Science.gov

Sample records for icf program ldrd-er

  1. 1996 ICF program overview

    SciTech Connect

    Correll, D

    1996-09-30

    The continuing objective of the Inertial Confinement Fusion (ICF) Program is the demonstration of thermonuclear fusion ignition and energy gain in the laboratory. The underlying theme of all ICF activities as a science research and development program is the Department of Energy's (DOE's) Defense Programs (DP) science-based Stockpile Stewardship and Management (SSM) Program. The extension of current program research capabilities in the National Ignition Facility (NIF) is necessary for the ICF Program to satisfy its stewardship responsibilities. ICF resources (people and facilities) are increasingly being redirected in support of the performance, schedule, and cost goals of the NIF. One of the more important aspects of ICF research is the national nature of the program. Lawrence Livermore National Laboratory's (LLNL's) ICF Program falls within DOE's national ICF Program, which includes the Nova and Beamlet laser facilities at LLNL and the OMEGA, Nike, and Trident laser facilities at the University of Rochester (Laboratory for Laser Energetics, UR/LLE), the Naval Research Laboratory (NRL), and Los Alamos National Laboratory (LANL), respectively. The Particle Beam Fusion Accelerator (PBFA) and Saturn pulsed-power facilities are at Sandia National Laboratories (SNL). General Atomics, Inc. (GA) develops and provides many of the targets for the above experimental facilities. LLNL's ICF Program supports activities in two major interrelated areas: (1) target physics and technology (experimental, theoretical, and computational research); and (2) laser science and optics technology development. Experiments on LLNL's Nova laser primarily support ignition and weapons physics research. Experiments on LLNL's Beamlet laser support laser science and optics technology development. In addition, ICF sciences and technologies, developed as part of the DP mission goals, continue to support additional DOE objectives. These objectives are (1) to achieve diversity in energy sources

  2. The US ICF Ignition Program and the Inertial Fusion Program

    SciTech Connect

    Lindl, J D; Hammel, B A; Logan, B G; Meyerhofer, D D; Payne, S A; Stehian, J D

    2003-07-02

    There has been rapid progress in inertial fusion in the past few years. This progress spans the construction of ignition facilities, a wide range of target concepts, and the pursuit of integrated programs to develop fusion energy using lasers, ion beams and z-pinches. Two ignition facilities are under construction (NIF in the U.S. and LMJ in France) and both projects are progressing toward an initial experimental capability. The LIL prototype beamline for LMJ and the first 4 beams of NIF will be available for experiments in 2003. The full 192 beam capability of NIF will be available in 2009 and ignition experiments are expected to begin shortly after that time. There is steady progress in the target science and target fabrication in preparation for indirect drive ignition experiments on NIF. Advanced target designs may lead to 5-10 times more yield than initial target designs. There has also been excellent progress on the science of ion beam and z-pinch driven indirect drive targets. Excellent progress on direct-drive targets has been obtained on the Omega laser at the University of Rochester. This includes improved performance of targets with a pulse shape predicted to result in reduced hydrodynamic instability. Rochester has also obtained encouraging results from initial cryogenic implosions. There is widespread interest in the science of fast ignition because of its potential for achieving higher target gain with lower driver energy and relaxed target fabrication requirements. Researchers from Osaka have achieved outstanding implosion and heating results from the Gekko XII Petawatt facility and implosions suitable for fast ignition have been tested on the Omega laser. A broad based program to develop lasers and ions beams for IFE is under way with excellent progress in drivers, chambers, target fabrication and target injection. KrF and Diode Pumped Solid-State lasers (DPSSL) are being developed in conjunction with drywall chambers and direct drive targets

  3. Progress in development of low density polymer foams for the ICF Program

    SciTech Connect

    Letts, S.A.; Lucht, L.M.; Morgan, R.J.; Cook, R.C.; Tillotson, T.M.; Mercer, M.B.; Miller, D.E.

    1985-06-10

    This report describes the status of CH foam development with densities of 50 mg/ccs and cell sizes of 1 ..mu..m for the ICF Program. Two approaches that both involve polymer phase separation are being investigated. The first involves a gelation-crystallization of high molecular weight polyethylene from solution, whereas the second approach involves the modification of the phase separation morphology of water-styrene emulsions by molecularly-tailored surfactants followed by polymerization of the continuous styrene phase.

  4. Site support program plan for ICF Kaiser Hanford Company

    SciTech Connect

    Dieterle, S.E.

    1996-09-27

    The Fiscal Year (FY) 1997 Inftastructure Program Site Support Program Plan (SSPP) addresses the mission objectives, workscope, work breakdown structures (WBS), management approach, and resource requirements for the Infrastructure Program. Attached to the plan are appendices that provide more detailed information associated with scope definition.

  5. Identification of relevant ICF categories for indication, intervention planning and evaluation of health resort programs: a Delphi exercise

    NASA Astrophysics Data System (ADS)

    Morita, E.; Weigl, M.; Schuh, A.; Stucki, G.

    2006-01-01

    Health resort programs have a long tradition, mainly in European countries and Japan. They rely on local resources and the physical environment, physical medicine interventions and traditional medicine to optimise functioning and health. Arguably because of the long tradition, there is only a limited number of high-quality studies that examine the effectiveness of health resort programs. Specific challenges to the evaluation of health resort programs are to randomise the holistic approach with a varying number of specific interventions but also the reliance on the effect of the physical environment. Reference standards for the planning and reporting of health resort studies would be highly beneficial. With the International Classification of Functioning Disability and Health (ICF), we now have such a standard that allows us to describe body functions and structures, activities and participation and interaction with environmental factors. A major challenge when applying the ICF in practice is its length. Therefore, the objective of this project was to identify the ICF categories most relevant for health resort programs. We conducted a consensus-building, three-round, e-mail survey using the Delphi technique. Based on the consensus of the experts, it was possible to come up with an ICF Core Set that can serve as reference standards for the indication, intervention planning and evaluation of health resort programs. This preliminary ICF Core Set should be tested in different regions and in subsets of health resort visitors with varying conditions.

  6. Status of the ICF program at Los Alamos National Laboratory

    SciTech Connect

    Rockwood, S.D.

    1982-01-01

    In the Los Alamos program we are emphasizing the testing of targets uniquely designed for drive with the carbon dioxide (CO/sub 2/) laser. The two major facilities for this study are the eight-beam Helios system and the Antares laser system. Some recent results to be discussed demonstrate the dominant effect of self-generated magnetic fields in controlling energy transport by hot electrons. An understanding of this physics may permit the design of targets for CO/sub 2/ that are self-shielding in terms of hot electron preheat. Another consequence of the magnetic insulation is efficient energy conversion to ion motion. This occurs over a much largr surface than originally irradiated by the laser with in excess of 50 percent of the absorbed energy converted to ion motion in some experiments.

  7. Exploring the ICF-CY as a framework to inform transition programs from pediatric to adult healthcare.

    PubMed

    Hartman, Laura R; McPherson, Amy C; Maxwell, Joanne; Lindsay, Sally

    2017-05-23

    To explore the utility of the International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY) for informing transition-related programs for youth with chronic conditions moving into adult healthcare settings, using an exemplar spina bifida program. Semi-structured in-depth interviews were conducted with 53 participants (9 youth and 11 parents who participated in a spina bifida transition program, 12 young adults who did not, 12 clinicians, and 9 key informants involved in development/implementation). Interview transcripts were thematically analyzed, and then further coded using ICF-CY domain codes. ICF-CY domains captured many key areas regarding individuals" transitions to adult care and adult functioning, but did not fully capture concepts of transition program experience, independence, and parents" role. The ICF-CY framework captures some experiences of transitions to adult care, but should be considered in conjunction with other models that address issues outside of the domains covered by the ICF-CY.

  8. Target Diagnostic Technology Research & Development for the LLNL ICF and HED Program

    SciTech Connect

    Bell, P; Landen, O; Weber, F; Lowry, M; Bennett, C; Kimbrough, J; Moody, J; Holder, J; Lerche, R; Griffith, R; Park, H; Boni, R; Jaanimagi, P; Davies, T

    2004-04-13

    The National Ignition Facility is operational at LLNL. The ICF and HED programs at LLNL have formed diagnostic research and development groups to institute improvements outside the charter of core diagnostics. We will present data from instrumentation being developed. A major portion of our work is improvements to detectors and readout systems. We have efforts related to CCD device development. Work has been done in collaboration with the University of Arizona to back thin a large format CCD device. We have developed in collaboration with a commercial vendor a large format, compact CCD system. We have coupled large format CCD systems to our optical and x-ray streak cameras leading to improvements in resolution and dynamic range. We will discuss gate-width and uniformity improvements to MCP-based framing cameras. We will present data from single shot data link work and discuss technology aimed at improvements of dynamic range for high-speed transient measurements from remote locations.

  9. Inertial confinement fusion (ICF) review

    SciTech Connect

    Hammer, D.; Dyson, F.; Fortson, N.; Novick, B.; Panofsky, W.; Rosenbluth, M.; Treiman, S.; York, H.

    1996-03-01

    During its 1996 winter study JASON reviewed the DOE Inertial Confinement Fusion (ICF) program. This included the National Ignition Facility (NIF) and proposed studies. The result of the review was to comment on the role of the ICF program in support of the DOE Science Based Stockpile Stewardship program.

  10. ICF Annual Report 1997

    SciTech Connect

    Correll, D

    1998-06-01

    The continuing objective of Lawrence Livermore National Laboratory's (LLNL's) Inertial Confinement Fusion (ICF) Program is the demonstration of thermonuclear fusion ignition and energy gain in the laboratory and to support the nuclear weapons program in its use of ICF facilities. The underlying theme of all ICF activities as a science research and development program is the Department of Energy's (DOE's) Defense Programs (DP) science-based Stockpile Stewardship Program (SSP). The mission of the US Inertial Fusion Program is twofold: (1) to address high-energy-density physics issues for the SSP and (2) to develop a laboratory microfusion capability for defense and energy applications. In pursuit of this mission, the ICF Program has developed a state-of-the-art capability to investigate high-energy-density physics in the laboratory. The near-term goals pursued by the ICF Program in support of its mission are demonstrating fusion ignition in the laboratory and expanding the Program's capabilities in high-energy-density science. The National Ignition Facility (NIF) project is a cornerstone of this effort.

  11. Target Diagnostic Technology Research and Development for the LLNL ICF and HED Programs

    SciTech Connect

    Bell, P; Bennett, C; Holder, J; Kimbrough, J; Landen, O; Lerche, D; Lowry, M; McDonald, J; Perry, T; Turner, B; Weber, F

    2003-08-22

    The National Ignition Facility (NIF) is under construction at LLNL for the Department of Energy Stockpile Stewardship Program. It will be used for experiments for Inertial Confinement Fusion (ICF) Ignition, High Energy Density (HED) science, and basic science. Many issues confront experimentalists who wish to design, fabricate, and install diagnostics on the NIF. To foster this process the ICF and HED programs at LLNL have formed a diagnostic research and development group to look at issues outside the charter of facility diagnostics (core diagnostics). We will present data from instrumentation and associated technology that is being developed by this group. A major portion of our instrumentation work is on improvements for readout systems. We have several efforts related to CCD device development. Work has been done in collaboration with the University of Arizona to backthin a large format CCD device (36mm{sup 2}). This work has shown good results. The device has very high quantum efficiency, low noise readout and high charge transfer efficiency. The device is being fielded in direct optical, direct x-ray and 13-15 RV electron readout applications. In addition to readout device development we have completed work on a CCD readout system. With a commercial vendor we have developed a large format, compact, Ethernet addressable CCD camera system. This system fits in shoebox size volume, is thermal electrically cooled, supports a variety of CCD devices and can be run from remote locations via TCP/IP protocol. We are also doing work to improve streak camera systems. We have coupled our large format CCD system to an MK2 Kentech streak tube. Improvements have been made to the resolution and dynamic range of the system. Similar improvements have been made to the LLNL optical streak camera systems. We will present data from the optical and x-ray streak camera work. In addition we will present data from single shot high-speed, high dynamic range data link work. In

  12. An ICF-Based Model for Implementing and Standardizing Multidisciplinary Obesity Rehabilitation Programs within the Healthcare System.

    PubMed

    Brunani, Amelia; Raggi, Alberto; Sirtori, Anna; Berselli, Maria Elisa; Villa, Valentina; Ceriani, Francesca; Corti, Stefania; Leonardi, Matilde; Capodaglio, Paolo

    2015-05-29

    In this study, we aimed to design an ICF-based individual rehabilitation project for obese patients with comorbidities (IRPOb) integrated into the Rehab-CYCLE to standardize rehabilitative programs. This might facilitate the different health professionals involved in the continuum of care of obese patients to standardize rehabilitation interventions. After training on the ICF and based on the relevant studies, ICF categories were identified in a formal consensus process by our multidisciplinary team. Thereafter, we defined an individual rehabilitation project based on a structured multi-disciplinary approach to obesity. the proposed IRPOb model identified the specific intervention areas (nutritional, physiotherapy, psychology, nursing), the short-term goals, the intervention modalities, the professionals involved and the assessment of the outcomes. Information was shared with the patient who signed informed consent. The model proposed provides the following advantages: (1) standardizes rehabilitative procedures; (2) facilitates the flow of congruent and updated information from the hospital to outpatient facilities, relatives, and care givers; (3) addresses organizational issues; (4) might serve as a benchmark for professionals who have limited specific expertise in rehabilitation of comorbid obese patients.

  13. An ICF-Based Model for Implementing and Standardizing Multidisciplinary Obesity Rehabilitation Programs within the Healthcare System

    PubMed Central

    Brunani, Amelia; Raggi, Alberto; Sirtori, Anna; Berselli, Maria Elisa; Villa, Valentina; Ceriani, Francesca; Corti, Stefania; Leonardi, Matilde; Capodaglio, Paolo

    2015-01-01

    Introduction/Objective: In this study, we aimed to design an ICF-based individual rehabilitation project for obese patients with comorbidities (IRPOb) integrated into the Rehab-CYCLE to standardize rehabilitative programs. This might facilitate the different health professionals involved in the continuum of care of obese patients to standardize rehabilitation interventions. Methods: After training on the ICF and based on the relevant studies, ICF categories were identified in a formal consensus process by our multidisciplinary team. Thereafter, we defined an individual rehabilitation project based on a structured multi-disciplinary approach to obesity. Results: the proposed IRPOb model identified the specific intervention areas (nutritional, physiotherapy, psychology, nursing), the short-term goals, the intervention modalities, the professionals involved and the assessment of the outcomes. Information was shared with the patient who signed informed consent. Conclusions: The model proposed provides the following advantages: (1) standardizes rehabilitative procedures; (2) facilitates the flow of congruent and updated information from the hospital to outpatient facilities, relatives, and care givers; (3) addresses organizational issues; (4) might serve as a benchmark for professionals who have limited specific expertise in rehabilitation of comorbid obese patients. PMID:26035658

  14. Site support program plan for ICF Kaiser Hanford Company, Revision 1

    SciTech Connect

    1995-10-01

    This document is the general administrative plan implemented by the Hanford Site contractor, ICF Kaiser Hanford Company. It describes the mission, administrative structure, projected staffing, to be provided by the contractor. The report breaks out the work responsibilities within the different units of the company, a baseline schedule for the different groups, and a cost summary for the different operating units.

  15. Compiling standardized information from clinical practice: using content analysis and ICF Linking Rules in a goal-oriented youth rehabilitation program.

    PubMed

    Lustenberger, Nadia A; Prodinger, Birgit; Dorjbal, Delgerjargal; Rubinelli, Sara; Schmitt, Klaus; Scheel-Sailer, Anke

    2017-09-23

    To illustrate how routinely written narrative admission and discharge reports of a rehabilitation program for eight youths with chronic neurological health conditions can be transformed to the International Classification of Functioning, Disability and Health. First, a qualitative content analysis was conducted by building meaningful units with text segments assigned of the reports to the five elements of the Rehab-Cycle(®): goal; assessment; assignment; intervention; evaluation. Second, the meaningful units were then linked to the ICF using the refined ICF Linking Rules. With the first step of transformation, the emphasis of the narrative reports changed to a process oriented interdisciplinary layout, revealing three thematic blocks of goals: mobility, self-care, mental, and social functions. The linked 95 unique ICF codes could be grouped in clinically meaningful goal-centered ICF codes. Between the two independent linkers, the agreement rate was improved after complementing the rules with additional agreements. The ICF Linking Rules can be used to compile standardized health information from narrative reports if prior structured. The process requires time and expertise. To implement the ICF into common practice, the findings provide the starting point for reporting rehabilitation that builds upon existing practice and adheres to international standards. Implications for Rehabilitation This study provides evidence that routinely collected health information from rehabilitation practice can be transformed to the International Classification of Functioning, Disability and Health by using the "ICF Linking Rules", however, this requires time and expertise. The Rehab-Cycle(®), including assessments, assignments, goal setting, interventions and goal evaluation, serves as feasible framework for structuring this rehabilitation program and ensures that the complexity of local practice is appropriately reflected. The refined "ICF Linking Rules" lead to a standardized

  16. ICF diagnostics. Revision 1

    SciTech Connect

    Coleman, L.W.

    1982-12-17

    In the past several years there have been significant advances and accomplishments in the field of Inertial Confinement Fusion (ICF) research which are directly attributable to an active experimental program supported by the development and applications of sophisticated and specialized diagnostics instruments and techniques. The continued development of high temporal-and spatial-resolution diagnostics, although with a somewhat different technical emphasis than previously, is essential for maintaining progress in ICF. With the generation of inertial fusion drivers now becoming available progress toward higher density compression of fusion fuel will be attained at the expense of temperature, and consequently emissions from the targets will be limited. At the same time since the targets are being driven to higher density they are more opaque to the low-to-moderate energy x-rays (up to a few keV) and particles (alpha particles, protons, and knock-on charged particles) that have been utilized for diagnosing target performance.

  17. Overview of ICF program at Centre D{close_quote}Etudes de Limeil-Valenton

    SciTech Connect

    Cel-V Laser Team

    1996-05-01

    The major objectives of the CEA-DAM laser program is to determine the various requirements to achieve thermonuclear fusion in laboratory. We report here recent results obtained at Centre d{close_quote}Etudes de Limeil-Valenton on high density X-Ray implosions, radiative transfer processes, hydrodynamic instabilities and laser-plasma interaction involved in cavity physics. Ignition and a moderate gain appears to be achievable with a laser energy of about 1.5{minus}2 MJ delivered at {lambda}=0, 35 {mu}m with a shaped pulse (duration{approximately}16 ns). The construction of such a laser is realizable and a conceptual design is under preparation. {copyright} {ital 1996 American Institute of Physics.}

  18. Exploring use of the ICF in health education.

    PubMed

    Bornbaum, Catherine C; Day, Adam M B; Izaryk, Kristen; Morrison, Stephanie J; Ravenek, Michael J; Sleeth, Lindsay E; Skarakis-Doyle, Elizabeth

    2015-01-01

    Currently, little is known regarding use of the International Classification of Functioning, Disability and Health (ICF) in health education applications. Therefore, this review sought to examine the scope of work that has been conducted regarding the application of the ICF in health education. A review of the current literature related to use of the ICF in health education programs was conducted. Twelve electronic databases were searched in accordance with a search protocol developed by a health sciences librarian. In total, 17,878 records were reviewed, and 18 articles met the criteria for inclusion in this review. Current evidence regarding use of the ICF in healthcare education revealed that program and participant properties can be essential facilitators or barriers to successful education programs. In addition, gaps in comprehensive outcome measurement were revealed as areas for future attention. Educational applications of the ICF are very much a work in progress as might be expected given the ICF's existence for only a little over a decade. To advance use of the ICF in education, it is important to incorporate the measurement of both knowledge acquisition and behavior change related to ICF-based programs. Ultimately, widespread implementation of the ICF represents not only a substantial opportunity but also poses a significant challenge.

  19. Motor training programs of arm and hand in patients with MS according to different levels of the ICF: a systematic review

    PubMed Central

    2012-01-01

    Background The upper extremity plays an important role in daily functioning of patients with Multiple Sclerosis (MS) and strongly influences their quality of life. However, an explicit overview of arm-hand training programs is lacking. The present review aims to investigate the training components and the outcome of motor training programs for arm and hand in MS. Methods A computerized systematic literature search in 5 databases (PubMed, CINAHL, EMBASE, PEDro and Cochrane) was performed using the following Mesh terms: Multiple Sclerosis, Rehabilitation, Physical Education and Training, Exercise, Patient-Centered Care, Upper Extremity, Activities of Daily Living, Motor Skills, Motor Activity, Intervention Studies and Clinical Trial. The methodological quality of the selected articles was scored with the Van Tulder Checklist. A descriptive analyses was performed using the PICO principle, including scoring of training components with the calculation of Hedges’g effect sizes. Results Eleven studies were eligible (mean Van Tulder-score = 10.82(SD2.96)). Most studies reported a specific improvement in arm hand performance at the ICF level that was trained at. The mean number of training components was 5.5(SD2.8) and a significant correlation (r = 0.67; p < 0.05) between the number of training components and effect sizes was found. The components ‘client-centered’ and ‘functional movement’ were most frequently used, whereas ‘distribution based practice’, ‘feedback’ and ‘random practice’ were never used. The component ‘exercise progression’ was only used in studies with single ICF body function training, with the exception of 1 study with activity level training. Studies including the component ‘client-centred’ demonstrated moderate to high effect sizes. Conclusion Motor training programs (both at the ICF body function and activity level) have shown to improve arm and hand performance in MS in which the value of the training

  20. Multiuser development scenario for ICF

    SciTech Connect

    Hogan, W.J.

    1985-10-01

    An outline is given of some of the various possible applications of ICF technology. Developmental paths for each application are briefly described. The implications on design and operation of the ICF facilities if multipurpose use is allowed are examined. (MOW)

  1. SBIR and STTR Program for Assistive Technology Device Development: Evaluation of Impact Using an ICF-Based Classification

    ERIC Educational Resources Information Center

    Bauer, Stephen M.; Arthanat, Sajay

    2010-01-01

    The purpose of this paper was to evaluate the impact of Small Business Innovation Research (SBIR) and Small Business Technology Transfer Research (STTR) grant programs of 5 federal agencies National Institutes of Health (NIH), National Science Foundation (NSF), U.S. Department of Education (USDE), U.S. Department of Agriculture (USDA), and…

  2. Pediatric neurorehabilitation and the ICF.

    PubMed

    Martinuzzi, Andrea; De Polo, Gianni; Bortolot, Sonia; Pradal, Monica

    2015-01-01

    One of the major intended uses of the International Classification of Functioning, Disability and Health (ICF) is the clinical world of rehabilitation. The intrinsic qualities of ICF, especially in its children and youth version (ICF-CY) seem to perfectly match the needs for the complex process of pediatric neurorehabilitation. We here report on the effect that the implementation of ICF-CY had on team members and families when it was used as a guiding structure in framing the rehabilitation project in a pediatric outpatient clinic dealing with adolescents with cerebral palsy and complex needs. The two-year experience was positive and an ad-hoc questionnaire delivered to team members and families returned very positive remarks. The main messages coming from this experience is on the feasibility of the introduction of ICF-CY language and the bio-psycho-social model in the described setting and on the positive response by the stakeholders.

  3. ICF quarterly report, October-December 1998, volume 8, number 4

    SciTech Connect

    Kaufmann, B

    1998-09-30

    The ICF Quarterly Report is pub-lished four times each fiscal year by the Inertial Confinement Fusion/National Ignition Facility and High-Energy-Density Experimental Science (ICF/NIF/ HEDES) Program at the Lawrence Livermore National Laboratory (LLNL). The journal summarizes selected current research achievements of the LLNLICF/NIF/HEDES Program.

  4. Hydrodynamick instabilities on ICF capsules

    SciTech Connect

    Haan, S.W.

    1991-06-07

    This article summarizes our current understanding of hydrodynamic instabilities as relevant to ICF. First we discuss classical, single mode Rayleigh-Taylor instability, and nonlinear effects in the evolution of a single mode. Then we discuss multimode systems, considering: (1) the onset of nonlinearity; (2) a second order mode coupling theory for weakly nonlinear effects, and (3) the fully nonlinear regime. Two stabilization mechanisms relevant to ICF are described next: gradient scale length and convective stabilization. Then we describe a model which is meant to estimate the weakly nonlinear evolution of multi-mode systems as relevant to ICF, given the short-wavelength stabilization. Finally, we discuss the relevant code simulation capability, and experiments. At this time we are quite optimistic about our ability to estimate instability growth on ICF capsules, but further experiments and simulations are needed to verify the modeling. 52 refs.

  5. Cascade ICF power reactor

    SciTech Connect

    Hogan, W.J.; Pitts, J.H.

    1986-05-20

    The double-cone-shaped Cascade reaction chamber rotates at 50 rpm to keep a blanket of ceramic granules in place against the wall as they slide from the poles to the exit slots at the equator. The 1 m-thick blanket consists of layers of carbon, beryllium oxide, and lithium aluminate granules about 1 mm in diameter. The x rays and debris are stopped in the carbon granules; the neutrons are multiplied and moderated in the BeO and breed tritium in the LiAlO/sub 2/. The chamber wall is made up of SiO tiles held in compression by a network of composite SiC/Al tendons. Cascade operates at a 5 Hz pulse rate with 300 MJ in each pulse. The temperature in the blanket reaches 1600 K on the inner surface and 1350 K at the outer edge. The granules are automatically thrown into three separate vacuum heat exchangers where they give up their energy to high pressure helium. The helium is used in a Brayton cycle to obtain a thermal-to-electric conversion efficiency of 55%. Studies have been done on neutron activation, debris recovery, vaporization and recondensation of blanket material, tritium control and recovery, fire safety, and cost. These studies indicate that Cascade appears to be a promising ICF reactor candidate from all standpoints. At the 1000 MWe size, electricity could be made for about the same cost as in a future fission reactor.

  6. Fundamentals of ICF Hohlraums

    SciTech Connect

    Rosen, M D

    2005-09-30

    On the Nova Laser at LLNL, we demonstrated many of the key elements required for assuring that the next laser, the National Ignition Facility (NIF) will drive an Inertial Confinement Fusion (ICF) target to ignition. The indirect drive (sometimes referred to as ''radiation drive'') approach converts laser light to x-rays inside a gold cylinder, which then acts as an x-ray ''oven'' (called a hohlraum) to drive the fusion capsule in its center. On Nova we've demonstrated good understanding of the temperatures reached in hohlraums and of the ways to control the uniformity with which the x-rays drive the spherical fusion capsules. In these lectures we will be reviewing the physics of these laser heated hohlraums, recent attempts at optimizing their performance, and then return to the ICF problem in particular to discuss scaling of ICF gain with scale size, and to compare indirect vs. direct drive gains. In ICF, spherical capsules containing Deuterium and Tritium (DT)--the heavy isotopes of hydrogen--are imploded, creating conditions of high temperature and density similar to those in the cores of stars required for initiating the fusion reaction. When DT fuses an alpha particle (the nucleus of a helium atom) and a neutron are created releasing large amount amounts of energy. If the surrounding fuel is sufficiently dense, the alpha particles are stopped and can heat it, allowing a self-sustaining fusion burn to propagate radially outward and a high gain fusion micro-explosion ensues. To create those conditions the outer surface of the capsule is heated (either directly by a laser or indirectly by laser produced x-rays) to cause rapid ablation and outward expansion of the capsule material. A rocket-like reaction to that outward flowing heated material leads to an inward implosion of the remaining part of the capsule shell. The pressure generated on the outside of the capsule can reach nearly 100 megabar (100 million times atmospheric pressure [1b = 10{sup 6} cgs

  7. Advances in commercial ICF technology since 1986

    SciTech Connect

    Kulcinski, G.L.

    1989-03-01

    Progress in the march toward commercial ICF fusion reactors has been uneven in the past few years. Considerable advances have been made in the area of light ion beam fusion through the development of rep ratable drivers (i.e., HERMES-III technology) and diodes (i.e., applied B configuration with renewable Li surfaces). Significant progress in the development of lasers to compress targets has also been made through the KrF Aurura program. The possibility of lowering the cost of glass in the advanced solid state lasers has been given serious consideration. The development of the Induced Spatial Incoherence (ISI) technique to improve the uniformity of the laser beam has allowed physicists and engineers to once again contemplate the use of symmetric illumination. This would reduce the driver energy required to achieve high gains but it also introduces difficulty in the reactor design. Relatively little progress in commercial heavy ion beam drivers has been made over the past few years aside from an indepth study (HIFSA) of the desirable operating regimes to be pursued. Other areas where little progress has been made are conceptual reactor studies, target declassification and specific experimental programs to address commercial ICF reactor technology needs.

  8. ICF special studies: Final report

    SciTech Connect

    Meier, W.R.

    1987-09-16

    This paper summarizes the work completed by W.J. Schafer Associates for Lawrence Livermore National Laboratory in the area of Inertial Confinement Fusion. The SAFIRE (Systems Analysis Code for ICF Reactor Economics) code is one of the major tasks discussed. (LSP)

  9. 42 CFR 442.15 - Duration of agreement for ICFs/MR.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... (CONTINUED) MEDICAL ASSISTANCE PROGRAMS STANDARDS FOR PAYMENT TO NURSING FACILITIES AND INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED Provider Agreements § 442.15 Duration of agreement for ICFs/MR....

  10. Investigating ICF target conditions through spectroscopy

    NASA Astrophysics Data System (ADS)

    Hansen, Stephanie

    2011-10-01

    The fuel in inertial confinement fusion (ICF) targets is heated and compressed to extreme conditions, reaching multi-keV temperatures and higher-than-solid densities in a neutron- producing core with strong gradients and high velocities in the surrounding plasma. Measuring these conditions is an important step in understanding, accurately simulating, and, ultimately, controlling ICF target performance, whether the target is indirectly driven by laser-heated hohlraum emission or directly driven by lasers or magnetic fields. While neutron signals provide information about the core plasma, the emission and absorption spectra of high-energy x-rays can provide detailed information about core conditions, mix, gradients, velocities, and fields. We present modeled spectroscopic signatures of these quantities, demonstrate the importance of photon energy in diagnosing high-temperature core regions, and show how traditional atomic models must be modified to accurately describe x-ray emission from plasma at extreme densities. Sandia National Laboratories is a multi-program laboratory managed and operated by Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Corporation, for the U.S. DOE's National Nuclear Security Administration under contract DE-AC04-94AL85000.

  11. Equilibrium ignition for ICF capsules

    SciTech Connect

    Lackner, K.S.; Colgate, S.A.; Johnson, N.L.; Kirkpatrick, R.C.; Menikoff, R.; Petschek, A.G.

    1993-12-31

    There are two fundamentally different approaches to igniting DT fuel in an ICF capsule which can be described as equilibrium and hot spot ignition. In both cases, a capsule which can be thought of as a pusher containing the DT fuel is imploded until the fuel reaches ignition conditions. In comparing high-gain ICF targets using cryogenic DT for a pusher with equilibrium ignition targets using high-Z pushers which contain the radiation. The authors point to the intrinsic advantages of the latter. Equilibrium or volume ignition sacrifices high gain for lower losses, lower ignition temperature, lower implosion velocity and lower sensitivity of the more robust capsule to small fluctuations and asymmetries in the drive system. The reduction in gain is about a factor of 2.5, which is small enough to make the more robust equilibrium ignition an attractive alternative.

  12. Expanding the mutation spectrum in ICF syndrome: Evidence for a gender bias in ICF2.

    PubMed

    van den Boogaard, M L; Thijssen, P E; Aytekin, C; Licciardi, F; Kıykım, A A; Spossito, L; Dalm, V A S H; Driessen, G J; Kersseboom, R; de Vries, F; van Ostaijen-Ten Dam, M M; Ikinciogullari, A; Dogu, F; Oleastro, M; Bailardo, E; Daxinger, L; Nain, E; Baris, S; van Tol, M J D; Weemaes, C; van der Maarel, S M

    2017-01-27

    Immunodeficiency, centromeric instability, and facial anomalies (ICF) syndrome is a rare, genetically heterogeneous, autosomal recessive disorder. Patients suffer from recurrent infections caused by reduced levels or absence of serum immunoglobulins. Genetically, 4 subtypes of ICF syndrome have been identified to date: ICF1 (DNMT3B mutations), ICF2 (ZBTB24 mutations), ICF3 (CDCA7 mutations), and ICF4 (HELLS mutations). To study the mutation spectrum in ICF syndrome. Genetic studies were performed in peripheral blood lymphocyte DNA from suspected ICF patients and family members. We describe 7 ICF1 patients and 6 novel missense mutations in DNMT3B, affecting highly conserved residues in the catalytic domain. We also describe 5 new ICF2 patients, one of them carrying a homozygous deletion of the complete ZBTB24 locus. In a meta-analysis of all published ICF cases, we observed a gender bias in ICF2 with 79% male patients. The biallelic deletion of ZBTB24 provides strong support for the hypothesis that most ICF2 patients suffer from a ZBTB24 loss of function mechanism and confirms that complete absence of ZBTB24 is compatible with human life. This is in contrast to the observed early embryonic lethality in mice lacking functional Zbtb24. The observed gender bias seems to be restricted to ICF2 as it is not observed in the ICF1 cohort. Our study expands the mutation spectrum in ICF syndrome and supports that DNMT3B and ZBTB24 are the most common disease genes. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  13. Contributions to the Genesis and Progress of ICF

    SciTech Connect

    Nuckolls, J H

    2006-02-15

    Inertial confinement fusion (ICF) has progressed from the detonation of large-scale fusion explosions initiated by atomic bombs in the early 1950s to final preparations for initiating small-scale fusion explosions with giant lasers. The next major step after ignition will be development of high performance targets that can be initiated with much smaller, lower cost lasers. In the 21st century and beyond, ICF's grand challenge is to develop practical power plants that generate low cost, clean, inexhaustible fusion energy. In this chapter, I first describe the origin in 1960-61 of ICF target concepts, early speculations on laser driven 'Thermonuclear Engines' for power production and rocket propulsion, and encouraging large-scale nuclear explosive experiments conducted in 1962. Next, I recall the 40-year, multi-billion dollar ignition campaign - to develop a matched combination of sufficiently high-performance implosion lasers and sufficiently stable targets capable of igniting small fusion explosions. I conclude with brief comments on the NIF ignition campaign and very high-performance targets, and speculations on ICF's potential in a centuries-long Darwinian competition of future energy systems. My perspectives in this chapter are those of a nuclear explosive designer, optimistic proponent of ICF energy, and Livermore Laboratory leader. The perspectives of Livermore's post 1970 laser experts and builders, and laser fusion experimentalists are provided in a chapter written by John Holzrichter, a leading scientist and leader in Livermore's second generation laser fusion program. In a third chapter, Ray Kidder, a theoretical physicist and early laser fusion pioneer, provides his perspectives including the history of the first generation laser fusion program he led from 1962-1972.

  14. Equilibrium ignition for ICF capsules

    SciTech Connect

    Lackner, K.S.; Colgate, S.A.; Johnson, N.L.; Kirkpatrick, R.C.; Menikoff, R.; Petschek, A.G. )

    1994-10-05

    In comparing high-gain ICF targets using cryogenic DT for a pusher with equilibrium ignition targets using high-[ital Z] pushers which contain the radiation, we point to the intrinsic advantages of the latter. Equilibrium or volume ignition sacrifices high gain for lower losses, lower ignition temperature, lower implosion velocity, and lower sensitivity of the more robust capsule to small fluctuations and asymmetries in the drive system. The reduction in gain is about a factor of 2.5, which is small enough to make the more robust equilibrium ignition an atractive alternative. [copyright] 1994 [ital American] [ital Institute] [ital of] [ital Physics

  15. Backlighting prospects for ICF targets

    SciTech Connect

    Rupert, V.; Matthews, D.; Ahlstrom, H.; Attwood, D.; Price, R.; Coleman, L.; Manes, K.; Slivinsky, V.

    1981-01-01

    High energy x-ray backlighters are necessary to diagnose the implosion symmetry and stability of intermediate and high density targets. Synchronization requirements between the target irradiating pulse and the radiograph place severe constraints on the type of x-ray sources which can be used and favors laser irradiated backlighters. Data gathered on line emitters as a function of laser pulselength, wavelength and intensity in the 5 to 10 keV region are used to determine which diagnostic instruments will be feasible for ICF target experiments, and the requirements for backlighter irradiation.

  16. ICF and ICF-CY lessons learned: Pandora's box of personal factors.

    PubMed

    Simeonsson, Rune J; Lollar, Don; Björck-Åkesson, Eva; Granlund, Mats; Brown, Scott C; Zhuoying, Qiu; Gray, David; Pan, Yi

    2014-01-01

    The aim of this article is to examine the component of "personal factors" described as a contextual factor in the ICF and ICF-CY. A critical examination of the construct of "personal factors" and description of the component was made with reference to conceptual and taxonomic criteria. The "personal factors" component in the ICF/ICF-CY is not defined, there is no taxonomy of codes, there is no explicit purpose stated for its use and no guidelines are provided for its application. In spite of these constraints, the component of "personal factors" is being applied as part of the classifications. Such uncontrolled applications constitute significant risks for the status of ICF/ICF-CY as the WHO reference classification in that: (a) the component is accepted for use by default simply by being applied; (b) component content is expanded with idiosyncratic exemplars by users; and (c) there is potential misuse of "personal factors" in documenting personal attributes, including "blaming the victim". In the absence of formal codes, any application of the component of "personal factors" lacks the legitimacy that documentation with a scientific taxonomy should provide. Given the growing use of the ICF/ICF-CY globally, a priority for the revision process should be to determine if there is in fact need for "personal" or any other factors in the ICF/ICF-CY. A central contribution of the ICF/ICF-CY is the universal language of codes for the components of body structure, body function, activities and participation and Environmental Factors. As such the codes provide taxonomical legitimacy and power for documenting dimensions of functioning and disability in clinical and rehabilitation contexts. As there are no codes of "personal factors", there is no basis for documentation of the component. Demographic information, if needed for identification, should be recorded in customary formats, independent of any component or codes of the ICF/ICF-CY.

  17. [Application of the International Classification of Functioning, Disability and Health (ICF) in Psychosomatic Rehabilitation and Addiction Rehabilitation in Germany - The Current State].

    PubMed

    Spies, M; Brütt, A L; Freitag, M; Buchholz, A

    2015-10-01

    The aim of this study was to gather information on the current state of the implementation of the International Classification of Functioning, Disability and Health (ICF) in psychosomatic and addiction rehabilitation. In the summer of 2013, rehabilitation clinics in Germany were surveyed online on their ICF utilization. The questionnaire covered scope and purpose of ICF use, application of ICF core sets and assessments as well as barriers to the use of ICF. Of 359 clinics invited, 104 (30%) participated in the survey. Of those surveyed, 60 (61.9%) claimed to have taken measures to implement the ICF in their clinic; only 37 (38.5%), however, reported using the ICF in their daily work. The main barriers identified were complexity of the ICF, time management issues and training deficits. Approaches to ICF use are not uniform. There is a need for training programs, and guidance from health care insurance providers could help towards uniform implementation of the ICF. © Georg Thieme Verlag KG Stuttgart · New York.

  18. Advances in ICF power reactor design

    SciTech Connect

    Hogan, W.J.; Kulcinski, G.L.

    1985-04-17

    Fifteen ICF power reactor design studies published since 1980 are reviewed to illuminate the design trends they represent. There is a clear, continuing trend toward making ICF reactors inherently safer and environmentally benign. Since this trend accentuates inherent advantages of ICF reactors, we expect it to be further emphasized in the future. An emphasis on economic competitiveness appears to be a somewhat newer trend. Lower cost of electricity, smaller initial size (and capital cost), and more affordable development paths are three of the issues being addressed with new studies.

  19. Modeling Mix in ICF Implosions

    NASA Astrophysics Data System (ADS)

    Weber, C. R.; Clark, D. S.; Chang, B.; Eder, D. C.; Haan, S. W.; Jones, O. S.; Marinak, M. M.; Peterson, J. L.; Robey, H. F.

    2014-10-01

    The observation of ablator material mixing into the hot spot of ICF implosions correlates with reduced yield in National Ignition Campaign (NIC) experiments. Higher Z ablator material radiatively cools the central hot spot, inhibiting thermonuclear burn. This talk focuses on modeling a ``high-mix'' implosion from the NIC, where greater than 1000 ng of ablator material was inferred to have mixed into the hot spot. Standard post-shot modeling of this implosion does not predict the large amounts of ablator mix necessary to explain the data. Other issues are explored in this talk and sensitivity to the method of radiation transport is found. Compared with radiation diffusion, Sn transport can increase ablation front growth and alter the blow-off dynamics of capsule dust. This work was performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344.

  20. Monte Carlo methods in ICF

    SciTech Connect

    Zimmerman, G.B.

    1997-06-24

    Monte Carlo methods appropriate to simulate the transport of x-rays, neutrons, ion and electrons in Inertial Confinement Fusion targets are described and analyzed. The Implicit Monte Carlo method of x-ray transport handles symmetry within indirect drive ICF hohlraums well, but can be improved 50X in efficiency by angular biasing the x-rays towards the fuel capsule. Accurate simulation of thermonuclear burns nd burn diagnostics involves detailed particle source spectra, charged particle ranges, inflight reaction kinematics, corrections for bulk and thermal Doppler effects and variance reduction to obtain adequate statistics for rare events. It is found that the effects of angular Coulomb scattering must be included in models of charged particle transport through heterogeneous materials.

  1. ICF machine: a web-based system for collection of ICF data.

    PubMed

    Della Mea, Vincenzo; Fioresi, Valerio

    2012-01-01

    The International Classification of Functioning, Disability and Health (ICF) is a WHO classification for health and health-related issues. In order to foster ICF application in information systems, we devised an implementation profile in ClaML (Classification Markup Language) that allows for representation of ICF subsets and we developed a web-based system for collecting ICF data based on from their ClaML representation. The implementation profile and the application have been tested on 17 subsets, which have been translated into ClaML and then submitted to the web application, to produce test documents.

  2. The role of experimental science in ICF -- examples from X-ray diagnostics and targets

    NASA Astrophysics Data System (ADS)

    Kilkenny, J. D.

    2016-10-01

    The USA Inertial Confinement Fusion (ICF) Program evolved from the Nuclear Test Program which had restricted shot opportunities for experimentalists to develop sophisticated experimental techniques. In contrast the ICF program in the US was able to increase the shot availability on its large facilities, and develop sophisticated targets and diagnostics to measure and understand the properties of the high energy density plasmas (HEDP) formed. Illustrative aspects of this evolution at Lawrence Livermore National Laboratory (LLNL), with examples of the development of diagnostics and target fabrication are described.

  3. Parallelization of ICF3D, a Diffusion and Hydrodynamics Code

    NASA Astrophysics Data System (ADS)

    Shestakov, A. I.; Milovich, J. L.

    1997-11-01

    We describe the parallelization of the unstructured grid ICF3D code. The strategy divides physical space into a collection of disjoint subdomains, one per processing element (PE). The subdomains may be of arbitrary shape but, for efficiency, should have small surface-to-volume ratios. The strategy is ideally suited for distributed memory computers, but also works on shared memory architectures. The hydrodynamic module, which uses a cell-based algorithm using discontinuous finite elements, is parallelized by assigning cells to different PEs. This assignment is done by a separate program and constitutes input data for ICF3D. The diffusion module, a kernel of the heat conduction and radiation diffusion packages, advances continuous fields which are discretized using a nodal finite element method. This module is parallelized by assigning points to individual PEs. The assignment is done within ICF3D. The code is in C++. Special message passing objects (MPO) determine the connectivity of the subdomains and transfer data between them by calling MPI functions. Results are presented on a variety of computers: CRAY T3D and IBM SP2 at Livermore, and Intel's ASCI RED at Sandia, Albuquerque.

  4. Inertial confinement fusion. 1995 ICF annual report, October 1994--September 1995

    SciTech Connect

    1996-06-01

    Lawrence Livermore National Laboratory`s (LLNL`s) Inertial Confinement Fusion (ICF) Program is a Department of Energy (DOE) Defense Program research and advanced technology development program focused on the goal of demonstrating thermonuclear fusion ignition and energy gain in the laboratory. During FY 1995, the ICF Program continued to conduct ignition target physics optimization studies and weapons physics experiments in support of the Defense Program`s stockpile stewardship goals. It also continued to develop technologies in support of the performance, cost, and schedule goals of the National Ignition Facility (NIF) Project. The NIF is a key element of the DOE`s Stockpile Stewardship and Management Program. In addition to its primary Defense Program goals, the ICF Program provides research and development opportunities in fundamental high-energy-density physics and supports the necessary research base for the possible long-term application to inertial fusion energy (IFE). Also, ICF technologies have had spin-off applications for industrial and governmental use. Selected papers are indexed separately for inclusion in the Energy Science and Technology Database.

  5. Conceptualizing disability in US national surveys: application of the World Health Organization's (WHO) International Classification of Functioning, Disability, and Health (ICF) framework.

    PubMed

    Brandt, Diane E; Ho, Pei-Shu; Chan, Leighton; Rasch, Elizabeth K

    2014-12-01

    Disability data inform resource allocation and utilization, characterize functioning and changes over time, and provide a mechanism to monitor progress toward promoting and protecting the rights of individuals with disability. Data collection efforts, however, define and measure disability in varied ways. Our objective was to see how the content of disability measures differed in five US national surveys and over time. Using the WHO ICF as a conceptual framework for measuring disability, we assessed the National Health Interview Survey (NHIS), Current Population Survey (CPS), Survey of Income and Program Participation (SIPP), National Survey of SSI Children and Families (NSCF), and American Community Survey (ACS) for their content coverage of disability relative to each of the four ICF components (i.e., body functions, body structures, activities and participation, and environment). We used second-level ICF three-digit codes to classify question content into categories within each ICF component and computed the proportion of categories within each ICF component that was represented in the questions selected from these five surveys. The disability measures varied across surveys and years. The NHIS captured a greater proportion of the ICF body functions and body structures components than did other surveys. The SIPP captured the most content of the ICF activities and participation component, and the NSCF contained the most content of the ICF environmental factors component. This research successfully illustrated demonstrated the utility of the ICF in examining the content of disability measures in five national surveys and over time.

  6. Core science and technology development plan for indirect-drive ICF ignition. Revision 1

    SciTech Connect

    Powell, H.T.; Kilkenny, J.D.

    1995-12-01

    To define the development work needed to support inertial confinement fusion (ICF) program goals, the authors have assembled this Core Science and Technology (CS and T) Plan that encompasses nearly all science research and technology development in the ICF program. The objective of the CS and T Plan described here is to identify the development work needed to ensure the success of advanced ICF facilities, in particular the National Ignition Facility (NIF). This plan is intended as a framework to facilitate planning and coordination of future ICF programmatic activities. The CS and T Plan covers all elements of the ICF program including laser technology, optic manufacturing, target chamber, target diagnostics, target design and theory, target components and fabrication, and target physics experiments. The CS and T Plan has been divided into these seven different technology development areas, and they are used as level-1 categories in a work breakdown structure (WBS) to facilitate the organization of all activities in this plan. The scope of the CS and T Plan includes all research and development required to support the NIF leading up to the activation and initial operation as an indirect-drive facility. In each of the CS and T main development areas, the authors describe the technology and issues that need to be addressed to achieve NIF performance goals. To resolve all issues and achieve objectives, an extensive assortment of tasks must be performed in a coordinated and timely manner. The authors describe these activities and present planning schedules that detail the flow of work to be performed over a 10-year period corresponding to estimated time needed to demonstrate fusion ignition with the NIF. Besides the benefits to the ICF program, the authors also discuss how the commercial sector and the nuclear weapons science may profit from the proposed research and development program.

  7. The Magnetically Driven Direct Drive Approach to Ignition: Responses to Questions by Panel 1 of the FY15 ICF Program Review.

    SciTech Connect

    Sinars, Daniel

    2015-07-01

    The long-term goal of the pulsed-­power based, magnetically driven target approach is to achieve high single­shot yields (0.5-­1 GJ per shot). This goal may take decades to achieve, but if successful we believe it would be a key capability for the Stockpile Stewardship program, as noted as far back as 1988 in the Laboratory Microfusion Capability Phase 1 (U) study. If this approach is successful, it may be possible to achieve these yields from targets absorbing up to 10 MJ in a laboratory pulsed power facility with a stored energy of roughly 130 MJ. Such a facility would be substantially cheaper, and not as complex, than the corresponding pulsed power facility required for producing comparable yields from x-ray driven capsule targets.

  8. Lawrence Livermore National Laboratories Perspective on Code Development and High Performance Computing Resources in Support of the National HED/ICF Effort

    SciTech Connect

    Clouse, C. J.; Edwards, M. J.; McCoy, M. G.; Marinak, M. M.; Verdon, C. P.

    2015-07-07

    Through its Advanced Scientific Computing (ASC) and Inertial Confinement Fusion (ICF) code development efforts, Lawrence Livermore National Laboratory (LLNL) provides a world leading numerical simulation capability for the National HED/ICF program in support of the Stockpile Stewardship Program (SSP). In addition the ASC effort provides high performance computing platform capabilities upon which these codes are run. LLNL remains committed to, and will work with, the national HED/ICF program community to help insure numerical simulation needs are met and to make those capabilities available, consistent with programmatic priorities and available resources.

  9. The ICF and Postsurgery Occupational Therapy after Traumatic Hand Injury

    ERIC Educational Resources Information Center

    Fitinghoff, Helene; Lindqvist, Birgitta; Nygard, Louise; Ekholm, Jan; Schult, Marie-Louise

    2011-01-01

    Recent studies have examined the effectiveness of hand rehabilitation programmes and have linked the outcomes to the concept of ICF but not to specific ICF category codes. The objective of this study was to gain experience using ICF concepts to describe occupational therapy interventions during postsurgery hand rehabilitation, and to describe…

  10. The ICF and Postsurgery Occupational Therapy after Traumatic Hand Injury

    ERIC Educational Resources Information Center

    Fitinghoff, Helene; Lindqvist, Birgitta; Nygard, Louise; Ekholm, Jan; Schult, Marie-Louise

    2011-01-01

    Recent studies have examined the effectiveness of hand rehabilitation programmes and have linked the outcomes to the concept of ICF but not to specific ICF category codes. The objective of this study was to gain experience using ICF concepts to describe occupational therapy interventions during postsurgery hand rehabilitation, and to describe…

  11. Type C investigation of electrical fabrication projects in ICF Kaiser shops

    SciTech Connect

    Huckfeldt, R.A.

    1995-06-01

    A Type C Investigation Board was convened to investigate an electrical miswiring problem found during the operation of the electrical distribution trailer for the TWRS Rotary Mode Core Sampling Truck {number_sign}2. The trailer was designed by WHC and fabricated ICF KH on site for use in the Characterization Program. This problem resulted in a serious safety hazard since the support truck frame/chassis became electrically energized. This final report provides results of the ``Type C Investigation, Electrical Fabrication Projects in ICF KH Shops, June, 1995.`` It contains the investigation scope, executive summary, relevant facts, analysis, conclusions and corrective actions. DOE Order 5484.1, ``Environmental Protection, Safety and Health Protection Information Reporting Requirements,`` was followed in preparation of this report. Because the incident was electrical in nature and involved both Westinghouse Hanford Company and ICF Kaiser Hanford organizations, the board included members from both contractors and members with considerable electrical expertise.

  12. 42 CFR 442.15 - Duration of agreement for ICF/IIDs.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Duration of agreement for ICF/IIDs. 442.15 Section 442.15 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS STANDARDS FOR PAYMENT TO NURSING FACILITIES AND INTERMEDIATE CARE...

  13. 42 CFR 440.150 - Intermediate care facility (ICF/MR) services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Intermediate care facility (ICF/MR) services. 440.150 Section 440.150 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS SERVICES: GENERAL PROVISIONS Definitions § 440...

  14. ICF quarterly report January - March 1997 volume 7, number 3

    SciTech Connect

    Murray, J

    1998-04-09

    The National Ignition Facility Project The mission of the National Ignition Facility (NIF) is to produce ignition and modest energy gain in inertial confinement fusion (ICF) targets. Achieving these goals will maintain U.S. world leadership in ICF and will directly benefit the U.S. Department of Energy (DOE) missions in national security, science and technology, energy resources, and industrial competitiveness. Development and operation of the NIF are consistent with DOE goals for environmental quality, openness to the community, and nuclear nonproliferation and arms control. Although the primary mission of inertial fusion is for defense applications, inertial fusion research will provide critical information for the development of inertial fusion energy. The NIF, under construction at Lawrence Livermore National Laboratory (LLNL), is a cornerstone of the DOE's science-based Stockpile Stewardship Program for addressing high-energy-density physics issues in the absence of nuclear weapons testing. In pursuit of this mission, the DOE's Defense Programs has developed a state-of-the-art capability with the NIF to investigate high-energy-density physics in the laboratory with a microfusion capability for defense and energy applications. As a Strategic System Acquisition, the NIF Project has a separate and disciplined reporting chain to DOE as shown below.

  15. Accommodation Outcomes and the ICF Framework

    ERIC Educational Resources Information Center

    Schreuer, Naomi

    2009-01-01

    Accommodation of the environment and technology is one of the key mediators of adjustment to disability and participation in community. In this article, accommodations are tested empirically as facilitators of return to work and participation, as defined by the "International Classification of Disability, Function, and Health" (ICF) and…

  16. An antiproton driver for ICF propulsion

    NASA Technical Reports Server (NTRS)

    Chiang, Pi-Ren; Lewis, R. A.; Smith, G. A.; Gazze, C.; Higman, K.; Newton, R.; Chiaverini, M.; Dailey, J.; Surratt, M.; Werthman, W. Lance

    1993-01-01

    Inertial confinement fusion (ICF) utilizing an anitprotoncatalyzed target is discussed as a possible source of propulsion for rapid interplanetary manned space missions. The relevant compression, ignition, and thrust mechanisms are presented. Progress on an experiment presently in progress at the Phillips Laboratory, Kirtland AFB, NM to demonstrate proof-of-principle is reviewed.

  17. Accommodation Outcomes and the ICF Framework

    ERIC Educational Resources Information Center

    Schreuer, Naomi

    2009-01-01

    Accommodation of the environment and technology is one of the key mediators of adjustment to disability and participation in community. In this article, accommodations are tested empirically as facilitators of return to work and participation, as defined by the "International Classification of Disability, Function, and Health" (ICF) and…

  18. Validation of the ICF Core Set for Vocational Rehabilitation from the perspective of patients with spinal cord injury using focus groups.

    PubMed

    Aiachini, Beatrice; Cremascoli, Sonia; Escorpizo, Reuben; Pistarini, Caterina

    2016-01-01

    with SCI. Return to work is a key outcome in vocational rehabilitation of patients with SCI including those who are young with long-term employment prospects. The results of this study could provide a foundation in utilizing the ICF Core Set for Vocational Rehabilitation to guide rehabilitation goals, service planning and evaluation, and fostering an engaging relationship with employers in the context of SCI rehabilitation. SCI patients have specific needs, not entirely covered by the both ICF Core Set for SCI long-term context and for Vocational Rehabilitation. Our results underline some of the second level categories, probably related to specific SCI impairment, which can be useful to plan specific rehabilitation programs to improve the return to work after SCI.

  19. BPS-ICF model, a tool to measure biopsychosocial functioning and disability within ICF concepts: theory and practice updated.

    PubMed

    Talo, Seija A; Rytökoski, Ulla M

    2016-03-01

    The transformation of International Classification of Impairments, Disabilities and Handicaps into International Classification of Functioning, Disability and Health (ICF) meant a lot for those needing to communicate in terms of functioning concept in their daily work. With ICF's commonly understood language, the decades' uncertainty on what concepts and terms describe functioning and disabilities seemed to be dispelled. Instead, operationalizing ICF to measure the level of functioning along with the new nomenclature has not been as unambiguous. Transforming linguistic terms into quantified functioning seems to need another type of theorizing. Irrespective of challenging tasks, numerous projects were formulated during the past decades to apply ICF for measurement purposes. This article updates one of them, the so-called biopsychosocial-ICF model, which uses all ICF categories but classifies them into more components than ICF for measurement purposes. The model suggests that both disabilities and functional resources should be described by collecting and organizing functional measurement data in a multidisciplinary, biopsychosocial data matrice.

  20. Improved ICF implosion performance through precision engineering features

    NASA Astrophysics Data System (ADS)

    Weber, Christopher

    2016-10-01

    The thin membrane that holds the capsule in-place in the hohlraum is recognized as one of the most significant contributors to reduced performance in indirect drive inertial confinement fusion (ICF) experiments on the National Ignition Facility (NIF). This membrane, known as the ``tent'', seeds a perturbation that is amplified by Rayleigh-Taylor and can rupture the capsule. The ICF program is undertaking a major effort to develop a less damaging capsule support mechanism. Possible alternatives include micron-scale rods spanning the hohlraum width and supporting either the capsule or stiffening the fill-tube, a larger fill-tube to both fill and support the capsule, or a low-density foam layer that protects the capsule from the tent impact. In addition to the challenges presented by nano and microscale engineering, it is difficult to model and experimentally verify improvement from these changes. The 3D nature of the proposed replacements and the radiation shadows they cast on the capsule prohibit direct simulation. Therefore a combination of reduced models and experimental verification are used to set requirements and down-select the options. Ultimately the improved capsule support will be used to repeat a DT-layered implosion and demonstrate improved performance. Work performed under the auspices of the U.S. D.O.E. by Lawrence Livermore National Laboratory under Contract No. DE-AC52-07NA27344.

  1. Implementation of the International Classification of Functioning, Disability and Health (ICF) and the ICF Children and Youth Version (ICF-CY) within the context of augmentative and alternative communication.

    PubMed

    Pless, Mia; Granlund, Mats

    2012-03-01

    The purpose of this article is to discuss the implementation of the International Classification of Functioning, Disability and Health (ICF), and the ICF version for Children and Youth (ICF-CY), within the context of augmentative and alternative communication (AAC). First, the use of the ICF and the ICF-CY in AAC research is analyzed. Second, examples of training and implementation of ICF from other contexts besides AAC are provided. Finally, we synthesize data to provide directions for future implementation of the ICF and ICF-CY in the field of AAC. We conclude that, within AAC, organizational routines and intervention documents need to be adapted to the universal language and classification framework of the ICF and ICF-CY. Furthermore, examples are needed to demonstrate how factors affect implementation at organizational and individual levels.

  2. Plasma photonics in ICF & HED conditions

    NASA Astrophysics Data System (ADS)

    Michel, Pierre; Turnbull, David; Divol, Laurent; Pollock, Bradley; Chen, Cecilia Y.; Tubman, Eleanor; Goyon, Clement S.; Moody, John D.

    2015-11-01

    Interactions between multiple high-energy laser beams and plasma can be used to imprint refractive micro-structures in plasmas via the lasers' ponderomotive force. For example, Inertial confinement fusion (ICF) experiments at the National Ignition Facility already rely on the use of plasma gratings to redirect laser light inside an ICF target and tune the symmetry of the imploded core. More recently, we proposed new concepts of plasma polarizer and waveplate, based on two-wave mixing schemes and laser-induced plasma birefringence. In this talk, we will present new experimental results showing the first demonstration of a fully tunable plasma waveplate, which achieved near-perfect circular laser polarization. We will discuss further prospects for novel ``plasma photonics'' concepts based on two- and four-wave mixing, such as optical switches, bandpass filters, anti-reflection blockers etc. These might find applications in ICF and HED experiments by allowing to manipulate the lasers directly in-situ (i.e. inside the targets), as well as for the design of high power laser systems. This work was performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344.

  3. Wetted Foam Liquid Fuel ICF Target Experiments

    NASA Astrophysics Data System (ADS)

    Olson, R.; Leeper, R.; Yi, A.; Zylstra, A.; Kline, J.; Peterson, R.; Braun, T.; Biener, J.; Biener, M.; Kozioziemski, B.; Sater, J.; Hamza, A.; Nikroo, A.; Berzak Hopkins, L.; Lepape, S.; MacKinnon, A.; Meezan, N.

    2015-11-01

    We are developing a new NIF experimental platform that employs wetted foam liquid fuel layer ICF capsules. We plan to use the liquid fuel layer capsules in a NIF experimental campaign to explore the relationship between hot spot convergence ratio (CR) and the robustness of hot spot formation. DT or D2 Liquid Layer ICF capsules allow for flexibility in hot spot convergence ratio via the adjustment of the initial cryogenic capsule temperature and, hence, DT vapor density. Our hypothesis is that the predictive capability of hot spot formation is robust and 1D-like for a relatively low CR hot spot (CR =15), but will become less reliable as hot spot CR is increased to CR>20. Simulations indicate that backing off on hot spot CR is an excellent way to reduce capsule instability growth and to improve robustness to low-mode x-ray flux asymmetries. In these initial experiments, we are testing our hypothesis by measuring hot spot size, neutron yield, ion temperature, and burn width to infer hot spot pressure and compare to predictions for implosions with hot spot CR's in the range of 12 to 25. Larger scale experiments are also being designed, with the longer-term objective of developing a liquid fuel layer ICF capsule platform with robust thermonuclear burn, modest CR, and significant α-heating with burn propagation.

  4. The Edward Teller Medal Lecture: the Evolution Toward Indirect Drive and Two Decades of Progress Toward Icf Ignition and Burn

    NASA Astrophysics Data System (ADS)

    Lindl, John D.

    In 1972, I joined the Livermore ICF Theory and Target Design group led by John Nuckolls, shortly after publication of John's seminal Nature article on ICF. My primary role, working with others in the target design program including Mordy Rosen, Steve Haan, and Larry Suter, has been as a target designer and theorist who utilized the LASNEX code to perform numerical experiments, which along with analysis of laboratory and underground thermonuclear experiments allowed me to develop a series of models and physical insights which have been used to set the direction and priorities of the Livermore program.

  5. ICF research at KMS Fusion

    SciTech Connect

    Glass, A.J.; Henderson, T.M.; Storm, E.K.

    1982-08-01

    The principal accomplishments of the KMS Fusion program over the past year are reviewed. Our activities in the area of target fabrication include both the production of high quality fuel shells, and the development of techniques for the production of special target materials.

  6. Eligibility, the ICF and the UN Convention: Australian perspectives

    PubMed Central

    2011-01-01

    The UN Convention on the Rights of Persons with Disabilities, in Australia, acts as a philosophical and moral statement and framework guiding integrated and strategic policy across the nation. Broad policy agreement has been reached by governments, and both the government and non-government sectors are developing strategies for implementation or evaluation. There is however a need for a more integrated approach to disability policy and information, reflecting all three components of the Italian project: • legislation and a high level philosophical framework and policy guide; • a technical framework that can underpin specific policies and programs aiming to achieve the major goals; and , • a language and set of tools, relating to both the above, that provide infrastructure for assessment methods and information systems. The International Classification of Functioning, Disability and Health (ICF) is the ideal tool to support the latter two components, consistent with the UN Convention. While the ICF has been used as the basis for national data standards, in population surveys and in the national data collection on disability support services, there is considerable scope for greater use of it, including using all domains of the Activities and Participation and the Environmental Factors component for policy, information and service provision, to advance a disability-inclusive society. Information available from the income support system and from generic services could be enhanced by reference to the ICF components. It would be of significant national value in Australia, especially as a ‘continuum of care’ is desired, if consistency of concepts and information were expanded across health and social welfare sectors. It would then be possible to obtain consistent data from health, aged care, disability and community services systems about key aspects of health and functioning, building a consolidated picture of access and experience across these sectors. Without

  7. Wetted foam liquid fuel ICF target experiments

    DOE PAGES

    Olson, R. E.; Leeper, R. J.; Yi, S. A.; ...

    2016-05-26

    We are developing a new NIF experimental platform that employs wetted foam liquid fuel layer ICF capsules. We will use the liquid fuel layer capsules in a NIF sub-scale experimental campaign to explore the relationship between hot spot convergence ratio (CR) and the predictability of hot spot formation. DT liquid layer ICF capsules allow for flexibility in hot spot CR via the adjustment of the initial cryogenic capsule temperature and, hence, DT vapor density. Our hypothesis is that the predictive capability of hot spot formation is robust and 1D-like for a relatively low CR hot spot (CR~15), but will becomemore » less reliable as hot spot CR is increased to CR>20. Simulations indicate that backing off on hot spot CR is an excellent way to reduce capsule instability growth and to improve robustness to low-mode x-ray flux asymmetries. In the initial experiments, we will test our hypothesis by measuring hot spot size, neutron yield, ion temperature, and burn width to infer hot spot pressure and compare to predictions for implosions with hot spot CR's in the range of 12 to 25. Larger scale experiments are also being designed, and we will advance from sub-scale to full-scale NIF experiments to determine if 1D-like behavior at low CR is retained as the scale-size is increased. The long-term objective is to develop a liquid fuel layer ICF capsule platform with robust thermonuclear burn, modest CR, and significant α-heating with burn propagation.« less

  8. Wetted foam liquid fuel ICF target experiments

    SciTech Connect

    Olson, R. E.; Leeper, R. J.; Yi, S. A.; Kline, J. L.; Zylstra, A. B.; Peterson, R. R.; Shah, R.; Braun, T.; Biener, J.; Kozioziemski, B. J.; Sater, J. D.; Biener, M. M.; Hamza, A. V.; Nikroo, A.; Hopkins, L. Berzak; Ho, D.; LePape, S.; Meezan, N. B.

    2016-05-26

    We are developing a new NIF experimental platform that employs wetted foam liquid fuel layer ICF capsules. We will use the liquid fuel layer capsules in a NIF sub-scale experimental campaign to explore the relationship between hot spot convergence ratio (CR) and the predictability of hot spot formation. DT liquid layer ICF capsules allow for flexibility in hot spot CR via the adjustment of the initial cryogenic capsule temperature and, hence, DT vapor density. Our hypothesis is that the predictive capability of hot spot formation is robust and 1D-like for a relatively low CR hot spot (CR~15), but will become less reliable as hot spot CR is increased to CR>20. Simulations indicate that backing off on hot spot CR is an excellent way to reduce capsule instability growth and to improve robustness to low-mode x-ray flux asymmetries. In the initial experiments, we will test our hypothesis by measuring hot spot size, neutron yield, ion temperature, and burn width to infer hot spot pressure and compare to predictions for implosions with hot spot CR's in the range of 12 to 25. Larger scale experiments are also being designed, and we will advance from sub-scale to full-scale NIF experiments to determine if 1D-like behavior at low CR is retained as the scale-size is increased. The long-term objective is to develop a liquid fuel layer ICF capsule platform with robust thermonuclear burn, modest CR, and significant α-heating with burn propagation.

  9. Wetted foam liquid fuel ICF target experiments

    NASA Astrophysics Data System (ADS)

    Olson, R. E.; Leeper, R. J.; Yi, S. A.; Kline, J. L.; Zylstra, A. B.; Peterson, R. R.; Shah, R.; Braun, T.; Biener, J.; Kozioziemski, B. J.; Sater, J. D.; Biener, M. M.; Hamza, A. V.; Nikroo, A.; Berzak Hopkins, L.; Ho, D.; LePape, S.; Meezan, N. B.

    2016-05-01

    We are developing a new NIF experimental platform that employs wetted foam liquid fuel layer ICF capsules. We will use the liquid fuel layer capsules in a NIF sub-scale experimental campaign to explore the relationship between hot spot convergence ratio (CR) and the predictability of hot spot formation. DT liquid layer ICF capsules allow for flexibility in hot spot CR via the adjustment of the initial cryogenic capsule temperature and, hence, DT vapor density. Our hypothesis is that the predictive capability of hot spot formation is robust and 1D-like for a relatively low CR hot spot (CR∼15), but will become less reliable as hot spot CR is increased to CR>20. Simulations indicate that backing off on hot spot CR is an excellent way to reduce capsule instability growth and to improve robustness to low-mode x-ray flux asymmetries. In the initial experiments, we will test our hypothesis by measuring hot spot size, neutron yield, ion temperature, and burn width to infer hot spot pressure and compare to predictions for implosions with hot spot CR's in the range of 12 to 25. Larger scale experiments are also being designed, and we will advance from sub-scale to full-scale NIF experiments to determine if 1D-like behavior at low CR is retained as the scale-size is increased. The long-term objective is to develop a liquid fuel layer ICF capsule platform with robust thermonuclear burn, modest CR, and significant α-heating with burn propagation.

  10. ICF-CY: A Universal Tool for Documentation of Disability

    ERIC Educational Resources Information Center

    Simeonsson, Rune J.

    2009-01-01

    The "International Classification of Functioning, Disability and Health--ICF" (ICF-CY) conceptual framework offers a new paradigm and taxonomy of human functioning disability, which can be used to guide holistic and interdisciplinary approaches to assessment and intervention. In settings serving children, youth, or adults with disabilities, the…

  11. Practice, science and governance in interaction: European effort for the system-wide implementation of the International Classification of Functioning, Disability and Health (ICF) in Physical and Rehabilitation Medicine.

    PubMed

    Stucki, Gerold; Zampolini, Mauro; Juocevicius, Alvydas; Negrini, Stefano; Christodoulou, Nicolas

    2016-11-24

    Since its launch in 2001, relevant international, regional and national PRM bodies have aimed to implement the International Classification of Functioning, Disability and Health (ICF) in Physical and Rehabilitation Medicine (PRM), whereby contributing to the development of suitable practical tools. These tools are available for implementing the ICF in day-to-day clinical practice, standardized reporting of functioning outcomes in quality management and research, and guiding evidence-informed policy. Educational efforts have reinforced PRM physicians' and other rehabilitation professionals' ICF knowledge, and numerous implementation projects have explored how the ICF is applied in clinical practice, research and policy. Largely lacking though is the system-wide implementation of ICF in day-to-day practice across all rehabilitation services of national health systems. In Europe, system-wide implementation of ICF requires the interaction between practice, science and governance. Considering its mandate, the UEMS PRM Section and Board have decided to lead a European effort towards system-wide ICF implementation in PRM, rehabilitation and health care at large, in interaction with governments, non-governmental actors and the private sector, and aligned with ISPRM's collaboration plan with WHO. In this paper we present the current PRM internal and external policy agenda towards system-wide ICF implementation and the corresponding implementation action plan, while highlighting priority action steps - promotion of ICF-based standardized reporting in national quality management and assurance programs, development of unambiguous rehabilitation service descriptions using the International Classification System for Service Organization in Health-related Rehabilitation, development of Clinical Assessment Schedules, qualitative linkage and quantitative mapping of data to the ICF, and the cultural adaptation of the ICF Clinical Data Collection Tool in European languages.

  12. Adaptive Mesh Refinement for ICF Calculations

    NASA Astrophysics Data System (ADS)

    Fyfe, David

    2005-10-01

    This paper describes our use of the package PARAMESH to create an Adaptive Mesh Refinement (AMR) version of NRL's FASTRAD3D code. PARAMESH was designed to create an MPI-based AMR code from a block structured serial code such as FASTRAD3D. FASTRAD3D is a compressible hydrodynamics code containing the physical effects relevant for the simulation of high-temperature plasmas including inertial confinement fusion (ICF) Rayleigh-Taylor unstable direct drive laser targets. These effects include inverse bremmstrahlung laser energy absorption, classical flux-limited Spitzer thermal conduction, real (table look-up) equation-of-state with either separate or identical electron and ion temperatures, multi-group variable Eddington radiation transport, and multi-group alpha particle transport and thermonuclear burn. Numerically, this physics requires an elliptic solver and a ray tracing approach on the AMR grid, which is the main subject of this paper. A sample ICF calculation will be presented. MacNeice et al., ``PARAMESH: A parallel adaptive mesh refinement community tool,'' Computer Physics Communications, 126 (2000), pp. 330-354.

  13. ICF syndrome with variable expression in sibs.

    PubMed Central

    Gimelli, G; Varone, P; Pezzolo, A; Lerone, M; Pistoia, V

    1993-01-01

    We describe a new familial case of ICF syndrome (immunodeficiency, centromeric instability, facial anomalies) in a woman of 29 years and in her brother of 30 years. The proband showed mental retardation, facial anomalies, recurrent respiratory infections, combined deficit of IgM and IgE immunoglobulin classes, and paracentromeric heterochromatin instability of chromosomes 1, 9, and 16. The brother had minor signs of the syndrome and had an apparently normal phenotype. Their parents were healthy and non-consanguineous. Chromosome anomalies consisted of homologous and non-homologous associations, chromatid and isochromatid breaks, deletions of whole arms, interchanges in the paracentromeric region, and multibranched configurations of chromosomes 1, 9, and 16. CD bands and fluorescence in situ hybridisation with alphoid DNA sequence probes specific for the centromeres of chromosomes 1 and 16 showed that the centromere was not directly implicated in the formation of multibranched configurations. These cases indicate the autosomal recessive mode of inheritance and the variable expressivity of the ICF syndrome. Images PMID:8320711

  14. The physics of radiation driven ICF hohlraums

    SciTech Connect

    Rosen, M.D.

    1995-08-07

    On the Nova Laser at LLNL, we have recently demonstrated many of the key elements required for assuring that the next proposed laser, the National Ignition Facility (NIF) will drive an Inertial Confinement Fusion (ICF) target to ignition. The target uses the recently declassified indirect drive (sometimes referred to as {open_quotes}radiation drive{close_quotes}) approach which converts laser light to x-rays inside a gold cylinder, which then acts as an x-ray {open_quotes}oven{close_quotes} (called a hohlraum) to drive the fusion capsule in its center. On Nova we`ve demonstrated good understanding of the temperatures reached in hohlraums and of the ways to control the uniformity with which the x-rays drive the spherical fusion capsules. In this lecture we briefly review the fundamentals of ICF, and describe the capsule implosion symmetry advantages of the hohlraum approach. We then concentrate on a quantitative understanding of the scaling of radiation drive with hohlraum size and wall material, and with laser pulse length and power. We demonstrate that coupling efficiency of x-ray drive to the capsule increases as we proceed from Nova to the NIF and eventually to a reactor, thus increasing the gain of the system.

  15. Identification of candidate categories of the International Classification of Functioning Disability and Health (ICF) for a Generic ICF Core Set based on regression modelling

    PubMed Central

    Cieza, Alarcos; Geyh, Szilvia; Chatterji, Somnath; Kostanjsek, Nenad; Üstün, Bedirhan T; Stucki, Gerold

    2006-01-01

    Background The International Classification of Functioning, Disability and Health (ICF) is the framework developed by WHO to describe functioning and disability at both the individual and population levels. While condition-specific ICF Core Sets are useful, a Generic ICF Core Set is needed to describe and compare problems in functioning across health conditions. Methods The aims of the multi-centre, cross-sectional study presented here were: a) to propose a method to select ICF categories when a large amount of ICF-based data have to be handled, and b) to identify candidate ICF categories for a Generic ICF Core Set by examining their explanatory power in relation to item one of the SF-36. The data were collected from 1039 patients using the ICF checklist, the SF-36 and a Comorbidity Questionnaire. ICF categories to be entered in an initial regression model were selected following systematic steps in accordance with the ICF structure. Based on an initial regression model, additional models were designed by systematically substituting the ICF categories included in it with ICF categories with which they were highly correlated. Results Fourteen different regression models were performed. The variance the performed models account for ranged from 22.27% to 24.0%. The ICF category that explained the highest amount of variance in all the models was sensation of pain. In total, thirteen candidate ICF categories for a Generic ICF Core Set were proposed. Conclusion The selection strategy based on the ICF structure and the examination of the best possible alternative models does not provide a final answer about which ICF categories must be considered, but leads to a selection of suitable candidates which needs further consideration and comparison with the results of other selection strategies in developing a Generic ICF Core Set. PMID:16872536

  16. Identification of candidate categories of the International Classification of Functioning Disability and Health (ICF) for a Generic ICF Core Set based on regression modelling.

    PubMed

    Cieza, Alarcos; Geyh, Szilvia; Chatterji, Somnath; Kostanjsek, Nenad; Ustün, Bedirhan T; Stucki, Gerold

    2006-07-27

    The International Classification of Functioning, Disability and Health (ICF) is the framework developed by WHO to describe functioning and disability at both the individual and population levels.While condition-specific ICF Core Sets are useful, a Generic ICF Core Set is needed to describe and compare problems in functioning across health conditions. The aims of the multi-centre, cross-sectional study presented here were: a) to propose a method to select ICF categories when a large amount of ICF-based data have to be handled, and b) to identify candidate ICF categories for a Generic ICF Core Set by examining their explanatory power in relation to item one of the SF-36. The data were collected from 1039 patients using the ICF checklist, the SF-36 and a Comorbidity Questionnaire.ICF categories to be entered in an initial regression model were selected following systematic steps in accordance with the ICF structure. Based on an initial regression model, additional models were designed by systematically substituting the ICF categories included in it with ICF categories with which they were highly correlated. Fourteen different regression models were performed. The variance the performed models account for ranged from 22.27% to 24.0%. The ICF category that explained the highest amount of variance in all the models was sensation of pain. In total, thirteen candidate ICF categories for a Generic ICF Core Set were proposed. The selection strategy based on the ICF structure and the examination of the best possible alternative models does not provide a final answer about which ICF categories must be considered, but leads to a selection of suitable candidates which needs further consideration and comparison with the results of other selection strategies in developing a Generic ICF Core Set.

  17. The Edward Teller medal lecture: The evolution toward Indirect Drive and two decades of progress toward ICF ignition and burn

    SciTech Connect

    Lindl, J.D.

    1993-12-01

    In 1972, I joined the Livermore ICF Theory and Target Design group led by John Nuckolls, shortly after publication of John`s seminal Nature article on ICF. My primary role, working with others in the target design program including Mordy Rosen, Steve Haan, and Larry Suter, has been as a target designer and theorist who utilized the LASNEX code to perform numerical experiments, which along with analysis of laboratory and underground thermonuclear experiments allowed me to develop a series of models and physical insights which have been used to set the direction and priorities of the Livermore program. I have had the good fortune of working with an outstanding team of scientists who have established LLNL as the premier ICF laboratory in the world. John Emmett and the LLNL Laser Science team were responsible for developing a series of lasers from Janus to Nova which have given LLNL unequaled facilities. George Zimmerman and the LASNEX group developed the numerical models essential for projecting future performance and requirements as well as for designing and analyzing the experiments. Bill Kruer, Bruce Langdon and others in the plasma theory group developed the fundamental understanding of laser plasma interactions which have played such an important role in ICF. And a series of experiment program leaders including Mike Campbell and Joe Kilkenny and their laser experimental teams developed the experimental techniques and diagnostic capabilities which have allowed us to c increasingly complex and sophisticated experiments.

  18. The ICF as a common language for rehabilitation goal-setting: comparing client and professional priorities.

    PubMed

    Harty, Michal; Griesel, Maryka; van der Merwe, Aletia

    2011-10-07

    Joint rehabilitation goals are an important component for effective teamwork in the rehabilitation field. The activities and participation domain of the ICF provides a common language for professionals when setting these goals. Involving clients in the formulation of rehabilitation goals is gaining momentum as part of a person-centred approach to rehabilitation. However, this is particularly difficult when clients have an acquired communication disability. The expressive communication difficulties negatively affect the consensus building process. As a result, obtaining information regarding rehabilitation goals from professionals and their clients warrants further investigation for this particular population. This comparative study investigated clients and their assigned rehabilitation professionals' perception of the importance of ICF activities and participation domains for inclusion in their rehabilitation program. Twelve clients in an acute rehabilitation centre and twenty of their corresponding rehabilitation professionals participated in an activity using the Talking Mats™ visual framework for goal setting. Each participant rated the importance of the nine activities and participation domains of the ICF for inclusion in their current rehabilitation program. The ICF domains which consistently appear as very important across these groups are mobility, self-care and communication. Domains which consistently appear in the lower third of the rankings include spare time, learning and thinking and domestic life. Results indicate however that no statistical significant differences exist in terms of the individual domains across each of the participant groups. Within group differences however indicated that amongst the speech-language therapists and physiotherapists there was a statistical significant difference between spare time activities and communication and mobility. Findings indicate that consensus is possible amongst professionals and clients even within an

  19. The relevance of the International Classification of Functioning, Disability and Health (ICF) in monitoring and evaluating Community-based Rehabilitation (CBR).

    PubMed

    Madden, Rosamond H; Dune, Tinashe; Lukersmith, Sue; Hartley, Sally; Kuipers, Pim; Gargett, Alexandra; Llewellyn, Gwynnyth

    2014-01-01

    To examine the relevance of the International Classification of Functioning, Disability and Health (ICF) to CBR monitoring and evaluation by investigating the relationship between the ICF and information in published CBR monitoring and evaluation reports. A three-stage literature search and analysis method was employed. Studies were identified via online database searches for peer-reviewed journal articles, and hand-searching of CBR network resources, NGO websites and specific journals. From each study "information items" were extracted; extraction consistency among authors was established. Finally, the resulting information items were coded to ICF domains and categories, with consensus on coding being achieved. Thirty-six articles relating to monitoring and evaluating CBR were selected for analysis. Approximately one third of the 2495 information items identified in these articles (788 or 32%) related to concepts of functioning, disability and environment, and could be coded to the ICF. These information items were spread across the entire ICF classification with a concentration on Activities and Participation (49% of the 788 information items) and Environmental Factors (42%). The ICF is a relevant and potentially useful framework and classification, providing building blocks for the systematic recording of information pertaining to functioning and disability, for CBR monitoring and evaluation. Implications for Rehabilitation The application of the ICF, as one of the building blocks for CBR monitoring and evaluation, is a constructive step towards an evidence-base on the efficacy and outcomes of CBR programs. The ICF can be used to provide the infrastructure for functioning and disability information to inform service practitioners and enable national and international comparisons.

  20. The Health and Functioning ICF-60: development and psychometric properties.

    PubMed

    Tutelyan, V A; Chatterji, S; Baturin, A K; Pogozheva, A V; Kishko, O N; Akolzina, S E

    2014-01-01

    This paper describes the development and psychometric properties of the Health and Functioning ICF-60 (HF-ICF-60) measure, based on the World Health Organization (WHO) 'International Classification of Functioning, Disability and Health: ICF' (2001). The aims of the present study were to test psychometric properties of the HF-ICF-60, developed as a measure that would be responsive to change in functioning through changes in health and nutritional status, as a prospective measure to monitor health and nutritional status of populations and to explore the relationship of the HF-ICF-60 with quality of life measures such as the World Health Organization WHOQOL-BREF quality of life assessment in relation to non-communicable diseases. The HF-ICF-60 measure consists of 60 items selected from the ICF by an expert panel, which included 18 items that cover Body Functions, 21 items that cover Activities and Participation, rated on five-point scales, and 21 items that cover Environmental Factors (seven items cover Individual Environmental Factors and 14 items cover Societal Environmental Factors), rated on nine-point scales. The HF-ICF-60 measure was administered to the Russian nationally representative sample within the Russian National Population Quality of Life, Health and Nutrition Survey, in 2004 (n = 9807) and 2005 (n = 9560), as part of the two waves of the Russian Longitudinal Monitoring Survey (RLMS). The statistical analyses were carried out with the use of both classical and modern psychometric methods, such as factor analysis, and based on Item Response Theory, respectively. The HF-ICF-60 questionnaire is a new measure derived directly from the ICF and covers the ICF components as follows: Body Functions, Activities and Participation, and Environmental Factors (Individual Environmental Factors and Societal Environmental Factors). The results from the factor analyses (both Exploratory Factor Analyses and Confirmatory Factor Analyses) show good support for the

  1. Experiments in ICF, materials science, and astrophysics

    NASA Astrophysics Data System (ADS)

    Remington, Bruce A.

    2016-10-01

    We have been developing RED experiments on high power TCF lasers over the past two decades that span (1) the radiative hydrodynamics of TCF capsule physics; (2) the high pressure, high strain rate, solid-state dynamics relevant to novel concepts for ICF and hypervelocity impacts in space and on Earth; and (3) the shock driven turbulence of exploding stars (supernovae). These different regimes are separated by many orders of magnitude in length, time, and temperature, yet there are common threads that run through all of these phenomena, such as the occurrence of hydrodynamic instabilities. Examples from each of these three seemingly very disparate regimes are given, and the common theme of hydrodynamic instability evolution is explored.

  2. Introduction to the physics of ICF capsules

    SciTech Connect

    Lindl, J.D.

    1989-03-13

    Inertial Confinement Fusion is an approach to fusion which relies on the inertia of the fuel mass to provide confinement. To achieve conditions under which this confinement is sufficient for efficient thermonuclear burn, high gain ICF targets designed to be imploded directly by laser light. These capsules are generally a spherical shell which is filled with low density DT gas. The shell is composed of an outer region which forms the ablator and an inner region of frozen or liquid DT which forms the main fuel. Energy from the driver is delivered to the ablator which heats up and expands. As the ablator expands and blows outward, the rest of the shell is forced inward to conserve momentum. In this implosion process, several features are important. We define the in-flight-aspect-ratio (IFAR) as the ratio of the shell radius R as it implodes to its thickness {Delta}R. Hydrodynamic instabilities during the implosion impose limits on this ratio which results in a minimum pressure requirement of about 100 Mbar. The convergence ratio is defined as the ratio of the initial outer radius of the ablator to the final compressed radius of the hot spot. This hot spot is the central region of the compressed fuel which is required to ignite the main fuel in high gain designs. Typical convergence ratios are 30--40. To maintain a nearly spherical shape during the implosion, when convergence ratios are this large, the flux delivered to the capsule must be uniform to a few percent. The remainder of this paper discusses the conditions necessary to achieve thermonuclear ignition in these ICF capsules.

  3. Health measurement using the ICF: Test-retest reliability study of ICF codes and qualifiers in geriatric care

    PubMed Central

    Okochi, Jiro; Utsunomiya, Sakiko; Takahashi, Tai

    2005-01-01

    Background The International Classification of Functioning, Disability and Health (ICF) was published by the World Health Organization (WHO) to standardize descriptions of health and disability. Little is known about the reliability and clinical relevance of measurements using the ICF and its qualifiers. This study examines the test-retest reliability of ICF codes, and the rate of immeasurability in long-term care settings of the elderly to evaluate the clinical applicability of the ICF and its qualifiers, and the ICF checklist. Methods Reliability of 85 body function (BF) items and 152 activity and participation (AP) items of the ICF was studied using a test-retest procedure with a sample of 742 elderly persons from 59 institutional and at home care service centers. Test-retest reliability was estimated using the weighted kappa statistic. The clinical relevance of the ICF was estimated by calculating immeasurability rate. The effect of the measurement settings and evaluators' experience was analyzed by stratification of these variables. The properties of each item were evaluated using both the kappa statistic and immeasurability rate to assess the clinical applicability of WHO's ICF checklist in the elderly care setting. Results The median of the weighted kappa statistics of 85 BF and 152 AP items were 0.46 and 0.55 respectively. The reproducibility statistics improved when the measurements were performed by experienced evaluators. Some chapters such as genitourinary and reproductive functions in the BF domain and major life area in the AP domain contained more items with lower test-retest reliability measures and rated as immeasurable than in the other chapters. Some items in the ICF checklist were rated as unreliable and immeasurable. Conclusion The reliability of the ICF codes when measured with the current ICF qualifiers is relatively low. The result in increase in reliability according to evaluators' experience suggests proper education will have positive

  4. Implementing the ICF in Occupational Health; building a curriculum as an exemplary case.

    PubMed

    de Brouwer, Carin P M; van Amelsvoort, Ludovic G P M; Heerkens, Yvonne F; Widdershoven, Guy A M; Kant, IJmert

    2017-01-01

    This paper addresses the need for a paradigm shift from post-diagnosis tertiary care towards maintenance and promotion of health across the lifespan, for healthcare in general and in occupational healthcare specifically. It is based on the assumption that the realization of this paradigm shift may be facilitated by teaching (future) occupational health professionals to use the International Classification of Functioning, Disability and Health (ICF). Describing the development of a an ICF based occupational health curriculum. Grafting a training trajectory in the ICF for educating the biopsychosocial health paradigm, onto a training trajectory in the Critical Appraisal of a Topic (CAT), a method for teaching evidence based practice skills. The development process of the training trajectories in the master program Work, Health, and Career at Maastricht University is described as an example of an intervention for shifting the paradigm in healthcare curricula. The expected results are a shift from the biomedical towards the biopsychosocial paradigm, a reductionist approach towards a more holistic view on cases, a reactive way of working towards a more proactive work style, and from using a merely quantifiable evidence base towards using a broad evidence base. Incorporating the biopsychosocial paradigm into the assessment and scientific reasoning skills of students is not only valuable in occupational healthcare but might be a valuable approach for all disciplines in healthcare for which contextual factors are important e.g. rehabilitation, psychiatry and nutritional science.

  5. The Health and Functioning ICF-60: Development and Psychometric Properties

    PubMed Central

    Tutelyan, V A; Chatterji, S; Baturin, A K; Pogozheva, A V; Kishko, O N; Akolzina, S E

    2014-01-01

    Background This paper describes the development and psychometric properties of the Health and Functioning ICF-60 (HF-ICF-60) measure, based on the World Health Organization (WHO) ‘International Classification of Functioning, Disability and Health: ICF’ (2001). The aims of the present study were to test psychometric properties of the HF-ICF-60, developed as a measure that would be responsive to change in functioning through changes in health and nutritional status, as a prospective measure to monitor health and nutritional status of populations and to explore the relationship of the HF-ICF-60 with quality of life measures such as the World Health Organization WHOQOL-BREF quality of life assessment in relation to non-communicable diseases. Methods The HF-ICF-60 measure consists of 60 items selected from the ICF by an expert panel, which included 18 items that cover Body Functions, 21 items that cover Activities and Participation, rated on five-point scales, and 21 items that cover Environmental Factors (seven items cover Individual Environmental Factors and 14 items cover Societal Environmental Factors), rated on nine-point scales. The HF-ICF-60 measure was administered to the Russian nationally representative sample within the Russian National Population Quality of Life, Health and Nutrition Survey, in 2004 (n = 9807) and 2005 (n = 9560), as part of the two waves of the Russian Longitudinal Monitoring Survey (RLMS). The statistical analyses were carried out with the use of both classical and modern psychometric methods, such as factor analysis, and based on Item Response Theory, respectively. Results The HF-ICF-60 questionnaire is a new measure derived directly from the ICF and covers the ICF components as follows: Body Functions, Activities and Participation, and Environmental Factors (Individual Environmental Factors and Societal Environmental Factors). The results from the factor analyses (both Exploratory Factor Analyses and Confirmatory Factor

  6. Coating requirements for an ICF dry-wall design

    SciTech Connect

    Taylor, L.H.; Sucov, E.W.

    1981-06-30

    A new concept for protecting the first wall of an ICF reactor has been developed which relies heavily on a coating to protect the steel tubes which comprise the first wall. This coating must survive the pellet explosion, be ductile, and be compatible with the materials in the ICF pellet. Calculations indicate that tantalum is the best choice for the coating material and that tantalum coated steel tubes can handle fusion thermal powers of 3500 MW in a 10 m radius spherical chamber.

  7. THERMODYNAMIC AND KINETIC MODELING OF ADVANCED NUCLEAR FUELS - FINAL LDRD-ER REPORT

    SciTech Connect

    Turchi, P

    2011-11-28

    This project enhanced our theoretical capabilities geared towards establishing the basic science of a high-throughput protocol for the development of advanced nuclear fuel that should couple modern computational materials modeling and simulation tools, fabrication and characterization capabilities, and targeted high throughput performance testing experiments. The successful conclusion of this ER project allowed us to upgrade state-of-the-art modeling codes, and apply these modeling tools to ab initio energetics and thermodynamic assessments of phase diagrams of various mixtures of actinide alloys, propose a tool for optimizing composition of complex alloys for specific properties, predict diffusion behavior in diffusion couples made of actinide and transition metals, include one new equation in the LLNL phase-field AMPE code, and predict microstructure evolution during alloy coring. In FY11, despite limited funding, the team also initiated an experimental activity, with collaboration from Texas A&M University by preparing samples of nuclear fuels in bulk forms and for diffusion couple studies and metallic matrices, and performing preliminary characterization.

  8. ICF gamma-ray reaction history diagnostics

    NASA Astrophysics Data System (ADS)

    Herrmann, H. W.; Young, C. S.; Mack, J. M.; Kim, Y. H.; McEvoy, A.; Evans, S.; Sedillo, T.; Batha, S.; Schmitt, M.; Wilson, D. C.; Langenbrunner, J. R.; Malone, R.; Kaufman, M. I.; Cox, B. C.; Frogget, B.; Miller, E. K.; Ali, Z. A.; Tunnell, T. W.; Stoeffl, W.; Horsfield, C. J.; Rubery, M.

    2010-08-01

    Reaction history measurements, such as nuclear bang time and burn width, are fundamental components of diagnosing ICF implosions and will be employed to help steer the National Ignition Facility (NIF) towards ignition. Fusion gammas provide a direct measure of nuclear interaction rate (unlike x-rays) without being compromised by Doppler spreading (unlike neutrons). Gas Cherenkov Detectors that convert fusion gamma rays to UV/visible Cherenkov photons for collection by fast optical recording systems have established their usefulness in illuminating ICF physics in several experimental campaigns at OMEGA. In particular, bang time precision better than 25 ps has been demonstrated, well below the 50 ps accuracy requirement defined by the NIF. NIF Gamma Reaction History (GRH) diagnostics are being developed based on optimization of sensitivity, bandwidth, dynamic range, cost, and NIF-specific logistics, requirements and extreme radiation environment. Implementation will occur in two phases. The first phase consists of four channels mounted to the outside of the target chamber at ~6 m from target chamber center (GRH-6m) coupled to ultra-fast photo-multiplier tubes (PMT). This system is intended to operate in the 1013-1017 neutron yield range expected during the early THD campaign. It will have high enough bandwidth to provide accurate bang times and burn widths for the expected THD reaction histories (> 80 ps fwhm). Successful operation of the first GRH-6m channel has been demonstrated at OMEGA, allowing a verification of instrument sensitivity, timing and EMI/background suppression. The second phase will consist of several channels located just inside the target bay shield wall at 15 m from target chamber center (GRH-15m) with optical paths leading through the cement shield wall to well-shielded streak cameras and PMTs. This system is intended to operate in the 1016-1020 yield range expected during the DT ignition campaign, providing higher temporal resolution for the

  9. The Edward Teller Medal Lecture: the Evolution Toward Indirect Drive and Two Decades of Progress Toward Icf Ignition and Burn (lirpp Vol. 11)

    NASA Astrophysics Data System (ADS)

    Lindl, John D.

    2016-10-01

    In 1972, I joined the Livermore ICF Theory and Target Design group led by John Nuckolls, shortly after publication of John's seminal Nature article on ICF. My primary role, working with others in the target design program including Mordy Rosen, Steve Haan, and Larry Suter, has been as a target designer and theorist who utilized the LASNEX code to perform numerical experiments, which along with analysis of laboratory and underground thermonuclear experiments allowed me to develop a series of models and physical insights which have been used to set the direction and priorities of the Livermore program...

  10. PIC Simulation for ICF Plasma Sputter Coater

    NASA Astrophysics Data System (ADS)

    Wu, W.; Huang, H.; Parks, P. B.; Chan, V. S.; Walton, C. C.; Wilks, S. C.

    2010-11-01

    To satisfy mesh spacing constraint δ/λDebye<=1 particle In Cell (PIC) simulations at 25x reduced cathode currents levels are used to numerically model the distribution of currents, electrostatic potentials and particle kinetics in a Type II ``unbalanced'' cylindrically symmetric magnetron discharge used for Be sputter coating of ICF capsules. Simulation indicates a strong magnetic field confinement of the plasma in the closed field lines region adjacent to cathode, and accompanying cross-field line plasma diffusion into the open-field line region connected to wall/anode. A narrow Charles-Langmuir sheath and a pre-sheath that is ˜10x wider due to the existence of the B-field are observed. The effects of varying boundary conditions, e.g., the separation between the anode/cathode, the anode bias voltage, etc., are studied, which is expected to aid experimentalists in turning these ``knobs'' for better coating qualities. We also show that the etch rate due to sputtering of Be targets predicted by the results of our PIC simulations, after rescaling to experimental conditions, agrees with experiments.

  11. The ICF Status and Plans in the United States

    SciTech Connect

    Moses, E; Miller, G; Kauffman, R

    2005-10-12

    The United States continues to maintain its leadership in ICF as it moves toward the goal of ignition. The flagship of the program is the National Ignition Facility (NIF) presently under construction at LLNL. Experiments had begun on the first four beams of the National Ignition Facility just at the time of the last IFSA Conference. Several new successful campaigns have been conducted since then in planar hydrodynamics and hohlraums as well as activating the VISAR diagnostic for equation of state experiments. Highlights of these results will be reviewed. Presently, the four beam experimental capability has been suspended while the first eight beams are being installed as the first step in building out the project. Meanwhile, much progress has been made in developing ignition designs for using NIF. An array of designs having several ablator materials have been shown computationally to ignite with energies ranging from the design energy to as low as 1 MJ of laser energy. Alternative direct drive designs in the NIF indirect drive configuration have been developed by LLE. This wide array of design choices has increased the chance of achieving ignition sooner on the facility. Plans are now being developed to begin an ignition experimental campaign on NIF in 2010, a little over a year after completion of the facility. Other US facilities are also implementing improved capabilities. Petawatt lasers are now under construction at the University of Rochester and Sandia National Laboratory. The Z pulsed power machine at Sandia National Laboratory is being refurbished to improve its performance. The ongoing research program at the OMEGA laser at the University of Rochester and the Z machine at Sandia National Laboratory as well as at the Nike, Trident and Janus lasers remain strong, performing experiments supporting the NIF ignition plan and direct drive ignition. There also is an active program in the broader field of high energy density science on these facilities. These

  12. ICF-DOC: the ICF dedicated checklist for evaluating functioning and disability in people with disorders of consciousness.

    PubMed

    Leonardi, Matilde; Covelli, Venusia; Giovannetti, Ambra M; Raggi, Alberto; Sattin, Davide

    2014-09-01

    Clinicians need a comprehensive description of patients' functioning state to capture the complex interaction between symptoms and environmental factors, and to determine the actual level of functioning in patients in a vegetative state or a minimally conscious state. The aim of this study is to develop an International Classification of Functioning, Disability, and Health (ICF) checklist for patients with disorders of consciousness (DOC) so as to capture and describe, with a tailored list of categories, the most common health, disability, and functioning issues of adult patients with DOC. The WHO ICF checklist was used as a basis for collecting data. This was an observational, cross-sectional, multicenter study conducted in 69 Italian centers. Specific methodological procedures were used to identify the most appropriate categories for DOC patients to be added to or deleted from the ICF checklist so as to develop the ICF-DOC checklist. A total of 566 adult patients were enrolled: 398 in a vegetative state and 168 in a minimally conscious state. A total of 127 ICF categories reached the threshold of 20% concerning the presence of a problem: 37 categories from the body functions chapter, 13 from the body structures chapter, 46 from the activities and participations chapter, and 31 from the environmental factors chapter. ICF categories identified in this study can be useful guidelines for clinicians and researchers to collect data on functioning and disability of adult patients with DOC. The new ICF-DOC checklist allows monitoring of the effects of interventions on functional areas and possible changes in each patient in follow-up studies.

  13. Diagnosing ICF gamma-ray physics

    SciTech Connect

    Herrmann, Hans W; Kim, Y H; Mc Evoy, A; Young, C S; Mack, J M; Hoffman, N; Wilson, D C; Langenbrunner, J R; Evans, S; Sedillo, T; Batha, S H; Dauffy, L; Stoeffl, W; Malone, R; Kaufman, M I; Cox, B C; Tunnel, T W; Miller, E K; Rubery, M

    2010-01-01

    Gamma rays produced in an ICF environment open up a host of physics opportunities we are just beginning to explore. A branch of the DT fusion reaction, with a branching ratio on the order of 2e-5 {gamma}/n, produces 16.7 MeV {gamma}-rays. These {gamma}-rays provide a direct measure of fusion reaction rate (unlike x-rays) without being compromised by Doppler spreading (unlike neutrons). Reaction-rate history measurements, such as nuclear bang time and burn width, are fundamental quantities that will be used to optimize ignition on the National Ignition Facility (NIF). Gas Cherenkov Detectors (GCD) that convert fusion {gamma}-rays to UV/visible Cherenkov photons for collection by fast optical recording systems established their usefulness in illuminating ICF physics in several experimental campaigns at OMEGA. Demonstrated absolute timing calibrations allow bang time measurements with accuracy better than 30 ps. System impulse response better than 95 ps fwhm have been made possible by the combination of low temporal dispersion GCDs, ultra-fast microchannel-plate photomultiplier tubes (PMT), and high-bandwidth Mach Zehnder fiber optic data links and digitizers, resulting in burn width measurement accuracy better than 10ps. Inherent variable energy-thresholding capability allows use of GCDs as {gamma}-ray spectrometers to explore other interesting nuclear processes. Recent measurements of the 4.44 MeV {sup 12}C(n,n{prime}) {gamma}-rays produced as 14.1 MeV DT fusion neutrons pass through plastic capsules is paving the way for a new CH ablator areal density measurement. Insertion of various neutron target materials near target chamber center (TCC) producing secondary, neutron-induced {gamma}y-rays are being used to study other nuclear interactions and as in-situ sources to calibrate detector response and DT branching ratio. NIF Gamma Reaction History (GRH) diagnostics, based on the GCD concept, are now being developed based on optimization of sensitivity, bandwidth

  14. Classification of functioning and impairment: the development of ICF core sets for autism spectrum disorder.

    PubMed

    Bölte, Sven; de Schipper, Elles; Robison, John E; Wong, Virginia C N; Selb, Melissa; Singhal, Nidhi; de Vries, Petrus J; Zwaigenbaum, Lonnie

    2014-02-01

    Given the variability seen in Autism Spectrum Disorder (ASD), accurate quantification of functioning is vital to studying outcome and quality of life in affected individuals. The International Classification of Functioning, Disability and Health (ICF) provides a comprehensive, universally accepted framework for the description of health-related functioning. ICF Core Sets are shortlists of ICF categories that are selected to capture those aspects of functioning that are most relevant when describing a person with a specific condition. In this paper, the authors preview the process for developing ICF Core Sets for ASD, a collaboration with the World Health Organization and the ICF Research Branch. The ICF Children and Youth version (ICF-CY) was derived from the ICF and designed to capture the specific situation of the developing child. As ASD affects individuals throughout the life span, and the ICF-CY includes all ICF categories, the ICF-CY will be used in this project ("ICF(-CY)" from now on). The ICF(-CY) categories to be included in the ICF Core Sets for ASD will be determined at an ICF Core Set Consensus Conference, where evidence from four preparatory studies (a systematic review, an expert survey, a patient and caregiver qualitative study, and a clinical cross-sectional study) will be integrated. Comprehensive and Brief ICF Core Sets for ASD will be developed with the goal of providing useful standards for research and clinical practice and generating a common language for functioning and impairment in ASD in different areas of life and across the life span.

  15. Three model curricula for teaching clinicians to use the ICF.

    PubMed

    Reed, Geoffrey M; Dilfer, Karen; Bufka, Lynn F; Scherer, Marcia J; Kotzé, Phia; Tshivhase, Maluta; Stark, Susan L

    2008-01-01

    Three systematic programmes to train health professionals to use the World Health Organization's International Classification of Functioning, Disability, and Health (ICF) are described, along with efforts to evaluate their effectiveness. The first programme was a randomized study comparing the effects of a 2-hour instructor-led programme and a self-directed learning module on ICF-related knowledge, attitudes, and coding skills among occupational therapy graduate students. The second programme was a series of intensive 3.5-day workshops for public sector rehabilitation professionals in South Africa. The third programme involved a series of internet-based teaching modules regarding the ICF for graduate students in rehabilitation counselling. The first project found that both instructor-led and self-guided training formats were effective in improving basic ICF-related knowledge, but only instructor-led training led to a significant improvement in coding skill. It also had more positive effects on ICF-related attitudes. This approach to learning assessment was generalizable to multidisciplinary health professionals in South Africa, who achieved a relatively high degree of coding accuracy after the 3.5-day workshop. Participant evaluations supported the structure, content, and length of the training. Students in the third programme also reported a very positive learning experience and positive views of the ICF. An empirical basis is important for identifying the best and most efficient training methods for particular audiences and specific purposes. The length and format of training can be differentially related to specific training goals (i.e., knowledge, attitudes, and coding skills). Interactive distance learning methods may help to overcome the weaknesses of self-directed training in comparison to face-to-face training.

  16. 42 CFR 440.150 - Intermediate care facility (ICF/MR) services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Intermediate care facility (ICF/MR) services. 440....150 Intermediate care facility (ICF/MR) services. (a) “ICF/MR services” means those items and services furnished in an intermediate care facility for the mentally retarded if the following conditions are met: (1...

  17. 42 CFR 442.118 - Denial of payments for new admissions to an ICF/MR.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Denial of payments for new admissions to an ICF/MR... of payments for new admissions to an ICF/MR. (a) Basis for denial of payments. The Medicaid agency may deny payment for new admissions to an ICF/MR that no longer meets the applicable conditions...

  18. Magnetron co-sputtering system for coating ICF targets

    SciTech Connect

    Hsieh, E.J.; Meyer, S.F.; Halsey, W.G.; Jameson, G.T.; Wittmayer, F.J.

    1981-12-09

    Fabrication of Inertial Confinement Fusion (ICF) targets requires deposition of various types of coatings on microspheres. The mechanical strength, and surface finish of the coatings are of concern in ICF experiments. The tensile strength of coatings can be controlled through grain refinement, selective doping and alloy formation. We have constructed a magnetron co-sputtering system to produce variable density profile coatings with high tensile strength on microspheres. The preliminary data on the properties of a Au-Cu binary alloy system by SEM and STEM analysis is presented.

  19. Heavy ion beam transport and interaction with ICF targets

    NASA Astrophysics Data System (ADS)

    Velarde, G.; Aragonés, J. M.; Gago, J. A.; Gámez, L.; González, M. C.; Honrubia, J. J.; Martínez-Val, J. M.; Mínguez, E.; Ocaña, J. L.; Otero, R.; Perlado, J. M.; Santolaya, J. M.; Serrano, J. F.; Velarde, P. M.

    1986-01-01

    Numerical simulation codes provide an essential tool for analyzing the very broad range of concepts and variables considered in ICF targets. In this paper, the relevant processes embodied in the NORCLA code, needed to simulate ICF targets driven by heavy ion beams will be presented. Atomic physic models developed at DENIM to improve the atomic data needed for ion beam plasma interaction will be explained. Concerning the stopping power, the average ionization potential following a Thomas-Fermi model has been calculated, and results are compared with full quantum calculations. Finally, a parametric study of multilayered single shell targets driven by heavy ion beams will be shown.

  20. COBRA accelerator for Sandia ICF diode research at Cornell University

    NASA Astrophysics Data System (ADS)

    Smith, David L.; Ingwersen, Pete; Bennett, Lawrence F.; Boyes, John D.; Anderson, David E.; Greenly, John B.; Sudan, Ravi N.

    The new COBRA accelerator is being built in stages at the Laboratory of Plasma Studies in Cornell University where its applications will include extraction diode and ion beam research in support of the light ion inertial confinement fusion (ICF) program at Sandia National Laboratories. The 4- to 5-MV, 125- to 250-kA accelerator is based on a four-cavity inductive voltage adder (IVA) design. It is a combination of new ferromagnetically-isolated cavities and self magnetically insulated transmission line (MITL) hardware and components from existing Sandia and Cornell facilities: Marx generator capacitors, hardware, and power supply from the DEMON facility; water pulse forming lines (PFL) and gas switch from the Subsystem Test Facility (STF); a HERMES-3 intermediate store capacitor (ISC); and a modified ion diode from Cornell's LION. The present accelerator consists of a single modified cavity similar to those of the Sandia SABRE accelerator and will be used to establish an operating system for the first stage initial lower voltage testing. Four new cavities will be fabricated and delivered in the first half of FY96 to complete the COBRA accelerator. COBRA is unique in the sense that each cavity is driven by a single pulse forming line, and the IVA output polarity may be reversed by rotating the cavities 180(degrees) about their vertical axis. The site preparations, tank construction, and diode design and development are taking place at Cornell with growing enthusiasm as this machine becomes a reality. Preliminary results with the single cavity and short positive inner cylinder MITL configuration will soon be available.

  1. COBRA accelerator for Sandia ICF diode research at Cornell University

    SciTech Connect

    Smith, D.L.; Ingwersen, P.; Bennett, L.F.; Boyes, J.D.; Anderson, D.E.; Greenly, J.B.; Sudan, R.N.

    1995-05-01

    The new COBRA accelerator is being built in stages at the Laboratory of Plasma Studies in Cornell University where its applications will include extraction diode and ion beam research in support of the light ion inertial confinement fusion (ICF) program at Sandia National Laboratories. The 4- to 5-MV, 125- to 250-kA accelerator is based on a four-cavity inductive voltage adder (IVA) design. It is a combination of new ferromagnetically-isolated cavities and self magnetically insulated transmission line (MITL) hardware and components from existing Sandia and Cornell facilities: Marx generator capacitors, hardware, and power supply from the DEMON facility; water pulse forming lines (PFL) and gas switch from the Subsystem Test Facility (STF); a HERMES-III intermediate store capacitor (ISC); and a modified ion diode from Cornell`s LION. The present accelerator consists of a single modified cavity similar to those of the Sandia SABRE accelerator and will be used to establish an operating system for the first stage initial lower voltage testing. Four new cavities will be fabricated and delivered in the first half of FY96 to complete the COBRA accelerator. COBRA is unique in the sense that each cavity is driven by a single pulse forming line, and the IVA output polarity may be reversed by rotating the cavities 180{degrees} about their vertical axis. The site preparations, tank construction, and diode design and development are taking place at Cornell with growing enthusiasm as this machine becomes a reality. Preliminary results with the single cavity and short positive inner cylinder MITL configuration will soon be available.

  2. ICF Core Set for Head and Neck Cancer: Do the Categories Discriminate Among Clinically Relevant Subgroups of Patients?

    ERIC Educational Resources Information Center

    Tschiesner, Uta; Oberhauser, Cornelia; Cieza, Alarcos

    2011-01-01

    The multidisciplinary assessment of functioning in patients with head and neck cancer (HNC) according to the "ICF Core Set for Head and Neck Cancer" (ICF-HNC) was developed in an international and multi-disciplinary approach. The ICF-HNC is an application of the ICF that was adopted by the World Health Organization. The objective of this study was…

  3. ICF Core Set for Head and Neck Cancer: Do the Categories Discriminate Among Clinically Relevant Subgroups of Patients?

    ERIC Educational Resources Information Center

    Tschiesner, Uta; Oberhauser, Cornelia; Cieza, Alarcos

    2011-01-01

    The multidisciplinary assessment of functioning in patients with head and neck cancer (HNC) according to the "ICF Core Set for Head and Neck Cancer" (ICF-HNC) was developed in an international and multi-disciplinary approach. The ICF-HNC is an application of the ICF that was adopted by the World Health Organization. The objective of this study was…

  4. Kinetic Effects at Material Interfaces in ICF Implosions

    NASA Astrophysics Data System (ADS)

    Wilks, S. C.; Cabot, W.; Whitley, H.; Greenough, J.; Cohen, B. I.; Belof, J.; Zimmerman, G.; Amendt, P. A.; Lepape, S.; Divol, L.; Dimits, A.; Graziani, F.; Molvig, K.; Dodd, E.; Li, C. K.; Petrasso, R.; Laffite, S.; Larroche, O.; Casanova, M.; Masse, L.

    2014-10-01

    The mixing of materials at an interface during an ICF implosion, for example the DT- Carbon interface in an ICF capsule, is a complex process. In general, rad-hydro codes do an excellent job of modeling the important processes during an ICF implosion. However, there are certain times during the implosion when kinetic effects of the ions may play a role in how two materials mix across the interface between them, even in the absence of shocks moving through them. The Knudsen layer effect is one such example. We will describe results of multi-ion species hybrid LSP simulations where the ions are treated kinetically and the electrons are treated as a fluid. We observe that the DT and carbon ions diffuse across the interface in a self-similar manner, at a rate proportional to the square root of time, in agreement with diffusion theory. The resulting ion distributions for each species (on both sides of the interface) will be presented, and the result of this mixing on the yield will be discussed for ICF capsules. Preliminary results of a related mixing that occurs at the gas-hohlraum wall interface will also be presented. Performed under auspices of U.S. DOE by LLNL, Contract DE-AC52-07NA27344. LLNS, LLC.

  5. Use of the ICF in identifying factors that impact participation in physical activity/rehabilitation among people with disabilities.

    PubMed

    Rimmer, James H

    2006-09-15

    Many health professionals have expressed difficulty finding ways to keep people with disabilities engaged in community-based physical activity/rehabilitation programs. A major reason for this low adherence may be that the recommended intervention plan does not match well with the specific needs of the individual. Various personal and/or environmental factors along with the person's level of functioning can impede participation in healthful physical activity/rehabilitation. The International Classification of Functioning, Disability and Health (ICF) can be a useful tool for identifying key factors associated with participation in community-based physical activity/rehabilitation. The ICF allows health professionals to identify the level of functioning at the body, person and societal level, as well as understand the person-environment contextual factors that may impede or enhance participation. This paper describes how the ICF can assist health professionals in identifying a broader constellation of factors when prescribing physical activity/rehabilitation programs for persons with varying levels of disability.

  6. Validation of the comprehensive ICF core set for low back pain: the perspective of physical therapists.

    PubMed

    Kirschneck, Michaela; Kirchberger, Inge; Amann, Edda; Cieza, Alarcos

    2011-08-01

    The "Comprehensive ICF Core Set for Low Back Pain (LBP)" is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in functioning for patients with LBP. The aim of this study was to validate the Comprehensive ICF Core Set for low back pain from the perspective of physical therapists. Physical therapists experienced in LBP treatment were asked about the patients' problems, patients' resources and aspects of environment treated by physical therapists in a three-round survey using the Delphi technique. Responses were linked to the ICF. Eighty-four physical therapists in 32 countries named 1955 concepts that covered all ICF components. Fourteen ICF categories were not represented in the Comprehensive ICF Core Set for LBP although at least 75% of the participants have rated them as important. Most of them belonged to the ICF component "Body Functions". Twenty-eight concepts were linked to the not-yet-developed ICF component personal factors. Further, 21 issues were not covered by the ICF. The validity of the ICF components "Body Structures", "Activities and Participation" and "Environmental Factors" was largely supported by the physical therapists. However, several body functions were identified which are not covered and need further investigation.

  7. The implementation of the ICF among Israeli rehabilitation centers--the case of physical therapy.

    PubMed

    Jacob, Tamar

    2013-10-01

    The extent of the implementation of the International Classification of Functioning, Disability and Health (ICF), developed by the WHO, in rehabilitation units and in physical therapy (PT) departments is unknown. The study aims to describe the extent to which the ICF has been implemented in PT services within rehabilitation units in Israel. To update data on ICF implementation since its inception. An online semi-structured survey was administered to 25 physiotherapists in charge of PT departments in all rehabilitation units throughout Israel. Rehabilitation units were grouped into three categories: general, geriatric and pediatric. The questionnaire included items regarding the ICF implementation, its strengths, and weaknesses. Twenty two physiotherapists (88%) completed the questionnaire. The majority was familiar with the ICF and nearly two thirds reported partial implementation in their units. Implementation focused mostly on adopting the biopsychosocial concepts and using ICF terms. The ICF was not used either for evaluating patients, or for reporting or encoding patient information. Physiotherapists, directors of most Israeli PT departments in rehabilitation units are familiar with the ICF; however, its clinical implementation is very limited. There is need for further research into the processes of knowledge transfer and implementation of the ICF, in order to better understand the factors that facilitate and those that impede ICF implementation.

  8. Using the International Classification of Functioning, Disability and Health (ICF) to address facilitators and barriers to participation at work.

    PubMed

    Martins, Anabela Correia

    2015-01-01

    The International Classification of Functioning, Disability and Health (ICF) was approved by the World Health Assembly in 2001. Ten years later, strong arguments have arisen regarding the added value of ICF to the policies on employment and the outcomes at the workplace. As a conceptual framework, ICF has universality because of its inclusive and comprehensive view of human functioning. At a practical level ICF can be used to quantify the impact of impairment on an individual's ability to act in his/her environment and to assess interventions to minimize the impact of disability and maximize functioning. To explore key indicators of social participation (life habits) of persons with disabilities, particularly related to work, among environmental and personal factors. Data were collected by self-administered questionnaires from a convenience sample of 149 working-age persons with disabilities. Social participation is a construct composed by multiple components and employment domain is the strongest indicator of participation. Correlations between social participation and personal factors, such as self-efficacy and attitudes towards disability were moderate. Those who are employed scored higher quality of life in terms of satisfaction with life, more positive attitudes toward disabilities and higher self-efficacy than the ones who are retired or unemployed. Persons using adapted wheelchair and those who were involved in wheelchair selection scored higher in social participation in general, performance at work, and quality of life. Age and disability duration were not associated with participants' employment status. These findings suggest that rehabilitation and vocational agents, like physiotherapists and other professionals, should have knowledge and understanding of the multiple factors that influence persons with disabilities' participation at work. Programs should provide appropriate wheelchairs, skills training, empowerment and problem-solving strategies in

  9. The ICF Core Sets for hearing loss: researcher perspective, Part II: Linking outcome measures to the International Classification of Functioning, Disability and Health (ICF).

    PubMed

    Granberg, Sarah; Möller, Kerstin; Skagerstrand, Asa; Möller, Claes; Danermark, Berth

    2014-02-01

    To link outcome measures used in audiological research to the ICF classification and thereby describe audiological research from the ICF perspective. Through a peer-reviewed or a joint linking procedure, link outcome measures to the ICF classification system using standardized ICF linking rules. Additional linking rules were developed in combination with the established rules to overcome difficulties when connecting audiological data to ICF. Absolute and relative frequencies of ICF categories were reported. The identified outcome measures from the previous study (Part I) constituted the empirical material. In total, 285 ICF categories were identified. The most prevalent categories were related to listening, hearing functions, auditory perceptions, emotions and the physical environment, such as noise and hearing aids. Categories related to communication showed lower relative frequencies, as did categories related to the social and attitudinal environment. Based on the linked outcome measures, communication as a research topic is subordinated to other research topics. The same conclusion can be drawn for research targeting the social and attitudinal environment of adults with HL. Difficulties in the linking procedure were highlighted and discussed, and suggestions for future revisions of the ICF from the audiological perspective were described.

  10. Analysis Of Wetted-Foam ICF Capsule Perormance

    NASA Astrophysics Data System (ADS)

    Peterson, R.; Olson, R.; Zylstra, A.; Haines, B.; Yi, A.; Bradley, P.; Yin, L.; Leeper, R.; Kline, J.

    2016-10-01

    The performance of wetted-foam ICF capsules is investigated with the RAGE Eulerian radiation-hydrodynamics computer code. We are developing an experimental platform on NIF that employs a wetted foam liquid DT fuel layer ICF capsules. By varying the capsule temperature, the vapor density in the capsule can be prescribed, and the hot spot convergence ratio (CR) of the capsule implosion can be controlled. This allows us to investigate the fidelity of RAGE in modeling of capsule implosions as the value of CR is varied. In the NIF experiments, CR can be varied from 12 to 25. This presentation will cover simulations with RAGE of three NIF shots performed in 2016; a DD and a DT liquid fuel shot with CR =14 and a DT shot with CR =16. It will also discuss analysis of future experiments. This work was performed under auspices of the U. S. DOE by LANL.

  11. Stability design considerations for mirror support systems in ICF lasers

    SciTech Connect

    Tietbohl, G.L.; Sommer, S.C.

    1996-10-01

    Some of the major components of laser systems used for Inertial Confinement Fusion (ICF) are the large aperture mirrors which direct the path of the laser. These mirrors are typically supported by systems which consist of mirror mounts, mirror enclosures, superstructures, and foundations. Stability design considerations for the support systems of large aperture mirrors have been developed based on the experience of designing and evaluating similar systems at the Lawrence Livermore National Laboratory (LLNL). Examples of the systems developed at LLNL include Nova, the Petawatt laser, Beamlet, and the National Ignition Facility (NIF). The structural design of support systems of large aperture mirrors has typically been controlled by stability considerations in order for the large laser system to meet its performance requirements for alignment and positioning. This paper will discuss the influence of stability considerations and will provide guidance on the structural design and evaluation of mirror support systems in ICF lasers so that this information can be used on similar systems.

  12. Towards an ICF Core Set for chronic musculoskeletal conditions: commonalities across ICF Core Sets for osteoarthritis, rheumatoid arthritis, osteoporosis, low back pain and chronic widespread pain.

    PubMed

    Schwarzkopf, S R; Ewert, T; Dreinhöfer, K E; Cieza, A; Stucki, G

    2008-11-01

    The objective of the study was to identify commonalities among the International Classification of Functioning, Disability and Health (ICF) Core Sets of osteoarthritis (OA), osteoporosis (OP), low back pain (LBP), rheumatoid arthritis (RA) and chronic widespread pain (CWP). The aim is to identify relevant categories for the development of a tentative ICF Core Set for musculoskeletal and pain conditions. The ICF categories common to the five musculoskeletal and pain conditions in the Brief and Comprehensive ICF Core Sets were identified in three steps. In a first step, the commonalities across the Brief and Comprehensive ICF Core Sets for these conditions were examined. In a second and third step, we analysed the increase in commonalities when iteratively excluding one or two of the five conditions. In the first step, 29 common categories out of the total number of 120 categories were identified across the Comprehensive ICF Core Sets of all musculoskeletal and pain conditions, primarily in the component activities and participation. In the second and third step, we found that the exclusion of CWP across the Comprehensive ICF Core Sets increased the commonalities of the remaining four musculoskeletal conditions in a maximum of ten additional categories. The Brief ICF Core Sets of all musculoskeletal and pain conditions contain four common categories out of a total number of 62 categories. The iterative exclusion of a singular condition did not significantly increase the commonalities in the remaining. Based on our analysis, it seems possible to develop a tentative Comprehensive ICF Core Set across a number of musculoskeletal conditions including LBP, OA, OP and RA. However, the profile of functioning in people with CWP differs considerably and should not be further considered for a common ICF Core Set.

  13. Effect of inactive impurities on the burning of ICF targets

    SciTech Connect

    Gus'kov, S. Yu.; Il'in, D. V.; Sherman, V. E.

    2011-12-15

    The efficiency of thermonuclear burning of the spherical deuterium-tritium (DT) plasma of inertial confinement fusion (ICF) targets in the presence of low-Z impurities (such as lithium, carbon, or beryllium) with arbitrary concentrations is investigated. The effect of impurities produced due to the mixing of the thermonuclear fuel with the material of the structural elements of the target during its compression on the process of target burning is studied, and the possibility of using solid noncryogenic thermonuclear fuels in ICF targets is analyzed. Analytical dependences of the ignition energy and target thermonuclear gain on the impurity concentration are obtained. The models are constructed for homogeneous and inhomogeneous plasmas for the case in which the burning is initiated in the central heated region of the target and then propagates into the surrounding relatively cold fuel. Two possible configurations of an inhomogeneous plasma, namely, an isobaric configuration formed in the case of spark ignition of the target and an isochoric configuration formed in the case of fast ignition, are considered. The results of numerical simulations of the burning of the DT plasma of ICF targets in a wide range of impurity concentrations are presented. The simulations were performed using the TEPA one-dimensional code, in which the thermonuclear burning kinetics is calculated by the Monte Carlo method. It is shown that the strongest negative effect related to the presence of impurities is an increase in the energy of target ignition. It is substantiated that the most promising solid noncryogenic fuel is DT hydride of beryllium (BeDT). The requirements to the plasma parameters at which BeDT can be used as a fuel in noncryogenic ICF targets are determined. Variants of using noncryogenic targets with a solid thermonuclear fuel are proposed.

  14. [Assement of incapacity to work and the Mini-ICF-APP].

    PubMed

    Habermeyer, Benedikt; Kaiser, Stefan; Kawohl, Wolfram; Seifritz, Erich

    2017-08-30

    According to recent recommendations the Mini-ICF Rating for Limitations of Activities and Participation in Psychological Disorders (Mini-ICF-APP) should be used in the assessment of incapacity to work. However evidence from empirical research in the field is missing. The application of the Mini-ICF-APP in the psychiatric assessment of 121 cases was analysed. A significant correlation between capacity to work and the duration of sick-leave with the Mini-ICF-APP sum-score was confirmed. The probability that criteria for disability insurance compensations was fulfilled according to the assessor increased with the Mini-ICF-APP-sum-score. Our study provides first empirical evidence regarding the application of the Mini-ICF-APP in the psychiatric assessment of incapacity to work.

  15. FISH analysis on spontaneously arising micronuclei in the ICF syndrome.

    PubMed Central

    Stacey, M; Bennett, M S; Hulten, M

    1995-01-01

    The ICF syndrome is a rare disorder where patients show undercondensation of the heterochromatic blocks of chromosomes 1, 9, and 16 along with variable immunodeficiency. The undercondensation of the heterochromatic block appears to be restricted to a portion of PHA stimulated T cells. Patients with this syndrome also show an increase in micronuclei formation. We have used dual colour FISH to investigate the chromosomal content of these micronuclei in PHA stimulated peripheral blood cultures, an EBV transformed B cell line, and also micronuclei observed in vivo from peripheral blood smears. Chromosome 1 appears to be present in a higher proportion of micronuclei compared to chromosomes 9 and 16 in both a PHA stimulated culture and an EBV transformed cell line. An 18 centromeric probe, not associated with the ICF syndrome, showed no signal in any of the micronuclei observed. The implications from these observations are that the heterochromatic instability in the ICF syndrome is manifested not only in T but also in B cells and that it is present in vivo. Images PMID:7562960

  16. Hybrid-drive implosion system for ICF targets

    DOEpatents

    Mark, J.W.K.

    1987-10-14

    Hybrid-drive implosion systems for ICF targets are described which permit a significant increase in target gain at fixed total driver energy. The ICF target is compressed in two phases, an initial compression phase and a final peak power phase, with each phase driven by a separate, optimized driver. The targets comprise a hollow spherical ablator surroundingly disposed around fusion fuel. The ablator is first compressed to higher density by a laser system, or by an ion beam system, that in each case is optimized for this initial phase of compression of the target. Then, following compression of the ablator, energy is directly delivered into the compressed ablator by an ion beam driver system that is optimized for this second phase of operation of the target. The fusion fuel is driven, at high gain, to conditions wherein fusion reactions occur. This phase separation allows hydrodynamic efficiency and energy deposition uniformity to be individually optimized, thereby securing significant advantages in energy gain. In additional embodiments, the same or separate drivers supply energy for ICF target implosion. 3 figs.

  17. Hybrid-drive implosion system for ICF targets

    DOEpatents

    Mark, James W.

    1988-01-01

    Hybrid-drive implosion systems (20,40) for ICF targets (10,22,42) are described which permit a significant increase in target gain at fixed total driver energy. The ICF target is compressed in two phases, an initial compression phase and a final peak power phase, with each phase driven by a separate, optimized driver. The targets comprise a hollow spherical ablator (12) surroundingly disposed around fusion fuel (14). The ablator is first compressed to higher density by a laser system (24), or by an ion beam system (44), that in each case is optimized for this initial phase of compression of the target. Then, following compression of the ablator, energy is directly delivered into the compressed ablator by an ion beam driver system (30,48) that is optimized for this second phase of operation of the target. The fusion fuel (14) is driven, at high gain, to conditions wherein fusion reactions occur. This phase separation allows hydrodynamic efficiency and energy deposition uniformity to be individually optimized, thereby securing significant advantages in energy gain. In additional embodiments, the same or separate drivers supply energy for ICF target implosion.

  18. Hybrid-drive implosion system for ICF targets

    DOEpatents

    Mark, James W.

    1988-08-02

    Hybrid-drive implosion systems (20,40) for ICF targets (10,22,42) are described which permit a significant increase in target gain at fixed total driver energy. The ICF target is compressed in two phases, an initial compression phase and a final peak power phase, with each phase driven by a separate, optimized driver. The targets comprise a hollow spherical ablator (12) surroundingly disposed around fusion fuel (14). The ablator is first compressed to higher density by a laser system (24), or by an ion beam system (44), that in each case is optimized for this initial phase of compression of the target. Then, following compression of the ablator, energy is directly delivered into the compressed ablator by an ion beam driver system (30,48) that is optimized for this second phase of operation of the target. The fusion fuel (14) is driven, at high gain, to conditions wherein fusion reactions occur. This phase separation allows hydrodynamic efficiency and energy deposition uniformity to be individually optimized, thereby securing significant advantages in energy gain. In additional embodiments, the same or separate drivers supply energy for ICF target implosion.

  19. Can the ICF osteoarthritis core set represent a future clinical tool in measuring functioning in persons with osteoarthritis undergoing hip and knee joint replacement?

    PubMed

    Alviar, Maria Jenelyn; Olver, John; Pallant, Julie F; Brand, Caroline; de Steiger, Richard; Pirpiris, Marinis; Bucknill, Andrew; Khan, Fary

    2012-11-01

    To determine the dimensionality, reliability, model fit, adequacy of the qualifier levels, response patterns across different factors, and targeting of the International Classification of Functioning, Disability and Health (ICF) osteoarthritis core set categories in people with osteoarthritis undergoing hip and knee arthroplasty. The osteoarthritis core set was rated in 316 persons with osteoarthritis who were either in the pre-operative or within one year post-operative stage. Rasch analyses were performed using the RUMM 2030 program. Twelve of the 13 body functions categories and 13 of the 19 activity and participation categories had good model fit. The qualifiers displayed disordered thresholds necessitating rescoring. There was uneven spread of ICF categories across the full range of the patients' scores indicating off--targeting. Subtest analysis of the reduced ICF categories of body functions and activity and participation showed that the two components could be integrated to form one measure. The results suggest that it is possible to measure functioning using a unidimensional construct based on ICF osteoarthritis core set categories of body functions and activity and participation in this population. However, omission of some categories and reduction in qualifier levels are necessary. Further studies are needed to determine whether better targeting is achieved, particularly during the pre-operative and during the sub-acute care period.

  20. [The term "Funktionale Gesundheit" (functional health) in the German edition of the ICF].

    PubMed

    Cibis, W

    2009-07-01

    In the preface of the German edition of the INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH (ICF) the term "functional health" (Funktionale Gesundheit) is introduced and defined. There is no direct equivalent expression in the original English Version of the ICF. The definition of "Funktionale Gesundheit" was thus strongly disputed among the translators and ICF experts involved in the German translation. In the following, the author suggests reconsidering the definition critically and proposes an alternative solution.

  1. Laser Programs Highlights 1998

    SciTech Connect

    Lowdermilk, H.; Cassady, C.

    1999-12-01

    This report covers the following topics: Commentary; Laser Programs; Inertial Confinement Fusion/National Ignition Facility (ICF/NIF); Atomic Vapor Laser Isotope Separation (AVLIS); Laser Science and Technology (LS&T); Information Science and Technology Program (IS&T); Strategic Materials Applications Program (SMAP); Medical Technology Program (MTP) and Awards.

  2. Mediating effects of the ICF domain of function and the gross motor function measure on the ICF domains of activity, and participation in children with cerebral palsy.

    PubMed

    Lee, Byoung-Hee; Kim, Yu-Mi; Jeong, Goo-Churl

    2015-10-01

    [Purpose] This study aimed to evaluate the mediating effect of gross motor function, measured using the Gross Motor Function Measure (GMFM) and of general function, measured using the International Classification of Functioning, Disability and Health-Child and Youth Check List (ICF-CY), on the ICF domains of activity and participation in children with cerebral palsy (CP). [Subjects] Ninety-five children with CP, from Seoul, Korea, participated in the study. [Methods] The GMFM was administered in its entirety to patients without orthoses or mobility aids. The ICF-CY was used to evaluate the degree of disability and health of subjects. [Results] GMFM score and ICF-CY function were negatively correlated to ICF-CY activity and participation. ICF-CY partially mediated the effects of the GMFM on activity and participation. [Conclusion] When establishing a treatment plan for a child with CP, limitations in activity and participation, as described by the ICF-CY, should be considered in addition to the child's physical abilities and development. In addition, the treatment plan should focus on increasing the child's activity and participation level, as well as his/her physical level.

  3. Development of an International Classification of Functioning, Disability and Health (ICF)-based standard set to describe the impact of joint contractures on participation of older individuals in geriatric care settings.

    PubMed

    Bartoszek, Gabriele; Fischer, Uli; von Clarenau, Stephan Clarmann; Grill, Eva; Mau, Wilfried; Meyer, Gabriele; Strobl, Ralf; Thiesemann, Rüdiger; Nadolny, Stephan; Müller, Martin

    2015-01-01

    Joint contractures are characterized as impairment of the physiological movement of joints due to deformity, disuse or pain and have major impact especially for older individuals in geriatric care. Some measures for the assessment of the impact of joint contractures exist. However, there is no consensus on which aspects should constantly be measured. Our objective was to develop a standard-set based on the ICF for describing functioning and disability in older individuals with joint contractures in geriatric care settings, giving special emphasis to activities and participation. The ICF-based standard set was developed in a formal decision-making and consensus process and based on an adapted version of the protocol to develop ICF Core Sets. These are sets of categories from the ICF, serving as standards for the assessment, communication and reporting of functioning and health for clinical studies, clinical encounters and multi-professional comprehensive assessment and management. Twenty-three experts from Germany and Switzerland selected 105 categories of the ICF component Activities and Participation for the ICF-based standard set. The largest number of categories was selected from the chapter Mobility (50 categories, 47.6%). The standard set for older individuals with joint contractures provides health professionals with a standard for describing patients' activity limitations and participation restrictions. The standard set also provides a common basis for the development of patient-centered measures and intervention programs. The preliminary version of the ICF-based standard set will be tested in subsequent studies with regard to its psychometric properties. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  4. Genetic, Cellular and Clinical Features of ICF Syndrome: a French National Survey.

    PubMed

    Sterlin, Delphine; Velasco, Guillaume; Moshous, Despina; Touzot, Fabien; Mahlaoui, Nizar; Fischer, Alain; Suarez, Felipe; Francastel, Claire; Picard, Capucine

    2016-02-01

    Autosomal recessive deficiencies of DNMT3B or ZBTB24 account for two-thirds of cases of immunodeficiency, centromeric instability and facial dysmorphism (ICF syndrome). This primary immunodeficiency (PID) is characterized mainly by an antibody deficiency, facial abnormalities and centromeric instability. We analyzed the national cohort of patients with ICF syndrome with the aim of providing a more detailed description of the phenotype and management of patients with ICF syndrome. Demographic, genetic, immunological, and clinical features were recorded for each patient. In the French cohort, seven of the nine patients carried DNMT3B mutations, six of which had never been described before. One patient had compound heterozygous ZBTB24 mutations. All patients were found to lack CD19(+)CD27(+) memory B cells. This feature is a major diagnostic criterion for both ICF1 and ICF2. Patients suffered both bacterial and viral infections, and three patients developed bronchiectasis. Autoimmune manifestations (hepatitis, nephritis and thyroiditis) not previously reported in ICF1 patients were also detected in two of our ICF1 patients. The mode of treatment and outcome of the French patients are reported, by genetic defect, and compared with those for 68 previously reported ICF patients. Immunoglobulin (Ig) replacement treatment was administered to all nine French patients. One ICF1 patient presented severe autoimmune manifestations and pancytopenia and underwent allogeneic hematopoietic stem cell transplantation (HSCT), but she died from unknown causes 6 years post-transplant. Autoimmune signs are uncommon in ICF syndrome, but, when present, they affect patient outcome and require immunosuppressive treatment. The long-term outcome of ICF patients has been improved by the combination of IgG replacement and antibiotic prophylaxis.

  5. Towards system-wide implementation of the International Classification of Functioning, Disability and Health (ICF) in routine practice: Developing simple, intuitive descriptions of ICF categories in the ICF Generic and Rehabilitation Set.

    PubMed

    Prodinger, Birgit; Reinhardt, Jan D; Selb, Melissa; Stucki, Gerold; Yan, Tiebin; Zhang, Xia; Li, Jianan

    2016-06-13

    A national, multi-phase, consensus process to develop simple, intuitive descriptions of International Classification of Functioning, Disability and Health (ICF) categories contained in the ICF Generic and Rehabilitation Sets, with the aim of enhancing the utility of the ICF in routine clinical practice, is presented in this study. A multi-stage, national, consensus process was conducted. The consensus process involved 3 expert groups and consisted of a preparatory phase, a consensus conference with consecutive working groups and 3 voting rounds (votes A, B and C), followed by an implementation phase. In the consensus conference, participants first voted on whether they agreed that an initially developed proposal for simple, intuitive descriptions of an ICF category was in fact simple and intuitive. The consensus conference was held in August 2014 in mainland China. Twenty-one people with a background in physical medicine and rehabilitation participated in the consensus process. Four ICF categories achieved consensus in vote A, 16 in vote B, and 8 in vote C. This process can be seen as part of a larger effort towards the system-wide implementation of the ICF in routine clinical and rehabilitation practice to allow for the regular and comprehensive evaluation of health outcomes most relevant for the monitoring of quality of care.

  6. 42 CFR 442.117 - Termination of certification for ICFs/IID whose deficiencies pose immediate jeopardy.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... PAYMENT TO NURSING FACILITIES AND INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES Certification of ICFs/IID § 442.117 Termination of certification for ICFs/IID whose...

  7. 42 CFR 442.117 - Termination of certification for ICFs/IID whose deficiencies pose immediate jeopardy.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... PAYMENT TO NURSING FACILITIES AND INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES Certification of ICFs/IID § 442.117 Termination of certification for ICFs/IID whose...

  8. 42 CFR 442.117 - Termination of certification for ICFs/IID whose deficiencies pose immediate jeopardy.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... PAYMENT TO NURSING FACILITIES AND INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES Certification of ICFs/IID § 442.117 Termination of certification for ICFs/IID whose...

  9. X-ray ablation measurements and modeling for ICF applications

    SciTech Connect

    Anderson, Andrew Thomas

    1996-09-01

    X-ray ablation of material from the first wall and other components of an ICF (Inertial Confinement Fusion) chamber is a major threat to the laser final optics. Material condensing on these optics after a shot may cause damage with subsequent laser shots. To ensure the successful operation of the ICF facility, removal rates must be predicted accurately. The goal for this dissertation is to develop an experimentally validated x-ray response model, with particular application to the National Ignition Facility (NIF). Accurate knowledge of the x-ray and debris emissions from ICF targets is a critical first step in the process of predicting the performance of the target chamber system. A number of 1-D numerical simulations of NIF targets have been run to characterize target output in terms of energy, angular distribution, spectrum, and pulse shape. Scaling of output characteristics with variations of both target yield and hohlraum wall thickness are also described. Experiments have been conducted at the Nova laser on the effects of relevant x-ray fluences on various materials. The response was diagnosed using post-shot examinations of the surfaces with scanning electron microscope and atomic force microscope instruments. Judgments were made about the dominant removal mechanisms for each material. Measurements of removal depths were made to provide data for the modeling. The finite difference ablation code developed here (ABLATOR) combines the thermomechanical response of materials to x-rays with models of various removal mechanisms. The former aspect refers to energy deposition in such small characteristic depths (~ micron) that thermal conduction and hydrodynamic motion are significant effects on the nanosecond time scale. The material removal models use the resulting time histories of temperature and pressure-profiles, along with ancillary local conditions, to predict rates of surface vaporization and the onset of conditions that would lead to spallation.

  10. An ICF-CY-Based Content Analysis of the Vineland Adaptive Behavior Scales-II

    ERIC Educational Resources Information Center

    Gleason, Kara; Coster, Wendy

    2012-01-01

    Background: The International Classification of Functioning, Disability and Health (ICF), and its version for children and youth (ICF-CY), has been increasingly adopted as a system to describe function and disability. A content analysis of the Vineland Adaptive Behavior Scales-II (VABS-II) was conducted to examine congruence with the functioning…

  11. Disability and Functional Profiles of Patients with Migraine Measured with ICF Classification

    ERIC Educational Resources Information Center

    Raggi, Alberto

    2010-01-01

    To describe the functional profiles of patients with migraine, and the relationships between symptoms, activities and environmental factors, using WHO's International Classification of Functioning (ICF). Patients were consecutively enrolled at the Besta Institute of Milan. The ICF checklist was administered and two count-based indexes developed:…

  12. 42 CFR 431.154 - Informal reconsideration for ICFs/MR.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Process for NFs and ICFs/MR § 431.154 Informal reconsideration for ICFs/MR. The informal reconsideration must, at a minimum, include— (a) Written notice to the facility of the denial, termination or... those findings in writing, and (c) A written affirmation or reversal of the denial, termination,...

  13. Synthesis and NMR structure of p41icf, a potent inhibitor of human cathepsin L.

    PubMed

    Chiva, Cristina; Barthe, Philippe; Codina, Anna; Gairí, Margarida; Molina, Franck; Granier, Claude; Pugnière, Martine; Inui, Tatsuya; Nishio, Hideki; Nishiuchi, Yuji; Kimura, Terutoshi; Sakakibara, Shumpei; Albericio, Fernando; Giralt, Ernest

    2003-02-12

    The total synthesis and structural characterization of the MHCII-associated p41 invariant chain fragment (P41icf) is described. P41icf plays a crucial role in the maturation of MHC class II molecules and antigen processing, acting as a highly selective cathepsin L inhibitor. P41icf synthesis was achieved using a combined solid-phase/solution approach. The entire molecule (65 residues, 7246 Da unprotected) was assembled in solution from fully protected peptides in the size range of 10 residues. After deprotection, oxidative folding in carefully adjusted experimental conditions led to the completely folded and functional P41icf with a disulfide pairing identical to that of native P41icf. CD, NMR, and surface plasmon resonance (SPR) were used for the structural and functional characterization of synthetic P41icf. CD thermal denaturation showed clear cooperative behavior. Tight cathepsin L binding was demonstrated by SPR. (1)H NMR spectroscopy at 800 MHz of unlabeled P41icf was used to solve the three-dimensional structure of the molecule. P41icf behaves as a well-folded protein domain with a topology very close to the crystallographic cathepsin L-bound form.

  14. [Use of the ICF in medical rehabilitation in Germany: claims and reality].

    PubMed

    Wenzel, Tobias-Raphael; Morfeld, Matthias

    2017-04-01

    The International Classification of Functioning, Disability and Health (ICF) is being used in the medical rehabilitation practice in different ways. The World Health Organization (WHO) and many other stakeholders have formulated claims and expectations for its use. A comparative presentation of the claims of various stakeholders for the use of the ICF with examples in current practice. Database searches (PubMed, REHADAT, and Google Scholar) were conducted for studies concerning claims and the current use of the ICF in practice. There are different requirements regarding the use of the ICF. While lawmakers and social insurance agencies remain very cautious and vague, other stakeholders (research institutions, organizations, stakeholders, service providers) formulate higher expectations and call for greater use of the ICF. In practice, the ICF is used in the form of a bio-psycho-social model, a common language and many different adaptations. The different requirements for the use of ICF demonstrate the motivations and interests of the stakeholders. Signals must now be sent both by politics and by social insurance agencies that go far beyond non-binding declarations. Furthermore it is necessary to systematize and evaluate the many use adaptations that are primarily being used by service providers. Research is needed on the concrete use of ICF-based instruments and its intended and unintended effects.

  15. The ICF: A Framework for Setting Goals for Children with Speech Impairment

    ERIC Educational Resources Information Center

    McLeod, Sharynne; Bleile, Ken

    2004-01-01

    The International Classification of Functioning, Disability and Health (ICF) (World Health Organization, 2001) is proposed as a framework for integrative goal setting for children with speech impairment. The ICF incorporates both impairment and social factors to consider when selecting appropriate goals to bring about change in the lives of…

  16. Disability and Functional Profiles of Patients with Migraine Measured with ICF Classification

    ERIC Educational Resources Information Center

    Raggi, Alberto

    2010-01-01

    To describe the functional profiles of patients with migraine, and the relationships between symptoms, activities and environmental factors, using WHO's International Classification of Functioning (ICF). Patients were consecutively enrolled at the Besta Institute of Milan. The ICF checklist was administered and two count-based indexes developed:…

  17. The ICF: A Framework for Setting Goals for Children with Speech Impairment

    ERIC Educational Resources Information Center

    McLeod, Sharynne; Bleile, Ken

    2004-01-01

    The International Classification of Functioning, Disability and Health (ICF) (World Health Organization, 2001) is proposed as a framework for integrative goal setting for children with speech impairment. The ICF incorporates both impairment and social factors to consider when selecting appropriate goals to bring about change in the lives of…

  18. PRP Comments for ICF Q1/Q2 FY17 Experiments 3/10/16

    SciTech Connect

    Kauffman, R.

    2016-04-14

    The PRP generally endorsed the Program plan during the short time for discussions. We agree that the strategy to develop a hohlraum that is symmetric and has low laser-plasma instabilities and to develop an alternative method for supporting the capsule is the best path forward for making progress in understanding ignition performance. The Program is oriented toward a milestone in 2020 for “determining the efficacy of NIF for ignition and credible physics-scaling to multi-megajoule yields for all ICF approaches.” We are concerned that the time and resources are not sufficient to vet all of the various approaches that are being pursued to make an informed decision by this date. For NIF to meet this goal, a process will be needed to to select the most promising paths forward. We recommend that the Program develop this process for selecting the path forward to optimize resources. We were glad to see that the direct drive program took our comments under consideration. We think that the proposed experiments have the program headed in a better direction. The PRP had only a short time to discuss the detailed experimental proposals. The following are comments on the detailed proposals. We did not have time to discuss them as a group. They represent individual opinions and provided to you as feedback to your proposals.

  19. Selecting an optimal abbreviated ICF set for clinical practice among rehabilitants with subacute stroke: retrospective analysis of patient records.

    PubMed

    Saltychev, Mikhail; Tarvonen-Schröder, Sinikka; Eskola, Merja; Laimi, Katri

    2013-06-01

    To evaluate the adequacy of abbreviated versions of International Classification of Functioning, Disability and Health (ICF) (the WHO ICF Checklist and the ICF Comprehensive Core Set for Stroke) with respect to the specific clinical needs of a stroke rehabilitation unit before their implementation at a practical level. Common descriptions of functional limitations were identified from patient records of 10 subsequent subacute stroke patients referred to an inpatient multiprofessional rehabilitation unit of a university hospital. These descriptions were then converted into ICF categories, and the list was compared with the ICF Checklist of the WHO and the ICF Comprehensive and Brief Core Sets for Stroke developed by the ICF Research Branch. From the study population (50% women), 71 different, second-level ICF categories were identified, averaging 36.4 categories/patient (SD 5.8, range 28-46). Except for one category, all of the categories identified were also found in the ICF Comprehensive Core Set for Stroke. Of the categories identified, 49 (69%) were found in the WHO ICF Checklist. All except one category included in the ICF Brief Core Set for Stroke were also in our list. The Comprehensive Core Set for Stroke was found to be a good potential starting point for the practical implementation of the ICF in a stroke rehabilitation unit.

  20. Goals and Characteristics of Long-Term Care Programs: An Analytic Model.

    ERIC Educational Resources Information Center

    Braun, Kathryn L.; Rose, Charles L.

    1989-01-01

    Used medico-social analytic model to compare five long-term care programs: Skilled Nursing Facility-Intermediate Care Facility (SNF-ICF) homes, ICF homes, foster homes, day hospitals, and home care. Identified similarities and differences among programs. Preliminary findings suggest that model is useful in the evaluation and design of long-term…

  1. Content comparison of haemophilia specific patient-rated outcome measures with the international classification of functioning, disability and health (ICF, ICF-CY)

    PubMed Central

    2010-01-01

    Background Patient-Reported Outcomes (PROs) are considered important outcomes because they reflect the patient's experience in clinical trials. PROs have been included in the field of haemophilia only recently. Purpose Comparing the contents of PROs measures used in haemophilia, based on the ICF/ICF-CY as frame of reference. Methods Haemophilia-specific PROs for adults and children were selected on the grounds of international accessibility. The content of the selected instruments were examined by linking the concepts within the items of these instruments to the ICF/ICF-CY. Results Within the 5 selected instruments 365 concepts were identified, of which 283 concepts were linked to the ICF/ICF CY and mapped into 70 different categories. The most frequently used categories were "b152: Emotional functions" and "e1101: Drugs". Conclusions The present paper provides an overview on current PROs in haemophilia and facilitates the selection of appropriate instruments for specific purposes in clinical and research settings. This work was made possible by the grant of the European Murinet Project (Multidisciplinary Research Network on Health and Disability in Europe). PMID:21108796

  2. Heterochromatic Genes Undergo Epigenetic Changes and Escape Silencing in Immunodeficiency, Centromeric Instability, Facial Anomalies (ICF) Syndrome

    PubMed Central

    Brun, Marie-Elisabeth; Lana, Erica; Rivals, Isabelle; Lefranc, Gérard; Sarda, Pierre; Claustres, Mireille; Mégarbané, André; De Sario, Albertina

    2011-01-01

    Immunodeficiency, Centromeric Instability, Facial Anomalies (ICF) syndrome is a rare autosomal recessive disorder that is characterized by a marked immunodeficiency, severe hypomethylation of the classical satellites 2 and 3 associated with disruption of constitutive heterochromatin, and facial anomalies. Sixty percent of ICF patients have mutations in the DNMT3B (DNA methyltransferase 3B) gene, encoding a de novo DNA methyltransferase. In the present study, we have shown that, in ICF lymphoblasts and peripheral blood, juxtacentromeric heterochromatic genes undergo dramatic changes in DNA methylation, indicating that they are bona fide targets of the DNMT3B protein. DNA methylation in heterochromatic genes dropped from about 80% in normal cells to approximately 30% in ICF cells. Hypomethylation was observed in five ICF patients and was associated with activation of these silent genes. Although DNA hypomethylation occurred in all the analyzed heterochromatic genes and in all the ICF patients, gene expression was restricted to some genes, every patient having his own group of activated genes. Histone modifications were preserved in ICF patients. Heterochromatic genes were associated with histone modifications that are typical of inactive chromatin: they had low acetylation on H3 and H4 histones and were slightly enriched in H3K9Me3, both in ICF and controls. This was also the case for those heterochromatic genes that escaped silencing. This finding suggests that gene activation was not generalized to all the cells, but rather was restricted to a clonal cell population that may contribute to the phenotypic variability observed in ICF syndrome. A slight increase in H3K27 monomethylation was observed both in heterochromatin and active euchromatin in ICF patients; however, no correlation between this modification and activation of heterochromatic genes was found. PMID:21559330

  3. Stability design of support systems in ICF lasers

    NASA Astrophysics Data System (ADS)

    Zhu, M. Z.; Wu, W. K.; Chen, G.; Zhan, H.; Xu, Y. L.; Chen, X. J.

    2016-10-01

    Within Inertial Confinement Fusion (ICF) laser systems, many independent laser beams are required to be positioned on target with a very high degree of accuracy until shots are complete. Optical elements that are capable of moving a laser beam on the target must meet the pointing error budget. Optical elements are typically supported by systems which consist of mounts, mount frames, support structures, and foundation. The stability design for support systems in ICF laser have been developed based on the designing and evaluating experience of ShenGuangIII (SGIII). This paper will provide the methodology of position error budget. The stability allocation is developed for evaluating the performance of support systems when they are subjected to multiple sources of excitations that can cause the motion of optical elements during alignment procedures and before shots. The vibrational stability design considerations of support systems are discussed on the fundamental frequency, ambient random vibration, and modal damping. The support structures of optical elements are the relatively large and massive hybrid structure of reinforced concrete and steel frame or vessels. While the reinforced concrete portions provide optical elements stability, the steel portions afford design flexibility. Finite element analyses of ambient random vibration are typically performed to evaluate the vibrational stability performances of support systems. Finally, this paper describes the ambient random vibration and beam pointing error measurements of SGIII. The measurements show the support systems of SGIII meet design requirement. These information can be used on similar systems.

  4. Opacity spectra of silicon and carbon in ICF plasmas

    NASA Astrophysics Data System (ADS)

    Benredjem, D.; Calisti, A.; Ferri, S.; Gilleron, F.; Mondet, G.; Pain, J.-C.

    2017-03-01

    The knowledge of opacity is very important when one investigates the radiative properties of ICF and astrophysical plasmas. Germanium and silicon are good candidates as dopants in the ablator of some ICF schemes (LMJ in France, NIF at Livermore). In this work we calculate the opacity spectra of silicon and carbon mixtures. Two competitive methods were used. The first one is based on a detailed line calculation in which the atomic database is provided by the MCDF code. A lineshape code based on a fast algorithm was then adapted to the calculation of opacity profiles. All major line broadening mechanisms, including Zeeman splitting and Stark effect, are taken into account. This approach provides accurate opacity spectra but becomes rapidly prohibitive when the number of lines is large. To account for systems involving many ionic stages and thousands of lines, a second approach combines detailed line calculations and statistical calculations. This approach necessitates much smaller calculation times than the first one and is then more appropriate for extensive calculations. The monochromatic opacity and the Rosseland and Planck mean opacities are calculated for relevant densities and temperatures.

  5. Field precision machining technology of target chamber in ICF lasers

    NASA Astrophysics Data System (ADS)

    Xu, Yuanli; Wu, Wenkai; Shi, Sucun; Duan, Lin; Chen, Gang; Wang, Baoxu; Song, Yugang; Liu, Huilin; Zhu, Mingzhi

    2016-10-01

    In ICF lasers, many independent laser beams are required to be positioned on target with a very high degree of accuracy during a shot. The target chamber provides a precision platform and datum reference for final optics assembly and target collimation and location system. The target chamber consists of shell with welded flanges, reinforced concrete pedestal, and lateral support structure. The field precision machining technology of target chamber in ICF lasers have been developed based on ShenGuangIII (SGIII). The same center of the target chamber is adopted in the process of design, fabrication, and alignment. The technologies of beam collimation and datum reference transformation are developed for the fabrication, positioning and adjustment of target chamber. A supporting and rotating mechanism and a special drilling machine are developed to bore the holes of ports. An adjustment mechanism is designed to accurately position the target chamber. In order to ensure the collimation requirements of the beam leading and focusing and the target positioning, custom-machined spacers are used to accurately correct the alignment error of the ports. Finally, this paper describes the chamber center, orientation, and centering alignment error measurements of SGIII. The measurements show the field precision machining of SGIII target chamber meet its design requirement. These information can be used on similar systems.

  6. Kinetic studies of ICF target dynamics with ePLAS

    NASA Astrophysics Data System (ADS)

    Mason, R. J.

    2016-10-01

    The ePLAS code was recently used1 to show that a modeling change from artificial to real viscosity can result in a decrease of the predicted performance of ICF targets. This code typically follows either fluid or PIC electrons with fluid ions in self-consistent E - and B - fields computed by the Implicit Moment Method2. For the present study the ions have instead been run as PIC particles undergoing Krook-like self-collisions. The ePLAS collision model continually redistributes the ion particle properties toward a local Maxwellian, while conserving the mean density, momentum and energy. Whereas the use of real viscosity captures large Knudsen Number effects as the active target dimensions shrink below the ion mean-free-path, the new kinetic modeling can manifest additional effects such as collisional shock precursors3 from the escape and streaming of the fastest particle ions. In 2D cylindrical geometry we will explore how such kinetic shock extensions might affect shell and core compression dynamics in ICF target implosions.

  7. Kr X-ray spectroscopy to diagnose NIF ICF implosions

    NASA Astrophysics Data System (ADS)

    Dasgupta, A.; Ouart, N.; Giuliani, J. L.; Clark, R. W.; Schneider, M. B.; Scott, H. A.; Chen, H.; Ma, T.; Apruzese, J. P.

    2016-10-01

    X ray spectroscopy is used on the NIF to diagnose the plasma conditions in the ignition target in indirect drive ICF implosions. High-energy emission spectra from mid to high atomic number elements can provide estimates of electron temperature near stagnation of an ICF implosion. A platform is being developed at NIF where small traces of krypton are used as a dopant to the fuel gas for spectroscopic diagnostics using krypton line emissions. The fraction of krypton dopant was varied in the experiments and was selected so as not to perturb the implosion. Simulations of the krypton spectra using a 1 in 104 atomic fraction of krypton in direct-drive exploding pusher with a range of electron temperatures and densities show discrepancies when different atomic models are used. We use our non-LTE atomic model with a detailed fine-structure level atomic structure and collisional-radiative rates to investigate the krypton spectra at the same conditions. Synthetic spectra are generated with a detailed multi-frequency radiation transport scheme from the emission regions of interest to analyze the experimental data and compare and contrast with the existing simulations at LLNL. Work supported by DOE/NNSA and under the auspices of DOE by LLNL under Contract # DE-AC52-07NA27344.

  8. Improving ICF implosion performance with alternative capsule supports

    NASA Astrophysics Data System (ADS)

    Weber, C. R.; Casey, D. T.; Clark, D. S.; Hammel, B. A.; MacPhee, A.; Milovich, J.; Martinez, D.; Robey, H. F.; Smalyuk, V. A.; Stadermann, M.; Amendt, P.; Bhandarkar, S.; Chang, B.; Choate, C.; Crippen, J.; Felker, S. J.; Field, J. E.; Haan, S. W.; Johnson, S.; Kroll, J. J.; Landen, O. L.; Marinak, M.; Mcinnis, M.; Nikroo, A.; Rice, N.; Sepke, S. M.

    2017-05-01

    The thin membrane that holds the capsule in-place in the hohlraum is recognized as one of the most significant contributors to reduced performance in indirect drive inertial confinement fusion (ICF) experiments on the National Ignition Facility. This membrane, known as the "tent," seeds a perturbation that is amplified by Rayleigh-Taylor and can rupture the capsule. A less damaging capsule support mechanism is under development. Possible alternatives include the micron-scale rods spanning the hohlraum width and supporting either the capsule or stiffening the fill-tube, a larger fill-tube to both fill and support the capsule, or a low-density foam layer that protects the capsule from the tent impact. Experiments are testing these support features to measure their imprint on the capsule. These experiments are revealing unexpected aspects about perturbation development in indirect drive ICF, such as the importance of shadows coming from bright spots in the hohlraum. Two dimensional and 3D models are used to explain these features and assess the impact on implosion performance. Experiments and modeling suggest that the fill-tube supported by a perpendicular rod can mount the capsule without any additional perturbation beyond that of the fill tube.

  9. Wetted Foam Liquid DT Layer ICF Experiments at the NIF

    NASA Astrophysics Data System (ADS)

    Olson, R. E.; Leeper, R. J.; Peterson, R. R.; Yi, S. A.; Zylstra, A. B.; Kline, J. L.; Bradley, P. A.; Yin, L.; Wilson, D. C.; Haines, B. M.; Batha, S. H.

    2016-10-01

    A key physics issue in indirect-drive ICF relates to the understanding of the limitations on hot spot convergence ratio (CR), principally set by the hohlraum drive symmetry, the capsule mounting hardware (the ``tent''), and the capsule fill tube. An additional key physics issue relates to the complex process by which a hot spot must be dynamically formed from the inner ice surface in a DT ice-layer implosion. These physics issues have helped to motivate the development of a new liquid DT layer wetted foam platform at the NIF that provides an ability to form the hot spot from DT vapor and experimentally study and understand hot spot formation at a variety of CR's in the range of 12ICF ignition. This work was performed under the auspices of the U. S. DOE by LANL under contract DE-AC52-06NA25396.

  10. Content Validity of the Comprehensive ICF Core Set for Chronic Obstructive Pulmonary Diseases: An International Delphi Survey.

    PubMed

    Jobst, Andrea; Kirchberger, Inge; Cieza, Alarcos; Stucki, Gerold; Stucki, Armin

    2013-01-01

    The "Comprehensive ICF Core Set for Chronic Obstructive Pulmonary Diseases (COPD)" is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in functioning of patients with COPD. The objective of this study was to validate this ICF Core Set from the perspective of physicians. Physicians experienced in COPD treatment were asked about the patients' problems treated by physicians in patients with COPD in a three-round electronic mail survey using the Delphi technique. Responses were linked to the ICF. Seventy-six physicians in 44 countries gave a total of 1330 responses that were linked to 148 different ICF categories. Nine ICF categories were not represented in the Comprehensive ICF Core Set for COPD although at least 75% of the participants have rated them as important. Nineteen concepts were linked to the not yet developed ICF component personal factors and seventeen concepts were not covered by the ICF. The high percentage of ICF categories represented in the ICF Core Set for COPD indicates satisfactory content validity from the perspective of the physicians. However, some issues were raised that were not covered and need to be investigated further.

  11. Content Validity of the Comprehensive ICF Core Set for Chronic Obstructive Pulmonary Diseases: An International Delphi Survey

    PubMed Central

    Jobst, Andrea; Kirchberger, Inge; Cieza, Alarcos; Stucki, Gerold; Stucki, Armin

    2013-01-01

    Introduction: The “Comprehensive ICF Core Set for Chronic Obstructive Pulmonary Diseases (COPD)“ is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in functioning of patients with COPD. The objective of this study was to validate this ICF Core Set from the perspective of physicians. Materials and Methodology: Physicians experienced in COPD treatment were asked about the patients’ problems treated by physicians in patients with COPD in a three-round electronic mail survey using the Delphi technique. Responses were linked to the ICF. Results: Seventy-six physicians in 44 countries gave a total of 1330 responses that were linked to 148 different ICF categories. Nine ICF categories were not represented in the Comprehensive ICF Core Set for COPD although at least 75% of the participants have rated them as important. Nineteen concepts were linked to the not yet developed ICF component personal factors and seventeen concepts were not covered by the ICF. Conclusion: The high percentage of ICF categories represented in the ICF Core Set for COPD indicates satisfactory content validity from the perspective of the physicians. However, some issues were raised that were not covered and need to be investigated further. PMID:23730367

  12. The ICF (International Classification of Functioning, Disability and Health) developed by the WHO for measuring function in hemophilia.

    PubMed

    De la Corte-Rodriguez, H; Rodriguez-Merchan, E C

    2016-07-01

    Assessment of the disease in people with hemophilia (PWH) must include an analysis of functioning. Researchers have done a lot of work over the last two decades in developing disease specific assessment tools in hemophilia - some of them based on the ICF (International Classification of Functioning, Disability and Health). This article is a narrative review of the ICF developed by the World Health Organization (WHO) in the context of hemophilia. Expert commentary: The WFH has developed a website with a 'compendium of assessment tools' based on the ICF. The ICF developed by the WHO makes it possible to propose an approach that prioritizes capacities over difficulties. This article is intended to motivate physicians who treat PWH to incorporate the ICF into their assessments. A generalized use of the ICF will provide a common communication context. The ICF developed by the WHO should be used in hemophilia.

  13. Simplified bipartite concepts of functioning and disability recommended for interdisciplinary use of the ICF.

    PubMed

    Thyberg, Mikael; Arvidsson, Patrik; Thyberg, Ingrid; Nordenfelt, Lennart

    2015-01-01

    To argue for and propose bipartite concepts of functioning and disability, to tally with the structure of the ICF classification list, concepts of social models and clinical needs. The ICF concepts are discussed in relation to the history of ideas regarding disability concepts and the needs for such concepts in interdisciplinary rehabilitation. Bipartite concepts are presented; they refer to actual functioning, simply body functions/structures and participation, including functioning in standardized environments. Participation refers to actually performed "activities", with "activities" simply denoting things that people may do. Bipartite concepts are congruent with the ICF classification and the structure of social models of disability, suitable for clinical and interdisciplinary use and easy to understand. The issue of standardized environments represents a methodological issue rather than the conceptual issue of defining functioning and disability. An individual perspective on activity and activity limitations, i.e. the middle part of the tripartite ICF concept, is somewhat similar to concepts of traditional language that were regarded as too generalizing already in 1912, when the interactional concept of "disability in a social sense" was introduced in rehabilitation practices. Bipartite concepts of functioning and disability are recommended for interdisciplinary use of the ICF. The ICF classification is useful, but the ICF concept of activities in an individual perspective is confusing. We suggest a use of the term "activities" simply to denote things that people may do and "participation" to denote actually performed activities. Estimations of ability should be explicit about how they are related to environmental factors.

  14. Clinical application of ICF key codes to evaluate patients with dysphagia following stroke

    PubMed Central

    Dong, Yi; Zhang, Chang-Jie; Shi, Jie; Deng, Jinggui; Lan, Chun-Na

    2016-01-01

    Abstract This study was aimed to identify and evaluate the International Classification of Functioning (ICF) key codes for dysphagia in stroke patients. Thirty patients with dysphagia after stroke were enrolled in our study. To evaluate the ICF dysphagia scale, 6 scales were used as comparisons, namely the Barthel Index (BI), Repetitive Saliva Swallowing Test (RSST), Kubota Water Swallowing Test (KWST), Frenchay Dysarthria Assessment, Mini-Mental State Examination (MMSE), and the Montreal Cognitive Assessment (MoCA). Multiple regression analysis was performed to quantitate the relationship between the ICF scale and the other 7 scales. In addition, 60 ICF scales were analyzed by the least absolute shrinkage and selection operator (LASSO) method. A total of 21 ICF codes were identified, which were closely related with the other scales. These included 13 codes from Body Function, 1 from Body Structure, 3 from Activities and Participation, and 4 from Environmental Factors. A topographic network map with 30 ICF key codes was also generated to visualize their relationships. The number of ICF codes identified is in line with other well-established evaluation methods. The network topographic map generated here could be used as an instruction tool in future evaluations. We also found that attention functions and biting were critical codes of these scales, and could be used as treatment targets. PMID:27661012

  15. Preliminary results of ICF dissemination in primary health care in Mozambique: sharing the Italian experience.

    PubMed

    Borgnolo, Giulio; Soares, Isabel Cristina; Dos Santos Soares, Benilde; Gongolo, Francesco; Vaz, Paula; Meucci, Paolo; Quintas, Rui; Lembo, Rosalba; Martinuzzi, Andrea

    2009-01-01

    To present the preliminary results of training courses on the International Classification of Functioning, Disability and Health (ICF) prepared by Italian WHO FIC CC and to report on strategies for ICF dissemination among primary health care (PHC) workers in Mavalane Health Area, Maputo, Mozambique. A participant-observer description of ICF principles introduction and development of ICF-CY modified checklists in Mavalane health area according to a person-environment interaction classification (PEIC) tree. The first ICF courses were held at Mavalane hospital and involved 25 health workers and 24 members of the health committee acting in the local area. The courses were prepared having as a framework the theoretical principles of the UN Convention of rights of persons with disabilities and the ICF bio-psychosocial model. The trainers adapted and modified the course materials to increase the applicability of the protocol to the cultural and social reality of Mozambique, eventually applying the person-environment interaction classification (PEIC) tree. The very first phase of this project indicates that the use of the ICF checklist is feasible also in a crowded and busy environment like some PHC units of a developing country. However, data collection require a simpler and lighter to use data compilation tool. The proposed new checklist, which includes a PEIC tree, makes easier the compilation and the collection of data.

  16. Functioning of stroke survivors--A validation of the ICF core set for stroke in Sweden.

    PubMed

    Algurén, Beatrix; Lundgren-Nilsson, Asa; Sunnerhagen, Katharina Stibrant

    2010-01-01

    To validate the body functions and activities and participation part of the extended International Classification of Functioning, Disability, and Health (ICF) core set for stroke with a Swedish population in the first 3 months post-stroke. At 6 weeks and at 3 months post-stroke, stroke survivors were evaluated by 59 ICF categories of body functions, 59 categories of activities and participation from the stroke ICF core set (extended version). The study sample included 99 stroke survivors (54% women) with an average age of 72 years. Statistical significant problems were identified in 28 ICF categories of body functions and in 41 ICF categories of activities and participation at both time points, at 6 weeks and at 3 months. About 17 ICF categories were reported as problems in independent (i.e. modified Rankin Scale (mRS) < or =2) and about 34 categories in dependent (i.e. mRS > 2) stroke survivors. The results suggest a possible reduction of the stroke ICF core set from 59 to 28 categories of body functions and from 59 to 41 categories of activities and participation. Hence, feasibility of the core set for multiprofessional assessment increases and the core set might find more integration in clinical practice. The number of problems in mobility and self-care mainly distinguished between independent and dependent stroke survivors.

  17. The feasibility and validity of the comprehensive ICF core set for stroke in Chinese clinical settings.

    PubMed

    Wang, Pu; Li, Huagang; Guo, Yi; Xie, Yuxiao; Ge, Ruidong; Qiu, Zhuoying

    2014-02-01

    To inspect the feasibility and content validity of the comprehensive International Classification of Functioning, Disability and Health (ICF) core set for stroke by describing relevant aspects of functioning, disability and environmental factors affected in Chinese patients post stroke. Multicentre, cross-sectional study. Department of rehabilitation medicine. The content validity was evaluated using frequency and percentage of 208 patients with a mean age of 60 years post stroke in China. Aspects of body function and structure, activity and participation, and environmental factors in the comprehensive ICF core set for stroke. Six ICF categories of body function were identified as a problem in over 90% (n = 187) of the patients (functions of the cardiovascular system and neuromusculoskeletal and movement-related functions). Impairments of brain, upper and lower extremity were identified as a problem in over 50% (n = 104) of the patients. Four ICF categories of activities and participation were documented as a problem in 100% (n = 208) of the patients (domestic and civic life). In environmental factors, nine ICF categories were documented as barriers by more than 10% (n = 20) and fewer than 50% (n = 104) of the patients (products and technology, physical geography, societal attitudes, services, systems and polices). Six ICF categories were identified as facilitators in over 90% (n = 187) of the patients (support and relationships and attitudes). The findings suggest that it is feasible to apply the comprehensive ICF core set for stroke in the Chinese clinical setting, after the appropriate reduction of some categories according to Chinese patients' characteristics and culture.

  18. Clinical application of ICF key codes to evaluate patients with dysphagia following stroke.

    PubMed

    Dong, Yi; Zhang, Chang-Jie; Shi, Jie; Deng, Jinggui; Lan, Chun-Na

    2016-09-01

    This study was aimed to identify and evaluate the International Classification of Functioning (ICF) key codes for dysphagia in stroke patients. Thirty patients with dysphagia after stroke were enrolled in our study. To evaluate the ICF dysphagia scale, 6 scales were used as comparisons, namely the Barthel Index (BI), Repetitive Saliva Swallowing Test (RSST), Kubota Water Swallowing Test (KWST), Frenchay Dysarthria Assessment, Mini-Mental State Examination (MMSE), and the Montreal Cognitive Assessment (MoCA). Multiple regression analysis was performed to quantitate the relationship between the ICF scale and the other 7 scales. In addition, 60 ICF scales were analyzed by the least absolute shrinkage and selection operator (LASSO) method. A total of 21 ICF codes were identified, which were closely related with the other scales. These included 13 codes from Body Function, 1 from Body Structure, 3 from Activities and Participation, and 4 from Environmental Factors. A topographic network map with 30 ICF key codes was also generated to visualize their relationships. The number of ICF codes identified is in line with other well-established evaluation methods. The network topographic map generated here could be used as an instruction tool in future evaluations. We also found that attention functions and biting were critical codes of these scales, and could be used as treatment targets.

  19. Development of consensus International Classification of Functioning, Disability and Health (ICF) core sets for lymphedema.

    PubMed

    Viehoff, P B; Heerkens, Y F; Van Ravensberg, C D; Hidding, J; Damstra, R J; Ten Napel, H; Neumann, H A M

    2015-03-01

    To understand the challenges of patients with lymphedema it is important to describe functioning and to measure the effectiveness of treatment in changing functioning. The International Classification of Functioning, Disability and Health (ICF) offers an international framework to classify functioning of persons in their personal environment. ICF Core Sets are lists of selected ICF categories concerning those important aspects of functioning that are most likely to be affected by a specific health problem or disease. These Core Sets make it easier and faster to describe and communicate the patient's problems and to define treatment goals. Furthermore, they are available to health care providers of all professions, researchers, health insurance companies and policy-makers. The objective of this document is to present the outcomes of a consensus conference held to determine the first versions of the ICF Core Sets for lymphedema. Frequency rankings were made of the ICF categories derived from four preparatory studies, being: a) a systematic review; b) a qualitative study; c) an expert survey; and d) a cross-sectional study. By means of working group discussions and plenary sessions, a final consensus on ICF categories was achieved and Comprehensive and Brief Core Sets for lymphedema for the upper limb, lower limb, and midline lymphedema were defined. These ICF Core Sets contain different items in each region. Future validation of these Core Sets for health professions and for countries is needed.

  20. Refinements of the ICF Linking Rules to strengthen their potential for establishing comparability of health information.

    PubMed

    Cieza, Alarcos; Fayed, Nora; Bickenbach, Jerome; Prodinger, Birgit

    2016-03-17

    Purpose The content of and methods for collecting health information often vary across settings and challenge the comparability of health information across time, individuals or populations. The International Classification of Functioning, Disability and Health (ICF) contains an exhaustive set of categories of information which constitutes a unified and consistent language of human functioning suitable as a reference for comparing health information. Methods and results In two earlier papers, we have proposed rules for linking existing health information to the ICF. Further refinements to these existing ICF Linking Rules are presented in this paper to enhance the transparency of the linking process. The refinements involve preparing information for linking, perspectives from which information is collected and the categorization of response options. Issues regarding the linking of information not covered or unspecified within the ICF are also revisited in this paper. The ICF Linking Rules are valuable for enhancing comparability of health information to ensure that information is available in a consistent manner to serve as a foundation for evidence-based decision-making across all levels of health systems. The refinements presented in this paper enhance transparency in, and ultimately reliability of the process of, linking health information to the ICF. Implications for Rehabilitation The International Classification of Functioning, Disability and Health (ICF) constitutes a unified and consistent language of human functioning suitable as a reference for comparing health information. Comparability of information is essential to ensure that the widest range of information is available in a consistent manner for any decision-maker at all levels of the health system. The refined ICF Linking Rules presented in this article outline the method to establish comparability of health information based on the ICF.

  1. ICF Based Comprehensive Evaluation for Post-Acute Spinal Cord Injury.

    PubMed

    Nam, Hyung Seok; Kim, Kwang Dong; Shin, Hyung Ik

    2012-12-01

    To evaluate the feasibility of the ICF for initial comprehensive evaluation of early post-acute spinal cord injury. A comprehensive evaluation of 62 early post-acute spinal cord injury (SCI) patients was conducted by rehabilitation team members, such as physicians, physical therapists, occupational therapists, nutritionists, medical social-workers, and nurses. They recorded each of their evaluation according to the ICF first level classification. The contents of the comprehensive evaluation were linked to the ICF second level categories, retrospectively. The linked codes were analyzed descriptively and were also compared with the brief ICF core set for early post-acute SCI. In the evaluation of early post-acute SCI patients based on the ICF first level categories, 19 items from the body functions domain, such as muscle power functions (b730) and urination functions (b620), 15 items from the body structures domain, including spinal cord and related structures (s120), 11 items from the activities and participation domain, such as transferring oneself (d420) and walking (d450), and 9 items from the environmental factors domain, e.g., health professionals (e355), were linked to the ICF second level categories. In total, 82.4% of all contents were linked to the brief ICF core set. Prognosis insight, a personal factor not linkable to an ICF code, was mentioned in 29.0% of all patients. First level ICF categories can provide a structural base for a comprehensive evaluation in early post-acute spinal cord injury. However, frequently linked items, including the brief core set, as well as personal factors should be considered via a checklist in order to prevent the omission of significant contents.

  2. ICF Based Comprehensive Evaluation for Post-Acute Spinal Cord Injury

    PubMed Central

    Nam, Hyung Seok; Kim, Kwang Dong

    2012-01-01

    Objective To evaluate the feasibility of the ICF for initial comprehensive evaluation of early post-acute spinal cord injury. Method A comprehensive evaluation of 62 early post-acute spinal cord injury (SCI) patients was conducted by rehabilitation team members, such as physicians, physical therapists, occupational therapists, nutritionists, medical social-workers, and nurses. They recorded each of their evaluation according to the ICF first level classification. The contents of the comprehensive evaluation were linked to the ICF second level categories, retrospectively. The linked codes were analyzed descriptively and were also compared with the brief ICF core set for early post-acute SCI. Results In the evaluation of early post-acute SCI patients based on the ICF first level categories, 19 items from the body functions domain, such as muscle power functions (b730) and urination functions (b620), 15 items from the body structures domain, including spinal cord and related structures (s120), 11 items from the activities and participation domain, such as transferring oneself (d420) and walking (d450), and 9 items from the environmental factors domain, e.g., health professionals (e355), were linked to the ICF second level categories. In total, 82.4% of all contents were linked to the brief ICF core set. Prognosis insight, a personal factor not linkable to an ICF code, was mentioned in 29.0% of all patients. Conclusion First level ICF categories can provide a structural base for a comprehensive evaluation in early post-acute spinal cord injury. However, frequently linked items, including the brief core set, as well as personal factors should be considered via a checklist in order to prevent the omission of significant contents. PMID:23342313

  3. LDRD ER Final Report: Recreating Planetary Cores in the Laboratory: New Techniques to Extremely High Density States

    SciTech Connect

    Collins, G; Celliers, P; Hicks, D; Cauble, R; Bradley, D; MacKinnon, A; Moon, S; Young, D; Chau, R; Eggert, J; Willi, P; Pasley, J; Jeanloz, R; Lee, K; Bennedetti, R; Koenig, M; Benuzzi-Mounaix, A; Batani, D; Loubeyre, P; Hubbard, W

    2003-02-07

    An accurate equation of state (EOS) for planetary constituents at extreme conditions is the key to any credible model of planets or low mass stars. However, very few materials have their high pressure (>few Mbar) EOS experimentally validated, and even then, only on the principal Hugoniot. For planetary and stellar interiors, compression occurs from gravitational force so that material states follow a line of isotropic compression (ignoring phase separation) to ultra-high densities. An example of the hydrogen phase space composing Jupiter and one particular Brown Dwarf is shown. At extreme densities, material states are predicted to have quite unearthly properties such as high temperature superconductivity and low temperature fusion. High density experiments on Earth are achieved with either static compression techniques (i.e. diamond anvil cells) or dynamic compression techniques using large laser facilities, gas guns, or explosives. The ultimate goal of this multi-directorate and multi-institutional proposal was to develop techniques that will enable us to understand material states that previously only existed at the core of giant planets, stars, or speculative theories. Our effort was a complete success, meeting all of the objectives set out in our proposals. First we focused on developing accurate Hugoniot techniques to be used for constraining the equation of state at high pressure/temperature. We mapped out an accurate water EOS and measured that the ionic->electronic conduction transition occurs at lower pressures than models predict. These data and their impact are fully described in the first enclosed paper ''The Equation of State and Optical Properties of Water Compressed by Strong Shock Waves.'' Currently models used to construct planetary isentropes are constrained by only the planet radius, outer atmospheric spectroscopy, and space probe gravitational moment and magnetic field data. Thus these data, which provide rigid constraints to these models, will have a significant impact on a broad community of planetary and condensed matter scientists, as well as our fundamental understanding of the giant planets. We then developed and tested precompressed and multiple shock techniques on water. Scientists around the world have teamed with us to conduct these complex and seminal high density experiments which allow access to the extreme core states of giant plants. Double shock experiments using a variety of anvils to compress water to densities higher and temperatures lower than accessible by single shock Hugoniot techniques. First a clear determination of the EOS and optical properties of the anvils needed to be measured. These properties for LiF and A1203 are written up in the second attached article, ''Shock-Induced Transformation of Sapphire and Lithium Fluoride into Semiconducting Liquids.'' An example double shock data record for water is shown. This data is being written up for publication.

  4. Pulsed Power Fusion Program update

    SciTech Connect

    Quintenz, J.P.; Adams, R.G.; Allshouse, G.O.

    1998-06-01

    The US Department of Energy has supported a substantial research program in Inertial Confinement Fusion (ICF) since the early 1970s. Over the course of the ensuing 25 years, pulsed power energy, efficiency, and relatively low cost of the technology when compared to the mainline ICF approach involving large glass lasers. These compelling advantages of pulsed power, however, have been tempered with the difficulty that has been encountered in concentrating the energy in space and time to create the high energy and power density required to achieve temperatures useful in indirect drive ICF. Since the Beams `96 meeting two years ago, the situation has changed dramatically and extremely high x-ray power ({approximately}290 TW) and energy ({approximately}1.8 MJ) have been produced in fast x-pinch implosions on the Z accelerator. These sources have been utilized to heat hohlraums to >150 eV and have opened the door to important ICF capsule experiments.

  5. Coding of meaningful concepts in lymphedema-specific questionnaires with the ICF.

    PubMed

    Viehoff, P B; Hidding, J T; Heerkens, Y F; van Ravensberg, C D; Neumann, H A M

    2013-01-01

    To identify and quantify the meaningful concepts within questionnaires focusing on lymphedema using the International Classification of Functioning, Disability and Health (ICF). Electronic searches of Medline, EMBASE, CINAHL, CENtral and Pedro (2005-2010) were conducted. The concepts in the questionnaires were retrieved from the included studies and linked to the ICF. Of the 2381 abstracts retrieved, 136 studies were included. The study population suffered from lymphedema in the upper limb (65%), in the lower limb (25%), in the midline (3%) and in combinations of these areas (7%). In total, 12 lymphedema-specific questionnaires were found (nine for the upper limb, two for the lower limb and one for lymphedema in general). A total of 301 concepts were extracted from the questionnaires, of which 271 (90%) could be linked to the ICF. There were 45 two-level ICF categories linked to concepts in ≥2 questionnaires; 13 in Body Functions, 6 in Body Structures, 16 in Activities and Participation and 10 in Environmental Factors. The most frequently measured categories were "Structure of upper extremity", "Immunological system functions", "Looking after one's health", "Sensation of pain", "Touch functions", "Dressing" and "Health services, systems and policies". The ICF provides a valuable reference to identify concepts in questionnaires focusing on individuals with lymphedema. Implications for Rehabilitation Lymphedema is a chronic condition and the problems in physical functioning related to lymphedema can result in distress and loss of quality of life. ICF Core Sets for lymphedema consist of a lymphedema-specific selection of ICF categories, which makes it easier to implement the use of the ICF in medical and allied health care. ICF Core Sets for lymphedema can act as a framework for more unity in questionnaires concerning consequences of lymphedema. Part of the development process of ICF Core Sets for lymphedema is the linking of items from lymphedema-specific clinical

  6. The Prospects for High-Yield ICF with a Z-Pinch Driven Dynamic Hohlraum

    SciTech Connect

    CHANDLER, GORDON A.; CHRIEN, R.; COOPER, GARY WAYNE; DERZON, MARK S.; DOUGLAS, MELISSA R.; HEBRON, DAVID E.; LASH, JOEL S.; LEEPER, RAMON J.; MATZEN, M. KEITH; MEHLHORN, THOMAS A.; NASH, THOMAS J.; OLSON, RICHARD E.; PETERSON, D.L.; RUIZ, CARLOS L.; SANFORD, THOMAS W. L.; SLUTZ, STEPHEN A.

    1999-09-07

    Recent success with the Sandia Z machine has renewed interest in utilizing fast z-pinenes for ICF. One promising concept places the ICF capsule internal to the imploding z-pinch. At machine parameters relevant to achieving high yield, the imploding z-pinch mass has sufficient opacity to trap radiation giving rise to a dynamic hohlraum. The concept utilizes a 12 MJ, 54 MA z-pinch driver producing a capsule drive temperature exceeding 300 eV to realize a 550 MJ thermonuclear yield. They present the current high-yield design and its development that supports high-yield ICF with a z-pinch driven dynamic hohlraum.

  7. Monte Carlo Methods in ICF (LIRPP Vol. 13)

    NASA Astrophysics Data System (ADS)

    Zimmerman, George B.

    2016-10-01

    Monte Carlo methods appropriate to simulate the transport of x-rays, neutrons, ions and electrons in Inertial Confinement Fusion targets are described and analyzed. The Implicit Monte Carlo method of x-ray transport handles symmetry within indirect drive ICF hohlraums well, but can be improved SOX in efficiency by angular biasing the x-rays towards the fuel capsule. Accurate simulation of thermonuclear burn and burn diagnostics involves detailed particle source spectra, charged particle ranges, inflight reaction kinematics, corrections for bulk and thermal Doppler effects and variance reduction to obtain adequate statistics for rare events. It is found that the effects of angular Coulomb scattering must be included in models of charged particle transport through heterogeneous materials.

  8. Behavior of liquid hydrogen inside an ICF target

    NASA Technical Reports Server (NTRS)

    Kim, K.; Mok, L.; Bernat, T.

    1982-01-01

    The configuration of liquid hydrogen inside spherical glass shell ICF target was studied both theoretically and experimentally. Because of the zero contact angle between the .D2 liquid and glass substrate and the limited wetting surface that is continuous, the liquid hydrogen completely covers the interior of the glass shell, resulting in the formation of a void at the center. For this reason, the present problem distinguishes itself from that for a sessile drop sitting on a flat surface. A theory was formulated to calculate the liquid hydrogen configuration by including the London-dispersion force between the liquid and the substrate molecules. The net result is an augmented Bashforth-Adams equation appropriate to a spherical substrate, which is considered to be the major contribution of the present work. Preliminary calculations indicate that this equation accurately models the liquid hydrogen behavior inside a spherical microshell.

  9. Flux-limitation of the Nernst effect in magnetized ICF

    NASA Astrophysics Data System (ADS)

    Ridgers, Christopher; Barrois, Rion; Wengraf, Joshua; Bissell, John; Brodrick, Jonathan; Kingham, Robert; Read, Martin

    2016-10-01

    Magnetized ICF is a promising scheme which combines the advantages of magnetic and inertial confinement fusion. In the relevant high-energy density plasmas magnetic field evolution is often controlled by the Nernst effect where the magnetic field advects with the electron heat flow. It is well known that non-local thermal transport necessitates a flux-limiter on the heat flow. This suggests that a flux-limiter should also be applied to the Nernst effect. We have shown that this is the case using Vlasov-Fokker-Planck simulations and that the flux-limter is not the same as that required for the heat flow itself, for example when a NIF-relevant flux-limiter of 0.15 is required to limit the heat flow a Nernst flux limiter of 0.08 is required. We acknowledge support from EPSRC Grant No. EPM011372/1.

  10. Improved algorithm of ray tracing in ICF cryogenic targets

    NASA Astrophysics Data System (ADS)

    Zhang, Rui; Yang, Yongying; Ling, Tong; Jiang, Jiabin

    2016-10-01

    The high precision ray tracing inside inertial confinement fusion (ICF) cryogenic targets plays an important role in the reconstruction of the three-dimensional density distribution by algebraic reconstruction technique (ART) algorithm. The traditional Runge-Kutta methods, which is restricted by the precision of the grid division and the step size of ray tracing, cannot make an accurate calculation in the case of refractive index saltation. In this paper, we propose an improved algorithm of ray tracing based on the Runge-Kutta methods and Snell's law of refraction to achieve high tracing precision. On the boundary of refractive index, we apply Snell's law of refraction and contact point search algorithm to ensure accuracy of the simulation. Inside the cryogenic target, the combination of the Runge-Kutta methods and self-adaptive step algorithm are employed for computation. The original refractive index data, which is used to mesh the target, can be obtained by experimental measurement or priori refractive index distribution function. A finite differential method is performed to calculate the refractive index gradient of mesh nodes, and the distance weighted average interpolation methods is utilized to obtain refractive index and gradient of each point in space. In the simulation, we take ideal ICF target, Luneberg lens and Graded index rod as simulation model to calculate the spot diagram and wavefront map. Compared the simulation results to Zemax, it manifests that the improved algorithm of ray tracing based on the fourth-order Runge-Kutta methods and Snell's law of refraction exhibits high accuracy. The relative error of the spot diagram is 0.2%, and the peak-to-valley (PV) error and the root-mean-square (RMS) error of the wavefront map is less than λ/35 and λ/100, correspondingly.

  11. Can the ICF be used as a rehabilitation outcome measure? A study looking at the inter- and intra-rater reliability of ICF categories derived from an ADL assessment tool.

    PubMed

    Kohler, Friedbert; Connolly, Carol; Sakaria, Aroha; Stendara, Kimberly; Buhagiar, Mark; Mojaddidi, Mohammad

    2013-09-01

    The categories of the International Classification of Functioning , Disability and Health (ICF) could potentially be used as components of outcome measures. Literature demonstrating the psychometric properties of ICF categories is limited. Determine the agreement and reliability of ICF activities of daily living category scores and compare these to agreement and reliability of the Functional Independence Measure (FIM) item scores. Two investigators independently reviewed the clinical notes to score the ICF activities of daily living cate-gories, of 100 patients using ICF qualifiers with additional scoring guidelines. The percentage agreement, interrater and intrarater reliability were compared with the matched FIM items scored by a separate set of two investigators using the same methodology. Kappa Statistic was calculated using Med Calc. ICF interrater reliability as indicated by Kappa values ranging from 0.42 to 0.81 was moderate or better for the eleven self care and mobility categories. The language ICF categories and problem solving generally have fair agreement, with Kappa values ranging from 0.21 for receiving verbal messages to 0.44 for basic social interactions. Absolute agreement was above 72% for all categories. Reliability and agreement of the FIM items was generally lower than the corresponding ICF categories. The inter-rater and intra-rater reliability and agreement of the ICF activities of daily living categories were comparable or better than the corresponding FIM items. The results of this study provide an indication that the ICF categories could be used as components of rehabilitation outcome measures.

  12. The VISTA spacecraft: Advantages of ICF (Inertial Confinement Fusion) for interplanetary fusions propulsion applications

    NASA Technical Reports Server (NTRS)

    Orth, Charles D.; Klein, Gail; Sercel, Joel; Hoffman, Nate; Murray, Kathy; Chang-Diaz, Franklin

    1987-01-01

    Inertial Confinement Fusion (ICF) is an attractive engine power source for interplanetary manned spacecraft, especially for near-term missions requiring minimum flight duration, because ICF has inherent high power-to-mass ratios and high specific impulses. We have developed a new vehicle concept called VISTA that uses ICF and is capable of round-trip manned missions to Mars in 100 days using A.D. 2020 technology. We describe VISTA's engine operation, discuss associated plasma issues, and describe the advantages of DT fuel for near-term applications. Although ICF is potentially superior to non-fusion technologies for near-term interplanetary transport, the performance capabilities of VISTA cannot be meaningfully compared with those of magnetic-fusion systems because of the lack of a comparable study of the magnetic-fusion systems. We urge that such a study be conducted.

  13. Applying the ICF to identify requirements for students with Asperger syndrome in higher education.

    PubMed

    Adolfsson, Margareta; Simmeborn Fleischer, Ann

    2015-06-01

    Higher education requires more than academic skills and everyday student-life can be stressful. Students with Asperger syndrome (AS) may need support to manage their education due to difficulties in social functioning. As preparation for the development of a structured tool to guide student and coordinator dialogues at Swedish universities, this study aimed to identify ICF categories that reflect requirements in everyday student-life for students with AS. Using descriptive qualitative approach, information in documents reflecting the perspectives of university students, international classifications, user/health organisations and education authorities were linked to ICF codes. In total, 114 ICF categories were identified, most of which related to learning, tasks and demands, communication and interactions. Students with AS need varying accommodations to be successful in higher education. In the future, ICF-based code sets, including demands on student roles, can be used as checklists to describe functioning and needs for support.

  14. The VISTA spacecraft: Advantages of ICF (Inertial Confinement Fusion) for interplanetary fusion propulsion applications

    SciTech Connect

    Orth, C.D.; Klein, G.; Sercel, J.; Hoffman, N.; Murray, K.; Chang-Diaz, F.

    1987-10-02

    Inertial Confinement Fusion (ICF) is an attractive engine power source for interplanetary manned spacecraft, especially for near-term missions requiring minimum flight duration, because ICF has inherent high power-to-mass ratios and high specific impulses. We have developed a new vehicle concept called VISTA that uses ICF and is capable of round-trip manned missions to Mars in 100 days using A.D. 2020 technology. We describe VISTA's engine operation, discuss associated plasma issues, and describe the advantages of DT fuel for near-term applications. Although ICF is potentially superior to non-fusion technologies for near-term interplanetary transport, the performance capabilities of VISTA cannot be meaningfully compared with those of magnetic-fusion systems because of the lack of a comparable study of the magnetic-fusion systems. We urge that such a study be conducted.

  15. ICF profiling of patients with traumatic brain injury: an international professional survey.

    PubMed

    Laxe, Sara; Zasler, Nathan; Robles, Verónica; López-Blázquez, Raquel; Tormos, Jose María; Bernabeu, Montserrat

    2014-01-01

    A worldwide internet survey was conducted (1) to identify problems of individuals with traumatic brain injury (TBI) addressed by health professionals and (2) to summarize these problems using the International Classification of Functioning, Disability and Health (ICF). A pool of professionals involved in the TBI rehabilitation process that included physicians, nurses, physical therapists, occupational therapists, social workers and psychologists were surveyed to identify problems in functioning and contextual factors of individuals with TBI using open-ended questions. All answers were translated ("linked") to the ICF based on established rules. The frequencies of the linked ICF categories were reported stratified based on context. One-hundred thirty seven professionals from the six World Health Organization regions identified 5656 concepts. 92.66% could be linked to the ICF; 33.03% were related to the domain of body functions, 27.28% to activities and participation, 10.98% to structures and 21.38% to environmental factors. The complexity of TBI was described through the identification of a wide variety of ICF categories. ICF language proved to be a neutral framework allowing the comparison of answers between different professionals in different world regions. People that suffered a traumatic brain injury (TBI) may have a variety of sequelae that impair functioning. The International Classification of Functioning, Disability and Health (ICF) can help in providing information regarding the identification of patients problems and needs as well as planning, implementing and coordinating the rehabilitation process. The ICF provides a frame of reference process illustrated as the rehabilitation cycle that can help during the rehabilitation process in goal setting bringing together the clinicians' and patient's perspectives in a patient oriented biopsychosocial approach. In the field of TBI rehabilitation, activity limitations and participation restrictions are broadly

  16. Induced pluripotent stem cells as a model for telomeric abnormalities in ICF type I syndrome.

    PubMed

    Sagie, Shira; Ellran, Erika; Katzir, Hagar; Shaked, Rony; Yehezkel, Shiran; Laevsky, Ilana; Ghanayim, Alaa; Geiger, Dan; Tzukerman, Maty; Selig, Sara

    2014-07-15

    Human telomeric regions are packaged as constitutive heterochromatin, characterized by extensive subtelomeric DNA methylation and specific histone modifications. ICF (immunodeficiency, centromeric instability, facial anomalies) type I patients carry mutations in DNA methyltransferase 3B (DNMT3B) that methylates de novo repetitive sequences during early embryonic development. ICF type I patient fibroblasts display hypomethylated subtelomeres, abnormally short telomeres and premature senescence. In order to study the molecular mechanism by which the failure to de novo methylate subtelomeres results in accelerated telomere shortening, we generated induced pluripotent stem cells (iPSCs) from 3 ICF type I patients. Telomeres were elongated in ICF-iPSCs during reprogramming, and the senescence phenotype was abolished despite sustained subtelomeric hypomethylation and high TERRA levels. Fibroblast-like cells (FLs) isolated from differentiated ICF-iPSCs maintained abnormally high TERRA levels, and telomeres in these cells shortened at an accelerated rate, leading to early senescence, thus recapitulating the telomeric phenotype of the parental fibroblasts. These findings demonstrate that the abnormal telomere phenotype associated with subtelomeric hypomethylation is overridden in cells expressing telomerase, therefore excluding telomerase inhibition by TERRA as a central mechanism responsible for telomere shortening in ICF syndrome. The data in the current study lend support to the use of ICF-iPSCs for modeling of phenotypic and molecular defects in ICF syndrome and for unraveling the mechanism whereby subtelomeric hypomethylation is linked to accelerated telomeric loss in this syndrome. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  17. ICF-Based Analysis of Communication Disorders in Dementia of Alzheimer's Type

    PubMed Central

    Badarunisa, Mohamad Basheer; Sebastian, Daly; Rangasayee, Raghunath Rao; Kala, Baby

    2015-01-01

    Purpose Dementia of Alzheimer's type (DAT) is a major cognitive communication disorder. The present study attempted to analyse communication disorders in DAT in the International Classification of Functions (ICF) framework. The study investigated the impact of the severity of communication disorders in persons with DAT on activity participation and environment components of the ICF. Method Thirty bilingual individuals with DAT in the age range of 65-88 years were classified into three groups of mild, moderate and severe degree of dementia. Forty-three items of the American Speech-Language-Hearing Association Functional Assessment of Communication Skills for Adults (ASHA FACS) were linked to the ICF framework. A few additional items were also added for a complete profiling of DAT. A total of 50 (ASHA FACS + ICF) items were rated and administered for the purpose of the study. Results The study revealed a disproportionate impact of the severity of DAT on activity participation and environment components of the ICF. Conclusion The present study investigated the utility of the ICF framework for profiling the functionality of persons with DAT. This profiling highlighted the need for ensuring effective communication and quality of life in the DAT population. PMID:26955380

  18. Looking at the ICF and human communication through the lens of classification theory.

    PubMed

    Walsh, Regina

    2011-08-01

    This paper explores the insights that classification theory can provide about the application of the International Classification of Functioning, Disability and Health (ICF) to communication. It first considers the relationship between conceptual models and classification systems, highlighting that classification systems in speech-language pathology (SLP) have not historically been based on conceptual models of human communication. It then overviews the key concepts and criteria of classification theory. Applying classification theory to the ICF and communication raises a number of issues, some previously highlighted through clinical application. Six focus questions from classification theory are used to explore these issues, and to propose the creation of an ICF-related conceptual model of communicating for the field of communication disability, which would address some of the issues raised. Developing a conceptual model of communication for SLP purposes closely articulated with the ICF would foster productive intra-professional discourse, while at the same time allow the profession to continue to use the ICF for purposes in inter-disciplinary discourse. The paper concludes by suggesting the insights of classification theory can assist professionals to apply the ICF to communication with the necessary rigour, and to work further in developing a conceptual model of human communication.

  19. Identification of relevant ICF categories in vocational rehabilitation: a cross sectional study evaluating the clinical perspective.

    PubMed

    Finger, Monika E; Glässel, Andrea; Erhart, Peter; Gradinger, Felix; Klipstein, Andreas; Rivier, Gilles; Schröer, Maria; Wenk, Christian; Gmünder, Hans Peter; Stucki, Gerold; Escorpizo, Reuben

    2011-06-01

    Vocational rehabilitation (VR) emphasizes a need for medical support, rehabilitation and biopsychosocial approach to enable individuals to successfully participate in the workforce. Optimal rehabilitation management relies on an in-depth knowledge of the typical spectrum of problems encountered of patients in VR. The International Classification of Functioning, Disability and Health (ICF) is based on a universal conceptual model and provides a holistic view of functioning of the lived experience of people such as those undergoing VR. The objectives of this study are to describe the functioning and health of persons undergoing VR and to identify the most common problems around work and in VR using the ICF as the reference framework. An empirical cross-sectional multicenter study was conducted using convenience sampling from March 2009 to March 2010. Data were collected using a Case Record Form rated by health professionals which was based on an extended version of the ICF Checklist containing 292 ICF categories and sociodemographic information. 152 patients with various health conditions participated. We identified categories from all four ICF components: 24 for body functions, six for body structures, 45 for activities and participation, and 25 for environmental factors. Our study identified a multitude of ICF categories that describe functioning domains and which represent the complexity of VR. Such a comprehensive approach in assessing patients in VR may help to understand and customize the process of VR in the clinical setting and to enhance multidisciplinary communication.

  20. Agenesis of the corpus callosum: classifying functional manifestations with the ICF-CY.

    PubMed

    Kovac, Megan L; Simeonsson, Rune J

    2014-01-01

    Agenesis of the corpus callosum (ACC) is a congenital condition in which the corpus callosum fails to develop fully. In the literature, ACC has been broadly conceptualized and inconsistently described. This article demonstrates how the universal language of the International Classification of Functioning, Disability and Health-Children and Youth can increase the specificity with which researchers and clinicians describe the variable manifestations of ACC. The database for this article was based on a review of 83 studies on developmental and neuropsychological manifestations of congenital ACC in children and adolescents. First, the extent to which the findings on ACC could be documented using the taxonomic codes in the ICF-CY was examined. Next, the findings from each study were mapped onto the ICF-CY to summarize the distribution of clinical features reported in the literature. There was a high degree of correspondence between the reported findings and the taxonomic codes of the ICF-CY. The distribution of clinical features was discussed. This taxonomic application advances the ICF-CY as a common language for researchers and clinicians who work with children who have ACC. Implications for Rehabilitation Agenesis of the corpus callosum (ACC) is a condition that has been broadly conceptualized and inconsistently described in research and practice. The variable clinical manifestations of children with ACC can be most effectively described using the ICF-CY. The application of the ICF-CY to conditions with highly variable clinical manifestations, like ACC, positively impacts research and practice.

  1. Elaboration of the contextual factors of the ICF for Occupational Health Care.

    PubMed

    Heerkens, Yvonne F; de Brouwer, Carin P M; Engels, Josephine A; van der Gulden, Joost W J; Kant, IJmert

    2017-01-01

    Many work-related items are not included in the current classification of environmental factors from the International Classification of Functioning, Disability and Health (ICF). Furthermore, personal factors are not classified and the ICF only provides a very limited list of examples. These facts make the ICF less useful for occupational health care and for research in the field of occupation and health. The objective of this discussion paper is to introduce an elaboration of contextual factors, focussing on factors that influence work participation. During the last 12 years, we developed two concept lists from the bottom up. These lists are based on our experiences in teaching and research, suggestions from students and other researchers, and factors found in the literature. In the fall of 2015 a scoping literature review was done to check for missing factors in these two concept lists. An elaboration of contextual factors, consisting of a list of work-related environmental factors and a list of personal factors. Important contextual factors that influence work participation are identified. Researchers, teachers, students, occupational and insurance physicians, allied health care professionals, employers, employees, and policy makers are invited to use the elaboration and to make suggestions for improvement. The elaboration and the suggestions received can be used in the ICF revision process. The development of an ICF ontology must be given priority, to give room to this elaboration, which will increase the applicability of the ICF and enable mapping with other terminologies and classifications.

  2. Child oral health from the professional perspective - a global ICF-CY survey.

    PubMed

    Faulks, Denise; Molina, Gustavo; Eschevins, Caroline; Dougall, Alison

    2016-07-01

    The International Classification of Functioning, Disability and Health Children and Youth version (ICF-CY) (WHO) may serve as a tool for the application of holistic models of oral health. The ICF-CY Global Oral Health Survey explored international professional opinion regarding factors relating to child oral health, including social environment, functioning, activity, and participation. Networking resulted in 514 professionals from 81 countries registering for a two-round Delphi survey online. Participants were pooled into 18 groups according to six WHO world regions and three professional groups. In a randomized stratification process, eight from each pool (n = 144) completed the survey. The first round consisted of eight open-ended questions. Open-expression replies were analysed for meaningful concepts and linked using established rules to the ICF-CY. In the second round, items were rated for their relevance to oral health (86% response rate). A total of 86 ICF-CY items and 31 other factors were considered relevant to child oral health and function by at least 80% of professionals. The ICF-CY can describe the holistic experience of oral health in children from the professional perspective. The data from this study will contribute to the development of an ICF-CY Core Set in Oral Health. © 2015 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  3. International Classification of Functioning, Disability and Health: development of an assessment set to evaluate functioning based on the Brief ICF Core Set for Hand Conditions - ICF HandA.

    PubMed

    Kus, S; Dereskewitz, C; Coenen, M; Rauch, A; Rudolf, K-D

    2017-09-01

    Timely identification of patients' problems after disorder or injury of the hand requires a thorough functional assessment. However, the variety of outcome measures available makes it difficult to choose the appropriate instrument. The brief International Classification of Functioning, Disability and Health (Brief ICF Core Set for Hand Conditions) provides a standard for what aspects need to be measured in hand injuries and disorders without specifying how to make the assessment. We developed the ICF-based Assessment Hand (ICF HandA), an assessment set for functioning based on the Brief ICF Core Set for Hand Conditions. First, we performed a literature review and an expert survey to pool outcome measures appropriate to assess functioning in clinical practice. At an interdisciplinary consensus conference experts decided on the outcome measures to be included in the ICF HandA. The ICF HandA provides a consensus on outcome measures and instruments to systematically assess function in patients with hand injuries and disorders.

  4. Laser glass process development for the next generation of ICF lasers

    NASA Astrophysics Data System (ADS)

    Thorne, Alfred J.; Hayden, Joseph S.

    1997-12-01

    The next generation of high energy laser systems for ICF research demands an unprecedented volume of laser glass to be produced over a limited manufacturing period while still meeting ambitious targets of internal quality and overall cost. To meet this challenge, Schott has conceived a continuous manufacturing unit capable of producing 5,000 meter class PH 4 slabs of platinum particle-free phosphate laser glass within a three-year time period. This manufacturing unit concept draws on years of prior production experience with phosphate laser glass and other high quality optical materials but still represents a significant departure from the proven discontinuous manufacturing technology successfully employed over the last ten years for platinum-free phosphate laser glass. In addition, Schott has developed a new phosphate laser glass that simultaneously offers improvements in properties that relate to both laser performance and to characteristics related to forming the glass into large, high quality slabs. In this paper we will describe the key technology issues addressed in the manufacturing development and present a brief description of the planned manufacturing method to be employed. Lastly, the status of the development will be reviewed including characterization of pilot production melts of the new laser glass and the schedule for completion of the development program.

  5. ND:GLASS LASER DESIGN FOR LASER ICF FISSION ENERGY (LIFE)

    SciTech Connect

    Caird, J A; Agrawal, V; Bayramian, A; Beach, R; Britten, J; Chen, D; Cross, R; Ebbers, C; Erlandson, A; Feit, M; Freitas, B; Ghosh, C; Haefner, C; Homoelle, D; Ladran, T; Latkowski, J; Molander, W; Murray, J; Rubenchik, S; Schaffers, K; Siders, C W; Stappaerts, E; Sutton, S; Telford, S; Trenholme, J; Barty, C J

    2008-10-28

    We have developed preliminary conceptual laser system designs for the Laser ICF (Inertial Confinement Fusion) Fission Energy (LIFE) application. Our approach leverages experience in high-energy Nd:glass laser technology developed for the National Ignition Facility (NIF), along with high-energy-class diode-pumped solid-state laser (HEC-DPSSL) technology developed for the DOE's High Average Power Laser (HAPL) Program and embodied in LLNL's Mercury laser system. We present laser system designs suitable for both indirect-drive, hot spot ignition and indirect-drive, fast ignition targets. Main amplifiers for both systems use laser-diode-pumped Nd:glass slabs oriented at Brewster's angle, as in NIF, but the slabs are much thinner to allow for cooling by high-velocity helium gas as in the Mercury laser system. We also describe a plan to mass-produce pump-diode lasers to bring diode costs down to the order of $0.01 per Watt of peak output power, as needed to make the LIFE application economically attractive.

  6. Inertial confinement fusion. ICF quarterly report, October 1993--December 1993, Volume 4, Number 1

    SciTech Connect

    Powell, H.T.; Schleich, D.P.; Murphy, P.W.

    1994-05-01

    In the 1990 National Academy of Sciences (NAS) report of its review of the U.S. Inertial Confinement Fusion (ICF) Program, it was recommended that a high priority be placed on completing the Precision Nova Project and its associated experimental campaign. Since fiscal year 1990, the lab has therefore campaigned vigorously on Nova and in its supporting laboratories to develop the Precision Nova capabilities needed to perform the stressful target experiments recommended in the 1990 NAS report. The activities to enable these experiments have been directed at improvements in three areas - the Nova laser, target fabrication capabilities, and target diagnostics. As summarized in the five articles in this report, the Precision Nova improvements have been successfully completed. These improvements have had a positive impact on target performance and on the ability to diagnose the results, as evidenced by the HEP-1 experimental results. The five articles generally concentrate on improvements to the capabilities rather than on the associated target physics experiments. Separate abstracts are included for each paper.

  7. ICStatus and progress of the National Ignition Facility as ICF and HED user facility

    NASA Astrophysics Data System (ADS)

    Van Wonterghem, B. M.; Kauffman, R. L.; Larson, D. W.; Herrmann, M. C.

    2016-05-01

    Since its completion in 2009, the National Ignition Facility has been operated in support of NNSA's Stockpile Stewardship mission, providing unique experimental data in the high energy density regime. We will describe the progress made by the National Ignition facility in the user office and management, facility capabilities, target diagnostics and diagnostics development. We will also discuss the results of a major effort to increase the shot rate on NIF. An extensive set of projects, developed in conjunction with the HED community and drawing on best practices at other facilities, improved shot rate by over 80% and recently enabled us to deliver 356 target experiments in FY15 in support of the users. Through an updated experimental set-up and review process, computer controlled set-up of the laser and diagnostics and disciplined operations, NIF also continued to deliver experimental reliability, precision and repeatability. New and complex platforms are introduced with a high success rate. Finally we discuss how new capabilities and further efficiency improvements will enable the successful execution of ICF and HED experimental programs required to support the quest for Ignition and the broader Science Based Stockpile Stewardship mission

  8. Developing an integrated biomedical and behavioural theory of functioning and disability: adding models of behaviour to the ICF framework.

    PubMed

    Johnston, Marie; Dixon, Diane

    2014-01-01

    The International Classification of Functioning Disability and Health (ICF) offers an agreed language on which a scientific model of functional outcomes can be built. The ICF defines functional outcomes as activity and activity limitations (AL) and defines both in behavioural terms. The ICF, therefore, appears to invite explanations of AL as behaviours. Studies of AL find that psychological variables, especially perceptions of control, add to biomedical variables in predicting AL. Therefore, two improved models are proposed, which integrate the ICF with two psychological theories, the theory of planned behaviour (TPB) and social cognitive theory (SCT). These models have a sound evidence base as good predictors of behaviour, include perceived control constructs and are compatible with existing evidence about AL. When directly tested in studies of community and clinic-based populations, both integrated models (ICF/TPB and ICF/SCT) outperform each of the three basic models (ICF, TPB and SCT). However, when predicting activity rather than AL, the biomedical model of the ICF does not improve prediction of activity by TPB and SCT on their own. It is concluded that these models offer a better explanation of functional outcomes than the ICF alone and could form the basis for the development of improved models.

  9. ICF target technology at the Russian Federal Nuclear Center

    SciTech Connect

    Veselov, A.V.; Drozhin, V.S.; Druzhinin, A.A.; Izgorodin, V.M.; Iiyushechkin, B.N.; Kirillov, G.A.; Komleva, G.V.; Korochkin, A.M.; Medvedev, E.F.; Nikolaev, G.P.; Pikulin, I.V.; Pinegin, A.V.; Punin, V.T.; Romaev, V.N.; Sumatokhin, V.L.; Tarasova, N.N.; Tachaev, G.V.; Cherkesova, I.N.

    1995-12-01

    The main effort of the ICF target fabrication group is support of the experiments performed on the `ISKRA-4` and `ISKRA-5` laser systems. The main types of targets used in these experiments are direct drive, inverted corona, and indirect drive. For production of direct drive targets, manufacturing techniques have been developed for both hollow glass and polystyrene microspheres. Hollow glass microspheres are fabricated by free-fall of liquid glass drops or dry gel in a 4 meter vertical kiln. These methods allow us to manufacture glass microspheres with diameters from 50 {mu}m to 1 mm, wall thicknesses from 0.5 to 10 {mu}m, and aspect ratios (radius/ wall) from 20 to 500. The microspheres have a thickness inhomogeneity less than 5% and non-sphericity less than 1%. Polystyrene microspheres are fabricated from polystyrene particles with a blowing agent in a similar vertical kiln. Polystyrene microspheres are fabricated with diameter up to 800 {mu}m and wall thicknesses from 1 to 10 {mu}m. 15 refs., 8 figs.

  10. Advances in compact proton spectrometers for diagnosing ICF experiments

    NASA Astrophysics Data System (ADS)

    Seguin, F. H.; Sinenian, N.; Manuel, M.; Rinderknecht, H. G.; Rosenberg, M.; Zylstra, A.; Frenje, J.; Li, C. K.; Petrasso, R.; Roberts, S.; Sangster, T. C.

    2011-10-01

    The compact proton spectrometer (or WRF, for Wedge-Range-Filter proton spectrometer) measures the spectra of protons in the energy range ~ 3 to 20 MeV for diagnosing ICF experiments. It utilizes CR-39 for detecting individual protons and their energies, after they pass through a ranging filter with a continuously varying thickness, and appropriate algorithms for reconstructing the incident spectrum. It has now been in use for a decade at OMEGA, and is currently being used at the NIF, for measuring spectra of primary D3He protons in D3He implosions, secondary D3He protons in DD implosions, and ablator protons in DT implosions. These spectra are used to determine proton yields, shell areal density at shock-bang time and compression-bang time, fuel areal density, and implosion symmetry. During the decade of use there have been significant changes in fabrication and in analysis algorithms. An overview will be given here of the historical development, current analysis methods, and measurement accuracy. This work was supported in part by DOE and LLE.

  11. Simulation of instability growth on ICF capsule ablators

    NASA Astrophysics Data System (ADS)

    Niasse, Nicolas; Chittenden, Jeremy

    2014-10-01

    It is believed that the ablation-front instabilities are mainly responsible for the hot-spot mix that impacts the performance of ICF capsules. Understanding the formation of these instabilities is therefore a first step towards a better control of the implosion dynamics and the optimization of the fusion yield. Using the Chimera code currently in development at Imperial College, we have performed several spherical wedge simulations of the low and high adiabat ablation phase pre-imposing different single-mode 2D and 3D perturbations on the capsule surface. Synthetic Sc, Fe and V X-ray backlighter images are generated by the Spk code and used to measure the growth of modes 30-160 with initial amplitude <= 3.4 μm PTV. The growth of imposed 2D perturbations is assessed for both low-foot and high-foot radiation pulse shapes on the National Ignition Facility. Results showing the merger of spike and bubble structures in multi-mode perturbations in both 2D and 3D simulations are explored and preliminary assessments of the difference between 2D and 3D non-linear behaviour is discussed. The sensitivity of shock timing to NLTE changes in opacity is also assessed.

  12. Fuel Cavity Asymmetry at the Onset of Deceleration in ICF

    NASA Astrophysics Data System (ADS)

    Shah, Rahul C.; Wysocki, F. J.; Glebov, V.; Hakel, P.; Joshi, T.; Kagan, G.; Mancini, R. C.; Murphy, T. J.; Stoeckl, C.; Yaakobi, B.; Benage, J. F.

    2014-10-01

    In ICF, the impact on symmetry of low mode drive non-uniformity is amplified by high convergence. Measurements have shown low mode areal density variation, however, direct impact of low modes on fuel volume has remained undemonstrated. We suggest our images provide first evidence of symmetry loss at the fuel-shell interface. The experiments use direct-drive spherical implosions (Omega). The inner 100 nm layer of the plastic shell is doped with diagnostic Ti to obtain information about interface position, temperature and density. Measurement is made at onset of deceleration at which time nuclear yield rate (NTD) and time resolved (SSCA) spectrum both are in agreement with 1-D prediction. Spectrally resolved images are obtained using the Multiple Monochromatic Imager, which combines a pinhole array with x-ray dispersive mirror and gated detector. Angle averaging of the limb-brightened image data also shows agreement with the 1D calculation. However, the 2D image shows ~20% brightness variations over modes 2-10. These modulations are discussed in context of predicted variations of interface position.

  13. Modeling and diagnosing interface mix in layered ICF implosions

    NASA Astrophysics Data System (ADS)

    Weber, C. R.; Berzak Hopkins, L. F.; Clark, D. S.; Haan, S. W.; Ho, D. D.; Meezan, N. B.; Milovich, J. L.; Robey, H. F.; Smalyuk, V. A.; Thomas, C. A.

    2015-11-01

    Mixing at the fuel-ablator interface of an inertial confinement fusion (ICF) implosion can arise from an unfavorable in-flight Atwood number between the cryogenic DT fuel and the ablator. High-Z dopant is typically added to the ablator to control the Atwood number, but recent high-density carbon (HDC) capsules have been shot at the National Ignition Facility (NIF) without this added dopant. Highly resolved post-shot modeling of these implosions shows that there was significant mixing of ablator material into the dense DT fuel. This mix lowers the fuel density and results in less overall compression, helping to explain the measured ratio of down scattered-to-primary neutrons. Future experimental designs will seek to improve this issue through adding dopant and changing the x-ray spectra with a different hohlraum wall material. To test these changes, we are designing an experimental platform to look at the growth of this mixing layer. This technique uses side-on radiography to measure the spatial extent of an embedded high-Z tracer layer near the interface. Work performed under the auspices of the U.S. D.O.E. by Lawrence Livermore National Laboratory under Contract No. DE-AC52-07NA27344.

  14. Development of an asymmetrically driven, inviscid-hydrodynamics ICF platform

    NASA Astrophysics Data System (ADS)

    Krasheninnikova, Natalia; Hsu, Scott; Thomas, Vincent

    2016-10-01

    We describe the development of a new, asymmetrically driven ICF concept, proposed to be tested on OMEGA for improving predictive capability. It is designed to experimentally investigate the evolution of low-mode-number perturbations at the pusher/gas interface, which are predicted by high-resolution RAGE simulations and are not seen in more-prevalent lower-resolution ones. These features are deterministically seeded by appropriately chosen asymmetric drive and play a dominant role in energy transport at later stages of the implosion. The proposed design will utilize spherical plastic shell of about 800 um in filled with 5-10 atm of DD gas and driven by an asymmetrical 1-ns square pulse. This concept is designed to be well described by the Euler equations (Re >> 1, Pe >> 1, and negligible radiation pressure) in order to be well suited for detailed code comparison. The laser drive is designed to grow low-mode perturbations at the pusher/gas interface (of the type seen in the high-resolution simulations) that persist late into the implosion. We show initial simulation results, comparisons with symmetrically driven implosions, and discuss the plan for diagnosing the signatures of the evolution of the low-mode features.

  15. Standardized reporting of functioning information on ICF--based common metrics.

    PubMed

    Prodinger, Birgit; Tennant, Alan; Stucki, Gerold

    2017-05-23

    In clinical practice and research a variety of clinical data collection tools are used to collect information on people's functioning for clinical practise and research and National Health Information Systems. Reporting on ICF-based common metrics enables standardized documentation of functioning information in national health information systems. The objective of this methodological note on applying the ICF in rehabilitation is to demonstrate how to report functioning information collected with a data collection tool on ICF-based common metrics. We first specify the requirements for the standardized reporting of functioning information. Secondly, we introduce the methods needed for transforming functioning data to ICF-based common metrics. Finally, we provide an example. The requirements for standardized reporting are as follows: 1) having a common conceptual framework to enable content comparability between any health information; and 2) a measurement framework so that scores between two or more clinical data collection tools can be directly compared. The methods needed to achieve these requirements are the ICF Linking Rules and the Rasch Measurement Model. Using data collected incorporating the 36- item Short Form Health Survey (SF-36), the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), and the Stroke Impact Scale 3.0 (SIS 3.0), the application of the standardized reporting based on common metrics is demonstrated. A subset of items from the three tools linked to common chapters of the ICF (d4 Mobility, d5 Self-care and d6 Domestic life), were entered as 'super items' into the Rasch model. Good fit was achieved with no residual local dependency and a unidimensional metric. A transformation table allows for comparison between scales, and between a scale and the reporting common metric. Being able to report functioning information collected with commonly used clinical data collection tools with ICF-based common metrics enables clinicians

  16. Progress toward the delivery of high energy pulses with the Aurora KrF/ICF laser system

    SciTech Connect

    Rosocha, L.A.; Anderson, R.G.; Czuchlewski, S.J.; Hanlon, J.A.; Jones, R.G.; Kang, M.; Mansfield, C.R.; Thomas, S.J.; Watt, R.G.; Figueira, J.F.

    1988-01-01

    Because of the attractiveness of short wavelength lasers for inertial confinement fusion (ICF), the Los Alamos National Laboratory is engaged in a program to investigate the feasibility of high power KrF lasers as future ICF drivers. The main hardware element in this program is the Aurora KrF laser system, which is a prototype for demonstrating the applicability of optical angular multiplexing and serial amplification by large electron-beam-driven KrF laser amplifiers to potential large-scale fusion drivers. Multiplexing is a straightforward scheme for matching the energetic component (/approximately/5 ns) of the required target pulse to the longer pulse time (/approximately/500 ns) required for practical, efficient large-scale KrF laser amplifier operation. Aurora uses a multiplexed 96-element train of 5-ns pulses, which is amplified and passed through a demultiplexer, where all pulses in the train are stacked in time by using suitable time-of-flight delays. Presently, the laser system is configured to deliver 48 stacked 5-ns pulses to the target at multikilojoule energy levels. In principal, it is possible to extract energy levels exceeding 10 kJ from the final Aurora amplifier. In this paper, we will report on the performance of the front end, amplifiers, and the optical train. Amplifier improvements, energy extraction experiments, and subsequent progress in the delivery of demultiplexed pulses to the target plane will also be discussed. As of this conference, we have tested the amplifier upgrade hardware, measured the gain on two modified amplifiers, installed optics on the main power amplifier, sized the beams to the target chamber, and begun firing the amplifier chain in a step-by-step process of integration from the front end lasers to the target plane. At the time of presentation, the second amplifier in the chain of four has exceeded the original design output of 50 J by more than 20%. 11 refs., 15 figs., 3 tabs.

  17. LANL HED Programs Overview

    SciTech Connect

    Flippo, Kirk Adler

    2015-04-23

    The Powerpoint presentation provides an overview of High-Energy Density (HED) Physis, ICF and Burning Plasma research programs at Los Alamos National Lab. in New Mexico. Work in nuclear diagnostics is also presented, along with a summary of collaborations and upcoming projects.

  18. Validation of the Comprehensive ICF Core Set for Vocational Rehabilitation From the Perspective of Physical Therapists: International Delphi Survey.

    PubMed

    Kaech Moll, Veronika M; Escorpizo, Reuben; Portmann Bergamaschi, Ruth; Finger, Monika E

    2016-08-01

    The Comprehensive ICF Core Set for vocational rehabilitation (VR) is a list of essential categories on functioning based on the World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF), which describes a standard for interdisciplinary assessment, documentation, and communication in VR. The aim of this study was to examine the content validity of the Comprehensive ICF Core Set for VR from the perspective of physical therapists. A 3-round email survey was performed using the Delphi method. A convenience sample of international physical therapists working in VR with work experience of ≥2 years were asked to identify aspects they consider as relevant when evaluating or treating clients in VR. Responses were linked to the ICF categories and compared with the Comprehensive ICF Core Set for VR. Sixty-two physical therapists from all 6 WHO world regions responded with 3,917 statements that were subsequently linked to 338 ICF categories. Fifteen (17%) of the 90 categories in the Comprehensive ICF Core Set for VR were confirmed by the physical therapists in the sample. Twenty-two additional ICF categories were identified that were not included in the Comprehensive ICF Core Set for VR. Vocational rehabilitation in physical therapy is not well defined in every country and might have resulted in the small sample size. Therefore, the results cannot be generalized to all physical therapists practicing in VR. The content validity of the ICF Core Set for VR is insufficient from solely a physical therapist perspective. The results of this study could be used to define a physical therapy-specific set of ICF categories to develop and guide physical therapist clinical practice in VR. © 2016 American Physical Therapy Association.

  19. Content validity of the Comprehensive ICF Core Set for multiple sclerosis from the perspective of speech and language therapists.

    PubMed

    Renom, Marta; Conrad, Andrea; Bascuñana, Helena; Cieza, Alarcos; Galán, Ingrid; Kesselring, Jürg; Coenen, Michaela

    2014-11-01

    The Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Multiple Sclerosis (MS) is a comprehensive framework to structure the information obtained in multidisciplinary clinical settings according to the biopsychosocial perspective of the International Classification of Functioning, Disability and Health (ICF) and to guide the treatment and rehabilitation process accordingly. It is now undergoing validation from the user perspective for which it has been developed in the first place. To validate the content of the Comprehensive ICF Core Set for MS from the perspective of speech and language therapists (SLTs) involved in the treatment of persons with MS (PwMS). Within a three-round e-mail-based Delphi Study 34 SLTs were asked about PwMS' problems, resources and aspects of the environment treated by SLTs. Responses were linked to ICF categories. Identified ICF categories were compared with those included in the Comprehensive ICF Core Set for MS to examine its content validity. Thirty-four SLTs named 524 problems and resources, as well as aspects of environment. Statements were linked to 129 ICF categories (60 Body-functions categories, two Body-structures categories, 42 Activities-&-participation categories, and 25 Environmental-factors categories). SLTs confirmed 46 categories in the Comprehensive ICF Core Set. Twenty-one ICF categories were identified as not-yet-included categories. This study contributes to the content validity of the Comprehensive ICF Core Set for MS from the perspective of SLTs. Study participants agreed on a few not-yet-included categories that should be further discussed for inclusion in a revised version of the Comprehensive ICF Core Set to strengthen SLTs' perspective in PwMS' neurorehabilitation. © 2014 Royal College of Speech and Language Therapists.

  20. An ICF-CY-based content analysis of the Vineland Adaptive Behavior Scales-II.

    PubMed

    Gleason, Kara; Coster, Wendy

    2012-12-01

    The International Classification of Functioning, Disability and Health (ICF), and its version for children and youth (ICF-CY), has been increasingly adopted as a system to describe function and disability. A content analysis of the Vineland Adaptive Behavior Scales-II (VABS-II) was conducted to examine congruence with the functioning and disability component of this framework. The 383 VABS-II items contained a total of 1,231 concepts. Established linking rules were used to map these concepts to ICF-CY codes. Overall the VABS-II concepts were well represented in the ICF-CY. Most of the concepts mapped to activity codes; however, about 30% of concepts were coded as body function. Most concepts represented relatively discrete activities, with more limited coverage of broader categories often included in measures of participation. The VABS-II content maps well to the ICF-CY activity/participation codes. Although VABS-II items ask about typical performance, item requirements often imply specific means of performance.

  1. Nature and the natural environment as health facilitators: the need to reconceptualize the ICF environmental factors.

    PubMed

    Day, Adam M B; Theurer, Julie A; Dykstra, Allyson D; Doyle, Philip C

    2012-01-01

    This work examines the environmental factors component of the International Classification of Functioning, Disability, and Health (ICF) relative to current health-facilitating evidence about natural environmental factors. We argue that the environmental factors component warrants reconceptualization in order to offer an extended and more systematic framework for identifying and measuring health-facilitating natural environmental factors. Current evidence highlighting the potential health-facilitating benefits of natural environmental factors is synthesized and considered in the context of the ICF framework and its coding system. In its current form, the ICF's conceptual framework and coding system are inadequate for identifying and measuring natural environmental factors in individuals and groups with and/or without health conditions. The ICF provides an advanced framework for health and disability that reflects contemporary conceptualizations about health. However, given the scope of emerging evidence highlighting positive health and well-being outcomes associated with natural environmental factors, we believe the environmental factors component requires further advancement to reflect this current knowledge. Reconceptualizing the environmental factors component supports a more holistic interpretation of the continuum of environmental factors as both facilitators and barriers. In doing so, it strengthens the ICF's utility in identifying and measuring health-facilitating natural environmental factors.

  2. Nonequilibrium pulsed plasma: ICF target, neutron, and x-ray sources applications

    NASA Astrophysics Data System (ADS)

    Gus'kov, Sergei Y.

    2001-04-01

    The approaches based on the properties of nonequilibrium pulsed plasmas to develop ICF target design and some ICF application problems are discussed. The methods of the creation of pulsed plasmas with essential properties on the laser radiation absorption and the emission of soft x-ray, fast ions and thermonuclear neutrons are proposed. Theoretical and experimental results are presented on the following fields: 1) laser-produced plasma of porous matter of light elements as a direct ICF target absorber smoothing the laser energy deposition nonuniformities; 2) laser- produced plasma of the composed materials which are the porous medium of light elements with a distribute solid clusters of heavy elements as a wide-range x-ray converter of the ICF target at the direct irradiation by laser beams; 3) laser-produced plasma of regularly volume-structured matter consisting of an ensemble of alternate thin layers of high and low density material containing a thermonuclear fuel or an ensemble of microshells in contact with an one another mode of a material contain such a fuel as a high power neutron source with the intensity more than 1010 DT neutron per one joule of laser energy; 4) high-power- laser-produced plasma of thin foil as a source of light Mev- ions for the direct ignition of ICF target.

  3. Feasibility of the Dutch ICF Activity Inventory: a pilot study

    PubMed Central

    2010-01-01

    Background Demographic ageing will lead to increasing pressure on visual rehabilitation services, which need to be efficiently organised in the near future. The Dutch ICF Activity Inventory (D-AI) was developed to assess the rehabilitation needs of visually impaired persons. This pilot study tests the feasibility of the D-AI using a computer-assisted telephone interview. Methods In addition to the regular intake, the first version of the D-AI was assessed in 20 patients. Subsequently, patients and intake assessors were asked to fill in an evaluation form. Based on these evaluations, a new version of the D-AI was developed. Results Mean administration time of the D-AI was 88.8 (± 41.0) minutes. Overall, patients and assessors were positive about the D-AI assessment. However, professionals and 60% of the patients found the administration time to be too long. All included items were considered relevant and only minor adjustments were recommended. Conclusion The systematic character of the revised D-AI will prevent topics from being overlooked and indicate which needs have the highest priority from a patient-centred perspective. Moreover, ongoing assessment of the D-AI will enhance evaluation of the rehabilitation process. To decrease administration time, in the revised D-AI only the top priority goals will be fully assessed. Using the D-AI, a rehabilitation plan based on individual needs can be developed for each patient. Moreover, it enables better evaluation of the effects of rehabilitation. A larger validation study is planned. PMID:21110871

  4. ICF Ablator Physics Experiments on Saturn and Nova

    NASA Astrophysics Data System (ADS)

    Olson, Rick

    1996-11-01

    In indirect drive ICF, the driver energy is absorbed in a high-Z enclosure (or "hohlraum") that surrounds a spherical shell (or "capsule") containing DT fuel. The hohlraum walls are heated by the driver and emit x-rays, which are absorbed by the capsule material (the "ablator") and drive the implosion. We have used the Saturn z-pinch at SNL and the Nova laser at LLNL to explore the behavior of ablator material in x-ray radiation environments comparable in magnitude, spectrum and duration to those that will be experienced in National Ignition Facility (NIF) hohlraums. The large x-ray outputs available from pulsed-power driven z-pinches have enabled us to drive hohlraums of full NIF ignition scale size at radiation temperatures and timescales comparable to those required for the low power "foot" pulse of an ignition capsule. The high intensity of the Nova laser has allowed us to study capsule ablator physics in smaller scale hohlraums at radiation temperatures and timescales relevant to the peak power pulse for an ignition capsule. Taken together, these experiments have allowed us test our radiation-hydrodynamics computer code predictions of ablator opacity, radiation flow, and equation of state over almost the complete range of radiation environments to be encountered in a NIF hohlraum. * in collaboration with J. Porter, G. Chandler, D. Fehl, D. Jobe, R. Leeper, K. Matzen, J. McGurn, D. Noack, L. Ruggles, P. Sawyer, J. Torres, M. Vargas, D. Zagar (SNL), and H. Kornblum, T. Orzechowski, L. Suter, R. Thiessen, R. Wallace (LLNL), and the Saturn and Nova operations and diagnostic crews at SNL and LLNL. +This work was supported by the U. S. Department of Energy under Contract No. DE-AC04-94AL85000.

  5. 42 CFR 442.119 - Duration of denial of payments and subsequent termination of an ICF/MR.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Duration of denial of payments and subsequent termination of an ICF/MR. 442.119 Section 442.119 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... § 442.119 Duration of denial of payments and subsequent termination of an ICF/MR. (a) Period of...

  6. 42 CFR 442.117 - Termination of certification for ICFs/MR whose deficiencies pose immediate jeopardy.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... deficiencies pose immediate jeopardy. 442.117 Section 442.117 Public Health CENTERS FOR MEDICARE & MEDICAID... ICFs/MR § 442.117 Termination of certification for ICFs/MR whose deficiencies pose immediate jeopardy... chapter. (2) The facility's deficiencies pose immediate jeopardy to residents' health and safety. (b...

  7. Development of ICF Core Sets to standardize assessment of functioning and impairment in ADHD: the path ahead.

    PubMed

    Bölte, Sven; de Schipper, Elles; Holtmann, Martin; Karande, Sunil; de Vries, Petrus J; Selb, Melissa; Tannock, Rosemary

    2014-12-01

    In the study of health and quality of life in attention deficit/hyperactivity disorder (ADHD), it is of paramount importance to include assessment of functioning. The International Classification of Functioning, Disability and Health (ICF) provides a comprehensive, universally accepted framework for the description of functioning in relation to health conditions. In this paper, the authors outline the process to develop ICF Core Sets for ADHD. ICF Core Sets are subgroups of ICF categories selected to capture the aspects of functioning that are most likely to be affected in specific disorders. The ICF categories that will be included in the ICF Core Sets for ADHD will be determined at an ICF Core Set Consensus Conference, wherein evidence from four preliminary studies (a systematic review, an expert survey, a patient and caregiver qualitative study, and a clinical cross-sectional study) will be integrated. Comprehensive and Brief ICF Core Sets for ADHD will be developed with the goal of providing useful standards for research and clinical practice, and to generate a common language for the description of functioning in ADHD in different areas of life and across the lifespan.

  8. [Relevance of personal contextual factors of the ICF for use in practical social medicine and rehabilitation].

    PubMed

    Grotkamp, S; Cibis, W; Bahemann, A; Baldus, A; Behrens, J; Nyffeler, I D; Echterhoff, W; Fialka-Moser, V; Fries, W; Fuchs, H; Gmünder, H P; Gutenbrunner, C; Keller, K; Nüchtern, E; Pöthig, D; Queri, S; Rentsch, H P; Rink, M; Schian, H-M; Schian, M; Schmitt, K; Schwarze, M; Ulrich, P; von Mittelstaedt, G; Seger, W

    2014-03-01

    Personal contextual factors play an essential part in the model of the International Classification of Functioning, Disability and Health (ICF). The WHO has not yet classified personal factors for global use although they impact on the functioning of persons positively or negatively. In 2010, the ICF working group of the German Society of Social Medicine and Prevention (DGSMP) presented a proposal for the classification of personal factors into 72 categories previously arranged in 6 chapters. Now a positioning paper has been added in order to stimulate a discussion about the fourth component of the ICF, to contribute towards a broader and common understanding about the nature of personal factors and to incite a dialogue among all those involved in health care as well as those people with or with-out health problems in order to gain a comprehensive perspective about a person's condition.

  9. Laser pulse spatial-temporal inversion technology for ICF laser facility

    NASA Astrophysics Data System (ADS)

    Zhang, Ying; Geng, Yuanchao; Chen, Lin; Huang, Wanqing; Zhao, Junpu; Wang, Wenyi; Liu, Lanqin; Zheng, Kuixing; Zhu, Qihua; Wei, Xiaofeng

    2017-05-01

    The laser pulse should be shaped to satisfy the ICF physical requirement and the profile should be flattened to increase the extraction efficiency of the disk amplifiers and to ensure system safety in ICF laser facility. The spatial-temporal distribution of the laser pulse is affected by the gain saturation, uniformity gain profile of the amplifiers, and the frequency conversion process. The pulse spatial-temporal distribution can't be described by simply analytic expression, so new iteration algorithms are needed. We propose new inversion method and iteration algorithms in this paper. All of these algorithms have been integrated in SG99 software and the validity has been demonstrated. The result could guide the design of the ICF laser facility in the future.

  10. Theoretical Investigation of Strong Coupling and Degeneracy Effects in ICF Implosions

    NASA Astrophysics Data System (ADS)

    Hu, S. X.; Goncharov, V. N.; Boehly, T. R.; Radha, P. B.; Skupsky, S.; Militze, B.

    2009-11-01

    Accurate knowledge of the equation of state (EOS) and opacity is essential to inertial confinement fusion (ICF). Low-adiabat ICF implosion designs reach strongly coupled, degenerate plasma conditions. Using the first-principles, path-integral Monte Carlo method, we have established an EOS table of deuterium, spanning typical ICF shell conditions (densities of 0.001 to 100 g/cc and temperatures of 1 eV to 1 keV). Noticeable differences in energy/pressure at moderately coupled, degenerate regimes have been found in comparison to the SESAME and Thomas-Fermi EOS. Hydrodynamic simulations using these EOS's and opacities for OMEGA implosions will be presented. This work was supported by U.S. Department of Energy Office of Inertial Confinement Fusion under Cooperative Agreement No. DE-FC52-08NA28302.

  11. Utility of the International Classification of Functioning, Disability and Health (ICF) for educational psychologists’ work

    PubMed Central

    Aljunied, Mariam; Frederickson, Norah

    2014-01-01

    Despite embracing a bio-psycho-social perspective, the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) assessment framework has had limited application to date with children who have special educational needs (SEN). This study examines its utility for educational psychologists’ work with children who have Autism Spectrum Disorders (ASD). Mothers of 40 children with ASD aged eight to 12 years were interviewed using a structured protocol based on the ICF framework. The Diagnostic Interview for Social and Communication Disorder (DISCO) was completed with a subset of 19 mothers. Internal consistency and inter-rater reliability of the interview assessments were found to be acceptable and there was evidence for concurrent and discriminant validity. Despite some limitations, initial support for the utility of the ICF model suggests its potential value across educational, health and care fields. Further consideration of its relevance to educational psychologists in new areas of multi-agency working is warranted. PMID:26157197

  12. An international qualitative study of ability and disability in ADHD using the WHO-ICF framework.

    PubMed

    Mahdi, Soheil; Viljoen, Marisa; Massuti, Rafael; Selb, Melissa; Almodayfer, Omar; Karande, Sunil; de Vries, Petrus J; Rohde, Luis; Bölte, Sven

    2017-03-28

    This is the third in a series of four cross-cultural empirical studies designed to develop International Classification of Functioning, Disability and Health (ICF, and Children and Youth version, ICF(-CY) Core Sets for Attention-Deficit Hyperactivity Disorder (ADHD). To explore the perspectives of individuals diagnosed with ADHD, self-advocates, immediate family members and professional caregivers on relevant areas of impairment and functional abilities typical for ADHD across the lifespan as operationalized by the ICF(-CY). A qualitative study using focus group discussions or semi-structured interviews of 76 participants, divided into 16 stakeholder groups. Participants from five countries (Brazil, India, Saudi Arabia, South Africa and Sweden) were included. A deductive qualitative content analysis was conducted to extract meaningful functioning and disability concepts from verbatim material. Extracted concepts were then linked to ICF(-CY) categories by independent researchers using a standardized linking procedure. In total, 82 ICF(-CY) categories were identified, of which 32 were related to activities and participation, 25 to environmental factors, 23 to body functions and 2 to body structures. Participants also provided opinions on experienced positive sides to ADHD. A high level of energy and drive, creativity, hyper-focus, agreeableness, empathy, and willingness to assist others were the most consistently reported strengths associated with ADHD. Stakeholder perspectives highlighted the need to appraise ADHD in a broader context, extending beyond diagnostic criteria into many areas of ability and disability as well as environmental facilitators and barriers. This qualitative study, along with three other studies (comprehensive scoping review, expert survey and clinical study), will provide the scientific basis to define ICF(-CY) Core Sets for ADHD, from which assessment tools can be derived for use in clinical and research setting, as well as in health care

  13. Altered Intra-Nuclear Organisation of Heterochromatin and Genes in ICF Syndrome

    PubMed Central

    Jefferson, Andrew; Colella, Stefano; Moralli, Daniela; Wilson, Natalie; Yusuf, Mohammed; Gimelli, Giorgio; Ragoussis, Jiannis; Volpi, Emanuela V.

    2010-01-01

    The ICF syndrome is a rare autosomal recessive disorder, the most common symptoms of which are immunodeficiency, facial anomalies and cytogenetic defects involving decondensation and instability of chromosome 1, 9 and 16 centromeric regions. ICF is also characterised by significant hypomethylation of the classical satellite DNA, the major constituent of the juxtacentromeric heterochromatin. Here we report the first attempt at analysing some of the defining genetic and epigenetic changes of this syndrome from a nuclear architecture perspective. In particular, we have compared in ICF (Type 1 and Type 2) and controls the large-scale organisation of chromosome 1 and 16 juxtacentromeric heterochromatic regions, their intra-nuclear positioning, and co-localisation with five specific genes (BTG2, CNN3, ID3, RGS1, F13A1), on which we have concurrently conducted expression and methylation analysis. Our investigations, carried out by a combination of molecular and cytological techniques, demonstrate the existence of specific and quantifiable differences in the genomic and nuclear organisation of the juxtacentromeric heterochromatin in ICF. DNA hypomethylation, previously reported to correlate with the decondensation of centromeric regions in metaphase described in these patients, appears also to correlate with the heterochromatin spatial configuration in interphase. Finally, our findings on the relative positioning of hypomethylated satellite sequences and abnormally expressed genes suggest a connection between disruption of long-range gene-heterochromatin associations and some of the changes in gene expression in ICF. Beyond its relevance to the ICF syndrome, by addressing fundamental principles of chromosome functional organisation within the cell nucleus, this work aims to contribute to the current debate on the epigenetic impact of nuclear architecture in development and disease. PMID:20613881

  14. Overlap and Nonoverlap Between the ICF Core Sets for Hearing Loss and Otology and Audiology Intake Documentation.

    PubMed

    van Leeuwen, Lisette M; Merkus, Paul; Pronk, Marieke; van der Torn, Marein; Maré, Marcel; Goverts, S Theo; Kramer, Sophia E

    The International Classification of Functioning Disability and Health (ICF) Core Sets for Hearing Loss (HL) were developed to serve as a standard for the assessment and reporting of the functioning and health of patients with HL. The aim of the present study was to compare the content of the intake documentation currently used in secondary and tertiary hearing care settings in the Netherlands with the content of the ICF Core Sets for HL. Research questions were (1) to what extent are the ICF Core Sets for HL represented in the Dutch Otology and Audiology intake documentation? (2) are there any extra ICF categories expressed in the intake documentation that are currently not part of the ICF Core Sets for HL, or constructs expressed that are not part of the ICF? Multicenter patient record study including 176 adult patients from two secondary, and two tertiary hearing care settings. The intake documentation was selected from anonymized patient records. The content was linked to the appropriate ICF category from the whole ICF classification using established linking rules. The extent to which the ICF Core Sets for HL were represented in the intake documentation was determined by assessing the overlap between the ICF categories in the Core Sets and the list of unique ICF categories extracted from the intake documentation. Any extra constructs that were expressed in the intake documentation but are not part of the Core Sets were described as well, differentiating between ICF categories that are not part of the Core Sets and constructs that are not part of the ICF classification. In total, otology and audiology intake documentation represented 24 of the 27 Brief ICF Core Set categories (i.e., 89%), and 60 of the 117 Comprehensive ICF Core Set categories (i.e., 51%). Various ICF Core Sets categories were not represented, including higher mental functions (Body Functions), civic life aspects (Activities and Participation), and support and attitudes of family (Environmental

  15. The Development of a Framework for Target Diagnostic Centralized Control System (TDCCS) in ICF Experiments

    NASA Astrophysics Data System (ADS)

    Zhang, Chi; Wang, Jian; Yu, Xiaoqi; Yang, Dong

    2008-02-01

    A framework for target diagnostic centralized control system (TDCCS) in inertial confinement fusion (ICF) experiment has been developed. The developed framework is based on the common object request broker architecture (CORBA) standard and part of the concept from the ICFRoot (a framework based on ROOT for ICF experiments) framework design. This framework is of a component architecture, including a message bus, command executer, status processor, parser and proxy. To test the function of the framework, a simplified prototype of the TDCCS has been developed as well.

  16. ICF-based approach to evaluating functionality in cardiac rehabilitation patients after heart surgery.

    PubMed

    Racca, V; Di Rienzo, M; Mazzini, P; Ripamonti, V; Gasti, G; Spezzaferri, R; Modica, M; Ferratini, M

    2015-08-01

    Heart surgery is a frequent reason for admission to in-patient cardiac rehabilitation programmes. ICF approach has never been used to evaluate cardiac patients after major heart surgery. The aim was to evaluate and measure functionality in cardiac patients who have undergone heart surgery, using for the first time the ICF-based approach and to assess whether such approach can be feasible and useful in cardiac rehabilitation. Observational study. In-patients cardiac Rehabilitation Unit in Milan. Fifty consecutively admitted patients who had undergone heart surgery (34 males, 16 females; mean age 65.7±12.5 years). We prepared a ICF-core set short enough to be feasible and practical. Patients were individually interviewed by different healthcare professionals (randomly selected from a group of two physicians, two physiotherapists and two psychologists) at the beginning (T1) and end of cardiac rehabilitation (T2) RESULTS: The sum of the scores of each ICF body function, body structure, activity and participation code significantly decreased between T1 and T2 (P<0.001). The environmental code scores significantly decreased in the case of facilitators between T1 and T2 (P=0.0051), but not in the case of barriers. There were significant correlations between the ICF body function scores and Barthel's index (ρ=0.381; P=0.006), NYHA class (ρ=0.404; P=0.004) and plasma Cr-P levels (r=0.31; P=0.03), between the ICF body structure codes and the Conley scale (ρ=0.306; P=0.02), and between the activity/participation codes and SpO2 (ρ=0.319; P=0.04). There were no correlations between the ICF environmental codes and clinical parameters. The ICF-based data provided functional information that was consistent with the patients' clinical course. The core set used allowed to quantify important body functions and activities, including some areas that are generally insufficiently considered by healthcare professionals during cardiac rehabilitation, and document their improvement.

  17. The experience of having psoriasis through the lens of the International Classification of Functioning, Disability and Health (ICF).

    PubMed

    Campbell, Adam; Hocking, Clare; Taylor, William J

    2014-11-01

    The International Classification of Functioning, Disability and Health (ICF) was developed by the World Health Organization to comprehensively describe the ways that health conditions can affect people. The identification of ICF categories of most relevance to people with a particular disease can increase the usefulness of the ICF and create a reference for outcome studies. This study aimed to ascertain, through focus group interviews with psoriasis patients and an online Delphi survey with health professionals, the impacts of psoriasis as categorised by the ICF. We conducted and transcribed verbatim focus group interviews with 32 outpatients with psoriasis from two New Zealand cities. The interview transcripts were analysed to yield meaning units and concepts contained in the meaning units were extracted. These concepts were linked to ICF categories. An online Delphi survey among 23 health professionals was conducted to obtain similar information. The ICF categories were rated for their perceived relevance to psoriasis by health professionals over three iterations. In total, 32 patients participated in six focus groups. Interview saturation was reached after five focus groups. The concepts were linked to 83 ICF categories and two separate health conditions. Among health professionals, 167 ICF categories were rated, mostly in the moderately relevant (four to six) range. Applying the established method of meaning condensation to focus group interview transcripts allowed the accurate linking of concepts to ICF categories. This will be of use to researchers developing the first ICF core set for psoriasis in the future. © 2013 The Authors. Australasian Journal of Dermatology © 2013 The Australasian College of Dermatologists.

  18. Science and code validation program to secure ignition on LMJ

    NASA Astrophysics Data System (ADS)

    Lefebvre, E.; Boniface, C.; Bonnefille, M.; Casner, A.; Esnault, C.; Galmiche, D.; Gauthier, P.; Girard, F.; Gisbert, R.; Leidinger, J.-P.; Loiseau, P.; Masse, L.; Masson-Laborde, P.-E.; Mignon, P.; Monteil, M.-C.; Seytor, P.; Tassin, V.

    2016-03-01

    The CEA/DAM ICF experimental program is currently conducted on LIL and Omega with the goal of improving our simulation tool, the FCI2 code. In this effort, we focus on typical ICF observables: hohlraum radiation drive history, capsule core shape and neutron emission history, hydrodynamic instability growth. In addition to integrated experiment, specific designs are also helpful to pinpoint a particular phenomenon. In this article, we review our current efforts and status, and our future projects on Omega and LMJ.

  19. LANL Q2 2016 Quarterly Progress Report. Science Campaign and ICF

    SciTech Connect

    Douglas, Melissa Rae

    2016-04-07

    This progress report includes highlights for the Science Campaign and ICF about Advanced Certification and Assessment Methodologies, Implosion Hydrodynamics (C-1, SCE), Materials and Nuclear Science (C-1, C-2), Capabilities for Nuclear Intelligence, and High Energy Density Science (C-1, C-4, C-10). Upcoming meetings, briefings, and experiments are then listed for April and May.

  20. DNA is hypomethylated at repetitive and single copy loci in patients with ICF syndrome

    SciTech Connect

    Schuffenhauer, S.; Buchholz, B.; Neitinger, T.

    1994-09-01

    ICF syndrome (immunodeficiency, centromeric heterochromatin instability, facial anomaly) is a very rare genetic disorder, reported in only 12 cases. Chromosomal rearrangements occur predominantly in the heterochromatic regions of HC 1 and 16 and include stretching, whole arm deletions and multibranched configurations. The molecular defect of these abnormalities is not known. Similar abnormalities have been found in cell cultures treated with viruses or 5-acacytidine, agents which cause DNA hypomethylation. Because heterochromatic DNA is known to be highly methylated, we hypothesise that DNA hypomethylation and subsequent disturbance of heterochromatin structure may play a role in the chromosomal rearrangements of ICF syndrome. Methylation studies in DNA from peripheral lymphocytes of two non-related ICF patients revealed hypomethylation of satellite-2 DNA localized in the heterochromatic regions of HC 1 and 16. DNA hypomethylation was also found at single copy loci, e.g. D15S63, D15S9, H19 and DXS255. Differences between the two patients suggest a random distribution of DNA hypomethylation. While a causal relationship between the molecular and cytogenetic abnormalities is likely, the postulated relationship between hypomethylation and the clinical symptoms in ICF syndrome remains to be elucidated.

  1. Utility of the International Classification of Functioning, Disability and Health (ICF) for Educational Psychologists' Work

    ERIC Educational Resources Information Center

    Aljunied, Mariam; Frederickson, Norah

    2014-01-01

    Despite embracing a bio-psycho-social perspective, the World Health Organization's International Classification of Functioning, Disability and Health (ICF) assessment framework has had limited application to date with children who have special educational needs (SEN). This study examines its utility for educational psychologists' work with…

  2. Implications of the International Classification of Functioning, Disability and Health (ICF) for Test Development and Use

    ERIC Educational Resources Information Center

    Carlson, Janet F.; Benson, Nicholas; Oakland, Thomas

    2010-01-01

    Implications of the International Classification of Functioning, Disability and Health (ICF) on the development and use of tests in school settings are enumerated. We predict increased demand for behavioural assessments that consider a person's activities, participation and person-environment interactions, including measures that: (a) address…

  3. The development and application of advanced analytical methods to commercial ICF reactor chambers. Final report

    SciTech Connect

    Cousseau, P.; Engelstad, R.; Henderson, D.L.

    1997-10-01

    Progress is summarized in this report for each of the following tasks: (1) multi-dimensional radiation hydrodynamics computer code development; (2) 2D radiation-hydrodynamic code development; (3) ALARA: analytic and Laplacian adaptive radioactivity analysis -- a complete package for analysis of induced activation; (4) structural dynamics modeling of ICF reactor chambers; and (5) analysis of self-consistent target chamber clearing.

  4. 42 CFR 440.150 - Intermediate care facility (ICF/IIDICF/IID) services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Intellectual Disabilities if the following conditions are met: (1) The facility fully meets the requirements... part 483 of this chapter. (4) The beneficiary with Intellectual Disability for whom payment is... purpose of the ICF/IIDICF/IID is to furnish health or rehabilitative services to persons with...

  5. 42 CFR 440.150 - Intermediate care facility (ICF/IIDICF/IID) services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Intellectual Disabilities if the following conditions are met: (1) The facility fully meets the requirements... part 483 of this chapter. (4) The beneficiary with Intellectual Disability for whom payment is... purpose of the ICF/IIDICF/IID is to furnish health or rehabilitative services to persons with...

  6. Rehabilitation of traumatic brain injury in the light of the ICF.

    PubMed

    Laxe, Sara; Cieza, Alarcos; Castaño-Monsalve, Beatriz

    2015-01-01

    Traumatic brain injury is a sudden and unexpected condition that gives rise to different impairments in body functions and structures leading to dramatic life changes, not only to the patient but also to his or her family and ultimately in the wider society. As a health strategy, rehabilitation aims to reduce disability and increasing the quality of life of those people that suffer from TBI but also to reduce the social burden associated with it. Functioning is the starting point of rehabilitation and the use of measurement instruments and classifications are commonly used tools for its definition. Within the endorsement of the ICF by WHO, there is now a classification and a conceptual framework for the description of functioning providing an opportunity of a full understanding of the experience of TBI. This paper aims to identify the utility of ICF in TBI as well as bringing new challenges for further clinical practice and research. ICF has shown itself to be useful in the content comparison of measurement instruments. It has also been used to describe the functional profile of individuals with TBI in both acute and chronic phases making it possible to draw comparisons across other health conditions. Furthermore, the development of the TBI ICF Core Sets provided an item bank to describe not only functional status but also to set goals and plan interventions. Overall, we now have a potentially useful tool in rehabilitation of TBI that allows us to understand the full burden of traumatic brain injury.

  7. The ICF core sets for hearing loss project: functioning and disability from the patient perspective.

    PubMed

    Granberg, Sarah; Pronk, Marieke; Swanepoel, De Wet; Kramer, Sophia E; Hagsten, Hanna; Hjaldahl, Jennie; Möller, Claes; Danermark, Berth

    2014-11-01

    To explore areas of functioning, disability, and environmental factors of adults with hearing loss (HL) by using the ICF classification as a tool to determine and document each element. A qualitative study applying mainly focus-group methodology was applied. Thirty-six Dutch and South African adults (≥ 18 years of age) with HL (20-95 dB HL) who used oral communication as first communication. Summative content analysis was performed on the transcripts by linkage to appropriate ICF categories. 143 ICF categories were identified, most of which belonged to the Activities & Participation (d) component, closely followed by the Environmental factors component. Participants specifically mentioned categories related to oral communication and interaction. Assistive technology (such as hearing aids), noise, and support by and attitudes of others in the environment of the participants were considered highly influential for functioning and disability. The present study illustrates the complex and encompassing nature of aspects involved in functioning and disability of adults with HL. Findings highlight the necessity of using a multidimensional tool, such as the ICF, to map functioning and disability with hearing loss, allowing consideration and evaluation of aspects that are both internal and external.

  8. ICF and ICD codes provide a standard language of disability in young children.

    PubMed

    Simeonsson, Rune J; Scarborough, Anita A; Hebbeler, Kathleen M

    2006-04-01

    The aim of this study was to examine the utility of a hierarchical algorithm incorporating codes from the International Classification of Functioning, Disability and Health--ICF (WHO, 2001) and the International Statistical Classification of Diseases-ICD (WHO, 1994) to classify reasons for eligibility of young children in early intervention. The database for this study was a nationally representative enrollment sample of more than 5,500 children in a longitudinal study of early intervention. Reasons for eligibility were reviewed and matched to the closest ICF or ICD codes under one of four major categories (Body Functions/Structures, Activities/Participation, Health Conditions, and Environmental Factors). The average number of reasons for eligibility provided per child was 1.5, resulting in a population summary exceeding 100%. A total of 305 ICF and ICD codes were used with most (77%) of the children having codes in the category of Body Function/Structures. Forty-one percent of the sample had codes of Health Conditions, whereas the proportions with codes in the Activities/Partipication and Environmental Categories were 10 and 5%, respectively. The results demonstrate that ICD and ICF can be jointly used as a common language to document disability characteristics of children in early intervention.

  9. Analyses in support of the Laboratory Microfusion Facility and ICF commercial reactor designs

    SciTech Connect

    Meier, W.R.; Monsler, M.J.

    1988-12-28

    Our work on this contract was divided into two major categories; two thirds of the total effort was in support of the Laboratory Microfusion Facility (LMF), and one third of the effort was in support of Inertial Confinement Fusion (ICF) commercial reactors. This final report includes copies of the formal reports, memoranda, and viewgraph presentations that were completed under this contract.

  10. Disability and Functional Profiles of Patients with Myasthenia Gravis Measured with ICF Classification

    ERIC Educational Resources Information Center

    Leonardi, Matilde; Raggi, Alberto; Antozzi, Carlo; Confalonieri, Paolo; Maggi, Lorenzo; Cornelio, Ferdinando; Mantegazza, Renato

    2009-01-01

    The objective of this study is to describe functional profiles of patients with myasthenia gravis (MG), and the relationships among symptoms, activities and environmental factors (EF), by using WHO's International Classification of Functioning Disability and Health (ICF). Patients were consecutively enrolled at the Besta Institute of Milan, Italy.…

  11. Utility of the International Classification of Functioning, Disability and Health (ICF) for Educational Psychologists' Work

    ERIC Educational Resources Information Center

    Aljunied, Mariam; Frederickson, Norah

    2014-01-01

    Despite embracing a bio-psycho-social perspective, the World Health Organization's International Classification of Functioning, Disability and Health (ICF) assessment framework has had limited application to date with children who have special educational needs (SEN). This study examines its utility for educational psychologists' work with…

  12. Choice-Making among Medicaid HCBS and ICF/MR Recipients in Six States

    ERIC Educational Resources Information Center

    Lakin, K. Charlie; Doljanac, Robert; Byun, Soo-Yong; Stancliffe, Roger; Taub, Sarah; Chiri, Giuseppina

    2008-01-01

    Choice in everyday decisions and in support-related decisions was addressed among 2,398 adults with intellectual and developmental disabilities receiving Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services and living in nonfamily settings in six states. Everyday choice in daily life and in…

  13. Stuttering and the International Classification of Functioning, Disability, and Health (ICF): An Update

    ERIC Educational Resources Information Center

    Yaruss, J. Scott; Quesal, Robert W.

    2004-01-01

    The World Health Organization (WHO) recently presented a multidimensional classification scheme for describing health status and the experience of disablement. This new framework, the "International Classification of Functioning, Disability, and Health" (ICF; WHO, 2001), is a revision of WHO's prior framework for describing the consequences of…

  14. Disability and Functional Profiles of Patients with Myasthenia Gravis Measured with ICF Classification

    ERIC Educational Resources Information Center

    Leonardi, Matilde; Raggi, Alberto; Antozzi, Carlo; Confalonieri, Paolo; Maggi, Lorenzo; Cornelio, Ferdinando; Mantegazza, Renato

    2009-01-01

    The objective of this study is to describe functional profiles of patients with myasthenia gravis (MG), and the relationships among symptoms, activities and environmental factors (EF), by using WHO's International Classification of Functioning Disability and Health (ICF). Patients were consecutively enrolled at the Besta Institute of Milan, Italy.…

  15. Developmental Language Impairment through the Lens of the ICF: An Integrated Account of Children's Functioning

    ERIC Educational Resources Information Center

    Dempsey, Lynn; Skarakis-Doyle, Elizabeth

    2010-01-01

    The conceptual framework of the World Health Organization's International Classification of Functioning, Disability and Health (ICF) has the potential to advance understanding of developmental language impairment (LI) and enhance clinical practice. The framework provides a systematic way of unifying numerous lines of research, which have linked a…

  16. Disability and Profiles of Functioning of Patients with Parkinson's Disease Described with ICF Classification

    ERIC Educational Resources Information Center

    Raggi, Alberto; Leonardi, Matilde; Ajovalasit, Daniela; Carella, Francesco; Soliveri, Paola; Albanese, Alberto; Romito, Luigi

    2011-01-01

    The objective of this study was to describe the functional profiles of patients with Parkinson's disease (PD), and the relationships between impairment in body functions, limitations in activities, and environmental factors, using the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). Patients…

  17. Disability and Profiles of Functioning of Patients with Parkinson's Disease Described with ICF Classification

    ERIC Educational Resources Information Center

    Raggi, Alberto; Leonardi, Matilde; Ajovalasit, Daniela; Carella, Francesco; Soliveri, Paola; Albanese, Alberto; Romito, Luigi

    2011-01-01

    The objective of this study was to describe the functional profiles of patients with Parkinson's disease (PD), and the relationships between impairment in body functions, limitations in activities, and environmental factors, using the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). Patients…

  18. To adopt is to adapt: the process of implementing the ICF with an acute stroke multidisciplinary team in England

    PubMed Central

    Tempest, Stephanie; Harries, Priscilla; Kilbride, Cherry; De Souza, Lorraine

    2012-01-01

    Purpose: The success of the International Classifcation of Functioning, Disability and Health (ICF) depends on its uptake in clinical practice. This project aimed to explore ways the ICF could be used with an acute stroke multidisciplinary team and identify key learning from the implementation process. Method: Using an action research approach, iterative cycles of observe, plan, act and evaluate were used within three phases: exploratory; innovatory and refective. Thematic analysis was undertaken, using a model of immersion and crystallisation, on data collected via interview and focus groups, e-mail communications, minutes from relevant meetings, feld notes and a refective diary. Results: Two overall themes were determined from the data analysis which enabled implementation. There is a need to: (1) adopt the ICF in ways that meet local service needs; and (2) adapt the ICF language and format. Conclusions: The empirical fndings demonstrate how to make the ICF classifcation a clinical reality. First, we need to adopt the ICF as a vehicle to implement local service priorities e.g. to structure a multidisciplinary team report, thus enabling ownership of the implementation process. Second, we need to adapt the ICF terminology and format to make it acceptable for use by clinicians. PMID:22372376

  19. Systematic Literature Review on ICF From 2001 to 2013 in the Nordic Countries Focusing on Clinical and Rehabilitation Context

    PubMed Central

    Maribo, Thomas; Petersen, Kirsten S.; Handberg, Charlotte; Melchiorsen, Hanne; Momsen, Anne-Mette H.; Nielsen, Claus V.; Leonardi, Matilde; Labriola, Merete

    2016-01-01

    We present a systematic review on International Classification of Functioning, Disability and Health (ICF) used in the Nordic countries from 2001 through 2013, describing and quantifying the development in utilization of ICF, and describe the extent to which the different components of the ICF have been used. A search was conducted in EMBASE, MEDLINE and PsycInfo. Papers from Nordic countries were included if ICF was mentioned in title or abstract. Papers were assigned to one of eight categories covering the wide rehabilitation area; furthermore, area of focus was assigned. Use of ICF components and intervention were coded in papers categorized as “clinical and/or rehabilitation contexts” or “non-clinical contexts”. One hundred seventy papers were included, of these 99 papers were from the categories “clinical and/or rehabilitation contexts” or “non-clinical contexts”. Forty-two percent of the 170 included papers were published in the period 2011 - 2013. There was an increase in ICF-relevant papers from 2001 to 2013, especially in the categories “clinical and/or rehabilitation contexts” and “non-clinical contexts”. The most represented focus areas were neurology, musculoskeletal, and work-related areas. All five or at least four ICF components were mentioned in the results or discussions in most papers, and activity was most frequently mentioned. PMID:26668676

  20. Systematic Literature Review on ICF From 2001 to 2013 in the Nordic Countries Focusing on Clinical and Rehabilitation Context.

    PubMed

    Maribo, Thomas; Petersen, Kirsten S; Handberg, Charlotte; Melchiorsen, Hanne; Momsen, Anne-Mette H; Nielsen, Claus V; Leonardi, Matilde; Labriola, Merete

    2016-01-01

    We present a systematic review on International Classification of Functioning, Disability and Health (ICF) used in the Nordic countries from 2001 through 2013, describing and quantifying the development in utilization of ICF, and describe the extent to which the different components of the ICF have been used. A search was conducted in EMBASE, MEDLINE and PsycInfo. Papers from Nordic countries were included if ICF was mentioned in title or abstract. Papers were assigned to one of eight categories covering the wide rehabilitation area; furthermore, area of focus was assigned. Use of ICF components and intervention were coded in papers categorized as "clinical and/or rehabilitation contexts" or "non-clinical contexts". One hundred seventy papers were included, of these 99 papers were from the categories "clinical and/or rehabilitation contexts" or "non-clinical contexts". Forty-two percent of the 170 included papers were published in the period 2011 - 2013. There was an increase in ICF-relevant papers from 2001 to 2013, especially in the categories "clinical and/or rehabilitation contexts" and "non-clinical contexts". The most represented focus areas were neurology, musculoskeletal, and work-related areas. All five or at least four ICF components were mentioned in the results or discussions in most papers, and activity was most frequently mentioned.

  1. Psychometric properties of an instrument to measure activities and participation according to the ICF concept in patients with mental disorders.

    PubMed

    Brütt, Anna Levke; Schulz, Holger; Andreas, Sylke

    2015-01-01

    The International Classification of Functioning, Disability and Health (ICF) conceptualizes the bio-psycho-social model of health and illness, but cannot be used as an assessment instrument in routine care. The objective of this study was to psychometrically test a self-report instrument for measuring activities and social participation (ICF-Mental-A&P) of psychotherapy patients. For the psychometric evaluation of the ICF-Mental-A&P, participants completed a questionnaire on symptoms, interpersonal problems and quality of life at admission and at discharge of in-patient treatment. A consecutive sample of 2256 patients diagnosed with at least one mental disorder was recruited from eight in-patient units in Germany. After item selection, the ICF-Mental-A&P contained 31 items comprising six subscales examined by confirmatory factor analysis. Subscales had acceptable internal consistency (α = 0.78-0.90) and test-retest correlations (r = 0.71-0.86). There were several expected correlations (r ≥ 0.6) between ICF-Mental-A&P scores and measures of symptoms and interpersonal problems. Findings suggest that the ICF-Mental-A&P is a comprehensive, reliable measure of activities and participation according to the ICF concept for patients with mental disorders. It may therefore be an important instrument in clinical practice and could help to determine and evaluate functioning-related and patient-focused treatment outcomes.

  2. To adopt is to adapt: the process of implementing the ICF with an acute stroke multidisciplinary team in England.

    PubMed

    Tempest, Stephanie; Harries, Priscilla; Kilbride, Cherry; De Souza, Lorraine

    2012-01-01

    The success of the International Classification of Functioning, Disability and Health (ICF) depends on its uptake in clinical practice. This project aimed to explore ways the ICF could be used with an acute stroke multidisciplinary team and identify key learning from the implementation process. Using an action research approach, iterative cycles of observe, plan, act and evaluate were used within three phases: exploratory; innovatory and reflective. Thematic analysis was undertaken, using a model of immersion and crystallisation, on data collected via interview and focus groups, e-mail communications, minutes from relevant meetings, field notes and a reflective diary. Two overall themes were determined from the data analysis which enabled implementation. There is a need to: (1) adopt the ICF in ways that meet local service needs; and (2) adapt the ICF language and format. The empirical findings demonstrate how to make the ICF classification a clinical reality. First, we need to adopt the ICF as a vehicle to implement local service priorities e.g. to structure a multidisciplinary team report, thus enabling ownership of the implementation process. Second, we need to adapt the ICF terminology and format to make it acceptable for use by clinicians.

  3. Comparing contents of outcome measures in cerebral palsy using the International Classification of Functioning (ICF-CY): a systematic review.

    PubMed

    Schiariti, Veronica; Klassen, Anne F; Cieza, Alarcos; Sauve, Karen; O'Donnell, Maureen; Armstrong, Robert; Mâsse, Louise C

    2014-01-01

    The International Classification of Functioning children and youth version (ICF-CY) provides a universal framework for defining and classifying functioning and disability in children worldwide. To facilitate the application of the ICF in practice, ICF based-tools like the "ICF Core Sets" are being developed. In the context of the development of the ICF-CY Core Sets for children with Cerebral Palsy (CP), the aims of this study were as follows: to identify and compare the content of outcome measures used in studies of children with CP using the ICF-CY coding system; and to describe the most frequently addressed areas of functioning in those studies. We searched multiple databases likely to capture studies involving children with CP from January 1998 to March 2012. We included all English language articles that studied children aged 2-18 years and described an interventional or observational study. Constructs of the outcome measures identified in studies were linked to the ICF-CY by two trained professionals. We found 231 articles that described 238 outcome measures. The outcome measures contained 2193 concepts that were linked to the ICF-CY and covered 161 independent ICF-CY categories. Out of the 161 categories, 53 (33.5%) were related to body functions, 75 (46%) were related to activities/participation, 26 (16.1%) were related to environmental factors, and 7 (4.3%) were related to body structures. This systematic review provides information about content of measures that may guide researchers and clinicians in their selection of an outcome measure for use in a study and/or clinical practice with children with CP. Copyright © 2013 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.

  4. Genome-Wide DNA Methylation Analysis Identifies Novel Hypomethylated Non-Pericentromeric Genes with Potential Clinical Implications in ICF Syndrome

    PubMed Central

    Gatto, S.; Gagliardi, M.; Crujeiras, A. B.; Matarazzo, M. R.; Esteller, M.; Sandoval, J.

    2015-01-01

    Introduction and Results Immunodeficiency, centromeric instability and facial anomalies syndrome (ICF) is a rare autosomal recessive disease, characterized by severe hypomethylation in pericentromeric regions of chromosomes (1, 16 and 9), marked immunodeficiency and facial anomalies. The majority of ICF patients present mutations in the DNMT3B gene, affecting the DNA methyltransferase activity of the protein. In the present study, we have used the Infinium 450K DNA methylation array to evaluate the methylation level of 450,000 CpGs in lymphoblastoid cell lines and untrasformed fibroblasts derived from ICF patients and healthy donors. Our results demonstrate that ICF-specific DNMT3B variants A603T/STP807ins and V699G/R54X cause global DNA hypomethylation compared to wild-type protein. We identified 181 novel differentially methylated positions (DMPs) including subtelomeric and intrachromosomic regions, outside the classical ICF-related pericentromeric hypomethylated positions. Interestingly, these sites were mainly located in intergenic regions and inside the CpG islands. Among the identified hypomethylated CpG-island associated genes, we confirmed the overexpression of three selected genes, BOLL, SYCP2 and NCRNA00221, in ICF compared to healthy controls, which are supposed to be expressed in germ line and silenced in somatic tissues. Conclusions In conclusion, this study contributes in clarifying the direct relationship between DNA methylation defect and gene expression impairment in ICF syndrome, identifying novel direct target genes of DNMT3B. A high percentage of the DMPs are located in the subtelomeric regions, indicating a specific role of DNMT3B in methylating these chromosomal sites. Therefore, we provide further evidence that hypomethylation in specific non-pericentromeric regions of chromosomes might be involved in the molecular pathogenesis of ICF syndrome. The detection of DNA hypomethylation at BOLL, SYCP2 and NCRNA00221 may pave the way for the

  5. Genome-Wide DNA Methylation Analysis Identifies Novel Hypomethylated Non-Pericentromeric Genes with Potential Clinical Implications in ICF Syndrome.

    PubMed

    Simo-Riudalbas, L; Diaz-Lagares, A; Gatto, S; Gagliardi, M; Crujeiras, A B; Matarazzo, M R; Esteller, M; Sandoval, J

    2015-01-01

    Immunodeficiency, centromeric instability and facial anomalies syndrome (ICF) is a rare autosomal recessive disease, characterized by severe hypomethylation in pericentromeric regions of chromosomes (1, 16 and 9), marked immunodeficiency and facial anomalies. The majority of ICF patients present mutations in the DNMT3B gene, affecting the DNA methyltransferase activity of the protein. In the present study, we have used the Infinium 450K DNA methylation array to evaluate the methylation level of 450,000 CpGs in lymphoblastoid cell lines and untrasformed fibroblasts derived from ICF patients and healthy donors. Our results demonstrate that ICF-specific DNMT3B variants A603T/STP807ins and V699G/R54X cause global DNA hypomethylation compared to wild-type protein. We identified 181 novel differentially methylated positions (DMPs) including subtelomeric and intrachromosomic regions, outside the classical ICF-related pericentromeric hypomethylated positions. Interestingly, these sites were mainly located in intergenic regions and inside the CpG islands. Among the identified hypomethylated CpG-island associated genes, we confirmed the overexpression of three selected genes, BOLL, SYCP2 and NCRNA00221, in ICF compared to healthy controls, which are supposed to be expressed in germ line and silenced in somatic tissues. In conclusion, this study contributes in clarifying the direct relationship between DNA methylation defect and gene expression impairment in ICF syndrome, identifying novel direct target genes of DNMT3B. A high percentage of the DMPs are located in the subtelomeric regions, indicating a specific role of DNMT3B in methylating these chromosomal sites. Therefore, we provide further evidence that hypomethylation in specific non-pericentromeric regions of chromosomes might be involved in the molecular pathogenesis of ICF syndrome. The detection of DNA hypomethylation at BOLL, SYCP2 and NCRNA00221 may pave the way for the development of specific clinical biomarkers

  6. Towards an ICF core set for ADHD: a worldwide expert survey on ability and disability.

    PubMed

    de Schipper, Elles; Mahdi, Soheil; Coghill, David; de Vries, Petrus J; Gau, Susan Shur-Fen; Granlund, Mats; Holtmann, Martin; Karande, Sunil; Levy, Florence; Almodayfer, Omar; Rohde, Luis; Tannock, Rosemary; Bölte, Sven

    2015-12-01

    This is the second in a series of four empirical studies designed to develop International Classification of Functioning, Disability and Health (ICF and Children and Youth version, ICF-CY) core sets for attention deficit hyperactivity disorder (ADHD). The objective of this stage was to gather the opinions from international experts on which ability and disability concepts were considered relevant to functioning in ADHD. An email-based survey was carried out amongst international experts in ADHD. Relevant functional ability and disability concepts were extracted from their responses and linked to the ICF/-CY categories by two independent researchers using a standardised linking procedure. 174 experts from 11 different disciplines and 45 different countries completed the survey. Meaningful concepts identified in their responses were linked to 185 ICF/-CY categories. Of these, 83 categories were identified by at least 5 % of the experts and considered the most relevant to ADHD: 30 of these were related to Body functions (most identified: attention functions, 85 %), 30 to Activities and Participation (most identified: school education, 52 %), 20 to Environmental factors (most identified: support from immediate family, 61 %), and 3 to Body structures (most identified: structure of brain, 83 %). Experts also provided their views on particular abilities related to ADHD, naming characteristics such as high-energy levels, flexibility and resiliency. Gender differences in the expression of ADHD identified by experts pertained mainly to females showing more internalising (e.g. anxiety, low self-esteem) and less externalising behaviours (e.g. hyperactivity), leading to a risk of late- and under-diagnosis in females. Results indicate that the impact of ADHD extends beyond the core symptom domains, into all areas of life and across the lifespan. The current study in combination with three additional preparatory studies (comprehensive scoping review, focus groups, clinical study

  7. Utilizing the ICF to understand depressive symptomology in multiple sclerosis: An exploratory systematic review.

    PubMed

    Dorstyn, Diana; Black, Rebecca; Mpofu, Elias; Kneebone, Ian

    2017-05-01

    Acceptance of the International Classification of Functioning, Disability and Health (ICF) in research and clinical practice has been delayed, despite its multiperspective approach to health measurement. This review utilized the ICF to examine evidence on the associations between depressive symptoms and psychosocial functioning in a patient cohort: multiple sclerosis (MS). Forty-nine studies, involving 7,548 adults with relapsing or progressive forms of MS, were quantitatively evaluated. Data were categorized according to ICF domains: activities of individuals along with their participation in life areas and influential environmental and personal factors. Effect size estimates, in the form of Pearson's r, 95% confidence intervals and Fail-safe Ns were calculated. Depression severity was linked to reduced social activities and participation levels (29%, n = 14 studies). Limited quality and/or frequency of informal support from family and friends was also identified as an environmental barrier to participation (29%, n = 14 studies). Intrapersonal markers of depressive symptomatology (e.g., low self-efficacy, anxiety, poor coping, illness attitudes and beliefs) were routinely reported (53%, n = 29 studies). The ICF can help guide the selection of clinical measures to assess psychosocial functioning in adults with MS and highlight areas necessitating further research and/or intervention. For those reporting depressed mood, this might include interventions premised on supporting activity and participation in addition to reinforcing interpersonal strengths. To enhance the utility of the ICF in MS care, further research is needed to operationalize its domains and to map this framework onto existing measurement tools. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  8. Crossed Beam Energy Transfer in the NIF ICF Target Design

    SciTech Connect

    Williams, E A; Hinkel, D E; Hittinger, J A

    2003-08-27

    In the National Ignition Facility (NIF) ICF point design, the cylindrical hohlraum target is illuminated by multiple laser beams through two laser entrance holes on the ends. According to simulations by LASNEX and HYDRA plasma created inside the hohlraum will stream out of the LEH, accelerate to supersonic speeds and then fan out radially. Inside the hohlraum, flows are subsonic. Forward Brillouin scattering can transfer energy between pairs of laser beams (0 and 1) if the following frequency matching condition is satisfied: {omega}{sub 0} - {omega}{sub 1} = (k{sub 0} - k{sub 1}) {center_dot} V + |k{sub 0} - k{sub 1}| c{sub s} (1) where {omega}{sub 0.1} and k{sub 0.1} are the frequencies and wave-numbers of the two laser beams, V is the plasma flow velocity and c{sub s} is the local ion sound speed. In the nominal case of equal frequency beams, this requires the component of the plasma flow velocity transverse to the bisector of the beam directions to be sonic, with the resulting transfer being to the downstream beam. In the NIF beam geometry, this is from the outer to inner cones of beams. The physics of this transfer is the same as in beam bending; the difference being that in the case of beam bending the effect is to redistribute power to the downstream side of the single beam. Were significant power transfer to occur in the point design, the delicately tuned implosion symmetry would be spoiled. To directly compensate for the transfer, the incident beam powers would have to be adjusted. The greatest vulnerability in the point design thus occurs at 15.2ns, when the inner beams are at their peak power and are at their nominal design power limit. In this situation, some other means of symmetry control would be required, such as re-pointing. At 15.2ns, the envelope focal intensities of the outer and inner beams are approximately 10{sup 15} and 6.7 10{sup 14} W/cm{sup 2} respectively. There is little absorption or diffractive spreading of the beams in the crossing

  9. Identification of ICF categories relevant for nursing in the situation of acute and early post-acute rehabilitation

    PubMed Central

    Mueller, Martin; Boldt, Christine; Grill, Eva; Strobl, Ralf; Stucki, Gerold

    2008-01-01

    Background The recovery of patients after an acute episode of illness or injury depends both on adequate medical treatment and on the early identification of needs for rehabilitation care. The process of early beginning rehabilitation requires efficient communication both between health professionals and the patient in order to effectively address all rehabilitation goals. The currently used nursing taxonomies, however, are not intended for interdisciplinary use and thus may not contribute to efficient rehabilitation management and an optimal patient outcome. The ICF might be the missing link in this communication process. The objective of this study was to identify the categories of the International Classification of Functioning, Disability and Health (ICF) categories relevant for nursing care in the situation of acute and early post-acute rehabilitation. Methods First, in a consensus process, "Leistungserfassung in der Pflege" (LEP) nursing interventions relevant for the situation of acute and early post-acute rehabilitation were selected. Second, in an integrated two-step linking process, two nursing experts derived goals of LEP nursing interventions from their practical knowledge and selected corresponding ICF categories most relevant for patients in acute and post-acute rehabilitation (ICF Core Sets). Results Eighty-seven percent of ICF Core Set categories could be linked to goals of at least one nursing intervention variable of LEP. The ICF categories most frequently linked with LEP nursing interventions were respiration functions, experience of self and time functions and focusing attention. Thirteen percent of ICF Core Set categories could not be linked with LEP nursing interventions. The LEP nursing interventions which were linked with the highest number of different ICF-categories of all were "therapeutic intervention", "patient-nurse communication/information giving" and "mobilising". Conclusion The ICF Core Sets for the acute hospital and early post

  10. Rotational spectra and properties of complexes B···ICF3 (B = Kr or CO) and a comparison of the efficacy of ICl and ICF3 as iodine donors in halogen bond formation.

    PubMed

    Stephens, Susanna L; Walker, Nicholas R; Legon, Anthony C

    2011-12-14

    The ground-state rotational spectra of two weakly bound complexes B···ICF(3) (B = Kr or CO) formed by trifluoroiodomethane have been observed in pulsed jets by using two types of Fourier-transform microwave spectroscopy (chirped-pulse and Fabry-Perot cavity). Both complexes exhibit symmetric-top type spectra, thus indicating that the Kr atom in Kr···ICF(3) and both the C and O atoms in OC···ICF(3) lie along the C(3) axis of ICF(3). The rotational constant B(0), the centrifugal distortion constants D(J) and D(JK), and the iodine nuclear quadrupole coupling constant χ(aa)(I) were determined for each of the isotopologues (84)Kr···ICF(3), (86)Kr···ICF(3), (16)O(12)C···ICF(3), (16)O(13)C···ICF(3), and (18)O(12)C···ICF(3). Interpretation of the spectroscopic constants reveals that the carbon atom of CO is adjacent to I and participates in the weak bond in OC···ICF(3). Simple models based on unperturbed component geometries lead to the distances r(Kr···I) = 3.830(1) Å and r(C···I) = 3.428(1) Å in Kr···ICF(3) and OC···ICF(3), respectively, and to the quadratic force constants for stretching of the weak bond k(σ) = 2.80 N m(-1) and 3.96 N m(-1), respectively. The distances r(Z···I) (Z is the acceptor atom in B), the k(σ) values, and the angular geometries of the pair of complexes B···ICF(3) and B···ICl for a given B are compared when B = Kr, CO, H(2)O, H(2)S, or NH(3). The comparison reveals that the iodine bond in B···ICF(3) is systematically longer and weaker than that of B···ICl, while the angular geometry of the B···I moiety is isomorphic in B···ICF(3) and B···ICl for a given B. It is concluded that -CF(3) is less effective than -Cl as an electron-withdrawing group when attached to an I atom and that the angular geometries of the B···ICF(3) can be predicted by means of a simple rule that holds for many hydrogen- and halogen-bonded complexes. © 2011 American Institute of Physics

  11. Validation of the Comprehensive ICF Core Set for Stroke by exploring the patient's perspective on functioning in everyday life: a qualitative study.

    PubMed

    Paanalahti, Markku; Alt Murphy, Margit; Lundgren-Nilsson, Åsa; Sunnerhagen, Katharina S

    2014-12-01

    International Classification of Functioning, Disability and Health (ICF) core sets are short procedures to record and provide information on health. However, further validation is needed. The aim of this study was to validate the Comprehensive ICF Core Set for stroke by exploring the patient's living at home and receiving outpatient rehabilitation perspective on functioning in everyday life. Qualitative interviews of 22 patients with previous stroke in Finland were analyzed using the content analysis method: functional concepts that described the participants' perspective on functioning in everyday life were extracted from the interview transcripts and linked to ICF categories using ICF linking rules. Extracted functional concepts from 372 meaning units were linked to 115 of the 166 categories included in the Comprehensive ICF Core Set for stroke and to six additional ICF categories. Thirty-eight concepts could not be linked to the ICF categories. Sixty-eight percent of the second-level ICF categories in the Comprehensive ICF Core Set for stroke were validated. In total, 28 of 36 categories added to the Comprehensive ICF Core Set for stroke from the Core Sets for patients with neurological conditions in the acute and early postacute phases were not confirmed in this sample of individuals with stroke living in their homes.

  12. Feasibility of Applying the Extended ICF Core Set for Stroke to Clinical Settings in Rehabilitation: A Preliminary Study

    PubMed Central

    Han, Kyu Yong; Kim, Hyo Jong

    2015-01-01

    Objective To evaluate the potential feasibility of application of the extended International Classification of Functioning, Disability and Health (ICF) Core Set for stroke. Methods We retrospectively reviewed the medical records of 40 stroke outpatients (>6 months after onset) admitted to the Department of Rehabilitation Medicine for comprehensive rehabilitation. Clinical information of the patients were respectively evaluated to link to the 166 second-level categories of the extended ICF Core Set for stroke. Results Clinical information could be linked to 111 different ICF categories, 58 categories of the body functions component, eight categories of the body structures component, 38 categories of the activities and participation component, and seven categories of the environmental factors component. Conclusion The body functions component might be feasible for application of the extended ICF Core Set for stroke to clinical settings. The activities and participation component and environmental factors component may not be directly applied to clinical settings without additional evaluation tools including interview and questionnaire. PMID:25750873

  13. Effect of initial conditions and Mach number on the Richtmyer-Meshkov instability in ICF like conditions

    NASA Astrophysics Data System (ADS)

    Rao, Pooja; She, Dan; Lim, Hyunkyung; Glimm, James

    2015-11-01

    The qualitative and quantitative effect of initial conditions (linear and non-linear) and high Mach number (1.3 and 1.45) is studied on the turbulent mixing induced by the Richtmyer-Meshkov instability in idealized ICF conditions. The Richtmyer-Meshkov instability seeds Rayleigh-taylor instabilities in ICF experiments and is one of the factors that contributes to reduced performance of ICF experiments. Its also found in collapsing cores of stars and supersonic combustion. We use the Stony Brook University code, FronTier, which is verified via a code comparison study against the AMR multiphysics code FLASH, and validated against vertical shock tube experiments done by the LANL Extreme Fluids Team. These simulations are designed as a step towards simulating more realistic ICF conditions and quantifying the detrimental effects of mixing on the yield.

  14. [ICF and social medicine evaluation of capability of gainful activity: is everything clear?--a discussion article].

    PubMed

    Körner, M

    2005-08-01

    The ICF (International Classification of Functioning, Disability and Health) calls attention to the complexities associated with disturbances of health. The question raised is how the various constituents and the resulting network as defined by this Classification can gain importance for medical expertise under the statutory pension insurance scheme concerning work-related capacity. Possible variations of strategy are discussed: clinical intuition, algorithmic pathways, proved medical diagnostics, particular diagnostics of activity according to ICF. A genuine "silver bullet" is not in evidence thus far. It cannot be expected that diagnostics relating to a certain sector of the ICF will basically eclipse the rest. Future standards of medical expertise should specify as clearly as possible the impact of the diverse diagnostic findings on the assessment of work-related capacity. Framing emphasis in this way cannot be performed by the ICF on its own.

  15. Introduction to the international classification of functioning disability and health - ICF - in the context of vestibular rehabilitation.

    PubMed

    Graziano, Mariella

    2013-01-01

    Vestibular rehabilitation focuses at decreasing the impact of symptoms, such as vertigo dizziness and imbalance have on people's daily life and their role in society. The international Classification of Functioning Disability and Health - ICF offers a unified and standard language and framework for describing health and health related states. The ICF aims at facilitating communication information about health, like functioning and disability. For this purpose the ICF has a systematic coding scheme for health data with more than 1400 categories. The big number of categories is impractical to apply in a specific area like vestibular disorders. Therefore a narrowing down to the relevant categories in a comprehensive core set for vertigo (100 categories) and a brief core set (29 categories) were developed. The purpose of this article is to reflect on the potential use of ICF in vestibular rehabilitation.

  16. The ICF core sets for hearing loss project: International expert survey on functioning and disability of adults with hearing loss using the international classification of functioning, disability, and health (ICF).

    PubMed

    Granberg, Sarah; Swanepoel, De Wet; Englund, Ulrika; Möller, Claes; Danermark, Berth

    2014-08-01

    To identify relevant aspects of functioning, disability, and contextual factors for adults with hearing loss (HL) from hearing health professional perspective summarized using the ICF classification as reference tool. Internet-based cross-sectional survey using open-ended questions. Responses were analysed using a simplified content analysis approach to link concept to ICF categories according to linking rules. Hearing health professionals (experts) recruited through e-mail distribution lists of professional organizations and personal networks of ICF core set for hearing loss steering committee members. Stratified sampling according to profession and world region enhanced the international and professional representation. Sixty-three experts constituted the stratified sample used in the analysis. A total of 1726 meaningful concepts were identified in this study, resulting in 209 distinctive ICF categories, with 106 mentioned by 5% or more of respondents. Most categories in the activities & participation component related to communication, while the most frequent environmental factors related to the physical environment such as hearing aids or noise. Mental functions, such as confidence or emotional functions were also frequently highlighted. More than half (53.3%) of the entire ICF classification categories were included in the expert survey results. This emphasizes the importance of a multidimensional tool, such as the ICF, for assessing persons with hearing loss.

  17. Health professionals identify components of the International Classification of Functioning, Disability and Health (ICF) in questionnaires for the upper limb

    PubMed Central

    Philbois, Stella V.; Martins, Jaqueline; Souza, Cesário S.; Sampaio, Rosana F.; Oliveira, Anamaria S.

    2016-01-01

    BACKGROUND: Several Brazilian studies have addressed the International Classification of Functioning, Disability and Health (ICF), but few have analyzed the knowledge of the health professionals with regards to the ICF. OBJECTIVE: To verify whether the classification of the items in the Brazilian-Portuguese versions of The Shoulder Pain and Disability Index (SPADI) and The Disabilities Arm, Shoulder and Hand (DASH) questionnaires, obtained from health professionals who worked with patients having upper limb injuries, could be related to ICF components as defined by others studies. METHOD: There were 4 participants for the group "professionals with high familiarity of the ICF (PHF)" and 19 for the group of "professionals with some or no familiarity of the ICF (PSNF)". The participants judged whether the items on the two questionnaires belonged to the ICF body function, body structure or activity-participation component, and marked a confidence level for each trial using a numerical scale ranging from zero to 10. The items were classified by the discriminant content validity method using the Student'st-test and the Hochberg correction. The ratings were compared to the literature by the percentage of agreement and Kappa coefficient. RESULTS: The percentage of agreement of the rating from the PSNF and the PHF groups with the literature was equal to or greater than 77%. For the DASH, the agreement of the PSNF and PHF groups with the literature were, respectively, moderate (Kappa=0.46 to 0.48) and substantial (Kappa=0.62 to 0.70). CONCLUSIONS: Health professionals were able to correlate the three components of the ICF for most items on the 2 questionnaires, demonstrating some ease of understanding the ICF components. However, the relation of concept of pain with body function component is not clear for professional and deserves a more attentive approach. PMID:26786076

  18. Work Rehabilitation Questionnaire (WORQ): development and preliminary psychometric evidence of an ICF-based questionnaire for vocational rehabilitation.

    PubMed

    Finger, Monika E; Escorpizo, Reuben; Bostan, Cristina; De Bie, Rob

    2014-09-01

    The International Classification of Functioning, Disability and Health (ICF) has proven to be a valuable framework for vocational rehabilitation (VR). No reliable and valid ICF-based instruments to capture work functioning is known, hence, the aims of this study were: (1) to outline the process for developing an ICF-based questionnaire, the Work Rehabilitation Questionnaire (WORQ) to assess functioning in VR and (2) to report preliminary psychometric evidence. ICF categories were selected from the ICF Core Sets for VR using explorative Rasch-analysis and VR literature review. Questions were worded to assess identified ICF categories. WORQ was translated from English to German. Psychometrics for the German version of WORQ was examined in one VR centre in Switzerland. 44 ICF categories were selected which resulted in 36 questions related to functioning. The psychometric evaluation of WORQ showed high test-retest reliability (Spearman correlation 0.79) (n = 53) and good internal consistency (Cronbachs Alpha 0.88) (n = 74) WORQ showed moderate correlation with Beck Depression Inventory II (Spearman correlation 0.511) and low correlation (Spearman correlation -0.353) with SF-36. WORQ appears to be a reliable, ICF-based questionnaire to evaluate functioning in VR, easy to administer by health or vocational professionals. The additional information gained when using WORQ would contribute to improving interdisciplinary understanding of the patient's situation and therefore support the integrative planning of the return-to-work process or engagement in gainful employment. However, further studies are needed to further examine its use in clinical practice and research, when validated in other patient populations and settings.

  19. Health professionals identify components of the International Classification of Functioning, Disability and Health (ICF) in questionnaires for the upper limb.

    PubMed

    Philbois, Stella V; Martins, Jaqueline; Souza, Cesário S; Sampaio, Rosana F; Oliveira, Anamaria S

    2016-01-01

    Several Brazilian studies have addressed the International Classification of Functioning, Disability and Health (ICF), but few have analyzed the knowledge of the health professionals with regards to the ICF. To verify whether the classification of the items in the Brazilian-Portuguese versions of The Shoulder Pain and Disability Index (SPADI) and The Disabilities Arm, Shoulder and Hand (DASH) questionnaires, obtained from health professionals who worked with patients having upper limb injuries, could be related to ICF components as defined by others studies. There were 4 participants for the group "professionals with high familiarity of the ICF (PHF)" and 19 for the group of "professionals with some or no familiarity of the ICF (PSNF)". The participants judged whether the items on the two questionnaires belonged to the ICF body function, body structure or activity-participation component, and marked a confidence level for each trial using a numerical scale ranging from zero to 10. The items were classified by the discriminant content validity method using the Student'st-test and the Hochberg correction. The ratings were compared to the literature by the percentage of agreement and Kappa coefficient. The percentage of agreement of the rating from the PSNF and the PHF groups with the literature was equal to or greater than 77%. For the DASH, the agreement of the PSNF and PHF groups with the literature were, respectively, moderate (Kappa=0.46 to 0.48) and substantial (Kappa=0.62 to 0.70). Health professionals were able to correlate the three components of the ICF for most items on the 2 questionnaires, demonstrating some ease of understanding the ICF components. However, the relation of concept of pain with body function component is not clear for professional and deserves a more attentive approach.

  20. FY14 LLNL OMEGA Experimental Programs

    SciTech Connect

    Heeter, R. F.; Fournier, K. B.; Baker, K.; Barrios, M.; Bernstein, L.; Brown, G.; Celliers, P.; Chen, H.; Coppari, F.; Fratanduono, D.; Johnson, M. G.; Huntington, C.; Jenei, A.; Kraus, R.; Ma, T.; Martinez, D.; McNabb, D.; Millot, M.; Moore, A.; Nagel, S.; Park, H. S.; Patel, P.; Perez, F.; Ping, Y.; Pollock, B.; Ross, J. S.; Rygg, J. R.; Smith, R.; Zylstra, A.; Collins, G.; Landen, O.; Wan, A.; Hsing, W.

    2014-10-13

    In FY14, LLNL’s High-Energy-Density Physics (HED) and Indirect Drive Inertial Confinement Fusion (ICF-ID) programs conducted several campaigns on the OMEGA laser system and on the EP laser system, as well as campaigns that used the OMEGA and EP beams jointly. Overall these LLNL programs led 324 target shots in FY14, with 246 shots using just the OMEGA laser system, 62 shots using just the EP laser system, and 16 Joint shots using Omega and EP together. Approximately 31% of the total number of shots (62 OMEGA shots, 42 EP shots) shots supported the Indirect Drive Inertial Confinement Fusion Campaign (ICF-ID). The remaining 69% (200 OMEGA shots and 36 EP shots, including the 16 Joint shots) were dedicated to experiments for High- Energy-Density Physics (HED). Highlights of the various HED and ICF campaigns are summarized in the following reports.

  1. FY15 LLNL OMEGA Experimental Programs

    SciTech Connect

    Heeter, R. F.; Baker, K. L.; Barrios, M. A.; Beckwith, M. A.; Casey, D. T.; Celliers, P. M.; Chen, H.; Coppari, F.; Fournier, K. B.; Fratanduono, D. E.; Frenje, J.; Huntington, C. M.; Kraus, R. G.; Lazicki, A. E.; Martinez, D. A.; McNaney, J. M.; Millot, M. A.; Pak, A. E.; Park, H. S.; Ping, Y.; Pollock, B. B.; Smith, R. F.; Wehrenberg, C. E.; Widmann, K.; Collins, G. W.; Landen, O. L.; Wan, A.; Hsing, W.

    2015-12-04

    In FY15, LLNL’s High-Energy-Density Physics (HED) and Indirect Drive Inertial Confinement Fusion (ICF-ID) programs conducted several campaigns on the OMEGA laser system and on the EP laser system, as well as campaigns that used the OMEGA and EP beams jointly. Overall these LLNL programs led 468 target shots in FY15, with 315 shots using just the OMEGA laser system, 145 shots using just the EP laser system, and 8 Joint shots using Omega and EP together. Approximately 25% of the total number of shots (56 OMEGA shots and 67 EP shots, including the 8 Joint shots) supported the Indirect Drive Inertial Confinement Fusion Campaign (ICF-ID). The remaining 75% (267 OMEGA shots and 86 EP shots) were dedicated to experiments for High-Energy-Density Physics (HED). Highlights of the various HED and ICF campaigns are summarized in the following reports.

  2. Validation of the "Activity and participation" component of ICF Core Sets for stroke patients in Japanese rehabilitation wards

    PubMed

    Kinoshita, Shoji; Abo, Masahiro; Miyamura, Kohei; Okamoto, Takatsugu; Kakuda, Wataru; Kimura, Ikuo; Urabe, Hiroshi

    2016-10-12

    To validate the International Classification of Functioning, Disability and Health (ICF) Core Set for stroke in the assessment of functional status and disability in Japanese stroke patients. The study included stroke patients admitted to the Kaifukuki (convalescent) rehabilitation wards. The comprehensive ICF Core Set for neurological conditions for post-acute care and the ICF rehabilitation set were evaluated with qualifiers assessed by the physiatrists at admission. The "activity and participation" (d) component was divided to sub-components (cognition-related activity, motor-related activity and participation). The correlations between numbers of problem categories in the entire "d" component and these sub-components in each ICF Core Set and the Functional Independence Measure (FIM) score were assessed using Spearman's correlation coefficient. A total of 117 post-stroke patients (mean age 70.1 ± 14.2 years, 53 women) were included. Correlation analysis identified significant and strong correlations between the values of the entire "d" component and sub-components (cognition-related activity and motor-related activity) of the 2 ICF Core Sets and FIM score. A significant, but weak, correlation between FIM and the participation sub-component was identified. The "d" component of these 2 ICF Core Sets reflects functional status and disability and could be a valid measure in post-acute stroke patients in the rehabilitation setting.

  3. Vesicourethral reflux-induced renal failure in a patient with ICF syndrome due to a novel DNMT3B mutation.

    PubMed

    Kutluğ, Seyhan; Ogur, Gönül; Yilmaz, Aysegül; Thijssen, Peter E; Abur, Ummet; Yildiran, Alisan

    2016-12-01

    ICF syndrome is a primary immunodeficiency disease characterized by hypo- or agammaglobulinemia, centromeric instability mainly on chromosomes 1, 9, and 16 and facial anomalies. ICF syndrome presents with frequent respiratory tract infections in infancy. A 20-month-old female patient was referred to our clinic due to frequent lower respiratory tract infections. ICF syndrome was considered because of comorbidity of hypogammaglobulinemia, facial anomalies, and neuromotor growth retardation. Metaphase chromosome analysis revealed centromeric instability on chromosomes 1, 9, and 16 and through Sanger a previously unreported homozygous missense mutation (c.1805T>C; [p.V602A]) was identified in the DNMT3B, confirming ICF1. The patient was found to have a breakdown in renal function 1 year later; the urinary system was examined and bilateral vesicoureteral reflux was found, warranting the need for dialysis in time. This report expands the mutation spectrum of ICF1 and is the first to describe bilateral vesicoureteral reflux accompanying ICF syndrome. © 2016 Wiley Periodicals, Inc.

  4. Vocational rehabilitation from the client's perspective using the International Classification of Functioning, Disability and Health (ICF) as a reference.

    PubMed

    Glässel, Andrea; Finger, Monika E; Cieza, Alarcos; Treitler, Christine; Coenen, Michaela; Escorpizo, Reuben

    2011-06-01

    INTRODUCTION A mixed-methods (qualitative-quantitative), multicenter study was conducted using a focus group design to explore the lived experiences of persons in vocational rehabilitation (VR) with regard to functioning and contextual factors using six open-ended questions related to the ICF components. The results were classified by using the International Classification of Functioning, Disability and Health (ICF) as a frame of reference. METHODS The meaningful concepts within the transcribed data were identified and linked to ICF categories according to established linking rules. RESULTS The seven focus groups with 26 participants yielded a total of 4,813 relevant concepts which were linked to a total of 160 different second-level ICF categories. From the client perspective, the ICF components (a) body functions, (b) activities and participation and (c) environmental factors were equally represented, while (d) body structures appeared less frequently. Out of the total number of concepts, 864 concepts (18%) were assigned to the ICF component personal factors which is not yet classified but could indicate important aspects of resource management and strategy development of patients in VR. CONCLUSION Therefore, VR of patients must not be limited to anatomical and pathophysiologic changes, but should also consider a more comprehensive view which includes client's demands, strategies and resources in daily life and the context around the individual and social circumstances of their work situation.

  5. Implementation of ICF in goal setting in rehabilitation of children with chronic disabilities at Beitostolen Healthsports Centre.

    PubMed

    Dalen, Hakon Erlend; Nyquist, Astrid; Saebu, Martin; Roe, Cecilie; Bautz-Holter, Erik

    2013-02-01

    Develop an International Classification of Functioning, Disability and Health (ICF) Code Set, useful in goal oriented rehabilitation of a study population of children with chronic disabilities. A triangulation of methods, using an interview to identify the main needs and goals of the study population, and a questionnaire to identify the main problems, with a registration of the frequency within each category. After qualitative and quantitative analyses this resulted in two sets of ICF categories. These two sets were then compared and merged into a proposed ICF Code Set for goal setting. Thirty categories were identified from the interviews and the following linking process. Problems were reported in all suggested categories within the ICF questionnaire, resulting in 49 categories. The comparison of the two sets of categories resulted in a proposed ICF Code Set of 40 categories. Through a triangulation of methods, we developed a tailored code set for the goal setting process in rehabilitation for children with a disability, taking into account both individual preferences and the health professionals' perspective. Although the external validity is limited, our methodological procedures may have relevance for the implementation of ICF in other clinical settings and populations.

  6. A concept of needs-oriented design and evaluation of assistive robots based on ICF.

    PubMed

    Matsumoto, Yoshio; Nishida, Yoshifumi; Motomura, Yoichi; Okawa, Yayoi

    2011-01-01

    In the robotics community, a great number of assistive robots for elderly and handicapped people have been developed in the past few decades. However, very few of them became commercially available. It is often claimed that the major problems for the commercialization of robotic technologies are the "cost" and the "safety." However we believe that the mismatch of "needs in daily lives" and "seeds in the technologies" is also a major problem. In this paper, we describe our novel ideas on the development of assistive robots which fit the real needs of users based on ICF (International Classification of Functioning, Disability and Health), which is a part of the WHO Family of International Classifications for describing whole activities of a person in daily lives. By utilizing ICF, the development process of assistive robots - analyzing and discovering needs in daily lives, designing robots and evaluating the products - will be achieved in an objective manner. © 2011 IEEE

  7. Interaction of high power laser beams with plasma in ICF hohlraum using the FDTD method

    NASA Astrophysics Data System (ADS)

    Lin, Zhili

    2016-11-01

    In the indirect-drive Inertial confinement fusion (ICF) system, groups of laser beams are injected into a gold cylindrical hohlraum and plasma is stimulated with the ablation of the wall of hohlraum by the laser beams. In our work, the finite-difference time-domain (FDTD) method associated with the bilinear transform and Maclaurin series expansion approaches is utilized to examine the laser beam propagation in plasma described by the Drude model. The state-of-the-art approaches for generating the laser beams are presented and realized according to the full utilization of the TF/SF source condition. Base on the previous technologies, the quantitatively numerical analysis of the propagation characteristics of laser beams in the plasma is conducted. The obtained results are illustrated and discussed that are helpful for the parameter optimization of laser beams for an ICF system.

  8. ICF, An Immunodeficiency Syndrome: DNA Methyltransferase 3B Involvement, Chromosome Anomalies, and Gene Dysregulation

    PubMed Central

    Ehrlich, Melanie; Sanchez, Cecilia; Shao, Chunbo; Nishiyama, Rie; Kehrl, John; Kuick, Rork; Kubota, Takeo; Hanash, Samir M.

    2008-01-01

    The immunodeficiency, centromeric region instability, and facial anomalies syndrome (ICF) is the only disease known to result from a mutated DNA methyltransferase gene, namely, DNMT3B. Characteristic of this recessive disease are decreases in serum immunoglobulins despite the presence of B cells and, in the juxtacentromeric heterochromatin of chromosomes 1 and 16, chromatin decondensation, distinctive rearrangements, and satellite DNA hypomethylation. Although DNMT3B is involved in specific associations with histone deacetylases, HP1, other DNMTs, chromatin remodelling proteins, condensin, and other nuclear proteins, it is probably the partial loss of catalytic activity that is responsible for the disease. In microarray experiments and real-time RT-PCR assays, we observed significant differences in RNA levels from ICF vs. control lymphoblasts for pro- and anti-apoptotic genes (BCL2L10, CASP1, and PTPN13); nitrous oxide, carbon monoxide, NF-κB, and TNFa signalling pathway genes (PRKCH, GUCY1A3, GUCY1B3, MAPK13; HMOX1, and MAP4K4); and transcription control genes (NR2F2 and SMARCA2). This gene dysregulation could contribute to the immunodeficiency and other symptoms of ICF and might result from the limited losses of DNA methylation although ICF-related promoter hypomethylation was not observed for six of the above examined genes. We propose that hypomethylation of satellite 2at1qh and 16qh might provoke this dysregulation gene expression by trans effects from altered sequestration of transcription factors, changes in nuclear architecture, or expression of noncoding RNAs. PMID:18432406

  9. VizieR Online Data Catalog: Star forming regions sulphur ICFs (Dors+, 2016)

    NASA Astrophysics Data System (ADS)

    Dors, O. L.; Perez-Montero, E.; Hagele, G. F.; Cardaci, M. V.; Krabbe, A. C.

    2016-10-01

    We compiled from the literature emission-line intensities of HII regions and star-forming galaxies obtained in the optical and infrared spectral ranges. These measurements were used to obtain sulphur and oxygen ionic abundances in order to verify if our photoionization models are representative of real HIi regions, to check if the theoretical ICFs are compatible with the ones derived directly from observations and investigating the S/O-O/H relation. (5 data files).

  10. Effect of High-Z Doping on ICF TN Performance and Ignition

    NASA Astrophysics Data System (ADS)

    Wang, Yi-Ming

    2013-10-01

    One of the challenges of ICF ignition is to achieve desired areal density ρR of the hot-spot region so that a self-sustained TN burn could be initiated and maintained. The recent study of the NIC data indicated that the areal density ρR of the hot-spot inferred by the DSR was lower than the ignition requirement set by ITF. In this work, we will study the effect of Hi-Z doping in the DT gas on the ICF TN performance. The mechanism of the high-Z doping is to utilize additional radiative cooling of high-Z doping during the implosion phase of the evolution so that the gas cavity will follow a lower adiabatic path. This allows a more isothermal compression of the gas to a high density and ρR at the center of the target. The radiative cooling caused by mixing of high Z material into the gas region was considered to degrade to the performance of ICF capsule. However, a trace of high-Z doping enhances both the TN performance as well as the hot-spot ρR. Overall, for a transparent pusher design, over 38% of improvement of gas (hot-spot) ρR and over 200% increase of the yield rate compared to the baseline design have been achieved using this. For an opaque pusher design, no TN performance improvement had been observed in calculation. Work supported by the Department of Energy.

  11. Mapping SAGE questionnaire to the International Classification of Functioning, Disability and Health (ICF).

    PubMed

    Raggi, Alberto; Quintas, Rui; Russo, Emanuela; Martinuzzi, Andrea; Costardi, Daniela; Frisoni, Giovanni Battista; Franco, Maria Grazia; Andreotti, Alessandra; Ojala, Matti; Peña, Sebastián; Perales, Jaime; Chatterji, Somnath; Miret, Marta; Tobiasz-Adamczyk, Beata; Koskinen, Seppo; Frattura, Lucilla; Leonardi, Matilde

    2014-01-01

    The collaborative research on ageing in Europe protocol was based on that of the World Health Organization Study on global AGEing and adult health (SAGE) project that investigated the relationship between health and well-being and provided a set of instruments that can be used across countries to monitor health and health-related outcomes of older populations as well as the strategies for addressing issues concerning the ageing process. To evaluate the degree to which SAGE protocol covered the spectrum of disability given the scope of the World Health Organization International Classification of Functioning, Disability and Health (ICF), a mapping exercise was performed with SAGE protocol. Results show that the SAGE protocol covers ICF domains in a non-uniform way, with environmental factors categories being underrepresented, whereas mental, cardiovascular, sensory functions and mobility were overrepresented. To overcome this partial coverage of ICF functioning categories, new assessment instruments have been developed. PRACTITIONER MESSAGE: Mapping exercises are valid procedures to understand the extent to which a survey protocol covers the spectrum of functioning. The mapping exercise with SAGE protocol shows that it provides only a partial representation of body functions and activities and participation domains, and the coverage of environmental factors is poor. New instruments are therefore needed for researchers to properly understand the health and disability of ageing populations.

  12. Application of spectral line shapes to the study of high density ICF plasmas

    SciTech Connect

    Keane, C.J.; Hammel, B.A.; Langer, S.H.; Lee, R.W.; Calisti, A.; Godbert, L.; Stamm, R.; Talin, B.

    1994-09-01

    Spectral line broadening manifests itself in the study of high density inertial confinement fusion (ICF) plasmas in two important ways. First, comparison between measured and calculated lineshapes of individual spectral lines or groups of lines is used to diagnose plasma conditions in dense ICF plasmas, particularly in implosions. Secondly, through the emission and absorption coefficients spectral lineshapes serve as important inputs to plasma spectroscopy simulation codes which calculate simulated spectra from ICF targets. We discuss recent results from each of these areas. With regard to lineshape diagnostics, the advent of generalized line broadening codes has allowed the line profiles of complex multielectron emitters to be considered for diagnostic purposes. Particular example of this is the use of Ar He-{beta} and its associated dielectronic satellites as a diagnostic of T{sub e} and N{sub e}, as well as the development of Ne-like Xe line broadening as a density diagnostic. With respect to simulation codes, the implementation of detailed lineshapes in calculations of this type is in many ways in its infancy. We present here examples of cases where effects related to spectral lineshapes such as continuum lowering and line transfer of Stark broadened lines are important so as to provide a stimulus for future work in this field. 34 refs., 9 figs., 1 tab.

  13. An ICF Perspective on Voice-related Quality of Life of American Transgender Women.

    PubMed

    Hancock, Adrienne B

    2017-01-01

    The factors and correlates of voice-related quality of life (vQOL) in American transgender women (ie, male-to-female) were examined using two questionnaires and were reviewed in the context of the International Classification of Functioning, Disability, and Health (ICF) model. This information will assist clinicians to be culturally and clinically competent providers of voice and communication feminization services. A diverse group of 81 transgender women completed a survey to report relevant demographic information, as well as the Voice Handicap Index and the Transgender Self-evaluation Questionnaire (TSEQ). Descriptive statistics for the overall levels of vQOL were calculated. Items from the TSEQ were sorted to correspond to the ICF components to allow for description and ranking of factors impacting health function. Spearman correlations were used to examine the relationships between questionnaire scores and to select demographic and gender transition characteristics (ie, personal factors in the ICF). These transgender women reported a wide range of vQOL; some are severely restricted by their voice and communication, whereas others are not. The most common concerns are emotional reactions to activity limitations and participation restrictions. Personal factors related to demographics and gender transition generally were not significant contributors to the vQOL scores. In addition to addressing the physiological functions of the voice, speech language pathologists should cultivate cultural competence and consider transgender clients' emotional reactions to voice function impairments and related life participation restrictions. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  14. Ion kinetic dynamics in strongly-shocked plasmas relevant to ICF

    NASA Astrophysics Data System (ADS)

    Rinderknecht, H. G.; Amendt, P. A.; Rosenberg, M. J.; Li, C. K.; Frenje, J. A.; Gatu Johnson, M.; Sio, H.; Séguin, F. H.; Petrasso, R. D.; Zylstra, A. B.; Kagan, G.; Hoffman, N. M.; Svyatsky, D.; Wilks, S. C.; Glebov, V. Yu.; Stoeckl, C.; Sangster, T. C.

    2017-06-01

    Implosions of thin-shell capsules produce strongly-shocked (M  >  10), low-density (ρ ˜ 1 mg cc-1), high-temperature ({{T}\\text{i}}˜ keV) plasmas, comparable to those produced in the strongly-shocked DT-vapor in inertial confinement fusion (ICF) experiments. A series of thin-glass targets filled with mixtures of deuterium and Helium-3 gas ranging from 7% to 100% deuterium was imploded to investigate the impact of multi-species ion kinetic mechanisms in ICF-relevant plasmas over a wide range of Knudsen numbers ({{N}\\text{K}}\\equiv {λ\\text{ii}}/R ). Slightly kinetic implosions ({{N}\\text{K}}˜ 0.01 -0.05) follow the expected yield trend with experimentally-inferred N K, suggesting effects associated with long mean-free-paths (such as energetic tail-ion loss) provide the dominant yield reduction mechanisms. In contrast, highly kinetic implosions (Rinderknecht et al 2015 Phys. Rev. Lett. 114 025001) with inferred {{N}\\text{K}}>0.5 produce the opposite yield trend from the Knudsen-number prediction, confirming the dominance of multi-species physics in these experiments. The impact of the observed kinetic physics mechanisms on the formation of the hotspot in ICF experiments is discussed.

  15. Characterization and rescue of telomeric abnormalities in ICF syndrome type I fibroblasts

    PubMed Central

    Yehezkel, Shiran; Shaked, Rony; Sagie, Shira; Berkovitz, Ron; Shachar-Bener, Hofit; Segev, Yardena; Selig, Sara

    2013-01-01

    Mutations in the human DNA methyltransferase 3B (DNMT3B) gene lead to ICF (immunodeficiency, centromeric region instability, and facial anomalies) syndrome type I. We have previously described a telomere-related phenotype in cells from these patients, involving severe hypomethylation of subtelomeric regions, abnormally short telomeres and high levels of telomeric-repeat-containing RNA (TERRA). Here we demonstrate that ICF-patient fibroblasts carry abnormally short telomeres at a low population doubling (PD) and enter senescence prematurely. Accordingly, we attempted to rescue the senescence phenotype by ectopic expression of human telomerase, which led to elongated telomeres with hypomethylated subtelomeres. The senescence phenotype was overcome under these conditions, thus dissociating subtelomeric-DNA hypomethylation per se from the senescence phenotype. In addition, we examined whether the subtelomeric methylation could be restored by expression of a normal copy of full length DNMT3B1 in ICF fibroblasts. Ectopic expression of DNMT3B1 failed to rescue the abnormal hypomethylation at subtelomeres. However, partial rescue of subtelomeric-hypomethylation was achieved by co-expression of DNMT3B1 together with DNA methyltransferase 3-like (DNMT3L), encoding a protein that functions as a stimulator of DNMT3A and DNMT3B. DNMT3B1 and DNMT3L are predominantly expressed during early embryonic development, suggesting that de novo subtelomeric DNA methylation during crucial stages of human embryonic development may be necessary for setting and maintaining normal telomere length. PMID:23450006

  16. Germline genes hypomethylation and expression define a molecular signature in peripheral blood of ICF patients: implications for diagnosis and etiology.

    PubMed

    Velasco, Guillaume; Walton, Emma L; Sterlin, Delphine; Hédouin, Sabrine; Nitta, Hirohisa; Ito, Yuya; Fouyssac, Fanny; Mégarbané, André; Sasaki, Hiroyuki; Picard, Capucine; Francastel, Claire

    2014-04-17

    Immunodeficiency Centromeric Instability and Facial anomalies (ICF) is a rare autosomal recessive disease characterized by reduction in serum immunoglobulins with severe recurrent infections, facial dysmorphism, and more variable symptoms including mental retardation. ICF is directly related to a genomic methylation defect that mainly affects juxtacentromeric heterochromatin regions of certain chromosomes, leading to chromosomal rearrangements that constitute a hallmark of this syndrome upon cytogenetic testing. Mutations in the de novo DNA methyltransferase DNMT3B, the protein ZBTB24 of unknown function, or loci that remain to be identified, lie at its origin. Despite unifying features, common or distinguishing molecular signatures are still missing for this disease. We used the molecular signature that we identified in a mouse model for ICF1 to establish transcriptional biomarkers to facilitate diagnosis and understanding of etiology of the disease. We assayed the expression and methylation status of a set of genes whose expression is normally restricted to germ cells, directly in whole blood samples and epithelial cells of ICF patients. We report that DNA hypomethylation and expression of MAEL and SYCE1 represent robust biomarkers, easily testable directly from uncultured cells to diagnose the most prevalent sub-type of the syndrome. In addition, we identified the first unifying molecular signatures for ICF patients. Of importance, we validated the use of our biomarkers to diagnose a baby born to a family with a sick child. Finally, our analysis revealed unsuspected complex molecular signatures in two ICF patients suggestive of a novel genetic etiology for the disease. Early diagnosis of ICF syndrome is crucial since early immunoglobulin supplementation can improve the course of disease. However, ICF is probably underdiagnosed, especially in patients that present with incomplete phenotype or born to families with no affected relatives. The specific and robust

  17. Germline genes hypomethylation and expression define a molecular signature in peripheral blood of ICF patients: implications for diagnosis and etiology

    PubMed Central

    2014-01-01

    Background Immunodeficiency Centromeric Instability and Facial anomalies (ICF) is a rare autosomal recessive disease characterized by reduction in serum immunoglobulins with severe recurrent infections, facial dysmorphism, and more variable symptoms including mental retardation. ICF is directly related to a genomic methylation defect that mainly affects juxtacentromeric heterochromatin regions of certain chromosomes, leading to chromosomal rearrangements that constitute a hallmark of this syndrome upon cytogenetic testing. Mutations in the de novo DNA methyltransferase DNMT3B, the protein ZBTB24 of unknown function, or loci that remain to be identified, lie at its origin. Despite unifying features, common or distinguishing molecular signatures are still missing for this disease. Method We used the molecular signature that we identified in a mouse model for ICF1 to establish transcriptional biomarkers to facilitate diagnosis and understanding of etiology of the disease. We assayed the expression and methylation status of a set of genes whose expression is normally restricted to germ cells, directly in whole blood samples and epithelial cells of ICF patients. Results We report that DNA hypomethylation and expression of MAEL and SYCE1 represent robust biomarkers, easily testable directly from uncultured cells to diagnose the most prevalent sub-type of the syndrome. In addition, we identified the first unifying molecular signatures for ICF patients. Of importance, we validated the use of our biomarkers to diagnose a baby born to a family with a sick child. Finally, our analysis revealed unsuspected complex molecular signatures in two ICF patients suggestive of a novel genetic etiology for the disease. Conclusions Early diagnosis of ICF syndrome is crucial since early immunoglobulin supplementation can improve the course of disease. However, ICF is probably underdiagnosed, especially in patients that present with incomplete phenotype or born to families with no affected

  18. An examination of concepts in vocational rehabilitation that could not be linked to the ICF based on an analysis of secondary data.

    PubMed

    Finger, Monika; de Bie, Robert; Selb, Melissa; Escorpizo, Reuben

    2016-02-15

    In the last few years the International Classification of Functioning, Disability and Health (ICF) has become a widely known and useful reference classification in vocational rehabilitation. It would be equally important to know which aspects of work-related health information cannot be assigned to distinct ICF categories. The objective of this study is to examine the concepts derived from three studies conducted within the ICF Core Set for vocational rehabilitation project, which could not be linked to distinct ICF codes in order to complement the current understanding of functioning in vocational rehabilitation. Secondary data analysis of the concepts from the systematic literature review, expert survey and patient focus group study of the ICF Core Set for vocational rehabilitation project that were marked as nd = not definable, nc = not covered or pf = personal factor. Nd-concepts were assigned to the biopsychosocial model of the ICF; additional ICF categories were formulated where needed. Nc-concepts were grouped into common themes not covered by the ICF. Pf-categories were linked to a proposed personal factors classification. 1093 nd-concepts were matched to overarching terms in the ICF, and "other specified"-categories were detailed. 1924 pf-concepts were linked to 31 second level categories of a proposed personal factors classification. 441 nc-concepts were grouped into six themes including the concept of well-being and attributes related to processes and time. With concepts that emerged from the secondary analysis of data gathered during the vocational rehabilitation ICF Core Set project, we have enriched the ICF model with constructs specific to vocational rehabilitation. However, additional research is needed to further explore personal factors specific to vocational rehabilitation. The influence of themes complementary to the ICF such as well-being and quality of life on return-to-work should be further investigated.

  19. Sol-gel optical thin films for an advanced megajoule-class Nd:glass laser ICF-driver

    SciTech Connect

    Floch, H.G.; Belleville, P.F.; Pegon, P.M.; Dijonneau, C.S.; Guerain, J.

    1995-12-31

    It is well established by manufacturers and users that optical coatings are generally prepared by the well known Physical Vapor Deposition (PVD) technology. In the authors` opinion sol-gel technology is an effective and competitive alternative. The aim of this paper is to emphasize on the sol-gel thin film work carried out at Centre d`Etudes de Limeil-Valenton (CEL-V) and concerning the technology for high power lasers. The authors will briefly discuss the chemistry of the sol-gel process, the production of optical coatings and the related deposition techniques. Finally, the paper describes the preparation and performance of sol-gel optical coatings they have developed to fulfill the requirements of a future 2 MJ/500 TW (351 nm) pulsed Nd:glass laser so-called LMJ (Laser MegaJoules). This powerful laser is to be used for their national Inertial Confinement Fusion (ICF) program, to demonstrate at the laboratory scale, ignition of deuterium-tritium fusion fuel. Moreover, the aim of this article is, hopefully, to provide a convincing argument that coatings and particularly optical coatings, are some of the useful products available from sol-gel technology, and that exciting developments in other areas are almost certain to emerge within the coming decade.

  20. Sol-gel optical thin films for an advanced megajoule-class Nd:glass laser ICF driver

    NASA Astrophysics Data System (ADS)

    Floch, Herve G.; Belleville, Philippe F.; Pegon, Philippe M.; Dijonneau, Corinne S.; Guerain, Jacques R.

    1995-12-01

    It is well established by manufacturers and users that optical coatings are generally prepared by the well known physical vapor deposition (PVD) technology. In the authors' opinion sol-gel technology is an effective and competitive alternative. The aim of this paper is to emphasize the sol-gel thin film work carried out at Centre d'Etudes de Limeil-Valenton (CEL-V) and concerning the technology for high power lasers. We briefly discuss the chemistry of the sol- gel process, the production of optical coatings, and the related deposition techniques. Finally, the paper describes the preparation and performance of sol-gel optical coatings we have developed to fulfill the requirements of a future 2 MJ/500 TW (351 nm) pulsed Nd:glass laser so-called LMJ (Laser MegaJoules). This powerful laser is to be used for our national inertial confinement fusion (ICF) program, to demonstrate at the laboratory scale, ignition of deuterium-tritium fusion fuel. Moreover, the aim of this article is, hopefully, to provide a convincing argument that coatings and particularly optical coatings, are some of the useful products available from sol-gel technology , and that exciting developments in other areas are almost certain to emerge within the coming decade.

  1. The International Classification of Functioning, Disability and Health (ICF) in vocational rehabilitation and disability assessment in Slovenia: state of law and users' perspective.

    PubMed

    Ptyushkin, Pavel; Vidmar, Gaj; Burger, Helena; Marinček, Crt; Escorpizo, Reuben

    2011-01-01

    This study illustrates the use of the ICF in vocational rehabilitation and disability assessment in Slovenia. A review of the Slovenian law about vocational rehabilitation was performed. A survey was developed and group and individual interviews were conducted with professionals involved in vocational rehabilitation who use the ICF. The vast majority of the respondents believe that ICF helps to create a common language for multidisciplinary communication. The main advantages of the ICF identified by the respondents are that it provides a holistic view of the person, assesses complexities of functioning, provides a unified language and offers a quick and easy insight into functioning. The disadvantages of ICF are complicated terminology and subjectivity of the assessor. A difficulty encountered by the users is that by law, only body functions of the ICF are assessed. Additional qualitative analysis of the users' understanding of ICF and its purpose revealed heterogeneity. Significant differences between public and private organisations were found. ICF is a promising tool for use in vocational rehabilitation and disability assessment in Slovenia. A major challenge is the lack of interface between ICF and policies on vocational rehabilitation in Slovenia.

  2. Validation of the International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis from the patient perspective using focus groups

    PubMed Central

    Coenen, Michaela; Cieza, Alarcos; Stamm, Tanja A; Amann, Edda; Kollerits, Barbara; Stucki, Gerold

    2006-01-01

    Functioning is recognized as an important study outcome in rheumatoid arthritis (RA). The Comprehensive ICF Core Set for RA is an application of the International Classification of Functioning, Disability and Health (ICF) of the World Health Organisation with the purpose of representing the typical spectrum of functioning of patients with RA. To strengthen the patient perspective, persons with RA were explicitly involved in the validation of the Comprehensive ICF Core Set for RA using qualitative methodology. The objective of the study was twofold: to come forward with a proposal for the most appropriate methodology to validate Comprehensive ICF Core Sets from the patient perspective; and to add evidence to the validation of the Comprehensive ICF Core Set for RA from the perspective of patients. The specific aims were to explore the aspects of functioning and health important to patients with RA using two different focus group approaches (open approach and ICF-based approach) and to examine to what extent these aspects are represented by the current version of the Comprehensive ICF Core Set for RA. The sampling of patients followed the maximum variation strategy. Sample size was determined by saturation. The focus groups were digitally recorded and transcribed verbatim. The meaning condensation procedure was used for the data analysis. After qualitative data analysis, the resulting concepts were linked to ICF categories according to established linking rules. Forty-nine patients participated in ten focus groups (five in each approach). Of the 76 ICF categories contained in the Comprehensive ICF Core Set for RA, 65 were reported by the patients based on the open approach and 71 based on the ICF-based approach. Sixty-six additional categories (open approach, 41; ICF-based approach, 57) that are not covered in the Comprehensive ICF Core Set for RA were raised. The existing version of the Comprehensive ICF Core Set for RA could be confirmed almost entirely by the two

  3. Lymphoedema Functioning, Disability and Health questionnaire (Lymph-ICF): reliability and validity.

    PubMed

    Devoogdt, Nele; Van Kampen, Marijke; Geraerts, Inge; Coremans, Tina; Christiaens, Marie-Rose

    2011-06-01

    Lymphedema occurs frequently after axillary dissection for breast cancer and causes significant physical and psychosocial problems. To plan the treatment for lymphedema and monitor the patient's progress, arm swelling and arm function need to be assessed. The purpose of this study was to investigate the reliability (test-retest, internal consistency, measurement variability) and validity (content and construct) of data obtained with the Lymphoedema Functioning, Disability and Health questionnaire (Lymph-ICF). The Lymph-ICF is a descriptive and evaluative tool and consists of 29 questions about impairments in function, activity limitations, and participation restrictions of patients with breast cancer and arm lymphedema. The questionnaire is divided into 5 domains: physical function, mental function, household activities, mobility activities, and life and social activities. Reliability and validity were examined on 60 patients with lymphedema and 30 patients without lymphedema. Intraclass correlation coefficients for test-retest reliability ranged from .65 to .93. Cronbach alpha coefficients for internal consistency were higher than .70. There were no systematic changes from the first test to the second test, and measurement variability was acceptable (standard errors of measurement=4.8-12.5). Content validity was good because all questions were understandable for all participants, the scoring system (visual analog scale) was clear for 88% of the participants, and all complaints due to arm lymphedema were mentioned by 85% of the participants. Construct validity was good. There was good convergent validity because 5 expected domains of the Lymph-ICF had the strongest correlation with 5 expected domains of the 36-Item Short-Form Health Survey questionnaire (SF-36). Thus, the 5 hypotheses assessing convergent validity were accepted. There was acceptable divergent validity because 3 of 5 hypotheses assessing divergent validity were accepted. There was good known

  4. Toolbox of multiple-item measures aligning with the ICF Core Sets for children and youth with cerebral palsy.

    PubMed

    Schiariti, Verónica; Tatla, Sandy; Sauve, Karen; O'Donnell, Maureen

    2017-03-01

    Selecting appropriate measure(s) for clinical and/or research applications for children and youth with Cerebral Palsy (CP) poses many challenges. The newly developed International Classification of Functioning, Disability and Health (ICF) Core Sets for children and youth with CP serve as universal guidelines for assessment, intervention and follow-up. The aims of this study were: 1) to identify valid and reliable measures used in studies with children and youth with CP, 2) to characterize the content of each measure using the ICF Core Sets for children and youth with CP as a framework, and finally 3) to create a toolbox of psychometrically sound measures covering the content of each ICF Core Set for children and youth with CP. All clearly defined multiple-item measures used in studies with CP between 1998 and 2015 were identified. Psychometric properties were extracted when available. Construct of the measures were linked to the ICF Core Sets. Overall, 83 multiple-item measures were identified. Of these, 68 measures (80%) included reliability and validity testing. The majority of the measures were discriminative, generic and designed for school-aged children. The degree to which measures with proven psychometric properties represented the ICF Core Sets for children and youth with CP varied considerably. Finally, 25 valid and reliable measures aligned highly with the content of the ICF Core Sets, and as such, these measures are proposed as a novel ICF Core Sets-based toolbox of measures for CP. Our results will guide professionals seeking appropriate measures to meet their research and clinical needs worldwide.

  5. Developing comprehensive and Brief ICF core sets for morbid obesity for disability assessment in Taiwan: a preliminary study.

    PubMed

    Lin, Y-N; Chang, K-H; Lin, C-Y; Hsu, M-I; Chen, H-C; Chen, H-H; Liou, T-H

    2014-04-01

    The International Classification of Functioning, Disability, and Health (ICF) provides a framework for measuring functioning and disability based on a biopsychosocial model. The aim of this study was to develop comprehensive and brief ICF core sets for morbid obesity for disability assessment in Taiwan. Observational Other Twenty-nine multidisciplinary experts of ICF METHODS: The questionnaire contained 112 obesity-relevant and second-level ICF categories. Using a 5-point Likert scale, the participants rated the significance of the effects of each category on the heath status of people with obesity. Correlation between an individual's score and the average score of the group indicated consensus. The categories were selected for the comprehensive core set for obesity if more than 50% of the experts rated them as "important" in the third round of the Delphi exercise, and for the brief core set if more than 80% of the experts rated them "very important." Twenty-nine experts participated in the study. These included 18 physicians, 4 dieticians, 3 physical therapists, 2 nurses, and 2 ICF experts. The comprehensive core set for morbid obesity contained 61 categories. Of these, 26 categories were from the component body function, 8 were from body structure, 18 were from activities and participation, and 9 were from environmental factors. The brief core set for obesity disability contained 29 categories. Of these, 19 categories were from the component body function, 3 were from body structure, 6 were from activities and participation, and one was from environmental factors. The comprehensive and brief ICF core sets provide comprehensive information on the health effects of morbid obesity and concise information for clinical practice. Comprehensive and brief core sets were created after three rounds of Delphi technique. Further validation study of these core sets by applying to patients with morbid obesity is needed. The comprehensive ICF core set for morbid obesity

  6. Recent advances in indirect drive ICF target physics at LLNL

    SciTech Connect

    Bernat, T P; Collins, G W; Haan, S; Hammel, B A; Landen, O L; MacGowan, B J; Sutter, L J

    1998-01-13

    In preparation for ignition on the National Ignition Facility, the Lawrence Livermore National Laboratory's Inertial Confinement Fusion Program, working in collaboration with Los Alamos National Laboratory, Commissariat a 1'Energie Atomique (CEA), and Laboratory for Laser Energetics at the University of Rochester, has performed a broad range of experiments on the Nova and Omega lasers to test the fundamentals of the NIF target designs. These studies have refined our understanding of the important target physics, and have led to many of the specifications for the NIF laser and the cryogenic ignition targets. Our recent work has been focused in the areas of hohlraum energetics, symmetry, shock physics, and target design optimization & fabrication.

  7. Recent Advances in Indirect Drive ICF Target Physics

    SciTech Connect

    Hammel, B; Lindl, J; Amendt, P A; Bernat, G W; Collins, G W; Glenzer, S H; Koch, S H; Haan, S; Landen, O L; Suter, L J

    2002-10-08

    In preparation for ignition on the National Ignition Facility, the Lawrence Livermore National Laboratory's Inertial Confinement Fusion Program, working in collaboration with Los Alamos National Laboratory, Commissariat a lEnergie Atomique (CEA), and Laboratory for Laser Energetics at the University of Rochester, has performed a broad range of experiments on the Nova and Omega lasers to test the fundamentals of the NIF target designs. These studies have refined our understanding of the important target physics, and have led to many of the specifications for the NIF laser and the cryogenic ignition targets. Our recent work has been focused in the areas of hohlraum energetics, symmetry, shock physics, and target design optimization & fabrication.

  8. Selective demethylation and altered gene expression are associated with ICF syndrome in human-induced pluripotent stem cells and mesenchymal stem cells

    PubMed Central

    Huang, Kevin; Wu, Zhourui; Liu, Zhenshan; Hu, Ganlu; Yu, Juehua; Chang, Kai H.; Kim, Kee-Pyo; Le, Thuc; Faull, Kym F.; Rao, Nagesh; Gennery, Andrew; Xue, Zhigang; Wang, Cun-yu; Pellegrini, Matteo; Fan, Guoping

    2014-01-01

    Immunodeficiency, centromeric instability and facial anomalies type I (ICF1) syndrome is a rare genetic disease caused by mutations in DNA methyltransferase (DNMT) 3B, a de novo DNA methyltransferase. However, the molecular basis of how DNMT3B deficiency leads to ICF1 pathogenesis is unclear. Induced pluripotent stem cell (iPSC) technology facilitates the study of early human developmental diseases via facile in vitro paradigms. Here, we generate iPSCs from ICF Type 1 syndrome patient fibroblasts followed by directed differentiation of ICF1-iPSCs to mesenchymal stem cells (MSCs). By performing genome-scale bisulfite sequencing, we find that DNMT3B-deficient iPSCs exhibit global loss of non-CG methylation and select CG hypomethylation at gene promoters and enhancers. Further unbiased scanning of ICF1-iPSC methylomes also identifies large megabase regions of CG hypomethylation typically localized in centromeric and subtelomeric regions. RNA sequencing of ICF1 and control iPSCs reveals abnormal gene expression in ICF1-iPSCs relevant to ICF syndrome phenotypes, some directly associated with promoter or enhancer hypomethylation. Upon differentiation of ICF1 iPSCs to MSCs, we find virtually all CG hypomethylated regions remained hypomethylated when compared with either wild-type iPSC-derived MSCs or primary bone-marrow MSCs. Collectively, our results show specific methylome and transcriptome defects in both ICF1-iPSCs and differentiated somatic cell lineages, providing a valuable stem cell system for further in vitro study of the molecular pathogenesis of ICF1 syndrome. GEO accession number: GSE46030. PMID:25027325

  9. Concept analysis of the patient reported outcomes measurement information system (PROMIS(®)) and the international classification of functioning, disability and health (ICF).

    PubMed

    Tucker, Carole A; Cieza, Alarcos; Riley, Anne W; Stucki, Gerold; Lai, Jin Shei; Bedirhan Ustun, T; Kostanjsek, Nenad; Riley, William; Cella, David; Forrest, Christopher B

    2014-08-01

    The Patient Reported Outcomes Measurement Information System (PROMIS (®) ) is a US National Institutes of Health initiative that has produced self-report outcome measures, using a framework of physical, mental, and social health defined by the World Health Organization in 1948 (WHO, in Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 1948). The World Health Organization's International Classification of Functioning, Disability and Health (ICF) is a comprehensive classification system of health and health-related domains that was put forward in 2001. The purpose of this report is to compare and contrast PROMIS and ICF conceptual frameworks to support mapping of PROMIS instruments to the ICF classification system . We assessed the objectives and the classification schema of the PROMIS and ICF frameworks, followed by content analysis to determine whether PROMIS domain and sub-domain level health concepts can be linked to the ICF classification. Both PROMIS and ICF are relevant to all individuals, irrespective of the presence of health conditions, person characteristics, or environmental factors in which persons live. PROMIS measures are intended to assess a person's experiences of his or her health, functional status, and well-being in multiple domains across physical, mental, and social dimensions. The ICF comprehensively describes human functioning from a biological, individual, and social perspective. The ICF supports classification of health and health-related states such as functioning, but is not a specific measure or assessment of health, per se. PROMIS domains and sub-domain concepts can be meaningfully mapped to ICF concepts. Theoretical and conceptual similarities support the use of PROMIS instruments to operationalize self-reported measurement for many body function, activity and participation ICF concepts, as well as several environmental factor concepts. Differences observed in

  10. How are the activity and participation aspects of the ICF used? Examples from studies of people with intellectual disability.

    PubMed

    Arvidsson, Patrik; Granlund, Mats; Thyberg, Mikael

    2015-01-01

    Interdisciplinary differences regarding understanding the International Classification of Functioning, Disability and Health (ICF) concepts activity/participation may hinder its unifying purpose. In the ICF model, functioning (and disability) is described as a tripartite concept: 1) Body structures/functions, 2) Activities, and 3) Participation. Activities refer to an individual perspective on disability that does not tally with the basic structure of social models. To review how activity and participation are actually used in studies of intellectual disability (ID). Based on 16 papers, four different usages of activity/participation were found. 1) Theoretical reference to tripartite ICF concept with attempts to use it. 2) Theoretical reference to tripartite ICF concept without actual use of activities. 3) "Atheoretical" approach with implicit focus on participation. 4) Theoretical reference to bipartite concept with corresponding use of terms. The highlighted studies have in common a focus on participation. However, the usage of the term "activity" differs both within and between studies. Such terminology will probably confuse interdisciplinary communication rather than facilitating it. Also, the use of an explicit underlying theory differs, from references to a tripartite to references to a bipartite concept of disability. This paper is focused on ID, but the discussed principles regarding the ICF and interdisciplinary disability theory are applicable to other diagnostic groups within rehabilitation practices.

  11. Assistive technology device classification based upon the World Health Organization's, International Classification of Functioning, Disability and Health (ICF).

    PubMed

    Bauer, Stephen M; Elsaesser, Linda-Jeanne; Arthanat, Sajay

    2011-01-01

    To develop an assistive technology device classification (ATDC) consistent with the Assistive Technology Act (ATA2004), Americans with Disabilities Act (ADA2008), International Classification System of Functioning, Disability and Health (ICF), International Classification of Disease, Ninth Revision-Clinical Modification (ICD-9-CM) and American Medical Association's Current Procedural Terminology (CPT). Current assistive technology device (ATD) classifications include: the National Classification System for Assistive Technology Devices and ATSs (RTI/NCS) published in 2000; ISO 9999: technical aids for persons with disabilities - classification and terminology (ISO 9999) published in 1992, 1998, 2002 and 2007 and ICF-based AT classification (ICF/AT2007) published in 2009. To derive 'requirements' for ATD classification from the ATA2004, ADA2008, ICF, ICD-9-CM and CPT. Review the ATD classifications and online databases against requirements. Construct the ATDC to be consistent with all requirements and demonstrate with examples. Existing ATD classifications and online databases are inconsistent with requirements. The ATDC is consistent and has inclusion and exclusion criteria, classification rules, employs ICF coding, extendable hierarchy and language and uses standard device naming conventions. Conclusion. The ATDC has broad application to: provision of AT ATSs (ATSs), characterisation and analysis of AT industries, Federally sponsored research pertaining to AT development and commercialisation, and Federal health insurance scope of benefits.

  12. International Classification of Functioning, Disability and Health (ICF) Core Set for patients with vertigo, dizziness and balance disorders.

    PubMed

    Grill, Eva; Bronstein, Adolfo; Furman, Joseph; Zee, David S; Müller, Martin

    2012-01-01

    Vertigo, dizziness and balance disorders have major impact on independence, employability, activities and participation. There are many measures for the assessment of the impact of vertigo, but no consensus exists on which aspects should be measured. The objective of this study was to develop international standards (ICF Core Sets) for patients with vertigo and dizziness to describe functioning. The development of the ICF Core Sets involved a formal decision-making and consensus process, integrating evidence from preparatory studies including qualitative interviews with patients, a systematic review of the literature, a survey with health professionals, and empirical data collection from patients. Twenty-seven experts selected 100 second level categories for the comprehensive Core Set and 29 second level categories for the Brief Core Set. The largest number of categories was selected from the ICF component Activities and Participation (40). Twenty-five categories were selected from the component Body Functions, six from Body Structures, and 29 from Environmental Factors. The ICF Core Set for vertigo is designed for physicians, nurses, therapists and other health professionals working in inpatient or ambulatory settings. ICF Core Sets create patient-relevant outcomes that can be used as evidence for the success of treatments.

  13. Westinghouse Hanford Company Pollution Prevention Program Implementation Plan

    SciTech Connect

    Floyd, B.C.

    1994-10-01

    This plan documents Westinghouse Hanford Company`s (WHC) Pollution Prevention (P2) (formerly Waste Minimization) program. The program includes WHC; BCS Richland, Inc. (BCSR); and ICF Kaiser Hanford Company (ICF KH). The plan specifies P2 program activities and schedules for implementing the Hanford Site Waste Minimization and Pollution Prevention Awareness (WMin/P2) Program Plan requirements (DOE 1994a). It is intended to satisfy the U.S. Department of Energy (DOE) and other legal requirements that are discussed in both the Hanford Site WMin/P2 plan and paragraph C of this plan. As such, the Pollution Prevention Awareness Program required by DOE Order 5400.1 (DOE 1988) is included in the WHC P2 program. WHC, BCSR, and ICF KH are committed to implementing an effective P2 program as identified in the Hanford Site WMin/P2 Plan. This plan provides specific information on how the WHC P2 program will develop and implement the goals, activities, and budget needed to accomplish this. The emphasis has been to provide detailed planning of the WHC P2 program activities over the next 3 years. The plan will guide the development and implementation of the program. The plan also provides background information on past program activities. Because the plan contains greater detail than in the past, activity scope and implementation schedules may change as new priorities are identified and new approaches are developed and realized. Some activities will be accelerated, others may be delayed; however, all of the general program elements identified in this plan and contractor requirements identified in the Site WMin/P2 plan will be developed and implemented during the next 3 years. This plan applies to all WHC, BCSR, and ICF KH organizations and subcontractors. It will be distributed to those with defined responsibilities in this plan; and the policy, goals, objectives, and strategy of the program will be communicated to all WHC, BCSR, and ICF KH employees.

  14. Possibilities and Implications of Using the ICF and Other Vocabulary Standards in Electronic Health Records.

    PubMed

    Vreeman, Daniel J; Richoz, Christophe

    2015-12-01

    There is now widespread recognition of the powerful potential of electronic health record (EHR) systems to improve the health-care delivery system. The benefits of EHRs grow even larger when the health data within their purview are seamlessly shared, aggregated and processed across different providers, settings and institutions. Yet, the plethora of idiosyncratic conventions for identifying the same clinical content in different information systems is a fundamental barrier to fully leveraging the potential of EHRs. Only by adopting vocabulary standards that provide the lingua franca across these local dialects can computers efficiently move, aggregate and use health data for decision support, outcomes management, quality reporting, research and many other purposes. In this regard, the International Classification of Functioning, Disability, and Health (ICF) is an important standard for physiotherapists because it provides a framework and standard language for describing health and health-related states. However, physiotherapists and other health-care professionals capture a wide range of data such as patient histories, clinical findings, tests and measurements, procedures, and so on, for which other vocabulary standards such as Logical Observation Identifiers Names and Codes and Systematized Nomenclature Of Medicine Clinical Terms are crucial for interoperable communication between different electronic systems. In this paper, we describe how the ICF and other internationally accepted vocabulary standards could advance physiotherapy practise and research by enabling data sharing and reuse by EHRs. We highlight how these different vocabulary standards fit together within a comprehensive record system, and how EHRs can make use of them, with a particular focus on enhancing decision-making. By incorporating the ICF and other internationally accepted vocabulary standards into our clinical information systems, physiotherapists will be able to leverage the potent

  15. Effects of inhomogeneity at stagnation in 3D simulations of ICF implosions

    NASA Astrophysics Data System (ADS)

    Appelbe, Brian

    2016-10-01

    The stagnation phase of an ICF implosion is characterized by a hotspot and dense fuel layer that are spatially and temporally inhomogeneous. Perturbation growth during the implosion results in significant asymmetry at stagnation while the hotspot size, density and temperature change rapidly, even in non-igniting capsules. Diagnosing these inhomogeneities is necessary to increase yield in ICF experiments. In this work, 3D radiation hydrodynamic simulations of perturbed indirect drive ICF capsules are carried out using the CHIMERA code. During the stagnation phase a suite of novel and computationally efficient simulation tools are used to produce synthetic time-resolved neutron spectra and images. These tools allow a detailed study of the effects of hotspot inhomogeneities on diagnostic signals. Results show that the burn-averaged ion temperature drops rapidly during thermonuclear burn as the hotspot evolves from a localised, shock-heated region to a more massive, non-uniform plasma. Primary DD and DT neutron spectra show that there is significant residual bulk fluid motion at stagnation, complicating the measurement of ion temperature. Different perturbation modes cause different levels of anisotropic spectra shifts and broadening. However, in all cases the discrepancies between the DD and DT spectra are a reliable indicator of residual motion at stagnation. The simulations are used to examine the relationship between neutron scattering and areal density (ρR). Three measures of areal density are simulated: downscattered neutron ratio, attenuated primary neutron yield and nT backscatter edge. Each of these diagnoses the magnitude and anisotropy of the ρR with varying success, with accuracy decreasing for higher mode perturbations. Contributions to the neutron energy spectra from T +T reactions, secondary DT reactions and deuteron break-up are also evaluated.

  16. Validation of the comprehensive ICF core sets for diabetes mellitus:a Malaysian perspective.

    PubMed

    Abdullah, Mohd Faudzi; Nor, Norsiah Mohd; Mohd Ali, Siti Zubaidah; Ismail Bukhary, Norizzati Bukhary; Amat, Azlin; Latif, Lydia Abdul; Hasnan, Nazirah; Omar, Zaliha

    2011-04-01

    Diabetes mellitus (DM) is a chronic disease that is prevalent in many countries. The prevalence of DM is on the rise, and its complications pose a heavy burden on the healthcare systems and on the patients' quality of life worldwide. This is a multicentre, cross-sectional study involving 5 Health Clinics conducted by Family Medicine Specialists in Malaysia. Convenience sampling of 100 respondents with DM were selected. The International Classifi cation of Functioning, Disability and Health (ICF) based measures were collected using the Comprehensive Core Set for DM. SF-36 and self-administered forms and comorbidity questionnaire (SCQ) were also used. Ninety-seven percent had Type 2 DM and 3% had Type 1 DM. The mean period of having DM was 6 years. Body functions related to physical health including exercise tolerance (b455), general physical endurance (b4550), aerobic capacity (b4551) and fatiguability (b4552) were the most affected. For body structures, the structure of pancreas (s550) was the most affected. In the ICF component of activities and participation, limitation in sports (d9201) was the highest most affected followed by driving (d475), intimate relationships (d770), handling stress and other psychological demands (d240) and moving around (d455). Only 7% (e355 and e450) in the environmental category were documented as being a relevant factor by more than 90% of the patients. The content validity of the comprehensive ICF Core set DM for Malaysian population were identified and the results show that physical and mental functioning were impaired in contrast to what the respondents perceived as leading healthy lifestyles.

  17. Damage behavior of Nd:glass of high-power disk amplifier medium in ICF Facility

    NASA Astrophysics Data System (ADS)

    He, Shaobo; Chen, Lin; Yuan, Xiaodong; Chen, Yuanbin; Cheng, Xiaofeng; Xie, Xudong; Wang, Wenyi; Zu, Xiaotao

    2016-12-01

    Large aperture Nd:glass disk is often used as the amplifier medium in the inertial confinement fusion (ICF) facilities. The typical size of Nd:glass is up to 810mm×460mm×40mm and more than 3,000 Nd:glass components are needed in the ICF facility. At present, the 3ω fused silica glass and DKDP crystal are mainly responsible for the damage of driver used for ICF. However, with the enlargement of the facility and increase of laser shot number, the laser damage of Nd:glass at 1ω waveband is still an important problem to limit the stable operation of facility and improvement of laser beam quality. In this work, the influence of Nd:glass material itself, mechanical processing, service environment, and laser beam quality on its damage behavior is investigated experimentally and theoretically. The results and conclusions can be summarized as follows: (1) It is very important to control the concentration of platinum impurity particles during melting and the sputtering effect of the cladding materials. (2) The number and length of fractural and brittle scratches should be strictly suppressed during mechanical processing of Nd:glass. (3) The B-integral of high power laser beam should be rigorously controlled. Particularly, the top shape of pulses must be well controlled when operating at high peak laser power. (4) The service environment should be well managed to make sure the cleanness of the surface of Nd:glass better than 100/A level during mounting and running. (5) The service environment and beam quality should be monitored during operation.

  18. Application of the International Classification of Functioning, Disability and Health (ICF) to people with dysphagia following non-surgical head and neck cancer management.

    PubMed

    Nund, Rebecca L; Scarinci, Nerina A; Cartmill, Bena; Ward, Elizabeth C; Kuipers, Pim; Porceddu, Sandro V

    2014-12-01

    The International Classification of Functioning, Disability, and Health (ICF) is an internationally recognized framework which allows its user to describe the consequences of a health condition on an individual in the context of their environment. With growing recognition that dysphagia can have broad ranging physical and psychosocial impacts, the aim of this paper was to identify the ICF domains and categories that describe the full functional impact of dysphagia following non-surgical head and neck cancer (HNC) management, from the perspective of the person with dysphagia. A secondary analysis was conducted on previously published qualitative study data which explored the lived experiences of dysphagia of 24 individuals with self-reported swallowing difficulties following HNC management. Categories and sub-categories identified by the qualitative analysis were subsequently mapped to the ICF using the established linking rules to develop a set of ICF codes relevant to the impact of dysphagia following HNC management. The 69 categories and sub-categories that had emerged from the qualitative analysis were successfully linked to 52 ICF codes. The distribution of these codes across the ICF framework revealed that the components of Body Functions, Activities and Participation, and Environmental Factors were almost equally represented. The findings confirm that the ICF is a valuable framework for representing the complexity and multifaceted impact of dysphagia following HNC. This list of ICF codes, which reflect the diverse impact of dysphagia associated with HNC on the individual, can be used to guide more holistic assessment and management for this population.

  19. The Role of the WHO ICF as a Framework to Interpret Barriers and to Inclusion: Visually Impaired People's Views and Experiences of Personal Computers

    ERIC Educational Resources Information Center

    Douglas, Graeme; Corcoran, Christine; Pavey, Sue

    2007-01-01

    This article describes how the World Health Organisation's International Classification of Functioning, Disability, and Health (ICF), 2001, was used as a framework for the design of the interview schedule used in the Network 1000 project. It is argued that the ICF offers a vocabulary to enable visually impaired participants to describe their lives…

  20. The Role of the WHO ICF as a Framework to Interpret Barriers and to Inclusion: Visually Impaired People's Views and Experiences of Personal Computers

    ERIC Educational Resources Information Center

    Douglas, Graeme; Corcoran, Christine; Pavey, Sue

    2007-01-01

    This article describes how the World Health Organisation's International Classification of Functioning, Disability, and Health (ICF), 2001, was used as a framework for the design of the interview schedule used in the Network 1000 project. It is argued that the ICF offers a vocabulary to enable visually impaired participants to describe their lives…

  1. Surface Modification of ICF Target Capsules by Pulsed Laser Ablation

    SciTech Connect

    Carlson, Lane C.; Johnson, Michael A.; Bunn, Thomas L.

    2016-06-30

    Topographical modifications of spherical surfaces are imprinted on National Ignition Facility (NIF) target capsules by extending the capabilities of a recently developed full surface (4π) laser ablation and mapping apparatus. The laser ablation method combines the precision, energy density and long reach of a focused laser beam to pre-impose sinusoidal modulations on the outside surface of High Density Carbon (HDC) capsules and the inside surface of Glow Discharge Polymer (GDP) capsules. Sinusoidal modulations described in this paper have sub-micron to 10’s of microns vertical scale and wavelengths as small as 30 μm and as large as 200 μm. The modulated patterns are created by rastering a focused laser fired at discrete capsule surface locations for a specified number of pulses. The computer program developed to create these raster patterns uses inputs such as laser beam intensity profile, the material removal function, the starting surface figure and the desired surface figure. The patterns are optimized to minimize surface roughness. Lastly, in this paper, simulated surfaces are compared with actual ablated surfaces measured using confocal microscopy.

  2. Surface Modification of ICF Target Capsules by Pulsed Laser Ablation

    SciTech Connect

    Carlson, Lane C.; Johnson, Michael A.; Bunn, Thomas L.

    2016-06-30

    Topographical modifications of spherical surfaces are imprinted on National Ignition Facility (NIF) target capsules by extending the capabilities of a recently developed full surface (4π) laser ablation and mapping apparatus. The laser ablation method combines the precision, energy density and long reach of a focused laser beam to pre-impose sinusoidal modulations on the outside surface of High Density Carbon (HDC) capsules and the inside surface of Glow Discharge Polymer (GDP) capsules. Sinusoidal modulations described in this paper have sub-micron to 10’s of microns vertical scale and wavelengths as small as 30 μm and as large as 200 μm. The modulated patterns are created by rastering a focused laser fired at discrete capsule surface locations for a specified number of pulses. The computer program developed to create these raster patterns uses inputs such as laser beam intensity profile, the material removal function, the starting surface figure and the desired surface figure. The patterns are optimized to minimize surface roughness. Lastly, in this paper, simulated surfaces are compared with actual ablated surfaces measured using confocal microscopy.

  3. Surface Modification of ICF Target Capsules by Pulsed Laser Ablation

    DOE PAGES

    Carlson, Lane C.; Johnson, Michael A.; Bunn, Thomas L.

    2016-06-30

    Topographical modifications of spherical surfaces are imprinted on National Ignition Facility (NIF) target capsules by extending the capabilities of a recently developed full surface (4π) laser ablation and mapping apparatus. The laser ablation method combines the precision, energy density and long reach of a focused laser beam to pre-impose sinusoidal modulations on the outside surface of High Density Carbon (HDC) capsules and the inside surface of Glow Discharge Polymer (GDP) capsules. Sinusoidal modulations described in this paper have sub-micron to 10’s of microns vertical scale and wavelengths as small as 30 μm and as large as 200 μm. The modulatedmore » patterns are created by rastering a focused laser fired at discrete capsule surface locations for a specified number of pulses. The computer program developed to create these raster patterns uses inputs such as laser beam intensity profile, the material removal function, the starting surface figure and the desired surface figure. The patterns are optimized to minimize surface roughness. Lastly, in this paper, simulated surfaces are compared with actual ablated surfaces measured using confocal microscopy.« less

  4. A Method to Compare ICF and SNOMED CT for Coverage of U.S. Social Security Administration's Disability Listing Criteria.

    PubMed

    Tu, Samson W; Nyulas, Csongor I; Tudorache, Tania; Musen, Mark A

    2015-01-01

    We developed a method to evaluate the extent to which the International Classification of Function, Disability, and Health (ICF) and SNOMED CT cover concepts used in the disability listing criteria of the U.S. Social Security Administration's "Blue Book." First we decomposed the criteria into their constituent concepts and relationships. We defined different types of mappings and manually mapped the recognized concepts and relationships to either ICF or SNOMED CT. We defined various metrics for measuring the coverage of each terminology, taking into account the effects of inexact matches and frequency of occurrence. We validated our method by mapping the terms in the disability criteria of Adult Listings, Chapter 12 (Mental Disorders). SNOMED CT dominates ICF in almost all the metrics that we have computed. The method is applicable for determining any terminology's coverage of eligibility criteria.

  5. Telomeres in ICF syndrome cells are vulnerable to DNA damage due to elevated DNA:RNA hybrids

    PubMed Central

    Sagie, Shira; Toubiana, Shir; Hartono, Stella R.; Katzir, Hagar; Tzur-Gilat, Aya; Havazelet, Shany; Francastel, Claire; Velasco, Guillaume; Chédin, Frédéric; Selig, Sara

    2017-01-01

    DNA:RNA hybrids, nucleic acid structures with diverse physiological functions, can disrupt genome integrity when dysregulated. Human telomeres were shown to form hybrids with the lncRNA TERRA, yet the formation and distribution of these hybrids among telomeres, their regulation and their cellular effects remain elusive. Here we predict and confirm in several human cell types that DNA:RNA hybrids form at many subtelomeric and telomeric regions. We demonstrate that ICF syndrome cells, which exhibit short telomeres and elevated TERRA levels, are enriched for hybrids at telomeric regions throughout the cell cycle. Telomeric hybrids are associated with high levels of DNA damage at chromosome ends in ICF cells, which are significantly reduced with overexpression of RNase H1. Our findings suggest that abnormally high TERRA levels in ICF syndrome lead to accumulation of telomeric hybrids that, in turn, can result in telomeric dysfunction. PMID:28117327

  6. Improvements in ICF target fabrication through high precision assembly and nondestructive characterization

    SciTech Connect

    Obrey, Kimberly Ann Defriend; Schmidt, Derek W; Patterson, Brian M; Day, Robert D; Valdez, Adelaida C; Capelli, Deanna; Perea, Ron; Randolph, Blaine; Hatch, Doug; Garcia, Felix; Honnell, Diana

    2009-01-01

    Current ICF and HED targets are fielded on Omega, Z, and Trident, and future campaigns will be fielded on NIF. NIF will only field less than 2 shots per day. With such few experiments, target fabrication and target alignment accuracy, enhanced metrology and advanced component machining will be even more important. Future target designs are also becoming more complex and more stringent in terms of accuracy. Several steps have been taken to improve the fabrication and characterization of targets, such as instituting an automated assembly station with 3 mm tolerances, utilizing nondestructive characterization tools for rapid component metrology and target assembly, and advancing machining capabilities. Recapitalization of target fabrication infrastructure is continuous.

  7. Ultrasonic vibration modal analysis of ICF targets using a photorefractive optical lock-in

    NASA Astrophysics Data System (ADS)

    Hale, Thomas C.; Asaki, Thomas J.; Telschow, Kenneth L.; Hoffer, Jim

    1998-03-01

    A photorefractive optical lock-in is discussed in relation to ultrasonic vibration modal analysis of inertial confinement fusion (ICF) targets. In this preliminary report, the method is used to analyze specimens with similar response characteristics to ICF targets with emphasis on both the displacement and frequency resolution of the technique. The experimental method, based on photorefractive frequency domain processing, utilizes a synchronous detection approach to measure phase variations in light scattered from optically rough, continuously vibrating surfaces with very high, linear sensitivity. In this photorefractive four-wave mixing technique, a small, point image of the object surface is made to interfere with a uniform, frequency modulated reference beam inside a Bismith Silicon Oxide crystal. Optical interference and the photorefractive effect of electronic charge redistribution leads to the formation of a refractive index grating in the medium that responds to the modulated beams at a frequency equal to the difference between the signal and reference frequencies. By retro-reflecting the reference beam back into the crystal, a diffracted beam, counter-propagating with respect to the original transmitted beam, is generated. Using a beamsplitter, the counter-propagating beam can be picked-off and deflected toward a photodetector. The intensity of this diffracted beam is shown to be a function of the first-order ordinary Bissel function, and therefore linearly dependent on the vibration displacement induced phase modulation depth (delta) , for small (delta) ((delta) < 4 (pi) (xi) /(lambda) < < 1) where (xi) is the vibration displacement and (lambda) is the source wavelength; analytical description and experimental verification of this linear response are given. The technique is applied to determine the modal characteristics of a rigidly clamped disc from 10 kHz to 100 kHz, a frequency range similar to that used to characterize ICF targets. The results

  8. Theory and simulations of neutralization and focusing of ICF ion beams

    SciTech Connect

    Lemons, D.S.; Jones, M.E.

    1985-10-01

    Inertial Confinement Fusion (ICF) ion beams must be focused to a small spot during final propagation to the target. In general, both beam emittance and space charge limit the achievable spot size. Here we consider the latter and how its effect can be eliminated by injecting into the target chamber electrons which are comoving and coexstensive with the ions. Unlike focusing an ion beam through a neutralizing plasma channel, the present propagation mode requires a hard vacuum (10/sup -4/ to 10/sup -5/ Torr) target chamber into which both ions and electrons are injected, and thus avoids possibly deleterious beam plasma interactions.

  9. Assessment of functioning in patients with schizophrenia and schizoaffective disorder with the Mini-ICF-APP: a validation study in Italy.

    PubMed

    Pinna, Federica; Fiorillo, Andrea; Tusconi, Massimo; Guiso, Beatrice; Carpiniello, Bernardo

    2015-01-01

    The aim of the study was to evaluate validity of the Italian Mini-ICF-APP (Mini-ICF Rating for Limitations of Activities and Participation in Psychological Disorders) in schizophrenia and related disorders. 74 outpatients affected by schizophrenia or schizoaffective disorders attending a University-based community mental health centre were recruited to the study. All participants underwent comprehensive evaluation using standardized instruments to assess clinical, neurocognitive and functional status. Concurrent validity of Mini-ICF-APP was evaluated and compared to severity scores obtained using the Clinical Global Impression-Schizophrenia scale (CGI-SCH), Positive and Negative Syndrome scale (PANSS), Mini Mental State Examination test (MMSE), Brief Assessment of Cognition in Schizophrenia scale (BACS) and Personal and Social Performance scale (PSP). Construct validity was evaluated by comparing scores obtained at Mini-ICF-APP by remitted versus non-remitted patients, and by recovered versus unrecovered patients. Discriminant validity was evaluated comparing scores on Mini-ICF-APP and Subjective Well-being (SWN) scale. the total score and 12 out of the 13 Mini-ICF-APP items correlated significantly with total score at PSP; Mini-ICF-App total score was moreover significantly correlated with total scores at CGI-SCH, PANSS, MMSE, as well as with several BACS items. Total scores obtained at Mini-ICF-APP were significantly higher among remitted and recovered patients. No relevant correlations were found between scores of Mini-ICF-APP and SWN scales. The total score and 12 out of the 13 Mini-ICF-APP items correlated significantly with total score at PSP; Mini-ICF-App total score was moreover significantly correlated with total scores at CGI-SCH, PANSS, MMSE, as well as with several BACS items. Total scores obtained at Mini-ICF-APP were significantly higher among remitted and recovered patients. No relevant correlations were found between scores of Mini-ICF-APP and SWN

  10. Lymphoedema Functioning, Disability and Health Questionnaire for Lower Limb Lymphoedema (Lymph-ICF-LL): reliability and validity.

    PubMed

    Devoogdt, Nele; De Groef, An; Hendrickx, Ad; Damstra, Robert; Christiaansen, Anke; Geraerts, Inge; Vervloesem, Nele; Vergote, Ignace; Van Kampen, Marijke

    2014-05-01

    Patients may develop primary (congenital) or secondary (acquired) lymphedema, causing significant physical and psychosocial problems. To plan treatment for lymphedema and monitor a patient's progress, swelling, and problems in functioning associated with lymphedema development should be assessed at baseline and follow-up. The purpose of this study was to investigate the reliability (test-retest, internal consistency, and measurement variability) and validity (content and construct) of data obtained with the Lymphoedema Functioning, Disability and Health Questionnaire for Lower Limb Lymphoedema (Lymph-ICF-LL). This was a multicenter, cross-sectional study. The Lymph-ICF-LL is a descriptive, evaluative tool containing 28 questions about impairments in function, activity limitations, and participation restrictions in patients with lower limb lymphedema. The questionnaire has 5 domains: physical function, mental function, general tasks/household activities, mobility activities, and life domains/social life. The reliability and validity of the Lymph-ICF-LL were examined in 30 participants with objective lower limb lymphedema. Intraclass correlation coefficients for test-retest reliability ranged from .69 to .94, and Cronbach alpha coefficients for internal consistency ranged from .82 to .97. Measurement variability was acceptable (standard error of measurement=5.9-12.6). Content validity was good because all questions were understandable for 93% of participants, the scoring system (visual analog scale) was clear, and the questionnaire was comprehensive for 90% of participants. Construct validity was good. All hypotheses for assessing convergent validity and divergent validity were accepted. The known-groups validity and responsiveness of the Dutch Lymph-ICF-LL and the cross-cultural validity of the English version of the Lymph-ICF-LL were not investigated. The Lymph-ICF-LL is a Dutch questionnaire with evidence of reliability and validity for assessing impairments in

  11. Dnmt3b Prefers Germ Line Genes and Centromeric Regions: Lessons from the ICF Syndrome and Cancer and Implications for Diseases

    PubMed Central

    Walton, Emma L.; Francastel, Claire; Velasco, Guillaume

    2014-01-01

    The correct establishment and maintenance of DNA methylation patterns are critical for mammalian development and the control of normal cell growth and differentiation. DNA methylation has profound effects on the mammalian genome, including transcriptional repression, modulation of chromatin structure, X chromosome inactivation, genomic imprinting, and the suppression of the detrimental effects of repetitive and parasitic DNA sequences on genome integrity. Consistent with its essential role in normal cells and predominance at repetitive genomic regions, aberrant changes of DNA methylation patterns are a common feature of diseases with chromosomal and genomic instabilities. In this context, the functions of DNA methyltransferases (DNMTs) can be affected by mutations or alterations of their expression. DNMT3B, which is involved in de novo methylation, is of particular interest not only because of its important role in development, but also because of its dysfunction in human diseases. Expression of catalytically inactive isoforms has been associated with cancer risk and germ line hypomorphic mutations with the ICF syndrome (Immunodeficiency Centromeric instability Facial anomalies). In these diseases, global genomic hypomethylation affects repeated sequences around centromeric regions, which make up large blocks of heterochromatin, and is associated with chromosome instability, impaired chromosome segregation and perturbed nuclear architecture. The review will focus on recent data about the function of DNMT3B, and the consequences of its deregulated activity on pathological DNA hypomethylation, including the illicit activation of germ line-specific genes and accumulation of transcripts originating from repeated satellite sequences, which may represent novel physiopathological biomarkers for human diseases. Notably, we focus on cancer and the ICF syndrome, pathological contexts in which hypomethylation has been extensively characterized. We also discuss the potential

  12. The use of the international classification of functioning, disability and health (ICF) in indigenous healthcare: a systematic literature review.

    PubMed

    Alford, Vanessa M; Remedios, Louisa J; Webb, Gillian R; Ewen, Shaun

    2013-05-16

    The International Classification of Functioning, Disability and Health (ICF) was endorsed by the World Health Organisation (WHO) in 2001 to obtain a comprehensive perspective of health and functioning of individuals and groups. Health disparities exist between Indigenous and non-Indigenous Australians and there is a need to understand the health experiences of Indigenous communities from Indigenous Australian's perspectives in order to develop and implement culturally appropriate and effective intervention strategies to improve Indigenous health. This systematic review examines the literature to identify the extent and context of use of the ICF in Indigenous healthcare, to provide the foundation on which to consider its potential use for understanding the health experiences of Indigenous communities from their perspective. The search was conducted between May and June 2012 of five scientific and medical electronic databases: MEDLINE, Web of Science, CINAHL, Academic Search Complete and PsychInfo and six Indigenous-specific databases: AIATSIS, APAIS-health, ATSI-health, health and society, MAIS-ATSIS and RURAL. Reference lists of included papers were also searched. Articles which applied the ICF within an Indigenous context were selected. Quantitative and qualitative data were extracted and analysed by two independent reviewers. Agreement was reached by consensus. Five articles met the inclusion criteria however two of the articles were not exclusively in an Indigenous context. One article applied the ICF in the context of understanding the health experience and priorities of Indigenous people and a second study had a similar focus but used the revised version of the International Classification of Impairments, Disability and Handicap (ICIDH-2), the predecessor to the ICF. Four of the five papers involved Indigenous Australians, and one of the paper’s participants were Indigenous (First Nation) Canadians. Literature referring to the use of the ICF with Indigenous

  13. The MentDis_ICF65+ study protocol: prevalence, 1-year incidence and symptom severity of mental disorders in the elderly and their relationship to impairment, functioning (ICF) and service utilisation

    PubMed Central

    2013-01-01

    Background The EU currently lacks reliable data on the prevalence and incidence of mental disorders in older people. Despite the availability of several national and international epidemiological studies, the size and burden of mental disorders in the elderly remain unclear due to various reasons. Therefore, the aims of the MentDis_ICF65+ study are (1) to adapt existing assessment instruments, and (2) to collect data on the prevalence, the incidence, and the natural course and prognosis of mental disorders in the elderly. Method/design Using a cross-sectional and prospective longitudinal design, this multi-centre study from six European countries and associated states (Germany, Great Britain, Israel, Italy, Spain, and Switzerland) is based on age-stratified, random samples of elderly people living in the community. The study program consists of three phases: (1) a methodological phase devoted primarily to the adaptation of age- and gender-specific assessment tools for older people (e.g., the Composite International Diagnostic Interview, CIDI) as well as psychometric evaluations including translation, back translation; (2) a baseline community study in all participating countries to assess the lifetime, 12 month and 1 month prevalence and comorbidity of mental disorders, including prior course, quality of life, health care utilization and helpseeking, impairments and participation and, (3) a 12 month follow-up of all baseline participants to monitor course and outcome as well as examine predictors. Discussion The study is an essential step forward towards the further development and improvement of harmonised instruments for the assessment of mental disorders as well as the evaluation of activity impairment and participation in older adults. This study will also facilitate the comparison of cross-cultural results. These results will have bearing on mental health care in the EU and will offer a starting point for necessary structural changes to be initiated for

  14. The MentDis_ICF65+ study protocol: prevalence, 1-year incidence and symptom severity of mental disorders in the elderly and their relationship to impairment, functioning (ICF) and service utilisation.

    PubMed

    Andreas, Sylke; Härter, Martin; Volkert, Jana; Hausberg, Maria; Sehner, Susanne; Wegscheider, Karl; Rabung, Sven; Ausín, Berta; Canuto, Alessandra; Da Ronch, Chiara; Grassi, Luigi; Hershkovitz, Yael; Lelliott, Paul; Muñoz, Manuel; Quirk, Alan; Rotenstein, Ora; Santos-Olmo, Ana Belén; Shalev, Arieh; Siegert, Jens; Weber, Kerstin; Wittchen, Hans-Ulrich; Koch, Uwe; Schulz, Holger

    2013-02-18

    The EU currently lacks reliable data on the prevalence and incidence of mental disorders in older people. Despite the availability of several national and international epidemiological studies, the size and burden of mental disorders in the elderly remain unclear due to various reasons. Therefore, the aims of the MentDis_ICF65+ study are (1) to adapt existing assessment instruments, and (2) to collect data on the prevalence, the incidence, and the natural course and prognosis of mental disorders in the elderly. Using a cross-sectional and prospective longitudinal design, this multi-centre study from six European countries and associated states (Germany, Great Britain, Israel, Italy, Spain, and Switzerland) is based on age-stratified, random samples of elderly people living in the community. The study program consists of three phases: (1) a methodological phase devoted primarily to the adaptation of age- and gender-specific assessment tools for older people (e.g., the Composite International Diagnostic Interview, CIDI) as well as psychometric evaluations including translation, back translation; (2) a baseline community study in all participating countries to assess the lifetime, 12 month and 1 month prevalence and comorbidity of mental disorders, including prior course, quality of life, health care utilization and helpseeking, impairments and participation and, (3) a 12 month follow-up of all baseline participants to monitor course and outcome as well as examine predictors. The study is an essential step forward towards the further development and improvement of harmonised instruments for the assessment of mental disorders as well as the evaluation of activity impairment and participation in older adults. This study will also facilitate the comparison of cross-cultural results. These results will have bearing on mental health care in the EU and will offer a starting point for necessary structural changes to be initiated for mental health care policy at the level of

  15. Toward the International Classification of Functioning, Disability and Health (ICF) Rehabilitation Set: A Minimal Generic Set of Domains for Rehabilitation as a Health Strategy.

    PubMed

    Prodinger, Birgit; Cieza, Alarcos; Oberhauser, Cornelia; Bickenbach, Jerome; Üstün, Tevfik Bedirhan; Chatterji, Somnath; Stucki, Gerold

    2016-06-01

    To develop a comprehensive set of the International Classification of Functioning, Disability and Health (ICF) categories as a minimal standard for reporting and assessing functioning and disability in clinical populations along the continuum of care. The specific aims were to specify the domains of functioning recommended for an ICF Rehabilitation Set and to identify a minimal set of environmental factors (EFs) to be used alongside the ICF Rehabilitation Set when describing disability across individuals and populations with various health conditions. Secondary analysis of existing data sets using regression methods (Random Forests and Group Lasso regression) and expert consultations. Along the continuum of care, including acute, early postacute, and long-term and community rehabilitation settings. Persons (N=9863) with various health conditions participated in primary studies. The number of respondents for whom the dependent variable data were available and used in this analysis was 9264. Not applicable. For regression analyses, self-reported general health was used as a dependent variable. The ICF categories from the functioning component and the EF component were used as independent variables for the development of the ICF Rehabilitation Set and the minimal set of EFs, respectively. Thirty ICF categories to be complemented with 12 EFs were identified as relevant to the identified ICF sets. The ICF Rehabilitation Set constitutes of 9 ICF categories from the component body functions and 21 from the component activities and participation. The minimal set of EFs contains 12 categories spanning all chapters of the EF component of the ICF. The identified sets proposed serve as minimal generic sets of aspects of functioning in clinical populations for reporting data within and across heath conditions, time, clinical settings including rehabilitation, and countries. These sets present a reference framework for harmonizing existing information on disability across

  16. Application and validation of direct numerical simulation for ICF implosion stability analysis

    SciTech Connect

    Hoffman, N.M.; Swenson, F.J.; Varnum, W.S.

    1996-07-01

    We have recently been applying a powerful computational tool, direct numerical simulation (DNS), to evaluate the stability of imploding inertial confinement fusion (ICF) capsules designed for the National Ignition Facility. In DNS, we explicitly calculate the evolution of realistic surface perturbations far into their nonlinear regimes, using a 2D Lagrangian radiation-hydrodynamics code. Because the mesh may become greatly distorted during the calculation, requiring frequent application of an automatic rezoner, and because we use a 2D code to represent 3D perturbations whose nonlinear behavior is shape- dependent, we have been seeking to assess the accuracy of DNS in as many regimes as possible. For this purpose, we have conducted experimental campaigns to observe the instability of radiatively driven imploding cylinders, deuterated-shell spherical capsules, and radiatively accelerated flat foils perturbed on the unheated surface (``feedout`` experiments). We have compared DNS calculations to data from these experiments, and to theoretical predictions for incompressible Rayleigh-Taylor instability, with satisfactory agreement. Thus we are gradually accumulating confidence in the validity of DNS as applied to ICF.

  17. Implosion Dynamics and Mix in Double-Shell ICF Capsule Designs

    NASA Astrophysics Data System (ADS)

    Gunderson, Mark; Daughton, William; Simakov, Andrei; Wilson, Douglas; Watt, Robert; Delamater, Norman; Montgomery, David

    2015-11-01

    From an implosion dynamics perspective, double-shell ICF capsule designs have several advantages over the single-shell NIF ICF capsule point design. Double shell designs do not require precise shock sequencing, do not rely on hot spot ignition, have lower peak implosion speed requirements, and have lower convergence ratio requirements. However, there are still hurdles that must be overcome. The timing of the two main shocks in these designs is important in achieving sufficient compression of the DT fuel. Instability of the inner gold shell due to preheat from the hohlraum environment can disrupt the implosion of the inner pill. Mix, in addition to quenching burn in the DT fuel, also decreases the transfer of energy between the beryllium ablator and the inner gold shell during collision thus decreasing the implosion speed of the inner shell along with compression of the DT fuel. Herein, we will discuss practical implications of these effects on double-shell design we carry out in preparation for the NIF double-shell campaign. Work performed under the auspices of DOE by LANL under contract DE-AC52-06NA25396.

  18. Predictors of social integration for individuals with brain injury: An application of the ICF model.

    PubMed

    Ditchman, Nicole; Sheehan, Lindsay; Rafajko, Sean; Haak, Christopher; Kazukauskas, Kelly

    2016-01-01

    People with brain injury often experience significant challenges to social and community engagement following injury. The purpose of this study was to investigate factors impacting social integration for adults with brain injury using the International Classification and Functioning, Disability and Health (ICF) as a conceptual model. Adults with brain injury (n = 103) recruited through two US state brain injury associations participated in a survey study. Hierarchical regression analysis was used to examine the predictive impact of components of the ICF model on social integration outcomes. Specifically, demographic (age, gender, SES), disability (severity of functional limitations), personal (disability acceptance, social self-efficacy) and environmental (neighbourhood climate, stigma, social support network) factors were entered as four conceptual groups of predictors to examine the incremental contribution of the variance in social integration explained by each set. As hypothesized, the inclusion of each block of predictors significantly improved the model. The overall regression model explained 41% of the variance in social integration. Specifically, SES (β = 0.25), severity of functional limitations (β = 0.29) and social support network (β = 0.29) emerged as the strongest independent predictors. Findings from this study highlight the importance of adopting a biopsychosocial approach to understanding social integration for people with brain injury.

  19. Novel gas-dynamic levitation scheme for noncontact coating of spherical ICF targets

    SciTech Connect

    Kim, K.; Feng, Q.

    1995-12-01

    A novel gas-dynamic levitation technique has been developed to facilitate noncontact coating of spherical ICF targets. Using this technique three metal balls 450 {mu}m, 650 {mu}m and 950 {mu}m in diameter were levitated very stably for several hours, with the balls rotating continuously. Unlike the conventional gas-dynamic levitation scheme in which a single gas-emitting fixture, placed below an object, lifts it up and contains it in a confined volume, the present scheme relies on two fixtures, one placed under and the other above the object. The bottom fixture, as is with the conventional scheme, is a gas emitter; however, the top one is a gas collector shaping the flow field around the object so as to confine the object near the axis of symmetry of the levitation system. As a result, the present system exhibits excellent stability and robustness, and is immune to such external disturbances as nonuniform temperature fields and air currents, and small changes in the levitation gas pressure. The apparatus is inexpensive to fabricate and simple to operate. The details of the apparatus and the preliminary data demonstrating the capability of the levitation scheme are presented. A target coating method, compatible with the present target levitation scheme and suitable for uniform coating of ICF targets, is indicated. 6 refs., 5 figs.

  20. Progress in laboratory high gain ICF (inertial confinement fusion): Prospects for the future

    SciTech Connect

    Storm, E.; Lindl, J.D.; Campbell, E.M.; Bernat, T.P.; Coleman, L.W.; Emmett, J.L.; Hogan, W.J.; Hunt, J.T.; Krupke, W.F.; Lowdermilk, W.H.

    1988-01-01

    Inertial confinement fusion (ICF), a thermonuclear reaction in a small (/approximately/5 mm diameter) fuel capsule filled with a few milligrams of deuterium and tritium, has been the subject of very fruitful experimentation since the early 1970's. High gain ICF is now on the threshold of practical applications. With a Laboratory Microfusion Facility (LMF), these applications will have major implications for national defense, basic and applied science, and power production. With a driver capable of delivering about 10 MJ in a 10-ns pulse at an intensity of /approximately/3 /times/ 10/sup 14/ W/cm/sup 2/, an appropriately configured cryogenic capsule could be compressed to a density of about 200 g/cm/sup 3/ and a temperature of 3--5 keV. Under these conditions, up to 10 mg of DT could be ignited, and with a burn efficiency of about 30%, release up to 1000 MJ of fusion energy, an energy gain of about 100. A thousand megajoules is equivalent to about one quarter ton of TNT, or about 7 gallons of oil--an amount of energy tractable under laboratory conditions and potentially very useful for a variety of applications. 61 refs., 33 figs.

  1. A practical beryllium activation detector for measuring DD neutron yield from ICF targets

    SciTech Connect

    Murphy, T.J.

    1996-06-01

    A neutron activation detector based on the reaction {sup 9}Be(n,{alpha}){sup 6}He({beta}{sup {minus}}){sup 6}Li has been designed which could potentially allow DD yield determinations within a few minutes after an ICF implosion or other pulsed neutron event with precision comparable to methods currently in use in ICF experiments. The detector is based on previous work, but has been redesigned to allow use in a reentrant tube less than six inches in diameter, and to increase detection efficiency. The detector consists of beryllium rods imbedded in plastic scintillator and coupled to a photomultiplier tube. Neutrons interact with the beryllium to produce {sup 6}He, which decays by emission of a {beta}{sup {minus}} particle with a maximum energy of 3.51 MeV with a half life of 808 ms. The {beta}{sup {minus}} particles are counted, and a neutron yield is determined for the total activity produced. The short half life of {sup 6}He will result in high specific activity and allow quick determination of the amount of {sup 6}He produced.

  2. ICF quarterly report October-December 1998 volume 8, number 1

    SciTech Connect

    Feit, M

    1998-09-08

    This issue of the ICF Quarterly Report focuses on the final section of the 192-arm, 1.8-MJ National Ignition Facility (NIF). We describe both technological advances necessary for optimal utilization of the delivered energy and the hohlraum physics resulting from extremely high energy densities. Two articles belong to the first category. The conversion of infrared light to ultraviolet occurs at the tripler in the NIF's Final Optics Assembly. It is then necessary to separate any unconverted (first- and second-harmonic) light from the tripled-frequency light passed to the target. Large-Aperture Color-Separation Gratings for Diverting Unconverted Light Away from the NIF Target describes the design and fabrication of novel diffraction gratings that fulfill this function. In both direct- and indirect-drive ICF, the symmetry of the capsule as it compresses is crucial. The NIF will have 48 clusters of four beams incident on targets. Optimization of Beam Angles for the National Ignition Facility (p. 15) presents the rationale used to assign beam angles for cylindrical indirect drive while still allowing direct-drive and tetrahedral indirect-drive experiments to be performed.

  3. X-ray Digital Radiography and Computed Tomography of ICF and HEDP Materials, Subassemblies and Targets

    SciTech Connect

    Brown, W D; Martz Jr., H E

    2006-05-31

    Inertial confinement fusion (ICF) and high energy density physics (HEDP) research are being conducted at large laser facilities, such as the University of Rochester's Laboratory for Laser Energetics OMEGA facility and the Lawrence Livermore National Laboratory's (LLNL) National Ignition Facility (NIF). At such facilities, millimeter-sized targets with micrometer structures are studied in a variety of hydrodynamic, radiation transport, equation-of-state, inertial confinement fusion and high-energy density experiments. The extreme temperatures and pressures achieved in these experiments make the results susceptible to imperfections in the fabricated targets. Targets include materials varying widely in composition ({approx}3 < Z < {approx}82), density ({approx}0.03 to {approx}20 g/cm{sup 3}), geometry (planar to spherical) and embedded structures (joints to subassemblies). Fabricating these targets with structures to the tolerances required is a challenging engineering problem the ICF and HEDP community are currently undertaking. Nondestructive characterization (NDC) provides a valuable tool in material selection, component inspection, and the final pre-shot assemblies inspection. X-rays are a key method used to NDC these targets. In this paper we discuss X-ray attenuation, X-ray phase effects, and the X-ray system used, its performance and application to characterize low-temperature Raleigh-Taylor and non-cryogenic double-shell targets.

  4. A Fresh Look at Special Education in Cuba, Based on the Concept of Disability According to the ICF

    ERIC Educational Resources Information Center

    Fuentes, Mirtha Leyva

    2005-01-01

    Approval of the International Classification of Functioning, Disability and Health (ICF) at the 54th World Health Assembly in 2001 gave rise to the new concept of Disability and the new Classification which today are considered central to the International Family of Classifications, along with the ICD-10. Theoretical criteria from a…

  5. Young adults with intellectual disability transitioning from school to post-school: a literature review framed within the ICF.

    PubMed

    Foley, K-R; Dyke, P; Girdler, S; Bourke, J; Leonard, H

    2012-01-01

    The purpose of this review was to describe literature relating to transition for young people with an intellectual disability and identify gaps within the current knowledge base. A narrative literature review was undertaken. Searches of databases Medline, CINAHL, PsycINFO, ERIC, ISI Web of Science and ProQuest 500 International provided relevant research articles. The search terms used were intellectual disability, transition, employment, and ICF as well as other terms derived from the ICF. Manual searches of reference lists identified additional studies. Furthermore, government websites were searched for relevant reports and policies. Transition literature was explored by ICF domains; body functions and structures, activity and participation and contextual factors. Studies were identified in some but not all areas and included literature describing self-determination and participation in leisure activities for those with mild intellectual disability. However, significant gaps were found particularly for those with severe intellectual disability. The ICF is a useful tool in framing a review of transition literature for young people with intellectual disability due to the complexity and multi-faceted nature of transition. The important influence of environmental factors including family systems, post-school services and access to transport were highlighted as having considerable impacts on transition outcomes.

  6. A Fresh Look at Special Education in Cuba, Based on the Concept of Disability According to the ICF

    ERIC Educational Resources Information Center

    Fuentes, Mirtha Leyva

    2005-01-01

    Approval of the International Classification of Functioning, Disability and Health (ICF) at the 54th World Health Assembly in 2001 gave rise to the new concept of Disability and the new Classification which today are considered central to the International Family of Classifications, along with the ICD-10. Theoretical criteria from a…

  7. Low Back Pain in 17 Countries, a Rasch Analysis of the ICF Core Set for Low Back Pain

    ERIC Educational Resources Information Center

    Roe, Cecilie; Bautz-Holter, Erik; Cieza, Alarcos

    2013-01-01

    Previous studies indicate that a worldwide measurement tool may be developed based on the International Classification of Functioning Disability and Health (ICF) Core Sets for chronic conditions. The aim of the present study was to explore the possibility of constructing a cross-cultural measurement of functioning for patients with low back pain…

  8. [The practical application of the International Classification of Functioning, Disability and Health (ICF) in medical rehabilitation of psychiatric patients].

    PubMed

    Grundmann, J; Keller, K; Bräuning-Edelmann, M

    2005-12-01

    The WHO Classification of Functioning, Disability and Health enables the description of functional health, disability and impairment on an international and interdisciplinary level in a common language. The fundamental underlying assumption of this Classification, which is orientated around a bio-psycho-social model of health and impairment, has been accepted by rehabilitation scientists in general. Unfortunately, the WHO does not make any recommendations as to how this classification could be applied in practice. In this article, various problems are outlined which could occur when the ICF is applied. Furthermore an example from a psychiatric rehabilitation institution illustrates the way the ICF could serve as an instrument for an extensive rehabilitation management programme. Here, Stucki's use will be made of Rehab-Cycle model. This describes a comprehensive sequence of steps which help analyse the patients problems from a patient-centred standpoint, to set up a schedule for treatment and to evaluate the results. Within Stucki's model the ICF is used as a system to analyse problems upon which intervention can be set. This method is illustrated with an example from a rehabilitation case. Summarizing, it is pointed out that through easier communication (as a result of the ICF) interdisciplinary productivity and efficiency will increase. On this basis it is possible to achieve a more comprehensive multimodal approach in the treatment of people suffering from psychic impairments or disability.

  9. The Importance of Motor Functional Levels from the Activity Limitation Perspective of ICF in Children with Cerebral Palsy

    ERIC Educational Resources Information Center

    Mutlu, Akmer

    2010-01-01

    Our purpose in this study was to evaluate performance and capacity as defined by Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS) from the "activity limitation" perspective of International Classification of Functioning, Disability, and Health (ICF) and to investigate the relationship between the…

  10. ICF syndrome mutations cause a broad spectrum of biochemical defects in DNMT3B-mediated de novo DNA methylation.

    PubMed

    Moarefi, Amir H; Chédin, Frédéric

    2011-06-24

    The DNMT3B de novo DNA methyltransferase (DNMT) plays a major role in establishing DNA methylation patterns in early mammalian development, but its catalytic mechanism remains poorly characterized. Here, we provide a comprehensive biochemical analysis of human DNMT3B function through the characterization of a series of site-directed DNMT3B variants associated with immunodeficiency, centromere instability, and facial anomalies (ICF) syndrome. Our data reveal several novel and important aspects of DNMT3B function. First, DNMT3B, unlike DNMT3A, requires a DNA cofactor in order to stably bind to S-adenosyl-l-methionine (SAM), suggesting that it proceeds according to an ordered catalytic scheme. Second, ICF mutations cause a broad spectrum of biochemical defects in DNMT3B function, including defects in homo-oligomerization, SAM binding, SAM utilization, and DNA binding. Third, all tested ICF mutations, including the A766P and R840Q variants, result in altered catalytic properties without interfering with DNMT3L-mediated stimulation; this indicates that DNMT3L is not involved in the pathogenesis of ICF syndrome. Finally, our study reveals a novel level of coupling between substrate binding, oligomerization, and catalysis that is likely conserved within the DNMT3 family of enzymes.

  11. Content Validity of the Comprehensive ICF Core Set for Multiple Sclerosis from the Perspective of Speech and Language Therapists

    ERIC Educational Resources Information Center

    Renom, Marta; Conrad, Andrea; Bascuñana, Helena; Cieza, Alarcos; Galán, Ingrid; Kesselring, Jürg; Coenen, Michaela

    2014-01-01

    Background: The Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Multiple Sclerosis (MS) is a comprehensive framework to structure the information obtained in multidisciplinary clinical settings according to the biopsychosocial perspective of the International Classification of Functioning,…

  12. Satisfaction and Sense of Well Being among Medicaid ICF/MR and HCBS Recipients in Six States

    ERIC Educational Resources Information Center

    Stancliffe, Roger J.; Lakin, K. Charlie; Taub, Sarah; Chiri, Giuseppina; Byun, Soo-yong

    2009-01-01

    Self-reported satisfaction and sense of well-being were assessed in a sample of 1,885 adults with intellectual and developmental disabilities receiving Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services in 6 states. Questions dealt with such topics as loneliness, feeling afraid at home and in one's…

  13. The Development of an ICF-Oriented, Adaptive Physician Assessment Instrument of Mobility, Self-care, and Domestic Life

    ERIC Educational Resources Information Center

    Farin, Erik; Fleitz, Annette

    2009-01-01

    The objective of this study was development and psychometric testing of an adaptive, International Classification of Functioning, Disability, and Health (ICF)-oriented questionnaire to be processed by the rehabilitation physician that aids in assessing mobility, self-care, and domestic life (Moses-Physician). The intent is to develop a physician…

  14. Satisfaction and Sense of Well Being among Medicaid ICF/MR and HCBS Recipients in Six States

    ERIC Educational Resources Information Center

    Stancliffe, Roger J.; Lakin, K. Charlie; Taub, Sarah; Chiri, Giuseppina; Byun, Soo-yong

    2009-01-01

    Self-reported satisfaction and sense of well-being were assessed in a sample of 1,885 adults with intellectual and developmental disabilities receiving Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services in 6 states. Questions dealt with such topics as loneliness, feeling afraid at home and in one's…

  15. The Importance of Motor Functional Levels from the Activity Limitation Perspective of ICF in Children with Cerebral Palsy

    ERIC Educational Resources Information Center

    Mutlu, Akmer

    2010-01-01

    Our purpose in this study was to evaluate performance and capacity as defined by Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS) from the "activity limitation" perspective of International Classification of Functioning, Disability, and Health (ICF) and to investigate the relationship between the…

  16. Low Back Pain in 17 Countries, a Rasch Analysis of the ICF Core Set for Low Back Pain

    ERIC Educational Resources Information Center

    Roe, Cecilie; Bautz-Holter, Erik; Cieza, Alarcos

    2013-01-01

    Previous studies indicate that a worldwide measurement tool may be developed based on the International Classification of Functioning Disability and Health (ICF) Core Sets for chronic conditions. The aim of the present study was to explore the possibility of constructing a cross-cultural measurement of functioning for patients with low back pain…

  17. The Development of an ICF-Oriented, Adaptive Physician Assessment Instrument of Mobility, Self-care, and Domestic Life

    ERIC Educational Resources Information Center

    Farin, Erik; Fleitz, Annette

    2009-01-01

    The objective of this study was development and psychometric testing of an adaptive, International Classification of Functioning, Disability, and Health (ICF)-oriented questionnaire to be processed by the rehabilitation physician that aids in assessing mobility, self-care, and domestic life (Moses-Physician). The intent is to develop a physician…

  18. Content Validity of the Comprehensive ICF Core Set for Multiple Sclerosis from the Perspective of Speech and Language Therapists

    ERIC Educational Resources Information Center

    Renom, Marta; Conrad, Andrea; Bascuñana, Helena; Cieza, Alarcos; Galán, Ingrid; Kesselring, Jürg; Coenen, Michaela

    2014-01-01

    Background: The Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Multiple Sclerosis (MS) is a comprehensive framework to structure the information obtained in multidisciplinary clinical settings according to the biopsychosocial perspective of the International Classification of Functioning,…

  19. Applying the ICF framework to study changes in quality-of-life for youth with chronic conditions

    PubMed Central

    McDougall, Janette; Wright, Virginia; Schmidt, Jonathan; Miller, Linda; Lowry, Karen

    2011-01-01

    Objective The objective of this paper is to describe how the ICF framework was applied as the foundation for a longitudinal study of changes in quality-of-life (QoL) for youth with chronic conditions. Method This article will describe the study’s aims, methods, measures and data analysis techniques. It will point out how the ICF framework was used—and expanded upon—to provide a model for studying the impact of factors on changes in QoL for youth with chronic conditions. Further, it will describe the instruments that were chosen to measure the components of the ICF framework and the data analysis techniques that will be used to examine the impact of factors on changes in youths’ QoL. Conclusions Qualitative and longitudinal designs for studying QoL based on the ICF framework can be useful for unraveling the complex ongoing inter-relationships among functioning, contextual factors and individuals’ perceptions of their QoL. PMID:21034288

  20. FY16 LLNL Omega Experimental Programs

    SciTech Connect

    Heeter, R. F.; Ali, S. J.; Benstead, J.; Celliers, P. M.; Coppari, F.; Eggert, J.; Erskine, D.; Panella, A. F.; Fratanduono, D. E.; Hua, R.; Huntington, C. M.; Jarrott, L. C.; Jiang, S.; Kraus, R. G.; Lazicki, A. E.; LePape, S.; Martinez, D. A.; McNaney, J. M.; Millot, M. A.; Moody, J.; Pak, A. E.; Park, H. S.; Ping, Y.; Pollock, B. B.; Rinderknecht, H.; Ross, J. S.; Rubery, M.; Sio, H.; Smith, R. F.; Swadling, G. F.; Wehrenberg, C. E.; Collins, G. W.; Landen, O. L.; Wan, A.; Hsing, W.

    2016-12-01

    In FY16, LLNL’s High-Energy-Density Physics (HED) and Indirect Drive Inertial Confinement Fusion (ICF-ID) programs conducted several campaigns on the OMEGA laser system and on the EP laser system, as well as campaigns that used the OMEGA and EP beams jointly. Overall, these LLNL programs led 430 target shots in FY16, with 304 shots using just the OMEGA laser system, and 126 shots using just the EP laser system. Approximately 21% of the total number of shots (77 OMEGA shots and 14 EP shots) supported the Indirect Drive Inertial Confinement Fusion Campaign (ICF-ID). The remaining 79% (227 OMEGA shots and 112 EP shots) were dedicated to experiments for High-Energy-Density Physics (HED). Highlights of the various HED and ICF campaigns are summarized in the following reports. In addition to these experiments, LLNL Principal Investigators led a variety of Laboratory Basic Science campaigns using OMEGA and EP, including 81 target shots using just OMEGA and 42 shots using just EP. The highlights of these are also summarized, following the ICF and HED campaigns. Overall, LLNL PIs led a total of 553 shots at LLE in FY 2016. In addition, LLNL PIs also supported 57 NLUF shots on Omega and 31 NLUF shots on EP, in collaboration with the academic community.

  1. The International Classification of Functioning, Disability and Health (ICF) Core Sets: application to a postmenopausal woman with rheumatoid arthritis and osteoporosis of the spine.

    PubMed

    Lorbergs, Amanda L; MacIntyre, Norma J

    2013-10-01

    The International Classification of Functioning, Disability and Health (ICF) framework facilitates systematic assessment of functioning across four components. ICF Core Sets are proposed to be beneficial for clinicians in multidisciplinary care settings because they provide a common language for communication. A clinical vignette of a postmenopausal woman with rheumatoid arthritis (RA) and a non-traumatic vertebral fracture is presented to discuss how the ICF Core Sets for RA and osteoporosis (OP) can be helpful in structuring clinical decisions. To demonstrate how condition-specific ICF Core Sets can be used to evaluate and treat women with two comorbidities, each component of the ICF Core Sets is compared across conditions and integrated into clinical decision-making. Topics covered include: exercise tolerance, urinary continence, bone mass, fear of falling, and environmental factors. The benefits of thorough communication with the client and a common language across healthcare disciplines are highlighted as the potential benefits of the ICF framework; however, limitations to uptake of the ICF in clinical practice are also addressed.

  2. Linkage of ICF-CY codes with environmental factors in studies of developmental outcomes of infants and toddlers with or at risk for motor delays.

    PubMed

    Hwang, Ai-Wen; Liao, Hua-Fang; Granlund, Mats; Simeonsson, Rune J; Kang, Lin-Ju; Pan, Yi-Ling

    2014-01-01

    Environmental variables have been explored in studies of the development of young children with motor delays. Linking environmental variables to the International Classification of Functioning, Disability and Health - Children and Youth (ICF-CY), environmental factors (EFs) categories can provide a common language for documenting their contribution to developmental outcomes. This review of studies aimed to (1) link EFs for developmental outcomes in infants with or at risk for motor delays to ICF-CY categories and (2) synthesize the influences of EFs (with ICF-CY linkage) on developmental outcomes. A systematic literature search was performed of multiple databases. After applying selection criteria, environmental variables in 28 articles were linked to ICF-CY categories and underwent qualitative synthesis. Results indicated that physical environmental variables could be linked successfully to ICF-CY EFs categories, but not social environmental variables. Multiple environmental variables were associated with motor and other developmental outcomes. Difficulties in linking social factors to ICF-CY categories indicate that additional EFs codes may need to be considered in the ICF-CY revision processes. The review provides empirical data on relationships between EFs and developmental outcomes in children with or at risk for motor delay.

  3. Investigating the International Classification of Functioning, Disability, and Health (ICF) Framework to Capture User Needs in the Concept Stage of Rehabilitation Technology Development.

    PubMed

    Sivan, Manoj; Gallagher, Justin; Holt, Ray; Weightman, Andy; Levesley, Martin; Bhakta, Bipin

    2014-01-01

    This study evaluates whether the International Classification of Functioning, Disability, and Health (ICF) framework provides a useful basis to ensure that key user needs are identified in the development of a home-based arm rehabilitation system for stroke patients. Using a qualitative approach, nine people with residual arm weakness after stroke and six healthcare professionals with expertise in stroke rehabilitation were enrolled in the user-centered design process. They were asked, through semi-structured interviews, to define the needs and specification for a potential home-based rehabilitation device to facilitate self-managed arm exercise. The topic list for the interviews was derived by brainstorming ideas within the clinical and engineering multidisciplinary research team based on previous experience and existing literature in user-centered design. Meaningful concepts were extracted from questions and responses of these interviews. These concepts obtained were matched to the categories within the ICF comprehensive core set for stroke using ICF linking rules. Most of the concepts extracted from the interviews matched to the existing ICF Core Set categories. Person factors like gender, age, interest, compliance, motivation, choice, and convenience that might determine device usability are yet to be categorized within the ICF comprehensive core set. The results suggest that the categories of the comprehensive ICF Core Set for stroke provide a useful basis for structuring interviews to identify most users needs. However some personal factors (related to end users and healthcare professionals) need to be considered in addition to the ICF categories.

  4. Prevalence and features of ICF-disability in Spain as captured by the 2008 National Disability Survey.

    PubMed

    Maierhofer, Sarah; Almazán-Isla, Javier; Alcalde-Cabero, Enrique; de Pedro-Cuesta, Jesús

    2011-11-28

    Since 1986, the study of disability in Spain has been mainly addressed by National Disability Surveys (NDSs). While international attempts to frame NDS designs within the International Classification of Functioning, Disability and Health (ICF) have progressed, in general, the ICF has hardly been used in either the NDS or epidemiological studies. This study sought to identify ICF Activity- and Participation-related content in the most recent Spanish NDS, the 2008 Survey on Disabilities, Independence and Dependency Situations (Encuesta sobre discapacidades, autonomía personal y situaciones de Dependencia - EDAD 2008), and estimate the prevalence of such ICF-framed disability. EDAD 2008 methods and questions were perused. Of the 51 EDAD items analysed, 29 were backcoded to specific d2-d7 domains of the ICF Checklist and, by rating the recorded difficulty to perform specific tasks with or without help, these were then taken as performance and capacity respectively. A global ICF score was also derived, albeit lacking data for d1, "Learning and applying knowledge", d8, "Major Life Areas" and d9, "Community, Social and Civic Life". Data were grouped by sex, age, residence and initial positive screening, and prevalence figures were calculated by disability level both for the general population, using the originally designed weights, and for the population that had screened positive to disability. Data for institutionalised persons were processed separately. Crude prevalence of ICF severe/complete and moderate disability among the community-dwelling population aged ≥6 years was 0.9%-2.2% respectively, and that of severe/complete disability among persons living in sheltered accommodation was 0.3%.Prevalence of severe/complete disability was: higher in women than in men, 0.8% vs. 0.4%; increased with age; and was particularly high in domains such as "Domestic Life", 3.4%, "Mobility", 1.8%, and "Self-care", 1.9%, in which prevalence decreased when measured by reference to

  5. Prevalence and features of ICF-disability in Spain as captured by the 2008 National Disability Survey

    PubMed Central

    2011-01-01

    Background Since 1986, the study of disability in Spain has been mainly addressed by National Disability Surveys (NDSs). While international attempts to frame NDS designs within the International Classification of Functioning, Disability and Health (ICF) have progressed, in general, the ICF has hardly been used in either the NDS or epidemiological studies. This study sought to identify ICF Activity- and Participation-related content in the most recent Spanish NDS, the 2008 Survey on Disabilities, Independence and Dependency Situations (Encuesta sobre discapacidades, autonomía personal y situaciones de Dependencia - EDAD 2008), and estimate the prevalence of such ICF-framed disability. Methods EDAD 2008 methods and questions were perused. Of the 51 EDAD items analysed, 29 were backcoded to specific d2-d7 domains of the ICF Checklist and, by rating the recorded difficulty to perform specific tasks with or without help, these were then taken as performance and capacity respectively. A global ICF score was also derived, albeit lacking data for d1, "Learning and applying knowledge", d8, "Major Life Areas" and d9, "Community, Social and Civic Life". Data were grouped by sex, age, residence and initial positive screening, and prevalence figures were calculated by disability level both for the general population, using the originally designed weights, and for the population that had screened positive to disability. Data for institutionalised persons were processed separately. Results Crude prevalence of ICF severe/complete and moderate disability among the community-dwelling population aged ≥6 years was 0.9%-2.2% respectively, and that of severe/complete disability among persons living in sheltered accommodation was 0.3%. Prevalence of severe/complete disability was: higher in women than in men, 0.8% vs. 0.4%; increased with age; and was particularly high in domains such as "Domestic Life", 3.4%, "Mobility", 1.8%, and "Self-care", 1.9%, in which prevalence decreased

  6. The development of a structured schedule for collecting ICF-CY-based information on disability in school and preschool children: an action research from Italy.

    PubMed

    Raggi, Alberto; Meucci, Paolo; Leonardi, Matilde; Barbera, Tiziana; Villano, Annamaria; Caputo, Maria R; Grassi, Alessandra

    2014-03-01

    The aim of this study was to present the development of an instrument to collect disability information in school settings, based on the International Classification of Functioning, Disability and Health, Children and Youth version (ICF-CY): the ICF-PEI Schedule (ICF-CY-based schedule for Individualized Education Plan). Through an action-research process, a group of 14 teachers participated in the definition of a comprehensive list of ICF-CY categories, which were then used in a pilot test: categories relevant in at least 30% of the cases were retained. Teachers also reported the most relevant difficulties they had in using the ICF-CY questionnaires: these were discussed in plenary. On the basis of a pilot test and teachers' difficulties, a set of structured, easy to use and feasible questions for the school context were developed. A total of 118 ICF-CY categories were included in the preliminary list and 67 were retained. The most relevant difficulties in using ICF-CY questionnaires were as follows: obtaining reliable information on bodily impairments; using capacity in activities and participation; using qualifiers in 'borderline situations'; and identifying systems and policies as barriers or facilitators. The ICF-PEI Schedule is composed of 62 items, with a simplified rating scale. Teachers are asked to rate performance, which is directly observed, and to address which environmental factors impact it; thus, environmental factor rating is simplified. The ICF-PEI Schedule was drafted as a feasible instrument for school settings to collect and exploit functioning and disability data. Teachers can fruitfully employ it to assist in the definition of educational objectives and verify them longitudinally.

  7. Validation of the Italian version of Mini-ICF-APP, a short instrument for rating activity and participation restrictions in psychiatric disorders.

    PubMed

    Balestrieri, M; Isola, M; Bonn, R; Tam, T; Vio, A; Linden, M; Maso, E

    2013-03-01

    Aims. The assessment of limitations in social capacities can be done with the Mini-ICF-APP, a rating scale built in reference to the International Classification of Functioning, Disability and Health (ICF). The aim of this study was to assess the reliability and the convergent validity of the Italian version of this scale. Methods. We recruited 120 consecutive patients diagnosed with schizophrenia, major depression, bipolar I disorder and anxiety disorders. Included measures were the Brief Psychiatric Rating Scale (BPRS), the Clinical Global Impression Scale (CGI-S), the Personal and Social Performance Scale (PSP) and the Social and Occupational Functioning Assessment Scale (SOFAS). Results. The median CGI-S and BPRS scores were 5 and 16.5. Mean Mini-ICF-APP total score was 18.1. Schizophrenics' Mini-ICF-APP score was higher, while that of anxious patients was lower than in the other diagnoses. Intra-class correlations (ICC) revealed a significant inter-rater agreement for total score (ICC 0.987) and for each item of the Mini-ICF-APP. The test-retest agreement was also highly significant (ICC 0.993). The total score of the Mini-ICF-APP obtained good negative correlations with PSP (r s = -0.767) and with SOFAS scores (r s = -0.790). The distribution items of the Mini-ICF-APP showed some skewness, indicating that self-care (item 12) and mobility (item 13) were amply preserved in most patients. The Mini-ICF-APP total score was significantly correlated with both CGI-S (r s = 0.777) and BPRS (r s = 0.729). Conclusions. As a short instrument, the Mini-ICF-APP scale seems to be well suited to everyday psychiatric practice as a means of monitoring changes in psychosocial functioning, in particular in schizophrenic patients.

  8. Reliability, construct validity and measurement potential of the ICF comprehensive core set for osteoarthritis

    PubMed Central

    2011-01-01

    Background This study aimed to investigate the reliability and construct validity of the International Classification of Functioning, Disability and Health (ICF) Comprehensive Core Set for osteoarthritis (OA) in order to test its possible use as a measuring tool for functioning. Methods 100 patients with OA (84 F, 16 M; mean age 63 yr) completed forms including demographic and clinical information besides the Short Form (36) Health Survey (SF-36®) and the Western Ontario and McMaster Universities Index of Osteoarthritis (WOMAC). The ICF Comprehensive Core Set for OA was filled by health professionals. The internal construct validities of "Body Functions-Body structures" (BF-BS), "Activity" (A), "Participation" (P) and "Environmental Factors" (EF) domains were tested by Rasch analysis and reliability by internal consistency and person separation index (PSI). External construct validity was evaluated by correlating the Rasch transformed scores with SF-36 and WOMAC. Results In each scale, some items showing disordered thresholds were rescored, testlets were created to overcome the problem of local dependency and items that did not fit to the Rasch model were deleted. The internal construct validity of the four scales (BF-BS 16 items, A 8 items, P 7 items, EF 13 items) were good [mean item fit (SD) 0.138 (0.921), 0.216 (1.237), 0.759 (0.986) and -0.079 (2.200); person item fit (SD) -0.147 (0.652), -0.241 (0.894), -0.310 (1.187) and -0.491 (1.173) respectively], indicating a single underlying construct for each scale. The scales were free of differential item functioning (DIF) for age, gender, years of education and duration of disease. Reliabilities of the BF-BS, A, P, and EF scales were good with Cronbach's alphas of 0.79, 0.86, 0.88, and 0.83 and PSI's of 0.76, 0.86, 0.87, and 0.71, respectively. Rasch scores of BF-BS, A, and P showed moderate correlations with SF-36 and WOMAC scores where the EF had significant but weak correlations only with SF36-Social

  9. Families' perception of children / adolescents with language impairment through the International Classification of Functioning, Disability, and Health (ICF-CY).

    PubMed

    Ostroschi, Daniele Theodoro; Zanolli, Maria de Lurdes; Chun, Regina Yu Shon

    2017-05-22

    To investigate the perception of family members regarding linguistic conditions and social participation of children and adolescents with speech and language impairments using the International Classification of Functioning, Disability and Health - Children and Youth Version (ICF-CY). Quali-quantitative approach research, in which a survey of medical records of 24 children/adolescents undergoing speech-language therapy and interviews with their family members was conducted. A descriptive analysis of the participants' profiles was performed, followed by a categorization of responses using the ICF-CY. All family members mentioned various aspects of speech/language categorized by the ICF-CY. Initially, they approached it as an organic issue, categorized under the component of Body Functions and Structures. Most reported different repercussions of the speech-language impairments on the domains, such as dealing with stress and speaking, qualified from mild to severe. Participants reported Environmental Factors categorized as facilitators in the immediate family's attitudes and as barriers in the social attitudes. These findings, according to the use of the ICF-CY, demonstrate that the children/adolescents' speech-language impairments, from the families' perception, are primarily understood in the body dimension. However, guided by a broader approach to health, the findings in the Activities and Participation and Environmental Factors demonstrate a broader understanding of the participants of the speech-language impairments. The results corroborate the importance of using the ICF-CY as a health care analysis tool, by incorporating functionality and participation aspects and providing subsidies for the construction of unique therapeutic projects in a broader approach to the health of the group studied.

  10. Laser Program annual report 1984

    SciTech Connect

    Rufer, M.L.; Murphy, P.W.

    1985-06-01

    The Laser Program Annual Report is part of the continuing series of reports documenting the progress of the unclassified Laser Fusion Program at the Lawrence Livermore National Laboratory (LLNL). As in previous years, the report is organized programmatically. The first section is an overview of the basic goals and directions of the LLNL Inertial Confinement Fusion (ICF) Program, and highlights the year's important accomplishments. Sections 2 through 7 provide the detailed information on the various program elements: Laser Systems and Operations, Target Design, Target Fabrication, Laser Experiments and Advanced Diagnostics, Advanced Laser Development, and Applications of Inertial Confinement Fusion. Individual sections will be indexed separately. 589 refs., 333 figs., 25 tabs.

  11. Recent Contributions to the Use of Polyimide in the Fabrication of ICF and IFE Targets

    SciTech Connect

    Powell, Forbes R

    2004-03-15

    This paper discusses some recent contributions to the use of polyimide in the fabrication of targets for Inertial Confinement Fusion (ICF) and Inertial Fusion Energy (IFE). Polyimide has many desirable properties, including much higher strength and the ability to withstand much higher temperatures than similar polymer films. Recent research efforts have focused on the use of polyimide in a number of applications including gasbag targets, hohlraum windows, spherical target capsules, anti-convection baffles and various shaped membranes such as target capsule supports and cylindrical z-pinch targets where polyimide's advantages contribute to superior target performance. Also covered are the fabrication of thick-wall target capsules and the potential production of thin-wall spherical capsules by a fully automated process.

  12. Experimental Study of High-Z Gas Buffers in Gas-Filled ICF Engines

    SciTech Connect

    Rhodes, M A; Kane, J; Loosmore, G; DeMuth, J; Latkowski, J

    2010-12-03

    ICF power plants, such as the LIFE scheme at LLNL, may employ a high-Z, target-chamber gas-fill to moderate the first-wall heat-pulse due to x-rays and energetic ions released during target detonation. To reduce the uncertainties of cooling and beam/target propagation through such gas-filled chambers, we present a pulsed plasma source producing 2-5 eV plasma comprised of high-Z gases. We use a 5-kJ, 100-ns theta discharge for high peak plasma-heating-power, an electrode-less discharge for minimizing impurities, and unobstructed axial access for diagnostics and beam (and/or target) propagation studies. We will report on the plasma source requirements, design process, and the system design.

  13. Status of Indirect Drive ICF Experiments on the National Ignition Facility

    SciTech Connect

    Dewald, E.

    2016-03-21

    In the quest to demonstrate Inertial Confinement Fusion (ICF) ignition of deuterium-tritium (DT) filled capsules and propagating thermonuclear burn with net energy gain (fusion energy/laser energy >1), recent experiments on the National Ignition Facility (NIF) have shown progress towards increasing capsule hot spot temperature (Tion>5 keV) and fusion neutron yield (~1016), while achieving ~2x yield amplification by alpha particle deposition. At the same time a performance cliff was reached, resulting in lower fusion yields than expected as the implosion velocity was increased. Ongoing studies of the hohlraum and capsule physics are attempting to disseminate possible causes for this performance ceiling.

  14. Large Survey of Neutron Spectrum Moments Due to ICF Drive Asymmetry

    NASA Astrophysics Data System (ADS)

    Field, J. E.; Munro, D.; Spears, B.; Peterson, J. L.; Brandon, S.; Gaffney, J. A.; Hammer, J.; Langer, S.; Nora, R. C.; Springer, P.; ICF Workflow Collaboration Collaboration

    2016-10-01

    We have recently completed the largest HYDRA simulation survey to date ( 60 , 000 runs) of drive asymmetry on the new Trinity computer at LANL. The 2D simulations covered a large space of credible perturbations to the drive of ICF implosions on the NIF. Cumulants of the produced birth energy spectrum for DD and DT reaction neutrons were tallied using new methods. Comparison of the experimental spectra with our map of predicted spectra from simulation should provide a wealth of information about the burning plasma region. We report on our results, highlighting areas of agreement (and disagreement) with experimental spectra. We also identify features in the predicted spectra that might be amenable to measurement with improved diagnostics. Prepared by LLNL under Contract DE-AC52-07NA27344. IM release #: LLNL-PROC-697321.

  15. Using absolute x-ray spectral measurements to infer stagnation conditions in ICF implosions

    NASA Astrophysics Data System (ADS)

    Patel, Pravesh; Benedetti, L. R.; Cerjan, C.; Clark, D. S.; Hurricane, O. A.; Izumi, N.; Jarrott, L. C.; Khan, S.; Kritcher, A. L.; Ma, T.; Macphee, A. G.; Landen, O.; Spears, B. K.; Springer, P. T.

    2016-10-01

    Measurements of the continuum x-ray spectrum emitted from the hot-spot of an ICF implosion can be used to infer a number thermodynamic properties at stagnation including temperature, pressure, and hot-spot mix. In deuterium-tritium (DT) layered implosion experiments on the National Ignition Facility (NIF) we field a number of x-ray diagnostics that provide spatial, temporal, and spectrally-resolved measurements of the radiated x-ray emission. We report on analysis of these measurements using a 1-D hot-spot model to infer thermodynamic properties at stagnation. We compare these to similar properties that can be derived from DT fusion neutron measurements. This work was performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344.

  16. Inference of ICF implosion core mix using experimental data and theoretical mix modeling

    SciTech Connect

    Sherrill, Leslie Welser; Haynes, Donald A; Cooley, James H; Sherrill, Manolo E; Mancini, Roberto C; Tommasini, Riccardo; Golovkin, Igor E; Haan, Steven W

    2009-01-01

    The mixing between fuel and shell materials in Inertial Confinement Fusion (lCF) implosion cores is a current topic of interest. The goal of this work was to design direct-drive ICF experiments which have varying levels of mix, and subsequently to extract information on mixing directly from the experimental data using spectroscopic techniques. The experimental design was accomplished using hydrodynamic simulations in conjunction with Haan's saturation model, which was used to predict the mix levels of candidate experimental configurations. These theoretical predictions were then compared to the mixing information which was extracted from the experimental data, and it was found that Haan's mix model predicted trends in the width of the mix layer as a function of initial shell thickness. These results contribute to an assessment of the range of validity and predictive capability of the Haan saturation model, as well as increasing confidence in the methods used to extract mixing information from experimental data.

  17. Using gamma-ray emission to measure areal density of ICF capsules

    SciTech Connect

    Hoffman, Nelson M; Wilson, Douglas C; Hermann, Hans W; Young, Carlton S

    2010-01-01

    Fusion neutrons streaming from a burning ICF capsule generate gamma rays via nuclear inelastic scattering in the ablator of the capsule. The intensity of gamma-ray emission is proportional to the product of the ablator areal density ('{rho}R') and the yield of fusion neutrons, so by detecting the gamma rays we can infer the ablator areal density, provided we also have a measurement of the capsule's total neutron yield. In plastic-shell capsules, for example, {sup 12}C nuclei emit gamma rays at 4.44 MeV after excitation by 14.1-MeV neutrons from D+T fusion. These gamma rays can be measured by the Gamma Reaction History (GRH) experiment being built at the National Ignition Facility (NIF). A linear error analysis indicates the chief sources of uncertainty in inferred areal density.

  18. A coordinate transformation method for calculating the 3D light intensity distribution in ICF hohlraum

    NASA Astrophysics Data System (ADS)

    Lin, Zhili; Li, Xiaoyan; Zhao, Kuixia; Chen, Xudong; Chen, Mingyu; Pu, Jixiong

    2016-06-01

    For an inertial confinement fusion (ICF) system, the light intensity distribution in the hohlraum is key to the initial plasma excitation and later laser-plasma interaction process. Based on the concept of coordinate transformation of spatial points and vector, we present a robust method with a detailed procedure that makes the calculation of the three dimensional (3D) light intensity distribution in hohlraum easily. The method is intuitive but powerful enough to solve the complex cases of random number of laser beams with arbitrary polarization states and incidence angles. Its application is exemplified in the Shenguang III Facility (SG-III) that verifies its effectiveness and it is useful for guiding the design of hohlraum structure parameter.

  19. KrF laser cost/performance model for ICF commercial applications

    SciTech Connect

    Harris, D.B.; Pendergrass, J.H.

    1985-01-01

    Simple expressions suitable for use in commercial-applications plant parameter studies for the direct capital cost plus indirect field costs and for the efficiency as a function of repetition rate were developed for pure-optical-compression KrF laser fusion drivers. These simple expressions summarize estimates obtained from detailed cost-performance studies incorporating recent results of ongoing physics, design, and cost studies. Contributions of KrF laser capital charges and D and M costs to total levelized constant-dollar (1984) unit ICF power generation cost are estimated as a function of plant size and driver pulse energy using a published gain for short-wavelength lasers and representative values of plant parameters.

  20. [SMAF, RAI and ICF--nursing assessment tools for home based care].

    PubMed

    Rappold, Elisabeth

    2007-08-01

    In this article the result of a remittance work for the Dachverband Wiener Sozialeinrichtungen, will be described. The remitter; an association for support, quality assurance, and development for providers of care in Vienna, was interested in three different assessment instruments which can be used in homecare: the SMAF (le Système de Mesure de l'Autonomie Fonctionnelle), the RAI HC 2.0 (Resident Assessment Instrument--Home Care), and the ICF (International Classification of Functioning, Disability and Health). This analysis focuses on the basic principles of the instruments, the practical experiences made, and the scientific findings. It illustrates that the instruments are circulated unequally in German speaking countries. German speaking versions of the instruments still offer a broad field for researchers.

  1. The Broadband Rotational Spectrum and Geometry of N_{2}\\cdotsICF_{3}

    NASA Astrophysics Data System (ADS)

    Walker, N. R.; Hird, D.; Legon, A. C.

    2013-06-01

    The rotational spectra of two isotopologues of N_{2}\\cdotsICF_{3} have been measured between 7 and 18.5 GHz by chirped-pulse Fourier transform microwave spectroscopy. The rotational constant, B}_{0}, the centrifugal distortion constants, D}_J} and D}_JK}, and the nuclear quadrupole coupling constant of ^{127}I are precisely determined for isotopologues containing ^{14}N_{2} and ^{15}N_{2} respectively. The complex is a symmetric top and contains a linear arrangement of C, I, N(1) and N(2) atoms. The length of the halogen bond between N(1) and I will be presented. Experiments which exploit a Balle-Flygare FTMW spectrometer are currently in progress to determine the nuclear quadrupole coupling constants of the ^{14}N nuclei.

  2. Numerical simulation of the explosion dynamics and energy release from high-gain ICF targets

    SciTech Connect

    MacFarlane, J.J.; Sawan, M.E.; Moses, G.A.; Wang, P.; Olson, R.E.

    1996-12-31

    Results from numerical simulations are presented describing the explosion energetics of a high-gain indirect-drive ICF target. The light ion fusion LIBRA-SP target, which consists of an x-ray driven capsule embedded in a spherical foam-filled hohlraum, is imploded using 12 prepulse and 12 full power Li beams containing a total energy of 8 MJ. Here, we report on the dynamics of the target energy release, focussing in particular on the partitioning of energy between x rays, neutrons, and target debris kinetic energy. Our results indicate that 72% and 22% of the 552 MJ yield is emitted by the target in the form of neutrons and x-rays, respectively. Calculated emergent spectra for the target neutrons and x rays are also presented. 12 refs., 5 figs., 1 tab.

  3. Preparation of germanium doped plasma polymerized coatings as ICF target ablators

    SciTech Connect

    Brusasco, R M; Saculla, M D; Cook, R C

    1994-10-05

    Targets for Inertial Confinement Fusion (ICF) experiments at the Lawrence Livermore National Laboratory (LLNL) utilize an organic (CH) ablator coating prepared by plasma polymerization. Some of these experiments require a mid-Z dopant in the ablator coating to modify the opacity of the shell. Bromine had been used in the past, but the surface finish of brominated CH degrades rapidly with time upon exposure to air. This paper describes the preparation and characterization of plasma polymer layers containing germanium as a dopant at concentrations of between 1.25 and 2.25 atom percent. The coatings are stable in air and have an rms surface roughness of 7--9 nm (modes 10--1,000) which is similar to that obtained with undoped coatings. High levels of dopant result in cracking of the inner mandrel during target assembly. Possible explanations for the observed cracking behavior will be discussed.

  4. Experimental techniques for measuring Rayleigh-Taylor instability in inertial confinement fusion (ICF)

    SciTech Connect

    Smalyuk, V A

    2012-06-07

    Rayleigh-Taylor (RT) instability is one of the major concerns in inertial confinement fusion (ICF) because it amplifies target modulations in both acceleration and deceleration phases of implosion, which leads to shell disruption and performance degradation of imploding targets. This article reviews experimental results of the RT growth experiments performed on OMEGA laser system, where targets were driven directly with laser light. RT instability was studied in the linear and nonlinear regimes. The experiments were performed in acceleration phase, using planar and spherical targets, and in deceleration phase of spherical implosions, using spherical shells. Initial target modulations consisted of 2-D pre-imposed modulations, and 2-D and 3-D modulations imprinted on targets by the non-uniformities in laser drive. In planar geometry, the nonlinear regime was studied using 3-D modulations with broadband spectra near nonlinear saturation levels. In acceleration-phase, the measured modulation Fourier spectra and nonlinear growth velocities are in good agreement with those predicted by Haan's model [Haan S W 1989 Phys. Rev. A 39 5812]. In a real-space analysis, the bubble merger was quantified by a self-similar evolution of bubble size distributions [Oron D et al 2001 Phys. Plasmas 8, 2883]. The 3-D, inner-surface modulations were measured to grow throughout the deceleration phase of spherical implosions. RT growth rates are very sensitive to the drive conditions, therefore they can be used to test and validate drive physics in hydrodynamic codes used to design ICF implosions. Measured growth rates of pre-imposed 2-D target modulations below nonlinear saturation levels were used to validate non-local thermal electron transport model in laser-driven experiments.

  5. Detection and use of HT and DT gamma rays to diagnose mix in ICF capsules

    NASA Astrophysics Data System (ADS)

    Schmitt, M. J.; Kim, Y. H.; Herrmann, H. W.; McEvoy, A. M.; Zylstra, A.; Leatherland, A.; Gales, S.

    2015-11-01

    Recent results from Omega capsule implosion experiments containing HT-rich gas mixtures indicate that the 19.8 MeV gamma ray from aneutronic HT fusion can be measured using existing time-resolved gas Cherenkov detectors (GCDs). Additional dedicated experiments to characterize HT- γ emission in ICF experiments already have been planned. The concurrent temporally-resolved measurement of both HT- γs and DT- γs opens the door for in-depth exploration of interface mix in gas-filled ICF capsules. We propose a method to temporally resolve and observe the evolution of shell material into the capsule core as a function of fuel/shell interface temperature (which can be varied by varying the capsule shell thickness). Our proposed method uses a CD-lined plastic capsule filled with 50/50 HT gas and diagnosed using GCDs to temporally resolve both the HT ``clean'' and DT ``mix'' gamma ray burn histories. It will be shown that these burn history profiles are sensitive to the depth to which shell material mixes into the gas region. An experiment to observe these differences as a function of capsule shell thickness is proposed to determine if interface mixing is consistent with thermal diffusion (λion ~Tion2 /Zion2 ρ) at the gas/shell interface. Since hydrodynamic mixing from shell perturbations, such as the mounting stalk and glue, could complicate these types of capsule-averaged temporal measurements, simulations including their effects also will be shown. This research supported by the US DOE/NNSA, performed in part at LANL, operated by LANS LLC under contract DE-AC52-06NA25396.

  6. Adolescents with disabilities participate in the shopping mall: facilitators and barriers framed according to the ICF.

    PubMed

    Dahan-Oliel, Noémi; Shikako-Thomas, Keiko; Mazer, Barbara; Majnemer, Annette

    2016-10-01

    Community participation is restricted for youth with disabilities. The mall is an important gathering place where adolescents often socialise and develop community living skills, yet participation may be restricted. The aim of this study was to evaluate the facilitators and barriers to participation in a shopping mall through the perspectives of adolescents with disabilities. Semi-structured individual interviews were conducted with adolescents aged 12-19 years with a physical and/or sensory disability. Audio recordings were transcribed verbatim and coded following a template analysis using the International Classification of Functioning Disability and Health (ICF). Eleven youth (six females, mean age = 17.0 years) participated. Medical conditions included visual impairment, hearing impairment, cerebral palsy, hemiplegia, osteogenesis imperfecta and congenital amputations. Six themes were identified by the adolescents: what the shopping mall means to me, physical environment, transportation, social factors, attitudes and the person. The majority of themes mapped to the ICF's 'environmental factors'. Facilitators and barriers identified were either generic or disability-specific, implying that some modifications to shopping malls may be beneficial across disability types. Changes made to the physical, social and attitudinal environment are required to enable full participation of youth with disabilities within a shopping mall and other built environments of high public access. Implications for Rehabilitation The meaning of the shopping mall according to youth with disabilities includes socialisation, shopping, getting out of the home and employment. The majority of themes mapped to 'environmental factors' indicating that most obstacles to participation are caused by environmental barriers. Facilitators and barriers identified were either generic or disability-specific implying that some modifications to shopping malls may be beneficial across disability types

  7. Empirical analysis of the International Classification of Functioning, Disability and Health (ICF) using structural equation modeling

    PubMed Central

    Dutra, Fabiana C. M. S.; Mancini, Marisa C.; Neves, Jorge A.; Kirkwood, Renata N.; Sampaio, Rosana F.

    2016-01-01

    ABSTRACT Objective: To empirically test the relationships proposed by the International Classification of Functioning, Disability and Health (ICF) among its domains. Method: The cross-sectional study was completed with 226 adult patients with different health conditions who attended a Brazilian rehabilitation unit. The ICF components were measured with the following instruments: World Health Organization Disability Assessment Instrument II, Functional Independence Measure, Participation Scale, Craig Hospital Inventory of Environmental Factors, and a protocol designed to gather information on body structure and function and personal factors. Results: Structural equation modeling showed good model adjustment, GFI=0.863; AGFI=0.795; RMSEA=0.028 (90% CI=0.014-0.043). Significant relationships were found between activity and both body structure and function (standard coefficient=0.32; p<0.0001) and participation components (standard coefficient=–0.70; p<0.0001). Environmental and personal factors had a significant effect on the three functioning components (standard coefficient =0.39; p<0.0001; standard coefficient =-0.35; p<0.001, respectively). In contrast, body structure and function had no significant effect on participation (standard coefficient=–0.10; p=0.111) and health conditions had no significant effect on any of the functioning components, i.e., body structure and function, activity, and participation (standard coefficient=–0.12; p=0.128). Conclusion: Some of the ICF’s proposed relationships across domains were confirmed, while others were not found to be significant. Our results reinforce the contextual dependency of the functioning and disability processes, in addition to putting into perspective the impact of health conditions. PMID:27878225

  8. Introducing the ICF: the development of an online resource to support learning, teaching and curriculum design.

    PubMed

    Jones, Lester E

    2011-03-01

    The International Classification of Functioning, Disability and Health (ICF) was adopted as one of the key models to support early health professional learning across a suite of new preregistration health science courses. It was decided that an online resource should be developed to enable students, course designers and teaching staff, across all disciplines, to have access to the same definitions, government policies and other supporting information on disability. As part of the comprehensive curriculum review, enquiry-based learning was adopted as the educational approach. Enquiry-based learning promotes deeper learning by encouraging students to engage in authentic challenges. As such, it was important that the online resource was not merely a site for accessing content, but enabled students to make decisions about where else to explore for credible information about the ICF. The selection of a host location that all students and staff could access meant that the resource could not be located in the existing online learning management system. Construction using software being trialled by the library at La Trobe University allowed for the required access, as well as alignment with an enquiry-based learning approach. Consultation for the content of the online resource included formal and informal working groups on curriculum review. The published version included resources from the World Health Organization, examples of research completed within different disciplines, a test of knowledge and a preformatted search page. The format of the online resource allows for updating of information, and feedback on the utilisation of the software has been used to enhance the student experience. The key issues for the development of this online resource were accessibility for students and staff, alignment with the adopted educational approach, consultation with all disciplines, and ease of modification of information and format once published.

  9. High-Temperature Carbon-Irradiation Issues for the Sombrero ICF Reactor

    SciTech Connect

    T. Munsat

    1999-10-01

    In order to assess the feasibility of carbon materials for the first-wall of the Sombrero KrF laser-driven ICF fusion reactor, published experimental results relating to mechanical and thermal properties of graphites and carbon-fiber-composites (CFC's) under neutron irradiation and high heat loads are reviewed. Results are compared to published design requirements for the Sombrero ICF reactor, with particular attention to three separate issues of concern: 1. Erosion rates of the first wall are highly sensitive to the thermal conductivity value, which is itself environment-sensitive (radiation and high temperature). Erosion rates at the first wall are calculated using a high-temperature post-irradiation conductivity value of 50 W/m*K, with complete erosion of the first wall layer predicted within 14 months Sombrero full-power operation (f.p.o.), illustrating the sensitivity of erosion rates to thermal conductivity assumptions. 2. Radiation-induced swelling in 2-D and 'pseudo 3-D' CFC's is consistently {approx}20% under high-temperature neutron damage of 5 dpa (4 months f.p.o.). This level of swelling would pose technical challenges to the engineering of the target chamber modules. 3. Total tritium retention is predicted to be {approx} 0.5 to 5 kg in the Sombrero chamber within 8 months f.p.o., which may call into question safety-status assumptions of the CFC-based chamber design. These results indicate the urgency of high-temperature neutron-irradiation tests of fully symmetric 3-D CFC's in order to support the plausibility of a carbon first-wall IFE chamber such as proposed for Sombrero.

  10. Integrating the ICF with positive psychology: Factors predicting role participation for mothers with multiple sclerosis.

    PubMed

    Farber, Ruth S; Kern, Margaret L; Brusilovsky, Eugene

    2015-05-01

    Being a mother has become a realizable life role for women with disabilities and chronic illnesses, including multiple sclerosis (MS). Identifying psychosocial factors that facilitate participation in important life roles-including motherhood-is essential to help women have fuller lives despite the challenge of their illness. By integrating the International Classification of Functioning, Disability, and Health (ICF) and a positive psychology perspective, this study examined how environmental social factors and positive personal factors contribute to daily role participation and satisfaction with parental participation. One hundred and 11 community-dwelling mothers with MS completed Ryff's Psychological Well-Being Scales, the Medical Outcome Study Social Support Survey, the Short Form-36, and the Parental Participation Scale. Hierarchical regression analyses examined associations between social support and positive personal factors (environmental mastery, self-acceptance, purpose in life) with daily role participation (physical and emotional) and satisfaction with parental participation. One-way ANOVAs tested synergistic combinations of social support and positive personal factors. Social support predicted daily role participation (fewer limitations) and greater satisfaction with parental participation. Positive personal factors contributed additional unique variance. Positive personal factors and social support synergistically predicted better function and greater satisfaction than either alone. Integrating components of the ICF and positive psychology provides a useful model for understanding how mothers with MS can thrive despite challenge or impairment. Both positive personal factors and environmental social factors were important contributors to positive role functioning. Incorporating these paradigms into treatment may help mothers with MS participate more fully in meaningful life roles. (c) 2015 APA, all rights reserved).

  11. Laser-Plasma Instability Control Using TPulse fixed vs Imax fixed Spike Trains of Uneven Duration and Delay: The Path to Green ICF Using STUD Pulses

    NASA Astrophysics Data System (ADS)

    Afeyan, Bedros; Hüller, Stefan; Meezan, Nathan; Hammer, Jim; Heebner, John

    2016-10-01

    We have studied the behavior of laser-plasma instabilities (LPI) as a function of seed noise (varied over seven orders of magnitude) and Rosenbluth gain exponent at the average intensity (varied over a decade) for structured laser beams with and without STUD pulse mitigation. We will show that for each section of the NIF ICF pulse, there are preferred configurations of STUD pulses, whether they be fixed duration of fixed peak intensity, so that maximum use is made of STUD pulse flexibility for LPI control. The duty cycle, hot spot scrambling rate, and cutting a hot spot into pieces (by switching the lasers on and off on the ps time scale), are the three main tools. We explore a variety of phase transitions in reflectivity behavior and in the amplification profile of plasma perturbations. We compare cases where amplification bursts are reinforced coherently or are healed, lead to brush fires or are tamed. The STUD pulse program is best suited for Green light implementation since Green offers higher bandwidth, more energy, and higher damage thresholds. We plan to test these ideas on the Jupiter Laser Facility at LLNL at the pair of 200J lasers level next. Work supported by a Grant from the DOE NNSA-FES Joint Program on HEDP and by LLNL.

  12. [Can ICF core sets be helpful in preparing a social-medical expert report due to incapacity to work?--a first proposal].

    PubMed

    Kirschneck, M; Legner, R; Armbrust, W; Nowak, D; Cieza, A

    2015-04-01

    Social-medical expert reports from the German statutory pension insurance are essential for the German statutory pension regulatory authority to decide whether to grant services regarding participation as well as retirement pensions due to incapacity to work.The objective of this investigation is to determine whether the ICF Core Sets and other international approaches, such as the EUMASS Core Sets or ICF Core Set for vocational rehabilitation cover the content of the social-medical expert reports as well as to propose an approach how the ICF can be economically used by the social medicine practitioner when writing a social-medical expert report. A retrospective quantitative study design was used to translate a total of 294 social-medical expert reports from patients with low back pain (LBP) or chronic widespread pain (CWP) into the language of the ICF (linking) by 2 independent health professionals and compare the results with the ICF Core Sets for specific health conditions and other international approaches. The content of social-medical expert reports was largely reflected by the condition specific brief ICF Core Sets, brief ICF Core Sets for vocational rehabilitation and EUMASS Core Sets. The weighted Kappa statistic for the agreement between the 2 health professionals who translated the expert reports were in CWP 0.69 with a bootstrapped confidence interval of 0.67-0.71 and in LBP 0.73 (0.71-0.74). The analyses show that the content of social-medical expert reports varies enormously. A combination of a condition specific brief ICF Core Set as well as vocational rehabilitation and EUMASS ICF Core Sets as well as all ICF-categories from the expert reports that were named at least in 50% of it can largely provide a basis for preparing expert reports. Within the scope of implementation the need for a specific ICF Core Set for expert reports of the German statutory pension insurance should be further analyzed and discussed. © Georg Thieme Verlag KG Stuttgart

  13. Whole-genome methylation scan in ICF syndrome: hypomethylation of non-satellite DNA repeats D4Z4 and NBL2.

    PubMed

    Kondo, T; Bobek, M P; Kuick, R; Lamb, B; Zhu, X; Narayan, A; Bourc'his, D; Viegas-Péquignot, E; Ehrlich, M; Hanash, S M

    2000-03-01

    The ICF (immunodeficiency, centromeric instability and facial abnormalities) syndrome is a rare recessive disease characterized by immunodeficiency, extraordinary instability of certain heterochromatin regions and mutations in the gene encoding DNA methyltransferase 3B. In this syndrome, chromosomes 1 and 16 are demethylated in their centromere-adjacent (juxtacentromeric) heterochromatin, the same regions that are highly unstable in mitogen-treated ICF lymphocytes and B cell lines. We investigated the methylation abnormalities in CpG islands of B cell lines from four ICF patients and their unaffected parents. Genomic DNA digested with a CpG methylation-sensitive restriction enzyme was subjected to two-dimensional gel electrophoresis. Most of the restriction fragments were identical in the digests from the patients and controls, indicating that the methylation abnormality in ICF is restricted to a small portion of the genome. However, ICF DNA digests prominently displayed multicopy fragments absent in controls. We cloned and sequenced several of the affected DNA fragments and found that the non-satellite repeats D4Z4 and NBL2 were strongly hypomethylated in all four patients, as compared with their unaffected parents. The high degree of methylation of D4Z4 that we observed in normal cells may be related to the postulated role of this DNA repeat in position effect variegation in facio- scapulohumeral muscular dystrophy and might also pertain to abnormal gene expression in ICF. In addition, our finding of consistent hypomethylation and overexpression of NBL2 repeats in ICF samples suggests derangement of methylation-regulated expression of this sequence in the ICF syndrome.

  14. The Geriatric ICF Core Set reflecting health-related problems in community-living older adults aged 75 years and older without dementia: development and validation.

    PubMed

    Spoorenberg, Sophie L W; Reijneveld, Sijmen A; Middel, Berrie; Uittenbroek, Ronald J; Kremer, Hubertus P H; Wynia, Klaske

    2015-01-01

    The aim of the present study was to develop a valid Geriatric ICF Core Set reflecting relevant health-related problems of community-living older adults without dementia. A Delphi study was performed in order to reach consensus (≥70% agreement) on second-level categories from the International Classification of Functioning, Disability and Health (ICF). The Delphi panel comprised 41 older adults, medical and non-medical experts. Content validity of the set was tested in a cross-sectional study including 267 older adults identified as frail or having complex care needs. Consensus was reached for 30 ICF categories in the Delphi study (fourteen Body functions, ten Activities and Participation and six Environmental Factors categories). Content validity of the set was high: the prevalence of all the problems was >10%, except for d530 Toileting. The most frequently reported problems were b710 Mobility of joint functions (70%), b152 Emotional functions (65%) and b455 Exercise tolerance functions (62%). No categories had missing values. The final Geriatric ICF Core Set is a comprehensive and valid set of 29 ICF categories, reflecting the most relevant health-related problems among community-living older adults without dementia. This Core Set may contribute to optimal care provision and support of the older population. Implications for Rehabilitation The Geriatric ICF Core Set may provide a practical tool for gaining an understanding of the relevant health-related problems of community-living older adults without dementia. The Geriatric ICF Core Set may be used in primary care practice as an assessment tool in order to tailor care and support to the needs of older adults. The Geriatric ICF Core Set may be suitable for use in multidisciplinary teams in integrated care settings, since it is based on a broad range of problems in functioning. Professionals should pay special attention to health problems related to mobility and emotional functioning since these are the most

  15. A comprehensive scoping review of ability and disability in ADHD using the International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY).

    PubMed

    de Schipper, Elles; Lundequist, Aiko; Wilteus, Anna Löfgren; Coghill, David; de Vries, Petrus J; Granlund, Mats; Holtmann, Martin; Jonsson, Ulf; Karande, Sunil; Levy, Florence; Al-Modayfer, Omar; Rohde, Luis; Tannock, Rosemary; Tonge, Bruce; Bölte, Sven

    2015-08-01

    This is the first in a series of four empirical investigations to develop International Classification of Functioning, Disability and Health (ICF) Core Sets for Attention Deficit Hyperactivity Disorder (ADHD). The objective here was to use a comprehensive scoping review approach to identify the concepts of functional ability and disability used in the scientific ADHD literature and link these to the nomenclature of the ICF-CY. Systematic searches were conducted using Medline/PubMed, PsycINFO, ERIC and Cinahl, to extract the relevant concepts of functional ability and disability from the identified outcome studies of ADHD. These concepts were then linked to ICF-CY by two independent researchers using a standardized linking procedure. Data from identified studies were analysed until saturation of ICF-CY categories was reached. Eighty studies were included in the final analysis. Concepts contained in these studies were linked to 128 ICF-CY categories. Of these categories, 68 were considered to be particularly relevant to ADHD (i.e., identified in at least 5 % of the studies). Of these, 32 were related to Activities and participation, 31 were related to Body functions, and five were related to environmental factors. The five most frequently identified categories were school education (53 %), energy and drive functions (50 %), psychomotor functions (50 %), attention functions (49 %), and emotional functions (45 %). The broad variety of ICF-CY categories identified in this study underlines the necessity to consider ability and disability in ADHD across all dimensions of life, for which the ICF-CY provides a valuable and universally applicable framework. These results, in combination with three additional preparatory studies (expert survey, focus groups, clinical study), will provide a scientific basis to define the ICF Core Sets for ADHD for multi-purpose use in basic and applied research, and every day clinical practice.

  16. ICF-CY code set for infants with early delay and disabilities (EDD Code Set) for interdisciplinary assessment: a global experts survey.

    PubMed

    Pan, Yi-Ling; Hwang, Ai-Wen; Simeonsson, Rune J; Lu, Lu; Liao, Hua-Fang

    2015-01-01

    Comprehensive description of functioning is important in providing early intervention services for infants with developmental delay/disabilities (DD). A code set of the International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY) could facilitate the practical use of the ICF-CY in team evaluation. The purpose of this study was to derive an ICF-CY code set for infants under three years of age with early delay and disabilities (EDD Code Set) for initial team evaluation. The EDD Code Set based on the ICF-CY was developed on the basis of a Delphi survey of international professionals experienced in implementing the ICF-CY and professionals in early intervention service system in Taiwan. Twenty-five professionals completed the Delphi survey. A total of 82 ICF-CY second-level categories were identified for the EDD Code Set, including 28 categories from the domain Activities and Participation, 29 from body functions, 10 from body structures and 15 from environmental factors. The EDD Code Set of 82 ICF-CY categories could be useful in multidisciplinary team evaluations to describe functioning of infants younger than three years of age with DD, in a holistic manner. Future validation of the EDD Code Set and examination of its clinical utility are needed. The EDD Code Set with 82 essential ICF-CY categories could be useful in the initial team evaluation as a common language to describe functioning of infants less than three years of age with developmental delay/disabilities, with a more holistic view. The EDD Code Set including essential categories in activities and participation, body functions, body structures and environmental factors could be used to create a functional profile for each infant with special needs and to clarify the interaction of child and environment accounting for the child's functioning.

  17. Linking a short-stature specific health-related quality of life measure (QoLISSY) to the International Classification of Functioning - Children and Youth (ICF-CY).

    PubMed

    Sommer, Rachel; Bullinger, Monika; Rohenkohl, Anja; Quitmann, Julia; Brütt, Anna Levke

    2015-01-01

    The study aimed to examine and compare the content of the quality of life in short-stature youth questionnaire (QoLISSY) with the International Classification of Functioning, Disability and Health - Children and Youth (ICF-CY). Items of the QoLISSY questionnaire for children/adolescents and their parents were coded within the framework of the ICF-CY. Linkage was performed according to predetermined standards by two health professionals experienced in the conceptual fundaments of the ICF-CY. Within the linking process 58 meaningful concepts were identified from the 55 items out of the QoLISSY parent questionnaire and 55 meaningful concepts from the 50 items of the QoLISSY (children) questionnaire. In total, 57 concepts (parent-questionnaire) and 54 concepts (children-questionnaire) were linked to the different categories of the ICF-CY. Twenty-seven categories (parents-version) and 20 categories (child-version) referred to the component body functions, 34 categories (parent-version) and 30 categories (child-version) represented the activity and participation component and in each version 30 categories represented the environmental factors component. The present study indicates that the ICF-CY provides a useful frame of reference to compare and examine the content of HrQoL instruments for short-statured children and adolescents and their parents. The linkage of the QoLISSY instrument within the framework of the ICF-CY translates its content into a universal language.

  18. Clinical comparison of the Bactec Mycosis IC/F, BacT/Alert FA, and BacT/Alert FN blood culture vials for the detection of candidemia.

    PubMed

    Ericson, Eva-Lena; Klingspor, Lena; Ullberg, Måns; Ozenci, Volkan

    2012-06-01

    The present study analyzed the performance of Bactec Mycosis IC/F, BacT/Alert FA, and BacT/Alert FN vials in detection and time to detection (TTD) of Candida spp. in 179 simultaneous blood cultures. The Mycosis IC/F, BacT/Alert FA, and BacT/Alert FN vials could detect Candida spp. in 144 (80.45%) of 179, 149 (83.24%) of 179, and 8 (4.47%) of 179 samples, respectively. With the presence of antifungal therapy, the numbers of positive vials were higher in BacT/Alert FA compared to Mycosis IC/F, 87/99 versus 73/99, respectively (P < 0.05). TTD (SD) for C. albicans was shorter in Mycosis IC/F than in BacT/Alert FA vials without antifungal therapy, 20.89 (9.33) versus 28.26 (9.77), respectively (P < 0.01). The detection of Candida spp., with concomitant bacteremia, was higher in Mycosis IC/F than in BacT/Alert FA vials, 28/30 and 19/30, respectively (P = 0.01). The present data show that the use of Bactec Mycosis IC/F together with BacT/Alert FA vials might improve the detection of Candida spp.

  19. Characterisation of the weak halogen bond in N2⋯ICF3 by pure rotational spectroscopy

    NASA Astrophysics Data System (ADS)

    Anable, Jonathan P.; Hird, David E.; Stephens, Susanna L.; Zaleski, Daniel P.; Walker, Nicholas R.; Legon, Anthony C.

    2015-04-01

    Rotational spectra of the symmetric-top complexes 14N2⋯ICF3 and 15N2⋯ICF3 were observed and analysed to give rotational constants B0, centrifugal distortion constants DJ and DJK, and nuclear quadrupole coupling constants χaa(X). Significantly different values of χaa(14Ni) and χaa(14No) establish chemical inequivalence of the two 14N nuclei and an average zero-point oscillation angle of 19.8(5)° for the N2 subunit. A distance rN⋯I = 3.443(1) Å only slightly shorter than the sum of the N and I van der Waals radii, a small intermolecular stretching force constant kσ = 2.94 N m-1 and negligible charge redistribution on complex formation demonstrate the presence of a weak halogen bond.

  20. Physics issues related to the confinement of ICF experiments in the U.S. National Ignition Facility

    NASA Astrophysics Data System (ADS)

    Tobin, M.; Anderson, A.; Latkowski, J.; Singh, M.; Marshall, C.; Bernat, T.

    1996-05-01

    ICF experiments planned for the proposed US National Ignition Facility [NIF] will produce emissions of neutrons, x rays, debris, and shrapnel. The NIF Target Area [TA] must acceptably confine these emissions and respond to their effects to allow an efficient rate of experiments, from 600 to possibly 1500 per year, and minimal down time for maintenance. Detailed computer code predictions of emissions are necessary to study their effects and impacts on Target Area operations. Preliminary results show that the rate of debris shield transmission loss [and subsequent periodicity of change-out] due to ablated material deposition is acceptable, neutron effects on optics are manageable, and preliminary safety analyses show a facility rating of low hazard, non-nuclear. Therefore, NIF Target Area design features such as fused silica debris shields, refractory first wall coating, and concrete shielding are effective solutions to confinement of ICF experiment emissions.

  1. Recent progress in the Los Alamos KrF Program

    SciTech Connect

    McDonald, T.E.; Cartwright, D.C.; Coggeshall, S.V.; Fenstermacher, C.A.; Figueira, J.F.; Foreman, L.R.; Goldstone, P.D.; Hanson, D.E.; Harris, D.B.; Hauer, A.A.

    1988-01-01

    The goal of the Inertial Confinement Fusion Program (ICF) is to develop the ability to ignite and burn small masses of thermonuclear fuel. Although the present near-term objectives of the program are directed toward defense applications, ICF research continues to be carried out with a view to the longer term goal of commercial power production. The characteristics of a KrF laser make it an attractive candidate as an ICF driver. The KrF wavelength of 248 nm provides a target coupling that is very high at intensities of 10/sup 14/w/cm/sup 2/. In addition, the KrF laser can be repetitively operated at frequencies appropriate for a power reactor and has an intrinsically high efficiency, which allows projections to the long-term goal of energy production. The ICF program at Los Alamos consists of driver development, target design and fabrication, and target experimentation. The major effort at present is the investigation and development of KrF technology to determine its applicability for use in a laboratory driver at Los Alamos. Such a driver would be used in defense related technology studies and in areas of scientific study such as highly ionized materials and high-energy-density physics.

  2. Environmental and personal factors that support early return-to-work: a qualitative study using the ICF as a framework.

    PubMed

    Hoefsmit, Nicole; Houkes, Inge; Nijhuis, Frans

    2014-01-01

    Occupational health professionals such as occupational physicians (OPs) increasingly understand that in addition to health improvement, environmental factors (such as work adaptations) and personal factors (such as an employee's attitude towards return-to-work (RTW)) may stimulate employees on sick leave to return to work early. To target their professional interventions more specifically according to these factors, occupational health professionals need further insight into environmental and personal factors that stimulate RTW. The objectives of this study are (1) to identify which and how environmental and personal factors support RTW, and (2) to examine whether the International Classification of Functioning, Disability and Health (ICF) can be used to describe these factors. We performed interviews with 14 employees, 15 employers and 4 OPs from multiple organisations with varying organisational sizes and types of industry such as healthcare and education. We used a qualitative data analysis partially based on the Qualitative Analysis Guide of Leuven. The following environmental factors were found to support early RTW: 'social support from relatives', 'belief that work stimulates health', 'adequate cooperation between stakeholders in RTW' (e.g., employees, employers and OPs) and 'the employers' communicative skills'. One personal factor stimulated RTW: 'positive perception of the working situation' (e.g. enjoyment of work). Most factors stimulated RTW directly. In addition, adequate treatment and social support stimulated medical recovery. Environmental factors can either fully (social support, belief that RTW stimulates health), partially (effective cooperation), or not (employers' communicative skills) be described using ICF codes. The personal factor could not be classified because the ICF does not contain codes for personal factors. RTW interventions should aim at the environmental and personal factors mentioned above. Professionals can use the ICF to

  3. Effects of hippotherapy on body functions, activities and participation in children with cerebral palsy based on ICF-CY assessments.

    PubMed

    Hsieh, Yueh-Ling; Yang, Chen-Chia; Sun, Shih-Heng; Chan, Shu-Ya; Wang, Tze-Hsuan; Luo, Hong-Ji

    2017-08-01

    To evaluate the effects of hippotherapy on body functions, activities, and participation in children with CP of various functional levels by using the International Classification of Functioning, Disability and Health-Children and Youth (ICF-CY) checklist. Fourteen children with cerebral palsy (CP) (3-8 years of age) were recruited for a 36-week study composed of baseline, intervention, and withdrawal phases (12 weeks for each phase, ABA design). Hippotherapy was implemented for 30 min once weekly for 12 consecutive weeks during the intervention phase. Body Functions (b) and Activities and Participation (d) components of the ICF-CY checklist were used as outcome measures at the initial interview and at the end of each phase. Over the 12 weeks of hippotherapy, significant improvements in ICF-CY qualifiers were found in neuromusculoskeletal and movement-related functions (b7), mobility (d4) and major life areas (d8) and, in particular, mobility of joint functions (b710), muscle tone functions (b735), involuntary movement reaction functions (b755), involuntary movement functions (b765), and play (d811) (all p < 0.05) when compared with baseline. This study demonstrated the beneficial effects of hippotherapy on body functions, activities, and participation in children with CP. Implications for Rehabilitation ICF-CY provides a comprehensive overview of functioning and disability and constitutes a universal language for identifying the benefits of hippotherapy in areas of functioning and disability in children with CP. In children with CP, hippotherapy encourages a more complementary approach that extends beyond their impairments and limitations in body functions, activities, and participation. The effect of hippotherapy was distinct from GMFCS levels and the majority of improvements were present in children with GMFCS levels I-III.

  4. Functionality in Women with Breast Cancer: The Use of International Classification of Functioning, Disability and Health (ICF) in Clinical Practice

    PubMed Central

    Nascimento de Carvalho, Flávia; Bergmann, Anke; Koifman, Rosalina Jorge

    2014-01-01

    [Purpose] The aim of this study was to evaluate the functionality of women diagnosed with breast cancer according to the International Classification of Functioning, Disability and Health (ICF). [Subjects and Methods] This was a cross-sectional study. We applied instruments consistent with the summary of ICF codes for breast cancer: quality of life questionnaire (WHOQOL), upper limb symptoms and function (DASH), social support, physical examination and functional medical record data. [Results] The study included 105 women who were 55 years old and subjected to surgical treatment within an average of 1.63 year previously. The ‘function’ component considered in the WHOQOL, the DASH and physical examination. There were high prevalences of positive responses for most codes, and only b130, d430, d445, d640, d650, d920 and codes of environmental factors considered by the Social Support Questionnaire showed high prevalences of negative responses (47.6%, 61%, 43.8%, 63.8%, 56.2%, 52.4%, and 35.2%, respectively). [Conclusion] There was a lower prevalence of disability, with the exception of issues related to strenuous activity and load. Some findings showed conflicting results between different instruments that measure the same code, and studies that propose more accurate tools and are able to consider the ICF codes specific to this pathology are necessary. PMID:24926139

  5. A tool to enhance occupational therapy reasoning from ICF perspective: The Hasselt Occupational Performance Profile (H-OPP).

    PubMed

    Ghysels, R; Vanroye, E; Westhovens, M; Spooren, A

    2017-03-01

    In order to enhance occupational therapy reasoning in clinical practice, different elements such as client-centred approach, evidence-based care and interdisciplinary work should be taken into account, but is a challenge. To describe the development of the digital Hasselt Occupational Performance Profile (H-OPP(©)) that enhances occupational therapy reasoning from ICF perspective. A participative qualitative design was used to create the H-OPP(©) in an iterative way in which occupational therapy lectures, ICF experts, students and occupational therapists in the field were involved. After linking occupational therapy terminology to the ICF, different stages of the H-OPP were identified and elaborated with main features: generating an occupational performance profile based on inventarization of problems and possibilities, formulating an occupational performance diagnosis and enabling to create an intervention plan. In all stages, both the perspectives of the client and the occupational therapist were taken into account. To increase practical use, the tool was further elaborated and digitalized. The H-OPP(©) is a digital coach that guides and facilitates professional reasoning in (novice) occupational therapists. It augments involvement of the client system. Furthermore, it enhances interdisciplinary communication and evidence-based care.

  6. Differences between rehabilitation team, rehabilitants, and significant others in opinions on functioning of subacute stroke survivors: Turku ICF study.

    PubMed

    Saltychev, Mikhail; Tarvonen-Schröder, Sinikka; Bärlund, Esa; Laimi, Katri

    2014-09-01

    To assess quantitative differences between rehabilitation team, rehabilitants, and significant others in opinions on functioning of subacute stroke survivors. During inpatient interdisciplinary neurorehabilitation, the interdisciplinary team, nurses, rehabilitants, and significant others reported their opinions on the functioning of consecutive 62 rehabilitants. Data were gathered using the structured form based on the International Classification of Functioning, Disability and Health (ICF) Brief Core Set for Stroke. Agreement between observers on the presence and severity of restrictions in functioning was analyzed. The strongest agreement between different observers on all studied ICF categories was achieved between the interdisciplinary team and nurses (weighted squared κ=0.7-0.9). The weakest agreement was detected between the team and rehabilitants (weighted squared κ=0.1-0.6). Support by family was found to be an important facilitating factor of functioning by all observers. Limitations in cognitive activity were identified less frequently than other restrictions. Opinions on restrictions in functioning may differ between the interdisciplinary team, rehabilitants, and significant others. These differences can be assessed quantitatively and documented using the ICF Core Set for Stroke. This potential observer-dependent discrepancy should be taken into account during the process of neurorehabilitation.

  7. Enhancing participation for children with disabilities: application of the ICF enablement framework to pediatric physical therapist practice.

    PubMed

    Goldstein, Diana Nathan; Cohn, Ellen; Coster, Wendy

    2004-01-01

    This paper describes how pediatric physical therapists can utilize the enablement framework, embraced by the World Health Organization in the current International Classification of Functioning, Disability, and Health (ICF). The ICF can guide clinical reasoning related to enhancing participation in desired activities for children with disabilities. In the ICF framework, participation reflects the person's engagement in important life situations. By emphasizing what the person can do in valued contexts, the enablement framework is a positive complement to a focus on functional limitations and disability of the disablement model. Current conceptual frameworks and policies advocate attention to children's participation. Legislation (Individuals with Disabilities Education Act, Amendments of 1991 and 1997 and the Americans with Disabilities Act of 1990), the Guide to Physical Therapist Practice, and motor control and action perspectives all support the inclusion of children with disabilities in natural environments. These frameworks and laws can guide therapists' clinical reasoning to focus on children's participation in desired activities during the evaluation, goal-setting, and intervention process. A case study of a child with spastic diplegia illustrates how pediatric physical therapists can apply the enablement framework to develop meaningful goals and interventions focused on enhancing the child's participation in desired activities. Adoption of an enablement perspective may help pediatric physical therapists to focus their evaluations and interventions on promoting children's participation as well as the specific functional activities that enhance participation.

  8. Participation in work in early rheumatoid arthritis: a qualitative interview study interpreted in terms of the ICF.

    PubMed

    Sverker, Annette; Thyberg, Ingrid; Ostlund, Gunnel; Waltersson, Eva; Thyberg, Mikael

    2014-01-01

    To explore what work-related dilemmas are experienced by patients with early rheumatoid arthritis (RA), according to their own descriptions, and to interpret this in terms of participation categories of the International Classification of Functioning, Disability and Health (ICF). In 48 patients with early RA, qualitative interviews were analyzed, followed by linking of concepts to the activity/participation component of the ICF and interpretation of general themes. Work-related dilemmas represented different societal perspectives on work related to acquiring, keeping and terminating a job, self-employment, part-time, full-time and non-remunerative employment. Dilemmas also represented participation priorities in economic self-sufficiency, self-care such as health care, and avoiding social relationships and recreation in favor of work. Leisure time was influenced because efforts of working took energy and time of day-to-day procedures. Embedded actions in work-related dilemmas were carrying out daily routine, mobility including using transportation, self-care, domestic life and social interaction. The general themes societal perspectives, participation priorities and embedded actions, with the included ICF categories that are described in detail according to the experiences of the patients, can support clinical reasoning and research on quantitative relations to disease activity, body functions, ability and contextual factors.

  9. Multi-Fluid Interpenetration Mixing in X-ray and Directly Laser driven ICF Capsule Implosions

    NASA Astrophysics Data System (ADS)

    Wilson, Douglas

    2003-10-01

    Mix between a surrounding shell and the fuel leads to degradation in ICF capsule performance. Both indirectly (X-ray) and directly laser driven implosions provide a wealth of data to test mix models. One model, the multi-fluid interpenetration mix model of Scannapieco and Cheng (Phys. Lett. A., 299, 49, 2002), was implemented in an ICF code and applied to a wide variety of experiments (e.g. J. D. Kilkenny et al., Proc. Conf Plasm. Phys. Contr. Nuc. Fus. Res. 3, 29(1988), P. Amendt, R. E. Turner, O. L. Landen, Phy. Rev. Lett., 89, 165001 (2002), or Li et al., Phy. Rev. Lett, 89, 165002 (2002)). With its single adjustable parameter fixed, it replicates well the yield degradation with increasing convergence ratio for both directly and indirectly driven capsules. Often, but not always the ion temperatures with mixing are calculated to be higher than in an unmixed implosion, agreeing with observations. Comparison with measured directly driven implosion yield rates ( from the neutron temporal diagnostic or NTD) shows mixing increases rapidly during the burn. The model also reproduces the decrease of the fuel "rho-r" with fill gas pressure, measured by observing escaping deuterons or secondary neutrons. The mix model assumes fully atomically mixed constituents, but when experiments with deuterated plastic layers and 3He fuel are modeled, less that full atomic mix is appropriate. Applying the mix model to the ablator - solid DT interface in indirectly driven ignition capsules for the NIF or LMJ suggests that the capsules will ignite, but that burn after ignition may be somewhat degraded. Situations in which the Scannapieco and Cheng model fails to agree with experiments can guide us to improvements or the development of other models. Some directly driven symmetric implosions suggest that in highly mixed situations, a higher value of the mix parameter may needed. Others show the model underestimating the fuel burn temperature. This work was performed by the Los Alamos

  10. Discrepancies in how the impact of gout is assessed in outcomes research compared to how health professionals view the impact of gout, using the lens of the International Classification of Functioning, Health and Disability (ICF).

    PubMed

    Kool, Eveline M; Nijsten, Marieke J; van Ede, Annelies E; Jansen, Tim L; Taylor, William J

    2016-09-01

    The International Classification of Functioning, Disability and Health (ICF) provides a common language to understand what health means. An ICF core set, a list of ICF categories affected by a certain disease, is useful to objectify the content validity of a health status measurement. This study aims to identify the potential items of a gout specific 'ICF core set'. A three-round Delphi exercise was conducted, using web-based questionnaires. Health professionals, specialized in gout, nominated and subsequently rated the relevance of life areas divided into ICF categories. Agreement was determined by using the UCLA/RAND criteria. Simultaneously, a systematic review of gout measure outcomes was conducted. The results of these studies were compared using the second level of the ICF categories. In the Delphi study, consensus was found for 136 relevant ICF categories. The literature study extracted 134 different ICF categories in 149 articles. Three hundred and ten were non-defined outcomes. A large number of ICF categories were deemed to be relevant for people with gout. Only 29.7 % (19/64) of the level 2 categories, deemed to be relevant by health professionals, had been assessed as relevant in at least 5 % of gout outcome studies. Conversely, 70 % (19/27) of level 2 ICF categories assessed in at least 5 % of outcome studies were deemed relevant by health professionals. These ICF codes, which are found relevant in both studies, should be considered as mandatory in further research to a validated and practical core set of ICF categories. Published gout outcomes research fails to evaluate many life areas that are thought relevant by health professionals.

  11. Practical Recommendations for Robot-Assisted Treadmill Therapy (Lokomat) in Children with Cerebral Palsy: Indications, Goal Setting, and Clinical Implementation within the WHO-ICF Framework.

    PubMed

    Aurich-Schuler, Tabea; Warken, Birgit; Graser, Judith V; Ulrich, Thilo; Borggraefe, Ingo; Heinen, Florian; Meyer-Heim, Andreas; van Hedel, Hubertus J A; Schroeder, A Sebastian

    2015-08-01

    Active participation and the highest level of independence during daily living are primary goals in neurorehabilitation. Therefore, standing and walking are key factors in many rehabilitation programs. Despite inconclusive evidence considering the best application and efficacy of robotic tools in the field of pediatric neurorehabilitation, robotic technologies have been implemented to complement conventional therapies in recent years. A group of experienced therapists and physicians joined in an "expert panel." They compared their clinical application protocols, discussed recurring open questions, and developed experience-based recommendations for robot-assisted treadmill therapy (exemplified by the Lokomat, Hocoma, Volketswil, Switzerland) with a focus on children with cerebral palsy. Specific indications and therapeutic goals were defined considering the severity of motor impairments and the International Classification of Functioning, Disability and Health framework (ICF). After five meetings, consensus was found and recommendations for the implementation of robot-assisted treadmill therapy including postsurgery rehabilitation were proposed. This article aims to provide a comprehensive overview on therapeutical applications in a fast developing field of medicine, where scientific evidence is still scarce. These recommendations can help physicians and therapists to plan the child's individual therapy protocol of robot-assisted treadmill therapy. Georg Thieme Verlag KG Stuttgart · New York.

  12. Do Patient- and Parent-reported Outcomes Measures for Children With Congenital Hand Differences Capture WHO-ICF Domains?

    PubMed

    Adkinson, Joshua M; Bickham, Rebecca S; Chung, Kevin C; Waljee, Jennifer F

    2015-11-01

    Patient- and parent-reported outcome measures (PROMs) are increasingly used to evaluate the effectiveness of surgery for congenital hand differences (CHDs). Knowledge of an existing outcome measure's ability to assess self-reported health, including psychosocial aspects, can inform the future development and application of PROMs for CHD. However, the extent to which measures used among children with CHD align with common, accepted metrics of self-reported disability remains unexplored. We reviewed studies that used PROMs to evaluate surgery for CHD to determine (1) the number of World Health Organization-International Classification of Functioning, Disability and Health (WHO-ICF) domains covered by existing PROMs; (2) the proportion of studies that used PROMs specifically validated among children with CHD; and (3) the proportion of PROMs that targets patients and/or parents. We performed a comprehensive review of the literature through a bibliographic search of MEDLINE®, PubMed, and EMBASE from January 1966 to December 2014 to identify articles related to patient outcomes and surgery for CHD. We evaluated the 42 studies that used PROMs to identify the number and type of WHO-ICF domains captured by existing PROMs for CHD and the proportion of studies that use PROMs validated for use among children with CHD. The most common instruments used to measure patient- and parent-reported outcomes after reconstruction for CHD included the Prosthetic Upper Extremity Functional Index (PUFI), Disabilities of the Arm, Shoulder, and Hand questionnaire, Childhood Experience Questionnaire, and Pediatric Quality of Life Inventory. Current PROMs that have been used for CHD covered a mean of 1.3 WHO-ICF domains (SD ± 1.3). Only the Child Behavior Checklist and the Piers-Harris Children's Self-Concept Scale captured all ICF domains (body functions and structures, activity, participation, and environmental factors). The PUFI, the only PROM validated specifically for children with

  13. Immunodeficiency, centromeric heterochromatin instability of chromosomes 1, 9, and 16, and facial anomalies: the ICF syndrome.

    PubMed Central

    Maraschio, P; Zuffardi, O; Dalla Fior, T; Tiepolo, L

    1988-01-01

    Instability of the heterochromatic centromeric regions of chromosomes 1, 9, and 16 associated with immunodeficiency was found in a four year old girl. Similar phenotypic and chromosomal abnormalities were described in a previous patient studied by us and in four other published cases. All these patients have facial anomalies in addition to combined immunodeficiency and chromosomal instability. Stretching of the heterochromatic centromeric regions of chromosomes 1, 16, and to a lesser extent, 9 and homologous and non-homologous associations of these regions were the most common cytogenetic findings in all the patients. Multi-branched configurations and whole arm deletions of chromosomes 1 or 16 or both were also found. Comparing clinical and chromosomal data we conclude that immunodeficiency, centromeric heterochromatin instability, and facial anomalies form a new syndrome, for which we propose the acronym ICF. A mutation interfering with the normal process of condensation of part of the centromeric heterochromatin is postulated as the basic chromosome defect in this syndrome. Images PMID:3351904

  14. Prevalence of mental disorders in elderly people: the European MentDis_ICF65+ study.

    PubMed

    Andreas, Sylke; Schulz, Holger; Volkert, Jana; Dehoust, Maria; Sehner, Susanne; Suling, Anna; Ausín, Berta; Canuto, Alessandra; Crawford, Mike; Da Ronch, Chiara; Grassi, Luigi; Hershkovitz, Yael; Muñoz, Manuel; Quirk, Alan; Rotenstein, Ora; Santos-Olmo, Ana Belén; Shalev, Arieh; Strehle, Jens; Weber, Kerstin; Wegscheider, Karl; Wittchen, Hans-Ulrich; Härter, Martin

    2017-02-01

    Except for dementia and depression, little is known about common mental disorders in elderly people. To estimate current, 12-month and lifetime prevalence rates of mental disorders in different European and associated countries using a standardised diagnostic interview adapted to measure the cognitive needs of elderly people. The MentDis_ICF65+ study is based on an age-stratified, random sample of 3142 older men and women (65-84 years) living in selected catchment community areas of participating countries. One in two individuals had experienced a mental disorder in their lifetime, one in three within the past year and nearly one in four currently had a mental disorder. The most prevalent disorders were anxiety disorders, followed by affective and substance-related disorders. Compared with previous studies we found substantially higher prevalence rates for most mental disorders. These findings underscore the need for improving diagnostic assessments adapted to the cognitive capacity of elderly people. There is a need to raise awareness of psychosocial problems in elderly people and to deliver high-quality mental health services to these individuals. © The Royal College of Psychiatrists 2017.

  15. Planarization of Isolated Defects on ICF Target Capsule Surfaces by Pulsed Laser Ablation

    SciTech Connect

    Alfonso, Noel; Carlson, Lane C.; Bunn, Thomas L.

    2016-08-09

    Demanding surface quality requirements for inertial confinement fusion (ICF) capsules motivated the development of a pulsed laser ablation method to reduce or eliminate undesirable surface defects. The pulsed laser ablation technique takes advantage of a full surface (4π) capsule manipulation system working in combination with an optical profiling (confocal) microscope. Based on the defect topography, the material removal rate, the laser pulse energy and its beam profile, a customized laser raster pattern is derived to remove the defect. The pattern is a table of coordinates and number of pulses that dictate how the defect will be vaporized until its height is level with the capsule surface. This paper explains how the raster patterns are optimized to minimize surface roughness and how surface roughness after laser ablation is simulated. The simulated surfaces are compared with actual ablated surfaces. Large defects are reduced to a size regime where a tumble finishing process produces very high quality surfaces devoid of high mode defects. The combined polishing processes of laser ablation and tumble finishing have become routine fabrication steps for National Ignition Facility capsule production.

  16. Abnormal methylation pattern in constitutive and facultative heterochromatin of ICF patients

    SciTech Connect

    Miniou, P.; Blanquet, V.; Viegas-Pequignot, E.

    1994-09-01

    ICF syndrome is a rare autosomal recessive disease, characterized by variable immunodeficiency, centromeric instability and facial abnormalities. Stretchings and frequent associations of centromeric or juxtacentromeric heterochromatin of chromosome 1 and 16 principally, and to a lesser degree, chromosome 9 mimic chromosome features of normal PHA-stimulated lymphocytes treated with 5-azacytidine, an inducer of demethylation. In fact, in these patients we have detected by DNA digestion with methyl-sensitive enzymes a hypomethylation of classical satellites 2 and 3, located in heterochromatin. To assess the role of other satellite DNA in the heterochromatin modifications and chromosome rearrangements, in situ fluorescent method using 5-methylcytosine (5-MeC) monoclonal antibody on chromosomes and nuclei were performed in parallel with Southern blot analysis of other satellite sequences located in heterochromatin. 5-MeC reveals that constitutive and facultative heterochromatin (X inactive chromosome) are hypomethylated. Alpha satellite sequences corresponding to centromeric heterochromatin of chromosomes 1, 3, 6, 9, 16, 18 and X are mostly methylated in patients G and R, and are undermethylated in patient S. Both molecular and cytogenetic analysis are in agreement. By in situ hybridization, breakpoints of rearranged chromosomes were located in stretched and hypomethylated classical satellites. In euchromatin, 5-MeC antibodies reveal an R-like banding pattern indicating an unequal distribution of DNA methylation, disclosing another aspect of chromosome organization. The underlying hypomethylation, associated with an abnormal chromatin structure, may predispose to chromosome instability.

  17. Planarization of Isolated Defects on ICF Target Capsule Surfaces by Pulsed Laser Ablation

    SciTech Connect

    Alfonso, Noel; Carlson, Lane C.; Bunn, Thomas L.

    2016-08-09

    Demanding surface quality requirements for inertial confinement fusion (ICF) capsules motivated the development of a pulsed laser ablation method to reduce or eliminate undesirable surface defects. The pulsed laser ablation technique takes advantage of a full surface (4π) capsule manipulation system working in combination with an optical profiling (confocal) microscope. Based on the defect topography, the material removal rate, the laser pulse energy and its beam profile, a customized laser raster pattern is derived to remove the defect. The pattern is a table of coordinates and number of pulses that dictate how the defect will be vaporized until its height is level with the capsule surface. This paper explains how the raster patterns are optimized to minimize surface roughness and how surface roughness after laser ablation is simulated. The simulated surfaces are compared with actual ablated surfaces. Large defects are reduced to a size regime where a tumble finishing process produces very high quality surfaces devoid of high mode defects. The combined polishing processes of laser ablation and tumble finishing have become routine fabrication steps for National Ignition Facility capsule production.

  18. X-ray spectroscopic signatures of ion species separation in ICF implosions on OMEGA

    NASA Astrophysics Data System (ADS)

    Hakel, Peter; Hsu, Scott; Herrmann, Hans; Kim, Yong Ho; Schmitt, Mark; Kagan, Grigory; McEvoy, Aaron; Colgan, James; Fontes, Christopher; Kilcrease, David; Sherrill, Manolo; Rauenzahn, Rick

    2015-11-01

    This work aims to provide a direct measurement of the species separation through experimental inference of the ion density profiles, and comparisons of the data with simulations that explicitly model multi-ion-species diffusion. We also describe the development of a new code capable of modeling x-ray spectral emission from ICF capsules that accounts for the effects of spatial gradients in species distributions throughout the target. This new code named FESTR also allows the inclusion of NLTE, opacity, and Stark broadening effects on x-ray spectral line emissions. We show preliminary results from an OMEGA campaign to obtain direct measurements of ion species separation via advanced analysis of x-ray spectroscopy and spectrally resolved imaging data. These were symmetric direct-drive implosions of CH capsules with deuterium and trace argon gas fills. The implosions were designed to be in a collisional, diffusive regime and to take advantage of interspecies diffusion between the D and Ar driven by temperature gradients in the hot spot. X-ray spectral line emissions and narrowband images from He-like and H-like Ar ions are used to infer the spatial separation of Ar from D.

  19. An Overview of Raster Scanning for ICF-Class Laser Optics

    SciTech Connect

    Runkel, M J; Nostrand, M

    2002-10-30

    Recent work has shown that the damage resistance of both ICF-class (1600 cm') DKDP tripler crystals and SiO{sub 2} components (lenses, gratings and debris shields) benefits from laser raster scanning using pulsed lasers in the 350 nm range. For laser raster scanning to be a viable optical improvement tool for these large optics, damage improvement must be optimized while maintaining scan times of less than 8 hours/optic. In this paper we examine raster scanning with small beams from tabletop laser systems. We show that 120 Watts of average power is required for a tabletop scanning system at one optic/day. Next, we develop equations for total scan time for square and round top hat beams and round and rectangular Gaussian beams. We also consider the effect of packing geometry (square vs. hexagonal), examine the deviations from uniform coverage with each scan geometry and show that hexagonal packing yields lower scan times but is less efficient in coverage than square geometry. We also show that multiple passes at low packing densities are temporally equivalent to a single pass with higher packing density, and discuss the advantages of each method. In addition, we show that the differences between hexagonal and square scan geometries are negated when pointing errors and fluence fluctuations from the laser are considered.

  20. Experiments on Dynamic Overpressure Stabilization of Ablative Richtmyer--Meshkov Growth in ICF Targets on OMEGA

    NASA Astrophysics Data System (ADS)

    Gotchev, O. V.; Goncharov, V. N.; Jaanimagi, P. A.; Knauer, J. P.; Meyerhofer, D. D.

    2002-11-01

    Dynamic overpressure sets the growth rate of the ablative Richtmyer--Meshkov (RM) instability and the late-time imprint levels in directly driven ICF targets. It leads to temporal oscillations of the perturbed ablation front, which have been predicted analytically and observed experimentally,(Y. Aglitskiy et al.), Phys. Plasmas 9, 2264 (2002). and in 2-D ORCHID simulations. These predictions were verified on OMEGA by measuring the perturbation amplitudes and frequencies directly with an x-ray framing camera through face-on x-ray radiography. Planar plastic targets with variable thickness (20 to 60 μm) and single-mode (λ = 10 to 30 μm) ripples on the front surface were irradiated with 1.5-ns square UV laser pulses at maximum energy. Results clearly indicate a phase reversal in the evolution of the target areal density perturbations, in good agreement with theory and simulation. Nonlinearity in the evolution of the preimposed mode, resulting in an enriched spectrum, was observed for initial amplitudes previously believed to develop linearly with time. Upcoming experiments with a high-resolution, streaked imager, will allow for the detailed recording of the evolution of the RM instability and the competing stabilization effect. This work was supported by the U.S. DOE Office of Inertial Confinement Fusion under Cooperative Agreement No. DE-FC03-92SF19460.

  1. Stability Analysis of Laser Plasma Interactions Relevant to Inertial Confinement Fusion (ICF)

    NASA Astrophysics Data System (ADS)

    Focia, R. J.; Bers, A.; Ram, A. K.

    1998-11-01

    A complete three-dimensional (3-D) stability analysis of laser-plasma interactions relevant to ICF experiments is presented. This extends computations, initiated some years ago,(F. W. Chambers, Ph.D. Thesis, M.I.T., 1975.) to parameters of current interest. The laser-plasma interactions studied here all involve the resonant decay of an incident electromagnetic (EM) wave into two daughter waves in a homogeneous plasma. Second order, nonlinearly coupled mode dispersion relations for each interaction are used to carry out a linear instability analysis. Growth rate versus wavevector plots for parameters of recent experiments are presented. The time asymptotic impulse response, or space-time Green's function, of each interaction is also evaluated using the Bers-Briggs pinch point analysis.(A. Bers in Handbook of Plasma Physics) (gen. eds. M. N. Rosenbluth and R. Z. Sagdeev), Vol. 1, Basic Plasma Physics, 1983, pp. 451--517. Mode damping and relativistic corrections are incorporated into the expression for the time asymptotic growth rate. Visualizations of the space-time evolution of the instabilities will be presented.

  2. SRS analyses of direct-drive ICF experiments at the National Ignition Facility

    NASA Astrophysics Data System (ADS)

    Michel, P.; Rosenberg, M.; Myatt, J.; Solodov, A.; Seka, W.; Chapman, T.; Hohenberger, M.; Masse, L.; Goyon, C.; Turnbull, D.; Regan, S.; Moody, J. D.

    2016-10-01

    A series of planar target experiments was recently conducted at the National Ignition Facility (NIF) to study the laser-plasma interactions processes responsible for the production of suprathermal electrons, and their scaling from experiments at the Omega facility to full-scale ICF experiments at the MJ level on the NIF. We will present experimental analyses and simulations of Stimulated Raman Scattering (SRS) in these planar target experiments. Our work indicates the presence of purely backscattered SRS refracted off nearly one-dimensional density gradients, as well as more complicated features such as side-scatter and scattering from non-1D features (e.g. edges) in the target. Simulations using ray- and paraxial-wave- based simulation codes are used to extrapolate the hot electron fraction from the SRS measurements, and point to SRS being the primary mechanism for the generation of suprathermal electrons in these experiments. We will also present analyses of spherical implosions experiments and provide extrapolations and implications for future full-scale direct-drive experiments at NIF. This work was performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344.

  3. Inferences of Shell Asymmetry in ICF Implosions using Fluence Compensated Neutron Images at the NIF

    NASA Astrophysics Data System (ADS)

    Casey, D.; Fittinghoff, D.; Bionta, R.; Smalyuk, V.; Grim, G.; Munro, D.; Spears, B.; Raman, K.; Clark, D.; Kritcher, A.; Hinkel, D.; Hurricane, O.; Callahan, D.; Döppner, T.; Landen, O.; Ma, T.; Le Pape, S.; Ross, S.; Meezan, N.; Pak, A.; Park, H.-S.; Volegov, P.; Merill, F.

    2016-10-01

    In ICF experiments, a dense shell is imploded and used to compress and heat a hotspot of DT fuel. Controlling the symmetry of this process is both important and challenging. It is therefore important to observe the symmetry of the stagnated shell assembly. The Neutron Imaging System at the NIF is used to observe the primary 14 MeV neutrons from the hotspot and the down-scattered neutrons (6-12 MeV), from the assembled shell but with a strong imprint from the primary-neutron fluence. Using a characteristic scattering angle approximation, we have compensated the image for this fluence effect, revealing information about shell asymmetry that is otherwise difficult to extract without models. Preliminary observations with NIF data show asymmetries in imploded shell, which will be compared with other nuclear diagnostics and postshot simulations. This work was performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344.

  4. Measurements of charged-particle stopping around the Bragg peak in OMEGA ICF plasmas

    NASA Astrophysics Data System (ADS)

    Frenje, J.; Li, C. K.; Seguin, F.; Zylstra, A.; Petrasso, R.; Grabowski, P.; Mancini, R.; Regan, S.; Delettrez, J.; Glebov, V.; Sangster, T.

    2014-10-01

    We report on measurements of charged-particle stopping around the Bragg peak in plasmas relevant to Inertial Confinement Fusion (ICF). The energy loss of DD-tritons, DD-protons, D3He-alphas and D3He-protons, which are ideal particles for validating approximations to the ion-electron collision operator, have been measured in D3He gas-filled filled implosions. These experiments are relevant to alpha-particle transport and heating in hot-sport ignition experiments. As the DD and D3He fusion products span a large range of velocities, these measurements represent the first detailed experimental study of charged-particle stopping, ranging from linear low-velocity stopping, through the Bragg peak, to high-velocity stopping. The results are contrasted to commonly used theories, including the Brown-Preston-Singleton and Li-Petrasso formalisms. The data is also used to rule out theories that neglect quantum diffraction and dynamic screening. This work was supported in part by the US DOE, NLUF, LLE and GA.

  5. The Langmuir Decay Instability and Stimulated Raman Scattering in ICF-Relevant Plasmas

    NASA Astrophysics Data System (ADS)

    Winjum, B. J.; Tableman, A.; Tsung, F. S.; Mori, W. B.

    2014-10-01

    Kinetic simulations of stimulated Raman scattering (SRS) in ICF-relevant plasmas with long-scale-length density gradients have shown that SRS can grow strongly when the laser propagates above that density for which kλD ~ 0 . 30 , where k is the wavenumber of the daughter electron plasma wave and λD is the electron Debye length. Simulations and experiments have shown that SRS saturation is dominated by kinetic effects for kλD > 0 . 30 and the Langmuir decay instability (LDI) for kλD < 0 . 30 , but few kinetic simulations of SRS have explicitly explored the role of LDI in this regime or the transition in SRS behavior across this kλD boundary. Here we present one- and two-dimensional PIC simulations of LDI in the midst of SRS dynamics for both single-laser-speckles as well as for lasers propagating up long-scale-length density gradients covering a range of kλD . We show the effect of LDI on SRS reflectivity and hot electron generation for variable ZTe /Ti and kλD , as well as the effect of LDI on the spatio-temporal behavior of electron plasma wave packets generated by SRS. Supported by DOE Grant Nos. DE-NA0001833 and DE-FC02-04ER54789, NSF Grant No. ACI-1339893, and UCLA's IDRE; simulations performed on the UCLA Hoffman2 and Dawson2 clusters, NERSC's Edison, and NCSA's Bluewaters.

  6. Hydrodynamic instability measurements in DT-layered ICF capsules using the layered-HGR platform

    NASA Astrophysics Data System (ADS)

    Weber, C.; Döppner, T.; Casey, D.; Bunn, T.; Carlson, L.; Dylla-Spears, R.; Kozioziemski, B.; MacPhee, A. G.; Sater, J.; Nikroo, A.; Robey, H.; Smalyuk, V.

    2016-05-01

    The first measurements of hydrodynamic instability growth at the fuel-ablator interface in an ICF implosion are reported. Previous instability measurements on the National Ignition Facility have used plastic capsules to measure ablation front Rayleigh-Taylor growth with the Hydro.-Growth Radiography (HGR) platform. These capsules substituted an additional thickness of plastic ablator material in place of the cryogenic layer of Deuterium- Tritium (DT) fuel. The present experiments are the first to include a DT ice layer, which enables measurements of the instability growth occurring at the fuel-ablator interface. Instability growth at the fuel-ablator interface is seeded differently in two independent NIF experiments. In the first case, a perturbation on the outside of the capsule feeds through and grows on the interface. Comparisons to an implosion without a fuel layer produce a measure of the fuel's modulation. In the second case, a modulation was directly machined on the inner ablator before the fuel layer was added. The measurement of growth in these two scenarios are compared to 2D rad-hydro modeling.

  7. Studies of ion species separation in ICF-relevant plasmas at OMEGA

    NASA Astrophysics Data System (ADS)

    Rinderknecht, Hans; Wilks, Scott; Amendt, Peter; Ross, Steve; Park, Hye-Sook; Gatu Johnson, Maria; Frenje, Johan; Li, Chikang; Seguin, Fredrick; Sio, Hong; Petrasso, Richard; Rosenberg, Michael; Forrest, Chad; Glebov, Vladimir; Stoeckl, Christian; Sangster, Craig; Zylstra, Alex; Hoffman, Nelson; Kwan, Tom; Larroche, Olivier

    2015-11-01

    Plasmas produced in high-energy density (HED) and inertial confinement fusion (ICF) experiments generally contain multiple ion species, which allows for multiple-ion species dynamics that are not simulated in typical single-ion fluid hydro codes. In implosions of D3He-gas filled thin-glass spheres on the OMEGA laser facility, comprehensive nuclear diagnostics were used to infer the composition of the fuel during nuclear production, demonstrating that the deuterium fraction was reduced during the implosion of the fuel. Hydrodynamic simulations including an ion diffusion model indicate that pressure, temperature, and potential gradients drive diffusive separation of the ion species, producing better agreement with the experiments than standard hydrodynamic codes. The results of fully kinetic (Vlasov-Fokker-Planck and PIC) simulations confirm the importance of multi-species dynamics to the evolution of these experiments. Implications for multi-species (DT) cryogenic implosions on the National Ignition Facility will be addressed. This work was partially supported by the US DOE, NLUF, LLE, and GA.

  8. Double-peaked proton spectra from shocks in D-3He ICF capsules

    NASA Astrophysics Data System (ADS)

    Wilson, D. C.; Zylstra, A. B.; Sepke, S. M.; Sio, H.; Lahmann, B. J.; Dewald, E.; Tommasini, R.; Kyrala, G. A.; Yi, A.; Simakov, A. N.; Kline, J. L.; Petrasso, R. D.; Batha, S. H.

    2016-10-01

    Proton production in D-3He gas filled ICF capsules peaks twice during an implosion, at ``shock flash'' and bangtime. Protons at peak production rate are often down-shifted too strongly to measure. In x-ray driven capsules at NIF we have observed two peaks in the proton spectra separated by about 1.8 MeV that are associated with shocks. Two capsules had copper doped beryllium ablators, but one had silicon doped GDP. The presence of the two peaks and their proton energies agree with calculations. The lower energy peak calculates to occur earlier in the implosion after the first shock reflects off capsule center, the ``shock flash''. The second, higher energy peak, occurs when the outward moving shock reaches the incoming shell about 0.5ns later. It is partially reflected, heating the fuel near the shell. The fuel has compressed more, causing protons emitted inward to be downshifted below the threshold of detection. The outward moving protons, created near the shell, are downshifted only by the shell, not the fuel, giving less down-shift than in the first peak. Funded by the US-DOE.

  9. Code Validation Utilizing Spectral Data Analysis of ICF Implosion Experiments on OMEGA

    NASA Astrophysics Data System (ADS)

    Gunderson, Mark; Haynes, Donald, Jr.; Delamater, Norman; Regan, Sean

    2003-10-01

    Time-resolved spectral data from recent ICF implosion experiments of plastic microballoons containing deuterium fuel doped with argon is proving quite useful in checking the corresponding 1D and 2D simulation results from the multi-dimensional hydrocode RAGE [1]. Comparisons with experimental density and temperature determined by fitting theoretical argon line shapes generated by MERL [2] to experimental data show that the simulated density and temperature in the fuel are too large unless some seed for mixing is incorporated. We use a nonuniform drive as a seed for mix. The need for mix is further supported through simulations using the 1D Lagrangian code HYADES (no mix) that give neutron yields an order of magnitude larger than that seen in experiment. This work was performed under NLUF grant DE-FG03-01SF22224 and DOE contract No. W-7405-ENG-36. [1] Gittings, M.L., SAIC's adaptive grid Eulerian hydrocode, DNA Numerical Methods Symposium, Apr 1992. [2] Mancini, R.C., Kilcrease, D.P., Woltz, L.A., and Hooper Jr., C.F., Comput. Phy. Commun. 63, 314-322 (1991).

  10. Thermonuclear Burn in Ignition-Scale ICF Targets under Highly Compressed Magnetic Fields

    NASA Astrophysics Data System (ADS)

    Perkins, L. John; Logan, B. Grant; Zimmerman, George; Moody, John; Ho, Darwin; Strozzi, David; Rhodes, Mark; Caporaso, George; Werner, Christopher

    2013-10-01

    We report for the first time on full 2-D radiation-hydrodynamic implosion simulations that demonstrate the impact of highly compressed magnetic fields on the ignition and burn of spherically-converging ICF targets with application to the National Ignition Facility indirect-drive ignition capsule [L.J.Perkins et al., Phys. Plasmas, to be published Aug 2013]. Initial seed fields of 20-100T (potentially attainable using present experimental methods) that compress to greater than 104 T (100 MG) under implosion can relax hotspot areal densities and pressures required for ignition and propagating burn by ~50% in targets degraded by lower-mode perturbations compared to those with no applied field. This accrues from range shortening and magnetic mirror trapping of fusion alpha particles, suppression of electron heat conduction and potential reduction of hydrodynamic instability growth. This may permit the recovery of ignition, or at least significant alpha particle heating, in submarginal capsules that would otherwise fail because of adverse hydrodynamic instabilities. The field may also ameliorate adverse hohlraum plasma conditions such as stimulated Raman scattering. We also discuss experimental concepts for a potential NIF hohlraum coil driven by a co-located pulsed power supply that may be capable of detectable alpha particle heating and fusion yield through magnetized volumetric burn in a high pressure DT gas capsule.

  11. Pressure and impulse scaling methods for wall impact in ICF (inertial confinement fusion)

    SciTech Connect

    Liu, J.C.; Chen, X.M.; Schrock, V.E. . Dept. of Nuclear Engineering); Orth, C.D. )

    1990-01-01

    The design of the first structural wall (FSW) in an inertial confinement fusion (ICF) reactor requires some knowledge of the expected wall loading produced by x-ray and neutron deposition; specifically in the High Yield Lithium Injection Fusion Energy (HYLIFE) reactor, wall loading results from two sources -- gas shock and liquid impact. Gas shock is derived from x-ray deposition in the thin layers of exposed blanket material, producing ionized vapor, which will generate gas shock on the FSW. Liquid impact, on the other hand, results from the acceleration of liquid blanket material by two possible forces -- the drag from vapor expansion through the blanket material and the neutron-induced isochoric disassembly process. Both impacts, however, are coupled by the interaction of hot gas expanding through the liquid blanket. This paper discusses scaling methods for estimating pressure and impulse on the HYLIFE FSW from these impacts. In particular, this paper reviews simple analytical and numerical techniques, and the use of experimental results in the estimation of wall impacts for the HYLIFE blanket geometry. Considered important in the analyses are supersonic flow through jet arrays and isochoric disassembly. Given the same initial parameters as those used in previous HYLIFE studies, the techniques described here yield results comparable to the previous studies utilizing heavy numerical simulation.

  12. A dual-PIXE tomography setup for reconstruction of Germanium in ICF target

    NASA Astrophysics Data System (ADS)

    Guo, N.; Lu, H. Y.; Wang, Q.; Meng, J.; Gao, D. Z.; Zhang, Y. J.; Liang, X. X.; Zhang, W.; Li, J.; Ma, X. J.; Shen, H.

    2017-08-01

    Inertial Confinement Fusion (ICF) is one type of fusion energy research which could initiate nuclear fusion reactions through heating and compressing thermonuclear fuel. Compared to a pure plastic target, Germanium doping into the CH ablator layer by Glow Discharge Polymer (GDP) technique can increase the ablation velocity and the standoff distance between the ablation front and laser-deposition region. During target fabrication process, quantitative doping of Ge should be accurately controlled. Particle Induced X-ray Emission Tomography (PIXE-T) can make not only quantification of the concentration, but also reconstruction of the spatial distribution of doped element. The Si (Li) detector for PIXE tomography technique had a disadvantage of low counting rate. To make up this deficiency, another detector of Si (Li) with the same configuration positioned at the opposite side with the same detective angle 135° have been implemented. Simultaneously acquired elemental maps of Ge obtained using two detectors may be different because of the X-ray absorption along the X-ray exit route in the target. In this paper, the X-ray detection efficiency is drastically improved by this dual-PIXE tomography system.

  13. The measurement and analysis of wavefront structure from large aperture ICF optics

    SciTech Connect

    Wolfe, C.R.; Lawson, J.K.

    1995-05-30

    This paper discusses the techniques, developed over the past year, for high spatial resolution measurement and analysis of the transmitted and/or reflected wavefront of large aperture ICF optical components. Parts up to 400 mm {times} 750 mm have been measured and include: laser slabs, windows, KDP crystals and lenses. The measurements were performed using state-of-the-art commercial phase shifting interferometers at a wavelength of 633 {mu}m. Both 1 and 2-D Fourier analysis have been used to characterize the wavefront; specifically the Power Spectral Density, (PSD), function was calculated. The PSDs of several precision optical components will be shown. The PSD(V) is proportional to the (amplitude){sup 2} of components of the Fourier frequency spectrum. The PSD describes the scattered intensity and direction as a function of scattering angle in the wavefront. The capability of commercial software is limited to 1-D Fourier analysis only. We are developing our own 2-D analysis capability in support of work to revise specifications for NIF optics. 2-D analysis uses the entire wavefront phase map to construct 2D PSD functions. We have been able to increase the signal-to-noise relative to 1-D and can observe very subtle wavefront structure.

  14. Self-Generated Magnetic Fields in Stagnation-Phase ICF Implosions

    NASA Astrophysics Data System (ADS)

    Walsh, Christopher; Chittenden, Jeremy; McGlinchey, Kristopher; Niasse, Nicolas

    2016-10-01

    3-D extended-MHD simulations of the stagnation phase of an ICF implosion are presented, showing significant self-generated magnetic fields (1000-5000T) due to the Biermann Battery effect. Perturbed hot-spots generate magnetic fields at their edges, as the extremities of hot bubbles are rapidly cooled by the surrounding low temperature fuel, giving non-parallel electron pressure and density gradients. Larger amplitude and higher mode-number perturbations lead to an increased hot-spot surface area and more heat flow, developing greater non-parallel gradients and therefore larger magnetic fields. Due to this, largely perturbed hot-spots can be affected more by magnetic fields, although the accelerated cooling associated with greater deviations from symmetry lowers magnetisation. The Nernst effect advects magnetic field down temperature gradients towards the outer region of the hot-spot, which can also lower the magnetisation of the plasma. In some regions, however, the Nernst velocity is convergent, magnetising the tips of cold fuel spikes, resulting in anisotropic heat-flow and an improvement in energy containment. Low-mode and multi-high-mode simulations are shown, with magnetisations reaching sufficiently high levels in some regions of the hot-spot to suppress thermal conduction to lower than 50% of the unmagnetised case. A quantitative analysis of how this affects the hot-spot energy balance is included.

  15. The effects of 3D asymmetries in ICF capsule implosions on the National Ignition Facility

    NASA Astrophysics Data System (ADS)

    Chittenden, Jeremy; Taylor, Shaun; Appelbe, Brian; Niasse, Nicholas

    2013-10-01

    We report on investigations into the effect of asymmetry on thermonuclear yield in ICF implosions on the NIF. 3D radiation hydrodynamics calculations of the entire capsule volume are presented which attempt to predict the structural form of the perturbations at the stagnation phase, based upon initial capsule defects, dust particles, radiation drive asymmetries, etc. Asymmetries arising at the interface between the hotspot and the cold dense fuel layer are further amplified by the Rayleigh-Taylor instability during the deceleration phase. Where multi-mode asymmetries interact in three dimensions, not all of kinetic energy is dissipated effectively. Low mode asymmetries which change the overall shape of the hotspot increase the surface area leading to increased thermal conduction. Higher mode asymmetries promote mixing of the cold fuel layer into the hotspot at stagnation. This essentially acts as an increased rate of ablation of the dense fuel at the hotspot surface, pulling material with low specific enthalpy into the hotpot, lowering the average hotspot temperature and quenching the burn. Signatures of the form of the perturbations are revealed in synthetic neutron spectra, X-ray images and radiography data.

  16. Simultaneous measurements of the X-ray and nuclear shock-bang times in ICF plasmas

    NASA Astrophysics Data System (ADS)

    Sutcliffe, G.; Sio, H.; Rinderknecht, H.; Frenje, J.; Zylstra, A.; Gatu Johnson, M.; Seguin, F.; Li, C. K.; Petrasso, R.; Rygg, J. R.; Macphee, A.; MacKinnon, A.; Le Pape, S.; Berzak Hopkins, L.; Regan, S. P.; Sangster, C.; Kilkenny, J.; Olson, R.

    2015-11-01

    Recent measurements of nuclear and x-ray shock-bang times in ICF implosions at OMEGA and the NIF provide new constraints on implosion modeling and may elucidate the underlying physics of e-i equilibration during the shock phase. As the ions are predominantly heated by the converging and rebounding shock, the ion temperature is initially much higher than the electron temperature and the difference relaxes at the e-i equilibration time scale. Nuclear and x-ray bang times are expected to differ because of different temperature dependence. At OMEGA, nuclear shock-bang time and burn history are routinely measured using streak camera diagnostics, while x-ray self-emission is observed with x-ray framing cameras. We are exploring the possibility of measuring both x-ray and nuclear shock-bang times with a single diagnostic with high relative accuracy, and will discuss the precision with which they can be made and the diagnostics necessary at OMEGA. This work was supported in part by NLUF, US DOE, and LLE.

  17. Progress towards the development and testing of source reconstruction methods for neutron imaging of ICF implosions

    SciTech Connect

    Loomis, Eric; Grim, Gary; Wilde, Carl; Wilke, Mark; Wilson, Doug; Morgan, George; Tregillis, Ian; Clark, David; Finch, Joshua; Fittinghoff, D; Bower, D

    2010-01-01

    Development of analysis techniques for neutron imaging at the National Ignition Facility (NIF) is an important and difficult task for the detailed understanding or high neutron yield inertial confinement fusion (ICF) implosions. These methods, once developed, must provide accurate images of the hot and cold fuel so that information about the implosion, such as symmetry and areal density, can be extracted. We are currently considering multiple analysis pathways for obtaining this source distribution of neutrons given a measured pinhole image with a scintillator and camera system. One method under development involves the numerical inversion of the pinhole image using knowledge of neutron transport through the pinhole aperture from Monte Carlo simulations [E. Loomis et al. IFSA 2009]. We are currently striving to apply the technique to real data by applying a series of realistic effects that will be present for experimental images. These include various sources of noise, misalignment uncertainties at both the source and image planes, as well as scintillator and camera blurring. Some tests on the quality of image reconstructions have also been performed based on point resolution and Legendre mode improvement of recorded images. So far, the method has proven sufficient to overcome most of these experimental effects with continued devlopment.

  18. On the construction of a database to search for ICFs that account for asymmetrical nebulae

    NASA Astrophysics Data System (ADS)

    Goncalves, D. R.; Leal-Ferreira, M. L.; Monteiro, H.

    In this contribution we analyse the physical and chemical conditions of the planetary nebula NGC 40 through spatially-resolved spectroscopic maps. This parameters were derived by using the 2D_NEB, a new algorithm based on the well-established IRAF nebular package, which was developed to enable the use of the spectroscopic maps to easily estimate the astrophysical quantities of ionised nebulae. From these maps, we conclude that T_e[N II] shows only a slight temperature variation from region to region, and that N_e[S II] has a much more prominent spatial variation. Maps of the chemical abundances also show significant variations, suggesting that spatial resolution is crucial for a complete study of the physical and chemical properties of planetary nebulae. The techniques and results described in this contribution are part of a project we are starting aimed at looking for an ionisation-correction factor (ICF) scheme that properly account for asymmetrical nebulae. This procedure requires good quality spectroscopic data --like those we discuss here-- as well detailed 3D photo modelling.

  19. Fluidized-bed design for ICF reactor blankets using solid-lithium compounds

    SciTech Connect

    Sucov, E.W.; Malick, F.S.; Green, L.; Hall, B.O.

    1983-01-01

    A fluidized-bed concept for blankets of dry or wetted first-wall ICF reactors using solid-lithium compounds is described. The reaction chamber is a right cylinder, 32 m high and 20 m in diameter; the blanket is composed of 36 steel tanks, 32 m high, which carry the sintered Li/sub 2/O particles in the fluidizing helium gas. Each tank has a radial thickness of 2 m which generates a tritium breeding ration (TBR) of 1.27 and absorbs over 98% of the neutron energy; reducing the thickness to 1.2 m produces a TBR of 1.2 and energy absorption of 97% which satisfy the design goals. Calculations of tritium diffusion through the grains and heat removal from the grains showed that neither could be removed by the carrier gas; tritium and heat are therefore removed by removing the grains themselves by varying the helium flow rate. The particles are continuously fed into the bottom of the tanks at 300/sup 0/C and removed at the top at 475/sup 0/C. Tritium and heat extraction are easily and conveniently done outside the reactor.

  20. PALS laser-driven radiative jets for astrophysical and ICF applications

    SciTech Connect

    Pisarczyk, T.; Kasperczuk, A.; Stenz, Ch.; Krousky, E.; Masek, K.; Pfeifer, M.; Rohlena, K.; Skala, J.; Ullschmied, J.; Kalal, M.; Pisarczyk, P.

    2008-03-19

    High speed, well-collimated plasma jets were generated in the interaction of defocused single laser beam with planar, massive Cu target. The experiment was carried out at the iodine laser facility (Prague Asterix Laser System--PALS) using the third harmonic beam (0.438 {mu}m) with a pulse duration of 250 ps (FWHM) and an energy of 100 J. The information about geometry of plasma expansion, plasma dynamics and electron density were obtained by means of a 3-frame interferometric system. The plasma jet parameters reach the following values: the velocity up to 7x10{sup 7} cm/s, the internal Mach number greater than 10 and the electron density above 10{sup 19} cm{sup -3}. The jet characteristics are appropriate for the astrophysical and ICF applications. To ensure the interaction of this jet with gas or plasma as an ambient medium, a high-pressure supersonic gas nozzle was used, which created a cylindrical column of Ar or He. The results of first experiments dedicated to studies of collision of such a jet with a gas cloud are also presented. They clearly show the effect of shocks formation in ambient gases (He and Ar) due to the jet action. In the case of He the shock waves have usually a conical shape with a thickness of 1-1.5 mm, whereas in the case of Ar, the shock wave configuration is more complex and its thickness is less than 1 mm.

  1. Surrogate models for identifying robust, high yield regions of parameter space for ICF implosion simulations

    NASA Astrophysics Data System (ADS)

    Humbird, Kelli; Peterson, J. Luc; Brandon, Scott; Field, John; Nora, Ryan; Spears, Brian

    2016-10-01

    Next-generation supercomputer architecture and in-transit data analysis have been used to create a large collection of 2-D ICF capsule implosion simulations. The database includes metrics for approximately 60,000 implosions, with x-ray images and detailed physics parameters available for over 20,000 simulations. To map and explore this large database, surrogate models for numerous quantities of interest are built using supervised machine learning algorithms. Response surfaces constructed using the predictive capabilities of the surrogates allow for continuous exploration of parameter space without requiring additional simulations. High performing regions of the input space are identified to guide the design of future experiments. In particular, a model for the yield built using a random forest regression algorithm has a cross validation score of 94.3% and is consistently conservative for high yield predictions. The model is used to search for robust volumes of parameter space where high yields are expected, even given variations in other input parameters. Surrogates for additional quantities of interest relevant to ignition are used to further characterize the high yield regions. This work performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344, Lawrence Livermore National Security, LLC. LLNL-ABS-697277.

  2. Planarization of Isolated Defects on ICF Target Capsule Surfaces by Pulsed Laser Ablation

    DOE PAGES

    Alfonso, Noel; Carlson, Lane C.; Bunn, Thomas L.

    2016-08-09

    Demanding surface quality requirements for inertial confinement fusion (ICF) capsules motivated the development of a pulsed laser ablation method to reduce or eliminate undesirable surface defects. The pulsed laser ablation technique takes advantage of a full surface (4π) capsule manipulation system working in combination with an optical profiling (confocal) microscope. Based on the defect topography, the material removal rate, the laser pulse energy and its beam profile, a customized laser raster pattern is derived to remove the defect. The pattern is a table of coordinates and number of pulses that dictate how the defect will be vaporized until its heightmore » is level with the capsule surface. This paper explains how the raster patterns are optimized to minimize surface roughness and how surface roughness after laser ablation is simulated. The simulated surfaces are compared with actual ablated surfaces. Large defects are reduced to a size regime where a tumble finishing process produces very high quality surfaces devoid of high mode defects. The combined polishing processes of laser ablation and tumble finishing have become routine fabrication steps for National Ignition Facility capsule production.« less

  3. Toward developing a specific outcome instrument for spine trauma: an empirical cross-sectional multicenter ICF-based study by AOSpine Knowledge Forum Trauma.

    PubMed

    Oner, F Cumhur; Sadiqi, Said; Lehr, A Mechteld; Aarabi, Bizhan; Dunn, Robert N; Dvorak, Marcel F; Fehlings, Michael G; Kandziora, Frank; Post, Marcel W; Rajasekaran, S; Vialle, Luiz; Vaccaro, Alexander R

    2015-09-01

    Empirical cross-sectional multicenter study. To identify the most commonly experienced problems by patients with traumatic spinal column injuries, excluding patients with complete paralysis. There is no disease or condition-specific outcome instrument available that is designed or validated for patients with spine trauma, contributing to the present lack of consensus and ongoing controversies in the optimal treatment and evaluation of many types of spine injuries. Therefore, AOSpine Knowledge Forum Trauma started a project to develop such an instrument using the International Classification of Functioning, Disability and Health (ICF) as its basis. Patients with traumatic spinal column injuries, within 13 months after discharge from hospital were recruited from 9 trauma centers in 7 countries, representing 4 AOSpine International world regions. Health professionals collected the data using the general ICF Checklist. The responses were analyzed using frequency analysis. Possible differences between the world regions and also between the subgroups of potential modifiers were analyzed using descriptive statistics and Fisher exact test. In total, 187 patients were enrolled. A total of 38 (29.7%) ICF categories were identified as relevant for at least 20% of the patients. Categories experienced as a difficulty/impairment were most frequently related to activities and participation (n = 15), followed by body functions (n = 6), and body structures (n = 5). Furthermore, 12 environmental factors were considered to be a facilitator in at least 20% of the patients. Of 128 ICF categories of the general ICF Checklist, 38 ICF categories were identified as relevant. Loss of functioning and limitations in daily living seem to be more relevant for patients with traumatic spinal column injuries rather than pain during this time frame. This study creates an evidence base to define a core set of ICF categories for outcome measurement in adult spine trauma patients. 4.

  4. Application of the International Classification of Functioning, Disability and Health (ICF) framework in record keeping by occupational therapists and physiotherapists at central hospitals in Harare.

    PubMed

    Chigweremba, R A; Chikwanha, T M; January, J; Chikwasha, V

    2014-01-01

    The International Classification of Functioning, Disability and Health (ICF) is a framework that provides a detailed outline of the information that should be included in patient records. Whilst the World Federation of occupational therapists and the World Confederation of Physiotherapists have recommended use of this framework in clinical practice, the extent to which Zimbabwean therapists are applying this framework in patients' assessment and treatment is unknown. This study was conducted to determine the extent to which the ICF framework is being applied in recording information on patient assessment and treatment by occupational therapists and physiotherapists in Zimbabwe. A descriptive cross sectional study was carried out in rehabilitation departments at three central hospitals in Harare. Thirty therapists were interviewed on their record keeping practices. Sixty randomly selected records for in-patients receiving rehabilitation services were also evaluated for completeness using a checklist developed using ICF guidelines. Data were analysed using Microsoft excel and Epi info. Forty-three percent (12) of the records were rated as good and another (43%) as satisfactory. None of the records reviewed were 100% complete according to the ICF guidelines. Personal factors were the most recorded (82%) component and the least recorded were environmental factors (18%) affecting patient functioning. There were no statistically significant associations between application of the ICF framework and profession (p = 0.680), ICF application and years in clinical practice (p = 0.557) and training and record keeping practices (p = 1.000). Standard guidelines for evaluating patients with different conditions derived from the ICF checklist should be designed for occupational therapists and physiotherapists to standardise information recorded during management of patients seeking rehabilitation services.

  5. A critical exploration of the International Classification of Functioning, Disability, and Health (ICF) framework from the perspective of oncology: recommendations for revision

    PubMed Central

    Bornbaum, Catherine C; Doyle, Philip C; Skarakis-Doyle, Elizabeth; Theurer, Julie A

    2013-01-01

    Background: In 2001, the World Health Organization developed the International Classification of Functioning, Disability, and Health (ICF) framework in an effort to attend to the multidimensional health-related concerns of individuals. Historically, although the ICF has frequently been used in a rehabilitation-based context, the World Health Organization has positioned it as a universal framework of health and its related states. Consequently, the ICF has been utilized for a diverse array of purposes in the field of oncology, including: evaluating functioning in individuals with cancer, guiding assessment in oncology rehabilitation, assessing the comprehensiveness of outcome measures utilized in oncology research, assisting in health-related quality of life instrument selection, and comparing the primary concerns of health professionals with those of their patients. Discussion: Examination of the ICF through the lens of cancer care highlights the fact that this framework can be a valuable tool to facilitate comprehensive care in oncology, but it currently possesses some areas of limitation that require conceptual revision; to this end, several recommendations have been proposed. Specifically, these proposed recommendations center on the following three areas of the ICF framework: (1) the replacement of the term “health condition” with the more inclusive and dynamic term “health state;” (2) the continuing development and refinement of the personal factors component to ensure issues such as comorbidities can be accounted for appropriately; and (3) the inclusion of a mechanism to account for the subjective dimension of health and functioning (eg, quality of life). Summary: It is through the expansion of these conceptual parameters that the ICF may become more relevant and applicable to the field of oncology. With these important revisions, the ICF has the potential to provide a broader biopsychosocial perspective of care that captures the diverse range of

  6. Measurement of activity limitations and participation restrictions: examination of ICF-linked content and scale properties of the FIM and PC-PART instruments.

    PubMed

    Darzins, Susan W; Imms, Christine; Di Stefano, Marilyn

    2017-05-01

    To explore the operationalization of activity and participation-related measurement constructs through comparison of item phrasing, item response categories and scoring (scale properties) for two separate instruments targeting activities of daily living. Personal Care Participation Assessment and Resource Tool (PC-PART) item content was linked to ICF categories using established linking rules. Previously reported ICF-linked FIM content categories and ICF-linked PC-PART content categories were compared to identify common ICF categories between the instruments. Scale properties of both instruments were compared using a patient scenario to explore the instruments' separate measurement constructs. The PC-PART and FIM shared 15 of the 53 level two ICF-linked categories identified across both instruments. Examination of the instruments' scale properties for items with overlapping ICF content, and exploration through a patient scenario, provided supportive evidence that the instruments measure different constructs. While the PC-PART and FIM share common ICF-linked content, they measure separate constructs. Measurement construct was influenced by the instruments' scale properties. The FIM was observed to measure activity limitations and the PC-PART measured participation restrictions. Scrutiny of instruments' scale properties in addition to item content is critical in the operationalization of activity and participation-related measurement constructs. Implications for Rehabilitation When selecting outcome measures for use in rehabilitation it is necessary to examine both the content of the instruments' items and item phrasing, response categories and scoring, to clarify the construct being measured. Measurement of activity limitations as well as participation restrictions in activities of daily living required for community life provides a more comprehensive measurement of rehabilitation outcomes than measurement of either construct alone. To measure the effects of

  7. [The Prognostic Significance of ICF Data with Regard to Realization of Recommendations Given in the Medical Discharge Report after In-Patient Psychosomatic Rehabilitation].

    PubMed

    Oster, Jörg; von Wietersheim, Jörn; Müller, Gottfried; Braunger, Carina

    2017-05-01

    Target In this trial, the prognostic significance of ICF-related diagnostics compared to social and medical, disease-related and personal factors with regard to realization of recommendations given in the medical discharge report after the in-patient psychosomatic rehabilitation should be examined. Methodology ICF-related, social and medical, disease-related and personal prognostic factors were surveyed by questionnaires and interviews, on admission, discharge and 6 months after discharge from rehabilitation (time of catamnesis). As target criteria, realizations of recommendations from the fields of sports and exercise, psychotherapy and social medicine were chosen, they could be evaluated by telephone from N=344 participants at the time of catamnesis. For determination of relevant predictors, bivariate and multi-variate analyses were performed. Results 70% of patients realized the recommended sports and exercise, 45% the recommended psychotherapy and 44% a social and medical recommendation. With regard to the target criterion for the realization of recommended sports and exercise, the elevated prognostic factors had only a low prognostic value. For the prognosis of the target criterion of realizing a recommended psychotherapy, interpersonal problems and a low ability to interact in groups (Mini-ICF-APP) turned out to be relevant ICF-related predictors. Different problems (e. g., job-related conditions) appeared as relevant, ICF-related predictors concerning the realization of social and medical recommendations. Disturbances of reliability, self-evaluated by means of ICF AT-50 Psych, showed in the bivariate analyses significant correlations with the target criteria. Conclusion Besides other variables, also ICF-supported attributes turned out to be suitable for the prognosis of target criteria. They should be evaluated and considered in the rehabilitation process. © Georg Thieme Verlag KG Stuttgart · New York.

  8. A critical exploration of the International Classification of Functioning, Disability, and Health (ICF) framework from the perspective of oncology: recommendations for revision.

    PubMed

    Bornbaum, Catherine C; Doyle, Philip C; Skarakis-Doyle, Elizabeth; Theurer, Julie A

    2013-01-01

    In 2001, the World Health Organization developed the International Classification of Functioning, Disability, and Health (ICF) framework in an effort to attend to the multidimensional health-related concerns of individuals. Historically, although the ICF has frequently been used in a rehabilitation-based context, the World Health Organization has positioned it as a universal framework of health and its related states. Consequently, the ICF has been utilized for a diverse array of purposes in the field of oncology, including: evaluating functioning in individuals with cancer, guiding assessment in oncology rehabilitation, assessing the comprehensiveness of outcome measures utilized in oncology research, assisting in health-related quality of life instrument selection, and comparing the primary concerns of health professionals with those of their patients. Examination of the ICF through the lens of cancer care highlights the fact that this framework can be a valuable tool to facilitate comprehensive care in oncology, but it currently possesses some areas of limitation that require conceptual revision; to this end, several recommendations have been proposed. Specifically, these proposed recommendations center on the following three areas of the ICF framework: (1) the replacement of the term "health condition" with the more inclusive and dynamic term "health state;" (2) the continuing development and refinement of the personal factors component to ensure issues such as comorbidities can be accounted for appropriately; and (3) the inclusion of a mechanism to account for the subjective dimension of health and functioning (eg, quality of life). It is through the expansion of these conceptual parameters that the ICF may become more relevant and applicable to the field of oncology. With these important revisions, the ICF has the potential to provide a broader biopsychosocial perspective of care that captures the diverse range of concerns that arise throughout the continuum

  9. The "Comprehensive ICF Core Set for Head and Neck Cancer": a Delphi consensus survey among German speaking speech and language therapists.

    PubMed

    Engelbarts, Matthias; Schuster, Vanessa; Kisser, Ulrich; Sabariego, Carla; Stier-Jarmer, Marita; Coenen, Michaela; Ernst, Benjamin Philipp; Strieth, Sebastian; Harréus, Ulrich; Becker, Sven

    2017-02-24

    The "Comprehensive ICF Core Set for Head and Neck Cancer" (ICF-HNC) is an application of the "International Classification of Functioning, Disability and Health" (ICF), representing the characteristic spectrum of issues in patients with head and neck cancer (HNC). Our primary aim was to evaluate which categories of the ICF-HNC are dealt with by speech and language therapists (SLTs) in Germany, Austria, and Switzerland. The secondary aim was to identify outcome measures used by SLTs to measure the categories of the ICF-HNC in clinical practice. SLTs experienced in the treatment of HNC patients evaluated the categories of the ICF-HNC in a three-round Delphi survey. They were asked whether the listed categories represented issues treated by SLTs in HNC patients, and what outcome measures were used to assess them. Altogether, 31 SLTs completed the survey. 47 of 108 previously selected categories of the ICF-HNC achieved the cut-off value. Out of these, 40.4% were derived from the component "Body Functions", 36.2% from "Body Structures", 12.8% from "Environmental Factors", and 10.6% from "Activities and Participation". Altogether, 82 of the mentioned outcome measures were considered as reasonable from the perspective of SLTs. Of these, only 37 achieved more than 50% approval. This study emphasises the importance of "Body Structures" and "Body Functions" for SLTs in Germany and Switzerland in treating patients with HNC. Moreover, the results highlighted the need to agree on evidence-based outcome measures in speech and language therapy.

  10. An Overview of the Los Alamos Inertial Confinement Fusion and High-Energy-Density Physics Research Programs

    SciTech Connect

    Batha, Steven H.

    2016-07-15

    The Los Alamos Inertial Confinement Fusion and Science Programs engage in a vigorous array of experiments, theory, and modeling. We use the three major High Energy Density facilities, NIF, Omega, and Z to perform experiments. These include opacity, radiation transport, hydrodynamics, ignition science, and burn experiments to aid the ICF and Science campaigns in reaching their stewardship goals. The ICF program operates two nuclear diagnostics at NIF, the neutron imaging system and the gamma reaction history instruments. Both systems are being expanded with significant capability enhancements.

  11. Outcome measures in older persons with acquired joint contractures: a systematic review and content analysis using the ICF (International Classification of Functioning, Disability and Health) as a reference.

    PubMed

    Bartoszek, Gabriele; Fischer, Uli; Müller, Martin; Strobl, Ralf; Grill, Eva; Nadolny, Stephan; Meyer, Gabriele

    2016-02-09

    Joint contractures are a common health problem in older persons with significant impact on activities of daily living. We aimed to retrieve outcome measures applied in studies on older persons with joint contractures and to identify and categorise the concepts contained in these outcome measures using the ICF (International Classification of Functioning, Disability and Health) as a reference. Electronic searches of Medline, EMBASE, CINAHL, Pedro and the Cochrane Library were conducted (1/2002-8/2012). We included studies in the geriatric rehabilitation and nursing home settings with participants aged ≥ 65 years and with acquired joint contractures. Two independent reviewers extracted the outcome measures and transferred them to concepts using predefined conceptual frameworks. Concepts were subsequently linked to the ICF categories. From the 1057 abstracts retrieved, 60 studies met the inclusion criteria. We identified 52 single outcome measures and 24 standardised assessment instruments. A total of 1353 concepts were revealed from the outcome measures; 96.2% could be linked to 50 ICF categories in the 2nd level; 3.8% were not categorised. Fourteen of the 50 categories (28%) belonged to the component Body Functions, 4 (8%) to the component Body Structures, 26 (52%) to the component Activities and Participation, and 6 (12%) to the component Environmental Factors. The ICF is a valuable reference for identifying and quantifying the concepts of outcome measures on joint contractures in older people. The revealed ICF categories remain to be validated in populations with joint contractures in terms of clinical relevance and personal impact.

  12. Identifying relevant areas of functioning in children and youth with Cerebral Palsy using the ICF-CY coding system: from whose perspective?

    PubMed

    Schiariti, Veronica; Mâsse, Louise C

    2014-09-01

    A standardized methodology endorsed by the World Health Organization was used to select the most relevant International Classification of Functioning, Disability and Health for children and youth (ICF-CY) categories to inform the development of the ICF Core Sets for CY with Cerebral Palsy (CP). The aim of this study was to appraise comparatively the results of the four studies included in the preparatory phase of the project exploring relevant areas of functioning in CY with CP. ICF-CY categories identified in the preparatory studies - systematic review, global expert survey, qualitative study, and clinical study - were ranked. We compared the ranking percentile scores of the categories across studies. Each study emphasized different ICF-CY components and provided unique categories. Professionals from the health, education and social sectors described areas of functioning that were well distributed across the ICF-CY components (global expert survey), CY with CP and caregivers highlighted areas within the components activity and participation (a & p) and environmental factors (qualitative study), while the research community and clinical encounters mainly focused on body functions and a & p (systematic review and clinical study). This study highlights the need to consider all relevant perspectives when describing the functional profile of CY with CP. Copyright © 2014 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.

  13. The content of goals in individual educational programs for students with complex communication needs.

    PubMed

    Klang, Nina; Rowland, Charity; Fried-Oken, Melanie; Steiner, Sandra; Granlund, Mats; Adolfsson, Margareta

    2016-01-01

    The aim of the study was to explore the contents of communication-related goals in individualized education programs (IEPs) for students with complex communication needs. Goals in 43 IEPs were linked to the International Classification of Functioning, Disability and Health, Children and Youth version (ICF-CY). The results show that the communication-related IEP goals contain information on multiple domains of functioning in the ICF-CY. However, judging by the amount of codes linked to ICF-CY chapters, the IEPs contain a relatively small proportion of goals that focus on interaction with others, or participation in classroom and leisure activities. Special education teachers and speech-language pathologists working with students with complex communication needs may need support to formulate communication-related IEP goals with a focus on interaction and participation in school activities.

  14. Evaluation of reading, writing, and watching TV using the Dutch ICF Activity Inventory.

    PubMed

    Bruijning, Janna E; van Rens, Ger H M B; Knol, Dirk L; van Nispen, Ruth M A

    2014-11-01

    To investigate the longitudinal outcomes of rehabilitation (from baseline to 4 and 12 months) at a multidisciplinary rehabilitation center. The three goals ("Reading," "Writing," and "Watching TV") were measured with the Dutch ICF Activity Inventory (D-AI). In addition, outcomes were compared with the Low Vision Quality-of-Life questionnaire (LVQOL) for better insight into the (longitudinal) interpretation. In a cohort of 241 visually impaired persons, corrected and uncorrected linear mixed models were used to determine longitudinal rehabilitation outcomes for the D-AI goals "Reading," "Writing," and "Watching TV," and difficulty and underlying tasks, as well as for the LVQOL scales "Basic aspects" and "Reading and fine work." At baseline, Spearman correlations were determined for similar scales of the D-AI and LVQOL. Importance scores of goals were stable over time. Difficulty scores decreased over time, but the differences were not significant at each measurement moment. For reading, difficulty of underlying tasks seemed to reflect the (change in) difficulty at the goal level; however, change in writing tasks did not reflect the change in the umbrella goal. Each of the three subscales of underlying tasks of the goal "Watching TV" changed in a different way. Changes in similar LVQOL scales were comparable, although less pronounced and more influenced by depression. Prescription or advice of low-vision aids and training in visual devices was not related (p > 0.01) with any of the outcome measures. It seems reasonable to conclude that the decrease in perceived difficulty was an effect of rehabilitation. The D-AI goal scores for difficulty were less influenced by depression and may be more sensitive to measure change over time compared with the LVQOL. Importance scores may not be useful for evaluation purposes.

  15. Streaked Imaging of Ablative Richtmyer--Meshkov Growth in ICF Targets on OMEGA

    NASA Astrophysics Data System (ADS)

    Gotchev, O. V.; Goncharov, V. N.; Jaanimagi, P. A.; Knauer, J. P.; Meyerhofer, D. D.

    2003-10-01

    Dynamic overpressure sets the growth rate of the ablative Richtmyer--Meshkov (RM) instability and the seeds for subsequent growth of perturbations due to the Rayleigh--Taylor instability in directly driven ICF targets. It leads to temporal oscillations of the perturbed ablation front, which have been predicted analytically,(V.N. Goncharov, Phys. Rev. Lett. 82), 2091 (1999). observed in 2-D ORCHID hydrodynamic simulations, and measured experimentally.(Y. Aglitskiy et al.), Phys. Plasmas 9, 2264 (2002). These predictions were verified on OMEGA by measuring the perturbation amplitudes and frequencies directly, through face-on x-ray radiography. Experiments with a high-resolution, Ir-coated Kirkpatrick--Baez microscope, coupled to a high-current streak tube, provided a continuous record of the target areal density during shock transit, while it was dominated by the evolution of the RM instability. Planar plastic targets with variable thicknesses (30 to 60 μm) and single-mode (λ = 10 to 30 μm) ripples on the front surface were irradiated with 1.5-ns square UV laser pulses with intensities---ranging from 5 × 10^13 W/cm^2 to 4 × 10^14 W/cm^2. Results clearly indicate a phase reversal in the evolution of the target areal density perturbations, in good agreement with theory and simulation. The predicted dependence of the oscillation period on laser intensity and modulation wavelength was quantified. This work was supported by the U.S. Department of Energy Office of Inertial Confinement Fusion under Cooperative Agreement No. DE-FC03-92SF19460.

  16. Fabrication of polyimide shells by vapor phase deposition for use as ICF targets

    SciTech Connect

    Alfonso, E.L.; Tsai, F.Y.; Chen, S.H.; Gram, R.Q.; Harding, D.R.

    1999-03-01

    Hollow polyimide shells, for use as ICF targets, were fabricated by co-depositing monomer precursors from the vapor phase onto bounced spherical mandrels. The process involved two stages: first, the deposited monomers (pyromellitic dianhydride and 4,4{prime}-oxydianiline) reacted on the mandrel surface to form polyamic acid; second, the mandrel was heated to 300 C to imidize the polyamic acid and to decompose the mandrel. During this latter process the decomposed mandrel diffused through the thermally stable coating, leaving a polyimide shell. Depositions were performed under low ({approximately}10{sup {minus}3} Torr) and high ({approximately}10{sup {minus}6} Torr) vacuum. Also, flat witness films of polyimide deposited on Si wafers and NaCl allowed the mechanical properties and chemical composition of the film during the heating cycle to be measured. Polyimide shells with diameters ranging from 700 to 950 {micro}m and wall thicknesses ranging from 2 to 13 {micro}m were produced. The shell`s sphericity was greater than 99%. Burst and buckle pressure tests on these shells yielded the estimated mechanical strength properties. The elastic modulus and tensile strength were {approximately}15 GPa and {approximately}300 MPa, respectively. The permeability of D{sub 2} through polyamic acid at 25 C was 7.4 {times} 10{sup {minus}17} mol{center_dot}m/m{sup 2}{center_dot}Pa{center_dot}s and increased to 6.4 {times} 10{sup {minus}16} mol{center_dot}m/m{sup 2}{center_dot}Pa{center_dot}s at 25 C upon curing the shell to 150 C. The permeability of D{sub 2} at 25 C through vapor-deposited polyimide flat films was measured to be 240 times greater than through the as-deposited polyamic acid, and about 7 times greater than through commercially available solution-cast Kapton.

  17. Comparison of Hot Spot Formation in DT ice layer and DT liquid layer ICF Capsules

    NASA Astrophysics Data System (ADS)

    Olson, R. E.; Leeper, R. J.

    2013-10-01

    Simulations of the implosion and hot spot formation in two DT liquid layer ICF capsule concepts - the DT wetted CH foam concept and the ``fast formed liquid'' (FFL) concept - will be described and compared to simulations of standard DT ice layer capsules. The wetted foam and FFL designs allow for flexibility in hot spot convergence ratio through the adjustment of the initial cryogenic capsule temperature and, hence, DT vapor density. 1D simulations are used to compare the drive requirements, the optimal shock timing, the radial dependence of hot spot specific energy gain, and the hot spot convergence ratio in low (DT ice) and high (DT liquid) vapor pressure capsules. 2D simulations are used to compare the relative sensitivities to low-mode x-ray flux asymmetries in the DT ice and DT liquid capsules. It is found that the overall thermonuclear yields predicted for DT liquid layer capsules will be less than yields predicted for DT ice layer capsules in simulations using comparable capsule size and absorbed energy. However, the relative simplicity of the hot spot formation technique might lead to a more robust ignition experiment, a reduction in sensitivity to low-mode x-ray flux asymmetry, and an improvement in the computational prediction of hot spot behavior. This work was performed under the auspices of the U. S. DOE by LANL under contract DE-AC52-06NA25396. Sandia is a multiprogram laboratory operated by the Sandia Corporation, a Lockheed-Martin Company, for the U.S. DOE under contract DE-AC04-94AL85000.

  18. Characterizing ICF Neutron Scintillation Diagnostics on the nTOF line at SUNY Geneseo

    NASA Astrophysics Data System (ADS)

    Lawson-Keister, Pat; Padawar-Curry, Jonah; Visca, Hannah; Fletcher, Kurt; Padalino, Stephen; Sangster, T. Craig; Regan, Sean

    2015-11-01

    Neutron scintillator diagnostics for ICF and HEDP can be characterized using the neutron time-of-flight (nTOF) line on Geneseo's 1.7 MV tandem Pelletron accelerator. Neutron signals can be differentiated from gamma signals by employing coincidence methods. A 1.8-MeV beam of deuterons incident on a deuterated polyethylene target produces neutrons via the 2H(d,n)3He reaction. Neutrons emerging at a lab angle of 88° have an energy of 2.96 MeV; the 3He ions associated with these neutrons are detected at a scattering angle of 43° using a surface barrier detector. The time of flight of the neutron can be measured by using the 3He detection as a ``start'' signal and the scintillation detection as a ``stop'' signal. This time of flight requirement is used to identify the 2.96-MeV neutron signals in the scintillator. To measure the light curve produced by these monoenergetic neutrons, two photomultiplier (PMT) tubes are attached to the scintillator. The full aperture PMT establishes the nTOF coincidence. The other PMT is fitted with a pinhole to collect single events. The time between the full aperture PMT signal and the arrival of the signal in the pinhole PMT is used to determine the light curve for the scintillator. This system will enable the neutron response of various scintillators to be compared. Supported in part by the Department of Energy National Nuclear Security Administration under Award Number DE-NA0001944.

  19. Do ICF core sets for low back pain include patients' self-reported activity limitations because of back problems?

    PubMed

    Lygren, Hildegunn; Strand, Liv Inger; Anderson, Bodil; Magnussen, Liv Heide

    2014-06-01

    The aim of this study was to investigate content validity of the International Classification of Functioning, Disability and Health (ICF) Core Sets for low back pain (LBP), by examining whether common activities reported as difficult to perform are included in the Core Sets. A cross-sectional design was used. Ninety-eight patients with long-lasting back pain (>3 months) between 18 and 65 years of age were consecutively recruited from a Multidisciplinary Outpatient Spine Clinic. Difficulties with daily life and work task activities because of back pain were examined by asking the patients two questions: 1) can you specify activities that are difficult to perform because of your back pain? and 2) are there specific work tasks that you are unable to do because of your back pain? Two raters independently classified the written responses according to the ICF Core Sets' component Activities and Participation. Activities and work tasks were linked to 15 of 29 categories (52%) in the Comprehensive Core Set, and 9 of 12 (75%) in the Brief Core Set, and the initial agreement between the two raters in coding the answers according to the Core Sets was (83%, k = 0.80) and (93%, k = 0.9), respectively, before consensus was reached. The Comprehensive Core Set for LBP to a large degree contains daily life and work-related activities frequently reported as difficult to perform by patients with long-lasting LBP. The categories, however, are very broad and do not provide specified descriptions of the most frequently reported activity limitations such as sitting, standing and walking. The Brief Core Set does not include categories for frequently reported activities such as pulling/pushing and leisure/recreation activities. ICF Core Sets for LBP seem suitable for obtaining a gross overview of the patients' functional limitations, but do not give sufficient information from a therapeutic point of view. © 2013 John Wiley & Sons, Ltd.

  20. Crosswalk of participation self-report measures for aphasia to the ICF: what content is being measured?

    PubMed

    Brandenburg, Caitlin; Worrall, Linda; Rodriguez, Amy; Bagraith, Karl

    2015-01-01

    Community participation is of importance to people with aphasia, who are at risk of becoming socially isolated. This study investigates the content of measures of community and social participation for this population by crosswalking items to the ICF. This will evaluate: (1) to what extent the included assessments assessed participation only, (2) what content appeared most frequently and (3) which response formats were utilised. Instruments were identified from four systematic reviews and a literature search. 111 instruments that were self-reported, developed for adults and published in English were identified. Items were linked to ICF domains, and third-level categories of the Activities and Participation chapter. Ninety instruments (2426 items) were included. Of these, 29 instruments contained over 50% participation items. The most frequently included participation categories in this subset were education, paid employment, recreation, socialising, being a carer, relating with friends, family and spouses, volunteer work, managing finances, community life, civic duties, human rights and religion/spirituality. Self-care, mobility and domestic life concepts were also frequently reported. Commonly used response formats were restriction, frequency and satisfaction. Few instruments solely assessed participation according to our operationalisation. This study provides a list of possible measures for use in assessing participation. Implications for Rehabilitation Participation restriction, as defined by the International Classification of Functioning, Disability and Health, is a key concern for people with aphasia. By conducting the crosswalk, we have identified that self-report measures of participation vary widely in content and response metrics, and often include activity, body function, environmental and quality of life items. This review may assist Rehabilitation researchers and clinicians in choosing a measure of participation restriction for people with aphasia and

  1. Goals Set by Patients Using the ICF Model before Receiving Botulinum Injections and Their Relation to Spasticity Distribution.

    PubMed

    Choi, Kevin; Peters, Jaclyn; Tri, Andrew; Chapman, Elizabeth; Sasaki, Ayako; Ismail, Farooq; Boulias, Chris; Reid, Shannon; Phadke, Chetan P

    2017-01-01

    Purpose: Goal Attainment Scaling (GAS) is used to assess functional gains in response to treatment. Specific characteristics of the functional goals set by individuals receiving botulinum toxin type A (BoNTA) injections for spasticity management are unknown. The primary objectives of this study were to describe the characteristics of the goals set by patients before receiving BoNTA injections using the International Classification of Functioning, Disability and Health (ICF) and to determine whether the pattern of spasticity distribution affected the goals set. Methods: A cross-sectional retrospective chart review was carried out in an outpatient spasticity-management clinic in Toronto. A total of 176 patients with a variety of neurological lesions attended the clinic to receive BoNTA injections and completed GAS from December 2012 to December 2013. The main outcome measures were the characteristics of the goals set by the participants on the basis of ICF categories (body functions and structures, activity and participation) and the spasticity distribution using Modified Ashworth Scale scores. Results: Of the patients, 73% set activity and participation goals, and 27% set body functions and structures goals (p<0.05). In the activity and participation category, 30% of patients set moving and walking goals, 28% set self-care and dressing goals, and 12% set changing and maintaining body position goals. In the body functions and structures category, 18% set neuromuscular and movement-related goals, and 8% set pain goals. The ICF goal categories were not related to the patterns of spasticity (upper limb vs. lower limb or unilateral vs. bilateral spasticity) or type of upper motor neuron (UMN) lesion (p>0.05). Conclusion: Our results show that patients receiving BoNTA treatment set a higher percentage of activity and participation goals than body functions and structures goals. Goal classification was not affected by type of spasticity distribution or type of UMN disorder.

  2. The Communication Supports Inventory-Children & Youth (CSI-CY), a new instrument based on the ICF-CY.

    PubMed

    Rowland, Charity; Fried-Oken, Melanie; Bowser, Gayl; Granlund, Mats; Lollar, Donald; Phelps, Randall; Simeonsson, Rune J; Steiner, Sandra A M

    2016-09-01

    Two studies are presented that evaluated the Communication Supports Inventory-Children & Youth (CSI-CY), an instrument designed to facilitate the development of communication-related educational goals for students with complex communication needs (CCN). The CSI-CY incorporates a code set based on the ICF-CY. The studies were designed to determine the effect of using the CSI-CY on IEP goals for students with CCN and to evaluate consumer satisfaction. In Study 1, sixty-one educators and speech-language pathologists were randomly assigned to either (a) provide a student's current IEP (control group) or (b) complete the CSI-CY prior to preparing a student's next IEP and to submit the new IEP (experimental group). Study 2 was a field test to generate consumer satisfaction data. Study 1 showed that IEP goals submitted by participants in the experimental group referenced CSI-CY-related content significantly more frequently than did those submitted by control participants. Study 2 revealed high satisfaction with the instrument. The code set basis of the CSI-CY extends the common language of the ICF-CY to practical educational use for children with CCN across diagnostic groups. The CSI-CY is well regarded as an instrument to inform the content of communication goals related to CCN. Implications for Rehabilitation The CSI-CY will guide rehabilitation professionals to develop goals for children with complex communication impairments. The CSI-CY is a new instrument that is based on the ICF-CY for documentation of communication goals.

  3. ICF-specific DNMT3B dysfunction interferes with intragenic regulation of mRNA transcription and alternative splicing.

    PubMed

    Gatto, Sole; Gagliardi, Miriam; Franzese, Monica; Leppert, Sylwia; Papa, Mariarosaria; Cammisa, Marco; Grillo, Giacomo; Velasco, Guillame; Francastel, Claire; Toubiana, Shir; D'Esposito, Maurizio; Angelini, Claudia; Matarazzo, Maria R

    2017-03-09

    Hypomorphic mutations in DNA-methyltransferase DNMT3B cause majority of the rare disorder Immunodeficiency, Centromere instability and Facial anomalies syndrome cases (ICF1). By unspecified mechanisms, mutant-DNMT3B interferes with lymphoid-specific pathways resulting in immune response defects. Interestingly, recent findings report that DNMT3B shapes intragenic CpG-methylation of highly-transcribed genes. However, how the DNMT3B-dependent epigenetic network modulates transcription and whether ICF1-specific mutations impair this process remains unknown. We performed a transcriptomic and epigenomic study in patient-derived B-cell lines to investigate the genome-scale effects of DNMT3B dysfunction. We highlighted that altered intragenic CpG-methylation impairs multiple aspects of transcriptional regulation, like alternative TSS usage, antisense transcription and exon splicing. These defects preferentially associate with changes of intragenic H3K4me3 and at lesser extent of H3K27me3 and H3K36me3. In addition, we highlighted a novel DNMT3B activity in modulating the self-regulatory circuit of sense-antisense pairs and the exon skipping during alternative splicing, through interacting with RNA molecules. Strikingly, altered transcription affects disease relevant genes, as for instance the memory-B cell marker CD27 and PTPRC genes, providing us with biological insights into the ICF1-syndrome pathogenesis. Our genome-scale approach sheds light on the mechanisms still poorly understood of the intragenic function of DNMT3B and DNA methylation in gene expression regulation.

  4. Health behaviour change theories: contributions to an ICF-based behavioural exercise therapy for individuals with chronic diseases.

    PubMed

    Geidl, Wolfgang; Semrau, Jana; Pfeifer, Klaus

    2014-01-01

    The purpose of this perspective is (1) to incorporate recent psychological health behaviour change (HBC) theories into exercise therapeutic programmes, and (2) to introduce the International Classification of Functioning (ICF)-based concept of a behavioural exercise therapy (BET). Relevant personal modifiable factors of physical activity (PA) were identified based on three recent psychological HBC theories. Following the principles of intervention mapping, a matrix of proximal programme objectives specifies desirable parameter values for each personal factor. As a result of analysing reviews on behavioural techniques and intervention programmes of the German rehabilitation setting, we identified exercise-related techniques that impact the personal determinants. Finally, the techniques were integrated into an ICF-based BET concept. Individuals' attitudes, skills, emotions, beliefs and knowledge are important personal factors of PA behaviour. BET systematically addresses these personal factors by a systematic combination of adequate exercise contents with related behavioural techniques. The presented 28 intervention techniques serve as a theory-driven "tool box" for designing complex BET programmes to promote PA. The current paper highlights the usefulness of theory-based integrative research in the field of exercise therapy, offers explicit methods and contents for physical therapists to promote PA behaviour, and introduces the ICF-based conceptual idea of a BET. Implications for Rehabilitation Irrespective of the clients' indication, therapeutic exercise programmes should incorporate effective, theory-based approaches to promote physical activity. Central determinants of physical activity behaviour are a number of personal factors: individuals' attitudes, skills, emotions, beliefs and knowledge. Clinicians implementing exercise therapy should set it within a wider theoretical framework including the personal factors that influence physical activity. To increase

  5. Differences in functioning of individuals with tetraplegia and paraplegia according to the International Classification of Functioning, Disability and Health (ICF).

    PubMed

    Herrmann, K H; Kirchberger, I; Biering-Sørensen, F; Cieza, A

    2011-04-01

    Cross-sectional, multicenter study. To identify and quantify the differences in functioning of individuals with tetraplegia versus paraplegia using the International Classification of Functioning, Disability and Health (ICF) as a frame of reference. International. Functional problems of 1048 participants with spinal cord injury in 16 study centers in 14 countries were recorded using ICF categories. The level of significance and odds ratios (OR) for experiencing each of these functional problems were reported for individuals with tetraplegia and paraplegia. Regression models were adjusted for age, age squared, early post-acute or long-term context, gender and for world regions. Persons with tetraplegia are more at risk than persons with paraplegia to have difficulties in 36.4% categories of the component body functions. In the component body structures, 40% of the categories show significant differences. Individuals with tetraplegia indicate problems in three categories, whereas individuals with paraplegia are more likely to indicate problems in one category. Most categories indicating difficulties (56.6%) for persons with tetraplegia were found for the component activities and participation. The component with the highest congruency was the environmental factors. Overall, 3.7% categories (of the persons with tetraplegia as experienced, 2.4% of the categories as barriers, whereas 4.9% were experienced to be facilitators) obtained OR, indicating individuals with tetraplegia having more difficulties. The logistic regression analysis identified a variety of differences in functional problems in individuals with tetraplegia compared with individuals with paraplegia. The ICF has the potential to indicate the differences in health conditions.

  6. Participation frequency and perceived participation restrictions at older age: applying the International Classification of Functioning, Disability and Health (ICF) framework.

    PubMed

    Arnadottir, Solveig A; Gunnarsdottir, Elin D; Stenlund, Hans; Lundin-Olsson, Lillemor

    2011-01-01

    To identify variables from different components of International Classification of Functioning, Disability and Health (ICF) associated with older people's participation frequency and perceived participation restrictions. Participants (N = 186) were community-living, 65-88 years old and 52% men. The dependent variables, participation frequency (linear regression) and perceived participation restrictions (logistic regression), were measured using The Late-Life Function and Disability Instrument. Independent variables were selected from various ICF components. Higher participation frequency was associated with living in urban rather than rural community (β = 2.8, p < 0.001), physically active lifestyle (β = 4.6, p < 0.001) and higher cognitive function (β = 0.3, p = 0.009). Lower participation frequency was associated with being older (β = -0.2, p = 0.002) and depressive symptoms (β = -0.2, p = 0.029). Older adults living in urban areas, having more advanced lower extremities capacity, or that were employed had higher odds of less perceived participation restrictions (adjusted odds ratio [OR] = 5.5, p = 0.001; OR = 1.09, p < 0.001; OR = 3.7, p = 0.011; respectively). In contrast, the odds of less perceived participation restriction decreased as depressive symptoms increased (OR = 0.8, p = 0.011). Our results highlight the importance of capturing and understanding both frequency and restriction aspects of older persons' participation. ICF may be a helpful reference to map factors associated with participation and to study further potentially modifiable influencing factors such as depressive symptoms and advanced lower extremity capacity.

  7. Linking of the American Academy of Orthopaedic Surgeons Distal Radius Fracture Clinical Practice Guidelines to the International Classification of Functioning, Disability, and Health; International Classification of Diseases; and ICF Core Sets for Hand Conditions

    PubMed Central

    Esakki, Saravanan; MacDermid, Joy; Vajravelu, Saipriya

    2016-01-01

    Background: American Academy of Orthopaedic Surgeons (AAOS) distal radius fracture (DRF) clinical practice guidelines (CPG) are readily available to clinicians, patients, and policymakers. International Classification of Functioning, Disability, and Health (ICF) provides a framework for describing the impact of health conditions. The International Classification of Diseases–10th Revision (ICD-10) is a classification system to classify health conditions as specific disease or disorders. The aim of this study is to analyze and describe the scope and focus of the AAOS DRF CPG using the ICF and ICD-10 as a basis for content analysis, and to compare the content of the CPG with the ICF hand core sets as the reference standard. Methods: Established linking rules were used by 2 independent raters to analyze the 29 recommendations of the AAOS DRF CPG. ICD-10 codes were assigned in the same process. Summary linkage statistics were used to describe the results for ICF and the hand core sets. Results: Among the 29 recommendations of the AAOS DRF CPG, 5 meaningful concepts were linked to the ICF codes. Of these, 5 codes appeared on the comprehensive ICF core set and only 3 codes appeared in the brief ICF core set, and 7 conditions were covered in ICD-10 codes. Conclusions: The AAOS DRF CPG focuses on surgical interventions and has minimal linkage to the constructs of the ICD-10 and ICF. It does not address activity or participation (disability), and is not well linked to key concepts relevant to hand conditions. PMID:27698634

  8. Linking of the American Academy of Orthopaedic Surgeons Distal Radius Fracture Clinical Practice Guidelines to the International Classification of Functioning, Disability, and Health; International Classification of Diseases; and ICF Core Sets for Hand Conditions.

    PubMed

    Esakki, Saravanan; MacDermid, Joy; Vajravelu, Saipriya

    2016-09-01

    Background: American Academy of Orthopaedic Surgeons (AAOS) distal radius fracture (DRF) clinical practice guidelines (CPG) are readily available to clinicians, patients, and policymakers. International Classification of Functioning, Disability, and Health (ICF) provides a framework for describing the impact of health conditions. The International Classification of Diseases-10th Revision (ICD-10) is a classification system to classify health conditions as specific disease or disorders. The aim of this study is to analyze and describe the scope and focus of the AAOS DRF CPG using the ICF and ICD-10 as a basis for content analysis, and to compare the content of the CPG with the ICF hand core sets as the reference standard. Methods: Established linking rules were used by 2 independent raters to analyze the 29 recommendations of the AAOS DRF CPG. ICD-10 codes were assigned in the same process. Summary linkage statistics were used to describe the results for ICF and the hand core sets. Results: Among the 29 recommendations of the AAOS DRF CPG, 5 meaningful concepts were linked to the ICF codes. Of these, 5 codes appeared on the comprehensive ICF core set and only 3 codes appeared in the brief ICF core set, and 7 conditions were covered in ICD-10 codes. Conclusions: The AAOS DRF CPG focuses on surgical interventions and has minimal linkage to the constructs of the ICD-10 and ICF. It does not address activity or participation (disability), and is not well linked to key concepts relevant to hand conditions.

  9. A Method to Compare ICF and SNOMED CT for Coverage of U.S. Social Security Administration’s Disability Listing Criteria

    PubMed Central

    Tu, Samson W.; Nyulas, Csongor I.; Tudorache, Tania; Musen, Mark A.

    2015-01-01

    We developed a method to evaluate the extent to which the International Classification of Function, Disability, and Health (ICF) and SNOMED CT cover concepts used in the disability listing criteria of the U.S. Social Security Administration’s “Blue Book.” First we decomposed the criteria into their constituent concepts and relationships. We defined different types of mappings and manually mapped the recognized concepts and relationships to either ICF or SNOMED CT. We defined various metrics for measuring the coverage of each terminology, taking into account the effects of inexact matches and frequency of occurrence. We validated our method by mapping the terms in the disability criteria of Adult Listings, Chapter 12 (Mental Disorders). SNOMED CT dominates ICF in almost all the metrics that we have computed. The method is applicable for determining any terminology’s coverage of eligibility criteria. PMID:26958262

  10. White Paper on Ion Beam Transport for ICF: Issues, R&D Need,and Tri-Lab Plans

    SciTech Connect

    Olson, C.; Lee, E.; Langdon, B.

    2005-05-04

    To date, most resources for ion beam fusion have been devoted to development of accelerators and target physics; relatively few resources have gone into ion beam transport development. Because of theoretical studies and substantial experience with electron beam transport, the ion beam transport community is now poised to develop and optimize ion beam transport for ICF. Because of this Tri-Lab effort, a path for coordinated development of ion beam transport has been established. The rate of progress along this path will now be determined largely by the availability of resources.

  11. Block Ignition Inertial Confinement Fusion (ICF) with Condensed Matter Cluster Type Targets for p-B11 Powered Space Propulsion

    SciTech Connect

    Miley, George H.; Hora, H.; Badziak, J.; Wolowski, J.; Sheng Zhengming; Zhang Jie; Osman, F.; Zhang Weiyan; Tuhe Xia

    2009-03-16

    The use of laser-driven Inertial Confinement Fusion (ICF) for space propulsion has been the subject of several earlier conceptual design studies, (see: Orth, 1998; and other references therein). However, these studies were based on older ICF technology using either 'direct' or 'in-direct x-ray driven' type target irradiation. Important new directions have opened for laser ICF in recent years following the development of 'chirped' lasers capable of ultra short pulses with powers of TW up to few PW which leads to the concept of 'fast ignition (FI)' to achieve higher energy gains from target implosions. In a recent publication the authors showed that use of a modified type of FI, termed 'block ignition' (Miley et al., 2008), could meet many of the requirements anticipated (but not then available) by the designs of the Vehicle for Interplanetary Space Transport Applications (VISTA) ICF fusion propulsion ship (Orth, 2008) for deep space missions. Subsequently the first author devised and presented concepts for imbedding high density condensed matter 'clusters' of deuterium into the target to obtain ultra high local fusion reaction rates (Miley, 2008). Such rates are possible due to the high density of the clusters (over an order of magnitude above cryogenic deuterium). Once compressed by the implosion, the yet higher density gives an ultra high reaction rate over the cluster volume since the fusion rate is proportional to the square of the fuel density. Most recently, a new discovery discussed here indicates that the target matrix could be composed of B{sup 11} with proton clusters imbedded. This then makes p-B{sup 11} fusion practical, assuming all of the physics issues such as stability of the clusters during compression are resolved. Indeed, p-B{sup 11} power is ideal for fusion propulsion since it has a minimum of unwanted side products while giving most of the reaction energy to energetic alpha particles which can be directed into an exhaust (propulsion) nozzle

  12. A systematic review of measures of shoulder pain and functioning using the International classification of functioning, disability and health (ICF)

    PubMed Central

    2013-01-01

    Background Shoulder pain is a common condition with prevalence estimates of 7–26% and the associated disability is multi-faceted. For functional assessments in clinic and research, a number of condition-specific and generic measures are available. With the approval of the ICF, a system is now available for the analysis of health status measures. The aims of this systematic literature review were to identify the most frequently addressed aspects of functioning in assessments of shoulder pain and provide an overview of the content of frequently used measures. Methods Meaningful concepts of the identified measures were extracted and linked to the most precise ICF categories. Second-level categories with a relative frequency above 1% and the content of measures with at least 5 citations were reported. Results A set of 40 second-level ICF categories were identified in 370 single-item measures and 105 multi-item measures, of these, 28 belonged to activities and participation, 11 to body functions and structures and 1 to environmental factors. The most frequently addressed concepts were: pain; movement-related body functions and structures; sleep, hand and arm use, self-care, household tasks, work and employment, and leisure. Concepts of psycho-social functions and environmental factors were less frequently included. The content overview of commonly used condition-specific and generic measures displayed large variations in the number of included concepts. The most wide-ranging measures, the DASH and ASES were linked to 23 and 16 second-level ICF categories, respectively, whereas the Constant were linked to 7 categories and the SST and the SPADI to 6 categories each. Conclusions This systematic review displayed that measures used for shoulder pain included more than twice as many concepts of activities and participation than concepts of body functions and structures. Environmental factors were scarcely addressed. The huge differences in the content of the condition

  13. Using the refined ICF Linking Rules to compare the content of existing instruments and assessments: a systematic review and exemplary analysis of instruments measuring participation.

    PubMed

    Ballert, Carolina S; Hopfe, Maren; Kus, Sandra; Mader, Luzius; Prodinger, Birgit

    2016-07-14

    Existing instruments measuring participation may vary with respect to various aspects. This study aimed to examine the comparability of existing instruments measuring participation based on the International Classification of Functioning, Disability and Health (ICF) by considering aspects of content, the perspective adopted and the categorization of response options. A systematic literature review was conducted to identify instruments that have been commonly used to measure participation. Concepts of identified instruments were then linked to the ICF following the refined ICF Linking Rules. Aspects of content, perspective adopted and categorization of response options were documented. Out of 315 instruments identified in the full-text screening, 41 instruments were included. Concepts of six instruments were linked entirely to the ICF component Activities and Participation; of 10 instruments still 80% of their concepts. A descriptive perspective was adopted in most items across instruments (75%), mostly in combination with an intensity rating. An appraisal perspective was found in 18% and questions from a need or dependency perspective were least frequent (7%). Accounting for aspects of content, perspective and categorization of responses in the linking of instruments to the ICF provides detailed information for the comparison of instruments and guidance on narrowing down the choices of suitable instruments from a content point of view. Implications for Rehabilitation For clinicians and researchers who need to identify a specific instrument for a given purpose, the findings of this review can serve as a screening tool for instruments measuring participation in terms of the following: • Their content covered based on the ICF. • The perspective adopted in the instrument (e.g., descriptive, need/dependency or appraisal). • The categorization of their response options (e.g., intensity or frequency).

  14. Mapping two measures to the International Classification Of Functioning, Disability and Health and the brief ICF core set for spinal cord injury in the post-acute context.

    PubMed

    Joseph, Conran; Phillips, Julie; Wahman, Kerstin; Nilsson Wikmar, Lena

    2016-08-01

    To evaluate the extent to which the rehabilitation outcome levels (ROL) and the spinal cord independence measure (SCIM) III could be mapped to the International Classification of Functioning, Disability and Health (ICF) and the brief core set for spinal cord injury (SCI) in the post-acute context. Two professionals used the published protocol to map the concepts derived from both measures to the ICF categories. Further, the endorsed categories at the second level of the ICF were used to determine the coverage of the Brief ICF Core Set for SCI. Three items of the ROL could not be conceptualised within the ICF, while the rest were mapped to 42 second-level categories, mainly to the activity and participation domain. All the items of the SCIM III were mapped, yielding 52 ICF categories, mostly at the third level (32). For the mapping to the Core Set for SCI, the ROL covered five and the SCIM III all nine categories of 'activities and participation' included as the candidate categories of the brief version. In terms of content, the ROL appears to be a more global measure of functioning, compared with the SCIM III that covers specific 'activity' aspects as proposed in the Brief Core Set for SCI. It is thus recommended that standardised measures, such as the SCIM III, be used due to its conceptual underpinnings and coverage of important aspects. Implications for Rehabilitation Rehabilitation professionals should select appropriately validated outcome measures specific to the health condition in order to evaluate the effectiveness of rehabilitation. Rehabilitation professional working with outcome measures should be aware of the limitations of measures, in terms of content, and supplement the evaluation with appropriate standardised measures or the use of the Core Sets. To enhance evidence-based practise in routine clinical practise, standardised outcome measures should be used.

  15. The holistic claims of the biopsychosocial conception of WHO's International Classification of Functioning, Disability, and Health (ICF): a conceptual analysis on the basis of a pluralistic-holistic ontology and multidimensional view of the human being.

    PubMed

    Solli, Hans Magnus; da Silva, António Barbosa

    2012-06-01

    The International Classification of Functioning, Disability and Health (ICF), designed by the WHO, attempts to provide a holistic model of functioning and disability by integrating a medical model with a social one. The aim of this article is to analyze the ICF's claim to holism. The following components of the ICF's complexity are analyzed: (1) health condition, (2) body functions and structures, (3) activity, (4) participation, (5) environmental factors, (6) personal factors, and (7) health. Although the ICF claims to be holistic, it presupposes a monistic materialistic ontology. We indicate some limitations of this ontology, proposing instead: (a) a pluralistic-holistic ontology (PHO) and (b) a multidimensional view of the human being, with individual and environmental aspects, in relation to three levels of reality implied by the PHO. For the ICF to attain its holistic claim, the interactions between its components should be based on (a) and (b).

  16. The ICF: International Classification of Functioning, Disability and Health (ICF)--a Swiss army knife? Accessibility and disability in a Scandinavian disability magazine (SDM)--a quantitative content analysis.

    PubMed

    Lundälv, Jörgen; Larsson, Per-Olof; Törnbom, Marie; Sunnerhagen, Katharina Stibrant

    2012-11-01

    The study describes the extent to which the concept of accessibility and accessibility issues has been reported in a national Scandinavian disability magazine. In this study particular attention is paid to how the compatibility between the various domains of the international classification - International Classification of Functioning, Disability and Health (ICF) - has been covered in the magazine over a decade. Furthermore, other types of descriptions that the magazine has made of accessibility for people with physical disabilities are considered. The study is based on a quantitative content analysis of a total of 326 articles from the Swedish disability magazine (SDM); 450 text pages published during the years 2000-2009. The magazine's coverage has been comprehensive. More than half of the studied texts were news items about various accessibility issues. Every third article can be characterised as a news article or feature article. The most frequently reported of the ICF domains consist of two perspectives: environmental accessibility and civil rights. Public opinion articles in the form of letters to editors and editorials focused on accessibility have a low frequency. Likewise, research reports are few. The study has included a review of illustrations and photographs. The illustrations are generally of high quality, reinforcing the disability message of the article. Crown Copyright © 2012. Published by Elsevier Ireland Ltd. All rights reserved.

  17. Laser program annual report 1983

    SciTech Connect

    Hendricks, C.D.; Rufer, M.L.; Murphy, P.W.

    1984-06-01

    In the 1983 Laser Program Annual Report we present the accomplishments and unclassified activities of the Laser Program at Lawrence Livermore National laboratory (LLNL) for the year 1983. It should be noted that the report, of necessity, is a summary, and more detailed expositions of the research can be found in the many publications and reports authored by staff members in the Laser Program. The purpose of this report is to present our work in a brief form, but with sufficient depth to provide an overview of the analytical and experimental aspects of the LLNL Inertial-Confinement Fusion (ICF) Program. The format of this report is basically the same as that of previous years. Section 1 is an overview and highlights the important accomplishments and directions of the Program. Sections 2 through 7 provide the detailed information on the various major parts of the Program: Laser Systems and Operations, Target Design, Target Fabrication, Fusion Experiments, Laser Research and Development, and Energy Applications.

  18. Everyday functions and needs of individuals with disability: a reliability and validity study based on the principles of the ICF.

    PubMed

    Marton, Klára; Kövi, Zsuzsanna; Farkas, Lajos; Egri, Tímea

    2014-01-01

    The goal of this study was to develop and validate a questionnaire to measure everyday functions of individuals with disability based on the principles of the International Classification of Functioning, Disability, and Health (ICF). Participants consisted of 1116 individuals. The final sample was representative for the following criteria: disability, gender, age, and residence. The questionnaire consisted of 4 sections. In addition to general and demographic questions, we developed 258 statements about everyday functioning based on the items from the ICF. The Cronbach alphas showed adequate internal reliability for the different scales: range of Cronbach alphas on the main sample: .624 to .904; range of Cronbach alphas on the test-retest sample: .627 to .921. Correlations with validating scales were typically high. Individuals with disability showed lower mean scores in each area compared to controls but the profiles of the different groups with disability varied across areas. The data also showed that physical status by itself does not determine everyday functioning. Several participants across groups showed that despite severe physical disability, one may exhibit high values of everyday functioning and well-being. Our questionnaire is a valid and reliable method to measure everyday functioning in individuals with different disabilities. The various versions of the questionnaire (computerized, paper-pencil, easy to understand) ensure that everyone's functioning and well-being can be assessed.

  19. [Scientific-professional production on the ICF disability model in Spain. A literature review (2001-2010)].

    PubMed

    Comín Comín, Magdalena; Ruiz Garrós, Cristina; Franco, Esther; Damian, Javier; Ruiz Tovar, Maria; de Pedro-Cuesta, Jesús

    2011-12-01

    To quantify the use of the International Classification of Functioning, Disability and Health (ICF) in Spain on the basis of published reports, and to compare this use with that in other European countries. We reviewed the scientific literature published by, or with the participation of, authors having Spanish institutional affiliations in Spanish or international journals between May 2001 and June 2010. A total of 47 papers were identified, with a recent annual increase in those published in English. There was a predominance of theoretical journals (53.1%) and those specializing in mental health, rehabilitation and disability, with a medium or low impact factor. The World Health Organization-Disability Assessment Schedule (WHODAS-II) was used in 27.6% of publications. Most studies addressed adult populations with mental illness. Spain ranked midway in the table of European countries (fifth by Medline references). This review suggests that the effective application of the ICF in Spain is limited but is increasing and is internationally co-ordinated. The main fields of application are theoretical and diagnostic, in various clinical, rehabilitation and population-based contexts and, to a much lesser extent, in health services. Copyright © 2011 SESPAS. Published by Elsevier Espana. All rights reserved.

  20. Developing an ICF core set for post-stroke disability assessment and verification in Taiwan: a preliminary study.

    PubMed

    Chang, Kwang-Hwa; Chen, Hung-Chou; Lin, Yennung; Chen, Shih-Ching; Chiou, Hung-Yi; Liou, Tsan-Hon

    2012-01-01

    The purpose of this study was to develop an ICF core set for post-stroke disability assessment and verification of bio-psycho-social problems. Using the Delphi method, a consensus process was conducted. In total, 24 multidisciplinary experts from different institutions completed the consensus process. The questionnaire for the study comprised 144 ICF second-level, stroke-relevant categories. A 5-point Likert-type scale was used by participants to weight the impact of each category on activities of daily life after a stroke. Consensus of ratings was assessed with Spearman's rho and semi-interquartile range indices. The core set for post-stroke disability assessment and verification was developed from those categories with a mean score ≥4.0 found in the third round of the Delphi exercise. The core set for post-stroke disability assessment and verification contained 51 categories. Of these, 18 categories were from the component body functions, one from body structures, 22 from activities and participation, and 10 from environmental factors. The mean (standard deviation) Spearman's rho was 0.72 (0.14), and Cronbach's α was 0.98. The preliminary core set for post-stroke disability assessment and verification can offer comprehensive information on the performance of daily-life activities of chronic stroke survivors. Further validation is required.

  1. The Physics of Ignition Scale Hohlraums and ICF Implosions: When does size matter?

    NASA Astrophysics Data System (ADS)

    Rosen, Mordecai

    2011-10-01

    Ignition scale, high drive, hohlraums with ICF ignition capsules are four times larger than any laser-illuminated targets attempted previously. In addition, the precision in symmetry and pulse-shape / shock timing required for achieving ignition is quite stringent. This tutorial deals with the challenges presented by these issues. They are now subject to experimental study, facilitated by the capability of the National Ignition Facility (NIF) to deliver, with great precision, the very large laser energy and power needed for ignition. Given this large excursion in scale size, we disentangle here the following: What elements of our previous understanding, based on smaller scale laser experiments, might carry over smoothly to this regime, because they are scale independent? On the other hand, which might need to be refined, because small-scale experimental results were not sufficiently sensitive to issues that may become more important at NIF scale? For example, we explain how hohlraum x-ray drive has an additional component due to the large scale size, allowing Au coronal emission to play a role. Yet at the same time, we explain, on firm theoretical grounds, why certain changes/improvements in hohlraum design, based on previous results on smaller scale lasers, can be made with confidence: Size doesn't always matter. Similarly, we show how large scale-lengths may bring laser-plasma-instabilities (LPI) into more prominence. Equally important, however, is our understanding of how LPI is affected by the basic plasma conditions (Te, ne) . A valuable knowledge base of these basics was obtained via experiments on smaller facilities. A third such example of the interplay between scale dependent and independent phenomena involves the soft-x-ray transport in the CH capsule ablator, in the presence of the higher Z dopants. These dopants are, by design, placed in the ablator in order to control higher frequency x-ray preheat. We present a computational model, (the ``High Flux

  2. Time-dependent nuclear measurements of fuel-shell mix in ICF implosions at OMEGA

    NASA Astrophysics Data System (ADS)

    Rygg, J. Ryan

    2006-10-01

    Fuel-shell mix remains a pivotal concern in inertial confinement fusion (ICF), as it can preclude ignition. Mix is the result of saturation of Rayleigh-Taylor (RT) instability growth at a density interface that leads to small-scale, turbulent eddies and atomic-level mixing of cool, high-density fuel in the shell with hot, low-density fuel in the core. If sufficient mixing occurs, it will disrupt the formation of the ``hot-spot'' required for ignition. To sensitively probe the evolution and extent of mix in spherical implosions, the time dependence of the D^3He nuclear reaction rate was measured from implosions of capsules filled with pure ^3He. The capsule shell was comprised of a 1-μm layer of CD inside a 19-μm layer of CH. Nuclear burn will only occur in such capsules if there is sufficient mixing of D from the shell with hot ^3He in the core. By utilizing novel D^3He reaction-rate and proton spectrometers, all sensitive to the 14.7 MeV D^3He protons, a comprehensive, time dependent picture of mix was constructed. Important qualitative features were immediately evident: first, the shock burn of D^3He, always present for gas fills of D^3He, was absent, enabling a strong limit to be set on the amount and extent of D penetration into the ^3He. Second, the time necessary for RT instabilities to induce mix and to be heated by the hot core resulted in a 90 ps delay in the D^3He bang time as compared to bang time for implosions with D^3He fills. And third, when the gas pressure of ^3He was reduced from 20 to 4 atm, the extent of mix was enhanced by about a factor of 5. This work was supported in part by LLE, LLNL, the U.S. DoE, and the N.Y. State Energy Research and Development Authority.

  3. Measurement and analysis of wavefront structure from large-aperture ICF optics

    NASA Astrophysics Data System (ADS)

    Wolfe, C. Robert; Lawson, Janice K.

    1995-12-01

    This paper discusses the techniques, developed over the past year, for high spatial resolution measurement and analysis of the transmitted and/or reflected wavefront of large aperture ICF optical components. Parts up to 400 mm by 750 mm have been measured and include: laser slabs, windows, KDP crystals and lenses. The measurements were performed using state-of- the-art commercial phase shifting interferometers at a wavelength of 633 micrometer. Both 1 and 2-D Fourier analysis have been used to characterize the wavefront; specifically the power spectral density (PSD) function was calculated. The PSDs of several precision optical components are shown. The PSD(nu) is proportional to the (amplitude)2 of components of the Fourier frequency spectrum. The PSD describes the scattered intensity and direction as a function of scattering angle in the wavefront. The capability of commercial software is limited to 1-D Fourier analysis only. We are developing our own 2-D analysis capability in support of work to revise specifications for NIF optics. Two-dimensional analysis uses the entire wavefront phase map to construct 2-D PSD functions. We have been able to increase the signal-to-noise relative to 1-D and can observe very subtle wavefront structure. The physics of the NIF laser design dictate partitioning the wavefront into three regimes of spatial wavelength (or spatial frequency). We discuss the data in terms of the following three scale length regimes: (1) short scale, or 'micro roughness,' having scale lengths less than 120 micrometer; (2) mid-spatial scale, with scale lengths from 0.12 to 33 mm; and (3) long scale, or conventional 'optical figure/curvature,' having scale lengths greater than 33 mm. Regular repetitive wavefront structure has been observed in all three regimes, ranging from 10 micrometer to 100 mm in scale length. The magnitude of these structures are typically from lambda/100 to lambda/20. Structure has been detected in optical materials and on the

  4. Linking of the Patient Rated Elbow Evaluation (PREE) and the American Shoulder and Elbow Surgeons - Elbow questionnaire (pASES-e) to the International Classification of Functioning Disability and Health (ICF) and Hand Core Sets.

    PubMed

    Vincent, Joshua I; MacDermid, Joy C; King, Graham J W; Grewal, Ruby

    2015-01-01

    Content analysis-ICF linking. The Patient Rated Elbow Evaluation (PREE) and the self-report section of the American Shoulder and Elbow Surgeons society - Elbow form (ASES-e) are the two commonly used elbow pain and disability self-report measures (PROs). The content of these questions have never been analyzed in light of the International Classification of Functioning Disability and Health (ICF) which is the current standard to describe health and health-related states. The purposes of this study were to analyze the conceptual basis of the PREE and the ASES-e by linking the meaningful concepts in these PROs to the ICF using standardized linking rules and to determine the extent to which the ICF core set for hand conditions cover the content of elbow questionnaires using summary ICF linkage indicators. Two raters linked the two PROs to the ICF using the linking rules proposed by Cieza and colleagues. Percentage agreement was calculated between the raters. Summary linkage indicators proposed by MacDermid were used to estimate the extent to which the ICF core set for hand conditions cover the content of the elbow questionnaires. All the items of the PREE (Measure to ICF linkage - 100%) and all but one item of the pASES-e (Measure to ICF linkage - 95%) were linked to the ICF. The satisfaction item on the ASES-e was not-covered by the ICF. Percentage agreement on linking between the raters was 96% and 95% for the PREE and the pASES-e respectively. The unique linkage of the PREE and the pASES-e to the unique codes on the brief and comprehensive core set were lower than absolute linkage to the core set for hand conditions. The PROs represented less than 20% of the comprehensive core set and more than 70% of the brief core set. While for the unique core set disability representation the 2 PROMs represented 100% brief core set unique disability codes and less than 35% of the comprehensive core set unique disability codes. The PREE and the ASES-e are aligned with the ICF

  5. A Comparative Analysis of the Functional Disability Levels of Adult Day Care, Adult Day Health and ICF-Level Nursing Home Elderly in Hawaii.

    ERIC Educational Resources Information Center

    Hayashida, Cullen T.

    This study compared the functional disability levels of participants in adult day centers with patients in intermediate care facilities (ICFs). A three-page questionnaire measuring demographics, social resources, physical health, mental health, and activities of daily living as assessed by the Activities of Daily Living scale and the Instrumental…

  6. Perspectives on the International Classification of Functioning, Disability, and Health: Child and Youth Version (ICF-CY) and Occupational Therapy Practice

    ERIC Educational Resources Information Center

    Cramm, Heidi; Aiken, Alice B.; Stewart, Debra

    2012-01-01

    Classifying disability for children and youth has typically meant describing a diagnosis or developmental lag. The publication of the "International Classification of Functioning, Disability and Health: Child & Youth" version (ICF-CY) marks a global paradigm shift in the conceptualization and classification of childhood disability. Knowledge and…

  7. Current Methods of Evaluating Speech-Language Outcomes for Preschoolers with Communication Disorders: A Scoping Review Using the ICF-CY

    ERIC Educational Resources Information Center

    Cunningham, Barbara Jane; Washington, Karla N.; Binns, Amanda; Rolfe, Katelyn; Robertson, Bernadette; Rosenbaum, Peter

    2017-01-01

    Purpose: The purpose of this scoping review was to identify current measures used to evaluate speech-language outcomes for preschoolers with communication disorders within the framework of the International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY; World Health Organization, 2007). Method: The review…

  8. Perspectives on the International Classification of Functioning, Disability, and Health: Child and Youth Version (ICF-CY) and Occupational Therapy Practice

    ERIC Educational Resources Information Center

    Cramm, Heidi; Aiken, Alice B.; Stewart, Debra

    2012-01-01

    Classifying disability for children and youth has typically meant describing a diagnosis or developmental lag. The publication of the "International Classification of Functioning, Disability and Health: Child & Youth" version (ICF-CY) marks a global paradigm shift in the conceptualization and classification of childhood disability. Knowledge and…

  9. The Impact of Speech Impairment in Early Childhood: Investigating Parents' and Speech-Language Pathologists' Perspectives Using the ICF-CY

    ERIC Educational Resources Information Center

    McCormack, Jane; McLeod, Sharynne; Harrison, Linda J.; McAllister, Lindy

    2010-01-01

    Purpose: To explore the application of the Activities and Participation component of the International Classification of Functioning, Disability and Health - Children and Youth (ICF-CY, World Health Organization, 2007) as a framework for investigating the perceived impact of speech impairment in childhood. Method: A 32-item questionnaire based on…

  10. Functioning in patients with schizophrenia: a systematic review of the literature using the International Classification of Functioning, Disability and Health (ICF) as a reference.

    PubMed

    Gorostiaga, A; Balluerka, N; Guilera, G; Aliri, J; Barrios, M

    2017-03-01

    To identify and quantify the main concepts included in published studies focusing on individuals with schizophrenia using the International Classification of Functioning, Disability and Health (ICF). Searches (limited to those published from 2008 to 2012) were performed in MEDLINE, PsycINFO and CINAHL. Included studies described participants with schizophrenia, were original articles and included only subjects who were at least 18 years of age at study entry. All concepts underlying the measures and the text of the articles were extracted, and they were linked to ICF categories using standardized rules. From the 3584 abstracts retrieved, 348 were randomly selected, and of these, 206 studies met the inclusion criteria. A total of 17,141 concepts were extracted, 84.8% of which could be linked to 491 ICF categories: 222 (45.21%) of the categories referred to Body Functions, 29 (5.91%) to Body Structures, 186 (37.88%) to Activities and Participation and 54 (11%) to Environmental Factors. Seventy second-level categories were reported in at least 5% of all studies: 30 of these categories referred to Body Functions, 2 to Body Structures, 34 to Activities and Participation and 4 to Environmental Factors. The study has allowed us to identify and quantify the main concepts included in studies focusing on people with schizophrenia using the ICF. The majority of the concepts refer to Body Functions and Activities and Participation, rather than to Body Structures and Environmental Factors.

  11. Harmonizing WHO’s International Classification of Diseases (ICD) and International Classification of Functioning, Disability and Health (ICF): importance and methods to link disease and functioning

    PubMed Central

    2013-01-01

    Background To understand the full burden of a health condition, we need the information on the disease and the information on how that disease impacts the functioning of an individual. The ongoing revision of the International Classification of Diseases (ICD) provides an opportunity to integrate functioning information through the International Classification of Functioning, Disability and Health (ICF). Discussion Part of the ICD revision process includes adding information from the ICF by way of “functioning properties” to capture the impact of the disease on functioning. The ICD content model was developed to provide the structure of information required for each ICD-11 disease entity and one component of this content model is functioning properties. The activities and participation domains from ICF are to be included as the value set for functioning properties in the ICD revision process. Summary The joint use of ICD and ICF could create an integrated health information system that would benefit the implementation of a standard language-based electronic health record to better capture and understand disease and functioning in healthcare. PMID:23938048

  12. The Impact of Speech Impairment in Early Childhood: Investigating Parents' and Speech-Language Pathologists' Perspectives Using the ICF-CY

    ERIC Educational Resources Information Center

    McCormack, Jane; McLeod, Sharynne; Harrison, Linda J.; McAllister, Lindy

    2010-01-01

    Purpose: To explore the application of the Activities and Participation component of the International Classification of Functioning, Disability and Health - Children and Youth (ICF-CY, World Health Organization, 2007) as a framework for investigating the perceived impact of speech impairment in childhood. Method: A 32-item questionnaire based on…

  13. 42 CFR 418.112 - Condition of participation: Hospices that provide hospice care to residents of a SNF/NF or ICF/MR.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    .../MR to assist in the administration of prescribed therapies included in the plan of care only to the... hospice IDG communicates with the SNF/NF or ICF/MR medical director, the patient's attending physician, and other physicians participating in the provision of care to the patient as needed to coordinate the...

  14. 42 CFR 418.112 - Condition of participation: Hospices that provide hospice care to residents of a SNF/NF or ICF/MR.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... hospice care to residents of a SNF/NF or ICF/MR. 418.112 Section 418.112 Public Health CENTERS FOR... notifies the hospice if— (i) A significant change in a patient's physical, mental, social, or emotional.../MR to assist in the administration of prescribed therapies included in the plan of care only to the...

  15. Participation restrictions in patients with psychiatric and/or cognitive disabilities: preliminary results for an ICF-derived assessment tool.

    PubMed

    Belio, C; Prouteau, A; Koleck, M; Saada, Y; Merceron, K; Dayre, E; Destaillats, J M; Barral, C; Mazaux, J M

    2014-03-01

    Participation in community life is a major challenge for most people with psychiatric and/or cognitive disabilities. Current assessments of participation lack a theoretical basis. However, the new International Classification of Functioning, Disability and Health (ICF) provides a relevant framework. The present study used an ICF-derived assessment tool to activity limitations and participation restrictions in two groups of participants with disabilities linked to schizophrenia or traumatic brain injury respectively. Twenty-six items (related to six ICF sections) were selected by reviewing the literature and gathering the clinician's opinions and representatives of patient associations. These items, yielded an ordinal rating of activity limitations, participation restrictions and contextual factors (social support, attitudes and, systems & politics). Special attention was paid to contextual and environmental factors. The final checklist (called the Grid for Measurements of Activity and Participation, G-MAP) was administered to 16 participants with traumatic brain injury (the TBI group) and 15 participants with schizophrenic disorders (the SD group). Psychometric assessments of cognition and, neurobehavioural, psychological and psychosocial functioning were also performed. The internal consistencies for activity limitations (Cronbach's alpha coefficient=0.89) and participation restriction (Cronbach's alpha coefficient=0.89) were satisfactory. We did not observe any significant differences between the two groups in terms of the psychometric test results. The G-MAP scores demonstrated that the two groups were confronted with the same limitations in self care, domestic life, leisure and community life (i.e., the intergroup differences were not statistically significant in Mann-Whitney tests). However, interpersonal relationships and economic and social productivity appeared to be more severely limited in the SD group than in the TBI group. Similarly, participation

  16. ICF, quality of life, and depression in breast cancer: perceived disability in disease-free women 6 months after mastectomy.

    PubMed

    Giardini, Anna; Anna, Giardini; Pisoni, Camilla; Camilla, Pisoni; Giorgi, Ines; Ines, Giorgi; Borelli, Veronica; Veronica, Borelli; Scoccia, Elisabetta; Elisabetta, Scoccia; Majani, Giuseppina; Giuseppina, Majani

    2013-09-01

    Aim of the present observational study is to focus on health-related quality of life (HRQL), mood and everyday life of breast cancer affected women disease-free 6 months after mastectomy, paying particular attention to the International Classification of Functioning, Disability and Health (ICF) framework contribution. Sixty-five breast cancer-affected women disease-free 6 months after mastectomy hospitalized for reconstructive surgery (mean age 46.3 ± 7.3) were enrolled. Their depressive symptoms (Beck Depression Inventory-BDI-II), HRQL, and every day life functioning/barriers and facilitators (ICF) were assessed. At the BDI-II, 6 patients (9.2 %) reported mild depression and 6 (9.2 %) severe depression; when the subscales were considered, 7 (10.8%) resulted depressed at the somatic-affective factor and 16 (24.6 %) at the cognitive factor. Compared to normative data no differences emerged at the HRQL Physical Component Summary (46.4 ± 9.3 vs 49.1 ± 10.1), whereas patients reported lower scores at the Mental HRQL Component Summary (45.9 ± 10.1 vs 51.5 ± 9.1; p = 0.00001 t = -4.3). As for the activity and participation domain, 11 of the 42 categories investigated were compromised in at least 20% of the sample: lifting and carrying objects (d430), acquisition of goods and services (d620), doing housework (d640), remunerative employment (d850), and many categories relating to interpersonal relationships; moreover the caregiver seems to be perceived as an important and positive modulator of disability. The addition of the ICF evaluation to the usual psychological assessment gives a more complete picture, enabling a broader perspective of the psychological-clinical implications. Mainly, the women that we have evaluated continue to function in their everyday lives, thanks in part to their ability to accept help from their own families. However, they inevitably carry signs of their disease which some translating into problems with interpersonal relationships

  17. Aspects of functioning and environmental factors in medical work capacity evaluations of persons with chronic widespread pain and low back pain can be represented by a combination of applicable ICF Core Sets

    PubMed Central

    2012-01-01

    Background Medical work capacity evaluations play a key role in social security schemes because they usually form the basis for eligibility decisions regarding disability benefits. However, the evaluations are often poorly standardized and lack transparency as decisions on work capacity are based on a claimant’s disease rather than on his or her functional capacity. A comprehensive and consistent illustration of a claimant’s lived experience in relation to functioning, applying the International Classification of Functioning, Disability and Health (ICF) and the ICF Core Sets (ICF-CS), potentially enhances transparency and standardization of work capacity evaluations. In our study we wanted to establish whether and how the relevant content of work capacity evaluations can be captured by ICF-CS, using disability claimants with chronic widespread pain (CWP) and low back pain (LBP) as examples. Methods Mixed methods study, involving a qualitative and quantitative content analysis of medical reports. The ICF was used for data coding. The coded categories were ranked according to the percentage of reports in which they were addressed. Relevance thresholds at 25% and 50% were applied. To determine the extent to which the categories above the thresholds are represented by applicable ICF-CS or combinations thereof, measures of the ICF-CS’ degree of coverage (i.e. content validity) and efficiency (i.e. practicability) were defined. Results Focusing on the 25% threshold and combining the Brief ICF-CS for CWP, LBP and depression for CWP reports, the coverage ratio reached 49% and the efficiency ratio 70%. Combining the Brief ICF-CS for LBP, CWP and obesity for LBP reports led to a coverage of 47% and an efficiency of 78%. Conclusions The relevant content of work capacity evaluations involving CWP and LBP can be represented by a combination of applicable ICF-CS. A suitable standard for documenting such evaluations could consist of the Brief ICF-CS for CWP, LBP, and

  18. Generation of an ICF syndrome model by efficient genome editing of human induced pluripotent stem cells using the CRISPR system.

    PubMed

    Horii, Takuro; Tamura, Daiki; Morita, Sumiyo; Kimura, Mika; Hatada, Izuho

    2013-09-30

    Genome manipulation of human induced pluripotent stem (iPS) cells is essential to achieve their full potential as tools for regenerative medicine. To date, however, gene targeting in human pluripotent stem cells (hPSCs) has proven to be extremely difficult. Recently, an efficient genome manipulation technology using the RNA-guided DNase Cas9, the clustered regularly interspaced short palindromic repeats (CRISPR) system, has been developed. Here we report the efficient generation of an iPS cell model for immunodeficiency, centromeric region instability, facial anomalies syndrome (ICF) syndrome using the CRISPR system. We obtained iPS cells with mutations in both alleles of DNA methyltransferase 3B (DNMT3B) in 63% of transfected clones. Our data suggest that the CRISPR system is highly efficient and useful for genome engineering of human iPS cells.

  19. Development of the re-emit technique for ICF foot symmetry tuning for indirect drive ignition on NIF

    NASA Astrophysics Data System (ADS)

    Dewald, Eduard; Milovich, Jose; Edwards, John; Thomas, Cliff; Kalantar, Dan; Meeker, Don; Jones, Ogden

    2007-11-01

    Tuning of the the symmetry of the hohlraum radiation drive for the first 2 ns of the ICF pulse on NIF will be assessed by the re-emit technique [1] which measures the instantaneous x-ray drive asymmetry based on soft x-ray imaging of the re-emission of a high-Z sphere surrogate capsule. We will discuss the design of re-emit foot symmetry tuning measurements planned on NIF and their surrogacy for ignition experiments, including assessing the residual radiation asymmetry of the patches required for soft x-ray imaging. We will present the tuning strategy and expected accuracies based on calculations, analytical estimates and first results from scaled experiments performed at the Omega laser facility. [1] N. Delamater, G. Magelssen, A. Hauer, Phys. Rev. E 53, 5241 (1996.)

  20. Measuring spatial distributions of nuclear burn in ICF implosions at OMEGA and the NIF using proton emission imaging

    NASA Astrophysics Data System (ADS)

    Seguin, Fredrick; Rinderknecht, H. G.; Zylstra, A.; Sio, H.; Frenje, J.; Li, C. K.; Petrasso, R.; Rosenberg, M.; Marshall, F. J.; Sangster, T. C.; McKenty, P.; Craxton, S.; Rygg, J. R.; Le Pape, S.; Smalyuk, V.; Amendt, P. A.; Wilks, S. C.; MacKinnon, A.; Hoffman, N. M.

    2015-11-01

    Fusion reactions in ICF implosions of D3He-filled capsules produce 14.7-MeV D3He protons and 3-MeV DD protons. Spatial distributions of the D3He and DD reactions are studied with a penumbral imaging camera that utilizes a CR-39-based imaging detector to detect the protons. Up to three orthogonal cameras have been used simultaneously at OMEGA to study the 3-D structure of asymmetric implosions, and two orthogonal cameras have now been used to study an exploding-pusher implosion at the NIF. Recent data from OMEGA and from the NIF will be shown. This work was supported in part by NLUF, US DOE, and LLE.

  1. Valid and reliable instruments for arm-hand assessment at ICF activity level in persons with hemiplegia: a systematic review

    PubMed Central

    2012-01-01

    Background Loss of arm-hand performance due to a hemiparesis as a result of stroke or cerebral palsy (CP), leads to large problems in daily life of these patients. Assessment of arm-hand performance is important in both clinical practice and research. To gain more insight in e.g. effectiveness of common therapies for different patient populations with similar clinical characteristics, consensus regarding the choice and use of outcome measures is paramount. To guide this choice, an overview of available instruments is necessary. The aim of this systematic review is to identify, evaluate and categorize instruments, reported to be valid and reliable, assessing arm-hand performance at the ICF activity level in patients with stroke or cerebral palsy. Methods A systematic literature search was performed to identify articles containing instruments assessing arm-hand skilled performance in patients with stroke or cerebral palsy. Instruments were identified and divided into the categories capacity, perceived performance and actual performance. A second search was performed to obtain information on their content and psychometrics. Results Regarding capacity, perceived performance and actual performance, 18, 9 and 3 instruments were included respectively. Only 3 of all included instruments were used and tested in both patient populations. The content of the instruments differed widely regarding the ICF levels measured, assessment of the amount of use versus the quality of use, the inclusion of unimanual and/or bimanual tasks and the inclusion of basic and/or extended tasks. Conclusions Although many instruments assess capacity and perceived performance, a dearth exists of instruments assessing actual performance. In addition, instruments appropriate for more than one patient population are sparse. For actual performance, new instruments have to be developed, with specific focus on the usability in different patient populations and the assessment of quality of use as well as

  2. ICF-based functional components and contextual factors as correlates of perceived quality of life for youth with chronic conditions.

    PubMed

    McDougall, Janette; Wright, Virginia; DeWit, David; Miller, Linda

    2014-01-01

    To explore International Classification of Functioning, Disability and Health (ICF)-based functional components and contextual factors associated with perceived quality of life (QOL) for youth with chronic conditions from the perspective of youth and parents. Baseline data were obtained from a longitudinal study examining predictors of changes in perceived QOL for youth with chronic conditions. 439 youth aged 11-17 (and one of their parents) completed a questionnaire. Standardized tools were used to measure youth functioning, contextual factors and perceived QOL. Multivariate linear regression analyses, controlling for socio-demographic and health information, were conducted to explore correlations among youth functioning/contextual factors and youth and parent perceptions of youth QOL. Significant (p ≤ 0.05) negative correlates with both youth and parent perceptions of youth QOL included pain/other physical symptoms and emotional symptoms. Significant factors positively correlated with youth and parent perceptions of youth QOL included school productivity and spirituality. Other significant positive correlates of youth perspectives were family social support and school belongingness/safety. Family functioning was positively correlated, and youth social anxiety and environmental barriers were negatively correlated, with parent perceptions of youth QOL. This study provides preliminary evidence of factors upon which services aimed at improving perceived QOL of youth with chronic conditions could be based. This study supports the utility of clinicians assessing the QOL of youth with chronic conditions in terms of youths' and their families' perspectives. This is the first study to identify key factors that impact perceived QOL at one point in time across a group of youth with chronic conditions, offering clinicians a main starting-point for considering youths' strengths and needs and the supportiveness of the environment. Findings suggest youth and families

  3. High-Accuracy X-ray Imaging of Meso-scale Targets -- Final Report

    SciTech Connect

    Nederbragt, W W

    2004-02-12

    Hundreds of target assemblies will be constructed annually for use on NIF or OMEGA in the near future. Currently, we do not have the capability to tomographically characterize the target assemblies at the desired resolution. Hence, we cannot verify if an assembly has been assembled correctly. The Engineering Directorate, through the LDRD program, provided funding to help solve this problem. This report describes the work accomplished by this LDRD ER (tracking number: 01-ERD-093). The main focus of the LDRD was on the research and development of an x-ray imaging instrument. The instrument design was based on a Woelter [1] Type-I design. The LDRD-ER began as a mid-year project in April 2001. After 2.5 years the LDRD-ER was combined with other work to create a new LDRD-SI. The LDRD-SI was terminated in December 2003. The x-ray microscope research and development was never completed. This report describes the work that was accomplished. It includes discussions on the instrument concept, the optical design, mandrel fabrication, instrument fabrication, optic fabrication, and optic testing.

  4. Which outcomes are most important to people with aphasia and their families? an international nominal group technique study framed within the ICF.

    PubMed

    Wallace, Sarah J; Worrall, Linda; Rose, Tanya; Le Dorze, Guylaine; Cruice, Madeline; Isaksen, Jytte; Kong, Anthony Pak Hin; Simmons-Mackie, Nina; Scarinci, Nerina; Gauvreau, Christine Alary

    2017-07-01

    To identify important treatment outcomes from the perspective of people with aphasia and their families using the ICF as a frame of reference. The nominal group technique was used with people with aphasia and their family members in seven countries to identify and rank important treatment outcomes from aphasia rehabilitation. People with aphasia identified outcomes for themselves; and family members identified outcomes for themselves and for the person with aphasia. Outcomes were analysed using qualitative content analysis and ICF linking. A total of 39 people with aphasia and 29 family members participated in one of 16 nominal groups. Inductive qualitative content analysis revealed the following six themes: (1) Improved communication; (2) Increased life participation; (3) Changed attitudes through increased awareness and education about aphasia; (4) Recovered normality; (5) Improved physical and emotional well-being; and (6) Improved health (and support) services. Prioritized outcomes for both participant groups linked to all ICF components; primary activity/participation (39%) and body functions (36%) for people with aphasia, and activity/participation (49%) and environmental factors (28%) for family members. Outcomes prioritized by family members relating to the person with aphasia, primarily linked to body functions (60%). People with aphasia and their families identified treatment outcomes which span all components of the ICF. This has implications for research outcome measurement and clinical service provision which currently focuses on the measurement of body function outcomes. The wide range of desired outcomes generated by both people with aphasia and their family members, highlights the importance of collaborative goal setting within a family-centred approach to rehabilitation. These results will be combined with other stakeholder perspectives to establish a core outcome set for aphasia treatment research. Implications for Rehabilitation Important

  5. Using the International Classification of Functioning, Disability and Health (ICF) to Describe Children Referred to Special Care or Paediatric Dental Services

    PubMed Central

    Faulks, Denise; Norderyd, Johanna; Molina, Gustavo; Macgiolla Phadraig, Caoimhin; Scagnet, Gabriela; Eschevins, Caroline; Hennequin, Martine

    2013-01-01

    Children in dentistry are traditionally described in terms of medical diagnosis and prevalence of oral disease. This approach gives little information regarding a child’s capacity to maintain oral health or regarding the social determinants of oral health. The biopsychosocial approach, embodied in the International Classification of Functioning, Disability and Health - Child and Youth version (ICF-CY) (WHO), provides a wider picture of a child’s real-life experience, but practical tools for the application of this model are lacking. This article describes the preliminary empirical study necessary for development of such a tool - an ICF-CY Core Set for Oral Health. An ICF-CY questionnaire was used to identify the medical, functional, social and environmental context of 218 children and adolescents referred to special care or paediatric dental services in France, Sweden, Argentina and Ireland (mean age 8 years ±3.6yrs). International Classification of Disease (ICD-10) diagnoses included disorders of the nervous system (26.1%), Down syndrome (22.0%), mental retardation (17.0%), autistic disorders (16.1%), and dental anxiety alone (11.0%). The most frequently impaired items in the ICF Body functions domain were ‘Intellectual functions’, ‘High-level cognitive functions’, and ‘Attention functions’. In the Activities and Participation domain, participation restriction was frequently reported for 25 items including ‘Handling stress’, ‘Caring for body parts’, ‘Looking after one’s health’ and ‘Speaking’. In the Environment domain, facilitating items included ‘Support of friends’, ‘Attitude of friends’ and ‘Support of immediate family’. One item was reported as an environmental barrier – ‘Societal attitudes’. The ICF-CY can be used to highlight common profiles of functioning, activities, participation and environment shared by children in relation to oral health, despite widely differing medical, social and geographical

  6. Towards comprehensive and transparent reporting: context-s