Sample records for tahlfeld katre pilvinski

  1. A Process of Multidisciplinary Team Communication to Individualize Stroke Rehabilitation of an 84-Year-Old Stroke Patient.

    PubMed

    Hiragami, Fukumi; Hiragami, Shogo; Suzuki, Yasuo

    Previously, we have used a multidisciplinary team (MDT) approach to individualize rehabilitation of very old stroke patients as a means to establish intervention points for addressing impaired activities of daily living (ADL). However, this previous study was limited because of a lack in describing the communication process over time. This case study characterized the MDT communication process in the rehabilitation of an 84-year-old patient over the course of 15 weeks. The MDT consisted of 3 nurses, 1 doctor, 6 therapists, and the patient/families. Meetings (15 minutes each) were held at 4, 6, 8, and 15 weeks following the patient's admission. To individualize the rehabilitation, the communication process involved gaining knowledge about ADL impairments, sharing assessments, providing treatment options, and reflecting on desired treatment outcomes-a process termed KATR. The knowledge, assessment, treatment, and reflection (KATR) process established intervention points focusing on specific ADL impairments. The team members focused the interventions on the impaired ADL identified in the KATR process, and individualized rehabilitation was generated from the MDT information-sharing knowledge. In the initial meeting (Week 4), intervention points derived from the KATR process focused on rehabilitation of self-care impairments. These impairments improved by Week 15. By the last meeting, the MDT intervention points focused on mobility impairments. Having an organized communication process (i.e., KATR) facilitates individualization of rehabilitation without lengthy and frequent MDT meetings and enhances the quality of rehabilitation after a stroke.

  2. Characterization and Targeting of the Aldehyde Dehydrogenase Subpopulation in Ovarian Cancer

    DTIC Science & Technology

    2012-07-01

    Targeting the Hedgehog pathway reverses taxane resistance in ovarian cancer. Proceedings of the 42 nd Annual Society of Gynecologic Oncologists...Meeting, 2011. Steg AD, Ziebarth AA, Katre A, Landen CN Jr. Targeting hedgehog reverses taxane resistance by Gli-dependent and independent mechanisms in...pathways ( Hedgehog , Notch, TGF-b, and Wnt). Select genes of interest were validated as important targets using siRNA-mediated downregulation. Results

  3. Laboratory tests of short intense envelope solitons

    NASA Astrophysics Data System (ADS)

    Slunyaev, A.; Clauss, G. F.; Klein, M.; Onorato, M.

    2012-04-01

    Stability of short intense nonlinear wave groups propagating over deep water is tested in laboratory runs which are performed in the facility of the Technical University of Berlin. The strongly nonlinear simulation of quasi-steady nonlinear wave groups within the framework of the Euler equations is used to generate the surface elevation time series at a border of the water tank. Besides, the exact analytic solution of the nonlinear Schrodinger equation is used for this purpose. The time series is then transformed to a wave maker signal with use of a designed transfer algorithm. Wave group propagation along the tank was recorded by 4 distant gauges and by an array of 6 densely situated gauges. This setup allows to consider the wave evolution from 10 to 85 m from the wave maker, and to obtain the wave envelope shape directly from the instrumental data. In the experiments wave groups were characterized by the steepness values up to kAcr < 0.32 and kAtr < 0.24, where k is the mean wavenumber, Acr is the crest amplitude, and Atr is the trough amplitude; and the maximum local wave slope was up to 0.34. Wave breaking phenomenon was not observed in the experiments. Different mean wave numbers and wave groups of different intensities were considered. In some cases the wave groups exhibit noticeable radiation in the course of propagation, though the groups are not dispersed fully. The effect of finite water depth is found to be significant on the wave group stability. Intense wave groups have shorter time of adjustment, what in some sense may help them to manifest their individuality clearer. The experimental tests confirm recent numerical simulations of fully nonlinear equations, where very steep stable single and interacting nonlinear wave groups were reported [1-3]. The quasi-stationary wave groups observed in numerical and laboratory experiments are strongly nonlinear analogues of the nonlinear Schrodinger envelope solitons. The results emphasize the importance of long

  4. Investigation Into the Accuracy of 3D Surface Roughness Characteristics

    NASA Astrophysics Data System (ADS)

    Kumermanis, M.; Rudzitis, J.; Mozga, N.; Ancans, A.; Grislis, A.

    2014-04-01

    The existing standards for surface roughness cover only two dimensions, while in reality this is three-dimensional (3D). In particular, the 3D surface roughness parameters are important for solving the contact surface mechanics problems as related to the accuracy of 3D surface roughness characteristics. One of the most important factors for determination of 3D characteristics is the number of data points (NDP) on the x- and y-axes (i.e. in cut-off length). The NDP has a profound effect on the accuracy of measurement results, measuring time and volume of the output data (especially along the y-axis, where the NDP is identical to the number of parallel profiles). At a too small NDP the results will be incorrect and with too broad scatter, while a too large NDP - though not enlarging the range of basic information - considerably increases the measuring time. Therefore, the aim of the work was to find the optimal NDP for such surface processing methods as grinding, spark erosion and shot methods of surface treatment. Eksistējošie virsmas raupjuma standarti apskata virsmas raupjumu tikai divās dimensijās. Tomēr reālais virsmas raupjums pēc savas dabas ir trīsdimensiju (3D) objekts. Līdz ar to virsmas raupjums ir jāraksturo ar 3D parametriem. Un no šo parametru noteikšanas precizitātes ir atkarīgi tālākie virsmas aprēķini, piemēram, virsmu kontaktēšanās process. Viens no svarīgākajiem faktoriem, raksturojot virsmas raupjumu 3D, pielietojot kontakta tipa mēriekārtas, ir datu punktu skaits pa abām mērīšanas asīm x un y. Ar datu punktu skaitu mēs saprotam to skaitu mērīšanas bāzes garumā. Datu punktu skaits būtiski ietekmē sagaidāmo mērījumu rezultātu precizitāti, mērīšanai nepieciešamo laiku un izejas datu faila izmērus (sevišķi y-ass virzienā, kur katrs datu punkts ir paralēls profils). Datu punktu skaitam ir jābūt optimālam. Pārāk mazs punktu skaits noved pie neprecīziem rezultātiem un lielas to izkliedes, savuk