Warehouse

Singer, Michael B.; Dunne, Thomas

2006-01-01

A stochastic flood generator and calibrated sediment transport formulae were used to assess the decadal impact of major river rehabilitation strategies on two fraction bed material sediment flux and net storage, first‐order indicators of aquatic riverine habitat, in a large river system. Model boundary conditions were modified to reflect the implementation of three major river rehabilitation strategies being considered in the Sacramento River Valley: gravel augmentation, setting back of levees, and flow alteration. Fifty 30‐year model simulations were used to compute probabilities of the response in sediment flux and net storage to these strategies. Total annual average bed material sediment flux estimates were made at six gauged river cross sections, and ∼60 km reach‐scale sediment budgets were evaluated between them. Gravel augmentation to improve spawning habitat induced gravel accumulation locally and/or downstream, depending on the added mixture. Levee setbacks to recreate the river corridor reduced flow stages for most flows and hence lowered sediment flux. Flow alteration to mimic natural flow regimes systematically decreased total annual average flux, suggesting that high‐magnitude low‐frequency transport events do not affect long‐term trends in bed material flux. The results indicate that each rehabilitation strategy reduces sediment transport in its target reaches and modulates imbalances in total annual bed material sediment budgets at the reach scale. Additional risk analysis is necessary to identify extreme conditions associated with variable hydrology that could affect rehabilitation over decades. Sensitivity analysis suggests that sorting of bed material sediment is the most important determinant of modeled transport and storage patterns.

50 CFR 424.18 - Final rules-general.

Code of Federal Regulations, 2014 CFR

2014-10-01

..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A LISTING ENDANGERED AND THREATENED SPECIES AND DESIGNATING CRITICAL HABITAT Revision of the Lists § 424.18 Final rules—general. (a... rule to list, delist, or reclassify a species or designate or revise critical habitat will also provide...

50 CFR 424.18 - Final rules-general.

Code of Federal Regulations, 2012 CFR

2012-10-01

..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A LISTING ENDANGERED AND THREATENED SPECIES AND DESIGNATING CRITICAL HABITAT Revision of the Lists § 424.18 Final rules—general. (a... rule to list, delist, or reclassify a species or designate or revise critical habitat will also provide...

A finger exoskeleton for rehabilitation and brain image study.

PubMed

Tang, Zhenjin; Sugano, Shigeki; Iwata, Hiroyasu

2013-06-01

This paper introduces the design, fabrication and evaluation of the second generation prototype of a magnetic resonance compatible finger rehabilitation robot. It can not only be used as a finger rehabilitation training tool after a stroke, but also to study the brain's recovery process during the rehabilitation therapy (ReT). The mechanical design of the current generation has overcome the disadvantage in the previous version[13], which can't provide precise finger trajectories during flexion and extension motion varying with different finger joints' torques. In addition, in order to study the brain activation under different training strategies, three control modes have been developed, compared to only one control mode in the last prototype. The current prototype, like the last version, uses an ultrasonic motor as its actuator to enable the patient to do extension and flexion rehabilitation exercises in two degrees of freedom (DOF) for each finger. Finally, experiments have been carried out to evaluate the performances of this device.

Advantages of a Modular Mars Surface Habitat Approach

NASA Technical Reports Server (NTRS)

Rucker, Michelle A.; Hoffman, Stephan J.; Andrews, Alida; Watts, Kevin

2018-01-01

Early crewed Mars mission concepts developed by the National Aeronautics and Space Administration (NASA) assumed a single, large habitat would house six crew members for a 500-day Mars surface stay. At the end of the first mission, all surface equipment, including the habitat, -would be abandoned and the process would be repeated at a different Martian landing site. This work was documented in a series of NASA publications culminating with the Mars Design Reference Mission 5.0 (NASA-SP-2009-566). The Evolvable Mars Campaign (EMC) explored whether re-using surface equipment at a single landing site could be more affordable than the Apollo-style explore-abandon-repeat mission cadence. Initial EMC assumptions preserved the single, monolithic habitat, the only difference being a new requirement to reuse the surface habitat for multiple expedition crews. A trade study comparing a single large habitat versus smaller, modular habitats leaned towards the monolithic approach as more mass-efficient. More recent work has focused on the operational aspects of building up Mars surface infrastructure over multiple missions, and has identified compelling advantages of the modular approach that should be considered before making a final decision. This paper explores Mars surface mission operational concepts and integrated system analysis, and presents an argument for the modular habitat approach.

Rehabilitation of a debris-flow prone mountain stream in southwestern China - Strategies, effects and implications

NASA Astrophysics Data System (ADS)

Yu, Guo-an; Huang, He Qing; Wang, Zhaoyin; Brierley, Gary; Zhang, Kang

2012-01-01

SummaryRehabilitation of Shengou Creek, a small, steep mountain stream in southwestern China that is prone to debris flows, started more than 30 years ago through an integrated program of engineering applications (check dams and guiding dikes), biological measures (reforestation), and social measures (reducing human disturbance). Small and medium-sized check dams and guiding dikes were constructed on key upper and middle sections of the creek to stabilize hillslopes and channel bed. Meanwhile, Leucaena leucocephala, a drought-tolerant, fast-growing, and highly adaptive plant species, was introduced to promote vegetation recovery in the watershed. The collective community structure of tree, shrub, and herb assemblages in the artificial L. leucocephala forest, which developed after 7 years, enhanced soil structure and drastically reduced soil erosion on hillslopes. Cultivation of steep land was strictly controlled in the basin, and some inhabitants were encouraged to move from upstream areas to downstream towns to reduce disturbance. These integrated measures reduced sediment supply from both hillslopes and upstream channels, preventing sediment-related hazards. The development of natural streambed resistance structures (mainly step-pool systems) and luxuriant riparian vegetation aided channel stability, diversity of stream habitat, and ecological maintenance in the creek. These findings are compared with Jiangjia and Xiaobaini Ravines, two adjacent non-rehabilitated debris-flow streams which have climate and geomorphologic conditions similar to Shengou Creek. Habitat diversity indices, taxa richness, biodiversity, and bio-community indices are much higher in Shengou Creek relative to Jiangjia and Xiaobaini Ravines, attesting to the effectiveness of rehabilitation measures.

Rehabilitation treatment taxonomy: implications and continuations.

PubMed

P Dijkers, Marcel; Hart, Tessa; Whyte, John; M Zanca, Jeanne; Packel, Andrew; Tsaousides, Theodore

2014-01-01

In relation to the conceptual framework for a rehabilitation treatment taxonomy (RTT), which has been proposed in other articles in this supplement, this article discusses a number of issues relevant to its further development, including creating distinctions within the major target classes; the nature and quantity of allowable targets of treatment; and bracketing as a way of specifying (1) the skill or knowledge taught; (2) the nature of compensation afforded by changes in the environment, assistive technology, and orthotics/prosthetics; and (3) the ingredients in homework a clinician assigns. Clarification is provided regarding the role of the International Classification of Functioning, Disability and Health, focusing a taxonomy on ingredients versus other observable aspects of treatment, and regarding our lack of knowledge and its impact on taxonomy development. Finally, this article discusses the immediate implications of the work to date and presents the need for rehabilitation stakeholders of all disciplines to be involved in further RTT development. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Cardiac Rehabilitation Series: Canada

PubMed Central

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

2015-01-01

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

77 FR 59085 - Final Waivers and Extensions of Project Periods; American Indian Vocational Rehabilitation...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-26

... appropriated for the Vocational Rehabilitation (VR) State Grants program. Assuming a set-aside of at least 1.2 percent of the VR appropriation in FY 2013, the Department's action to extend these grants would not...

Cancer rehabilitation in Austria--aspects of Physical Medicine and Rehabilitation.

PubMed

Maehr, Bruno; Keilani, Mohammad; Wiltschke, Christoph; Hassler, Marco; Licht, Thomas; Marosi, Christine; Huetterer, Elisabeth; Cenik, Fadime; Crevenna, Richard

2016-02-01

In Austria, cancer rehabilitation is an important issue in the management of cancer patients. Survival rates and survival time of cancer patients are increasing, and cancer rehabilitation is an important part in the treatment and care of cancer patients with the goal to improve functional status, quality of life, and (social) participation. Today, in Austria there are approximately 600 beds for inpatient rehabilitation. The field of outpatient rehabilitation will maybe be expanded after evaluating the existing pilot projects. Beside other specialities, the field of Physical Medicine and Rehabilitation (PM&R) plays an important role in cancer rehabilitation. In cancer rehabilitation, especially activating modalities from PM&R such as exercise are very important and well-accepted parts to improve functional status, quality of life, and participation of patients.

Natural Propagation and Habitat Improvement, Volume 1, Oregon, 1986 Final and Annual Reports.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Stuart, Amy

1987-01-01

This report describes activities implemented for fisheries habitat improvement work on priority drainages in the Clackamas and Hood River sub-basins. Separate abstracts have been prepared for the reports on individual projects. (ACR)

Virtual environments for motor rehabilitation: review.

PubMed

Holden, Maureen K

2005-06-01

In this paper, the current "state of the art" for virtual reality (VR) applications in the field of motor rehabilitation is reviewed. The paper begins with a brief overview of available equipment options. Next, a discussion of the scientific rationale for use of VR in motor rehabilitation is provided. Finally, the major portion of the paper describes the various VR systems that have been developed for use with patients, and the results of clinical studies reported to date in the literature. Areas covered include stroke rehabilitation (upper and lower extremity training, spatial and perceptual-motor training), acquired brain injury, Parkinson's disease, orthopedic rehabilitation, balance training, wheelchair mobility and functional activities of daily living training, and the newly developing field of telerehabilitation. Four major findings emerge from these studies: (1) people with disabilities appear capable of motor learning within virtual environments; (2) movements learned by people with disabilities in VR transfer to real world equivalent motor tasks in most cases, and in some cases even generalize to other untrained tasks; (3) in the few studies (n = 5) that have compared motor learning in real versus virtual environments, some advantage for VR training has been found in all cases; and (4) no occurrences of cybersickness in impaired populations have been reported to date in experiments where VR has been used to train motor abilities.

[Improvement of Psychosomatic Rehabilitation after Prestationary Intervention].

PubMed

Sander, K; Winkler, G; Hofer, N; Hunatschek, S; Doerr, R

2016-12-01

Aim of the study: Improvement of psychosomatic rehabilitation efforts with prestationary intervention. Method: The study is designed as a prospective and randomisized interventon study including 317 in patients. Result: Most of the patients were women (69.4 %), the mean age was 50.2 years. As measured with the BDI-II patients with prestationary intervention improved more than patients without intervention. The motivation has not been changed significantly in both treatment arms. Various independent cofactors like long duration of unemployment, disablement and patients who apply to pension were identified. Conclusion: Finally a prestationary telephon interview improves the results of psychosomatic rehabilitation measured with BDI. © Georg Thieme Verlag KG Stuttgart · New York.

Natural Propagation and Habitat Improvement, Volume 2, Idaho, 1985 Annual and Final Reports.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hair, Don

1986-09-01

The individual reports in this volume have been separately abstracted for inclusion in the data base. The reports describe fish habitat enhancement projects on the Lochsa River, Eldorado and Camas Creeks, and the Clearwater River. (ACR)

78 FR 43005 - Endangered and Threatened Species: Designation of Critical Habitat for the Northwest Atlantic...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-18

...We, the National Marine Fisheries Service (NMFS), propose critical habitat for the Northwest Atlantic Ocean loggerhead sea turtle Distinct Population Segment (DPS) (Caretta caretta) within the Atlantic Ocean and the Gulf of Mexico. Specific areas proposed for designation include 36 occupied marine areas within the range of the Northwest Atlantic Ocean DPS. These areas contain one or a combination of nearshore reproductive habitat, winter area, breeding areas, and migratory corridors. We are also asking for comment on whether to include as critical habitat in the final rule some areas that contain foraging habitat and two large areas that contain Sargassum habitat. The U.S. Fish and Wildlife Service addressed terrestrial areas (nesting beaches) in a separate document. No marine areas meeting the definition of critical habitat were identified within the jurisdiction of the United States for the North Pacific Ocean DPS, and therefore we are not proposing to designate critical habitat for that DPS. We are soliciting comments from the public on all aspects of the proposal, including information on the economic, national security, and other relevant impacts. We will consider additional information received prior to making a final designation.

77 FR 37022 - Disability and Rehabilitation Research Projects and Centers Program; Rehabilitation Engineering...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-20

...; Rehabilitation Engineering Research Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research Centers (RERC). SUMMARY... amended (Rehabilitation Act). Rehabilitation Engineering Research Centers Program (RERCs) The purpose of...

Motor and sensory rehabilitation after lower limb amputation: state of art and perspective of change.

PubMed

Casale, Roberto; Maini, Maurizio; Bettinardi, Ornella; Labeeb, Alaa; Rosati, Vanessa; Damiani, Carlo; Mallik, Maryam

2013-01-01

The rehabilitation of the amputated patient is based on a coordinated sequence of diagnostic, prognostic and therapeutic procedures carried out by an interdisciplinary rehabilitation team, that works globally on all patient problems. The objectives of the different phases of the rehabilitation treatment were reviewed. Due to their relevance in conditioning the final outcome of the treatment, aspects requiring further studies and remarks, were also reviewed. Among these the psychological aspects, the alterations of all sensory inputs, the secondary alterations at the bone, articular and muscular level, pain of the residual limb and the phantom limb. Finally, the basic criteria to be used to choose the kind of prosthesis in relation to the characteristics and expectations of the amputated person, and the results of the recovery of the autonomy and walking ability, will be schematically described.

Rehabilitation Engineering Sourcebook [and] Rehabilitation Engineering Sourcebook Supplement I.

ERIC Educational Resources Information Center

Institute for Information Studies, Falls Church, VA.

Intended for use by rehabilitation counselors and work supervisors, the sourcebook contains 173 problems and solutions provided by rehabilitation engineering. A section titled "Guidelines for Formulating Problem Statements" is intended to summarize the most effective ways for either disabled individuals or rehabilitation practitioners to…

Hydrologic modification to improve habitat in riverine lakes: Management objectives, experimental approach, and initial conditions

USGS Publications Warehouse

Johnson, Barry L.; Barko, John W.; Gerasimov, Yuri; James, William F.; Litvinov, Alexander; Naimo, Teresa J.; Wiener, James G.; Gaugush, Robert F.; Rogala, James T.; Rogers, Sara J.; Schoettger, R.A.

1996-01-01

The Finger Lakes habitat-rehabilitation project is intended to improve physical and chemical conditions for fish in six connected back water lakes in Navigation Pool 5 of the upper Missouri River. The primary management objective is to improve water temperature, dissolved oxygen concentration and current velocity during winter for bluegills, Lepomis macrochirus, and black crappies, Pomoxis nigromaculatus, two of the primary sport fishes in the lakes. The lakes will be hydrologically altered by Installing culverts to Introduce controlled flows of oxygenated water into four lakes, and an existing unregulated culvert on a fifth lake will be equipped with a control gate to regulate inflow. These habitat modifications constitute a manipulative field experiment that will compare pre-project (1991 to summer 1993) and post-project (fall 1993 to 1996) conditions in the lakes, including hydrology, chemistry, rooted vegetation, and fish and macroinvertebrate communities. Initial data indicate that the Finger Lakes differ in water chemistry, hydrology, and macrophyte abundance. Macroinvertebrate communities also differed among lakes: species diversity was highest in lakes with dense aquatic macrophytes. The system seems to support a single fish community, although some species concentrated in individual lakes at different times. The introduction of similar flows into five of the lakes will probably reduce the existing physical and chemical differences among lakes. However, our ability to predict the effects of hydrologic modification on fish populations is limited by uncertainties concerning both the interactions of temperature, oxygen and current in winter and the biological responses of primary and secondary producers. Results from this study should provide guidance for similar habitat-rehabilitation projects in large rivers.

Factors Associated With Success in an Occupational Rehabilitation Program for Work-Related Musculoskeletal Disorders

PubMed Central

Hardison, Mark E.

2017-01-01

Work-related musculoskeletal disorders are a significant burden; however, no consensus has been reached on how to maximize occupational rehabilitation programs for people with these disorders, and the impact of simulating work tasks as a mode of intervention has not been well examined. In this retrospective cohort study, the authors used logistic regression to identify client and program factors predicting success for 95 clients in a general occupational rehabilitation program and 71 clients in a comprehensive occupational rehabilitation program. The final predictive model for general rehabilitation included gender, number of sessions completed, and performance of work simulation activities. Maximum hours per session was the only significant predictor of success in the comprehensive rehabilitation program. This study identifies new factors associated with success in occupational rehabilitation, specifically highlighting the importance of intensity (i.e., session length and number of sessions) of therapy and occupation-based activities for this population. PMID:28027046

[Study on the center-driven multiple degrees of freedom upper limb rehabilitation training robot].

PubMed

Huang, Xiaohai; Yu, Hongliu; Wang, Jinchao; Dong, Qi; Zhang, Linling; Meng, Qiaoling; Li, Sujiao; Wang, Duojin

2018-03-01

With the aging of the society, the number of stroke patients has been increasing year by year. Compared with the traditional rehabilitation therapy, the application of upper limb rehabilitation robot has higher efficiency and better rehabilitation effect, and has become an important development direction in the field of rehabilitation. In view of the current development status and the deficiency of upper limb rehabilitation robot system, combined with the development trend of all kinds of products of the upper limb rehabilitation robot, this paper designed a center-driven upper limb rehabilitation training robot for cable transmission which can help the patients complete 6 degrees of freedom (3 are driven, 3 are underactuated) training. Combined the structure of robot with more joints rehabilitation training, the paper choosed a cubic polynomial trajectory planning method in the joint space planning to design two trajectories of eating and lifting arm. According to the trajectory equation, the movement trajectory of each joint of the robot was drawn in MATLAB. It laid a foundation for scientific and effective rehabilitation training. Finally, the experimental prototype is built, and the mechanical structure and design trajectories are verified.

76 FR 7245 - Endangered and Threatened Wildlife and Plants; Revised Critical Habitat for the Arroyo Toad

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-09

...We, the U.S. Fish and Wildlife Service (Service), are designating final revised critical habitat for the arroyo toad (Anaxyrus californicus, Bufo californicus). We are designating approximately 98,366 acres (ac) (39,807 hectares (ha)) of habitat in Santa Barbara, Ventura, Los Angeles, San Bernardino, Riverside, Orange, and San Diego Counties, California, as critical habitat for the arroyo toad. This final revised designation constitutes an increase of approximately 86,671 ac (35,074 ha) from the 2005 designation of critical habitat for the arroyo toad. A taxonomic name change has occurred and been accepted for the arroyo toad. Throughout the remainder of this document we will use the currently recognized name for the listed entity, Anaxyrus californicus, for references to the arroyo toad.

[Burn scars: rehabilitation and skin care].

PubMed

Rochet, Jean-Michel; Zaoui, Affif

2002-12-15

Burn rehabilitation main goal is to minimize the consequences of hypertrophic scars and concomitant contractures. The treatment principles rely on the association of joint posture, continuous pressure completed with range of motion to prevent joint fusion (which happens to adults but not to children). Throughout the different treatment phases and wound evolution, reassessment is necessary to review rehabilitation goals and activities. During the acute phase the alternance of positioning is prioritized in order to keep the affected extremities in antideformity position using splint or other devices. At the rehabilitation phase, treatment is focussed on active/passive range of motion (skin posture) strengthening exercises and use of dynamic splint is introduced to correct contractures. After their discharge home, patients benefit from outpatient rehab until scar maturation (approximately 18 months). The treatment consists mainly on active/passive range of motion, scar massage, strengthening exercise and endurance retraining. Also modalities (such as thermal bath and high pressure water spray) are used to address itching problems and for scar softening. Finally, reconstructive surgery can be performed to correct excessive scarring or joint contracture for better functional or cosmetic outcome.

Postacute rehabilitation quality of care: toward a shared conceptual framework.

PubMed

Jesus, Tiago Silva; Hoenig, Helen

2015-05-01

There is substantial interest in mechanisms for measuring, reporting, and improving the quality of health care, including postacute care (PAC) and rehabilitation. Unfortunately, current activities generally are either too narrow or too poorly specified to reflect PAC rehabilitation quality of care. In part, this is caused by a lack of a shared conceptual understanding of what construes quality of care in PAC rehabilitation. This article presents the PAC-rehab quality framework: an evidence-based conceptual framework articulating elements specifically pertaining to PAC rehabilitation quality of care. The widely recognized Donabedian structure, process, and outcomes (SPO) model furnished the underlying structure for the PAC-rehab quality framework, and the International Classification of Functioning, Disability and Health (ICF) framed the functional outcomes. A comprehensive literature review provided the evidence base to specify elements within the SPO model and ICF-derived framework. A set of macrolevel-outcomes (functional performance, quality of life of patient and caregivers, consumers' experience, place of discharge, health care utilization) were defined for PAC rehabilitation and then related to their (1) immediate and intermediate outcomes, (2) underpinning care processes, (3) supportive team functioning and improvement processes, and (4) underlying care structures. The role of environmental factors and centrality of patients in the framework are explicated as well. Finally, we discuss why outcomes may best measure and reflect the quality of PAC rehabilitation. The PAC-rehab quality framework provides a conceptually sound, evidence-based framework appropriate for quality of care activities across the PAC rehabilitation continuum. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Science to support adaptive habitat management: Overton Bottoms North Unit, Big Muddy National Fish and Wildlife Refuge, Missouri [Volumes 1-6

USGS Publications Warehouse

Jacobson, Robert B.

2006-01-01

Extensive efforts are underway along the Lower Missouri River to rehabilitate ecosystem functions in the channel and flood plain. Considerable uncertainty inevitably accompanies ecosystem restoration efforts, indicating the benefits of an adaptive management approach in which management actions are treated as experiments, and results provide information to feed back into the management process. The Overton Bottoms North Unit of the Big Muddy National Fish and Wildlife Refuge is a part of the Missouri River Fish and Wildlife Habitat Mitigation Project. The dominant management action at the Overton Bottoms North Unit has been excavation of a side-channel chute to increase hydrologic connectivity and to enhance shallow, slow current-velocity habitat. The side-channel chute also promises to increase hydrologic gradients, and may serve to alter patterns of wetland inundation and vegetation community growth in undesired ways. The U.S. Geological Survey's Central Region Integrated Studies Program (CRISP) undertook interdisciplinary research at the Overton Bottoms North Unit in 2003 to address key areas of scientific uncertainty that were highly relevant to ongoing adaptive management of the site, and to the design of similar rehabilitation projects on the Lower Missouri River. This volume presents chapters documenting the surficial geologic, topographic, surface-water, and ground-water framework of the Overton Bottoms North Unit. Retrospective analysis of vegetation community trends over the last 10 years is used to evaluate vegetation responses to reconnection of the Overton Bottoms North Unit to the river channel. Quasi-experimental analysis of cottonwood growth rate variation along hydrologic gradients is used to evaluate sensitivity of terrestrial vegetation to development of aquatic habitats. The integrated, landscape-specific understanding derived from these studies illustrates the value of scientific information in design and management of rehabilitation projects.

Rehabilitation in children with juvenile chronic arthritis.

PubMed

Häfner, R; Truckenbrodt, H; Spamer, M

1998-05-01

Chronic childhood arthritis impairs joint function and may result in severe physical handicap. Joint pain and inflammation trigger a vicious cycle that often ends in joint damage and fixed deformities. A comprehensive rehabilitation programme must start early to restore loss of function and prevent permanent handicap. It is dominated by a physiotherapeutic regimen consisting of pain relief, movement expansion, training of muscular coordination and finally re-integration of a physiological movement pattern. The approaches of occupational therapy become integrated into the treatment programme, concentrating on joint protection and self-care training. Additional aids support the aim of joint restoration. They include individual splinting, adapted footwear and walking aids. Depending on the child's age and developmental status different aspects of rehabilitation dominate. Small children need adequate mobility to promote their psychosocial development. In later years integration into school life and the peer group becomes important. Adolescents require help for an adequate vocational training and self-care support. Last but not least, parental education and integration of the whole family into the rehabilitation programme markedly improve the patient's prognosis.

Linking habitat mosaics and connectivity in a coral reef seascape.

PubMed

McMahon, Kelton W; Berumen, Michael L; Thorrold, Simon R

2012-09-18

Tropical marine ecosystems are under mounting anthropogenic pressure from overfishing and habitat destruction, leading to declines in their structure and function on a global scale. Although maintaining connectivity among habitats within a seascape is necessary for preserving population resistance and resilience, quantifying movements of individuals within seascapes remains challenging. Traditional methods of identifying and valuing potential coral reef fish nursery habitats are indirect, often relying on visual surveys of abundance and correlations of size and biomass among habitats. We used compound-specific stable isotope analyses to determine movement patterns of commercially important fish populations within a coral reef seascape. This approach allowed us to quantify the relative contributions of individuals from inshore nurseries to reef populations and identify migration corridors among important habitats. Our results provided direct measurements of remarkable migrations by juvenile snapper of over 30 km, between nurseries and reefs. We also found significant plasticity in juvenile nursery residency. Although a majority of individuals on coastal reefs had used seagrass nurseries as juveniles, many adults on oceanic reefs had settled directly into reef habitats. Moreover, seascape configuration played a critical but heretofore unrecognized role in determining connectivity among habitats. Finally, our approach provides key quantitative data necessary to estimate the value of distinctive habitats to ecosystem services provided by seascapes.

Remote identification of polar bear maternal den habitat in northern Alaska

USGS Publications Warehouse

Durner, George M.; Amstrup, Steven C.; Ambrosius, Ken J.

2001-01-01

Polar bears (Ursus maritimus) give birth in dens of ice and snow to protect their altricial young. During the snow-free season, we visited 25 den sites located previously by radiotelemetry and characterized the den site physiognomy. Seven dens occurred in habitats with minimal relief. Eighteen dens (72%) were in coastal and river banks. These "banks" were identifiable on aerial photographs. We then searched high-resolution aerial photographs (n = 3000) for habitats similar to those of the 18 dens. On aerial photos, we mapped 1782 km of bank habitats suitable for denning. Bank habitats comprised 0.18% of our study area between the Colville River and the Tamayariak River in northern Alaska. The final map, which correctly identified 88% of bank denning habitat in this region, will help minimize the potential for disruptions of maternal dens by winter petroleum exploration activities.

Influences of Geomorphic Complexity and Rehabilitation on Nutrient Uptake in an Urban Stream

NASA Astrophysics Data System (ADS)

Mueller, J. S.; Baker, D. W.; Bledsoe, B. P.

2006-12-01

Headwater streams, which are highly vulnerable to anthropogenic impacts associated with land use change, have large surface-to-volume ratios that favor retention and removal of nitrogen. We describe a study focused on how geomorphic complexity is related to nutrient retention in impacted and restored headwater streams along a gradient of human land use. A key element of the study is a detailed protocol for characterizing the spatial distribution of physical habitat units composed of relatively distinct combinations of flow hydraulics and textural facies. We are using the detailed physical characterization and nutrient injections in paired segments of a Colorado Front Range urban stream to examine associations among geomorphic complexity, nitrogen uptake, and the degree and style of channel rehabilitation. The results of the study have implications for the viability of stream rehabilitation as a tool for reducing N delivery to downstream aquatic systems that are vulnerable to eutrophication.

The Development of a Syllabus for Instruction of Communicative Skills in a Rehabilitation Center for the Blind. Final Report.

ERIC Educational Resources Information Center

Murphy, J. O.

The purpose of this demonstration project was to determine what syllabi existed for the instruction of communicative skills in a rehabilitation center for the blind, and to develop appropriate syllabi for these skills. A study of instruction in eight rehabilitation centers representing voluntary state and federally sponsored agencies revealed that…

Rehabilitation-specific challenges and advantages in the integration of migrant physicians in Germany: a multiperspective qualitative interview study in rehabilitative settings.

PubMed

Jansen, E; Hänel, P; Klingler, C

2018-07-01

In Germany, rehabilitative healthcare institutions increasingly rely on migrant physicians to meet their staffing needs. Yet until now, research on the integration of migrant physicians has focussed entirely on the acute care setting. This study is the first to address the specific advantages and challenges to integration in the field of rehabilitative medicine where a high number of migrant physicians work. From the experiences of migrant physicians and their colleagues, we provide actionable suggestions to counteract potential sources of conflict and thereby improve the integration of migrant physicians in the German workforce. We conducted a qualitative interview study. We conducted 23 interviews with a total of 26 participants occupying a variety of roles in two different rehabilitation centres (maximum variation sampling). Interviews were recorded, transcribed verbatim and parsed through thematic analysis. Our research revealed advantages and challenges to integration in three distinct areas: rehabilitative care institutions, competencies of migrant professionals and interpersonal relations. The first set of issues hinges on the work processes within rehabilitative hospitals, professional prospects there and the location of the institutions themselves. Second, migrant physicians may encounter difficulties because of limited linguistic skills and country-specific knowledge. And finally, aspects of their interactions with care teams and patients may constitute barriers to integration. Some of the factors influencing the integration of migrant physicians are the same in both rehabilitative and acute medicine, but the rehabilitative setting presents distinct advantages and challenges that are worthy of study in their own right. We outline several measures which could help overcome challenges to the integration of migrant physicians, including those associated with professional relationships. Further research is needed to develop concrete support programmes

Robotic rehabilitation of spinal cord injury individual.

PubMed

Karimi, Mohammad Taghi

2013-01-01

Various types of systems have been used for rehabilitation of Spinal cord injury (SCI) individuals, including mechanical orthoses, functional electrical stimulation (FES), hybrid system and robotic devices. Although, the use of robotic systems for rehabilitation of SCI subjects is increasing, there is not enough evidence to determine the positive and side effects of this system. Therefore, the aim of this review article is to find some evidences to support the influence of use of this system on the performance of the subjects. Furthermore, it was aimed to find the difference between the performances of paraplegic subjects while walking with robotic devices. An electronic search was done based on PubMed, Embase, Ebsco, and ISI Web of Knowledge to extract the data from 1970 to 2012. The quality of the research studies was evaluated by use of Black and Down tool. Although 250 papers have been found based on the selected key words, finally 10 papers have been selected for final analysis. There were only two clinical trials done in this regard. There are some improvements which were reported to body function and activities follow the use of robotic device. 1. Although various types of orthotic systems have been developed for paraplegic subjects for walking and rehabilitation, there is not enough research in this regard. 2. It is not easy to determine the therapeutic influence of robotic orthosis on the health status of paraplegic subjects. 3. There is a huge gap for a randomized clinical trial research to determine the effect of robotic system on the health status of the SCI subjects.

Rehabilitation

MedlinePlus

... help. A younger person who has had a heart attack may go through cardiac rehabilitation to try to return to work and normal activities. Someone with a lung disease may get pulmonary rehabilitation to be able to breathe better and improve their quality of life.

[Is rehabilitation worth it? : Review of economic evaluations of rehabilitation in Germany].

PubMed

Krauth, Christian; Bartling, Tim

2017-04-01

Because of demographic change, the rehabilitation sector in Germany is going to face increasing demands in the future. Limited budgets make the optimal allocation of resources a top priority. To support decisions about the optimal scope and design of rehabilitation, studies on health economics are of utmost importance. The aim of this article is to provide an overview of the evaluation of rehabilitation with regard to health economics in Germany.Based on a comprehensive literature research, 17 studies on the cost-effectiveness of rehabilitation in Germany were identified. The health economics evaluation focuses on four main topics: patient education (5 studies), the comparison of outpatient and inpatient rehabilitation (7 studies), medico-occupational rehabilitation programs (2 studies) and aftercare programs (3 studies). All four topics show that innovative rehabilitation technologies can be cost-effective. Significant potential savings in program costs of 25-35% are demonstrated in outpatient rehabilitation (with comparable effectiveness with inpatient care). Designated patient education programs often lead to significant savings with indirect costs, by reducing periods of unfitness to work and extending the long-term ability to work. This review article also points out that some relevant areas of rehabilitation, such as the flexibilization of rehabilitation programs or the efficient organization of access to rehabilitation, have not been evaluated sufficiently on the basis of health economics. This article ends with the requirement to carry out more economics-based rehabilitation studies.

50 CFR 424.18 - Final rules-general.

Code of Federal Regulations, 2011 CFR

2011-10-01

... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A LISTING ENDANGERED AND THREATENED SPECIES AND DESIGNATING CRITICAL HABITAT Revision of the Lists § 424.18 Final rules—general. (a) Contents... any conservation measures available under the rule. Publication of a final rule to list, delist, or...

Intercohort density dependence drives brown trout habitat selection

NASA Astrophysics Data System (ADS)

Ayllón, Daniel; Nicola, Graciela G.; Parra, Irene; Elvira, Benigno; Almodóvar, Ana

2013-01-01

Habitat selection can be viewed as an emergent property of the quality and availability of habitat but also of the number of individuals and the way they compete for its use. Consequently, habitat selection can change across years due to fluctuating resources or to changes in population numbers. However, habitat selection predictive models often do not account for ecological dynamics, especially density dependent processes. In stage-structured population, the strength of density dependent interactions between individuals of different age classes can exert a profound influence on population trajectories and evolutionary processes. In this study, we aimed to assess the effects of fluctuating densities of both older and younger competing life stages on the habitat selection patterns (described as univariate and multivariate resource selection functions) of young-of-the-year, juvenile and adult brown trout Salmo trutta. We observed all age classes were selective in habitat choice but changed their selection patterns across years consistently with variations in the densities of older but not of younger age classes. Trout of an age increased selectivity for positions highly selected by older individuals when their density decreased, but this pattern did not hold when the density of younger age classes varied. It suggests that younger individuals are dominated by older ones but can expand their range of selected habitats when density of competitors decreases, while older trout do not seem to consider the density of younger individuals when distributing themselves even though they can negatively affect their final performance. Since these results may entail critical implications for conservation and management practices based on habitat selection models, further research should involve a wider range of river typologies and/or longer time frames to fully understand the patterns of and the mechanisms underlying the operation of density dependence on brown trout habitat

Comprehensive Outpatient Rehabilitation Program: Hospital-Based Stroke Outpatient Rehabilitation.

PubMed

Rice, Danielle; Janzen, Shannon; McIntyre, Amanda; Vermeer, Julianne; Britt, Eileen; Teasell, Robert

2016-05-01

Few studies have considered the effectiveness of outpatient rehabilitation programs for stroke patients. The objective of this study was to assess the effectiveness of a hospital-based interdisciplinary outpatient stroke rehabilitation program with respect to physical functioning, mobility, and balance. The Comprehensive Outpatient Rehabilitation Program provides a hospital-based interdisciplinary approach to stroke rehabilitation in Southwestern Ontario. Outcome measures from physiotherapy and occupational therapy sessions were available at intake and discharge from the program. A series of paired sample t-tests were performed to assess patient changes between time points for each outcome measure. A total of 271 patients met the inclusion criteria for analysis (56.1% male; mean age = 62.9 ± 13.9 years). Significant improvements were found between admission and discharge for the Functional Independence Measure, grip strength, Chedoke-McMaster Stroke Assessment, two-minute walk test, maximum walk test, Timed Up and Go, Berg Balance Scale, and one-legged stance (P < .003 for all). The findings indicate that an interdisciplinary rehabilitation program was effective at improving the physical functioning, mobility, and balance of individuals after a stroke. A hospital-based, stroke-specific rehabilitation program should be considered when patients continue to experience deficits after inpatient rehabilitation. Copyright © 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved.

The assessment of lower face morphology changes in edentulous patients after prosthodontic rehabilitation, using two methods of measurement.

PubMed

Jivănescu, Anca; Bratu, Dana Cristina; Tomescu, Lucian; Măroiu, Alexandra Cristina; Popa, George; Bratu, Emanuel Adrian

2015-01-01

Using two measurement methods (a three-dimensional laser scanning system and a digital caliper), this study compares the lower face morphology of complete edentulous patients, before and after prosthodontic rehabilitation with bimaxillary complete dentures. Fourteen edentulous patients were randomly selected from the Department of Prosthodontics, at the Faculty of Dental Medicine, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania. The changes that occurred in the lower third of the face after prosthodontic treatment were assessed quantitatively by measuring the vertical projection of the distances between two sets of anthropometric landmarks: Subnasale - cutaneous Pogonion (D1) and Labiale superius - Labiale inferius (D2). A two-way repeated measures ANOVA model design was carried out to test for significant interactions, main effects and differences between the two types of measuring devices and between the initial and final rehabilitation time points. The main effect of the type of measuring device showed no statistically significant differences in the measured distances (p=0.24 for D1 and p=0.39 for D2), between the initial and the final rehabilitation time points. Regarding the main effect of time, there were statistically significant differences in both the measured distances D1 and D2 (p=0.001), between the initial and the final rehabilitation time points. The two methods of measurement were equally reliable in the assessment of lower face morphology changes in edentulous patients after prosthodontic rehabilitation with bimaxillary complete dentures. The differences between the measurements taken before and after prosthodontic rehabilitation proved to be statistically significant.

Effects of hydropower operations on spawning habitat, rearing habitat, and standing/entrapment mortality of fall Chinook salmon in the Hanford Reach of the Columbia River

USGS Publications Warehouse

Anglin, Donald R.; Haeseker, Steven L.; Skalicky, Joseph J.; Schaller, Howard; Tiffan, Kenneth F.; Hatten, James R.; Hoffarth, Paul; Nugent, John; Benner, David; Yoshinaka, Marv

2006-01-01

This report describes research conducted primarily in 2003 and 2004 to evaluate the effects of upstream dam operations on spawning and rearing conditions for fall Chinook salmon, Oncorhynchus tshawytscha, in the Hanford Reach of the Columbia River. Results from habitat modeling tasks which continued in 2005 and 2006 are also included in this report. This study is focused on the effects of streamflows and streamflow fluctuations on 1) entrapment and entrapment mortality of juveniles, 2) adult spawning habitat, and 3) juvenile rearing habitat. An independent peer review was conducted on the draft version of this report utilizing three reviewers, each with different areas of expertise and different levels of knowledge regarding hydrodynamic modeling, fall Chinook biology, life history, and habitat requirements, and fishery issues relating to hydropower development and operations. Peer review comments have been incorporated into this final version.

Stratification of habitats for identifying habitat selection by Merriam's turkeys

Treesearch

Mark A. Rumble; Stanley H. Anderson

1992-01-01

Habitat selection patterns of Merriam’s Turkeys were compared in hierarchical analyses of three levels of habitat stratification. Habitat descriptions in first-level analyses were based on dominant species of vegetation. Habitat descriptions in second-level analyses were based on dominant species of vegetation and overstory canopy cover. Habitat descriptions in third-...

Prioritizing sewer rehabilitation projects using AHP-PROMETHEE II ranking method.

PubMed

Kessili, Abdelhak; Benmamar, Saadia

2016-01-01

The aim of this paper is to develop a methodology for the prioritization of sewer rehabilitation projects for Algiers (Algeria) sewer networks to support the National Sanitation Office in its challenge to make decisions on prioritization of sewer rehabilitation projects. The methodology applies multiple-criteria decision making. The study includes 47 projects (collectors) and 12 criteria to evaluate them. These criteria represent the different issues considered in the prioritization of the projects, which are structural, hydraulic, environmental, financial, social and technical. The analytic hierarchy process (AHP) is used to determine weights of the criteria and the Preference Ranking Organization Method for Enrichment Evaluations (PROMETHEE II) method is used to obtain the final ranking of the projects. The model was verified using the sewer data of Algiers. The results have shown that the method can be used for prioritizing sewer rehabilitation projects.

Stroke Rehabilitation.

PubMed

Belagaje, Samir R

2017-02-01

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

Measuring Patients' Experience of Rehabilitation Services Across the Care Continuum. Part II: Key Dimensions.

PubMed

McMurray, Josephine; McNeil, Heather; Lafortune, Claire; Black, Samantha; Prorok, Jeanette; Stolee, Paul

2016-01-01

To identify key dimensions of patients' experience across the rehabilitative care system and to recommend a framework to develop survey items that measure the rehabilitative care experience. Data were sourced from a literature review that searched MEDLINE (PubMed), CINAHL (Ebsco), and PsycINFO (APA PsycNET) databases from 2004 to 2014, the reference lists of the final accepted articles, and hand searches of relevant journals. Four reviewers performed the screening process on 2472 articles; 33 were included for analysis. Interrater reliability was confirmed through 2 rounds of title review and 1 round of abstract review, with an average κ score of .69. The final sample of 33 accepted articles was imported into a qualitative data analysis software application. Multiple levels of coding and a constant comparative methodology generated 6 themes. There were 502 discreet survey questions measuring patient experience that were categorized using the following dimensions: rehabilitative care ecosystem, client and informal caregiver engagement, patient and health care provider relation, pain and functional status, group and individual identity, and open ended. The most common survey questions examine the care delivery ecosystem (37%), the engagement of clients and their informal caregivers (24.9%), and the quality of relations between providers and patients (21.7%). Examination of patient's functional status and management of pain yielded (15.3%) of the instruments' questions. Currently available instruments and questions that measure patients' experience in rehabilitative care are unable to assess the performance of rehabilitative delivery systems that aspire to integrate care across the continuum. However, question panels derived from our 6 key themes may measure the key concepts that define rehabilitative care and facilitate measurement of patient experience at the system level. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc

Microclimate and propagule availability are equally important for rehabilitation of dryland N-fixing lichens

USGS Publications Warehouse

Bowker, M.A.; Belnap, J.; Davidson, D.W.

2010-01-01

In some arid regions, rehabilitation of whole system N-fixation may be strongly facilitated by the recovery of populations of the lichen genus Collema. Identification of the limits to recovery of Collema in apparently suitable habitat should inform selection of rehabilitation techniques. We simultaneously tested the relative importance of three hypothetical limits to Collema recovery: active erosion, resource limitation, and propagule scarcity. We found that in our experimental system, active erosion had no effect on short-term establishment of Collema, whereas propagule addition did enhance recovery and microhabitat (a resource availability gradient) also exerted a strong influence. It is possible that attempts to improve N cycling via re-establishment of Collema might be best served by developing economical means of simulating moister, cooler microhabitats, e.g., sloping soil or creating partial shade, which would favor the establishment of naturally dispersed propagules, rather than introducing propagules. ?? 2009 Society for Ecological Restoration International.

Fluvial processes and passive rehabilitation of the Lisbon Bottom side-channel chute, Lower Missouri River

USGS Publications Warehouse

Jacobson, Robert B.; Laustrup, Mark S.; Chapman, Michael D.

2001-01-01

Multiple large floods in 1993-1997 on the Lower Missouri River carved a side-channel chute through the river bottom at Lisbon, Missouri. Although similar in some respects to engineered side-channel chutes designed for habitat rehabilitation projects, the Lisbon Bottom chute has been unique in that it was allowed to evolve for more than four years with minimal stabilization. During the wet years, 1996-1999, the chute was subjected to abnormally high discharges and passed as much as 20% of the total discharge of the Missouri River. Relatively unrestrained fluvial processes during this time created a wide channel with highly diverse habitats. The upper one-half of the chute established a shallow, braided channel morphology similar to the pre-managed Missouri River. The lower half established a dynamically migrating, single-thread channel, and an incipient flood plain. Compared to the adjacent navigation channel, the chute established substantial areas of shallow, slow-velocity aquatic habitat that is considered to be in short supply in the present-day Lower Missouri River. The shortterm biological benefits have been mixed: the chute has fewer waterbird and benthic macroinvertebrate taxa than adjacent riverine habitats, but greater numbers of fish species compared to the navigation channel.

Confronting hysteresis: Wood based river rehabilitation in highly altered riverine landscapes of south-eastern Australia

NASA Astrophysics Data System (ADS)

Brooks, Andrew P.; Howell, Timothy; Abbe, Tim B.; Arthington, Angela H.

2006-09-01

This study evaluates an experiment in river rehabilitation which uses large wood to stimulate and emulate natural system processes in an effort to reverse channel degradation, excess sediment transport and habitat simplification that has resulted from two centuries of human induced disturbances, particularly desnagging. The experiment involved the reintroduction of 436 logs (350 t) within 20 engineered log jams (ELJs) over an 1100 m reach. Commencing in 1999, the experiment was set up as a standard BACI design, with a control reach 3 km upstream. In the 5 years since implementing the rehabilitation strategy, the study reach has experienced five floods greater than the mean annual, and a further five events capable of mobilising the gravel bed. Five surveys of channel terrain have been completed since treatment implementation, and the changes to net sediment storage and morphologic diversity assessed in comparison to the control reach. Seven surveys of the fish population in the reach have also been undertaken during the project to measure the ecological response to the introduced wood. The experiment has demonstrated the effectiveness of ELJ technology in achieving engineering and geomorphic goals. To date, the treatment has halted further degradation of the river and increased sediment storage, with the test reach now storing, on average, 40 m 3/1000 m 2 more sediment than in the control. These values, it would appear, represent a new reach-scale dynamic equilibrium storage level over decadal timescales. Additional sediment storage amounts to 3.5 m 3/m 3 of wood added. At the reach scale this additional storage represents a reduction of just 2% or less of the post-European expansion in channel capacity, suggesting far greater efforts are required than those employed here to reverse the cumulative effects of 180 years of channel erosion and simplification. Pool and bar area in the test reach increased by around 5% and 3.5%, respectively, while the corresponding

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

Rehabilitation robotics.

PubMed

Krebs, H I; Volpe, B T

2013-01-01

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

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

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-14

... DEPARTMENT OF EDUCATION National Institute on Disability and Rehabilitation Research-- Disability and Rehabilitation Research Projects and Centers Program, etc. AGENCY: Office of Special Education and...: National Institute on Disability and Rehabilitation Research-- Disability and Rehabilitation Research...

A multisession evaluation of an adaptive competitive arm rehabilitation game.

PubMed

Goršič, Maja; Cikajlo, Imre; Goljar, Nika; Novak, Domen

2017-12-06

People with neurological injuries such as stroke should exercise frequently and intensely to regain their motor abilities, but are generally hindered by lack of motivation. One way to increase motivation in rehabilitation is through competitive exercises, but such exercises have only been tested in single brief sessions and usually did not adapt difficulty to the patient's abilities. We designed a competitive arm rehabilitation game for two players that dynamically adapts its difficulty to both players' abilities. This game was evaluated by two participant groups: 15 participants with chronic arm impairment who exercised at home with an unimpaired friend or relative, and 20 participants in the acute or subacute phase of stroke who exercised in pairs (10 pairs) at a rehabilitation clinic. All participants first played the game against their human opponent for 3 sessions, then played alone (against a computer opponent) in the final, fourth session. In all sessions, participants' subjective experiences were assessed with the Intrinsic Motivation Inventory questionnaire while exercise intensity was measured using inertial sensors built into the rehabilitation device. After the fourth session, a final brief questionnaire was used to compare competition and exercising alone. Participants who played against an unimpaired friend or relative at home tended to prefer competition (only 1 preferred exercising alone), and exhibited higher enjoyment and exercise intensity when competing (first three sessions) than when exercising alone (last session). Participants who played against each other in the clinic, however, did not exhibit significant differences between competition and exercising alone. For both groups, there was no difference in enjoyment or exercise intensity between the first three sessions, indicating no negative effects of habituation or novelty. Competitive exercises have high potential for unsupervised home rehabilitation, as they improve enjoyment and exercise

Pulmonary Rehabilitation

MedlinePlus

... as pulmonary hypertension and interstitial lung disease can benefit as well. What is Pulmonary Rehabilitation? Pulmonary rehabilitation is a program of education and exercise that helps you manage your breathing ...

78 FR 28543 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-15

... Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY... priority under the Rehabilitation Research and Training Center (RRTC) Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR). Specifically, this notice proposes a priority...

78 FR 26560 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-07

... Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY... priority for the Rehabilitation Research and Training Center (RRTC) Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR). Specifically, this notice proposes a priority...

Human disturbance and stage-specific habitat requirements influence snowy plover site occupancy during the breeding season

PubMed Central

Webber, Alyson F; Heath, Julie A; Fischer, Richard A

2013-01-01

Habitat use has important consequences for avian reproductive success and survival. In coastal areas with recreational activity, human disturbance may limit use of otherwise suitable habitat. Snowy plovers Charadrius nivosus have a patchy breeding distribution along the coastal areas on the Florida Panhandle, USA. Our goal was to determine the relative effects of seasonal human disturbance and habitat requirements on snowy plover habitat use. We surveyed 303 sites for snowy plovers, human disturbance, and habitat features between January and July 2009 and 2010. We made multiple visits during three different sampling periods that corresponded to snowy plover breeding: pre-breeding, incubation, and brood-rearing and used multi-season occupancy models to examine whether human disturbance, habitat features, or both influenced site occupancy, colonization (probability of transition from an unoccupied site to an occupied site), and extinction (probability of transition from an occupied site to an unoccupied site). Snowy plover site occupancy and colonization was negatively associated with human disturbance and site extinction was positively associated with human disturbance. Interdune vegetation had a negative effect on occupancy and colonization, indicating that plovers were less likely to use areas with uniform, dense vegetation among dunes. Also, dune shape, beach debris, and access to low-energy foraging areas influenced site occupancy, colonization, and extinction. Plovers used habitat based on beach characteristics that provided stage-specific resource needs; however, human disturbance was the strongest predictor of site occupancy. In addition, vegetation plantings used to enhance dune rehabilitation may negatively impact plover site occupancy. Management actions that decrease human disturbance, such as symbolic fencing and signage, may increase the amount of breeding habitat available to snowy plovers on the Florida Panhandle and in other areas with high human

Cardiac rehabilitation

MedlinePlus

... page: //medlineplus.gov/ency/patientinstructions/000791.htm Cardiac rehabilitation To use the sharing features on this page, please enable JavaScript. Cardiac rehabilitation (rehab) is a program that helps you live ...

Earth is a Marine Habitat. Habitat Conservation Program.

ERIC Educational Resources Information Center

National Oceanic and Atmospheric Administration (DOC), Rockville, MD.

This brochure is intended to educate the public about the need to conserve and preserve the earth's environment (man's habitat). It contains an introduction to the ocean world and threats to coastal habitat. Photos and narrative revolve around the theme "Earth is a Marine Habitat." Sections include: "The Web of…

Project Rehabilitation: A Program Serving Clients Recovering from Substance Dependency.

ERIC Educational Resources Information Center

Weitzman, Kay; Glynn, Lorraine

1987-01-01

Describes a cooperative program between Rockland Community College and the Rockland County Community Mental Health Center (New York) that introduced education and retraining into the final stages of the rehabilitation process for individuals with a history of drug and substance abuse. Discusses program components, budgetary considerations, and…

Client Aggression toward Rehabilitation Counselors Employed by State Vocational Rehabilitation Agencies

ERIC Educational Resources Information Center

Trice, April Lynette

2011-01-01

Through a series of interviews this transcendental phenomenological study explored how rehabilitation counselors employed by state vocational rehabilitation agencies experienced client aggression. More specifically, it examined the circumstances involved when client aggression manifested in the work lives of rehabilitation counselors. This study…

[In-patient (early) rehabilitation].

PubMed

Wallesch, Claus-W; Lautenschläger, Sindy

2017-04-01

It is difficult to develop the financing and hospital provision of interventions for early rehabilitation within the diagnosis-related group (DRG) system. In addition to a range of partially rehabilitative complex interventions, the system recognizes three main forms of early rehabilitative interventions: geriatric, neurological/neurosurgical, and interdisciplinary and others. In this article, the appropriate definitions and cost-effectiveness of these procedures are analyzed and compared. The early rehabilitative interventions are characterized by constant cooperation in the therapeutic team, especially neurological early rehabilitation through the incorporation of nursing as a therapeutic profession. Whereas geriatric and neurological early rehabilitation are reflected in the DRG system, the former provided in many general hospitals and the latter mainly in specialized institutions, interdisciplinary early rehabilitation has only occasionally been represented in the DRG system so far. If all acute in-patients who require early rehabilitation should receive such an intervention, an additional fee must be implemented for this this interdisciplinary service.

Recolonization patterns of ants in a rehabilitated lignite mine in central Italy: Potential for the use of Mediterranean ants as indicators of restoration processes

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ottonetti, L.; Tucci, L.; Santini, G.

2006-03-15

Ant (Hymenoptera: Formicidae) assemblages were sampled with pitfall traps in three different habitats associated with a rehabilitated mine district and in undisturbed forests in Tuscany, Italy. The four habitats were (1) open fields (3-4 years old); (2) a middle-age mixed plantation (10 years); (3) an old-age mixed plantation (20 years); and (4) an oak woodland (40 years) not directly affected by mining activities. The aim of the study was to analyze ant recolonization patterns in order to provide insights on the use of Mediterranean ant fauna as indicators of restoration processes. Species richness and diversity were not significantly different amongmore » the four habitats. However, multivariate analyses showed that the assemblages in the different habitats were clearly differentiated, with similarity relationships reflecting a successional gradient among rehabilitated sites. The observed patterns of functional group changes along the gradient broadly accord with those of previous studies in other biogeographic regions. These were (1) a decrease of dominant Dolichoderinae and opportunists; (2) an increase in the proportion of cold-climate specialists; and (3) the appearance of the Cryptic species in the oldest plantations, with a maximum of abundance in the woodland. In conclusion, the results of our study supported the use of Mediterranean ants as a suitable tool for biomonitoring of restoration processes, and in particular, the functional group approach proved a valuable framework to better interpret local trends in terms of global ecological patterns. Further research is, however, needed in order to obtain a reliable classification of Mediterranean ant functional groups.« less

Inpatient rehabilitation diabetes consult service: a rehabilitation psychology approach to assessment and intervention.

PubMed

Schumann, Kristina P; Touradji, Pegah; Hill-Briggs, Felicia

2010-11-01

Diabetes clinical practice recommendations call for assessment and intervention on diabetes self-management during inpatient hospitalization. Although diabetes is prevalent in inpatient rehabilitation settings, diabetes self-management has not traditionally been a focus of inpatient rehabilitation psychology care. This is because diabetes is often a secondary diagnosis when an individual is admitted to rehabilitation for an acute event. The authors provide a rationale for a role for rehabilitation psychologists in assessing and intervening on the psychosocial, behavioral, and functional self-management needs of individuals with diabetes within the rehabilitation setting. The development of a rehabilitation psychology Inpatient Rehabilitation Diabetes Consultation Service is described. Theoretical and empirical bases for compilation of the assessment and intervention materials are provided. Format and implementation of the service on a university-affiliated inpatient rehabilitation unit is described, with special consideration given to professional issues faced by rehabilitation psychologists and teams. A flexible consultation model was implemented using a guided diabetes psychosocial assessment with brief educational handouts addressing selected key topics (i.e., hyperglycemia, hypoglycemia, blood sugar monitoring, nutrition, physical activity, medication, and, A1C and average blood sugar). The consultation service was feasible and well-accepted by treated individuals and the rehabilitation team. Rehabilitation psychologists are uniquely positioned to address the functional, psychosocial, and behavioral needs of individuals with diabetes. With further research to assess clinical outcomes, this approach may further address practice recommendations for inpatient diabetes care. Moreover, such a diabetes consultation model may be useful on an outpatient rehabilitation basis as well. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

78 FR 42871 - Final Extension of Project Period and Waiver; Rehabilitation Continuing Education Program for the...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-18

...) and continuing education (CE) provided to State vocational rehabilitation (VR) agencies and their...) and continuing education (CE) for State VR agencies and agency partners that cooperate with State VR agencies in [[Page 42872

[Acute Care Rehabilitation is the First Link in a Chain of Rehabilitation Interventions].

PubMed

Beyer, Joachim; Seidel, Egbert J

2017-08-01

An early, intensive rehabilitative therapy accelerates the recovery of the functions of patients. It contributes to a reduction in the complication rate as well as an improvement in physical and social functioning/participation in the long-term follow-up. Early rehabilitation must be strengthened on the basis of the existing structures: the creation and maintenance of adequately qualified early-stage rehabilitation facilities, at least in hospitals with priority and maximum supply contracts. Patients with long-term intensive care and polytrauma must be rehabilitated as soon as possible (intensive medical rehabilitation).Specialists in physical and rehabilitative medicine, rehabilitative geriatrists, neurologists, orthopaedists and accident surgeons and other regional physicians must cooperate in a targeted manner. Exclusion criteria using corresponding OPS codes must be canceled. Additional specialist physician groups (anesthetists and intensive care physicians, general practitioners, accident and thoracic surgeons, internists) must be sensitized to the importance of early rehabilitation.In the case of more than 500,000 hospital beds, 25,000 beds should be identified as age- and diagnosis-independent early-care beds in the country-specific bed-care plans. A cost-covering financing of the different, personal and cost-intensive early rehabilitation must be ensured. A phase model similar to the BAR guidelines for neurological-neurosurgical early rehabilitation is to be considered for other disease entities.In order to make the rehabilitation process as successful as possible, medical (acute) treatment, medical rehabilitation, occupational integration and social integration have to be understood as a holistic event and are effectively interrelated, as a continuous process which accompanies the entire disease phase-wise. For this purpose, a continuous case management or a rehabilitation guidance has to be established. © Georg Thieme Verlag KG Stuttgart · New York.

Ambulatory rehabilitation in multiple sclerosis.

PubMed

Kelleher, Kevin John; Spence, William; Solomonidis, Stephan; Apatsidis, Dimitrios

2009-01-01

Multiple sclerosis (MS) is an autoimmunogenic disease involving demyelination within the central nervous system. Many of the typical impairments associated with MS can affect gait patterns. With walking ability being one of the most decisive factors when assessing quality of life and independent living, this review focuses on matters, which are considered of significance for maintaining and supporting ambulation. This article is an attempt to describe current research and available interventions that the caring healthcare professional can avail of and to review the present trends in research to further these available options. Evidence-based rehabilitation techniques are of interest in the care of patients with MS, given the various existing modalities of treatment. In this review, we summarise the primary factors affecting ambulation and highlight available treatment methods. We review studies that have attempted to characterise gait deficits within this patient population. Finally, as ambulatory rehabilitation requires multidisciplinary interventions, we examine approaches, which may serve to support and maintain ambulation within this patient group for as long as possible.

Tele-rehabilitation using in-house wearable ankle rehabilitation robot.

PubMed

Jamwal, Prashant K; Hussain, Shahid; Mir-Nasiri, Nazim; Ghayesh, Mergen H; Xie, Sheng Q

2018-01-01

This article explores wide-ranging potential of the wearable ankle robot for in-house rehabilitation. The presented robot has been conceptualized following a brief analysis of the existing technologies, systems, and solutions for in-house physical ankle rehabilitation. Configuration design analysis and component selection for ankle robot have been discussed as part of the conceptual design. The complexities of human robot interaction are closely encountered while maneuvering a rehabilitation robot. We present a fuzzy logic-based controller to perform the required robot-assisted ankle rehabilitation treatment. Designs of visual haptic interfaces have also been discussed, which will make the treatment interesting, and the subject will be motivated to exert more and regain lost functions rapidly. The complex nature of web-based communication between user and remotely sitting physiotherapy staff has also been discussed. A high-level software architecture appended with robot ensures user-friendly operations. This software is made up of three important components: patient-related database, graphical user interface (GUI), and a library of exercises creating virtual reality-specifically developed for ankle rehabilitation.

Human Rehabilitation Techniques. Project Papers. Volume IV, Part B.

ERIC Educational Resources Information Center

Dudek, R. A.; And Others

Volume IV, Part B of a six-volume final report (which covers the findings of a research project on policy and technology related to rehabilitation of disabled individuals) presents a continuation of papers (Part A) giving an overview of project methodology, much of the data used in projecting consequences and policymaking impacts in project…

Surface Habitat Systems

NASA Technical Reports Server (NTRS)

Kennedy, Kriss J.

2009-01-01

The Surface Habitat Systems (SHS) Focused Investment Group (FIG) is part of the National Aeronautics and Space Administration (NASA) Johnson Space Center (JSC) effort to provide a focused direction and funding to the various projects that are working on human surface habitat designs and technologies for the planetary exploration missions. The overall SHS-FIG effort focuses on directing and guiding those projects that: 1) develop and demonstrate new surface habitat system concepts, innovations, and technologies to support human exploration missions, 2) improve environmental systems that interact with human habitats, 3) handle and emplace human surface habitats, and 4) focus on supporting humans living and working in habitats on planetary surfaces. The activity areas of the SHS FIG described herein are focused on the surface habitat project near-term objectives as described in this document. The SHS-FIG effort focuses on mitigating surface habitat risks (as identified by the Lunar Surface Systems Project Office (LSSPO) Surface Habitat Element Team; and concentrates on developing surface habitat technologies as identified in the FY08 gap analysis. The surface habitat gap assessment will be updated annually as the surface architecture and surface habitat definition continues to mature. These technologies are mapped to the SHS-FIG Strategic Development Roadmap. The Roadmap will bring to light the areas where additional innovative efforts are needed to support the development of habitat concepts and designs and the development of new technologies to support of the LSSPO Habitation Element development plan. Three specific areas of development that address Lunar Architecture Team (LAT)-2 and Constellation Architecture Team (CxAT) Lunar habitat design issues or risks will be focused on by the SHS-FIG. The SHS-FIG will establish four areas of development that will help the projects prepare in their planning for surface habitat systems development. Those development areas are

The Uniform Data System for Medical Rehabilitation

PubMed Central

Graham, James E.; Granger, Carl V.; Karmarkar, Amol M.; Deutsch, Anne; Niewczyk, Paulette; DiVita, Margaret A.; Ottenbacher, Kenneth J.

2013-01-01

Objective Present yearly aggregated summaries of rehabilitation outcomes at admission, discharge, and follow-up from a national sample of patients receiving inpatient medical rehabilitation for stroke, traumatic brain injury, lower extremity fracture, lower extremity joint replacement, traumatic spinal cord injury, or debility. Design Analysis of secondary data from more than 300 inpatient rehabilitation facilities in the United States that contributed inpatient and follow-up data to the Uniform Data System for Medical Rehabilitation during the period January 2002 through December 2010. Aggregate variables reported include demographic information, social situation, and functional status (FIM® instrument ratings at admission, discharge, and follow-up). Follow-up data were obtained 80–180 days post-discharge through telephone interviews by trained clinical staff. Results The final sample included 287,104 patients with follow-up information. Median time to follow-up was 95 days. Overall, more than 90% of patients within each impairment group were living in the community at follow-up. Follow-up FIM total ratings were stable to slightly increased over time. Change scores (discharge to follow-up) increased in all six groups. Mean FIM gains from discharge to follow-up, as a percentage of mean gains from admission to discharge, varied by impairment category: 46% for spinal cord injury to 71% for lower extremity fracture. Locomotion yielded the lowest ratings at all three assessments within each of the six impairment groups. Conclusions Follow-up data from a national sample of patients discharged from inpatient rehabilitation indicate that gains in mean functional independence scores from both admission to discharge and discharge to follow-up gradually increased from 2002 to 2010. At follow-up, more than 9 out of 10 patients in all 6 groups are living in the community. PMID:24088780

Riverine habitat dynamics

USGS Publications Warehouse

Jacobson, R.B.

2013-01-01

The physical habitat template is a fundamental influence on riverine ecosystem structure and function. Habitat dynamics refers to the variation in habitat through space and time as the result of varying discharge and varying geomorphology. Habitat dynamics can be assessed at spatial scales ranging from the grain (the smallest resolution at which an organism relates to its environment) to the extent (the broadest resolution inclusive of all space occupied during its life cycle). In addition to a potentially broad range of spatial scales, assessments of habitat dynamics may include dynamics of both occupied and nonoccupied habitat patches because of process interactions among patches. Temporal aspects of riverine habitat dynamics can be categorized into hydrodynamics and morphodynamics. Hydrodynamics refers to habitat variation that results from changes in discharge in the absence of significant change of channel morphology and at generally low sediment-transport rates. Hydrodynamic assessments are useful in cases of relatively high flow exceedance (percent of time a flow is equaled or exceeded) or high critical shear stress, conditions that are applicable in many studies of instream flows. Morphodynamics refers to habitat variation resulting from changes to substrate conditions or channel/floodplain morphology. Morphodynamic assessments are necessary when channel and floodplain boundary conditions have been significantly changed, generally by relatively rare flood events or in rivers with low critical shear stress. Morphodynamic habitat variation can be particularly important as disturbance mechanisms that mediate population growth or for providing conditions needed for reproduction, such as channel-migration events that erode cutbanks and provide new pointbar surfaces for germination of riparian trees. Understanding of habitat dynamics is increasing in importance as societal goals shift toward restoration of riverine ecosystems. Effective investment in restoration

Stroke rehabilitation

PubMed Central

Bindawas, Saad M.; Vennu, Vishal S.

2016-01-01

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

The Earth Observation Data for Habitat Monitoring (EODHaM) system

NASA Astrophysics Data System (ADS)

Lucas, Richard; Blonda, Palma; Bunting, Peter; Jones, Gwawr; Inglada, Jordi; Arias, Marcela; Kosmidou, Vasiliki; Petrou, Zisis I.; Manakos, Ioannis; Adamo, Maria; Charnock, Rebecca; Tarantino, Cristina; Mücher, Caspar A.; Jongman, Rob H. G.; Kramer, Henk; Arvor, Damien; Honrado, Joāo Pradinho; Mairota, Paola

2015-05-01

To support decisions relating to the use and conservation of protected areas and surrounds, the EU-funded BIOdiversity multi-SOurce monitoring System: from Space TO Species (BIO_SOS) project has developed the Earth Observation Data for HAbitat Monitoring (EODHaM) system for consistent mapping and monitoring of biodiversity. The EODHaM approach has adopted the Food and Agriculture Organization Land Cover Classification System (LCCS) taxonomy and translates mapped classes to General Habitat Categories (GHCs) from which Annex I habitats (EU Habitats Directive) can be defined. The EODHaM system uses a combination of pixel and object-based procedures. The 1st and 2nd stages use earth observation (EO) data alone with expert knowledge to generate classes according to the LCCS taxonomy (Levels 1 to 3 and beyond). The 3rd stage translates the final LCCS classes into GHCs from which Annex I habitat type maps are derived. An additional module quantifies changes in the LCCS classes and their components, indices derived from earth observation, object sizes and dimensions and the translated habitat maps (i.e., GHCs or Annex I). Examples are provided of the application of EODHaM system elements to protected sites and their surrounds in Italy, Wales (UK), the Netherlands, Greece, Portugal and India.

Rehabilitation Nutrition for Possible Sarcopenic Dysphagia After Lung Cancer Surgery: A Case Report.

PubMed

Wakabayashi, Hidetaka; Uwano, Rimiko

2016-06-01

Sarcopenic dysphagia is characterized by the loss of swallowing muscle mass and function associated with generalized loss of skeletal muscle mass and function. In this report, the authors describe a patient with possible sarcopenic dysphagia after lung cancer surgery and was treated subsequently by rehabilitation nutrition. A 71-year-old man with lung cancer experienced complications of an acute myocardial infarction and pneumonia after surgery. He was ventilated artificially, and a tracheotomy was performed. The patient received diagnoses of malnutrition, severe sarcopenia, and possible sarcopenic dysphagia. His dysphagia was improved by a combination of dysphagia rehabilitation including physical and speech therapy and an improvement in nutrition initiated by a nutrition support team. Finally, he no longer had dysphagia and malnutrition. Sarcopenic dysphagia should be considered in patients with sarcopenia and dysphagia. Rehabilitation nutrition using a combination of both rehabilitation and nutritional care management is presumptively useful for treating sarcopenic dysphagia.

Rehabilitation after stroke.

PubMed

Knecht, Stefan; Hesse, Stefan; Oster, Peter

2011-09-01

Stroke is becoming more common in Germany as the population ages. Its long-term sequelae can be alleviated by early reperfusion in stroke units and by complication management and functional restoration in early-rehabilitation and rehabilitation centers. Selective review of the literature. Successful rehabilitation depends on systematic treatment by an interdisciplinary team of experienced specialists. In the area of functional restoration, there has been major progress in our understanding of the physiology of learning, relearning, training, and neuroenhancement. There have also been advances in supportive pharmacotherapy and robot technology. Well-organized acute and intermediate rehabilitation after stroke can provide patients with the best functional results attainable on the basis of our current scientific understanding. Further experimental and clinical studies will be needed to expand our knowledge and improve the efficacy of rehabilitation.

[Psychology in rehabilitation].

PubMed

Haag, G; Lucius, G

1984-02-01

The article gives an overview of the importance and potentialities of psychology in the context of rehabilitation, outlining, among others, the psychologist's various tasks and functions relative to diagnosis, counselling, and therapy in medical, education, vocational, and psychosocial rehabilitation. Theories describing psychosocial factors involved in the development of, and in coping with, disability are discussed. Further, psychological intervention approaches are set out, focussing on their particular relevance to rehabilitation. Special attention is given to the psychologist's position within the interdisciplinary team, as well as to possibilities for, and requirements of, professional training and further education in rehabilitation psychology. As the various subjects could not be dealth with exhaustively, the article includes numerous references for further reading and links up with subsequent five contributions dealing with the main theme of the present issue of Die Rehabilitation.

Is a rehabilitation treatment taxonomy the right answer to the rehabilitation black box?

PubMed

Cieza, Alarcos; Bickenbach, Jerome

2014-01-01

In this commentary on the development of an interventions taxonomy for medical rehabilitation, a rehabilitation treatment taxonomy (RTT), we acknowledge the authors' valuable contribution to rehabilitation science, and at the same time interrogate the assumption that a taxonomy has essential added value to address the challenge of rehabilitation's black box. The tripartite analytical structure of action of treatment, active ingredient, and mechanism of action, and not an RTT, is the key to addressing the rehabilitation black box. There is a need for clearly defined operationalized requirements of how the 3 components have to be expressed. We also recommend that this concerted effort be linked to all relevant stakeholders and all international endeavors that are pursuing a common goal of enhancing rehabilitation research. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Basal ganglia and beyond: The interplay between motor and cognitive aspects in Parkinson's disease rehabilitation.

PubMed

Ferrazzoli, Davide; Ortelli, Paola; Madeo, Graziella; Giladi, Nir; Petzinger, Giselle M; Frazzitta, Giuseppe

2018-07-01

Parkinson's disease (PD) is characterized by motor and cognitive dysfunctions, affecting the motor behaviour. We summarize evidence that the interplay between motor and cognitive approaches is crucial in PD rehabilitation. Rehabilitation is complementary to pharmacological therapy and effective in reducing the PD disturbances, probably acting by inducing neuroplastic effects. The motor behaviour results from a complex integration between cortical and subcortical areas, underlying the motor, cognitive and motivational aspects of movement. The close interplay amongst these areas makes possible to learn, control and express habitual-automatic actions, which are dysfunctional in PD. The physiopathology of PD could be considered the base for the development of effective rehabilitation treatments. As the volitional action control is spared in early-medium stages of disease, rehabilitative approaches engaging cognition permit to achieve motor benefits and appear to be the most effective for PD. We will point out data supporting the relevance of targeting both motor and cognitive aspects in PD rehabilitation. Finally, we will discuss the role of cognitive engagement in motor rehabilitation for PD. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

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

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-05

...-Term Training Program--Vocational Rehabilitation Counseling AGENCY: Office of Special Education and...: Rehabilitation Long- Term Training Program--Vocational Rehabilitation Counseling Notice inviting applications for... in the priority area of rehabilitation counseling. Absolute Priority 2: This priority is from the...

Deep-sea benthic habitats modeling and mapping in a NE Atlantic seamount (Galicia Bank)

NASA Astrophysics Data System (ADS)

Serrano, A.; González-Irusta, J. M.; Punzón, A.; García-Alegre, A.; Lourido, A.; Ríos, P.; Blanco, M.; Gómez-Ballesteros, M.; Druet, M.; Cristobo, J.; Cartes, J. E.

2017-08-01

This study presents the results of seafloor habitat identification and mapping of a NE Atlantic deep seamount. An ;assemble first, predict later; approach has been followed to identify and map the benthic habitats of the Galicia Bank (NW Iberian). Biotic patterns inferred from the survey data have been used to drive the definition of benthic assemblages using multivariate tools. Eight assemblages, four hard substrates and four sedimentary ones, have been described from a matrix of structural species. Distribution of these assemblages was correlated with environmental factors (multibeam and backscatter data) using binomial GAMs. Finally, the distribution model of each assemblage was applied to produce continuous maps and pooled in a final map with the distribution of the main benthic habitats. Depth and substrate type are key factors when determining soft bottom communities, whereas rocky habitat distribution is mainly explained by rock slope and orientation. Enrichment by northern water masses (LSW) arriving to GB and possible zooplankton biomass increase at vertical-steep walls by ;bottom trapping; can explain the higher diversity of habitat providing filter-feeders at slope rocky breaks. These results concerning vulnerable species and habitats, such as Lophelia and Madrepora communities and black and bamboo coral aggregations were the basis of the Spanish proposal of inclusion within the Natura 2000 network. The aim of the present study was to establish the scientific criteria needed for managing and protecting those environmental values.

Habitat-related specialization of lateral-line system morphology in a habitat-generalist and a habitat-specialist New Zealand eleotrid.

PubMed

Vanderpham, J P; Nakagawa, S; Senior, A M; Closs, G P

2016-04-01

An investigation of intraspecific habitat-related patterns of variation in oculoscapular lateral-line superficial neuromasts (SN) identified a decrease in the ratio of total SNs to pores, and a trend towards decreased asymmetry in SNs in the habitat-generalist common bully Gobiomorphus cotidianus from fluvial habitats compared to lacustrine habitats, suggesting habitat-related phenotypic variability. A greater ratio of pores to SNs, as well as less variation in the total number and asymmetry of SNs observed in the fluvial habitat-specialist redfin bully Gobiomorphus huttoni may provide further evidence of variations in the oculoscapular lateral-line morphology of fluvial habitat G. cotidianus individuals serving as adaptations to more turbulent environments. © 2016 The Fisheries Society of the British Isles.

[Rehabilitation in rheumatology].

PubMed

Luttosch, F; Baerwald, C

2010-10-01

Rehabilitation in rheumatology focuses on prevention of functional disorders of the musculoskeletal system, maintenance of working ability and prevention of care dependency. Drug treatment alone rarely results in long-term remission, therefore rehabilitative measures must be integrated into rheumatic care. Rehabilitative therapy in rheumatology includes physiotherapy, patient education and occupational therapy. Positive effects of physical therapy methods have been proven by various studies. Patient education and occupational therapy are important tools for stabilizing the course of the disease. To maintain positive rehabilitative results patients have to be involved in the selection of treatment measures and should take an active part in the long-term treatment process. Despite proven efficacy of physical measures there is evidence for a lack of utilization of rehabilitative therapy due to increasing cost pressure in the health care system which will further increase over time.

The uniform data system for medical rehabilitation: report of patients with traumatic spinal cord injury discharged from rehabilitation programs in 2002-2010.

PubMed

Granger, Carl V; Karmarkar, Amol M; Graham, James E; Deutsch, Anne; Niewczyk, Paulette; Divita, Margaret A; Ottenbacher, Kenneth J

2012-04-01

This study aimed to provide benchmarking information from a large national sample of patients receiving inpatient rehabilitation after a traumatic spinal cord injury. This was an analysis of secondary data from 891 inpatient medical rehabilitation facilities in the United States that contributed traumatic spinal cord injury data to the Uniform Data System for Medical Rehabilitation from January 2002 to December 2010. Variables analyzed included demographic information (age, sex, marital status, race/ethnicity, prehospital living setting, discharge setting), hospitalization information (length of stay, program interruptions, payer, onset date, rehabilitation impairment group, International Classification of Diseases 9 codes for admitting diagnosis, co-morbidities), and functional status (Functional Independence Measure [FIM] instrument ratings at admission and discharge, FIM efficiency, FIM gain). The final sample included 47,153 patients with traumatic spinal cord injury. Overall, the mean length of stay was 26.2 ± 23.2 days: yearly means ranged from 29.7 ± 25.4 in 2002 to 22.9 ± 18.9 in 2009. FIM total admission and discharge ratings also declined during the 8-yr study period; admission decreased from 60.5 ± 17.4 to 55.9 ± 16.3; discharge decreased from 86.1 ± 23.8 to 82.4 ± 23.4. Rehabilitation efficiency (FIM gain per day) remained relatively stable over time (1.6 ± 1.7 points per day). The percentage of all patients discharged to the community ranged from 75.8% to 71.5% per year. Wheelchair users stayed in rehabilitation longer than did persons who could walk (34.6 ± 217.4 vs. 17.4 ± 14.1 days) and also experienced less functional improvement (21.6 ± 15.8 vs. 29.6 ± 16.3 FIM points). National data from persons with traumatic spinal cord injury in 2002-2010 indicate that lengths of stay declined, but efficiency in functional independence was stable to slightly increased. More than 70% of patients were consistently discharged to community settings

Postacute Care in Cancer Rehabilitation.

PubMed

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

2017-02-01

Acute care is usually associated with disease progression, treatments for cancer, and medical comorbidities. Patients with cancer may develop sudden functional deficits that require rehabilitation. Some of these patients benefit from acute rehabilitation, others benefit from subacute rehabilitation. After acute rehabilitation, continuous care for these patients has not been well described. Three studies are presented to demonstrate that cancer rehabilitation is a continuous process. Rehabilitation professionals should know how to detect fall risk, monitor symptoms, and render symptom management. Patients with cancer often require rehabilitation services during their entire disease trajectory. Copyright © 2016 Elsevier Inc. All rights reserved.

[Interdisciplinary cooperation in rehabilitation--problem solving following severe craniocerebral injury].

PubMed

Hackspacher, J; Dern, W; Jeschke, H A

1991-05-01

Therapy and rehabilitation of patients with craniocerebral trauma is particularly difficult to programme on account of the neuropsychological defects and personality changes found in this population. The Ulm rehabilitation hospital seeks to face up to this fact by intense interdisciplinary cooperation in the nursing and medical sector, the fields of logopaedics, Occupational Therapy, physiotherapy, immediate post-acute therapy including cerebral training, as well as the entire field of vocational rehabilitation. A dense time schedule has been established for graded introduction of the necessary therapeutic interventions in the sense of a therapy chain, with intense information flows among the therapists involved, thus ensuring a continuous process and joint adjustment of programming to the individual course, to new problems that may arise. The implementation of this concept is set out on the example of a young patient with craniocerebral injury, who had received treatment in various of our departments for a total of 12 months, finally bringing him up to the conclusion of his vocational education.

Current status of psychiatric rehabilitation in Portugal: A national survey.

PubMed

Teixeira, Carina; Santos, Eduardo; Abreu, Manuel Viegas; Rogers, E Sally

2015-09-01

This article reports on the current state of psychiatric rehabilitation in Portugal. A paper-and-pencil survey was sent to 70 institutions to inquire about the provision of psychiatric rehabilitation services and programs. With a response rate of 40%, 14% of institutions indicated that supported education was provided, 36% offered nonmainstream vocational training, and 29% provided supported employment; none provided evidence-based Individual Placement and Support. Permanent group homes in the community (29%) followed by transitional group homes on institutional grounds (18%) were the most common residential services, with supported housing services (14%) offered less frequently. Finally, 93% of institutions offered occupational activities, 61% provided multifamily psychoeducation, and 36% provided single-family psychoeducation. Despite recent national initiatives promoting effective psychiatric rehabilitation services, supported employment, supported education, and supported housing are not widely implemented in Portugal. To achieve better outcomes for clients, it is critical that evidence-based and promising practices be extensively disseminated. (c) 2015 APA, all rights reserved).

Simulated effects of habitat loss and fragmentation on a solitary, mustellid predator

DOE Office of Scientific and Technical Information (OSTI.GOV)

Jager, Yetta; Carr, Eric A; Efroymson, Rebecca Ann

2005-01-01

Brine spills associated with petroleum extraction can reduce the amount of suitable habitat and increase habitat fragmentation for many terrestrial animals. We conducted a simulation study to quantify the effects of habitat loss and fragmentation on a solitary mammal predator. To provide focus, we adopted biological attributes of the American badger (Taxidea taxus) and environmental attributes of the Tallgrass Prairie Preserve in Oklahoma. We simulated badger activities on landscapes with different degrees of habitat loss and fragmentation using a spatially explicit and individual-based population model. Both habitat loss and fragmentation increased the incidence of habitat-related mortality and decreased the proportionmore » of eligible females that mated, which decreased final population sizes and the likelihood of persistence. Parameter exploration suggested that steep, threshold-like, responses to habitat loss occurred when animals included high-risk habitat in their territories. Badger populations showed a steeper decline with increasing habitat loss on landscapes fragmented by spills than on less fragmented landscapes. Habitat fragmentation made it difficult for badgers to form high-quality territories, and exposed individuals to higher risk while seeking to establish a territory. Our simulations also suggest that an inability to find mates (an Allee effect) becomes increasingly important for landscapes that support a sparse distribution of territories. Thus, the presence of unmated females with territories may foreshadow population decline in solitary species that do not normally tolerate marginal adults.« less

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

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-08

... Rehabilitation (VR) and Developing Strategies To Meet Employer Needs in Changing Economic Environments AGENCY...--Rehabilitation Research and Training Center (RRTCs) on Vocational Rehabilitation (VR) and Developing Strategies... Background The Rehabilitation Act authorizes the establishment of the State VR Services Program (VR Program...

Habitat selection by breeding red-winged blackbirds

USGS Publications Warehouse

Albers, P.H.

1978-01-01

Habitat preferences of breeding Red-winged Blackbirds in an agricultural area were determined by comparing population density, landscape characteristics, and vegetational descriptions. Observations were made throughout the breeding season. Preferred breeding habitats of Red-wings, in order of preference, were wetlands, hayfields, old fields, and pastures. Males and females occupied old fields and wetlands first, then hayfields, and finally, pastures. Cutting of hayfields caused territorial abandonment by both sexes within 48 h. The apparent movement of displaced females from cut hayfields to uncut hayfields suggests that habitat fidelity of females is strong after the breeding effort has begun. Breeding Red-wings exhibited general preferences for trees, large amounts of habitat edge, erect old vegetation, and sturdy, tall, and dense vegetation. Vegetative forms and species, such as upland grasses, broad- and narrow-leafed monocots in wetlands, and forbs were important to the Red-wing at various times during the breeding season. Landscape and vegetational preferences of breeding adults were easier to observe early in the breeding season (March through May) than later. Vegetational growth and increases in the size of the breeding population probably make these preferences more difficult to detect. Territory size was poorly correlated with landscape and vegetational characteristics in uplands but strongly correlated with broad- and narrow-leafed mono cots and vegetative height in wetlands. Wetland territories were smaller than upland territories. Territories increased in size during the middle and late portions of the breedi g season. Habitat selection by the Red-winged Blackbird can best be studied by evaluating vegetative preferences throughout the breeding season.

Rehabilitation of vulnerable groups in emergencies and disasters: A systematic review

PubMed Central

Sheikhbardsiri, Hojjat; Yarmohammadian, Mohammad H.; Rezaei, Fatemeh; Maracy, Mohammad Reza

2017-01-01

BACKGROUND: Natural and man-made disasters, especially those occurring in large scales not only result in human mortality, but also cause physical, psychological, and social disabilities. Providing effective rehabilitation services in time can decrease the frequency of such disabilities. The aim of the current study was to perform a systematic review related to rehabilitation of vulnerable groups in emergencies and disasters. METHODS: The systematic review was conducted according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. The key words “recovery”, “rehabilitation”, “reconstruction”, “transformation”, “transition”, “emergency”, “disaster”, “crisis”, “hazard”, “catastrophe”, “tragedy”, “mass casualty incident”, “women”, “female”, “children”, “pediatric”, “disable”, “handicap”, “elder”, “old” and “vulnerable” were used in combination with Boolean operators OR and AND. ISI Web of Science, PubMed, Scopus, Science Direct, Ovid, ProQuest, Wiley, Google Scholar were searched. RESULTS: In this study a total of 11 928 articles were considered and 25 articles were selected for final review of rehabilitation of vulnerable groups based on the objective of this study. Twenty-five studies including six qualitative, sixteen cross-sectional and three randomized controlled trials were reviewed for rehabilitation of vulnerable groups in emergencies and disasters. Out of the selected papers, 23 were studied based on rehabilitation after natural disasters and the remaining were man-made disasters. Most types of rehabilitation were physical, social, psychological and economic. CONCLUSION: The review of the papers showed different programs of physical, physiological, economic and social rehabilitations for vulnerable groups after emergencies and disasters. It may help health field managers better implement standard rehabilitation activities for

Are vent crab behavioral preferences adaptations for habitat choice?

PubMed

Dahms, Hans-Uwe; Tseng, Li-Chun; Hwang, Jiang-Shiou

2017-01-01

Hydrothermal vent organisms are adapted to their extreme and patchily distributed habitats. They are expected to have evolved mechanisms that keep them in their specific habitation. Since little is known about the recruitment or habitat selection of HV organisms such as brachyurans, we examined the properties of several hydrothermal vent-associated cues on the behavior of the hydrothermal vent (HV) crab Xenograpsus testudinatus in the laboratory that were contrasted by the offering of non-vent cues. This crab species is endemic and dominates the vent fauna of Turtle Island off the NE coast of Taiwan. HV crabs were separately and in combination offered the following vent-specific cues: (1) sulfuric sediment, (3) air-bubbling, (4) elevated temperature, (5) dead settled zooplankton, (7) other crabs, and (8) shade. The non-vent-specific cues were: (2) quarz sediment, (6) dead fish, (8) light. These cues were provided on either side of a two-choice chamber. The movement of individual crabs was monitored: as initial and final choices, and as the proportion of time the crabs spent in each compartment (resident time). Cues were offered alone and no such cue as a control in the same set-up. Sulfuric sediments and dead fish were significantly more attractive to females, and other crabs irrespective of gender were significantly more attractive to males. When compared to expected distributions, crabs, irrespective of gender, significantly avoided light and tended to select other crabs, air-bubbling, sulfuric sediment, elevated temperature, dead fish, dead zooplankton, and quarz sediments in the order of decreasing importance. Data do not support the hypothesis that dead settled zooplankton was particularly attractive nor that the other gender was selected. A combination of several vent-associated cues (sulfuric sediment, elevated temperature, air-bubbling) facilitated the strongest attraction to the crabs as reflected by all response variables. The 'first choice' responses

Community-Based Rehabilitation to Improve Stroke Survivors' Rehabilitation Participation and Functional Recovery.

PubMed

Ru, Xiaojuan; Dai, Hong; Jiang, Bin; Li, Ninghua; Zhao, Xingquan; Hong, Zhen; He, Li; Wang, Wenzhi

2017-07-01

The aim of this study was to evaluate the effectiveness of a community-based rehabilitation appropriate technique (CRAT) intervention program in increasing rehabilitation participation and improving functional recovery of stroke survivors. This study followed a quasi-experimental design. In each of 5 centers servicing approximately 50,000 individuals, 2 communities were designated as either the intervention or control community. A CRAT intervention program, including 2-year rehabilitation education and 3-month CRAT treatment, was regularly implemented in the intervention communities, whereas there was no special intervention in the control community. Two sampling surveys, at baseline and after intervention, were administered to evaluate the rehabilitation activity undertaken. In intervention communities, stroke survivor's motor function, daily activity, and social activity were evaluated pretreatment and posttreatment, using the Fugl-Meyer Motor Function Assessment, Barthel index, and Social Functional Activities Questionnaire. The proportion of individuals participating in rehabilitation-related activity was increased significantly (P < 0.05) in intervention communities, as compared with control communities. In intervention communities, the patients' Fugl-Meyer Motor Function Assessment, Barthel index, and Social Functional Activities Questionnaire scores were significantly improved after rehabilitation (P < 0.05) across all ages and disease courses, except for the FAQ scores in patients younger than 50 years (P > 0.05). Community-based rehabilitation appropriate technique increases rehabilitation participation rates and enhances motor function, daily activity, and social activity of stroke survivors.

38 CFR 21.4002 - Finality of decisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Finality of decisions. 21.4002 Section 21.4002 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Administration of Educational Assistance Programs Administrative § 21...

38 CFR 21.4002 - Finality of decisions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Finality of decisions. 21.4002 Section 21.4002 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Administration of Educational Assistance Programs Administrative § 21...

Computer Assisted REhabilitation (CARE) Lab: A novel approach towards Pediatric Rehabilitation 2.0.

PubMed

Olivieri, Ivana; Meriggi, Paolo; Fedeli, Cristina; Brazzoli, Elena; Castagna, Anna; Roidi, Marina Luisa Rodocanachi; Angelini, Lucia

2018-01-01

Pediatric Rehabilitation therapists have always worked using a variety of off-the-shelf or custom-made objects and devices, more recently including computer based systems. These Information and Communication Technology (ICT) solutions vary widely in complexity, from easy-to-use interactive videogame consoles originally intended for entertainment purposes to sophisticated systems specifically developed for rehabilitation.This paper describes the principles underlying an innovative "Pediatric Rehabilitation 2.0" approach, based on the combination of suitable ICT solutions and traditional rehabilitation, which has been progressively refined while building up and using a computer-assisted rehabilitation laboratory. These principles are thus summarized in the acronym EPIQ, to account for the terms Ecological, Personalized, Interactive and Quantitative. The paper also presents the laboratory, which has been designed to meet the children's rehabilitation needs and to empower therapists in their work. The laboratory is equipped with commercial hardware and specially developed software called VITAMIN: a virtual reality platform for motor and cognitive rehabilitation.

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…

Genetic identity of brook trout in Lake Superior south shore streams: Potential for genetic monitoring of stocking and rehabilitation efforts

USGS Publications Warehouse

Sloss, Brian L.; Jennings, Martin J.; Franckowiak, R.; Pratt, D.M.

2008-01-01

Rehabilitation of migratory ('coaster') brook trout Salvelinus fontinalis along Lake Superior's south shore is a topic of high interest among resource stakeholders and management agencies. Proposed strategies for rehabilitation of this brook trout life history variant in Wisconsin include supplemental stocking, watershed management, habitat rehabilitation, harvest regulations, or a combination thereof. In an effort to evaluate the success of coaster brook trout rehabilitation efforts, we collected genetic data from four populations of interest (Whittlesey Creek, Bois Brule River, Bark River, and Graveyard Creek) and the hatchery sources used in the Whittlesey Creek supplementation experiment. We characterized the genetic diversity of 30 individuals from each of four populations using 13 microsatellite DNA loci. Levels of genetic variation were consistent with those in similar studies conducted throughout the basin. Significant genetic variation among the populations was observed, enabling adequate population delineation through assignment tests. Overall, 208 of the 211 sampled fish (98.6%) were correctly assigned to their population of origin. Simulated F1 hybrids between two hatchery strains and the Whittlesey Creek population were identifiable in the majority of attempts (90.5-100% accuracy with 0-2.5% error). The genetic markers and analytical techniques described provide the ability to monitor the concurrent coaster brook trout rehabilitation efforts along Wisconsin's Lake Superior south shore, including the detection of hybridization between hatchery and native populations. ?? Copyright by the American Fisheries Society 2008.

Development of low head Kaplan turbine for power station rehabilitation project

NASA Astrophysics Data System (ADS)

Lim, S. M.; Ohtake, N.; Kurosawa, S.; Suzuki, T.; Yamasaki, T.; Nishi, H.

2012-11-01

This paper presents the latest Kaplan turbine rehabilitation project for Funagira Power Station in Japan completed by J-POWER Group in collaboration with Toshiba Corporation. Area of rehabilitation was restricted to guide vane and runner. The main goal of the rehabilitation project was to expand the operating range of the existing turbine in terms of discharge and power with high operational stability, low noise as well as high cavitation performance. Computational Fluids Dynamics and model test were used to optimize the shape of guide vane and runner in development stage. Finally, field tests and runner inspection were carried out to confirm the performance of the new turbine. It was found that the new turbine has excellent performance in efficiency, power output, operational stability compared with existing turbine. Moreover, no sign of cavitation on the runner blade surface was observed after 5078 hours of operation near 100% load.

Is Pilates an effective rehabilitation tool? A systematic review.

PubMed

Byrnes, Keira; Wu, Ping-Jung; Whillier, Stephney

2018-01-01

Pilates is a system of exercise focusing upon controlled movement, stretching and breathing. Pilates is popular today not only for physical fitness but also for rehabilitation programs. This paper is a review of the literature on the effectiveness of Pilates as a rehabilitation tool in a wide range of conditions in an adult population. A systematic literature review was carried out according to the PRISMA guidelines. Electronic databases were searched for cohort studies or randomised controlled trials (RCTs), and inclusion and exclusion criteria were applied. The final RCTs were assessed using the PEDro and CONSORT 2010 checklists. Twenty-three studies, published between 2005 and 2016, met the inclusion criteria. These papers assessed the efficacy of Pilates in the rehabilitation of low back pain, ankylosing spondylitis, multiple sclerosis, post-menopausal osteoporosis, non-structural scoliosis, hypertension and chronic neck pain. Nineteen papers found Pilates to be more effective than the control or comparator group at improving outcomes including pain and disability levels. When assessed using the CONSORT and PEDro scales, the quality of the papers varied, with more falling toward the upper end of the scale. The majority of the clinical trials in the last five years into the use of Pilates as a rehabilitation tool have found it to be effective in achieving desired outcomes, particularly in the area of reducing pain and disability. It indicates the need for further research in these many areas, and especially into the benefits of particular Pilates exercises in the rehabilitation of specific conditions. Copyright © 2017 Elsevier Ltd. All rights reserved.

78 FR 69569 - Endangered and Threatened Wildlife and Plants; Designation of Critical Habitat for the Jemez...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-20

... DEPARTMENT OF THE INTERIOR Fish and Wildlife Service 50 CFR Part 17 [Docket No. FWS-R2-ES-2013... Habitat for the Jemez Mountains Salamander AGENCY: Fish and Wildlife Service, Interior. ACTION: Final rule. SUMMARY: We, the U.S. Fish and Wildlife Service, designate critical habitat for the Jemez Mountains...

77 FR 71041 - Endangered and Threatened Wildlife and Plants; Designation of Critical Habitat for the Southern...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-28

...We, the U.S. Fish and Wildlife Service, designate critical habitat for the southern Selkirk Mountains population of woodland caribou (Rangifer tarandus caribou) under the Endangered Species Act. In total, approximately 30,010 acres (12,145 hectares) is being designated as critical habitat. The critical habitat is located in Boundary County, Idaho, and Pend Oreille County, Washington. We are finalizing this action in compliance with our obligation under the Act and in compliance with a court-approved settlement agreement. The effect of this regulation is to conserve the habitat essential to the southern Selkirk Mountains population of woodland caribou.

Stroke rehabilitation.

PubMed

Langhorne, Peter; Bernhardt, Julie; Kwakkel, Gert

2011-05-14

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

Geriatric Rehabilitation ('Alters-Rehabilitation'): The New Challenge for Social Medicine and Science.

ERIC Educational Resources Information Center

Barolin, G. S.

1996-01-01

This discussion of geriatric rehabilitation stresses the importance of holistic and permanent rehabilitation with a fluent transition from the acute phase to the rehabilitation phase under one specialist's care and in one institution. Recommendations include mixed age groups in one ward; systematic education of relatives; follow-up rehabilitation…

75 FR 21273 - Office of Special Education and Rehabilitative Services; Overview Information; Rehabilitation...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-23

... Rehabilitation of Individuals Who are Mentally Ill. 84.129J Rehabilitation Psychology. 84.129P Specialized... Mentally Ill. 84.129J Rehabilitation 100,000 2 Psychology. 84.129P Specialized Personnel 100,000 3 for...

Summary Report for Bureau of Fisheries Stream Habitat Surveys : Clearwater, Salmon, Weiser, and Payette River Basins, 1934-1942, Final Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

McIntosh, Bruce A.; Clark, Sharon E.; Sedell, James R.

This document contains summary reports of stream habitat surveys, conducted in Idaho, by the Bureau of Fisheries (BOF, now National Marine Fisheries Service) from 1938-1942.. These surveys were part of a larger project to survey streams in the Columbia River basin that provided, or had provided, spawning and rearing habitat for salmon and steelhead (Rich, 1948). The purpose of the survey was, as described by Rich, 'to determine the present condition of the various tributaries with respect to their availability and usefulness for the migration, breeding, and rearing of migratory fishes'. The Idaho portion of the survey consisted of extensivemore » surveys of the Clearwater, Salmon, Weiser, and Payette River Subbasins. Current estimates of the loss of anadromous fish habitat in the Columbia River Basin are based on a series of reports published from 1949-1952 by the U.S. Fish and Wildlife Service. The reports were brief, qualitative accounts of over 5000 miles of stream surveys conducted by the BOF from 1934-1946 (Bryant, 1949; Bryant and Parkhurst, 1950; Parkhurst, 1950a-c; Parkhurst et al., 1950). Despite their brevity, these BOF reports have formed the basis for estimating fish habitat losses and conditions in the Columbia River Basin (Fulton, 1968, 1970; Thompson, 1976; NPPC, 1986). Recently, the field notebooks from the BOF surveys were discovered. The data is now archived and stored in the Forest Science DataBank at Oregon State University (Stafford et al., 1984; 1988). These records are the earliest and most comprehensive documentation available of the condition and extent of anadromous fish habitat before hydropower development in the Columbia River Basin. They provide the baseline data for quantifying changes and setting a benchmark for future restoration of anadromous fish habitat throughout the Basin. The summaries contained in this book are exact replicates of the originals. Due to discrepancies between the field data and the summaries, the database

Selection for inpatient rehabilitation after severe stroke: what factors influence rehabilitation assessor decision-making?

PubMed

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

2013-01-01

This study aimed to identify factors that assessors considered important in decision-making regarding suitability for inpatient rehabilitation after acute severe stroke. Multi-site prospective observational cohort study. Consecutive acute, severe stroke patients and their assessors for inpatient rehabilitation. Rehabilitation assessors completed a questionnaire, rating the importance (10 point visual analogue scale) and direction (positive, negative or neutral) of 15 patient related and 2 organisational items potentially affecting their decision regarding patients' acceptance to rehabilitation. Of the 75 patients referred to rehabilitation and included in this study 61 (81.3%) were accepted for inpatient rehabilitation. The items considered to be most important in the decision to accept the patient for rehabilitation were pre-morbid cognition, pre-morbid mobility and pre-morbid communication. For those not accepted the most important items were current mobility, social support and current cognition. Factor analysis revealed 3 underlying factors, interpreted as post-stroke status, pre-morbid status, and social attributes, accounting for 61.8% of the total variance. All were independently associated with acceptance for rehabilitation (p < 0.05). This study highlights the importance of pre-morbid function and social factors in addition to post-stroke function in the decision making process for acceptance to rehabilitation following severe stroke. Future models for selection for rehabilitation should consider inclusion of these factors.

Quantification of the inevitable: the influence of soil macrofauna on soil water movement in rehabilitated open-cut mined lands

NASA Astrophysics Data System (ADS)

Arnold, S.; Williams, E. R.

2016-01-01

Recolonisation of soil by macrofauna (especially ants, termites and earthworms) in rehabilitated open-cut mine sites is inevitable and, in terms of habitat restoration and function, typically of great value. In these highly disturbed landscapes, soil invertebrates play a major role in soil development (macropore configuration, nutrient cycling, bioturbation, etc.) and can influence hydrological processes such as infiltration, seepage, runoff generation and soil erosion. Understanding and quantifying these ecosystem processes is important in rehabilitation design, establishment and subsequent management to ensure progress to the desired end goal, especially in waste cover systems designed to prevent water reaching and transporting underlying hazardous waste materials. However, the soil macrofauna is typically overlooked during hydrological modelling, possibly due to uncertainties on the extent of their influence, which can lead to failure of waste cover systems or rehabilitation activities. We propose that scientific experiments under controlled conditions and field trials on post-mining lands are required to quantify (i) macrofauna-soil structure interactions, (ii) functional dynamics of macrofauna taxa, and (iii) their effects on macrofauna and soil development over time. Such knowledge would provide crucial information for soil water models, which would increase confidence in mine waste cover design recommendations and eventually lead to higher likelihood of rehabilitation success of open-cut mining land.

Recommendations for clinical practice and research in severe brain injury in intensive rehabilitation: the Italian Consensus Conference.

PubMed

De Tanti, A; Zampolini, M; Pregno, S

2015-02-01

The paper reports the final statements of the jury of a National Consensus Conference organized in November 2010 at Salsomaggiore (Parma) to draw up recommendations on the rehabilitation programs for acquired brain injury (sABI) patients in the intensive hospital phase. Because of the few clinical studies of good quality found by means of the literature research we choose a mixed approach: a systematic review of the published studies and a consensus conference in order to obtain recommendations that come from the clinical evidence and the expert opinion. The final recommendations of the jury, based on the best available evidence combined with clinical expertise and the experience of persons with disabilities and other stakeholders, cover 13 topics: 1) Management of paroxysmal manifestations (sympathetic storms); 2) management of neuroendocrine problems; 3) nutrition; 4) swallowing; 5) ventilation/respiration, 6) clinical and instrument diagnosis and prognosis of vegetative state (VS) and minimally conscious state (MCS), 7) rehabilitative and pharmacological facilitation of renewed contact with surroundings; 8) neurosurgical complications and hydrocephalus; 9) sensorimotor impairment and disability; 10) rehabilitation methods; 11) assessment and treatment of cognitive-behavioural impairment and disability; 12) methodology and organization of care; 13) involving family and caregivers in rehabilitation.

The Uniform Data System for Medical Rehabilitation Report of Patients with Traumatic Spinal Cord Injury Discharged from Rehabilitation Programs in 2002 – 2010

PubMed Central

Granger, Carl V.; Karmarkar, Amol M.; Graham, James E.; Deutsch, Anne; Niewczyk, Paulette; DiVita, Margaret A.; Ottenbacher, Kenneth J.

2012-01-01

Objective Provide benchmarking information from a large national sample of patients receiving inpatient rehabilitation following a traumatic spinal cord injury. Design Analysis of secondary data from 891 inpatient medical rehabilitation facilities in the United States that contributed traumatic spinal cord injury data to the Uniform Data System for Medical Rehabilitation (UDSmr) during the period January 2002 through December 2010. Variables analyzed included demographic information (age, sex, marital status, race/ethnicity, pre-hospital living setting, discharge setting), hospitalization information (length of stay, program interruptions, payer, onset date, rehabilitation impairment group, ICD-9 codes for admitting diagnosis, comorbidities), and functional status (FIM® instrument [“FIM”] ratings at admission and discharge, FIM efficiency, FIM gain). Results The final sample included 47,153 patients with traumatic spinal cord injury. Overall mean length of stay = 26.2 (±23.2) days: yearly means ranged from 29.7 (±25.4) in 2002 to 22.9 (±18.9) in 2009. FIM total admission and discharge ratings also declined over the 8-year study period: admission decreased from 60.5 (± 17.4) to 55.9 (±16.3); discharge decreased from 86.1 (±23.8) to 82.4 (±23.4). Rehabilitation efficiency (FIM gain per day) remained relatively stable over time (1.6 ±1.7 points per day). The percentage of all patients discharged to the community ranged from 75.8% to 71.5% per year. Wheelchair users stayed in rehabilitation longer than persons who could walk (34.6 ±217.4 vs. 17.4 ±14.1 days) and also experienced less functional improvement (21.6 ±15.8 vs. 29.6 ±16.3 FIM points). Conclusions National data from persons with traumatic spinal cord injury in 2002-2010 indicate that lengths of stay declined, but efficiency in functional independence was stable to slightly increased. Over seventy percent of patients were consistently discharged to community settings following inpatient

[Social inequality in medical rehabilitation].

PubMed

Deck, Ruth; Hofreuter-Gätgens, Kerstin

2016-02-01

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

Wildlife and Wildlife Habitat Loss Assessment at Green Peter-Foster Project; Middle Fork Santiam River, Oregon, 1985 Final Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Noyes, J.H.

1986-02-01

A habitat based assessment was conducted of the US Army Corps of Engineers' Green Peter-Foster Dam and Reservoir Project on the Middle Fork Santiam River, Oregon, to determine losses or gains resulting from the development and operation of the hydroelectric related components of the project. Preconstruction, postconstruction, and recent vegetation cover types at the project site were mapped based on aerial photographs from 1955, 1972, and 1979, respectively. Vegetation cover types were identified within the affected area and acreages of each type at each period were determined. Eleven wildlife target species were selected to represent a cross-section of species groupsmore » affected by the project. An interagency team evaluated the suitability of the habitat to support the target species at each time period. An evaluation procedure which accounted for both the quantity and quality of habitat was used to aid in assessing impacts resulting from the project. The Green Peter-Foster Project extensively altered or affected 7873 acres of land and river in the Santiam River drainage. Impacts to wildlife centered around the loss of 1429 acres of grass-forb vegetation, 768 acres of shrubland, and 717 acres of open conifer forest cover types. Impacts resulting from the Green Peter-Foster Project included the loss of critical winter range for black-tailed deer and Roosevelt elk, and the loss of year-round habitat for deer, upland game birds, river otter, beaver, pileated woodpecker, and many other wildlife species. Bald eagle and osprey were benefited by an increase in foraging habitat. The potential of the affected area to support wildlife was greatly altered as a result of the Green Peter-Foster Project. Losses or gains in the potential of the habitat to support wildlife will exist over the life of the project.« less

Identifying Kittlitz's Murrelet nesting habitat in North America at the landscape scale

USGS Publications Warehouse

Felis, Jonathan J.; Kissling, Michelle L.; Kaler, Robb S.A.; Kenney, Leah A.; Lawonn, Matthew J.

2016-01-01

The Kittlitz's Murrelet (Brachyramphus brevirostris) is a small, non-colonial seabird endemic to marine waters of Alaska and eastern Russia that may have experienced significant population decline in recent decades, in part because of low reproductive success and terrestrial threats. Although recent studies have shed new light on Kittlitz's Murrelet nesting habitat in a few discrete areas, the location and extent of suitable nesting habitat throughout most of its range remains unclear. Here, we have compiled all existing nest records and locations to identify landscape-scale parameters (distance to coast, elevation, slope, and land cover) that provide potential nesting habitat in four regions: northern Alaska, Aleutian Islands, Alaska Peninsula Mountains and Kodiak Island, and Pacific Coastal Mountains (including nearshore interior Canada). We produced a final map classifying 12% (70,411 km2) of the lands assessed as potential Kittlitz's Murrelet nesting habitat, with dense but distinct patches in northern Alaska and a more uninterrupted, narrow band extending across the Pacific Coastal Mountains, Alaska Peninsula Mountains, and Aleutian Islands. The extent of habitat-capable parameter values varied regionally, indicating that the Kittlitz's Murrelet may be able to use a variety of habitats for nesting, depending on availability. Future nesting habitat studies could employ spatially random sampling designs to allow for quantitatively robust modeling of nesting habitat and predictive extrapolation to areas where nests have not been located but likely exist.

Existential struggle and self-reported needs of patients in rehabilitation.

PubMed

Sigurgeirsdottir, Jonina; Halldorsdottir, Sigridur

2008-02-01

This paper is a report of a study to increase understanding of patients' experience of rehabilitation and their self-reported needs in that context. Nurses need to be able to recognize patient needs to plan effective and individualized care. Needs-led nursing care is emphasized in the nursing literature, but few studies in rehabilitation have explored needs from the patient's perspective. The sample of this phenomenological study was purposively selected and the data consisted of 16 in-depth interviews with 12 people aged between 26 and 85 years. The data were collected in 2005. The findings showed that being a patient in rehabilitation involves existential struggling, as the reason behind patients' rehabilitation, accident or illness usually leads to trying to cope with existential changes while needing to adapt to new characteristics of life and self. This makes patients vulnerable and their self-reported needs include individualized caring and emotional support from family, peers and staff. Participants also reported a need for a sense of security in a stable and homelike environment, with assistance, help and presence. Finally, they reported needing goal-oriented and progressive care in which realistic and achievable goals were established. Individualized patient education enhanced their independence and empowered them towards a new and progressive lifestyle. A new emphasis is needed in rehabilitation nursing, involving assessment of existential well-being of patients by means of skilful interpersonal relationship based on individualized caring and emotional support and recognition of each patient's own hierarchy of needs.

Medicare Program; Cancellation of Advancing Care Coordination Through Episode Payment and Cardiac Rehabilitation Incentive Payment Models; Changes to Comprehensive Care for Joint Replacement Payment Model: Extreme and Uncontrollable Circumstances Policy for the Comprehensive Care for Joint Replacement Payment Model. Final rule; interim final rule with comment period.

PubMed

2017-12-01

This final rule cancels the Episode Payment Models (EPMs) and Cardiac Rehabilitation (CR) Incentive Payment Model and rescinds the regulations governing these models. It also implements certain revisions to the Comprehensive Care for Joint Replacement (CJR) model, including: Giving certain hospitals selected for participation in the CJR model a one-time option to choose whether to continue their participation in the model; technical refinements and clarifications for certain payment, reconciliation and quality provisions; and a change to increase the pool of eligible clinicians that qualify as affiliated practitioners under the Advanced Alternative Payment Model (Advanced APM) track. An interim final rule with comment period is being issued in conjunction with this final rule in order to address the need for a policy to provide some flexibility in the determination of episode costs for providers located in areas impacted by extreme and uncontrollable circumstances.

Satellite tagging of rehabilitated green sea turtles Chelonia mydas from the United Arab Emirates, including the longest tracked journey for the species

PubMed Central

Jabado, Rima W.; Rohner, Christoph A.; Pierce, Simon J.; Hyland, Kevin P.; Baverstock, Warren R.

2017-01-01

We collected movement data for eight rehabilitated and satellite-tagged green sea turtles Chelonia mydas released off the United Arab Emirates between 2005 and 2013. Rehabilitation periods ranged from 96 to 1353 days (mean = 437 ± 399 days). Seven of the eight tagged turtles survived after release; one turtle was killed by what is thought to be a post-release spear gun wound. The majority of turtles (63%) used shallow-water core habitats and established home ranges between Dubai and Abu Dhabi, the same area in which they had originally washed ashore prior to rescue. Four turtles made movements across international boundaries, highlighting that regional cooperation is necessary for the management of the species. One turtle swam from Fujairah to the Andaman Sea, a total distance of 8283 km, which is the longest published track of a green turtle. This study demonstrates that sea turtles can be successfully reintroduced into the wild after sustaining serious injury and undergoing prolonged periods of intense rehabilitation. PMID:28873453

Satellite tagging of rehabilitated green sea turtles Chelonia mydas from the United Arab Emirates, including the longest tracked journey for the species.

PubMed

Robinson, David P; Jabado, Rima W; Rohner, Christoph A; Pierce, Simon J; Hyland, Kevin P; Baverstock, Warren R

2017-01-01

We collected movement data for eight rehabilitated and satellite-tagged green sea turtles Chelonia mydas released off the United Arab Emirates between 2005 and 2013. Rehabilitation periods ranged from 96 to 1353 days (mean = 437 ± 399 days). Seven of the eight tagged turtles survived after release; one turtle was killed by what is thought to be a post-release spear gun wound. The majority of turtles (63%) used shallow-water core habitats and established home ranges between Dubai and Abu Dhabi, the same area in which they had originally washed ashore prior to rescue. Four turtles made movements across international boundaries, highlighting that regional cooperation is necessary for the management of the species. One turtle swam from Fujairah to the Andaman Sea, a total distance of 8283 km, which is the longest published track of a green turtle. This study demonstrates that sea turtles can be successfully reintroduced into the wild after sustaining serious injury and undergoing prolonged periods of intense rehabilitation.

Improving quality of life through rehabilitation in palliative care: case report.

PubMed

Kasven-Gonzalez, Nicole; Souverain, Regine; Miale, Susan

2010-09-01

Occupational and physical therapists can have a significant impact on the quality of life of terminally ill cancer patients. In the critical care setting, rehabilitation is often overlooked. However, occupational and physical therapists work with critically-ill patients to create realistic and meaningful goals for improving comfort, mobility, socialization skills, and ability to care for oneself regardless of disease state and medical status. The following case report describes rehabilitation intervention with a young woman diagnosed with osteosarcoma and leukemia during the final stage of her life. This case report highlights the use of patient-centered goals and the importance of close collaboration between the patient, occupational therapist, and physical therapists to achieve a higher quality of life. A collaborative effort by the occupational and physical therapists yielded positive outcomes as defined by the patient, patient family, and the medical staff in the critical care setting. Palliative care patients may benefit from occupational therapy (OT) and physical therapy (PT) intervention. Rehabilitation specialists are skilled at working with patients to set realistic and meaningful functional goals. Further study on rehabilitation treatment to improve quality of life among patients in palliative care is needed.

Impact of a multidisciplinary rehabilitation nutrition team on evaluating sarcopenia, cachexia and practice of rehabilitation nutrition.

PubMed

Kokura, Yoji; Wakabayashi, Hidetaka; Maeda, Keisuke; Nishioka, Shinta; Nakahara, Saori

2017-01-01

To determine whether the presence of a multidisciplinary rehabilitation nutrition team affects sarcopenia and cachexia evaluation and practice of rehabilitation nutrition. A cross-sectional study using online questionnaire among members of the Japanese Association of Rehabilitation Nutrition (JARN) was conducted. Questions were related to sarcopenia and cachexia evaluation and practice of rehabilitation nutrition. 677 (14.7%) questionnaires were analysed. 44.5% reported that their institution employed a rehabilitation nutrition team, 20.2% conducted rehabilitation nutrition rounds and 26.1% conducted rehabilitation nutrition meetings. A total of 51.7%, 69.7%, 69.0% and 17.8% measured muscle mass, muscle strength, physical function and cachexia, respectively. For those with a rehabilitation nutrition team, 63.5%, 80.7%, 82.4% and 22.9% measured muscle mass, muscle strength, physical function and cachexia, respectively, whereas 46.7%, 78.0% and 78.1% of the respondents reported implementation of nutrition planning strategies in consideration of energy accumulation, rehabilitation training in consideration of nutritional status and use of dietary supplements, respectively. Multivariate logistic regression analysis showed that the use of a rehabilitation nutrition team independently affected sarcopenia evaluation and practice of rehabilitation nutrition but not cachexia evaluation. The presence of a multidisciplinary rehabilitation nutrition team increased the frequency of sarcopenia evaluation and practice of rehabilitation nutrition. J. Med. Invest. 64: 140-145, February, 2017.

An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation.

PubMed

Spruit, Martijn A; Singh, Sally J; Garvey, Chris; ZuWallack, Richard; Nici, Linda; Rochester, Carolyn; Hill, Kylie; Holland, Anne E; Lareau, Suzanne C; Man, William D-C; Pitta, Fabio; Sewell, Louise; Raskin, Jonathan; Bourbeau, Jean; Crouch, Rebecca; Franssen, Frits M E; Casaburi, Richard; Vercoulen, Jan H; Vogiatzis, Ioannis; Gosselink, Rik; Clini, Enrico M; Effing, Tanja W; Maltais, François; van der Palen, Job; Troosters, Thierry; Janssen, Daisy J A; Collins, Eileen; Garcia-Aymerich, Judith; Brooks, Dina; Fahy, Bonnie F; Puhan, Milo A; Hoogendoorn, Martine; Garrod, Rachel; Schols, Annemie M W J; Carlin, Brian; Benzo, Roberto; Meek, Paula; Morgan, Mike; Rutten-van Mölken, Maureen P M H; Ries, Andrew L; Make, Barry; Goldstein, Roger S; Dowson, Claire A; Brozek, Jan L; Donner, Claudio F; Wouters, Emiel F M

2013-10-15

Pulmonary rehabilitation is recognized as a core component of the management of individuals with chronic respiratory disease. Since the 2006 American Thoracic Society (ATS)/European Respiratory Society (ERS) Statement on Pulmonary Rehabilitation, there has been considerable growth in our knowledge of its efficacy and scope. The purpose of this Statement is to update the 2006 document, including a new definition of pulmonary rehabilitation and highlighting key concepts and major advances in the field. A multidisciplinary committee of experts representing the ATS Pulmonary Rehabilitation Assembly and the ERS Scientific Group 01.02, "Rehabilitation and Chronic Care," determined the overall scope of this update through group consensus. Focused literature reviews in key topic areas were conducted by committee members with relevant clinical and scientific expertise. The final content of this Statement was agreed on by all members. An updated definition of pulmonary rehabilitation is proposed. New data are presented on the science and application of pulmonary rehabilitation, including its effectiveness in acutely ill individuals with chronic obstructive pulmonary disease, and in individuals with other chronic respiratory diseases. The important role of pulmonary rehabilitation in chronic disease management is highlighted. In addition, the role of health behavior change in optimizing and maintaining benefits is discussed. The considerable growth in the science and application of pulmonary rehabilitation since 2006 adds further support for its efficacy in a wide range of individuals with chronic respiratory disease.

A novel virtual motor rehabilitation system for Guillain-Barré syndrome. Two single case studies.

PubMed

Albiol-Pérez, S; Forcano-García, M; Muñoz-Tomás, M T; Manzano-Fernández, P; Solsona-Hernández, S; Mashat, M A; Gil-Gómez, J A

2015-01-01

This article is part of the Focus Theme of Methods of Information in Medicine on "New Methodologies for Patients Rehabilitation". For Guillain-Barré patients, motor rehabilitation programs are helpful at the onset to prevent the complications of paralysis and in cases of persistent motor impairment. Traditional motor rehabilitation programs may be tedious and monotonous, resulting in low adherence to the treatments. A Virtual Motor Rehabilitation system has been tested in Guillain-Barré patients to increase patient adherence and to improve clinical results. Two people with Guillain-Barré performed 20 rehabilitation sessions. We tested a novel system based on Motor Virtual Rehabilitation in three periods of time (baseline evaluation, final evaluation, and follow-up. In the training program, the participants carried out a specific treatment using the Active Balance Rehabilitation system (ABAR). The system is composed of customizable virtual games to perform static and dynamic balance rehabilitation. Significant improvements in clinical results were obtained by both participants, with significant results in the static balance clinical test of the Anterior Reach test in the standing position and unipedal stance time. Other significant results were found in dynamic balance clinical tests in the Berg Balance Scale test and the 30-second Sit-to-Stand test. With regard to acceptance of the system, both patients enjoyed the experience, and both patients thought that this system was helpful for their rehabilitation. The results show that Virtual Motor Rehabilitation for Guillain-Barré patients provides clinical improvements in an entertaining way.

78 FR 13597 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-28

... and rehabilitation research; (2) foster an exchange of expertise, information, and training methods to... refined analyses of data, producing observational findings, and creating other sources of research-based... Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Center AGENCY...

Immersion of virtual reality for rehabilitation - Review.

PubMed

Rose, Tyler; Nam, Chang S; Chen, Karen B

2018-05-01

Virtual reality (VR) shows promise in the application of healthcare and because it presents patients an immersive, often entertaining, approach to accomplish the goal of improvement in performance. Eighteen studies were reviewed to understand human performance and health outcomes after utilizing VR rehabilitation systems. We aimed to understand: (1) the influence of immersion in VR performance and health outcomes; (2) the relationship between enjoyment and potential patient adherence to VR rehabilitation routine; and (3) the influence of haptic feedback on performance in VR. Performance measures including postural stability, navigation task performance, and joint mobility showed varying relations to immersion. Limited data did not allow a solid conclusion between enjoyment and adherence, but patient enjoyment and willingness to participate were reported in care plans that incorporates VR. Finally, different haptic devices such as gloves and controllers provided both strengths and weakness in areas such movement velocity, movement accuracy, and path efficiency. Copyright © 2018 Elsevier Ltd. All rights reserved.

78 FR 47859 - Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-06

...This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2014 (for discharges occurring on or after October 1, 2013 and on or before September 30, 2014) as required by the statute. This final rule also revised the list of diagnosis codes that may be counted toward an IRF's ``60 percent rule'' compliance calculation to determine ``presumptive compliance,'' update the IRF facility-level adjustment factors using an enhanced estimation methodology, revise sections of the Inpatient Rehabilitation Facility-Patient Assessment Instrument, revise requirements for acute care hospitals that have IRF units, clarify the IRF regulation text regarding limitation of review, update references to previously changed sections in the regulations text, and revise and update quality measures and reporting requirements under the IRF quality reporting program.

The Utilization and Design of Physical Facilities for the Rehabilitation of Mentally Retarded. Final Project Report.

ERIC Educational Resources Information Center

Bair, Howard V.; Leland, Henry

To investigate the appropriate design and utilization of physical facilities being constructed as a rehabilitation center, a variety of centers was examined. Conclusions were that flexibility in construction of the physical plant, including nonpermanent walls and fixtures was necessary; program planning should be included in architectural…

Rehabilitation time before disability pension.

PubMed

Støver, Morten; Pape, Kristine; Johnsen, Roar; Fleten, Nils; Sund, Erik R; Claussen, Bjørgulf; Ose, Solveig Osborg; Bjørngaard, Johan Håkon

2012-10-30

The decision to grant a disability pension is usually the end of a long process of medical examinations, treatment and rehabilitation attempts. This study investigates to what extent the time spent on rehabilitation time prior to disability pension is associated with characteristics of the individual or the local employment and welfare office, measured as municipality variance. A study of 2,533 40 to 42 year olds who received disability pension over a period of 18 years. The logarithm of the rehabilitation time before granting a disability pension was analysed with multilevel regression. The rehabilitation time before a disability pension was granted ranged from 30 to 5,508 days. Baseline health characteristics were only moderately associated with rehabilitation time. Younger people and people with unemployment periods had longer rehabilitation time before a disability pension was granted. There were only minor differences in rehabilitation time between men and women and between different levels of education. Approximately 2% of the total variance in rehabilitation time could be attributed to the municipality of residence. There is a higher threshold for granting a disability pension to younger persons and those who are expecting periods of unemployment, which is reflected in the extended rehabilitation requirements for these groups. The longer rehabilitation period for persons with psychiatric disorders might reflect a lack of common knowledge on the working capacity of and the fitted rehabilitation programs for people with psychiatric disorders.

Rehabilitation time before disability pension

PubMed Central

2012-01-01

Background The decision to grant a disability pension is usually the end of a long process of medical examinations, treatment and rehabilitation attempts. This study investigates to what extent the time spent on rehabilitation time prior to disability pension is associated with characteristics of the individual or the local employment and welfare office, measured as municipality variance. Methods A study of 2,533 40 to 42 year olds who received disability pension over a period of 18 years. The logarithm of the rehabilitation time before granting a disability pension was analysed with multilevel regression. Results The rehabilitation time before a disability pension was granted ranged from 30 to 5,508 days. Baseline health characteristics were only moderately associated with rehabilitation time. Younger people and people with unemployment periods had longer rehabilitation time before a disability pension was granted. There were only minor differences in rehabilitation time between men and women and between different levels of education. Approximately 2% of the total variance in rehabilitation time could be attributed to the municipality of residence. Conclusions There is a higher threshold for granting a disability pension to younger persons and those who are expecting periods of unemployment, which is reflected in the extended rehabilitation requirements for these groups. The longer rehabilitation period for persons with psychiatric disorders might reflect a lack of common knowledge on the working capacity of and the fitted rehabilitation programs for people with psychiatric disorders. PMID:23110397

Tennis Training Sessions as a Rehabilitation Instrument for Patients after Acute Myocardial Infarction

PubMed Central

García, Juan P. F.; Giraldo, Víctor M. A.; Barrado, José J. G.; Casasola, César D.

2013-01-01

The aims of this study were to measure the effects of a cardiac rehabilitation program based on a modification of a sport (tennis) on quality of life, on various laboratory test parameters and on an exercise stress test, and to determine if the results of this novel activity are equivalent to those of traditional programs (i.e., the use of the bicycle ergometer). The sample consisted of 79 patients with a low-risk acute coronary syndrome. They were divided into three groups: two experimental groups and one control group. One of the experimental groups used the bicycle ergometer as its main physical activity, whereas the other received training in a modified form of tennis lesson. By the end of the 3-month program, triglycerides, cholesterol LDL, cholesterol HDL, (-25 mg·dl-1 and 32.3 mg·dl-1 final, and 15.7 mg·dl-1 and 23.3 mg·dl-1 LDL final, respectively) and exercise capacity improved significantly (by 1.1 metabolic equivalents (METs) and 1.2 METs, respectively), in both experimental groups. We conclude that the application of a comprehensive cardiac rehabilitation program in patients with low-risk acute coronary syndrome based on a program of modified tennis improves exercise tolerance and metabolic parameters, as well as certain physical characteristics that reduce cardiovascular risk. Key Points Cardiac rehabilitation of low risk patients with acute coronary syndrome based on a program of modified tennis produces an improvement in quality of life, lipid profiles and in exercise tolerance A cardiac rehabilitation program based on a modification of tennis produces favourable changes in various anthropometric parameters related to the reduction of cardiovascular risk The development of programs of cardiac rehabilitation based on modified versions of various sports would advantage the adherence to physical exercise. PMID:24149811

Evidence-informed recommendations for rehabilitation with older adults living with HIV: a knowledge synthesis

PubMed Central

O'Brien, Kelly K; Solomon, Patricia; Trentham, Barry; MacLachlan, Duncan; MacDermid, Joy; Tynan, Anne-Marie; Baxter, Larry; Casey, Alan; Chegwidden, William; Robinson, Greg; Tran, Todd; Wu, Janet; Zack, Elisse

2014-01-01

Objective Our aim was to develop evidence-informed recommendations for rehabilitation with older adults living with HIV. Design We conducted a knowledge synthesis, combining research evidence specific to HIV, rehabilitation and ageing, with evidence on rehabilitation interventions for common comorbidities experienced by older adults with HIV. Methods We included highly relevant HIV-specific research addressing rehabilitation and ageing (stream A) and high-quality evidence on the effectiveness of rehabilitation interventions for common comorbidities experienced by older adults ageing with HIV (stream B). We extracted and synthesised relevant data from the evidence to draft evidence-informed recommendations for rehabilitation. Draft recommendations were refined based on people living with HIV (PLHIV) and clinician experience, values and preferences, reviewed by an interprofessional team for Grading of Recommendations Assessment, Development, and Evaluation (GRADE) (quality) rating and revision and then circulated to PLHIV and clinicians for external endorsement and final refinement. We then devised overarching recommendations to broadly guide rehabilitation with older adults living with HIV. Results This synthesis yielded 8 overarching and 52 specific recommendations. Thirty-six specific recommendations were derived from 108 moderate-level or high-level research articles (meta-analyses and systematic reviews) that described the effectiveness of rehabilitation interventions for comorbidities that may be experienced by older adults with HIV. Recommendations addressed rehabilitation interventions across eight health conditions: bone and joint disorders, cancer, stroke, cardiovascular disease, mental health challenges, cognitive impairments, chronic obstructive pulmonary disease and diabetes. Sixteen specific recommendations were derived from 42 research articles specific to rehabilitation with older adults with HIV. The quality of evidence from which these

Mapping of wildlife habitat in Farmington Bay, Utah

NASA Technical Reports Server (NTRS)

Jaynes, R. A.; Willie, R. D. (Principal Investigator)

1982-01-01

Mapping was accomplished through the interpretation of high-altitude color infrared photography. The feasibility of utilizing LANDSAT digital data to augment the analysis was explored; complex patterns of wildlife habitat and confusion of spectral classes resulted in the decision to make limited use of LANDSAT data in the analysis. The final product is a map which delineates wildlife habitat at a scale of 1:24,000. The map is registered to and printed on a screened U.S.G.S. quadrangle base map. Screened delineations of shoreline contours, mapped from a previous study, are also shown on the map. Intensive field checking of the map was accomplished for the Farmington Bay Waterfowl Management Area in August 1981; other areas on the map received only spot field checking.

Human Rehabilitation Techniques. Disability Analyses: Behavioral Disabilities. Volume II, Part B.

ERIC Educational Resources Information Center

Sigelman, C.; And Others

Volume II, Section B of a six-volume final report (which covers the findings of a research project on policy and technology related to rehabilitation of disabled individuals) presents a review of literature on three types of behavior disabilities--epilepsy, mental retardation, and schizophrenia. Individual chapters on each disability cover the…

Physiotherapy rehabilitation in the context of HIV and disability in KwaZulu-Natal, South Africa.

PubMed

Cobbing, Saul; Hanass-Hancock, Jill; Deane, Margaret

2014-01-01

The purpose of this study was to describe the experiences of people living with HIV (PLHIV) who had undergone a physiotherapy-led rehabilitation programme, with the aim of informing and improving future rehabilitation. The study population included patients living with HIV who were referred for physiotherapy rehabilitation at a public-funded KwaZulu-Natal hospital. Eight participants were considered for final analysis in the study. A qualitative research design was adopted using in-depth interviews to explore their experiences of their rehabilitation programme. Additionally all eligible participants were requested to complete the World Health Organisation Disability Assessment Schedule. Participants presented varying activity-related challenges with mobility, self-care and life activities being the most severely affected areas. Participants showed little understanding of their health conditions, prescribed medication and in some cases therapy. HIV and disability impacted their daily lives, adversely affecting work and domestic activities. Although participants reflected positively on the rehabilitation experience they faced a number of barriers to accessing continued rehabilitation. PLHIV who experience disability are affected in major life areas but the current model of delivering rehabilitation provides a number of barriers to patients. A more accessible approach of delivering HIV-care and rehabilitation needs to be developed. Implications for Rehabilitation Physiotherapists and other rehabilitation professionals, particularly those working in the South African public sector, need to consider developing and implementing home-based rehabilitation interventions for patients living with HIV and disability. This will counter some of the barriers these patients face in accessing hospital-based therapy. With the increasing incidence of HIV-related disabilities as PLHIV live longer lives, rehabilitation professionals working with this patient population should keep up

78 FR 14480 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-06

... and rehabilitation research; (2) foster an exchange of expertise, information, and training methods to... disabilities, as well as to build the research capacity of entities with close cultural and social connections... Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Center on Research...

Issues in International Rehabilitation.

ERIC Educational Resources Information Center

Nathanson, Jeanne H., Ed.

1991-01-01

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

Habitat Restoration on Mobile Bay

NASA Astrophysics Data System (ADS)

Murphy, B.

2017-12-01

Alabama has some of the most biodiversity found anywhere in our nation, however we are rapidly losing many of these species to habitat loss. Our marine science class realized our shoreline on our campus on Mobile Bay was disappearing and wanted to help. We collaborated with local scientists from Dauphin Island Sea Lab under the direction of Dr. Just Cebrian and our instructor, Dr. Megan McCall, to create a project to help restore the habitat. We had to first collect beach profile surveys and learn how to measure elevations. Next we installed plants that we measured and collected growth data. Our project went through a series of prototypes and corrective measures based on the type of wave energy we discovered on our shores. Finally we landed on a type of wave attenuator of crab traps filled with rock and staked into the sand. This coming year we will begin collecting data on any changes to the beach profile as well as fish counts to evaluate the effectiveness of our installation.

[Allocation decisions of health insurance rehabilitation managers--An explorative case study concerning stroke rehabilitation].

PubMed

Hasenbein, U; Wallesch, C-W

2003-12-01

We investigated processes of and subjective reasons for resource allocation in three out of four rehabilitation specialists of a regional office of a major health insurance. Decisions of health insurance personnel include approval of and duration of rehabilitation treatment and choice of clinical provider. Insurance specialists are mainly involved in documentation and coordination, whereas decisions mainly follow expert recommendations, mainly of the medical service. Allocation is based primarily on somatic impairment and disability, psychosocial function, motivation and rehabilitation potential are regarded as secondary. Goals and expected results of rehabilitation are neither individually defined nor their achievement evaluated. Decision processes are dominated by routines and agreements. Only exceptionally, defined rules and procedures are applied. Active case management is hampered by a highly specialized internal structure of the investigated insurance fund. The optimal fulfillment of individual requirements for a limited-time rehabilitation treatment is the central criterion for decision making. However, the specialists lack detailed information concerning appropriateness, quality and efficacy of rehabilitation providers, especially when taking patient-related variables into account. Instead, they trust that only high-quality institutions are contracted. Systematic control and feedback of rehabilitation results is not available. The surveyed rehabilitation managers do not include cost aspects in their decision-making. They would regard this as alien to a member- and patient-oriented policy. Improvement potentials with respect to rehabilitation case management are being reviewed.

Indicators: Shallow Water Habitat/In-stream Fish Habitat

EPA Pesticide Factsheets

Shallow water habitat, also referred to as in-stream fish habitat, refers to areas that fish and other aquatic organisms need for concealment, breeding and feeding. This includes large woody snags, boulders, rock ledges, and undercut banks.

The Habitat Connection.

ERIC Educational Resources Information Center

Naturescope, 1987

1987-01-01

Consists of activities which address the causes of habitat destruction and the effects of habitat loss on animals and plants. Identifies habitat loss as the major reason for the endangerment and extinction of plant and animal species. (ML)

Assessment of chevron dikes for the enhancement of physical-aquatic habitat within the Middle Mississippi River, USA

NASA Astrophysics Data System (ADS)

Remo, J. W.; Pinter, N.

2012-12-01

Along the Middle Mississippi River (MMR), rehabilitation of aquatic habitat is being undertaken using river-training structures such as the blunt-nose chevron dike. Chevron dikes were initially designed to concentrate flow and thus facilitate river navigation, but this new river-training structure is now justified, in part, as a tool for creating aquatic habitat and promoting habitat heterogeneity. The ability of chevrons to create and diversify physical-aquatic habitat has not been verified. In this study, we used 2-D hydrodynamic modeling and reach-scale habitat metrics to assess changes in physical habitat and habitat heterogeneity for pre-chevron and post-chevron along a 2- km reach of the Mississippi River at St. Louis, MO. A historic reference condition (circa 1890) was also modeled to compare physical habitat in a less engineered river channel versus the new physical-habitat patches created by chevron-dike enhancement. This modeling approach quantified changes in habitat availability and diversity among selected reference conditions for a wide range of in-channel flows. Depth-velocity habitat classes were used for assessment of change in physical-habitat patches, and spatial statistical tools were employed to evaluate the reach-scale habitat patch diversity. Modeling of post-chevron channel conditions revealed increases in deep to very deep (>3.0 m) areas of slow moving (<0.6 m/s) water downstream of these structures under emergent flow conditions (≤ 1.5 x mean annual flow[MAF]) relative to pre-construction conditions. Chevron construction increased potential over-wintering habitat (deep [>3.0 m], low velocity [<0.6 m/s]) by up to 7.6 ha. The addition of the chevrons to the river channel also created some (0.8-3.8 ha) shallow-water habitat (0-1.5 m depth with a 0-0.6 m/s velocity) for flows ≤2.0 x MAF and contributed to an 8-35% increase in physical-habitat diversity compared to pre-chevron channel conditions. Comparison of the historic reference

Silvicultural rehabilitation of cutover mixedwood stands

Treesearch

Laura S. Kenefic; Mohammad Bataineh; Jeremy S. Wilson; John C. Brissette; Ralph D. Nyland

2014-01-01

We investigated rehabilitation of mixedwood stands degraded by exploitative cutting on the Penobscot Experimental Forest in Maine. Three precommercial rehabilitation treatments were applied: control (no rehabilitation), moderate rehabilitation (crop tree release [CTR]), and intensive rehabilitation (CTR, timber stand improvement [TSI], and red spruce fill planting)....

78 FR 2539 - Endangered and Threatened Wildlife and Plants; Designation of Critical Habitat for Gunnison Sage...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-11

...We, the U.S. Fish and Wildlife Service, propose to designate critical habitat for the Gunnison sage-grouse (Centrocercus minimus) under the Endangered Species Act of 1973, as amended (Act). If we finalize this rule as proposed, it would extend the Act's protections to this species' critical habitat. The effect of this regulation is to designate critical habitat for the Gunnison sage-grouse under the Act. In total, approximately 689,675 hectares (ha) (1,704,227 acres (ac)) are being proposed for designation as critical habitat in Chaffee, Delta, Dolores, Gunnison, Hinsdale, Mesa, Montrose, Ouray, Saguache, and San Miguel Counties in Colorado, and in Grand and San Juan Counties in Utah.

Preliminary assessment of habitat protection needs for West Indian manatees on the east coast of Florida and Georgia. Final report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1988-12-01

The report assesses information on the status of endangered West Indian manatees (Trichechus manatus) on the east coast of Florida and Georgia in the southeastern United States and recommends actions to improve protection of the species and its habitat in that area. Manatees on the east coast of Florida and Georgia appear to constitute a discrete population numbering perhaps 700 to 900 animals. Based on carcass-salvage data, recent annual mortality rates of between 8% and 10% are indicated. Perhaps 3% to 4% of the population was killed as a result of collisions with boats during 1987, and this threat appearsmore » to be increasing. Collisions with boats and destruction of essential habitat are the principal threats to the population. Recommendations include: quadruple the size of the boat-speed regulatory system on the east coast of Florida; limit development in essential manatee habitats; acquire additional manatee habitat as additions to Federal and State refuges and preserves.« less

Humanoid assessing rehabilitative exercises.

PubMed

Simonov, M; Delconte, G

2015-01-01

This article is part of the Focus Theme of Methods of Information in Medicine on "New Methodologies for Patients Rehabilitation". The article presents the approach in which the rehabilitative exercise prepared by healthcare professional is encoded as formal knowledge and used by humanoid robot to assist patients without involving other care actors. The main objective is the use of humanoids in rehabilitative care. An example is pulmonary rehabilitation in COPD patients. Another goal is the automated judgment functionality to determine how the rehabilitation exercise matches the pre-programmed correct sequence. We use the Aldebaran Robotics' NAO humanoid to set up artificial cognitive application. Pre-programmed NAO induces elderly patient to undertake humanoid-driven rehabilitation exercise, but needs to evaluate the human actions against the correct template. Patient is observed using NAO's eyes. We use the Microsoft Kinect SDK to extract motion path from the humanoid's recorded video. We compare human- and humanoid-operated process sequences by using the Dynamic Time Warping (DTW) and test the prototype. This artificial cognitive software showcases the use of DTW algorithm to enable humanoids to judge in near real-time about the correctness of rehabilitative exercises performed by patients following the robot's indications. One could enable better sustainable rehabilitative care services in remote residential settings by combining intelligent applications piloting humanoids with the DTW pattern matching algorithm applied at run time to compare humanoid- and human-operated process sequences. In turn, it will lower the need of human care.

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... Vocational Rehabilitation and Employment Service 871.208 Rehabilitation facilities. Charges by rehabilitation facilities for the rehabilitation services provided under 38 U.S.C. Chapter 31 are paid in the same manner as...

Accelerated rehabilitation after arthroscopic Bankart repair for selected cases: a prospective randomized clinical study.

PubMed

Kim, Seung-Ho; Ha, Kwon-Ick; Jung, Min-Wook; Lim, Moon-Sup; Kim, Young-Min; Park, Jong-Hyuk

2003-09-01

Increased stress within a certain limit enhances ligament healing and improves joint function. In this prospective randomized clinical trial, we compared the clinical results of early motion versus conventional immobilization after arthroscopic Bankart repair in a selected patient population. Prospective randomized clinical trial. We performed an arthroscopic Bankart repair using suture anchors in 62 patients with traumatic recurrent anterior instability of the shoulder. Patients were randomized into 2 groups; group 1 (28 patients; mean age, 28 years) was managed with 3 weeks of immobilization using an abduction sling and conventional rehabilitation program, and group 2 (34 patients; mean age, 29 years) was managed with an accelerated rehabilitation program that consisted of staged range of motion and strengthening exercises from the immediate postoperative day. Selection criteria were nonathletes with recurrent anterior shoulder dislocation and a classic Bankart lesion with a robust labrum limited to 1 cm from the midglenoid notch. The patients were followed up for a mean of 31 months (range, 27 to 45 months; standard deviation, 9 months). Analysis of outcome included pain scores at 6 weeks and at final follow-up evaluation, range of motion, return to activity, recurrence rate, patient satisfaction with each rehabilitation program, and shoulder scores assessed by the American Shoulder and Elbow Surgeons Shoulder Index, the rating system of the University of California at Los Angeles, and another scoring system. The recurrence rate was not different between the 2 groups (P =.842). None of the groups developed recurrent dislocation. Two patients from each group were positive for anterior apprehension signs. Patients who underwent accelerated rehabilitation resumed functional range of motion faster (P <.001) and returned earlier to the functional level of activity (P <.001). Accelerated rehabilitation decreased postoperative pain (P =.013), and more patients were

Chapter 5. Using Habitat Models for Habitat Mapping and Monitoring

Treesearch

Samuel A. Cushman; Timothy J. Mersmann; Gretchen G. Moisen; Kevin S. McKelvey; Christina D. Vojta

2013-01-01

This chapter provides guidance for applying existing habitat models to map and monitor wildlife habitat. Chapter 2 addresses the use of conceptual models to create a solid foundation for selecting habitat attributes to monitor and to translate these attributes into quantifiable and reportable monitoring measures. Most wildlife species, however, require a complex suite...

Habitat classification modeling with incomplete data: Pushing the habitat envelope

USGS Publications Warehouse

Zarnetske, P.L.; Edwards, T.C.; Moisen, Gretchen G.

2007-01-01

Habitat classification models (HCMs) are invaluable tools for species conservation, land-use planning, reserve design, and metapopulation assessments, particularly at broad spatial scales. However, species occurrence data are often lacking and typically limited to presence points at broad scales. This lack of absence data precludes the use of many statistical techniques for HCMs. One option is to generate pseudo-absence points so that the many available statistical modeling tools can be used. Traditional techniques generate pseudoabsence points at random across broadly defined species ranges, often failing to include biological knowledge concerning the species-habitat relationship. We incorporated biological knowledge of the species-habitat relationship into pseudo-absence points by creating habitat envelopes that constrain the region from which points were randomly selected. We define a habitat envelope as an ecological representation of a species, or species feature's (e.g., nest) observed distribution (i.e., realized niche) based on a single attribute, or the spatial intersection of multiple attributes. We created HCMs for Northern Goshawk (Accipiter gentilis atricapillus) nest habitat during the breeding season across Utah forests with extant nest presence points and ecologically based pseudo-absence points using logistic regression. Predictor variables were derived from 30-m USDA Landfire and 250-m Forest Inventory and Analysis (FIA) map products. These habitat-envelope-based models were then compared to null envelope models which use traditional practices for generating pseudo-absences. Models were assessed for fit and predictive capability using metrics such as kappa, thresholdindependent receiver operating characteristic (ROC) plots, adjusted deviance (Dadj2), and cross-validation, and were also assessed for ecological relevance. For all cases, habitat envelope-based models outperformed null envelope models and were more ecologically relevant, suggesting

Traumatic Brain Injury Rehabilitation in Riyadh, Saudi Arabia: Time to Rehabilitation Admission, Length of Stay, and Functional Outcome

PubMed Central

Mahmoud, Husam; Qannam, Hazem; Mortenson, Ben

2017-01-01

Objectives 1) To describe trends in time to rehabilitation admission and rehabilitation length of stay (LOS), and functional status, 2) To identify independent predictors of functional outcomes following rehabilitation. Design Retrospective cohort study. Setting Traumatic brain injuries rehabilitation unit of King Fahad Medical City, Riyadh, Saudi Arabia. Participants Adult patients with TBI discharged from inpatient rehabilitation between 2009–2014. Methods We collected information on time from injury to rehabilitation admission, rehabilitation LOS, Functional Independence Measure (FIM) score (admission and discharge), and demographic variables by chart review. Hierarchical regression was employed to investigate variables associated with FIM score at rehabilitation discharge. Results Data from 208 patients were obtained. Mean time from injury to rehabilitation admission was 263±274 days. Rehabilitation LOS was 66±43 days. FIM scores improved significantly during rehabilitation. After controlling for other variables, increasing time from injury to rehabilitation admission was associated with lower FIM score at discharge from rehabilitation. Conclusions Time from injury to rehabilitation admission is notably longer than reported elsewhere. Decreasing this time may improve functional outcome at discharge from rehabilitation. Ensuring that information regarding TBI severity is included throughout the continuum of care would benefit patients and provide insight into TBI aetiology in Saudi Arabia. PMID:28362120

Human Rehabilitation Techniques. Disability Analyses: Motor Disabilities. Volume II, Part A.

ERIC Educational Resources Information Center

Sigelman, C.; And Others

Volume II, Section A of a six-volume final report (which covers the findings of a research project on policy and technology related to rehabilitation of disabled individuals) presents a review of literature on three types of motor disabilities--stroke, spinal cord injury, and cerebral palsy. Individual chapters on each disability cover the…

Post-Stroke Rehabilitation

MedlinePlus

... avoid using impaired limbs, a behavior called learned non-use . However, the repetitive use of impaired limbs ... balance and strength rehabilitation in the home was equivalent to treadmill training at a rehabilitation facility in ...

Landscape models of brook trout abundance and distribution in lotic habitat with field validation

USGS Publications Warehouse

McKenna, James E.; Johnson, James H.

2011-01-01

Brook trout Salvelinus fontinalis are native fish in decline owing to environmental changes. Predictions of their potential distribution and a better understanding of their relationship to habitat conditions would enhance the management and conservation of this valuable species. We used over 7,800 brook trout observations throughout New York State and georeferenced, multiscale landscape condition data to develop four regionally specific artificial neural network models to predict brook trout abundance in rivers and streams. Land cover data provided a general signature of human activity, but other habitat variables were resistant to anthropogenic changes (i.e., changing on a geological time scale). The resulting models predict the potential for any stream to support brook trout. The models were validated by holding 20% of the data out as a test set and by comparison with additional field collections from a variety of habitat types. The models performed well, explaining more than 90% of data variability. Errors were often associated with small spatial displacements of predicted values. When compared with the additional field collections (39 sites), 92% of the predictions were off by only a single class from the field-observed abundances. Among “least-disturbed” field collection sites, all predictions were correct or off by a single abundance class, except for one where brown trout Salmo trutta were present. Other degrading factors were evident at most sites where brook trout were absent or less abundant than predicted. The most important habitat variables included landscape slope, stream and drainage network sizes, water temperature, and extent of forest cover. Predicted brook trout abundances were applied to all New York streams, providing a synoptic map of the distribution of brook trout habitat potential. These fish models set benchmarks of best potential for streams to support brook trout under broad-scale human influences and can assist with planning and

Biodiversity: Habitat Suitability

EPA Science Inventory

Habitat suitability quantifies the relationship between species and habitat, and is evaluated according to the species’ fitness (i.e. proportion of birth rate to death rate). Even though it might maximize evolutionary success, species are not always in habitat that optimizes fit...

Evaluating timber harvesting impacts on wildlife habitat suitability using FOREX

Treesearch

Chris B. LeDoux

1997-01-01

Precommercial, commercial, and final harvesting operations can impact wildlife habitat suitability by altering the vegetation composition on a given site. Harvesting operations remove trees and many times provide the necessary perturbation to trigger successional conditions different from those that existed prior to the harvest. Although these new successional changes...

Developing post-disaster physical rehabilitation: role of the World Health Organization Liaison Sub-Committee on Rehabilitation Disaster Relief of the International Society of Physical and Rehabilitation Medicine.

PubMed

Gosney, James; Reinhardt, Jan Dietrich; Haig, Andrew J; Li, Jianan

2011-11-01

This special report presents the role of the World Health Organization (WHO) Liaison Sub-Committee on Rehabilitation Disaster Relief (CRDR) of the International Society of Physical and Rehabilitation Medicine (ISPRM) in developing an enhanced physical rehabilitation relief response to large-scale natural disasters. The CRDR has stated that disaster rehabilitation is an emerging subspecialty within physical and rehabilitation medicine (PRM). In reviewing the existing literature it was found that large natural disasters result in many survivors with disabling impairments, that these survivors may have better clinical outcomes when they are treated by PRM physicians and teams of rehabilitation professionals, that the delivery of these rehabilitation services to disaster sites is complicated, and that their absence can result in significant negative consequences for individuals, communities and society. To advance its agenda, the CRDR sponsored an inaugural Symposium on Rehabilitation Disaster Relief as a concurrent scientific session at the 2011 ISPRM 6th World Congress in San Juan, Puerto Rico. The symposium included oral and poster presentations on a range of relevant topics and concluded with an international non-governmental organization panel discussion that addressed the critical question "How can rehabilitation actors coordinate better in disaster?" Building upon the symposium, the CRDR is developing a disaster rehabilitation evidence-base, which will inform and educate the global professional rehabilitation community about needs and best practices in disaster rehabilitation. The Journal of Rehabilitation Medicine (JRM) has commissioned this special report to announce a series of papers on disaster rehabilitation from the symposium's scientific programme. Authors are invited to submit papers on the topic for inclusion in this special series. JRM also encourages expert commentary in the form of Letters to the Editor.

Outpatient rehabilitation as an intervention to improve employees' physical capacity.

PubMed

Ojala, Birgitta; Nygård, Clas-Håkan; Nikkari, Seppo T

2016-01-01

The aging of the workforce poses new challenges for maintaining work ability. Because of limited information on the effectiveness of vocational rehabilitation performed in traditional inpatient programs, extended interest in outpatient rehabilitation has risen in the past few years. We examined the effects of a new outpatient rehabilitation program where every participant defined their own goals to improve work ability by the aid of a goal-oriented multi-professional team. This report will focus on the employees' physical capacity during a nine-month program. A total of 605 municipal employees from different production areas of the City of Tampere took part in the outpatient rehabilitation program, implemented by the occupational health unit. Groups of 12 employees participated in eight one-day sessions at intervals of two to three weeks; the final follow-up was 9 months from the beginning. Submaximal aerobic capacity was tested by a calibrated cycle ergometer with a commercial program (Aino Fitware pro, Helsinki, Finland). Musculoskeletal tests assessed muscle strength, balance and mobility. During the 9-month follow-up of the rehabilitation program, the employees' physical capacity was improved. The follow-up test scores from a total of 329 employees were significantly higher in the submaximal aerobic capacity test (p < 0.001). Other tests were also improved, such as standing on one foot (p = 0.001), back side bending flexibility test (p < 0.001), dynamic sit up (p = 0.001), upper extremity right (p < 0.001), and knee bending (p = 0.029). About 40% of the participants did not have an adequate health situation to take part in physical capacity tests; however they took part in the intervention. The new outpatient rehabilitation program organized by the occupational health unit had a positive influence on employees' physical capacity during a nine-month follow up.

Classification of upper Mississippi River pools based on contiguous aquatic/geomorphic habitats

USGS Publications Warehouse

Koel, Todd M.

2001-01-01

Navigation pools of the upper Mississippi River (UMR) vary greatly in terms of available contiguous aquatic/geomorphic habitats. These habitats are critical for the biotic diversity and overall productivity of the floodplain corridor of each pool. In this study, similarities among pools 4-26 and an open river reach (river kilometer 47-129) of the UMR were determined from multivariate analysis of eleven habitat types that were hydrologically-contiguous (non-leveed). Isolated floodplain habitats were not included in final analyses because this isolation limits their contribution to overall riverine productivity, in part due to a lack of hydrological connectivity to the main channel during the flood pulse. Cluster analysis based on simple Euclidean distance was used to produce two major pool groups and five pool subgroups. Important habitat variables in defining pool groups, as interpreted from principal components analysis (PCA) axis 1, were contiguous floodplain shallow aquatic area and contiguous impounded area. The habitat variable most important in defining pool subgroups, as interpreted from PCA axis 2, was tertiary channel. Most notably, pool 6 was more similar to pools 14-24 than other upper pools, and pools 19 and 25 were more similar to pools 4-13 than other lower pools. These results were quite different from those of two previous investigators, primarily because only areas of non-isolated aquatic habitat were considered.

Green sturgeon physical habitat use in the coastal Pacific Ocean.

PubMed

Huff, David D; Lindley, Steven T; Rankin, Polly S; Mora, Ethan A

2011-01-01

The green sturgeon (Acipenser medirostris) is a highly migratory, oceanic, anadromous species with a complex life history that makes it vulnerable to species-wide threats in both freshwater and at sea. Green sturgeon population declines have preceded legal protection and curtailment of activities in marine environments deemed to increase its extinction risk. Yet, its marine habitat is poorly understood. We built a statistical model to characterize green sturgeon marine habitat using data from a coastal tracking array located along the Siletz Reef near Newport, Oregon, USA that recorded the passage of 37 acoustically tagged green sturgeon. We classified seafloor physical habitat features with high-resolution bathymetric and backscatter data. We then described the distribution of habitat components and their relationship to green sturgeon presence using ordination and subsequently used generalized linear model selection to identify important habitat components. Finally, we summarized depth and temperature recordings from seven green sturgeon present off the Oregon coast that were fitted with pop-off archival geolocation tags. Our analyses indicated that green sturgeon, on average, spent a longer duration in areas with high seafloor complexity, especially where a greater proportion of the substrate consists of boulders. Green sturgeon in marine habitats are primarily found at depths of 20-60 meters and from 9.5-16.0°C. Many sturgeon in this study were likely migrating in a northward direction, moving deeper, and may have been using complex seafloor habitat because it coincides with the distribution of benthic prey taxa or provides refuge from predators. Identifying important green sturgeon marine habitat is an essential step towards accurately defining the conditions that are necessary for its survival and will eventually yield range-wide, spatially explicit predictions of green sturgeon distribution.

Green Sturgeon Physical Habitat Use in the Coastal Pacific Ocean

PubMed Central

Huff, David D.; Lindley, Steven T.; Rankin, Polly S.; Mora, Ethan A.

2011-01-01

The green sturgeon (Acipenser medirostris) is a highly migratory, oceanic, anadromous species with a complex life history that makes it vulnerable to species-wide threats in both freshwater and at sea. Green sturgeon population declines have preceded legal protection and curtailment of activities in marine environments deemed to increase its extinction risk. Yet, its marine habitat is poorly understood. We built a statistical model to characterize green sturgeon marine habitat using data from a coastal tracking array located along the Siletz Reef near Newport, Oregon, USA that recorded the passage of 37 acoustically tagged green sturgeon. We classified seafloor physical habitat features with high-resolution bathymetric and backscatter data. We then described the distribution of habitat components and their relationship to green sturgeon presence using ordination and subsequently used generalized linear model selection to identify important habitat components. Finally, we summarized depth and temperature recordings from seven green sturgeon present off the Oregon coast that were fitted with pop-off archival geolocation tags. Our analyses indicated that green sturgeon, on average, spent a longer duration in areas with high seafloor complexity, especially where a greater proportion of the substrate consists of boulders. Green sturgeon in marine habitats are primarily found at depths of 20–60 meters and from 9.5–16.0°C. Many sturgeon in this study were likely migrating in a northward direction, moving deeper, and may have been using complex seafloor habitat because it coincides with the distribution of benthic prey taxa or provides refuge from predators. Identifying important green sturgeon marine habitat is an essential step towards accurately defining the conditions that are necessary for its survival and will eventually yield range-wide, spatially explicit predictions of green sturgeon distribution. PMID:21966442

Epilepsy: habilitation and rehabilitation.

PubMed

Marks, Warren A; Hernandez, Angel; Gabriel, Marsha

2003-06-01

Rehabilitation represents not only a distinct field of medicine, but also a philosophical and practical treatment approach that can be applied to a variety of chronic disorders. Neurology encompasses many chronic disorders, making it ideal for the application of rehabilitation principles in daily practice. Epilepsy offers a unique opportunity to incorporate rehabilitation principles into the management of a complex medical disorder. Epilepsy is an evolving disease process that changes with the maturation of the central nervous system. The rehabilitative model provides the framework for a dynamic treatment plan to meet the changing needs of the child with epilepsy through the social and developmental changes of childhood, adolescence, and adulthood. The development of epilepsy may complicate the recovery from many acute and chronic conditions that affect the central nervous system. The rehabilitation process must address these many aspects of the disease process and its sequelae. This makes neurologists uniquely qualified to manage the rehabilitation team. The impact of the therapeutic milieu on the recovery process may be as important as any specific medical or surgical intervention.

Inpatient or outpatient rehabilitation after herniated disc surgery? - Setting-specific preferences, participation and outcome of rehabilitation.

PubMed

Löbner, Margrit; Luppa, Melanie; Konnopka, Alexander; Meisel, Hans J; Günther, Lutz; Meixensberger, Jürgen; Stengler, Katarina; Angermeyer, Matthias C; König, Hans-Helmut; Riedel-Heller, Steffi G

2014-01-01

To examine rehabilitation preferences, participation and determinants for the choice of a certain rehabilitation setting (inpatient vs. outpatient) and setting-specific rehabilitation outcomes. The longitudinal observational study referred to 534 consecutive disc surgery patients (18-55 years). Face-to-face baseline interviews took place about 3.6 days after disc surgery during acute hospital stay. 486 patients also participated in a follow-up interview via telephone three months later (dropout-rate: 9%). The following instruments were used: depression and anxiety (Hospital Anxiety and Depression Scale), pain intensity (numeric analog scale), health-related quality of life (Short Form 36 Health Survey), subjective prognosis of gainful employment (SPE-scale) as well as questions on rehabilitation attendance, return to work, and amount of sick leave days. The vast majority of patients undergoing surgery for a herniated disc attended a post-hospital rehabilitation treatment program (93%). Thereby two-thirds of these patients took part in an inpatient rehabilitation program (67.9%). Physical, psychological, vocational and health-related quality of life characteristics differed widely before as well as after rehabilitation depending on the setting. Inpatient rehabilitees were significantly older, reported more pain, worse physical quality of life, more anxiety and depression and a worse subjective prognosis of gainful employment before rehabilitation. Pre-rehabilitation differences remained significant after rehabilitation. More than half of the outpatient rehabilitees (56%) compared to only one third of the inpatient rehabilitees (33%) returned to work three months after disc surgery (p<.001). The results suggest a "pre-selection" of patients with better health status in outpatient rehabilitation. Gaining better knowledge about setting-specific selection processes may help optimizing rehabilitation allocation procedures and improve rehabilitation effects such as return

CTUIR Umatilla Anadromous Fisheries Habitat Project : A Columbia River Basin Fish Habitat Project 2008 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hoverson, Eric D.; Amonette, Alexandra

implementation of the most effective site-specific habitat restoration plan, taking into consideration the unique characteristics of each project site, and conducted in cooperation with landowners and project partners, was of paramount importance to ensure each project's success. An Aquatic Habitat Inventory was conducted from river mile 0-8 on Isquulktpe Creek and the data collected was compared with data collected in 1994. Monitoring plans will continue throughout the duration of each project to oversee progression and inspire timely managerial actions. Twenty-seven conservation easements were maintained with 23 landowners. Permitting applications for planned project activities and biological opinions were written and approved. Project activities were based on a variety of fisheries monitoring techniques and habitat assessments used to determine existing conditions and identify factors limiting anadromous salmonid abundance in accordance with the Umatilla River Subbasin Salmon and Steelhead Production Plan (NPPC 1990) and the Final Umatilla Willow Subbasin Plan (Umatilla/Willow Subbasin Planning Team 2005).« less

Habitat use and habitat overlap of riparian birds in three elevational zones

Treesearch

Deborah M. Finch

1989-01-01

I examined patterns of variance in habitat use and habitat overlap in 20 breeding bird species found along a riparian vegetational gradient in southeastern Wyoming to test whether habitat use in species differed (1) from availability of random habitat resources, (2) among elevational zones, and (3) between species that inhabited only one zone and species that occupied...

HABITAT ASSESSMENT METHODS

EPA Science Inventory

This chapter summarizes and evaluated the habitat assessment protocols of five agencies, USEPA/EMAP/SW, USGS/NAWQA, USEPA/RBP, Ohio EPA, and MDNR/MBSS. It begins with a description of the origin of the habitat indices most widely used by these agencies. Then the habitat assessmen...

The Uniform Data System for Medical Rehabilitation: report of follow-up information on patients discharged from inpatient rehabilitation programs in 2002-2010.

PubMed

Graham, James E; Granger, Carl V; Karmarkar, Amol M; Deutsch, Anne; Niewczyk, Paulette; Divita, Margaret A; Ottenbacher, Kenneth J

2014-03-01

The aim of this study was to present yearly aggregated summaries of rehabilitation outcomes at admission, discharge, and follow-up from a national sample of patients receiving inpatient medical rehabilitation for stroke, traumatic brain injury, lower extremity fracture, lower extremity joint replacement, traumatic spinal cord injury, or debility. This is an analysis of secondary data from more than 300 inpatient rehabilitation facilities in the United States that contributed inpatient and follow-up data to the Uniform Data System for Medical Rehabilitation during the period January 2002 through December 2010. Aggregate variables reported include demographic information, social situation, and functional status (Functional Independence Measure instrument ratings at admission, discharge, and follow-up). Follow-up data were obtained 80-180 days after discharge through telephone interviews by trained clinical staff. The final sample included 287,104 patients with follow-up information. The median time to follow-up was 95 days. Overall, more than 90% of the patients within each impairment group were living in the community at follow-up. Follow-up Functional Independence Measure total ratings were stable to slightly increased over time. Change scores (discharge to follow-up) increased in all six groups. The mean Functional Independence Measure gains from discharge to follow-up, as a percentage of mean gains from admission to discharge, varied by impairment category: 46% for spinal cord injury to 71% for lower extremity fracture. Locomotion yielded the lowest ratings at all three assessments within each of the six impairment groups. The follow-up data from the national sample of patients discharged from inpatient rehabilitation indicate that gains in mean functional independence scores from both admission to discharge and discharge to follow-up gradually increased from 2002 to 2010. At follow-up, more than nine of ten patients in all six groups are living in the community.

Habitat modeling and genetic signatures of postglacial recolonization for tidal estuaries

NASA Astrophysics Data System (ADS)

Dolby, G. A.; Jacobs, D. K.

2014-12-01

geologic time, and the widespread extirpation-recolonization dynamic that may be common to species isolated in habitat 'islands' populations. Finally, this interdisciplinary approach afforded a more thorough view of estuarine system evolutionary dynamics through time than achievable through either discipline alone.

Robotics in shoulder rehabilitation

PubMed Central

Sicuri, Chiara; Porcellini, Giuseppe; Merolla, Giovanni

2014-01-01

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

Habitat-Specific Morphological Variation among Threespine Sticklebacks (Gasterosteus aculeatus) within a Drainage Basin

PubMed Central

Webster, Mike M.; Atton, Nicola; Hart, Paul J. B.; Ward, Ashley J. W.

2011-01-01

Habitat-specific morphological variation, often corresponding to resource specialization, is well documented in freshwater fishes. In this study we used landmark based morphometric analyses to investigate morphological variation among threespine sticklebacks (Gasterosteus aculeatus L.) from four interconnected habitat types within a single lowland drainage basin in eastern England. These included the upper and lower reaches of the river, the estuary, a connected ditch network and a coastal salt marsh. We found significant habitat-specific differences in morphology, with three axes of variation describing differences in orbit diameter, body depth, caudal peduncle shape and pectoral fin positioning as well as variation in relative dorsal and pelvic spine size. Interestingly, the ditch system, an artificial and heavily managed habitat, is populated by sticklebacks with a characteristic morphology, suggesting that human management of habitats can in some circumstances lead to morphological variation among the animals that inhabit them. We discuss the mechanisms that conceivably underlie the observed morphological variation and the further work necessary to identify them. Finally, we consider the implications of habitat-specific body shape variation for the behavioural ecology of this ecologically generalist species. PMID:21698269

Towards Effective Non-Invasive Brain-Computer Interfaces Dedicated to Gait Rehabilitation Systems

PubMed Central

Castermans, Thierry; Duvinage, Matthieu; Cheron, Guy; Dutoit, Thierry

2014-01-01

In the last few years, significant progress has been made in the field of walk rehabilitation. Motor cortex signals in bipedal monkeys have been interpreted to predict walk kinematics. Epidural electrical stimulation in rats and in one young paraplegic has been realized to partially restore motor control after spinal cord injury. However, these experimental trials are far from being applicable to all patients suffering from motor impairments. Therefore, it is thought that more simple rehabilitation systems are desirable in the meanwhile. The goal of this review is to describe and summarize the progress made in the development of non-invasive brain-computer interfaces dedicated to motor rehabilitation systems. In the first part, the main principles of human locomotion control are presented. The paper then focuses on the mechanisms of supra-spinal centers active during gait, including results from electroencephalography, functional brain imaging technologies [near-infrared spectroscopy (NIRS), functional magnetic resonance imaging (fMRI), positron-emission tomography (PET), single-photon emission-computed tomography (SPECT)] and invasive studies. The first brain-computer interface (BCI) applications to gait rehabilitation are then presented, with a discussion about the different strategies developed in the field. The challenges to raise for future systems are identified and discussed. Finally, we present some proposals to address these challenges, in order to contribute to the improvement of BCI for gait rehabilitation. PMID:24961699

A tough-love pedagogy in rehabilitation: integration of rehabilitation ideology with local cultures.

PubMed

Chang, Ling-Hui; Wang, Jye

2009-09-01

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. They participated in in-depth interviews and participant observation. A tough-love pedagogy emerged as a unique therapeutic relationship in the unit. Patients were asked to interpret the stress with therapy as an inevitable, beneficial experience toward recovery. A prevalent supposition that equated poor physical performance with weak morale legitimized the approach. Cultural metaphors used to describe and define rehabilitation transformed the stress that patients experienced with strenuous exercises into a beneficial substance that aids recovery. The transformation of the therapeutic relationship into a pedagogical one helped connect rehabilitation to shared educational experiences. In the unit, the complicit practice of therapists, caregivers, and patients established and perpetuated the practice of a tough-love pedagogy. The congruence between this tough-love approach and traditional Chinese pedagogical principles made the approach legitimate and desired.

75 FR 74545 - Endangered and Threatened Wildlife and Plants; Final Rule Designating Critical Habitat for...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-30

... the benefits of exclusion outweigh the benefits of inclusion of approximately 118 ac (48 ha) of land... habitat designation under section 4(b)(2) of the Act. For a complete discussion of the benefits of... and determined that the benefits of exclusion outweigh the benefits of inclusion of approximately 160...

From ground pools to treeholes: convergent evolution of habitat and phenotype in Aedes mosquitoes.

PubMed

Soghigian, John; Andreadis, Theodore G; Livdahl, Todd P

2017-12-19

Invasive mosquito species are responsible for millions of vector-borne disease cases annually. The global invasive success of Aedes mosquitoes such as Aedes aegypti and Aedes albopictus has relied on the human transport of immature stages in container habitats. However, despite the importance of these mosquitoes and this ecological specialization to their widespread dispersal, evolution of habitat specialization in this group has remained largely unstudied. We use comparative methods to evaluate the evolution of habitat specialization and its potential influence on larval morphology, and evaluate whether container dwelling and invasiveness are monophyletic in Aedes. We show that habitat specialization has evolved repeatedly from ancestral ground pool usage to specialization in container habitats. Furthermore, we find that larval morphological scores are significantly associated with larval habitat when accounting for evolutionary relationships. We find that Ornstein-Uhleinbeck models with unique optima for each larval habitat type are preferred over several other models based predominantly on neutral processes, and that OU models can reliably simulate real morphological data. Our results demonstrate that multiple lineages of Aedes have convergently evolved a key trait associated with invasive success: the use of container habitats for immature stages. Moreover, our results demonstrate convergence in morphological characteristics as well, and suggest a role of adaptation to habitat specialization in driving phenotypic diversity in this mosquito lineage. Finally, our results highlight that the genus Aedes is not monophyletic.

Medicare program; inpatient rehabilitation facility prospective payment system for federal fiscal year 2015.

PubMed

2014-08-06

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2015 as required by the statute. This final rule finalizes a policy to collect data on the amount and mode (that is, Individual, Concurrent, Group, and Co-Treatment) of therapy provided in the IRF setting according to therapy discipline, revises the list of diagnosis and impairment group codes that presumptively meet the "60 percent rule'' compliance criteria, provides a way for IRFs to indicate on the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) form whether the prior treatment and severity requirements have been met for arthritis cases to presumptively meet the "60 percent rule'' compliance criteria, and revises and updates quality measures and reporting requirements under the IRF quality reporting program (QRP). This rule also delays the effective date for the revisions to the list of diagnosis codes that are used to determine presumptive compliance under the "60 percent rule'' that were finalized in FY 2014 IRF PPS final rule and adopts the revisions to the list of diagnosis codes that are used to determine presumptive compliance under the "60 percent rule'' that are finalized in this rule. This final rule also addresses the implementation of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), for the IRF prospective payment system (PPS), which will be effective when ICD-10-CM becomes the required medical data code set for use on Medicare claims and IRF-PAI submissions.

Clients becoming teachers: Speech-language pathology students' understanding of rehabilitation following clinical practicum in a rehabilitation setting.

PubMed

Attrill, Stacie; Gunn, Simon

2010-04-01

There has been limited research investigating the conceptual development of rehabilitation in speech-language pathology (SLP) students. The aim of this study was to describe SLP students' understanding of rehabilitation following completion of a clinical practicum in a rehabilitation setting. This study was conducted using a qualitative approach according to grounded theory methodology. Semi-structured interviews were conducted with 10 SLP students who had completed a practicum in a rehabilitation setting. Interview data analysis revealed the emergence of five axial categories. Clients becoming teachers was identified as the core category, as the notion that clients were fundamental to students' understanding of rehabilitation occurred reliably throughout the data and related to all other categories. A theoretical model was proposed that demonstrated successive levels of support to students in the acquisition of their understanding of rehabilitation on practicum. Students' understanding of rehabilitation was derived from client-related interactions and factors experienced on practicum in rehabilitation settings. Rehabilitation practicum provided students with a rich and complex learning environment that may facilitate the development of the "core skills" identified for rehabilitation practice.

Problematising risk in stroke rehabilitation.

PubMed

Egan, Mary Y; Kessler, Dorothy; Ceci, Christine; Laliberté-Rudman, Debbie; McGrath, Colleen; Sikora, Lindsey; Gardner, Paula

2016-11-01

Following stroke, re-engagement in personally valued activities requires some experience of risk. Risk, therefore, must be seen as having positive as well as negative aspects in rehabilitation. Our aim was to identify the dominant understanding of risk in stroke rehabilitation and the assumptions underpinning these understandings, determine how these understandings affect research and practise, and if necessary, propose alternate ways to conceptualise risk in research and practise. Alvesson and Sandberg's method of problematisation was used. We began with a historical overview of stroke rehabilitation, and proceeded through five steps undertaken in an iterative fashion: literature search and selection; data extraction; syntheses across texts; identification of assumptions informing the literature and; generation of alternatives. Discussion of risk in stroke rehabilitation is largely implicit. However, two prominent conceptualisations of risk underpin both knowledge development and clinical practise: the risk to the individual stroke survivor of remaining dependent in activities of daily living and the risk that the health care system will be overwhelmed by the costs of providing stroke rehabilitation. Conceptualisation of risk in stroke rehabilitation, while implicit, drives both research and practise in ways that reinforce a focus on impairment and a generic, decontextualised approach to rehabilitation. Implications for rehabilitation Much of stroke rehabilitation practise and research seems to centre implicitly on two risks: risk to the patient of remaining dependent in ADL and risk to the health care system of bankruptcy due to the provision of stroke rehabilitation. The implicit focus on ADL dependence limits the ability of clinicians and researchers to address other goals supportive of a good life following stroke. The implicit focus on financial risk to the health care system may limit access to rehabilitation for people who have experienced either milder or

A concept for extraction of habitat features from laser scanning and hypersprectral imaging for evaluation of Natura 2000 sites - the ChangeHabitats2 project approach

NASA Astrophysics Data System (ADS)

Székely, B.; Kania, A.; Pfeifer, N.; Heilmeier, H.; Tamás, J.; Szöllősi, N.; Mücke, W.

2012-04-01

The goal of the ChangeHabitats2 project is the development of cost- and time-efficient habitat assessment strategies by employing effective field work techniques supported by modern airborne remote sensing methods, i.e. hyperspectral imagery and laser scanning (LiDAR). An essential task of the project is the design of a novel field work technique that on the one hand fulfills the reporting requirements of the Flora-Fauna-Habitat (FFH-) directive and on the other hand serves as a reference for the aerial data analysis. Correlations between parameters derived from remotely sensed data and terrestrial field measurements shall be exploited in order to create half- or fully-automated methods for the extraction of relevant Natura2000 habitat parameters. As a result of these efforts a comprehensive conceptual model has been developed for extraction and integration of Natura 2000 relevant geospatial data. This scheme is an attempt to integrate various activities within ChangeHabitats2 project defining pathways of development, as well as encompassing existing data processing chains, theoretical approaches and field work. The conceptual model includes definition of processing levels (similar to those existing in remote sensing), whereas these levels cover the range from the raw data to the extracted habitat feature. For instance, the amount of dead wood (standing or lying on the surface) is an important evaluation criterion for the habitat. The tree trunks lying on the ground surface typically can be extracted from the LiDAR point cloud, and the amount of wood can be estimated accordingly. The final result will be considered as a habitat feature derived from laser scanning data. Furthermore, we are also interested not only in the determination of the specific habitat feature, but also in the detection of its variations (especially in deterioration). In this approach the variation of this important habitat feature is considered to be a differential habitat feature, that can

Habitat-specific foraging of prothonotary warblers: Deducing habitat quality

USGS Publications Warehouse

Lyons, J.E.

2005-01-01

Foraging behavior often reflects food availability in predictable ways. For example, in habitats where food availability is high, predators should attack prey more often and move more slowly than in habitats where food availability is low. To assess relative food availability and habitat quality, I studied the foraging behavior of breeding Prothonotary Warblers (Protonotaria citrea) in two forest habitat types, cypress-gum swamp forest and coastal-plain levee forest. I quantified foraging behavior with focal animal sampling and continuous recording during foraging bouts. I measured two aspects of foraging behavior: 1) prey attack rate (attacks per minute), using four attack maneuvers (glean, sally, hover, strike), and 2) foraging speed (movements per minute), using three types of movement (hop, short flight [???1 m], long flight [>1 m]). Warblers attacked prey more often in cypress-gum swamp forest than in coastal-plain levee forest. Foraging speed, however, was not different between habitats. I also measured foraging effort (% time spent foraging) and relative frequency of attack maneuvers employed in each habitat; neither of these variables was influenced by forest type. I conclude that Prothonotary Warblers encounter more prey when foraging in cypress-gum swamps than in coastal-plain levee forest, and that greater food availability results in higher density and greater reproductive success for birds breeding in cypress-gum swamp.

Cognitive Change in Rehabilitation Patients with Dementia: Prevalence and Association with Rehabilitation Success.

PubMed

Dutzi, Ilona; Schwenk, Michael; Kirchner, Marietta; Bauer, Jürgen M; Hauer, Klaus

2017-01-01

Dementia is a frequent diagnosis in geriatric rehabilitation. Studies in patients with dementia on the development of their cognitive status during rehabilitation and its relation to functional outcomes have been scarce. To describe the changes in cognitive status in patients with dementia during inpatient rehabilitation and to determine its association with patient characteristics and rehabilitation outcome. Cohort study in a geriatric rehabilitation center with data collection at admission and discharge. Outcome measures were change in global and domain-related cognitive functioning and its association with activities of daily living (ADL) and discharge home. 154 patients (mean age 83.7 years) diagnosed with mild to moderate dementia were included. Cognitive performance significantly improved from admission to discharge for all cognitive variables tested (p < 0.001 to 0.03). Change in global cognitive functioning, executive functions, and episodic memory were positively associated with ADL recovery. Change in global cognitive functioning predicted ADL improvements (β= 0.32; p = 0.006). Only 7.8% of patients, characterized by worse ADL and motor abilities as well as higher frailty scores at admission, deteriorated in global cognitive scores. In comparison to patients with stable or improved cognition, these patients showed least improvements in ADL-scores (4.1 versus 12.5) and a trend for higher institutionalization (50% versus 26.5%). The findings highlight the potential of patients with dementia to recover cognitive functioning during rehabilitation. Cognitive change represents an independent rehabilitation outcome and a prognostic factor for successful rehabilitation suggesting that specific interventions are indicated to maintain and enhance cognitive functioning in these highly vulnerable patients.

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

PubMed

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

2015-12-01

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

Longitudinal employment outcomes of an early intervention vocational rehabilitation service for people admitted to rehabilitation with a traumatic spinal cord injury.

PubMed

Hilton, G; Unsworth, C A; Murphy, G C; Browne, M; Olver, J

2017-08-01

Longitudinal cohort design. First, to explore the longitudinal outcomes for people who received early intervention vocational rehabilitation (EIVR); second, to examine the nature and extent of relationships between contextual factors and employment outcomes over time. Both inpatient and community-based clients of a Spinal Community Integration Service (SCIS). People of workforce age undergoing inpatient rehabilitation for traumatic spinal cord injury were invited to participate in EIVR as part of SCIS. Data were collected at the following three time points: discharge and at 1 year and 2+ years post discharge. Measures included the spinal cord independence measure, hospital anxiety and depression scale, impact on participation and autonomy scale, numerical pain-rating scale and personal wellbeing index. A range of chi square, correlation and regression tests were undertaken to look for relationships between employment outcomes and demographic, emotional and physical characteristics. Ninety-seven participants were recruited and 60 were available at the final time point where 33% (95% confidence interval (CI): 24-42%) had achieved an employment outcome. Greater social participation was strongly correlated with wellbeing (ρ=0.692), and reduced anxiety (ρ=-0.522), depression (ρ=-0.643) and pain (ρ=-0.427) at the final time point. In a generalised linear mixed effect model, education status, relationship status and subjective wellbeing increased significantly the odds of being employed at the final time point. Tertiary education prior to injury was associated with eight times increased odds of being in employment at the final time point; being in a relationship at the time of injury was associated with increased odds of being in employment of more than 3.5; subjective wellbeing, while being the least powerful predictor was still associated with increased odds (1.8 times) of being employed at the final time point. EIVR shows promise in delivering similar return

Effect of Rehabilitation Technology Services on Vocational Rehabilitation Outcomes of Individuals with Multiple Sclerosis

ERIC Educational Resources Information Center

Chiu, Chung-Yi; Tansey, Timothy N.; Chan, Fong; Strauser, David; Frain, Michael P.; Arora, Simran

2015-01-01

Objectives: To examine the effect of rehabilitation technology interventions on the employment or job retention outcomes of individuals with multiple sclerosis (MS) served by the state-federal vocational rehabilitation program using a case-control study design. Participants: Data for this study were extracted from the Rehabilitation Services…

The effects of chemical interactions and culture history on the colonization of structured habitats by competing bacterial populations.

PubMed

van Vliet, Simon; Hol, Felix J H; Weenink, Tim; Galajda, Peter; Keymer, Juan E

2014-05-07

Bacterial habitats, such as soil and the gut, are structured at the micrometer scale. Important aspects of microbial life in such spatial ecosystems are migration and colonization. Here we explore the colonization of a structured ecosystem by two neutrally labeled strains of Escherichia coli. Using time-lapse microscopy we studied the colonization of one-dimensional arrays of habitat patches linked by connectors, which were invaded by the two E. coli strains from opposite sides. The two strains colonize a habitat from opposite sides by a series of traveling waves followed by an expansion front. When population waves collide, they branch into a continuing traveling wave, a reflected wave and a stationary population. When the two strains invade the landscape from opposite sides, they remain segregated in space and often one population will displace the other from most of the habitat. However, when the strains are co-cultured before entering the habitats, they colonize the habitat together and do not separate spatially. Using physically separated, but diffusionally coupled, habitats we show that colonization waves and expansion fronts interact trough diffusible molecules, and not by direct competition for space. Furthermore, we found that colonization outcome is influenced by a culture's history, as the culture with the longest doubling time in bulk conditions tends to take over the largest fraction of the habitat. Finally, we observed that population distributions in parallel habitats located on the same device and inoculated with cells from the same overnight culture are significantly more similar to each other than to patterns in identical habitats located on different devices inoculated with cells from different overnight cultures, even tough all cultures were started from the same -80°C frozen stock. We found that the colonization of spatially structure habitats by two interacting populations can lead to the formation of complex, but reproducible, spatiotemporal

The effects of chemical interactions and culture history on the colonization of structured habitats by competing bacterial populations

PubMed Central

2014-01-01

Background Bacterial habitats, such as soil and the gut, are structured at the micrometer scale. Important aspects of microbial life in such spatial ecosystems are migration and colonization. Here we explore the colonization of a structured ecosystem by two neutrally labeled strains of Escherichia coli. Using time-lapse microscopy we studied the colonization of one-dimensional arrays of habitat patches linked by connectors, which were invaded by the two E. coli strains from opposite sides. Results The two strains colonize a habitat from opposite sides by a series of traveling waves followed by an expansion front. When population waves collide, they branch into a continuing traveling wave, a reflected wave and a stationary population. When the two strains invade the landscape from opposite sides, they remain segregated in space and often one population will displace the other from most of the habitat. However, when the strains are co-cultured before entering the habitats, they colonize the habitat together and do not separate spatially. Using physically separated, but diffusionally coupled, habitats we show that colonization waves and expansion fronts interact trough diffusible molecules, and not by direct competition for space. Furthermore, we found that colonization outcome is influenced by a culture’s history, as the culture with the longest doubling time in bulk conditions tends to take over the largest fraction of the habitat. Finally, we observed that population distributions in parallel habitats located on the same device and inoculated with cells from the same overnight culture are significantly more similar to each other than to patterns in identical habitats located on different devices inoculated with cells from different overnight cultures, even tough all cultures were started from the same −80°C frozen stock. Conclusions We found that the colonization of spatially structure habitats by two interacting populations can lead to the formation of

Mapping the literature of rehabilitation nursing.

PubMed

Spasser, Mark A; Weismantel, Arlene

2006-04-01

This paper describes a citation analysis of the literature of rehabilitation nursing, conducted as part of the Medical Library Association's Nursing and Allied Health Section's the "Mapping the Literature of Nursing Project." One core journal, Rehabilitation Nursing, was selected, being both the official journal of the Association of Rehabilitation Nurses and the only journal devoted exclusively to rehabilitation nursing. Citations were analyzed according to format and date and stratified according to Bradford's Law of Scattering. The nineteen journals that constitute Zone 1 contribute the same number of citations as the eighty-six journals that make up Zone 2. OCLC ArticleFirst, PubMed/MEDLINE, and CINAHL provide the most inclusive coverage of the rehabilitation literature. The source journal, Rehabilitation Nursing, is the most important journal in Zone 1 and thus the most influential rehabilitation nursing journal. Relative degrees of database coverage do not change between Zones 1 and 2. The journals in Zones 1 and 2 collectively represent most of the important subspecialties of rehabilitation nursing, such as the physiological, sociopsychological, and community reintegration issues involved in the long-term rehabilitation process.

Barriers and facilitators to cultural competence in rehabilitation services: a scoping review.

PubMed

Grandpierre, Viviane; Milloy, Victoria; Sikora, Lindsey; Fitzpatrick, Elizabeth; Thomas, Roanne; Potter, Beth

2018-01-15

There is an important need to evaluate whether rehabilitation services effectively address the needs of minority culture populations with North America's increasingly diverse population. The objective of this paper was therefore to review and assess the state of knowledge of barriers and facilitators to cultural competence in rehabilitation services. Our scoping review focused on cultural competence in rehabilitation services. Rehabilitation services included in this review were: audiology, speech-language pathology, physiotherapy, and occupational therapy. A search strategy was developed to identify relevant articles published from inception of databases until April 2015. Titles and abstracts were screened by two independent reviewers according to specific eligibility criteria with the use of a liberal-accelerated approach. Full-text articles meeting inclusion criteria were then screened. Key study characteristics were abstracted by the first reviewer, and findings were verified by the second reviewer. After duplicates were removed, 4303 citations were screened. Included articles suggest that studies on cultural competence occur most frequently in occupational therapy (n = 17), followed by speech language pathology (n = 11), physiotherapy (n = 6), and finally audiology (n = 1). Primary barriers in rehabilitation services include language barriers, limited resources, and cultural barriers. Primary facilitators include cultural awareness amongst practitioners, cultural awareness in services, and explanations of health care systems. To our knowledge, this review is the first to summarize barriers and facilitators to cultural competence in rehabilitation fields. Insufficient studies were found to draw any conclusions with regards to audiological services. Minimal perspectives based on patient/caregiver experiences in all rehabilitation fields underscore a research gap. Future studies should aim to explore both patient/caregiver and practitioner

Rehabilitation and multiple sclerosis: hot topics in the preservation of physical functioning.

PubMed

Dalgas, Ulrik

2011-12-01

In a chronic and disabling disease like multiple sclerosis, rehabilitation becomes of major importance in the preservation of physical, psychological and social functioning. Approximately 80% of patients have multiple sclerosis for more than 35 years and most will develop disability at some point of their lives, emphasising the importance of rehabilitation in order to maintain quality of life. An important aspect of multiple sclerosis rehabilitation is the preservation of physical functioning. Hot topics in the rehabilitation of physical function include (1) exercise therapy, (2) robot-assisted training and (3) pharmacological interventions. Exercise therapy has for many years been a controversial issue in multiple sclerosis rehabilitation and the advice generally given to patients was not to participate in physical exercise, since it was thought to lead to a worsening of symptoms or fatigue. However, a paradigm shift is taking place and it is now increasingly acknowledged that exercise therapy is both safe and beneficial. Robot-assisted training is also attracting attention in multiple sclerosis rehabilitation. Several sophisticated commercial robots exist, but so far the number of scientific studies that have evaluated these is limited, although some promising results have been reported. Finally, recent studies have shown that certain pharmacological interventions have the potential to improve functional capacity substantially, with the potassium channel blocker fampridine being one of the most promising. This drug has been shown to improve walking ability in some patients with multiple sclerosis, associated with a reduction of patients' self-reported ambulatory disability. Rehabilitation strategies involving these different approaches, or combinations of them, may be of great use in improving everyday functioning and quality of life in patients with MS. Copyright © 2011 Elsevier B.V. All rights reserved.

Stroke Survivors' Experiences of Physical Rehabilitation: A Systematic Review of Qualitative Studies.

PubMed

Luker, Julie; Lynch, Elizabeth; Bernhardsson, Susanne; Bennett, Leanne; Bernhardt, Julie

2015-09-01

To report and synthesize the perspectives, experiences, and preferences of stroke survivors undertaking inpatient physical rehabilitation through a systematic review of qualitative studies. MEDLINE, CINAHL, Embase, and PsycINFO were searched from database inception to February 2014. Reference lists of relevant publications were searched. All languages were included. Qualitative studies reporting stroke survivors' experiences of inpatient stroke rehabilitation were selected independently by 2 reviewers. The search yielded 3039 records; 95 full-text publications were assessed for eligibility, and 32 documents (31 studies) were finally included. Comprehensiveness and explicit reporting were assessed independently by 2 reviewers using the consolidated criteria for reporting qualitative research framework. Discrepancies were resolved by consensus. Data regarding characteristics of the included studies were extracted by 1 reviewer, tabled, and checked for accuracy by another reviewer. All text reported in studies' results sections were entered into qualitative data management software for analysis. Extracted texts were inductively coded and analyzed in 3 phases using thematic synthesis. Nine interrelated analytical themes, with descriptive subthemes, were identified that related to issues of importance to stroke survivors: (1) physical activity is valued; (2) bored and alone; (3) patient-centered therapy; (4) recreation is also rehabilitation; (5) dependency and lack of control; (6) fostering autonomy; (7) power of communication and information; (8) motivation needs nurturing; and (9) fatigue can overwhelm. The thematic synthesis provides new insights into stroke survivors' experiences of inpatient rehabilitation. Negative experiences were reported in all studies and include disempowerment, boredom, and frustration. Rehabilitation could be improved by increasing activity within formal therapy and in free time, fostering patients' autonomy through genuinely patient

The Importance of Biologically Relevant Microclimates in Habitat Suitability Assessments

PubMed Central

Varner, Johanna; Dearing, M. Denise

2014-01-01

Predicting habitat suitability under climate change is vital to conserving biodiversity. However, current species distribution models rely on coarse scale climate data, whereas fine scale microclimate data may be necessary to assess habitat suitability and generate predictive models. Here, we evaluate disparities between temperature data at the coarse scale from weather stations versus fine-scale data measured in microhabitats required for a climate-sensitive mammal, the American pika (Ochotona princeps). We collected two years of temperature data in occupied talus habitats predicted to be suitable (high elevation) and unsuitable (low elevation) by the bioclimatic envelope approach. At low elevations, talus surface and interstitial microclimates drastically differed from ambient temperatures measured on-site and at a nearby weather station. Interstitial talus temperatures were frequently decoupled from high ambient temperatures, resulting in instantaneous disparities of over 30°C between these two measurements. Microhabitat temperatures were also highly heterogeneous, such that temperature measurements within the same patch of talus were not more correlated than measurements at distant patches. An experimental manipulation revealed that vegetation cover may cool the talus surface by up to 10°C during the summer, which may contribute to this spatial heterogeneity. Finally, low elevation microclimates were milder and less variable than typical alpine habitat, suggesting that, counter to species distribution model predictions, these seemingly unsuitable habitats may actually be better refugia for this species under climate change. These results highlight the importance of fine-scale microhabitat data in habitat assessments and underscore the notion that some critical refugia may be counterintuitive. PMID:25115894

The importance of biologically relevant microclimates in habitat suitability assessments.

PubMed

Varner, Johanna; Dearing, M Denise

2014-01-01

Predicting habitat suitability under climate change is vital to conserving biodiversity. However, current species distribution models rely on coarse scale climate data, whereas fine scale microclimate data may be necessary to assess habitat suitability and generate predictive models. Here, we evaluate disparities between temperature data at the coarse scale from weather stations versus fine-scale data measured in microhabitats required for a climate-sensitive mammal, the American pika (Ochotona princeps). We collected two years of temperature data in occupied talus habitats predicted to be suitable (high elevation) and unsuitable (low elevation) by the bioclimatic envelope approach. At low elevations, talus surface and interstitial microclimates drastically differed from ambient temperatures measured on-site and at a nearby weather station. Interstitial talus temperatures were frequently decoupled from high ambient temperatures, resulting in instantaneous disparities of over 30 °C between these two measurements. Microhabitat temperatures were also highly heterogeneous, such that temperature measurements within the same patch of talus were not more correlated than measurements at distant patches. An experimental manipulation revealed that vegetation cover may cool the talus surface by up to 10 °C during the summer, which may contribute to this spatial heterogeneity. Finally, low elevation microclimates were milder and less variable than typical alpine habitat, suggesting that, counter to species distribution model predictions, these seemingly unsuitable habitats may actually be better refugia for this species under climate change. These results highlight the importance of fine-scale microhabitat data in habitat assessments and underscore the notion that some critical refugia may be counterintuitive.

Tundra Rehabilitation in Alaska's Arctic

NASA Astrophysics Data System (ADS)

Lynn, L. A.

2012-12-01

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

Ghosts of habitats past: Contribution of landscape change to current habitats used by shrubland birds

USGS Publications Warehouse

Knick, Steven T.; Rotenberry, J.T.

2000-01-01

Models of habitat associations for species often are developed with an implicit assumption that habitats are static, even though recent disturbance may have altered the landscape. We tested our hypothesis that trajectory and magnitude of habitat change influenced observed distribution and abundance of passerine birds breeding in shrubsteppe habitats of southwestern Idaho. Birds in this region live in dynamic landscapes undergoing predominantly large-scale, radical, and unidirectional habitat change because wildfires are converting shrublands into expanses of exotic annual grasslands. We used data from field surveys and satellite image analyses in a series of redundancy analyses to partition variances and to determine the relative contribution of habitat change and current landscapes. Although current habitats explained a greater proportion of total variation, changes in habitat and measures of habitat richness and texture also contributed to variation in abundance of Horned Larks (Eremophila alpestris), Brewera??s Sparrows (Spizella breweri), and Sage Sparrows (Amphispiza belli). Abundance of birds was insensitive to scale for nonspatial habitat variables. In contrast, spatial measures of habitat richness and texture in the landscape were significant only at large spatial scales. Abundance of Horned Larks, Western Meadowlarks (Sturnella neglecta), and Brewera??s Sparrows, but not Sage Thrashers (Oreoscoptes montanus) or Sage Sparrows, was positively correlated with changes toward stable habitats. Because dominant habitat changes were toward less stable conditions, regional declines of those birds in shrubsteppe habitats reflect current landscapes as well as the history, magnitude, and trajectory of habitat change.

Human Rehabilitation Techniques. Disability Analyses: Chronic Disease Disabilities. Volume II, Part C.

ERIC Educational Resources Information Center

Sigelman, C.; And Others

Volume II, Section C of a six-volume final report (which covers the findings of a research project on policy and technology related to rehabilitation of disabled individuals) presents a review of literature on six types of chronic disease disabilities--rheumatoid arthritis, coronary heart disease, emphysema, carcinoma of the colon/rectum, kidney…

Neurology or rehabilitation medicine?

PubMed Central

McLellan, D L

1992-01-01

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

Rehabilitation engineering training for the future: influence of trends in academics, technology, and health reform.

PubMed

Winters, J M

1995-01-01

A perspective is offered on rehabilitation engineering educational strategies, with a focus on the bachelor's and master's levels. Ongoing changes in engineering education are summarized, especially as related to the integration of design and computers throughout the curriculum; most positively affect rehabilitation engineering training. The challenge of identifying long-term "niches" for rehabilitation engineers within a changing rehabilitation service delivery process is addressed. Five key training components are identified and developed: core science and engineering knowledge, synthesized open-ended problem-solving skill development, hands-on design experience, rehabilitation breadth exposure, and a clinical internship. Two unique abilities are identified that help demarcate the engineer from other providers: open-ended problem-solving skills that include quantitative analysis when appropriate, and objective quantitative evaluation of human performance. Educational strategies for developing these abilities are addressed. Finally, a case is made for training "hybrid" engineers/therapists, in particular bachelor-level engineers who go directly to graduate school to become certified orthotists/prosthetists or physical/occupational therapists, pass the RESNA-sponsored assistive technology service provision exam along the way, then later in life obtain a professional engineer's license and an engineering master's degree.

Genomics meets applied ecology: Characterizing habitat quality for sloths in a tropical agroecosystem.

PubMed

Fountain, Emily D; Kang, Jung Koo; Tempel, Douglas J; Palsbøll, Per J; Pauli, Jonathan N; Zachariah Peery, M

2018-01-01

Understanding how habitat quality in heterogeneous landscapes governs the distribution and fitness of individuals is a fundamental aspect of ecology. While mean individual fitness is generally considered a key to assessing habitat quality, a comprehensive understanding of habitat quality in heterogeneous landscapes requires estimates of dispersal rates among habitat types. The increasing accessibility of genomic approaches, combined with field-based demographic methods, provides novel opportunities for incorporating dispersal estimation into assessments of habitat quality. In this study, we integrated genomic kinship approaches with field-based estimates of fitness components and approximate Bayesian computation (ABC) procedures to estimate habitat-specific dispersal rates and characterize habitat quality in two-toed sloths (Choloepus hoffmanni) occurring in a Costa Rican agricultural ecosystem. Field-based observations indicated that birth and survival rates were similar in a sparsely shaded cacao farm and adjacent cattle pasture-forest mosaic. Sloth density was threefold higher in pasture compared with cacao, whereas home range size and overlap were greater in cacao compared with pasture. Dispersal rates were similar between the two habitats, as estimated using ABC procedures applied to the spatial distribution of pairs of related individuals identified using 3,431 single nucleotide polymorphism and 11 microsatellite locus genotypes. Our results indicate that crops produced under a sparse overstorey can, in some cases, constitute lower-quality habitat than pasture-forest mosaics for sloths, perhaps because of differences in food resources or predator communities. Finally, our study demonstrates that integrating field-based demographic approaches with genomic methods can provide a powerful means for characterizing habitat quality for animal populations occurring in heterogeneous landscapes. © 2017 John Wiley & Sons Ltd.

Athletes' Expectations About Sport-Injury Rehabilitation: A Cross-Cultural Study.

PubMed

Arvinen-Barrow, Monna; Clement, Damien; Hamson-Utley, Jennifer Jordan; Kamphoff, Cindra; Zakrajsek, Rebecca; Lee, Sae-Mi; Hemmings, Brian; Lintunen, Taru; Martin, Scott B

2016-12-01

Athletes enter injury rehabilitation with certain expectations about the recovery process, outcomes, and the professional providing treatment. Their expectations influence the effectiveness of the assistance received and affect the overall rehabilitation process. Expectations may vary depending on numerous factors such as sport experience, gender, sport type, and cultural background. Unfortunately, limited information is available on athletes' expectations about sport-injury rehabilitation. To examine possible differences in athletes' expectations about sport-injury rehabilitation based on their country of residence and type of sport (contact vs noncontact). Cross-sectional. Recreational, college, and professional athletes from the US, UK, and Finland were surveyed. Of the 1209 athletes ranging from 12 to 80 y of age (mean 23.46 ± 7.91), 529 US [80%], 253 UK [86%], and 199 Finnish [82%] athletes provided details of their geographical location and were included in the final analyses. The Expectations About Athletic Training (EAAT) questionnaire was used to determine athletes' expectations about personal commitment, facilitative conditions, and the expertise of the sports-medicine professional (SMP). A 3 × 2 MANCOVA revealed significant main effects for country (P = .0001, η p 2 = .055) and sport type (P = .0001, η p 2 = .023). Specifically, US athletes were found to have higher expectations of personal commitment and facilitative conditions than their UK and Finnish counterparts. Athletes participating in contact sports had higher expectations of facilitative conditions and the expertise of the SMP than did athletes participating in noncontact sports. SMPs, especially those in the US, should consider the sport and environment when providing services. In addition, SMPs need to highlight and demonstrate their expertise during the rehabilitation process, especially for those who compete in contact sports.

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.

29 CFR 1614.503 - Enforcement of final Commission decisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... ADEA, the Equal Pay Act or the Rehabilitation Act and to seek judicial review of the agency's refusal... 1614.503 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR EQUAL EMPLOYMENT OPPORTUNITY Remedies and Enforcement § 1614.503 Enforcement of final...

Rehabilitation: 25 Years of Concepts, Principles, Perspectives. A Collection of Articles Published in "Rehabilitation Literature," 1959-1984.

ERIC Educational Resources Information Center

Regnier, Stephen J., Comp.; Petkovsek, Marian, Comp.

Twenty-five articles from the bimonthly journal "Rehabilitation Literature" (1959-1984) are presented. The articles were chosen to represent key concepts, principles, and perspectives in rehabilitation. The following authors and titles are represented: "A Concept of Rehabilitation" (H. Talbot); "Rehabilitation: Prospect and Retrospect" (H.…

Habitat use by fishes in coral reefs, seagrass beds and mangrove habitats in the Philippines.

PubMed

Honda, Kentaro; Nakamura, Yohei; Nakaoka, Masahiro; Uy, Wilfredo H; Fortes, Miguel D

2013-01-01

Understanding the interconnectivity of organisms among different habitats is a key requirement for generating effective management plans in coastal ecosystems, particularly when determining component habitat structures in marine protected areas. To elucidate the patterns of habitat use by fishes among coral, seagrass, and mangrove habitats, and between natural and transplanted mangroves, visual censuses were conducted semiannually at two sites in the Philippines during September and March 2010-2012. In total, 265 species and 15,930 individuals were recorded. Species richness and abundance of fishes were significantly higher in coral reefs (234 species, 12,306 individuals) than in seagrass (38 species, 1,198 individuals) and mangrove (47 species, 2,426 individuals) habitats. Similarity tests revealed a highly significant difference among the three habitats. Fishes exhibited two different strategies for habitat use, inhabiting either a single (85.6% of recorded species) or several habitats (14.4%). Some fish that utilized multiple habitats, such as Lutjanus monostigma and Parupeneus barberinus, showed possible ontogenetic habitat shifts from mangroves and/or seagrass habitats to coral reefs. Moreover, over 20% of commercial fish species used multiple habitats, highlighting the importance of including different habitat types within marine protected areas to achieve efficient and effective resource management. Neither species richness nor abundance of fishes significantly differed between natural and transplanted mangroves. In addition, 14 fish species were recorded in a 20-year-old transplanted mangrove area, and over 90% of these species used multiple habitats, further demonstrating the key role of transplanted mangroves as a reef fish habitat in this region.

Habitat Use by Fishes in Coral Reefs, Seagrass Beds and Mangrove Habitats in the Philippines

PubMed Central

Honda, Kentaro; Nakamura, Yohei; Nakaoka, Masahiro; Uy, Wilfredo H.; Fortes, Miguel D.

2013-01-01

Understanding the interconnectivity of organisms among different habitats is a key requirement for generating effective management plans in coastal ecosystems, particularly when determining component habitat structures in marine protected areas. To elucidate the patterns of habitat use by fishes among coral, seagrass, and mangrove habitats, and between natural and transplanted mangroves, visual censuses were conducted semiannually at two sites in the Philippines during September and March 2010–2012. In total, 265 species and 15,930 individuals were recorded. Species richness and abundance of fishes were significantly higher in coral reefs (234 species, 12,306 individuals) than in seagrass (38 species, 1,198 individuals) and mangrove (47 species, 2,426 individuals) habitats. Similarity tests revealed a highly significant difference among the three habitats. Fishes exhibited two different strategies for habitat use, inhabiting either a single (85.6% of recorded species) or several habitats (14.4%). Some fish that utilized multiple habitats, such as Lutjanus monostigma and Parupeneus barberinus, showed possible ontogenetic habitat shifts from mangroves and/or seagrass habitats to coral reefs. Moreover, over 20% of commercial fish species used multiple habitats, highlighting the importance of including different habitat types within marine protected areas to achieve efficient and effective resource management. Neither species richness nor abundance of fishes significantly differed between natural and transplanted mangroves. In addition, 14 fish species were recorded in a 20-year-old transplanted mangrove area, and over 90% of these species used multiple habitats, further demonstrating the key role of transplanted mangroves as a reef fish habitat in this region. PMID:23976940

20 CFR 702.506 - Vocational rehabilitation; training.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Vocational rehabilitation; training. 702.506... Rehabilitation § 702.506 Vocational rehabilitation; training. Vocational rehabilitation training shall be planned... shall apply in arranging for or providing training: (a) The vocational rehabilitation adviser shall...

Melodic intonation in the rehabilitation of Romanian aphasics with bucco-lingual apraxia.

PubMed

Popovici, M; Mihăilescu, L

1992-01-01

The main objective of the present study was to assess the efficiency of the melodic intonation therapy (MIT) in the rehabilitation of Romanian aphasics. Eighty predominantly Broca aphasics used the melodic intonation therapy when no other therapy methods were very efficient. The speech therapist intonated the respective word, then together with the patient and finally let him continue alone. The control group counted 80 aphasics and it applied other therapy methods. Each patient, regardless of the group, was tested twice, before and after therapy. Since most of the patients displayed severe language disorders, and other therapy methods failed in rehabilitating them, MIT was considered an efficient method in the early stages of Broca aphasia with bucco-lingual apraxia.

Inpatient or Outpatient Rehabilitation after Herniated Disc Surgery? – Setting-Specific Preferences, Participation and Outcome of Rehabilitation

PubMed Central

Löbner, Margrit; Luppa, Melanie; Konnopka, Alexander; Meisel, Hans J.; Günther, Lutz; Meixensberger, Jürgen; Stengler, Katarina; Angermeyer, Matthias C.; König, Hans-Helmut; Riedel-Heller, Steffi G.

2014-01-01

Objective To examine rehabilitation preferences, participation and determinants for the choice of a certain rehabilitation setting (inpatient vs. outpatient) and setting-specific rehabilitation outcomes. Methods The longitudinal observational study referred to 534 consecutive disc surgery patients (18–55 years). Face-to-face baseline interviews took place about 3.6 days after disc surgery during acute hospital stay. 486 patients also participated in a follow-up interview via telephone three months later (dropout-rate: 9%). The following instruments were used: depression and anxiety (Hospital Anxiety and Depression Scale), pain intensity (numeric analog scale), health-related quality of life (Short Form 36 Health Survey), subjective prognosis of gainful employment (SPE-scale) as well as questions on rehabilitation attendance, return to work, and amount of sick leave days. Results The vast majority of patients undergoing surgery for a herniated disc attended a post-hospital rehabilitation treatment program (93%). Thereby two-thirds of these patients took part in an inpatient rehabilitation program (67.9%). Physical, psychological, vocational and health-related quality of life characteristics differed widely before as well as after rehabilitation depending on the setting. Inpatient rehabilitees were significantly older, reported more pain, worse physical quality of life, more anxiety and depression and a worse subjective prognosis of gainful employment before rehabilitation. Pre-rehabilitation differences remained significant after rehabilitation. More than half of the outpatient rehabilitees (56%) compared to only one third of the inpatient rehabilitees (33%) returned to work three months after disc surgery (p<.001). Conclusion The results suggest a “pre-selection” of patients with better health status in outpatient rehabilitation. Gaining better knowledge about setting-specific selection processes may help optimizing rehabilitation allocation procedures and

Mapping the literature of rehabilitation nursing

PubMed Central

Spasser, Mark A.; Weismantel, Arlene

2006-01-01

Objective: This paper describes a citation analysis of the literature of rehabilitation nursing, conducted as part of the Medical Library Association's Nursing and Allied Health Section's the “Mapping the Literature of Nursing Project.” Methods: One core journal, Rehabilitation Nursing, was selected, being both the official journal of the Association of Rehabilitation Nurses and the only journal devoted exclusively to rehabilitation nursing. Citations were analyzed according to format and date and stratified according to Bradford's Law of Scattering. Results: The nineteen journals that constitute Zone 1 contribute the same number of citations as the eighty-six journals that make up Zone 2. OCLC ArticleFirst, PubMed/MEDLINE, and CINAHL provide the most inclusive coverage of the rehabilitation literature. The source journal, Rehabilitation Nursing, is the most important journal in Zone 1 and thus the most influential rehabilitation nursing journal. Relative degrees of database coverage do not change between Zones 1 and 2. Conclusion: The journals in Zones 1 and 2 collectively represent most of the important subspecialties of rehabilitation nursing, such as the physiological, sociopsychological, and community reintegration issues involved in the long-term rehabilitation process. PMID:16710460

An annotated bibliography of selected guides for stream habitat improvement in the Pacific Northwest

USGS Publications Warehouse

Keim, R.F.; Price, A.B.; Hardin, T. S.; Skaugset, Arne E.; Bateman, D.S.; Gresswell, R.E.; Tesch, S. D.

2004-01-01

This annotated bibliography is a response to widespread interest in stream habitat improvement in the Pacific Northwest by land managers, governmental and nongovernmental organizations, and the lay public. Several guides to stream habitat improvement have been written in the past, but may not be easily accessible to people from diverse backgrounds. This annotated bibliography reviews 11 guides to stream habitat improvement so that readers can find literature appropriate to their needs. All reviews begin with summaries of the contents, stated audiences, and goals of each guide. Reviews also include subjective comments on the strengths and weaknesses of each guide. Finally, this bibliography includes recommendations of guides and combinations of guides judged most useful for a range of purposes. 

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…

Data Collection and Simulation of Ecological Habitat and Recreational Habitat in the Shenandoah River, Virginia

USGS Publications Warehouse

Krstolic, Jennifer L.

2015-01-01

Time-series analyses were used to investigate changes in habitat availability with increased water withdrawals of 10, 20, and almost 50 percent (48.6 percent) up to the 2040 amounts projected by local water supply plans. Adult and sub-adult smallmouth bass frequently had habitat availability outside the normal range for habitat conditions during drought years, yet 10- or 20-percent increases in withdrawals did not contribute to a large reduction in habitat. When withdrawals were increased by 50 percent, there was an additional decrease in habitat. During 2002 drought scenarios, reduced habitat availability for sub-adult redbreast sunfish or river chub was only slightly evident with 50-percent increased withdrawal scenarios. Recreational habitat represented by canoeing decreased lower than normal during the 2002 drought. For a recent normal year, like 2012, increased water-withdrawal scenarios did not affect habitat availability for fish such as adult and sub-adult smallmouth bass, sub-adult redbreast sunfish, or river chub. Canoeing habitat availability was within the normal range most of 2012, and increased water-withdrawal scenarios showed almost no affect. For both ecological fish habitat and recreational canoeing habitat, the antecedent conditions (habitat within normal range of habitat or below normal) appear to govern whether additional water withdrawals will affect habitat availability. As human populations and water demands increase, many of the ecological or recreational stresses may be lessened by managing the timing of water withdrawals from the system.

Effects of Hydroelectric Dam Operations on the Restoration Potential of Snake River Fall Chinook Salmon (Oncorhynchus tshawytscha) Spawning Habitat Final Report, October 2005 - September 2007.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hanrahan, Timothy P.; Richmond, Marshall C.; Arntzen, Evan V.

2007-11-13

This report describes research conducted by the Pacific Northwest National Laboratory for the Bonneville Power Administration (BPA) as part of the Fish and Wildlife Program directed by the Northwest Power and Conservation Council. The study evaluated the restoration potential of Snake River fall Chinook salmon spawning habitat within the impounded lower Snake River. The objective of the research was to determine if hydroelectric dam operations could be modified, within existing system constraints (e.g., minimum to normal pool levels; without partial removal of a dam structure), to increase the amount of available fall Chinook salmon spawning habitat in the lower Snakemore » River. Empirical and modeled physical habitat data were used to compare potential fall Chinook salmon spawning habitat in the Snake River, under current and modified dam operations, with the analogous physical characteristics of an existing fall Chinook salmon spawning area in the Columbia River. The two Snake River study areas included the Ice Harbor Dam tailrace downstream to the Highway 12 bridge and the Lower Granite Dam tailrace downstream approximately 12 river kilometers. These areas represent tailwater habitat (i.e., riverine segments extending from a dam downstream to the backwater influence from the next dam downstream). We used a reference site, indicative of current fall Chinook salmon spawning areas in tailwater habitat, against which to compare the physical characteristics of each study site. The reference site for tailwater habitats was the section extending downstream from the Wanapum Dam tailrace on the Columbia River. Fall Chinook salmon spawning habitat use data, including water depth, velocity, substrate size and channelbed slope, from the Wanapum reference area were used to define spawning habitat suitability based on these variables. Fall Chinook salmon spawning habitat suitability of the Snake River study areas was estimated by applying the Wanapum reference reach

An interactive distance solution for stroke rehabilitation in the home setting - A feasibility study.

PubMed

Palmcrantz, Susanne; Borg, Jörgen; Sommerfeld, Disa; Plantin, Jeanette; Wall, Anneli; Ehn, Maria; Sjölinder, Marie; Boman, Inga-Lill

2017-09-01

In this study an interactive distance solution (called the DISKO tool) was developed to enable home-based motor training after stroke. The overall aim was to explore the feasibility and safety of using the DISKO-tool, customized for interactive stroke rehabilitation in the home setting, in different rehabilitation phases after stroke. Fifteen patients in three different stages in the continuum of rehabilitation after stroke participated in a home-based training program using the DISKO-tool. The program included 15 training sessions with recurrent follow-ups by the integrated application for video communication with a physiotherapist. Safety and feasibility were assessed from patients, physiotherapists, and a technician using logbooks, interviews, and a questionnaire. Qualitative content analysis and descriptive statistics were used in the analysis. Fourteen out of 15 patients finalized the training period with a mean of 19.5 minutes spent on training at each session. The DISKO-tool was found to be useful and safe by patients and physiotherapists. This study demonstrates the feasibility and safety of the DISKO-tool and provides guidance in further development and testing of interactive distance technology for home rehabilitation, to be used by health care professionals and patients in different phases of rehabilitation after stroke.

Rehabilitation Management of the Charcot–Marie–Tooth Syndrome

PubMed Central

Corrado, Bruno; Ciardi, Gianluca; Bargigli, Chiara

2016-01-01

Abstract The Charcot–Marie–Tooth disease (CMT) causes significant muscular deficits in the affected patients, restricts daily activities (ADL), and involves a severe disability. Although the conservative intervention is the only treatment for the disease, there is no scientific evidence so far on rehabilitation treatment. Objectives of the review are: research the best literary evidence so far on the rehabilitation treatment of CMT; critically analyze the outcome, to build an evidence-based work protocol. A systematic review of the rehabilitation of a patient with CMT, including the results from the following databases: Pubmed, Medline, Embase, Pedro, Cinahl, Ebsco discovery. Criteria for inclusion: randomized/controlled studies, analytic studies, transversal studies on a cohort of at least 10 individuals; medium/long-term report of the results. Eleven studies in total have been admitted to the final review phase; trials about physiotherapy CMT treatment (5), about orthosis treatment (6). Despite the wide range of outcomes and proposed interventions, the data points to the following: strength or endurance trainings improve functionality and ADLs of affected patients, while orthotic role is, at the moment, not completely clear. Physiotherapy treatment is a useful tool to manage CMT; more studies on a larger number of cases are needed to define orthosis utility and to establish the gold standard of the treatment. PMID:27124017

Advanced upper limb prosthetic devices: implications for upper limb prosthetic rehabilitation.

PubMed

Resnik, Linda; Meucci, Marissa R; Lieberman-Klinger, Shana; Fantini, Christopher; Kelty, Debra L; Disla, Roxanne; Sasson, Nicole

2012-04-01

The number of catastrophic injuries caused by improvised explosive devices in the Afghanistan and Iraq Wars has increased public, legislative, and research attention to upper limb amputation. The Department of Veterans Affairs (VA) has partnered with the Defense Advanced Research Projects Agency and DEKA Integrated Solutions to optimize the function of an advanced prosthetic arm system that will enable greater independence and function. In this special communication, we examine current practices in prosthetic rehabilitation including trends in adoption and use of prosthetic devices, financial considerations, and the role of rehabilitation team members in light of our experiences with a prototype advanced upper limb prosthesis during a VA study to optimize the device. We discuss key challenges in the adoption of advanced prosthetic technology and make recommendations for service provision and use of advanced upper limb prosthetics. Rates of prosthetic rejection are high among upper limb amputees. However, these rates may be reduced with sufficient training by a highly specialized, multidisciplinary team of clinicians, and a focus on patient education and empowerment throughout the rehabilitation process. There are significant challenges emerging that are unique to implementing the use of advanced upper limb prosthetic technology, and a lack of evidence to establish clinical guidelines regarding prosthetic prescription and treatment. Finally, we make recommendations for future research to aid in the identification of best practices and development of policy decisions regarding insurance coverage of prosthetic rehabilitation. Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Perspectives on National Health Insurance and Rehabilitation. Emerging Issues in Rehabilitation.

ERIC Educational Resources Information Center

Dorken, Herbert; LaRocca, Joseph

Major research findings are synthesized and innovations of current concern to vocational rehabilitation professionals are reported in this paper on national health insurance (NHI) and rehabilitation. Discussion covers the following topics: the concept of insurance, forms of health insurance, issues arising from hearings on NHI, perspectives of…

Complex rehabilitation and the clinical condition of working rheumatoid arthritis patients: does cryotherapy always overtop traditional rehabilitation?

PubMed

Księżopolska-Orłowska, Krystyna; Pacholec, Anna; Jędryka-Góral, Anna; Bugajska, Joanna; Sadura-Sieklucka, Teresa; Kowalik, Katarzyna; Pawłowska-Cyprysiak, Karolina; Łastowiecka-Moras, Elżbieta

2016-01-01

Rehabilitation slows the progress of rheumatoid arthritis (RA) and prevents progression of disability. This study aimed to compare the impact of two rehabilitation programmes on pain, disease activity, locomotor function, global health and work ability forecast in RA patients. Sixty-four employed women aged 24-65 years participated in the study. All patients underwent individual and instrumental kinesiotherapy. Thirty-two patients underwent cryogenic chamber therapy and local cryotherapy as well as non-weight-bearing, instrumental and individual kinesiotherapy. The remaining 32 patients received traditional rehabilitation in the form of electromagnetic and instrumental therapy, individual and pool-based non-weight-bearing kinesiotherapy. Rehabilitation lasted 3 weeks. Patients were examined three times: prior to rehabilitation, after 3 weeks of therapy and 3 months after completion of rehabilitation. The following study instruments were used: to assess disease activity: DAS-28; functional impairment: HAQ-DI; pain severity: VAS; patients' overall well-being: a scale from 0 to 100 (Global Health Index); and patients' own prognosis of fitness for work: the 6th question from Work Ability Index (WAI). Statistical analysis of data was performed using the STATISTICA 8.0 package. Mixed-design two-way analysis of variance was used for hypothesis testing. All patients improved after rehabilitation. The group of patients those who underwent cryotherapy had improved DAS-28, HAQ-DI, VAS and global health scores immediately following the 3-week rehabilitation programme (p < 0.001, p = 0.001, p = 0.007 and p < 0.001, respectively), as well as at the 3-month follow-up (p < 0.001, p < 0.001, p = 0.009 and p < 0.001, respectively). Rehabilitation using cryotherapy resulted in greater improvement in disease activity DAS-28 [F(2,105) = 5.700; p = 0.007; η(2) = 0.084] and HAQ-DI locomotor function scores [F(2,109) = 6.771; p = 0.003; η(2) = 0.098] compared to traditional

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

BCI-FES system for neuro-rehabilitation of stroke patients

NASA Astrophysics Data System (ADS)

Jure, Fabricio A.; Carrere, Lucía C.; Gentiletti, Gerardo G.; Tabernig, Carolina B.

2016-04-01

Nowadays, strokes are a growing cause of mortality and many people remain with motor sequelae and troubles in the daily activities. To treat this sequelae, alternative rehabilitation techniques are needed. In this article a Brain Computer Interface (BCI) system to control a Functional Electrical Stimulation (FES) system is presented. It can be used as a novel tool in easy setup clinical routines, to improve the rehabilitation process by mean of detecting patient´s motor intention, performing it by FES and finally receiving appropriate feedback The BCI-FES system presented here, consists of three blocks: the first one decodes the patient´s intention and it is composed by the patient, the acquisition hardware and the processing software (Emotiv EPOC®). The second block, based on Arduino’s technology, transforms the information into a valid command signal. The last one excites the patient´s neuromuscular system by means of a FES device. In order to evaluate the cerebral activity sensed by the device, topographic maps were obtained. The BCI-FES system was able to detect the patient´s motor intention and control the FES device. At the time of this publication, the system it’s being employing in a rehabilitation program with patients post stroke.

Ord's kangaroo rats living in floodplain habitats: Factors contributing to habitat attraction

USGS Publications Warehouse

Miller, M.S.; Wilson, K.R.; Andersen, D.C.

2003-01-01

High densities of an aridland granivore, Ord's kangaroo rat (Dipodomys ordii), have been documented in floodplain habitats along the Yampa River in northwestern Colorado. Despite a high probability of inundation and attendant high mortality during the spring flood period, the habitat is consistently recolonized. To understand factors that potentially make riparian habitats attractive to D. ordii, we compared density and spatial pattern of seeds, density of a competitor (western harvester ant, Pogonomyrmex occidentalis), and digging energetics within floodplain habitats and between floodplain and adjacent upland habitats. Seed density within the floodplain was greatest in the topographically high (rarely flooded) floodplain and lowest immediately after a spring flood in the topographically low (frequently flooded) floodplain. Seed densities in adjacent upland habitat that never floods were higher than the lowest floodplain habitat. In the low floodplain prior to flooding, seeds had a clumped spatial pattern, which D. ordii is adept at exploiting; after spring flooding, a more random pattern resulted. Populations of the western harvester ant were low in the floodplain relative to the upland. Digging by D. ordii was energetically less expensive in floodplain areas than in upland areas. Despite the potential for mortality due to annual spring flooding, the combination of less competition from harvester ants and lower energetic costs of digging might promote the use of floodplain habitat by D. ordii.

[Rehabilitation in COPD].

PubMed

Villiger, B

1999-03-01

Pulmonary rehabilitation (PR) is an important tool in the treatment of COPD patients. It is now clearly established that PR improves exercise capacity, reduces symptoms and improves quality of life in COPD patients. There is further evidence that the programmes also improve survival and reduce medical consumption. Pulmonary rehabilitation programmes are multidisziplinary and consist of exercise training (endurance, power), chest physiotherapie, education, psychosocial and nutritional support. Patients with poor exercise capacity, peripheral muscle weakness, severe complaints and poor quality of life seem to profit most from in- and outpatients rehab programmes. The type of rehabilitation depends on the severity of symptoms, the competence of the rehab-team and the local possibilities.

The evolution of mapping habitat for northern spotted owls (Strix occidentalis caurina): A comparison of photo-interpreted, Landsat-based, and lidar-based habitat maps

USGS Publications Warehouse

Ackers, Steven H.; Davis, Raymond J.; Olsen, K.; Dugger, Catherine

2015-01-01

Wildlife habitat mapping has evolved at a rapid pace over the last few decades. Beginning with simple, often subjective, hand-drawn maps, habitat mapping now involves complex species distribution models (SDMs) using mapped predictor variables derived from remotely sensed data. For species that inhabit large geographic areas, remote sensing technology is often essential for producing range wide maps. Habitat monitoring for northern spotted owls (Strix occidentalis caurina), whose geographic covers about 23 million ha, is based on SDMs that use Landsat Thematic Mapper imagery to create forest vegetation data layers using gradient nearest neighbor (GNN) methods. Vegetation data layers derived from GNN are modeled relationships between forest inventory plot data, climate and topographic data, and the spectral signatures acquired by the satellite. When used as predictor variables for SDMs, there is some transference of the GNN modeling error to the final habitat map.Recent increases in the use of light detection and ranging (lidar) data, coupled with the need to produce spatially accurate and detailed forest vegetation maps have spurred interest in its use for SDMs and habitat mapping. Instead of modeling predictor variables from remotely sensed spectral data, lidar provides direct measurements of vegetation height for use in SDMs. We expect a SDM habitat map produced from directly measured predictor variables to be more accurate than one produced from modeled predictors.We used maximum entropy (Maxent) SDM modeling software to compare predictive performance and estimates of habitat area between Landsat-based and lidar-based northern spotted owl SDMs and habitat maps. We explored the differences and similarities between these maps, and to a pre-existing aerial photo-interpreted habitat map produced by local wildlife biologists. The lidar-based map had the highest predictive performance based on 10 bootstrapped replicate models (AUC = 0.809 ± 0.011), but the

A Bio-Inspired Model-Based Approach for Context-Aware Post-WIMP Tele-Rehabilitation.

PubMed

López-Jaquero, Víctor; Rodríguez, Arturo C; Teruel, Miguel A; Montero, Francisco; Navarro, Elena; Gonzalez, Pascual

2016-10-13

Tele-rehabilitation is one of the main domains where Information and Communication Technologies (ICT) have been proven useful to move healthcare from care centers to patients' home. Moreover, patients, especially those carrying out a physical therapy, cannot use a traditional Window, Icon, Menu, Pointer (WIMP) system, but they need to interact in a natural way, that is, there is a need to move from WIMP systems to Post-WIMP ones. Moreover, tele-rehabilitation systems should be developed following the context-aware approach, so that they are able to adapt to the patients' context to provide them with usable and effective therapies. In this work a model-based approach is presented to assist stakeholders in the development of context-aware Post-WIMP tele-rehabilitation systems. It entails three different models: (i) a task model for designing the rehabilitation tasks; (ii) a context model to facilitate the adaptation of these tasks to the context; and (iii) a bio-inspired presentation model to specify thoroughly how such tasks should be performed by the patients. Our proposal overcomes one of the limitations of the model-based approach for the development of context-aware systems supporting the specification of non-functional requirements. Finally, a case study is used to illustrate how this proposal can be put into practice to design a real world rehabilitation task.

A long-term retrospective study on rehabilitation of seabirds in Gran Canaria Island, Spain (2003-2013).

PubMed

Montesdeoca, Natalia; Calabuig, Pascual; Corbera, Juan A; Orós, Jorge

2017-01-01

The aims of this study were to analyze the causes of morbidity and mortality in a large population of seabirds admitted to the Tafira Wildlife Rehabilitation Center (TWRC) in Gran Canaria Island, Spain, from 2003 to 2013, and to analyze the outcomes of the rehabilitation process. We included 1,956 seabirds (133 dead on admission and 1,823 admitted alive) in this study. Causes of morbidity were classified into nine categories: light pollution (fallout), fishing gear interaction, crude oil, poisoning/intoxication, other traumas, metabolic/nutritional disorder, orphaned young birds, other causes, and unknown/undetermined. The crude and stratified (by causes of admission) rates of the three final disposition categories (euthanasia Er, unassisted mortality Mr, and release Rr), the time until death, and the length of stay were also studied for the seabirds admitted alive. Yellow-legged Gull (Larus michahellis) was the species most frequently admitted (46.52%), followed by Cory's Shearwater (Calonectris diomedea borealis) (20.09%). The most frequent causes of morbidity were light pollution (fallout) (25.81%), poisoning/intoxication (24.69%), and other traumas (18.14%). The final disposition rates were: Er = 15.35%, Mr = 16.29%, and Rr = 68.34%. The highest Er was observed in the 'other traumas' category (58.08%). Seabirds admitted due to metabolic/nutritional disorder had the highest Mr (50%). The highest Rr was observed in the light pollution (fallout) category (99.20%). This survey provides useful information for the conservation of several seabird species. We suggest that at least the stratified analysis by causes of admission of the three final disposition rates, and the parameters time until death and length of stay at the center should be included in the outcome research of the rehabilitation of seabirds. The high release rate for seabirds (68.34%) achieved at the TWRC emphasizes the importance of wildlife rehabilitation centers for the conservation of seabirds.

Landscape-level connectivity in coastal southern California, USA, as assessed through carnivore habitat suitability

USGS Publications Warehouse

Hunter, Richard D.; Fisher, Robert N.; Crooks, Kevin R.

2003-01-01

Although the fragmentation of the natural landscape of coastal southern California, USA, is accelerating, large-scale assessments of regional connectivity are lacking. Because of their large area requirements and long dispersal movements, mammalian carnivores can be effective focal species to use when evaluating landscape-level connectivity. Our goal was to make an initial assessment of the extent of landscape-level connectivity in coastal southern California using mountain lions (Felis concolor [Linnaeus]) and bobcats (Felis rufus [Shreber]) as focal species. We first characterized habitat preferences for mountain lions and bobcats from previously derived habitat relationship models for these species; the resulting maps provided a coarse view of habitat preferences for use at regional scales. We then constructed GIS models to evaluate the disturbance impact of roadways and development, major determinants of carnivore distribution and abundance in the south coast region. Finally, we combined the habitat relationship models with the disturbance impact models to characterize habitat connectivity for mountain lions and bobcats in the ecoregion. Habitat connectivity in the ecoregion appeared higher for bobcats than for mountain lions due in part to higher habitat suitability for bobcats in coastal lowland areas. Our models suggest that much of the key carnivore habitat in the coastal southern California is at risk; over 80% of high suitability habitat and over 90% of medium suitability habitat for carnivores is found in the least protected land management classes. Overall, these models allow for (1) identification of core habitat blocks for carnivores and key landscape connections between core areas, (2) evaluation of the level of protection of these areas, and (3) a regional framework within which to develop and coordinate local management and conservation plans.

Rehabilitation Traumatology: A Narrative Review.

PubMed

Bloodworth, Donna; Pandit, Sindhu; Mullan, Patrick; Chiou-Tan, Faye

2017-09-01

Rehabilitation traumatology has developed within the field of physical medicine and rehabilitation as a specialized area of knowledge in which the physiatrist works with the traumatology team to enhance the functional outcome of trauma patients. Based on the definition of traumatology in the American Heritage Dictionary, the authors propose rehabilitation traumatology be "the branch of medicine that deals with the treatment of serious wounds, injuries, and disabilities," "to restore [the patient] to good health or useful life." This article reviews the history of traumatology, special considerations of the traumatology patient through the continuum of care, and concepts toward the creation of a rehabilitation traumatology program. V. Copyright © 2017 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

Update on rehabilitation in multiple sclerosis.

PubMed

Donzé, Cécile

2015-04-01

Given that mobility impairment is a hallmark of multiple sclerosis, people with this disease are likely to benefit from rehabilitation therapy throughout the course of their illness. The review provides an update on rehabilitation focused on balance and walking impairment. Classical rehabilitation focusing on muscle rehabilitation, neurotherapeutic facilitation is effective and recommended. Other techniques did not prove their superiority: transcutaneal neurostimulation, repetitive magnetic stimulation, electromagnetic therapy, whole body vibration and robot-assisted gait rehabilitation and need more studies to conclude. Cooling therapy, hydrotherapy, orthoses and textured insoles could represent a complementary service to other techniques in specific conditions. Multidisciplinary rehabilitation program provides positive effects and high satisfaction for patients with multiple sclerosis but needs more evaluation. New technologies using serious game and telerehabilitation seem to be an interesting technique to promote physical activity, self-management and quality of life. Rehabilitation like other therapy needs regular clinical evaluation to adapt the program and propose appropriate techniques. Moreover, the objective of rehabilitation needs to be decided with the patient with realistic expectation. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

The effect of anti-gravity treadmill training for prosthetic rehabilitation of a case with below-knee amputation.

PubMed

Mikami, Yukio; Fukuhara, Kouki; Kawae, Toshihiro; Kimura, Hiroaki; Ochi, Mitsuo

2015-12-01

The aim of this case study was to verify the efficacy and safety of anti-gravity treadmill training for prosthetic rehabilitation following below-knee amputation. The patient underwent left below-knee amputation as a result of diabetic foot gangrene. Since his physical strength and vitality had declined during the perioperative period, anti-gravity treadmill training was introduced for his outpatient prosthetic rehabilitation. Stable prosthetic gait exercise could be carried out under guidance on the anti-gravity treadmill, quickly resulting in improved gait. Furthermore, the patient's self-efficacy and exercise tolerance were elevated after the period of anti-gravity treadmill training. At the final evaluation following 6 weeks of rehabilitation with the anti-gravity treadmill, he had acquired prosthetic gait with the assistance of a T-cane. The anti-gravity treadmill was found to be a useful instrument for prosthetic rehabilitation following below-knee amputation. Anti-gravity treadmill training has the potential to support the prosthetic rehabilitation of below-knee amputees, especially for patients whose physical strength and vitality are decreased. © The International Society for Prosthetics and Orthotics 2014.

Hamstring Strain Injuries: Recommendations for Diagnosis, Rehabilitation and Injury Prevention

PubMed Central

Heiderscheit, Bryan C.; Sherry, Marc A.; Silder, Amy; Chumanov, Elizabeth S.; Thelen, Darryl G.

2010-01-01

Synopsis Hamstring strain injuries remain a challenge for both athletes and clinicians given the high incidence rate, slow healing, and persistent symptoms. Moreover, nearly one-third of these injuries recur within the first year following a return to sport, with subsequent injuries often being more severe than the original. This high reinjury rate suggests that commonly utilized rehabilitation programs may be inadequate at resolving possible muscular weakness, reduced tissue extensibility, and/or altered movement patterns associated with the injury. Further, the traditional criteria used to determine the readiness of the athlete to return to sport may be insensitive to these persistent deficits, resulting in a premature return. There is mounting evidence that the risk of reinjury can be minimized by utilizing rehabilitation strategies that incorporate neuromuscular control exercises and eccentric strength training, combined with objective measures to assess musculotendon recovery and readiness to return to sport. In this paper, we first describe the diagnostic examination of an acute hamstring strain injury, including discussion of the value of determining injury location in estimating the duration of the convalescent period. Based on the current available evidence, we then propose a clinical guide for the rehabilitation of acute hamstring injuries including specific criteria for treatment progression and return to sport. Finally, we describe directions for future research including injury-specific rehabilitation programs, objective measures to assess reinjury risk, and strategies to prevent injury occurrence. Level of evidence: Diagnosis/therapy, level 5. PMID:20118524

Globalizing rehabilitation psychology: Application of foundational principles to global health and rehabilitation challenges.

PubMed

Bentley, Jacob A; Bruyère, Susanne M; LeBlanc, Jeanne; MacLachlan, Malcolm

2016-02-01

This article reviewed foundational principles in rehabilitation psychology and explored their application to global health imperatives as outlined in the World Report on Disability (World Health Organization & World Bank, 2011). Historical theories and perspectives are used to assist with conceptual formulation as applied to emerging international rehabilitation psychology topics. According to the World Report on Disability (World Health Organization & World Bank, 2011), there are approximately 1 billion individuals living with some form of disability globally. An estimated 80% of persons with disabilities live in low- to middle-income countries (WHO, 2006). The primary messages and recommendations of the World Report on Disability have been previously summarized as it relates to potential opportunities for contribution within the field of rehabilitation psychology (MacLachlan & Mannan, 2014). Yet, undeniable barriers remain to realizing the full potential for contributions in low- to middle-income country settings. A vision for engaging in international capacity building and public health efforts is needed within the field of rehabilitation psychology. Foundational rehabilitation psychology principles have application to the service of individuals with disabilities in areas of the world facing complex socioeconomic and sociopolitical challenges. Foundational principles of person-environment interaction, importance of social context, and need for involvement of persons with disabilities can provide guidance to the field as it relates to global health and rehabilitation efforts. The authors illustrate the application of rehabilitation psychology foundational principles through case examples and description of ongoing work, and link foundational principles to discreet domains of intervention going forward. (c) 2016 APA, all rights reserved).

[Implementation of quality management in medical rehabilitation--current challenges for rehabilitation facilities].

PubMed

Enge, M; Koch, A; Müller, T; Vorländer, T

2010-12-01

The legal responsibilities imposed upon rehabilitation facilities under section 20 (2a) SGB IX, necessitate fundamental decisions to be taken regarding the development of quality management systems over and above the existing framework. This article is intended to provide ideas and suggestions to assist rehabilitation facilities in implementing a quality management system, which is required in addition to participation in the quality assurance programmes stipulated by the rehabilitation carriers. In this context, the additional internal benefit a functioning quality management system can provide for ensuring a high level of quality and for maintaining the competitiveness of the rehabilitation facility should be taken into account. The core element of these observations, hence, is a list of requirements which enables assessment of the quality of consultants' performance in setting up a quality management system. © Georg Thieme Verlag KG Stuttgart · New York.

The new look in rehabilitation.

PubMed

Eazell, D E

1987-01-01

In the 1990s, operational strategies to assure survival will be crucial for all healthcare providers. All will face an accelerating rate of change, and the paramount change will be an intensified competitive marketplace. How does this impact rehabilitation? Like acute care hospitals, rehabilitation facilities will diversify into alternative delivery systems. This paper examines the course one provider--Casa Colina, Inc.--has taken, the pitfalls and problems along the way, and the implications for other rehabilitation providers. Strategies used to strengthen various areas of rehabilitation are considered, including ambulatory care, skilled nursing, traumatic brain injury, medical and vocational rehabilitation, residential programs, joint ventures, rehabilitation hospitals and outpatient services. A strong consensus exists today among healthcare experts concerning where we are headed and operational strategies for survival in 1990. How does this consensus impact rehabilitation? Before dealing with rehabilitation, let us review essential agreements. For HOSPITALS, the experts agree that: multi-hospital systems will continue to grow and will be best positioned to implement and take advantage of the strategies of choice in the new competitive market; money spent nationally on healthcare services will continue to grow; new types of providers will erode acute care inpatient hospitals' share of healthcare expenditures; emphasis in healthcare will shift to ambulatory services and delivery systems; and hospitals may be at a disadvantage in attracting capital financing and many will have to create new corporate structures and business ventures to compete in the capital market.(ABSTRACT TRUNCATED AT 250 WORDS)

Lunar base habitat designs: Characterizing the environment, and selecting habitat designs for future trade-offs

NASA Technical Reports Server (NTRS)

Ganapathi, Gani B.; Ferrall, Joseph; Seshan, P. K.

1993-01-01

A survey of distinct conceptual lunar habitat designs covering the pre- and post-Apollo era is presented. The impact of the significant lunar environmental challenges such as temperature, atmosphere, radiation, soil properties, meteorites, and seismic activity on the habitat design parameters are outlined. Over twenty habitat designs were identified and classified according to mission type, crew size; total duration of stay, modularity, environmental protection measures, and emplacement. Simple selection criteria of (1) post-Apollo design, (2) uniqueness of the habitat design, (3) level of thoroughness in design layout, (4) habitat dimensions are provided, and (5) materials of construction for the habitat shell are specified, are used to select five habitats for future trade studies. Habitat emplacement scenarios are created to examine the possible impact of emplacement of the habitat in different locations, such as lunar poles vs. equatorial, above ground vs. below ground, etc.

Balneotherapy in Psoriasis Rehabilitation

PubMed Central

PÉTER, IVÁN; JAGICZA, ANNA; AJTAY, ZÉNÓ; BONCZ, IMRE; KISS, ISTVÁN; SZENDI, KATALIN; KUSTÁN, PÉTER; NÉMETH, BALÁZS

2017-01-01

Background/Aim: This study aimed to report a balneotherapy-based psoriasis rehabilitation protocol and assess its effectivity. Patients and Methods: Eighty psoriatic patients who underwent a 3-week-long inward balneotherapy-based rehabilitation were enrolled. Psoriasis Area and Severity Index (PASI) score and high sensitivity C-reactive protein (CRP) were determined on admission and before discharge. Results: The mean PASI score and CRP level –determined on admission and before discharge– decreased significantly after the 3-week-long rehabilitation 7.15±7.3 vs. 2.62±3.05 (p<0.001) and 4.1±3.8 vs. 3.5±3.1 (p=0.026). A negative correlation was found between PASI delta and the number of spa therapies received (r=–0.228). Conclusion: After completing the 3-week-long spa therapy based rehabilitation, both PASI score and CRP levels showed improvement of psoriasis. The complex spa therapy used during the rehabilitation is an effective tool to reduce the symptoms of psoriasis and improve the patient’s well-being. PMID:29102940

Balneotherapy in Psoriasis Rehabilitation.

PubMed

Péter, Iván; Jagicza, Anna; Ajtay, Zénó; Boncz, Imre; Kiss, István; Szendi, Katalin; Kustán, Péter; Németh, Balázs

2017-01-01

This study aimed to report a balneotherapy-based psoriasis rehabilitation protocol and assess its effectivity. Eighty psoriatic patients who underwent a 3-week-long inward balneotherapy-based rehabilitation were enrolled. Psoriasis Area and Severity Index (PASI) score and high sensitivity C-reactive protein (CRP) were determined on admission and before discharge. The mean PASI score and CRP level -determined on admission and before discharge-decreased significantly after the 3-week-long rehabilitation 7.15±7.3 vs. 2.62±3.05 (p<0.001) and 4.1±3.8 vs. 3.5±3.1 (p=0.026). A negative correlation was found between PASI delta and the number of spa therapies received (r=-0.228). After completing the 3-week-long spa therapy based rehabilitation, both PASI score and CRP levels showed improvement of psoriasis. The complex spa therapy used during the rehabilitation is an effective tool to reduce the symptoms of psoriasis and improve the patient's well-being. Copyright© 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

The airspace is habitat

USGS Publications Warehouse

Diehl, Robert H.

2013-01-01

A preconception concerning habitat persists and has gone unrecognized since use of the term first entered the lexicon of ecological and evolutionary biology many decades ago. Specifically, land and water are considered habitats, while the airspace is not. This might at first seem a reasonable, if unintended, demarcation, since years of education and personal experience as well as limits to perception predispose a traditional view of habitat. Nevertheless, the airspace satisfies the definition and functional role of a habitat, and its recognition as habitat may have implications for policy where expanding anthropogenic development of airspace could impact the conservation of species and subject parts of the airspace to formalized legal protection.

Defining Rehabilitation Success in Older Adults with Dementia--Results from an Inpatient Geriatric Rehabilitation Unit.

PubMed

Muir-Hunter, S W; Fat, G Lim; Mackenzie, R; Wells, J; Montero-Odasso, M

2016-04-01

To quantify the magnitude of functional recovery in older adults with and without dementia admitted to an inpatient geriatric rehabilitation program by measuring change in measures of global physical function and physical therapy treatment outcomes. Retrospective cohort study. Rehabilitation academic hospital. Consecutive subjects, with (N=65, age 81.9±6.0 y) and without (N=157, age 82.8±7.2 y) a dementia diagnosis, had assessment data at admission and discharge from inpatient geriatric rehabilitation unit. Not applicable. The Functional Independence Measure (FIM) was used to estimate level of independence on activities of daily living. The Berg Balance Scale (BBS), Timed Up and Go Test (TUG) and 2 Minute Walk Test (2MWT) were used to estimate functional mobility and endurance. The FIM (total, motor subscale, cognitive subscale scores) were used to calculate rehabilitation efficacy and efficiency scores. After controlling for confounding, there was no group difference for gains on the BBS, TUG, 2MWT; there was no group difference on rehabilitation efficacy and efficiency values based on the FIM motor subscale. The magnitude of the rehabilitation gain using the total FIM score was statistically different between groups, people with dementia having smaller gains. Older adults with a diagnosis of dementia are capable of making motor function recovery during inpatient sub-acute rehabilitation comparable to their peers without a dementia diagnosis. The metric used to evaluate functional recovery influences the determination of rehabilitation success between groups. Rehabilitation success should be defined among people with a dementia diagnosis by a change in the motor subscale of the FIM, rather than the total FIM score or the gain relative to the maximal FIM score.

Hand Rehabilitation Robotics on Poststroke Motor Recovery

PubMed Central

2017-01-01

The recovery of hand function is one of the most challenging topics in stroke rehabilitation. Although the robot-assisted therapy has got some good results in the latest decades, the development of hand rehabilitation robotics is left behind. Existing reviews of hand rehabilitation robotics focus either on the mechanical design on designers' view or on the training paradigms on the clinicians' view, while these two parts are interconnected and both important for designers and clinicians. In this review, we explore the current literature surrounding hand rehabilitation robots, to help designers make better choices among varied components and thus promoting the application of hand rehabilitation robots. An overview of hand rehabilitation robotics is provided in this paper firstly, to give a general view of the relationship between subjects, rehabilitation theories, hand rehabilitation robots, and its evaluation. Secondly, the state of the art hand rehabilitation robotics is introduced in detail according to the classification of the hardware system and the training paradigm. As a result, the discussion gives available arguments behind the classification and comprehensive overview of hand rehabilitation robotics. PMID:29230081

75 FR 21394 - Endangered and Threatened Wildlife and Plants; Final Revised Critical Habitat for Hine's Emerald...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-23

... critical habitat units are located in Cook, DuPage, and Will Counties in Illinois; Alpena, Mackinac, and... News- Graphic, St. Ignace News, Door County Advocate, Alpena News, Ozaukee Press, and Joliet Herald... commenter asserts that there is little (if any) economic activity in Alpena, Mackinac, or Presque Isle...

Butterflies of the high-altitude Atacama Desert: habitat use and conservation

PubMed Central

Despland, Emma

2014-01-01

The butterfly fauna of the high-altitude desert of Northern Chile, though depauperate, shows high endemism, is poorly known and is of considerable conservation concern. This study surveys butterflies along the Andean slope between 2400 and 5000 m asl (prepuna, puna and Andean steppe habitats) as well as in high and low-altitude wetlands and in the neoriparian vegetation of agricultural sites. We also include historical sightings from museum records. We compare abundances between altitudes, between natural and impacted sites, as well as between two sampling years with different precipitation regimes. The results confirm high altitudinal turnover and show greatest similarity between wetland and slope faunas at similar altitudes. Results also underscore vulnerability to weather fluctuations, particularly in the more arid low-altitude sites, where abundances were much lower in the low precipitation sampling season and several species were not observed at all. Finally, we show that some species have shifted to the neoriparian vegetation of the agricultural landscape, whereas others were only observed in less impacted habitats dominated by native plants. These results suggest that acclimation to novel habitats depends on larval host plant use. The traditional agricultural environment can provide habitat for many, but not all, native butterfly species, but an estimation of the value of these habitats requires better understanding of butterfly life history strategies and relationships with host plants. PMID:25309583

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.

Habitat Suitability Index Models: Beaver

USGS Publications Warehouse

Allen, Arthur W.

1982-01-01

Habitat preferences of the beaver (Castor canadensis) are described in this publication, which is one of a series of Habitat Suitability Index (HSI) models. Habitat use information is presented in a synthesis of the literature on the species-habitat requirements of the beaver, followed by the development of the HSI model. The model is designed to provide information for use in impact assessment and habitat management activities, and should be used in conjunction with habitat evaluation procedures previously developed by the Fish and Wildlife Service. This revised model updates the original publication dated September 1982.

[Recommendations for overcoming interface problems in medical rehabilitation of federal pension funds and statutory health insurance].

PubMed

Pohontsch, N; Träder, J-M; Scherer, M; Deck, R

2013-10-01

Interface problems in medical rehabilitation are a consequence of problems with communication and cooperation, lack of information and transparency. Different stakeholders are trying to solve these problems since many years or decades respectively. Following a series of deficit-oriented studies we tried to develop recommendations for possible solutions of important interface problems together with affected people based on a qualitative analysis of main problem areas. 10 separate group discussions with rehabilitation patients, general practitioners and specialists in private practices, representatives of the federal pension fund and statutory health insurance as well as clinicians from rehabilitation clinics and 3 mixed group discussions (all before mentioned groups excluding rehabilitation patients) were conducted. These group discussions served to prepare a semidiurnal final conference. All meetings were recorded and content analyzed or summarized in protocols respectively. Results are recommendations on strategies to reduce interface problems in medical rehabilitation. Those are: development of a rehabilitation-information-website for insurees and general practitioners and specialists in private practices; changes in forms, applications, notifications; advanced training for general practitioners and specialists in private practices und support in detecting rehabilitation need. Due to divided structures of care provision and increasing specialization, overcoming interface problems is one of the main challenges in the provision of medical rehabilitation. It can be met if different stakeholder approach each other without prejudices, share instead of demarcate competencies and are willing to strike new paths. Our recommendations represent the first step to reaching this goal. © Georg Thieme Verlag KG Stuttgart · New York.

Changes in Vocational Rehabilitation Practice since the 1992 Rehabilitation Act Amendments.

ERIC Educational Resources Information Center

Whitney-Thomas, Jean; Timmons, Jaimie Ciulla; Thomas, Dawna M.; Gilmore, Dana Scott; Fesko, Sheila Lynch

This study sought to understand how the 1992 Rehabilitation Act Amendments have been implemented and whether practices since its passage have changed from the perspectives of vocational rehabilitation administrators and counselors as of 1996. Through the use of a national, cross-sectional survey, data were collected from 251 administrators and 254…

Physical medicine and rehabilitation

MedlinePlus

... WR, Silver JK, Rizzo TD, eds. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation . 3rd ed. Philadelphia, PA: Elsevier Saunders; 2015. Review Date 10/23/2017 Updated by: Andrew W. ...

Rehabilitation in Managing MS

MedlinePlus

... rehabilitation specialist or other healthcare provider. The rehabilitation team Physical therapy Physical therapists (PT) evaluate and address ... language pathologists. MS in Focus Meet Your Therapy Team - Momentum article Share Smaller Text Larger Text Print ...

Human Rehabilitation Techniques. Final Report. Volume 1, Part A.

ERIC Educational Resources Information Center

Dudek, R. A.; And Others

The first volume of a six-volume final report describes the activities and findings of a research project to identify the policy-related aspects and technology involved in efforts to aid disabled individuals in the United States. In Chapter 1, various types of technology assessments are explained, and general results of the technology assessment…

Libby/Hungry Horse Dams Wildlife Mitigation : Montana Wildlife Habitat Protection : Final Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wood, Marilyn

1992-12-01

The purpose of this project was to develop and obtain information necessary to evaluate and undertake specific wildlife habitat protection/enhancement actions in northwest Montana as outlined in the Columbia River Basin Fish and Wildlife Program. Three waterfowl projects were evaluated between September 1989 and June 1990. Weaver's Slough project involved the proposed acquisition of 200 acres of irrigated farmland and a donated conservation easement on an additional 213 acres. The proposal included enhancement of the agricultural lands by conversion to upland nesting cover. This project was rated the lowest priority based on limited potential for enhancement and no further actionmore » was pursued. The Crow Creek Ranch project involved the proposed acquisition of approximately 1830 acres of grazing and dryland farming lands. The intent would be to restore drained potholes and provide adjacent upland nesting cover to increase waterfowl production. This project received the highest rating based on the immediate threat of subdivision, the opportunity to restore degraded wetlands, and the overall benefits to numerous species besides waterfowl. Ducks Unlimited was not able to participate as a cooperator on this project due to the jurisdiction concerns between State and tribal ownership. The USFWS ultimately acquired 1,550 acres of this proposed project. No mitigation funds were used. The Ashley Creek project involved acquisition of 870 acres adjacent to the Smith Lake Waterfowl Production Area. The primary goal was to create approximately 470 acres of wetland habitat with dikes and subimpoundments. This project was rated second in priority due to the lesser threat of loss. A feasibility analysis was completed by Ducks Unlimited based on a concept design. Although adequate water was available for the project, soil testing indicated that the organic soils adjacent to the creek would not support the necessary dikes. The project was determined not feasible for mitigation

Cardiac rehabilitation after myocardial infarction.

PubMed

Contractor, Aashish S

2011-12-01

Cardiac rehabilitation/secondary prevention programs are recognized as integral to the comprehensive care of patients with coronary heart disease (CHD), and as such are recommended as useful and effective (Class I) by the American Heart Association and the American College of Cardiology in the treatment of patients with CHD. The term cardiac rehabilitation refers to coordinated, multifaceted interventions designed to optimize a cardiac patient's physical, psychological, and social functioning, in addition to stabilizing, slowing, or even reversing the progression of the underlying atherosclerotic processes, thereby reducing morbidity and mortality. Cardiac rehabilitation, aims at returning the patient back to normal functioning in a safe and effective manner and to enhance the psychosocial and vocational state of the patient. The program involves education, exercise, risk factor modification and counselling. A meta-analysis based on a review of 48 randomized trials that compared outcomes of exercise-based rehabilitation with usual medical care, showed a reduction of 20% in total mortality and 26% in cardiac mortality rates, with exercise-based rehabilitation compared with usual medical care. Risk stratification helps identify patients who are at increased risk for exercise-related cardiovascular events and who may require more intensive cardiac monitoring in addition to the medical supervision provided for all cardiac rehabilitation program participants. During exercise, the patients' ECG is continuously monitored through telemetry, which serves to optimize the exercise prescription and enhance safety. The safety of cardiac rehabilitation exercise programs is well established, and the occurrence of major cardiovascular events during supervised exercise is extremely low. As hospital stays decrease, cardiac rehabilitation is assuming an increasingly important role in secondary prevention. In contrast with its growing importance internationally, there are very few

Rehabilitating agricultural streams in Australia with wood: a review.

PubMed

Lester, Rebecca E; Boulton, Andrew J

2008-08-01

Worldwide, the ecological condition of streams and rivers has been impaired by agricultural practices such as broadscale modification of catchments, high nutrient and sediment inputs, loss of riparian vegetation, and altered hydrology. Typical responses include channel incision, excessive sedimentation, declining water quality, and loss of in-stream habitat complexity and biodiversity. We review these impacts, focusing on the potential benefits and limitations of wood reintroduction as a transitional rehabilitation technique in these agricultural landscapes using Australian examples. In streams, wood plays key roles in shaping velocity and sedimentation profiles, forming pools, and strengthening banks. In the simplified channels typical of many agricultural streams, wood provides habitat for fauna, substrate for biofilms, and refuge from predators and flow extremes, and enhances in-stream diversity of fish and macroinvertebrates.Most previous restoration studies involving wood reintroduction have been in forested landscapes, but some results might be extrapolated to agricultural streams. In these studies, wood enhanced diversity of fish and macroinvertebrates, increased storage of organic material and sediment, and improved bed and bank stability. Failure to meet restoration objectives appeared most likely where channel incision was severe and in highly degraded environments. Methods for wood reintroduction have logistical advantages over many other restoration techniques, being relatively low cost and low maintenance. Wood reintroduction is a viable transitional restoration technique for agricultural landscapes likely to rapidly improve stream condition if sources of colonists are viable and water quality is suitable.

75 FR 55786 - Office of Special Education Programs, Office of Special Education and Rehabilitative Services...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-14

... DEPARTMENT OF EDUCATION Office of Special Education Programs, Office of Special Education and Rehabilitative Services, Department of Education; Notice of Final Extension of Project Period and Waiver for the... Transition Technical Assistance Center (NSTTAC). Currently, the Office of Special Education Programs (OSEP...

Sense of coherence and mental health rehabilitation.

PubMed

Griffiths, Christopher Alan

2009-01-01

To provide an understanding of Antonovsky's sense of coherence theory in relation to rehabilitation and to explain how applying his theory in rehabilitation practice can be beneficial. The focus of this paper will be on the rehabilitation and recovery of those with mental health issues. Sense of coherence theory helps explain the process of recovery for those with mental health issues. There is substantial evidence that sense of coherence plays a central role in coping with stressors in the rehabilitation/recovery process and that it contributes to mental health and psychosocial functioning. If rehabilitation services adopt a salutogenic approach and seek to enhance a client's sense of coherence then this can be beneficial in terms of the client's rehabilitation and recovery. Rehabilitation services should ensure that they have rehabilitation goals that strengthen individuals' sense of coherence. Further investigation is required into the development of rehabilitation programmes with sense of coherence theory as part of their foundation.

Admission Norton scale scores (ANSS) correlate with rehabilitation outcome and length in elderly patients following hip arthroplasty.

PubMed

Justo, Dan; Vislapu, Natalia; Shvedov, Victor; Fickte, Marina; Danylesko, Alexander; Kimelman, Polina; Merdler, Charlotte; Lerman, Yaffa

2011-01-01

We sought to determine if ANSS used for evaluating pressure sore risk also correlate with rehabilitation outcome and length following hip arthroplasty in elderly patients. This was a retrospective study conducted in a geriatric rehabilitation department during 2009. ANSS, admission albumin serum levels, mini-mental state examination (MMSE) scores, discharge walking functional independence measure (FIM) scores, and rehabilitation length were studied. The final cohort included 201 patients: 160 (79.6%) females and 41 (20.4%) males. Mean age was 82.7±6.5 years. Mean discharge walking FIM score was 5.2±0.9. Mean length of rehabilitation was 19.9±7.8 days. ANSS correlated with discharge walking FIM scores (r=0.28; p=0.002), and with length of rehabilitation (r=-0.22; p=0.014) following adjustment for age, admission albumin serum levels, and MMSE scores. Linear regression analysis showed that ANSS were associated with the discharge walking FIM scores (p<0.0001) and rehabilitation length (p=0.027) independent of age, admission albumin serum levels, gender, type of hip surgery, and the appearance of pressure sores. We conclude that the Norton scoring system may be used for predicting the outcome and the duration of rehabilitation in elderly patients following hip arthroplasty. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Korean Brain Rehabilitation Registry for Rehabilitation of Persons with Brain Disorders: Annual Report in 2009

PubMed Central

Yang, Seung Nam; Park, Si-Woon; Jung, Han Young; Rah, Ueon Woo; Kim, Yun-Hee; Chun, Min Ho; Paik, Nam-Jong; Yoo, Seung Don; Pyun, Sung-Bom; Kim, Min Wook; Lee, Sam-Gyu; Park, Byung Kyu; Shin, Heesuk; Shin, Yong Il; Lee, Heeyeon

2012-01-01

This first annual report provides a description of patients discharged from rehabilitation facilities in Korea based on secondary data analysis of Korean Brain Rehabilitation Registry V1.0 subscribed in 2009. The analysis included 1,697 records of patients with brain disorders including stroke, traumatic brain injury, brain tumor and other disorders from 24 rehabilitation facilities across Korea. The data comprised 1,380 cases of stroke, 104 cases of brain injury, 55 cases of brain tumor, and 58 cases of other brain diseases. The functional status of each patient was measured using the Korean version of the Modified Barthel Index (KMBI). The average change in the KMBI score was 15.9 for all patients in the inpatient rehabilitation facility. The average length of stay for inpatient rehabilitation was 36.9 days. The transfer rates to other hospitals were high, being 62.4% when all patients were considered. Patients with brain disorders of Korea in 2009 and measurable functional improvement was observed in patients. However, relatively high percentages of patients were not discharged to the community after inpatient rehabilitation. Based on the results of this study, consecutive reports of the status of rehabilitation need to be conducted in order to provide useful information to many practitioners. PMID:22690103

[Rehabilitation evaluation on post-stroke abnormal movement pattern prevented and treated with acupuncture and rehabilitation].

PubMed

Zhang, Hui-min; Tang, Qiang

2011-06-01

To explore the impacts of acupuncture and rehabilitation on post-stroke abnormal patterns of limb movement and evaluate them via rehabilitation method. Ninety cases of post-stroke movement disorder were randomly divided into an acupuncture-rehabilitation group, a body acupuncture group and a medication group, 30 cases in each group. In medication group, the conventional medication in neurological department was administered. In acupuncture-rehabilitation group and body acupuncture group, on the basis of the therapy as medication group, scalp acupuncture (such as parietal area and anterior parietal area, etc.), rehabilitation training and traditional body acupuncture [such as Jianyu (LI 15) and Fengshi (GB 31),etc.] were supplemented. The continuous electric stimulation was applied in body acupuncture group. The treatment lasted for 8 weeks. The assessment of clinical efficacy, Fugl-Meyer score, Modified Ashworth scale (MAS), range of motion (ROM) and shoulder pain score were taken as observation indices for rehabilitation evaluation before and after treatment in each group. The effective rate was 93.1% (27/29) in acupuncture-rehabilitation group, which was superior to 66.7% (20/30) in body acupuncture group and 57.1% (16/28) in control group (both P<0.01) separately. After treatment, Fugl-Meyer score, MAS, ROM of the lower limbs and shoulder joint and shoulder pain score (except medication group) were all remarkably improved as compared with those before treatment in each group (all P<0.01). The improvements in Fugl-Meyer score, MAS, ROM of the upper limbs and shoulder pain score in acupuncture-rehabilitation group were significantly superior to those in body acupuncture group and medication group (P<0.05, P<0.01). Acupuncture and rehabilitation therapy and traditional body acupuncture remarkably improve in post-stroke movement disorder. But acupuncture and rehabilitation therapy is apparently superior to traditional body acupuncture. This therapy can effectively

Confounding factors in the detection of species responses to habitat fragmentation.

PubMed

Ewers, Robert M; Didham, Raphael K

2006-02-01

genetic structure of fragment-dwelling populations. Again, the matrix habitat is a strong determinant of fragmentation effects within remnants because of its role in regulating dispersal and dispersal-related mortality, the provision of spatial subsidies and the potential mediation of edge-related microclimatic gradients. We show that confounding factors can mask many fragmentation effects. For instance, there are multiple ways in which species traits like trophic level, dispersal ability and degree of habitat specialisation influence species-level responses. The temporal scale of investigation may have a strong influence on the results of a study, with short-term crowding effects eventually giving way to long-term extinction debts. Moreover, many fragmentation effects like changes in genetic, morphological or behavioural traits of species require time to appear. By contrast, synergistic interactions of fragmentation with climate change, human-altered disturbance regimes, species interactions and other drivers of population decline may magnify the impacts of fragmentation. To conclude, we emphasise that anthropogenic fragmentation is a recent phenomenon in evolutionary time and suggest that the final, long-term impacts of habitat fragmentation may not yet have shown themselves.

Habitat preferences of baleen whales in a mid-latitude habitat

NASA Astrophysics Data System (ADS)

Prieto, Rui; Tobeña, Marta; Silva, Mónica A.

2017-07-01

Understanding the dynamics of baleen whale distribution is essential to predict how environmental changes can affect their ecology and, in turn, ecosystem functioning. Recent work showed that mid-latitude habitats along migratory routes may play an important role on the feeding ecology of baleen whales. This study aimed to investigate the function of a mid-latitude habitat for blue (Balaenoptera musculus), fin (Balaenoptera physalus) and sei (Balaenoptera borealis) whales occurring in sympatry during spring and summer months and to what extent their environmental niches overlap. We addressed those questions by developing environmental niche models (ENM) for each species and then making pairwise comparisons of niche overlap and relative habitat patch importance among the three species. ENMs were created using sightings from the Azorean Fisheries Observer Program from May to November, between 2004 and 2009, and a set of 18 predictor environmental variables. We then assessed monthly (April-July) overlap among ENMs using a modified Hellinger's distance metric (I). Results show that the habitat niches of blue and fin whales are strongly influenced by primary productivity and sea surface temperature and are highly dynamic both spatially and temporally due to the oceanography of the region. Niche overlap analyses show that blue and fin whale environmental niches are similar and that the suitable habitats for the two species have high degree of spatial coincidence. These results in combination suggest that this habitat may function as a mid-latitude feeding ground to both species while conditions are adequate. The sei whale model, on the other hand, did not include variables considered to be proxies for prey distribution and little environmental niche overlap was found between this species and the other two. We argue that these results suggest that the region holds little importance as a foraging habitat for the sei whale.

Partial gravity habitat study

NASA Technical Reports Server (NTRS)

Capps, Stephen; Lorandos, Jason; Akhidime, Eval; Bunch, Michael; Lund, Denise; Moore, Nathan; Murakawa, Kiosuke

1989-01-01

The purpose of this study is to investigate comprehensive design requirements associated with designing habitats for humans in a partial gravity environment, then to apply them to a lunar base design. Other potential sites for application include planetary surfaces such as Mars, variable-gravity research facilities, and a rotating spacecraft. Design requirements for partial gravity environments include locomotion changes in less than normal earth gravity; facility design issues, such as interior configuration, module diameter, and geometry; and volumetric requirements based on the previous as well as psychological issues involved in prolonged isolation. For application to a lunar base, it is necessary to study the exterior architecture and configuration to insure optimum circulation patterns while providing dual egress; radiation protection issues are addressed to provide a safe and healthy environment for the crew; and finally, the overall site is studied to locate all associated facilities in context with the habitat. Mission planning is not the purpose of this study; therefore, a Lockheed scenario is used as an outline for the lunar base application, which is then modified to meet the project needs. The goal of this report is to formulate facts on human reactions to partial gravity environments, derive design requirements based on these facts, and apply the requirements to a partial gravity situation which, for this study, was a lunar base.

Wildlife habitats in managed rangelands—the Great Basin of southeastern Oregon: manmade habitats.

Treesearch

Chris Maser; Jack Ward Thomas; Ira David Luman; Ralph. Anderson

1979-01-01

Manmade structures on rangelands provide specialized habitats for some species. These habitats and how they function as specialized habitat features are examined in this publication. The relationships of the wildlife of the Great Basin to such structures are detailed.

Differences in biological traits composition of benthic assemblages between unimpacted habitats.

PubMed

Bolam, S G; Garcia, C; Eggleton, J; Kenny, A J; Buhl-Mortensen, L; Gonzalez-Mirelis, G; van Kooten, T; Dinesen, G; Hansen, J; Hiddink, J G; Sciberras, M; Smith, C; Papadopoulou, N; Gumus, A; Van Hoey, G; Eigaard, O R; Bastardie, F; Rijnsdorp, A D

2017-05-01

There is an implicit requirement under contemporary policy drivers to understand the characteristics of benthic communities under anthropogenically-unimpacted scenarios. We used a trait-based approach on a large dataset from across the European shelf to determine how functional characteristics of unimpacted benthic assemblages vary between different sedimentary habitats. Assemblages in deep, muddy environments unaffected by anthropogenic disturbance show increased proportions of downward conveyors and surface deposit-feeders, while burrowing, diffusive mixing, scavenging and predation traits assume greater numerical proportions in shallower habitats. Deep, coarser sediments are numerically more dominated by sessile, upward conveyors and suspension feeders. In contrast, unimpacted assemblages of coarse sediments in shallower regions are proportionally dominated by the diffusive mixers, burrowers, scavengers and predators. Finally, assemblages of gravelly sediments exhibit a relatively greater numerical dominance of non-bioturbators and asexual reproducers. These findings may be used to form the basis of ranking habitats along a functional sensitivity gradient. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

76 FR 66805 - Endangered and Threatened Wildlife and Plants: Final Rulemaking To Designate Critical Habitat for...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-27

... which 4,843 were form letters submitted by supporters of the Center for Biological Diversity (CBD) and 20 were nearly identical to the form letters but included additional information. Comments were also... abalone and its habitat. Comment 29: In one of the form letters submitted by a supporter of CBD, one...

78 FR 59429 - Endangered and Threatened Wildlife and Plants; Revised Designation of Critical Habitat for the...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-26

...We, the U.S. Fish and Wildlife Service, propose to designate revised critical habitat for the contiguous U.S. distinct population segment (DPS) of the Canada lynx under the Endangered Species Act of 1973, as amended, and to revise the boundary of the Canada lynx DPS. These proposed revisions fulfill our obligations under two settlement agreements. The revised critical habitat proposed rule also addresses issues raised by two courts in 2010. If we finalize this rule as proposed, it would extend the Endangered Species Act's protections to the Canada lynx wherever it occurs in the contiguous United States, including New Mexico, and it would revise this species' critical habitat. The effect of this regulation is to conserve the Canada lynx and its habitats in the contiguous United States under the Endangered Species Act.

Virtual rehabilitation--benefits and challenges.

PubMed

Burdea, G C

2003-01-01

To discuss the advantages and disadvantages of rehabilitation applications of virtual reality. VR can be used as an enhancement to conventional therapy for patients with conditions ranging from musculoskeletal problems, to stroke-induced paralysis, to cognitive deficits. This approach is called "VR-augmented rehabilitation." Alternately, VR can replace conventional interventions altogether, in which case the rehabilitation is "VR-based." If the intervention is done at a distance, then it is called "telerehabilitation." Simulation exercises for post-stroke patients have been developed using a "teacher object" approach or a video game approach. Simulations for musculo-skeletal patients use virtual replicas of rehabilitation devices (such as rubber ball, power putty, peg board). Phobia-inducing virtual environments are prescribed for patients with cognitive deficits. VR-augmented rehabilitation has been shown effective for stroke patients in the chronic phase of the disease. VR-based rehabilitation has been improving patients with fear of flying, Vietnam syndrome, fear of heights, and chronic stroke patients. Telerehabilitation interventions using VR have improved musculo-skeletal and post-stroke patients, however less data is available at this time. Virtual reality presents significant advantages when applied to rehabilitation of patients with varied conditions. These advantages include patient motivation, adaptability and variability based on patient baseline, transparent data storage, online remote data access, economy of scale, reduced medical costs. Challenges in VR use for rehabilitation relate to lack of computer skills on the part of therapists, lack of support infrastructure, expensive equipment (initially), inadequate communication infrastructure (for telerehabilitation in rural areas), and patient safety concerns.

Rehabilitation after Rotator Cuff Repair.

PubMed

Nikolaidou, Ourania; Migkou, Stefania; Karampalis, Christos

2017-01-01

Rotator cuff tears are a very common condition that is often incapacitating. Whether non-surgical or surgical, successful management of rotator cuff disease is dependent on appropriate rehabilitation. If conservative management is insufficient, surgical repair is often indicated. Postsurgical outcomes for patients having had rotator cuff repair can be quite good. A successful outcome is much dependent on surgical technique as it is on rehabilitation. Numerous rehabilitation protocols for the management of rotator cuff disease are based primarily on clinical experience and expert opinion. This article describes the different rehabilitation protocols that aim to protect the repair in the immediate postoperative period, minimize postoperative stiffness and muscle atrophy. A review of currently available literature on rehabilitation after arthroscopic rotator cuff tear repair was performed to illustrate the available evidence behind various postoperative treatment modalities. There were no statistically significant differences between a conservative and an accelerated rehabilitation protocol . Early passive range of motion (ROM) following arthroscopic cuff repair is thought to decrease postoperative stiffness and improve functionality. However, early aggressive rehabilitation may compromise repair integrity. The currently available literature did not identify any significant differences in functional outcomes and relative risks of re-tears between delayed and early motion in patients undergoing arthroscopic rotator cuff repairs. A gentle rehabilitation protocol with limits in range of motion and exercise times after arthroscopic rotator cuff repair would be better for tendon healing without taking any substantial risks. A close communication between the surgeon, the patient and the physical therapy team is important and should continue throughout the whole recovery process.

Rehabilitation Training Program and Special Capacity Building Program, 1997-1998: Catalog of Projects under the Rehabilitation Services Administration.

ERIC Educational Resources Information Center

Office of Special Education and Rehabilitative Services (ED), Washington, DC.

This directory lists programs funded by rehabilitation training grants funded under the Rehabilitation Act of 1973 (Section 304a). These programs are grouped under the following categories: (1) rehabilitation long-term training; (2) experimental and innovative training; (3) state vocational rehabilitation unit in-service training; (4)…

Detroit River habitat inventory

USGS Publications Warehouse

Manny, Bruce A.

2003-01-01

This inventory complements a previous survey of habitat in Ontario waters of the Detroit River (OMNR,1993). It is a starting point for balanced and sustained use of the river for natural resource conservation and economic development. The objectives of the inventory were to: (1) locate candidate sites for protection and restoration of fish and wildlife habitat in Michigan waters of the Detroit River; (2) describe the ownership and size of each site, as well as its potential for habitat protection and restoration; and (3) subjectively assess the extent to which existing habitat along the river is productive of fish and wildlife and protected from land uses that have degraded or destroyed such habitat.

Rehabilitation Needs Assessment for Vocational Rehabilitation Agencies. Volume II. Needs Assessment Topics Identified in the Rehabilitation Act: Issues and Resources.

ERIC Educational Resources Information Center

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

This guide was developed to help Wisconsin agency assessment, evaluation, and planning personnel to develop a perspective on how needs assessment fits into their state's vocational rehabilitation program planning. Volume II provides state agency personnel with tools for conducting rehabilitation needs assessment. The first three chapters consider…

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 Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY...

Habitat Suitability Index Models: Veery

USGS Publications Warehouse

Sousa, Patrick J.

1982-01-01

Habitat preferences and species characteristics of the veery (Catharus fuscesens) are described in this publication. It is one of a series of Habitat Suitability Index (HSI) models and was developed through an analysis of available scientific data on the habitat requirements of the veery. Habitat use information is presented in a review of the literature, followed by the development of an HSI model. The model is presented in three formats: graphic; word; and mathematical. Suitability index graphs quantify the species-habitat relationship. These data are synthesized into a model designed to provide information for use in impact assessment and habitat management.

Practice variation in the structure of stroke rehabilitation in four rehabilitation centres in the Netherlands.

PubMed

Groeneveld, Iris F; Meesters, Jorit J L; Arwert, Henk J; Roux-Otter, Nienke; Ribbers, Gerard M; van Bennekom, Coen A M; Goossens, Paulien H; Vliet Vlieland, Thea P M

2016-03-01

To describe practice variation in the structure of stroke rehabilitation in 4 specialized multidisciplinary rehabilitation centres in the Netherlands. A multidisciplinary expert group formulated a set of 23 elements concerning the structure of inpatient and outpatient stroke rehabilitation, categorized into 4 domains: admission-related (n = 7), treatment-related (n = 10), client involvement-related (n = 2), and facilities-related (n = 4). In a cross-sectional study in 4 rehabilitation centres data on the presence and content of these elements were abstracted from treatment programmes and protocols. In a structured expert meeting consensus was reached on the presence of practice variation per element. Practice variation was observed in 22 of the 23 structure elements. The element "strategies for patient involvement" appeared similar in all rehabilitation centres, whereas differences were found in the elements regarding admission, exclusion and discharge criteria, patient subgroups, care pathways, team meetings, clinical assessments, maximum time to admission, aftercare and return to work modules, health professionals, treatment facilities, and care-giver involvement. Practice variation was found in a wide range of aspects of the structure of stroke rehabilitation.

Integrating cognitive rehabilitation: A preliminary program description and theoretical review of an interdisciplinary cognitive rehabilitation program.

PubMed

Fleeman, Jennifer A; Stavisky, Christopher; Carson, Simon; Dukelow, Nancy; Maier, Sheryl; Coles, Heather; Wager, John; Rice, Jordyn; Essaff, David; Scherer, Marcia

2015-01-01

Interdisciplinary cognitive rehabilitation is emerging as the expected standard of care for individuals with mild to moderate degrees of cognitive impairment for a variety of etiologies. There is a growing body of evidence in cognitive rehabilitation literature supporting the involvement of multiple disciplines, with the use of cognitive support technologies (CSTs), in delivering cognitive therapy to individuals who require cognitive rehabilitative therapies. This article provides an overview of the guiding theories related to traditional approaches of cognitive rehabilitation and the positive impact of current theoretical models of an interdisciplinary approach in clinical service delivery of this rehabilitation. A theoretical model of the Integrative Cognitive Rehabilitation Program (ICRP) will be described in detail along with the practical substrates of delivering specific interventions to individuals and caregivers who are living with mild to moderate cognitive impairment. The ultimate goal of this article is to provide a clinically useful resource for direct service providers. It will serve to further clinical knowledge and understanding of the evolution from traditional silo based treatment paradigms to the current implementation of multiple perspectives and disciplines in the pursuit of patient centered care. The article will discuss the theories that contributed to the development of the interdisciplinary team and the ICRP model, implemented with individuals with mild to moderate cognitive deficits, regardless of etiology. The development and implementation of specific assessment and intervention strategies in this cognitive rehabilitation program will also be discussed. The assessment and intervention strategies utilized as part of ICRP are applicable to multiple clinical settings in which individuals with cognitive impairment are served. This article has specific implications for rehabilitation which include: (a) An Interdisciplinary Approach is an

[Nutritional care in the cardiac rehabilitation program].

PubMed

da Vico, Letizia; Biffi, Barbara; Masini, Maria Luisa; Fattirolli, Francesco

2007-06-01

There is some evidence of the efficacy of nutritional care in modifying eating habits and behavior in patients undergoing cardiac rehabilitation: nutritional care has a relevant role in the secondary prevention of cardiovascular disease. The dietitian is the qualified sanitary professional for nutritional care. The aim of this study was to define the role of dietitians within a health care team in programs of cardiac rehabilitation. In this setting, nutritional care starts with a dietary assessment, which includes a measurement of the anthropometric parameters, and a survey of the patient knowledge and eating habits. If there is no need for change in the patient lifestyle, the patient is addressed to the normal cardiac rehabilitation program with no further nutritional intervention except one session of counseling. When lifestyle changes are needed, the dietitian defines, together with the patient, therapeutic aims and expected results. The following phase is represented by group session with patients and their relatives during which nutritional topics are discussed and nutritional education is provided Afterwards, self-monitoring sheets of eating habits are individually discussed in one visit; a last individual visit is used for a final assessment of nutritional knowledge, dietary habits, and anthropometric parameters. In case of unsatisfactory results, patients are invited to participate to three group session to be held biweekly, during which they interact with the dietitian and take part to exercises and group discussions. When the established targets are reached, the nutritional program includes individual follow up visits at six and twelve months for further assessment of medium term results.

Fine-scale movements and habitat use of juvenile southern flounder Paralichthys lethostigma in an estuarine seascape.

PubMed

Furey, N B; Dance, M A; Rooker, J R

2013-05-01

Habitat use of juvenile southern flounder Paralichthys lethostigma was examined within a shallow estuarine seascape during June and July 2011 using acoustic telemetry. Fine-scale movement and habitat use of P. lethostigma was investigated with an acoustic positioning system placed in a seascape that varied in habitat type, physicochemical conditions and bathymetry. The use of different habitat types was examined with Euclidean distance-based analyses, and generalized additive models were used to determine the relative importance of habitat type relative to physicochemical conditions and bathymetry. Tracks of P. lethostigma ranged in distance between 1477 and 8582 m and speed was 4·2 ± 1·1 m min⁻¹ (mean ± s.e.) for all P. lethostigma combined. Depth, slope and habitat type had the most influence on P. lethostigma occurrence and deep sandy areas with shallow slopes were used most frequently. In addition, depth use by P. lethostigma was influenced by tidal cycles, indicating habitat use varies temporally and is dynamic. Finally, temperatures <30·5° C were used more than warmer waters within the study area. The results successfully identify movements by juvenile P. lethostigma, and indicate that definitions of essential habitats need to account for dynamics in habitat use. © 2013 The Authors. Journal of Fish Biology © 2013 The Fisheries Society of the British Isles.

Analysis of rehabilitation activities within skilled nursing and inpatient rehabilitation facilities after hip replacement for acute hip fracture.

PubMed

Munin, Michael C; Putman, Koen; Hsieh, Ching-Hui; Smout, Randall J; Tian, Wenqiang; DeJong, Gerben; Horn, Susan D

2010-07-01

To characterize rehabilitation services in two types of postacute facilities in patients who underwent hip replacement following a hip fracture. Multisite prospective observational cohort from 6 freestanding skilled nursing facilities and 11 inpatient rehabilitation facilities. Patients (n = 218) with hip fracture who had either hemiarthroplasty or total hip arthroplasty followed by rehabilitation at skilled nursing facilities or inpatient rehabilitation facilities were enrolled. Using a point-of-care methodology, we recorded data from actual physical therapy and occupational therapy sessions completed including functional outcomes during the postacute admission. Onset time from surgical repair to rehabilitation admission was not significantly different between sites. Average skilled nursing facilities length of stay was 24.7 +/- 13.6 days, whereas inpatient rehabilitation facilities was 13.0 +/- 5.7 days (P < 0.01). Total hours of physical therapy and occupational therapy services per patient day were 1.2 in skilled nursing facilities and 2.0 in inpatient rehabilitation facilities. For weekdays only, these data changed to 1.6 in skilled nursing facilities and 2.6 hrs per patient in inpatient rehabilitation facilities (P < 0.01). Patients in inpatient rehabilitation facilities accrued more time for gait training and exercise in physical therapy, which was found to be 48% and 40% greater, respectively, through day 8. In occupational therapy, patients of inpatient rehabilitation facilities had more time allocated to lower body dressing and transfers. Significant differences in rehabilitation activities were observed, and intensity was notably different within the first 8 therapy days even though baseline demographics and medical complexity were comparable across facility types. Our data suggest that after more complex hip replacement surgery, hip fracture patients can tolerate more intensive therapy earlier within the rehabilitation program.

Habitat Suitability Index Models: Pronghorn

USGS Publications Warehouse

Allen, Arthur W.; Cook, John G.; Armbruster, Michael J.

1984-01-01

This is one of a series of publications that provide information on the habitat requirements of selected fish and wildlife species. Literature describing the relationship between habitat variables related to life requisites and habitat suitability for the pronghorn (Antilocapra americana) are synthesized. These data are subsequently used to develop Habitat Suitability Index (HSI) models. The HSI models are designed to provide information that can be used in impact assessment and habitat management.

Habitat Suitability Index Models: Muskellunge

USGS Publications Warehouse

Cook, Mark F.; Solomon, R. Charles

1987-01-01

A review and synthesis of existing information were used to develop a Habitat Suitability Index (HSI) model for the muskellunge (Esox masquinongy Mitchell). The model consolidates habitat use information into a framework appropriate for field application, and is scaled to produce an index between 0.0 (unsuitable habitat) to 1.0 (optimum habitat). HSI models are designed to be used with Habitat Evaluation Procedures previously developed by the U.S. Fish and Wildlife Service.

Habitat selection by postbreeding female diving ducks: Influence of habitat attributes and conspecifics

USGS Publications Warehouse

Austin, Jane E.; O'Neil, Shawn T.; Warren, Jeffrey M.

2017-01-01

Habitat selection studies of postbreeding waterfowl have rarely focused on within-wetland attributes such as water depth, escape cover, and food availability. Flightless waterfowl must balance habitat selection between avoiding predation risks and feeding. Reproductively successful female ducks face the greatest challenges because they begin the definitive prebasic molt at or near the end of brood rearing, when their body condition is at a low point. We assessed the relative importance of habitat attributes and group effects in habitat selection by postbreeding female lesser scaup Aythya affinis on a 2332-ha montane wetland complex during the peak flightless period (August) over seven years. Hypothesis-based habitat attributes included percent open water, open water:emergent edge density, water depth, percent flooded bare substrate, fetch (distance wind can travel unobstructed), group size, and several interactions representing functional responses to interannual variation in water levels. Surveys of uniquely marked females were conducted within randomly ordered survey blocks. We fitted two-part generalized linear mixed-effects models to counts of marked females within survey blocks, which allowed us to relate habitat attributes to relative probability of occurrence and, given the presence of a marked female, abundance of marked individuals. Postbreeding female scaup selected areas with water depths > 40 cm, large open areas, and intermediate edge densities but showed no relation to flooded bare substrate, suggesting their habitat preferences were more influenced by avoiding predation risks and disturbances than in meeting foraging needs. Grouping behavior by postbreeding scaup suggests habitat selection is influenced in part by behavioral components and/or social information, conferring energetic and survival benefits (predation and disturbance risks) but potentially also contributing to competition for food resources. This study demonstrates the importance of

Final Environmental Assessment for Stormwater Drainage Project on F. E. Warren Air Force Base, Wyoming

DTIC Science & Technology

2005-05-01

Colorado Butterfly Habitat on F. E. Warren AFB Stormwater Drainage Project, Final Environmental Assessment April 2005 F. E. Warren AFB iii Figure...A.11 Colorado Butterfly Plant Populations Near Outfall 1 Figure A.12 Preble’s Habitat on F. E. Warren AFB Figure A.13 Preble’s Captures on F. E...to threatened species habitat in the vicinity of the outfalls to Crow Creek, the base will do the following: Colorado butterfly plant: 1

A Tool for the Automated Design and Evaluation of Habitat Interior Layouts

NASA Technical Reports Server (NTRS)

Simon, Matthew A.; Wilhite, Alan W.

2013-01-01

The objective of space habitat design is to minimize mass and system size while providing adequate space for all necessary equipment and a functional layout that supports crew health and productivity. Unfortunately, development and evaluation of interior layouts is often ignored during conceptual design because of the subjectivity and long times required using current evaluation methods (e.g., human-in-the-loop mockup tests and in-depth CAD evaluations). Early, more objective assessment could prevent expensive design changes that may increase vehicle mass and compromise functionality. This paper describes a new interior design evaluation method to enable early, structured consideration of habitat interior layouts. This interior layout evaluation method features a comprehensive list of quantifiable habitat layout evaluation criteria, automatic methods to measure these criteria from a geometry model, and application of systems engineering tools and numerical methods to construct a multi-objective value function measuring the overall habitat layout performance. In addition to a detailed description of this method, a C++/OpenGL software tool which has been developed to implement this method is also discussed. This tool leverages geometry modeling coupled with collision detection techniques to identify favorable layouts subject to multiple constraints and objectives (e.g., minimize mass, maximize contiguous habitable volume, maximize task performance, and minimize crew safety risks). Finally, a few habitat layout evaluation examples are described to demonstrate the effectiveness of this method and tool to influence habitat design.

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.

The Habitat Demonstration Unit Project: A Modular Instrumentation System for a Deep Space Habitat

NASA Technical Reports Server (NTRS)

Rojdev, Kristina; Kennedy, Kriss J.; Yim, Hester; Williamsn, Robert M.; Hafermalz, Scott; Wagner, Raymond S.

2011-01-01

NASA is focused on developing human exploration capabilities in low Earth orbit (LEO), expanding to near Earth asteroids (NEA), and finally to Mars. Habitation is a crucial aspect of human exploration, and a current focus of NASA activities. The Habitation Demonstration Unit (HDU) is a project focused on developing an autonomous habitation system that enables human exploration of space by providing engineers and scientists with a test bed to develop, integrate, test, and evaluate habitation systems. A critical feature of the HDU is the instrumentation system, which monitors key subsystems within the habitat. The following paper will discuss the HDU instrumentation system performance and lessons learned during the 2010 Desert Research and Technology Studies (D-RaTS). In addition, this paper will discuss the evolution of the instrumentation system to support the 2011 Deep Space Habitat configuration, the challenges, and the lessons learned of implementing this configuration. In 2010, the HDU was implemented as a pressurized excursion module (PEM) and was tested at NASA s D-RaTS in Arizona [1]. For this initial configuration, the instrumentation system design used features that were successful in previous habitat instrumentation projects, while also considering challenges, and implementing lessons learned [2]. The main feature of the PEM instrumentation system was the use of a standards-based wireless sensor node (WSN), implementing an IEEE 802.15.4 protocol. Many of the instruments were connected to several WSNs, which wirelessly transmitted data to the command and data handling system via a mesh network. The PEM instrumentation system monitored the HDU during field tests at D-RaTS, and the WSN data was later analyzed to understand the performance of this system. In addition, several lessons learned were gained from the field test experience, which fed into the instrumentation design of the next generation of the HDU.

77 FR 2993 - Final Environmental Impact Statement and Record of Decision on Oncor Electric Delivery Company's...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-20

...-FF02ENEH00] Final Environmental Impact Statement and Record of Decision on Oncor Electric Delivery Company's... the final environmental impact statement (EIS), and final record of decision under the National... implementation of the final Oncor Electric Delivery LLC's Habitat Conservation Plan (HCP). Our decision is to...

Plausible Martian Habitats

NASA Image and Video Library

2009-10-13

Unfrozen brine in cryopegs and fracture networks provides habitats for the survival and growth of organisms both within and under frozen rocky materials on Earth and, by analogy, could provide habitats on Mars.

Organic matter sources and rehabilitation of the Sacramento-San Joaquin Delta (California, USA)

USGS Publications Warehouse

Jassby, A.D.; Cloern, J.E.

2000-01-01

1. The Sacramento San Joaquin River Delta, a complex mosaic of tidal freshwater habitats in California, is the focus of a major ecosystem rehabilitation effort because of significant long-term changes in critical ecosystem functions. One of these functions is the production, transport and transformation of organic matter that constitutes the primary food supply, which may be sub-optimal at trophic levels supporting fish recruitment. A long historical data set is used to define the most important organic matter sources, the factors underlying their variability, and the implications of ecosystem rehabilitation actions for these sources. 2. Tributary-borne loading is the largest organic carbon source on an average annual Delta-wide basis; phytoplankton production and agricultural drainage are secondary; wastewater treatment plant discharge, tidal marsh drainage and possibly aquatic macrophyte production are tertiary; and benthic microalgal production, urban run-off and other sources are negligible. 3. Allochthonous dissolved organic carbon must be converted to particulate form - with losses due to hydraulic flushing and to heterotroph growth inefficiency - before it becomes available to the metazoan food web. When these losses are accounted for, phytoplankton production plays a much larger role than is evident from a simple accounting of bulk organic carbon sources, especially in seasons critical for larval development and recruitment success. Phytoplankton-derived organic matter is also an important component of particulate loading to the Delta. 4. The Delta is a net producer of organic matter in critically dry years but, because of water diversion from the Delta, transport of organic matter from the Delta to important, downstream nursery areas in San Francisco Bay is always less than transport into the Delta from upstream sources. 5. Of proposed rehabilitation measures, increased use of floodplains probably offers the biggest increase in organic matter sources. 6

20 CFR 702.501 - Vocational rehabilitation; objective.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Vocational rehabilitation; objective. 702.501 Section 702.501 Employees' Benefits EMPLOYMENT STANDARDS ADMINISTRATION, DEPARTMENT OF LABOR LONGSHOREMEN... Rehabilitation § 702.501 Vocational rehabilitation; objective. The objective of vocational rehabilitation is the...

[Comparison of medical rehabilitation in various European countries and the impact of European law on rehabilitation practice in Germany].

PubMed

Mittag, Oskar; Welti, Felix

2017-04-01

Medical rehabilitation practice differs substantially among European countries. In most countries, rehabilitation is predominantly carried out on an outpatient basis. It is funded by health care, and rehabilitation facilities are not very specialized in terms of specific indications. In contrast, medical rehabilitation in Germany is mostly carried out on an in-patient basis as a contained 3‑week treatment. European law and European policies merely have an indirect impact on rehabilitation practice in Germany. In this article, the advantages and disadvantages of the various forms of rehabilitation services are discussed.

Multivisceral Transplantation Rehabilitation Program-Case Report.

PubMed

Loschi, T M; Cinacchi, M P R G; Baccan, M D T A; Marques, F; Pedroso, P T; Meira Filho, S P; Scacchetti, T; Pavão, D N

2018-04-01

Multivisceral transplantation is the treatment for multiple abdominal organ failure. The patient experiences reduced food intake and absorption of nutrients, contributing to weight loss and decreased muscle mass, reducing functional capacity. A physical and nutritional rehabilitation program based on adequate caloric intake associated with supervised physical exercise seems to support a gain of muscle mass, re-establishing its capacity and functional independence. A rehabilitation program was carried out, consisting of low-intensity aerobic exercise on treadmill, exercises of global strengthening (50% of 1 maximum repetition [1RM], with progressive increase), and nutritional monitoring (oral hypercaloric diet, hyperproteic supplementation daily and after exercise). Initial and final evaluation included weight, muscle mass index, brachial circumference (BC), tricipital cutaneous fold (TCF), hand grip strength (HGS), 6-minute walk test (6MWT), 1RM, vital capacity (VC), and respiratory muscle strength. After the program, functional capacity was evaluated through the 6MWT (92%), 1RM test, VC (55%), respiratory muscle strength, HGS at 5 kg, weight gain (4.75%), increase of BC in 2 cm, and TCF in 2 mm. The program contributed to functional independence, improved quality of life, and social reintegration, suggesting the importance of a supervised physical activity program associated with adequate nutritional intake after multivisceral transplantation. Copyright © 2018 Elsevier Inc. All rights reserved.

Habitat Suitability Index Models: Marten

USGS Publications Warehouse

Allen, Arthur W.

1982-01-01

Habitat preferences and species characteristics of the pine marten (Martes americana) are described in this publication. It is one of a series of Habitat Suitability Index (HSI) models and was developed through an analysis of available scientific data on the species-habitat requirements of the pine marten. Habitat use information is presented in a review of the literature, followed by the development of a HSI model. The model is presented in three formats: graphic, word and mathematical. Suitability index graphs quantify the species-habitat relationship. These data are then synthesized into a model which is designed to provide information for use in impact assessment and habitat management activities.

Landscape habitat suitability index software

Treesearch

William D. Dijak; Chadwick D. Rittenhouse; Michael A. Larson; Frank R. III Thompson; Joshua J. Millspaugh

2007-01-01

Habitat suitability index (HSI) models are traditionally used to evaluate habitat quality for wildlife at a local scale. Rarely have such models incorporated spatial relationships of habitat components. We introduce Landscape HSImodels, a new Microsoft Windowst (Microsoft, Redmond, WA)-based program that incorporates local habitat as well as landscape-scale attributes...

Rethinking the continuum of stroke rehabilitation.

PubMed

Teasell, Robert W; Murie Fernandez, Manuel; McIntyre, Amanda; Mehta, Swati

2014-04-01

Suffering a stroke can be a devastating and life-changing event. Although there is a large evidence base for stroke rehabilitation in the acute and subacute stages, it has been long accepted that patients with stroke reach a plateau in their rehabilitation recovery relatively early. We have recently published the results of a systematic review designed to identify all randomized controlled trials (RCTs) where a rehabilitation intervention was initiated more than 6 months after the onset of the stroke. Of the trials identified, 339 RCTs met inclusion criteria, demonstrating an evidence base for stroke rehabilitation in the chronic phase as well. This seems at odds with the assumption that further recovery is unlikely and the subsequent lack of resources devoted to chronic stroke rehabilitation and management. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Person-centred rehabilitation: what exactly does it mean? Protocol for a scoping review with thematic analysis towards framing the concept and practice of person-centred rehabilitation.

PubMed

Jesus, Tiago S; Bright, Felicity; Kayes, Nicola; Cott, Cheryl A

2016-07-19

Person-centredness is a philosophy for organising and delivering healthcare based on patients' needs, preferences and experiences. Although widely endorsed, the concept suffers from a lack of detail and clarification, in turn accounting for ambiguous implementation and outcomes. While a conceptual framework based on a systematic review defines person/patient-centred care components (Scholl et al, 2014), it applies across healthcare contexts and may not be sensitive to the nuances of the rehabilitation of adults with physical impairments. Accordingly, this study aims to build a conceptual framework, based on existing literature, of what person-centredness means in the rehabilitation of adults with physical impairments in the clinical encounter and broader health service delivery. We will use a scoping review methodology. Searches on relevant databases will be conducted first, combining keywords for 'rehabilitation', 'person-centered' and associated terms (including patient preferences/experiences). Next, snowball searches (citation tracking, references lists) will be performed. Papers will be included if they fall within predefined selection categories (seen as most likely informative on elements pertaining to person-centred rehabilitation) and are written in English, regardless of design (conceptual, qualitative, quantitative). Two reviewers will independently screen titles and abstracts, followed by screening of the full text to determine inclusion. Experts will then be consulted to identify relevant missing papers. This can include elements other than the peer-reviewed literature (eg, book chapters, policy/legal papers). Finally, information that helps to build the concept and practice of person-centred rehabilitation will be abstracted independently by two reviewers and analysed by inductive thematic analysis to build the conceptual framework. The resulting framework will aid clarification regarding person-centred rehabilitation, which in turn is expected to

Rehabilitation technology services and employment outcomes among consumers using division of rehabilitation services.

PubMed

Sprong, Matthew Evan; Dallas, Bryan; Paul, Erina; Xia, Michelle

2018-05-03

The primary goal of the study was to evaluate how the use of rehabilitation technology impacted closure status for consumers receiving services in fiscal year (FY) 2014. Rehabilitation Service Administration (RSA-911) Case Service Report FY 2014 archival dataset was obtained from the U.S. Department of Education (2014) and secondary analyses was performed for this study. RSA-911 archival data is updated on an annual basis and consists of all state-federal rehabilitation consumers who were served in the specific fiscal year. The dataset contains information related to each consumer's demographic information (e.g. age, gender, race) and other supplemental information (e.g. weekly earnings at closure, cause of disability, services provided). A multiple logistic regression analysis was utilized and revealed that white consumers receiving rehabilitation technology (RT) services have significantly higher closure rate than consumers of other races, RT services differ by the employment status at application, RT services differ by the type of disability, educational level at application for people receiving RT services did predict closure status (i.e. exiting with an employment outcome), IEP status did not predict closure status, weekly earnings at application did predict closure status and the interaction effect between IEP and RT services is statistically significant. The odds ratio (ORs) were presented at the 95% confidence interval (CI). Vocational rehabilitation counselors needs training to correctly identify appropriate RT services for consumers, so that the likelihood of exiting with an employment outcome is obtained. Implications for Rehabilitation RT services significantly improved their chances of successful employment compared to those who did not receive RT services. Education at closure would also have some significant impact on employment outcomes. Training in Assistive Technology (AT) for Vocational Rehabilitation counselors will assist in the proper

Inertial Sensor-Based Motion Analysis of Lower Limbs for Rehabilitation Treatments

PubMed Central

Sun, Tongyang; Duan, Lihong; Wang, Yulong

2017-01-01

The hemiplegic rehabilitation state diagnosing performed by therapists can be biased due to their subjective experience, which may deteriorate the rehabilitation effect. In order to improve this situation, a quantitative evaluation is proposed. Though many motion analysis systems are available, they are too complicated for practical application by therapists. In this paper, a method for detecting the motion of human lower limbs including all degrees of freedom (DOFs) via the inertial sensors is proposed, which permits analyzing the patient's motion ability. This method is applicable to arbitrary walking directions and tracks of persons under study, and its results are unbiased, as compared to therapist qualitative estimations. Using the simplified mathematical model of a human body, the rotation angles for each lower limb joint are calculated from the input signals acquired by the inertial sensors. Finally, the rotation angle versus joint displacement curves are constructed, and the estimated values of joint motion angle and motion ability are obtained. The experimental verification of the proposed motion detection and analysis method was performed, which proved that it can efficiently detect the differences between motion behaviors of disabled and healthy persons and provide a reliable quantitative evaluation of the rehabilitation state. PMID:29065575

A Game System for Cognitive Rehabilitation

PubMed Central

Shapi'i, Azrulhizam; Mat Zin, Nor Azan; Elaklouk, Ahmed Mohammed

2015-01-01

Brain injury such as traumatic brain injury (TBI) and stroke is the major cause of long-term disabilities in many countries. The increasing rate of brain damaged victims and the heterogeneity of impairments decrease rehabilitation effectiveness and competence resulting in higher cost of rehabilitation treatment. On the other hand, traditional rehabilitation exercises are boring, thus leading patients to neglect the prescribed exercises required for recovery. Therefore, we propose game-based approach to address these problems. This paper presents a rehabilitation gaming system (RGS) for cognitive rehabilitation. The RGS is developed based on a proposed conceptual framework which has also been presented in this paper. PMID:25815320

Current trends in cardiac rehabilitation

PubMed Central

Dafoe, W; Huston, P

1997-01-01

Cardiac rehabilitation can reduce mortality and morbidity for patients with many types of cardiac disease cost-effectively, yet is generally underutilized. Rehabilitation is helpful not only for patients who have had a myocardial infarction but also for those with stable angina or congestive heart failure or those who have undergone myocardial revascularization procedures, a heart transplant or heart valve surgery. The beneficial effects of rehabilitation include a reduction in the rate of death from cardiovascular disease, improved exercise tolerance, fewer cardiac symptoms, improved lipid levels, decreased cigarette smoking, improvement in psychosocial well-being and increased likelihood of return to work. Rehabilitation involves a multidisciplinary team that focuses on education, individually tailored exercise, risk-factor modification and the optimization of functional status and mental health. Current research trends in this area include the evaluation of new secondary-prevention modalities and alternative program options, such as home-based rehabilitation. PMID:9054823

Psychosocial Issues in Geriatric Rehabilitation.

PubMed

Rodriguez, Ricardo M

2017-11-01

Geriatric patients present multiple age-related challenges and needs that must be taken into account during the rehabilitation process to achieve expected goals. This article examines the importance of identifying and managing psychosocial issues commonly observed in older adults and presents strategies to optimize their rehabilitation process. Depression, anxiety, fear of falling, adjustment issues, neurocognitive disorders, and caregiver support are discussed as a selection of factors that are relevant for geriatric patients undergoing rehabilitation. An argument is made for the importance of comprehensive geriatric assessment in older adults to identify salient issues that may impact rehabilitation and quality of life. Copyright © 2017 Elsevier Inc. All rights reserved.

New methodologies for patients rehabilitation.

PubMed

Fardoun, H M; Mashat, A S; Lange, B

2015-01-01

The present editorial is part of the focus theme of Methods of Information in Medicine titled "New Methodologies for Patients Rehabilitation", with a specific focus on technologies and human factors related to the use of Information and Communication Technologies (ICT) for improving patient rehabilitation. The focus theme explores different dimensions of empowerment methodologies for disabled people in terms of rehabilitation and health care, and to explores the extent to which ICT is a useful tool in this process. The focus theme lists a set of research papers that present different ways of using ICT to develop advanced systems that help disabled people in their rehabilitation process.

Supplemental Environmental Assessment & Finding of No Significant Impact: Louisville Bend State Wildlife Area Fish and Wildlife Habitat Rehabilitation

DTIC Science & Technology

2013-05-01

and Maintenance of the Missouri River Bank Stabilization and Navigation Project, and Operation of the Kansas River Reservoir System, and acquiring and...developing lands to produce habitat as directed by the BSNP Mitigation Project. The proposed project would be constructed under the authority of...the Mitigation Project. The Missouri River BSNP Mitigation Project of Missouri, Kansas , Iowa, and Nebraska was authorized by Section 601 (a) of the

Applying data fusion techniques for benthic habitat mapping and monitoring in a coral reef ecosystem

NASA Astrophysics Data System (ADS)

Zhang, Caiyun

2015-06-01

Accurate mapping and effective monitoring of benthic habitat in the Florida Keys are critical in developing management strategies for this valuable coral reef ecosystem. For this study, a framework was designed for automated benthic habitat mapping by combining multiple data sources (hyperspectral, aerial photography, and bathymetry data) and four contemporary imagery processing techniques (data fusion, Object-based Image Analysis (OBIA), machine learning, and ensemble analysis). In the framework, 1-m digital aerial photograph was first merged with 17-m hyperspectral imagery and 10-m bathymetry data using a pixel/feature-level fusion strategy. The fused dataset was then preclassified by three machine learning algorithms (Random Forest, Support Vector Machines, and k-Nearest Neighbor). Final object-based habitat maps were produced through ensemble analysis of outcomes from three classifiers. The framework was tested for classifying a group-level (3-class) and code-level (9-class) habitats in a portion of the Florida Keys. Informative and accurate habitat maps were achieved with an overall accuracy of 88.5% and 83.5% for the group-level and code-level classifications, respectively.

Hydroacoustic habitat mapping in Potter Cove (King George Island, Antarctica)

NASA Astrophysics Data System (ADS)

Hass, H. Christian; Wölfl, Anne-Cathrin; Kuhn, Gerhard; Jerosch, Kerstin; Scharf, Frauke; Abele, Doris

2016-04-01

Climate change increasingly affects the coastal areas off Antarctica. Strongest environmental response occurs in the transition zones that mediate between the polar and subpolar latitudes. Potter Cove, a minor fjord at the northern tip of the Antarctic Peninsula is significantly affected by rising temperatures and retreating ice sheets. Large amounts of turbid meltwaters affect both, the seafloor and the water column and cause stress for many biota. There is an increasing demand to monitor the ongoing change and to work out means for comparison with similar coastal ecosystems under pressure. Marine habitat maps provide information on the seafloor characteristics that allow to describe and evaluate the status of the recent coastal ecosystem and to predict its future development. We used a RoxAnn acoustic ground discrimination system, a sidescan sonar, grab samples (grain size and TOC) and underwater video footage to gain habitat information. Supervised and unsupervised classification routines (including fuzzy k-means clustering and LDA) were employed to calculate models ranging from two classes (soft bottom habitat, stone habitat) to 7 classes (including classes of rocks with and without macroalgae as well as classes of gravels, sands and silts). Including organic carbon in the database allowed to identify a carbon-depleted class proximal to the glacier front. Potter Cove reveals features that are related to the climate-controlled environmental change: very rough seafloor topography in a small basin close to the fjord head which was cleared by the retreating tidewater glacier through the past two decades. The increasing distance to the glacier down-fjord causes existing habitats to smooth and mature and new habitats to form. This process will change the terrestrial and marine face of Potter Cove until the ongoing climatic change stops or even reverses. It becomes apparent that the final interpretation of the results benefits significantly from the different

Habitat Suitability Index Models: Yellow perch

USGS Publications Warehouse

Krieger, Douglas A.; Terrell, James W.; Nelson, Patrick C.

1983-01-01

A review and synthesis of existing information were used to develop riverine and lacustrine habitat models for yellow perch (Perca flavescens). The models are scaled to produce an index of habitat suitability between 0 (unsuitable habitat) to 1 (optimally suitable habitat) for riverine, lacustrine, and palustrine habitat in the 48 contiguous United States. Habitat Suitability Indexes (HSI's) are designed for use with the Habitat Evaluation Procedures developed by the U.S. Fish and Wildlife Service. Also included are discussions of Suitability Index (SI) curves as used in the Instream Flow Incremental Methodology (IFIM) and SI curves available for an IFIM analysis of yellow perch habitat.