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Sample records for physics aspects severe

  1. Aspects of B physics

    SciTech Connect

    Gaillard, M.K.

    1987-10-14

    Various aspects of weak decays are commented on. Probing of the standard model and of phenomena beyond the standard model are discussed, followed by a theoretical view of B mesons and some experimental observations on B mesons. The point is made that any data on B decay would be interesting in that it would provide powerful new constraints in analyses of the standard model and extensions thereof. (LEW)

  2. [The parents expectations after baclofen pump implantation in child with severe spasticity in physical rehabilitation and psychological aspects].

    PubMed

    Fafara, Alicja; Kwiatkowski, Stanisław; Kawecka, Joanna; Grzegorzewski, Przemysław; Kawecki, Zdzisław

    2007-01-01

    Treatment of spasticity with intrathecal baclofen pump implantation is a chance for clinical improvement in patients with severe spasticity. It results also in improvement of patients and their families quality of life. The aim of study was to assess the effects after baclofen pump implantation due to parents expectations. The study was performed on a group of 17 parents which children have implantable baclofen pump. According to Assessment of Efficacy in Treatment Spasticity Questionaire was determined if the effects after pump implantation are satisfactory in parents opinion. There were done compartments of results from Questionaire, for which we can say about 1. good effects, 2. satisfactory effects, and 3. unsatifactory effects. In a group of 17 parents of children with implanted baclofen pump 10 assess that the effects after pump implantation are good, 5--effects are satisfactory and 2--effects are unsatisfactory. Parents noted substantial improvement in sleep and rest, in facilitating of body care, in reducing the pain and simplifies followed rehabilitation. Partial dissatifaction comed from excessive expectations due to terapeutical possibilities of the implantable baclofen pump. Intrathecal baclofen therapy brings essential benefits to patients and their families.

  3. Contemporary Aspects of Atomic Physics

    ERIC Educational Resources Information Center

    Knott, R. G. A.

    1972-01-01

    The approach generally used in writing undergraduate textbooks on Atomic and Nuclear Physics presents this branch as historical in nature. Describes the concepts of astrophysics, plasma physics and spectroscopy as contemporary and intriguing for modern scientists. (PS)

  4. Contemporary Aspects of Atomic Physics

    ERIC Educational Resources Information Center

    Knott, R. G. A.

    1972-01-01

    The approach generally used in writing undergraduate textbooks on Atomic and Nuclear Physics presents this branch as historical in nature. Describes the concepts of astrophysics, plasma physics and spectroscopy as contemporary and intriguing for modern scientists. (PS)

  5. Clinical and molecular aspects of severe malaria.

    PubMed

    Kirchgatter, Karin; Del Portillo, Hernando A

    2005-09-01

    The erythrocytic cycle of Plasmodium falciparum presents a particularity in relation to other Plasmodium species that infect man. Mature trophozoites and schizonts are sequestered from the peripheral circulation due to adhesion of infected erythrocytes to host endothelial cells. Modifications in the surface of infected erythrocytes, termed knobs, seem to facilitate adhesion to endothelium and other erythrocytes. Adhesion provides better maturation in the microaerophilic venous atmosphere and allows the parasite to escape clearance by the spleen which recognizes the erythrocytes loss of deformability. Adhesion to the endothelium, or cytoadherence, has an important role in the pathogenicity of the disease, causing occlusion of small vessels and contributing to failure of many organs. Cytoadherence can also describe adhesion of infected erythrocytes to uninfected erythrocytes, a phenomenon widely known as rosetting. Clinical aspects of severe malaria, as well as the host receptors and parasite ligands involved in cytoadherence and rosetting, are reviewed here. The erythrocyte membrane protein 1 of P. falciparum (PfEMP1) appears to be the principal adhesive ligand of infected erythrocytes and will be discussed in more detail. Understanding the role of host receptors and parasite ligands in the development of different clinical syndromes is urgently needed to identify vaccination targets in order to decrease the mortality rates of this disease.

  6. PERSPECTIVE: Physical aspects of cancer invasion

    NASA Astrophysics Data System (ADS)

    Guiot, Caterina; Pugno, Nicola; Delsanto, Pier Paolo; Deisboeck, Thomas S.

    2007-12-01

    Invasiveness, one of the hallmarks of tumor progression, represents the tumor's ability to expand into the host tissue by means of several complex biochemical and biomechanical processes. Since certain aspects of the problem present a striking resemblance with well-known physical mechanisms, such as the mechanical insertion of a solid inclusion in an elastic material specimen (G Eaves 1973 The invasive growth of malignant tumours as a purely mechanical process J. Pathol. 109 233; C Guiot, N Pugno and P P Delsanto 2006 Elastomechanical model of tumor invasion Appl. Phys. Lett. 89 233901) or a water drop impinging on a surface (C Guiot, P P Delsanto and T S Deisboeck 2007 Morphological instability and cancer invasion: a 'splashing water drop' analogy Theor. Biol. Med. Model 4 4), we propose here an analogy between these physical processes and a cancer system's invasive branching into the surrounding tissue. Accounting for its solid and viscous properties, we then arrive, as a unifying model, to an analogy with a granular solid. While our model has been explicitly formulated for multicellular tumor spheroids in vitro, it should also contribute to a better understanding of tumor invasion in vivo.

  7. Interdisciplinary Aspects of Learning: Physics and Psychology

    ERIC Educational Resources Information Center

    Oleg, Yavoruk

    2015-01-01

    The article deals with interdisciplinary aspects of learning in the case of physics and psychology. It describes the lab-based academic course focused on: observation and experimentation; discovery of new scientific facts; measurement; identification of errors; the study of psychological characteristics of people (time perception, the reaction…

  8. Genetic aspects of severe childhood obesity.

    PubMed

    Farooqi, I Sadaf

    2006-12-01

    Genetic factors are involved in the regulation of body weight and in determining individual responses to environmental factors such as diet and exercise. The identification and characterization of monogenic obesity syndromes has led to an improved understanding of the precise nature of the inherited component of severe obesity and has had undoubted medical benefits, whilst helping to dispel the notion that obesity represents an individual defect in behaviour with no biological basis. For individuals at highest risk of the complications of severe obesity, such findings provide a starting point for providing more rational mechanism based therapies as has successfully been achieved for one disorder, congenital leptin deficiency.

  9. Clinical Aspects of Uncomplicated and Severe Malaria

    PubMed Central

    Bartoloni, Alessandro; Zammarchi, Lorenzo

    2012-01-01

    The first symptoms of malaria, common to all the different malaria species, are nonspecific and mimic a flu-like syndrome. Although fever represents the cardinal feature, clinical findings in malaria are extremely diverse and may range in severity from mild headache to serious complications leading to death, particularly in falciparum malaria. As the progression to these complications can be rapid, any malaria patient must be assessed and treated rapidly, and frequent observations are needed to look for early signs of systemic complications. In fact, severe malaria is a life threatening but treatable disease. The protean and nonspecific clinical findings occurring in malaria (fever, malaise, headache, myalgias, jaundice and sometimes gastrointestinal symptoms of nausea, vomiting and diarrhoea) may lead physicians who see malaria infrequently to a wrong diagnosis, such as influenza (particularly during the seasonal epidemic flu), dengue, gastroenteritis, typhoid fever, viral hepatitis, encephalitis. Physicians should be aware that malaria is not a clinical diagnosis but must be diagnosed, or excluded, by performing microscopic examination of blood films. Prompt diagnosis and appropriate treatment are then crucial to prevent morbidity and fatal outcomes. Although Plasmodium falciparum malaria is the major cause of severe malaria and death, increasing evidence has recently emerged that Plasmodium vivax and Plasmodium knowlesi can also be severe and even fatal. PMID:22708041

  10. The many aspects of neutrino physics

    SciTech Connect

    Frieman, J.A.

    1992-01-01

    In mid-November, over seventy physicists gathered at Fermilab for an informal workshop on the Many Aspects of Neutrino Physics, which dovetailed with and also helped lay the groundwork for the succeeding more narrowly focused conference on Long Baseline Neutrino Oscillations. The workshop indeed covered many of the interrelated aspects of neutrino physics: 17 keV neutrinos (experiments, theoretical models, and astrophysical constraints), neutrino properties (double beta decay experiments, neutrino magnetic moments), neutrinos from/as weakly interacting massive particles (WIMPs) in cosmology and astrophysics, atmospheric neutrinos, and solar neutrinos. In the following, I provide a brief and thoroughly biased account of only some of the many interesting developments discussed at the workshop.

  11. Collider Aspects of Flavour Physics at High Q

    SciTech Connect

    del Aguila, F.; Aguilar-Saavedra, J.A.; Allanach, B.C.; Alwall, J.; Andreev, Yu.; Aristizabal Sierra, D.; Bartl, A.; Beccaria, M.; Bejar, S.; Benucci, L.; Bityukov, S.; Borjanovic, I.; Bozzi, G.; Burdman, G.; Carvalho, J.; Castro, N.; Clerbaux, B.; de Campos, F.; de Gouvea, A.; Dennis, C.; Djouadi, A.; /Cambridge U., DAMTP /Louvain U., CP3 /Moscow, INR /Valencia U. /Vienna U. /Salento U. /INFN, Lecce /Barcelona, Autonoma U. /Barcelona, IFAE /INFN, Pisa /Pisa U. /Karlsruhe U. /Sao Paulo U. /LIP, Coimbra /Brussels U. /Sao Paulo U., Guaratingueta /Northwestern U. /Oxford U. /Orsay, LPT /Athens U. /Lisbon U.

    2008-03-07

    This chapter of the report of the 'Flavour in the era of LHC' workshop discusses flavor related issues in the production and decays of heavy states at LHC, both from the experimental side and from the theoretical side. We review top quark physics and discuss flavor aspects of several extensions of the Standard Model, such as supersymmetry, little Higgs model or models with extra dimensions. This includes discovery aspects as well as measurement of several properties of these heavy states. We also present public available computational tools related to this topic.

  12. Quality assurance in radiation therapy: physical aspects

    SciTech Connect

    Svensson, H.

    1984-06-01

    The present status of the quality assurance work regarding the physical aspects in radiation treatment is discussed. In particular, the situation in Europe is surveyed. An analysis of the errors in the delivered absorbed dose to a specified point in the irradiated patient shows that the uncertainty, to approximately the same degree, depends on the dose distribution determination, the dose planning and the patient irradiation. Following the procedure generally in use, the overall uncertainty will be about 8%. The random uncertainties are estimated as one standard deviation and non-random uncertainties to corresponding degree of uncertainty. It is argued that this level must be improved. Furthermore, dose intercomparisons show that in reality much larger errors occur in clinical practice. Different means to improve the situation are discussed.

  13. Aspects of String Phenomenology and New Physics

    NASA Astrophysics Data System (ADS)

    Antoniadis, I.

    I discuss possible connections between several scales in particle physics and cosmology, such the the electroweak, ination, dark energy and Planck scales. In particular, I discuss the physics of extra dimensions and low scale gravity that are motivated from the problem of mass hierarchy, providing an alternative to low energy supersymmetry. I describe their realization in type I string theory with D-branes and I present the main experimental predictions in particle accelerators and their implications in cosmology. I also show that low-mass-scale string compactifications, with a generic D-brane configuration that realizes the Standard Model by open strings, can explain the relatively broad peak in the diphoton invariant mass spectrum at 750 GeV recently reported by the ATLAS and CMS collaborations.

  14. Some 2-Categorical Aspects in Physics

    NASA Astrophysics Data System (ADS)

    Parzygnat, Arthur J.

    2-categories provide a useful transition point between ordinary category theory and infinity-category theory where one can perform concrete computations for applications in physics and at the same time provide rigorous formalism for mathematical structures appearing in physics. We survey three such broad instances. First, we describe two-dimensional algebra as a means of constructing non-abelian parallel transport along surfaces which can be used to describe strings charged under non-abelian gauge groups in string theory. Second, we formalize the notion of convex and cone categories, provide a preliminary categorical definition of entropy, and exhibit several examples. Thirdly, we provide a universal description of the Gelfand-Naimark-Segal construction as a canonical procedure from states on C*-algebras to representations of C*-algebras equipped with pure state.

  15. A Comprehensive Physical Education Program for the Severely Physically Handicapped.

    ERIC Educational Resources Information Center

    DeBell, James

    Described is an adaptive comprehensive physical education (PE) program (funded by Title III in 1968) for 48 severly physically handicapped senior high school students in Rochester, New York. Program aims are given to be providing a diversified program of developmental activities in a friendly environment to increase the physical, social, and…

  16. Flares and dynamic aspects. [solar physics

    NASA Technical Reports Server (NTRS)

    Hanssen, E. T.

    1981-01-01

    Theory of the dynamic nature of solar flares, eruptive prominences, and coronal transients is surveyed. Two types of flare are considered: compact eruptions (small flares) which are probably loops, and large eruptions of double filament flares. The physical sense of this classification is justified, using solar observations. Even leaving the question unanswered of whether a coronal transient is a loop of ejected matter or a shock wave, the important, perhaps fundamental, role of mass motion in flare physics is evidenced.

  17. Physical aspects of biological activity and cancer

    NASA Astrophysics Data System (ADS)

    Pokorný, Jiří

    2012-03-01

    Mitochondria are organelles at the boundary between chemical-genetic and physical processes in living cells. Mitochondria supply energy and provide conditions for physical mechanisms. Protons transferred across the inner mitochondrial membrane diffuse into cytosol and form a zone of a strong static electric field changing water into quasi-elastic medium that loses viscosity damping properties. Mitochondria and microtubules form a unique cooperating system in the cell. Microtubules are electrical polar structures that make possible non-linear transformation of random excitations into coherent oscillations and generation of coherent electrodynamic field. Mitochondria supply energy, may condition non-linear properties and low damping of oscillations. Electrodynamic activity might have essential significance for material transport, organization, intra- and inter-cellular interactions, and information transfer. Physical processes in cancer cell are disturbed due to suppression of oxidative metabolism in mitochodria (Warburg effect). Water ordering level in the cell is decreased, excitation of microtubule electric polar oscilations diminished, damping increased, and non-linear energy transformation shifted towards the linear region. Power and coherence of the generated electrodynamic field are reduced. Electromagnetic activity of healthy and cancer cells may display essential differences. Local invasion and metastastatic growth may strongly depend on disturbed electrodynamic activity. Nanotechnological measurements may disclose yet unknown properties and parameters of electrodynamic oscillations and other physical processes in healthy and cancer cells.

  18. Medical physics aspects of particle therapy.

    PubMed

    Jäkel, Oliver

    2009-11-01

    Charged particle beams offer an improved dose conformation to the target volume when compared with photon radiotherapy, with better sparing of normal tissue structures close to the target. In addition, beams of heavier ions exhibit a strong increase of the linear energy transfer in the Bragg peak when compared with the entrance region. These physical and biological properties make ion beams more favourable for radiation therapy of cancer than photon beams. As a consequence, particle therapy with protons and heavy ions has gained increasing interest worldwide. This contribution summarises the physical and biological principles of charged particle therapy with ion beams and highlights some of the developments in the field of beam delivery, the principles of treatment planning and the determination of absorbed dose in ion beams. The clinical experience gathered so far with carbon ion therapy is briefly reviewed.

  19. Some nuclear physics aspects of BBN

    NASA Astrophysics Data System (ADS)

    Coc, Alain

    2017-09-01

    Primordial or big bang nucleosynthesis (BBN) is now a parameter free theory whose predictions are in good overall agreement with observations. However, the 7 Li calculated abundance is significantly higher than the one deduced from spectroscopic observations. Nuclear physics solutions to this lithium problem have been investigated by experimental means. Other solutions which were considered involve exotic sources of extra neutrons which inevitably leads to an increase of the deuterium abundance, but this seems now excluded by recent deuterium observations.

  20. Physical Aspects of Photodynamic Corneal Collagen Crosslinking

    NASA Astrophysics Data System (ADS)

    Kornfield, Julia

    2012-02-01

    Healthy vision depends on the stability of the shape of the cornea, which provides most of the lens power of the optical system of the eye. Diseases in which the cornea progressively undergoes irregular deformation over time (e.g., keratoconus) can be treated clinically by inducing additional protein-protein crosslinks using a photosensitizing drug and a tailored dose of light. Unfortunately, the treatment moving through clinical trials is toxic to cells in and on the cornea. A path to a safer treatment is offered by the nanostructure of the corneal stroma---reminiscent of a HEX phase in block copolymers with 30nm diameter collagen cylinders spaced 60nm center-to-center in a hydrogel matrix of proteoglycans and water. We show that using a photosensitizing drug that sequesters itself in the collagen fibrils can minimize the toxicity of therapeutic protein-protein cross-linking. Photorheology and transport measurements are used to quantify the parameters of a simple physical model that is useful for optimizing clinical protocols.

  1. Physics aspects of the Compact Ignition Tokamak

    SciTech Connect

    Post, D.; Bateman, G.; Houlberg, W.; Bromberg, L.; Cohn, D.; Colestock, P.; Hughes, M.; Ignat, D.; Izzo, R.; Jardin, S.

    1986-11-01

    The Compact Ignition Tokamak (CIT) is a proposed modest-size ignition experiment designed to study the physics of alpha-particle heating. The basic concept is to achieve ignition in a modest-size minimum cost experiment by using a high plasma density to achieve the condition of ntau/sub E/ approx. 2 x 10/sup 20/ sec m/sup -3/ required for ignition. The high density requires a high toroidal field (10 T). The high toroidal field allows a large plasma current (10 MA) which improves the energy confinement, and provides a high level of ohmic heating. The present CIT design also has a gigh degree of elongation (k approx. 1.8) to aid in producing the large plasma current. A double null poloidal divertor and a pellet injector are part of the design to provide impurity and particle control, improve the confinement, and provide flexibility for impurity and particle control, improve the confinement, and provide flexibility for improving the plasma profiles. Since auxiliary heating is expected to be necessary to achieve ignition, 10 to 20 MW of Ion Cyclotron Radio Frequency (ICRF) is to be provided.

  2. Particle Physics Aspects of Antihydrogen Studies with ALPHA at CERN

    NASA Astrophysics Data System (ADS)

    Fujiwara, M. C.; Andresen, G. B.; Bertsche, W.; Bowe, P. D.; Bray, C. C.; Butler, E.; Cesar, C. L.; Chapman, S.; Charlton, M.; Fajans, J.; Funakoshi, R.; Gill, D. R.; Hangst, J. S.; Hardy, W. N.; Hayano, R. S.; Hayden, M. E.; Humphries, A. J.; Hydomako, R.; Jenkins, M. J.; Jørgensen, L. V.; Kurchaninov, L.; Lai, W.; Lambo, R.; Madsen, N.; Nolan, P.; Olchanski, K.; Olin, A.; Povilus, A.; Pusa, P.; Robicheaux, F.; Sarid, E.; El Nasr, S. Seif; Silveira, D. M.; Storey, J. W.; Thompson, R. I.; van der Werf, D. P.; Wasilenko, L.; Wurtele, J. S.; Yamazaki, Y.

    2008-08-01

    We discuss aspects of antihydrogen studies, that relate to particle physics ideas and techniques, within the context of the ALPHA experiment at CERN's Antiproton Decelerator facility. We review the fundamental physics motivations for antihydrogen studies, and their potential physics reach. We argue that initial spectroscopy measurements, once antihydrogen is trapped, could provide competitive tests of CPT, possibly probing physics at the Planck Scale. We discuss some of the particle detection techniques used in ALPHA. Preliminary results from commissioning studies of a partial system of the ALPHA Si vertex detector are presented, the results of which highlight the power of annihilation vertex detection capability in antihydrogen studies.

  3. Aspects of the Cognitive Model of Physics Problem Solving.

    ERIC Educational Resources Information Center

    Brekke, Stewart E.

    Various aspects of the cognitive model of physics problem solving are discussed in detail including relevant cues, encoding, memory, and input stimuli. The learning process involved in the recognition of familiar and non-familiar sensory stimuli is highlighted. Its four components include selection, acquisition, construction, and integration. The…

  4. (The latest developments of the physical aspects of electrochemistry)

    SciTech Connect

    Liu, S.H.

    1990-09-24

    The author was one of 26 invited lecturers to discuss the latest developments of the physical aspects of electrochemistry. He interacted extensively with other lecturers and many participants from developing countries. He also visited with the Director of the Italian Synchrotron Radiation Source now under construction in Trieste, Italy.

  5. Hearing shapes of drums: Mathematical and physical aspects of isospectrality

    SciTech Connect

    Giraud, Olivier; Thas, Koen

    2010-07-15

    In a celebrated paper ''Can one hear the shape of a drum?'' M. Kac [Am. Math. Monthly 73, 1 (1966)] asked his famous question about the existence of nonisometric billiards having the same spectrum of the Laplacian. This question was eventually answered positively in 1992 by the construction of noncongruent planar isospectral pairs. This review highlights mathematical and physical aspects of isospectrality.

  6. [Health economic aspects of physical-mental comorbidity].

    PubMed

    Lehnert, T; Konnopka, A; Riedel-Heller, S; König, H-H

    2011-01-01

    Physical-mental comorbidity is often associated with worse clinical and psychosocial outcomes, reduced health-related quality of life, and increased healthcare utilization. The following article is dedicated to the health economic aspects of physical-mental comorbidity. It presents basic theoretical and methodological aspects of cost-of-illness studies and economic evaluations related to physical-mental comorbidity, which are explained and discussed for the practical example of comorbid depression in diabetes mellitus. The results show that mental comorbidity in diabetes is associated with increased healthcare costs, which can in part be attributed to an increased somatic health service use. Appropriate interventions can lower these excess costs. Economic evaluations assessing the effectiveness of interventions for depressive diabetics have shown that overall health can be improved and costs saved. However, especially in health economics, mental comorbidity in somatic diseases has not been comprehensively investigated and further research is warranted.

  7. Clinical aspects and outcome of suspected severe pediatric malaria.

    PubMed

    Losimba Likwela, J; D'Alessandro, U; Donnen, P; Wilmet Dramaix, M

    2012-07-01

    The authors had for aim to evaluate diagnosis and treatment practices applied to children with clinically suspected severe malaria, in two referral hospitals of Kisangani. A prospective study was carried out between January 1, 2010 and February 28, 2011 including all children admitted for clinically suspected severe malaria, with at least one of the WHO severity criteria. One thousand one hundred and fifty-four children were admitted in the two hospitals, 427 (37.0%, n=1.154) for clinically suspected severe malaria: 155 (36.3%, n=427) had a positive thick drop examination (TDE), 198 (46.4%, n=427) a negative one, and 74 (17.3%, n=427) without thick blood smear examination. Prostration (48.0%) and anemia (40.3%) were the most common severity criteria, while 14.5% and 9.8% presented with convulsions and impaired consciousness respectively. The etiological treatment was quinine infusion. The case specific fatality rate was 19.4% (n=427), 7.7% (n=155) in confirmed cases, 9.6% (n=198) in patients with negative thick blood smear, and 70.3% (n=74) in patients without any TDE (P <0.001). Poor technical support and inadequate organization of the patient circuit can result in underestimating the metabolic complications of severe malaria and of other severe infections of early childhood. This is detrimental to the patients, even when effective drugs are available. Copyright © 2012. Published by Elsevier SAS.

  8. Physical aspects of computing the flow of a viscous fluid

    NASA Technical Reports Server (NTRS)

    Mehta, U. B.

    1984-01-01

    One of the main themes in fluid dynamics at present and in the future is going to be computational fluid dynamics with the primary focus on the determination of drag, flow separation, vortex flows, and unsteady flows. A computation of the flow of a viscous fluid requires an understanding and consideration of the physical aspects of the flow. This is done by identifying the flow regimes and the scales of fluid motion, and the sources of vorticity. Discussions of flow regimes deal with conditions of incompressibility, transitional and turbulent flows, Navier-Stokes and non-Navier-Stokes regimes, shock waves, and strain fields. Discussions of the scales of fluid motion consider transitional and turbulent flows, thin- and slender-shear layers, triple- and four-deck regions, viscous-inviscid interactions, shock waves, strain rates, and temporal scales. In addition, the significance and generation of vorticity are discussed. These physical aspects mainly guide computations of the flow of a viscous fluid.

  9. Aspects of New Physics at the TeV Scale

    NASA Astrophysics Data System (ADS)

    Gu, Jiayin

    The Standard Model, despite its great success, is generally considered as an incomplete theory and various reasons suggest that new physics may appear around the TeV scale. The LHC discovered a Standard Model like Higgs boson at around 126 GeV, but has not observed any evidence of new physics yet. As the tension is increasing between the expectation of the TeV scale new physics and the lack of experimental discovery, it is helpful to consider new model building directions and new search strategies. In this thesis, we present a few studies on different aspects of new physics at the TeV scale. First, we present a composite Higgs model based on the top seesaw mechanism. We show that with an approximate U(3)L chiral symmetry, associated with a vector-like quark and the (t, b)L doublet, the lightest CP-even neutral state of the composite scalar sector is lighter than the top quark and can be identified as the newly discovered Higgs boson. Second, we present two studies of search strategies of the stop particle, with the first one focusing on the semi-leptonic channel and the second one focusing on the di-leptonic channel with compressed signal spectra. In both cases, we introduce new kinematic variables which can substantially improve the signal significance. We also present a mass measurement method at hadron colliders for a decay chain of two steps, which ends with a missing particle. We show that it is possible to extract all three invisible particle masses with reasonable accuracies, which was previously thought to be impossible. With the upgrade of the LHC and the possibilities of new larger colliders in the future, the search for new physics will continue on, and our studies can help.

  10. Physical and material science aspects of integrated optoelectronics

    NASA Astrophysics Data System (ADS)

    Ermakov, Oleg N.

    2007-05-01

    Physical, material science and technological aspects (adequate material and substrate choice, different physical effects and limitations of modern simulation methods) are discussed. Analysis of modern microelectronics and optoelectronics development trends shows that rigid boundaries between microoelectronics and optoelectronics are smearing. Wide materials range previously used only in optoelectronics ( A 3 B 5 - , A2 B 6 -, A 4 B 4 - compounds, their sold alloys, diamond, organic material etc.) are now of interest for LSI designers also. Although wide range of different substrates types (organic and inorganic, single crystalline and amorphous, rigid and flexible) are now used in optoelectronics optically transparent and electrically insulating substrates are preferable for integrated optoelectronics. One type of such substrates namely sapphire is of essential practical interest now because silicon on sapphire (SOS) structures are used for LSI implementation and gallium nitride and its alloys on sapphire stwctures (GNS) are used for super bright LEDs, LDs and photodetectors fabrication. Special attention is paid to optical properties of organic structures as very promising media both for integrated optoelectronics and microelectronics. Different physical effects (band structure, quantum, disorder, strain, carrier heating effects) as well as limitations of modern simulation methods are discussed.

  11. Traditional and evaluative aspects of flexibility in gender roles, social conventions, moral rules, and physical laws.

    PubMed

    Levy, G D; Taylor, M G; Gelman, S A

    1995-04-01

    Traditional and evaluative aspects of flexibility regarding transgressions across several domains (masculine and feminine gender roles, moral rules, social etiquette, and physical law) were assessed in 24 4-year-olds, 40 8-year-olds, and 46 college undergraduates. Traditional and evaluative aspects of flexibility yielded distinctly different patterns of response. Data indicated an age-related increase in flexibility on traditional measures (i.e., traditional rule flexibility, cultural relativity) for transgressions in all domains, except physical laws. In contrast, subjects in all age groups were consistently negative in their evaluations of transgressions in moral rules, etiquette, and masculine gender roles. Female subjects viewed masculine gender role transgressions with greater flexibility and less negativity than did male subjects. Results demonstrate the multidimensional character of flexibility development in different social and physical domains. Results suggest that masculine and feminine gender roles and social etiquette may not fall within a common domain of social convention.

  12. Health physics aspects of processing EBR-I coolant

    SciTech Connect

    Burke, L.L.; Thalgott, J.O.; Poston, J.W. Jr.

    1998-12-31

    The sodium-potassium reactor coolant removed from the Experimental Breeder Reactor Number One after a partial reactor core meltdown had been stored at the Idaho National Engineering and Environmental Laboratory for 40 years. The State of Idaho considered this waste the most hazardous waste stored in the state and required its processing. The reactor coolant was processed in three phases. The first phase converted the alkali metal into a liquid sodium-potassium hydroxide. The second phase converted this caustic to a liquid sodium-potassium carbonate. The third phase solidified the sodium-potassium carbonate into a form acceptable for land disposal. Health physics aspects and dose received during each phase of the processing are discussed.

  13. Special issue on coherent states: mathematical and physical aspects Special issue on coherent states: mathematical and physical aspects

    NASA Astrophysics Data System (ADS)

    Twareque Ali, Syed; Antoine, Jean-Pierre; Bagarello, Fabio; Gazeau, Jean-Pierre

    2011-06-01

    This is a call for contributions to a special issue of Journal of Physics A: Mathematical and Theoretical dedicated to coherent states. The motivation behind this special issue is to gather in a single comprehensive volume the main aspects (past and present), latest developments, different viewpoints and directions being followed in this multidisciplinary field. Given the impressive development of the field in the past two decades, the topicality of such a volume can hardly be overemphasized. We strongly believe that such a special issue could become a particularly valuable reference for the broad scientific community working in mathematical and theoretical physics, as well as in signal processing and mathematics. Editorial policy The Guest Editors for this issue will be Syed Twareque Ali, Jean-Pierre Antoine, Fabio Bagarello and Jean-Pierre Gazeau. Potential topics include, but are not limited to, developments in the theory and applications of coherent states in: quantum optics, optomechanics, Bose-Einstein condensates quantum information, quantum measurement signal processing quantum gravity pseudo-Hermitian quantum mechanics supersymmetric quantum mechanics non-commutative quantum mechanics quantization theory harmonic and functional analysis operator theory Berezin-Toeplitz operators, PT-symmetric operators holomorphic representation theory, reproducing kernel spaces generalization of coherent states All contributions will be refereed and processed according to the usual procedure of the journal. Papers should report original and significant research that has not already been published. Guidelines for preparation of contributions The deadline for contributed papers will be 31 October 2011. This deadline will allow the special issue to appear before the end of May 2012 There is a nominal page limit of 15 printed pages per contribution (invited review papers can be longer). For papers exceeding this limit, the Guest Editors reserve the right to request a

  14. Special issue on coherent states: mathematical and physical aspects Special issue on coherent states: mathematical and physical aspects

    NASA Astrophysics Data System (ADS)

    Twareque Ali, Syed; Antoine, Jean-Pierre; Bagarello, Fabio; Gazeau, Jean-Pierre

    2011-07-01

    This is a call for contributions to a special issue of Journal of Physics A: Mathematical and Theoretical dedicated to coherent states. The motivation behind this special issue is to gather in a single comprehensive volume the main aspects (past and present), latest developments, different viewpoints and directions being followed in this multidisciplinary field. Given the impressive development of the field in the past two decades, the topicality of such a volume can hardly be overemphasized. We strongly believe that such a special issue could become a particularly valuable reference for the broad scientific community working in mathematical and theoretical physics, as well as in signal processing and mathematics. Editorial policy The Guest Editors for this issue will be Syed Twareque Ali, Jean-Pierre Antoine, Fabio Bagarello and Jean-Pierre Gazeau. Potential topics include, but are not limited to, developments in the theory and applications of coherent states in: quantum optics, optomechanics, Bose-Einstein condensates quantum information, quantum measurement signal processing quantum gravity pseudo-Hermitian quantum mechanics supersymmetric quantum mechanics non-commutative quantum mechanics quantization theory harmonic and functional analysis operator theory Berezin-Toeplitz operators, PT-symmetric operators holomorphic representation theory, reproducing kernel spaces generalization of coherent states All contributions will be refereed and processed according to the usual procedure of the journal. Papers should report original and significant research that has not already been published. Guidelines for preparation of contributions The deadline for contributed papers will be 31 October 2011. This deadline will allow the special issue to appear before the end of May 2012 There is a nominal page limit of 15 printed pages per contribution (invited review papers can be longer). For papers exceeding this limit, the Guest Editors reserve the right to request a

  15. Physical aspects of heterogeneities in multi-component lipid membranes.

    PubMed

    Komura, Shigeyuki; Andelman, David

    2014-06-01

    Ever since the raft model for biomembranes has been proposed, the traditional view of biomembranes based on the fluid-mosaic model has been altered. In the raft model, dynamical heterogeneities in multi-component lipid bilayers play an essential role. Focusing on the lateral phase separation of biomembranes and vesicles, we review some of the most relevant research conducted over the last decade. We mainly refer to those experimental works that are based on physical chemistry approach, and to theoretical explanations given in terms of soft matter physics. In the first part, we describe the phase behavior and the conformation of multi-component lipid bilayers. After formulating the hydrodynamics of fluid membranes in the presence of the surrounding solvent, we discuss the domain growth-law and decay rate of concentration fluctuations. Finally, we review several attempts to describe membrane rafts as two-dimensional microemulsion.

  16. Radiation protection aspects of EMITEL Encyclopaedia of Medical Physics.

    PubMed

    Stoeva, M; Tabakov, S; Lewis, C; Tabakova, V; Thurston, J; Smith, P

    2015-07-01

    The Encyclopaedia of Medical Physics EMITEL was developed under the EU pilot project European Medical Imaging Technology e-Encyclopaedia for Lifelong Learning. This large reference material includes 3400 articles on 2100 pages supported by thousands of illustrations. All materials are available free at the website, www.emitel2.eu. The articles are grouped in seven categories--physics of: X-ray diagnostic radiology, nuclear medicine, radiotherapy, magnetic resonance imaging, ultrasound imaging, radiation protection and general terms. The radiation protection part of EMITEL includes 450 articles. These were organised in several sub-groups including: nuclear and atomic physics; ionizing radiation interactions and biological effects; radiation detection and measurement; dosimetric quantities and units; and general radiation protection and international bodies. EMITEL project was developed over 3 y and attracted as contributors 250+ senior specialists from 35 countries. After its successful launching, EMITEL is actively used by thousands of professionals around the world. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  17. High and Low Technology Approaches in the Development of Communication Systems for Severely Physically Handicapped Persons.

    ERIC Educational Resources Information Center

    Vanderheiden, Gregg C.

    1984-01-01

    The article describes basic approaches to providing augmentative communication modes for severely physically handicapped students. Aspects of selection techniques (direct selection, scanning, multisignal), levels of implementation (such as fully independent and portable aids), and comparisons of flexibility, cost, speed, independence, maintenance,…

  18. A Search for Extraterrestrial Eukaryotes: Physical and Paleontological Aspects

    NASA Astrophysics Data System (ADS)

    Chela-Flores, J.

    1998-10-01

    Physical and biochemical aspects of a proposed search for extraterrestrial eukaryotes (SETE) are considered. Such a program should approach the distinction between a primitive eukaryote and an archaebacteria. The emphasis on gene silencing suggests a possible assay suitable for a robotic investigation of eukaryoticity, so as to be able to decide whether the first steps towards eukaryogenesis have been taken in an extraterrestrial planet, or satellite. The experiment would consist of searching for cellular division and the systematic related delay in replication of heterochromatic chromosome segments. It should be noticed that the direct search for a membrane-bounded set of chromosomes does not necessarily determine eukaryotic identity, as there are prokaryotes that have membrane-bounded nucleoids. A closer look at the protein fraction of chromatin (mainly histones) does not help either, as there are some eukaryotes that may lack histones; there are also some bacteria as well as archaebacteria with histone-like proteins in their nucleoids. Comments on the recent suggestion of possible environments for a SETE program are discussed: the deep crust of Mars, and the Jovian satellite Europa, provided the existence of an ocean under its ice-covered surface is confirmed by the current Galileo mission.

  19. A search for extraterrestrial eukaryotes: physical and paleontological aspects.

    PubMed

    Chela-Flores, J

    1998-10-01

    Physical and biochemical aspects of a proposed search for extraterrestrial eukaryotes (SETE) are considered. Such a program should approach the distinction between a primitive eukaryote and an archaebacteria. The emphasis on gene silencing suggests a possible assay suitable for a robotic investigation of eukaryoticity, so as to be able to decide whether the first steps towards eukaryogenesis have been taken in an extraterrestrial planet, or satellite. The experiment would consist of searching for cellular division and the systematic related delay in replication of heterochromatic chromosome segments. It should be noticed that the direct search for a membrane-bounded set of chromosomes does not necessarily determine eukaryotic identity, as there are prokaryotes that have membrane-bounded nucleoids. A closer look at the protein fraction of chromatin (mainly histones) does not help either, as there are some eukaryotes that may lack histones; there are also some bacteria as well as archaebacteria with histone-like proteins in their nucleoids. Comments on the recent suggestion of possible environments for a SETE program are discussed: the deep crust of Mars, and the Jovian satellite Europa, provided the existence of an ocean under its ice-covered surface is confirmed by the current Galileo mission.

  20. Screening for Physical Problems in Classrooms for Severely Handicapped Students.

    ERIC Educational Resources Information Center

    Dever, Richard; Knapczyk, Dennis

    1980-01-01

    The authors present a screening device with which teachers of severely handicapped students may detect the presence of a physical problem. The screening approach covers vision, auditory problems, seizures, orthopedic problems, and pain. (CL)

  1. Screening for Physical Problems in Classrooms for Severely Handicapped Students.

    ERIC Educational Resources Information Center

    Dever, Richard; Knapczyk, Dennis

    1980-01-01

    The authors present a screening device with which teachers of severely handicapped students may detect the presence of a physical problem. The screening approach covers vision, auditory problems, seizures, orthopedic problems, and pain. (CL)

  2. Some Aspects of the Physics of Shooting a Basketball

    NASA Astrophysics Data System (ADS)

    Fontanella, John J.

    2006-12-01

    The flight of a basketball is considered.1 Video analysis of the path and spin for several shots was carried out. It is shown that four forces are required to reproduce the trajectory: gravity, buoyancy, the drag force and the Magnus force. The relative contribution of each force is determined. The model is used to evaluate what it is that good shooters do. For a foul shot, the approach speed (speed when the basketball is just above the rim), launch speed, and launch angle were calculated. It is found that the minimum in the approach speed occurs at a launch angle closer to the experimental values for good shooters than does the minimum in the launch speed. This suggests the hoopothesis that a good shooter strives for the “softest” shot. 1. J. J. Fontanella, The Physics of Basketball, The Johns Hopkins University Press, Baltimore, 2006.

  3. The Impact of Explicit Teaching of Methodological Aspects of Physics on Scientistic Beliefs and Interest

    ERIC Educational Resources Information Center

    Korte, Stefan; Berger, Roland; Hänze, Martin

    2017-01-01

    We assessed the impact of teaching methodological aspects of physics on students' scientistic beliefs and subject interest in physics in a repeated-measurement design with a total of 142 students of upper secondary physics classes. Students gained knowledge of methodological aspects from the pre-test to the post-test and reported reduced…

  4. Early developments: Particle physics aspects of cosmic rays

    NASA Astrophysics Data System (ADS)

    Grupen, Claus

    2014-01-01

    Cosmic rays is the birthplace of elementary particle physics. The 1936 Nobel prize was shared between Victor Hess and Carl Anderson. Anderson discovered the positron in a cloud chamber. The positron was predicted by Dirac several years earlier. In subsequent cloud chamber investigations Anderson and Neddermeyer saw the muon, which for some time was considered to be a candidate for the Yukawa particle responsible for nuclear binding. Measurements with nuclear emulsions by Lattes, Powell, Occhialini and Muirhead clarified the situation by the discovery of the charged pions in cosmic rays. The cloud chamber continued to be a powerful instrument in cosmic ray studies. Rochester and Butler found V's, which turned out to be shortlived neutral kaons decaying into a pair of charged pions. Also Λ's, Σ's, and Ξ's were found in cosmic rays. But after that accelerators and storage rings took over. The unexpected renaissance of cosmic rays started with the search for solar neutrinos and the observation of the supernova 1987A. Cosmic ray neutrino results were best explained by the assumption of neutrino oscillations opening a view beyond the standard model of elementary particles. After 100 years of cosmic ray research we are again at the beginning of a new era, and cosmic rays may contribute to solve the many open questions, like dark matter and dark energy, by providing energies well beyond those of accelerators.

  5. Physical Activities for Children with Severe Multiple Impairments.

    ERIC Educational Resources Information Center

    Grosse, Susan J.

    1981-01-01

    Intended for teachers of students with severe multiple impairments, the booklet examines the role of physical activities in the education of this population and suggests approaches to exhancing their motor development. Suggestions are offered for stimulating movement in preschool, elementary, and secondary immobile children, including tactile…

  6. Physical Education for the Severely and Profoundly Handicapped.

    ERIC Educational Resources Information Center

    Jansma, Paul

    1982-01-01

    The article offers ideas for providing appropriate physical, motor, fitness, and play training experiences for children with severe to profound developmental disabilities. Following a section with testing recommendations are general and specific teaching guidelines covering such areas as programing, adaptive equipment, multisensory stimulation,…

  7. Comprehensive Microcomputer Applications for Severely Physically Handicapped Children.

    ERIC Educational Resources Information Center

    Rushakoff, G. Evan; Lombardino, Linda J.

    1983-01-01

    Explained for educators of severly physically handicapped (SPH) children are basic component parts of the microcomputer system, adaptations for children unable to use a standard keyboard, and applications for communication, academic work, writing, creative arts, recreation, future employment, and young SPH children. Factors educators should…

  8. Physical aspects of the assembly and function of microtubules

    NASA Astrophysics Data System (ADS)

    Holy, Timothy Eric

    Living cells contain polymers called microtubules. Microtubules are used to control cell shape, to generate force for movement, to transport vesicles, and to separate chromosomes during cell division. Microtubule polymerization is governed by a unique, energy-consuming phenomenon called dynamic instability, which leads to large fluctuations in length. This dissertation reports on physical studies (theory and experiment) of microtubules and their roles in living cells. To understand dynamic instability we need to know its mechanism and its function. Experiments on dynamic instability have led to a seeming contradiction as to its mechanism. By introducing a phenomenological model that unites the existing data, we show that this contradiction can be resolved. The model describes the stochastic dynamics of a stabilizing cap which promotes growth, but whose loss leads to disassembly. The theory matches experiments over time scales from seconds to minutes. We address the biological role of dynamic instability, also from a theoretical standpoint. We show that these large length fluctuations are useful: they lead to a rapid search of intracellular space. This search may be an essential step in organizing the cell interior, forging connections between widely-separated components. We show that dynamic instability speeds a search by several orders of magnitude. We also find that the parameters which govern dynamic instability appear to be chosen by the cell so as to minimize the search time. This thesis also reports experiments showing that microtubule polymerization may generate forces for movement and organization. Archetypal movements in living cells (e.g., the movement of the sperm nucleus from the periphery to the center of the egg) were reconstructed in an artificial system. The components of our system are purified proteins and two specially-designed materials: latex beads coated so as to nucleate microtubules, and microscopic chambers fabricated to mimic the confined

  9. Various aspects of physical activity among Lithuanian adolescents.

    PubMed

    Bergier, Barbara; Bergier, Józef; Wojtyła, Andrzej

    2012-01-01

    Studies of the physical activity of 17-year-old adolescents attending selected schools in Lithuania were conducted in 2010 with the use of the IPAQ. The adolescents differed with respect to the scope of leisure time possessed. Considerably more boys than girls indicated that they had a sufficient amount of leisure time, but to the contrary, considerably more girls than boys declared that they possessed an insufficient amount of free time. The majority of schoolchildren were characterized by a high level of physical activity, with the larger group being boys. Low activity was not observed among boys, and in only a few girls. Moderate effort constituted the highest percentage of physical activity among adolescents, whereas an intensive activity - the lowest. Considering the total area of activity, there dominated occupational activity (education), while its smallest percentage was devoted to sports and recreation. Boys evaluated their physical efficacy in more negative terms than girls. Adolescents with a higher self-reported efficacy were characterized by higher physical activity. The majority of adolescents had a normal BMI. Girls and boys had different preferences concerning motor activities. Girls mainly used walks, bicycle riding, and running, while boys also chose bicycle riding and running, and played sports games. The adolescents also had new expectations - girls reported mainly horse riding, aerobics and dancing, whereas boys mentioned football and bodybuilding fitness exercises.

  10. Interesting aspects of the STAR detector and physics program

    SciTech Connect

    Hallman, T.J.; STAR Collaboration

    1996-12-31

    The Solenoidal Tracker At RHIC (STAR) is a large acceptance collider detector scheduled to begin operation at the Relativistic Heavy Ion Collider (RHIC) in the fall of 1999. Simply stated, the physics goals of STAR are, (1) to study the behavior of strongly interacting matter at high energy density; (2) to search for signatures of a deconfined partonic phase of matter; and (3) to study the importance of spin as a fundamental property of QCD interactions and measure the spin-dependent parton distributions (gluon, valence quark, sea quark) of the proton. The detector design and methods of accomplishing the physics goals are addressed in this report.

  11. On several aspects and applications of the multigrid method for solving partial differential equations

    NASA Technical Reports Server (NTRS)

    Dinar, N.

    1978-01-01

    Several aspects of multigrid methods are briefly described. The main subjects include the development of very efficient multigrid algorithms for systems of elliptic equations (Cauchy-Riemann, Stokes, Navier-Stokes), as well as the development of control and prediction tools (based on local mode Fourier analysis), used to analyze, check and improve these algorithms. Preliminary research on multigrid algorithms for time dependent parabolic equations is also described. Improvements in existing multigrid processes and algorithms for elliptic equations were studied.

  12. Random aspects of beam physics and laser-plasma interactions

    NASA Astrophysics Data System (ADS)

    Charman, Andrew Emile

    Aspects of the dynamics of charged particle and radiation beams, and of the interaction of plasmas with radiation are investigated, informed by concerns of classical and quantum mechanical uncertainty and noise, and related by notions of particle and radiation phase space manipulation, overlap, and control. We begin by studying questions of optimal longitudinal pulse-shaping in laser wakefield accelerators, based on a one-dimensional model with prescribed laser drive and either a linearized or fully nonlinear quasi-static plasma response. After discussing various figures of-merit, we advocate maximizing the peak wake amplitude instead of the transformer ratio. A number of new results are demonstrated, certain conjectures are rigorously proved for the first time, and some erroneous claims corrected. Instead of using short laser pulses to excite plasma waves, one can employ the beat wave between two co-propagating lasers to excite a Langmuir wave with high phase velocity suitable for acceleration of relativistic electrons. A modified version of this plasma beat-wave accelerator scheme is introduced and analyzed, which is based on autoresonant phase-locking of the nonlinear Langmuir wave to the slowly chirped beat frequency of the driving lasers via adiabatic passage through resonance. This new scheme is designed to overcome some of the well-known limitations of previous approaches, such as relativistic detuning and nonlinear modulation of the driven Langmuir wave amplitude, as well as sen sitivity to frequency mismatch due to measurement uncertainties and density fluctuations or inhomogeneities. From radiation exciting plasmas, we turn to issues of plasmas or beams emitting radiation. We develop a Hilbert-space and operator-based approach to electromagnetic radiation, and use this formalism to derive a maximum-power variational principle (MPVP) for spontaneous radiation from prescribed classical harmonic sources. Results are first derived in the paraxial limit, based

  13. Some physical and psychological aspects of noise attenuation by vegetation

    Treesearch

    Donald E. Aylor

    1977-01-01

    The physical mechanisms governing sound attenuation by foliage, stems, and ground are reviewed. Reflection of sound energy is found to be the primary mechanism. In addition, new experimental results are discussed that help to quantify the psychological effect of a plant barrier on perceived noise level. Listeners judged the loudness of noise transmitted through hemlock...

  14. The incidence of severe physical child abuse in Wales.

    PubMed

    Sibert, J R; Payne, E H; Kemp, A M; Barber, M; Rolfe, K; Morgan, R J H; Lyons, R A; Butler, I

    2002-03-01

    The purposes of this study were: (1) to ascertain the incidence and nature of severe physical child abuse in Wales; (2) to ascertain the incidence of all physical abuse in babies under 1 year of age; and (3) to determine whether child protection registers (CPR) accurately reflect the numbers of children who are physically abused. This is a population-based incidence study based in Wales, UK, for 2 years from April 1996 through March 1998. Children studied were under the age of 14 with severe physical abuse consistent with the criminal law level of Grievous Bodily Harm. This included seven categories of injury (death; head injury including subdural hemorrhage; internal abdominal injury; physical injury in Munchausen Syndrome by Proxy including suffocation; fracture; burn or scald; adult bite). Cases were ascertained by a pediatrician surveillance reporting system (WPSU). A criterion for inclusion was multidisciplinary agreement that physical abuse had occurred (at case conference, strategy meeting, or Part 8 Review). The incidence of all babies under 1 year of age with physical abuse was also studied. Ascertainment of babies under the age of 1 year was undertaken from CPR as well as the WPSU. Severe abuse is six times more common in babies [54/100,000/year (95% CI +/- 17.2)] than in children from 1 year to 4 years of age [9.2/100,000 (95% CI +/- 3.6)]. It is 120 times more common than in 5- to 13-year-olds [0.47/100,000 (95% CI +/- 0.47)]. This is mainly because two types of serious abuse (brain injury including subdural hemorrhage and fractures) are more common in babies under the age of 1 year than older children. Using data from two sources (the WPSU and CPRs), the incidence of physical abuse in babies is 114/100,000 (CI 114 +/- 11.8) per year. This equates to 1 baby in 880 being abused in the first year of life. The largely rural Health Authority area in Wales had incidence figures for abuse in babies that were 50% of the three other predominantly urban Health

  15. [Total duodenal section. A reliable indicator of severe physical abuse].

    PubMed

    Baeza-Herrera, Carlos; Arcos-Aponte, Arturo; Villalobos-Castillejos, Alín; López-Castellanos, Javier; Cortés-García, Ricardo

    2008-01-01

    Rupture of the hollow viscera due to battered child syndrome is an unusual clinical finding and it is even less likely when we encounter total duodenum section. The literature on child abuse does not include visceral lesions as part of the spectrum. The aim of this study was to analize if complete duodenal section is a reliable indicator of severe physical abuse. Data were statistically analyzed using chi-square tests, likelihood ratios and the Cochran-Mantel-Haentzel test. Four children were admitted with a battered child syndrome diagnosis. All participants were surgically treated and the finding was total section of the duodenum. The postoperative course was normal. Statistical tests were p<0.0001 and the likelihood ratio 18.7 Duodenal rupture is a statistically reliable indicator of a severe form of physical abuse in children.

  16. An Update on Hidradenitis Suppurativa (Part I): Epidemiology, Clinical Aspects, and Definition of Disease Severity.

    PubMed

    Martorell, A; García-Martínez, F J; Jiménez-Gallo, D; Pascual, J C; Pereyra-Rodriguez, J; Salgado, L; Vilarrasa, E

    2015-11-01

    Hidradenitis suppurativa is a chronic inflammatory disorder that has attracted increasing attention in recent years due to underestimations of prevalence and the considerable impact of the condition on interpersonal relationships, physical appearance, self-esteem, and body image. Although hidradenitis suppurative has a significant psychological impact on patients and can even cause physical limitations when thick scarring results in limb mobility limitation, until very recently little evidence was available relating to its epidemiology, etiology, or pathogenesis. In this review, we highlight the latest advances in our understanding of the epidemiological and clinical aspects of hidradenitis suppurativa. We will also look at the different classification systems for hidradenitis suppurativa and discuss the emergence of skin ultrasound as a promising technique for monitoring the course of this chronic inflammatory disease.

  17. Physical and microstructural aspects of iron sulfide degradation in concrete

    SciTech Connect

    Schmidt, Thomas; Gallucci, Emanuel; Scrivener, Karen

    2011-03-15

    The microstructural aspects of iron sulfide degradation in dam concrete were investigated by scanning electron microscopy (SEM) and energy dispersive spectroscopy (EDS) in both dam concrete samples and laboratory concrete. The results show that iron sulfide inclusions with a diameter of a few micrometers in the aggregates are reactive and appear to generate expansion first in the aggregates and consequently in the cement paste. The expansion from the iron sulfides is a consequence of the increase in volume of the reaction products formed. The types of iron sulfide present in the aggregate, mainly pyrrhotite (FeS) and pyrite (FeS{sub 2}), show similar reaction behavior in the aggregates. The released sulfate can lead to a secondary ettringite formation in the concrete matrix, but the degradation associated with this appears to be minor. The reaction of the iron sulfides was found to be very slow even when laboratory samples were exposed to elevated temperatures.

  18. Motivational and evolutionary aspects of a physical exercise training program: a longitudinal study.

    PubMed

    Rosa, João P P; de Souza, Altay A L; de Lima, Giscard H O; Rodrigues, Dayane F; de Aquino Lemos, Valdir; da Silva Alves, Eduardo; Tufik, Sergio; de Mello, Marco T

    2015-01-01

    Several studies have indicated that motivational level and prior expectations influence one's commitment to physical activity. Moreover, these aspects are not properly described in terms of proximal (SDT, Self Determination Theory) and distal (evolutionary) explanations in the literature. This paper aims to verify if level of motivation (BREQ-2, Behavioral Regulation in Exercise Questionnaire-2) and expectations regarding regular physical exercise (IMPRAF-54) before starting a 1-year exercise program could determine likelihood of completion. Ninety-four volunteers (53 women) included a completed protocol group (CPG; n = 21) and drop-out group (n = 73). The IMPRAF-54 scale was used to assess six different expectations associated with physical activity, and the BREQ-2 inventory was used to assess the level of motivation in five steps (from amotivation to intrinsic motivation). Both questionnaires were assessed before starting a regular exercise program. The CPG group presented higher sociability and lower pleasure scores according to IMPRAF-54 domains. A logistic regression analysis showed that a one-point increment on sociability score increased the chance of completing the program by 10%, and the same one-point increment on pleasure score reduced the chance of completing the protocol by 16%. ROC curves were also calculated to establish IMPRAF-54 cutoffs for adherence (Sociability - 18.5 points - 81% sensibility/50% specificity) and dropout (Pleasure - 25.5 points - 86% sensibility/20% specificity) of the exercise protocol. Our results indicate that an expectation of social interaction was a positive factor in predicting adherence to exercise. Grounded in SDT and its innate needs (competence, autonomy, relatedness), physical exercise is not an end; it is a means to achieve autonomy and self-cohesion. The association of physical activity with social practices, as occurs in hunter-gathering groups, can engage people to be physically active and can provide better

  19. Motivational and evolutionary aspects of a physical exercise training program: a longitudinal study

    PubMed Central

    Rosa, João P. P.; de Souza, Altay A. L.; de Lima, Giscard H. O.; Rodrigues, Dayane F.; de Aquino Lemos, Valdir; da Silva Alves, Eduardo; Tufik, Sergio; de Mello, Marco T.

    2015-01-01

    Several studies have indicated that motivational level and prior expectations influence one’s commitment to physical activity. Moreover, these aspects are not properly described in terms of proximal (SDT, Self Determination Theory) and distal (evolutionary) explanations in the literature. This paper aims to verify if level of motivation (BREQ-2, Behavioral Regulation in Exercise Questionnaire-2) and expectations regarding regular physical exercise (IMPRAF-54) before starting a 1-year exercise program could determine likelihood of completion. Ninety-four volunteers (53 women) included a completed protocol group (CPG; n = 21) and drop-out group (n = 73). The IMPRAF-54 scale was used to assess six different expectations associated with physical activity, and the BREQ-2 inventory was used to assess the level of motivation in five steps (from amotivation to intrinsic motivation). Both questionnaires were assessed before starting a regular exercise program. The CPG group presented higher sociability and lower pleasure scores according to IMPRAF-54 domains. A logistic regression analysis showed that a one-point increment on sociability score increased the chance of completing the program by 10%, and the same one-point increment on pleasure score reduced the chance of completing the protocol by 16%. ROC curves were also calculated to establish IMPRAF-54 cutoffs for adherence (Sociability – 18.5 points – 81% sensibility/50% specificity) and dropout (Pleasure – 25.5 points – 86% sensibility/20% specificity) of the exercise protocol. Our results indicate that an expectation of social interaction was a positive factor in predicting adherence to exercise. Grounded in SDT and its innate needs (competence, autonomy, relatedness), physical exercise is not an end; it is a means to achieve autonomy and self-cohesion. The association of physical activity with social practices, as occurs in hunter-gathering groups, can engage people to be physically active and can provide

  20. ASPECT

    EPA Pesticide Factsheets

    Able to deploy within one hour of notification, EPA's Airborne Spectral Photometric Environmental Collection Technology (ASPECT) is the nation’s only airborne real-time chemical and radiological detection, infrared and photographic imagery platform.

  1. Clinical aspects of physical exercise for diabetes/metabolic syndrome.

    PubMed

    Sato, Yuzo; Nagasaki, Masaru; Kubota, Masakazu; Uno, Tomoko; Nakai, Naoya

    2007-09-01

    Evidence-based medicine (EBM) has come to be regarded as essential in all fields of medical sciences and practical medicine. In the field of diabetes and exercise, among the epidemiological studies of physical exercise, recent mega-trials such as the Diabetes Prevention Program (DPP) in the U.S. have shown that lifestyle intervention programs involving diet and/or exercise reduce the progression of impaired glucose tolerance (IGT) to type 2 diabetes. In studies examining the endocrinological and metabolic effects of exercise, it has been demonstrated that physical exercise promotes the utilization of blood glucose and free fatty acids in muscles and lowers blood glucose levels in well-controlled diabetic patients. Long-term, mild, regular jogging increases the action of insulin in both carbohydrate and lipid metabolism without influencing body mass index or maximal oxygen uptake. A significant correlation has been observed between delta MCR (Deltainsulin sensitivity) and the average number of steps performed in a day. Our recent data suggested that the improved effectiveness of insulin that occurs as a result of physical exercise is attributable, at least in part, to increases in GLUT4 protein, IRS1 and PI3-kinase protein in skeletal muscle. As a prescription for exercise, aerobic exercise of mild to moderate intensity, including walking and jogging, 10-30 min a day, 3-5 days a week, is recommended. Resistance training of mild intensity with the use of light dumbbells and stretch cords should be combined in elderly individuals who have decreased muscle strength. An active lifestyle is essential in the management of diabetes, which is one of typical lifestyle-related diseases.

  2. An introduction to the physical aspects of helicopter stability

    NASA Technical Reports Server (NTRS)

    Gessow, Alfred; Amer, Kenneth B

    1950-01-01

    In order to provide engineers interested in rotating-wing aircraft, but with no specialized training in stability theory, some understanding of the factors that influence the flying qualities of the helicopter, an explanation is made of both the static stability and the stick-fixed oscillation in hovering and forward flight in terms of fundamental physical quantities. Three significant stability factors -- static stability with angle of attack, static stability with speed, and damping due to a pitching or rolling velocity -- are explained in detail.

  3. Circulatory bubble dynamics: from physical to biological aspects.

    PubMed

    Papadopoulou, Virginie; Tang, Meng-Xing; Balestra, Costantino; Eckersley, Robert J; Karapantsios, Thodoris D

    2014-04-01

    Bubbles can form in the body during or after decompression from pressure exposures such as those undergone by scuba divers, astronauts, caisson and tunnel workers. Bubble growth and detachment physics then becomes significant in predicting and controlling the probability of these bubbles causing mechanical problems by blocking vessels, displacing tissues, or inducing an inflammatory cascade if they persist for too long in the body before being dissolved. By contrast to decompression induced bubbles whose site of initial formation and exact composition are debated, there are other instances of bubbles in the bloodstream which are well-defined. Gas emboli unwillingly introduced during surgical procedures and ultrasound microbubbles injected for use as contrast or drug delivery agents are therefore also discussed. After presenting the different ways that bubbles can end up in the human bloodstream, the general mathematical formalism related to the physics of bubble growth and detachment from decompression is reviewed. Bubble behavior in the bloodstream is then discussed, including bubble dissolution in blood, bubble rheology and biological interactions for the different cases of bubble and blood composition considered.

  4. Physical aspects of ferroelectric semiconductors for photovoltaic solar energy conversion

    NASA Astrophysics Data System (ADS)

    Lopez-Varo, Pilar; Bertoluzzi, Luca; Bisquert, Juan; Alexe, Marin; Coll, Mariona; Huang, Jinsong; Jimenez-Tejada, Juan Antonio; Kirchartz, Thomas; Nechache, Riad; Rosei, Federico; Yuan, Yongbo

    2016-10-01

    Solar energy conversion using semiconductors to fabricate photovoltaic devices relies on efficient light absorption, charge separation of electron-hole pair carriers or excitons, and fast transport and charge extraction to counter recombination processes. Ferroelectric materials are able to host a permanent electrical polarization which provides control over electrical field distribution in bulk and interfacial regions. In this review, we provide a critical overview of the physical principles and mechanisms of solar energy conversion using ferroelectric semiconductors and contact layers, as well as the main achievements reported so far. In a ferroelectric semiconductor film with ideal contacts, the polarization charge would be totally screened by the metal layers and no charge collection field would exist. However, real materials show a depolarization field, smooth termination of polarization, and interfacial energy barriers that do provide the control of interface and bulk electric field by switchable spontaneous polarization. We explore different phenomena as the polarization-modulated Schottky-like barriers at metal/ferroelectric interfaces, depolarization fields, vacancy migration, and the switchable rectifying behavior of ferroelectric thin films. Using a basic physical model of a solar cell, our analysis provides a general picture of the influence of ferroelectric effects on the actual power conversion efficiency of the solar cell device, and we are able to assess whether these effects or their combinations are beneficial or counterproductive. We describe in detail the bulk photovoltaic effect and the contact layers that modify the built-in field and the charge injection and separation in bulk heterojunction organic cells as well as in photocatalytic and water splitting devices. We also review the dominant families of ferroelectric materials that have been most extensively investigated and have provided the best photovoltaic performance.

  5. Physical and Chemical Aspects of Fire Suppression in Extraterrestrial Environments

    NASA Technical Reports Server (NTRS)

    Takahashi, F.; Linteris, G. T.; Katta, V. R.

    2001-01-01

    A fire, whether in a spacecraft or in occupied spaces on extraterrestrial bases, can lead to mission termination or loss of life. While the fire-safety record of US space missions has been excellent, the advent of longer duration missions to Mars, the moon, or aboard the International Space Station (ISS) increases the likelihood of fire events, with more limited mission termination options. The fire safety program of NASA's manned space flight program is based largely upon the principles of controlling the flammability of on-board materials and greatly eliminating sources of ignition. As a result, very little research has been conducted on fire suppression in the microgravity or reduced-gravity environment. The objectives of this study are: to obtain fundamental knowledge of physical and chemical processes of fire suppression, using gravity and oxygen concentration as independent variables to simulate various extraterrestrial environments, including spacecraft and surface bases in Mars and moon missions; to provide rigorous testing of analytical models, which include comprehensive descriptions of combustion and suppression chemistry; and to provide basic research results useful for technological advances in fire safety, including the development of new fire-extinguishing agents and approaches, in the microgravity environment associated with ISS and in the partial-gravity Martian and lunar environments.

  6. Introducing ZORA to Children with Severe Physical Disabilities.

    PubMed

    van den Heuvel, Renée; Lexis, Monique; de Witte, Luc

    2017-01-01

    The aim of the present study was to explore the potential of a ZORA-robot based intervention in rehabilitation and special education for children with (severe) physical disabilities from the professionals perspective. The qualitative results of this study will be presented. Professionals indicated meaningful application possibilities for ZORA. Overall, ZORA was able to improve motivation, concentration, taking initiative and attention span. Three domains could be identified to be most promising for application of ZORA: (re)learning of movement skills, cognitive skills and communication/social interaction skills.

  7. Physical activity as viewed by adults with severe obesity, awaiting gastric bypass surgery.

    PubMed

    Wiklund, Malin; Olsén, Monika Fagevik; Willén, Carin

    2011-09-01

    Today, it is known that adults suffering from obesity benefit from physical activity. There is however lack of research with regard to how patients with severe obesity experience physical activity. It is important to explore this topic in order to be able to improve communication with and to tailor information and exercise programmes for patients suffering with obesity. The aim of the present qualitative study was to describe how adults with severe obesity, awaiting gastric bypass surgery experience physical activity. A qualitative method inspired by a phenomenographic approach was used to analyze the data. Data collection was performed by in-depth semi-structured interviews with 18 patients. All patients were aged between 18 and 65 years, suffered from severe obesity and were scheduled for laparoscopic Roux-en Y gastric bypass surgery at Sahlgrenska University Hospital in Sweden. The analysis resulted in nine qualitatively different categories that were then divided into four aspects: 'the obese body', 'the mind', 'knowledge' and 'the environment'. Many patients experienced well-being after physical activity, but most patients were uncomfortable with appearing in public wearing exercise clothing. The excess weight itself was considered an obstacle, and weight loss was assumed to facilitate physical activity. Exercising together with someone at the same level of fitness increased motivation. A white lie about training was sometimes used to satisfy the need to be seen as capable. Physical activity is experienced positively among adults with severe obesity, but many obstacles exist that influence their capacity and their will. Support is necessary in different ways, not only to initiate physical activity, but also to maintain it. Copyright © 2010 John Wiley & Sons, Ltd.

  8. Physical Activity Contributes to Several Sleep-Cardiometabolic Health Relationships.

    PubMed

    Kanagasabai, Thirumagal; Riddell, Michael C; Ardern, Chris I

    2017-02-01

    To estimate the contribution of accelerometer-derived physical activity to the relationship between sleep and cardiometabolic health. Data from the 2005 to 2006 US National Health and Nutritional Examination Survey were used (N = 1226; 20 years+). Metabolic syndrome (MetS) was defined by the Joint Interim Statement, and sleep quality and quantity by the Sleep Disorders Questionnaire. Physical activity intensities were defined by activity thresholds (counts per minute) as sedentary activity (0-99), light intensity (100-759), lifestyle activity (760-2019), moderate intensity (2020-5996), and vigorous intensity (≥5999). Outcomes were MetS, number of MetS components, waist circumference (WC), systolic and diastolic blood pressure (BP), triglycerides, HDL-cholesterol, fasting plasma glucose, and fasting insulin concentration. The bootstrap method was used to estimate the amount of mediation or contribution of activity intensities (ab) to the sleep-cardiometabolic health relationships, which were quantified as large (≥0.25) or moderate (≥0.09). Lifestyle activity level contributes to several sleep duration and cardiometabolic health relationships, most notably for WC (ab: 0.28), systolic BP (0.39), and fasting insulin concentration (0.85). While moderate intensity and lifestyle activity intensities were large contributors to the sleep quality-fasting insulin concentration relationship (0.47 and 0.48, respectively), light intensity activity only moderately contributed to the relationship between sleep duration and quality with abdominal obesity (0.15). Lifestyle and moderate intensity physical activity have a large effect on the relationship between sleep and cardiometabolic health, including WC, BP, and fasting insulin concentration. Appropriate sleep hygiene, in combination with regular physical activity should be considered mutually beneficial targets for cardiometabolic health.

  9. Can the IROMEC robot support play in children with severe physical disabilities? A pilot study.

    PubMed

    van den Heuvel, Renée J F; Lexis, Monique A S; de Witte, Luc P

    2017-03-01

    The aim of this study was to explore the application of the IROMEC (Interactive social RObotic Mediators as Companions) robot to support play for children with severe physical disabilities in rehabilitation and special education. Within a 2-month pilot study, physically disabled children with a developmental age between 2 and 8 years participated in sessions with the robot. A combination of qualitative and quantitative outcome measures was used to collect data on aspects of feasibility, usability, barriers for the child as well as the therapist and an indication of the effects on playfulness and the achievement of therapeutic and educational goals. A total of 11 children participated in this study (four boys, seven girls). Individually Prioritized Problem Assessment scores indicated a positive effect of the IROMEC robot on the achievement of goals for the children. Professionals did observe meaningful application possibilities, but the lacking adaptability, expandability and technical stability of the robot platform make application in daily care practice impossible. The application of a robot like IROMEC for children with severe physical disabilities seems to be positive and worthwhile, but usability and feasibility aspects are crucial for success.

  10. Oral motor patterns during feeding in severely physically disabled children.

    PubMed

    Yokochi, K

    1997-12-01

    Oral motor patterns during feeding were investigated in 58 patients with severe physical disability. Five patients showed a pattern resembling sucking. Twenty-nine exhibited an up-and-down movement of the jaw and protrusion of the tongue. Among these, the mouth opened when the food entered and the lips closed before swallowing in 20 patients; the mouth was constantly open in nine. Eight had an up-and-down movement of the jaw without protrusion of the tongue. These patterns were frequently seen in patients with spastic tetraplegia caused by neonatal asphyxia and compensated for oral motor impairment. Sixteen patients showed lateral movement of the jaw at some time during feeding; in these patients the texture of the food was more coarse than in those with other patterns.

  11. The Impact of Explicit Teaching of Methodological Aspects of Physics on Scientistic Beliefs and Interest

    NASA Astrophysics Data System (ADS)

    Korte, Stefan; Berger, Roland; Hänze, Martin

    2017-05-01

    We assessed the impact of teaching methodological aspects of physics on students' scientistic beliefs and subject interest in physics in a repeated-measurement design with a total of 142 students of upper secondary physics classes. Students gained knowledge of methodological aspects from the pre-test to the post-test and reported reduced scientistic beliefs, both from their own views and from their presumed prototypical physicists' views. We found no direct impact of teaching on students' subject interest in physics. As path analysis indicates, this result can be traced back to opposing paths: Lower scientistic beliefs of students attenuate subject interest while lower presumed scientistic beliefs that they hold of physicists foster subject interest. This finding is in accordance with the self-to-prototype matching theory that predicts an impact of the overlap between students' self-image and their prototypical image on subject interest in physics.

  12. [Severe open-globe eye injuries: socio-demographic aspects and risk factors].

    PubMed

    Puodziuviene, Edita; Paunksnis, Alvydas

    2007-01-01

    To evaluate sociodemographic aspects and risk factors of severe open-globe ocular injuries. We present data from prospective study of 315 patients with severe open-globe ocular injuries, meeting inclusion criteria. The patients in our series were predominantly male (92.70%). The male to female ratio was 12.7:1. Almost 27% of the patients were from the age group of 30-39 years. Home (53.65%), streets and highways (19.05%) were the most common place of injury, followed by industrial premises (11.11%), agricultural activities (8.25%), recreation and sports (5.40%); 15.56% of cases were work-related. Sharp objects (43.17%) and hammering on metal (24.44%) were the two major causes of injury. Alcohol intoxication was observed in 13.65% of cases. Severe open-globe eye injuries were classified into four categories: penetrating injuries (56.83%), perforating injuries (2.54%), globe ruptures (12.38 %), and IOFB injuries (28.25%). Males suffered significantly more often than females in the age of 20-29 (OR=1.39+/-95% CI 1.10-1.75, P<0.01) and 30-39-year (OR=1.75+/-95% PI 1.45-2.22, P<0.01). Risk factors of severe open-globe eye injuries for male gender were living in urban setting (P=0.001), alcohol use (P=0.001), occupation--unemployed (P=0.001) and retired persons (P=0.011). Risk factors for male gender to sustain severe open-globe eye injury were living in urban setting, alcohol use, and occupation (unemployed and retired persons).

  13. Lin28: an emerging important oncogene connecting several aspects of cancer.

    PubMed

    Wang, Hao; Zhao, Qin; Deng, Kaiyuan; Guo, Xiaoqiang; Xia, Jiazeng

    2016-03-01

    RNA-binding protein Lin28 was originally found as a heterochronic gene which played a significant role in the development of Caenorhabditis elegans. The tumor suppressor let-7 is a downstream target of Lin28, which has a wide variety of target genes which are involved in many aspects of cellular activities. By inhibition of let-7 and directly binding the target RNAs, Lin28 plays an important role in different biological and pathological processes including differentiation, metabolism, proliferation, pluripotency, and tumorigenesis. Overexpression of Lin28 has been reported in several kinds of cancers and is correlated with poor outcomes. It has been shown that Lin28 could affect the progression of cancers in several ways, such as promoting proliferation, increasing glucose metabolism, and inducing epithelial-mesenchymal transition (EMT) and cancer stem cells. Decrease of Lin28 expression or reactivation of let-7 in cancer cells could induce a reverse effect, indicating their therapeutic values in developing novel strategies for cancer treatment. Here, we will overview the regulatory mechanisms and functions of Lin28 in cancers.

  14. Psycho-Social Aspects of Physical Education. Basic Stuff Series I. 4.

    ERIC Educational Resources Information Center

    Oglesby, Carole A.; And Others

    The psychological and social aspects of achievement in physical activities are examined. The first chapter discusses health and the sources and development of self esteem. In the second chapter, ways in which a positive attitude toward one's body image may be developed are explored. The third chapter is concerned with achievement, motivation, fear…

  15. Physical, Spatial, and Molecular Aspects of Extracellular Matrix of In Vivo Niches and Artificial Scaffolds Relevant to Stem Cells Research

    PubMed Central

    Akhmanova, Maria; Osidak, Egor; Domogatsky, Sergey; Rodin, Sergey; Domogatskaya, Anna

    2015-01-01

    Extracellular matrix can influence stem cell choices, such as self-renewal, quiescence, migration, proliferation, phenotype maintenance, differentiation, or apoptosis. Three aspects of extracellular matrix were extensively studied during the last decade: physical properties, spatial presentation of adhesive epitopes, and molecular complexity. Over 15 different parameters have been shown to influence stem cell choices. Physical aspects include stiffness (or elasticity), viscoelasticity, pore size, porosity, amplitude and frequency of static and dynamic deformations applied to the matrix. Spatial aspects include scaffold dimensionality (2D or 3D) and thickness; cell polarity; area, shape, and microscale topography of cell adhesion surface; epitope concentration, epitope clustering characteristics (number of epitopes per cluster, spacing between epitopes within cluster, spacing between separate clusters, cluster patterns, and level of disorder in epitope arrangement), and nanotopography. Biochemical characteristics of natural extracellular matrix molecules regard diversity and structural complexity of matrix molecules, affinity and specificity of epitope interaction with cell receptors, role of non-affinity domains, complexity of supramolecular organization, and co-signaling by growth factors or matrix epitopes. Synergy between several matrix aspects enables stem cells to retain their function in vivo and may be a key to generation of long-term, robust, and effective in vitro stem cell culture systems. PMID:26351461

  16. Physical Delivery of Macromolecules using High-Aspect Ratio Nanostructured Materials.

    PubMed

    Lee, Kunwoo; Lingampalli, Nithya; Pisano, Albert P; Murthy, Niren; So, Hongyun

    2015-10-28

    There is great need for the development of an efficient delivery method of macromolecules, including nucleic acids, proteins, and peptides, to cell cytoplasm without eliciting toxicity or changing cell behavior. High-aspect ratio nanomaterials have addressed many challenges present in conventional methods, such as cell membrane passage and endosomal degradation, and have shown the feasibility of efficient high-throughput macromolecule delivery with minimal perturbation of cells. This review describes the recent advances of in vitro and in vivo physical macromolecule delivery with high-aspect ratio nanostructured materials and summarizes the synthesis methods, material properties, relevant applications, and various potential directions.

  17. Physical Activity in Individuals with Severe Mental Illness: Client versus Case Manager Ratings

    ERIC Educational Resources Information Center

    Bezyak, Jill L.; Chan, Fong; Lee, Eun-Jeong; Catalano, Denise; Chiu, Chung-Yi

    2012-01-01

    The "Physical Activity Scale for Individuals With Physical Disabilities" was examined as a physical activity measure for people with severe mental illness. Case manager ratings were more closely related to body mass index than clients' ratings, challenging the accuracy of self-report physical activity measures for individuals with severe mental…

  18. Physical Activity in Individuals with Severe Mental Illness: Client versus Case Manager Ratings

    ERIC Educational Resources Information Center

    Bezyak, Jill L.; Chan, Fong; Lee, Eun-Jeong; Catalano, Denise; Chiu, Chung-Yi

    2012-01-01

    The "Physical Activity Scale for Individuals With Physical Disabilities" was examined as a physical activity measure for people with severe mental illness. Case manager ratings were more closely related to body mass index than clients' ratings, challenging the accuracy of self-report physical activity measures for individuals with severe mental…

  19. Engaging with Life: Therapeutic Benefits of the Physical Aspects of Adventure Therapy.

    ERIC Educational Resources Information Center

    Maizell, Rich

    2000-01-01

    Adventure therapy infuses experiential, physical activity into traditional talk therapy, drawing support from Piaget's theory that children construct knowledge from their actions on the environment. Several vignettes illustrate the point, noting the importance of laughter and physical touch to therapy. Using ropes for a "touch without…

  20. Engaging with Life: Therapeutic Benefits of the Physical Aspects of Adventure Therapy.

    ERIC Educational Resources Information Center

    Maizell, Rich

    2000-01-01

    Adventure therapy infuses experiential, physical activity into traditional talk therapy, drawing support from Piaget's theory that children construct knowledge from their actions on the environment. Several vignettes illustrate the point, noting the importance of laughter and physical touch to therapy. Using ropes for a "touch without…

  1. Dual-aspect monism à la Pauli and Jung perforates the completeness of physics

    NASA Astrophysics Data System (ADS)

    Atmanspacher, Harald

    2012-12-01

    In the mid 19th century, the physicist Wolfgang Pauli and the psychologist Carl Gustav Jung developed a philosophical position for the mind-matter problem that is today called dual-aspect monism. They conjectured a picture in which the mental and the material arise as two complementary aspects of one underlying psychophysically neutral reality to which they cannot be reduced and to which direct empirical access is impossible. This picture suggests structural, persistent,re-producible mind-matter correlations by splitting the underlying reality into aspects. In addition, it suggests induced, occasional, evasive mind-matter correlations above and below, respectively, those stable baseline correlations. These correlations, and the way they arise, suggest that the domain of the physical is not completely independent of the domain of the mental, and both are not independent from the assumed reality underlying them. Some ideas are presented of how these relationships might be conceived.

  2. On some physical aspects of isotropic cosmology in Riemann-Cartan spacetime

    SciTech Connect

    Minkevich, A.V.; Garkun, A.S.; Kudin, V.I. E-mail: awm@matman.uwm.edu.pl E-mail: kudzin_w@tut.by

    2013-03-01

    Isotropic cosmology built in the framework of the Poincaré gauge theory of gravity based on sufficiently general expression of gravitational Lagrangian is considered. The derivation of cosmological equations and equations for torsion functions in the case of the most general homogeneous isotropic models is given. Physical aspects of isotropic cosmology connected with possible solution of dark energy problem and problem of cosmological singularity are discussed.

  3. The Fifth Symposium on Numerical and Physical Aspects of Aerodynamic Flows

    NASA Technical Reports Server (NTRS)

    1992-01-01

    This volume contains the papers presented at the Fifth Symposium on Numerical and Physical Aspects of Aerodynamic Flows, held at the California State University, Long Beach, from 13 to 15 January 1992. The symposium, like its immediate predecessors, considers the calculation of flows of relevance to aircraft, ships, and missiles with emphasis on the solution of two-dimensional unsteady and three-dimensional equations.

  4. Severe Traumatic Brain Injury, Frontal Lesions, and Social Aspects of Language Use: A Study of French-Speaking Adults

    ERIC Educational Resources Information Center

    Dardier, Virginie; Bernicot, Josie; Delanoe, Anaig; Vanberten, Melanie; Fayada, Catherine; Chevignard, Mathilde; Delaye, Corinne; Laurent-Vannier, Anne; Dubois, Bruno

    2011-01-01

    The purpose of this study was to gain insight into the social (pragmatic) aspects of language use by French-speaking individuals with frontal lesions following a severe traumatic brain injury. Eleven participants with traumatic brain injury performed tasks in three areas of communication: production (interview situation), comprehension (direct…

  5. Severe Traumatic Brain Injury, Frontal Lesions, and Social Aspects of Language Use: A Study of French-Speaking Adults

    ERIC Educational Resources Information Center

    Dardier, Virginie; Bernicot, Josie; Delanoe, Anaig; Vanberten, Melanie; Fayada, Catherine; Chevignard, Mathilde; Delaye, Corinne; Laurent-Vannier, Anne; Dubois, Bruno

    2011-01-01

    The purpose of this study was to gain insight into the social (pragmatic) aspects of language use by French-speaking individuals with frontal lesions following a severe traumatic brain injury. Eleven participants with traumatic brain injury performed tasks in three areas of communication: production (interview situation), comprehension (direct…

  6. Record base for an edentulous maxillary arch with severe undercuts in the labial aspect of the anterior residual ridge.

    PubMed

    Nishigawa, Goro; Maruo, Yukinori; Okamoto, Makoto; Minagi, Shogo

    2002-01-01

    A procedure is described for the fabrication of a record base for an edentulous maxillary arch with severe undercuts in the labial aspect of the anterior residual ridge. The record base is fabricated from autopolymerizing resin without soft lining materials and without blockout of the labial undercut of the stone cast.

  7. [Positioning, care and physical therapy in severely burned patients].

    PubMed

    Berger, A

    1984-01-01

    Positioning, medical care, and physiotherapy for severely burned patients represent essential parts of the treatment in the complete plan of full rehabilitation and resocialization. From the beginning an individual programme for each patient must be organized in joint planning with the physio- and ergo-therapists and be carefully controlled.

  8. Influence of soil physical properties and vegetation coverage at different slope aspects in a reclaimed dump.

    PubMed

    Pan, Jian; Bai, Zhongke; Cao, Yingui; Zhou, Wei; Wang, Jinman

    2017-09-05

    Vegetation coverage is an important parameter for affecting soil erosion and the physical and chemical properties of soil. To analyze the mutual influence between vegetation coverage and soil quality at different slope aspects in a reclaimed dump, fitting analyses were built between the normalized difference vegetation index and soil physical properties at each slope aspect. Twenty six quadrats were sampled in slope-platform alternate mode. Each quadrat was 10 m × 10 m. Vegetation index and soil physical properties were measured and calculated. Through curve fitting analysis, the results showed that soil bulk density has a negative correlation with the vegetation index on shady and half shady slopes, sunny slopes, and half sunny slopes. Soil porosity has a positive correlation with the vegetation index on shady and half shady slopes, sunny slope, and half sunny slope. The soil mass water content has a concave function relationship with the vegetation index on shady and half shady slopes and has a quadratic function relationship with the vegetation index on sunny and half sunny slopes, with the parabola moving upwards. The soil gravel content has a linear relationship with the vegetation index on shady and half shady slopes, and the image has a negative slope with a quadratic function relationship to the vegetation index on sunny slope and half sunny slope, with the parabola moving downwards. Due to differences among hydrothermal conditions, the relationship between vegetation coverage and soil quality indicators at different slope aspects is different; therefore, reasonable improvement of soil quality indicators on sunny and half sunny slopes could help plants to grow. These findings feed into a reference document that sets out how vegetation and soil quality may be improved in mining areas.

  9. Mechanistic aspects of biosynthesis of silver nanoparticles by several Fusarium oxysporum strains

    PubMed Central

    Durán, Nelson; Marcato, Priscyla D; Alves, Oswaldo L; De Souza, Gabriel IH; Esposito, Elisa

    2005-01-01

    Extracellular production of metal nanoparticles by several strains of the fungus Fusarium oxysporum was carried out. It was found that aqueous silver ions when exposed to several Fusarium oxysporum strains are reduced in solution, thereby leading to the formation of silver hydrosol. The silver nanoparticles were in the range of 20–50 nm in dimensions. The reduction of the metal ions occurs by a nitrate-dependent reductase and a shuttle quinone extracellular process. The potentialities of this nanotechnological design based in fugal biosynthesis of nanoparticles for several technical applications are important, including their high potential as antibacterial material. PMID:16014167

  10. Physics Basis for High-Beta, Low-Aspect-Ratio Stellarator Experiments

    SciTech Connect

    A. Brooks; A.H. Reiman; G.H. Neilson; M.C. Zarnstorff; et al

    1999-11-01

    High-beta, low-aspect-ratio (compact) stellarators are promising solutions to the problem of developing a magnetic plasma configuration for magnetic fusion power plants that can be sustained in steady-state without disrupting. These concepts combine features of stellarators and advanced tokamaks and have aspect ratios similar to those of tokamaks (2-4). They are based on computed plasma configurations that are shaped in three dimensions to provide desired stability and transport properties. Experiments are planned as part of a program to develop this concept. A beta = 4% quasi-axisymmetric plasma configuration has been evaluated for the National Compact Stellarator Experiment (NCSX). It has a substantial bootstrap current and is shaped to stabilize ballooning, external kink, vertical, and neoclassical tearing modes without feedback or close-fitting conductors. Quasi-omnigeneous plasma configurations stable to ballooning modes at beta = 4% have been evaluated for the Quasi-Omnigeneous Stellarator (QOS) experiment. These equilibria have relatively low bootstrap currents and are insensitive to changes in beta. Coil configurations have been calculated that reconstruct these plasma configurations, preserving their important physics properties. Theory- and experiment-based confinement analyses are used to evaluate the technical capabilities needed to reach target plasma conditions. The physics basis for these complementary experiments is described.

  11. Indoor environment and children's health: recent developments in chemical, biological, physical and social aspects.

    PubMed

    Le Cann, Pierre; Bonvallot, Nathalie; Glorennec, Philippe; Deguen, Séverine; Goeury, Christophe; Le Bot, Barbara

    2011-12-01

    Much research is being carried out into indoor exposure to harmful agents. This review focused on the impact on children's health, taking a broad approach to the indoor environment and including chemical, microbial, physical and social aspects. Papers published from 2006 onwards were reviewed, with regards to scientific context. Most of publications dealt with chemical exposure. Apart from the ongoing issue of combustion by-products, most of these papers concerned semi volatile organic compounds (such as phthalates). These may be associated with neurotoxic, reprotoxic or respiratory effects and may, therefore, be of particular interest so far as children are concerned. In a lesser extent, volatile organic compounds (such as aldehydes) that have mainly respiratory effects are still studied. Assessing exposure to metals is still of concern, with increasing interest in bioaccessibility. Most of the papers on microbial exposure focused on respiratory tract infections, especially asthma linked to allergens and bio-aerosols. Physical exposure includes noise and electromagnetic fields, and articles dealt with the auditory and non auditory effects of noise. Articles on radiofrequency electromagnetic fields mainly concerned questions about non-thermal effects and papers on extremely low-frequency magnetic fields focused on the characterization of exposure. The impact of the indoor environment on children's health cannot be assessed merely by considering the effect of these different types of exposure: this review highlights new findings and also discusses the interactions between agents in indoor environments and also with social aspects.

  12. Effects of Hatha Yoga Practice on the Health-Related Aspects of Physical Fitness.

    PubMed

    Tran, M D; Holly, R G; Lashbrook, J; Amsterdam, E A

    2001-01-01

    Ten healthy, untrained volunteers (nine females and one male), ranging in age from 18-27 years, were studied to determine the effects of hatha yoga practice on the health-related aspects of physical fitness, including muscular strength and endurance, flexibility, cardiorespiratory fitness, body composition, and pulmonary function. Subjects were required to attend a minimum of two yoga classes per week for a total of 8 weeks. Each yoga session consisted of 10 minutes of pranayamas (breath-control exercises), 15 minutes of dynamic warm-up exercises, 50 minutes of asanas (yoga postures), and 10 minutes of supine relaxation in savasana (corpse pose). The subjects were evaluated before and after the 8-week training program. Isokinetic muscular strength for elbow extension, elbow flexion, and knee extension increased by 31%, 19%, and 28% (p<0.05), respectively, whereas isometric muscular endurance for knee flexion increased 57% (p<0.01). Ankle flexibility, shoulder elevation, trunk extension, and trunk flexion increased by 13% (p<0.01), 155% (p<0.001), 188% (p<0.001), and 14% (p<0.05), respectively. Absolute and relative maximal oxygen uptake increased by 7% and 6%, respectively (p<0.01). These findings indicate that regular hatha yoga practice can elicit improvements in the health-related aspects of physical fitness. (c)2001 CHF, Inc.

  13. CLINICAL AND PARACLINICAL ASPECTS OF EBSTEIN'S ANOMALY--SEVERE FORM IN NEWBORNS.

    PubMed

    Iordache, C; Holoc, Andreea-Simona; Luca, Alina Costina

    2015-01-01

    Ebstein's anomaly is a rare heart malformation, with a broad spectrum of anatomic abnormalities, leading to different clinical, electrocardiographic, echocardiographic changes and a reserved prognosis. We have described a case of an infant diagnosed with Ebstein's anomaly--a severe form.

  14. Aspects Concerning "Play" for the Promotion of Preschool Children with Severe Speech- and Language Impairment

    ERIC Educational Resources Information Center

    Ullrich, Dieter; Marten, Magret

    2016-01-01

    Speech and language abilities are of great importance for later participation in economical and social life. In Lower Saxony/Germany, severely speech-/language (SL) impaired children may obtain special treatment during preschool in a so-called "Sprachheilkindergarten" (STK), a kindergarten focusing on early SL therapy. Purpose: This work…

  15. Some Aspects of Forecasting Severe Thunderstorms during Cool-Season Return-Flow Episodes.

    NASA Astrophysics Data System (ADS)

    Weiss, Steven J.

    1992-08-01

    Historically, the Gulf of Mexico has been considered a primary source of water vapor that influences the weather for much of the United States east of the Rocky Mountains. Although severe thunderstorms and tornadoes occur most frequently during the spring and summer months, the periodic transport of Gulf moisture inland ahead of traveling baroclinic waves can result in significant severe-weather episodes during the cool season.To gain insight into the short-range skill in forecasting surface synoptic patterns associated with moisture return from the Gulf, operational numerical weather prediction models from the National Meteorological Center were examined. Sea level pressure fields from the Limited-Area Fine-Mesh Model (LFM), Nested Grid Model (NGM), and the aviation (AVN) run of the Global Spectral Model, valid 48 h after initial data time, were evaluated for three cool-season cases that preceded severe local storm outbreaks. The NGM and AVN provided useful guidance in forecasting the onset of return flow along the Gulf coast. There was a slight tendency for these models to be slightly slow in the development of return flow. In contrast the LFM typically overforecasts the occurrence of return flow and tends to `open the Gulf' from west to east too quickly.Although the low-level synoptic pattern may be forecast correctly, the overall prediction process is hampered by a data void over the Gulf. It is hypothesized that when the return-flow moisture is located over the Gulf, model forecasts of stability and the resultant operational severe local storm forecasts are less skillful compared to situations when the moisture has spread inland already. This hypothesis is tested by examining the performance of the initial second-day (day 2) severe thunderstorm outlook issued by the National Severe Storms Forecast Center during the Gulf of Mexico Experiment (GUFMEX) in early 1988.It has been found that characteristically different air masses were present along the Gulf coast

  16. [Clinical and neurophysiological aspects of severe forms of autism in children].

    PubMed

    Simashkova, N V; Iakupova, L P; Bashina, V M

    2006-01-01

    The aim of the study was to elucidate fundamentals for the phenomenon of universality of childhood autism by comparison of clinical and neurophysiological features of its severest forms--children endogenous autism (CEA) and Rett's syndrome (RS). Each group included 20 patients. Both groups were similar by age-at-disease-onset, clinical appearances during the disease course and dynamics of psychopathological syndromes. The theta-rhythm is common for CEA and RS at the disease stage with marked signs of disease acuity, autism, regress and, therefore, may be regarded as a marker of severity and development delay. The universality of autism phenomenon in its severe forms was confirmed both at the clinical and neurophysiological levels.

  17. 78 FR 12219 - Excepted Service-Appointment of Persons With Intellectual Disabilities, Severe Physical...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-22

    ... RIN 3206-AM07 Excepted Service--Appointment of Persons With Intellectual Disabilities, Severe Physical Disabilities, and Psychiatric Disabilities AGENCY: U.S. Office of Personnel Management. ACTION: Final... to the appointment of persons with intellectual disabilities, severe physical disabilities, and...

  18. Several aspects of cultivating leaf greens in bioregenerative life support systems

    NASA Astrophysics Data System (ADS)

    Levinskikh, M. A.; Podolsky, I. G.; Sychev, V. N.

    Available results of theoretical and empirical studies of closed eco-systems lay the ground for the common opinion concerning desirability of incorporating higher plant cultivation equipment in the life support systems of closed habitats of varying purpose (space stations, Martian expedition, hyperbaric complexes in deep waters etc.) in order to add fresh greens to food rations, regenerate air and water, and to better the psychological climate. Design and functional features of this equipment and choice of plants are determined by the dimensions of habitat, power generation, length of self-sustained existence beyond Earth's biosphere and other factors. We are going to consider a particular case of fresh green biomass production for space crew nutrition with limited size and energy resources. The paper presents results of ground and space experimental investigations of a number of aspects of cultivating leaf plant species as applied to research and productive greenhouses. Goals of the investigations were to prepare for flight experiments in greenhouses LADA aboard ISS, and determination of specifications for future productive greenhouses for a Martian mission and its prototyping in ground-based simulations. The following objectives were pursued: - selection of the seeding surface shape and spatial configuration of productive and research greenhouses that can be proposed for the orbital station or a Martian vehicle comparison of productivity of leaf greens cultivated on different substrates; - determination of the maximal plant biomass yield and number of crops that can be gathered from root module without substrate change; - choice of leaf culture cultivars and species featured by very quick biomass buildup and pleasant taste qualities.

  19. Physical and psychosocial aspects of the learning environment in information technology rich classrooms.

    PubMed

    Zandvliet, D B; Straker, L M

    2001-07-15

    This paper reports on a study of environments in emerging Internet classrooms. At issue for this study is to what extent these 'technological classrooms' are providing a positive learning environment for students. To investigate this issue, this study involved an evaluation of the physical and psychosocial environments in computerized school settings through a combination of questionnaires and inventories that were later cross-referenced to case studies on a subset of these classrooms. Data were obtained from a series of physical evaluations of 43 settings in 24 school locations in British Columbia, Canada and Western Australia. Evaluations consisted of detailed inventories of the physical environment using the Computerised Classroom Environment Inventory (CCEI): an instrument developed specifically for this study. Data on psychosocial aspects of the environment were obtained with the What is Happening in this Class? (WIHIC) questionnaire administered to 1404 high school students making routine use of these computerized classrooms. Potential deficiencies in the physical environment of these locations included problems with individual workspaces, lighting and air quality, whereas deficiencies in the psychosocial environment were confined to the dimension of Autonomy. Further analysis of these classroom environment data indicated that student Autonomy and Task orientation were independently associated with students' Satisfaction with learning and that many physical (e.g. lighting and workspace dimensions) and psychosocial factors (e.g. students' perceptions of Co-operation and Collaboration) were also associated. The results provide a descriptive account of the learning environment in 'technology-rich' classrooms and, further, indicate that ergonomic guidelines used in the implementation of IT in classrooms may have a positive influence on the learning environment.

  20. Social, Psychological, And Physical Aspects Of The Work Environment Could Contribute To Hypertension Prevalence.

    PubMed

    Rehkopf, David H; Modrek, Sepideh; Cantley, Linda F; Cullen, Mark R

    2017-02-01

    Studies on the physical and social characteristics of the workplace have begun to provide evidence for the role of specific workplace factors on health. However, the overall contribution of the workplace to health has not been considered. Estimates of the influences on health across domains of the work environment are a critical first step toward understanding what level of priority the workplace should take as the target for public policies to improve health. The influences or contribution of these domains on health in the work environment are particularly useful to study since they are potentially modifiable through changes in policies and environment. Our analysis used detailed data from blue-collar industrial workers at two dozen Alcoa plants. It includes work environmental measures of psychological hazards, physical hazards, and the workplace social environment, to estimate the overall importance of the workplace environment for hypertension. Our findings suggest that social, psychological, and physical aspects of the work environment could contribute to a substantial proportion of hypertension prevalence. These attributes of the workplace could thus be a useful target for improving workforce health. Project HOPE—The People-to-People Health Foundation, Inc.

  1. Physical and Chemical Aspects of Pharmaceutical Solids: Fundamentals of Polymorphs, Hydrates and Solvates

    NASA Astrophysics Data System (ADS)

    Reutzel-Edens, Susan

    2007-03-01

    Crystal polymorphs are solid phases of a given compound resulting from the possibility of at least two different arrangements of the molecules of that compound in the solid state. Solvates form when the solvent is incorporated in the crystal structure of a compound; hydrates form when water is the solvent of crystallization. The potential effects of crystal polymorphism and hydration on the quality and performance of drug products is widely recognized by the pharmaceutical industry. Investigations of crystal polymorphism and hydration are usually conducted early in drug development to optimize the physical properties of a pharmaceutical solid. Although the thermodynamically most stable crystal form is generally selected for commercial development to mitigate the risk of undesired phase transformations, form selection oftentimes involves a compromise among different physical properties of various drug crystal forms. Controlling polymorph (or hydrate) appearance must be accomplished through careful evaluation of both thermodynamic (tendency toward the formation of more stable crystal forms) and kinetic parameters (which lead to the formation of metastable forms) in the crystallization process. In this presentation, fundamental aspects of polymorphs and solvates (hydrates) will be explored. Particular attention will be given to the structure and stability relationships between polymorphs and hydrates, kinetic vs. thermodynamic transitions, and the impact of polymorphism and hydration on the chemical and physical stability of an active pharmaceutical ingredient.

  2. Software Aspects of IEEE Floating-Point Computations for Numerical Applications in High Energy Physics

    SciTech Connect

    2010-05-11

    Floating-point computations are at the heart of much of the computing done in high energy physics. The correctness, speed and accuracy of these computations are of paramount importance. The lack of any of these characteristics can mean the difference between new, exciting physics and an embarrassing correction. This talk will examine practical aspects of IEEE 754-2008 floating-point arithmetic as encountered in HEP applications. After describing the basic features of IEEE floating-point arithmetic, the presentation will cover: common hardware implementations (SSE, x87) techniques for improving the accuracy of summation, multiplication and data interchange compiler options for gcc and icc affecting floating-point operations hazards to be avoided About the speaker Jeffrey M Arnold is a Senior Software Engineer in the Intel Compiler and Languages group at Intel Corporation. He has been part of the Digital->Compaq->Intel compiler organization for nearly 20 years; part of that time, he worked on both low- and high-level math libraries. Prior to that, he was in the VMS Engineering organization at Digital Equipment Corporation. In the late 1980s, Jeff spent 2½ years at CERN as part of the CERN/Digital Joint Project. In 2008, he returned to CERN to spent 10 weeks working with CERN/openlab. Since that time, he has returned to CERN multiple times to teach at openlab workshops and consult with various LHC experiments. Jeff received his Ph.D. in physics from Case Western Reserve University.

  3. Software Aspects of IEEE Floating-Point Computations for Numerical Applications in High Energy Physics

    ScienceCinema

    None

    2016-07-12

    Floating-point computations are at the heart of much of the computing done in high energy physics. The correctness, speed and accuracy of these computations are of paramount importance. The lack of any of these characteristics can mean the difference between new, exciting physics and an embarrassing correction. This talk will examine practical aspects of IEEE 754-2008 floating-point arithmetic as encountered in HEP applications. After describing the basic features of IEEE floating-point arithmetic, the presentation will cover: common hardware implementations (SSE, x87) techniques for improving the accuracy of summation, multiplication and data interchange compiler options for gcc and icc affecting floating-point operations hazards to be avoided About the speaker Jeffrey M Arnold is a Senior Software Engineer in the Intel Compiler and Languages group at Intel Corporation. He has been part of the Digital->Compaq->Intel compiler organization for nearly 20 years; part of that time, he worked on both low- and high-level math libraries. Prior to that, he was in the VMS Engineering organization at Digital Equipment Corporation. In the late 1980s, Jeff spent 2½ years at CERN as part of the CERN/Digital Joint Project. In 2008, he returned to CERN to spent 10 weeks working with CERN/openlab. Since that time, he has returned to CERN multiple times to teach at openlab workshops and consult with various LHC experiments. Jeff received his Ph.D. in physics from Case Western Reserve University.

  4. On physical nanoscale aspects of compatibility of steels with hydrogen and natural gas.

    PubMed

    Nechaev, Yu S; Ochsner, A

    2010-02-01

    The possibilities of effective solutions of relevant technological problems are considered based on the analysis of fundamental physical aspects, elucidation of the nano-structural mechanisms and interrelations of aging and hydrogen embrittlement of materials (steels) in the hydrogen industry and gas-main industries. The adverse effects which these mechanisms and processes have on the service properties and technological lifetime of materials are analyzed. The concomitant fundamental process of formation of carbohydride-like and other segregation nanostructures at dislocations (with the segregation capacity 1 to 1.5 orders of magnitude greater than in the widely used Cottrell 'atmosphere' model) and grain boundaries is discussed in the context of how these nanostructures affect technological processes (aging, hydrogen embrittlement, stress corrosion damage, and failure) and the physicomechanical properties of the metallic materials (including the technological lifetimes of pipeline steels).

  5. Treatment of cancer of the pancreas by intraoperative electron beam therapy: physical and biological aspects

    SciTech Connect

    Bagne, F.R.; Dobelbower, R.R. Jr.; Milligan, A.J.; Bronn, D.G.

    1989-01-01

    Radiation therapy has had a significant and an expanded role in the management of cancer of the pancreas during the last decade. In particular, for locally advanced disease, radiation therapy has improved the median survival of patients to 1 year. Intraoperative electron beam therapy has been applied to unresectable and resectable pancreatic cancer in an attempt to enhance local control of disease and to improve patient survival. This paper presents a survey of the role of radiation therapy in treatment of cancer of the pancreas, provides information on the radiobiological aspects of this treatment modality and details the physical and dosimetric characteristics of intraoperative radiation therapy with electrons. Presented are the design specifics of an applicator system, central axis beam data, applicator parameters, dose distribution data, shielding, treatment planning and means of verification. Emphasis is placed on the collaboration and cooperation necessary for all members of the intraoperative radiation therapy team including surgeons, radiation therapists, medical physicists, anesthesiologists, technologists, and nurses.29 references.

  6. The role of self-aspects in emotions elicited by threats to physical health.

    PubMed

    Uskul, Ayse K; Hynie, Michaela

    2014-01-01

    In two studies, we examined the relationship between self-aspects and socially engaging and socially disengaging emotions elicited by imagined and real physical health problems. In Study 1, participants imagined themselves experiencing a health problem described in a hypothetical scenario and rated the extent to which they would experience a list of emotions. The experience of socially engaging emotions such as shame and embarrassment was predicted by the endorsement of collective self. In Study 2, participants recalled a past health problem and emotions they experienced during its course. Again, collective self predicted the extent to which people mentioned socially engaging emotions in their free recall of emotions. Independent self was not related to the imagined experience of socially disengaging emotions in Study 1 or the recollection of such emotions in Study 2.

  7. Adolescence Education: Physical Aspect, Module One; Social Aspects, Module Two; Sex Roles, Module Three; Sexually Transmitted Diseases, Module Four.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    Adolescence Education is a family life education training program designed to assist young people in their physical, social, emotional, and moral development as they prepare for adulthood, marriage, parenthood, aging, and social relationships in the context of family and society. This package consists of four individually bound modules: (1)…

  8. Is greater self-neglect severity associated with lower levels of physical function?

    PubMed

    Dong, XinQi; Mendes de Leon, Carlos F; Evans, Denis A

    2009-06-01

    This study examined the association between severity of self-neglect and physical function in a population of community-dwelling older adults. Participants were older adults (N = 1,094) reported to the Chicago Department on Aging for suspected self-neglect from 1993 to 2005, who also participated in the Chicago Health Aging Project. The primary outcome of physical function was assessed using physical performance tests. Secondary outcomes were assessed using the Katz, Nagi, and Rosow-Breslau scales. Multiple regression models were used to assess these associations. After adjusting for confounders, higher self-neglect severity scores were associated with lower physical performance testing (coefficient = -.062, p = .001). Greater self-neglect severity was also correlated with the reported number of impairments on the Katz, Nagi, and Rosow-Breslau scales (coefficients = .024, .024, and .016, respectively, p = .001). Higher self-neglect severity is associated with lower levels of physical function among older adults.

  9. Physical, consumer, and social aspects of measuring the food environment among diverse low-income populations.

    PubMed

    Gittelsohn, Joel; Sharma, Sangita

    2009-04-01

    Obesity and other diet-related chronic diseases are directly related to the food environment. We describe how to better assess the food environment in specific ethnic minority settings for designing and implementing interventions, based on a review of our previous work on the food environment in American Indian reservations, Canadian First Nations reserves, the Republic of the Marshall Islands, and inner-city Baltimore. The types of food stores available within each setting and the range of healthy foods available varied greatly across these geographic regions. In all settings, proximity to food stores/supermarkets, cost, and limited availability of healthful foods were common features, which limited access to health-promoting food options. Features specific to each population should be considered in an assessment of the food environment, including physical (e.g., openness of stores, mix of types of food sources); consumer (e.g., adequacy of the food supply, seasonal factors); and social (e.g., inter-household food sharing, perceptions of food quality, language differences) aspects. The food environments common in low-income ethnic subpopulations require special focus and consideration due to the vulnerability of the populations and to specific and unique aspects of each setting.

  10. Physical, Consumer, and Social Aspects of Measuring the Food Environment Among Diverse Low-Income Populations

    PubMed Central

    Gittelsohn, Joel; Sharma, Sangita

    2011-01-01

    Obesity and other diet-related chronic diseases are directly related to the food environment. We describe how to better assess the food environment in specific ethnic minority settings for designing and implementing interventions, based on a review of our previous work on the food environment in American Indian reservations, Canadian First Nations reserves, the Republic of the Marshall Islands, and inner-city Baltimore. The types of food stores available within each setting and the range of healthy foods available varied greatly across these geographic regions. In all settings, proximity to food stores/supermarkets, cost, and limited availability of healthful foods were common features, which limited access to health-promoting food options. Features specific to each population should be considered in an assessment of the food environment, including physical (e.g., openness of stores, mix of types of food sources); consumer (e.g., adequacy of the food supply, seasonal factors); and social (e.g., inter-household food sharing, perceptions of food quality, language differences) aspects. The food environments common in low-income ethnic subpopulations require special focus and consideration due to the vulnerability of the populations and to specific and unique aspects of each setting. PMID:19285208

  11. [Biological aspects of occupational exposure to cadmium and several other metals].

    PubMed

    Lauwerys, R; Buchet, J P; Roels, H; Bernard, A; Gennart, J P

    1986-01-01

    We have performed several cross-sectional epidemiological surveys among workers exposed to cadmium, mercury vapour or manganese in order to assess : their early biological or functional effects; the biological tests allowing an assessment of the amount of metal absorbed or stored in the body; the acceptable exposure levels. Studies have also been carried out among persons exposed to inorganic arsenic in order to define its inactivation mechanism and to develop a biological test of exposure. The kidney is the main critical organ following long-term exposure to cadmium. To prevent the occurrence of renal changes in the majority of male workers exposed to cadmium, its concentration in renal cortex should not exceed 215 micrograms/g (wet weight), and that in urine : 10 micrograms/g creatinine. A blood cadmium level of 1 microgram/100 ml has been suggested as maximum tolerable level for long-term exposure. Prolonged exposure to mercury vapour may lead to renal and neurological disturbances. The preclinical signs of nephrotoxicity are correlated with the amount of mercury absorbed which may be assessed by monitoring the mercury level in urine. The neurotoxic effects (particularly tremor) are mainly related to the integrated exposure (duration and intensity). A maximal permissible level of 50 micrograms Hg/g urinary creatinine is proposed to prevent the occurrence of these toxic effects. An exposure to manganese dust for 7 years on the average at a level below the maximum allowable airborne concentration (5 mg/m3) recommended by the ACGIH in the USA may still lead to a slight reduction in psychomotor and spirometric performances and interfere with calcium metabolism.(ABSTRACT TRUNCATED AT 250 WORDS)

  12. Endoscopic evaluation of celiac disease severity and its correlation with histopathological aspects of the duodenal mucosa

    PubMed Central

    Bonatto, Mauro W.; Kotze, Luiz; Orlandoski, Marcia; Tsuchyia, Ricardo; de Carvalho, Carlos A.; Lima, Doryane; Kurachi, Gustavo; Orso, Ivan R.B.; Kotze, Lorete

    2016-01-01

    Background and study aims: Celiac disease (CD) is a chronic systemic autoimmune disorder affecting genetically predisposed individuals, triggered and maintained by the ingestion of gluten. Triggered and maintained by the ingestion of gluten, celiac disease is a chronic systemic autoimmune disorder affecting genetically predisposed individuals. Persistent related inflammation of the duodenal mucosa causes atrophy architecture detectable on esophagogastroduodenoscopy (EGD) and histopathology. We investigated the association between endoscopic features and histopathological findings (Marsh) for duodenal mucosa in celiac disease patients and propose an endoscopic classification of severity. Patients and methods: Between January 2000 and March 2010, an electronic database containing 34,540 EDGs of patients aged > 14 years was searched for cases of CD. Out of 109 cases, 85 met the inclusion criteria: conventional EGD combined with chromoendoscopy, zoom and biopsy. EGD types 0, I and II corresponds to Marsh grades 0, 1 and 2, respectively, while EGD type III corresponds to Marsh grade 3 and 4. Results: Five patients (5.8 %) were EGD I but not Marsh grade 1; 25 patients (29.4 %) were EGD II, 4 of whom (16 %) were classified as Marsh grade 2; and 55 patients (64.7 %) were EGD III, 51 (92.7 %) of whom were classified as Marsh grades 3 and 4. The Spearman correlation coefficient (r = 0.33) revealed a significant association between the methods (P = 0.002). Conclusions: Changes in the duodenal mucosa detected on EGD were significantly and positively associated with histopathologic findings. The use of chromoendoscopy in addition to conventional EGD enhances changes in the duodenal mucosa and permits diagnosis of CD, even in routine examinations. The proposed endoscopic classification is practical and easily reproducible and provides valuable information regarding disease extension. PMID:27556094

  13. Proteinase inhibitors in severe inflammatory processes (septic shock and experimental endotoxaemia): biochemical, pathophysiological and therapeutic aspects.

    PubMed

    Fritz, H

    1979-01-01

    Plasma levels of antithrombin III, alpha 2-macroglobulin and inter-alpha-trypsin inhibitor, as well as those of various clotting, complement and other plasma factors, were significantly decreased in 18 patients suffering from hyperdynamic septic shock. A similar statistically significant reduction of the concentrations of several plasma factors (prothrombin and antithrombin III, plasminogen and alpha 2-plasmin inhibitor, complement factor C3 and clotting factor XIII) was observed in experimental endotoxaemia. In this model the reduction in the plasma levels of these factors was considerably diminished by the intravenous injection of a granulocytic elastase--cathepsin G inhibitor of lower molecular weight from soybeans. The results of both studies indicate that consumption of plasma factors in the course of Gram-negative sepsis proceeds not only via the classical routes (by activation of the clotting, fibrinolytic and complement cascades by system-specific proteinases such as thrombokinase or the plasminogen activator) but also to an appreciable degree of unspecific degradation of plasma factors by neutral proteinases such as elastase and cathepsin G. The endotoxin-induced release of both sorts of proteinases, the system-specific ones and the unspecific lysosomal proteinases from leucocytes and other cells, is likely to be mainly responsible for the consumption of antithrombin III and alpha-2-macroglobulin via complex formation (followed by elimination of the complexes) and the increased turnover of the inter-alpha-trypsin inhibitor as observed in the clinical study. The therapeutic use of an exogenous elastase--cathepsin G inhibitor in the experimental model was stimulated by the observation that human mucous secretions contain and acid-stable inhibitor of the neutral granulocytic proteinases, called HUSI-I or antileucoproteinase. This inhibitor protects mucous membranes and soluble proteins against proteolytic attack by leucocytic proteinases released in the

  14. Fundamental and functional aspects of mesoscopic architectures with examples in physics, cell biology, and chemistry.

    PubMed

    Kalay, Ziya

    2011-08-01

    How small can a macroscopic object be made without losing its intended function? Obviously, the smallest possible size is determined by the size of an atom, but it is not so obvious how many atoms are required to assemble an object so small, and yet that performs the same function as its macroscopic counterpart. In this review, we are concerned with objects of intermediate nature, lying between the microscopic and the macroscopic world. In physics and chemistry literature, this regime in-between is often called mesoscopic, and is known to bear interesting and counterintuitive features. After a brief introduction to the concept of mesoscopic systems from the perspective of physics, we discuss the functional aspects of mesoscopic architectures in cell biology, and supramolecular chemistry through many examples from the literature. We argue that the biochemistry of the cell is largely regulated by mesoscopic functional architectures; however, the significance of mesoscopic phenomena seems to be quite underappreciated in biological sciences. With this motivation, one of our main purposes here is to emphasize the critical role that mesoscopic structures play in cell biology and biochemistry.

  15. Medical physics aspects of the synchrotron radiation therapies: Microbeam radiation therapy (MRT) and synchrotron stereotactic radiotherapy (SSRT).

    PubMed

    Bräuer-Krisch, Elke; Adam, Jean-Francois; Alagoz, Enver; Bartzsch, Stefan; Crosbie, Jeff; DeWagter, Carlos; Dipuglia, Andrew; Donzelli, Mattia; Doran, Simon; Fournier, Pauline; Kalef-Ezra, John; Kock, Angela; Lerch, Michael; McErlean, Ciara; Oelfke, Uwe; Olko, Pawel; Petasecca, Marco; Povoli, Marco; Rosenfeld, Anatoly; Siegbahn, Erik A; Sporea, Dan; Stugu, Bjarne

    2015-09-01

    Stereotactic Synchrotron Radiotherapy (SSRT) and Microbeam Radiation Therapy (MRT) are both novel approaches to treat brain tumor and potentially other tumors using synchrotron radiation. Although the techniques differ by their principles, SSRT and MRT share certain common aspects with the possibility of combining their advantages in the future. For MRT, the technique uses highly collimated, quasi-parallel arrays of X-ray microbeams between 50 and 600 keV. Important features of highly brilliant Synchrotron sources are a very small beam divergence and an extremely high dose rate. The minimal beam divergence allows the insertion of so called Multi Slit Collimators (MSC) to produce spatially fractionated beams of typically ∼25-75 micron-wide microplanar beams separated by wider (100-400 microns center-to-center(ctc)) spaces with a very sharp penumbra. Peak entrance doses of several hundreds of Gy are extremely well tolerated by normal tissues and at the same time provide a higher therapeutic index for various tumor models in rodents. The hypothesis of a selective radio-vulnerability of the tumor vasculature versus normal blood vessels by MRT was recently more solidified. SSRT (Synchrotron Stereotactic Radiotherapy) is based on a local drug uptake of high-Z elements in tumors followed by stereotactic irradiation with 80 keV photons to enhance the dose deposition only within the tumor. With SSRT already in its clinical trial stage at the ESRF, most medical physics problems are already solved and the implemented solutions are briefly described, while the medical physics aspects in MRT will be discussed in more detail in this paper. Copyright © 2015. Published by Elsevier Ltd.

  16. Stages of change and physical activity among individuals with severe mental illness.

    PubMed

    Bezyak, Jill L; Berven, Norman L; Chan, Fong

    2011-08-01

    To apply the constructs of the transtheoretical model (TTM) of change to understand physical activity among individuals with severe mental illness. Predictions of stages of change of physical activity and self-reported physical activity were investigated among 92 adults with severe mental illness, using cognitive and behavioral processes of change, self-efficacy, and perceived pros and cons of exercise as predictors. Separate logistic regression analyses for adjacent pairs of stages indicated that 33% of the variance was accounted for when predicting preparation versus action/maintenance stages, with behavioral processes making a significant unique contribution to prediction. A multiple-regression analysis was conducted to examine prediction of self-reported physical activity on the basis of all of the TTM measures, and the full model accounted for nearly 27% of the variance. Results suggest that TTM constructs hold promise in understanding physical activity of people with severe mental illness with significant implications for clinical practice and future research.

  17. The Role of Computers in Promoting Literacy in Children with Severe Speech and Physical Impairments (SSPI).

    ERIC Educational Resources Information Center

    Steelman, Jane D.; And Others

    1993-01-01

    A theoretical framework for how literacy is learned and an overview of some special learning and technological needs of persons with severe speech and physical impairments are presented. Guidelines are offered for appropriate software selection and specialized computer adaptation for speech output and physical access. (DB)

  18. Parents' Use of Physical Interventions in the Management of Their Children's Severe Challenging Behaviour

    ERIC Educational Resources Information Center

    Allen, David; Hawkins, Sarah; Cooper, Viv

    2006-01-01

    Background: Although training staff supporting people with challenging behaviour in physical interventions has become accepted practice, parents are often left to fend for themselves while managing equivalent behaviours. The study explores parents' experience of managing severe challenging behaviours, their use of physical interventions and access…

  19. Characterization, optimization and surface physics aspects of in situ plasma mirror cleaning.

    PubMed

    Pellegrin, Eric; Sics, Igors; Reyes-Herrera, Juan; Perez Sempere, Carlos; Lopez Alcolea, Juan Josep; Langlois, Michel; Fernandez Rodriguez, Jose; Carlino, Vincent

    2014-03-01

    Although the graphitic carbon contamination of synchrotron beamline optics has been an obvious problem for several decades, the basic mechanisms underlying the contamination process as well as the cleaning/remediation strategies are not understood and the corresponding cleaning procedures are still under development. In this study an analysis of remediation strategies all based on in situ low-pressure RF plasma cleaning approaches is reported, including a quantitative determination of the optimum process parameters and their influence on the chemistry as well as the morphology of optical test surfaces. It appears that optimum results are obtained for a specific pressure range as well as for specific combinations of the plasma feedstock gases, the latter depending on the chemical aspects of the optical surfaces to be cleaned.

  20. Does ICU Severity of Illness Influence Recall of Baseline Physical Function?

    PubMed Central

    Dinglas, Victor D.; Gellar, Jonathan; Colantuoni, Elizabeth; Stan, Vanessa A.; Mendez-Tellez, Pedro A.; Pronovost, Peter J.; Needham, Dale M.

    2011-01-01

    Purpose To evaluate if severity of illness in the intensive care unit influences patients' retrospective recall of their baseline physical function from prior to hospital admission. Materials and Methods A prospective cohort study of 193 acute lung injury (ALI) survivors who, prior to hospital discharge, retrospectively reported their pre-hospitalization physical function using the SF-36 quality of life survey. Results Four measures were used to evaluate ICU severity of illness: (1) Acute Physiology and Chronic Health Evaluation II Acute Physiologic Score at ICU admission, (2) Lung Injury Score at ALI diagnosis, (3) Sequential Organ Failure Assessment (SOFA) score at study enrollment, and (4) maximum daily SOFA score during the entire ICU stay. In multivariable linear regression analysis, no measure of severity of illness was associated with prehospitalization Physical Function. Education level significantly modified the relationship between ICU severity of illness and baseline Physical Function with lower educational attainment having a stronger association with baseline physical function. Conclusion ICU severity of illness was not associated with patients' retrospectively recalled baseline physical function. Patients with a lower level of education maybe more influenced by ICU severity of illness, but the magnitude of this effect may not be clinically meaningful. PMID:21737233

  1. Studies of the physical aspects of intumescence using advance diagnostics methods

    NASA Astrophysics Data System (ADS)

    Saeed, Hussain; Huang, Hua Wei; Zhang, Yang

    2014-04-01

    The use of intumescent paints as an active fire protection method has gained immense interest in recent years. A significant aspect of research has focused on studying the chemical aspects of the system to improve performance. The dynamics and physical aspects of intumescence in real time fire conditions are still unclear. The present research uses an experimental approach where diagnostics techniques such as thermal imaging camera was used to study intumescent characteristics that have been not been reported in great detail. T-panels are a substitute to the most commonly used part in construction, the I-beam. Studies were conducted using a cone calorimeter that provided a uniform heat flux through radiation on steel T-panel samples. The complex nature of char movement was recorded and a novel algorithm was used to track the growing char laye07r. The samples are designed to cater to different fire conditions. Therefore, the degree of intumescence was observed to be very different in the samples. The samples designed for low temperature cellulosic fires focus on high degree of intumesce. Whereas, mechanical strength is the focus for samples used in high temperature turbulent hydrocarbon fire conditions. The variation in the internal structure of the sample is presented. Furthermore, the phenomenon is phase shift is discussed. The phase shift is an essential part of the process of intumescence when the majority of intumescence occurs. It was observed to be different in all the samples. The movement of the samples is a property of great interest. This is because if any part of the substrate is exposed then the formulation does not meet strict commercialisation criterion. The movement was diagonal in nature as compared to flat panels where it is perpendicular. This is due tot the heating pattern of the plate that results in the web part of the panel to influence the growth of char on the flange part of the panel. A special case of char cracking is also highlighted and

  2. Studies of the physical aspects of intumescence using advance diagnostics methods

    SciTech Connect

    Saeed, Hussain Huang, Hua Wei Zhang, Yang

    2014-04-11

    The use of intumescent paints as an active fire protection method has gained immense interest in recent years. A significant aspect of research has focused on studying the chemical aspects of the system to improve performance. The dynamics and physical aspects of intumescence in real time fire conditions are still unclear. The present research uses an experimental approach where diagnostics techniques such as thermal imaging camera was used to study intumescent characteristics that have been not been reported in great detail. T-panels are a substitute to the most commonly used part in construction, the I-beam. Studies were conducted using a cone calorimeter that provided a uniform heat flux through radiation on steel T-panel samples. The complex nature of char movement was recorded and a novel algorithm was used to track the growing char laye07r. The samples are designed to cater to different fire conditions. Therefore, the degree of intumescence was observed to be very different in the samples. The samples designed for low temperature cellulosic fires focus on high degree of intumesce. Whereas, mechanical strength is the focus for samples used in high temperature turbulent hydrocarbon fire conditions. The variation in the internal structure of the sample is presented. Furthermore, the phenomenon is phase shift is discussed. The phase shift is an essential part of the process of intumescence when the majority of intumescence occurs. It was observed to be different in all the samples. The movement of the samples is a property of great interest. This is because if any part of the substrate is exposed then the formulation does not meet strict commercialisation criterion. The movement was diagonal in nature as compared to flat panels where it is perpendicular. This is due tot the heating pattern of the plate that results in the web part of the panel to influence the growth of char on the flange part of the panel. A special case of char cracking is also highlighted and

  3. Physical activity in solid organ transplant recipients: organizational aspects and preliminary results of the Italian project.

    PubMed

    Roi, G S; Stefoni, S; Mosconi, G; Brugin, E; Burra, P; Ermolao, A; Granito, M; Macini, P; Mastrosimone, S; Nacchia, F; Pegoraro, C; Rigotti, P; Sella, G; Sgarzi, S; Tamè, M R; Totti, V; Trerotola, M; Tripi, F; Nanni Costa, A

    2014-09-01

    Most of the difficulties when trying to realize the proposal to prescribe physical activity for transplantation patients come from patient attitudes and cultural beliefs that ignore the benefits of exercise, but there also are organizational aspects arising from the difficulties that these patients face in accessing supervised exercise facilities. To address these difficulties, the Italian study project "Transplant … and Now Sport" was developed based on a model of cooperation among transplantation specialists, sports physicians, and exercise specialists organized as a team combining their specific skills to effectively actuate the physical exercise programs. This preliminary report is based on 26 patients (16 male, 10 female; 47.8±10.0 years old; 21 kidney and 5 liver transplantations; time from transplantation 2.3±1.4 years) who performed prescribed and supervised exercises consisting of 3 sessions per week of aerobic and strengthening exercises for 1 year. Preliminary results show a significant decrease in body mass index (t=1.966; P<.05) and a significant increase in peak aerobic power (t=4.535; P<.01) and maximum workload (t=4.665; P<.01) on the incremental cycling test. Also maximum strength of knee extensors (t=2.933; P<.05) and elbow flexors (t=2.450; P<.05) and countermovement jump performance (t=2.303; P<.05) significantly increased. Creatinine and proteinuria tended to decrease, but the differences were not significant. In health-related quality of life assessed by the SF-36 questionnaire, the Bodily Pain, General Health, Vitality, Social Functioning, and Role Emotional scale scores showed a significant improvement (P<.05). Preliminary results of the study protocol "Transplant…and Now Sport" show the positive effects of the model based on cooperation among transplantation centers, sports medicine centers, and gyms in the administration of a supervised exercise prescription. These data should be considered a contribution to developing and promoting

  4. Physical aspects of thermotherapy: A study of heat transport with a view to treatment optimisation

    NASA Astrophysics Data System (ADS)

    Olsrud, Johan Karl Otto

    1998-12-01

    investigated as a method of non-invasive temperature monitoring, and an optically tissue-like phantom material, suitable for MRI, was developed. MRI thermometry in this material was shown to be an excellent method for characterization of laser applicators and for verification of numerical calculations. Finally, a water-cooled laser applicator for the treatment of benign prostatic hyperplasia, allowing anatomically correct heating, was developed and evaluated ex-vivo. An increased understanding of the physical aspects of thermotherapy, aided by the methods and results presented in this thesis, constitutes a significant contribution to the performance of safe and efficacious treatment.

  5. Efficacy of lifestyle interventions in physical health management of patients with severe mental illness

    PubMed Central

    2011-01-01

    Awareness of the importance of maintaining physical health for patients with severe mental illnesses has recently been on the increase. Although there are several elements contributing to poor physical health among these patients as compared with the general population, risk factors for cardiovascular disease such as smoking, diabetes mellitus, hypertension, dyslipidemia, metabolic syndrome, and obesity are of particular significance due to their relationship with mortality and morbidity. These patients present higher vulnerability to cardiovascular risk factors based on several issues, such as genetic predisposition to certain pathologies, poor eating habits and sedentary lifestyles, high proportions of smokers and drug abusers, less access to regular health care services, and potential adverse events during pharmacological treatment. Nevertheless, there is ample scientific evidence supporting the benefits of lifestyle interventions based on diet and exercise designed to minimize and reduce the negative impact of these risk factors on the physical health of patients with severe mental illnesses. PMID:21929761

  6. Physical Performance Is Associated with Working Memory in Older People with Mild to Severe Cognitive Impairment

    PubMed Central

    Volkers, K. M.; Scherder, E. J. A.

    2014-01-01

    Background. Physical performances and cognition are positively related in cognitively healthy people. The aim of this study was to examine whether physical performances are related to specific cognitive functioning in older people with mild to severe cognitive impairment. Methods. This cross-sectional study included 134 people with a mild to severe cognitive impairment (mean age 82 years). Multiple linear regression was performed, after controlling for covariates and the level of global cognition, with the performances on mobility, strength, aerobic fitness, and balance as predictors and working memory and episodic memory as dependent variables. Results. The full models explain 49–57% of the variance in working memory and 40–43% of episodic memory. Strength, aerobic fitness, and balance are significantly associated with working memory, explaining 3–7% of its variance, irrespective of the severity of the cognitive impairment. Physical performance is not related to episodic memory in older people with mild to severe cognitive impairment. Conclusions. Physical performance is associated with working memory in older people with cognitive impairment. Future studies should investigate whether physical exercise for increased physical performance can improve cognitive functioning. This trial is registered with ClinicalTrials.gov NTR1482. PMID:24757674

  7. Physical performance is associated with working memory in older people with mild to severe cognitive impairment.

    PubMed

    Volkers, K M; Scherder, E J A

    2014-01-01

    Physical performances and cognition are positively related in cognitively healthy people. The aim of this study was to examine whether physical performances are related to specific cognitive functioning in older people with mild to severe cognitive impairment. This cross-sectional study included 134 people with a mild to severe cognitive impairment (mean age 82 years). Multiple linear regression was performed, after controlling for covariates and the level of global cognition, with the performances on mobility, strength, aerobic fitness, and balance as predictors and working memory and episodic memory as dependent variables. The full models explain 49-57% of the variance in working memory and 40-43% of episodic memory. Strength, aerobic fitness, and balance are significantly associated with working memory, explaining 3-7% of its variance, irrespective of the severity of the cognitive impairment. Physical performance is not related to episodic memory in older people with mild to severe cognitive impairment. Physical performance is associated with working memory in older people with cognitive impairment. Future studies should investigate whether physical exercise for increased physical performance can improve cognitive functioning. This trial is registered with ClinicalTrials.gov NTR1482.

  8. What Did They Learn in School Today? A Method for Exploring Aspects of Learning in Physical Education

    ERIC Educational Resources Information Center

    Quennerstedt, Mikael; Annerstedt, Claes; Barker, Dean; Karlefors, Inger; Larsson, Håkan; Redelius, Karin; Öhman, Marie

    2014-01-01

    This paper outlines a method for exploring learning in educational practice. The suggested method combines an explicit learning theory with robust methodological steps in order to explore aspects of learning in school physical education. The design of the study is based on sociocultural learning theory, and the approach adds to previous research…

  9. Severe Skin Forms of Psoriasis in Black Africans: Epidemiological, Clinical, and Histological Aspects Related to 56 Cases

    PubMed Central

    Kassi, Komenan; Mienwoley, Oussou Armel; Kouyate, Mohamed; Koui, Sylvanus; Kouassi, Kouame A.

    2013-01-01

    Bacground. Psoriasis is an erythematosquamous dermatosis of chronic development. In sub-Saharan Africa, few studies have been focused on complicated forms of psoriasis. Objective. The aim is to describe epidemiological, clinical, and histological features of severe skin forms of psoriasis in Cote d'Ivoire. Material and Methods. The study was both cross-sectional and descriptive, that focused on patient admitted to the dermatology unit for complicated psoriasis, from January 1st, 1986, to December 31th, 2007. Results. Fifty-six patients admitted to hospital for severe skin forms of psoriasis were recorded and included in our study over 7.503 patients hospitalized during the study period. They represented 0.75% of cases. The average age was 39.6 ± 3.3 years. There were 49 male (87.5%) and 7 female patients (12.5%) with a sex ratio of 7. At socioprofessional level, 48 patients (87.5%) were from category 1. Patients' history was dominated by the psoriasis vulgaris. Physical and general signs were dominated by itching (58.9%). The three severe skin forms were observed with predominant erythrodermic psoriasis (60.7%). Fifteen patients (34.9%) were HIV positive. Conclusion. Severe skin forms of psoriasis are rare in our setting. But in the quarter of HIV-positive patients, they are dominated by the erythrodermic psoriasis. PMID:24490056

  10. Depression and disease severity as correlates of everyday physical activity in heart transplant candidates.

    PubMed

    Spaderna, Heike; Zahn, Daniela; Schulze Schleithoff, Stefanie; Stadlbauer, Thomas; Rupprecht, Leopold; Smits, Jacqueline M A; Krohne, Heinz Walter; Münzel, Thomas; Weidner, Gerdi

    2010-08-01

    It is unclear to what extent patients awaiting heart transplantation (HTx) engage in physical activities. We examined the everyday physical activity and its associations with depressive symptoms and disease severity in 318 patients newly registered for HTx in the multi-site study 'Waiting for a New Heart' (aged 53.5 +/- 11.4 years, 18% female patients). Participants completed questionnaires assessing depressive symptomatology and physical activity (number of physical activities, caloric expenditure associated with each activity), and estimated the distance they were able to walk without a break. Medical parameters at the time of listing [e.g. peak oxygen consumption (peakVO(2)); the German Transplant Society Score (GTSS)] were provided by Eurotransplant. Almost 50% of patients engaged in activities of daily living (housework, walking), but <10% engaged in regular exercise. All physical activity measures correlated significantly with peakVO(2) (Ps < 0.01). Elevated depression scores were present in 39% of patients. Controlling for confounding variables (e.g. peakVO(2), diastolic blood pressure, GTSS, age), depressive symptomatology accounted for additional variance in all physical activity measures (Ps < 0.05). The association of depressive symptoms with reduced physical activity suggests two important perspectives: attempts to increase physical activity (especially in the area of daily living) might benefit from targeting depression, and increased physical activity might also help to reduce depressive symptoms.

  11. Physical performance of migrant schoolchildren with marginal and severe iron deficiency in the suburbs of Beijing.

    PubMed

    Wang, Jie; Huo, Jun-Sheng; Sun, Jing; Ning, Zheng-Xiang

    2009-08-01

    To investigate relationship between iron deficiency of different degrees and physical performance and habitual activity of migrant schoolchildren at the age of 11-14 years. Ninety one randomly selected schoolchildren were divided into three groups according to their iron status. Iron status including hemoglobin (Hb), serum ferritin (SF), serum iron (SI) and sTfR was determined. Physical performance tests included maximum oxygen consumption (VO2max) and maximum work time. Energy expenditure (EE) and daily physical activity were estimated by recording 24-h heart rate (HR). Dietary intake was assessed with frequency questionnaires, and physical activity level was estimated with frequency and physical activity questionnaires. Severe iron deficiency (IDA) impaired the aerobic capacity and habitual physical activity. When fat-free mass (FFM) was considered, VO2max (VO2max/FFM) was significantly lower in the iron-marginal group than in the iron-adequate groups among girls (P = 0.02), but such a deference was not found among boys (P = 0.28). Aerobic activity and EE at leisure were significantly lower in the severe iron deficient group than in the marginal iron deficient and iron adequate groups. Net HR at leisure time was correlated with Hb, log SF, body weight, and FFM (P < 0.05). The functional effect of iron deficiency on physical performance and habitual physical activity rely on the degree of current iron deficiency. Severe iron deficiency significantly impairs both aerobic capacity and habitual physical activity. Iron-marginal deficiency impairs VO2max/FFM in girls, rather than in boys.

  12. Aspects of thin film deposition on granulates by physical vapor deposition

    NASA Astrophysics Data System (ADS)

    Eder, Andreas; Schmid, Gerwin H. S.; Mahr, Harald; Eisenmenger-Sittner, Christoph

    2016-11-01

    Thin film and coating technology has entered fields which may show significant deviations from classical coating applications where films are deposited on plane, sometimes large substrates. Often surfaces of small and irregularly shaped bodies have to be improved in respect to electrical, thermal or mechanical properties. Film deposition and characterization on such small substrates is not a trivial task. This specially holds for methods based on Physical Vapor Deposition (PVD) processes such as sputter deposition and its ion- and plasma assisted varieties. Due to their line of sight nature a key issue for homogenous films is efficient intermixing. If this problem is mastered, another task is the prediction and determination of the film thickness on single particles as well as on large scale ensembles thereof. In this work a mechanism capable of uniformly coating up to 1000 cm3 of granulate with particle sizes ranging from approx. 10 μm to 150 μm by magnetron sputtering is thoroughly described. A method for predicting the average film thickness on the particles is presented and tested for several differently shaped objects like microspheres, irregular grains of sinter powder or micro diamonds. For assessing the film thickness on single particles as well as on particle ensembles several complementary methods based on optics, X-ray analysis and gravimetry are employed. Their respective merits and limitations are discussed. Finally an outlook on adapting the described technology for surface modification by plasma based reactive and non-reactive processes is given.

  13. Severe traumatic brain injury, frontal lesions, and social aspects of language use: a study of French-speaking adults.

    PubMed

    Dardier, Virginie; Bernicot, Josie; Delanoë, Anaïg; Vanberten, Mélanie; Fayada, Catherine; Chevignard, Mathilde; Delaye, Corinne; Laurent-Vannier, Anne; Dubois, Bruno

    2011-01-01

    The purpose of this study was to gain insight into the social (pragmatic) aspects of language use by French-speaking individuals with frontal lesions following a severe traumatic brain injury. Eleven participants with traumatic brain injury performed tasks in three areas of communication: production (interview situation), comprehension (direct requests, conventional indirect requests, and hints), and metapragmatic knowledge. The results of the patients pointed out some strengths (turn-taking in production, and request comprehension, including hints and the speaker's intention) and some weaknesses (topic maintenance in production and metapragmatic knowledge). The patients' good comprehension of requests and their difficulty expressing metapragmatic knowledge suggest that they differ from controls in how they "explain the world": their knowledge of the event sequence was not based on verbally expressible knowledge about the relationship between the structural characteristics of a request utterance and those of its social production context. The pragmatic skills of persons with traumatic brain injury seem to vary across tasks: these individuals have specific strengths and weaknesses in different domains. In addition, marked interindividual differences were noted among the patients: three of them had only one weak point, topic maintenance. These interindividual differences were not systematically linked to performance on executive function tests, but lesion unilaterality (right or left) seems to help preserve patients' pragmatic and metapragmatic skills. The discussion stresses the need to take each patient's strengths and weaknesses into account in designing remediation programs. As a result of this activity, the reader will be able to explain the social/pragmatic aspects of language in typical and atypical participants with TBI. As a result of this activity, the reader will be able to identify social/pragmatic weaknesses and strengths. Copyright © 2011 Elsevier Inc

  14. Differences in fat loss in response to physical activity among severely obese men and women.

    PubMed

    Aadland, Eivind; Jepsen, Randi; Andersen, John Roger; Anderssen, Sigmund Alfred

    2014-04-01

    Direct measurement of physical activity may be critical to revealing its relationship with the change in fat mass over time. The aim of this study was to determine the relationship between accelerometer-determined change in physical activity and change in fat mass in severely obese men and women. A total of 49 severely obese men (n = 12) and women (n = 37) (mean age 42.8 years (standard deviation (SD) 9.6); mean body mass index 42.0 kg/m2 (SD 5.9) participated in a 1-year lifestyle intervention with 4 measurements of physical activity (Actigraph GT1M accelerometer), energy intake (180-item food frequency questionnaire), and body composition. Associations were determined using linear regression analyses. In the total group change in both duration and intensity of physical activity were independently related to change in fat mass (partial r = -0.38 to -0.31, p = 0.001-0.007) after adjustment for baseline body weight, gender and change in energy intake. A gender-specific effect of change in physical activity duration was found for change in fat mass (p for change in physical activity duration*gender < 0.001), where the association was significant in men (partial r = -0.53, p < 0.001), but not in women (partial r = -0.17, p = 0.149). Increased intensity of physical activity was associated with loss of fat mass in severely obese men and women, whereas physical activity duration was associated with fat mass loss in men.

  15. Le Developpement Physique de L'Eleve: Cadre de Developpement Aspect Physique. Monographie (Students' Physical Growth: Developmental Framework, Physical Dimension).

    ERIC Educational Resources Information Center

    Alberta Dept. of Education, Edmonton.

    This report puts forth the position of the Ministry of Education of Alberta, Canada, with respect to the physical development of the elementary school student as the basis for his or her cognitive, emotional, social, and moral development. The report describes normal physical development during the first 10 years of life in the domains of…

  16. 77 FR 6022 - Excepted Service-Appointment of Persons With Intellectual Disabilities, Severe Physical...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ... Intellectual Disabilities, Severe Physical Disabilities, and Psychiatric Disabilities AGENCY: U.S. Office of... proposing to amend its regulations pertaining to the appointment of persons with disabilities. The proposed... substitute the phrase ``intellectual disability'' for the phrase ``mental retardation'' throughout this Part...

  17. Personal Assistant Support for Students with Severe Physical Disabilities in Postsecondary Education

    ERIC Educational Resources Information Center

    Hedrick, Bradley N.; Stumbo, Norma J.; Martin, Jay K.; Martin, Liam G.; Nordstrom, David L.; Morrill, Joshua H.

    2012-01-01

    The purpose of this exploratory research is to document the level of personal assistance support provided to students with severe physical disabilities by disability support services in higher education institutions across the United States. A national survey was conducted of members of the Association of Higher Education And Disability (AHEAD)…

  18. Secondary Physical Education Teachers' Beliefs and Practices in Teaching Students with Severe Disabilities: A Descriptive Analysis

    ERIC Educational Resources Information Center

    Ammah, Jonathan O. A.; Hodge, Samuel R.

    2006-01-01

    The purpose was to describe the beliefs and practices of general physical education (GPE) teachers at the high school level on inclusion and teaching students with severe disabilities. Participants were two experienced GPE teachers at separate suburban high schools. The research paradigm was descriptive using a combination of naturalistic…

  19. Culturally Responsive Instruction for Students with Multiple or Severe Physical Impairments

    ERIC Educational Resources Information Center

    Glimps, Blanche Jackson; Ford, Theron

    2006-01-01

    Are there students with physical disabilities who are so severely impaired that their culture can not be taken into consideration? Growing numbers of preschool and school age children with such disabilities are from non-European countries including Africa, South America, East Asia, and the Caribbean Islands. In addition, children who are American…

  20. Reviving the 'double jeopardy' hypothesis: physical health inequalities, ethnicity and severe mental illness.

    PubMed

    Das-Munshi, Jayati; Stewart, Robert; Morgan, Craig; Nazroo, James; Thornicroft, Graham; Prince, Martin

    2016-09-01

    People with severe mental illness (SMI) experience a reduction in life expectancy of 15-20 years. Physical health and mortality experience may be even worse for ethnic minority groups with SMI, but evidence is limited. We suggest clinical, policy and research recommendations to address this inequality.

  1. Construction Manual for CAP (Communication Aid for Paraplegics and Other Severely Physically Handicapped).

    ERIC Educational Resources Information Center

    Indiana State Dept. of Public Instruction, Indianapolis. Div. of Special Education.

    The manual provides information and diagrams for constructing CAP, Communication Aid for Paraplegics and other severely physically handicapped persons. Also described are factors influencing the design and modification of the alphabet display. It is explained that CAP combines a teletypewriter with a rotating alphabet display and requires only a…

  2. Supported Employment for People with Severe Physical Disabilities: Survey of State and Vocational Rehabilitation Agencies.

    ERIC Educational Resources Information Center

    Kiernan, William E.; McGaughey, Martha J.; Cooperman, Paula J.; McNally, Lorraine C.

    This report details the findings of a survey of supported employment directors in the 50 state vocational rehabilitation (VR) agencies, that sought to identify potential barriers to a variety of supported employment services for persons with severe physical disabilities. Key findings include: (1) 84 percent of the agencies provided services to…

  3. Depression severity, diet quality, and physical activity in women with obesity and depression.

    PubMed

    Appelhans, Bradley M; Whited, Matthew C; Schneider, Kristin L; Ma, Yunsheng; Oleski, Jessica L; Merriam, Philip A; Waring, Molly E; Olendzki, Barbara C; Mann, Devin M; Ockene, Ira S; Pagoto, Sherry L

    2012-05-01

    Major depressive disorder (MDD) is prevalent in clinical weight-loss settings and predicts poor weight-loss outcomes. It is unknown whether the severity of depressive symptoms among those with MDD is associated with diet quality or physical activity levels. This knowledge is important for improving weight-loss treatment for these patients. It was hypothesized that more severe depression is associated with poorer diet quality and lower physical activity levels among individuals with obesity and MDD. Participants were 161 women with current MDD and obesity enrolled in the baseline phase of a weight-loss trial between 2007 and 2010. Depression severity was measured with the Beck Depression Inventory II. The Alternate Healthy Eating Index was applied to data from three 24-hour diet recalls to capture overall diet quality. Daily metabolic equivalents expended per day were calculated from three 24-hour physical activity recalls. Greater depression severity was associated with poorer overall diet quality (estimate=-0.26, standard error 0.11; P=0.02), but not with physical activity (estimate=0.07, standard error 0.05; P=0.18), in linear regression models controlling for income, education, depression-related appetite change, binge eating disorder, and other potential confounds. Associations with diet quality were primarily driven by greater intake of sugar (r=0.20; P<0.01), saturated fat (r=0.21; P<0.01), and sodium (r=0.22; P<0.01). More severe depression was associated with poorer overall diet quality, but not physical activity, among treatment-seeking women with MDD and obesity. Future studies should identify mechanisms linking depression to diet quality and determine whether diet quality improves with depression treatment.

  4. Anxiety and physical health problems increase the odds of women having more severe symptoms of depression.

    PubMed

    Weiss, Sandra J; Simeonova, Diana I; Kimmel, Mary C; Battle, Cynthia L; Maki, Pauline M; Flynn, Heather A

    2016-06-01

    Severely depressed women incur substantial disability and suicide risk, necessitating an understanding of factors that may contribute to severe depression. The purpose of this research was to determine the degree to which age, physical morbidity, anxiety, and hormonal status predict the likelihood of severe depression among women with mood disorders (n = 298). Data arose from a standardized battery of measures in a multi-center clinical registry of patients with mood disorders. The women were being treated at 17 participating sites of the National Network of Depression Centers. Results of logistic regression analyses indicate that a woman's level of anxiety was the strongest predictor of her likelihood of having severe depression (Exp(B) = 1.33, p = .000), including thoughts of death or suicide. The number of physical health problems that a woman reported was also a significant predictor (Exp(B) = 1.09, p = .04). Neither age nor hormonal status was significant in the final model, although a trend was observed for women with surgically induced menopause to have more severe depression. Findings support the need to work closely with medical practitioners to address physical health problems as part of the treatment plan for depression and to give comorbid anxiety and depression equal priority in symptom management.

  5. ICT based technology to support play for children with severe physical disabilities.

    PubMed

    van den Heuvel, Renée; Lexis, Monique; de Witte, Luc

    2015-01-01

    Play is important for a child's development. Children with severe physical disabilities experience difficulties engaging in play. With the progress of technology the possibilities to support play are increasing. The purpose of this review was to gain insight into the possibilities and availability of ICT based technology to support play in children with severe physical disabilities. A systematic literature search within the databases PubMed, CINAHL, IEEE and ERIC was carried out. Three reviewers assessed titles and abstracts independently. Additionally, Google Scholar, conference proceedings and reference lists were used. The included publications reported on 27 different technologies, which can be classified into three main groups; robots, virtual reality systems and computer systems. There are several options that may have great potential in supporting play for this target group.

  6. Health-related physical fitness children with severe and moderate developmental coordination disorder.

    PubMed

    Nascimento, Roseane O; Ferreira, Lúcio F; Goulardins, Juliana B; Freudenheim, Andrea M; Marques, Juliana C Bilhar; Casella, Erasmo B; Oliveira, Jorge A

    2013-11-01

    The present study aims to examine physical fitness among children with developmental coordination disorder (DCD) with varying degrees of severity (moderate and severe - mDCD, sDCD), and a group of children without DCD (wDCD), in the city of Manaus, Brazil. Initially, 180 children aged 6-10 years old participated in this study. After being diagnosed according to the DSM-IV-TR, 63 children were then divided into three groups (21 in each group). Health-related physical fitness was measured by means of the Fitnessgram, which included several core components, namely, body composition, muscle strength and endurance, flexibility, and cardiorespiratory resistance. The results showed no statistically significant differences between both groups in any of the assessed components. However, when analyzing the results of each component according to the criteria of the Fitnessgram, we observed that, regardless of the classification group, less than half of the children achieved scores that, according to the motor tests, would classify them as having a healthy fitness. Children with sDCD, mDCD and wDCD presented similar levels of health-related physical fitness, with an unsatisfactory performance for the component strength and muscular endurance. We therefore emphasize the importance of further research in this area, more particularly when it comes to following the development of motor skills and physical fitness in children with DCD, as well as the observation of the interactions between these variables over time. Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. Balance impairment, physical ability, and its link with disease severity in patients with intermittent claudication.

    PubMed

    Gohil, Risha A; Mockford, Katherine A; Mazari, Fayyaz; Khan, Junaid; Vanicek, Natalie; Chetter, Ian C; Coughlin, Patrick A

    2013-01-01

    To determine whether increasing claudication severity is associated with impaired balance and physical functional ability. A prospective observational study in claudicants was performed. Disease severity was determined according to Rutherford's criteria. Patient's balance was assessed objectively using computerized dynamic posturography (CDP-Sensory Organization Test [SOT]; NeuroCom). "Bedside" assessment of balance was performed using the Timed Up and Go (TUG) test (dynamic balance) and the Full Tandem Stance test (static balance). Physical function was assessed using the Summary Physical Performance Battery (SPPB) score. 185 claudicants were assessed (median age of 69 [IQR 63-74] years; 137 [74.1%] men). Fourteen claudicants were classified as Rutherford grade 0, 26 as grade I, 76 as grade II, and 69 as grade III. All Rutherford groups were comparable for age, gender, BMI, and comorbidities. Increasing Rutherford grade was associated with a significant deterioration in objective balance as determined by a failed SOT test: 3 (21.4%) in grade 0; 9 (34.6%) in grade I; 39 (52.7%) in grade II; and 41 (59.4%) in grade III (chi-squared 9.693, df 3, P = 0.021). A significant difference was also found with dynamic balance (TUG test), but not static balance (full tandem stance). Increasing claudication severity was also associated with significantly worse physical function: SPPB score. Specific objective tests demonstrate impaired balance and physical function are common in claudicants and become more frequent with increasing severity of claudication. Simple "bedside" measures may be sufficiently sensitive to detect this. Copyright © 2013 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.

  8. Analysis of the development of wave mechanics: aspects from the history of physics and the philosophy of science

    SciTech Connect

    Kuhn, W.

    1988-03-01

    This review and analysis of wave mechanics and the role played by Erwin Schroedinger in its development begins with a biographical sketch of Schroedinger and his scientific and philosophical association with physicists contemporary to him and engaged also in wave and quantum studies. The paper then goes on to establish the philosophical and historical aspects behind Schroedinger's contribution to quantum mechanics and discusses his more personal dilemma over the changes in wave and particle physics in which he was instrumental.

  9. Psychometric properties of the 7-Day Physical Activity Recall questionnaire in individuals with severe mental illness.

    PubMed

    Soundy, Andy; Taylor, Adrian; Faulkner, Guy; Rowlands, Ann

    2007-12-01

    Few self-report measures of physical activity have been validated in individuals with severe mental illness. The purpose of this study was to examine the validity and reliability of a 7-day recall measure (7DR: [Blair, S. N. (1984). How to assess exercise habits and physical fitness. In J. D. Matarazzo, N. E. Miller, & S. M. Weiss, (Eds.), Behavioural health: A handbook of health enhancement and disease prevention (pp. 424-447). New York: Wiley.]) through comparison with RT3 triaxial accelerometry data. Fourteen individuals took part in the study. Validity was considered by Kendall's tau correlation and (Bland, J. M., & Altman, D. G. (1986). Statistical-methods for assessing agreement between 2 methods of clinical measurement. Lancet, 1(8476), 307-310) limits of agreement and test-retest reliability was measured by ICC. The only significant correlation between measures was total energy expenditure (tau = 0.43). The 7-DR over reported moderate physical activity by 16.9 +/- 52.3 min/day, but under reported vigorous physical activity by -10.4 +/- 24.3 min/day. Test retest ICC was significant for all outcome measures. Overall, the 7-DR was reliable but exhibited questionable validity. The use of self-report questionnaires such as the 7-DR may inaccurately estimate the levels of physical activity in this population, and may not be sensitive to monitoring intervention-related changes in physical activity.

  10. Participant Satisfaction in a Study of Stimulant, Parent Training, and Risperidone in Children with Severe Physical Aggression

    PubMed Central

    Townsend, Lisa D.; Schneider, Jayne; Farmer, Cristan A.; Molina, Brooke B.S.G.; Findling, Robert L.; Gadow, Kenneth D.; Bukstein, Oscar G.; Kolko, David J.; Buchan-Page, Kristin A.; McNamara, Nora K.; Michel, Chenel; Austin, Adrienne; Kipp, Heidi; Rice, Robert R.; Aman, Michael G.

    2015-01-01

    Abstract Objective: The purpose of this study was to examine the satisfaction of families who participated in the Treatment of Severe Childhood Aggression (TOSCA) study. Methods: TOSCA was a randomized clinical trial of psychostimulant plus parent training plus placebo (basic treatment) versus psychostimulant plus parent training plus risperidone (augmented treatment) for children with severe physical aggression, disruptive behavior disorder, and attention-deficit/hyperactivity disorder. Parents completed a standardized Parent Satisfaction Questionnaire (PSQ). Results: Of the 168 families randomized, 150 (89.3%) provided consumer satisfaction data. When they were asked if they would join the study again if they had the option to repeat, 136 (91%) said “yes,” 11 (7%) said “maybe,” and one (<1%) said “no.” When asked if they would recommend the study to other parents with children having similar problems, 147 (98%) said “yes” and 3 (2%) said “maybe.” Between 71% (rating one aspect of the Parent Training) and 96% (regarding the diagnostic interview) endorsed study procedures using the most positive response option. Asked if there were certain aspects of the study that they especially liked, 64 (43%) spontaneously reported parent training. Treatment assignment (basic vs. augmented) and responder status were not associated with reported satisfaction. However, responder status was strongly associated with parent confidence in managing present (p<0.001) and future (p<0.005) problem behaviors. Conclusions: These findings indicate high levels of satisfaction with TOSCA study involvement and, taken together with previous pediatric psychopharmacology social validity studies, suggest high levels of support for the research experience. These findings may inform research bioethics and may have implications for deliberations of institutional review boards. Trial Registry: Treatment of Severe Childhood Aggression (The TOSCA Study), NCT00796302, clinicaltrials

  11. Participant satisfaction in a study of stimulant, parent training, and risperidone in children with severe physical aggression.

    PubMed

    Rundberg-Rivera, E Victoria; Townsend, Lisa D; Schneider, Jayne; Farmer, Cristan A; Molina, Brooke B S G; Findling, Robert L; Gadow, Kenneth D; Bukstein, Oscar G; Arnold, L Eugene; Kolko, David J; Buchan-Page, Kristin A; McNamara, Nora K; Michel, Chenel; Austin, Adrienne; Kipp, Heidi; Rice, Robert R; Aman, Michael G

    2015-04-01

    The purpose of this study was to examine the satisfaction of families who participated in the Treatment of Severe Childhood Aggression (TOSCA) study. TOSCA was a randomized clinical trial of psychostimulant plus parent training plus placebo (basic treatment) versus psychostimulant plus parent training plus risperidone (augmented treatment) for children with severe physical aggression, disruptive behavior disorder, and attention-deficit/hyperactivity disorder. Parents completed a standardized Parent Satisfaction Questionnaire (PSQ). Of the 168 families randomized, 150 (89.3%) provided consumer satisfaction data. When they were asked if they would join the study again if they had the option to repeat, 136 (91%) said "yes," 11 (7%) said "maybe," and one (<1%) said "no." When asked if they would recommend the study to other parents with children having similar problems, 147 (98%) said "yes" and 3 (2%) said "maybe." Between 71% (rating one aspect of the Parent Training) and 96% (regarding the diagnostic interview) endorsed study procedures using the most positive response option. Asked if there were certain aspects of the study that they especially liked, 64 (43%) spontaneously reported parent training. Treatment assignment (basic vs. augmented) and responder status were not associated with reported satisfaction. However, responder status was strongly associated with parent confidence in managing present (p<0.001) and future (p<0.005) problem behaviors. These findings indicate high levels of satisfaction with TOSCA study involvement and, taken together with previous pediatric psychopharmacology social validity studies, suggest high levels of support for the research experience. These findings may inform research bioethics and may have implications for deliberations of institutional review boards. Treatment of Severe Childhood Aggression (The TOSCA Study), NCT00796302, clinicaltrials.gov .

  12. Light and Sound: Evolutionary Aspects. Physical Processes in Terrestrial and Aquatic Ecosystems, Transport Processes.

    ERIC Educational Resources Information Center

    Roseman, Leonard D.

    These materials were designed to be used by life science students for instruction in the application of physical theory to ecosystem operation. Most modules contain computer programs which are built around a particular application of a physical process. This module is concerned with the exchange of energy between an organism and its environment in…

  13. Is Physicality an Important Aspect of Learning through Science Experimentation among Kindergarten Students?

    ERIC Educational Resources Information Center

    Zacharia, Zacharias C.; Loizou, Eleni; Papaevripidou, Marios

    2012-01-01

    The purpose of this study was to investigate whether physicality (actual and active touch of concrete material), as such, is a necessity for science experimentation learning at the kindergarten level. We compared the effects of student experimentation with Physical Manipulatives (PM) and Virtual Manipulatives (VM) on kindergarten students'…

  14. Is Physicality an Important Aspect of Learning through Science Experimentation among Kindergarten Students?

    ERIC Educational Resources Information Center

    Zacharia, Zacharias C.; Loizou, Eleni; Papaevripidou, Marios

    2012-01-01

    The purpose of this study was to investigate whether physicality (actual and active touch of concrete material), as such, is a necessity for science experimentation learning at the kindergarten level. We compared the effects of student experimentation with Physical Manipulatives (PM) and Virtual Manipulatives (VM) on kindergarten students'…

  15. Physical therapy as an adjunctive treatment for severe osteoarthritis in a Komodo dragon (Varanus komodoensis).

    PubMed

    Wolfe, Tammy Culpepper; Stringer, Elizabeth; Krauss, Sue; Trout, Tim

    2015-03-01

    This case report describes a new physical therapy technique, specifically the Wolfe Kinetic Technique, as adjunctive therapy in the treatment of severe osteoarthritis in a 20-yr-old Komodo dragon (Varanus komodoensis). This animal was managed with oral analgesics for 3 yr with fair to minimal response over time. Due to worsening of lameness and mobility, physical therapy was initiated. Ten treatment sessions were administered at 1-wk intervals. Within 1 mo the Komodo dragon exhibited marked improvement in gait and function, increased responsiveness to his environment, and increased mobility which continued to improve over the subsequent sessions. Although outcomes could not be measured by standardized objective measures, this study provides a reference for treatment of future cases and a foundation for future research substantiating treatment practices in animal physical therapy.

  16. Robots and ICT to support play in children with severe physical disabilities: a systematic review.

    PubMed

    van den Heuvel, Renée J F; Lexis, Monique A S; Gelderblom, Gert Jan; Jansens, Rianne M L; de Witte, Luc P

    2015-09-02

    Play is an essential part of children's lives. Children with physical disabilities experience difficulties in play, especially those with severe physical disabilities. With the progress of innovative technology, the possibilities to support play are increasing. The purpose of this literature study is to gain insight into the aims, control options and commercial availability of information and communication technology (ICT) and robots to support play (especially play for the sake of play) in children with severe physical disabilities. A systematic literature search in the databases PubMed, CINAHL, IEEE and ERIC was carried out. Titles and abstracts were assessed independently by three reviewers. In addition, studies were selected using Google Scholar, conference proceedings and reference lists. Three main groups of technology for play could be distinguished: robots (n = 8), virtual reality systems (n = 15) and computer systems (n = 4). Besides, ICT and robots developed for specific therapy or educational goals using play-like activities, five of the in total 27 technologies in this study described the aim of "play for play's sake". Many ICT systems and robots to support play in children with physical disabilities were found. Numerous technologies use play-like activities to achieve therapeutic or educational goals. Robots especially are used for "play for play's sake". Implications for Rehabilitation This study gives insight into the aims, control options and commercial availability for application of robots and ICT to support play in children with severe physical disabilities. This overview can be used in both the fields of rehabilitation and special education to search for new innovative intervention options and it can stimulate them to use these innovative play materials. Especially robots may have great potential in supporting "play for play's sake".

  17. [Motor-independent communication by severely physically challenged patients: neuroscientific research results and patient autonomy].

    PubMed

    Brukamp, K

    2013-10-01

    Motor-independent communication is a novel diagnostic and therapeutic method that is currently in development in order to enable communication with severely physically challenged patients. Some patients with locked-in syndromes or with chronic disorders of consciousness are capable of modulating their brain activities to such a degree that the latter can be analyzed regarding communicative intentions with neuroscientific technologies, such as functional magnetic resonance imaging. Further scientific development and an increasing clinical use of motor-independent communication will aid in meeting essential quality standards for this method. In particular, the requirements need to be clarified under which the method may be utilized to support the patients' autonomy by enabling them to make their own decisions about therapeutic interventions. Communication mediated by technology promises to significantly improve the quality of life for severely physically challenged patients.

  18. [Physical therapy for four patients with severe axonal Guillain-Barré syndrome in acute stage].

    PubMed

    Kakou, Hiroaki; Shitama, Hideo; Kimura, Yoshiko; Saeki, Satoru; Hachisuka, Kenji

    2009-03-01

    We describe four male patients suffering from quadriplegia caused by axonal Guillain-Barré syndrome. They were diagnosed with axonal Guillain-Barré syndrome based on their clinical course and electrophysiological findings. Three patients had severe pain, two had marked elevation of serum creatine kinase, one had finger contracture, and two required mechanical ventilation. Two of the patients recovered during the period from nadir to discharge in the Hughes functional grading scale and Barthel index. A physical therapist should understand the characteristics of severe axonal Guillain-Barré syndrome in an acute stage, and consider the psychological status of the patients.

  19. Use and perceived need of physical therapy following severe lower-extremity trauma.

    PubMed

    Castillo, Renan C; MacKenzie, Ellen J; Webb, Lawrence X; Bosse, Michael J; Avery, Jennifer

    2005-09-01

    To examine the utilization of physical therapy (PT), the level of perceived need for PT, and the proportion of patients with perceived need receiving no PT in a cohort of severe lower-extremity trauma patients treated at level I trauma centers. Longitudinal, observational study of severe lower-extremity trauma patients. Patients were interviewed by a research coordinator and examined by an orthopedic surgeon and a physical therapist during initial admission, and at 3, 6, 12, and 24 months postdischarge. Eight level I trauma centers. Of 601 patients age 18 to 65 enrolled in the parent study over a 40-month period, 550 with unilateral study injuries and followed up at least once over the 2-year study period were included in this analysis. Not applicable. Patient reported number of PT visits at each follow-up time point, inpatient rehabilitation admissions, and their perceived need for PT. Perceived need for PT was also assessed by an orthopedic surgeon and a physical therapist. Overall, concordance between physician, physical therapist, and patient's assessment of need for PT was low, with kappa statistics ranging between .12 and .41. Amputation and reconstruction patients used comparable amounts of PT services. Regardless of the criteria used to evaluate need, the proportion of patients with perceived need for PT receiving no PT services increased over the course of the follow-up, from 23% to 46% at first follow-up to over 68% by 2 years. Factors associated with increased risk for having a perceived need but receiving no therapy included lack of private insurance, pain, lower levels of education, lower fitness levels at time of injury, being a smoker, and having severe muscle injury. The results suggest a significant proportion of patients in the severe lower-extremity trauma population have perceived need for PT, yet receive no PT services.

  20. Benefits of Distinguishing between Physical and Social-Verbal Aspects of Behavior: An Example of Generalized Anxiety

    PubMed Central

    Trofimova, Irina; Sulis, William

    2016-01-01

    Temperament traits and mental illness have been linked to varying degrees of imbalances in neurotransmitter systems of behavior regulation. If a temperament model has been carefully structured to reflect weak imbalances within systems of behavior regulation, then in the presence of mental illness, these profiles should exhibit distinct patterns consistent with symptoms of mental illness. In contrast to other temperament models used in studies of anxiety disorders, the Functional Ensemble of Temperament (FET) model differentiates not only between emotionality traits, but also between traits related to physical, social-verbal and mental aspects of behavior. This paper analyzed the predictions of the FET model, which maps 12 functional aspects of behavior to symptoms of generalized anxiety disorder (GAD) as described in the DSM/ICD. As an example, the paper describes a study of the coupling of sex, age and temperament traits with GAD using the FET framework. The intake records of 116 clients in treatment with confirmed diagnosis of GAD in a private psychological practice were compared using ANOVA against records of 146 healthy clients using their scores on the FET-based questionnaire, in age groups 17–24, 25–45, 46–65. Patients with GAD in all age groups reported significantly lower Social Endurance, Social Tempo, Probabilistic reasoning (but not in physical aspects of behavior) and higher Neuroticism than healthy individuals, however, no effects on the scales of Motor Endurance or Tempo were found. These findings show the benefits of differentiation between motor-physical and social-verbal aspects of behavior in psychological assessment of mental disorders. PMID:27014146

  1. Benefits of Distinguishing between Physical and Social-Verbal Aspects of Behavior: An Example of Generalized Anxiety.

    PubMed

    Trofimova, Irina; Sulis, William

    2016-01-01

    Temperament traits and mental illness have been linked to varying degrees of imbalances in neurotransmitter systems of behavior regulation. If a temperament model has been carefully structured to reflect weak imbalances within systems of behavior regulation, then in the presence of mental illness, these profiles should exhibit distinct patterns consistent with symptoms of mental illness. In contrast to other temperament models used in studies of anxiety disorders, the Functional Ensemble of Temperament (FET) model differentiates not only between emotionality traits, but also between traits related to physical, social-verbal and mental aspects of behavior. This paper analyzed the predictions of the FET model, which maps 12 functional aspects of behavior to symptoms of generalized anxiety disorder (GAD) as described in the DSM/ICD. As an example, the paper describes a study of the coupling of sex, age and temperament traits with GAD using the FET framework. The intake records of 116 clients in treatment with confirmed diagnosis of GAD in a private psychological practice were compared using ANOVA against records of 146 healthy clients using their scores on the FET-based questionnaire, in age groups 17-24, 25-45, 46-65. Patients with GAD in all age groups reported significantly lower Social Endurance, Social Tempo, Probabilistic reasoning (but not in physical aspects of behavior) and higher Neuroticism than healthy individuals, however, no effects on the scales of Motor Endurance or Tempo were found. These findings show the benefits of differentiation between motor-physical and social-verbal aspects of behavior in psychological assessment of mental disorders.

  2. Predicting transitory mood from physical activity level among people with severe mental illness in two cultures.

    PubMed

    McCormick, Bryan P; Frey, Georgia; Lee, Chien-Tsung; Chun, Sanghee; Sibthorp, Jim; Gajic, Tomislav; Stamatovic-Gajic, Branka; Maksimovich, Milena

    2008-11-01

    Previous studies have indicated that physical activity (PA) is positively related to health-related quality of life and well-being among people with severe mental illness (SMI). Physical activity is broadly defined in this research as any skeletal muscle movement resulting in energy expenditure, including common daily activities such as housework and gardening, as well as walking for transportation and formal exercise. Although the physical health benefits of PA are well documented, evidence suggests that PA provides psychological benefits as well. The purpose of this study was to identify if PA level was associated with transitory mood in the everyday lives of people with SMI across two cultures. Subjects were drawn through mental health centres in Serbia (n = 12) and the USA (n = 11). Data were collected using both experience sampling methodology and accelerometry. Data were analyzed using hierarchical linear modelling. Subjects demonstrated low levels of PA, which did not differ significantly between groups. Hierarchical analysis indicated that PA remained significantly positively associated with mood after accounting for individual variation, and this was consistent across groups. This study reinforces previous findings that people with SMI demonstrate low PA levels generally. It also supports the consideration of physical activity interventions as a regular part of psychiatric rehabilitation. It appears that increased PA may have the potential to affect both physical health and mood among people with SMI.

  3. Relationship Between Loneliness, Psychiatric Disorders and Physical Health ? A Review on the Psychological Aspects of Loneliness

    PubMed Central

    Shoib, Sheikh; Shah, Tabindah; Mushtaq, Sahil

    2014-01-01

    Human beings are social species which require safe and secure social surroundings to survive. Satisfying social relationships are essential for mental and physical well beings. Impaired social relationship can lead to loneliness. Since the time of dawn, loneliness is perceived as a global human phenomenon. Loneliness can lead to various psychiatric disorders like depression, alcohol abuse, child abuse, sleep problems, personality disorders and Alzheimer’s disease. It also leads to various physical disorders like diabetes, autoimmune disorders like rheumatoid arthritis, lupus and cardiovascular diseases like coronary heart disease, hypertension (HTN), obesity, physiological aging, cancer, poor hearing and poor health. Left untended, loneliness can have serious consequences for mental and physical health of people. Therefore it is important to intervene at the right time to prevent loneliness, so that physical and mental health of patients is maintained. PMID:25386507

  4. Physical activity play: the nature and function of a neglected aspect of playing.

    PubMed

    Pellegrini, A D; Smith, P K

    1998-06-01

    In this review, we consider the nature and possible developmental functions of physical activity play, defined as a playful context combined with a dimension of physical vigor. We distinguish 3 kinds of physical activity play, with consecutive age peaks: rhythmic stereotypies peaking in infancy, exercise play peaking during the preschool years, and rough-and-tumble play peaking in middle childhood. Gender differences (greater prevalence in males) characterize the latter 2 forms. Function is considered in terms of beneficial immediate and deferred consequences in physical, cognitive, and social domains. Whereas most theories assume that children's play has deferred benefits, we suggest that forms of physical activity play serve primarily immediate developmental functions. Rhythmic stereotypies in infancy are hypothesized to improve control of specific motor patterns. Exercise play is hypothesized to function primarily for strength and endurance training; less clear evidence exists for possible benefits for fat reduction and thermoregulation. In addition, there may be cognitive benefits of exercise play that we hypothesize to be largely incidental to its playful or physical nature. Rough-and-tumble play has a distinctive social component; we hypothesize that it serves primarily dominance functions; evidence for benefits to fighting skills or to emotional coding are more equivocal. Further research is indicated, given the potentially important implications for children's education, health, and development.

  5. Some physiological aspects of artificial gravity. [gravitational effects on human orthostatic tolerance and physical fitness

    NASA Technical Reports Server (NTRS)

    Cramer, D. B.; Graybiel, A.

    1973-01-01

    The effects of increasing artificial gravity exposure on four aspects of physiological fitness are examined in four young men who, prior to exposure, were deconditioned with bed rest and water immersion. The four aspects of physiological fitness are orthostatic tolerance, exercise tolerance, forearm endurance, and maximum strength. Orthostatic tolerance was sharply reduced by deconditioning and was substantially improved by walking in simulated lunar gravity (1/6 g) for 2.5 hours daily for 7 days or by walking in 1/2 g and 1 g for 1 hour daily for 3 days. Exercise tolerance was also sharply reduced by deconditioning but did not significantly improve with increasing g-exposure. Walking in 1 g for 1 hour daily for 3 days raised exercise tolerance only a little above the low produced by deconditioning. Forearm endurance and maximum strength were relatively unaffected by deconditioning and subsequent g-exposure.

  6. Some physiological aspects of artificial gravity. [gravitational effects on human orthostatic tolerance and physical fitness

    NASA Technical Reports Server (NTRS)

    Cramer, D. B.; Graybiel, A.

    1973-01-01

    The effects of increasing artificial gravity exposure on four aspects of physiological fitness are examined in four young men who, prior to exposure, were deconditioned with bed rest and water immersion. The four aspects of physiological fitness are orthostatic tolerance, exercise tolerance, forearm endurance, and maximum strength. Orthostatic tolerance was sharply reduced by deconditioning and was substantially improved by walking in simulated lunar gravity (1/6 g) for 2.5 hours daily for 7 days or by walking in 1/2 g and 1 g for 1 hour daily for 3 days. Exercise tolerance was also sharply reduced by deconditioning but did not significantly improve with increasing g-exposure. Walking in 1 g for 1 hour daily for 3 days raised exercise tolerance only a little above the low produced by deconditioning. Forearm endurance and maximum strength were relatively unaffected by deconditioning and subsequent g-exposure.

  7. Physical activity, health status and risk of hospitalization in patients with severe chronic obstructive pulmonary disease.

    PubMed

    Benzo, Roberto P; Chang, Chung-Chou H; Farrell, Max H; Kaplan, Robert; Ries, Andrew; Martinez, Fernando J; Wise, Robert; Make, Barry; Sciurba, Frank

    2010-01-01

    Chronic obstructive pulmonary disease (COPD) is a leading cause of death and 70% of the cost of COPD is due to hospitalizations. Self-reported daily physical activity and health status have been reported as predictors of a hospitalization in COPD but are not routinely assessed. We tested the hypothesis that self-reported daily physical activity and health status assessed by a simple question were predictors of a hospitalization in a well-characterized cohort of patients with severe emphysema. Investigators gathered daily physical activity and health status data assessed by a simple question in 597 patients with severe emphysema and tested the association of those patient-reported outcomes to the occurrence of a hospitalization in the following year. Multiple logistic regression analyses were used to determine predictors of hospitalization during the first 12 months after randomization. The two variables tested in the hypothesis were significant predictors of a hospitalization after adjusting for all univariable significant predictors: >2 h of physical activity per week had a protective effect [odds ratio (OR) 0.60; 95% confidence interval (95% CI) 0.41-0.88] and self-reported health status as fair or poor had a deleterious effect (OR 1.57; 95% CI 1.10-2.23). In addition, two other variables became significant in the multivariate model: total lung capacity (every 10% increase) had a protective effect (OR 0.88; 95% CI 0.78-0.99) and self-reported anxiety had a deleterious effect (OR 1.75; 95% CI 1.13-2.70). Self-reported daily physical activity and health status are independently associated with COPD hospitalizations. Our findings, assessed by simple questions, suggest the value of patient-reported outcomes in developing risk assessment tools that are easy to use.

  8. Physical Activity, Health Status and Risk of Hospitalization in Patients with Severe Chronic Obstructive Pulmonary Disease

    PubMed Central

    Benzo, Roberto P.; Chang, Chung-Chou H.; Farrell, Max H.; Kaplan, Robert; Ries, Andrew; Martinez, Fernando J.; Wise, Robert; Make, Barry; Sciurba, Frank

    2010-01-01

    Background Chronic obstructive pulmonary disease (COPD) is a leading cause of death and 70% of the cost of COPD is due to hospitalizations. Self-reported daily physical activity and health status have been reported as predictors of a hospitalization in COPD but are not routinely assessed. Objectives We tested the hypothesis that self-reported daily physical activity and health status assessed by a simple question were predictors of a hospitalization in a well-characterized cohort of patients with severe emphysema. Methods Investigators gathered daily physical activity and health status data assessed by a simple question in 597 patients with severe emphysema and tested the association of those patient-reported outcomes to the occurrence of a hospitalization in the following year. Multiple logistic regression analyses were used to determine predictors of hospitalization during the first 12 months after randomization. Results The two variables tested in the hypothesis were significant predictors of a hospitalization after adjusting for all univariable significant predictors: >2 h of physical activity per week had a protective effect [odds ratio (OR) 0.60; 95% confidence interval (95% CI) 0.41–0.88] and self-reported health status as fair or poor had a deleterious effect (OR 1.57; 95% CI 1.10–2.23). In addition, two other variables became significant in the multivariate model: total lung capacity (every 10% increase) had a protective effect (OR 0.88; 95% CI 0.78–0.99) and self-reported anxiety had a deleterious effect (OR 1.75; 95% CI 1.13–2.70). Conclusion Self-reported daily physical activity and health status are independently associated with COPD hospitalizations. Our findings, assessed by simple questions, suggest the value of patient-reported outcomes in developing risk assessment tools that are easy to use. PMID:20234126

  9. Physical and geometrical aspects of de sitter interior of a gravastar

    NASA Astrophysics Data System (ADS)

    Morawiec, Pawel Jan

    The principal motivation for the investigations reported in this thesis is the gravastar model for physical black holes. According to this model the final state of the gravitational collapse of cold super-dense stars with the mass greater than some critical value is a non-singular object called a gravastar. This thesis presents results related to the various aspects of the de Sitter interior of a gravastar. The main object of the research was a generalized rotating interior of a gravastar. It was shown that the rotation, characterized by the vorticity, is localized on the vortex line. The metric under considerations is the de Sitter metric, however in some variant of the oblate spheroidal coordinates. Additionally a cosmic string on the rotation axis is present. This new result is the de Sitter version of the Mazur string, which was obtained from the four dimensional Levi-Civita metric as the generalization of the three-dimensional cosmic string by Adler and Jackiw. Also, using analogy between rotation in the superfluid and the magnetic field we gave another example of the Cosmic No Hair Theorem, this time "no magnetic fields in de Sitter space". But we also have shown that when the de Sitter event horizon is replaced by a thin shell (with a finite thickness), as it is in the gravastar model, the non-vanishing magnetic field could be present. To our knowledge these are new results. In this thesis we have studied behavior of the massless Dirac field as an example of a matter field in the de Sitter spacetime in the vicinity of an event horizon. We found convenient to work in the frame of the optical geometry of the de Sitter space as it is related to the metric in the static coordinates through a conformal Weyl rescaling and the dynamics of the massless Dirac fields is conformally invariant. The fact that the spatial part of the metric in the optical geometry of de Sitter space is the constant negative curvature Lobachevski space (the Euclidean ant-de Sitter space

  10. Severe Anti-epileptic Drug-induced Gingival Overgrowth in a Physically Disabled Patient.

    PubMed

    Kaomongkolgit, R; Tantanapornkul, W; Jittapiromsak, N; Ngamwannagul, P; Sriaroon, P

    2015-05-08

    Anti-epileptic drugs are considered to be the main drugs associated with gingival overgrowth. The co-administration of phenytoin and other anti-epileptic drugs, which increases the risk of phenytoin-induced gingival overgrowth, has been previously reported. However, no report has been done considering the new generation of anti-epileptic drug topiramate and its association with gingival overgrowth. High levels of dental plaque and calculus have also been reported as being a critical risk factor in the development and severity of drug-induced gingival overgrowth. Thus, this case report highlights the occurrence of severe gingival overgrowth and generalized periodontitis in a physically disabled patient with epilepsy who had been taking phenytoin and topiramate drugs for 10 years. It also emphasizes the importance for both medical and dental professionals to reduce the severity and impact of drug-induced gingival overgrowth.

  11. Performance factors in women's team handball: physical and physiological aspects--a review.

    PubMed

    Manchado, Carmen; Tortosa-Martínez, Juan; Vila, Helena; Ferragut, Carmen; Platen, Petra

    2013-06-01

    Team handball is an Olympic sport played professionally in many European countries. Nevertheless, a scientific knowledge regarding women's elite team handball demands is limited. Thus, the purpose of this article was to review a series of studies (n = 33) on physical characteristics, physiological attributes, physical attributes, throwing velocity, and on-court performances of women's team handball players. Such empirical and practical information is essential to design and implement successful short-term and long-term training programs for women's team handball players. Our review revealed that (a) players that have a higher skill level are taller and have a higher fat-free mass; (b) players who are more aerobically resistant are at an advantage in international level women team handball; (c) strength and power exercises should be emphasized in conditioning programs, because they are associated with both sprint performance and throwing velocity; (d) speed drills should also be implemented in conditioning programs but after a decrease in physical training volume; (e) a time-motion analysis is an effective method of quantifying the demands of team handball and provides a conceptual framework for the specific physical preparation of players. According to our results, there are only few studies on on-court performance and time-motion analysis for women's team handball players, especially concerning acceleration profiles. More studies are needed to examine the effectiveness of different training programs of women's team handball players' physiological and physical attributes.

  12. Aspects of emotional and physical discomfort in gynecologic examination: a study of Turkish women.

    PubMed

    Tugut, Nilufer; Golbasi, Zehra

    2014-06-01

    This cross-sectional study was carried out to determine physical and emotional discomforts experienced before and after a gynecologic examination by women who presented to the outpatient clinic of the gynecology and obstetrics department at a university hospital. The sample of study was composed of 248 women. Data were collected with a survey form developed by researchers. T-test and variance analysis were used in statistical analysis. Emotional discomfort before the examination was felt by 80.2% of the women, while 80.6% stated they felt emotional discomfort after the examination. Physical discomfort before the examination was experienced by 67.3% of the women, while 76.6% stated that they felt physical discomfort after the examination. The emotional discomfort mean score was 5.02 ± 3.24 before examination and 4.62 ± 3.23 after examination (P > 0.05). The physical discomfort mean score was 3.38 ± 3.12 before examination and 3.94 ± 3.02 after examination and the difference between mean scores was statistically significant (P < 0.05). The women felt more physical discomfort during the examination than they anticipated beforehand. The emotional discomfort in women who preferred a female physician was significantly higher than in those who preferred a male physician or who had no preference on the sex of their physician. © 2014 The Authors. Journal of Obstetrics and Gynaecology Research © 2014 Japan Society of Obstetrics and Gynecology.

  13. The Relationship Between Approach to Activity Engagement, Specific Aspects of Physical Function, and Pain Duration in Chronic Pain.

    PubMed

    Andrews, Nicole E; Strong, Jenny; Meredith, Pamela J

    2016-01-01

    To examine: (1) the relationships between habitual approach to activity engagement and specific aspects of physical functioning in chronic pain; and (2) whether or not these relationships differ according to pain duration. Outpatients (N=169) with generalized chronic pain completed a set of written questionnaires. Categories of "approach to activity engagement" were created using the confronting and avoidance subscales of the Pain and Activity Relations Questionnaire. An interaction term between "approach to activity engagement" categories and pain duration was entered into analysis with age, sex, pain intensity, the categorical "approach to activity engagement" variable, and pain duration, in 9 ordinal regression models investigating functioning in a variety of daily activities. The "approach to activity engagement" category predicted the personal care, lifting, sleeping, social life, and traveling aspects of physical functioning but, interestingly, not the performance skills used during these activities, that is, walking, sitting, and standing. The interaction term was significant in 2 models; however, the effect of pain duration on associations was the inverse of that theorized, with the relationship between variables becoming less pronounced with increasing duration of pain. The results of this study do not support the commonly held notion that avoidance and/or overactivity behavior leads to deconditioning and reduced physical capacity over time. Findings do, however, suggest that a relationship exists between avoidance and/or overactivity behavior and reduced participation in activities. Implications for the clinical management of chronic pain and directions for further research are discussed.

  14. Sensitivity of movement and intensity of severe cyclone AILA to the physical processes

    NASA Astrophysics Data System (ADS)

    Rambabu, S.; Gayatri Vani, D.; Ramakrishna, S. S. V. S.; Rama, G. V.; Apparao, B. V.

    2013-08-01

    Accurate prediction of movement and intensity of tropical cyclone is still most challenging problem in numerical weather prediction. The positive progress in this field can be achieved by providing network of observations in the storm region and best representation of atmospheric physical processes in the model. In the present study later part was attempted to investigate the sensitivity of movement and intensity of the severe cyclonic storm AILA to different physical processes in the Weather Research and Forecasting model. Three sets of experiments were conducted for convection, microphysics (MP) and planetary boundary layer (PBL) processes. Model-simulated fields like minimum central surface pressure, maximum surface wind, track and vector displacement error are considered to test the sensitivity. The results indicate that the movement of the system is more sensitive to the cumulus physics and the intensity of the cyclone is sensitive to both PBL and cumulus physics. The combination of Betts Miller Janjic (BMJ) for convection, Yonsei University (YSU) for PBL and Purdue Lin (LIN) for microphysics is found to perform better than other combination schemes. The horizontal and vertical features of the system along with its special features like complete northward movement of the system throughout the travel period and the consistent cyclonic storm intensity until 15 hrs after the landfall could be well simulated by the model.

  15. Some Aspects of Rubberlike Elasticity Useful in Teaching Basic Concepts in Physical Chemistry.

    ERIC Educational Resources Information Center

    Mark, J. E.

    2002-01-01

    Explains the benefits of including polymer topics in both graduate and undergraduate physical chemistry courses. Provides examples of how to use rubberlike elasticity to demonstrate some of the general and thermodynamic concepts including equations of state, Carnot cycles and mechanochemistry, gel collapse, energy storage and hysteresis, and…

  16. Educational level, coping, and psychological and physical aspects of quality of life in heart transplant candidates.

    PubMed

    Burker, Eileen J; Madan, Alok; Evon, Donna; Finkel, Jerry B; Mill, Michael R

    2009-01-01

    To determine whether demographic factors and coping strategies are related to quality of life in heart transplant candidates. Participants were 50 inpatients being evaluated for heart transplant. Coping was measured using the COPE Inventory (1) (J Pers Soc Psychol, 56, 1989, 267). Quality of life was assessed using the SF-36 (2) (Health Survey: Manual and Interpretation Guide, Quality Metric Inc, Lincoln, RI, 2000). Higher education and less seeking of social support were independently associated with better physical functioning. Higher use of denial was associated with poorer mental health functioning. In patients with significant physical limitations, years of education appears to be protective. Less seeking of social support was associated with better physical functioning perhaps because individuals who feel better physically do not feel the need to elicit support. Alternatively, the tendency to not seek assistance could stem from personality characteristics such as avoidance or optimism. Denial was associated with worse mental health functioning. Denying the existence of a stressor may be a high risk coping strategy for patients who are pre-transplant and even more dangerous for those who are post-transplant given the need to be alert to symptoms. Proactive identification of patients at risk for poorer quality of life will allow for more timely psychosocial interventions, which could impact post-transplant outcomes.

  17. Some Aspects of Rubberlike Elasticity Useful in Teaching Basic Concepts in Physical Chemistry.

    ERIC Educational Resources Information Center

    Mark, J. E.

    2002-01-01

    Explains the benefits of including polymer topics in both graduate and undergraduate physical chemistry courses. Provides examples of how to use rubberlike elasticity to demonstrate some of the general and thermodynamic concepts including equations of state, Carnot cycles and mechanochemistry, gel collapse, energy storage and hysteresis, and…

  18. Recent Changes in the Legal Aspects of Physical Education and Athletics.

    ERIC Educational Resources Information Center

    Grieve, Andrew

    This paper discusses the implications for schools, physical education, teachers, and coaches in the increasing tendency of students and/or their parents to resort to legal action in the case of school-related injury. The number of cases involving litigation against these institutions and their personnel has multiplied rapidly. The amount of…

  19. The Learning Environment Associated with Information Technology Education in Taiwan: Combining Psychosocial and Physical Aspects

    ERIC Educational Resources Information Center

    Liu, Chia-Ju; Zandvliet, David B.; Hou, I.-Ling

    2012-01-01

    This study investigated perceptions of senior high school students towards the Taiwanese information technology (IT) classroom with the What Is Happening in this Class? (WIHIC) survey and explored the physical learning environment of the IT classroom using the Computerised Classroom Environment Inventory (CCEI). The participants included 2,869…

  20. The Learning Environment Associated with Information Technology Education in Taiwan: Combining Psychosocial and Physical Aspects

    ERIC Educational Resources Information Center

    Liu, Chia-Ju; Zandvliet, David B.; Hou, I.-Ling

    2012-01-01

    This study investigated perceptions of senior high school students towards the Taiwanese information technology (IT) classroom with the What Is Happening in this Class? (WIHIC) survey and explored the physical learning environment of the IT classroom using the Computerised Classroom Environment Inventory (CCEI). The participants included 2,869…

  1. Teaching Mindfulness Meditation to Adults with Severe Speech and Physical Impairments: An Exploratory Study

    PubMed Central

    Goodrich, Elena; Wahbeh, Helané; Mooney, Aimee; Miller, Meghan; Oken, Barry S.

    2014-01-01

    People with severe speech and physical impairments may benefit from mindfulness meditation training because it has the potential to enhance their ability to cope with anxiety, depression, and pain and improve their attentional capacity to use brain-computer interface systems. Seven adults with severe speech and physical impairments—defined as speech that is understood less than 25% of the time and/or severely reduced hand function for writing/typing—participated in this exploratory, uncontrolled intervention study. The objectives of this study were to describe the development and implementation of a six-week mindfulness meditation intervention and to identify feasible outcome measures in this population. The weekly intervention was delivered by an instructor in the participant's home, and participants were encouraged to practice daily using audio recordings. The objective adherence to home practice was 10.2 minutes per day. Exploratory outcome measures were an n-back working memory task, the Attention Process Training-II Attention Questionnaire, the Pittsburgh Sleep Quality Index, the Perceived Stress Scale, the Positive and Negative Affect Schedule, and a qualitative feedback survey. There were no statistically significant pre-post results in this small sample, yet administration of the measures proved feasible and qualitative reports were overall positive. Obstacles to teaching mindfulness meditation to persons with SSPI are reported, and solutions are proposed. PMID:25338503

  2. Teaching mindfulness meditation to adults with severe speech and physical impairments: An exploratory study.

    PubMed

    Goodrich, Elena; Wahbeh, Helané; Mooney, Aimee; Miller, Meghan; Oken, Barry S

    2015-01-01

    People with severe speech and physical impairments may benefit from mindfulness meditation training because it has the potential to enhance their ability to cope with anxiety, depression and pain and improve their attentional capacity to use brain-computer interface systems. Seven adults with severe speech and physical impairments (SSPI) - defined as speech that is understood less than 25% of the time and/or severely reduced hand function for writing/typing - participated in this exploratory, uncontrolled intervention study. The objectives were to describe the development and implementation of a six-week mindfulness meditation intervention and to identify feasible outcome measures in this population. The weekly intervention was delivered by an instructor in the participant's home, and participants were encouraged to practise daily using audio recordings. The objective adherence to home practice was 10.2 minutes per day. Exploratory outcome measures were an n-back working memory task, the Attention Process Training-II Attention Questionnaire, the Pittsburgh Sleep Quality Index, the Perceived Stress Scale, the Positive and Negative Affect Schedule, and a qualitative feedback survey. There were no statistically significant pre-post results in this small sample, yet administration of the measures proved feasible, and qualitative reports were overall positive. Obstacles to teaching mindfulness meditation to persons with SSPI are reported, and solutions are proposed.

  3. Long-term physical, psychological and social consequences of severe injuries.

    PubMed

    van der Sluis, C K; Eisma, W H; Groothoff, J W; ten Duis, H J

    1998-05-01

    This 6 year follow-up study was designed to evaluate the long-term physical, psychological and social outcomes of severely injured patients (Injury Severity Score of greater than or equal to 16). Patients were treated at the University Hospital Groningen, the Netherlands, between January 1989 and December 1989. Outcomes were assessed using a postal questionnaire. After injury, the 55 respondents had predominantly complaints of the extremities, the spine and the head. Psychological complaints were present in 84 per cent of patients and mainly concerned fatigue, slowness and memory impairments. Despite these physical and psychological complaints, 74 per cent of patients were able to return to work and the memory succeeded in complying with job requirements. Injuries of the extremities and the spine were risk factors for failing to return to work. Social consequences were also reflected in broken marriages (6/22) and changes of leisure activities (45 per cent). On the basis of the impairments and disabilities revealed, we conclude that further improvement of the long-term outcomes of severely injured patients may be achieved by advancements in the treatment of injuries to the head, spine or extremities, comprehensive psychological support and vocational rehabilitation.

  4. Daytime Physical Activity and Sleep in Hospitalized Older Adults: Association with Demographic Characteristics and Disease Severity

    PubMed Central

    Beveridge, Claire; Knutson, Kristen; Spampinato, Lisa; Flores, Andrea; Meltzer, David O.; Van Cauter, Eve; Arora, Vineet M.

    2016-01-01

    OBJECTIVES To assess objectively measured daytime physical activity and sleep duration and efficiency in hospitalized older adults and explore associations with demographic characteristics and disease severity. DESIGN Prospective cohort study. SETTING University of Chicago Medical Center general medicine wards. PARTICIPANTS Community-dwelling inpatients aged 50 and older (N = 120) MEASUREMENTS Physical activity and sleep were measured using wrist accelerometers. Information on Charlson Comorbidity Index and length of stay was collected from charts. Random-effects linear regression analysis was used to examine the association between in-hospital sleep and physical activity. RESULTS From March 2010 to May 2013, 120 participants wore wrist actigraphy monitors for at least 2 nights and 1 intervening day. Median activity level over the waking period was 77 counts/min (interquartile range 51–121 counts/min), an activity level that approximately corresponds to sitting while watching television (65 counts/min). Mean sleep duration the night before the activity interval was 289 ± 157 minutes, and mean sleep efficiency the night before the activity interval was 65.2 ± 26.9%. Mean activity counts/min were lowest for the oldest participants (oldest quartile 62, 95% confidence interval (CI) = 50–75; youngest quartile 121, 95% CI = 98–145, trend test P < .001) and those with highest Charlson Comorbidity Index (highest tertile 71, 95% CI = 60–83; lowest tertile 125, 95% CI = 104–147, trend test P = .01). Controlling for severity of illness and demographic characteristics, activity declined by 3 counts/min (95% CI = −5.65 to −0.43, P = .02) for each additional hour of inpatient sleep. CONCLUSION Older, sicker adults are less physically active during hospitalization. In contrast to studies in the community, inpatients who slept more were not more active. This may highlight that need for sleep is greater in the hospital than in the community. PMID:26131982

  5. [Encircling needling combined with physical factor therapy for severe pressure sore].

    PubMed

    Jia, Chengjie; Su, Bin; Gong, Lili; Wang, Wenying; Zhang, Xiuhua

    2015-11-01

    To compare the clinical efficacy difference between encircling needling combined with physical factor therapy and simple physical factor therapy for severe pressure sore, and to explore the optimal method for severe pressure sores. Thirty-four patients with IV-grade pressure sore were randomly divided into an observation group and a control group, 17 cases in each one. Patients in the control group were treated with conventional nursing, ultrasonic wave and short-wave ultraviolet therapy; additionally, the encircling needling was applied in the observation group. All the treatment was given once a day, 5 times a week, and 4-week treatment constituted one session. Totally, two sessions of treatment were performed. Three indices, including the area of pressure sore, 24-h volume of exudates and wound-bed tissue type, were compared between the two groups before and after treatment; the clinical efficacy was evaluated in the two groups. After treatment of one session and two sessions, the area of pressure sore, 24-h volume of exudates and wound-bed tissue type were significantly reduced in the two groups (P < 0.01, P < 0.05), which was more obvious in the observation group (all P < 0.05). The total effective rate in the observation group was 76.5% (13/17) after 1 session and 94.1% (16/17) after 2 sessions, which were superior to 35.3% (6/17) after 1 session and 64.7% (11/17) after 2 sessions in the control group (both P < 0.05). Encircling needling combined with physical factor therapy can obviously reduce the pressure sore area and 24-h volume of exudates and improve wound-bed tissue type, which is superior to simple physical factor therapy.

  6. Theoretical aspects of electroweak and other interactions in medium energy nuclear physics. Interim progress report

    SciTech Connect

    Mukhopadhyay, N.C.

    1994-12-05

    Significant progress has been made in the current project year in the development of chiral soliton model and its applications to the electroweak structure of the nucleon and the Delta (1232) resonance. Further progress also has been made in the application of the perturbative QCD (pQCD) and the study of physics beyond the standard model. The postdoctoral associate and the graduate student working towards his Ph.D. degree have both made good progress. The review panel of the DOE has rated this program as a ``strong, high priority`` one. A total of fifteen research communications -- eight journal papers and, conference reports and seven other communications -- have been made during the project year so far. The principal investigator is a member of the Physics Advisory Committee of two nuclear accelerator facilities.

  7. Aspects of physical and chemical alterations to proteins during food processing - some implications for nutrition.

    PubMed

    Gerrard, Juliet A; Lasse, Moritz; Cottam, Justine; Healy, Jackie P; Fayle, Sian E; Rasiah, Indira; Brown, Paula K; BinYasir, Suhaimi Md; Sutton, Kevin H; Larsen, Nigel G

    2012-08-01

    In this paper, we give an overview of our research exploring the impact of physical and chemical processing on food proteins. There are three themes, applied to the proteins of wheat, soya, egg and dairy foods. Firstly, the impact of the Maillard reaction on food proteins is discussed, with a particular focus on how the reactions might be harnessed to manipulate food texture. Secondly, the potential of enzymatic protein-protein crosslinking is considered, especially the enzyme transglutaminase. Thirdly, the broader question of how the aggregation of proteins within a food is altered by chemical and physical modification and how, in turn, this might impact on the overall nutritional quality of the food is considered.

  8. The physical and mathematical aspects of inverse problems in radiation detection and applications.

    PubMed

    Hussein, Esam M A

    2012-07-01

    The inverse problem is the problem of converting detectable measurements into useful quantifiable indications. It is the problem of spectrum unfolding, image reconstruction, identifying a threat material, or devising a radiotherapy plan. The solution of an inverse problem requires a forward model that relates the quantities of interest to measurements. This paper explores the physical issues associated with formulating a radiation-transport forward model best suited for inversion, and the mathematical challenges associated with the solution of the corresponding inverse problem.

  9. Medical physics aspects of cancer care in the Asia Pacific region

    PubMed Central

    Kron, T; Cheung, KY; Dai, J; Ravindran, P; Soejoko, D; Inamura, K; Song, JY; Bold, L; Srivastava, R; Rodriguez, L; Wong, TJ; Kumara, A; Lee, CC; Krisanachinda, A; Nguyen, XC; Ng, KH

    2008-01-01

    Medical physics plays an essential role in modern medicine. This is particularly evident in cancer care where medical physicists are involved in radiotherapy treatment planning and quality assurance as well as in imaging and radiation protection. Due to the large variety of tasks and interests, medical physics is often subdivided into specialties such as radiology, nuclear medicine and radiation oncology medical physics. However, even within their specialty, the role of radiation oncology medical physicists (ROMPs) is diverse and varies between different societies. Therefore, a questionnaire was sent to leading medical physicists in most countries/areas in the Asia/Pacific region to determine the education, role and status of medical physicists. Answers were received from 17 countries/areas representing nearly 2800 radiation oncology medical physicists. There was general agreement that medical physicists should have both academic (typically at MSc level) and clinical (typically at least 2 years) training. ROMPs spent most of their time working in radiotherapy treatment planning (average 17 hours per week); however radiation protection and engineering tasks were also common. Typically, only physicists in large centres are involved in research and teaching. Most respondents thought that the workload of physicists was high, with more than 500 patients per year per physicist, less than one ROMP per two oncologists being the norm, and on average, one megavoltage treatment unit per medical physicist. There was also a clear indication of increased complexity of technology in the region with many countries/areas reporting to have installed helical tomotherapy, IMRT (Intensity Modulated Radiation Therapy), IGRT (Image Guided Radiation Therapy), Gamma-knife and Cyber-knife units. This and the continued workload from brachytherapy will require growing expertise and numbers in the medical physics workforce. Addressing these needs will be an important challenge for the future

  10. Medical physics aspects of cancer care in the Asia Pacific region.

    PubMed

    Kron, T; Cheung, Ky; Dai, J; Ravindran, P; Soejoko, D; Inamura, K; Song, Jy; Bold, L; Srivastava, R; Rodriguez, L; Wong, Tj; Kumara, A; Lee, Cc; Krisanachinda, A; Nguyen, Xc; Ng, Kh

    2008-07-01

    Medical physics plays an essential role in modern medicine. This is particularly evident in cancer care where medical physicists are involved in radiotherapy treatment planning and quality assurance as well as in imaging and radiation protection. Due to the large variety of tasks and interests, medical physics is often subdivided into specialties such as radiology, nuclear medicine and radiation oncology medical physics. However, even within their specialty, the role of radiation oncology medical physicists (ROMPs) is diverse and varies between different societies. Therefore, a questionnaire was sent to leading medical physicists in most countries/areas in the Asia/Pacific region to determine the education, role and status of medical physicists.Answers were received from 17 countries/areas representing nearly 2800 radiation oncology medical physicists. There was general agreement that medical physicists should have both academic (typically at MSc level) and clinical (typically at least 2 years) training. ROMPs spent most of their time working in radiotherapy treatment planning (average 17 hours per week); however radiation protection and engineering tasks were also common. Typically, only physicists in large centres are involved in research and teaching. Most respondents thought that the workload of physicists was high, with more than 500 patients per year per physicist, less than one ROMP per two oncologists being the norm, and on average, one megavoltage treatment unit per medical physicist.There was also a clear indication of increased complexity of technology in the region with many countries/areas reporting to have installed helical tomotherapy, IMRT (Intensity Modulated Radiation Therapy), IGRT (Image Guided Radiation Therapy), Gamma-knife and Cyber-knife units. This and the continued workload from brachytherapy will require growing expertise and numbers in the medical physics workforce. Addressing these needs will be an important challenge for the future.

  11. Biological effects and physical safety aspects of NMR imaging and in vivo spectroscopy

    SciTech Connect

    Tenforde, T.S.; Budinger, T.F.

    1985-08-01

    An assessment is made of the biological effects and physical hazards of static and time-varying fields associated with the NMR devices that are being used for clinical imaging and in vivo spectroscopy. A summary is given of the current state of knowledge concerning the mechanisms of interaction and the bioeffects of these fields. Additional topics that are discussed include: (1) physical effects on pacemakers and metallic implants such as aneurysm clips, (2) human health studies related to the effects of exposure to nonionizing electromagnetic radiation, and (3) extant guidelines for limiting exposure of patients and medical personnel to the fields produced by NMR devices. On the basis of information available at the present time, it is concluded that the fields associated with the current generation of NMR devices do not pose a significant health risk in themselves. However, rigorous guidelines must be followed to avoid the physical interaction of these fields with metallic implants and medical electronic devices. 476 refs., 5 figs., 2 tabs.

  12. Health physics and industrial hygiene aspects of decontamination as a precursor to decontamination

    SciTech Connect

    Card, C.J.; Hoenes, G.R.; Munson, L.F.; Halseth, G.A.

    1982-06-01

    The Pacific Northwest Laboratory is conducting a comprehensive study of the impacts, benefits and effects of decontamination as a precursor to decommissioning for the US Nuclear Regulatory Commission. The program deals primarily with chemical cleaning of light-water reactor (LWR) systems that will not be returned to operation. A major section of this study defines the health physics and industrial hygiene and safety concerns during decontamination operations. The primary health physics concerns include providing adequate protection for workers from radiation sources which are transported by the decontamination processes, estimating and limiting radioactive effluents to the environment and maintaining operations in accordance with the ALARA philosophy. Locating and identifying the areas of contamination and measuring the radiation exposure rates throughout the reactor primary system are fundamental to implementing these health physics goals. The principal industrial hygiene and safety concerns stem from the fact that a nuclear power plant is being converted for a time to a chemical plant which will contain large volumes of chemical solutions.

  13. Physical, chemical, and biological aspects of subsurface organic waste injection near Wilmington, North Carolina

    USGS Publications Warehouse

    Leenheer, J.A.; Malcolm, R.L.; White, W.R.

    1976-01-01

    From May 1968 to December 1972, an industrial organic waste was injected at rates of 100 to 200 gallons per minute (6.3 to 12.6 litres per second) into a sand, gravel, and limestone aquifer of Late Cretaceous age by Hercules Inc. located near Wilmington, North Carolina. This report presents both field and laboratory data pertaining to the physical, chemical, and biological effects of waste injection into the subsurface at this particular site, a case history of the operation, predictions of the reactions between certain organic wastes and the aquifer components, and descriptions of the effects of these reactions on the subsurface movement of the wastes. The case history documents a situation in which subsurface waste injection could not be considered a successful means of waste disposal. The first injection well was used only for 1 year due to excessive wellhead pressure build-up above the specified pressure limit of 150 pounds per square inch (10.3 bars). A second injection well drilled as a replacement operated for only 5 months before it too began to have problems with plugging. Upward leakage of waste into shallower aquifers was also detected at several wells in the injection-observation well system. The multiple problems of plugging, high pressures, and waste leakage suggested that the reactive nature of the waste with the aquifer into which it was injected was the primary reason for the difficulties experienced with waste injection. A site study was initiated in June 1971 to investigate waste-aquifer interactions. The first stage of the study determined the hydrogeologic conditions at the site, and characterized the industrial waste and the native ground water found in the injection zone and other aquifers. The injection zone consisted of multiple permeable zones ranging in depth from about 850 to 1,000 feet (259 to 305 metres) below land surface. In addition to the injection zone, aquifers were found near depths of 60, 300, 500, and 700 feet (18, 91, 152

  14. General and Specific Aspects of the Physical Environment: Relationships with Development in Handicapped Children Ages 1 to 10.

    ERIC Educational Resources Information Center

    Bradley, Robert H.; And Others

    The relationship between physical environment and child development was examined in five groups of moderately to severely handicapped children (hearing impaired, vision impaired, orthopedically impaired, speech impaired, mentally retarded). The 282 participating children comprised 89 infants (ages 0-3), 108 preschoolers (ages 3-6), and 85…

  15. Theory of mind in children with severe speech and physical impairments.

    PubMed

    Dahlgren, SvenOlof; Dahlgren Sandberg, Annika; Larsson, Maria

    2010-01-01

    The development of a person's ability to understand other's thoughts and feelings, so-called "theory of mind" (ToM), is subject to study. Children with communicative disabilities have exhibited problems in this respect, highlighting the role of language in the development of ToM. In this study, ToM was studied in children with cerebral palsy and severe speech impairments. Two tasks, differently dependent on verbal abilities, were used. The results were compared to those of a mental age matched group. The groups differed significantly on the verbally dependent task while difference in performance did not reach significance on the less verbally dependent one. The results are discussed in terms of a delayed development of ToM in children with severe speech and physical impairments, dependent on verbal abilities. Copyright 2009 Elsevier Ltd. All rights reserved.

  16. Wind-tunnel investigation of several high aspect-ratio supercritical wing configurations on a wide-body-type fuselage

    NASA Technical Reports Server (NTRS)

    Bartlett, D. W.

    1977-01-01

    An investigation was conducted in the Langley 8-foot transonic pressure tunnel on two aspect-ratio 11.95 supercritical wings that were tested in combination with a representative wide-body-type fuselage. The two supercritical wings have identical planforms for equal sweep angles and differ only in thickness. Each wing was tested at quarter-chord sweep angles of 27 deg and 30 deg. At the higher sweep angle, the aspect ratio is reduced to 11.36. At 27 deg of quarter-chord sweep, the thicker supercritical wing (SCW-1) has maximum streamwise thickness-to-chord ratios of 0.16 at the wing-fuselage juncture, 0.14 at the planform break station, and 0.12 at the tip. The thinner wing (SCW-2) has maximum streamwise thickness-to-chord ratios of 0.144, 0.12, and 0.10 at the same stations respectively. Tests were also conducted on the thinner supercritical wing at the 27 deg sweep angle with a 15.24 cm (6.0 in.) shorter span which results in an aspect ratio of 10.25. For comparison, data were obtained on a current wide-body transport wing (AR=7) that was tested on the same fuselage used with the supercritical wings.

  17. Physical Inactivity Is Associated with Moderate-Severe Obstructive Sleep Apnea

    PubMed Central

    Simpson, Laila; McArdle, Nigel; Eastwood, Peter R.; Ward, Kim L.; Cooper, Matthew N.; Wilson, Annette C.; Hillman, David R.; Palmer, Lyle J.; Mukherjee, Sutapa

    2015-01-01

    Study Objectives: To investigate whether low levels of physical activity were associated with an increased occurrence of obstructive sleep apnea (OSA), OSA-related symptoms, and cardiometabolic risk. Methods: A case-control study design was used. OSA cases were patients referred to a sleep clinic for suspected OSA (n = 2,340). Controls comprised participants from the Busselton community (n = 1,931). Exercise and occupational activity were derived from questionnaire data. Associations were modelled using logistic and linear regression and adjusted for confounders. Results: In comparison with moderate exercise, the high, low, and nil exercise groups had an odds ratio (OR) for moderate-severe OSA of 0.6 (95% CI 0.5–0.8), 1.6 (95% CI 1.2–2.0), and 2.7 (95% CI 1.9–3.7), respectively. Relative to men in heavy activity occupations, men in medium, light and sedentary occupations had an OR for moderate-severe OSA of 1.7 (95% CI 1.1–2.5), 2.1 (95% CI 1.4–3.2), and 1.8 (95% CI 1.2–2.8), respectively. Relative to women in medium activity occupations, women in light and sedentary occupations had an OR for moderate-severe OSA of 4.2 (95% CI 2.6–7.2) and 3.5 (2.0–6.0). OSA patients who adequately exercised had lower: levels of doctor-diagnosed depression (p = 0.047); symptoms of fatigue (p < 0.0001); systolic (p = 0.015) and diastolic blood pressure (p = 0.015); and C-reactive protein (CRP) (p = 0.003). Conclusions: Low levels of physical activity were associated with moderate-severe OSA. Exercise in individuals with OSA is associated with lower levels of depression, fatigue, blood pressure and CRP. Citation: Simpson L, McArdle N, Eastwood PR, Ward KL, Cooper MN, Wilson AC, Hillman DR, Palmer LJ, Mukherjee S. Physical inactivity is associated with moderate-severe obstructive sleep apnea. J Clin Sleep Med 2015;11(10):1091–1099. PMID:26285117

  18. Physical Inactivity Is Associated with Moderate-Severe Obstructive Sleep Apnea.

    PubMed

    Simpson, Laila; McArdle, Nigel; Eastwood, Peter R; Ward, Kim L; Cooper, Matthew N; Wilson, Annette C; Hillman, David R; Palmer, Lyle J; Mukherjee, Sutapa

    2015-10-15

    To investigate whether low levels of physical activity were associated with an increased occurrence of obstructive sleep apnea (OSA), OSA-related symptoms, and cardiometabolic risk. A case-control study design was used. OSA cases were patients referred to a sleep clinic for suspected OSA (n = 2,340). Controls comprised participants from the Busselton community (n = 1,931). Exercise and occupational activity were derived from questionnaire data. Associations were modelled using logistic and linear regression and adjusted for confounders. In comparison with moderate exercise, the high, low, and nil exercise groups had an odds ratio (OR) for moderate-severe OSA of 0.6 (95% CI 0.5-0.8), 1.6 (95% CI 1.2-2.0), and 2.7 (95% CI 1.9-3.7), respectively. Relative to men in heavy activity occupations, men in medium, light and sedentary occupations had an OR for moderate-severe OSA of 1.7 (95% CI 1.1-2.5), 2.1 (95% CI 1.4-3.2), and 1.8 (95% CI 1.2-2.8), respectively. Relative to women in medium activity occupations, women in light and sedentary occupations had an OR for moderate-severe OSA of 4.2 (95% CI 2.6-7.2) and 3.5 (2.0-6.0). OSA patients who adequately exercised had lower: levels of doctor-diagnosed depression (p = 0.047); symptoms of fatigue (p < 0.0001); systolic (p = 0.015) and diastolic blood pressure (p = 0.015); and C-reactive protein (CRP) (p = 0.003). Low levels of physical activity were associated with moderate-severe OSA. Exercise in individuals with OSA is associated with lower levels of depression, fatigue, blood pressure and CRP. © 2015 American Academy of Sleep Medicine.

  19. Severe physical violence and Black women's health and well-being.

    PubMed

    Lacey, Krim K; Sears, Karen Powell; Matusko, Niki; Jackson, James S

    2015-04-01

    We evaluated the association between intimate partner violence and the mental and physical health status of US Caribbean Black and African American women. We used 2001 to 2003 cross-sectional data from the National Survey of American Life-the most detailed study to date of physical and mental health disorders of Americans of African descent. We assessed participants' health conditions by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (Washington, DC; American Psychological Association) Composite International Diagnostic Interview. We found differences in health conditions between abused African American and Caribbean Black women. There were increased risks for lifetime dysthymia, alcohol dependence, drug abuse, and poor perceived health for African American victims of partner abuse, and binge eating disorder was associated with partner violence among Caribbean Black women. Severe intimate partner violence was associated with negative mental and physical health outcomes for US Black women, with different patterns between African American and Caribbean Blacks. Understanding intimate partner violence experiences of US Black women requires recognition of key intragroup differences, including nativity and immigrant status, and their differential relationships to women's health.

  20. An Exploratory Study to Investigate the Impact of an Enrichment Program on Aspects of Einsteinian Physics on Year 6 Students

    NASA Astrophysics Data System (ADS)

    Pitts, Marina; Venville, Grady; Blair, David; Zadnik, Marjan

    2014-06-01

    Concepts related to Einsteinian physics are usually not taught until students are in university, denying younger children access to this powerful way of understanding space, time and gravity. Considerable research has shown, however, that complex and abstract scientific ideas can be presented in age appropriate ways that result in measurable learning. The purpose of the research presented in this paper was to explore the impact of an enrichment program on aspects of Einsteinian physics on year 6 (10 and 11 years old) children's understanding of and attitudes towards this topic. The research design was an exploratory case study of one class of 26 students who participated in six in-class lessons as well as an excursion to a science centre, the Gravity Discovery Centre, and a scripted play about relevant key scientists. Mixed methods of data collection included a pre/post-instruction questionnaire, classroom observations and an interview with the physics professor who conducted the program. The results indicated a statistically significant improvement in children's conceptual understanding on the pre/post-questionnaire with a small effect size. Analysis of individual items on the questionnaire indicated variable results with regard to particular concepts. For example, after the enrichment program, students were better able to understand curved space, but little improvement was observed in their understanding of gravity on the Moon. The majority of students reported being interested and engaged in the program of activities and did not feel that they were too young to learn concepts related to Einstein's physics.

  1. A study of the impact of physical (cloud) initialization on severe convection numerical prediction.

    NASA Astrophysics Data System (ADS)

    Chen, Baode; Li, Jia; Huang, Wei; Zhang, Xu

    2017-04-01

    By using the second generation of SMS-WARR Shanghai Meteorological Service-WRF ADAS Rapid Refresh System, a severe convective case in East China was analyzed with an emphasis of the influence of the cloud initialization and the related physical processes. The comparison between results of with/without cloud initialization shows that the forecast using cloud initialization can greatly increase the 00-06 hour precipitation T score, and position of the forecasted precipitation is closer to the observation as well. Further analysis indicates that the cloud initialization can significantly improve the initial fields of hydrometeors, provide more accurate related information of the convection system, obtain the better forecasts of hydrometeors, vertical velocity, etc. over severe convection area, and largely avoid delay of precipitation occurrence during early stage. In the system, cloud analysis constructs the initial state of cloud hydrometeors and adjusts the temperature and humidity field according to corresponding physical constraints, which mitigate the inconsistency between the microphysics and dynamics at initial time, then shorten the "spin-up" time due to the lack of the initial microphysical information. However, results with/without cloud initialization from integrations of more than 6 hours are quite similar to each other. In comparison with ECMWF analysis and radiosonde, cloud initialization can substantially improve the initial humidity analysis over the cloud areas, and result in a better position of the mesoscale vortex and low-level jet

  2. Social aspects of classroom learning: Results of a discourse analysis in an inquiry-oriented physical chemistry class

    NASA Astrophysics Data System (ADS)

    Becker, Nicole M.

    Engaging students in classroom discourse offers opportunities for students to participate in the construction of joint understandings, to negotiate relationships between different types of evidence, and to practice making evidence-based claims about science content. However, close attention to social aspects of learning is critical to creating inquiry-oriented classroom environments in which students learn with understanding. This study examined the social influences that contribute to classroom learning in an inquiry-oriented undergraduate physical chemistry class using the Process Oriented Guided Inquiry Learning (POGIL) approach. A qualitative approach to analyzing classroom discourse derived from Toulmin's (1968) model of argumentation was used to document patterns in classroom reasoning that reflect normative aspects of social interaction. Adapting the constructs of social and sociomathematical norms from the work of Yackel and Cobb (1996), I describe social aspects of the classroom environment by discussing normative aspects of social interaction (social norms) and discipline-specific criteria related to reasoning and justification in chemistry contexts, referred to here as sociochemical norms. This work discusses four social norms and two sociochemical norms that were documented over a five-week period of observation in Dr. Black's POGIL physical chemistry class. In small group activities, the socially established expectations that students explain reasoning, negotiate understandings of terminology and symbolic representations, and arrive at a consensus on critical thinking questions shaped small group interactions and reasoning. In whole class discussion, there was an expectation that students share reasoning with the class, and that the instructor provide feedback on student reasoning in ways that extended student contributions and elaborated relationships between macroscopic, particulate, and symbolic-level ideas. The ways in which the class constructed

  3. Physical aspects of external beam radiotherapy for the treatment of malignant pleural mesothelioma

    SciTech Connect

    Soubra, M.; Dunscombe, P.B.; Hodson, D.I.; Wong, G. )

    1990-06-01

    The optimization of radiotherapy for the treatment of malignant mesothelioma highlights many of the currently outstanding problems in clinical radiation physics. The experimental investigation of an intuitively attractive irradiation technique with combined photon and electron beams using a specially constructed phantom has established that, due to the penetration in low density material of both primary electrons and those secondary to photon irradiation, the normal lung tissue is not spared to any significant degree by such a technique. Furthermore, great care needs to be exercised in the treatment planning calculations for this approach if absolute dosimetry errors as large as 50% are to be avoided.

  4. Activities in connection with quality assurance in radiation therapy performed in Argentina: physical aspects

    SciTech Connect

    Gonzalez, R.O.

    1984-06-01

    Quality assurance in radiotherapy is performed in different ways in Argentina than in other countries. A part of this program is carried out by the Secondary Standard Dosimetry Laboratory (SSDL-WHO/IAEA), which is a part of the Atomic Energy Commission. This laboratory organizes TLD postal intercomparison; calibrates and checks radiotherapy units and dosimeters; gives education in the physics of radiotherapy; has collaborated in the production of rules for the operation of radiation therapy units and maintains the application of these rules. A description of the activities of the SSDL and a brief explanation about the other activities, the present situation and future plans are discussed.

  5. Associations between aspects of friendship networks, physical activity, and sedentary behaviour among adolescents.

    PubMed

    Sawka, Keri Jo; McCormack, Gavin R; Nettel-Aguirre, Alberto; Blackstaffe, Anita; Perry, Rosemary; Hawe, Penelope

    2014-01-01

    Adolescent friendships have been linked to physical activity levels; however, network characteristics have not been broadly examined. In a cross-sectional analysis of 1061 adolescents (11-15 years), achieving 60 minutes/day of moderate-to-vigorous physical activity (MVPA) and participating in over 2 hours/day of sedentary behaviour were determined based on friendship network characteristics (density; proportion of active/sedentary friends; betweenness centrality; popularity; clique membership) and perceived social support. Adolescents with no friendship nominations participated in less MVPA. For boys and girls, a ten percent point increase in active friends was positively associated with achievement of 60 minutes/day of MVPA (OR 1.11; 95% CI 1.02-1.21, OR 1.14; 95% CI 1.02-1.27, resp.). For boys, higher social support from friends was negatively associated with achieving 60 minutes/day of MVPA (OR 0.63; 95% CI 0.42-0.96). Compared with low density networks, boys in higher density networks were more likely to participate in over 2 hours/day of sedentary behaviour (OR 2.93; 95% CI 1.32-6.49). Social support from friends also modified associations between network characteristics and MVPA and sedentary behaviour. Different network characteristics appeared to have different consequences. The proportion of active close friends was associated with MVPA, while network density was associated with sedentary behaviour. This poses challenges for intervention design.

  6. Biochemical and biomolecular aspects of oxidative stress due to acute and severe hypoxia in human muscle tissue.

    PubMed

    Corbucci, G G; Sessego, R; Velluti, C; Salvi, M

    1995-01-01

    Mitochondrial oxidative stress was investigated in severe and acute hypoxia and in reperfusion applied to human muscle tissues. The biochemical and biomolecular relationship between the response of the respiratory-chain enzymic complexes and the metabolism of specific hypoxia stress proteins (HSP) suggest an adaptive mechanism which antagonizes the oxidative damage due to acute and severe tissue hypoxia.

  7. Garage Demos: Using Physical Models to Illustrate Dynamic Aspects of Microscopic Biological Processes

    PubMed Central

    Aguilar-Roca, Nancy

    2009-01-01

    Colorful PowerPoint presentations with detailed drawings, micrographs, and short animations have become the standard format for illustrating the fundamental features of cell biology in large introductory classes. In this essay, we describe a low-tech tool that can be included in a standard lecture to help students visualize, understand, and remember the dynamic aspects of microscopic cell biological processes. This approach involves use of common objects, including pipe insulation and a garden hose, to illustrate basic processes such as protein folding and cloning, hence the appellation “garage demos.” The demonstrations are short, minimizing displacement of course content, easy to make, and provide an avenue for increasing student–faculty interaction in a large lecture hall. Student feedback over the past 4 years has been overwhelmingly positive. In an anonymous postclass survey in 2007, 90% of the respondents rated garage demos as having been very or somewhat helpful for understanding course concepts. Direct measurements of learning gains on specific concepts illustrated by garage demos are the focus of an ongoing study. PMID:19487500

  8. Physical predictors for moderate to severe obstructive sleep apnea in snoring patients.

    PubMed

    Banhiran, Wish; Junlapan, Attapon; Assanasen, Paraya; Chongkolwatana, Cheerasook

    2014-03-01

    This study aimed to identify physical findings that may predict the presence of moderate to severe obstructive sleep apnea (OSA) in snoring patients. A total of 283 subjects (165 males and 118 females) were recruited, including 217 OSA patients and 66 patients with apnea-hypopnea index (AHI)<5 as a control group, diagnosed by level-1 polysomnography. Baseline data of patients including age, sex, weight, height, body mass index (BMI), neck circumference (NC), waist circumference (WC), neck-to-height ratio (NHtR), and waist-to-height ratio (WHtR) were recorded. Other physical parameters such as chin length (Chin1), thyromental distance, hyomental distance, cricomental distance, cricomental space (CMS), Friedman tongue position (FTP), and tonsils size were recorded by a single investigator who was blinded to the PSG results. The findings that were statistically different between the control group and moderate to severe OSA (AHI ≥ 15) included sex, BMI, NC, NHtR, WC, WHtR, Chin1, CM, and CMS (p<0.05). However, logistic regression analysis showed that only male gender and WHtR ≥ 0.55 were the independent predictors for AHI ≥ 15 with adjusted odds ratios of 6.6 and 3.1, respectively. Among snoring patients seeking medical consultation, male gender and WHtR of ≥ 0.55 were good predictors for moderate to severe OSA. No single head and neck finding reliably predicted this condition. In a situation with limited facilities, these data along with medical history may be helpful for prioritizing patients in order to achieve the optimal use of sleep investigation and treatment.

  9. Mesoscale aspects of jet streak coupling and implications for the short term forecasting of severe convective storms. [severe environmental storms and mesoscale experiment (SESAME)

    NASA Technical Reports Server (NTRS)

    Uccellini, L. W.; Kocin, P. J.

    1981-01-01

    An analysis of a tornado outbreak in Wichita Falls, Texas was analyzed. The coupling of upper and lower tropospheric jet streaks, leading to severe storm outbreaks is illustrated. The high resolution SESAME data sets indicate that mass and momentum adjustments which couple upper and lower tropospheric jets occur within a 3 to 6 hr time frame over a 100 to 500 km domain, and establish the role of isallobaric forcing in the storm development. It is suggested that the output rate of data from the existing 12 hr network be increased to provide better temporal resolution of wind, mass and moisture data.

  10. Biological-physical-chemical aspects of a human life support system for a lunar base.

    PubMed

    Gitelson, J I; Blum, V; Grigoriev, A I; Lisovsky, G M; Manukovsky, N S; Sinyak YuE; Ushakova, S A

    1995-10-01

    To create a life support system based on biological and physical-chemical processes is the optimum solution providing full-valued conditions for existence and efficient work of people at a lunar base. Long-standing experience in experimental research or closed ecosystems and their components allows us to suggest a realistic functional structure of the lunar base and to estimate qualitatively its parameters. The original restrictions are as follows: 1) the basic source of energy to support the biological processes has to be the solar radiation; 2) the initial amount of basic biological elements forming the turnover of substances (C, O, H, P, K, N) has to be delivered from Earth; 3). Moon materials are not to be used in the biological turnover inside the base; 4) the base is to supply the crew fully with atmosphere and water, and with 90% (A scenario) or 40% (B scenario) of food. Experimental data about the plant productivity under the "Moon" rhythm of light and darkness allow us to suggest that the A scenario requires per one human: plant area--40 m2 irradiated during the lunar day by 250-300 W/m2 PAR producing 1250 g of dry biomass a terrestrial day; a heterotrophic component of "biological incineration" of inedible plant biomass (800 g/day) including the aquaculture of fish to produce animal products and contaminating the environment less than birds and mammals, and the culture of edible mushrooms; a component of physical-chemical correction for the LSS environment including the subsystems of: deep oxidation of organic impurities in the atmosphere and of water, organic wastes of human activity and that biological components (420 g/day) CO2 concentration in "Moon" nights, damping O2 in "Moon" days, etc. The stock of prestored or delivered from Earth substances (food additions, seeds, etc.) to be involved in biological turnover is to be about 50 kg/year per man. Increase of the mass of prestored substances per man up to 220 kg/year would reduce twice the plant area

  11. Change in Pain and Physical Function Following Bariatric Surgery for Severe Obesity

    PubMed Central

    King, Wendy C.; Chen, Jia-Yuh; Belle, Steven H.; Courcoulas, Anita P.; Dakin, Gregory F.; Elder, Katherine A.; Flum, David R.; Hinojosa, Marcelo W.; Mitchell, James E.; Pories, Walter J.; Wolfe, Bruce M.; Yanovski, Susan Z.

    2016-01-01

    IMPORTANCE The variability and durability of improvements in pain and physical function following Roux-en-Y gastric bypass (RYGB) or laparoscopic adjustable gastric banding (LAGB) are not well described. OBJECTIVES To report changes in pain and physical function in the first 3 years following bariatric surgery, and to identify factors associated with improvement. DESIGN, SETTING, AND PARTICIPANTS The Longitudinal Assessment of Bariatric Surgery-2 is an observational cohort study at 10 US hospitals. Adults with severe obesity undergoing bariatric surgery were recruited between February 2005 and February 2009. Research assessments were conducted prior to surgery and annually thereafter. Three-year follow-up through October 2012 is reported. EXPOSURES Bariatric surgery as clinical care. MAIN OUTCOMES AND MEASURES Primary outcomes were clinically meaningful presurgery to postsurgery improvements in pain and function using scores from the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) (ie, improvement of ≥5 points on the norm-based score [range, 0–100]) and 400-meter walk time (ie, improvement of ≥24 seconds) using established thresholds. The secondary outcome was clinically meaningful improvement using the Western Ontario McMaster Osteoarthritis Index (ie, improvement of ≥9.7 pain points and ≥9.3 function points on the transformed score [range, 0–100]). RESULTS Of 2458 participants, 2221 completed baseline and follow-up assessments (1743 [78.5%] were women; median age was 47 years; median body mass index [BMI] was 45.9; 70.4% underwent RYGB; 25.0% underwent LAGB). At year 1, clinically meaningful improvements were shown in 57.6% (95% CI, 55.3%-59.9%) of participants for bodily pain, 76.5% (95% CI, 74.6%-78.5%) for physical function, and 59.5% (95% CI, 56.4%-62.7%) for walk time. Additionally, among participants with severe knee or disability (633), or hip pain or disability (500) at baseline, approximately three-fourths experienced joint

  12. Astronomical and physical aspects of the Chelyabinsk event (February 15, 2013)

    NASA Astrophysics Data System (ADS)

    Emel'yanenko, V. V.; Popova, O. P.; Chugai, N. N.; Shelyakov, M. A.; Pakhomov, Yu. V.; Shustov, B. M.; Shuvalov, V. V.; Biryukov, E. E.; Rybnov, Yu. S.; Marov, M. Ya.; Rykhlova, L. V.; Naroenkov, S. A.; Kartashova, A. P.; Kharlamov, V. A.; Trubetskaya, I. A.

    2013-07-01

    Various observational data including infrasound, seismic, optical (onboard) monitoring, ground video and photo records, and evidence from witnesses of the Chelyabinsk event on February 15, 2013, have been analyzed. The extensive material gathered has provided a base for investigations of the physical properties of the object, the results of which are discussed. A bolide light curve is constructed, which shows a multiplicity of flashes. Estimations of the energy of the meteoroid explosion, which took place in the atmosphere at an altitude of about 23 km, show evidence of the formation of a high-power shock wave equivalent to 300-500 kilotons of TNT. The object diameter corresponding to this energy falls within the range 16-19 m. The trajectory of the meteor is outlined. It is preliminarily concluded that the Chelyabinsk meteorite was a representative the Apollo asteroid family.

  13. On determining important aspects of mathematical models: Application to problems in physics and chemistry

    NASA Technical Reports Server (NTRS)

    Rabitz, Herschel

    1987-01-01

    The use of parametric and functional gradient sensitivity analysis techniques is considered for models described by partial differential equations. By interchanging appropriate dependent and independent variables, questions of inverse sensitivity may be addressed to gain insight into the inversion of observational data for parameter and function identification in mathematical models. It may be argued that the presence of a subset of dominantly strong coupled dependent variables will result in the overall system sensitivity behavior collapsing into a simple set of scaling and self similarity relations amongst elements of the entire matrix of sensitivity coefficients. These general tools are generic in nature, but herein their application to problems arising in selected areas of physics and chemistry is presented.

  14. [New aspects of assessment of physical development of children and adolescents by preventive examinations].

    PubMed

    Kahl, H; Greil, H; Johnson, D; Sommer, K; Voigt, M

    1990-01-01

    The results of the examinations of a representative cross-section were used as the basis for bringing up to date the standard values and ranges of variability of the body measurements of newborns according to gestational age, of head circumference up to the 3rd year and of body height and weight from 0-18 years. Tables and somatograms were also drawn up for the evaluation of body weight in relation to specific types of build, and standard values for skinfold thickness and total body fat were worked out in order to permit a biologically meaningful assessment of the physical development and nutritional status of children and adolescents. Alongside the description of the individual stages in the development of selected characteristics of maturation used in assessing sexual maturity, percentiles for the average age on reaching each of these stages of development will be available, together with a new series of photographs of breast, pubes and genital development.

  15. Some aspects of wind tunnel magnetic suspension systems with special application at large physical scales

    NASA Technical Reports Server (NTRS)

    Britcher, C. P.

    1983-01-01

    Wind tunnel magnetic suspension and balance systems (MSBSs) have so far failed to find application at the large physical scales necessary for the majority of aerodynamic testing. Three areas of technology relevant to such application are investigated. Two variants of the Spanwise Magnet roll torque generation scheme are studied. Spanwise Permanent Magnets are shown to be practical and are experimentally demonstrated. Extensive computations of the performance of the Spanwise Iron Magnet scheme indicate powerful capability, limited principally be electromagnet technology. Aerodynamic testing at extreme attitudes is shown to be practical in relatively conventional MSBSs. Preliminary operation of the MSBS over a wide range of angles of attack is demonstrated. The impact of a requirement for highly reliable operation on the overall architecture of Large MSBSs is studied and it is concluded that system cost and complexity need not be seriously increased.

  16. Clinical and therapeutic aspects of vulvodynia: the importance of physical therapy.

    PubMed

    Polpeta, N C; Giraldo, P C; Teatin Juliato, C R; Gomes Do Amaral, R L; Moreno Linhares, I; Romero Leal Passos, M

    2012-10-01

    Vulvodynia affects a large number of women worldwide. It is estimated that the prevalence rate of vulvodynia is 16% in women aged 18 to 64 years, resulting in constant demand for specialized medical care, although little therapeutic success is achieved. Furthermore, the cause of this disorder remains unknown and involves different symptoms that are implicated in important chronic vulvar pain with disastrous consequences for the afflicted women. In view of these data, the authors have proposed a bibliographic review of the pathophysiology and treatment of vulvodynia. The aim of this review was to assist in clinical diagnosis and elucidate the multidisciplinary treatment that appears to be associated with a higher success rate in these women. Physical therapy using diverse techniques has an important role in multidisciplinary care, obtaining satisfactory results in the treatment of pelvic floor muscle dysfunction and thus improving the symptoms and quality of life in women with vulvodynia.

  17. Quality and safety aspects of meat products as affected by various physical manipulations of packaging materials.

    PubMed

    Lee, Keun Taik

    2010-09-01

    This article explores the effects of physically manipulated packaging materials on the quality and safety of meat products. Recently, innovative measures for improving quality and extending the shelf-life of packaged meat products have been developed, utilizing technologies including barrier film, active packaging, nanotechnology, microperforation, irradiation, plasma and far-infrared ray (FIR) treatments. Despite these developments, each technology has peculiar drawbacks which will need to be addressed by meat scientists in the future. To develop successful meat packaging systems, key product characteristics affecting stability, environmental conditions during storage until consumption, and consumers' packaging expectations must all be taken into consideration. Furthermore, the safety issues related to packaging materials must also be taken into account when processing, packaging and storing meat products.

  18. The MaPLE device of Saha Institute of Nuclear Physics: Construction and its plasma aspects

    SciTech Connect

    Pal, Rabindranath; Biswas, Subir; Basu, Subhasis; Chattopadhyay, Monobir; Basu, Debjyoti; Chaudhuri, Manis

    2010-07-15

    The Magnetized Plasma Linear Experimental (MaPLE) device is a low cost laboratory plasma device at Saha Institute of Nuclear Physics fabricated in-house with the primary aim of studying basic plasma physics phenomena such as plasma instabilities, wave propagation, and their nonlinear behavior in magnetized plasma regime in a controlled manner. The machine is specially designed to be a versatile laboratory device that can provide a number of magnetic and electric scenario to facilitate such studies. A total of 36 number of 20-turn magnet coils, designed such as to allow easy handling, is capable of producing a uniform, dc magnetic field of about 0.35 T inside the plasma chamber of diameter 0.30 m. Support structure of the coils is planned in an innovative way facilitating straightforward fabrication and easy positioning of the coils. Further special feature lies in the arrangement of the spacers between the coils that can be maneuvered rather easily to create different magnetic configurations. Various methods of plasma production can be suitably utilized according to the experimental needs at either end of the vacuum vessel. In the present paper, characteristics of a steady state plasma generated by electron cyclotron resonance method using 2.45 GHz microwave power are presented. Scans using simple probe drives revealed that a uniform and long plasma column having electron density {approx}3-5x10{sup 10} cm{sup -3} and temperature {approx}7-10 eV, is formed in the center of the plasma chamber which is suitable for wave launching experiments.

  19. The MaPLE device of Saha Institute of Nuclear Physics: construction and its plasma aspects.

    PubMed

    Pal, Rabindranath; Biswas, Subir; Basu, Subhasis; Chattopadhyay, Monobir; Basu, Debjyoti; Chaudhuri, Manis; Chowdhuri, Manis

    2010-07-01

    The Magnetized Plasma Linear Experimental (MaPLE) device is a low cost laboratory plasma device at Saha Institute of Nuclear Physics fabricated in-house with the primary aim of studying basic plasma physics phenomena such as plasma instabilities, wave propagation, and their nonlinear behavior in magnetized plasma regime in a controlled manner. The machine is specially designed to be a versatile laboratory device that can provide a number of magnetic and electric scenario to facilitate such studies. A total of 36 number of 20-turn magnet coils, designed such as to allow easy handling, is capable of producing a uniform, dc magnetic field of about 0.35 T inside the plasma chamber of diameter 0.30 m. Support structure of the coils is planned in an innovative way facilitating straightforward fabrication and easy positioning of the coils. Further special feature lies in the arrangement of the spacers between the coils that can be maneuvered rather easily to create different magnetic configurations. Various methods of plasma production can be suitably utilized according to the experimental needs at either end of the vacuum vessel. In the present paper, characteristics of a steady state plasma generated by electron cyclotron resonance method using 2.45 GHz microwave power are presented. Scans using simple probe drives revealed that a uniform and long plasma column having electron density approximately 3-5x10(10) cm(-3) and temperature approximately 7-10 eV, is formed in the center of the plasma chamber which is suitable for wave launching experiments.

  20. Associations between Aspects of Friendship Networks, Physical Activity, and Sedentary Behaviour among Adolescents

    PubMed Central

    McCormack, Gavin R.; Nettel-Aguirre, Alberto; Blackstaffe, Anita; Perry, Rosemary; Hawe, Penelope

    2014-01-01

    Background. Adolescent friendships have been linked to physical activity levels; however, network characteristics have not been broadly examined. Method. In a cross-sectional analysis of 1061 adolescents (11–15 years), achieving 60 minutes/day of moderate-to-vigorous physical activity (MVPA) and participating in over 2 hours/day of sedentary behaviour were determined based on friendship network characteristics (density; proportion of active/sedentary friends; betweenness centrality; popularity; clique membership) and perceived social support. Results. Adolescents with no friendship nominations participated in less MVPA. For boys and girls, a ten percent point increase in active friends was positively associated with achievement of 60 minutes/day of MVPA (OR 1.11; 95% CI 1.02–1.21, OR 1.14; 95% CI 1.02–1.27, resp.). For boys, higher social support from friends was negatively associated with achieving 60 minutes/day of MVPA (OR 0.63; 95% CI 0.42–0.96). Compared with low density networks, boys in higher density networks were more likely to participate in over 2 hours/day of sedentary behaviour (OR 2.93; 95% CI 1.32–6.49). Social support from friends also modified associations between network characteristics and MVPA and sedentary behaviour. Conclusion. Different network characteristics appeared to have different consequences. The proportion of active close friends was associated with MVPA, while network density was associated with sedentary behaviour. This poses challenges for intervention design. PMID:25328690

  1. Medical physics aspects of cancer care in the Asia Pacific region: 2011 survey results

    PubMed Central

    Kron, T; Azhari, HA; Voon, EO; Cheung, KY; Ravindran, P; Soejoko, D; Inamura, K; Han, Y; Ung, NM; Bold, L; Win, UM; Srivastava, R; Meyer, J; Farrukh, S; Rodriguez, L; Kuo, M; Lee, JCL; Kumara, A; Lee, CC; Krisanachinda, A; Nguyen, XC; Ng, KH

    2012-01-01

    Background: Medical physicists are essential members of the radiation oncology team. Given the increasing complexity of radiotherapy delivery, it is important to ensure adequate training and staffing. The aim of the present study was to update a similar survey from 2008 and assess the situation of medical physicists in the large and diverse Asia Pacific region. Methods: Between March and July 2011, a survey on profession and practice of radiation oncology medical physicists (ROMPs) in the Asia Pacific region was performed. The survey was sent to senior physicists in 22 countries. Replies were received from countries that collectively represent more than half of the world’s population. The survey questions explored five areas: education, staffing, work patterns including research and teaching, resources available, and job satisfaction. Results and discussion: Compared to a data from a similar survey conducted three years ago, the number of medical physicists in participating countries increased by 29% on average. This increase is similar to the increase in the number of linear accelerators, showing that previously identified staff shortages have yet to be substantially addressed. This is also highlighted by the fact that most ROMPs are expected to work overtime often and without adequate compensation. While job satisfaction has stayed similar compared to the previous survey, expectations for education and training have increased somewhat. This is in line with a trend towards certification of ROMPs. Conclusion: As organisations such as the International Labour Organization (ILO) start to recognise medical physics as a profession, it is evident that despite some encouraging signs there is still a lot of work required towards establishing an adequately trained and resourced medical physics workforce in the Asia Pacific region. PMID:22970066

  2. The MaPLE device of Saha Institute of Nuclear Physics: Construction and its plasma aspects

    NASA Astrophysics Data System (ADS)

    Pal, Rabindranath; Biswas, Subir; Basu, Subhasis; Chattopadhyay, Monobir; Basu, Debjyoti; Chaudhuri, Manis

    2010-07-01

    The Magnetized Plasma Linear Experimental (MaPLE) device is a low cost laboratory plasma device at Saha Institute of Nuclear Physics fabricated in-house with the primary aim of studying basic plasma physics phenomena such as plasma instabilities, wave propagation, and their nonlinear behavior in magnetized plasma regime in a controlled manner. The machine is specially designed to be a versatile laboratory device that can provide a number of magnetic and electric scenario to facilitate such studies. A total of 36 number of 20-turn magnet coils, designed such as to allow easy handling, is capable of producing a uniform, dc magnetic field of about 0.35 T inside the plasma chamber of diameter 0.30 m. Support structure of the coils is planned in an innovative way facilitating straightforward fabrication and easy positioning of the coils. Further special feature lies in the arrangement of the spacers between the coils that can be maneuvered rather easily to create different magnetic configurations. Various methods of plasma production can be suitably utilized according to the experimental needs at either end of the vacuum vessel. In the present paper, characteristics of a steady state plasma generated by electron cyclotron resonance method using 2.45 GHz microwave power are presented. Scans using simple probe drives revealed that a uniform and long plasma column having electron density ˜3-5×1010 cm-3 and temperature ˜7-10 eV, is formed in the center of the plasma chamber which is suitable for wave launching experiments.

  3. Physical and rehabilitation medicine (PRM) care pathways: adults with severe traumatic brain injury.

    PubMed

    Pradat-Diehl, P; Joseph, P-A; Beuret-Blanquart, F; Luauté, J; Tasseau, F; Remy-Neris, O; Azouvi, P; Sengler, J; Bayen, É; Yelnik, A; Mazaux, J-M

    2012-11-01

    This document is part of a series of guidelines documents designed by the French Physical and Rehabilitation Medicine Society (SOFMER) and the French Federation of PRM (FEDMER). These reference documents focus on a particular pathology (here patients with severe TBI). They describe for each given pathology patients' clinical and social needs, PRM care objectives and necessary human and material resources of the pathology-dedicated pathway. 'Care pathways in PRM' is therefore a short document designed to enable readers (physician, decision-maker, administrator, lawyer, finance manager) to have a global understanding of available therapeutic care structures, organization and economic needs for patients' optimal care and follow-up. After a severe traumatic brain injury, patients might be divided into three categories according to impairment's severity, to early outcomes in the intensive care unit and to functional prognosis. Each category is considered in line with six identical parameters used in the International Classification of Functioning, Disability and Health (World Health Organization), focusing thereafter on personal and environmental factors liable to affect the patients' needs.

  4. Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding.

    PubMed

    Moraes, Claudia L; de Oliveira, Alessandra S D; Reichenheim, Michael E; Lobato, Gustavo

    2011-12-01

    To investigate the role of severe physical violence during pregnancy (SPVP) between intimate partners in early cessation of exclusive breast-feeding (EBF). A health services survey. The revised Conflict Tactics Scale was used to characterize SPVP; premature breast-feeding cessation was identified using a current status data approach, which was based on the information reported from food recall during the preceding 7 d. The cumulative hazard function was estimated by complementary log-log transformation models, which allowed the ensuing estimation of early breast-feeding cessation rates in different age groups and the ratio of rates of weaning between women exposed and not exposed to violence. Five large public primary health-care facilities of Rio de Janeiro, Brazil. The sample comprised 811 randomly selected mothers of children under 5 months of age who were waiting to be consulted. SPVP is an independent risk factor of cessation of EBF since, after controlling for socio-economic, demographic, reproductive and lifestyle variables, women exposed to violence presented an incidence density that was 31% higher than those who were not exposed (hazard ratio = 1·30, 95% CI 1·01, 1·69). The findings corroborate the hypothesis that SPVP is an important risk factor for EBF. This indicates the need for incentives to adequately train health-care personnel in dealing with lactating women in order to gain a broader view of breast-feeding beyond the biological aspects of lactation, including the maternal psychological dimension.

  5. Hans A. Bethe Prize: Astrophysical, observational and nuclear-physics aspects of r-process nucleosynthesis

    NASA Astrophysics Data System (ADS)

    Kratz, Karl-Ludwig

    2014-03-01

    Guided by the Solar System (S.S.) abundance peaks at A ~= 130 and A ~= 195, the basic mechanisms for the rapid neutron-capture process (the r-process) have been known for over 50 years. However, even today, all proposed scenarios and sites face problems with astrophysical conditions as well as with the necessary nuclear-physics input. In my talk, I will describe efforts in experimental and theoretical nuclear-structure data for modeling today's three groups of r-process ``observables'', i.e. the bulk S.S. isotopic abundances, the elemental abundances in metal-poor halo stars, and peculiar isotopic patterns measured in certain cosmic stardust grains. To set a historical basis, I will briefly recall our site-independent ``waiting-point'' model, with superpositions of neutron-density components and the use of the first global, unified nuclear input based on the mass model FRDM(1992). This approach provided a considerable leap forward in the basic understanding of the required astrophysical conditions, as well as of specific shell-structure properties far from stability. Starting in the early millenium, the above simple model has been replaced by more realistic, dynamical parameter studies within the high-entropy wind scenario of core-collapse supernovae, now with superpositions of entropy (S) and electron-fraction (Ye) components. Furthermore, an improved, global set of nuclear-physics data is used today, based on the new mass model FRDM(2012). With this nuclear and astrophysics parameter combination, a new fit to the S.S. r-abundances will be shown, and its improvements and remaining deficiencies in terms of underlying shell structure will be discussed. Concerning the abundance patterns in metal-poor halo stars, an interpretation of the production of ``r-rich'' (e.g. CS 22892-052) and ``r-poor'' (e.g. HD 122563) stars in terms of different (Ye), S combinations will be presented. Finally, for the third group of ``r-observables'', a possible origin of the anomalous Xe

  6. Detailed pressure distribution measurements obtained on several configurations of an aspect-ratio-7 variable twist wing

    NASA Technical Reports Server (NTRS)

    Holbrook, G. T.; Dunham, D. M.

    1985-01-01

    Detailed pressure distribution measurements were made for 11 twist configurations of a unique, multisegmented wing model having an aspect ratio of 7 and a taper ratio of 1. These configurations encompassed span loads ranging from that of an untwisted wing to simple flapped wings both with and without upper-surface spoilers attached. For each of the wing twist configurations, electronic scanning pressure transducers were used to obtain 580 surface pressure measurements over the wing in about 0.1 sec. Integrated pressure distribution measurements compared favorably with force-balance measurements of lift on the model when the model centerbody lift was included. Complete plots and tabulations of the pressure distribution data for each wing twist configuration are provided.

  7. Physical methods for intracellular delivery: practical aspects from laboratory use to industrial-scale processing.

    PubMed

    Meacham, J Mark; Durvasula, Kiranmai; Degertekin, F Levent; Fedorov, Andrei G

    2014-02-01

    Effective intracellular delivery is a significant impediment to research and therapeutic applications at all processing scales. Physical delivery methods have long demonstrated the ability to deliver cargo molecules directly to the cytoplasm or nucleus, and the mechanisms underlying the most common approaches (microinjection, electroporation, and sonoporation) have been extensively investigated. In this review, we discuss established approaches, as well as emerging techniques (magnetofection, optoinjection, and combined modalities). In addition to operating principles and implementation strategies, we address applicability and limitations of various in vitro, ex vivo, and in vivo platforms. Importantly, we perform critical assessments regarding (1) treatment efficacy with diverse cell types and delivered cargo molecules, (2) suitability to different processing scales (from single cell to large populations), (3) suitability for automation/integration with existing workflows, and (4) multiplexing potential and flexibility/adaptability to enable rapid changeover between treatments of varied cell types. Existing techniques typically fall short in one or more of these criteria; however, introduction of micro-/nanotechnology concepts, as well as synergistic coupling of complementary method(s), can improve performance and applicability of a particular approach, overcoming barriers to practical implementation. For this reason, we emphasize these strategies in examining recent advances in development of delivery systems.

  8. Physical Methods for Intracellular Delivery: Practical Aspects from Laboratory Use to Industrial-Scale Processing

    PubMed Central

    Meacham, J. Mark; Durvasula, Kiranmai; Degertekin, F. Levent; Fedorov, Andrei G.

    2015-01-01

    Effective intracellular delivery is a significant impediment to research and therapeutic applications at all processing scales. Physical delivery methods have long demonstrated the ability to deliver cargo molecules directly to the cytoplasm or nucleus, and the mechanisms underlying the most common approaches (microinjection, electroporation, and sonoporation) have been extensively investigated. In this review, we discuss established approaches, as well as emerging techniques (magnetofection, optoinjection, and combined modalities). In addition to operating principles and implementation strategies, we address applicability and limitations of various in vitro, ex vivo, and in vivo platforms. Importantly, we perform critical assessments regarding (1) treatment efficacy with diverse cell types and delivered cargo molecules, (2) suitability to different processing scales (from single cell to large populations), (3) suitability for automation/integration with existing workflows, and (4) multiplexing potential and flexibility/adaptability to enable rapid changeover between treatments of varied cell types. Existing techniques typically fall short in one or more of these criteria; however, introduction of micro-/nanotechnology concepts, as well as synergistic coupling of complementary method(s), can improve performance and applicability of a particular approach, overcoming barriers to practical implementation. For this reason, we emphasize these strategies in examining recent advances in development of delivery systems. PMID:23813915

  9. Earth Rotation: Theoretical aspects, observation of temporal variations and physical interpretation

    NASA Astrophysics Data System (ADS)

    Dehant, Véronique; Folgueira, Marta; Koot, Laurence; Laguerre, Raphael; Puica, Mihaela; Rekier, Jérémy; Rivoldini, Attilio; Andres Triana, Santiago; Trinh, Antony; Van Hoolst, Tim; Zhu, Ping

    2016-04-01

    In this invited talk we will concentrate on nutation period time-scale and on the Earth orientation changes and vaguely cover rest. We will revise the determination of the interior Earth parameters as determined from VLBI data and their interpretation in terms of physics of the Earth deep interior (in collaboration with Zhu Ping, Laurence Koot and Attilio Rivoldini). These parameters and in particular values determined at the core-mantle boundary (CMB) and at the inner core boundary (ICB) can be interpreted in terms of coupling mechanisms at the CMB and ICB. We will describe the electromagnetic, topographic, gravitational and viscous coupling and detail the recent advances in these computations. In particular the topographic coupling will be evaluated in collaboration with Jérémy Rekier, Marta Folgueira, Antony Trinh. The existence of inertial waves inside the fluid core has been examined in that frame. These inertial waves consequences on the fluid behaviour, which will be illuminated as well with the help of numerical simulations (collaboration with Raphael Laguerre, Santiago Andres Triana, Antony Trinh). Numerical simulations will be presented in detail at EGU in session GD4.1/PS9.10 but the most important consequences will be revised here. VLBI analysis results in this session.

  10. Some Important Aspects of Physical Modelling of Liquefaction in 1-g Shaking Table

    SciTech Connect

    Alam, Md. Jahangir; Towhata, Ikuo

    2008-07-08

    Physical modeling of liquefaction in 1-g shaking table and dynamic centrifuge test become very popular to simulate the ground behavior during earthquake motion. 1-g shaking table tests require scaled down model ground which can be prepared in three methods; water sedimentation, moist tamping and dry deposition method. Moist tamping and dry deposition method need saturation of model ground which is expensive and very difficult to achieve. Some model tests were performed in 1-g shaking table to see the influence of preparation method of model ground. Wet tamping and water sedimentation method of ground preparation were compared in these tests. Behavior of level ground and slope were also examined. Slope and level ground model test increased the understanding of excess pore pressure generation in both cases. Wet tamping method has a possibility of not being fully saturated. Pore pressure transducers should be fixed vertically so that it can not settle down during shaking but can move with ground. There was insignificant difference in acceleration and excess pore pressure responses between wet tamping and water sedimentation method in case of level ground. Spiky accelerations were prominent in slope prepared by water sedimentation method. Spiky accelerations were the result of lateral displacement induced dilatancy of soil.

  11. [Historical aspects of the use of physical restraint: from antiquity to the era of moral treatment].

    PubMed

    Fariña-López, Emilio; Estévez-Guerra, Gabriel J

    2011-03-01

    The implementation of harsh methods of restriction has been seen since ancient times as an acceptable solution to the problems caused by mental illness. This practice was hardly questioned and only a few professionals struggled to improve the hard living conditions of the patients. Amongst these can be mentioned some physicians of ancient Greece and Rome: such as, Caelius Aurelianus, Asclepiades or Soranus of Ephesus, who objected to this procedure. During the Middle Ages, Arabic culture also helped to humanize care in the first hospitals for the insane, Avicenna being one of the most important figures. By contrast, in Medieval Europe madness was seen as a form of sin, and punishment was the way to treat it. Already by the fifteenth century asylums in Valencia and Zaragoza were pioneering the removal of chains and more humane treatment. Although, undoubtedly the most notable advances in the care of mental patients occurred during the eighteenth century through moral treatment, Philippe Pinel being its most well-known practioner. Also at this time, the benevolent efforts of the Quakers stood out. As an alternative to shackles, they introduced occupational programmes to stimulate patients; in fact, this type of therapy had already been applied centuries before. To put this phenomenon in perspective, it can be said that discussions about physical restraint have been taking place since ancient times, causing debate amongst professionals for many centuries, when considering its advisability.

  12. Medical physics aspects of cancer care in the Asia Pacific region: 2014 survey results.

    PubMed

    Kron, Tomas; Azhari, H A; Voon, E O; Cheung, K Y; Ravindran, P; Soejoko, D; Inamura, K; Han, Y; Ung, N M; TsedenIsh, Bolortuya; Win, U M; Srivastava, R; Marsh, S; Farrukh, S; Rodriguez, L; Kuo, Men; Baggarley, S; DilipKumara, A H; Lee, C C; Krisanachinda, A; Nguyen, X C; Ng, K H

    2015-09-01

    It was the aim of this work to assess and track the workload, working conditions and professional recognition of radiation oncology medical physicists (ROMPs) in the Asia Pacific region over time. In this third survey since 2008, a structured questionnaire was mailed in 2014 to 22 senior medical physicists representing 23 countries. As in previous surveys the questionnaire covered seven themes: 1 education, training and professional certification, 2 staffing, 3 typical tasks, 4 professional organisations, 5 resources, 6 research and teaching, and 7 job satisfaction. The response rate of 100% is a result of performing a survey through a network, which allows easy follow-up. The replies cover 4841 ROMPs in 23 countries. Compared to 2008, the number of medical physicists in many countries has doubled. However, the number of experienced ROMPs compared to the overall workforce is still small, especially in low and middle income countries. The increase in staff is matched by a similar increase in the number of treatment units over the years. Furthermore, the number of countries using complex techniques (IMRT, IGRT) or installing high end equipment (tomotherapy, robotic linear accelerators) is increasing. Overall, ROMPs still feel generally overworked and the professional recognition, while varying widely, appears to be improving only slightly. Radiation oncology medical physics practice has not changed significantly over the last 6 years in the Asia Pacific Region even if the number of physicists and the number and complexity of treatment techniques and technologies have increased dramatically.

  13. SOLICITING BCI USER EXPERIENCE FEEDBACK FROM PEOPLE WITH SEVERE SPEECH AND PHYSICAL IMPAIRMENTS

    PubMed Central

    Peters, Betts; Mooney, Aimee; Oken, Barry; Fried-Oken, Melanie

    2016-01-01

    Brain-computer interface (BCI) researchers have shown increasing interest in soliciting user experience (UX) feedback, but the severe speech and physical impairments (SSPI) of potential users create barriers to effective implementation with existing feedback instruments. This article describes augmentative and alternative communication (AAC)-based techniques for obtaining feedback from this population, and presents results from administration of a modified questionnaire to 12 individuals with SSPI after trials with a BCI spelling system. The proposed techniques facilitated successful questionnaire completion and provision of narrative feedback for all participants. Questionnaire administration required less than five minutes and minimal effort from participants. Results indicated that individual users may have very different reactions to the same system, and that ratings of workload and comfort provide important information not available through objective performance measures. People with SSPI are critical stakeholders in the future development of BCI, and appropriate adaptation of feedback questionnaires and administration techniques allows them to participate in shaping this assistive technology. PMID:27135037

  14. SOLICITING BCI USER EXPERIENCE FEEDBACK FROM PEOPLE WITH SEVERE SPEECH AND PHYSICAL IMPAIRMENTS.

    PubMed

    Peters, Betts; Mooney, Aimee; Oken, Barry; Fried-Oken, Melanie

    2016-01-01

    Brain-computer interface (BCI) researchers have shown increasing interest in soliciting user experience (UX) feedback, but the severe speech and physical impairments (SSPI) of potential users create barriers to effective implementation with existing feedback instruments. This article describes augmentative and alternative communication (AAC)-based techniques for obtaining feedback from this population, and presents results from administration of a modified questionnaire to 12 individuals with SSPI after trials with a BCI spelling system. The proposed techniques facilitated successful questionnaire completion and provision of narrative feedback for all participants. Questionnaire administration required less than five minutes and minimal effort from participants. Results indicated that individual users may have very different reactions to the same system, and that ratings of workload and comfort provide important information not available through objective performance measures. People with SSPI are critical stakeholders in the future development of BCI, and appropriate adaptation of feedback questionnaires and administration techniques allows them to participate in shaping this assistive technology.

  15. Vocational outcomes for persons with severe physical disabilities: Design and implementation of workplace supports.

    PubMed

    Inge, Katherine J.; Strobel, Wendy; Wehman, Paul; Todd, Jennifer; Targett, Pam

    2000-01-01

    Clearly, the need for a skilled labor pool is great in today's economy. Yet, many people with significant disabilities are struggling to find jobs with the majority of them unemployed or underemployed [6]. There is a need to develop strategies that can effectively empower these individuals to become part of the nation's labor force. This article describes one model project that used person-centered career plans, supported employment, and on-the-job assistive technology assessment and training to assist 21 individuals to become competitively employed. Customers worked an average of 15.66 months earning an average of $7,271 in total wages. They were hired by both small and large businesses to do a variety of tasks to include data entry, customer service, clerical assistance, as well as food prep. While the findings are preliminary, the results indicate that individuals with severe physical disabilities can maintain employment by combining supported employment and assistive technology within the workplace.

  16. Parents who hit and scream: interactive effects of verbal and severe physical aggression on clinic-referred adolescents' adjustment.

    PubMed

    LeRoy, Michelle; Mahoney, Annette; Boxer, Paul; Gullan, Rebecca Lakin; Fang, Qijuan

    2014-05-01

    The goals of this study were first, to delineate the co-occurrence of parental severe physical aggression and verbal aggression toward clinic-referred adolescents, and second, to examine the interactive effects of parental severe physical aggression and verbal aggression on adolescent externalizing and internalizing behavior problems. This research involved 239 referrals of 11- to 18-year-old youth and their dual-parent families to a non-profit, private community mental health center in a semi-rural Midwest community. Multiple informants (i.e., adolescents and mothers) were used to assess parental aggression and adolescent behavior problems. More than half of clinic-referred adolescents (51%) experienced severe physical aggression and/or high verbal aggression from one or both parents. A pattern of interactive effects of mother-to-adolescent severe physical aggression and verbal aggression on adolescent behavior problems emerged, indicating that when severe physical aggression was present, mother-to-adolescent verbal aggression was positively associated with greater adolescent behavior problems whereas when severe physical aggression was not present, the links between verbal aggression and behavior problems was no longer significant. No interactive effects were found for father-to-adolescent severe physical aggression and verbal aggression on adolescent adjustment; however, higher father-to-adolescent verbal aggression was consistently linked to behavior problems above and beyond the influence of severe physical aggression. The results of this study should promote the practice of routinely assessing clinic-referred adolescents and their parents about their experiences of verbal aggression in addition to severe physical aggression and other forms of abuse. Copyright © 2013 Elsevier Ltd. All rights reserved.

  17. Use of physical therapy in a dog with bilateral severe plantigrade stance.

    PubMed

    Ree, Jennifer; Hayashi, Kei; Woelz, Jacqueline; Kim, Sun Young

    2015-01-01

    A 3.5 yr old spayed female Staffordshire terrier weighing 25.5 kg was presented with a 7 wk history of bilateral plantigrade stance in the pelvic limbs directly following an ovariohysterectomy procedure. Upon presentation, the dog had bilateral atrophy of the distal pelvic limb muscles, enlarged popliteal lymph nodes, and ulcerative wounds on the dorsa of her rear paws. Orthopedic examination revealed intact calcaneal tendons bilaterally and neurologic examination localized the lesion to the distal sciatic nerve. A diagnosis of compressive and stretch neuropathy was made affecting the distal sciatic nerve branches. Physical therapy modalities included neuromuscular electrical stimulation, ultrasound, and low-level laser therapy. Other therapeutic modalities included the use of orthotics and progressive wound care. The dog had increased muscle mass, return of segmental reflexes, return of nociception, and the ability to walk on pelvic limbs with higher carriage of the hock 15 mo following presentation. The use of custom orthotics greatly increased the quality of life and other physical therapy modalities may have improved the prognosis in this dog with severe bilateral plantigrade stance due to neuropathy.

  18. Dietary and Supplemental Vitamin C and D on Symptom Severity and Physical Function in Knee Osteoarthritis.

    PubMed

    Hung, Man; Bounsanga, Jerry; Voss, Maren W; Gu, Yushan; Crum, Anthony B; Tang, Philip

    2017-05-30

    Vitamins C and D have been associated with decreasing pain and increasing function but these associations are not definitive. This cross-sectional study explores what relationships supplemental and dietary intake of vitamins C and D have on pain severity and physical function in patients with knee osteoarthritis. Using data from the Osteoarthritis Initiative, we performed regression analyses to examine relationships between vitamins C and D, pain, and function. Dietary vitamin D and dietary vitamin C were divided into >90th, 50th-90th, and <50th percentile. The high percentile group for supplemental vitamin D was divided into >85th percentile, whereas the high percentile group for supplemental vitamin C was divided into >90th percentile. We found the 90th/85th percentile levels of dietary and supplemental vitamin D to be positively associated with pain (β = 0.180; p = 0.028) and inversely related to physical function (β = -0.150, p = 0.028), respectively. Daily intake of vitamin C showed no statistical significance. We found that supplementary vitamin D was strongly associated with lessened disability for knee OA patients. The unexpected finding that associated dietary vitamin D with greater knee pain merits further study.

  19. Movement-to-music computer technology: a developmental play experience for children with severe physical disabilities.

    PubMed

    Tam, Cynthia; Schwellnus, Heidi; Eaton, Ceilidh; Hamdani, Yani; Lamont, Andrea; Chau, Tom

    2007-01-01

    Children with severe physical disabilities often lack the physical skills to explore their environment independently, and to play with toys or musical instruments. The movement-to-music (MTM) system is an affordable computer system that allows children with limited movements to play and create music. The present study explored parents' experiences of using the MTM system with their children. A qualitative methodology employing in-depth interview techniques was used with six mothers and their children. The themes extracted from the data were organized under two main concepts of the International Classification of Functioning, Disability, and Health (ICF) (WHO, 2001) framework. The results showed that the MTM expanded horizons for the child along the ICF health dimensions and the MTM had a positive impact on ICF environmental determinants of health. The small sample size should be noted as a limitation of this study. Further research should be carried out with a larger sample of children with restricted mobility to obtain a better understanding of the impact of MTM technology on children's psychosocial development.

  20. Severe receptive language disorder in childhood--familial aspects and long-term outcomes: results from a Scottish study.

    PubMed

    Clark, Ann; O'Hare, Anne; Watson, Jocelynne; Cohen, Wendy; Cowie, Hilary; Elton, Rob; Nasir, Jamal; Seckl, Jonathan

    2007-07-01

    Little is known about the familial characteristics of children with severe receptive specific language impairment (SLI). Affected children are more likely to have long-term problems than those with expressive SLI but to date they have only been described as small cohorts within SLI populations. We therefore aimed to describe the clinical and familial characteristics of severe receptive SLI as defined by a rigorous phenotype and to establish whether non-word repetition showed a relationship with language impairment in these families. Cross-sectional study of children who met ICD-10 (F80.2) criteria for receptive SLI at school entry, their siblings and genetic parents with standardised measures of language and non-verbal IQ, phonological auditory memory and speech sound inventory. At a mean of 6 years after school entry with a severe receptive SLI, the 58 participants had a normal mean and standard deviation non-verbal IQ, but only 3% (two) had attained language measures in the normal range. One third still had severe receptive language impairment. One third of siblings not known to be affected had language levels outside the normal range. Phonological auditory memory was impaired in most family members. Severe receptive SLI is nearly always associated with an equally severe reduction in expressive language skills. Language impairment in siblings may go undetected and yet they are at high risk. Family members had weak phonological auditory memory skills, suggesting that this could be a marker for language acquisition difficulties. Receptive SLI rarely resolves and trials of therapy are urgently needed.

  1. Physical and microstructural aspects of sulfate attack on ordinary and limestone blended Portland cements

    SciTech Connect

    Schmidt, Thomas; Lothenbach, Barbara; Romer, Michael; Neuenschwander, Juerg; Scrivener, Karen

    2009-12-15

    The consequences of external sulfate attack were investigated by traditional test methods, i.e. length and mass change, as well as by a newly developed, surface sensitive ultrasonic method, using Leaky Rayleigh waves (1 MHz). The macroscopic changes are discussed and compared with thermodynamic calculations and microstructural findings (SEM/EDS). The results show that the main impact of limestone additions on resistance to sulfate degradation are physical - i.e. addition of a few percent in Portland cement reduces the porosity and increases the resistance of Portland cement systems to sulfate; but higher addition of 25% increase porosity and lower resistance to sulfate. The kinetics of degradation were dramatically affected by the solution concentration (4 or 44 g Na{sub 2}SO{sub 4}/l) and the higher concentration also resulted in the formation of gypsum, which did not occur at the low concentration. However the pattern of cracking was similar in both cases and it appears that gypsum precipitates opportunistically in pre-formed cracks so it is not considered as making a significant contribution to the degradation. At 8 deg. C limited formation of thaumasite occurred in the surface region of the samples made from cement with limestone additions. This thaumasite formation led to loss of cohesion of the paste and loss of material from the surface of the samples. However thaumasite formation was always preceded by expansion and cracking of the samples due to ettringite formation and given the very slow kinetics of thaumasite formation it was probably facilitated by the opening up of the structure due to ettringite induced cracking. The expansion of the samples showed a steady stage, followed by a rapidly accelerating stage, with destruction of the samples. The onset of the rapidly accelerating stage occurred when the thickness of the cracked surface layer reached about 1-1.5 mm-10-15% of the total specimen thickness (10 mm).

  2. Physical and chemical aspects of fluid evolution in hydrothermal ore systems

    SciTech Connect

    Cline, J.S.

    1990-01-01

    A one-dimensional, physical model describing two-phase fluid flow is used to simulate the effect of boiling on silica precipitation in geothermal and epithermal precious metal systems. The extent to which decreasing temperature and fluid vaporization are responsible for quartz precipitation is dependent on three related factors-the temperature of the fluid entering the two-phase system, the change in fluid temperature with respect to distance of fluid travel, and the extent of fluid vaporization in regions of gradual temperature decline. Boiling contributes to significant quartz precipitation in systems with high-temperature basal fluids, and in deeper portions of systems in which extensive vaporization occurs. Temperature reduction is a dominate precipitation mechanism in near-surface regions where temperature reduction is rapid, and in systems with lower temperature fluids. Quartz precipitation is most intense in systems with high mass flux/permeability ratios and low initial fluid temperatures. Geothermal systems with high mass flux/permeability and moderately low initial fluid temperatures are most effective in producing epithermal systems with abundant gold. Fluid evolution during the magnetic-hydrothermal transition and coincident molybdenite precipitation at Questa, New Mexico, has been traced using fluid inclusion microthermometry. The lack of cogenetic liquid- and vapor-rich inclusions, plus final homogenization of most saline, liquid-rich inclusions by halite dissolution indicate that high-salinity fluids were generated by a mechanism other than fluid immiscibility. Pressure flucuations are capable of producing the observed fluids and inclusion behavior. Solubility data indicate that the crystallizing aplite porphyry generated fluids with salinates as high as 57 wt.% NaCl equivalent.

  3. [Technical aspects and relevance of energy expenditure and physical activity assessment in clinical research for cystic fibrosis patients].

    PubMed

    Béghin, L; Michaud, L; Turck, D; Gottrand, F

    2005-07-01

    Cystic fibrosis (CF) is characterized by deteriorating lung function and mal-digestion, which result in growth failure and/or under-nutrition. Several factors, alone or combined, contribute to malnutrition in CF: poor energy intake, elevation of energy loss as a result of malabsorption, increasing resting energy expenditure due to genetic mutation and/or pulmonary exacerbation. Several techniques have been used to assess energy expenditure and physical activity in order to better understand mechanisms of malnutrition in CF and follow therapeutic interventions. Indirect calorimetry (IC) studies have shown that resting energy expenditure (REE) was 10-22% higher than predictive values. This increase could be attributed to chronic inflammation as a result of Pseudomonas aeruginosa (PA) infection. Indeed, intravenous antibiotic therapy decreases REE. Doubly labelled water technique and heart rate monitoring calibrated against IC techniques shows that total energy expenditure (TEE) was not different than in healthy children. Physical activity level assessed by the ratio TEE-REE is also not different between CF of healthy children. Recently, new accelerometry technics, easier to use and less invasive have been successfully used in order to assess physical activity level in CF. Precise and ambulatory assessment of energy expenditure and physical activity permit to check and adapt dietary allowances in CF. These techniques could be simultaneously used and be helpful to assess efficacy of intervention studies.

  4. The ethical and legal aspects of palliative sedation in severely brain-injured patients: a French perspective.

    PubMed

    Baumann, Antoine; Claudot, Frédérique; Audibert, Gérard; Mertes, Paul-Michel; Puybasset, Louis

    2011-02-08

    To fulfill their crucial duty of relieving suffering in their patients, physicians may have to administer palliative sedation when they implement treatment-limitation decisions such as the withdrawal of life-supporting interventions in patients with poor prognosis chronic severe brain injury. The issue of palliative sedation deserves particular attention in adults with serious brain injuries and in neonates with severe and irreversible brain lesions, who are unable to express pain or to state their wishes. In France, treatment limitation decisions for these patients are left to the physicians. Treatment-limitation decisions are made collegially, based on the presence of irreversible brain lesions responsible for chronic severe disorders of consciousness. Before these decisions are implemented, they are communicated to the relatives. Because the presence and severity of pain cannot be assessed in these patients, palliative analgesia and/or sedation should be administered. However, palliative sedation is a complex strategy that requires safeguards to prevent a drift toward hastening death or performing covert euthanasia. In addition to the law on patients' rights at the end of life passed in France on April 22, 2005, a recent revision of Article 37 of the French code of medical ethics both acknowledges that treatment-limitation decisions and palliative sedation may be required in patients with severe brain injuries and provides legal and ethical safeguards against a shift towards euthanasia. This legislation may hold value as a model for other countries where euthanasia is illegal and for countries such as Belgium and Netherlands where euthanasia is legal but not allowed in patients incapable of asking for euthanasia but in whom a treatment limitation decision has been made.

  5. The ethical and legal aspects of palliative sedation in severely brain-injured patients: a French perspective

    PubMed Central

    2011-01-01

    To fulfill their crucial duty of relieving suffering in their patients, physicians may have to administer palliative sedation when they implement treatment-limitation decisions such as the withdrawal of life-supporting interventions in patients with poor prognosis chronic severe brain injury. The issue of palliative sedation deserves particular attention in adults with serious brain injuries and in neonates with severe and irreversible brain lesions, who are unable to express pain or to state their wishes. In France, treatment limitation decisions for these patients are left to the physicians. Treatment-limitation decisions are made collegially, based on the presence of irreversible brain lesions responsible for chronic severe disorders of consciousness. Before these decisions are implemented, they are communicated to the relatives. Because the presence and severity of pain cannot be assessed in these patients, palliative analgesia and/or sedation should be administered. However, palliative sedation is a complex strategy that requires safeguards to prevent a drift toward hastening death or performing covert euthanasia. In addition to the law on patients' rights at the end of life passed in France on April 22, 2005, a recent revision of Article 37 of the French code of medical ethics both acknowledges that treatment-limitation decisions and palliative sedation may be required in patients with severe brain injuries and provides legal and ethical safeguards against a shift towards euthanasia. This legislation may hold value as a model for other countries where euthanasia is illegal and for countries such as Belgium and Netherlands where euthanasia is legal but not allowed in patients incapable of asking for euthanasia but in whom a treatment limitation decision has been made. PMID:21303504

  6. Physical and numerical aspects of the high-speed unsteady flow around concave axisymmetric bodies

    NASA Astrophysics Data System (ADS)

    Panaras, Argyris; Drikakis, Dimitris

    2011-09-01

    The axisymmetric concave body is a typical configuration about which shock/shock interactions appear. Various shapes of axisymmetric concave bodies are used in a variety of applications in aeronautics, for example, axisymmetric jet inlets with conical centerbody, ballistic missiles drag reduction by spike, plasma or hot gas injection, parachutes for pilot-ejection capsules. However, it is well known that two distinct modes of instability appear around a concave body in the high-speed flow regime for a certain range of geometric parameters. These instabilities can cause undesirable effects such as severe vibration of the structure, heating and pressure loads. According to the experimental evidence, the unsteady flow is characterised by periodic radial inflation and collapse of the conical separation bubble formed around the forebody (pulsation). Various explanations have been given for the driving mechanism of the instabilities. In the present, merging of the leading explanations is done, and basic rules for the passive suppression of the instabilities are applied, in order to enforce their proposed driving. In addition, the effect of the flow initialisation method on the flow structure predicted by numerical simulations is examined. For certain configurations, bifurcation of the time-dependent flow has been found. This behaviour is explained with recourse to the phenomenon of hysteresis, which is an inherent feature of the examined flows.

  7. Using Lego robots to estimate cognitive ability in children who have severe physical disabilities.

    PubMed

    Cook, Albert M; Adams, Kim; Volden, Joanne; Harbottle, Norma; Harbottle, Cheryl

    2011-01-01

    To determine whether low-cost robots provide a means by which children with severe disabilities can demonstrate understanding of cognitive concepts. Ten children, ages 4 to 10, diagnosed with cerebral palsy and related motor conditions, participated. Participants had widely variable motor, cognitive and receptive language skills, but all were non-speaking. A Lego Invention 'roverbot' was used to carry out a range of functional tasks from single-switch replay of pre-stored movements to total control of the movement in two dimensions. The level of sophistication achieved on hierarchically arranged play tasks was used to estimate cognitive skills. The 10 children performed at one of the six hierarchically arranged levels from 'no interaction' through 'simple cause and effect' to 'development and execution of a plan'. Teacher interviews revealed that children were interested in the robot, enjoyed interacting with it and demonstrated changes in behaviour and social and language skills following interaction. Children with severe physical disabilities can control a Lego robot to perform un-structured play tasks. In some cases, they were able to display more sophisticated cognitive skills through manipulating the robot than in traditional standardised tests. Success with the robot could be a proxy measure for children who have cognitive abilities but cannot demonstrate them in standard testing.

  8. Evolution of the sensor fish device for measuring physical conditions in sever hydraulic environments

    SciTech Connect

    Carlson, Thomas J.; Duncan, J. P.

    2003-03-01

    To assist in deriving biological specifications for design of turbine rehabilitation measures, new “fish-friendly” turbines, and spillway designs and operations, Pacific Northwest National Laboratory (PNNL) scientists have developed and tested an autonomous multi-sensor device called a Sensor Fish that can acquire pressure and tri-axial linear acceleration data during passage through severe hydraulic conditions. The purpose of the Sensor Fish is to characterize physical conditions fish experience during passage through hydro turbines, spill stilling basins, high-discharge outfalls, and other dam passage routes. This report discusses the development and field tests of the Sensor Fish at Rock Island, McNary, The Dalles, Bonneville, and Wanapum dams on the Columbia River and the Prosser Irrigation District on the Yakima River, which have shown that the device can withstand the severe environments of turbine, spill, and fish bypass passage and provide useful environmental data that can ultimately aid in the design and operation of new and existing turbines, spill, and dam fish bypass facilities.

  9. Evolution of the Sensor Fish Device for Measuring Physical Conditions in Severe Hydraulic Environments

    SciTech Connect

    Carlson, Thomas J.; Duncan, Joanne P.

    2003-02-28

    To assist in deriving biological specifications for design of turbine rehabilitation measures, new ''fish-friendly'' turbines, and spillway designs and operations, scientists at the Pacific Northwest National Laboratory (PNNL) have developed and tested an autonomous multi-sensor device called a Sensor Fish that can acquire pressure and tri-axial linear acceleration data during passage through severe hydraulic conditions. The purpose of the Sensor Fish is to characterize physical conditions fish experience during passage through hydro turbines, spill stilling basins, high-discharge outfalls, and other dam passage routes. The Sensor Fish was developed with the support of the U.S. Department of Energy's Advanced Hydropower Turbine System program. Field tests of the Sensor Fish at Rock Island, McNary, The Dalles, Bonneville, and Wanapum dams on the Columbia River and the Prosser Irrigation District on the Yakima River have shown that the device can withstand the severe environments of turbine, spill, and fish bypass passage and provide useful environmental data that can ultimately aid in the design and operation of new and existing turbines, spill, and dam fish bypass facilities.

  10. Effect on Public Policy from Macro to Nano Aspects of the Deadliest Illness of Mankind: Important Role of Physics

    NASA Astrophysics Data System (ADS)

    Saxena, Arjun

    2013-04-01

    The effect on public policy of macro to nano aspects of the deadliest Illness known to mankind is given. The focus is on the important role of physics which has been ignored so far to solve its problems. It is now acknowledged that the deadliest illness is actually a group of illnesses which are lumped together as mental illnesses. They are the most widespread and damaging illnesses in the world. Their impact on the entire society globally is huge because they afflict majority of the people irrespective of race, religion, sex, age, education and economic status. In USA alone, the number afflicted according to the official count is about 80 million (out of a total population of 315 million), and it is projected to increase to about 25 to 30% of the population within two decades. A model is given in this paper to address some of the key issues from macro to nano aspects of the deadliest illness. The information given in this paper is scientific though easy to understand. It will help the elected policy makers, public, physicists, neuroscientists, doctors, and care giving personnel world wide. The model explains the missing links in the diagnosis and treatment of mental illnesses. Additional evidence from other recent studies shall also be given.

  11. Potential use of microwave treatment on fresh-cut carrots: physical, chemical and microbiological aspects.

    PubMed

    Martínez-Hernández, Ginés Benito; Amodio, Maria Luisa; Colelli, Giancarlo

    2016-04-01

    The effect of microwave treatments (900 and 750 W for 45 and 60 s) on the microbial, physicochemical and sensory properties of fresh-cut carrot slices and the contents of several bioactive compounds was studied. Carrot samples were stored for 7 days at 5 °C. The microwaving of fresh-cut carrots reduced the initial respiration rate (8.6 CO2 mL kg(-1) h(-1)) by 55-74% compared with untreated samples, although the rates then increased during storage. The initial pH (6.7), titratable acidity (0.036%), soluble solid content (8.2 °Brix) and shelf-life of the samples did not differ greatly from those of the untreated samples. Microwaving prevented the incipient whitening and surface dryness during storage. In general, no significant changes in phenylalanine ammonia lyase activity (5.5 µmol t-cinnamic acid kg(-1) h(-1)), total phenolics (TP, 81.3 mg chlorogenic acid equivalent kg(-1) fresh weight (FW)) or total antioxidant capacity (TAC, 74.2 µmol Trolox equivalent kg(-1) FW) were observed on the processing day or over storage. However, the mildest treatment (750 W for 45 s) caused TP and TAC enhancements of 118 and 394% respectively after 7 days of shelf-life. Microwave treatments reduced the initial microbial loads of the samples by up to 1.8 log units, although their microbial growth was greater than that of the untreated samples throughout storage. Mild microwave treatments such as 750 W/45 s and 750 W/60 s are a good sustainable alternative to the use of NaOCl; however, combining them with other sanitizing techniques is needed to control microbial growth throughout the shelf-life of fresh-cut carrot slices. © 2015 Society of Chemical Industry.

  12. The Peer-Peer Program: A Model Project for the Integration of Severely Physically Handicapped Youngsters with Nondisabled Peers.

    ERIC Educational Resources Information Center

    Friedman, Ronald S.

    Described is the development and evaluation of a demonstration project in which severely physically handicapped sixth grade children in a special school, are integrated into specific activities with their nonhandicapped peers in a nearby public school. Planning sessions are discussed, and such shared activities as the physical fitness group,…

  13. Physical Activity in the Life of a Woman with Severe Cerebral Palsy: Showing Competence and Being Socially Connected

    ERIC Educational Resources Information Center

    Gaskin, Cadeyrn J.; Andersen, Mark B.; Morris, Tony

    2009-01-01

    We used a life-history approach to investigate the meanings and experiences of physical activity in the life of a 25-year-old woman with severe cerebral palsy (Amy). Amy and her mother were interviewed about Amy's life and her involvement in physical activity. The conversation was audio-recorded and transcribed verbatim. We interpreted Amy's story…

  14. The Role of Physical Management and Handling in Facilitating Skills Acquisition and Learning by People with Severe and Multiple Disabilities.

    ERIC Educational Resources Information Center

    Rees, Roger J.; And Others

    1995-01-01

    Training in appropriate physical management and handling procedures for caregivers of four children with severe and multiple disabilities found positive effects on the children's orientation, communication, and social interaction skills. The importance of appropriate physical managing and handling in natural environments for enhancement of…

  15. Virtual Reality as Means to Improve Physical Fitness of Individuals at a Severe Level of Intellectual and Developmental Disability

    ERIC Educational Resources Information Center

    Lotan, Meir; Yalon-Chamovitz, Shira; Weiss, Patrice L.

    2010-01-01

    Individuals with intellectual and developmental disabilities (IDD) are in need of effective and motivating physical fitness training programs. The aim was to test the effectiveness of a virtual reality (VR)-based exercise program in improving the physical fitness of adults with severe IDD when implemented by on-site caregivers. A research group (N…

  16. Virtual Reality as Means to Improve Physical Fitness of Individuals at a Severe Level of Intellectual and Developmental Disability

    ERIC Educational Resources Information Center

    Lotan, Meir; Yalon-Chamovitz, Shira; Weiss, Patrice L.

    2010-01-01

    Individuals with intellectual and developmental disabilities (IDD) are in need of effective and motivating physical fitness training programs. The aim was to test the effectiveness of a virtual reality (VR)-based exercise program in improving the physical fitness of adults with severe IDD when implemented by on-site caregivers. A research group (N…

  17. Characteristics of Moho transition zone: MCS reflection records and petrological aspects and physical properties

    NASA Astrophysics Data System (ADS)

    Kasahara, J.; Tsuruga, K.; Ike, T.; Unou, S.; Koda, K.

    2008-12-01

    The Moho is defined as the seismological discontinuity at the crust and mantle boundary. Its global depth, thickness of transition zone, and velocity structure has not been studied well. It is also poorly known whether the Moho has the same petrological and seismological properties in the continent and in the ocean, or not. Previous studies propose several petrological models for the Moho: 1) phase transition boundary from basalt to eclogite, and 2) material boundary of mafic and ultramafic rocks. By the petrological observation in the Oman ophiolite, the oceanic crust is modeled as 3) diabase-homogeneous gabbro - layered gabbro - Moho transition layer - harzburgite. The thickness of Moho transition zone (MTZ), at the boundary between Earth's crust and the subjacent mantle, has significant effect on the seismic responses from the Moho. We examined seismic characteristics of Moho reflection (hereafter PmP) using MCS (Multi Channel Seismic) reflection records obtained by high quality seismic experiments in the western Pacific by JOGMEC (Japan Oil, Gas and MEtals national Corporation). The MCS records show clear reflections at ~ 6-10 km in depth from the ocean bottom in the north and south of Ogasawara Plateau. However, considering horizontal variation in the PmP intensity, the nature of the MTZ varies from place to place. In the seismic profile D00-D, across Ogasawara Plateau in the N-S direction, the PmP abruptly disappears far from the nearby seamount where the overlain sedimentary section has less change. In another case, shown in D00-C that is located 130km west of D00-D, the PmP clearly shows high-amplitude continuous reflection near the seamount's flank. Data acquisition is relatively constant for the Ogasawara MCS reflection lines; therefore, the difference in the PmP intensity between D00- D and D00-C may relate to the nature of the Moho. The comparison of reflection records and synthetic waveforms calculated by Tsuruga et al.(this meeting) shows that if the

  18. Some Aspects of the Physical Variability of the Caribbean Sea Relevant to Regional Climate Variability

    NASA Astrophysics Data System (ADS)

    Mooers, C. N.

    2001-12-01

    The Caribbean Sea is the least studied portion of the Intra-Americas Sea (IAS), which is the combined Caribbean Sea, Gulf of Mexico, Straits of Florida, and the adjacent western North Atlantic. The upstream elements of the Gulf Stream System are the dominant features of the upper ocean circulation in the Caribbean Sea. The Trade Winds superimpose a coastal upwelling regime along the northern coast of South America and a coastal downwelling regime along the southern coasts of Cuba and Hispaniola. The inflow from the Atlantic through several Antillean passages is derived from tropical and subtropical sources and is relatively weak, shallow, and variable; the outflow to the Gulf of Mexico through the Yucatan Channel is relatively strong, deep, and variable. The variability includes mesoscale eddies and meanders as well as the seasonal cycle and year-to-year variability; it also includes lengthy plumes from the Orinoco and other rivers and lengthy filaments from coastal upwelling centers. Some of the mesoscale variability originates in the Eastern Caribbean; other components originate in the Western Caribbean, especially in the cyclonic Panama-Colombia Gyre. The upper ocean of the Caribbean Sea is not only under the influence of the Trade Winds and their seasonal and longer term variability but also two other, not mutually exclusive, sources of variability: the seasonal heating and precipitation cycles on one hand, and synoptic scale and mesoscale phenomena on the other hand. For example, there are wet and dry seasons, and the Eastern Caribbean is typically dry and the Western Caribbean typically wet, with a heavy rainfall zone off the coast of Central America. And the patterns of atmospheric deep convection and subsidence apparently account for the summertime intensification of an extensive "warm pool" concentrated in the Northwestern Caribbean, which is exported to the Gulf of Mexico. As another example, the weekly Tropical Easterly Waves (TEWs) are the predominant

  19. Attitudes of physical therapy students toward patient-centered care, before and after a course in psychosocial aspects of care.

    PubMed

    Ross, Elizabeth Fromm; Haidet, Paul

    2011-12-01

    Patient-centered care is vital in developing the therapeutic relationship. Attitude may be an important measure of student potential for giving patient-centered care. The purpose of this study was to assess attitudes toward patient-centered care in doctor of physical therapy students before and after completion of a course that addresses communication skills and psychosocial aspects of care. In 2009, forty-nine students in the Doctor of Physical Therapy educational program at Duke University took a required course which included recommended elements for teaching patient-centered care. Students completed the Patient-Practitioner Orientation Scale (PPOS) and the Tasks of Medicine Scale (TOMS) twice prior to the course and once at course completion. Demographic data were gathered and students responded to open-ended questions at final survey administration. There were statistically significant differences in student attitudes toward patient-centered care after the educational experience on the PPOS and the TOMS, which were supported by students' written responses. Changes in attitudes toward patient-centered care are possible with educational intervention. The results of this study may help to inform educators of medical professionals about the education of practitioners to develop patient-centered attitudes. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  20. Source quality variations tied to sequence development: Integration of physical and chemical aspects, Lower to Middle Triassic, western Barents Sea

    SciTech Connect

    Bohacs, K.M.; Isaksen, G.H. )

    1991-03-01

    Triassic mudrocks from the Barents Sea area demonstrate to covariance of physical and chemical properties of mudrocks deposited in shelfal environments and the aspect of depositional sequences in distal settings. The tie of physical parameters to chemical character within a detailed sequence-stratigraphic framework enables the construction of depositional-facies models to predict organic-matter content and quality. This allows the explorer to more closely constrain and predict the nature of potential source rocks using seismic and well-log data. Changes in lithology, bedding geometry, sedimentary structures, body and trace-fossil assemblages, and inorganic, bulk-organic, and molecular geochemistry revealed the detailed depositional environments. The depositional environments stack predictably, according to their position in the depositional sequence: from aerobic lower-shoreface--offshore transition environments in lowstand systems tracts to dysaerobic-anaerobic distal open-marine-shelf environment in transgressive and early highstand systems tracts. Quantitative molecular geochemistry also revealed variations within this distal setting and strong covariance with sequence position. Input of organic matter from terrigenous higher plants dominates the lowstands whereas marine-algal organic matter is most prevalent within transgressive and highstand systems tracts. Specifically, the abundance of C{sub 30} steranes, total steranes, and moretane reflected development of the sequences.

  1. Genetic aspects of human male infertility: the frequency of chromosomal abnormalities and Y chromosome microdeletions in severe male factor infertility.

    PubMed

    Vicdan, Arzu; Vicdan, Kubilay; Günalp, Serdar; Kence, Aykut; Akarsu, Cem; Işik, Ahmet Zeki; Sözen, Eran

    2004-11-10

    The main purpose of this study is to detect the frequency and type of both chromosomal abnormalities and Y chromosome microdeletions in patients with severe male factor infertility and fertile control subjects. The association between the genetic abnormality and clinical parameters was also evaluated. This study was carried out in 208 infertile and 20 fertile men. Results of 208 patients, 119 had non-obstructive azoospermia and 89 had severe oligoasthenoteratozoospermia (OAT). Seventeen out of 119 (14.3%) azoospermic patients and two out of 89 (2.2%) patients with OAT had Y chromosome microdeletions. In total, 19 cases with deletions were detected in 208 infertile men, with a frequency of 9.1%. The AZFc locus, mainly DAZ gene cluster was the most frequently deleted region. Five other cases with azoospermia (4.2%) and two cases with OAT (2.2%) had a chromosomal abnormality, with a total number of seven (3.4%). Including Y chromosome deletions and structural chromosome abnormalities, the rate of genetic abnormalities was 12.5% (26/208) in our patients. On the other hand, 20 men with proven fertility and fathers of five cases with microdeletions were genetically normal. Y chromosome deletions and chromosomal abnormalities were associated with various histological alterations in testis. Sertoli cell-only (SCO) syndrome and maturation arrest predominated in these cases, whereas hypospermatogenesis occurred more frequently in genetically normal patients. Various chromosomal abnormalities and deletions of Y chromosome can cause spermatogenic breakdown resulting in chromosomally derived infertility. All these findings strongly support the recommendation of genetic screening of infertile patients.

  2. Long-term effects of physical exercise during rehabilitation in patients with severe burns.

    PubMed

    Wurzer, Paul; Voigt, Charles D; Clayton, Robert P; Andersen, Clark R; Mlcak, Ronald P; Kamolz, Lars-P; Herndon, David N; Suman, Oscar E

    2016-09-01

    We have reported that a 12-week exercise program is beneficial for the exercise performance of severely burned children. It is not known, however, whether the beneficial effects remain at 2 years postburn. Severely burned children who received no long-term anabolic drugs were consented to this Institutional Review Board-approved study. Patients chose between a voluntary exercise program (EX-group) and no exercise (NoEX-group) after discharge from the acute burn unit. Peak torque per lean leg mass, maximal oxygen consumption, and percent predicted peak heart rate were assessed. In addition, body mass index percentile and lean body mass index were recorded. Both groups were compared for up to 2 years postburn using mixed multiple analysis of variance. A total of 125 patients with a mean age of 12 ± 4 years were analyzed. Demographics between the EX-group (N = 82) and NoEX-group (N = 43) were comparable. In the EX-group, peak torque per lean leg mass, percent predicted peak heart rate, and maximal oxygen consumption increased significantly with exercise (P < .01). Between discharge and 12-24 months, body mass index percentile increased significantly in the EX-Group (P < .05) but did not change in the NoEX-group. There were no significant differences between groups in body mass index percentile, lean body mass index, peak torque per lean leg mass, and maximal oxygen consumption at 24 months postburn. Exercise significantly improves the physical performance of burned children. The benefits are limited to early time points, however, and greatly narrow with further recovery time. Continued participation in exercise activities or a maintenance exercise program is recommended for exercise-induced adaptations to continue. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Long-term effects of physical exercise during rehabilitation in patients with severe burns

    PubMed Central

    Wurzer, Paul; Voigt, Charles D.; Clayton, Robert P.; Andersen, Clark R.; Mlcak, Ronald P.; Kamolz, Lars-P.; Herndon, David N.; Suman, Oscar E.

    2016-01-01

    Background We have reported that a 12-week exercise program is beneficial for the exercise performance of severely burned children. However, it is not known whether the beneficial effects remain at 2 years post burn. Methods Severely burned children who received no long-term anabolic drugs were consented to this IRB-approved study. Patients were able to choose between a voluntary exercise program (EX-group) and no exercise (NoEX-group) after discharge from the acute burn unit. Peak torque per lean leg mass (PTLLM), maximal oxygen consumption (VO2max) and percent predicted peak heart rate (%PPHR) were assessed. In addition, BMI percentile (BMI%) and lean body mass index (LBMI) were recorded. Both groups were compared for up to 2 years post burn using mixed multiple analysis of variance, and the level of significance was defined at p<0.05. Results One hundred twenty-five patients with a mean age of 12±4 years were analyzed. Demographics between the EX-group (N=82) and NoEX-group (N=43) were comparable. In the EX-group, PTLLM, %PPHR, and VO2max increased significantly with exercise (p<0.01). Between discharge and 12 and 24 months, BMI% increased significantly in the EX-Group (p<0.05) but did not change in the NoEX-group. There were no significant differences between groups in BMI%, LBMI, PTLLM, and VO2max at 24 months post burn. Conclusions Exercise significantly improves physical performance of burned children. However, the benefits are limited to early time points and become greatly narrowed with further recovery time. Continued participation in exercise activities or a maintenance exercise program is recommended for exercise-induced adaptations to continue. PMID:27267551

  4. High School Physical Education Teachers' Beliefs about Teaching Students with Mild to Severe Disabilities

    ERIC Educational Resources Information Center

    Casebolt, Kevin M.; Hodge, Samuel R.

    2010-01-01

    The purpose of this study was to analyze high school physical education teachers' beliefs about teaching students with disabilities in inclusive physical education. The participants (3 men, 2 women) were certified physical education teachers at four suburban high schools. The research method was descriptive-qualitative using a case study approach…

  5. High School Physical Education Teachers' Beliefs about Teaching Students with Mild to Severe Disabilities

    ERIC Educational Resources Information Center

    Casebolt, Kevin M.; Hodge, Samuel R.

    2010-01-01

    The purpose of this study was to analyze high school physical education teachers' beliefs about teaching students with disabilities in inclusive physical education. The participants (3 men, 2 women) were certified physical education teachers at four suburban high schools. The research method was descriptive-qualitative using a case study approach…

  6. Aspects Of Multicriterial Mathematical Modeling And Of The Fuzzy Formalism For The Hierarchization Of Study Programs Based On Several Quality Characteristics

    NASA Astrophysics Data System (ADS)

    Bucur, Amelia

    2015-09-01

    The aim of this paper is to present aspects of mathematical modeling for the hierarchization of study programs from universities, based on several quality characteristics. The tools used pertain to multicriterial optimization, to the different methods of assessing importance coefficients, to the utility theory, the fuzzy formalism, and to the fuzzy simple additive weighting method. The conclusion is that multicriterial decision-making methods can be efficiently used in assessing the quality of study programs, noting that, just like other methods from the decision theory, the multicriterial decision-making methods highlight aspects of problems differently, therefore, there can be no comparison or competitiveness between them, and choosing one over the other is up to the decision-maker.

  7. A Comparative Study of Alternative Controls and Displays for by the Severely Physically Handicapped

    NASA Technical Reports Server (NTRS)

    Williams, D.; Simpson, C.; Barker, M.

    1984-01-01

    A modification of a row/column scanning system was investigated in order to increase the speed and accuracy with which communication aids can be accessed with one or two switches. A selection algorithm was developed and programmed in BASIC to automatically select individuals with the characteristic difficulty in controlling time dependent control and display systems. Four systems were compared: (1) row/column directed scan (2 switches); (2) row/column auto scan (1 switch); (3) row auto scan (1 switch); and (4) column auto scan (1 switch). For this sample population, there were no significant differences among systems for scan time to select the correct target. The row/column auto scan system resulted in significantly more errors than any of the other three systems. Thus, the most widely prescribed system for severely physically disabled individuals turns out for this group to have a higher error rate and no faster communication rate than three other systems that have been considered inappropriate for this group.

  8. A Comparative Study of Alternative Controls and Displays for by the Severely Physically Handicapped

    NASA Technical Reports Server (NTRS)

    Williams, D.; Simpson, C.; Barker, M.

    1984-01-01

    A modification of a row/column scanning system was investigated in order to increase the speed and accuracy with which communication aids can be accessed with one or two switches. A selection algorithm was developed and programmed in BASIC to automatically select individuals with the characteristic difficulty in controlling time dependent control and display systems. Four systems were compared: (1) row/column directed scan (2 switches); (2) row/column auto scan (1 switch); (3) row auto scan (1 switch); and (4) column auto scan (1 switch). For this sample population, there were no significant differences among systems for scan time to select the correct target. The row/column auto scan system resulted in significantly more errors than any of the other three systems. Thus, the most widely prescribed system for severely physically disabled individuals turns out for this group to have a higher error rate and no faster communication rate than three other systems that have been considered inappropriate for this group.

  9. Motivation for physical activity and exercise in severe mental illness: A systematic review of intervention studies.

    PubMed

    Farholm, Anders; Sørensen, Marit

    2016-06-01

    There has been increasing interest for research on motivation for physical activity (PA) and exercise among individuals with severe mental illness (SMI). The aim of this systematic review is to summarize findings from all intervention studies on PA or exercise that either include empirical data on motivational constructs or apply motivational techniques/theories in their intervention. Systematic searches of seven databases were conducted from database inception to February 2015. Studies were eligible if they: (i) included participants with SMI, (ii) had PA as part of the intervention, and (iii) reported empirical data on motivational constructs related to PA or incorporated motivational techniques/theory in their intervention. Of the 79 studies that met the inclusion criteria only one had motivation for PA as its main outcome. Nine additional interventions reported empirical data on motivational constructs. Altogether these studies yielded mixed results with respect to change in motivational constructs. Only one of those examined the association between motivation and PA, but found none. Sixty-four studies reported using motivational techniques/theory in their intervention. Motivational interviewing and goal-setting were the most popular techniques. Due to the exploratory nature of most of these studies, findings from intervention studies do not so far give very clear directions for motivational work with the patients. There is an urgent need for a more systematic theory based approach when developing strategies that target to increase engagement in PA among people with SMI. © 2016 Australian College of Mental Health Nurses Inc.

  10. How preschool executive functioning predicts several aspects of math achievement in Grades 1 and 3: A longitudinal study.

    PubMed

    Viterbori, Paola; Usai, M Carmen; Traverso, Laura; De Franchis, Valentina

    2015-12-01

    This longitudinal study analyzes whether selected components of executive function (EF) measured during the preschool period predict several indices of math achievement in primary school. Six EF measures were assessed in a sample of 5-year-old children (N = 175). The math achievement of the same children was then tested in Grades 1 and 3 using both a composite math score and three single indices of written calculation, arithmetical facts, and problem solving. Using previous results obtained from the same sample of children, a confirmatory factor analysis examining the latent EF structure in kindergarten indicated that a two-factor model provided the best fit for the data. In this model, inhibition and working memory (WM)-flexibility were separate dimensions. A full structural equation model was then used to test the hypothesis that math achievement (the composite math score and single math scores) in Grades 1 and 3 could be explained by the two EF components comprising the kindergarten model. The results indicate that the WM-flexibility component measured during the preschool period substantially predicts mathematical achievement, especially in Grade 3. The math composite scores were predicted by the WM-flexibility factor at both grade levels. In Grade 3, both problem solving and arithmetical facts were predicted by the WM-flexibility component. The results empirically support interventions that target EF as an important component of early childhood mathematics education. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Nuclear physics: Macroscopic aspects

    SciTech Connect

    Swiatecki, W.J.

    1993-12-01

    A systematic macroscopic, leptodermous approach to nuclear statics and dynamics is described, based formally on the assumptions {h_bar} {yields} 0 and b/R << 1, where b is the surface diffuseness and R the nuclear radius. The resulting static model of shell-corrected nuclear binding energies and deformabilities is accurate to better than 1 part in a thousand and yields a firm determination of the principal properties of the nuclear fluid. As regards dynamics, the above approach suggests that nuclear shape evolutions will often be dominated by dissipation, but quantitative comparisons with experimental data are more difficult than in the case of statics. In its simplest liquid drop version the model exhibits interesting formal connections to the classic astronomical problem of rotating gravitating masses.

  12. Physical activity after surgery for severe obesity: the role of exercise cognitions.

    PubMed

    Wouters, Eveline J; Larsen, Junilla K; Zijlstra, Hanna; van Ramshorst, Bert; Geenen, Rinie

    2011-12-01

    Physical activity after bariatric surgery is associated with sustained weight loss and improved quality of life. Some bariatric patients engage insufficiently in physical activity. This may be due to exercise cognitions, i.e., specific beliefs about benefits of and barriers to physical exercise. The aim of this study was to examine whether and to what extent both physical activity and exercise cognitions changed at 1 and 2 years post-surgery and whether exercise cognitions predict physical activity. Forty-two bariatric patients (38 women, 4 men; mean age 38 ± 8 years, mean body mass index prior to surgery 47 ± 6 kg/m(2)) filled out self-report instruments to examine physical activity and exercise cognitions pre- and post-surgery. A large increase in physical activity and favorable changes in exercise cognitions were observed after surgery, viz. a decrease of fear of injury and embarrassment and an increase of the perception of exercise benefits and confidence in exercising. Perceiving less exercise benefits and having less confidence in exercising before surgery predicted less physical activity 2 years after surgery. High fear of injury 1 year after surgery predicted less physical activity 2 years after surgery. After bariatric surgery, favorable changes in physical activity and beliefs about the benefits and barriers of exercising are observed. Our results suggest that targeting exercise cognitions before and after surgery might be relevant to improve physical activity.

  13. Effect of fire severity on physical and biochemical soil properties in Zagros oak (Quercus brantii Lindl.) forests in Iran

    Treesearch

    M. Heydari; A. Rostamy; F. Najafi; D. C. Dey

    2017-01-01

    Fire affects the physical and chemical properties and soil biological activity of natural ecosystems. This study was conducted in the Miyan Tang region, Ilam Province in western Iran. The study site was 110 hectares, where we sampled soils in areas that were classified by fire severity: low (LS), high (HS) and medium severity (MS), and unburned (UB), which served as...

  14. Moderate-to-vigorous physical activity in individuals with psoriasis: associations with body surface area and subjective disease severity.

    PubMed

    Wilson, P B

    2013-10-01

    Psoriasis is associated with serious comorbidities such as cardiovascular disease, type 2 diabetes, and metabolic syndrome. These comorbidities are related to low physical activity in the general population. Limited research has evaluated physical activity in psoriasis, and thus, the purpose of this investigation was to compare physical activity between individuals with and without psoriasis as well as explore the associations between measures of psoriasis severity and physical activity. Cross-sectional study using data from the 2003-2006 National Health and Nutrition Examination Survey. Self-reported psoriasis diagnosis and psoriasis severity were regressed on moderate/vigorous physical activity, as measured objectively by accelerometers. Measures of psoriasis severity included rating of psoriasis as a problem in life and body surface area involvement. A total of 4316 individuals had data on psoriasis, moderate/vigorous physical activity, and relevant covariates, with 3.6% (population weighted) of participants (N.=117) reporting a diagnosis of psoriasis. A psoriasis diagnosis was not associated with moderate/vigorous physical activity, and furthermore, body surface area involvement was not associated with moderate/vigorous physical activity among participants with psoriasis. However, every tertile increase in psoriasis as a problem in life was associated with 28% less moderate/vigorous physical activity, which remained significant after adjusting for covariates and removing outliers. While a diagnosis of psoriasis and body surface area involvement do not appear to be associated with less moderate/vigorous physical activity, individuals that rate their psoriasis to be a large problem engage in less moderate/vigorous physical activity.

  15. The physical, social and emotional aspects are the most affected in the quality of life of the patients with cervical dystonia.

    PubMed

    Werle, Roberta Weber; Takeda, Sibele Yoko Mattozo; Zonta, Marise Bueno; Guimarães, Ana Tereza Bittencourt; Teive, Hélio Afonso Ghizoni

    2014-06-01

    Describe the functional, clinical and quality of life (QoL) profiles in patients with cervical dystonia (CD) with residual effect or without effect of botulinum toxin (BTX), as well as verify the existence of correlation between the level of motor impairment, pain and QoL. Seventy patients were assessed through the Craniocervical dystonia questionnaire-24 (CDQ-24) and the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS). The greater the disability, pain and severity of dystonia, the worse the QoL (p<0.0001). Greater severity relates to greater disability (p<0.0001). Pain was present in 84% of the sample, being source of disability in 41%. The most frequent complaints were: difficulty in keeping up with professional and personal demands (74.3%), feeling uneasy in public (72.9%), hindered by pain (68.6%), depressed, annoyed or bitter (47.1%), lonely or isolated (32.9%). The physical, social and emotional aspects are the most affected in the QoL of these patients.

  16. Improving Diet and Physical Activity Practices in Group Homes Serving Residents With Severe Mental Illness

    PubMed Central

    Xiong, Glen; Ziegahn, Linda; Schuyler, Barlow; Rowlett, Al; Cassady, Diana

    2011-01-01

    Background People with severe mental illness (SMI) are at least 50% more likely to be overweight for various reasons, including poor nutrition, sedentary lifestyles, and side effects of antipsychotic medications. Objectives Among residents with SMI who live in group homes, we examined (1) factors that affected the motivations of both group home operators and residents around improvement of residents' diet and physical activity, (2) how operators and residents viewed responsibility for maintaining good health in group homes, and (3) strategies from operators and residents for improving diet and exercise. Methods The research team conducted 6 focus groups—3 with group home operators and 3 with residents, using a community-based participatory research (CBPR) process and qualitative data analysis. Results Both group home operators and residents discussed conflicting feelings about foods they know as healthy and foods they prefer to eat. Operators attributed barriers to better health to the perceived negative attitudes of residents and providers, lack of communication with health care providers, and poor working relationships with the state licensing body that protects individual rights on lifestyle choices. Residents reported barriers of their own negative attitudes, limited menu options, lack of organized activities, existing health problems, and side effects of medications. Conclusion Residents and operators had concrete suggestions for changes they could make individually, as well as recommendations for systemic changes to support healthier lifestyles. These recommendations provide a basis for designing an urgently needed pilot intervention program to address the current epidemic of obesity and diabetes in people with SMI residing in group homes. PMID:21169705

  17. Determinants of change in physical activity during moderate-to-severe COPD exacerbation

    PubMed Central

    Esteban, Cristóbal; Quintana, José M; Garcia-Gutierrez, Susana; Anton-Ladislao, Ane; Gonzalez, Nerea; Baré, Marisa; Fernández de Larrea, Nerea; Rivas-Ruiz, Francisco

    2016-01-01

    Background Data are scarce on patient physical activity (PA) level during exacerbations of chronic obstructive pulmonary disease (eCOPD). The objective of the study was to evaluate the level and determinants of change in PA during an eCOPD. Materials and methods We conducted a prospective cohort study with recruitment from emergency departments (EDs) of 16 participating hospitals from June 2008 to September 2010. Data were recorded on socioeconomic characteristics, dyspnea, forced expiratory volume in 1 second (FEV1%), comorbidities, health-related quality of life, factors related to exacerbation, and PA in a stable clinical condition and during the eCOPD episode. Results We evaluated 2,487 patients. Common factors related to the change in PA during hospital admission or 7 days after discharge to home from the ED were lower PA at baseline and during the first 24 hours after the index evaluation. Age, quality of life, living alone, length of hospital stay, and use of anticholinergic or systemic corticosteroids in treating the exacerbation were associated with the change in PA among hospitalized patients. Predictors of change among patients not admitted to hospital were baseline FEV1% and dyspnea at rest on ED arrival. Conclusion Among the patients evaluated in an ED for an eCOPD, the level and change in PA was markedly variable. Factors associated with exacerbation (PA 24 hours after admission, medication during admission, and length of hospital stay) and variables reflecting patients’ stable clinical condition (low level of PA, age, quality of life, FEV1%) are predictors of the change in PA during a moderate-to-severe eCOPD. PMID:26893555

  18. [Drawing up guidelines for the attendance of physical health of patients with severe mental illness].

    PubMed

    Saravane, D; Feve, B; Frances, Y; Corruble, E; Lancon, C; Chanson, P; Maison, P; Terra, J-L; Azorin, J-M

    2009-09-01

    observed in female patients treated with antipsychotic drugs), personal and family history of obesity, diabetes, heart disease, ethnicity as we know that there are increased rates of diabetes, metabolic syndrome and coronary heart disease in patients of non European ethnicity, especially among South Asian, Hispanic, and Native American people. Modifiable risk factors: these include: obesity, visceral obesity, smoking, physical inactivity, and bad diet habits. Then the expert's panel focussed on all the components of the initial visit such as: family and medical history; baseline weight and BMI should be measured for all patients. Body mass index can be calculated by dividing weight (in kilograms) by height (in meters) squared; visceral obesity measured by waist circumference; blood pressure; fasting plasma glucose; fasting lipid profiles. These are the basic measures and laboratory examinations to do when initiating an antipsychotic treatment. ECG: several of the antipsychotic medications, typical and atypical, have been shown to prolong the QTc interval on the ECG. Prolongation of the QTc interval is of potential concern since the patient may be at risk for wave burst arrhythmia, a potentially serious ventricular arrhythmia. A QTc interval greater than 500 ms places the patient at a significantly increased risk for serious arrhythmia. QTc prolongation has been reported with varying incidence and degrees of severity. The atypical antipsychotics can also cause other cardiovascular adverse effects with, for example, orthostatic hypotension. Risk factors for cardiovascular adverse effects with antipsychotics include: known cardiovascular disease, electrolyte disorders, such as hypokaliemia, hypomagnesaemia, genetic characteristics, increasing age, female gender, autonomic dysfunction, high doses of antipsychotics, the use of interacting drugs, and psychiatric illness itself. In any patient with pre-existing cardiac disease, a pre-treatment ECG with routine follow-up is

  19. Love at First Sight: Psychoanalytic Psychotherapy with an Adolescent Boy with Severe Physical Disabilities

    ERIC Educational Resources Information Center

    Pozzi, Maria E.

    2005-01-01

    The content of this paper reflects the title but it expands upon the technical issues encountered right from the beginning of the assessment. These technical difficulties include the management of physical pain during sessions and the request by the patient for physical interventions as well as contact. The problem of discrimination in the setting…

  20. Love at First Sight: Psychoanalytic Psychotherapy with an Adolescent Boy with Severe Physical Disabilities

    ERIC Educational Resources Information Center

    Pozzi, Maria E.

    2005-01-01

    The content of this paper reflects the title but it expands upon the technical issues encountered right from the beginning of the assessment. These technical difficulties include the management of physical pain during sessions and the request by the patient for physical interventions as well as contact. The problem of discrimination in the setting…

  1. Sexual and Physical Revictimization among Victims of Severe Childhood Sexual Abuse

    ERIC Educational Resources Information Center

    Barnes, Jaclyn E.; Noll, Jennie G.; Putnam, Frank W.; Trickett, Penelope K.

    2009-01-01

    Objective: This 15-year prospective, longitudinal study examines adolescent and young-adult female self-reports of traumatic sexual and physical experiences occurring subsequent to substantiated childhood sexual abuse-revictimizations (N=89). Method: These incidences were contrasted to sexual and physical victimizations reported by a group of…

  2. Sexual and Physical Revictimization among Victims of Severe Childhood Sexual Abuse

    ERIC Educational Resources Information Center

    Barnes, Jaclyn E.; Noll, Jennie G.; Putnam, Frank W.; Trickett, Penelope K.

    2009-01-01

    Objective: This 15-year prospective, longitudinal study examines adolescent and young-adult female self-reports of traumatic sexual and physical experiences occurring subsequent to substantiated childhood sexual abuse-revictimizations (N=89). Method: These incidences were contrasted to sexual and physical victimizations reported by a group of…

  3. Graduate Students' Practicum Experiences Instructing Students with Severe and Profound Disabilities in Physical Education

    ERIC Educational Resources Information Center

    Sato, Takahiro; Haegele, Justin A.

    2017-01-01

    Students with disabilities are more likely than ever to be educated in physical education classes with their typically developing peers. Because of this, it is essential for all educational personnel, including physical educators, to have proper teacher education to help meet the unique needs of these students. Currently, the research base is…

  4. Does severity of physical neglect moderate the impact of an efficacious preventive intervention for maltreated children in foster care?

    PubMed

    Taussig, Heather N; Culhane, Sara E; Garrido, Edward; Knudtson, Michael D; Petrenko, Christie L M

    2013-02-01

    Physically neglected youth are at increased risk of mental health problems, but there are few interventions that have demonstrated efficacy in reducing mental health symptoms for this vulnerable population. The Fostering Healthy Futures (FHF) program, which consists of mentoring and skills groups, was developed for preadolescent youth in foster care. In a published randomized controlled trial with 156 youth, FHF demonstrated positive impacts on mental health functioning. The current study sought to determine whether FHF might be particularly effective in ameliorating the impact of neglectful family environments. Because it was not possible to isolate a neglected-only subgroup, as most children with physical neglect histories had experienced other types of maltreatment, we tested the hypothesis that intervention effects would be stronger among children with more severe physical neglect. Findings did not support this hypothesis, however, as severity of physical neglect did not significantly moderate the impact of the intervention on psychosocial outcomes.

  5. Mother and father self-reports of corporal punishment and severe physical aggression toward clinic-referred youth.

    PubMed

    Mahoney, A; Donnelly, W O; Lewis, T; Maynard, C

    2000-06-01

    Examined the extent to which 359 mothers and 140 fathers of clinic-referred youth (ages 2 to 17) reported using corporal punishment and severe physical aggression when asked directly via intake screening questionnaires at a community mental health center; higher prevalence rates emerged compared to families in the general population. Clinic-referred parents reported greater use of corporal punishment for younger relative to older youth, sons relative to daughters, and by single relative to married mothers. In cases with reports from both parents, mothers used corporal punishment more frequently than fathers. Demographic factors were not linked to severe physical aggression, except for mothers' treatment of sons versus daughters. After controlling for demographic factors, maternal and paternal reports of child externalizing behavior accounted for significant variance in their own and their partner's use of corporal punishment, and in mothers' use of severe physical aggression.

  6. A comparison of energy expenditure estimation of several physical activity monitors.

    PubMed

    Dannecker, Kathryn L; Sazonova, Nadezhda A; Melanson, Edward L; Sazonov, Edward S; Browning, Raymond C

    2013-11-01

    Accurately and precisely estimating free-living energy expenditure (EE) is important for monitoring energy balance and quantifying physical activity. Recently, single and multisensor devices have been developed that can classify physical activities, potentially resulting in improved estimates of EE. This study aimed to determine the validity of EE estimation of a footwear-based physical activity monitor and to compare this validity against a variety of research and consumer physical activity monitors. Nineteen healthy young adults (10 men, 9 women) completed a 4-h stay in a room calorimeter. Participants wore a footwear-based physical activity monitor as well as Actical, ActiGraph, IDEEA, DirectLife, and Fitbit devices. Each individual performed a series of postures/activities. We developed models to estimate EE from the footwear-based device, and we used the manufacturer's software to estimate EE for all other devices. Estimated EE using the shoe-based device was not significantly different than measured EE (mean ± SE; 476 ± 20 vs 478 ± 18 kcal, respectively) and had a root-mean-square error of 29.6 kcal (6.2%). The IDEEA and the DirectLlife estimates of EE were not significantly different than the measured EE, but the ActiGraph and the Fitbit devices significantly underestimated EE. Root-mean-square errors were 93.5 (19%), 62.1 kcal (14%), 88.2 kcal (18%), 136.6 kcal (27%), 130.1 kcal (26%), and 143.2 kcal (28%) for Actical, DirectLife, IDEEA, ActiGraph, and Fitbit, respectively. The shoe-based physical activity monitor provides a valid estimate of EE, whereas the other physical activity monitors tested have a wide range of validity when estimating EE. Our results also demonstrate that estimating EE based on classification of physical activities can be more accurate and precise than estimating EE based on total physical activity.

  7. Cyber attack analysis on cyber-physical systems: Detectability, severity, and attenuation strategy

    NASA Astrophysics Data System (ADS)

    Kwon, Cheolhyeon

    Security of Cyber-Physical Systems (CPS) against malicious cyber attacks is an important yet challenging problem. Since most cyber attacks happen in erratic ways, it is usually intractable to describe and diagnose them systematically. Motivated by such difficulties, this thesis presents a set of theories and algorithms for a cyber-secure architecture of the CPS within the control theoretic perspective. Here, instead of identifying a specific cyber attack model, we are focused on analyzing the system's response during cyber attacks. Firstly, we investigate the detectability of the cyber attacks from the system's behavior under cyber attacks. Specifically, we conduct a study on the vulnerabilities in the CPS's monitoring system against the stealthy cyber attack that is carefully designed to avoid being detected by its detection scheme. After classifying three kinds of cyber attacks according to the attacker's ability to compromise the system, we derive the necessary and sufficient conditions under which such stealthy cyber attacks can be designed to cause the unbounded estimation error while not being detected. Then, the analytical design method of the optimal stealthy cyber attack that maximizes the estimation error is developed. The proposed stealthy cyber attack analysis is demonstrated with illustrative examples on Air Traffic Control (ATC) system and Unmanned Aerial Vehicle (UAV) navigation system applications. Secondly, in an attempt to study the CPSs' vulnerabilities in more detail, we further discuss a methodology to identify potential cyber threats inherent in the given CPSs and quantify the attack severity accordingly. We then develop an analytical algorithm to test the behavior of the CPS under various cyber attack combinations. Compared to a numerical approach, the analytical algorithm enables the prediction of the most effective cyber attack combinations without computing the severity of all possible attack combinations, thereby greatly reducing the

  8. Living with severe physical impairment, Duchenne's muscular dystrophy and home mechanical ventilation

    PubMed Central

    Dreyer, Pia S.; Steffensen, Birgit F.; Pedersen, Birthe D.

    2010-01-01

    Aim To study life-experiences of people living with Duchenne's muscular dystrophy (DMD), home mechanical ventilation (HMV) and physical impairment. Background Since the introduction of invasive HMV in the late 1980s people with DMD in Denmark live longer and have the experience of adulthood and a high degree of physical dependency. Method Nineteen patients with DMD and invasive HMV were interviewed in 2007. The interviews were recorded, transcribed verbatim and analysed according to a method inspired by Ricoeur's theory of interpretation. Findings HMV not only extended the participants lifespan, it also gave them the capacity to live an active life. They were totally dependent in everyday living, but in spite of this, they did not see themselves as physically impaired. They realised that there were activities that were physically impossible, but they considered themselves to be just the same person they had always been. This dependency was described as “independent dependency”. Conclusion The lived-experience of physical impairment is found to be “independent dependency” in an active life. To solve problems with loneliness, society needs to work with prejudice and misunderstanding and for better physical accessibility to enable full participation. PMID:20689774

  9. Living with severe physical impairment, Duchenne's muscular dystrophy and home mechanical ventilation.

    PubMed

    Dreyer, Pia S; Steffensen, Birgit F; Pedersen, Birthe D

    2010-08-02

    To study life-experiences of people living with Duchenne's muscular dystrophy (DMD), home mechanical ventilation (HMV) and physical impairment. Since the introduction of invasive HMV in the late 1980s people with DMD in Denmark live longer and have the experience of adulthood and a high degree of physical dependency. Nineteen patients with DMD and invasive HMV were interviewed in 2007. The interviews were recorded, transcribed verbatim and analysed according to a method inspired by Ricoeur's theory of interpretation. HMV not only extended the participants lifespan, it also gave them the capacity to live an active life. They were totally dependent in everyday living, but in spite of this, they did not see themselves as physically impaired. They realised that there were activities that were physically impossible, but they considered themselves to be just the same person they had always been. This dependency was described as "independent dependency". The lived-experience of physical impairment is found to be "independent dependency" in an active life. To solve problems with loneliness, society needs to work with prejudice and misunderstanding and for better physical accessibility to enable full participation.

  10. Computerized physical activity training for persons with severe mental illness - experiences from a communal supported housing project.

    PubMed

    Gyllensten, Amanda Lundvik; Forsberg, Karl-Anton

    2017-11-01

    To study the effectiveness of Exergames in communal psychiatry for persons with severe mental illness, a randomized cluster study was performed. The hypothesis was to increase physical activity habits to improve somatic health. To identify factors promoting or impeding the use of the Exergames. Assessments of BMI, blood pressure, physical fitness, SF36, GAF and social interactions were studied at baseline and 10 months. An integrated methods design using content analysis of focus group interviews was integrated with a statistical analysis. Forty-three persons were randomized to the intervention and 30 to the control group. The qualitative interviews included 18 users, 11 staffs and one technical assistant. There were no significant between-group changes in physical activity behaviours or somatic health parameters after 10 months. Only 5% of the intervention group made systematic use of the intervention. Technological difficulties and staff attitudes were found to be barriers. The Exergames were perceived as technically complicated. The staff did not see playing TV games as important and negative attitudes were found. Exergames was not a successful intervention to increase physical activity behaviours in persons with severe mental illness in the community. Exergames and motivation for physical activity in this group is problematic. Implications for rehabilitation There are difficulties to change passive physical activity habits for persons with severe mental illness, living in sheltered housing conditions in the community due to negative symptoms with depression, low motivation and bad self -confidence. An exergame intervention was not successful in this group of persons. No somatic health benefits were found. Simple physical activities and offering different choices meeting different user needs should be offered. Ensuring user and staff engagement, good technical knowledge and good monitoring is a need for a successful intervention, if Exergames are offered as an

  11. Mental health and somatic symptom severity are associated with reduced physical activity among US Iraq and Afghanistan veterans.

    PubMed

    Hoerster, Katherine D; Jakupcak, Matthew; McFall, Miles; Unützer, Jürgen; Nelson, Karin M

    2012-11-01

    Ensuring that Iraq and Afghanistan veterans engage in adequate physical activity is essential to prevent metabolic and cardiovascular diseases, and promote psychological well-being. Identifying factors associated with physical activity in this population will yield areas for targeted interventions aimed at increasing activity. Correlates of meeting physical activity recommendations (≥ 150 min/week of moderate-to-vigorous physical activity [MVPA]) were examined in Iraq/Afghanistan veterans assessed at intake to VA Puget Sound Healthcare System's post-deployment health clinic (May, 2005-August, 2009; N=266). The majority were male (94.3%) and Caucasian (70.7%), with an average age of 29.8 (SD=7.3) years. Participants engaged in a median of 180 weekly MVPA minutes. Among those meeting (59%) and not meeting (41%) recommendations, median weekly MVPA minutes were 540 and 0, respectively. In multivariate regression models, higher levels of depression (p=.042) and somatic (p=.018) symptom severity were associated with significantly decreased odds of meeting physical activity recommendations. Overall, physical activity engagement among Iraq/Afghanistan veteran VA patients was above the level specified in national recommendations. Those with higher depressive and somatic symptoms were less likely to meet physical activity recommendations and may benefit from targeted physical activity promotion interventions. Published by Elsevier Inc.

  12. Methods to estimate aspects of physical activity and sedentary behavior from high-frequency wrist accelerometer measurements

    PubMed Central

    He, Shai; Hickey, Amanda; Sasaki, Jeffer; Freedson, Patty

    2015-01-01

    This investigation developed models to estimate aspects of physical activity and sedentary behavior from three-axis high-frequency wrist-worn accelerometer data. The models were developed and tested on 20 participants (n = 10 males, n = 10 females, mean age = 24.1, mean body mass index = 23.9), who wore an ActiGraph GT3X+ accelerometer on their dominant wrist and an ActiGraph GT3X on the hip while performing a variety of scripted activities. Energy expenditure was concurrently measured by a portable indirect calorimetry system. Those calibration data were then used to develop and assess both machine-learning and simpler models with fewer unknown parameters (linear regression and decision trees) to estimate metabolic equivalent scores (METs) and to classify activity intensity, sedentary time, and locomotion time. The wrist models, applied to 15-s windows, estimated METs [random forest: root mean squared error (rSME) = 1.21 METs, hip: rMSE = 1.67 METs] and activity intensity (random forest: 75% correct, hip: 60% correct) better than a previously developed model that used counts per minute measured at the hip. In a separate set of comparisons, the simpler decision trees classified activity intensity (random forest: 75% correct, tree: 74% correct), sedentary time (random forest: 96% correct, decision tree: 97% correct), and locomotion time (random forest: 99% correct, decision tree: 96% correct) nearly as well or better than the machine-learning approaches. Preliminary investigation of the models' performance on two free-living people suggests that they may work well outside of controlled conditions. PMID:26112238

  13. Nature and severity of physical harm caused by child abuse and neglect: results from the Canadian Incidence Study

    PubMed Central

    Trocmé, Nico; MacMillan, Harriet; Fallon, Barbara; Marco, Richard De

    2003-01-01

    Background Despite growing public concern about child maltreatment, the scope and severity of this significant public health issue remains poorly understood. This article examines the nature and severity of the physical harm associated with reports of child maltreatment documented in the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS). Methods The CIS collected information directly from child welfare investigators about cases of reported child abuse or neglect. A multistage sampling design was used to track child-maltreatment investigations conducted at selected sites from October to December 1998. The analyses were based on the sample of 3780 cases in which child maltreatment was substantiated. Results Some type of physical harm was documented in 18% of substantiated cases; most of these involved bruises, cuts and scrapes. In 4% of substantiated cases, harm was severe enough to require medical attention, and in less than 1% of substantiated cases, medical attention was sought for broken bones or head trauma. Harm was noted most often in cases of physical abuse compared to other forms of maltreatment. Interpretation Rates of physical harm were lower than expected. Current emphasis on mandatory reporting, abuse investigations and risk assessment may need to be tempered for cases in which physical harm is not the central concern. PMID:14581308

  14. [The effect of physical therapy on the most severe forms of knee structral changes caused by osteoarthritis].

    PubMed

    Kapidzić-Basić, Nedima; Dzananović, Dzevad; Kapidzić-Duraković, Suada; Kikanović, Sahza; Mulić-Bacić, Suada; Hotić-Hadziefendić, Asja

    2011-01-01

    In the most severe form of structural changes on knee caused by osteoarthritis non-surgical treatment provide minimal results and a question of its purpose is being raised. Aim of the study was to examine the possibilities of physical treatment of patients with the most severe degree of structural changes caused by knee osteoarthritis. Examination was conducted on 60 patients that were on physical treatment because of the knee OA. Structural changes are evaluated by Kellgren-Lawrence scale, functional ability by Lequesne index, and pain by Visual analog scale. Physical treatment lasted for 4 weeks. After the physical treatment there was a significant improvement of functional ability (p = 1.78E-07), but the size of improvement was reduced by the level of structural changes. It was significantly lower in IV class in relation to III and II class (p < 0.05). Physical treatment has lower affect by patients with the most severe form of structural changes caused by knee osteoarthritis, but it still can help patients to ease the appearance of complete dependence on other people's help.

  15. Curriculum Guidelines for Teaching Profound and Severely Retarded Students (I.Q. Under 40) Including Those with Physical Handicaps.

    ERIC Educational Resources Information Center

    Bailey, Constance

    1975-01-01

    Presented are curriculum guidelines for teaching severely and profoundly retarded students, including students with physical handicaps. In addition to a listing of aims and objectives (such as that the student should analyze the need for space for himself and others), guidelines are provided for the following areas: awareness (of such stimuli as…

  16. Reports of Severe Physical Punishment and Exposure to Animal Cruelty by Inmates Convicted of Felonies and by University Students.

    ERIC Educational Resources Information Center

    Miller, Karla S.; Knutson, John F.

    1997-01-01

    A self-report questionnaire designed to assess abusive childhood environments and exposure to animal cruelty was administered to 314 prison inmates. Although high rates of physical punishment characterized the entire sample, persons charged with violent but nonhomicidal crimes reported more severely punitive childhood histories than those charged…

  17. Eye gaze performance for children with severe physical impairments using gaze-based assistive technology-A longitudinal study.

    PubMed

    Borgestig, Maria; Sandqvist, Jan; Parsons, Richard; Falkmer, Torbjörn; Hemmingsson, Helena

    2016-01-01

    Gaze-based assistive technology (gaze-based AT) has the potential to provide children affected by severe physical impairments with opportunities for communication and activities. This study aimed to examine changes in eye gaze performance over time (time on task and accuracy) in children with severe physical impairments, without speaking ability, using gaze-based AT. A longitudinal study with a before and after design was conducted on 10 children (aged 1-15 years) with severe physical impairments, who were beginners to gaze-based AT at baseline. Thereafter, all children used the gaze-based AT in daily activities over the course of the study. Compass computer software was used to measure time on task and accuracy with eye selection of targets on screen, and tests were performed with the children at baseline, after 5 months, 9-11 months, and after 15-20 months. Findings showed that the children improved in time on task after 5 months and became more accurate in selecting targets after 15-20 months. This study indicates that these children with severe physical impairments, who were unable to speak, could improve in eye gaze performance. However, the children needed time to practice on a long-term basis to acquire skills needed to develop fast and accurate eye gaze performance.

  18. A Model for the Development of Virtual Communities for People with Long-Term, Severe Physical Disabilities

    ERIC Educational Resources Information Center

    Tilley, C. M.; Bruce, C. S.; Hallam, G.; Hills, A. P.

    2006-01-01

    Introduction: This paper reports results of an investigation into the needs of persons with disabilities wanting to participate in the use of virtual communities. The aim was to investigate "how virtual communities for persons with long-term, severe physical disabilities can best be facilitated"? Method: A Grounded Theory approach was…

  19. Teacher-Child Relationship, Parenting, and Growth in Likelihood and Severity of Physical Aggression in the Early School Years

    ERIC Educational Resources Information Center

    Runions, Kevin C.; Vitaro, Fank; Cross, Donna; Shaw, Thérèse; Hall, Margaret

    2014-01-01

    This investigation used two-part growth modeling and cross-lagged panel analysis to examine the predictive function of parenting and teacher-child relationship on the likelihood of children showing problems with parent-rated physical aggression, and on the severity of problems, for 374 children followed from prekindergarten and first grade.…

  20. The Ocular Communicator: A Device to Enable Persons with Severe Physical Disabilities to Communicate Using Eye Movements.

    ERIC Educational Resources Information Center

    Parker, James L.; Mercer, R. B.

    1987-01-01

    The article describes the "Ocular Communicator" and its use with a severely physically disabled 14-year-old male. The device is designed for persons who have minimal motor function and employs eye movements for the operation of a printer or computer keyboard. (Author/DB)

  1. Predicting Long-Term Outcomes for Women Physically Abused in Childhood: Contribution of Abuse Severity versus Family Environment

    ERIC Educational Resources Information Center

    Griffin, Margaret L.; Amodeo, Maryann

    2010-01-01

    Objective: Child physical abuse (CPA) has been associated with adverse adult psychosocial outcomes, although some reports describe minimal long-term effects. The search for the explanation for heterogeneous outcomes in women with CPA has led to an examination of a range of CPA-related factors, from the severity of CPA incidents to the childhood…

  2. Reports of Severe Physical Punishment and Exposure to Animal Cruelty by Inmates Convicted of Felonies and by University Students.

    ERIC Educational Resources Information Center

    Miller, Karla S.; Knutson, John F.

    1997-01-01

    A self-report questionnaire designed to assess abusive childhood environments and exposure to animal cruelty was administered to 314 prison inmates. Although high rates of physical punishment characterized the entire sample, persons charged with violent but nonhomicidal crimes reported more severely punitive childhood histories than those charged…

  3. Eye gaze performance for children with severe physical impairments using gaze-based assistive technology—A longitudinal study

    PubMed Central

    Borgestig, Maria; Sandqvist, Jan; Parsons, Richard; Falkmer, Torbjörn; Hemmingsson, Helena

    2016-01-01

    ABSTRACT Gaze-based assistive technology (gaze-based AT) has the potential to provide children affected by severe physical impairments with opportunities for communication and activities. This study aimed to examine changes in eye gaze performance over time (time on task and accuracy) in children with severe physical impairments, without speaking ability, using gaze-based AT. A longitudinal study with a before and after design was conducted on 10 children (aged 1–15 years) with severe physical impairments, who were beginners to gaze-based AT at baseline. Thereafter, all children used the gaze-based AT in daily activities over the course of the study. Compass computer software was used to measure time on task and accuracy with eye selection of targets on screen, and tests were performed with the children at baseline, after 5 months, 9–11 months, and after 15–20 months. Findings showed that the children improved in time on task after 5 months and became more accurate in selecting targets after 15–20 months. This study indicates that these children with severe physical impairments, who were unable to speak, could improve in eye gaze performance. However, the children needed time to practice on a long-term basis to acquire skills needed to develop fast and accurate eye gaze performance. PMID:26496529

  4. Recovery of functional capacity in severe trauma victims at one year after injury: association with trauma-related and hospital stay aspects

    PubMed Central

    Padovani, Cauê; Da Silva, Janete Maria; Rotta, Bruna Peruzzo; Neto, Ruy De Camargo Pires; Fu, Carolina; Tanaka, Clarice

    2016-01-01

    [Purpose] The aim of this study was to investigate the functional capacity of trauma survivors one year after hospital discharge and to identify associations with trauma- and hospital stay-related aspects in a developing country. [Subjects and Methods] This study included severe trauma patients (Injury Severity Score ≥16; ≥18 years old) who were admitted to an intensive care unit in Sao Paulo, Brazil. Hospital stay data were collected from the patients’ records. Functional capacity was assessed using the Glasgow Outcome Scale and Lawton Instrumental Activities of Daily Living Scale one year after hospital discharge. Patients were asked if they had returned to work/school. [Results] Forty-nine patients completed follow-up. According to the Glasgow Outcome Scale data, most patients had moderate or mild/no dysfunction. The Lawton Instrumental Activities of Daily Living Scale showed that 60–70% of the subjects performed most activities independently. Multiple linear regression of the Glasgow score, Acute Physiology and Chronic Health Disease Classification System II score, length of mechanical ventilation, and hospital length of stay revealed an association between the Lawton Instrumental Activities of Daily Living Scale and hospital length of stay. Overall, 32.6% of the subjects had returned to work/school. [Conclusion] Most severe trauma patients experienced functional recovery, although only one-third had returned to work/school one year after hospital discharge. Hospital length of stay was identified as a significant predictor of functional recovery. PMID:27313345

  5. On the physical- and socioeconomic aspects of land degradation in the Guadalentin basin (SE-Spain): Towards comprehensive understanding for effective remediation

    NASA Astrophysics Data System (ADS)

    de Vente, J.; Solé-Benet, A.; Boix-Fayos, C.; Nainggolan, D.

    2009-04-01

    During the last two decades, the Guadalentin basin in south-eastern Spain has been the study area for many national- and international studies dealing with land degradation and desertification. One of the reasons for such a broad interest in the Guadalentin basin is that land degradation is generally considered severe in large parts of the basin due to a combination of the Mediterranean climate characterised by dry summers followed by intense autumn rainfall, steep topography that marks most parts of the landscape, and fragile soils on erodible lithologies. The main types of degradation are due to soil erosion, soil surface crusting, aridity, soil organic matter decline and salinisation. Moreover, triggered by various political and socioeconomic drivers, important land use and management changes have taken place over the last centuries, which have formed an important driver for further land degradation. Examples of such changes are large-scale land abandonment, a shift from dryland cereals production to large almond plantations, large scale land levelling for irrigated horticulture and urban expansions, and several types of agricultural subsidies. Numerous publications have been produced based on works done to address land degradation in the Guadalentin. However, until now there is no concise and integrated overview of what has been done and what is still missing regarding the study of the physical- and socioeconomic aspects of land degradation and conservation. This is in fact crucial to assist policy makers in making decisions that would effectively navigate land management in the area to a sustainable way. Here, we aim to provide such an overview by listing and discussing the main studies performed in this area, and by providing an integrated synthesis of the main physical- and socioeconomic factors identified in these studies as being responsible for land degradation, with a focus on feasible soil conservation strategies. In overall, there has been a strong

  6. Physical and Psychosocial Aspects of the Learning Environment in the Science Laboratory and Their Relationship to Teacher Satisfaction

    ERIC Educational Resources Information Center

    Che Ahmad, Che Nidzam; Osman, Kamisah; Halim, Lilia

    2013-01-01

    This paper is a report of a survey conducted to determine teachers' perception of the science laboratory learning environment and the relationship between different aspects of this environment and satisfaction from teaching and learning. Teachers' perceptions of psychosocial aspects were measured by use of the Science Laboratory Environment…

  7. Physical and Psychosocial Aspects of the Learning Environment in the Science Laboratory and Their Relationship to Teacher Satisfaction

    ERIC Educational Resources Information Center

    Che Ahmad, Che Nidzam; Osman, Kamisah; Halim, Lilia

    2013-01-01

    This paper is a report of a survey conducted to determine teachers' perception of the science laboratory learning environment and the relationship between different aspects of this environment and satisfaction from teaching and learning. Teachers' perceptions of psychosocial aspects were measured by use of the Science Laboratory Environment…

  8. Comparative Study of Physics Curriculum in Iran with Several Other Countries

    ERIC Educational Resources Information Center

    Shekarbaghani, Ashrafoalsadat

    2016-01-01

    This article is a qualitative study, which was done in 2013-2014. In this study using a comparative study was conducted to compare physics curriculum elements of Iran with the countries studied. Countries studied: Singapore, Turkey, India, England and Australia have diverse educational system. In this study, the structure of the educational…

  9. Physical Activity and Quality of Life in Severely Obese Adults during a Two-Year Lifestyle Intervention Programme

    PubMed Central

    Kolotkin, Ronette L.; Natvig, Gerd Karin

    2015-01-01

    It is unknown how changes in physical activity may affect changes in quality of life (QoL) outcomes during lifestyle interventions for severely obese adults. The purpose of this study was to examine associations in the patterns of change between objectively assessed physical activity as the independent variable and physical, mental, and obesity-specific QoL and life satisfaction as the dependent variables during a two-year lifestyle intervention. Forty-nine severely obese adults (37 women; 43.6 ± 9.4 years; body mass index 42.1 ± 6.0 kg/m2) participated in the study. Assessments were conducted four times using Medical Outcomes Study Short-Form 36 Health Survey (SF-36), Obesity-Related Problems (OP) scale, a single item on life satisfaction, and accelerometers. The physical component summary (PCS) score and the mental component summary (MCS) score were used as SF-36 outcomes. Associations were determined using linear regression analyses and reported as standardized coefficients (stand. coeff.). Change in physical activity was independently associated with change in PCS (stand. coeff. = 0.35, P = .033), MCS (stand. coeff. = 0.51, P = .001), OP (stand. coeff. = −0.31,  P = .018), and life satisfaction (stand. coeff. = 0.39, P = .004) after adjustment for gender, age, and change in body mass index. PMID:25653871

  10. Relations of mood with body mass index changes in severely obese women enrolled in a supported physical activity treatment.

    PubMed

    Annesi, James J

    2008-01-01

    It has been suggested that physical activity may affect weight reduction outcomes through associated improvements in mood. Relations of physical activity, mood, and weight change are not well understood in persons classified as severely obese (BMI > or = 40 kg/m(2)), however. This research tested these relationships in women with severe obesity. 57 women with a mean BMI of 43.8 kg/m(2) were enrolled in a cognitive-behavioral exercise support treatment with group-based nutrition information. Measurement of depression, tension, overall mood, and BMI was taken at baseline and month 6, and exercise session attendance was recorded. The treatment was associated with significant improvements in depression, tension and total mood disturbance scores as well as in BMI over 6 months. Changes in mood scores that were more positive were correlated with a greater reduction in BMI. Mean attendance in the prescribed 3 session/week exercise regimen was 46.0%, and attendance was significantly correlated with changes in tension and total mood disturbance scores, and approached significance with changes in depression scores. Findings suggested significant relations of mood and weight change as well as of physical activity and mood in severely obese women associated with a treatment of moderate physical activity. With extensions of this research, weight loss theory and treatment may benefit. Copyright 2008 S. Karger AG, Basel.

  11. Manual physical therapy combined with high-intensity functional rehabilitation for severe lower extremity musculoskeletal injuries: a case series*

    PubMed Central

    Crowell, Michael S.; Deyle, Gail D.; Owens, Johnny; Gill, Norman W.

    2016-01-01

    Objectives Severe lower extremity trauma accounts for large healthcare costs and often results in elective amputation and poor long-term outcomes. The purpose of this case series is to describe an orthopedic manual physical therapy (OMPT) approach combined with a return to run (RTR) clinical pathway consisting of high-intensity functional rehabilitation with a custom energy-storing orthosis. Methods Three consecutive male patients, aged 21–23 years, with severe lower extremity musculoskeletal injuries were treated with a combined intervention that included a mean (SD) of 12 (2·1) OMPT sessions and 24 (8·7) functional rehabilitation sessions over a mean of 6 weeks (1·0). Additional training with a custom energy-storing orthosis consisted of a mean of 15 (1·2) additional sessions over 4 weeks. Patient self-report outcome measures and a variety of physical performance tests captured change in function. Results Baseline lower extremity functional scale (LEFS) and foot and ankle ability measure activities of daily living subscale (FAAM-ADL) scores indicated severe disability. All patients exceeded the minimal clinically important difference (MCID) in at least one self-report outcome or physical performance test without a brace. Two of three patients exceeded the MCID for at least two physical performance tests after training with and utilizing a custom energy-storing orthosis. Discussion Clinically meaningful changes in self-reported function or physical performance were observed in all patients. A multi-modal approach, including manual therapy and functional exercise, may address the entire spectrum of impairments in patients with severe lower extremity trauma, resulting in improvements in both braced and un-braced function. PMID:27252581

  12. Gains in cognition through combined cognitive and physical training: the role of training dosage and severity of neurocognitive disorder

    PubMed Central

    Bamidis, Panagiotis D.; Fissler, Patrick; Papageorgiou, Sokratis G.; Zilidou, Vasiliki; Konstantinidis, Evdokimos I.; Billis, Antonis S.; Romanopoulou, Evangelia; Karagianni, Maria; Beratis, Ion; Tsapanou, Angeliki; Tsilikopoulou, Georgia; Grigoriadou, Eirini; Ladas, Aristea; Kyrillidou, Athina; Tsolaki, Anthoula; Frantzidis, Christos; Sidiropoulos, Efstathios; Siountas, Anastasios; Matsi, Stavroula; Papatriantafyllou, John; Margioti, Eleni; Nika, Aspasia; Schlee, Winfried; Elbert, Thomas; Tsolaki, Magda; Vivas, Ana B.; Kolassa, Iris-Tatjana

    2015-01-01

    Physical as well as cognitive training interventions improve specific cognitive functions but effects barely generalize on global cognition. Combined physical and cognitive training may overcome this shortcoming as physical training may facilitate the neuroplastic potential which, in turn, may be guided by cognitive training. This study aimed at investigating the benefits of combined training on global cognition while assessing the effect of training dosage and exploring the role of several potential effect modifiers. In this multi-center study, 322 older adults with or without neurocognitive disorders (NCDs) were allocated to a computerized, game-based, combined physical and cognitive training group (n = 237) or a passive control group (n = 85). Training group participants were allocated to different training dosages ranging from 24 to 110 potential sessions. In a pre-post-test design, global cognition was assessed by averaging standardized performance in working memory, episodic memory and executive function tests. The intervention group increased in global cognition compared to the control group, p = 0.002, Cohen’s d = 0.31. Exploratory analysis revealed a trend for less benefits in participants with more severe NCD, p = 0.08 (cognitively healthy: d = 0.54; mild cognitive impairment: d = 0.19; dementia: d = 0.04). In participants without dementia, we found a dose-response effect of the potential number and of the completed number of training sessions on global cognition, p = 0.008 and p = 0.04, respectively. The results indicate that combined physical and cognitive training improves global cognition in a dose-responsive manner but these benefits may be less pronounced in older adults with more severe NCD. The long-lasting impact of combined training on the incidence and trajectory of NCDs in relation to its severity should be assessed in future long-term trials. PMID:26300772

  13. Simulating Cortical Development as a Self Constructing Process: A Novel Multi-Scale Approach Combining Molecular and Physical Aspects

    PubMed Central

    Zubler, Frederic; Hauri, Andreas; Pfister, Sabina; Bauer, Roman; Anderson, John C.; Whatley, Adrian M.; Douglas, Rodney J.

    2013-01-01

    Current models of embryological development focus on intracellular processes such as gene expression and protein networks, rather than on the complex relationship between subcellular processes and the collective cellular organization these processes support. We have explored this collective behavior in the context of neocortical development, by modeling the expansion of a small number of progenitor cells into a laminated cortex with layer and cell type specific projections. The developmental process is steered by a formal language analogous to genomic instructions, and takes place in a physically realistic three-dimensional environment. A common genome inserted into individual cells control their individual behaviors, and thereby gives rise to collective developmental sequences in a biologically plausible manner. The simulation begins with a single progenitor cell containing the artificial genome. This progenitor then gives rise through a lineage of offspring to distinct populations of neuronal precursors that migrate to form the cortical laminae. The precursors differentiate by extending dendrites and axons, which reproduce the experimentally determined branching patterns of a number of different neuronal cell types observed in the cat visual cortex. This result is the first comprehensive demonstration of the principles of self-construction whereby the cortical architecture develops. In addition, our model makes several testable predictions concerning cell migration and branching mechanisms. PMID:23966845

  14. Simulating cortical development as a self constructing process: a novel multi-scale approach combining molecular and physical aspects.

    PubMed

    Zubler, Frederic; Hauri, Andreas; Pfister, Sabina; Bauer, Roman; Anderson, John C; Whatley, Adrian M; Douglas, Rodney J

    2013-01-01

    Current models of embryological development focus on intracellular processes such as gene expression and protein networks, rather than on the complex relationship between subcellular processes and the collective cellular organization these processes support. We have explored this collective behavior in the context of neocortical development, by modeling the expansion of a small number of progenitor cells into a laminated cortex with layer and cell type specific projections. The developmental process is steered by a formal language analogous to genomic instructions, and takes place in a physically realistic three-dimensional environment. A common genome inserted into individual cells control their individual behaviors, and thereby gives rise to collective developmental sequences in a biologically plausible manner. The simulation begins with a single progenitor cell containing the artificial genome. This progenitor then gives rise through a lineage of offspring to distinct populations of neuronal precursors that migrate to form the cortical laminae. The precursors differentiate by extending dendrites and axons, which reproduce the experimentally determined branching patterns of a number of different neuronal cell types observed in the cat visual cortex. This result is the first comprehensive demonstration of the principles of self-construction whereby the cortical architecture develops. In addition, our model makes several testable predictions concerning cell migration and branching mechanisms.

  15. Physical and technological aspects of compact He-Ne/CH4 optical frequency standards of highest performance

    NASA Astrophysics Data System (ADS)

    Gubin, Mikhail; Petrukhin, Evgenyi A.; Krylova, Daria D.; Kovalchuk, Evgeny V.; Tyurikov, Dimitry A.; Shelkovnikov, A.

    2001-05-01

    The new generation of transportable He-Ne/CH4 ((lambda) equals 3.39 micrometer) optical frequency standards (TOFS) stabilized over resolved magnetic hyperfine structure (MHFS) and recoil doublet of F2(2) methane line is considered. The main limitations of the performance of present devices are caused by the residual first order Doppler effect manifestation. Several physical and technological improvements are in progress for reaching the level of 10-13 - 10-14 in frequency reproducibility/repeatability, while a relative frequency stability may exceed the stability of H-maser at averaging times (10-3 - 104) s. In combination with 'fs-comb generators' the compact and precise He-Ne/CH4 standards will be able to transfer their excellent short and middle term stability (10-14 per sec now, 10-15 per sec in near future) to the desired range of spectrum. In such a way they can play a role of narrow spectrum interrogative oscillators for super accurate frequency standards based on laser cooled atoms/ions or can be used as one of the optical references for fs-comb optical synthesizers.

  16. Factors associated with current and severe physical side-effects after prostate cancer treatment: What men report.

    PubMed

    Steentjes, L; Siesling, S; Drummond, F J; van Manen, J G; Sharp, L; Gavin, A

    2016-10-10

    We identified patient and disease characteristics associated with (1) "current" physical side-effects of any severity; and (2) "severe" physical side-effects "ever" experienced by 3,348 (54%) prostate cancer (PCa) survivors in Ireland diagnosed 2-18 years previously. Postal questionnaires collected symptoms at diagnosis, post-biopsy complications, comorbidities, primary treatments and physical side-effects post-treatment (urinary incontinence, erectile dysfunction, libido loss, bowel problems, breast changes, hot flushes, and fatigue, "ever" and "current" at time of questionnaire completion). Men were grouped by "early" (localised) and "late" (locally advanced/advanced) disease at diagnosis. Multivariable logistic regression analysis identified patient and disease-related factors associated with post-treatment side-effects. Complications post-biopsy were associated with higher risk of "current" libido loss and impotence. Radical prostatectomy was associated with higher risk of "current" and "severe" incontinence, libido loss and impotence in both early and late disease. In early disease, brachytherapy was associated with lower risk of "current" fatigue and "severe" impotence. Comorbidities were associated with higher risk of "current" experience of four side-effects (incontinence, libido loss, bowel problems, fatigue). Men on active surveillance/watchful-waiting reported lower risk of sexual dysfunction. These findings could inform development of tailored information on side-effects, which, in turn, could inform treatment decision-making and post-treatment monitoring.

  17. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care

    PubMed Central

    DE HERT, MARC; CORRELL, CHRISTOPH U.; BOBES, JULIO; CETKOVICH-BAKMAS, MARCELO; COHEN, DAN; ASAI, ITSUO; DETRAUX, JOHAN; GAUTAM, SHIV; MÖLLER, HANS-JURGEN; NDETEI, DAVID M.; NEWCOMER, JOHN W.; UWAKWE, RICHARD; LEUCHT, STEFAN

    2011-01-01

    The lifespan of people with severe mental illness (SMI) is shorter compared to the general population. This excess mortality is mainly due to physical illness. We report prevalence rates of different physical illnesses as well as important individual lifestyle choices, side effects of psychotropic treatment and disparities in health care access, utilization and provision that contribute to these poor physical health outcomes. We searched MEDLINE (1966 – August 2010) combining the MeSH terms of schizophrenia, bipolar disorder and major depressive disorder with the different MeSH terms of general physical disease categories to select pertinent reviews and additional relevant studies through cross-referencing to identify prevalence figures and factors contributing to the excess morbidity and mortality rates. Nutritional and metabolic diseases, cardiovascular diseases, viral diseases, respiratory tract diseases, musculoskeletal diseases, sexual dysfunction, pregnancy complications, stomatognathic diseases, and possibly obesity-related cancers are, compared to the general population, more prevalent among people with SMI. It seems that lifestyle as well as treatment specific factors account for much of the increased risk for most of these physical diseases. Moreover, there is sufficient evidence that people with SMI are less likely to receive standard levels of care for most of these diseases. Lifestyle factors, relatively easy to measure, are barely considered for screening; baseline testing of numerous important physical parameters is insufficiently performed. Besides modifiable lifestyle factors and side effects of psychotropic medications, access to and quality of health care remains to be improved for individuals with SMI. PMID:21379357

  18. Comorbidity and associated severity of borderline personality disorder and physical health conditions in a nationally representative sample.

    PubMed

    El-Gabalawy, Renée; Katz, Laurence Y; Sareen, Jitender

    2010-09-01

    To investigate the comorbidity and severity of borderline personality disorder and physical health conditions in a nationally representative sample. Despite the recent trend of examining the relationship between physical and mental health, there has been limited research examining the association of physical health conditions and personality disorders, in particular, borderline personality disorder. The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Wave 2 (n = 34,653; cumulative response rate, 70.2%; age, ≥20 years) was used in the current study. The Alcohol Use Disorder and Associated Disabilities Interview Schedule-Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition was used to assess mental disorders, and self-reports were used to assess physical health conditions. Multiple logistic regression models examined the comorbidity of physical health conditions with borderline personality disorder and associated suicide attempts. After adjusting for sociodemographic variables, common Axis I mental disorders, and Axis II personality disorders, the presence of borderline personality disorder was significantly associated with arteriosclerosis or hypertension, hepatic disease, cardiovascular disease, gastrointestinal disease, arthritis, venereal disease, and "any assessed medical condition" (adjusted odds ratios, range 1.46-2.80). In the most stringent adjusted model, diabetes, stroke, and obesity were not associated with borderline personality disorder. Furthermore, a greater likelihood of suicide attempts was associated with cardiovascular disease, venereal disease, and "any assessed medical condition" with comorbid borderline personality disorder than borderline personality disorder alone. Careful screening and treatment of physical health conditions among people with borderline personality disorder are warranted.

  19. Motivation for physical activity and exercise in severe mental illness: A systematic review of cross-sectional studies.

    PubMed

    Farholm, Anders; Sørensen, Marit

    2016-04-01

    Individuals with severe mental illness (SMI) are less physically active than the general population. One important barrier contributing to this inactivity is lack of motivation. The aim of this paper is to systematically review all cross-sectional literature on motivation for physical activity among people with SMI and to use the results as basis for guidance on how mental health nurses can facilitate motivation for physical activity. Systematic searches of seven databases were conducted from database inception to February 2015. Studies were eligible if they included participants with SMI and reported data on motivation for physical activity. In total, 21 articles were included and over half them were published in 2011 or later. The present results indicate preliminary evidence of how the motivational processes do not differ between individuals with SMI and the general population, and that they are independent of diagnosis, medication, age, gender, and body mass index. Results from the current systematic review can give some tentative guidance on how to facilitate motivation for physical activity within mental health-care. However, there is still a great need for developing and examining practical strategies that can enhance adoption and adherence of physical activity among people with SMI. © 2016 Australian College of Mental Health Nurses Inc.

  20. Training practice nurses to improve the physical health of patients with severe mental illness: effects on beliefs and attitudes.

    PubMed

    Hardy, Sheila

    2012-06-01

    Annual health checks are recommended for patients with severe mental illness (SMI) as they are at high risk of cardiovascular disease. Ideally, these health checks should be carried out in primary care. Practice nurses are already competent in carrying out physical health checks, but might have misconceptions about mental illness, which is a barrier to offering the service. We used a mirror imaging study to establish the effectiveness of a training package for practice nurses that aims to address common misconceptions about the physical health of people with SMI. This 2-hour training package (Northampton Physical Health and Wellbeing Project) was delivered to eight practice nurses. Their misconceptions and beliefs were assessed before and after training. Motivation to work with community mental health workers was assessed after training. The practice nurses involved in the study rejected commonly held misconceptions about the physical health of people with SMI after training. Their attitudes towards their role in providing health checks appeared to be modified in a positive direction. Their motivation to work with community mental health workers also seemed to be enhanced. The Northampton Physical Health and Wellbeing Project training was effective in modifying practice nurses' misconceptions about physical health in people with SMI.

  1. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care.

    PubMed

    DE Hert, Marc; Correll, Christoph U; Bobes, Julio; Cetkovich-Bakmas, Marcelo; Cohen, Dan; Asai, Itsuo; Detraux, Johan; Gautam, Shiv; Möller, Hans-Jurgen; Ndetei, David M; Newcomer, John W; Uwakwe, Richard; Leucht, Stefan

    2011-02-01

    The lifespan of people with severe mental illness (SMI) is shorter compared to the general population. This excess mortality is mainly due to physical illness. We report prevalence rates of different physical illnesses as well as important individual lifestyle choices, side effects of psychotropic treatment and disparities in health care access, utilization and provision that contribute to these poor physical health outcomes. We searched MEDLINE (1966 - August 2010) combining the MeSH terms of schizophrenia, bipolar disorder and major depressive disorder with the different MeSH terms of general physical disease categories to select pertinent reviews and additional relevant studies through cross-referencing to identify prevalence figures and factors contributing to the excess morbidity and mortality rates. Nutritional and metabolic diseases, cardiovascular diseases, viral diseases, respiratory tract diseases, musculoskeletal diseases, sexual dysfunction, pregnancy complications, stomatognathic diseases, and possibly obesity-related cancers are, compared to the general population, more prevalent among people with SMI. It seems that lifestyle as well as treatment specific factors account for much of the increased risk for most of these physical diseases. Moreover, there is sufficient evidence that people with SMI are less likely to receive standard levels of care for most of these diseases. Lifestyle factors, relatively easy to measure, are barely considered for screening; baseline testing of numerous important physical parameters is insufficiently performed. Besides modifiable lifestyle factors and side effects of psychotropic medications, access to and quality of health care remains to be improved for individuals with SMI.

  2. Several atomic-physics issues connected with the use of neutral beams in fusion experiments

    SciTech Connect

    Post, D.E.; Grisham, L.R.; Fonck, R.J.

    1982-08-01

    Energetic neutral beams are used for heating and diagnostics in present magnetic fusion experiments. They are also being considered for use in future large experiments. Atomic physics issues are important for both the production of the neutral beams and the interaction of the beams and the plasma. Interest in neutral beams based on negative hydrogen ions is growing, largely based on advances in producing high current ion sources. An extension of the negative ion approach has been the suggestion to use negative ions of Z > 1 elements, such as carbon and oxygen, to form high power neutral beams for plasma heating.

  3. Experience of fatigue, and its relationship to physical capacity and disease severity in men and women with COPD

    PubMed Central

    Tödt, Kristina; Skargren, Elisabeth; Kentson, Magnus; Theander, Kersti; Jakobsson, Per; Unosson, Mitra

    2014-01-01

    Introduction Several differences have been reported in the clinical characteristics of chronic obstructive pulmonary disease (COPD) between men and women. Differences have been found in the association between respiratory symptoms and lung function, and in the factors associated with dyspnea. This raises the question of whether there are differences between the sexes in the relationship between fatigue, the second most prevalent symptom, and the variables of physical capacity and disease severity. Objectives To examine the experience of fatigue and its relationship to physical capacity and disease severity in men and women with COPD. Methods In a cross-sectional study 121 patients with COPD (54 men and 67 women), the experience of fatigue (frequency, duration, and severity) and physical capacity (lung function, 6-minute walk distance [6MWD], grip strength, and timed-stand test) were assessed. Disease severity was graded according to the Body mass index, airway Obstruction, Dyspnoea and Exercise capacity (BODE) index. Two multiple logistic regression models were tested, both of which were performed separately in men and women, to examine the association between the experience of fatigue and variables of physical capacity and the BODE index. Results Eighty-nine (73.6%) patients experienced fatigue, with similar proportions in men and women. The men with fatigue had worse physical capacity and more severe disease than did the men without fatigue: for men with and without fatigue, respectively, the percent of predicted forced expiratory volume in 1 second (FEV1) (mean [standard deviation]) was 47 (14) vs 64 (17); the 6MWD (mean [standard deviation]) was 398 (138) vs 539 (105) m; and the BODE index (median [quartile 1–3]) was 3 (2–5) vs 1 (0–1) (P<0.01). In women, only higher leg fatigue post-6MWD was seen among those experiencing fatigue compared with women without fatigue: for women with and without fatigue, respectively, leg fatigue (median [quartile 1–3

  4. Physical Growth and Maturation Following Early Severe Institutional Deprivation: Do They Mediate Specific Psychopathological Effects?

    ERIC Educational Resources Information Center

    Sonuga-Barke, Edmund J.; Schlotz, Wolff; Rutter, Michael

    2010-01-01

    The authors' previous work and the data reported in the preceding chapters of this monograph provide conclusive evidence of the persistent nature of the negative impact of early severe deprivation. Institutional deprivation, despite the good outcomes for many, was often associated with substantial impairment and disorder across a wide range of…

  5. Physical Growth and Maturation Following Early Severe Institutional Deprivation: Do They Mediate Specific Psychopathological Effects?

    ERIC Educational Resources Information Center

    Sonuga-Barke, Edmund J.; Schlotz, Wolff; Rutter, Michael

    2010-01-01

    The authors' previous work and the data reported in the preceding chapters of this monograph provide conclusive evidence of the persistent nature of the negative impact of early severe deprivation. Institutional deprivation, despite the good outcomes for many, was often associated with substantial impairment and disorder across a wide range of…

  6. Determination of several physical properties of light petroleum products using IR

    SciTech Connect

    Rashid, H.A.; Dekran, S.B.; Fakhri, N.A.; Aziz, H.J.; Hamoudi, N.A.

    1989-04-01

    In the present study IR spectrometric analysis was used to determine clear research octane number, heat of formation, specific gravity and mole fraction of methyl group, simultaneously in hydrocarbon mixtures. IR absorption spectrum can be used to provide information, that can be obtained by several existing test methods.

  7. Influence of Auditory Stimulation on the Physical Work Output of Adults Who Are Severely Retarded.

    ERIC Educational Resources Information Center

    Caouette, Michel; Reid, Greg

    1991-01-01

    Three forms of auditory stimulation were compared as reinforcers with 13 severely mentally retarded adults performing a task to promote cardiovascular fitness. Subjects received stimulation if they pedalled at a specified rate above baseline performance. Results indicated that music was an effective reinforcer in promoting continuous work output,…

  8. Influence of Auditory Stimulation on the Physical Work Output of Adults Who Are Severely Retarded.

    ERIC Educational Resources Information Center

    Caouette, Michel; Reid, Greg

    1991-01-01

    Three forms of auditory stimulation were compared as reinforcers with 13 severely mentally retarded adults performing a task to promote cardiovascular fitness. Subjects received stimulation if they pedalled at a specified rate above baseline performance. Results indicated that music was an effective reinforcer in promoting continuous work output,…

  9. Gaze-based assistive technology used in daily life by children with severe physical impairments - parents' experiences.

    PubMed

    Borgestig, Maria; Rytterström, Patrik; Hemmingsson, Helena

    2017-07-01

    To describe and explore parents' experiences when their children with severe physical impairments receive gaze-based assistive technology (gaze-based assistive technology (AT)) for use in daily life. Semi-structured interviews were conducted twice, with one year in between, with parents of eight children with cerebral palsy that used gaze-based AT in their daily activities. To understand the parents' experiences, hermeneutical interpretations were used during data analysis. The findings demonstrate that for parents, children's gaze-based AT usage meant that children demonstrated agency, provided them with opportunities to show personality and competencies, and gave children possibilities to develop. Overall, children's gaze-based AT provides hope for a better future for their children with severe physical impairments; a future in which the children can develop and gain influence in life. Gaze-based AT provides children with new opportunities to perform activities and take initiatives to communicate, giving parents hope about the children's future.

  10. Study of the effectiveness of a participatory ergonomics intervention in reducing worker pain severity through physical exposure pathways.

    PubMed

    Laing, Andrew C; Frazer, Mardon B; Cole, Donald C; Kerr, Mickey S; Wells, Richard P; Norman, Robert W

    2005-02-01

    A participatory ergonomics programme was implemented in an automotive parts manufacturing factory. An ergonomics change team was formed composed of members from management and the organized labour union. It was hypothesized that the physical change projects implemented as part of this process would result in decreased worker exposures to peak and cumulative physical demands and reduced worker perceptions of physical effort and pain severity. A quasi-experimental design was employed, utilizing a sister plant in the corporation as a referent group. A longitudinal questionnaire approach was used to document pre-post changes in worker perceptions. In general, the physical change projects were rated as improvements by workers and were successful at reducing peak and/or cumulative mechanical exposures. However, there were few systematic changes in perceived effort or pain severity levels. Explanations include the confounding effects of differential production rate and staffing changes at the intervention and referent plants and/or insufficient overall intervention intensity due to a relatively short intervention period, plant and team ambivalence towards the process and the low overall impact on exposure of the particular changes implemented.

  11. Variational symmetries, conserved quantities and identities for several equations of mathematical physics

    SciTech Connect

    Donchev, Veliko

    2014-03-15

    We find variational symmetries, conserved quantities and identities for several equations: envelope equation, Böcher equation, the propagation of sound waves with losses, flow of a gas with losses, and the nonlinear Schrödinger equation with losses or gains, and an electro-magnetic interaction. Most of these equations do not have a variational description with the classical variational principle and we find such a description with the generalized variational principle of Herglotz.

  12. Theory of Mind in Children with Severe Speech and Physical Impairment (SSPI): A Longitudinal Study

    ERIC Educational Resources Information Center

    Falkman, Kerstin W.; Sandberg, Annika Dahlgren; Hjelmquist, Erland

    2005-01-01

    Six children with cerebral palsy and severe speech impairment took part in a two-phase longitudinal study of development of social cognition. The children ranged in age from 5 to 7 years old at data collection time 1 and from nine to 11 years old at data collection time 2. Using a model of normal development of Theory of Mind (ToM) suggested by…

  13. Examining problem solving skills of physical education and sport students from several factors.

    PubMed

    Tasgin, Ozden

    2011-06-01

    In this research, problem solving skills of university students are examined in the factors of sex and class. In this research problem solving inventory that is improved by Heppner and Petersen (1982) is applied to the students that are training 1. and 4. class 58 female 86 male at Selcuk University Konya, Turkey Physical Education and Sport Collage. In statistical analysis of research for the factors sex and class, variance analysis and t test are used. In the research while meaningful difference is found in the above dimension of the factors sex and there is not found meaningful difference in the factors of class. In conclusion, female students have more positive problem solving skills than male students.

  14. Survey of physical property data for several alloys. [Nitronic 33; copper C10400; copper C17510

    SciTech Connect

    Pawel, R.E.; Williams, R.K.

    1985-08-01

    This report summarizes an examination of physical property data available in the literature for six alloys of potential interest to the Toroidal Fusion Core Experiment in the Fusion Energy Program. The properties of thermal expansion, density, specific heat, electrical resistivity, and thermal conductivity were compiled for six alloys: Nitronic 33, a low-nickel, high manganese stainless steel; nickel-base Inconnel Alloys 625, 718, and X-750; and copper alloys C10400 and C17510. The temperatures of interest were 4-500 K for the Nitronic 33 and the Inconels, and 250-400 K for the copper alloys. Where data were lacking, estimates were made based on theory or comparisons with similar materials.

  15. Evaluation of the influence of physical activity on the plasma concentrations of several trace metals.

    PubMed

    Rodríguez Tuya, I; Pinilla Gil, E; Maynar Mariño, M; García-Moncó Carra, R M; Sánchez Misiego, A

    1996-01-01

    Our study was carried out with the aim of evaluating the influence that the degree of physical activity may have on plasma concentrations of essential and toxic elements. Copper and zinc, elements of known importance in basic cellular processes, have been analysed as essential, and cadmium and lead as toxic for the body in abnormal doses. The study was performed on a total population of 50 healthy individuals, 34 of them professional sportsmen and the rest who undertook moderate physical activity (control group), all of them living in a polluted environment (Madrid, Spain). Sampling was conducted at the beginning of the season (October). Electro-analytical techniques of proved reliability and accuracy were used for the determination of the metals. The results were related to data obtained using graphite furnace atomic absorption spectrophotometry and by use of biological reference materials. We found significantly higher zinc plasma concentrations in the sportsmen involved in anaerobic-type training (judo, fencing) compared to those undertaking aerobic activities (endurance, cycling) (P < 0.05). The values in both cases were higher than those found in the control group. Our study showed an increase of plasma copper concentrations in professional sportsmen, especially in those performing anaerobic activities, compared to those subjects undertaking moderate activity (control group) (P < 0.05). In summary, our results showed that there were no deficiencies of copper and zinc in the athletes studied at the beginning of the season. The levels were higher than those of the control population. As for the toxic metals, cadmium and lead, we observed lower levels in the athletes than in the control group (cadmium P < 0.005, lead P < 0.05). These results may indicate the existence of possible elimination systems for these metals in athletes, when they are training in a polluted environment.

  16. Health aspects, nutrition and physical characteristics in matched samples of institutionalized vegetarian and non-vegetarian elderly (> 65yrs).

    PubMed

    Deriemaeker, Peter; Aerenhouts, Dirk; De Ridder, Dolf; Hebbelinck, Marcel; Clarys, Peter

    2011-06-14

    Epidemiological studies indicate that a well balanced vegetarian diet offers several health benefits including a lower prevalence of prosperity diseases in vegetarians compared to omnivores. It was the purpose of the present study to compare nutritional and physical characteristics in matched samples of institutionalized vegetarian (V) and non-vegetarian (NV) elderly. Twenty-two female and 7 male V (females: 84.1 ± 5.1yrs, males: 80.5 ± 7.5yrs) and 23 female and 7 male NV (females: 84.3 ± 5.0yrs, males: 80.6 ± 7.3yrs) participated. All subjects were over 65 years of age, and free of major disease or physical handicap. Dietary intake, blood profile, anthropometrics, and handgrip strength were determined. Mean daily energy intake was 6.8 ± 2.0MJ in V females, and 8.0 ± 1.4MJ in the NV females, only the V did not reach the recommended value of 7.8 MJ. Male V and NV had a mean daily energy intake of 8.7 ± 1.6MJ and 8.7 ± 1.2MJ respectively (RDI: 8.8 MJ). Mean carbohydrate intake was significantly below the RDI in NV only (female V: 47.8 ± 7.5E%, female NV: 43.3 ± 4.6E%, male V: 48.1 ± 6.4E%, male NV: 42.3 ± 3.6E%), while protein (female V: 17.3 ± 3.4E%, female NV: 19.5 ± 3.5E%, male V: 17.8 ± 3.4E%, male NV: 21.0 ± 2.0E%), and saturated fat intake (female V: 25.4 ± 8.2 g/day, female NV: 32.2 ± 6.9 g/day, male V: 31.4 ± 12.9 g/day, male NV: 33.4 ± 4.7 g/day) were too high in both V and NV. Mean micronutrient intakes met the RDI's in all 4 groups. Mean blood concentrations for vitamin B12, folic acid, iron, and calcium were normal in all 4 groups. Mean zinc blood serum was below the reference value in all groups, whereas estimated zinc intake was in agreement with the RDI. The mean blood cholesterol concentration was above the 200 mg/dl upper limit in the V group (213 ± 40 mg/dl) and below that limit in the NV (188 ± 33 mg/dl) group. Mean BMI was 26.1 ± 4.7 kg/m2 in the female V, 26.8 ± 3.7 kg/m2 in the female NV, 23.5 ± 3.7 kg/m2 in the male V

  17. Health aspects, nutrition and physical characteristics in matched samples of institutionalized vegetarian and non-vegetarian elderly (> 65yrs)

    PubMed Central

    2011-01-01

    Background Epidemiological studies indicate that a well balanced vegetarian diet offers several health benefits including a lower prevalence of prosperity diseases in vegetarians compared to omnivores. It was the purpose of the present study to compare nutritional and physical characteristics in matched samples of institutionalized vegetarian (V) and non-vegetarian (NV) elderly. Methods Twenty-two female and 7 male V (females: 84.1 ± 5.1yrs, males: 80.5 ± 7.5yrs) and 23 female and 7 male NV (females: 84.3 ± 5.0yrs, males: 80.6 ± 7.3yrs) participated. All subjects were over 65 years of age, and free of major disease or physical handicap. Dietary intake, blood profile, anthropometrics, and handgrip strength were determined. Results Mean daily energy intake was 6.8 ± 2.0MJ in V females, and 8.0 ± 1.4MJ in the NV females, only the V did not reach the recommended value of 7.8 MJ. Male V and NV had a mean daily energy intake of 8.7 ± 1.6MJ and 8.7 ± 1.2MJ respectively (RDI: 8.8 MJ). Mean carbohydrate intake was significantly below the RDI in NV only (female V: 47.8 ± 7.5E%, female NV: 43.3 ± 4.6E%, male V: 48.1 ± 6.4E%, male NV: 42.3 ± 3.6E%), while protein (female V: 17.3 ± 3.4E%, female NV: 19.5 ± 3.5E%, male V: 17.8 ± 3.4E%, male NV: 21.0 ± 2.0E%), and saturated fat intake (female V: 25.4 ± 8.2 g/day, female NV: 32.2 ± 6.9 g/day, male V: 31.4 ± 12.9 g/day, male NV: 33.4 ± 4.7 g/day) were too high in both V and NV. Mean micronutrient intakes met the RDI's in all 4 groups. Mean blood concentrations for vitamin B12, folic acid, iron, and calcium were normal in all 4 groups. Mean zinc blood serum was below the reference value in all groups, whereas estimated zinc intake was in agreement with the RDI. The mean blood cholesterol concentration was above the 200 mg/dl upper limit in the V group (213 ± 40 mg/dl) and below that limit in the NV (188 ± 33 mg/dl) group. Mean BMI was 26.1 ± 4.7 kg/m2 in the female V, 26.8 ± 3.7 kg/m2 in the female NV, 23.5

  18. Children treated for severe acute malnutrition experience a rapid increase in physical activity a few days after admission.

    PubMed

    Faurholt-Jepsen, Daniel; Hansen, Kristina Beck; van Hees, Vincent T; Christensen, Line Brinch; Girma, Tsinuel; Friis, Henrik; Brage, Søren

    2014-06-01

    To assess physical activity at admission and during recovery from severe acute malnutrition. Ethiopian children who were admitted with severe acute malnutrition received a clinical examination each week to monitor their recovery during rehabilitation. Using accelerometry (24 h/d for 5 consecutive days) at admission and again after 10 days of rehabilitation, we assessed the level and changes of physical activity. Among 13 children included, the mean (SD) age was 31.1 months (15.5). At baseline, the day-night activity difference was relatively small, whereas the level of activity had substantially increased at follow-up. The diurnal mean acceleration level was significantly greater at follow-up for wrist (1158.8 vs 541.4 counts per minute, P = .003) but not hip movements (204.1 vs 141.5, P = .261). During daytime (6 a.m. to 10 p.m.), hip activity increased by 38% from baseline to follow-up (e(B) 1.38, 95% CI 1.17-1.62), and wrist activity more than doubled (e(B) 2.50, 95% CI 2.17-2.87). The level of physical activity among children with severe acute malnutrition is very low but increases rapidly during recovery. Accelerometry may be a useful approach in the recovery phase as an indicator of early improvement. Copyright © 2014 The Authors. Published by Mosby, Inc. All rights reserved.

  19. A role for mental health nursing in the physical health care of consumers with severe mental illness.

    PubMed

    Happell, B; Platania-Phung, C; Gray, R; Hardy, S; Lambert, T; McAllister, M; Davies, C

    2011-10-01

    There is extensive international evidence that people with severe mental illness have a lower standard of physical health than the general population. This leads to higher morbidity and mortality rates. Many of the causes for this poor physical health are modifiable. Yet the physical needs of this consumer group are neglected by healthcare systems in Australia, and elsewhere. While medical specialists are clearly integral to remedying this, nurses are well placed to play a key role in focused prevention and early intervention in the physical well-being of consumers with mental health problems. This paper outlines the specifics on how mental health nurses can be sensitized, prepared and empowered to help turn this serious health issue around. In particular, mental health nurses could be trained in and then utilize a new physical health check and response system in the UK (called the Health Improvement Profile) if adapted for use within Australia. This profile will be briefly introduced, and then its value to improving health care discussed.

  20. Ring chromosome 5 associated with severe growth retardation as the sole major physical abnormality

    SciTech Connect

    Migliori, M.V.; Pettinari, A.; Cherubini, V.; Bartolotta, E.; Pecora, R.

    1994-01-01

    The authors report on a case of ring chromosome 5 in a 36-month-old girl with severe growth retardation, clinodactyly, mild psychological abnormalities, and normal facial appearance. Endocrine tests showed partial growth hormone deficiency. Cytogenetic investigation failed to demonstrate any apparent microscopic deletion of either the short or long arm of chromosome 5 as a consequence of ring formation. In 12% of cells examined, the ring was either absent or present in multiple copies. Only 3 previous cases of ring chromosome 5 have been reported in association with short stature of prenatal onset and minor anomalies, without mental retardation. 12 refs., 3 figs.

  1. Some Physical Properties of Enamels Developed for Use at High Temperatures on Several Nonstrategic Steels

    DTIC Science & Technology

    1951-10-01

    8217V4ADC TECHNICAL REPORT 52-25 R$p C AFF’,q1Z’D FOR PUBL IC RELEA.SE.. FOR USE AT HIGH TEMPERATURES OH SEVERAL NONSTRATEGIC STEELS R. MAYNARD KING...Available Copy &D01 I \\ 4\\Lqc -*. NOTICES When Government drawings, specifications, or other data are used for any purpose other than in connection with a...to manmfacture, use , or sell any patented invention that may in any way be related thereto. The Information furnished herewith is made available for

  2. The Incidence and Severity of Physical Pain Symptoms in Marfan Syndrome: A Survey of 993 Patients.

    PubMed

    Nelson, Ariana M; Walega, David R; McCarthy, Robert J

    2015-12-01

    To characterize the incidence, severity, quality, and treatment of pain in a large cohort of Marfan patients. A web-based survey was distributed to all individuals on the Marfan Foundation listserv. Respondents who endorsed a diagnosis of Marfan syndrome were queried as to the presence, frequency, severity, location, and quality of their pain and were asked to describe the specific treatments used to manage pain. The primary outcome was the presence of pain symptoms in respondents during the 7-day period preceding completion of the survey. Of the 993 patients with a verified diagnosis of Marfan syndrome, 67% (95% confidence interval, 64%-69%) reported pain in the preceding 7 days. Median (interquartile range) "average daily pain" was 4 (3 to 5) on the numeric rating scale; "worst pain" was 7 (5 to 8). "Worst pain experienced" was ≥4 in 93% of respondents. Analgesic use to control pain related to Marfan syndrome was reported in 56% of respondents with 55% reporting <50% pain relief with this modality. Few patients underwent interventional procedures for pain control, despite intractable back and joint pain being common. A majority (52%) of respondents rated "chronic pain care" from their physicians as either "poor" or "fair." Our findings suggest that pain symptoms in Marfan patients are underestimated and likely undertreated. We propose a need for improved patient and medical provider awareness of pain management options in this population, including the development of effective algorithms to treat pain in Marfan patients.

  3. Environmental copper: Behaviour when involved in physical adsorption at several interfaces

    NASA Astrophysics Data System (ADS)

    Azri, Aziz; Elmanfe, Galal; Olier, René; Privat, Mireille

    2010-12-01

    From a literature-based assessment of the current knowledge about both the toxic or salutary properties of copper, this study focused on the determination, at 25 °C, of the interfacial properties of CuCl 2, either alone or in mixture with carbofuran used, here, as a model of organics and/or pesticide. The interfaces under study were: i) the air/solution interface and ii) the silica/solution interface. The former is considered as a path for volatilization, whereas the latter permits a modelling of physical adsorption upon solids, which is the first and unavoidable step in any adsorption process. One should note that it can also mimic adsorption on some sandy soils. Coadsorption was clearly identified as implicated in an enhancement of the surface content of both solutes at both interfaces. However, at the two interfaces under study, the way the surface became structured led to opposite adsorption mechanisms for the organic compounds and the salt. A rough theory about ionic adsorption is also proposed.

  4. Perceptions of plagiarisers: The influence of target physical attractiveness, transgression severity, and sex on attributions of guilt and punishment.

    PubMed

    Swami, Viren; Arthey, Elizabeth; Furnham, Adrian

    2017-09-01

    The attractiveness-leniency effect (ALE) suggests that physically attractive targets are less likely to be perceived as guilty compared to less attractive targets. Here, we tested the ALE in relation to attributions of students who have committed plagiarism. British adults (N=165) were shown one of eight vignette-photograph pairings varying in target sex (female/male), physical attractiveness (high/low), and transgression severity (serious/minor), and provided attributions of guilt and severity of punishment. Analyses of variance revealed significant interactions between attractiveness and transgression severity for both dependent measures. Attractive targets were perceived as guiltier and deserving of more severe punishments in the serious transgression condition, but there was no significant difference between attractive and less attractive targets in the minor transgression condition. These results are discussed in terms of a reverse attribution bias, in which attractive individuals are judged more negatively when they fail to live up to higher standards of conduct. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Physical Aspects of Light--"Seeing Parameters". Lighting Techniques in Architecture (Madison, December 9-10, 1969).

    ERIC Educational Resources Information Center

    Turek, Robert W.

    In order to judge or design the lighting of an interior a person must be able to understand and take into account many aspects of seeing and illumination. Important areas of consideration are--(1) factors that contribute to the visibility of an object: size, brightness, contrast, and time, (2) radiant energy with regard to the visible spectrums of…

  6. Social Aspects of Classroom Learning: Results of a Discourse Analysis in an Inquiry-Oriented Physical Chemistry Class

    ERIC Educational Resources Information Center

    Becker, Nicole M.

    2012-01-01

    Engaging students in classroom discourse offers opportunities for students to participate in the construction of joint understandings, to negotiate relationships between different types of evidence, and to practice making evidence-based claims about science content. However, close attention to social aspects of learning is critical to creating…

  7. Social Aspects of Classroom Learning: Results of a Discourse Analysis in an Inquiry-Oriented Physical Chemistry Class

    ERIC Educational Resources Information Center

    Becker, Nicole M.

    2012-01-01

    Engaging students in classroom discourse offers opportunities for students to participate in the construction of joint understandings, to negotiate relationships between different types of evidence, and to practice making evidence-based claims about science content. However, close attention to social aspects of learning is critical to creating…

  8. Report to the American Physical Society of the Study Group on Radionuclide Release From Severe Accidents at Nuclear Power Plants

    NASA Astrophysics Data System (ADS)

    Shaw, George

    The release of radioiodine during the Three Mile Island (TMI) accident was more than an order of magnitude smaller than what had been predicted from analyses of hypothetical nuclear accidents. The Reactor Safety Study of 1975 (RSS), which carried out the analyses, is a fundamental factor in formulating regulations concerned with such accidents. This American Physical Society (APS) study group report is a result of the obvious need to reevaluate the RSS analysis of the “source term,” that is, the amount of various radionuclides that are predicted to be emitted under various reactor failure scenarios.The report includes an introductory background to the history of nuclear reactor accidents and accident studies and to the health aspects of radionuclide releases. It then describes nuclear reactors and reactor failure modes, including reasonably detailed descriptions of particular modes thought to be especially critical. The most extensive discussion concerns the chemical and physical processes important in the generation, transport, and release of radionuclides. The large computer codes used to model these processes are considered and evaluated. The results of some of the computer runs are examined in the light of a simplified but informative model to evaluate those features of an accident that are most likely to affect the source term. A review of the research programs currently underway precedes both the study group conclusions about the need to revise the source terms from those in the RSS and recommendations for further studies that are necessary to better evaluate the source term.

  9. A physical analysis of the severe 2013/2014 cold winter in North America

    NASA Astrophysics Data System (ADS)

    Yu, Bin; Zhang, Xuebin

    2015-10-01

    The severe 2013/2014 cold winter has been examined in the context of the previous 55 winters using the National Centers for Environmental Prediction reanalysis data for the period 1960-2014. North America is dominated by pronounced cold anomalies over the Great Plains and Great Lakes in December 2013 and February 2014 but exhibits an east-west contrast pattern with warm anomalies over most of the North American West in January 2014. A relevant temperature index, defined as land surface temperature anomalies averaged over (40°-60°N, 105°-80°W), reveals a warming trend as well as interannual variability with a significant power peak of 6.0 years. While 2013/2014 was the second coldest winter during 1960-2014, it is the coldest one in the linearly detrended series, with a negative anomaly of 2.63 standard deviations. This indicates that the long-term warming has made the 2013/2014 winter less severe than it could have been. The temperature and circulation variability in association with the zonally symmetric variability of the polar vortex projects weakly on the corresponding anomalies in the 2013/2014 winter, whereas the variability associated with the principal mode of North American surface temperature projects strongly on the corresponding anomalies in the winter. This mode is associated with a sea surface temperature (SST) pattern of significant anomalies over the North Pacific and North Atlantic middle and high latitudes. The anomalous atmospheric circulation shows an anticyclonic anomaly over the Gulf of Alaska-Bering Sea and a cyclonic anomaly downstream over North America. It bears resemblance to the North Pacific Oscillation/Western Pacific pattern and drives the SST in the North Pacific. Over western-central Canada and the northern U.S., below-average heights are associated with above-normal precipitation, implying enhanced upward vertical motion and variation of local cloud forcing, leading to a variation of the surface energy budget dominated by

  10. Selection, use and psychometric properties of physical activity measures to assess individuals with severe mental illness: a narrative synthesis.

    PubMed

    Soundy, Andrew; Roskell, Carolyn; Stubbs, Brendon; Vancampfort, Davy

    2014-04-01

    This research provides a critical consideration of the outcome measures used to assess physical activity in individuals with severe mental illness. A narrative synthesis was utilised to provide a simple juxtapose of the current research. A sensitive topic-based search strategy was conducted in order to identify studies that met the eligibility criteria. Fifty two studies met the inclusion criteria and 5 were identified specially as validation studies. The current research identified several methodological shortcomings. The justification and choice of outcome measure used is often weak and only five studies have validated a specific outcome measure of physical activity. Within these validation studies, the validation process often lacked a consideration of agreement between measures. Accelerometers have been most frequently used as a criterion measure, notably the RT3 tri-axial accelerometer. Objective based measures may be best placed to consider physical activity levels, although, methodological considerations for the utilization of such tools is required. Self-report questionnaires have benefits for use in this population but require further validation. Researchers and clinicians need to carefully consider what outcome measure they are using and be aware of the development, scope and purpose of that measure.

  11. Assessment of a Chronic Disease Self-Management Program to Increase Physical Activity of Adults With Severe Mental Illness.

    PubMed

    Strong, Julia Ringgold; Lemaire, Gail Schoen; Murphy, Lyn Stankiewicz

    2017-02-01

    Individuals with severe mental illness (SMI) experience excessive co-morbidities and early mortality. Self-management programs have the potential to increase physical activity levels of individuals with SMI and reduce the incidence of co-morbidities. The purpose of this quality improvement project was to assess a chronic disease self-management program (CDSMP) to increase physical activity of adults with SMI measured by daily steps tracked with a pedometer. Results of data analysis indicated no statistically significant difference in steps across the six-week program. However, findings suggested that individuals with SMI are capable of using a pedometer and tracking steps on a daily basis. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Prevalence, Severity, and Co-occurrence of Chronic Physical Health Problems of Persons With Serious Mental Illness

    PubMed Central

    Jones, Danson R.; Macias, Cathaleene; Barreira, Paul J.; Fisher, William H.; Hargreaves, William A.; Harding, Courtenay M.

    2009-01-01

    Objectives: This study examined Medicaid claims forms to determine the prevalence, severity, and co-occurrence of physical illness within a representative sample of persons with serious mental illness (N=147). Methods: Representativeness of health problems in the study sample was established through comparison with a larger sample of persons with serious mental illness enrolled in Medicaid within the same state. Standardized annual costs were then assigned to Medicaid claims diagnoses, and individual health problem severity was measured as the sum of estimated treatment costs for diagnosed conditions. Results: Seventy-four percent of the study sample (N=109) had been given a diagnosis of at least one chronic health problem, and 50 percent (N=73) had been given a diagnosis of two or more chronic health problems. Of the 14 chronic health conditions surveyed, chronic pulmonary illness was the most prevalent (31 percent incidence) and the most comorbid. Persons with chronic pulmonary illness were second only to those with infectious diseases in average annual cost of treatment ($8,277). Also, 50 percent or more of participants in eight other diagnostic categories had chronic pulmonary illness. A regression analysis identified age, obesity, and substance use disorders as significant predictors of individual health problem severity. Conclusions: Risk adjustment for physical health is essential when setting performance standards or cost expectations for mental health treatment. Excluding persons with chronic health problems from mental health service evaluations restricts generalizability of research findings and may promote interventions that are inappropriate for many persons with serious mental illness. PMID:15534013

  13. Factors and associations for physical activity in severely obese adults during a two-year lifestyle intervention.

    PubMed

    Jepsen, Randi; Aadland, Eivind; Robertson, Lesley; Kristiansen, Merete; Andersen, John Roger; Natvig, Gerd Karin

    2014-01-01

    Objective. This study of severely obese adults participating in a two-year lifestyle intervention investigates associations between the independent variables: change in self-efficacy for physical activity (PA) in the face of psychological barriers, perceived behavioural control over PA, and PA self-identity and the dependent variable of change in objectively assessed PA. The intervention comprised four residential periods in a rehabilitation centre and combined diet, physical activity, and cognitive behavioural therapy. Materials and Methods. Forty-nine severely obese adults (37 women, mean body mass index 42.1 kg/m(2)) were included in the study. Assessment was done four times using questionnaires and an accelerometer. A linear mixed model based on restricted maximum likelihood was used in analyses for change over time. Associations were studied using linear regression analyses. Age, gender, and change in body mass index were used as control variables. Results. In the adjusted analyses, change in perceived behavioural control over PA was associated with change in PA (Stand. coeff. = 0.32, p = .005). Change in PA was not associated with either change in self-efficacy over PA in the face of psychological barriers (Stand. coeff. = 0.13, p = .259) or PA self-identity (Stand. coeff. = -0.07, p = .538). Conclusion. Perceived behavioural control may be a valid target to increase and maintain PA in severely obese adults participating in lifestyle interventions. More research is needed to investigate the process of behaviour change in this population.

  14. The Effects of Physical Time-Out on the Aggressive Behaviors of a Severely Emotionally Disturbed Child in a Public School Setting.

    ERIC Educational Resources Information Center

    Noll, Mary Beth; Simpson, Richard L.

    1979-01-01

    A firm physical restraint procedure (physically holding the child from behind until all verbal and physical aggressions had ceased for 30 seconds) was effective in significantly reducing the aggressive responses of a 6-year-old severely emotionally disturbed male in a self-contained special education class. (Author/CL)

  15. An Exploratory Study to Investigate the Impact of an Enrichment Program on Aspects of Einsteinian Physics on Year 6 Students

    ERIC Educational Resources Information Center

    Pitts, Marina; Venville, Grady; Blair, David; Zadnik, Marjan

    2014-01-01

    Concepts related to Einsteinian physics are usually not taught until students are in university, denying younger children access to this powerful way of understanding space, time and gravity. Considerable research has shown, however, that complex and abstract scientific ideas can be presented in age appropriate ways that result in measurable…

  16. Physical, psychological, and social aspects of quality of life in filarial lymphedema patients in Colombo, Sri Lanka.

    PubMed

    Wijesinghe, Rushika S; Wickremasinghe, Ananda R

    2015-03-01

    Quality of life (QOL) was assessed in 141 filarial lymphedema patients and 128 healthy people in the Colombo district, Sri Lanka, by administering modified, translated, and validated (in Sri Lanka) versions of the Short Form 36 health survey questionnaire (SF-36) and the 30-item General Health questionnaire (GHQ-30). The GHQ-30 assesses the current mental health status. The SF-36 measures health on 8 multi-item dimensions covering functional state, well-being, and overall evaluation of health (physical functioning, role limitations resulting from physical health problems, role limitations resulting from emotional problems, energy/fatigue, emotional well-being, social functioning, pain and general health). By SF-36, patients experienced poorer physical functioning, more role limitations resulting from physical health conditions, less emotional well-being, poorer social functioning, and more pain than healthy individuals. By GHQ-30, mental well-being of healthy controls was significantly better than that of patients. The significant difference in the QOL as perceived by filarial lymphedema patients and healthy individuals reiterates the importance of morbidity control in patients affected by this disease.

  17. Social and material aspects of life and their impact on the physical health of people diagnosed with mental illness.

    PubMed

    Ewart, Stephanie B; Happell, Brenda; Bocking, Julia; Platania-Phung, Chris; Stanton, Robert; Scholz, Brett

    2017-10-01

    People diagnosed with mental illness have shorter lives and poorer physical health, compared to the general population. These health inequities are usually viewed at an individual and clinical level, yet there is little research on the views of mental health consumers on clinical factors in broader contexts. To elicit the views of consumers of mental health services regarding their physical health and experiences of accessing physical health-care services. Qualitative exploratory design involving focus groups. The research was conducted in the Australian Capital Territory. Participants were consumers of mental health services. The Commission on Social Determinants of Health Framework was drawn on to lead deductive analysis of focus group interview transcripts. Issues impacting consumers included poverty, the neglect of public services and being treated as second-class citizens because of diagnosis of mental illness and/or experiencing a psychosocial disability. These factors were connected with significant barriers in accessing physical health care, including the quality and relevance of health provider communication, especially when the broader contexts of mental health consumer's lives are not well understood. These findings suggest the Commission on Social Determinants of Health Framework could be utilized in research and policy, and may provide an effective platform for exploring better health communication with mental health consumers regarding this neglected health inequity. © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd.

  18. An Exploratory Study to Investigate the Impact of an Enrichment Program on Aspects of Einsteinian Physics on Year 6 Students

    ERIC Educational Resources Information Center

    Pitts, Marina; Venville, Grady; Blair, David; Zadnik, Marjan

    2014-01-01

    Concepts related to Einsteinian physics are usually not taught until students are in university, denying younger children access to this powerful way of understanding space, time and gravity. Considerable research has shown, however, that complex and abstract scientific ideas can be presented in age appropriate ways that result in measurable…

  19. The Improvement of Brass Instrument Teaching Through the Use of a Profile of the Physical Aspects Involved. Final Report.

    ERIC Educational Resources Information Center

    Nichols, Russell L.; And Others

    To aid in providing a sounder methodological program in the teaching of trumpet playing, a study was made of the profiles of physical parameters involved in playing the instrument. Data were collected while beginning, intermediate, or advanced players performed scales in F, D, and B-flat and two etudes in both staccato and legato. The means used…

  20. "Hay Sacks Anonymous": Living in the Shadow of the Unidentified. Psychological Aspects of Physical Inactivity from a Phenomenological Perspective

    ERIC Educational Resources Information Center

    Bergman, Anni; Norlander, Torsten

    2005-01-01

    The present qualitative study emanates from a phenomenological perspective and has the purpose of creating an understanding for what a so-called hay sack is as well as understanding the experiences of a hay sack. In this context a hay sack refers to a person with low physical activity. Eight hay sacks between 36-58 years of age were interviewed…

  1. "Hay Sacks Anonymous": Living in the Shadow of the Unidentified. Psychological Aspects of Physical Inactivity from a Phenomenological Perspective

    ERIC Educational Resources Information Center

    Bergman, Anni; Norlander, Torsten

    2005-01-01

    The present qualitative study emanates from a phenomenological perspective and has the purpose of creating an understanding for what a so-called hay sack is as well as understanding the experiences of a hay sack. In this context a hay sack refers to a person with low physical activity. Eight hay sacks between 36-58 years of age were interviewed…

  2. Physical health symptoms reported by trafficked women receiving post-trafficking support in Moldova: prevalence, severity and associated factors

    PubMed Central

    2012-01-01

    Background Many trafficked people suffer high levels of physical, sexual and psychological abuse. Yet, there has been limited research on the physical health problems associated with human trafficking or how the health needs of women in post-trafficking support settings vary according to socio-demographic or trafficking characteristics. Methods We analysed the prevalence and severity of 15 health symptoms reported by 120 trafficked women who had returned to Moldova between December 2007 and December 2008 and were registered with the International Organisation for Migration Assistance and Protection Programme. Women had returned to Moldova an average of 5.9 months prior to interview (range 2-12 months). Results Headaches (61.7%), stomach pain (60.9%), memory problems (44.2%), back pain (42.5%), loss of appetite (35%), and tooth pain (35%) were amongst the most commonly reported symptoms amongst both women trafficked for sexual exploitation and women trafficked for labour exploitation. The prevalence of headache and memory problems was strongly associated with duration of exploitation. Conclusions Trafficked women who register for post-trafficking support services after returning to their country of origin are likely to have long-term physical and dental health needs and should be provided with access to comprehensive medical services. Health problems among women who register for post-trafficking support services after returning to their country of origin are not limited to women trafficked for sexual exploitation but are also experienced by victims of labour exploitation. PMID:22834807

  3. Physical health symptoms reported by trafficked women receiving post-trafficking support in Moldova: prevalence, severity and associated factors.

    PubMed

    Oram, Siân; Ostrovschi, Nicolae V; Gorceag, Viorel I; Hotineanu, Mihai A; Gorceag, Lilia; Trigub, Carolina; Abas, Melanie

    2012-07-26

    Many trafficked people suffer high levels of physical, sexual and psychological abuse. Yet, there has been limited research on the physical health problems associated with human trafficking or how the health needs of women in post-trafficking support settings vary according to socio-demographic or trafficking characteristics. We analysed the prevalence and severity of 15 health symptoms reported by 120 trafficked women who had returned to Moldova between December 2007 and December 2008 and were registered with the International Organisation for Migration Assistance and Protection Programme. Women had returned to Moldova an average of 5.9 months prior to interview (range 2-12 months). Headaches (61.7%), stomach pain (60.9%), memory problems (44.2%), back pain (42.5%), loss of appetite (35%), and tooth pain (35%) were amongst the most commonly reported symptoms amongst both women trafficked for sexual exploitation and women trafficked for labour exploitation. The prevalence of headache and memory problems was strongly associated with duration of exploitation. Trafficked women who register for post-trafficking support services after returning to their country of origin are likely to have long-term physical and dental health needs and should be provided with access to comprehensive medical services. Health problems among women who register for post-trafficking support services after returning to their country of origin are not limited to women trafficked for sexual exploitation but are also experienced by victims of labour exploitation.

  4. Refocusing on physical health: Community psychiatric nurses' perceptions of using enhanced health checks for people with severe mental illness.

    PubMed

    Bressington, Daniel; Mui, Jolene; Wells, Harvey; Chien, Wai Tong; Lam, Claire; White, Jacquie; Gray, Richard

    2016-06-01

    In the present qualitative, descriptive study, we explored Hong Kong community psychiatric nurses' (CPN) perceptions of using comprehensive physical health checks for service users diagnosed with severe mental illness (SMI). Research interviews were conducted with a purposive sample of 11 CPN in order to explore their perceptions about the use of the Health Improvement Profile (HIP) over a 1-year period. Interview data were analysed using inductive thematic analysis. The analysis revealed that the majority of CPN appreciated the comprehensive focus on the physical health of their clients and reported positive changes in their clinical practice. Many of them observed an increase in the motivation of their clients to improve their physical health, and also noted observable benefits in service users' well-being. The use of the HIP also helped the CPN identify implementation barriers, and highlighted areas of the tool that required modifications to suit the local cultural and clinical context. To our knowledge, this is the first study conducted in an Asian mental health service that explores nurses' views about using comprehensive health checks for people with SMI. The findings suggest that such approaches are viewed as being acceptable, feasible, and potentially beneficial in the community mental health setting.

  5. The reliability of the physical examination to guide fluid therapy in adults with severe falciparum malaria: an observational study

    PubMed Central

    2013-01-01

    Background Adults with severe malaria frequently require intravenous fluid therapy to restore their circulating volume. However, fluid must be delivered judiciously as both under- and over-hydration increase the risk of complications and, potentially, death. As most patients will be cared for in a resource-poor setting, management guidelines necessarily recommend that physical examination should guide fluid resuscitation. However, the reliability of this strategy is uncertain. Methods To determine the ability of physical examination to identify hypovolaemia, volume responsiveness, and pulmonary oedema, clinical signs and invasive measures of volume status were collected independently during an observational study of 28 adults with severe malaria. Results The physical examination defined volume status poorly. Jugular venous pressure (JVP) did not correlate with intravascular volume as determined by global end diastolic volume index (GEDVI; rs = 0.07, p = 0.19), neither did dry mucous membranes (p = 0.85), or dry axillae (p = 0.09). GEDVI was actually higher in patients with decreased tissue turgor (p < 0.001). Poor capillary return correlated with GEDVI, but was present infrequently (7% of observations) and, therefore, insensitive. Mean arterial pressure (MAP) correlated with GEDVI (rs = 0.16, p = 0.002), but even before resuscitation patients with a low GEDVI had a preserved MAP. Anuria on admission was unrelated to GEDVI and although liberal fluid resuscitation led to a median hourly urine output of 100 ml in 19 patients who were not anuric on admission, four (21%) developed clinical pulmonary oedema subsequently. MAP was unrelated to volume responsiveness (p = 0.71), while a low JVP, dry mucous membranes, dry axillae, increased tissue turgor, prolonged capillary refill, and tachycardia all had a positive predictive value for volume responsiveness of ≤50%. Extravascular lung water ≥11 ml/kg indicating pulmonary oedema was

  6. The reliability of the physical examination to guide fluid therapy in adults with severe falciparum malaria: an observational study.

    PubMed

    Hanson, Josh; Lam, Sophia W K; Alam, Shamsul; Pattnaik, Rajyabardhan; Mahanta, Kishore C; Uddin Hasan, Mahatab; Mohanty, Sanjib; Mishra, Saroj; Cohen, Sophie; Day, Nicholas; White, Nicholas; Dondorp, Arjen

    2013-10-01

    Adults with severe malaria frequently require intravenous fluid therapy to restore their circulating volume. However, fluid must be delivered judiciously as both under- and over-hydration increase the risk of complications and, potentially, death. As most patients will be cared for in a resource-poor setting, management guidelines necessarily recommend that physical examination should guide fluid resuscitation. However, the reliability of this strategy is uncertain. To determine the ability of physical examination to identify hypovolaemia, volume responsiveness, and pulmonary oedema, clinical signs and invasive measures of volume status were collected independently during an observational study of 28 adults with severe malaria. The physical examination defined volume status poorly. Jugular venous pressure (JVP) did not correlate with intravascular volume as determined by global end diastolic volume index (GEDVI; r(s) = 0.07, p = 0.19), neither did dry mucous membranes (p = 0.85), or dry axillae (p = 0.09). GEDVI was actually higher in patients with decreased tissue turgor (p < 0.001). Poor capillary return correlated with GEDVI, but was present infrequently (7% of observations) and, therefore, insensitive. Mean arterial pressure (MAP) correlated with GEDVI (rs = 0.16, p = 0.002), but even before resuscitation patients with a low GEDVI had a preserved MAP. Anuria on admission was unrelated to GEDVI and although liberal fluid resuscitation led to a median hourly urine output of 100 ml in 19 patients who were not anuric on admission, four (21%) developed clinical pulmonary oedema subsequently. MAP was unrelated to volume responsiveness (p = 0.71), while a low JVP, dry mucous membranes, dry axillae, increased tissue turgor, prolonged capillary refill, and tachycardia all had a positive predictive value for volume responsiveness of ≤50%. Extravascular lung water ≥11 ml/kg indicating pulmonary oedema was present on 99 of the 353 times that it was assessed during the

  7. Gaze-based assistive technology in daily activities in children with severe physical impairments-An intervention study.

    PubMed

    Borgestig, Maria; Sandqvist, Jan; Ahlsten, Gunnar; Falkmer, Torbjörn; Hemmingsson, Helena

    2017-04-01

    To establish the impact of a gaze-based assistive technology (AT) intervention on activity repertoire, autonomous use, and goal attainment in children with severe physical impairments, and to examine parents' satisfaction with the gaze-based AT and with services related to the gaze-based AT intervention. Non-experimental multiple case study with before, after, and follow-up design. Ten children with severe physical impairments without speaking ability (aged 1-15 years) participated in gaze-based AT intervention for 9-10 months, during which period the gaze-based AT was implemented in daily activities. Repertoire of computer activities increased for seven children. All children had sustained usage of gaze-based AT in daily activities at follow-up, all had attained goals, and parents' satisfaction with the AT and with services was high. The gaze-based AT intervention was effective in guiding parents and teachers to continue supporting the children to perform activities with the AT after the intervention program.

  8. Severity of psychiatric and physical problems is associated with lower quality of life in methadone patients in Indonesia.

    PubMed

    Iskandar, Shelly; van Crevel, Reinout; Hidayat, Teddy; Siregar, Ike M P; Achmad, Tri H; van der Ven, Andre J; De Jong, Cor A

    2013-01-01

    The goal of methadone maintenance treatment (MMT) is to reduce the harm and to improve patients' quality of life (Qol). However, the Qol is also influenced by other co-occurring disorders. Data regarding the Qol and the co-occurrence of these disorders is lacking in low-middle income countries. We therefore describe the prevalence of physical, psychiatric, and drug abuse co-occurring disorders among MMT patients in Indonesia and determine the association between the severity of the co-occurring disorders and the Qol. Data were collected in 112 injection drug abusers (IDUs) attending a MMT program in West Java, Indonesia, using validated questionnaires, medical records and laboratory testing. For comparison, 154 IDUs not enrolled in MMT were recruited by respondent driven sampling. The most frequent co-occurring disorders were hepatitis C (92%), HIV (77%), benzodiazepine abuse (56%), and anxiety disorders (32%). IDUs in MMT had one (26%), two (47%), or three (27%) co-occurring disorders. Higher severity in psychiatric and physical problems was associated with poorer Qol. IDUs not enrolled in MMT had similar co-occurring problems. The prevalence of co-occurring disorders in IDUs in Indonesia is high and they influence their Qol. Therefore, comprehensive treatment, especially focusing on the common co-occurring disorders should be provided in MMT to improve the Qol. Copyright © American Academy of Addiction Psychiatry.

  9. Measuring Aspects of Morality

    ERIC Educational Resources Information Center

    Ziv, Avner

    1976-01-01

    A group test measuring five aspects of morality in children is presented. The aspects are: resistance to temptation, stage of moral judgment, confession after transgression, reaction of fear or guilt, and severity of punishment for transgression. (Editor)

  10. 14q12 and severe Rett-like phenotypes: new clinical insights and physical mapping of FOXG1-regulatory elements

    PubMed Central

    Allou, Lila; Lambert, Laetitia; Amsallem, Daniel; Bieth, Eric; Edery, Patrick; Destrée, Anne; Rivier, François; Amor, David; Thompson, Elizabeth; Nicholl, Julian; Harbord, Michael; Nemos, Christophe; Saunier, Aline; Moustaïne, Aissa; Vigouroux, Adeline; Jonveaux, Philippe; Philippe, Christophe

    2012-01-01

    The Forkhead box G1 (FOXG1) gene has been implicated in severe Rett-like phenotypes. It encodes the Forkhead box protein G1, a winged-helix transcriptional repressor critical for forebrain development. Recently, the core FOXG1 syndrome was defined as postnatal microcephaly, severe mental retardation, absent language, dyskinesia, and dysgenesis of the corpus callosum. We present seven additional patients with a severe Rett-like neurodevelopment disorder associated with de novo FOXG1 point mutations (two cases) or 14q12 deletions (five cases). We expand the mutational spectrum in patients with FOXG1-related encephalopathies and precise the core FOXG1 syndrome phenotype. Dysgenesis of the corpus callosum and dyskinesia are not always present in FOXG1-mutated patients. We believe that the FOXG1 gene should be considered in severely mentally retarded patients (no speech-language) with severe acquired microcephaly (−4 to−6 SD) and few clinical features suggestive of Rett syndrome. Interestingly enough, three 14q12 deletions that do not include the FOXG1 gene are associated with phenotypes very reminiscent to that of FOXG1-mutation-positive patients. We physically mapped a putative long-range FOXG1-regulatory element in a 0.43 Mb DNA segment encompassing the PRKD1 locus. In fibroblast cells, a cis-acting regulatory sequence located more than 0.6 Mb away from FOXG1 acts as a silencer at the transcriptional level. These data are important for clinicians and for molecular biologists involved in the management of patients with severe encephalopathies compatible with a FOXG1-related phenotype. PMID:22739344

  11. Proceedings of the workshop on nuclear and particle physics at energies up to 31 GeV: new and future aspects

    SciTech Connect

    Bowman, J.D.; Kisslinger, L.S.; Silbar, R.R.

    1981-03-01

    This report contains the proceedings of the LAMPF Workshop on Nuclear and Particle Physics at Energies up to 31 GeV, New and Future Aspects, held in Los Alamos, January 5 to 8, 1981. Included are invited talks and contributed papers covering recent developments in (a) weak and unified interactions (including discussions of neutrino oscillations), (b) the hadronic description of strong interactions, (c) the quark description of strong interactions, (d) hypernuclei, and (e) new facilities and proposed experiments. One of the motivations for the Workshop was to explore physics justifications for a future high-intensity proton accelerator in this energy regime. Separate abstracts were prepared for papers from this meeting. Six papers were previously included in the data base.

  12. [Clinical improvement after physical training in patient with severe postinfarction heart failure, who underwent prosthetic heart valve implantation and numerous coronary interventional procedures].

    PubMed

    Smolis Bąk, Edyta; Rymuza, Hanna; Zera, Tymoteusz; Kraska, Alicja; Dąbrowski, Rafał

    2012-01-01

    The case of patient with advanced congestive heart failure, NYHA III, of ischaemic and valvular aetiology and concomitant diseases is presented. Introduction of 6-month, controlled physical training resulted in improvement of health status, exercise performance, ventilation and left ventricular function. Quality of life got significantly better. This aspect of treatment should be considered in majority of patients with heart failure.

  13. Aspects That Concern Assessing Lower Secondary School Students at the Physics National Contest Exemplification for the 7th Grade

    ERIC Educational Resources Information Center

    Florian, Gabriel

    2014-01-01

    In the present article, we aim at analysing the results obtained by the 7th grade students who participated in the 50th edition of the Physics National Contest, which took place in Cluj-Napoca between the 6th and the 11th of April, 2014. Why have we chosen the 7th grade? One of the reasons is represented by the good results obtained by the…

  14. Association between the Family Nutrition and Physical Activity Screening Tool and obesity severity in youth referred to weight management.

    PubMed

    Tucker, Jared M; Howard, Kathleen; Guseman, Emily H; Yee, Kimbo E; Saturley, Heather; Eisenmann, Joey C

    The Family Nutrition and Physical Activity Screening Tool (FNPA) evaluates family behavioural and environmental factors associated with pediatric obesity, but it is unknown if FNPA scores differ among youth across obesity severities. Our aim was to determine the association between the FNPA and obesity severity in youth referred to weight management. Upon initiating treatment, height, weight, and the FNPA were collected according to standard procedures. Cut-points for overweight/obesity, severe obesity (SO) class 2, and SO class 3 were calculated. FNPA scores were compared across weight status groups using analysis of covariance, and odds of SO across FNPA quartiles were evaluated with multiple logistic regression. Participants included 564 5-18year old who initiated treatment and completed the FNPA. After adjustment, FNPA scores differed by weight status with higher/healthier scores in youth with overweight/obesity (56.6±8.5) when compared to those with SO class 2 (55.0±7.1; p=0.015) or SO class 3 (53.6±9.0; p<0.001). Compared to those in the highest FNPA quartile, youth in the 2nd quartile had 1.8 (95% CI: 1.1, 2.9) times higher odds of SO, and those in the lowest FNPA quartile had 2.1 (95% CI: 1.3, 3.4) times higher odds of SO. Youth with SO had unhealthier subscale scores among 6 of 10 constructs, including nutritional, physical activity, sedentary, and sleep behaviours. Results suggest a consistent inverse relationship between the FNPA and adiposity among youth presenting for weight management. The FNPA is a useful metric for programs and clinicians targeting family behaviours and the home environment to combat obesity. Copyright © 2016 Asia Oceania Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

  15. Structural and growth aspects of electron beam physical vapor deposited NiO-CeO{sub 2} nanocomposite films

    SciTech Connect

    Kuanr, Sushil Kumar; K, Suresh Babu

    2016-03-15

    Deposition of composite materials as thin film by electron beam physical vapor deposition technique (EB-PVD) still remains as a challenge. Here, the authors report the deposition of NiO-CeO{sub 2} (30/70 wt. %) composites on quartz substrate by EB-PVD. Two NiO-CeO{sub 2} nanocomposite targets—one as green compact and the other after sintering at 1250 °C—were used for the deposition. Though the targets varied with respect to physical properties such as crystallite size (11–45 nm) and relative density (44% and 96%), the resultant thin films exhibited a mean crystallite size in the range of 20–25 nm underlining the role of physical nature of deposition. In spite of the crystalline nature of the targets and similar elemental concentration, a transformation from amorphous to crystalline structure was observed in thin films on using sintered target. Postannealing of the as deposited film at 800 °C resulted in a polycrystalline structure consisting of CeO{sub 2} and NiO. Deposition using pure CeO{sub 2} or NiO as target resulted in the preferential orientation toward (111) and (200) planes, respectively, showing the influence of adatoms on the evaporation and growth process of NiO-CeO{sub 2} composite. The results demonstrate the influence of electron beam gun power on the adatom energy for the growth process of composite oxide thin films.

  16. Acrylamide formation from asparagine under low-moisture Maillard reaction conditions. 1. Physical and chemical aspects in crystalline model systems.

    PubMed

    Robert, Fabien; Vuataz, Gilles; Pollien, Philippe; Saucy, Françoise; Alonso, Maria-Isabelle; Bauwens, Isabelle; Blank, Imre

    2004-11-03

    The formation of acrylamide in crystalline model systems based on asparagine and reducing sugars was investigated under low-moisture reaction conditions. The acrylamide amounts were correlated with physical changes occurring during the reaction. Molecular mobility of the precursors turned out to be a critical parameter in solid systems, which is linked to the melting behavior and the release of crystallization water of the reaction sample. Heating binary mixtures of asparagine monohydrate and anhydrous reducing sugars led to higher acrylamide amounts in the presence of fructose compared to glucose. Differential scanning calorimetry measurements performed in open systems indicated melting of fructose at 126 degrees C, whereas glucose and galactose fused at 157 and 172 degrees C, respectively. However, glucose was the most reactive and fructose the least efficient sugar in anhydrous liquid systems, indicating that at given molecular mobility the chemical reactivity of the sugar was the major driver in acrylamide formation. Furthermore, reaction time and temperature were found to be covariant parameters: acrylamide was preferably formed by reacting glucose and asparagine at 120 degrees C for 60 min, whereas 160 degrees C was required at shorter reaction time (5 min). These results suggest that, in addition to the chemical reactivity of ingredients, their physical state as well as reaction temperature and time would influence the formation of acrylamide during food processing.

  17. Acute Effects of Three Neuromuscular Warm-Up Strategies on Several Physical Performance Measures in Football Players

    PubMed Central

    Ayala, Francisco; Calderón-López, Ana; Delgado-Gosálbez, Juan Carlos; Parra-Sánchez, Sergio; Pomares-Noguera, Carlos; Hernández-Sánchez, Sergio; López-Valenciano, Alejandro; De Ste Croix, Mark

    2017-01-01

    No studies have analysed the acute effects of the FIFA 11+ and Harmoknee warm-up programmes on major physical performance measures. The aim of this study was to analyse the acute (post-exercise) effects of the FIFA 11+, Harmoknee and dynamic warm-up routines on several physical performance measures in amateur football players. A randomized, crossover and counterbalanced study design was used to address the purpose of this study. A total of sixteen amateur football players completed the following protocols in a randomized order on separate days: a) FIFA 11+; b) Harmoknee; and c) dynamic warm-up (DWU). In each experimental session, 19 physical performance measures (joint range of motion, hamstring to quadriceps [H/Q] strength ratios, dynamic postural control, 10 and 20 m sprint times, jump height and reactive strength index) were assessed. Measures were compared via a magnitude-based inference analysis. The results of this study showed no main effects between paired comparisons (FIFA 11+ vs. DWU, Harmoknee vs. DWU and Harmoknee vs. FIFA 11+) for joint range of motions, dynamic postural control, H/Q ratios, jumping height and reactive strength index measures. However, significant main effects (likely effects with a probability of >75–99%) were found for 10 (1.7%) and 20 (2.4%) m sprint times, demonstrating that both the FIFA 11+ and Harmoknee resulted in slower sprint times in comparison with the DWU. Therefore, neither the FIFA 11+ nor the Harmoknee routines appear to be preferable to dynamic warm-up routines currently performed by most football players prior to training sessions and matches. PMID:28060927

  18. Acute Effects of Three Neuromuscular Warm-Up Strategies on Several Physical Performance Measures in Football Players.

    PubMed

    Ayala, Francisco; Calderón-López, Ana; Delgado-Gosálbez, Juan Carlos; Parra-Sánchez, Sergio; Pomares-Noguera, Carlos; Hernández-Sánchez, Sergio; López-Valenciano, Alejandro; De Ste Croix, Mark

    2017-01-01

    No studies have analysed the acute effects of the FIFA 11+ and Harmoknee warm-up programmes on major physical performance measures. The aim of this study was to analyse the acute (post-exercise) effects of the FIFA 11+, Harmoknee and dynamic warm-up routines on several physical performance measures in amateur football players. A randomized, crossover and counterbalanced study design was used to address the purpose of this study. A total of sixteen amateur football players completed the following protocols in a randomized order on separate days: a) FIFA 11+; b) Harmoknee; and c) dynamic warm-up (DWU). In each experimental session, 19 physical performance measures (joint range of motion, hamstring to quadriceps [H/Q] strength ratios, dynamic postural control, 10 and 20 m sprint times, jump height and reactive strength index) were assessed. Measures were compared via a magnitude-based inference analysis. The results of this study showed no main effects between paired comparisons (FIFA 11+ vs. DWU, Harmoknee vs. DWU and Harmoknee vs. FIFA 11+) for joint range of motions, dynamic postural control, H/Q ratios, jumping height and reactive strength index measures. However, significant main effects (likely effects with a probability of >75-99%) were found for 10 (1.7%) and 20 (2.4%) m sprint times, demonstrating that both the FIFA 11+ and Harmoknee resulted in slower sprint times in comparison with the DWU. Therefore, neither the FIFA 11+ nor the Harmoknee routines appear to be preferable to dynamic warm-up routines currently performed by most football players prior to training sessions and matches.

  19. Reports of severe physical punishment and exposure to animal cruelty by inmates convicted of felonies and by university students.

    PubMed

    Miller, K S; Knutson, J F

    1997-01-01

    A self-report questionnaire designed to assess abusive childhood environments and exposure to animal cruelty was administered to 314 inmates in a prisoner classification center. Although high rates of physical punishment characterized the entire sample, persons charged with violent, but nonhomicidal crimes reported more severely punitive childhood histories than those charged with homicidal crimes, sex offenses, and nonviolent offenses. Some exposure to animal cruelty was widespread in the sample, but there was no association between experiencing animal cruelty and the type of crime committed. Moreover, there were only modest associations between animal cruelty experiences and the aversive childhood histories of the subjects, as well as the subjects' reported use of physical and sexual coercion in dating and intimate relationships. To determine whether the high base rate of exposure to animal cruelty was unique to the incarcerated sample, a follow-up study was completed with university undergraduates. Widespread exposure to some animal cruelty was reported by undergraduates; there were modest associations between reporting animal cruelty and reporting punitive and acrimonious childhood histories. In general, the findings were consistent with the hypothesis that there is an association between punitive childhood histories and antisocial behavior but not consistent with the hypothesis that exposure to animal cruelty is importantly related to antisocial behavior or child maltreatment.

  20. SU-F-BRA-15: Physical Aspects and Clinical Applications of Post-Treatment Yttrium-90 PET-Based Dosimetry

    SciTech Connect

    Veltchev, I; Doss, M; Yu, J; Meyer, J; Ma, C; Fourkal, E

    2015-06-15

    Purpose: The accuracy of PET-based post-treatment dosimetry of yttrium-90 microspheres has been improving over the past decade and is now at a stage, permitting volumetric dose-outcome studies. We outline the recent advances and identify the physical limitations to the accuracy of the dose calculations. Methods: Convolution of the measured PET activity density distribution with a pre-calculated voxel-dose-kernel (VDK) is the most widely used method for dose reconstruction. Therefore, accurate knowledge of the beta+ branching ratio as well as the micro-dosimetric characteristics of electron interactions within the microsphere is essential for the computation of the dose kernel. We implement a model of the microspheres used in our clinic to calculate the modified electron energy spectrum at the microsphere’s surface and to determine the impact of self-shielding on the dose reconstruction. The three-dimensional dose distributions obtained for 10 patients treated with radio-embolization with yttrium-90 microspheres are evaluated and various DVH markers are investigated for correlation with outcome. Results: The methods for reducing the overall computation uncertainty are systematically outlined in this presentation. Since the latest experimental data on yttrium-90 beta+ branching ratio has a relative uncertainty of 1.5%, all contributing factors derived from Monte Carlo simulations must be brought to a sub 1% level. The self-shielding within the microspheres is found to be responsible for up to 6% reduction of the reconstructed dose in low-gradient regions and must be taken into account. The contribution of trace amounts of other beta+ emitters introduced during the manufacturing process is also discussed. Conclusion: The accelerating pace of clinical adoption of PET-based post-treatment dosimetry is mainly due to advances in both quantitative PET imaging and physical models of dose deposition. We show that the overall physical dose uncertainty in the convolution

  1. Psychological aspects of eating behavior as predictors of 10-y weight changes after surgical and conventional treatment of severe obesity: results from the Swedish Obese Subjects intervention study.

    PubMed

    Konttinen, Hanna; Peltonen, Markku; Sjöström, Lars; Carlsson, Lena; Karlsson, Jan

    2015-01-01

    There is a need for a better understanding of the factors that influence long-term weight outcomes after bariatric surgery. We examined whether pretreatment and posttreatment levels of cognitive restraint, disinhibition, and hunger and 1-y changes in these eating behaviors predict short- and long-term weight changes after surgical and conventional treatments of severe obesity. Participants were from an ongoing, matched (nonrandomized) prospective intervention trial of the Swedish Obese Subjects (SOS) study. The current analyses included 2010 obese subjects who underwent bariatric surgery and 1916 contemporaneously matched obese controls who received conventional treatment. Physical measurements (e.g., weight and height) and questionnaires (e.g., Three-Factor Eating Questionnaire) were completed before the intervention and 0.5, 1, 2, 3, 4, 6, 8, and 10 y after the start of the treatment. Structural equation modeling was used as the main analytic strategy. The surgery group lost more weight and reported greater decreases in disinhibition and hunger at 1- and 10-y follow-ups (all P < 0.001 in both sexes) than the control group did. Pretreatment eating behaviors were unrelated to subsequent weight changes in surgically treated patients. However, patients who had lower levels of 6-mo and 1-y disinhibition and hunger (β = 0.13-0.29, P < 0.01 in men; β = 0.11-0.28, P < 0.001 in women) and experienced larger 1-y decreases in these behaviors (β = 0.31-0.48, P < 0.001 in men; β = 0.24-0.51, P < 0.001 in women) lost more weight 2, 6, and 10 y after surgery. In control patients, larger 1-y increases in cognitive restraint predicted a greater 2-y weight loss in both sexes. A higher tendency to eat in response to various internal and external cues shortly after surgery predicted less-successful short- and long-term weight outcomes, making postoperative susceptibility for uncontrolled eating an important indicator of targeted interventions. © 2015 American Society for

  2. Prevalence and Factors Associated With Severe Physical Intimate Partner Violence Among U.S. Black Women: A Comparison of African American and Caribbean Blacks.

    PubMed

    Lacey, Krim K; West, Carolyn M; Matusko, Niki; Jackson, James S

    2016-05-01

    This study explored prevalence rates and factors associated with lifetime severe physical intimate partner violence among U.S. Black women. Data from the National Survey of American Life were examined. Rates of severe physical intimate partner violence were higher among African American women compared with U.S. Caribbean Black women. Risk factors associated with reported abuse were similar to those found in earlier studies but differed by ethnic backgrounds. Demographic, resource, and situational factors were associated with severe physical intimate partner violence among U.S. Black women in general but made unique contributions by ethnic group. Implications and suggestions for future studies were discussed. © The Author(s) 2015.

  3. Physical Fitness Guide.

    ERIC Educational Resources Information Center

    Fountain Valley School District, CA.

    GRADES OR AGES: No mention. SUBJECT MATTER: Physical education. ORGANIZATION AND PHYSICAL APPEARANCE: The guide is divided into several color-coded sections covering different aspects of the program. It is mimeographed and spiral-bound with a paper cover. OBJECTIVES AND ACTIVITIES: Activities are listed under the qualities or parts of the body…

  4. Mathematical and physical aspects of controlling the exact solutions of the 3D Gross-Pitaevskii equation

    NASA Astrophysics Data System (ADS)

    Fedele, Renato; Jovanović, Dušan; De Nicola, Sergio; Eliasson, Bengt; Shukla, Padma K.

    2010-01-01

    The possibility of the decomposition of the three-dimensional (3D) Gross-Pitaevskii equation (GPE) into a pair of coupled Schrödinger-type equations, is investigated. It is shown that, under suitable mathematical conditions, it is possible to construct the exact controlled solutions of the 3D GPE from the solutions of a linear 2D Schrödinger equation coupled with a 1D nonlinear Schrödinger equation (the transverse and longitudinal components of the GPE, respectively). The coupling between these two equations is the functional of the transverse and the longitudinal profiles. The applied method of nonlinear decomposition, called the controlling potential method (CPM), yields the full 3D solution in the form of the product of the solutions of the transverse and longitudinal components of the GPE. It is shown that the CPM constitutes a variational principle and sets up a condition on the controlling potential well. Its physical interpretation is given in terms of the minimization of the (energy) effects introduced by the control. The method is applied to the case of a parabolic external potential to construct analytically an exact BEC state in the form of a bright soliton, for which the quantitative comparison between the external and controlling potentials is presented.

  5. Physical and plasmachemical aspects of diffuse coplanar barrier discharge as a novel atmospheric-pressure plasma source

    NASA Astrophysics Data System (ADS)

    Cernak, M.; Kovacik, D.; Zahoranova, A.; Rahel, J.

    2008-07-01

    Collaborating Czech and Slovakian university teams have recently developed an innovative plasma source, the so-called Diffuse Coplanar Surface Barrier Discharge (DCSBD), which has the potential to move a step closer to the industry requirement for in-line treatment of low-added-value materials using a highly-nonequlibrium ambient air plasma (Simor et al. 2002, The idea is to generate a thin (on the order of 0.1 mm) layer of highly-nonequlibrium plasma with a high power density (up to 100 W/cm^3) in the immediate vicinity of the treated surface and bring it into a close contact with the treated surface. Comparing to atmospheric-pressure glow discharge, volume dielectric barrier discharge, and plasma jet plasmas, such a diffuse plasma layer is believed to provide substantial advantages in energy consumption, exposure time, and technical simplicity. A brief outline of physical mechanism and basic properties of DCSBD will given using the results of emission spectroscopy, high-speed camera, and spatially resolved cross-correlation spectroscopy studies. The presentation will review also a current state of the art in in-line plasma treatment of low-cost materials and opportunities for the use of the so-called Diffuse Coplanar Surface Dielectric Barrier Discharge (DCSBD). The results obtained on the ambient air plasma treatments of textile, paper, wood, and glass illustrate that DCSBD offers outstanding performance with extremely low energy consumption for large area, uniform surface modifications of materials under continuous process conditions.

  6. Aspects regarding the correlation between the physical-mechanical and tribological characteristics of composites materials reinforced with carbon fibers

    NASA Astrophysics Data System (ADS)

    Caliman, R.

    2017-08-01

    The purpose of this paper is to highlight a number of factors that influence the physical-mechanical and tribological characteristics of sintered composite materials. Such factors are grouped generally in two categories: technological parameters (pressure compacting, sintering temperature, sintering duration, heat treatment) and the receipt of sintered composite materials. In this paper is presented a program of experiments developed both in composite materials sintered polymer matrix (non-metallic) and in the metal matrix (eg., Al) which was prepared in advance a methodology original production and research for this particular type of materials. The experiments have focused development and testing of a number of 14 polymer composite and 5 composite sintered Al base, in both situations armed with carbon fiber in various forms. Tribological tests followed the establishment of the coefficient of friction and wear rate of the sliding speed at the constant values (v = 7.2 mm/s) and the normal load (N = 8 daN) and for different orientations of the fibers to the direction of sliding: normal (N type), parallel (P) and antiparallel-perpendicular (AP type).

  7. Outcome Measures for Persons With Moderate to Severe Traumatic Brain Injury: Recommendations From the American Physical Therapy Association Academy of Neurologic Physical Therapy TBI EDGE Task Force.

    PubMed

    McCulloch, Karen L; de Joya, Anna Lisa; Hays, Kaitlin; Donnelly, Erin; Johnson, Tammie Keller; Nirider, Coby D; Roth, Heidi; Saliga, Sue; Ward, Irene

    2016-10-01

    The use of standardized outcome measures (OMs) is essential in assessing the effectiveness of physical therapy (PT) interventions. The purposes of this article are (1) to describe the process used by the TBI EDGE task force to assess the psychometrics and clinical utility of OMs used with individuals with moderate to severe traumatic brain injury (TBI); (2) to describe the consensus recommendations for OM use in clinical practice, research, and professional (entry-level) PT education; and (3) to make recommendations for future work. An 8-member task force used a modified Delphi process to develop recommendations on the selection of OMs for individuals with TBI. A 4-point rating scale was used to make recommendations based on practice setting and level of ambulation. Recommendations for appropriateness for research use and inclusion in entry-level education were also provided. The TBI EDGE task force reviewed 88 OMs across the International Classification of Functioning, Disability, and Health (ICF) domains: 15 measured body functions/structure only, 21 measured activity only, 23 measured participation only, and 29 OMs covered more than 1 ICF domain. Recommendations made by the TBI EDGE task force provide clinicians, researchers, and educators with guidance for the selection of OMs. The use of these recommendations may facilitate identification of appropriate OMs in the population with moderate to severe TBI. TBI EDGE task force recommendations can be used by clinicians, researchers, and educators when selecting OMs for their respective needs. Future efforts to update the recommendations are warranted in order to ensure that recommendations remain current and applicable.Video Abstract available for more insights from the authors (see Supplemental Digital Content 1, http://links.lww.com/JNPT/A140).

  8. [On general physical aspects of a problem of in vivo effective detection and recognition of malignant cells].

    PubMed

    Namiot, V A; Kogan, E A

    2013-01-01

    A fundamentally new recognition method of bio-objects (in particular malignant cells) that escape the immune system supervision control is suggested. Recognition of such bio-objects should be carried out by the unified complex consisting of several molecular groups (for example, antibodies) bound to each other, each group identifies on a surface of this bio-object its target binding site. The choice of such targets is determined by a specific surface-antigen expression profiling. Thus the efficiency of recognition appears to be many times higher, than that in a situation when these molecular groups do not form a uniform complex and operate separately. The possibilities of destruction of such recognized cells are discussed.

  9. Morphological aspects and physical properties of enamel and dentine of Sus domesticus: A tooth model in laboratory research.

    PubMed

    Fagundes, Nathalia Carolina Fernandes; Cardoso, Miquéias André Gomes; Miranda, Mayara Sabrina Luz; Silva, Raira de Brito; Teixeira, Francisco Bruno; Nogueira, Bárbara Catarina Lima; Nogueira, Brenna Magdalena Lima; de Melo, Sara Elisama Silva; da Costa, Natacha Malu Miranda; Lima, Rafael Rodrigues

    2015-11-01

    This study aims to describe and analyze morphological and physical properties of deciduous teeth of Sus domesticus. Ultrastructural analysis, mineral composition and microhardness of enamel and dentine tissues were performed on 10 skulls of S. domesticus. External anatomic characteristics and the internal anatomy of the teeth were also described. Data regarding microhardness and ultrastructural analysis were subjected to statistical tests. For ultrastructural analysis, we used the analysis of variance (ANOVA) with Tukey's post hoc (p≤0.05) test. In the analysis of microhardness, the difference between the enamel and dentine tissues was analyzed by a Student's t test. Values were expressed as mean with standard error. The results of ultrastructural analysis showed the presence of an enamel prism pattern. A dentinal tubule pattern was also observed, with a larger diameter in the pulp chamber and the cervical third, in comparison to middle and apical thirds. We observed an average microhardness of 259.2kgf/mm(2) for enamel and 55.17kgf/mm(2) for dentine. In porcine enamel and dentine, the chemical elements Ca and P showed the highest concentration. The analysis of internal anatomy revealed the presence of a simple root canal system and the occurrence of main canals in the roots. The observed features are compatible with the functional demand of these animals, following a pattern very similar to that seen in other groups of mammals, which can encourage the development of research using dental elements from the pig as a substitute for human teeth in laboratory research. Copyright © 2015 Elsevier GmbH. All rights reserved.

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

    PubMed

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

    2017-03-01

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

  11. Temporal And Spatial Aspects Of River-Groundwater Exchange In The Regulated Rhone River (Switzerland) Using Chemical And Physical Tracers

    NASA Astrophysics Data System (ADS)

    Fette, M.; Wehrli, B.; Beer, J.

    2004-05-01

    Over the last two centuries most river systems in Central Europe have been regulated to improve flood protection. Large hydropower schemes were developed in the Swiss-Alps, which strongly modified the hydrological cycle. As a consequence of increasing number of flood events, the upgrading and renewal of flood protection dikes in the lowlands is often combined with river restoration projects today. Because this often involves removing or dislocating dikes, the planning and design of such projects under consideration of both flood protection and hydropower schemes should be based on a detailed knowledge of river-groundwater interactions. We test and apply a combination of different chemical and physical tracer methods to qualitatively and quantitatively approach these interactions in the channalised Rhone river reach upstreams of lake Geneva (Switzerland). With these tools we address a series of questions like: 1)Can the seasonality of delta-18O in precipitation be used to distinguish between the hydrological cycles above and below the catchment basin of the hydropower plants? 2)Can we quantify the water exchange between the river and the groundwater in the alluvial aquifer? 18O and sulphate as a tracer: Due to the geological situation -high altitude differences and the presence of gypsum in the Penninic nappes on the south side of the valley, 18O and sulphate concentrations prove to be the most effective parameters to study water exchange. Monitoring stable isotopes in precipitation of different altitudes shows more depleted signatures in winter than in summer. However, this pattern is reversed in the receiving river of the valley ground. The delta-18O winter values in the river (-13.3 to -14.2 permil) are more positive than in summer (-15.2 to -14.4 permil), with variations in delta-18O up to 0.8 permil. This means that the seasonality in the river water (more negative values in summer than in winter) is reversed in comparison to the seasonality in precipitation

  12. Effect of an oxygen plasma on the physical and chemical properties of several fluids for the Liquid Droplet Radiator

    NASA Technical Reports Server (NTRS)

    Gulino, Daniel A.; Coles, Carolyn E.

    1987-01-01

    The Liquid Droplet Radiator is one of several radiator systems currently under investigation by NASA Lewis Research Center. It involves the direct exposure of the radiator working fluid to the space environment. An area of concern is the potential harmful effects of the low-Earth-orbit atomic oxygen environment on the radiator working fluid. To address this issue, seven candidate fluids were exposed to an oxygen plasma environment in a laboratory plasma asher. The fluids studied included Dow Corning 705 Diffusion Pump Fluid, polymethylphenylsiloxane and polydimethylsiloxane, both of which are experimental fluids made by Dow Corning, Fomblin Z25, made by Montedison, and three fluids from the Krytox family of fluids, Krytox 143AB, 1502, and 16256, which are made by DuPont. The fluids were characterized by noting changes in visual appearance, physical state, mass, and infrared spectra. Of the fluids tested, the Fomblin and the three Krytoxes were the least affected by the oxygen plasma. The only effect noted was a change in mass, which was most likely due to an oxygen-catalyzed depolymerization of the fluid molecule.

  13. Classification of Activity Engagement in Individuals with Severe Physical Disabilities Using Signals of the Peripheral Nervous System

    PubMed Central

    Kushki, Azadeh; Andrews, Alexander J.; Power, Sarah D.; King, Gillian; Chau, Tom

    2012-01-01

    Communication barriers often result in exclusion of children and youth with disabilities from activities and social settings that are essential to their psychosocial development. In particular, difficulties in describing their experiences of activities and social settings hinder our understanding of the factors that promote inclusion and participation of this group of individuals. To address this specific communication challenge, we examined the feasibility of developing a language-free measure of experience in youth with severe physical disabilities. To do this, we used the activity of the peripheral nervous system to detect patterns of psychological arousal associated with activities requiring different patterns of cognitive/affective and interpersonal involvement (activity engagement). We demonstrated that these signals can differentiate among patterns of arousal associated with these activities with high accuracy (two levels: 81%, three levels: 74%). These results demonstrate the potential for development of a real-time, motor- and language-free measure for describing the experiences of children and youth with disabilities. PMID:22363432

  14. Effect of an oxygen plasma on the physical and chemical properties of several fluids for the liquid droplet radiator

    NASA Technical Reports Server (NTRS)

    Gulino, D. A.; Coles, C. E.

    1986-01-01

    The Liquid Droplet Radiator is one of several radiator systems currently under investigation by NASA Lewis Research Center. It involves the direct exposure of the radiator working fluid to the space environment. An area of concern is the potential harmful effects of the low-Earth-orbit atomic oxygen environment on the radiator working fluid. To address this issue, seven candidate fluids were exposed to an oxygen plasma environment in a laboratory plasma asher. The fluids studied included Dow Corning 705 Diffusion Pump Fluid, polymethylphenylsiloxane and polydimethlsiloxane, both of which are experimental fluids made by Dow Corning, Fomblin Z25, made by Montedison, and three fluids from the Krytox family of fluids, Krytox 143AB, 1502, and 16256, which are made by DuPont. The fluids were characterized by noting changes in visual appearance, physical state, mass, and infrared spectra. Of the fluids tested, the Fomblin and the three Krytoxes were the least affected by the oxygen plasma. The only effect noted was a change in mass, which was most likely due to an oxygen-catalyzed deploymerization of the fluid molecule.

  15. Effect of an oxygen plasma on the physical and chemical properties of several fluids for the Liquid Droplet Radiator

    NASA Technical Reports Server (NTRS)

    Gulino, Daniel A.; Coles, Carolyn E.

    1987-01-01

    The Liquid Droplet Radiator is one of several radiator systems currently under investigation by NASA Lewis Research Center. It involves the direct exposure of the radiator working fluid to the space environment. An area of concern is the potential harmful effects of the low-Earth-orbit atomic oxygen environment on the radiator working fluid. To address this issue, seven candidate fluids were exposed to an oxygen plasma environment in a laboratory plasma asher. The fluids studied included Dow Corning 705 Diffusion Pump Fluid, polymethylphenylsiloxane and polydimethylsiloxane, both of which are experimental fluids made by Dow Corning, Fomblin Z25, made by Montedison, and three fluids from the Krytox family of fluids, Krytox 143AB, 1502, and 16256, which are made by DuPont. The fluids were characterized by noting changes in visual appearance, physical state, mass, and infrared spectra. Of the fluids tested, the Fomblin and the three Krytoxes were the least affected by the oxygen plasma. The only effect noted was a change in mass, which was most likely due to an oxygen-catalyzed depolymerization of the fluid molecule.

  16. Sexual Aggression Experiences Among Male Victims of Physical Partner Violence: Prevalence, Severity, and Health Correlates for Male Victims and Their Children.

    PubMed

    Hines, Denise A; Douglas, Emily M

    2016-07-01

    Although research has documented the prevalence and health correlates of sexual aggression among women who have experienced severe partner violence (PV), no research has documented the parallel issues among male victims of severe PV. Research also suggests that children of female victims of both physical and sexual PV have worse mental health than children of female victims of physical PV only, but no research has assessed the mental health of children whose fathers experienced both physical and sexual PV. We surveyed 611 men who experienced physical PV from their female partners and sought help. We assessed the types and extent of various forms of PV, the men's mental and physical health, and the mental health of their oldest child. Results showed that almost half of the men experienced sexual aggression in their relationship, and 28 % severe sexual aggression. Increasing levels of severity of sexual aggression victimization was associated with greater prevalence and types of other forms of PV. In addition, greater levels of severity of sexual aggression victimization among the men was significantly associated with depression symptoms, post-traumatic stress disorder symptoms, physical health symptoms, and poor health, and attention deficit and affective symptoms among their children. These associations held after controlling for demographics and other violence and trauma exposure. Discussion focused on the importance of broadening our conceptualization of PV against men by women to include sexual aggression as well.

  17. Do changes in illness perceptions, physical activity, and behavioural regulation influence fatigue severity and health-related outcomes in CFS patients?

    PubMed

    De Gucht, V; Garcia, F K; den Engelsman, M; Maes, S

    2017-04-01

    Examine to what extent changes in cognitions and changes in physical activity and behavioural regulation patterns influence fatigue severity, physical symptoms, and physical and psychological functioning of patients suffering from Chronic Fatigue Syndrome (CFS) at follow-up. The present study is an observational longitudinal study with a 12-month follow-up. A total of 144 CFS patients participated both at baseline and at follow-up. Four separate hierarchical regression analyses were conducted with fatigue, physical symptoms, physical functioning and psychological functioning at follow-up as the dependent variables, and (changes in) illness perceptions and behavioural regulation patterns (all-or-nothing and limiting behaviour) as the independent variables. Data were collected making use of self-report questionnaires. Increased Consequence and Identity beliefs over time, as well as increases in all-or-nothing behaviour predicted higher fatigue severity at follow-up. Both number and severity of physical symptoms and psychological functioning at follow-up were only determined by changes in illness perceptions, with increased Consequence beliefs influencing both outcomes, and increased Timeline beliefs only determining physical symptoms. Physical functioning at follow-up was predicted by changes in illness perceptions as well as increased levels of both all-or-nothing and limiting behaviour. The findings point at a differential pattern of associations between changes in illness perceptions and behaviour regulation patterns on the one hand, and patient outcomes on the other hand. Whereas illness perceptions significantly contribute to each of the outcomes, behaviour regulation patterns contribute only to fatigue severity and physical functioning. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. Physical, Textural, and Antioxidant Properties of Extruded Waxy Wheat Flour Snack Supplemented with Several Varieties of Bran.

    PubMed

    Fleischman, Emily F; Kowalski, Ryan J; Morris, Craig F; Nguyen, Thuy; Li, Chongjun; Ganjyal, Girish; Ross, Carolyn F

    2016-09-28

    Wheat represents a ubiquitous commodity and although industries valorize 10% of wheat bran, most of this antioxidant-rich byproduct gets fed to livestock. The objective of this study was to incorporate wheat bran into an extruded snack. Bran samples from hard red spring, soft white club cv. Bruehl, and purple wheat lines were added to cv. Waxy-Pen wheat flour (Triticum aestivum L.) at replacement concentrations of 0%, 12.5%, 25%, and 37.5% (w/w; n = 10). Extrudates were evaluated for antioxidant capacity, color, and physical properties. Results showed that high fiber concentrations altered several pasting properties, reduced expansion ratios (P < 0.0001), and created denser products (P < 0.0001), especially for white bran supplemented extrudates. Purple bran supplemented extrudates produced harder products compared to white and red bran treatments (P < 0.0001). Extrudates produced with 37.5% (w/w) of each bran variety absorbed more water than the control with no added bran. The oxygen radical absorption capacity assay, expressed as Trolox Equivalents, showed that extrudates made with addition of red (37.5%) and purple (37.5%) bran had higher values compared to the other treatments; the control, red, and white bran treatments had less antioxidant activity after extrusion (P < 0.0001) compared to purple bran supplemented extrudates. Purple and red brans may serve as viable functional ingredients in extruded foods given their higher antioxidant activities. Future studies could evaluate how bran variety and concentration, extruded shape, and flavor influence consumer acceptance.

  19. Aspects of physical medicine and rehabilitation in the treatment of deconditioned patients in the acute care setting: the role of skeletal muscle.

    PubMed

    Quittan, Michael

    2016-02-01

    Skeletal muscles are essential for movement as well as for survival. Knowledge about the organ skeletal muscle is underrepresented. Ageing and multiple chronic diseases are accompanied by loss of muscle mass, termed "muscle wasting". Nevertheless, muscles are one of the target organs within the rehabilitation process. This review highlights the role of skeletal muscles from various aspects, diagnostic procedures to quantify muscle mass and strength and, most importantly, lists countermeasures to muscle wasting. Although structured and progressive strength training is the cornerstone in the treatment of muscle wasting, several other methods exist to slow down or reverse the process of muscle wasting. Among them are neuromuscular electrical stimulation and alternative exercise modes, positioning, stretching and, as an emerging field, drug therapy.

  20. Impact of COPD severity on physical disability and daily living activities: EDIP-EPOC I and EDIP-EPOC II studies.

    PubMed

    Rodriguez Gonzalez-Moro, J M; de Lucas Ramos, P; Izquierdo Alonso, J L; López-Muñiz Ballesteros, B; Antón Díaz, E; Ribera, X; Martín, A

    2009-05-01

    The severity of chronic obstructive pulmonary disease (COPD) is associated to patients' health-related quality of life (HRQL). Physical impairment increasingly affects daily activities creating economic, social and personal burden for patients and their families. This burden should be considered in the management of COPD patients; therefore, we intended to assess the impact of the disease severity on physical disability and daily activities. Two epidemiological observational cross-sectional descriptive studies were carried out in 1596 patients with moderate COPD and 2012 patients with severe or very severe COPD in the routine clinical practice. Demographic and basic clinical-epidemiological data were collected and patients completed questionnaires to assess their physical disability because of COPD [Medical Research Council (MRC)], COPD repercussion on daily activities [London Chest Activity of Daily Living (LCADL)], job, economy and family habits and their health status [EQ-5D visual analogue scale (VAS)]. In all, 37% of severe/very severe COPD patients and 10% of moderate (p < 0.0001) had MRC grades 4 and 5. Mean global LCADL was significantly higher in severe/very severe than in moderate patients [29.6 (CI 95%: 28.91-30.25) vs. 21.4 (CI 95%: 20.8-21.9); p < 0.0001]. COPD job impact and economic and family habits repercussions were significantly higher and health status significantly worse in severe/very severe cases than in patients with moderate COPD. COPD severity is highly associated with physical disability by MRC grading, with functionality on daily activities and with impairment of other social and clinical activities. Moderate COPD patients show already a significant degree of impairment in all these parameters.

  1. The association between childhood sexual and physical abuse with incident adult severe obesity across 13 years of the National Longitudinal Study of Adolescent Health

    PubMed Central

    Richardson, Andrea S.; Dietz, William H.; Gordon-Larsen, Penny

    2013-01-01

    Background Severe obesity has increased yet childhood antecedents of adult severe obesity are not well understood. Objective Estimate adult-onset severe obesity risk in individuals with history of childhood physical and/or sexual abuse compared to those who did not report abuse. Methods Longitudinal analysis of participants from the U.S. National Longitudinal Study of Adolescent Health (N=10,774) Wave II (1996; aged 12–22 years) followed through Wave IV (2008–09; aged 24–34 years). New cases of adult-onset severe obesity (BMI≥40 kg/m2 using measured height and weight) in individuals followed over 13 years who were not severely obese during adolescence (BMI <120% of 95th percentile CDC/NCHS growth curves). Results The combined occurrence of self-reported sexual and physical abuse during childhood was associated with an increased risk of incident severe obesity in adulthood in non-minority females (Hazard Ratio=2.5; 1.3, 4.8) and males (Hazard Ratio=3.6; 1.5, 8.5) compared to individuals with no history of abuse. Conclusion In addition to other social and emotional risks, exposure to sexual and physical abuse during childhood may increase risk of severe obesity later in life. Consideration of the confluence of childhood abuse might be considered as part of preventive and therapeutic approaches to address severe obesity. PMID:24115589

  2. The high prevalence of poor physical health and unhealthy lifestyle behaviours in individuals with severe mental illness.

    PubMed

    Scott, David; Happell, Brenda

    2011-01-01

    Recent mental health care policy has addressed the need for health care professionals to consider the physical health of consumers. Mental health nurses are particularly well-placed for this role. To provide mental health nurses with practical information, this narrative review summarises evidence from recent research on the physical health of individuals with Serious Mental Illness (SMI). In those with SMI, the international prevalence of obesity, the metabolic syndrome, diabetes mellitus, symptoms of cardiovascular disease, and respiratory disease all exceed that of the general population by at least two times, and HIV prevalence may be increased by as much as eight times. This increased prevalence of chronic disease may be largely responsible for an increased risk of death of up to five times, resulting in as much as 30 years of potential life lost. Of particular concern, the recent evidence suggests that for physical health and increased mortality, the gap between individuals with SMI and the general population is worsening. Unhealthy lifestyle behaviours undoubtedly play a role in the development of poor physical health and chronic disease, and the present review indicates that low physical activity, poor diet, smoking, alcohol and substance abuse, and risky sexual behaviour are common in individuals with SMI. This narrative review demonstrates that the prevalence of poor physical health and health behaviours in people with SMI far exceed that observed in the general population, and reinforces the urgent need for mental health nurses to address physical health concerns in patients.

  3. Cotreatment as a Vehicle for Interprofessional Collaborative Practice: Physical Therapists and Speech-Language Pathologists Collaborating in the Care of Children With Severe Disabilities.

    PubMed

    Sylvester, Lorraine; Ogletree, Billy T; Lunnen, Karen

    2017-05-17

    This article defines interprofessional collaborative practice and links its key features with accepted practice conceptualizations of physical therapy. Cotreatment with speech-language pathology is described as a vehicle for interprofessional collaborative practice for children with severe disabilities. The article reviews the International Classification of Functioning, Disability, and Health (WHO, 2015) and the Hypothesis-Oriented Algorithm for Clinicians II (Rothstein, Echternach, & Riddle, 2003) as existing service-delivery frameworks in physical therapy and discusses how interprofessional collaborative practice between speech-language pathologists and physical therapists can be useful within these practice guidelines. A case illustration featuring interprofessional collaborative practice during cotreatment for a child with severe disabilities through physical therapy and speech-language pathology showed more seamless care and better progress in the pursuit of three main goals: physical movement, communication of needs, and participation in classroom activities. Interprofessional collaborative practice is supported as a recommended practice methodology for physical therapists and speech-language pathologists serving persons with severe disabilities.

  4. Regulatory aspects

    NASA Astrophysics Data System (ADS)

    Stern, Arthur M.

    1986-07-01

    At this time, there is no US legislation that is specifically aimed at regulating the environmental release of genetically engineered organisms or their modified components, either during the research and development stage or during application. There are some statutes, administered by several federal agencies, whose language is broad enough to allow the extension of intended coverage to include certain aspects of biotechnology. The one possible exception is FIFRA, which has already brought about the registration of several natural microbial pesticides but which also has provision for requiring the registration of “strain improved” microbial pesticides. Nevertheless, there may be gaps in coverage even if all pertinent statutes were to be actively applied to the control of environmental release of genetically modified substances. The decision to regulate biotechnology under TSCA was justified, in part, on the basis of its intended role as a gap-filling piece of environmental legislation. The advantage of regulating biotechnology under TSCA is that this statute, unlike others, is concerned with all media of exposure (air, water, soil, sediment, biota) that may pose health and environmental hazards. Experience may show that extending existing legislation to regulate biotechnology is a poor compromise compared to the promulgation of new legislation specifically designed for this purpose. It appears that many other countries are ultimately going to take the latter course to regulate biotechnology.

  5. Respiratory, physical, and psychological benefits of breath-focused yoga for adults with severe traumatic brain injury (TBI): a brief pilot study report.

    PubMed

    Silverthorne, Colin; Khalsa, Sat Bir S; Gueth, Robin; DeAvilla, Nicole; Pansini, Janie

    2012-01-01

    This pilot study was designed to identify the potential benefits of breath-focused yoga on respiratory, physical, and psychological functioning for adults with severe traumatic brain injury (TBI). Ten individuals with severe TBI who self-selected to attend weekly yoga classes and 4 no-treatment controls were evaluated. Participants were assessed at pretreatment baseline and at 3-month intervals for a total of 4 time points over 40 weeks. Outcomes of interest included observed exhale strength, ability to hold a breath or a tone, breathing rate, counted breaths (inhale and exhale), and heart rate, as well as self-reported physical and psycho-logical well-being. Repeated within-group analyses of variance revealed that the yoga group demonstrated significant longitudinal change on several measures of observed respiratory functioning and self-reported physical and psychological well-being over a 40-week period. Those in the control group showed marginal improvement on 2 of the 6 measures of respiratory health, physical and social functioning, emotional well-being, and general health. The small sample sizes precluded the analysis of between group differences. This study provides preliminary evidence that breath-focused yoga may improve respiratory functioning and self-perceived physical and psychological well-being of adults with severe TBI.

  6. The chasm of care: Where does the mental health nursing responsibility lie for the physical health care of people with severe mental illness?

    PubMed

    Wynaden, Dianne; Heslop, Brett; Heslop, Karen; Barr, Lesley; Lim, Eric; Chee, Gin-Liang; Porter, James; Murdock, Jane

    2016-12-01

    The poor physical health of people with a severe mental illness is well documented and health professionals' attitudes, knowledge and skills are identified factors that impact on clients' access to care for their physical health needs. An evaluation was conducted to determine: (i) mental health nurses' attitudes and beliefs about providing physical health care; and, (ii) the effect that participant demographics may have on attitudes to providing physical health care. It was hypothesized that workplace culture would have the largest effect on attitudes. Nurses at three health services completed the "Mental health nurses' attitude towards the physical health care of people with severe and enduring mental illness survey" developed by Robson and Haddad (2012). The 28-item survey measured: nurses' attitudes, confidence, identified barriers to providing care and attitudes towards clients smoking cigarettes. The findings demonstrated that workplace culture did influence the level of physical health care provided to clients. However, at the individual level, nurses remain divided and uncertain where their responsibilities lie. Nursing leadership can have a significant impact on improving clients' physical health outcomes. Education is required to raise awareness of the need to reduce cigarette smoking in this client population.

  7. Physics and Physics Education at Clarion University

    NASA Astrophysics Data System (ADS)

    Aravind, Vasudeva

    Clarion University is located in the rolling hills of western Pennsylvania. We are a primarily undergraduate public institution serving about 6000 students. We graduate students who take different career paths, one of them being teaching physics at high schools. Since educating teachers of tomorrow requires us to introduce currently trending, research proven pedagogical methods, we incorporate several aspects of physics pedagogies such as peer instruction, flipped classroom and hands on experimentation in a studio physics lab format. In this talk, I discuss some of our projects on physics education, and seek to find potential collaborators interested in working along similar lines.

  8. An investigation of several aspects of LANDSAT-5 data quality. [Palmer County, Shelby, mt; White sands, NM; Great Salt Lake, UT; San Matted Bridge and Sacramento, California

    NASA Technical Reports Server (NTRS)

    Wrigley, R. C. (Principal Investigator)

    1984-01-01

    Band-to-band registration, geodetic registration, interdector noise, and the modulation transfer function (MTE) are discussed for the Palmer County; TX scene. Band combinations for several LANDSAT 4 and LANDSAT 5 scenes; the geodetic registration test for the Sacramento, CA area; periodic noise components in TM band 5; and grey level measurements by detector for Great Salt Lake (UT) dark water forescans and backscans are considered. Results of MTF analyses of the San Mateo Bridge and of TM high resolution and aerial Daedalus scanner imagery are consistent and appear to be repeatable. An oil-on-sand target was constructed on the White Sands Missile Range in New Mexico. The two-image analysis procedure used is summarized.

  9. Physics-aspects of dose accuracy in high dose rate (HDR) brachytherapy: source dosimetry, treatment planning, equipment performance and in vivo verification techniques

    PubMed Central

    Bradley, David; Nisbet, Andrew

    2012-01-01

    This study provides a review of recent publications on the physics-aspects of dosimetric accuracy in high dose rate (HDR) brachytherapy. The discussion of accuracy is primarily concerned with uncertainties, but methods to improve dose conformation to the prescribed intended dose distribution are also noted. The main aim of the paper is to review current practical techniques and methods employed for HDR brachytherapy dosimetry. This includes work on the determination of dose rate fields around brachytherapy sources, the capability of treatment planning systems, the performance of treatment units and methods to verify dose delivery. This work highlights the determinants of accuracy in HDR dosimetry and treatment delivery and presents a selection of papers, focusing on articles from the last five years, to reflect active areas of research and development. Apart from Monte Carlo modelling of source dosimetry, there is no clear consensus on the optimum techniques to be used to assure dosimetric accuracy through all the processes involved in HDR brachytherapy treatment. With the exception of the ESTRO mailed dosimetry service, there is little dosimetric audit activity reported in the literature, when compared with external beam radiotherapy verification. PMID:23349649

  10. Physics-aspects of dose accuracy in high dose rate (HDR) brachytherapy: source dosimetry, treatment planning, equipment performance and in vivo verification techniques.

    PubMed

    Palmer, Antony; Bradley, David; Nisbet, Andrew

    2012-06-01

    This study provides a review of recent publications on the physics-aspects of dosimetric accuracy in high dose rate (HDR) brachytherapy. The discussion of accuracy is primarily concerned with uncertainties, but methods to improve dose conformation to the prescribed intended dose distribution are also noted. The main aim of the paper is to review current practical techniques and methods employed for HDR brachytherapy dosimetry. This includes work on the determination of dose rate fields around brachytherapy sources, the capability of treatment planning systems, the performance of treatment units and methods to verify dose delivery. This work highlights the determinants of accuracy in HDR dosimetry and treatment delivery and presents a selection of papers, focusing on articles from the last five years, to reflect active areas of research and development. Apart from Monte Carlo modelling of source dosimetry, there is no clear consensus on the optimum techniques to be used to assure dosimetric accuracy through all the processes involved in HDR brachytherapy treatment. With the exception of the ESTRO mailed dosimetry service, there is little dosimetric audit activity reported in the literature, when compared with external beam radiotherapy verification.

  11. Oil spill vulnerability assessment integrating physical, biological and socio-economical aspects: application to the Cantabrian coast (Bay of Biscay, Spain).

    PubMed

    Castanedo, S; Juanes, J A; Medina, R; Puente, A; Fernandez, F; Olabarrieta, M; Pombo, C

    2009-10-01

    A methodology has been developed to carry out an integrated oil spill vulnerability index, V, for coastal environments. This index takes into account the main physical, biological and socio-economical characteristics by means of three intermediate indexes. Three different integration methods (worst-case, average and survey-based) along with ESI-based vulnerability scores, V(ESI), proposed for the Cantabrian coast during the Prestige oil spill, have been analyzed and compared in terms of agreement between the classifications obtained with each one for this coastal area. Results of this study indicate that the use of the worst-case index, V(R), leads to a conservative ranking, with a very poor discrimination which is not helpful in coastal oil spill risk management. Due to the homogeneity of this coastal stretch, the rest of the methods, V(I), V(M) and V(ESI), provide similar classifications. However, V(M) and V(I) give more flexibility allowing three indexes for each coastal segment and including socio-economic aspects. Finally, the V(I) procedure is proposed here as the more advisable as using this index promotes the public participation that is a key element in the implementation of Integrated Coastal Zone Management (IZCM).

  12. Physics.

    ERIC Educational Resources Information Center

    Bromley, D. Allan

    1980-01-01

    The author presents the argument that the past few years, in terms of new discoveries, insights, and questions raised, have been among the most productive in the history of physics. Selected for discussion are some of the most important new developments in physics research. (Author/SA)

  13. Physics.

    ERIC Educational Resources Information Center

    Bromley, D. Allan

    1980-01-01

    The author presents the argument that the past few years, in terms of new discoveries, insights, and questions raised, have been among the most productive in the history of physics. Selected for discussion are some of the most important new developments in physics research. (Author/SA)

  14. Hydrodynamic characteristics over a range of speeds up to 80 feet per second of a rectangular modified flat plate having an aspect ratio of 0.25 and operating at several depths of submersion

    NASA Technical Reports Server (NTRS)

    Vaughan, Victor L , Jr; Ramsen, John A

    1957-01-01

    Results of an investigation of the hydrodynamic characteristics over an extended speed range of a rectangular modified flat plate having an aspect ratio of 0.25 and operating at several depths of submersion are presented. Comparisons between these data and data over a lower speed range on a similar aspect-ratio-0.25 flat plate but having one-half the thickness are presented. These comparisons show no significant differences at the low speeds. At high speeds and high angles of attack, where extensive cavitation was present, the lift coefficients were lower than would have been indicated by the results of the previous investigations and the present investigation at the lower angles of attack. A brief discussion and comparison of ventilation are presented which shows two types of planing bubble formation and the effect of increasing the thickness of the model on the ventilation boundary.

  15. The Mental Health Recovery Measure Can Be Used to Assess Aspects of Both Customer-Based and Service-Based Recovery in the Context of Severe Mental Illness

    PubMed Central

    Oliveira-Maia, Albino J.; Mendonça, Carina; Pessoa, Maria J.; Camacho, Marta; Gago, Joaquim

    2016-01-01

    Within clinical psychiatry, recovery from severe mental illness (SMI) has classically been defined according to symptoms and function (service-based recovery). However, service-users have argued that recovery should be defined as the process of overcoming mental illness, regaining self-control and establishing a meaningful life (customer-based recovery). Here, we aimed to compare customer-based and service-based recovery and clarify their differential relationship with other constructs, namely needs and quality of life. The study was conducted in 101 patients suffering from SMI, recruited from a rural community mental health setting in Portugal. Customer-based recovery and function-related service-based recovery were assessed, respectively, using a shortened version of the Mental Health Recovery Measure (MHRM-20) and the Global Assessment of Functioning score. The Camberwell Assessment of Need scale was used to objectively assess needs, while subjective quality of life was measured with the TL-30s scale. Using multiple linear regression models, we found that the Global Assessment of Functioning score was incrementally predictive of the MHRM-20 score, when added to a model including only clinical and demographic factors, and that this model was further incremented by the score for quality of life. However, in an alternate model using the Global Assessment of Functioning score as the dependent variable, while the MHRM-20 score contributed significantly to the model when added to clinical and demographic factors, the model was not incremented by the score for quality of life. These results suggest that, while a more global concept of recovery from SMI may be assessed using measures for service-based and customer-based recovery, the latter, namely the MHRM-20, also provides information about subjective well-being. Pending confirmation of these findings in other populations, this instrument could thus be useful for comprehensive assessment of recovery and subjective

  16. The Mental Health Recovery Measure Can Be Used to Assess Aspects of Both Customer-Based and Service-Based Recovery in the Context of Severe Mental Illness.

    PubMed

    Oliveira-Maia, Albino J; Mendonça, Carina; Pessoa, Maria J; Camacho, Marta; Gago, Joaquim

    2016-01-01

    Within clinical psychiatry, recovery from severe mental illness (SMI) has classically been defined according to symptoms and function (service-based recovery). However, service-users have argued that recovery should be defined as the process of overcoming mental illness, regaining self-control and establishing a meaningful life (customer-based recovery). Here, we aimed to compare customer-based and service-based recovery and clarify their differential relationship with other constructs, namely needs and quality of life. The study was conducted in 101 patients suffering from SMI, recruited from a rural community mental health setting in Portugal. Customer-based recovery and function-related service-based recovery were assessed, respectively, using a shortened version of the Mental Health Recovery Measure (MHRM-20) and the Global Assessment of Functioning score. The Camberwell Assessment of Need scale was used to objectively assess needs, while subjective quality of life was measured with the TL-30s scale. Using multiple linear regression models, we found that the Global Assessment of Functioning score was incrementally predictive of the MHRM-20 score, when added to a model including only clinical and demographic factors, and that this model was further incremented by the score for quality of life. However, in an alternate model using the Global Assessment of Functioning score as the dependent variable, while the MHRM-20 score contributed significantly to the model when added to clinical and demographic factors, the model was not incremented by the score for quality of life. These results suggest that, while a more global concept of recovery from SMI may be assessed using measures for service-based and customer-based recovery, the latter, namely the MHRM-20, also provides information about subjective well-being. Pending confirmation of these findings in other populations, this instrument could thus be useful for comprehensive assessment of recovery and subjective

  17. A Pilot Program in Creative Growth for Severely Physically Handicapped Secondary Students of the Human Resources School, Albertson, New York: A Descriptive Study.

    ERIC Educational Resources Information Center

    Gamble, Michael W.

    A creative drama program for eight secondary school aged severely physically handicapped students is described. The 20-session program is explained to have focused on effective communication through such drama activities as sensory exploration tasks, poetry, pantomime and improvisation. Space and time limitations of the program are cited. (CL)

  18. Psychological Factors Associated with Weight Loss in Obese and Severely Obese Women in a Behavioral Physical Activity Intervention

    ERIC Educational Resources Information Center

    Annesi, James J.; Whitaker, Ann C.

    2010-01-01

    The behavioral processes of weight reduction are poorly understood, and responses to treatments based primarily on caloric restriction have been unfavorable. A theory-based path derived from proposed relations of physical activity, changes in psychological factors, and weight loss was separately tested with women with Class I and Class II obesity…

  19. Organizational Citizenship Levels of Academicians in Terms of Several Variables: The Sample of Physical Education and Sports Sciences

    ERIC Educational Resources Information Center

    Aydin, Ali Dursun

    2015-01-01

    This study is performed with 176 academicians working in the institutions related to physical education and sports at universities. It aims to analyze organizational citizenship behaviours of academic personnel about the institutions they have been working in. Descriptive survey model was used, along with demographic data like gender, marital…

  20. Psychological Factors Associated with Weight Loss in Obese and Severely Obese Women in a Behavioral Physical Activity Intervention

    ERIC Educational Resources Information Center

    Annesi, James J.; Whitaker, Ann C.

    2010-01-01

    The behavioral processes of weight reduction are poorly understood, and responses to treatments based primarily on caloric restriction have been unfavorable. A theory-based path derived from proposed relations of physical activity, changes in psychological factors, and weight loss was separately tested with women with Class I and Class II obesity…

  1. Effects of a Peer Tutor Training Program on Tutors and Tutees with Severe Disabilities in Adapted Physical Education

    ERIC Educational Resources Information Center

    Vonlintel, Drew James

    2015-01-01

    This dissertation examines the efficacy of peer tutor training in adapted physical education (APE). A peer tutor evaluation form was created to assess the skills of untrained peer tutors (n = 12). Once skills were assessed, a peer tutor training protocol was created. The protocol was implemented in a peer tutor training program. After peer tutors…

  2. Attention Problems Mediate the Association between Severity of Physical Abuse and Aggressive Behavior in a Sample of Maltreated Early Adolescents

    ERIC Educational Resources Information Center

    Garrido, Edward F.; Taussig, Heather N.; Culhane, Sara E.; Raviv, Tali

    2011-01-01

    Empirical evidence has accumulated documenting an association between childhood physical abuse and aggressive behavior. Relatively fewer studies have explored possible mediating mechanisms that may explain this association. The purpose of the current study was to examine whether caregiver- and youth-reported attention problems mediate the…

  3. Applying Universal Design for Learning and the Inclusion Spectrum for Students with Severe Disabilities in General Physical Education

    ERIC Educational Resources Information Center

    Grenier, Michelle; Miller, Nancy; Black, Ken

    2017-01-01

    General physical education (GPE) affords many opportunities for students with and without disabilities to interact and develop positive peer relationships. This case study describes one teacher's use of collaborative practices, universal design for learning (UDL), and the inclusion spectrum to create an accessible learning environment in which the…

  4. Organizational Citizenship Levels of Academicians in Terms of Several Variables: The Sample of Physical Education and Sports Sciences

    ERIC Educational Resources Information Center

    Aydin, Ali Dursun

    2015-01-01

    This study is performed with 176 academicians working in the institutions related to physical education and sports at universities. It aims to analyze organizational citizenship behaviours of academic personnel about the institutions they have been working in. Descriptive survey model was used, along with demographic data like gender, marital…

  5. Attention Problems Mediate the Association between Severity of Physical Abuse and Aggressive Behavior in a Sample of Maltreated Early Adolescents

    ERIC Educational Resources Information Center

    Garrido, Edward F.; Taussig, Heather N.; Culhane, Sara E.; Raviv, Tali

    2011-01-01

    Empirical evidence has accumulated documenting an association between childhood physical abuse and aggressive behavior. Relatively fewer studies have explored possible mediating mechanisms that may explain this association. The purpose of the current study was to examine whether caregiver- and youth-reported attention problems mediate the…

  6. Effects of a Peer Tutor Training Program on Tutors and Tutees with Severe Disabilities in Adapted Physical Education

    ERIC Educational Resources Information Center

    Vonlintel, Drew James

    2015-01-01

    This dissertation examines the efficacy of peer tutor training in adapted physical education (APE). A peer tutor evaluation form was created to assess the skills of untrained peer tutors (n = 12). Once skills were assessed, a peer tutor training protocol was created. The protocol was implemented in a peer tutor training program. After peer tutors…

  7. Adopting and maintaining physical activity behaviours in people with severe mental illness: The importance of autonomous motivation.

    PubMed

    Vancampfort, Davy; Stubbs, Brendon; Venigalla, Sumanth Kumar; Probst, Michel

    2015-12-01

    Physical activity can improve the health of people with serious mental illness (SMI) but many are inactive. Adopting theoretically-based research considering the motivational processes linked to the adoption and maintenance of an active lifestyle between different diagnostic groups of people with SMI can assist in understanding physical activity in this group. Within the Self-Determination Theory (SDT) and the Trans-Theoretical Model (TTM) (stages of change) frameworks, we investigated differences in motives for physical activity between different diagnostic groups. All participants completed the Behavioral Regulation in Exercise Questionnaire 2 (BREQ-2), the International Physical Activity Questionnaire (IPAQ) and the Patient-centered Assessment and Counseling for Exercise (PACE) questionnaire. Overall 294 persons with SMI (190♀) (43.6 ± 13.6 years) agreed to participate. People with affective disorders had higher levels of introjected regulations than people with schizophrenia. No significant differences were found for other motivational regulations. Moreover, no significant differences were found according to gender, setting and educational level. Multivariate analyses showed significantly higher levels of amotivation and external regulations and lower levels of identified and intrinsic regulations in the earlier stages of change. Strongest correlations with the IPAQ were found for motivational regulations towards walking. Our results suggest that in all people with SMI the level of identified and intrinsic motivation may play an important role in the adoption and maintenance of health promoting behaviours. The study provides a platform for future research to investigate the relationships between autonomy support, motivational regulations and physical and mental health variables within lifestyle interventions for this population. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. Symptoms of Depression Are Associated With Opioid Use Regardless of Pain Severity and Physical Functioning Among Treatment-Seeking Patients With Chronic Pain.

    PubMed

    Goesling, Jenna; Henry, Matthew J; Moser, Stephanie E; Rastogi, Mohit; Hassett, Afton L; Clauw, Daniel J; Brummett, Chad M

    2015-09-01

    Depression may be a critical factor in the initiation and maintenance of opioids. This study investigated the association among opioid use, pain, and depression in patients evaluated at a university-based outpatient pain clinic. Of the 2,104 new patients included, 55.89% reported current opioid use and showed a worse phenotypic profile (eg, higher pain severity, worse physical functioning) compared with nonopioid users. In addition, more opioid users reported symptoms suggestive of depression than those not taking opioids (43.6% vs 26.8%, P < .001). In a multivariate logistic regression model, increased pain severity was associated with increased probability of taking opioids; however, this was moderated by depression (estimate = -.212, P < .001). For nondepressed patients, the predicted probabilities of opioid use increased as pain severity increased. In contrast, among patients with symptoms of depression, the probability of taking opioids did not change based on pain severity. Similarly, although increased physical function was associated with increased probability of opioid use, this was moderated by depression (estimate = .033, P = .034). Patients with symptoms of depression were more likely to be taking opioids at higher levels of functioning (Ps < .03). Perspective: This study investigated the association among opioid use, pain, and depression at a university-based outpatient pain clinic. Depression emerged as a moderator of the relationship among opioid use, pain severity, and physical functioning. These findings lend support to the hypothesis that patients may be self-medicating affective pain with opioids.

  9. Mental health nurses' attitudes towards the physical health care of people with severe and enduring mental illness: the development of a measurement tool.

    PubMed

    Robson, Debbie; Haddad, Mark

    2012-01-01

    It is well established that people with schizophrenia and related serious mental illnesses die prematurely and have significantly higher medical co-morbidity compared with the general population. Mental health nurses have a key role in improving the physical health of patients but their attitudes to this aspect of their role have not been systematically examined. To develop and validate a measure of mental nurses' attitudes towards physical health care. The measurement tool was developed from a literature review, focus groups and responses to a postal questionnaire. All registered nursing staff working within a NHS mental health trust in the UK were sent the questionnaire and 585 (52%) staff responded. Completed questionnaires were analysed by standard descriptive statistical methods. Exploratory factor analysis (principal component analysis) was used to examine and reduce attitude items to a coherent and parsimonious scale. A 28-item measure comprised of four factors accounted for 42% of the variance. The factor solution appeared to provide meaningful dimensions, and the internal consistency of the measure and of its derived subscales was adequate (Cronbach's alpha between 0.76 and 0.61). The factors were labelled nurses' attitudes to involvement in physical health care; nurses' confidence in delivering physical health care; perceived barriers to physical health care delivery and nurses' attitudes to smoking. Validity was established by associations between the total scale and subscales with pre-determined respondent variables. The Physical Health Attitude Scale for mental health nurses (PHASe) is a first attempt to develop a valid and reliable measure of this important area. The initial development methods and its testing in a large sample provide indications of content and construct validity. Further testing in different samples and consequent refinement are necessary, however the PHASe appears to be a useful tool for measuring attitudes among this professional

  10. The association between childhood sexual and physical abuse with incident adult severe obesity across 13 years of the National Longitudinal Study of Adolescent Health.

    PubMed

    Richardson, A S; Dietz, W H; Gordon-Larsen, P

    2014-10-01

    Severe obesity has increased, yet childhood antecedents of adult severe obesity are not well understood. Estimate adult-onset severe obesity risk in individuals with history of childhood physical and/or sexual abuse compared with those who did not report abuse. Longitudinal analysis of participants from the US National Longitudinal Study of Adolescent Health (n = 10,774) wave II (1996; aged 12-22 years) followed through wave IV (2008-2009; aged 24-34 years). New cases of adult-onset severe obesity (body mass index [BMI] ≥ 40 kg/m2 using measured height and weight) in individuals followed over 13 years who were not severely obese during adolescence (BMI <120% of 95th percentile Centers for Disease Control and Prevention National Center for Health Statistics growth curves). The combined occurrence of self-reported sexual and physical abuse during childhood was associated with an increased risk of incident severe obesity in adulthood in non-minority females (hazard ratio [HR; 95% Confidence Interval] = 2.5; 1.3, 4.8) and males (HR = 3.6; 1.5, 8.5) compared with individuals with no history of abuse. In addition to other social and emotional risks, exposure to sexual and physical abuse during childhood may increase risk of severe obesity later in life. Consideration of the confluence of childhood abuse might be considered as part of preventive and therapeutic approaches to address severe obesity. © 2013 The Authors. Pediatric Obesity © 2013 International Association for the Study of Obesity.

  11. Independent and joint associations of physical activity and fitness with fibromyalgia symptoms and severity: The al-Ándalus project.

    PubMed

    Segura-Jiménez, Víctor; Soriano-Maldonado, Alberto; Estévez-López, Fernando; Álvarez-Gallardo, Inmaculada C; Delgado-Fernández, Manuel; Ruiz, Jonatan R; Aparicio, Virginia A

    2016-09-12

    We examined independent and joint associations of objectively measured physical activity (PA) and physical fitness (PF) with pain, fatigue and the overall impact of fibromyalgia in 386 fibromyalgia women aged 51.2 ± 7.6 years. Levels of PA (light, moderate and vigorous) and PF were measured with triaxial accelerometry and the Senior Fitness Test, respectively. We used the Short-Form health survey-36 pain sub-scale and the Multidimensional Fatigue Inventory to assess pain and multiple dimensions of fatigue, respectively. The impact of fibromyalgia was studied with the Revised Fibromyalgia Impact Questionnaire (FIQR). Both, total PA and global PF were independently associated with pain pressure threshold, SF-36 pain, reduced activity, reduced motivation and FIQR total score (all, P ≤ 0.027). The associations between total PA and symptoms were weaker than those observed between global PF and symptoms. Overall, unfit patients with low PA showed a worse profile that fit patients with high PA (all, P ≤ 0.001). In summary, PA and PF are independently associated with pain, fatigue and the overall impact of fibromyalgia in women. Although PF presented greater associations with symptoms, the results suggest that both being physically active and keep adequate fitness levels might be convenient for fibromyalgia women.

  12. Making sense of self-care practices at the intersection of severe mental illness and physical health-An Australian study.

    PubMed

    Ehrlich, Carolyn; Chester, Polly; Kisely, Steve; Crompton, David; Kendall, Elizabeth

    2017-07-06

    The poor physical health of people who experience severe mental illness (SMI) is an important public health issue that has been acknowledged, yet not properly addressed. People who live with SMI perform a myriad of complex tasks in order to take care of their physical health, while receiving unpredictable levels of support and assistance from health professionals. In this qualitative study, we aimed to uncover the kinds of work people with SMI do in order to look after their physical health. In a metropolitan area in Queensland, Australia, 32 people with lived experience of SMI participated in semi-structured, face-to-face interviews. Data were digitally recorded, transcribed verbatim and open coded. They were then themed using a constant comparative process. We found that people with SMI were engaged in a "rhythm of life with illness" that consisted of relatively short, acute and chaotic cycles of mental and physical illness, accompanied by much longer mental and physical illness recovery cycles. Participants engaged in three specific types of health-related work to manage these cycles: discovery work (and the associated role of the health professional); sense-making work to meaningfully interpret health and illness; and embedding work to become engaged self-managers of illness and producers of health. We discuss how varying levels of support from health professionals impact consumers' self-management of their physical and mental health; how health professionals influence consumers' experience of treatment burden; and implications for practice. © 2017 John Wiley & Sons Ltd.

  13. Enhancing the participation and independence of students with severe physical and multiple disabilities in performing community activities.

    PubMed

    Sowers, J A; Powers, L

    1995-08-01

    The effectiveness of a multi-element approach derived from factors to increase self-determination of middle- and high-school-age students with physical and multiple disabilities was examined. The approach includes equipment and performance adaptations, brief in-school simulation training, and instruction and support for parents and home assistance providers. The intervention was instituted with 3 students; a multiple baseline design was used. Student participation and independence dramatically increased after the intervention. Results suggest that this approach may be one solution to providing students with both inclusive education and community skill and activity instruction. The impact of the intervention on student self-determination was discussed.

  14. Electroconvulsive therapy in a physically restrained man with comorbid major depression, severe agoraphobia with panic disorder, and histrionic personality disorder.

    PubMed

    Rapinesi, Chiara; Serata, Daniele; Del Casale, Antonio; Kotzalidis, Giorgio D; Romano, Silvia; Milioni, Mara; Capezzuto, Silvia; Carbonetti, Paolo; Angeletti, Gloria; Fensore, Claudio; Tatarelli, Roberto; Girardi, Paolo

    2012-03-01

    A 36-year-old man with comorbid panic disorder with agoraphobia, major depression, and histrionic personality disorder since age 21 was resistant to combined drug and psychotherapy treatment. His conditions had progressively worsened with time, causing him to withdraw socially and to simultaneously require continuous physical restraint, which further worsened his functioning. He spent almost 3 consecutive years in restraint, until he consented to receive bilateral ECT treatment. He improved after 13 sessions in all areas (social and role functioning, and panic, depressive, and histrionic symptoms) and is well 3 months later with a lithium-atypical antipsychotic combination.

  15. The Impact of Physical Complaints, Social Environment, and Psychological Functioning on IBS Patients’ Health Perceptions: Looking Beyond GI Symptom Severity

    PubMed Central

    Lackner, Jeffrey M.; Gudleski, Gregory D.; Thakur, Elyse R.; Stewart, Travis J.; Iacobucci, Gary J.; Spiegel, Brennan M.R.

    2016-01-01

    OBJECTIVES In the absence of a reliable biomarker, clinical decisions for a functional gastrointestinal (GI) disorder like irritable bowel syndrome (IBS) depend on asking patients to appraise and communicate their health status. Self-ratings of health (SRH) have proven a powerful and consistent predictor of health outcomes, but little is known about how they relate to those relevant to IBS (e.g., quality of life (QOL), IBS symptom severity). This study examined what psychosocial factors, if any, predict SRH among a cohort of more severe IBS patients. METHODS Subjects included 234 Rome III-positive IBS patients (mean age = 41 years, female = 78%) without comorbid organic GI disease. Subjects were administered a test battery that included the IBS Symptom Severity Scale, Screening for Somatoform Symptoms, IBS Medical Comorbidity Inventory, SF-12 Vitality Scale, Perceived Stress Scale, Beck Depression Inventory, Trait Anxiety Inventory, and Negative Interactions Scale. RESULTS Partial correlations identified somatization, depression, fatigue, stress, anxiety, and medical comorbidities as variables with the strongest correlations with SRH (r values = 0.36–0.41, P values < 0.05). IBS symptom severity was weakly associated with SRH (r = 0.18, P < 0.05). The final regression model explained 41.3% of the variance in SRH scores (F = 8.49, P < 0.001) with significant predictors including fatigue, medical comorbidities, somatization, and negative social interactions. CONCLUSIONS SRH are associated with psychological (anxiety, stress, depression), social (negative interactions), and extraintestinal somatic factors (fatigue, somatization, medical comorbidities). The severity of IBS symptoms appears to have a relatively modest role in how IBS patients describe their health in general. PMID:24419481

  16. What does mental health nursing contribute to improving the physical health of service users with severe mental illness? A thematic analysis.

    PubMed

    Gray, Richard; Brown, Eleanor

    2017-02-01

    Authors have generally reported that mental health nurses (MHNs) have positive attitudes to providing physical health care to service users with severe mental illness. In the present study, we aimed to explore if this positive attitude translates to enhanced clinical practice by interviewing MHNs and the service users they work with. Semistructured interviews were completed with 15 service users and 18 MHNs from acute, rehabilitation, and community services. These were then transcribed and analysed using thematic analysis. Six themes emerged: (i) not the work of MHNs; (ii) the physical effects of psychiatric drugs are ignored; (iii) the need to upskill; (iv) keeping busy; (v) horrible hospital food/living on takeaways; and (vi) motivation to change. Our overarching meta-theme was of unmet physical health need among service users.

  17. Intimate partner violence and the relation between help-seeking behavior and the severity and frequency of physical violence among women in Turkey.

    PubMed

    Ergöçmen, Banu Akadli; Yüksel-Kaptanoğlu, İlknur; Jansen, Henrica A F M Henriette

    2013-09-01

    This study explores the severity and frequency of physical violence from an intimate partner experienced by 15- to 59-year-old women and their help-seeking behavior by using data from the "National Research on Domestic Violence Against Women in Turkey." Chi-square tests and logistic regression analyses were conducted to compare the relationship between severity and frequency of violence and women's characteristics. Of all ever-partnered women, 36% have been exposed to partner violence; almost half of these experienced severe types of violence. Women used informal strategies to manage the violence instead of seeking help from formal institutions. Help-seeking behavior increases with increased severity and frequency of violence.

  18. Relation between childhood maltreatment and severe intrafamilial male-perpetrated physical violence in Chinese community: the mediating role of borderline and antisocial personality disorder features.

    PubMed

    Liu, Na; Zhang, Yalin; Brady, Heward John; Cao, Yuping; He, Ying; Zhang, Yingli

    2012-01-01

    This study investigates the role of borderline personality disorder (BPD) and antisocial personality disorder (ASPD) features as mediators of the effects of childhood maltreatment on severe intrafamilial physical violence amongst Chinese male perpetrators. A cross-sectional survey and face-to-face interview were conducted to examine childhood maltreatment, personality disorder features, impulsivity, aggression, and severe intrafamilial physical violence in a community sample of 206 abusive men in China. The results suggest that ASPD or BPD features mediate between childhood maltreatment and intimate partner violence perpetration in Chinese abusive men. These findings may yield clinical and forensic implications for assessing the psychopathology of abusive men, and may steer the intervention of intimate partner violence.

  19. Effect of Surgical Curve Correction on Exercise Tolerance and Physical Capacities in Patients of Severe Spinal Deformity

    PubMed Central

    Rathod, Ashok K; Borde, Mandar; Singh, Vishwajeet; Singh, Hemant U

    2016-01-01

    Introduction Traditionally, surgical intervention for patients with a spinal deformity has been considered for cosmetic benefits, but surgical intervention can alter the lung physiology or volumes and in turn leads to increase in physical capacity and exercise tolerance. Therefore, we conducted this to determine whether a surgical correction would restore the lung physiology, physical capacity and exercise tolerance in patients with kyphoscoliosis. Aim To evaluate the usage of six-minute walk test scores and modified Borg scores as tools/measures for exercise tolerance in patients with spinal deformity and to study the effects of surgical correction of spinal deformity on exercise tolerance with above parameters as the measures. Materials and Methods Thirty patients with spinal deformity, who had undergone surgery for deformity correction, were evaluated. All patients were investigated pre-operatively with x-rays of the spine (anteroposterior and lateral views). Clinical tests like breath holding time (after full inspiration) in number of seconds, modified Borg scores, six-minute walk test scores (heart rate, respiratory rate, maximum distance walked); were recorded as measures of exercise tolerance. The patients were followed up on the first, third, sixth and twelfth month post-operatively and tested clinically for breath holding time, modified Borg scores, six-minute walk test scores (heart rate, respiratory rate, maximum distance walked) and x-rays of the spine (anteroposterior and lateral views). Results In our study, breath holding time (p-value = 0.001) and modified Borg scores (p-value = 0.012) showed a significant improvement at 12 months post-operatively. We noted similar findings with heart rate, respiratory rate and maximum distance walked after a six-minute walk test. Improvements were noted in all the parameters, especially in the group of patients with greater than 60 degrees of cobb angle. However, the differences between the two groups (pre

  20. Lower physical fitness in patients with primary aldosteronism is linked to the severity of hypertension and kalaemia.

    PubMed

    Tuka, V; Matoulek, M; Zelinka, T; Rosa, J; Petrák, O; Mikeš, O; Krátká, Z; Štrauch, B; Holaj, R; Widimský, J

    2016-10-26

    Hypokalaemia as a typical feature of primary aldosteronism (PA) is associated with muscle weakness and could contribute to lower cardiopulmonary fitness. The aim of this study was to describe cardiopulmonary fitness and exercise blood pressure and their determinants during a symptom-limited exercise stress test in patients with PA. We performed a cross-sectional study of patients with confirmed PA who were included before adrenal vein sampling on whom a symptom-limited exercise stress test with expired gas analysis was performed. Patients were switched to the treatment with doxazosin and verapamil at least two weeks before the study. In 27 patients (17 male) the VO(2peak) was 25.4+/-6.0 ml/kg/min which corresponds to 80.8+/-18.9 % of Czech national norm. Linear regression analysis shows that VO(2peak) depends on doxazosin dose (DX) (p = 0.001) and kalaemia (p = 0.02): VO(2peak) = 4.2 - 1.0 * DX + 7.6 * Kalaemia. Patients with higher doxazosin doses had a longer history of hypertension and had used more antihypertensives before examination, thus indicating that VO(2peak) also depends on the severity of hypertension. In patients with PA, lower cardiopulmonary fitness depends inversely on the severity of hypertension and on lower plasma potassium level.

  1. Association of raised liver transaminases with physical inactivity, increased waist-hip ratio, and other metabolic morbidities in severely obese children.

    PubMed

    Lee, Yung Seng; Kek, Betty Lay Kee; Poh, Larry Kok Seng; Saw, Seang Mei; Loke, Kah Yin

    2008-08-01

    To identify factors associated with raised alanine transaminase, aspartate transaminase, and gamma-glutaryl transferase in severely obese children In all, 201 children with early-onset obesity and greater than 140% ideal weight for height were recruited. Anthropometric and body fat measurements, fasting blood tests, and oral glucose tolerance tests were performed. The mean and standard deviation (SD) for age was 11.1 (3.0) years, for weight for height 170.5% (22.7%), and for percentage body fat was 40.7% (5.2%). Elevated liver transaminases were present in 53 subjects (26.4%), who were therefore at risk for nonalcoholic fatty liver disease, and was associated with male sex (odds ratio [OR] 2.144, 95% confidence interval [CI] 1.033-4.448), Chinese ethnicity (OR 2.062, 95% CI 1.038-4.096), reduced physical activity (OR 2.389, 95% CI 1.163-4.909), insulin resistance (P < 0.05), elevated triglyceride levels (P = 0.029), and increased waist-hip ratio (P = 0.005). Stepwise logistic regression analysis of the main factors as covariates revealed Chinese ethnicity, waist-hip ratio, reduced physical activity, and homeostasis model assessment index were significant predictors. Alanine transaminase/aspartate transaminase were not well correlated with percentage body fat and weight for height. Subjects with type 2 diabetes mellitus and impaired glucose tolerance were more likely to have raised hepatic transaminases (OR 6.176, 95% CI 1.326-28.754). The severity of metabolic syndrome correlated with increasing aspartate transaminase, alanine transaminase, and gamma-glutaryl transferase (P < 0.01). Insulin resistance, truncal adiposity, and physical inactivity are major determinants potentially modifiable to reduce risk of nonalcoholic fatty liver disease. Increasing physical activity levels were associated with decreasing insulin resistance and transaminases, despite lack of correlation with waist-hip ratio, which supports the direct benefit of regular physical activity in

  2. Spatiotemporal evolution of a severe winter dust event in the western Mediterranean: Aerosol optical and physical properties

    NASA Astrophysics Data System (ADS)

    Titos, G.; Ealo, M.; Pandolfi, M.; Pérez, N.; Sola, Y.; Sicard, M.; Comerón, A.; Querol, X.; Alastuey, A.

    2017-04-01

    An outstanding Saharan dust event affected the Iberian Peninsula during winter 2016 (20 to 25 February). The impact of this event on ambient PM10 surface levels and its spatial and temporal evolution was investigated by means of data from 250 air quality stations across mainland Spain and the Balearic Islands. The event had a significant impact on surface PM10 levels, and on 22 February, 90% of the air quality monitoring sites registered PM10 concentrations above the EU daily limit value of 50 μg/m3. The study of the attenuated backscattering vertical profiles associated with African dust evidenced a complex structure, with a thick aerosol layer that was at higher altitudes over the pre-Pyrenees compared to the coastal area of Barcelona but closer to the surface than typically observed at both sites. Optical and physical properties of dust particles were investigated at the continental background Global Atmosphere Watch mountain observatory of Montsec (MSA) in the pre-Pyrenees. Good agreement was found between in situ and passive remote sensing methodologies once the aloft dust layer reached the MSA station. Scattering Ångström exponent values decreased to values close to zero (even below zero for surface in situ measurements) indicating the predominance of coarse particles. On the contrary, absorption Ångström exponent values increased during the Saharan dust outbreak denoting an absorption enhancement at shorter wavelengths, characteristic of mineral dust particles. Furthermore, the performance of NMMB/BSC-Dust and BSC-DREAM8b models has been qualitatively evaluated for the dust spatial distribution across Spain and the vertical structure over MSA and Barcelona showing good agreement.

  3. Predictors of HIV-Risk Sexual Behavior: Examining Lifetime Sexual and Physical Abuse Histories in Relation to Substance Use and Psychiatric Problem Severity Among Ex-Offenders

    PubMed Central

    Majer, John M.; Rodriquez, Jaclyn; Bloomer, Craig; Jason, Leonard A.

    2015-01-01

    Predictors of HIV-risk sexual behavior were analyzed among a sample of ex-offenders who were completing inpatient treatment for substance dependence. Hierarchical linear regression was conducted to examine increases in participants’ number of sexual partners in relation to sociodemographic characteristics, recent substance use and current psychiatric problem severity in addition to lifetime histories of sexual and physical abuse. Gender, substance use, and psychiatric problem severity predicted increases in HIV-risk sexual behaviors beyond what was predicted by abuse histories. Proportionately more women than men reported abuse histories. In addition, significantly more unprotected sexual than safer sexual practices were observed, but differences in the frequency of these practices based on lifetime abuse histories and gender were not significant. Findings suggest recent substance use and current psychiatric problem severity are risk-factors for HIV-risk sexual behavior among ex-offenders with and without lifetime abuse histories. PMID:24717831

  4. Physics.

    PubMed

    Bromley, D A

    1980-07-04

    From massive quarks deep in the hearts of atomic nuclei to the catastrophic collapse of giant stars in the farthest reaches of the universe, from the partial realization of Einstein's dream of a unified theory of the forces of nature to the most practical applications in technology, medicine, and throughout contemporary society, physics continues to have a profound impact on man's view of the universe and on the quality of life. The author argues that the past few years, in terms of new discoveries, new insight-and the new questions-have been among the most productive in the history of the field and puts into context his selection of some of the most important new developments in this fundamental science.

  5. Recent physical and sexual violence against adults with severe mental illness: a systematic review and meta-analysis

    PubMed Central

    Khalifeh, Hind; Oram, Siân; Osborn, David; Howard, Louise M.; Johnson, Sonia

    2016-01-01

    Abstract People with severe mental illness (SMI) have high prevalence of lifetime victimization, but little is known about the extent and risk of recent domestic/sexual violence. The objective was to synthesize evidence on prevalence, odds, and risk factors for recent violence against people with SMI, with a focus on domestic and sexual violence. Relevant studies were identified through literature searches in Medline, Psychinf, Embase (for studies published in 2010–2015), and through existing systematic reviews (for studies published in 2000–2014). The review included 30 studies (with 16 140 SMI participants), including six on domestic violence and 11 on sexual violence. Prevalence of recent domestic violence ranged from 15–22% among women and from 4–10% among men/mixed samples; with little evidence on risk compared with the general population. Median prevalence of sexual violence was 9.9% (IQR = 5.9–18.1%) in women and 3.1% (IQR = 2.5–6.7%) in men; with 6-fold higher odds of victimization compared with the general population. There was little evidence on risk factors for domestic or sexual violence. In conclusion, people with SMI have a high prevalence of recent domestic and sexual violence, but little is known about risk factors for these violence types, or extent of domestic violence victimization compared to the general population. PMID:27645197

  6. 15-Year developmental study on effects of severe undernutrition during infancy on subsequent physical growth and intellectual functioning.

    PubMed Central

    Stoch, M B; Smythe, P M

    1976-01-01

    This third 5-year follow-up on the effects of severe undernutrition during infancy on subsequent brain growth and intellectual development confirms the level of gross retardation of intellect in the undernourished group when compared with the controls. As the subjects are now 15-18 years of age this must be permanent. All but 5 of the undernourished group are now living in conditions comparable to the controls. Improved nutrition is manifest by catch-up in height, in that the mean difference between undernourished subjects and controls has decreased by 2-73 cm. Remarkably, the difference in head circumference has increased by 0-5 cm, the mean head circumference of the undernourished now being 2-8 cm less than that of the controls. The Bender Gestalt and Human Figure Drawing tests did not correlate with the intelligence tests, indicating a separate deficit of a marked disturbance of visual-motor perception in 17 of the undernourished subjects, in 9 of whom these tests were highly significant of minimal brain dysfunction (5 of the controls). In retrospect there is much evidence to suggest the controls were also suboptimal; 8 controls had abnormal electroencephalograms as did 6 of the undernourished group. Images Fig. 1. p330-b Fig. 2. p331-b Fig. 3. Fig. 4. PMID:938077

  7. Recent physical and sexual violence against adults with severe mental illness: a systematic review and meta-analysis.

    PubMed

    Khalifeh, Hind; Oram, Siân; Osborn, David; Howard, Louise M; Johnson, Sonia

    2016-10-01

    People with severe mental illness (SMI) have high prevalence of lifetime victimization, but little is known about the extent and risk of recent domestic/sexual violence. The objective was to synthesize evidence on prevalence, odds, and risk factors for recent violence against people with SMI, with a focus on domestic and sexual violence. Relevant studies were identified through literature searches in Medline, Psychinf, Embase (for studies published in 2010-2015), and through existing systematic reviews (for studies published in 2000-2014). The review included 30 studies (with 16 140 SMI participants), including six on domestic violence and 11 on sexual violence. Prevalence of recent domestic violence ranged from 15-22% among women and from 4-10% among men/mixed samples; with little evidence on risk compared with the general population. Median prevalence of sexual violence was 9.9% (IQR = 5.9-18.1%) in women and 3.1% (IQR = 2.5-6.7%) in men; with 6-fold higher odds of victimization compared with the general population. There was little evidence on risk factors for domestic or sexual violence. In conclusion, people with SMI have a high prevalence of recent domestic and sexual violence, but little is known about risk factors for these violence types, or extent of domestic violence victimization compared to the general population.

  8. Predictors of HIV-risk sexual behavior: examining lifetime sexual and physical abuse histories in relation to substance use and psychiatric problem severity among ex-offenders.

    PubMed

    Majer, John M; Rodriguez, Jaclyn; Bloomer, Craig; Jason, Leonard A

    2014-01-01

    Lifetime histories of sexual and physical abuse have been associated with increased HIV-risk sexual behavior, and some studies have identified other variables associated with these relationships. However, there is a dearth of literature that has critically examined abuse histories and HIV-risk sexual behavior in relation to these other variables. Predictors of HIV-risk sexual behavior were analyzed among a sample of ex-offenders who were completing inpatient substance dependence treatment to identify factors related to increases in HIV-risk sexual behavior beyond that of abuse histories. Hierarchical linear regression was conducted to examine sociodemographic characteristics, recent substance use, and current psychiatric problem severity in addition to lifetime histories of sexual/physical abuse in a cross-sectional design. Gender, substance use, and psychiatric problem severity predicted increases in HIV-risk sexual behavior beyond what was predicted by abuse histories. Proportionately more women than men reported abuse histories. In addition, significantly more unprotected sexual than safer sexual practices were observed, but differences in these practices based on lifetime abuse histories and gender were not significant. Findings suggest recent substance use and current psychiatric problem severity are greater risk factors for HIV-risk sexual behavior than lifetime abuse histories among persons who have substance use disorders.

  9. Physical and Mental Impact of Psoriasis Severity as Measured by the Compact Short Form-12 Health Survey (SF-12) Quality of Life Tool

    PubMed Central

    Grozdev, Ivan; Kast, Douglas; Cao, Lauren; Carlson, Diana; Pujari, Prasad; Schmotzer, Brian; Babineau, Denise; Kern, Elizabeth; McCormick, Thomas; Cooper, Kevin D.; Korman, Neil J.

    2012-01-01

    The Short Form-12 Health Survey (SF-12) is used to assess the patient’s quality of life (QoL) using the physical component score (PCS) and the mental component score (MCS). The purpose of this study was to determine whether the SF-12 PCS and MCS are associated with psoriasis severity and to compare QoL between Murdough Family Center for Psoriasis (MFCP) patients and patients with other major chronic diseases included in the National Survey of Functional Health Status data. We used data from 429 adult patients enrolled in MFCP. Psoriasis Area Severity Index (PASI) was used to assess psoriasis severity at the time of completion of the SF-12 questionnaire. Other variables included age, sex, body mass index, psoriatic arthritis, psychiatric disorders, and comorbidities. Linear regression models were used to estimate effect sizes ±95% confidence intervals. For every 10-point increase in PASI, there was a 1.1±1.3 unit decrease in MCS (P = 0.100) and a 2.4±1.3 unit decrease in PCS (P<0.001). Psoriasis severity was associated with PCS and MCS after adjusting for variables, although the strength of the relationship was attenuated in some models. Psoriasis severity is associated with decreased QoL. SF-12 may be a useful tool for assessing QoL among psoriasis patients. PMID:22205305

  10. Physical and mental impact of psoriasis severity as measured by the compact Short Form-12 Health Survey (SF-12) quality of life tool.

    PubMed

    Grozdev, Ivan; Kast, Douglas; Cao, Lauren; Carlson, Diana; Pujari, Prasad; Schmotzer, Brian; Babineau, Denise; Kern, Elizabeth; McCormick, Thomas; Cooper, Kevin D; Korman, Neil J

    2012-04-01

    The Short Form-12 Health Survey (SF-12) is used to assess the patient's quality of life (QoL) using the physical component score (PCS) and the mental component score (MCS). The purpose of this study was to determine whether the SF-12 PCS and MCS are associated with psoriasis severity and to compare QoL between Murdough Family Center for Psoriasis (MFCP) patients and patients with other major chronic diseases included in the National Survey of Functional Health Status data. We used data from 429 adult patients enrolled in MFCP. Psoriasis Area Severity Index (PASI) was used to assess psoriasis severity at the time of completion of the SF-12 questionnaire. Other variables included age, sex, body mass index, psoriatic arthritis, psychiatric disorders, and comorbidities. Linear regression models were used to estimate effect sizes ± 95% confidence intervals. For every 10-point increase in PASI, there was a 1.1 ± 1.3 unit decrease in MCS (P=0.100) and a 2.4 ± 1.3 unit decrease in PCS (P<0.001). Psoriasis severity was associated with PCS and MCS after adjusting for variables, although the strength of the relationship was attenuated in some models. Psoriasis severity is associated with decreased QoL. SF-12 may be a useful tool for assessing QoL among psoriasis patients.

  11. Marital and severe parent-to-adolescent physical aggression in clinic-referred families: mother and adolescent reports on co-occurrence and links to child behavior problems.

    PubMed

    Mahoney, Annette; Donnelly, William O; Boxer, Paul; Lewis, Terri

    2003-03-01

    This study examined the interplay of marital and severe parental physical aggression, and their links to child behavior problems, in 232 families of clinic-referred adolescents. Combined reports from mothers and adolescents indicated that two thirds of adolescents exposed to marital aggression in the past year had also experienced parental aggression. Mothers and fathers who used and/or were victims of marital aggression were both more likely to direct aggression toward their adolescent. Mother and youth reports of marital aggression were tied to each party's report of greater externalizing problems and to youth reports of greater internalizing problems. Severe parental aggression uniquely predicted maternal reports of both behavior problems, after controlling for marital aggression; the reverse was not true. Also, adolescents exposed to both types of family aggression did not display greater maladjustment than those subjected to only one type of family aggression.

  12. Eye-tracking and EMG supported 3D Virtual Reality - an integrated tool for perceptual and motor development of children with severe physical disabilities: a research concept.

    PubMed

    Pulay, Márk Ágoston

    2015-01-01

    Letting children with severe physical disabilities (like Tetraparesis spastica) to get relevant motional experiences of appropriate quality and quantity is now the greatest challenge for us in the field of neurorehabilitation. These motional experiences may establish many cognitive processes, but may also cause additional secondary cognitive dysfunctions such as disorders in body image, figure invariance, visual perception, auditory differentiation, concentration, analytic and synthetic ways of thinking, visual memory etc. Virtual Reality is a technology that provides a sense of presence in a real environment with the help of 3D pictures and animations formed in a computer environment and enable the person to interact with the objects in that environment. One of our biggest challenges is to find a well suited input device (hardware) to let the children with severe physical disabilities to interact with the computer. Based on our own experiences and a thorough literature review we have come to the conclusion that an effective combination of eye-tracking and EMG devices should work well.

  13. Severe malarial anaemia.

    PubMed

    Casals-Pascual, C; Roberts, D J

    2006-03-01

    This review describes the importance of severe malarial anaemia as a public health problem, and the clinical and pathophysiological aspects of this syndrome. The review also highlights the recent advances in our understanding of the epidemiological, clinical, cellular and molecular aspects of severe malarial anaemia.

  14. Beneficial effects of platelet-rich plasma on improvement of pain severity and physical disability in patients with plantar fasciitis: A randomized trial

    PubMed Central

    Vahdatpour, Babak; Kianimehr, Lida; Moradi, Ahmad; Haghighat, Shila

    2016-01-01

    Background: The present study aimed to clinically examine the effects of platelet-rich plasma (PRP) on improvement of plantar fasciitis and its related manifestations. Patients and Methods: This single-blind randomized controlled trial was performed on 32 consecutive patients with the final diagnosis of plantar fasciitis that were randomly assigned to the case group (that received PRP, n = 16) and the control group (that received corticosteroid as methylprednisolone 1 ml plus lidocaine 1 ml, n = 16). The endpoints in the present study were changes in the visual analog scale score and the modified Roles and Maudsley score (RMS) from baseline, 1-month, 3 months, and 6 months follow-up. Plantar fascia was also assessed by B-mode sonography before and also 3 months after primary assessment. Results: Regarding the pain severity, the PRP group had significantly higher mean pain score at 3 time points of before injection, as well as 1 and 3 months after PRP use when compared to the corticosteroid group (P < 0.05); however, the control group experienced significantly higher pain severity than the PRP group at 6 months after interventions. Also, RMS was lower in PRP group than in corticosteroid group at baseline as well as at 1 and 3 months after injections (P < 0.05). In sonography assessment, no difference was revealed. Conclusion: Administration of PRP leads to significant improvement in pain severity and physical limitation in patients with plantar fasciitis. This healing effect may be begun at least 3 months after injection. PMID:28028519

  15. Moving instead of asking? Performance-based tests and BASFI-questionnaire measure different aspects of physical function in ankylosing spondylitis.

    PubMed

    van Weely, Salima F E; van Denderen, J Christiaan; Steultjens, Martijn P M; van der Leeden, Marike; Nurmohamed, Michael T; Dekker, Joost; Dijkmans, Ben A C; van der Horst-Bruinsma, Irene E

    2012-03-08

    Ankylosing Spondylitis (AS) is characterised by limitations in physical function. The Bath Ankylosing Spondylitis Functional Index (BASFI) is considered to be the gold-standard to assess physical function in AS patients. However, the BASFI questionnaire is a self-reported outcome measure and susceptible to subjective interpretation (under- or over-estimation). More objective outcome measures, like performance-based tests, could provide an objective outcome measurement for the evaluation of limitations in physical function. Therefore, the primary aim of this study was to determine the association between performance-based measures and the BASFI questionnaire. In this cross-sectional study 126 AS patients completed the BASFI questionnaire and eight performance-based tests based on BASFI-items. Each test received three scores: one for performance (time or points) and a score for exertion and pain experienced during performance (using modified Borg-scale and VAS 0-100 mm, respectively). Linear regression analyses were used to assess the associations between the BASFI questionnaire and performance-based tests. The univariable association between performance and BASFI-score was moderate with a R-square of 0.31 and Beta of 0.56 (p's < 0.05). In a multivariable analysis, the association between performance, exertion and pain on the one hand and BASFI-score on the other was assessed; R-square increased to 0.54: the Beta's for exertion and pain during performance were 0.38 and 0.26, respectively; the Beta for performance decreased to 0.19 (p's < 0.05). This study demonstrates that alongside actual performance, patients seem to incorporate exertion and pain in their assessment of perceived physical function on the BASFI questionnaire. Performance-based tests could provide an objective outcome measurement for the evaluation of physical function and give relevant new information in addition to the BASFI questionnaire.

  16. Insight into chemical speciation based on solvent physical parameters: Illustration study using octahedral Pt(IV) complexes in several organic media

    NASA Astrophysics Data System (ADS)

    Jansat, Susanna

    2017-10-01

    Empirical dependence of Solvent Physical Parameters (SPhP) in front of the chemical shift for one proton signal (1H NMR) allows for, the understanding and prediction, of structural mer and fac isomer/s present in solution on, the chemical speciation originated by [PtBr(Tol)2(C,Nimino,Namino)] (Ardbnd CH3C6H4) in several solvents. Case illustrates how SPhP might be, valuable single data tools, dealing with speciation influenced by media. Hildebrand Parameter is the finest value to describe even rotoisomers for the more challenging athermal solutions. In function of media permittivity, more polar speciation is stabilized by the continuum media's polarity (ε) or, by specific dipole-solvent interactions (Solvent Dipolarity). Procedure has been applied for similar Pt(IV) compounds without uncertainty including multicomponent media.

  17. Technology-Aided Programs to Support Positive Verbal and Physical Engagement in Persons with Moderate or Severe Alzheimer’s Disease

    PubMed Central

    Lancioni, Giulio E.; Singh, Nirbhay N.; O’Reilly, Mark F.; Sigafoos, Jeff; D’Amico, Fiora; Renna, Caterina; Pinto, Katia

    2016-01-01

    Pilot studies using technology-aided programs to promote verbal reminiscence and mild physical activity (i.e., positive forms of engagement) in persons with moderate or severe Alzheimer’s disease have provided promising results (Lancioni et al., 2015a,b). The present two studies were aimed at upgrading and/or extending the assessment of those programs. Specifically, Study 1 upgraded the program for verbal reminiscence and assessed it with eight new participants. The upgraded version automatically monitored the participants’ verbal behavior during the sessions, in which photos and brief videos were used to foster verbal reminiscence. Monitoring allowed computer approval and reminders to be consistent with the participants’ behavior. Study 2 extended the assessment of the program for promoting mild physical activity with 10 new participants for whom arm-raising responses were targeted. The results of Study 1 showed that the participants’ mean percentages of intervals with verbal engagement/reminiscence were below 10 during baseline and control sessions and between above 50 and nearly 80 during the intervention. The results of Study 2 showed that the mean frequencies of arm-raising responses were about or below four and between about 10 and 19 per session during the baseline and the intervention, respectively. The general implications of the aforementioned results and the need for new research in the area were discussed. PMID:27148050

  18. A review of the nutritional challenges experienced by people living with severe mental illness: a role for dietitians in addressing physical health gaps.

    PubMed

    Teasdale, S B; Samaras, K; Wade, T; Jarman, R; Ward, P B

    2017-10-01

    People experiencing a severe mental illness (SMI), such as schizophrenia, schizoaffective disorder, bipolar affective disorder or depression with psychotic features, have a 20-year mortality gap compared to the general population. This 'scandal of premature mortality' is primarily driven by preventable cardiometabolic disease, and recent research suggests that the mortality gap is widening. Multidisciplinary mental health teams often include psychiatrists, clinical psychologists, specialist mental health nurses, social workers and occupational therapists, offering a range of pharmacological and nonpharmacological treatments to enhance the recovery of clients who have experienced, or are experiencing a SMI. Until recently, lifestyle and life skills interventions targeting the poor physical health experienced by people living with SMI have not been offered in most routine clinical settings. Furthermore, there are calls to include dietary intervention as mainstream in psychiatry to enhance mental health recovery. With the integration of dietitians being a relatively new approach, it is important to review and assess the literature to inform practice. This review assesses the dietary challenges experienced by people with a SMI and discusses potential strategies for improving mental and physical health. © 2017 The British Dietetic Association Ltd.

  19. The impact of physical therapy in patients with severe traumatic brain injury during acute and post-acute rehabilitation according to coma duration

    PubMed Central

    Lendraitienė, Eglė; Petruševičienė, Daiva; Savickas, Raimondas; Žemaitienė, Ieva; Mingaila, Sigitas

    2016-01-01

    [Purpose] The aim of study was to evaluate the impact of physical therapy on the recovery of motor and mental status in patients who sustained a severe traumatic brain injury, according to coma duration in acute and post-acute rehabilitation. [Subjects and Methods] The study population comprised patients with levels of consciousness ranging from 3 to 8 according to Glasgow Coma Scale score. The patients were divided into 2 groups based on coma duration as follows: group 1, those who were in a coma up to 1 week, and group 2, those who were in a coma for more than 2 weeks. The recovery of the patients’ motor function was evaluated according to the Motor Assessment Scale and the recovery of mental status according to the Mini-Mental State Examination. [Results] The evaluation of motor and mental status recovery revealed that the patients who were in a coma up to 1 week recovered significantly better after physical therapy during the acute rehabilitation than those who were in a coma for longer than 2 weeks. [Conclusion] The recovery of motor and mental status of the patients in acute rehabilitation was significantly better for those in a coma for a shorter period. PMID:27512262

  20. MAOA Alters the Effects of Heavy Drinking and Childhood Physical Abuse on Risk for Severe Impulsive Acts of Violence Among Alcoholic Violent Offenders

    PubMed Central

    Tikkanen, Roope; Ducci, Francesca; Goldman, David; Holi, Matti; Lindberg, Nina; Tiihonen, Jari; Virkkunen, Matti

    2011-01-01

    Background A polymorphism in the promoter region of the monoamine oxidase A gene (MAOA) has been shown to alter the effect of persistent drinking and childhood maltreatment on the risk for violent and antisocial behaviors. These findings indicate that MAOA could contribute to inter-individual differences in stress resiliency. Methods Recidivism in severe violent crimes was assessed after 8 years of nonincarcerated follow-up in a male sample of 174 impulsive Finnish alcoholic violent offenders, the majority of whom exhibited antisocial (ASPD) or borderline personality disorder (BPD) or both. We examined whether MAOA genotype alters the effects of heavy drinking and childhood physical abuse (CPA) on the risk for committing impulsive recidivistic violent crimes. Results Logistic regression analyses showed that both heavy drinking and CPA were significant independent predictors of recidivism in violent behavior (OR 5.2, p = 0.004 and OR 5.3, p = 0.003) among offenders having the high MAOA activity genotype (MAOA-H), but these predictors showed no effect among offenders carrying the low MAOA activity genotype (MAOA-L). Conclusion Carriers of the MAOA-H allele have a high risk to commit severe recidivistic impulsive violent crimes after exposure to heavy drinking and CPA. PMID:20201935

  1. MAOA alters the effects of heavy drinking and childhood physical abuse on risk for severe impulsive acts of violence among alcoholic violent offenders.

    PubMed

    Tikkanen, Roope; Ducci, Francesca; Goldman, David; Holi, Matti; Lindberg, Nina; Tiihonen, Jari; Virkkunen, Matti

    2010-05-01

    A polymorphism in the promoter region of the monoamine oxidase A gene (MAOA) has been shown to alter the effect of persistent drinking and childhood maltreatment on the risk for violent and antisocial behaviors. These findings indicate that MAOA could contribute to inter-individual differences in stress resiliency. Recidivism in severe violent crimes was assessed after 8 years of nonincarcerated follow-up in a male sample of 174 impulsive Finnish alcoholic violent offenders, the majority of whom exhibited antisocial (ASPD) or borderline personality disorder (BPD) or both. We examined whether MAOA genotype alters the effects of heavy drinking and childhood physical abuse (CPA) on the risk for committing impulsive recidivistic violent crimes. Logistic regression analyses showed that both heavy drinking and CPA were significant independent predictors of recidivism in violent behavior (OR 5.2, p = 0.004 and OR 5.3, p = 0.003) among offenders having the high MAOA activity genotype (MAOA-H), but these predictors showed no effect among offenders carrying the low MAOA activity genotype (MAOA-L). Carriers of the MAOA-H allele have a high risk to commit severe recidivistic impulsive violent crimes after exposure to heavy drinking and CPA.

  2. The role of beta-arrestin2 in the severity of antinociceptive tolerance and physical dependence induced by different opioid pain therapeutics.

    PubMed

    Raehal, Kirsten M; Bohn, Laura M

    2011-01-01

    Ligands acting at the same receptor can differentially activate distinct signal transduction pathways, which in turn, can have diverse functional consequences. Further, receptors expressed in different tissues may utilize intracellular signaling proteins in response to a ligand differently as well. The mu opioid receptor (MOR), which mediates many of the pharmacological actions of opiate therapeutics, is also subject to differential signaling in response to diverse agonists. To study the effect of diverse agonists on MOR signaling, we examined the effects of chronic opiate treatment on two distinct physiological endpoints, antinociceptive tolerance and physical dependence, in mice lacking the intracellular regulatory molecule, βarrestin2. While βarrestin2 knockout (βarr2-KO) mice do not become tolerant to the antinociceptive effects of chronic morphine in a hot plate test, tolerance develops to the same degree in both wild type and βarr2-KO mice following chronic infusion with methadone, fentanyl, and oxycodone. Studies here also assess the severity of withdrawal signs precipitated by naloxone following chronic infusions at three different doses of each opiate agonist. While there are no differences in withdrawal responses between genotypes at the highest dose of morphine tested (48 mg/kg/day), the βarr2-KO mice display several less severe withdrawal responses when the infusion dose is lowered (12 or 24 mg/kg/day). Chronic infusion of methadone, fentanyl, and oxycodone all lead to equivalent naloxone-precipitated withdrawal responses in both genotypes at all doses tested. These results lend further evidence that distinct agonists can differentially impact on opioid-mediated responses in vivo in a βarrestin2-dependent manner. Copyright © 2010 Elsevier Ltd. All rights reserved.

  3. The role of beta-arrestin2 in the severity of antinociceptive tolerance and physical dependence induced by different opioid pain therapeutics

    PubMed Central

    Raehal, Kirsten M.; Bohn, Laura M.

    2010-01-01

    Ligands acting at the same receptor can differentially activate distinct signal transduction pathways, which in turn, can have diverse functional consequences. Further, receptors expressed in different tissues may utilize intracellular signaling proteins in response to a ligand differently as well. The mu opioid receptor (MOR), which mediates many of the pharmacological actions of opiate therapeutics, is also subject to differential signaling in response to diverse agonists. To study the effect of diverse agonists on MOR signaling, we examined the effects of chronic opiate treatment on two distinct physiological endpoints, antinociceptive tolerance and physical dependence, in mice lacking the intracellular regulatory molecule, βarrestin2. While βarrestin2 knockout (βarr2-KO) mice do not become tolerant to the antinociceptive effects of chronic morphine in a hot plate test, tolerance develops to the same degree in both wild type and βarr2-KO mice following chronic infusion with methadone, fentanyl, and oxycodone. Studies here also assess the severity of withdrawal signs precipitated by naloxone following chronic infusions at three different doses of each opiate agonist. While there are no differences in withdrawal responses between genotypes at the highest dose of morphine tested (48 mg/kg/day), the βarr2-KO mice display several less severe withdrawal responses when the infusion dose is lowered (12 or 24 mg/kg/day). Chronic infusion of methadone, fentanyl, and oxycodone all lead to equivalent naloxone-precipitated withdrawal responses in both genotypes at all doses tested. These results lend further evidence that distinct agonists can differentially impact on opioid-mediated responses in vivo in a βarrestin2-dependent manner. PMID:20713067

  4. Physical traits of male Japanese bush warblers (Cettia diphone) in summer and winter: hyperactive aspects of the vocal system and leg muscles in summer males.

    PubMed

    Chiba, Akira; Uchida, Hiroshi; Imanishi, Sadao

    2014-11-01

    The Japanese bush warbler has a very distinctive song, shows marked sexual size dimorphism, and has a polygynous mating system. However, the physical traits of males and seasonal variation in such traits have remained unknown. Twenty-five anatomical measurements representing physical traits of males in the breeding (summer, n = 5) and non-breeding (winter, n = 5) seasons were examined morphologically and compared statistically. Differences were evident between summer and winter (P < 0.05, t test) in the following seven items: body mass (19.8 ± 0.7 g vs. 15.6 ± 1.2 g [mean ± SD]), mass of male reproductive organs (184.0 ± 25.7 mg vs. 6.0 ± 1.4 mg), hind limb (3789.2 ± 346.2 mg vs. 3003.4 ± 226.8 mg), leg muscles (883.0 ± 63.5 mg vs. 581.4 ± 33.2 mg in either side), skin around the neck/throat (1280 ± 34.9 mg vs. 287.2 ± 84.7 mg), and syrinx (35.8 ± 2.39 mg vs. 25.0 ± 3.24 mg), and circumference of the neck/throat (52.1 ± 2.3 mm vs. 38.3 ± 2.6 mm). In contrast to winter males, summer males had thickened flabby skin prominently in the neck/throat area and an inflatable esophagus, perhaps a morphological basis for the throat sac as a vocal resonator. Also, the remarkable development of the flexor muscles of the legs of summer males suggests that perching and movement using the legs increases during the breeding season. These distinct characteristics of summer males may be related to the polygynous mating system of this species.

  5. Publisher's Note: ''The MaPLE device of Saha Institute of Nuclear Physics: Construction and its plasma aspects'' [Rev. Sci. Instrum. 81, 073507 (2010)

    SciTech Connect

    Pal, Rabindranath; Biswas, Subir; Basu, Subhasis; Chattopadhyay, Monobir; Basu, Debjyoti; Chaudhuri, Manis

    2010-07-15

    The Magnetized Plasma Linear Experimental (MaPLE) device is a low cost laboratory plasma device at Saha Institute of Nuclear Physics fabricated in-house with the primary aim of studying basic plasma physics phenomena such as plasma instabilities, wave propagation, and their nonlinear behavior in magnetized plasma regime in a controlled manner. The machine is specially designed to be a versatile laboratory device that can provide a number of magnetic and electric scenario to facilitate such studies. A total of 36 number of 20-turn magnet coils, designed such as to allow easy handling, is capable of producing a uniform, dc magnetic field of about 0.35 T inside the plasma chamber of diameter 0.30 m. Support structure of the coils is planned in an innovative way facilitating straightforward fabrication and easy positioning of the coils. Further special feature lies in the arrangement of the spacers between the coils that can be maneuvered rather easily to create different magnetic configurations. Various methods of plasma production can be suitably utilized according to the experimental needs at either end of the vacuum vessel. In the present paper, characteristics of a steady state plasma generated by electron cyclotron resonance method using 2.45 GHz microwave power are presented. Scans using simple probe drives revealed that a uniform and long plasma column having electron density {approx} 3-5 Multiplication-Sign 1010 cm-3 and temperature {approx} 7-10 eV, is formed in the center of the plasma chamber which is suitable for wave launching experiments.

  6. Feasibility and acceptability of patient partnership to improve access to primary care for the physical health of patients with severe mental illnesses: an interactive guide.

    PubMed

    Pelletier, Jean-François; Lesage, Alain; Boisvert, Christine; Denis, Frédéric; Bonin, Jean-Pierre; Kisely, Steve

    2015-09-14

    Even in countries with universal healthcare systems, excess mortality rates due to physical chronic diseases in patients also suffering from serious mental illness like schizophrenia is such that their life expectancy could be lessened by up to 20 years. The possible explanations for this disparity include: unhealthy habits (i.e. smoking; lack of exercise); side-effects of psychotropic medication; delays in the detection or initial presentation leading to a more advanced disease at diagnosis; and inequity of access to services. The main objective of this paper is to explore the feasibility and acceptability of patient partnership for developing an interactive guide to improve access to primary care providers for chronic diseases management and health promotion among patients with severe mental illnesses. A participatory action research design was used to engage patients with mental illness as full research partners for a strategy for patient-oriented research in primary care for persons with schizophrenia who also have chronic physical illnesses. This strategy was also developed in partnership with a health and social services centre responsible for the health of the population of a territory with about 100,000 inhabitants in East-end Montreal, Canada. A new interactive guide was developed by patient research partners and used by 146 participating patients with serious mental illness who live on this territory, for them to be better prepared for their medical appointment with a General Practitioner by becoming more aware of their own physical condition. Patient research partners produced a series of 33 short videos depicting signs and symptoms of common chronic diseases and risk factors for the leading causes of mortality and study participants were able to complete the corresponding 33-item questionnaire on an electronic touch screen tablet. What proved to be most relevant in terms of interactivity was the dynamic that has developed among the study participants

  7. Differences in Adipose Tissue and Lean Mass Distribution in Patients with Collagen VI Related Myopathies Are Associated with Disease Severity and Physical Ability

    PubMed Central

    Rodríguez, M. A.; Del Rio Barquero, Luís M.; Ortez, Carlos I.; Jou, Cristina; Vigo, Meritxell; Medina, Julita; Febrer, Anna; Ramon-Krauel, Marta; Diaz-Manera, Jorge; Olive, Montse; González-Mera, Laura; Nascimento, Andres; Jimenez-Mallebrera, Cecilia

    2017-01-01

    Mutations in human collagen VI genes cause a spectrum of musculoskeletal conditions in children and adults collectively termed collagen VI-related myopathies (COL6-RM) characterized by a varying degree of muscle weakness and joint contractures and which include Ullrich Congenital Muscular Dystrophy (UCMD) and Bethlem Myopathy (BM). Given that collagen VI is one of the most abundant extracellular matrix proteins in adipose tissue and its emerging role in energy metabolism we hypothesized that collagen VI deficiency might be associated with alterations in adipose tissue distribution and adipokines serum profile. We analyzed body composition by means of dual-energy X-ray absorptiometry in 30 pediatric and adult COL6-RM myopathy patients representing a range of severities (UCMD, intermediate-COL6-RM, and BM). We found a distinctive pattern of regional adipose tissue accumulation which was more evident in children at the most severe end of the spectrum. In particular, the accumulation of fat in the android region was a distinguishing feature of UCMD patients. In parallel, there was a decrease in lean mass compatible with a state of sarcopenia, particularly in ambulant children with an intermediate phenotype. All children and adult patients that were sarcopenic were also obese. These changes were significantly more pronounced in children with collagen VI deficiency than in children with Duchenne Muscular Dystrophy of the same ambulatory status. High molecular weight adiponectin and leptin were significantly increased in sera from children in the intermediate and BM group. Correlation analysis showed that the parameters of fat mass were negatively associated with motor function according to several validated outcome measures. In contrast, lean mass parameters correlated positively with physical performance and quality of life. Leptin and adiponectin circulating levels correlated positively with fat mass parameters and negatively with lean mass and thus may be relevant to

  8. Psychological distress and physical disability in patients sustaining severe injuries in road traffic crashes: Results from a one-year cohort study from three European countries.

    PubMed

    Papadakaki, Maria; Ferraro, Ottavia Eleonora; Orsi, Chiara; Otte, Dietmar; Tzamalouka, Georgia; von-der-Geest, Marco; Lajunen, Timo; Özkan, Türker; Morandi, Anna; Sarris, Markos; Pierrakos, George; Chliaoutakis, Joannes

    2017-02-01

    The current study aimed to follow-up a group of road crash survivors for one year and assesses the impact of injury on their psychological and physical condition. All crash survivors that were admitted to the intensive or sub-intensive care units of selected hospitals in Greece, Germany and Italy over one year period (2013-2014), were invited to participate in the study and were interviewed at three different time-points as follows: (a) at one month (baseline data), (b) at six months, and (c) at twelve months. The study used widely recommended classifications for injury severity (AIS, MAIS) and standardized health outcome measures such as the Disability Assessment Schedule II (WHODAS 2.0) to measure disability, "Impact of Event Scale" (IES-R) to measure Post-Traumatic Stress Disorder (PTSD), Center for Epidemiological Studies Depression Scale (CES-D Scale) to measure depression. A total of 120 patients were enrolled in the study in all the partner countries and 93 completed all follow up questionnaires. The risk of physical disability was 4.57 times higher [CI 1.98-2.27] at the first follow up and 3.43 times higher [CI 1.43-9.42] at the second follow up as compared with the time before the injury. There was a 79% and an 88% lower risk of depression at the first and the second follow up respectively, as compared with the baseline time. There was also a 72% lower risk of Post-Traumatic Stress at the second follow up as compared with the baseline time. A number of factors relevant to the individuals, the road crash and the injury, were shown to distinguish those at higher risk of long-lasting disability and psychological distress including age, marital status, type of road user, severity and type of the injury, past emotional reaction to distress. The study highlights the importance of a comprehensive and holistic understanding of the impact of injury on an individual and further underlines the importance of screening and treating psychological comorbidities in injury

  9. Soft coral abundance on the central Great Barrier Reef: effects of Acanthaster planci, space availability, and aspects of the physical environment

    NASA Astrophysics Data System (ADS)

    Fabricius, K. E.

    1997-07-01

    The distribution and abundance of soft coral genera on reefs of the central Great Barrier Reef was investigated in relation to reef position, recent history of disturbance, wave exposure, substratum slope and depth. Eighty-five 25 m long transects were surveyed at 10 m depth on windward sides of 14 mid- and outer-shelf reefs. A further 75 transects in different zones on one mid-shelf reef (Davies Reef) between 5 and 30 m depth were investigated. The crown-of-thorns starfish Acanthaster planci had caused large-scale mortality of scleractinians on eight of these reefs five to ten years prior to the study, and as a result, scleractinian cover was only 35-55% of that on the six unimpacted reefs. On the impacted reefs, stony corals with massive and encrusting growths form had smaller average colony diameters but similar or slightly lower numerical abundance. In contrast, mean colony size, cover and abundance of branching stony corals showed no difference between impacted and unimpacted reefs. Twenty-four genera of soft corals (in eight families) were recorded, and none showed different abundance or cover in areas of former A. planci impact, compared to unaffected sites. Similarly, no difference was detected among locations in the numbers or area cover of sponges, tunicates, zoanthids, Halimeda or other macro-algae. Mean soft coral cover was 2 to 5% at 10 m on sheltered mid-shelf reefs, and 12 to 17% on more current-exposed reefs. Highest cover and abundances generally occurred on platforms of outer-shelf reefs exposed to relatively strong currents but low wave energy. On Davies Reef, cover and colony numbers of the families Nephtheidae and Xeniidae were low within the zone of wave impact, in flow-protected bays and lagoons, on shaded steep slopes, and at depths above 10 and below 25 m. In contrast, distributions of genera of the family Alcyoniidae were not related to these physical parameters. The physical conditions of a large proportion of habitats appear "sub

  10. A longitudinal study investigating how stroke severity, disability, and physical function the first week post-stroke are associated with walking speed six months post-stroke.

    PubMed

    Aaslund, Mona Kristin; Moe-Nilssen, Rolf; Gjelsvik, Bente Bassøe; Bogen, Bård; Næss, Halvor; Hofstad, Håkon; Skouen, Jan Sture

    2017-08-17

    To investigate to which degree stroke severity, disability, and physical function the first week post-stroke are associated with preferred walking speed (PWS) at 6 months. Longitudinal observational study. Participants were recruited from a stroke unit and tested within the first week (baseline) and at 6 months post-stroke. Outcome measures were the National Institutes of Health Stroke Scale (NIHSS), the Barthel Index (BI), modified Rankin Scale (mRS), PWS, Postural Assessment Scale for Stroke (PASS), and the Trunk Impairment Scale modified-Norwegian version. Multiple regression models were used to explore which variables best predict PWS at 6 months, and the Receiver Operating Characteristics (ROC) curves to determine the cutoffs. A total of 132 participants post-stroke were included and subdivided into two groups based on the ability to produce PWS at baseline. For the participants that could produce PWS at baseline (WSB group), PASS, PWS, and age at baseline predicted PWS at 6 months with an explained variance of 0.77. For the participants that could not produce a PWS at baseline (NoWSB group), only PASS predicted PWS at 6 months with an explained variance of 0.49. For the Walking speed at baseline (WSB) group, cutoffs at baseline for walking faster than 0.8 m/s at 6 months were 30.5 points on the PASS, PWS 0.75 m/s, and age 73.5 years. For the NoWSB group, the cutoff for PASS was 20.5 points. PASS, PWS, and age the first week predicted PWS at 6 months post-stroke for participants with the best walking ability, and PASS alone predicted PWS at 6 months post-stroke for participants with the poorest walking ability.

  11. Behavioural aspects of terrorism.

    PubMed

    Leistedt, Samuel J

    2013-05-10

    Behavioural and social sciences are useful in collecting and analysing intelligence data, understanding terrorism, and developing strategies to combat terrorism. This article aims to examine the psychopathological concepts of terrorism and discusses the developing roles for behavioural scientists. A systematic review was conducted of studies investigating behavioural aspects of terrorism. These studies were identified by a systematic search of databases, textbooks, and a supplementary manual search of references. Several fundamental concepts were identified that continue to influence the motives and the majority of the behaviours of those who support or engage in this kind of specific violence. Regardless of the psychological aspects and new roles for psychiatrists, the behavioural sciences will continue to be called upon to assist in developing better methods to gather and analyse intelligence, to understand terrorism, and perhaps to stem the radicalisation process.

  12. [Sequelae in patients with severe burns].

    PubMed

    Martín Espinosa, Noelia M; Píriz-Campos, Rosa Ma

    2014-02-01

    Nowadays, the main aim with severe burned patients is the prevention and treatment of the complications associated to burn injuries, because the mortality caused by them has significantly declined due to the improvements in the treatments used. This fact has changed the focus of the care from a biomedical model which pay attention to the physical aspects, to other based on the holistic care of the patient in which physical, psychological and social aspects are considered. To minimize the development of these adverse complications and to prevent their severity in long term, it is essential to initiate an early rehabilitation at hospital and follow these patients by the Primary Care team when they return home. The adverse effects of the burns can invalidate the patient and they can affect several spheres of his life: physical, psychological and social. The goals of this article are to determine the most common complications in severe burns, describe the treatments more effective to combat them and explain the role of nurses in the prevention and rehabilitation of these injured.

  13. Role of Multiple Representations in Physics Problem Solving

    ERIC Educational Resources Information Center

    Maries, Alexandru

    2013-01-01

    This thesis explores the role of multiple representations in introductory physics students' problem solving performance through several investigations. Representations can help students focus on the conceptual aspects of physics and play a major role in effective problem solving. Diagrammatic representations can play a particularly important role…

  14. Role of Multiple Representations in Physics Problem Solving

    ERIC Educational Resources Information Center

    Maries, Alexandru

    2013-01-01

    This thesis explores the role of multiple representations in introductory physics students' problem solving performance through several investigations. Representations can help students focus on the conceptual aspects of physics and play a major role in effective problem solving. Diagrammatic representations can play a particularly important role…

  15. [Severe multifactorial hyponatremia].

    PubMed

    Manes, Massimo; Radin, Elisabetta; Pellù, Valentina; Caputo, Donatella; Gabrielli, Danila; Molino, Andrea; Paternoster, Giuseppe; Parodi, Emanuele; Nebiolo, Pier Eugenio

    2017-01-01

    Hyponatremia is the most common electrolyte disorder observed in hospitalized patients. The most severe forms are neurological and potentially fatal emergencies; yet increased morbidity, length of hospital stay and costs associated with less severe forms are aspects of major concern. Nephrologists are frequently consulted regarding the therapeutic management and the key pathophysiological issues of hyponatremia, as this latter aspect represents a true challenge in an emergency setting. We report a case of a woman admitted to the emergency room for gait instability caused by a very severe multifactorial hyponatremia with a favourable clinical outcome.

  16. Numerical and Physical Aspects of Aerodynamic Flows

    DTIC Science & Technology

    1992-01-15

    rewewing instructions. searcmng eisting oat& sourm. ’qathering an maintaiing the data needed, and comofeting ann r~leývielrvnhe collection of...Secondary instability of boundary lay- iments and overview. J. Fluid Mech. 171:219-261, ers. Ann . Retv. Fluid Mech. 20:487-526, 1988. 1986. [17] El-Hady, N...receptivity to long-wave free-stream distur- AIAA J. 29(5):688-696, 1991. bances. Ann . Rev. Fluid Mech 21:137-166, 1989. [18] Masad, J. A.; and Nayfeh

  17. Some Aspects of Nonneutral Plasma Physics

    DTIC Science & Technology

    1991-12-18

    in AlP 175 3. J. Daugherty, J. Eninger , and G. Janes. Phys Fluids, 12, 2677, (1969) 4. T. O’Neil, pl in AlP 175 5. D. Heinzen, J. Bollinger, F. Moore...Daugherty, J. Eninger , and G. Janes, AVCO Everett Report 375, AVCO Everett Research Lab, Everett, MA, October, 1971 14. P. Zaveri, P. John, and P. Kaw

  18. Physical aspects of evolutionary optimization and adaptation

    NASA Astrophysics Data System (ADS)

    Fontana, Walter; Schnabl, Wolfgang; Schuster, Peter

    1989-09-01

    A model of an objective function based on polynucleotide folding is used to investigate the dynamics of evolutionary adaptation in finite populations. Binary sequences are optimized with respect to their kinetic properties through a stochastic process involving mutation and selection. The objective function consists in a mapping from the set of all binary strings with given length into a set of two-dimensional structures. These structures then encode the kinetic properties, expressed in terms of parameters of reaction probability distributions. The objective function obtained thereby represents a realistic example of a highly ``rugged landscape.'' Ensembles of molecular strings adapting to this landscape are studied by tracing their escape path from local optima and by applying multivariate analysis. Effects of small population numbers in the tail of the sequence distribution are discussed quantitatively. Close upper bounds to the number of distinct values produced by our objective function are given. The distribution of values is explored by means of simulated annealing and reveals a random scatter in the locations of optima in the space of all sequences. The genetic optimization protocol is applied to the ``traveling salesman'' problem.

  19. Some topological aspects of condensed matter physics

    NASA Astrophysics Data System (ADS)

    Roy, Rahul

    The angular momentum paradox in Helium 3 is revisited. The edge currents in an infinite half plane and in a cylinder are calculated using the Bogoliubov de Gennes approximation and are shown to be consistent with the expectation of an unit of angular momentum associated with every Cooper pair. The problem is also studied using an effective Action approach. Edge currents in a quantum spin Hall model in graphene are also studied using similar techniques. A model for the integer quantum Hall effect on a square lattice is presented. Using techniques from algebraic topology, a classification of band insulators with time reversal symmetry in two and three dimensions is presented. The possibility of a three dimensional quantum spin Hall effect is pointed out. A topological classification of lattice superconductors is also derived.

  20. Jamaica's disappearing forests: physical and human aspects.

    PubMed

    Tole, L

    2001-10-01

    Jamaica is a small island that is losing its forest cover at a rapid rate. Due to the dependency of its largely poor population on the many services and functions its forests provide, this loss threatens to have substantial socioeconomic and ecological consequences for the country. Despite these basic facts, the problem of Jamaican deforestation has received very little attention from the scientific community. This article presents results of an island-wide, satellite-based study of forest change for Jamaica for the period 1987-1992, which was supplemented by a field trip to the island in 1999 to assess the overall accuracy of the estimate. Landsat MSS images, which are available only up until 1992, have proved to be an invaluable and cost-effective resource for mapping forest change in the tropics, particularly in large areas. A supervised classification indicates that Jamaica experienced an average annual deforestation rate of 3.9% for this period, a figure higher than existing estimates based on partial ground surveys but lower than the FAO's 1990 Tropical Forest Assessment of 5.3% for 1981-1990. Deforestation estimates for Jamaica's 14 parishes are also presented, based on the integration of satellite-derived forest classification maps with a parish administrative boundaries map of the island in a GIS. A correlation analysis between parish deforestation estimates and socioeconomic and land use/quality indicators derived from official sources suggests that deforestation is occurring most rapidly in highly populated areas possessing large numbers of small farmers who live and work under resource-poor conditions. By providing a sense of the magnitude of and main forest loss hotspots, it is hoped that these national and subnational level forest estimates will draw scientific attention to the problem of deforestation on the island. In addition, the socioeconomic analysis may provide policy-makers and planners with some sense of the relative contribution of underlying driving process in this deforestation as a first step toward the creation of effective social programs to combat the problem.

  1. Development of curcumin nanocrystal: physical aspects.

    PubMed

    Rachmawati, Heni; Al Shaal, Loaye; Müller, Rainer H; Keck, Cornelia M

    2013-01-01

    Curcumin, a naturally occuring polyphenolic phytoconstituent, is isolated from the rhizomes of Curcuma longa Linn. (Zingiberaceae). It is water insoluble under acidic or neutral conditions but dissolves in alkaline environment. In neutral or alkaline conditions, curcumin is highly unstable undergoing rapid hydrolytic degradation to feruloyl methane and ferulic acid. Thus, the use of curcumin is limited by its poor aqueous solubility in acidic or neutral conditions and instability in alkaline pH. In the present study, curcumin nanocrystals were prepared using high-pressure homogenization, to improve its solubility. Five different stabilizers [polyvinyl alcohol (PVA), polyvinyl pyrrolidone (PVP), d-α-tocopherol polyethylene glycol 1000 succinate (TPGS), sodium dodecyl sulfate (SDS), carboxymethylcellulose sodium salt] possessing different stabilization mechanism were investigated. The nanoparticles were characterized with regard to size, surface charge, shape and morphology, thermal property, and crystallinity. A short-term stability study was performed storing the differently stabilized nanoparticles at 4°C and room temperature. PVA, PVP, TPGS, and SDS successfully produced curcumin nanoparticle with the particle size in the range of 500-700 nm. PVA, PVP, and TPGS showed similar performance in preserving the curcumin nanosuspension stability. However, PVP is the most efficient polymer to stabilize curcumin nanoparticle. This study illustrates that the developed curcumin nanoparticle held great potential as a possible approach to improve the curcumin solubility then enhancing bioavailability.

  2. Aspects of Gond astronomy

    NASA Astrophysics Data System (ADS)

    Vahia, M. N.; Halkare, Ganesh

    2013-03-01

    The Gond community is considered to be one of the most ancient tribes of India with a continuing history of several thousand years. They are also known for their largely isolated history which they have retained through the millennia. Several of their intellectual traditions therefore are a record of parallel aspects of human intellectual growth, and still preserve their original flavour and have not been homogenised by the later traditions of India. In view of this, the Gonds provide a special window to the different currents that constitute contemporary India. In the present study, we summarise their mythology, genetics and script. We then investigate their astronomical traditions and try to understand this community through a survey of 15 Gond villages spread over Maharashtra, Andhra Pradesh and Madhya Pradesh. We show that they have a distinctly different view of the sky from the conventional astronomical ideas encountered elsewhere in India, which is both interesting and informative. We briefly comment on other aspects of their life as culled from our encounters with different members of the Gond community.

  3. Severe Lower Limb Ischemia by Massive Arterial Thrombosis Revealing an Acute Myeloid Leukemia Needing for Leg Amputation: Clinical and Emotional Aspects Related to the Communication with the Patient and His Family

    PubMed Central

    Taormina, Calogero; Mosa, Clara; Di Marco, Floriana; Valentino, Fabrizio; Trizzino, Angela; Guadagna, Paola; Talarico, Francesco

    2016-01-01

    Large vessel thrombosis is a very rare clinical presentation of acute leukemia, generally associated with coagulopathy, usually characteristic of acute promyelocytic leukemia. A 13- year-old boy with a previously undiagnosed acute myeloid leukemia was referred to our hospital with acute ischemia of the right lower limb due to occlusion of the right external iliac artery, treated with emergency double surgical thromboembolectomy and chemotherapy. The thrombotic complication resulted in leg amputation. Now the boy is well in complete remission, with a good social integration and quality of life, 30 months after completing treatment. The report highlights the crucial role of early diagnosis and subsequent chemotherapy in avoiding amputation. We particularly focused critical and emotional aspects related to the communication about the leg amputation with the patient and his family. PMID:28058104

  4. Detectable Aspects Of Alaska, and the Southwests Kokopelli, Indicate That Environmental Monitoring By Native Americans Utilized Several Sensory Modes, and That Their Conservation Held Moral Value Within Their Traditional Culture.

    NASA Astrophysics Data System (ADS)

    Ochs, Michael Ann; Mc Leod, Roger D.

    2004-03-01

    Place-names of Alaska and the Americas, in names like Natick, MA, Matagamon, ME, Matacumbe Key, FL, Tecate Mt, CA, and Tacoma, WA as well as Allapatah, FL, and Issaqua, WA indicate Native Americans all monitored equivalent aspects of the earths EMF. Former coastal and island areas of Native American activity and culture in Alaska show a traditional, historic leader climbed the mountain of one cliff-like island area for weather prediction. We suggest that the ascent onto the mountain and the subsequent significant stay there was for purposes of cultural and religious reverence associated with direct observation of phenomena associated with known weather sequences. Similar cultural awareness of EMF phenomena and weather-making could be related to practices of the MiKmaw/Micmac Indians of the northeast, and the so-called rain-dance of the Hopi of the southwest. *This paper does not necessarily represent the views of the U.S. E.P.A

  5. Mental health nursing and physical health care: a cross-sectional study of nurses' attitudes, practice, and perceived training needs for the physical health care of people with severe mental illness.

    PubMed

    Robson, Debbie; Haddad, Mark; Gray, Richard; Gournay, Kevin

    2013-10-01

    Mental health nurses have a key role in improving the physical health of people with a serious mental illness, however, there have been few studies of their attitudes or the extent of their involvement in this work. The aim of this study was to examine mental health nurses' attitudes to physical health care and explore associations with their practice and training. A postal questionnaire survey including the Physical Health Attitude Scale for mental health nurses (PHASe) was used within a UK mental health trust. The 52% (n = 585) of staff who responded reported varying levels of physical health practice; this most frequently involved providing dietary and exercise advice and less frequently included advice regarding cancer screening and smoking cessation. Having received post-registration physical health-care training and working in inpatient settings was associated with greater reported involvement. More positive attitudes were also evident for nurses who had attended post-registration physical health training or had an additional adult/general nursing qualification. Overall, the attitudes of mental health nurses towards physical health care appear positive and the willingness of nurses to take on these roles needs to be recognized. However, there are areas where nurses in our sample were more ambivalent such as cancer screening and smoking cessation.

  6. Summary of the NASA/MSFC FY-79 Severe Storm and Local Weather research review. [cloud physics, atmospheric electricity, and mesoscale/storm dynamics reserach

    NASA Technical Reports Server (NTRS)

    1979-01-01

    Significant acomplishments, current focus of work, plans for FY-80, and recommendations for new research are outlined for 36 research projects proposed for technical monitoring by the Atmospheric Sciences Division at Marshall Space Flight Center. Topics of the investigations, which were reviewed at a two-day meeting, relate to cloud physics, atmospheric electricity, and mesoscale/storm dynamics.

  7. Uses of a Portable Microprocessor-Based Communication System and Personal Computers in the Instruction of Persons with Severe Physical Disabilities.

    ERIC Educational Resources Information Center

    Wilson, Wesley R.

    1982-01-01

    The Alternative Communication System Project pilot tested a microcomputer-based communication device with five physically disabled students (8-15 years old). Ss exhibited a high level of accuracy in using the system, which translates Morse Code into English letters, numbers, and punctuation. Videotapes available as project demonstration materials…

  8. Health behaviour beliefs and physical health risk factors for cardiovascular disease in an outpatient sample of consumers with a severe mental illness: a cross-sectional survey.

    PubMed

    Brunero, Scott; Lamont, Scott

    2010-06-01

    Consumers with a mental illness have a significantly higher risk of physical health problems than the general population. The role of health behaviour beliefs and their part in the health of consumers with a mental illness has been poorly explored in the literature. To understand the relationship between physical health risk factors and health behaviour beliefs in consumers with schizophrenia. A cross-sectional survey study design using the European Health and Behaviour Survey and assessing (n=99) consumer's blood pressure, waist circumference, body mass index, smoking history, exercise levels, demographics, family history of diabetes and cardiovascular disease was used. The study was conducted in a 76-bed psychiatric facility located within a 550-bed metropolitan generalist hospital in Sydney, Australia. Patients attending an outpatient clozapine clinic at the mental health service were asked to participate in the survey by a nurse working in the clinic during the study period. Of the 163 consumers asked to be involved in the study, n=99 agreed to participate. Mean waist circumference and body mass index for both males and females were significantly above normal population limits. Overall, consumer's beliefs toward their health on the European Health and Behaviour Survey were positive, having statistically significantly more positive attitudes to the statements 'avoiding too much sugar', 'drinking no alcohol' and 'yearly blood pressure checks' than a previously published non-mental health consumer sample. Whilst having positive attitude toward their healthcare, consumers' physical health risk parameters were higher than general population norms. Consumers with a mental illness have a significantly higher risk for serious physical health problems, yet possess high positive attitudes toward their physical health care. Models of care need to explore this contradiction within mental health services to improve patient outcomes. (c) 2009 Elsevier Ltd. All rights

  9. Cannabis use in people with severe mental illness: The association with physical and mental health--a cohort study. A Pharmacotherapy Monitoring and Outcome Survey study.

    PubMed

    Bruins, Jojanneke; Pijnenborg, Marieke G H M; Bartels-Velthuis, Agna A; Visser, Ellen; van den Heuvel, Edwin R; Bruggeman, Richard; Jörg, Frederike

    2016-04-01

    In the general population cannabis use is associated with better cardiometabolic outcomes. Patients with severe mental illness frequently use cannabis, but also present increased cardiometabolic risk factors. We explore the association between cannabis use and cardiometabolic risk factors in patients with severe mental illness. A total of 3169 patients with severe mental illness from a Dutch cohort were included in the study. The association of cannabis use with body mass index, waist circumference, blood pressure, cholesterol, triglycerides, glucose, glycated hemoglobin and Positive and Negative Syndrome Scale was examined with separate univariate AN(C)OVA. Changes in metabolic risk factors and Positive and Negative Syndrome Scale were examined after a follow-up interval of 9-24 months, for patients who continued, discontinued, started or were never using cannabis between the two assessments. Cannabis users at baseline had lower body mass index, smaller waist circumference, lower diastolic blood pressure, and more severe psychotic symptoms than non-users. Patients who discontinued their cannabis use after the first assessment had a greater increase in body mass index, waist circumference, diastolic blood pressure and triglyceride concentrations than other patients, and the severity of their psychotic symptoms had decreased more compared to continued users and non-users. Extra attention should be paid to the monitoring and treatment of metabolic parameters in patients who discontinue their cannabis use. © The Author(s) 2016.

  10. Aspect-Oriented Design with Reusable Aspect Models

    NASA Astrophysics Data System (ADS)

    Kienzle, Jörg; Al Abed, Wisam; Fleurey, Franck; Jézéquel, Jean-Marc; Klein, Jacques

    The idea behind Aspect-Oriented Modeling (AOM) is to apply aspect-oriented techniques to (software) models with the aim of modularizing crosscutting concerns. This can be done within different modeling notations, at different levels of abstraction, and at different moments during the software development process. This paper demonstrates the applicability of AOM during the software design phase by presenting parts of an aspect-oriented design of a crisis management system. The design solution proposed in this paper is based on the Reusable Aspect Models (RAM) approach, which allows a modeler to express the structure and behavior of a complex system using class, state and sequence diagrams encapsulated in several aspect models. The paper describes how the model of the "create mission" functionality of the server backend can be decomposed into 23 inter-dependent aspect models. The presentation of the design is followed by a discussion on the lessons learned from the case study. Next, RAM is compared to 8 other AOM approaches according to 6 criteria: language, concern composition, asymmetric and symmetric composition, maturity, and tool support. To conclude the paper, a discussion section points out the features of RAM that specifically support reuse.

  11. Aspects and the Overlap Function.

    ERIC Educational Resources Information Center

    Levine, Marilyn M.; Levine, Leonard P.

    1984-01-01

    Presents system for automatic handling of ordered sets, states based on these sets, and differing points of view regarding Universe of Discourse. Aspects are represented by new logical "overlap" function with examples taken from Ranganathan's horse and carriage parable and several books involving four main concepts (history, geography,…

  12. Aspects of preheating after inflation

    NASA Astrophysics Data System (ADS)

    Greene, Patrick Bradley

    2002-12-01

    We review several aspects of preheating after inflation. Topics covered include the structure of bosonic parametric resonance in conformal theories, the parametric excitation of fermions both with and without expansion of the universe, and tachyonic preheating at the end of supersymmetric hybrid inflation.

  13. TWO ASPECT MARKERS IN MANDARIN.

    ERIC Educational Resources Information Center

    WANG, WILLIAM S-Y.

    TWO ASPECT MARKERS IN MANDARIN CHINESE ARE STUDIED WITHIN THE GENERAL FRAMEWORK OF A TRANSFORMATIONAL GRAMMAR. THEY ARE COMMONLY REPRESENTED AS "-LE," INDICATING COMPLETION OF ACTION, AND "-GUO," INDICATING THAT AN ACTION HAS TAKEN PLACE AT LEAST ONCE. THE PROBLEM INVOLVES SEVERAL SEEMING IRREGULARITIES IN THE FORMATION OF…

  14. Theoretical Aspects of Speech Production.

    ERIC Educational Resources Information Center

    Stevens, Kenneth N.

    1992-01-01

    This paper on speech production in children and youth with hearing impairments summarizes theoretical aspects, including the speech production process, sound sources in the vocal tract, vowel production, and consonant production. Examples of spectra for several classes of vowel and consonant sounds in simple syllables are given. (DB)

  15. An Analogy between Fractional Distillation and Separating Physically Fit and Physically Less Fit Persons

    NASA Astrophysics Data System (ADS)

    Mukesh, Doble

    2001-02-01

    Separating two liquids in a fractional distillation column on the basis of their difference in boiling points is analogous to separating a group of people on the basis of their physical fitness by making them climb a flight of stairs. Several aspects of this unit operation such as column height, flooding, and reflux ratio are explained with the help of this analogy.

  16. Clinical hypnosis for palliative care in severe chronic diseases: a review and the procedures for relieving physical, psychological and spiritual symptoms.

    PubMed

    Brugnoli, Maria Paola

    2016-10-01

    Hypnotic treatment in severe chronic diseases, for pain and symptoms relief, has proven efficacy as adjuvant therapy, and should be offered to any individual, who expresses an interest in this method. While some theorize hypnotizability as a changing attribute of the individual, there is a growing body of literature that indicates hypnotizability may be characterized as a constellation of potentially modifiable attitudes and skills, which are strongly influenced by related factors, as suffering, in severe chronic diseases. In this article, I briefly review representative studies recognizing how clinical hypnosis in medicine is an effective complementary therapy, for pain and symptom's relief in severe chronic diseases and in palliative care. This paper highlights: (I) a scientific review to underline how clinical hypnosis has an important impact on the treatment goals and integration in relieving pain and symptoms; (II) the advanced techniques for effectively relieving pain and symptoms.

  17. Development and Validation of Scientific Literacy Achievement Test to Assess Senior Secondary School Students' Literacy Acquisition in Physics

    ERIC Educational Resources Information Center

    Adeleke, A. A.; Joshua, E. O.

    2015-01-01

    Physics literacy plays a crucial part in global technological development as several aspects of science and technology apply concepts and principles of physics in their operations. However, the acquisition of scientific literacy in physics in our society today is not encouraging enough to the desirable standard. Therefore, this study focuses on…

  18. Nuclear physics and cosmology

    SciTech Connect

    Coc, Alain

    2014-05-09

    There are important aspects of Cosmology, the scientific study of the large scale properties of the universe as a whole, for which nuclear physics can provide insights. Here, we will focus on Standard Big-Bang Nucleosynthesis and we refer to the previous edition of the School [1] for the aspects concerning the variations of constants in nuclear cosmo-physics.

  19. Gender differences in addiction severity.

    PubMed

    Díaz-Mesa, Eva M; García-Portilla, Paz; Fernández-Artamendi, Sergio; Sáiz, Pilar A; Bobes Bascarán, Teresa; Casares, María José; Fonseca, Eduardo; Al-Halabí, Susana; Bobes, Julio

    2016-06-14

    Gender has been associated with substance use disorders (SUD). However, there are few studies that have evaluated gender differences in a global and a standardized way, and with a large sample of patients with SUD. Our goal is to analyze the role of gender in addiction severity throughout multiple life domains, using the Addiction Severity Index-6 (ASI-6). A naturalistic, multicenter and prospective study was conducted. A total of 221 patients with SUD (80.1% men) were interviewed with the ASI-6. Our results indicate that the Recent Summary Scores (RSSs) of men and women are similar, with the exception of Psychiatric and Partner- Problems, where women showed higher severity (p = .017 and p = .013, respectively). Statistically significant gender differences were found in certain aspects of the ASI-6 domains: men have more problems of physical health, legal issues, and alcohol and other substance use; and woman score higher in problems of mental health, social network, subjective evaluations of SUD consequences, and treatment needs. These results should be taken into account to improve the identification, prevention, and treatment of SUD.

  20. [Ptosis surgery. Current aspects].

    PubMed

    Hintschich, C

    2012-05-01

    Ptosis can be congenital but is more commonly an acquired condition occurring in particular as involutional forms. In addition to the aesthetic aspects ptosis mostly also leads to functional problems. Congenital ptosis in particular carries a high risk of amblyopia in childhood, therefore competent and close-knit pediatric ophthalmological treatment is important. Correction of ptosis is surgical and direct or indirect procedures are available depending on the conditions. Transcutaneous levator surgery has proven to be the universally applicable method for ptosis of all degrees of severity and can be combined with other corrective measures, such as temporal canthopexy or blepharoplasty, particularly for eyelids of elderly patients. In cases of severely impaired levator function and poor Bell phenomenon the indirect frontalis suspension method can be used. Congenital ptosis in childhood should be surgically treated at an early stage because of a substantial risk of amblyopia even if the central visual axis is still clear. The results of ptosis surgery are generally good and serious complications are rare.