Positive experiences of a vocational rehabilitation intervention for individuals on long-term sick leave, the Dirigo project: a qualitative study.

Science.gov (United States)

Andersén, Åsa; Ståhl, Christian; Anderzén, Ingrid; Kristiansson, Per; Larsson, Kjerstin

2017-10-10

The process of returning to work after long-term sick leave can sometimes be complex. Many factors, (e.g. cooperation between different authorities and the individual as well as individual factors such as health, emotional well-being and self-efficacy) may have an impact on an individual's ability to work. The aim of this study was to investigate clients' experiences with an individually tailored vocational rehabilitation, the Dirigo project, and encounters with professionals working on it. The Dirigo project was based on collaboration between rehabilitation authorities, individually tailored interventions and a motivational interviewing approach. A descriptive qualitative design was used with data collected through interviews. Fourteen individuals on long-term sick leave took part in individual semi-structured interviews. The interviews were analysed using content analysis. The analysis showed overall positive experience of methods and encounters with professionals in a vocational rehabilitation project. The positive experiences were based on four key factors: 1. Opportunities for receiving various dimensions of support. 2. Good overall treatment by the professionals. 3. Satisfaction with the working methods of the project, and 4. Opportunities for personal development. The main result showed that the clients had an overall positive experience of a vocational rehabilitation project and encounters with professionals who used motivational interviewing as a communication method. The overall positive experience indicated that their interactions with the different professionals may have affected their self-efficacy in general and in relation to transition to work. The knowledge is essential for the professionals working in the area of vocational rehabilitation. However, vocational rehabilitation interventions also need a societal approach to be able to offer clients opportunities for job training and real jobs.

Significance and effect of ecological rehabilitation project in inland river basins in northwest China.

Science.gov (United States)

Wang, Yu; Feng, Qi; Chen, Lijuan; Yu, Tengfei

2013-07-01

The Ecological Water Transfer and Rehabilitation Project in the arid inland area of northwest China is an important measure in restoring a deteriorated ecosystem. However, the sustainability of the project is affected by many socio-economic factors. This article examines the attitudes of the local populace toward the project, its impact on the livelihood of the people, and the positive effects of water-efficient agricultural practices in Ejina County. Related data were collected through questionnaire surveys and group discussions. The results identified three critical issues that may influence the sustainability of the project in the study area. The first issue relates to the impact of the project on the livelihood of local herdsmen. The potential for the sustainability of the project is compromised because the livelihood of the herdsmen greatly depends on the compensation awarded by the project. The second issue is that the project did not raise the water resource utilization ratio, which may undermine its final purpose. Finally, the compensation provided by the project considers losses in agriculture, but neglects the externalities and public benefit of eco-water. Thus, appropriate compensation mechanisms should be established and adopted according to local economic, environmental, and social conditions. Some recommendations for improving the sustainability of the project are provided based on the results of this study.

Positive experiences of a vocational rehabilitation intervention for individuals on long-term sick leave, the Dirigo project: a qualitative study

Directory of Open Access Journals (Sweden)

Åsa Andersén

2017-10-01

Full Text Available Abstract Background The process of returning to work after long-term sick leave can sometimes be complex. Many factors, (e.g. cooperation between different authorities and the individual as well as individual factors such as health, emotional well-being and self-efficacy may have an impact on an individual’s ability to work. The aim of this study was to investigate clients’ experiences with an individually tailored vocational rehabilitation, the Dirigo project, and encounters with professionals working on it. The Dirigo project was based on collaboration between rehabilitation authorities, individually tailored interventions and a motivational interviewing approach. Methods A descriptive qualitative design was used with data collected through interviews. Fourteen individuals on long-term sick leave took part in individual semi-structured interviews. The interviews were analysed using content analysis. Results The analysis showed overall positive experience of methods and encounters with professionals in a vocational rehabilitation project. The positive experiences were based on four key factors: 1. Opportunities for receiving various dimensions of support. 2. Good overall treatment by the professionals. 3. Satisfaction with the working methods of the project, and 4. Opportunities for personal development. Conclusions The main result showed that the clients had an overall positive experience of a vocational rehabilitation project and encounters with professionals who used motivational interviewing as a communication method. The overall positive experience indicated that their interactions with the different professionals may have affected their self-efficacy in general and in relation to transition to work. The knowledge is essential for the professionals working in the area of vocational rehabilitation. However, vocational rehabilitation interventions also need a societal approach to be able to offer clients opportunities for job training

34 CFR 350.1 - What is the Disability and Rehabilitation Research Projects and Centers Program?

Science.gov (United States)

2010-07-01

...) Rehabilitation Engineering Research Centers. (Authority: Sec. 204; 29 U.S.C. 762) ... 34 Education 2 2010-07-01 2010-07-01 false What is the Disability and Rehabilitation Research... DISABILITY AND REHABILITATION RESEARCH PROJECTS AND CENTERS PROGRAM General § 350.1 What is the Disability...

Design, development and deployment of a hand/wrist exoskeleton for home-based rehabilitation after stroke - SCRIPT project

OpenAIRE

Amirabdollahian, F; Ates, Sedar; Basteris, A.; Cesario, A.; Buurke, Jaap; Hermens, Hermanus J.; Hofs, D.; Johansson, E.; Mountain, G.; Nasr, N.; Nijenhuis, S.M.; Prange, Grada Berendina; Rahman, N.; Sale, P.; Schätzlein, F.

2014-01-01

Objective: this manuscript introduces the Supervised Care and Rehabilitation Involving Personal Tele-robotics (SCRIPT) project. The main goal is to demonstrate design and development steps involved in a complex intervention, while examining feasibility of using an instrumented orthotic device for home-based rehabilitation after stroke. Methods: the project uses a user-centred design methodology to develop a hand/wrist rehabilitation device for home-based therapy after stroke. The patient bene...

European region case study the ethos project for post-accident rehabilitation in the area of belarus contaminated by the Chernobyl disaster

International Nuclear Information System (INIS)

Paterson, J.

2004-01-01

As the worst civilian nuclear accident, the Chernobyl disaster presented the authorities first in the Soviet Union and then in the independent republics with an unprecedented problem. Strenuous and costly efforts were made to limit the effects of the accident and then to cope with the evacuation or rehabilitation as appropriate of the contaminated areas. By the mid-1990's, however, there was increasing evidence that the problems were over-taxing traditional responses. Into this context, a French team of specialists from a range of disciplines entered with a view to attempting improvements, but without preconceived ideas of what they would do or how they would do it. Beginning by listening to the people of the area of Belarus selected for the so-called ETHOS project, they discovered a profound distrust of the authorities and experts born of the perceived shortcomings of the official responses to the problems to date. They thus worked in close co-operation with the people both to identify the problems that concerned them and to develop solutions that took account of local opportunities and constraints. This interim report on a case study examining the ETHOS project is based on interviews with a wide range of people in the area of the project. It presents the problems identified by interviewees with the initial responses of the authorities and then their assessment of the ETHOS approach. The overall finding is that where public confidence has been lost in the context of an event such as the Chernobyl disaster, the authorities need to make a special effort to establish trust to a point where confidence returns. Traditional top-down responses appear to have exacerbated and reinforced the loss of confidence in this case whereas the approach of the ETHOS team appears to have succeeded in building trust to a significant degree - perhaps even to a point where there may be evidence that confidence is returning. (author)

Continuing pollution from the Rum Jungle U-Cu project: A critical evaluation of environmental monitoring and rehabilitation

Energy Technology Data Exchange (ETDEWEB)

Mudd, Gavin M., E-mail: Gavin.Mudd@eng.monash.edu.a [Environmental Engineering, Dept of Civil Engineering, Monash University, Clayton, VIC 3800 (Australia); Patterson, James [Environmental Engineering Consultant, Sydney, NSW (Australia)

2010-05-15

The former Rum Jungle uranium-copper project, Australia, is an internationally important case study on environmental pollution from and rehabilitation of mining. The Rum Jungle mining project is briefly reviewed, followed by a critical evaluation of monitoring data and pollution loads prior to and after rehabilitation - leading to the conclusion that rehabilitation has clearly failed the test of time after just two decades. The most critical findings are the need to understand pollution cycles holistically, and designing monitoring regimes to match, explicit inclusion of radiological criteria (lacking in original planning), and finally the need to set targets based on environmental criteria. Two examples include polluted groundwater which was excluded from rehabilitation and the poor design, construction and/or performance of engineered soil covers - both leading to increasing acid drainage impacts on the Finniss River. The critical review therefore presents a valuable case study of the environmental performance of uranium mine site rehabilitation. - The Rum Jungle U-Cu project underwent extensive rehabilitation in the 1980's, however, it remains a major cause of pollution to the Finniss River.

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

Science.gov (United States)

2012-06-07

... inclusion and integration of individuals with disabilities into society, and promote the employment... DEPARTMENT OF EDUCATION Disability and Rehabilitation Research Projects and Centers Program.... Final priority; National Institute on Disability and Rehabilitation Research (NIDRR)--Disability and...

Leadership Development of Rehabilitation Professionals in a Low-Resource Country: A Transformational Leadership, Project-Based Model.

Science.gov (United States)

Pascal, Maureen Romanow; Mann, Monika; Dunleavy, Kim; Chevan, Julia; Kirenga, Liliane; Nuhu, Assuman

2017-01-01

This paper presents an overview of the activities and outcomes of the Leadership Institute (LI), a short-term leadership development professional development course offered to physiotherapists in a low-resource country. Previous studies have provided examples of the benefits of such programs in medicine and nursing, but this has yet to be documented in the rehabilitation literature. The prototype of leadership development presented may provide guidance for similar trainings in other low-resource countries and offer the rehabilitation community an opportunity to build on the model to construct a research agenda around rehabilitation leadership development. The course used a constructivist approach to integrate participants' experiences, background, beliefs, and prior knowledge into the content. Transformational leadership development theory was emphasized with the generation of active learning projects, a key component of the training. Positive changes after the course included an increase in the number of community outreach activities completed by participants and increased involvement with their professional organization. Thirteen leadership projects were proposed and presented. The LI provided present and future leaders throughout Rwanda with exposure to transformative leadership concepts and offered them the opportunity to work together on projects that enhanced their profession and met the needs of underserved communities. Challenges included limited funding for physiotherapy positions allocated to hospitals in Rwanda, particularly in the rural areas. Participants experienced difficulties in carrying out leadership projects without additional funding to support them. While the emphasis on group projects to foster local advocacy and community education is highly recommended, the projects would benefit from a strong long-term mentorship program and further budgeting considerations. The LI can serve as a model to develop leadership skills and spur professional

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

Science.gov (United States)

2014-07-09

The Assistant Secretary for Special Education and Rehabilitative Services announces a priority under the Disability and Rehabilitation Research Projects and Centers Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR). Specifically, we announce a priority for a Rehabilitation Engineering Research Center (RERC) on Improving the Accessibility, Usability, and Performance of Technology for Individuals who are Deaf or Hard of Hearing. The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years. We take this action to focus research attention on an area of national need. We intend the priority to contribute to improving the accessibility, usability, and performance of technology for individuals who are deaf or hard of hearing.

The Australian Centre for Minesite Rehabilitation Research

International Nuclear Information System (INIS)

Bell, L.C.

1994-01-01

The Australian Centre for Minesite Rehabilitation Research (ACMRR) is a joint venture between the Australian mining industry through the Australian Mineral Industries Research Association Ltd. (AMIRA) and three of the organizations working most actively in this area in Australia: CSIRO Minesite Rehabilitation Research Program; University of Queensland Centre for Mined Land Rehabilitation; and Curtin University Mulga Research Centre. The ACMRR was established in July 1993 to provide a national framework to conduct Strategic Research into minesite rehabilitation. It is an industry led and funded initiative. The Goals of the Centre include: to conduct strategic research into minesite rehabilitation to provide sustainable environmental solutions which are acceptable to industry, government and the community; to be recognized as a center of excellence undertaking commissioned research on minesite rehabilitation in an independent and thorough manner; to provide scientific and technological foundations to facilitate industry and government in setting acceptable standards; to act as networking and communications focus; and to enhance education and training in minesite rehabilitation. Strategic Research Programs in: Water Systems--downstream surface and groundwater quality; Land--the long-term behavior and stability of constructed landforms; Ecosystems--the long-term sustainability of constructed landforms; Waste--the long-term treatment and disposal of waste products; will allow the ACMRR to achieve these goals through specific research projects in these areas, developed with industry sponsors. This paper will discuss their progress to date, research projects underway, and plans for the future

Environmental project and public space rehabilitation: the great project for the historic center of Naples Unesco World Heritage Site

Directory of Open Access Journals (Sweden)

Mario Losasso

2014-05-01

Full Text Available “Historic Centre of Naples, World Heritage Site Enhancement” project has as its goal the rehabilitation of the oldest part of the historic center of Naples, one of the largest and most representative of Europe. The research reference field is placed on the level of strategic approach to the project and process management downstream of EU funding in large cities, with particular multidisciplinary relevance and urban issues of a complex nature. The scientific products of study, training and research were collected in Guidelines for the rehabilitation of public spaces and for sustainable performance of interventions on roads, walkways, squares and urban facilities.

An Example of a Gentrification: Unintended Consequences of an in Situ Rehabilitation Project in Ankara

Directory of Open Access Journals (Sweden)

Reyhan Varlı Görk

2016-06-01

Full Text Available This article is about an early example of gentrification processes in Ankara, the capital of Turkey. A unique form of the gentrification process is examined using a case study of a small inner-city neighborhood on Koza Street through the monitoring of the area between 1998 and 2016, and giving voice to both the gentrifiers and gentrified. Almost ninety percent of the population in the area was displaced despite the inclusionary principles of an in situ Rehabilitation Project which has led to a large scale transformation of the physical space of the street. The study includes four field studies conducted at different time intervals (1998, 2001, 2004, 2009 and a follow-up visit (2016 to the neighborhood, to critically assess the progression of gentrification in Turkey through its phases. Even though gentrification usually refers to the middle class invasion of urban land originally inhabited by the less privileged, our case reveals the effects of successive modes of a gentrification process which starts as an in situ rehabilitation project of a squatter prevention area initiated by a social democratic municipality with the “participation of local groups”, and turns into “gentrification by choice” in the successive years in the shadow of “Third Way” values. What is currently happening could be regarded as “gentrification by force” following urban renewal. In our case, however, the line between the two major components of gentrification, i.e., the “gentrifier” and the “gentrified”, seems to have become ambiguous, which calls for a further analysis of Turkey’s unique political and spatial dynamics.

Developing Community-Based Rehabilitation Programs for Musculoskeletal Diseases in Low-Income Areas of Mexico: The Community-Based Rehabilitation for Low-Income Communities Living With Rheumatic Diseases (CONCORD) Protocol

Science.gov (United States)

2014-01-01

Background The negative impact of musculoskeletal diseases on the physical function and quality of life of people living in developing countries is considerable. This disabling effect is even more marked in low-socioeconomic communities within developing countries. In Mexico, there is a need to create community-based rehabilitation programs for people living with musculoskeletal diseases in low-socioeconomic areas. These programs should be directed to prevent and decrease disability, accommodating the specific local culture of communities. Objective The objective of this paper is to describe a research protocol designed to develop, implement, and evaluate culturally sensitive community-based rehabilitation programs aiming to decrease disability of people living with musculoskeletal diseases in two low-income Mexican communities. Methods A community-based participatory research approach is proposed, including multi and transdisciplinary efforts among the community, medical anthropology, and the health sciences. The project is structured in 4 main stages: (1) situation analysis, (2) program development, (3) program implementation, and (4) program evaluation. Each stage includes the use of quantitative and qualitative methods (mixed method program). Results So far, we obtained resources from a Mexican federal agency and completed stage one of the project at Chankom, Yucatán. We are currently receiving funding from an international agency to complete stage two at this same location. We expect that the project at Chankom will be concluded by December of 2017. On the other hand, we just started the execution of stage one at Nuevo León with funding from a Mexican federal agency. We expect to conclude the project at this site by September of 2018. Conclusions Using a community-based participatory research approach and a mixed method program could result in the creation of culturally sensitive community-based rehabilitation programs that promote community development and

Hydraulic analysis and optimization design in Guri rehabilitation project

Science.gov (United States)

Cheng, H.; Zhou, L. J.; Gong, L.; Wang, Z. N.; Wen, Q.; Zhao, Y. Z.; Wang, Y. L.

2016-11-01

Recently Dongfang was awarded the contract for rehabilitation of 6 units in Guri power plant, the biggest hydro power project in Venezuela. The rehabilitation includes, but not limited to, the extension of output capacity by about 50% and enhancement of efficiency level. To achieve the targets the runner and the guide vanes will be replaced by the newly optimized designs. In addition, the out-of-date stay vanes with straight plate shape will be modified into proper profiles after considering the application feasibility in field. The runner and vane profiles were optimized by using state-of-the-art flow simulation techniques. And the hydraulic performances were confirmed by the following model tests. This paper describes the flow analysis during the optimization procedure and the comparison between various technical concepts.

Ragged Chute rehabilitation project

Energy Technology Data Exchange (ETDEWEB)

Kemp, Paul; Slopek, Richard [Canadian Projects Ltd., Calgary, (Canada); Guzwell, Robert [TransAlta, Calgary, (Canada)

2010-07-01

The Ragged Chute development, located in northern Ontario, was originally constructed to provide compressed air to a local silver mining company. It was composed of a free overflow spillway, the air plant intake, a concrete gravity retaining wall and an earthfill dyke abutment. The advantage of the river flow and the head developed by the dam for the air plant was recently put to use by the addition of a hydro plant. This paper provided an overview of the use of the river flow over the years and described the recent rehabilitation work being done to upgrade the installations to current dam safety standards. Site inspections were carried out in 2006 as part of the dam safety review to assess the overall condition of the structures. The major operation of the rehabilitation work involved the upgrading of the original fixed crest spillway with a new labyrinth spillway structure. Canadian Hydro completed the dam safety safety rehabilitation work by October 2009.

Rehabilitation of the contaminated territories

International Nuclear Information System (INIS)

Ageets, V.Yu.; Kenigsberg, Ya.Eh.; Skurat, V.V.; Tikhonova, L.E.; Shevchuk, V.E.; Ipat'ev, V.A.; Klimova, T.A.

1998-01-01

The purpose of the activity is development of the scientific reasonable projects of socio-economic and social-psychological rehabilitation of specific areas and populated localities on the contaminated territories of the both Gomel and Mogilev Regions. The results of economic researches allow to decrease expenses for realization of protective measures, to increase feedback of counter-measures, to speed up process of development of the plans and their realization, to decrease the labour input of planning of the rehabilitation measures, to increase quantity of considered alternative variants of strategy of the contaminated regions rehabilitation. On the basis of the sociological and psychological researches the recommendations for the most effective formation of adaptation strategies of behaviour of the people on the contaminated territories, formation of post accidental culture and active life image at teenagers, ways of fastening of youth in these areas, more address specialized social support and protection of the irradiated persons, perfection of social demographic policy on rehabilitated territories are offered. In the report are described following directions: scientific ground and development of the complex programmes of rehabilitation of administrative regions on the contaminated territories; development of administration system of the social economical development of the territories having suffered after the Chernobyl accident; social support and socio-psychological rehabilitation of the population of Belarus

[From Science to Law: Findings of Reha XI Project on Ascertaining the Need for Rehabilitation in Medical Service Assessments].

Science.gov (United States)

Kalwitzki, T; Huter, K; Runte, R; Breuninger, K; Janatzek, S; Gronemeyer, S; Gansweid, B; Rothgang, H

2017-03-01

Introduction: In the broad-based consortium project "Reha XI - Identifying rehabilitative requirements in medical service assessments: evaluation and implementation", a comprehensive analysis of the corresponding procedures was carried out by the medical services of the German Health Insurance Funds (MDK). On the basis of this analysis, a Good Practice Standard (GPS) for assessments was drawn up and scientifically evaluated. This article discusses the findings and applicability of the GPS as the basis for a nationwide standardized procedure in Germany as required by the Second Act to Strengthen Long-Term Care (PSG II) under Vol. XI Para. 18 (6) of the German Social Welfare Code. Method: The consortium project comprised four project phases: 1. Qualitative and quantitative situation analysis of the procedures for ascertaining rehabilitative needs in care assessments carried out by the MDK; 2. Development of a Good Practice Standard (GPS) in a structured, consensus-based procedure; 3. Scientific evaluation of the validity, reliability and practicability of the assessment procedure according to the GPS in the MDK's operational practice; 4. Survey of long-term care insurance funds with respect to the appropriateness of the rehabilitation recommendations drawn up by care assessors in line with the GPS for providing a qualified recommendation for the applicant. The evaluation carried out in the third project phase was subject to methodological limitations that may have given rise to distortions in the findings. Findings: On the basis of the situation analysis, 7 major thematic areas were identified in which improvements were implemented by applying the GPS. For the evaluation of the GPS, a total of 3 247 applicants were assessed in line with the GPS; in 6.3% of the applicants, an indication for medical rehabilitation was determined. The GPS procedure showed a high degree of reliability and practicability, but the values for the validity of the assessment procedure were

33 CFR 203.49 - Rehabilitation of Hurricane and Shore Protection Projects.

Science.gov (United States)

2010-07-01

... Protection Projects. (a) Authority. The Chief of Engineers is authorized to rehabilitate any Federally authorized hurricane or shore protection structure damaged or destroyed by wind, wave, or water action of an... (exclusive of dredge mobilization and demobilization costs) exceeds $1 million and is greater than two...

Evaluation of data requirements for computerized constructability analysis of pavement rehabilitation projects.

Science.gov (United States)

2013-08-01

This research aimed to evaluate the data requirements for computer assisted construction planning : and staging methods that can be implemented in pavement rehabilitation projects in the state of : Georgia. Results showed that two main issues for the...

Rehabilitation of residual pits in post-mining area: a goal of Czech brown coal opencast mining industry

International Nuclear Information System (INIS)

Svoboda, I.

1997-01-01

The closure of surface brown coal mines is a complex process with many specific considerations. In the Czech Republic a special project was proposed to analyze the types of environmental disturbance generated by surface mining operations and suggest procedures for the affected areas. It also aims to propose rehabilitation techniques for residual pits, considering their future use for recreational or development purposes. A Chabarovice mine case study demonstrates how to solve the problem of water flooding and utilization of the future residual lake. 2 figs

District heating rehabilitation project. Viljandi - Estonia. Final report

International Nuclear Information System (INIS)

1998-04-01

The main objective of the project has been to assist Viljandi Municipality with the rehabilitation of their district heating system, and thereby to support the positive development of the district heating system in Viljandi to a more energy efficient and rational system and to achieve a significantly decrease in the pollution from the production of heat energy in Viljandi. The project has also included technical assistance to Viljandi DH company, in order to make them capable of operation and maintaining of the new substations, and also training of the local operational staff for operation of the complete district heating system. Viljandi is a county and is centrally located in Estonia, which makes Viljandi very suitable as recipient for a demonstration project. One important objective was the projects significantly positive environmental impact in reduction of the generated emissions of CO 2 , NO x and SO 2 , as the project includes installation of more efficient energy systems and supply of heat from the 2 existing district heating plants (both are partly fired with wood chips) instead of heating by very old and worn-out coal fired boilers and inexpedient designed substations with the present operational conditions. (EG)

District heating rehabilitation project. Viljandi - Estonia. Final report

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-04-01

The main objective of the project has been to assist Viljandi Municipality with the rehabilitation of their district heating system, and thereby to support the positive development of the district heating system in Viljandi to a more energy efficient and rational system and to achieve a significantly decrease in the pollution from the production of heat energy in Viljandi. The project has also included technical assistance to Viljandi DH company, in order to make them capable of operation and maintaining of the new substations, and also training of the local operational staff for operation of the complete district heating system. Viljandi is a county and is centrally located in Estonia, which makes Viljandi very suitable as recipient for a demonstration project. One important objective was the projects significantly positive environmental impact in reduction of the generated emissions of CO{sub 2}, NO{sub x} and SO{sub 2}, as the project includes installation of more efficient energy systems and supply of heat from the 2 existing district heating plants (both are partly fired with wood chips) instead of heating by very old and worn-out coal fired boilers and inexpedient designed substations with the present operational conditions. (EG)

[Principles and methodology for ecological rehabilitation and security pattern design in key project construction].

Science.gov (United States)

Chen, Li-Ding; Lu, Yi-He; Tian, Hui-Ying; Shi, Qian

2007-03-01

Global ecological security becomes increasingly important with the intensive human activities. The function of ecological security is influenced by human activities, and in return, the efficiency of human activities will also be affected by the patterns of regional ecological security. Since the 1990s, China has initiated the construction of key projects "Yangtze Three Gorges Dam", "Qinghai-Tibet Railway", "West-to-East Gas Pipeline", "West-to-East Electricity Transmission" and "South-to-North Water Transfer" , etc. The interaction between these projects and regional ecological security has particularly attracted the attention of Chinese government. It is not only important for the regional environmental protection, but also of significance for the smoothly implementation of various projects aimed to develop an ecological rehabilitation system and to design a regional ecological security pattern. This paper made a systematic analysis on the types and characteristics of key project construction and their effects on the environment, and on the basis of this, brought forward the basic principles and methodology for ecological rehabilitation and security pattern design in this construction. It was considered that the following issues should be addressed in the implementation of a key project: 1) analysis and evaluation of current regional ecological environment, 2) evaluation of anthropogenic disturbances and their ecological risk, 3) regional ecological rehabilitation and security pattern design, 4) scenario analysis of environmental benefits of regional ecological security pattern, 5) re-optimization of regional ecological system framework, and 6) establishment of regional ecosystem management plan.

The problems of territory rehabilitation in the area of ChNPP accident

International Nuclear Information System (INIS)

Meshalkin, G.S.; Arkhipov, N.P.

1994-01-01

The mechanism is considered by which the forming of fuel, fuel-condensate and condensate fallout zones (having different radionuclides contents, different physic-chemical mobility and biological accessibility of radionuclides that constitute a part of radioactive contamination) proceeds. The works aimed at rehabilitation of the ChNPP area and adjacent territories are briefly characterised. Possible practical measures on rehabilitating the agricultural and forest tracts of the exclusive zone their total area being of more than 200,000 ha, are at issue. Emphasis is put on importance of special soil treatment that ensures efficient reduction of exposure dose rate (by an order of magnitude) and considerable diminution of radionuclide transfer to agriculture products

A Survey of Current and Projected Ethical Dilemmas of Rehabilitation Counselors

Science.gov (United States)

Hartley, Michael T.; Cartwright, Brenda Y.

2016-01-01

Purpose: This study surveyed current and projected ethical dilemmas of rehabilitation counselors. Method: As a mixed-methods approach, the study used both quantitative and qualitative analyses. Results: Of the 211 participants who completed the survey, 116 (55.0%) reported an ethical dilemma. Based on the descriptions, common themes involved roles…

Rehabilitation at Olympic Dam

International Nuclear Information System (INIS)

Chandler, W.P.; Middleton, B.A.

1986-01-01

Rehabilitation work on areas denuded of vegetation during the exploration phase of the Olympic Dam project was used to test various methods for regeneration of vegetation cover in the arid zone. The test work carried out on drill pads and access tracks has indicated that, with adequate site preparation, natural regeneration is the most economical and effective method to ensure post-operational stability of the affected land-forms. An on-going monitoring regime, utilising a computer data base, has been set up to allow year-to-year comparison of rehabilitation effectiveness. The database also provides a catalogue of initial colonising plants and a measure of variations in species diversity with time

"Dance and go on": a project of psychosocial rehabilitation on the road.

Science.gov (United States)

Tavormina, Romina; Tavormina, Maurilio Giuseppe Maria; Nemoianni, Eugenio

2015-09-01

The project "Dance and go on" was created with the intention of bringing out of the Day Centre of the Department of Mental Health of Torre del Greco, the dance group "Dance That you go" active since 2009. Dancing Bachata becomes a rehabilitation tool to express emotions through the body and to open to the outside, on the territory (local society), overcoming the fear of being judged by others, the prejudice and the social stigma about mental illness. The rehabilitation activities of the dancing group allowed patients to improve their care of self, self-esteem, confidence in their capacities and an increase in their social relations. The strength and cohesion of the rehabilitation group has given to the patients the opportunity to believe in their own abilities, to accept themselves with their difficulties and to improve the relationship with their body in relation with each other.

Burned area emergency watershed rehabilitation: Program goals, techniques, effectiveness, and future directions in the 21st Century

Science.gov (United States)

Daniel G. Neary; Peter R. Robichaud; Jan L. Beyers

2000-01-01

Following wildfires, burned areas are assessed by special teams to determine if emergency watershed rehabilitation measures are required to restore watershed function and minimize damage to soil resources. The objective of burned area emergency rehabilitation (BAER) treatments is to restore watershed condition and reduce erosional losses on hillslopes, in channels, and...

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

Science.gov (United States)

2013-06-14

... Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY... for the Disability and Rehabilitation Research Projects and Centers Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR). Specifically, we announce a priority...

Rehabilitation of life conditions in territories contaminated by Chernobyl accident. ETHOS project in Ukraine

International Nuclear Information System (INIS)

Rolevitch, I.; Pachkievitch, V.; Petroviet, V.; Lepicard, S.; Livolsi, P.; Lochard, J.; Schneider, T.; Ollagnon, H.; Pupin, V.; Heriard-Dubreuil, G.; Girard, P.; Guyonnet, J.F.; Le Cardinal, G.; Monroy, M.; Pena-Vega, A.; Rigby, J.

1999-01-01

This article presents the ETHOS project funded by European Union and whose aim is to stimulate a lasting rehabilitation of life conditions in the territories contaminated by Chernobyl nuclear accident. The daily life of people living in the contaminated regions has been affected not only on medical aspect but also on economic, ecological, social and cultural aspects. The strict regulations imposed by radiation protection authorities have been a major element to the degradation of the standard of living. ETHOS project is based on a cooperation between the authorities and the inhabitants and on a strong motivation of the people, for instance in the Olmany village 6 work groups have been organized around themes such as: the improvement of the quality of the milk and meat produced in the village, the radiation protection of children, the practical basics to know when living in a contaminated area, and the right management of home wastes like ashes that are particularly contaminated. (A.C.)

Public perception of an ecological rehabilitation project in inland river basins in northern China: Success or failure.

Science.gov (United States)

Feng, Qi; Miao, Zheng; Li, Zongxing; Li, Jianguo; Si, Jianhua; S, Yonghong; Chang, Zongqiang

2015-05-01

The need for environmental protection challenges societies to deal with difficult problems because strategies designed by scientists to protect the environment often create negative effects on impoverished local residents. We investigated the effects of China's national and regional policies related to environmental protection and rehabilitation projects in inland river basins, by studying the effect of projects in the Heihe and Shiyang river basins, in northwest China. Interviews and surveys were conducted at 30 sites in the lower reaches of these two arid basins, an area that has experienced severe ecological degradation. The survey results show the ecological rehabilitation projects adversely affected the livelihoods of 70.35% of foresters, 64.89% of farmers and 62.24% of herders in the Minqing region in the lower Shiyang River Basin; also, the projects negatively affected 51.9% of residents in the Ejin Qi in the lower Heihe River Basin. This caused 16.33% of foresters, 39.90% of farmers and 45.32% of herders in the Minqing region to not support the project and 37.5% of residents in the Ejin Qi region said they will deforest and graze again after the project ends. The negative impacts of the policies connected to the projects cause these attitudes. The projects prohibit felling and grazing and require residents to give up groundwater mining; this results in a great amount of uncompensated economic loss to them. Extensive survey data document the concerns of local residents, concerns that are supported by the calculation of actual incomes. In addition, the surveys results show poorer interviewees believe the projects greatly affected their livelihoods. While citizens in this region support environment protection work, the poor require considerable assistance if one expects them to support this type of work. Governmental assistance can greatly improve their living conditions, and hence encourage them to participate in and support the implementation of the projects

Chronic obstructive pulmonary disease (COPD) rehabilitation at primary health‐care centres – the KOALA project

DEFF Research Database (Denmark)

Godtfredsen, Nina Skavlan; Grann, Ove; Larsen, Hanne Bormann

2012-01-01

Background:  Implementation of pulmonary rehabilitation in primary health care in Denmark is a new challenge in the management of patients with chronic obstructive pulmonary disease (COPD). Objectives:  To assess the feasibility of introducing a nationwide web-based tool for data recording...... not meet the criteria for pulmonary rehabilitation in terms of dyspnoea upon exertion at the baseline visit. Furthermore, information on severity of COPD is missing for 18% of the attendants. The majority of the referred patients have moderate COPD, which is in accordance with the intentions...... and quality assurance in the rehabilitation programmes and to evaluate whether patients are referred correctly according to Danish guidelines for community based COPD rehabilitation. Methods:  Participation in the KOALA project has been offered to the municipalities since October 2007. As of October 2010, 62...

Reducing Stress within the Rehabilitative Work Setting - A Report on the ROSE Project

Science.gov (United States)

Wells, John S. G.; Denny, Margaret

Reducing Occupational Stress in Employment (ROSE) is an EU funded project which aims to develop a combined person and work directed stress management programme in order to improve the long-term retention of staff in the vocational rehabilitation sector for mental health and intellectual disabilities.

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

Science.gov (United States)

2010-04-23

... Rehabilitation of Individuals Who are Mentally Ill. 84.129J Rehabilitation Psychology. 84.129P Specialized... students with community-based rehabilitation service providers are encouraged. Projects must include an... Mentally Ill. 84.129J Rehabilitation 100,000 2 Psychology. 84.129P Specialized Personnel 100,000 3 for...

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

Science.gov (United States)

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

2016-02-01

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

Primary-care based participatory rehabilitation: users' views of a horticultural and arts project.

Science.gov (United States)

Barley, Elizabeth A; Robinson, Susan; Sikorski, Jim

2012-02-01

Participation in horticulture and arts may improve wellbeing in those with mental and physical illness. To conduct an in-depth exploration of the views and experience of participants of a primary-care-based horticultural and participatory arts rehabilitation project (Sydenham Garden). Qualitative interview study of a primary-care-based horticultural and participatory arts rehabilitation project in South London. Semi-structured interviews were conducted with 16 participants (referred to as 'coworkers') of Sydenham Garden. Seven were female. Participants were aged between 38 and 91 years and had a range of severe mental and physical health problems; most had depression. The interviews were analysed using constant comparison and thematic analysis. Data were overwhelmingly positive concerning participation. Coworkers considered participation in the project to promote wellbeing by providing purposeful and enjoyable activity and interest, improving mood and self-perceptions, and providing an escape from life's pressures. Being outdoors was considered therapeutic. The most-valued aspect of participation was the social contact derived as a result of it. Many of the coworkers who were interviewed developed transferable skills, including nationally recognised qualifications, which they valued highly. Delivery of horticultural therapy and participatory arts is a feasible model for improving wellbeing in patients in primary care who have serious illness. Longer-term studies are needed to address what happens to people after leaving such projects.

76 FR 15961 - Funding Priorities and Selection Criterion; Disability and Rehabilitation Research Projects and...

Science.gov (United States)

2011-03-22

... priorities and a selection criterion for the Disability and Rehabilitation Research Projects and Centers... outcomes for underserved populations; (4) identify research gaps; (5) identify mechanisms of integrating research and practice; and (6) disseminate findings. This notice proposes two priorities and a selection...

Rehabilitation of Sao Sebastiao-Cubatao oil pipeline: integrated planning and action - key for project success

Energy Technology Data Exchange (ETDEWEB)

Serodio, Conrado J.M. [GDK S.A., Salvador, BA (Brazil)

2009-12-19

The execution of the OSBAT 24{sup o}il pipeline rehabilitation project, comprising the substitution of a 30 km section of the 37 years old pipeline has become a real benchmark in the history of this kind of job. The pipeline is inserted in one of the most sensitive environmental areas of the Sao Paulo State - the last Environmental Protection Area of the Mata Atlantica . The growth of human presence in its surroundings during the last three decades, has caused the right-of-way to be totally confined by luxury housing developments, streets, highways and resorts, as well as by the local communities and their activities, schools, and commerce. The pipeline runs through the Serra do Mar unstable mountain range slopes, with sequences of very steep hills and ravines followed by swamps and rivers. The success of such a challenging project - assembling the new line in a narrow ROW with all its restrictions, where the old line was still in operation, and complying with the tight work schedule required by PETROBRAS, was only possible due to a carefully managed combination of: accurate planning, best engineering methods and equipment and experienced workforce, deeply integrated in a massive effort towards safety, environmental care and social responsibility. (author)

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

Science.gov (United States)

2012-06-20

... training to facilitate the advancement of knowledge and understanding of the unique needs of traditionally... opportunities for early-career rehabilitation engineers. RERCs seek to solve rehabilitation problems and remove... sector of the economy, productivity, competition, jobs, the environment, public health or safety, or...

Pipeline rehabilitation planning

Energy Technology Data Exchange (ETDEWEB)

Palmer-Jones, Roland; Hopkins, Phil; Eyre, David [PENSPEN (United Kingdom)

2005-07-01

An operator faced with an onshore pipeline that has extensive damage must consider the need for rehabilitation, the sort of rehabilitation to be used, and the rehabilitation schedule. This paper will consider pipeline rehabilitation based on the authors' experiences from recent projects, and recommend a simple strategy for planning pipeline rehabilitation. It will also consider rehabilitation options: external re-coating; internal lining; internal painting; programmed repairs. The main focus will be external re-coating. Consideration will be given to rehabilitation coating types, including tape wraps, epoxy, and polyurethane. Finally it will discuss different options for scheduling the rehabilitation of corrosion damage including: the statistical comparison of signals from inspection pigs; statistical comparison of selected measurements from inspection pigs and other inspections; the use of corrosion rates estimated for the mechanisms and conditions; expert judgement. (author)

Primary-care based participatory rehabilitation: users’ views of a horticultural and arts project

Science.gov (United States)

Barley, Elizabeth A; Robinson, Susan; Sikorski, Jim

2012-01-01

Background Participation in horticulture and arts may improve wellbeing in those with mental and physical illness. Aim To conduct an in-depth exploration of the views and experience of participants of a primary-care-based horticultural and participatory arts rehabilitation project (Sydenham Garden). Design and setting Qualitative interview study of a primary-care-based horticultural and participatory arts rehabilitation project in South London. Method Semi-structured interviews were conducted with 16 participants (referred to as ‘coworkers’) of Sydenham Garden. Seven were female. Participants were aged between 38 and 91 years and had a range of severe mental and physical health problems; most had depression. The interviews were analysed using constant comparison and thematic analysis. Results Data were overwhelmingly positive concerning participation. Coworkers considered participation in the project to promote wellbeing by providing purposeful and enjoyable activity and interest, improving mood and self-perceptions, and providing an escape from life’s pressures. Being outdoors was considered therapeutic. The most-valued aspect of participation was the social contact derived as a result of it. Many of the coworkers who were interviewed developed transferable skills, including nationally recognised qualifications, which they valued highly. Conclusion Delivery of horticultural therapy and participatory arts is a feasible model for improving wellbeing in patients in primary care who have serious illness. Longer-term studies are needed to address what happens to people after leaving such projects. PMID:22520790

Soil bioengineering applied to the environmental rehabilitation of controlled landfills

International Nuclear Information System (INIS)

Luria, P.

2005-01-01

Soil bioengineering is a discipline characterised by the capability of associating geo-technical approaches (e.g. soil stabilisation) with naturalistic rehabilitation and creation of biotopes. It is extremely suitable for the environmental rehabilitation of controlled landfills, especially of area and depression landfills, mainly through soil protection and stabilisation measures. Its increasing notoriety is mainly due to the great variety and specificity of its techniques, to the capability of joining technical matters with naturalistic aspects, and to the reduced cost of some interventions. Nevertheless, its application to environmental rehabilitation of controlled landfills is still scarce in Italy. Only 3% of 87 closed landfills analysed, whose rehabilitation projects adopt natural techniques for soil stabilisation and protection, explicitly refers to Soil Bioengineering [it

Rehabilitation and modernization project of units 1 and 2 of Laguna Verde Nuclear Power Plant. A strengthening project to 120%. (2nd phase)

International Nuclear Information System (INIS)

Liebana, B.; Merino, A.; Garcia, J. L.; Gomez, M.; Martinez, I.; Ruiz, L.

2010-01-01

The power increase of the Laguna Verde Nuclear Power Plant is a project for the rehabilitation and modernization of the turbo and associated equipment to get an increase of its power and of its service life. The project scope includes the design, the engineering, the equipment supply, the installation, the testing and the commissioning. This article presents the work of the second phase.

Influence of the Palaeo-Landslides on the Project of Rehabilitation of a National Road in the Southern Carpathian Area

Science.gov (United States)

Mihailescu, Daniel; Milutinovici, Emilia

2017-12-01

The mountain Paduchiosu is a part of the Southern Carpathians, in the South-Eastern Bucegi National Park. Significant palaeo-landslides occur on the Eastern slope of the mountain Paduchiosu, affecting the DN 71 alignment, between Valea Dorului and Valea Carpinis, on a length of approx. 10 km [1]. The palaeo-landslides occur along the tectonic contacts of various cretaceous formations. The landslides occur both at the level of Quaternary deposits, forming the alteration layer of the old geological formations (alluvial, deluvial and colluvial soil deposits), and at the level of Pre-Quaternary geological formations, whose structure is clayey-marl, or within the harder rocky formations, with seams of clayey - marl nature also. Two large palaeo-landslides can be distinguished: landslide I, affecting the national road alignment between pk 96 and 101+500, with sliding orientation towards South and South-West and landslide II, affecting the analysed alignment between pk 102+500 and 106 (with sliding orientation towards East and North-East). The landslides are significant and very old. The main cause of occurrence of these landslides is the tectonic nature of the area. The two main landslides occur on large surfaces. Generally, the sliding plan is under the „fissure clay” level, so it tends to be 12 to15 m deep. Numerous reactivations occur within their congestion, on narrow or large surfaces. Many of the reactivations occur due to the malfunctions of the systems of rainfall draining and taking over from the national road that runs South to North on the Southern slope of the mountain Paduchiosu. There are no underground waters, but considering the change of the natural water drainage due to the existing road works, there are areas where the drainage is impeded or slowed, leading to the water infiltration and rocks moistening under the deluvial formation. The local reactivations may also be influenced by the unarranged torrential valleys. The project of rehabilitation of

REHABILITATION NEEDS AND PLANS AMONG PATIENTS WITH CANCER, ASSESSED AT HOSPITALS AND WHEN REHABILITATION BEGINS

DEFF Research Database (Denmark)

Handberg, Charlotte; Maribo, Thomas; Jensen, Charlotte Maria

and the specifics of needs and plans facilitates targeted rehabilitation interventions. Implications: Systematic needs assessment in cancer rehabilitation unveil the requirement of physical rehabilitation. Supervised physical activity renders an intervention possible tailored the special needs cancer patients have......Background: Systematic assessment of rehabilitation needs is prerequisite for sufficient rehabilitation, but little is known about patients' needs. Purpose: The aim of this study was to describe specific stated rehabilitation needs and plans among patients with cancer at hospitals when diagnosed...... and when municipal rehabilitation begins. Methods: Needs-assessment-forms for rehabilitation from 188 cancer patients from two hospitals and two municipal cancer rehabilitation programmes were analysed. The forms included 1) stated needs: 58 fixed areas categorised in six domains and 2) an area to document...

Vegetation Characterization and Litter Production on the Rehabilitated Mined Area of Mussoorie Hills, India

Directory of Open Access Journals (Sweden)

Archana JOSHI

2013-12-01

Full Text Available The floristic diversity of four different age series in rehabilitated mined area which represents the degraded ecosystem was examined. Phytosociological analysis revealed that the highest number of plant species (38 nos. including tree, shrubs, herbs and grasses were found in eight years old (Site II rehabilitated site followed by eleven years old (Site I and six years old (Site 3 (33 nos. and least was in four years old Site IV (29 nos.. Maximum total basal area was represented by site I followed by site II, site III and site IV. With reference to annual litter production it was highest in Site I (5286 Kg/ha followed by Site III (1193.2 Kg/ha, Site II (804.0 kg/ha and least in Site IV (262.0 Kg/ha.

Ecological projects of Semipalatinsk region rehabilitation program

International Nuclear Information System (INIS)

Musataev, M.Kh.

2000-01-01

Number of radioecological investigations of Semipalatinsk region evident, that radiatively dangerous levels of contaminations remains only on test settlements of site, on traces of explosion dose-forming clouds, and on some sections where experiments with radioactive substances were carried out. Radiological problem includes necessity of clarification of boundaries between dirty and clean lands; study of plutonium contamination hazard and radionuclides migration with underground and surface waters; conducting of monitoring of both the water quality and the agricultural foodstuff. Today in the region the problem of psychological stress of population remains. The problem is arisen because of late consequences of nuclear tests and other factors related with insufficient well-informing of population and mistrust of population to official radiation assessments in the region. To this problem is devoted six ecological projects of Semipalatinsk site rehabilitation program proposed by 53 session of United Nation Assembly for financing by international financing organizations and by countries-donors

VISTA-Rehab: a resource for stroke rehabilitation trials.

Science.gov (United States)

Ali, Myzoon; Ashburn, Ann; Bowen, Audrey; Brodie, Eric; Corr, Susan; Drummond, Avril; Edmans, Judi; Gladman, John; Kalra, Lalit; Langhorne, Peter; Lees, Kennedy R; Lincoln, Nadina; Logan, Pip; Mead, Gillian; Patchick, Emma; Pollock, Alex; Pomeroy, Val; Sackley, Catherine; Sunnerhagen, Katherina S; van Vliet, Paulette; Walker, Marion; Brady, Marian

2010-12-01

Stroke rehabilitation is a complex intervention. Many factors influence the interaction between the patient and the elements of the intervention. Rehabilitation interventions are aimed at altering different domains of patient outcome including body functions, activity and participation. As a consequence, randomised clinical trials in this area are difficult to design. We developed an archive of stroke rehabilitation trials (VISTA-Rehab) to act as a resource to help trialists model and design future rehabilitation studies. We developed specific eligibility criteria for the entry of stroke rehabilitation trials into the archive. We established a Steering Committee to oversee projects and publications and commenced the recruitment of rehabilitation trials into this resource. As of August 2009, VISTA-Rehab contains data from 23 stroke rehabilitation trials (>3400 patients). Demographic data, including age [median=73, interquartile range (63,79)], gender (male=53%) and initial dependency [median baseline Barthel index score=6, interquartile range (9,19)], are available for all patients. Outcome measures include the modified Rankin Scale, Barthel Index, Rivermead Motor Assessment, Fugl-Meyer Assessment, General Health Questionnaire and Nottingham Extended Activities of Daily Living Scale. VISTA-Rehab expands the Virtual International Stroke Trials Archive to include rehabilitation trials. Anonymised data can be used to examine questions specific to stroke rehabilitation and to generate novel hypotheses. © 2010 The Authors. International Journal of Stroke © 2010 World Stroke Organization.

Status of rehabilitation of the Maralinga and Emu sites

Energy Technology Data Exchange (ETDEWEB)

Rawson, R.; Davoren, P.; Perkins, C. [Department of Primary Industries and Energy, Canberra, ACT (Australia)

1997-12-31

The $100 million rehabilitation project of the former British nuclear test sites at Maralinga and Emu, South Australia, is progressing with implementation of an option identified by a Technical Assessment Group. The Maralinga Rehabilitation Project was agreed by the Commonwealth and South Australian Governments, and by the Maralinga Tjarutja traditional owners. The Project, which was assisted by an ex gratia payment of 20 million pounds by the British Government, is the largest clean-up of a former nuclear test site, and the first to be undertaken on a commercial basis. The work program is proceeding on time and within budget and is due to be completed in 1998/99. At Maralinga, plutonium-contaminated soil is being removed and buried in trenches at the Taranaki, TM and Wewak sites, with the work due to be completed at the end of 1997. After monitoring and clearance by the Australian Radiation Laboratory, clean soil will be distributed over rehabilitated lots and trenches, and the areas re vegetated. At Taranaki, 21 radioactively contaminated burial pits will be stabilised using in-situ vitrification (ISV), a process which melts contaminated soil by means of large electric currents applied through graphitic electrodes, producing a strong, leach resistant, glass ceramic block. Construction of ISV equipment is in progress, and the vitrification of the pits due to commence in early 1998. The Emu site does not have a significant plutonium contamination hazard, and will be left without rehabilitation. By the end of 1997, boundary markers will be placed around the Taranaki area at Maralinga, to indicate that the area is suitable for transit, but not permanent habitation, by the traditional owners. Boundary markers will also be placed around sites at Emu. Once the clean up is completed, it is intended that control of the site be returned from Commonwealth to the South Australian Government for addition to the freehold lands of Maralinga Tjarutja. 7 refs., 3 figs.

Status of rehabilitation of the Maralinga and Emu sites

International Nuclear Information System (INIS)

Rawson, R.; Davoren, P.; Perkins, C.

1997-01-01

The $100 million rehabilitation project of the former British nuclear test sites at Maralinga and Emu, South Australia, is progressing with implementation of an option identified by a Technical Assessment Group. The Maralinga Rehabilitation Project was agreed by the Commonwealth and South Australian Governments, and by the Maralinga Tjarutja traditional owners. The Project, which was assisted by an ex gratia payment of 20 million pounds by the British Government, is the largest clean-up of a former nuclear test site, and the first to be undertaken on a commercial basis. The work program is proceeding on time and within budget and is due to be completed in 1998/99. At Maralinga, plutonium-contaminated soil is being removed and buried in trenches at the Taranaki, TM and Wewak sites, with the work due to be completed at the end of 1997. After monitoring and clearance by the Australian Radiation Laboratory, clean soil will be distributed over rehabilitated lots and trenches, and the areas re vegetated. At Taranaki, 21 radioactively contaminated burial pits will be stabilised using in-situ vitrification (ISV), a process which melts contaminated soil by means of large electric currents applied through graphitic electrodes, producing a strong, leach resistant, glass ceramic block. Construction of ISV equipment is in progress, and the vitrification of the pits due to commence in early 1998. The Emu site does not have a significant plutonium contamination hazard, and will be left without rehabilitation. By the end of 1997, boundary markers will be placed around the Taranaki area at Maralinga, to indicate that the area is suitable for transit, but not permanent habitation, by the traditional owners. Boundary markers will also be placed around sites at Emu. Once the clean up is completed, it is intended that control of the site be returned from Commonwealth to the South Australian Government for addition to the freehold lands of Maralinga Tjarutja

Short-term vegetation change on rehabilitated peatland on Rietvlei Nature Reserve

Directory of Open Access Journals (Sweden)

C.E. Venter

2003-12-01

Full Text Available Natural peatlands occur on the Rietvlei Nature Reserve. Before the Pretoria City Council acquired the land, these peatlands were mined by private land-owners. Ditches were constructed to drain the area for mining and the peatlands became desicrated. Later the area was proclaimed as a nature reserve and has since then been managed as such. Rehabilitation of the drained peatland on Rietvlei Nature Reserve first started in 2000 as a Working for Water project. The aim of the rehabilitation was to close the ditches and rewet the peatland, to enable possible revival of the peatland. A baseline vegetation survey was undertaken during the summer (March to April of 2001 to determine the nature of the pioneer communities that established on the rehabilitated area. This survey was repeated during the summer (March to April of 2002 to detect changes in the vegetation. The same sample plots were used on both occasions. The initial pioneer vegetation was mostly composed of weedy annuals.

Process evaluation of an interorganizational cooperation initiative in vocational rehabilitation: the Dirigo project.

Science.gov (United States)

Ståhl, Christian; Andersén, Åsa; Anderzén, Ingrid; Larsson, Kjerstin

2017-05-11

This study analyzes the process of establishing and developing a cooperative vocational rehabilitation project with special focus on organizational and professional aspects. In the project, officials from the Swedish Social Insurance Agency and the Swedish Public Employment Service worked cooperatively with participants on long-term sick leave, youths with disability benefits, and people receiving social allowances. The officials used Motivational Interviewing (MI) as a method when meeting participants, and were able to offer flexible and tailored case management. The goal was to improve work ability and promote self-sufficiency. The process evaluation was carried out through continuous data collection throughout the project (2012-2014), resulting in a total of 28 individual interviews and 17 focus groups with officials and managers. The material was categorized through an inductive content analysis, and analyzed using social capital as a theoretical frame. The evaluation points to how issues related to design, organization and management contributed to the project not reaching its goals, e.g. problems with recruitment of participants, the funding structure, and staffing problems on the managerial level. Still, officials reported positive effects of close cooperation, which was perceived as facilitating the case management by fostering a mutual understanding and access to resources and rehabilitation measures from more than one authority. Cooperative work combined with the use of MI and flexible case management seem to promote an increased trust between officials from different authorities and participants, which in the study is conceptualized as bonding and bridging social capital (between officials) and linking social capital (between officials and participants). The organizational problems combined with the relatively large differences in approaches between the project and regular practice obstructed implementation, where the authorities involved did not appear

Process evaluation of an interorganizational cooperation initiative in vocational rehabilitation: the Dirigo project

Directory of Open Access Journals (Sweden)

Christian Ståhl

2017-05-01

Full Text Available Abstract Background This study analyzes the process of establishing and developing a cooperative vocational rehabilitation project with special focus on organizational and professional aspects. In the project, officials from the Swedish Social Insurance Agency and the Swedish Public Employment Service worked cooperatively with participants on long-term sick leave, youths with disability benefits, and people receiving social allowances. The officials used Motivational Interviewing (MI as a method when meeting participants, and were able to offer flexible and tailored case management. The goal was to improve work ability and promote self-sufficiency. Methods The process evaluation was carried out through continuous data collection throughout the project (2012–2014, resulting in a total of 28 individual interviews and 17 focus groups with officials and managers. The material was categorized through an inductive content analysis, and analyzed using social capital as a theoretical frame. Results The evaluation points to how issues related to design, organization and management contributed to the project not reaching its goals, e.g. problems with recruitment of participants, the funding structure, and staffing problems on the managerial level. Still, officials reported positive effects of close cooperation, which was perceived as facilitating the case management by fostering a mutual understanding and access to resources and rehabilitation measures from more than one authority. Conclusions Cooperative work combined with the use of MI and flexible case management seem to promote an increased trust between officials from different authorities and participants, which in the study is conceptualized as bonding and bridging social capital (between officials and linking social capital (between officials and participants. The organizational problems combined with the relatively large differences in approaches between the project and regular practice

Post-stroke disposition from a geriatric-rehabilitative stroke care area: an Italian experience

Directory of Open Access Journals (Sweden)

Marco Masina

2014-02-01

Full Text Available A large number of stroke patients cannot be discharged at home. Studies on post stroke disposition have low validity outside the country in which they are carried out because healthcare systems offer different rehabilitative and long-term facilities. Moreover absolute selection criteria for admission to rehabilitation are not available yet. Few studies on post-stroke disposition from Italian stroke units are available. Authors evaluated data of a 18-month period from a geriatric managed stroke care area where comprehensive multi-professional assessment and discharge planning are routinely carried out. Only patients discharged with diagnosis related to acute stroke were considered. Baseline characteristics, clinical, neurological and functional conditions according to the structured multidimensional assessment were prospectively collected in the stroke unit registry. Univariate and multinomial logistic regression were performed to identify independent variables associated with three discharge settings: home, rehabilitation and skilled long-term ward. Out of 188 patients evaluated, 56.4% were discharged home, 18.6% to rehabilitation and 25.0% to long-term ward. Data showed an efficient disposition to intermediate settings with a shorter length of stay compared to other international studies. Factors associated with post-stroke disposition were age, dysphagia, neurological impairment on admission (NIH-SS≥6, after stroke functional status (mRankin≥3, poor pre-stroke functional level (mRankin≥3 and hemorrhagic stroke. Dysphagia, severe neurological impairment and post-stroke disability were associated with discharge to rehabilitation and long term ward. These two settings differed in age and pre-stroke functional condition. Patients discharged to long-term wards were about 10 years older than those admitted to rehabilitative ward. Only 5% of patients discharged to rehabilitation had a pre-stroke mRankin score ≥3. Disposition to a skilled

District heating rehabilitation project in Kaerdla on Hiiumaa, Estonia. Final report

International Nuclear Information System (INIS)

1998-03-01

The main objective of the project has been to assist Kaerdla Municipality with the rehabilitation of their district heating system with Danish technology, and thereby support and make it possible for the Municipality of Kaerdla to develop the district heating sector in Kaerdla and thereby also to reduce emissions of harmful gases to the environment, as well as making a much more rational and energy efficient system. The project would further on demonstrate the use of pre-insulated pipes, which are fully sealed against penetration of water as well as demonstrate the use of compact units as substations including weather compensation control systems for regulation of heat and hot tap water supply for the district heating consumers. Besides the project gives significantly decreases in energy consumption's and in the pollution from the production of energy, the objective of the project was also to put great stress on providing technical assistance to Kaerdla DH company, in order to make them capable in operation and maintenance of the new district heating system, and also to train the local operational staff in operation of the complete district heating system. The project will have a high demonstration value towards other towns in Estonia with similar problems and configurations of their heating systems. (EG)

District heating rehabilitation project in Kaerdla on Hiiumaa, Estonia. Final report

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-03-01

The main objective of the project has been to assist Kaerdla Municipality with the rehabilitation of their district heating system with Danish technology, and thereby support and make it possible for the Municipality of Kaerdla to develop the district heating sector in Kaerdla and thereby also to reduce emissions of harmful gases to the environment, as well as making a much more rational and energy efficient system. The project would further on demonstrate the use of pre-insulated pipes, which are fully sealed against penetration of water as well as demonstrate the use of compact units as substations including weather compensation control systems for regulation of heat and hot tap water supply for the district heating consumers. Besides the project gives significantly decreases in energy consumption`s and in the pollution from the production of energy, the objective of the project was also to put great stress on providing technical assistance to Kaerdla DH company, in order to make them capable in operation and maintenance of the new district heating system, and also to train the local operational staff in operation of the complete district heating system. The project will have a high demonstration value towards other towns in Estonia with similar problems and configurations of their heating systems. (EG)

Slovenian and European legal stipulations concerning protection and rehabilitation of river corridors

Directory of Open Access Journals (Sweden)

Matjaž Mikoš

2003-01-01

Full Text Available In view of the state of hydromorphological preservation of river corridors in the Slovenian hydrographic network and because of demands imposed by domestic and European legislature concerning water resource management and environmental protection, certain sections of rivers and streams that were for various reasons regulated in the past, will have to be rehabilitated. Permanent solutions to such issues demand careful planning of rehabilitation on suitable sections of rivers and streams, adequate positioning within physical planning acts, as well as streamlined administrative procedures and devised maintenance of rehabilitation areas. Because the process demands the return of formerly taken water surfaces into the domain of water ecosystems and dynamics of hydromorphological processes, and consequentially maintenance of regained surfaces, the public becomes an important factor, which is a position, granted by domestic and European laws. Last, but not least, successful execution of rehabilitation of water corridors, besides planning, administration and consistent public participation, demands knowledge about good practices of project management, as well as technical execution of such projects.

34 CFR 350.10 - What are the general requirements for Disability and Rehabilitation Research Projects?

Science.gov (United States)

2010-07-01

... more of the following types of activities, as specified in §§ 350.13-350.19: (1) Research. (2... 34 Education 2 2010-07-01 2010-07-01 false What are the general requirements for Disability and Rehabilitation Research Projects? 350.10 Section 350.10 Education Regulations of the Offices of the Department of...

IAEA Mission on the Programme for the rehabilitation of contaminated areas in Japan; Mision del OIEA sobre el Programa de Rehabilitacion de Zonas Contaminadas en Japon

Energy Technology Data Exchange (ETDEWEB)

Lentijo, J. C.

2011-07-01

In October the International Atomic Energy Agency sent an expert mission to gain insight into and assess the rehabilitation programme implemented by the Japanese government to allow for the return of residents to certain areas affected by the accident that occurred at the Fukushima nuclear power plant. The results of this mission, which was led by the CSN Director of Radiological Protection, point to the viability, suitability and seriousness of the project and include suggestions for improvement. (Author)

Design, development and deployment of a hand/wrist exoskeleton for home-based rehabilitation after stroke - SCRIPT project

NARCIS (Netherlands)

Amirabdollahian, F; Ates, Sedar; Basteris, A.; Cesario, A.; Buurke, Jaap; Hermens, Hermanus J.; Hofs, D.; Johansson, E.; Mountain, G.; Nasr, N.; Nijenhuis, S.M.; Prange, Grada Berendina; Rahman, N.; Sale, P.; Schätzlein, F.; van Schooten, B.; Stienen, Arno

2014-01-01

Objective: this manuscript introduces the Supervised Care and Rehabilitation Involving Personal Tele-robotics (SCRIPT) project. The main goal is to demonstrate design and development steps involved in a complex intervention, while examining feasibility of using an instrumented orthotic device for

Challenges of rehabilitation case mix measurement in Ontario hospitals.

Science.gov (United States)

Sutherland, Jason Murray; Walker, Jan

2008-03-01

Case mix classification systems have been adopted in many countries as a method to manage and finance healthcare in acute care settings; the most popular systems are based on diagnosis related groups. The most successful of those case mix systems differentiate patient types by reflecting both the intensity of resources consumed and patient acuity. Case mix systems for use with non-acute hospital activity have not been as wide-spread; other than in the United States, little attention has been directed towards case mix classification for rehabilitation activity. In a province with over 13 million inhabitants with 2496 rehabilitation beds, inpatient rehabilitation is an important component of hospital care in Ontario, Canada, and consists of the spectrum of intensive rehabilitation activities intended to restore function. Although case mix adjusted activity has been the currency in Ontario's Integrated Population Based Allocation hospital funding formula, rehabilitation activity has not been subjected to case mix measurement. A project to examine case mix classification for adult inpatient rehabilitation activity was initiated by the Ontario Ministry of Health and Long-Term Care whose outcome was a case mix system and associated cost weights that would result in rehabilitation activity being incorporated into the hospital funding formula. The process described in this study provides Ontario's provincial government with a case mix classification system for adult inpatient rehabilitation activity although there remain areas for improvement.

Community-Based Vocational Rehabilitation (CBVR) for People with Disabilities: Experiences from a Pilot Project in Nigeria

Science.gov (United States)

Alade, Eunice B.

2004-01-01

This article discusses the community-based vocational rehabilitation (CBVR) of persons with disabilities. In 1991, a pilot project was instituted by the International Labour Organisation and the United Nations Development Programme in conjunction with Oyo State Government in Nigeria. The aim was to facilitate the reintegration of persons with…

Virtual reality environments for psycho-neuro-physiological assessment and rehabilitation.

Science.gov (United States)

Riva, G; Bolzoni, M; Carella, F; Galimberti, C; Griffin, M J; Lewis, C H; Luongo, R; Mardegan, P; Melis, L; Molinari-Tosatti, L; Poerschmann, C; Rovetta, A; Rushton, S; Selis, C; Wann, J

1997-01-01

Virtual Reality Environments for Psychoneurophysiological Assessment and Rehabilitation-is an European Community funded project (Telematics for health-HC 1053 http:/(/)www.etho.be/ht_projects/vrepar/) whose aim is: to develop a PC based virtual reality system (PC-VRS) for the medical market that can be marketed at a price which is accessible to its possible end-users (hospitals, universities and research centres) and which would have the modular, connectability and interoperability characteristics that the existing systems lack; to develop three hardware/software modules for the application of the PC VRS in psychoneurophysiological assessment and rehabilitation. The chosen development areas are eating disorders (bulimia, anorexia and obesity), movement disorders (Parkinson's disease and torsion dystonia) and stroke disorders (unilateral neglect and hemiparesis). This paper presents the rationale of the different approaches and the methodology used.

Long-Term Assessment of an Innovative Mangrove Rehabilitation Project: Case Study on Carey Island, Malaysia

Directory of Open Access Journals (Sweden)

Shervin Motamedi

2014-01-01

Full Text Available Wave energy and storm surges threaten coastal ecology and nearshore infrastructures. Although coastal structures are conventionally constructed to dampen the wave energy, they introduce tremendous damage to the ecology of the coast. To minimize environmental impact, ecofriendly coastal protection schemes should be introduced. In this paper, we discuss an example of an innovative mangrove rehabilitation attempt to restore the endangered mangroves on Carey Island, Malaysia. A submerged detached breakwater system was constructed to dampen the energy of wave and trap the sediments behind the structure. Further, a large number of mangrove seedlings were planted using different techniques. Further, we assess the possibility of success for a future mangrove rehabilitation project at the site in the context of sedimentology, bathymetry, and hydrogeochemistry. The assessment showed an increase in the amount of silt and clay, and the seabed was noticeably elevated. The nutrient concentration, the pH value, and the salinity index demonstrate that the site is conducive in establishing mangrove seedlings. As a result, we conclude that the site is now ready for attempts to rehabilitate the lost mangrove forest.

Long-Term Assessment of an Innovative Mangrove Rehabilitation Project: Case Study on Carey Island, Malaysia

Science.gov (United States)

Motamedi, Shervin; Hashim, Roslan; Zakaria, Rozainah; Song, Ki-Il; Sofawi, Bakrin

2014-01-01

Wave energy and storm surges threaten coastal ecology and nearshore infrastructures. Although coastal structures are conventionally constructed to dampen the wave energy, they introduce tremendous damage to the ecology of the coast. To minimize environmental impact, ecofriendly coastal protection schemes should be introduced. In this paper, we discuss an example of an innovative mangrove rehabilitation attempt to restore the endangered mangroves on Carey Island, Malaysia. A submerged detached breakwater system was constructed to dampen the energy of wave and trap the sediments behind the structure. Further, a large number of mangrove seedlings were planted using different techniques. Further, we assess the possibility of success for a future mangrove rehabilitation project at the site in the context of sedimentology, bathymetry, and hydrogeochemistry. The assessment showed an increase in the amount of silt and clay, and the seabed was noticeably elevated. The nutrient concentration, the pH value, and the salinity index demonstrate that the site is conducive in establishing mangrove seedlings. As a result, we conclude that the site is now ready for attempts to rehabilitate the lost mangrove forest. PMID:25097894

Urban Telemedicine: The Applicability of Teleburns in the Rehabilitative Phase.

Science.gov (United States)

Liu, Yuk Ming; Mathews, Katie; Vardanian, Andrew; Bozkurt, Taylan; Schneider, Jeffrey C; Hefner, Jaye; Schulz, John T; Fagan, Shawn P; Goverman, Jeremy

Telemedicine has been successfully used in many areas of medicine, including triage and evaluation of the acute burn patient. The utility of telemedicine during the rehabilitative phase of burn care has yet to be evaluated; therefore, we expanded our telemedicine program to link our burn center with a rehabilitation facility. The goal of this project was to demonstrate cost-effective improvements in the transition and quality of care. A retrospective review was performed on all patients enrolled in our telemedicine/rehabilitation program between March 2013 and March 2014. Data collected included total number of encounters, visits, type of visit, physician time, and readmissions. Transportation costs were based on local ambulance rates between the two facilities. The impact of telemedicine was evaluated with respect to the time saved for the physician, burn center, and burn clinic, as well as rehabilitative days saved. A patient satisfaction survey was also administered. A total of 29 patients participated in 73 virtual visits through the telemedicine project. Virtual visits included new consults, preoperative evaluations, and postoperative follow-ups. A total of 146 ambulance transports were averted during the study period, totaling $101,110. Virtual visits saved 6.8 outpatient burn clinic days, or 73 clinic appointments of 30-min duration. The ability to perform more outpatient surgery resulted in 80 inpatient bed days saved at the burn hospital. The rehabilitation hospital saved an average of 2 to 3 patient days secondary to unnecessary travel. Satisfaction surveys demonstrated patient satisfaction with the encounters, primarily related to time saved. The decrease in travel time for the patient from the rehabilitation hospital to outpatient burn clinic improved adherence to the rehabilitation care plan and resulted in increased throughput at the rehabilitation facility. Videoconferencing between a burn center and rehabilitation hospital streamlined patient care

Rehabilitation of the former nuclear test sites at Maralinga

International Nuclear Information System (INIS)

Costello, J.M.; Davoren, P.J.

1994-01-01

The Department of Primary Industries and Energy, Canberra, has commenced tendering procedures for appointment of a Project Management Organisation for the Rehabilitation of the former British atomic weapon test sites at Maralinga and Emu in South Australia. This paper gives a historical background to the atomic tests, and reports scientific and engineering studies conducted by the Technical Assessment Group (TAG) to define practical and economic options for rehabilitation of the former test sites. The rehabilitation option preferred by the Australian Government will focus on removal and burial of soil and fragments highly contaminated with plutonium oxide, and erection of warning fences around areas where permanent residence will not be permitted. The application of in-situ vitrification is under investigation for stabilisation of twenty one disposal pits containing up to twenty kilograms of plutonium at Taranaki. 3 refs., 2 tabs., 3 figs

Exploring alternative terrain in the rehabilitation and treatment of offenders: findings from a prison-based music project

OpenAIRE

Caulfield, L.S; Wilkinson, D.J; Wilson, D

2016-01-01

The arts in prison settings have provided an alternative or complimentary component to rehabilitation. Despite increased interest, studies capturing the voice of offenders participating in projects and the long-term impact are limited. Data from semistructured interviews with 18 men who had taken part in a music-based project while incarcerated, including one group of five participants who were tracked for 18 months with supplemented data from correctional staff and official documentation, is...

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

Directory of Open Access Journals (Sweden)

Amelia Brunani

2015-05-01

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

Monitoring post-fire vegetation rehabilitation projects: A common approach for non-forested ecosystems

Science.gov (United States)

Wirth, Troy A.; Pyke, David A.

2007-01-01

Emergency Stabilization and Rehabilitation (ES&R) and Burned Area Emergency Response (BAER) treatments are short-term, high-intensity treatments designed to mitigate the adverse effects of wildfire on public lands. The federal government expends significant resources implementing ES&R and BAER treatments after wildfires; however, recent reviews have found that existing data from monitoring and research are insufficient to evaluate the effects of these activities. The purpose of this report is to: (1) document what monitoring methods are generally used by personnel in the field; (2) describe approaches and methods for post-fire vegetation and soil monitoring documented in agency manuals; (3) determine the common elements of monitoring programs recommended in these manuals; and (4) describe a common monitoring approach to determine the effectiveness of future ES&R and BAER treatments in non-forested regions. Both qualitative and quantitative methods to measure effectiveness of ES&R treatments are used by federal land management agencies. Quantitative methods are used in the field depending on factors such as funding, personnel, and time constraints. There are seven vegetation monitoring manuals produced by the federal government that address monitoring methods for (primarily) vegetation and soil attributes. These methods vary in their objectivity and repeatability. The most repeatable methods are point-intercept, quadrat-based density measurements, gap intercepts, and direct measurement of soil erosion. Additionally, these manuals recommend approaches for designing monitoring programs for the state of ecosystems or the effect of management actions. The elements of a defensible monitoring program applicable to ES&R and BAER projects that most of these manuals have in common are objectives, stratification, control areas, random sampling, data quality, and statistical analysis. The effectiveness of treatments can be determined more accurately if data are gathered using

Driftless Area Initiative Biomass Energy Project

Energy Technology Data Exchange (ETDEWEB)

Wright, Angie [Northeast Iowa Resource Conservation & Development, Inc., Postville, IA (United States); Bertjens, Steve [Natural Resources Conservation Service, Madison, WI (United States); Lieurance, Mike [Northeast Iowa Resource Conservation & Development, Inc., Postville, IA (United States); Berguson, Bill [Univ. of Minnesota, Minneapolis, MN (United States). Natural Resources Research Inst.; Buchman, Dan [Univ. of Minnesota, Minneapolis, MN (United States). Natural Resources Research Inst.

2012-12-31

The Driftless Area Initiative Biomass Energy Project evaluated the potential for biomass energy production and utilization throughout the Driftless Region of Illinois, Iowa, Minnesota and Wisconsin. The research and demonstration aspect of the project specifically focused on biomass energy feedstock availability and production potential in the region, as well as utilization potential of biomass feedstocks for heat, electrical energy production, or combined heat and power operations. The Driftless Region was evaluated because the topography of the area offers more acres of marginal soils on steep slopes, wooded areas, and riparian corridors than the surrounding “Corn Belt”. These regional land characteristics were identified as potentially providing opportunity for biomass feedstock production that could compete with traditional agriculture commodity crops economically. The project researched establishment methods and costs for growing switchgrass on marginal agricultural lands to determine the economic and quantitative feasibility of switchgrass production for biomass energy purposes. The project was successful in identifying the best management and establishment practices for switchgrass in the Driftless Area, but also demonstrated that simple economic payback versus commodity crops could not be achieved at the time of the research. The project also analyzed the availability of woody biomass and production potential for growing woody biomass for large scale biomass energy production in the Driftless Area. Analysis determined that significant resources exist, but costs to harvest and deliver to the site were roughly 60% greater than that of natural gas at the time of the study. The project contributed significantly to identifying both production potential of biomass energy crops and existing feedstock availability in the Driftless Area. The project also analyzed the economic feasibility of dedicated energy crops in the Driftless Area. High commodity crop prices

Rehabilitation work after chemical extraction of uranium

International Nuclear Information System (INIS)

Rychtarik, T.

2003-01-01

In the past, uranium was mined from the Straz pod Ralskem deposit by leaching with sulfuric acid in a very environmentally unfriendly manner. Rehabilitation work, which is in progress, aims to reduce the concentration of contaminants in the Cenomanian and Turonian groundwater bodies to an acceptable level. The rehabilitation project was divided into 2 stages: (1) prevention of vertical diffusion of contamination into unaffected areas by creating a sub-balance of solutions, and (2) sub-balance of solutions in combination with a processing of the contaminants and reduction of the contamination level to a preset value. Among the crucial provisions is the operation of the SLKR I evaporator where the solution, previously freed from uranium, is processed into condensate which is drained into the Ploucnice river, concentrated solution which, after dilution, is returned to the leaching fields, crystalline alum, and mother liquors. The production of alum has been increasing since 2002 and its reprocessing to aluminium sulfate is in the trial stage. Rehabilitation of the Turonian groundwater body is a challenge. Sanitation targets have been set till 2010. (P.A.)

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

Science.gov (United States)

2013-05-07

... inclusion of individuals with disabilities on the teams that develop the cloud and Web technologies... Institute on Disability and Rehabilitation Research--Disability and Rehabilitation Research Projects... Rehabilitative Services announces a priority under the Disability Rehabilitation Research Projects and Centers...

Economic aspects of the rehabilitation of the Hiriya landfill

International Nuclear Information System (INIS)

Ayalon, O.; Becker, N.; Shani, E.

2006-01-01

The Hiriya landfill, Israel's largest, operated from 1952 to 1998. The landfill, located in the heart of the Dan Region, developed over the years into a major landscape nuisance and environmental hazard. In 1998, the Israeli government decided to close the landfill, and in 2001 rehabilitation activities began at the site, including site investigations, engineering and scientific evaluations, and end-use planning. The purpose of the present research is to perform a cost-benefit analysis of engineering and architectural-landscape rehabilitation projects considered for the site. An engineering rehabilitation project is required for the reduction of environmental impacts such as greenhouse gas emissions, slope instability and leachate formation. An architectural-landscape rehabilitation project would consider improvements to the site to make it suitable for future end uses such as a public park. The findings reveal that reclamation is worthwhile only in the case of architectural-landscape rehabilitation of the landfill, converting it into a public park. Engineering rehabilitation alone was found to be unjustified, but is essential to enable the development of a public park

Economic aspects of the rehabilitation of the Hiriya landfill.

Science.gov (United States)

Ayalon, O; Becker, N; Shani, E

2006-01-01

The Hiriya landfill, Israel's largest, operated from 1952 to 1998. The landfill, located in the heart of the Dan Region, developed over the years into a major landscape nuisance and environmental hazard. In 1998, the Israeli government decided to close the landfill, and in 2001 rehabilitation activities began at the site, including site investigations, engineering and scientific evaluations, and end-use planning. The purpose of the present research is to perform a cost-benefit analysis of engineering and architectural-landscape rehabilitation projects considered for the site. An engineering rehabilitation project is required for the reduction of environmental impacts such as greenhouse gas emissions, slope instability and leachate formation. An architectural-landscape rehabilitation project would consider improvements to the site to make it suitable for future end uses such as a public park. The findings reveal that reclamation is worthwhile only in the case of architectural-landscape rehabilitation of the landfill, converting it into a public park. Engineering rehabilitation alone was found to be unjustified, but is essential to enable the development of a public park.

Rehabilitation after stroke.

Science.gov (United States)

Knecht, Stefan; Hesse, Stefan; Oster, Peter

2011-09-01

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

Nuclear and Radiological Emergency Management and Rehabilitation Strategies: Towards a EU approach for decision support tools

International Nuclear Information System (INIS)

Raskob, W.; Gering, F.; Lochard, J.; Nisbet, A.; Starostova, V.; Tomic, B.

2011-01-01

Highlights: → European emergency management and rehabilitation was strengthened. → Development of generic European handbooks for urban and agricultural areas. → Decision support systems became more operational. → Harmonisation of tools in Europe has been promoted. - Abstract: The 5-year multi-national project EURANOS (European Approach to Nuclear and Radiological Emergency Management and Rehabilitation Strategies), funded by the European Commission and 23 European Member States, started in April 2004. Integrating 17 national emergency management organisations with 33 research institutes, it brings together best practices, knowledge and technology to enhance the preparedness for Europe's response to any radiation emergency and long term contamination. Key objectives of the project are to collate information on the likely effectiveness and consequences of a wide range of countermeasures, to provide guidance to emergency management organisations and decision makers on the establishment of an appropriate response strategy and to further enhance advanced decision support systems (DSS), in particular, RODOS (Real-time On-line Decisions Support) decision support system), through feedback from their operational use. Further, the project aims to create regional initiatives leading to information exchange based on state-of-the-art information technologies, to develop guidance which assists Member States in developing a framework for the sustainable rehabilitation of living conditions in contaminated areas and to maintain and enhance knowledge and competence through emergency exercises, training and education, thus fostering best practice in emergency response. The project is divided into three major research activities and a set of demonstration projects which are split in two phases lasting over two and three years, respectively. The research activities address specific issues previously identified by the users or by previous research in the area. They are focused

The effect of rehabilitation on health-care utilisation in COPD patients in Copenhagen

DEFF Research Database (Denmark)

Jacobsen, Ramune; Rusch, Ea; Andersen, Per Kragh

2014-01-01

INTRODUCTION: The Integrated Rehabilitation Programme for Chronic Conditions project (SIKS) implemented rehabilitation programmes for people with four chronic conditions in the local area within the Municipality of Copenhagen. OBJECTIVES: The objective of this study was to evaluate the impact of ...... of Copenhagen with an assessment of the effect of a real-life intervention. It shows that the pulmonary rehabilitation programme introduced had the anticipated effects on health-care utilisation. The study also suggests that the methods used for evaluation were appropriate....... of rehabilitation on health-care utilisation in chronic obstructive pulmonary disease (COPD) patients as a subgroup of SIKS. METHODS: For the analyses, data from Danish National Registers' were obtained. The following outcomes were analysed: (i) COPD hospital admissions, (ii) COPD bed days, (iii) COPD outpatient...... rehabilitation and were matched with the intervention group according to propensity score calculated on the basis of patient socio-demographic characteristics and health-care utilisation pattern in 2 years prior to the rehabilitation programme. The effect was assessed by applying the principle of difference...

76 FR 37085 - Applications for New Awards; Rehabilitation Engineering Research Centers (RERCs)

Science.gov (United States)

2011-06-24

... DEPARTMENT OF EDUCATION Applications for New Awards; Rehabilitation Engineering Research Centers...)--Disability and Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research... (Rehabilitation Act). Rehabilitation Engineering Research Centers Program (RERCs) The purpose of the RERC program...

24 CFR 401.472 - Rehabilitation funding.

Science.gov (United States)

2010-04-01

... (MARK-TO-MARKET) Restructuring Plan § 401.472 Rehabilitation funding. (a) Sources of funds—(1) Project... has determined that funding from this source is available. (b) Statutory restrictions. Any... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Rehabilitation funding. 401.472...

Determination of Pavement Rehabilitation Activities through a Permutation Algorithm

Directory of Open Access Journals (Sweden)

Sangyum Lee

2013-01-01

Full Text Available This paper presents a mathematical programming model for optimal pavement rehabilitation planning. The model maximized the rehabilitation area through a newly developed permutation algorithm, based on the procedures outlined in the harmony search (HS algorithm. Additionally, the proposed algorithm was based on an optimal solution method for the problem of multilocation rehabilitation activities on pavement structure, using empirical deterioration and rehabilitation effectiveness models, according to a limited maintenance budget. Thus, nonlinear pavement performance and rehabilitation activity decision models were used to maximize the objective functions of the rehabilitation area within a limited budget, through the permutation algorithm. Our results showed that the heuristic permutation algorithm provided a good optimum in terms of maximizing the rehabilitation area, compared with a method of the worst-first maintenance currently used in Seoul.

CASE STUDY: Community Based Ecological Mangrove Rehabilitation (CBEMR) in Indonesia

OpenAIRE

Brown, Ben; Fadillah, Ratna; Nurdin, Yusran; Soulsby, Iona; Ahmad, Rio

2014-01-01

While successful examples of large-scale (5 000-10 000 ha) ecological wetland/mangrove rehabilitation projects exist worldwide, mangrove rehabilitation efforts in Indonesia, both large and small, have mainly failed. The majority of projects (both government programs and non-government initiatives) have oversimplified the technical processes of mangrove rehabilitation, favouring the direct planting of a restricted subset of mangrove species (from the family Rhizophoracea), commonly in the lowe...

75 FR 48986 - Northwest Area Water Supply Project, North Dakota

Science.gov (United States)

2010-08-12

... DEPARTMENT OF THE INTERIOR Bureau of Reclamation Northwest Area Water Supply Project, North Dakota... Area Water Supply Project (NAWS Project), a Federal reclamation project, located in North Dakota. A... CONTACT: Alicia Waters, Northwest Area Water Supply Project EIS, Bureau of Reclamation, Dakotas Area...

75 FR 49518 - Northwest Area Water Supply Project, North Dakota

Science.gov (United States)

2010-08-13

... DEPARTMENT OF THE INTERIOR Bureau of Reclamation Northwest Area Water Supply Project, North Dakota... Area Water Supply Project (NAWS Project), a Federal reclamation project, located in North Dakota. A... CONTACT: Alicia Waters, Northwest Area Water Supply Project EIS, Bureau of Reclamation, Dakotas Area...

A Pilot Project of Early Integrated Traumatic Brain Injury Rehabilitation in Singapore

Directory of Open Access Journals (Sweden)

Siew Kwaon Lui

2014-01-01

Full Text Available Objective. Document acute neurosurgical and rehabilitation parameters of patients of all traumatic brain injury (TBI severities and determine whether early screening along with very early integrated TBI rehabilitation changes functional outcomes. Methods. Prospective study involving all patients with TBI admitted to a neurosurgical department of a tertiary hospital. They were assessed within 72 hours of admission by the rehabilitation team and received twice weekly rehabilitation reviews. Patients with further rehabilitation needs were then transferred to the attached acute inpatient TBI rehabilitation unit (TREATS and their functional outcomes were compared against a historical group of patients. Demographic variables, acute neurosurgical characteristics, medical complications, and rehabilitation outcomes were recorded. Results. There were 298 patients screened with an average age of 61.8±19.1 years. The most common etiology was falls (77.5%. Most patients were discharged home directly (67.4% and 22.8% of patients were in TREATS. The TREATS group functionally improved (P<0.001. Regression analysis showed by the intervention of TREATS, that there was a statistically significant FIM functional gain of 18.445 points (95% CI −30.388 to −0.6502, P=0.03. Conclusion. Our study demonstrated important epidemiological data on an unselected cohort of patients with TBI in Singapore and functional improvement in patients who further received inpatient rehabilitation.

Choice: Ethical and Legal Rehabilitation Challenges.

Science.gov (United States)

Patterson, Jeanne Boland; Patrick, Adele; Parker, Randall M.

2000-01-01

The concept of choice has evolved into legal mandates and ethical challenges for rehabilitation professionals during the latter part of the 20th century. This article identifies the ethical and legal issues related to choice, summarizes a pilot project on rehabilitation counselors' perceptions of choice, and provides recommendations for…

Process engineering considerations in the design of the water treatment plant for the Rum Jungle rehabilitation project

International Nuclear Information System (INIS)

Ackland, M.C.

1983-01-01

The Rum Jungle rehabilitation programme includes the treatment of around 4 million cubic metres of water that has been polluted by previous treatment operations and acidic seepage containing heavy metal salts from slowly oxidising overburden dumps. The water to be treated is of low pH and contains high sulphate levels. Project rehabilitation criteria and the basic chemistry of metal salts in solution were considered in arriving at the final process design. In order to achieve a cost effective plant design, the process was translated into a flow sheet that used unit operations that are more typical of the extractive metallurgical than the traditional water treatment industry. Consideration of the unit operations and the operating aspects of the plant are discussed

A Chronosequence Feasibility Assessment of Emergency Fire Rehabilitation Records within the Intermountain Western United States - Final Report to the Joint Fire Science Program - Project 08-S-08

Science.gov (United States)

Knutson, Kevin C.; Pyke, David A.; Wirth, Troy A.; Pilliod, David S.; Brooks, Matthew L.; Chambers, Jeanne C.

2009-01-01

Department of the Interior (DOI) bureaus have invested heavily (for example, the U.S. Bureau of Land Management (BLM) spent more than $60 million in fiscal year 2007) in seeding vegetation for emergency stabilization and burned area rehabilitation of non-forested arid lands over the past 10 years. The primary objectives of these seedings commonly are to (1) reduce the post-fire dominance of non-native annual grasses, such as cheatgrass (Bromus tectorum) and red brome (Bromus rubens); (2) minimize the probability of recurrent fire; and (3) ultimately produce desirable vegetation characteristics (for example, ability to recover following disturbance [resilience], resistance to invasive species, and a capacity to support a diverse flora and fauna). Although these projects historically have been monitored to varying extents, land managers currently lack scientific evidence to verify whether seeding arid and semiarid lands achieves desired objectives. Given the amount of resources dedicated to post-fire seeding projects, a synthesis of information determining the factors that result in successful treatments is critically needed. Although results of recently established experiments and monitoring projects eventually will provide useful insights for the future direction of emergency stabilization and burned area rehabilitation programs, a chronosequence approach evaluating emergency stabilization and burned area rehabilitation treatments (both referenced hereafter as ESR treatments) over the past 30 years could provide a comprehensive assessment of treatment success across a range of regional environmental gradients. By randomly selecting a statistically robust sample from the population of historic ESR treatments in the Intermountain West, this chronosequence approach would have inference for most ecological sites in this region. The goal of this feasibility study was to compile and examine historic ESR records from BLM field offices across the Intermountain West to

POST-CRISIS REHABILITATION OF HEAVY MASCHINES ON THE BASIS OF INNOVATIVE PROJECTS

Directory of Open Access Journals (Sweden)

N. V. Pasetchnik

2011-01-01

Full Text Available Russian economy modernization strategic aims can be attained only on the basis of normally functioning machine-building, metallurgic and energetic industries. However, basic heavy machines used in enterprises of these industries at present are under operation for 30 to 40 years and got worn up to 65–85%. Rehabilitation of these machines is to be carried out on the basis of thorough diagnostics and innovative projects that would make it possible to preserve the machines’ basic heavy components making up to 80% of their weight and cost and to update or replace active components (drive, control, mechanization, etc.. Since most of these enterprises are currently private-owned, certain organizational and legal actions are needed.

Building a Knowledge to Action Program in Stroke Rehabilitation.

Science.gov (United States)

Janzen, Shannon; McIntyre, Amanda; Richardson, Marina; Britt, Eileen; Teasell, Robert

2016-09-01

The knowledge to action (KTA) process proposed by Graham et al (2006) is a framework to facilitate the development and application of research evidence into clinical practice. The KTA process consists of the knowledge creation cycle and the action cycle. The Evidence Based Review of Stroke Rehabilitation is a foundational part of the knowledge creation cycle and has helped guide the development of best practice recommendations in stroke. The Rehabilitation Knowledge to Action Project is an audit-feedback process for the clinical implementation of best practice guidelines, which follows the action cycle. The objective of this review was to: (1) contextualize the Evidence Based Review of Stroke Rehabilitation and Rehabilitation Knowledge to Action Project within the KTA model and (2) show how this process led to improved evidence-based practice in stroke rehabilitation. Through this process, a single centre was able to change clinical practice and promote a culture that supports the use of evidence-based practices in stroke rehabilitation.

A radioactive particle detection system for the Maralinga rehabilitation project

International Nuclear Information System (INIS)

Martin, L.J.; Baylis, S.H.

1998-01-01

Following the cessation of British nuclear testing at Maralinga, several sites were left contaminated with plutonium in various forms over areas of many square kilometres. The contamination included 239 Pu and 241 Am together with other isotopes of plutonium, and was in the form of fine dust, discrete particles and contaminated fragments of metals, plastics and ceramics. Following a government decision to rehabilitate the area to a standard suitable for re-occupation by the traditional owners, the Maralinga Tjarutja, an expert committee, MARTAC, was convened to advise the Department of Primary Industries and Energy about suitable methods and standards for the cleanup. Criteria set by MARTAC required the removal of all discrete particles of contamination exceeding 100 kBq of 241 Am and imposed limits on the numbers of particles exceeding 20 kBq. A detection system was required which could detect any radioactive particles exceeding criteria and, following rehabilitation, verify that none remained. The most useful indicator of contamination was the 60 keV gamma-ray from 241 Am. The system was fitted to a four wheel drive utility vehicle, and was based on four thin-crystal, sodium iodide detectors of 12.5 cm diameter held 30 cm above ground level. Electronic components from off-the-shelf hand-held ratemeters were used to provide the high voltage supply, amplifier and single channel analyser in a ruggedised form of proven reliability. The combined use of thin crystal detectors and single channel analyser allowed a significant reduction in background count rates while maintaining the efficiency for detection of the 60 keV gamma-ray. To allow efficient and reliable coverage, the vehicle was fitted with a high-resolution speedometer to allow the proper speed to be maintained, and a mapping display, based on the GPS system, which showed the previous path of the vehicle and boundary of the area to be scanned. Whenever a radioactive particle was detected, its coordinates were

Amputation history and rehabilitation of black men living in the greater Durban area who have had traumatic amputations of the lower limb

Directory of Open Access Journals (Sweden)

B. A. Kubheka

1995-03-01

Full Text Available A survey was undertaken amongst twenty five black men living in the greater Durban area who had had amputations of the lower limbs. The type of amputation care and the rehabilitation programme they underwent post-operatively is described. The sample included men from 24 to 50 years of age, of whom the majority were from rural areas. The amputation care intra and post-operatively was marked by the lack of emotional preparation pre-operatively, and lack of rehabilitation information and teaching afterwards. Most respondents had to find information for themselves. This lack of information and teaching seemed to impede physical rehabilitation, with stump sores and limited use of prostheses being the main problems. Vocational rehabilitation was almost totally absent. In contrast to the twenty two respondents who worked before their amputations, only four worked afterwards. The majority had to support their families alone; sixteen of them were totally reliant on a Disability Grant. These problems lead to social isolation, depression, loneliness and other psycho-social problems.

Amputation history and rehabilitation of black men living in the greater Durban area who have had traumatic amputations of the lower limb

Directory of Open Access Journals (Sweden)

B. A. Kubheka

1995-05-01

Full Text Available A survey was undertaken amongst twenty five black men living in the greater Durban area who had had amputations of the lower limbs. The type of amputation care and the rehabilitation programme they underwent post-operatively is described. The sample included men from 24 to 50 years of age, of whom the majority were from rural areas. The amputation care intra and post-operatively was marked by the lack of emotional preparation pre-operatively, and lack of rehabilitation information and teaching afterwards. Most respondents had to find information for themselves. This lack of information and teaching seemed to impede physical rehabilitation, with stump sores and limited use of prostheses being the main problems. Vocational rehabilitation was almost totally absent. In contrast to the twenty two respondents who worked before their amputations, only four worked afterwards. The majority had to support their families alone; sixteen of them were totally reliant on a Disability Grant. These problems lead to social isolation, depression, loneliness and other psycho-social problems.

Designing Intuitive Web Solutions for Monitoring Patients’ Rehabilitation at Home

Directory of Open Access Journals (Sweden)

Raihana Ferdous

2015-12-01

Full Text Available This paper describes the design of web-based remote monitoring interfaces aimed at supporting therapists and caregivers in supervising motor-cognitive rehabilitation plans of care to be performed by patients at home. This work was part of a three years’ research project where game-based environments for upper body motor rehabilitation of post-stroke patients were developed in collaboration with two main rehabilitation centers in Italy and Austria, for a subsequent deployment at patients’ homes. The paper will specifically focus on describing the iterative design of the home rehabilitation features for clinicians over the first two years of the project to enable the delivery and monitoring of more personalized, engaging plans of care for home therapy by rehabilitation centers and services.

Implementation of Clinical Quality Management for Rehabilitation in Malaysia.

Science.gov (United States)

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

2018-04-18

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

Implementation of Clinical Quality Management for Rehabilitation in Malaysia

Directory of Open Access Journals (Sweden)

Julia Patrick Engkasan

2017-11-01

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

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

Science.gov (United States)

2013-06-14

... (NIDRR)--Disability and Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering... Rehabilitation Act of 1973, as amended (Rehabilitation Act). Rehabilitation Engineering Research Centers Program... Rehabilitation Act. It does so by conducting advanced engineering research, developing and evaluating innovative...

78 FR 35009 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

Science.gov (United States)

2013-06-11

... (NIDRR)--Disability and Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering... authorized under the Rehabilitation Act of 1973, as amended (Rehabilitation Act). Rehabilitation Engineering... under the Rehabilitation Act. It does so by conducting advanced engineering research, developing and...

An example of rehabilitation strategies for radioactive contaminated areas in Belarus

International Nuclear Information System (INIS)

Firsakova, S.K.; Zhuchenko, Yu.M.; Voigt, G.

2000-01-01

The potential for remediation and rehabilitation of areas contaminated by radionuclides is largely based on the predictions of individual doses, the internal doses being estimated by the potential contribution of major food products. As an example, the Chechersk region in the Gomel district has been selected to represent areas where, in 1995, individual doses exceeded the national dose limit of 1 mSv/yr. For this area, the contribution of food consumption to the total dose has been estimated, and measures for its reduction are proposed. The radical improvement of pastures for grazing of private dairy cows is one of the most effective measures to reduce internal 137 Cs doses. It is shown that the use of herbage from a cultivated pasture with an average 137 Cs contamination level of 405 kBq/m 2 during five subsequent years leads to an individual accumulative averted dose from milk consumption of 0.98 mSv, which is below the given dose limit of Russia, Ukraine and Belarus. In this paper estimates of fluxes of mainly 137 Cs and to a smaller extent of 90 Sr associated with foodstuffs derived from various ecosystems are given and account is also taken of the radioactivity exported from the area

Rehabilitating closed mining sites in North Rhine Westphalia's coal basin

International Nuclear Information System (INIS)

Mennekes, A.; Bekemeier, K.

2004-01-01

The Ruhr is a German region undergoing a reconversion. In recent years, several thousand jobs have been lost in the coal, iron and steel industries, especially in coal mines. This trend is going to continue. Rehabilitating former industrial sites so that they can welcome new industries and businesses, is decisive for this region. A rapid and financially advantageous reconversion requires coherence and continuity in the rehabilitation measures undertaken by the companies that serve as receivers, by local authorities and by investors who want to launch new projects. All these parties must manage the various phases of this process in a spirit of coordination. Germany can boast of a series of successful reconversions into industrial areas, exhibition facilities, nature reserves, tourist centers and leisure and rest places

Rehabilitation in Principle and Practice: Perspectives of Inmates and Officers

Directory of Open Access Journals (Sweden)

Yanique A. Anderson

2017-01-01

Full Text Available This article addresses rehabilitation, its conceptualisation by officers and inmates, and its expression in practice within a select Norwegian prison. It reports on findings from a qualitative interview-based research project conducted as a pilot study, whereby semi-structured interviews were conducted with inmates and officers at the prison. Furthermore, the authors examine the principle of rehabilitation as it follows from Norwegian law and assess how it is implemented in practice in a Norwegian prison. The preliminary findings from the study reveal factors—such as inmate isolation and mental health challenges, drug use, unequal treatment, and limited capacity and resources—that are impacting the effectiveness of what the prison has intended to achieve and ask for further research and discussion in this area.

Selecting Map Projections in Minimizing Area Distortions in GIS Applications

Directory of Open Access Journals (Sweden)

Ahmet Kaya

2008-12-01

Full Text Available Varioussoftware for Geographical Information Systems (GISs have been developed and used in many different engineering projects. In GIS applications, map coverage is important in terms of performing reliable and meaningful queries. Map projections can be conformal, equal-area and equidistant. The goal of an application plays an important role in choosing one of those projections. Choosing the equal-area projection for an application in which area information is used (forestry, agriculture, ecosystem etc reduces the amount of distortion on the area, but many users using GIS ignore this fact and continue to use applications with present map sheets no matter in what map projection it is. For example, extracting area information from data whose country system’s map sheet is in conformal projection is relatively more distorted, compared to an equal-area projection one. The goal of this study is to make the best decision in choosing the most proper equal-area projection among the choices provided by ArcGIS 9.0, which is a popular GIS software package, and making a comparison on area errors when conformal projection is used. In this study, the area of parcels chosen in three different regions and geographic coordinates and whose sizes vary between 0.01 to 1,000,000 ha are calculated according to Transversal Mercator (TM, 3°, Universal Transversal Mercator (UTM, 6° and 14 different equal-area projections existing in the ArcGIS 9.0 GIS software package. The parcel areas calculated with geographical coordinates are accepted as definite. The difference between the sizes calculated according to projection coordinates and real sizes of the parcels are determined. Consequently, the appropriate projections are decided for the areas smaller and equal than 1,000 ha and greater than 1,000 ha in the GIS software package.

Action research in rehabilitation with chronic stroke recovery

DEFF Research Database (Denmark)

Pedersen, Malene; Bundgaard, Tina H; Zeeman, Peter

2016-01-01

BACKGROUND: Chronic stroke patients are primarily referred to general rehabilitation, rather than to specific neurorehabilitation. Currently, there are no Danish clinical guidelines for chronic stroke, but recent research in neuroplasticity has contributed to possible rehabilitation interventions....... CONCLUSIONS: This report indicates that a specific neuroplastic focus in combination with action research has an impact on the participants with chronic stroke. However, there is still no clarity regarding what type of rehabilitation methods can be considered the most efficacious in promoting neuroplasticity...... for these patients. OBJECTIVE: The purpose of this project is to describe the use of a specialized neuroplastic approach in combination with an already existing training program. METHODS: The project is designed as an action research project concerning four participants with chronic stroke. Through ten intervention...

Concrete structures protection, repair and rehabilitation

CERN Document Server

Woodson, R Dodge

2009-01-01

The success of a repair or rehabilitation project depends on the specific plans designed for it. Concrete Structures: Protection, Repair and Rehabilitation provides guidance on evaluating the condition of the concrete in a structure, relating the condition of the concrete to the underlying cause or causes of that condition, selecting an appropriate repair material and method for any deficiency found, and using the selected materials and methods to repair or rehabilitate the structure. Guidance is also provided for engineers focused on maintaining concrete and preparing concrete investigation r

Final priority. Rehabilitation Training: Job-Driven Vocational Rehabilitation Technical Assistance Center. Final priority.

Science.gov (United States)

2014-08-19

The Assistant Secretary for Special Education and Rehabilitative Services announces a priority under the Rehabilitation Training program to establish a Job-Driven Vocational Rehabilitation Technical Assistance Center (JDVRTAC). The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years. We take this action to focus on training in an area of national need. Specifically, this priority responds to the Presidential Memorandum to Federal agencies directing them to take action to address job-driven training for the Nation's workers. The JDVRTAC will provide technical assistance (TA) to State vocational rehabilitation (VR) agencies to help them develop for individuals with disabilities training and employment opportunities that meet the needs of today's employers.

Environmental assessment of applicability of mineral-organic composite for landfill area rehabilitation

Science.gov (United States)

Mizerna, Kamila; Król, Anna; Mróz, Adrian

2017-10-01

This paper undertakes an assessment of the impact of a mineral-organic composite on the environment as well as the potential for its application for land rehabilitation purposes. The analysis involves the release of the leachable contaminations from the material subjected to testing. This material was formed by a composite manufactured on the basis of communal bottom ash and stabilized sewage sludge. The sludge resulting from wastewater treatment was subjected to stabilization and dehydration in waste pounds at the phase of pre-watering until 20% of dry mass is obtained. Subsequently, they were mixed with bottom ash, which was obtained from selective waste collection, in a 1:1 mass ratio. The analysis involved the leaching of inorganic contaminants in the form of heavy metals, sulphates (VI), chlorides, and fluorides as well as organic compounds in the form of organic carbon solution under the effect of leachant with a various level of pH. The analysed components were characterized by various leaching behaviour depending on the leachant pH. On the basis of the results, it was able to assess the potential hazard posed by the examined material on the environment as a consequence of its application for landfill area rehabilitation.

Environmental assessment of applicability of mineral-organic composite for landfill area rehabilitation

Directory of Open Access Journals (Sweden)

Mizerna Kamila

2017-01-01

Full Text Available This paper undertakes an assessment of the impact of a mineral-organic composite on the environment as well as the potential for its application for land rehabilitation purposes. The analysis involves the release of the leachable contaminations from the material subjected to testing. This material was formed by a composite manufactured on the basis of communal bottom ash and stabilized sewage sludge. The sludge resulting from wastewater treatment was subjected to stabilization and dehydration in waste pounds at the phase of pre-watering until 20% of dry mass is obtained. Subsequently, they were mixed with bottom ash, which was obtained from selective waste collection, in a 1:1 mass ratio. The analysis involved the leaching of inorganic contaminants in the form of heavy metals, sulphates (VI, chlorides, and fluorides as well as organic compounds in the form of organic carbon solution under the effect of leachant with a various level of pH. The analysed components were characterized by various leaching behaviour depending on the leachant pH. On the basis of the results, it was able to assess the potential hazard posed by the examined material on the environment as a consequence of its application for landfill area rehabilitation.

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

Science.gov (United States)

Zhang, Hui-min; Tang, Qiang

2011-06-01

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

Interactive Healthcare Systems in the Home: Vestibular Rehabilitation

DEFF Research Database (Denmark)

Aarhus, Rikke; Grönvall, Erik; Larsen, Simon Bo

2010-01-01

Vestibular dysfunction is a balance disorder, causing dizziness that provokes discomfort and fall situations. This paper discusses early results from a project that aims to develop assistive technologies to support home-based rehabilitation for elderly affected by Vestibular dysfunction.......Vestibular dysfunction is a balance disorder, causing dizziness that provokes discomfort and fall situations. This paper discusses early results from a project that aims to develop assistive technologies to support home-based rehabilitation for elderly affected by Vestibular dysfunction....

Rehabilitation Traumatology: A Narrative Review.

Science.gov (United States)

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

2017-09-01

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

Enhancing inpatient rehabilitation through the engagement of patients and nurses.

Science.gov (United States)

Pryor, Julie; Buzio, Amanda

2010-05-01

This paper is a report of a study conducted to describe nurses' knowledge, experiences and perceptions of a rehabilitation nursing practice development project conducted in their workplace. Several studies over the past two decades have led to increasing clarity about the nursing role in rehabilitation. Practice development is a useful vehicle for using the findings of such studies to enhance person-centred practice in rehabilitation settings. This qualitative study, in which grounded theory informed data collection and analysis, involved interviews with 21 nurses working in an inpatient rehabilitation unit in Australia about their knowledge, experiences and perceptions of a rehabilitation nursing practice development project conducted in their workplace. The three rounds of interviews were conducted as follows: 1) December 2005-January 2006; 2) June-July 2006; and 3) October 2006. Practice development was an effective vehicle for developing rehabilitation nursing practice. While collaboration and leadership were critical to the effectiveness of the project, the use of a clinically credible practice development facilitator and a focus on the development of collective nursing practice also seem to have been important. Through the introduction of new activities, both patient and nurse engagement in rehabilitation was enhanced and, as a consequence, the nurses developed a deeper appreciation of their role in rehabilitation. Carefully and collaboratively designed and sensitively implemented work-based practice development initiatives can change the context and culture of inpatient care. The use of a facilitator with relevant clinical nursing expertise to engage staff individually and collectively with research findings and to reflect on their practice and skill development is worth exploring in similar initiatives.

34 CFR 350.30 - What requirements must a Rehabilitation Engineering Research Center meet?

Science.gov (United States)

2010-07-01

... 34 Education 2 2010-07-01 2010-07-01 false What requirements must a Rehabilitation Engineering... DISABILITY AND REHABILITATION RESEARCH PROJECTS AND CENTERS PROGRAM What Rehabilitation Engineering Research Centers Does the Secretary Assist? § 350.30 What requirements must a Rehabilitation Engineering Research...

Recent Development of Rehabilitation Robots

Directory of Open Access Journals (Sweden)

Zhiqin Qian

2015-02-01

Full Text Available We have conducted a critical review on the development of rehabilitation robots to identify the limitations of existing studies and clarify some promising research directions in this field. This paper is presented to summarize our findings and understanding. The demands for assistive technologies for elderly and disabled population have been discussed, the advantages and disadvantages of rehabilitation robots as assistive technologies have been explored, the issues involved in the development of rehabilitation robots are investigated, some representative robots in this field by leading research institutes have been introduced, and a few of critical challenges in developing advanced rehabilitation robots have been identified. Finally to meet the challenges of developing practical rehabilitation robots, reconfigurable and modular systems have been proposed to meet the identified challenges, and a few of critical areas leading to the potential success of rehabilitation robots have been discussed.

MANUAL OF STANDARDS FOR REHABILITATION CENTERS AND FACILITIES.

Science.gov (United States)

CANIFF, CHARLES E.; AND OTHERS

A 5-YEAR PROJECT TO SPECIFY STANDARDS OF REHABILITATION CENTERS AND FACILITIES RESULTED IN THREE PUBLICATIONS. THIS MANUAL INCLUDES THE CHARACTERISTICS AND GOALS OF REHABILITATION FACILITIES. THE STANDARDS FOR ORGANIZATION, SERVICES THAT SHOULD BE PROVIDED, PERSONNEL INCLUDED, RECORDS AND REPORTS, FISCAL MANAGEMENT, AND THE PHYSICAL PLANT ARE…

34 CFR 369.44 - What wage and hour standards apply to community rehabilitation programs?

Science.gov (United States)

2010-07-01

... VOCATIONAL REHABILITATION SERVICE PROJECTS What Conditions Must Be Met by a Grantee? § 369.44 What wage and... hour standards must be observed in projects carried out in community rehabilitation programs...

Attitudes of COPD patients towards tele-rehabilitation

DEFF Research Database (Denmark)

Dinesen, Birthe; Huniche, Lotte; Toft, Egon

2013-01-01

about their tele-rehabilitation: indifference, learning as part of situations in everyday life, feeling of security and motivation for performing physical training. The patients express the view that they circulate between these attitudes depending on their physical and emotional state as they perform......The aim of this paper is to describe patients’ attitudes towards tele-rehabilitation in the Danish TELEKAT (for Telehomecare, Chronic Patients and the Integrated Healthcare System) project, in order to better understand patients’ behavior when performing tele-rehabilitation activities in home...

Rehabilitation of uranium tailings impoundments

International Nuclear Information System (INIS)

Crawley, A.H.

1983-01-01

Under Australian environmental controls relating to the management of uranium tailings, it is no longer acceptable practice to search for a rehabilitation strategy at the end of production when the generation of tailings has ceased. The uranium projects currently in production and those being proposed are tightly regulated by the authorities. The waste management plans must consider site specific factors and must include selection of appropriate disposal sites and design for long term containment. The final encapsulation in engineered facilities must take into account the probable routes to the environment of the tailings. Rehabilitation shoud be undertaken by the mining and milling operators to standards approved by appropriate authorities. Appropriate administrative arrangements are required, by way of technical committees and financial bonds to ensure that agreed standards of rehabilitation may be achieved. Past and present experience with the rehabilitation of uranium tailings impoundments in Australia is discussed

Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) - Part 4: oral rehabilitation.

Science.gov (United States)

Freitas, José Alberto de Souza; Almeida, Ana Lúcia Pompéia Fraga de; Soares, Simone; Neves, Lucimara Teixeira das; Garib, Daniela Gamba; Trindade-Suedam, Ivy Kiemle; Yaedú, Renato Yassutaka Faria; Lauris, Rita de Cássia Moura Carvalho; Oliveira, Thais Marchini; Pinto, João Henrique Nogueira

2013-01-01

Treatment of patients with cleft lip and palate is completed with fixed prostheses, removable, total, implants and aims to restore aesthetics, phonetics and function and should be guided by the basic principles of oral rehabilitation, such as physiology, stability, aesthetics, hygiene and the expectations of the patient. In order to obtain longevity of a prosthetic rehabilitation, the periodontal and dental tissue as well as the biomechanics of the prosthesis are to be respected. The purpose of this article is to describe the types of prosthetics treatment, which are performed at HRAC/USP for the rehabilitation of cleft area in adult patients.

34 CFR 350.31 - What collaboration must a Rehabilitation Engineering Research Center engage in?

Science.gov (United States)

2010-07-01

... 34 Education 2 2010-07-01 2010-07-01 false What collaboration must a Rehabilitation Engineering... DISABILITY AND REHABILITATION RESEARCH PROJECTS AND CENTERS PROGRAM What Rehabilitation Engineering Research Centers Does the Secretary Assist? § 350.31 What collaboration must a Rehabilitation Engineering Research...

Strengthening health-related rehabilitation services at national levels.

Science.gov (United States)

Gutenbrunner, Christoph; Bickenbach, Jerome; Melvin, John; Lains, Jorge; Nugraha, Boya

2018-04-18

One of the aims of the World Health Organization's Global Disability Action Plan is to strengthen rehabilitation services. Some countries have requested support to develop (scale-up) rehabilitation services. This paper describes the measures required and how (advisory) missions can support this purpose, with the aim of developing National Disability, Health and Rehabilitation Plans. It is important to clarify the involvement of governments in the mission, to define clear terms of reference, and to use a systematic pathway for situation assessment. Information must be collected regarding policies, health, disability, rehabilitation, social security systems, the need for rehabilitation, and the existing rehabilitation services and workforce. Site visits and stakeholder dialogues must be done. In order to develop a Rehabilitation Service Implementation Framework, existing rehabilitation services, workforce, and models for service implementation and development of rehabilitation professions are described. Governance, political will and a common understanding of disability and rehabilitation are crucial for implementation of the process. The recommendations of the World Report on Disability are used for reporting purposes. This concept is feasible, and leads to concrete recommendations and proposals for projects and a high level of consensus stakeholders.

Strengthening health-related rehabilitation services at national levels

Directory of Open Access Journals (Sweden)

Christoph Gutenbrunner

2017-04-01

Full Text Available Objective: One of the aims of the World Health Organization’s Global Disability Action Plan is to strengthen rehabilitation services. Some countries have requested support to develop (scale-up rehabilitation services. This paper describes the measures required and how (advisory missions can support this purpose, with the aim of developing National Disability, Health and Rehabilitation Plans. Recommendations: It is important to clarify the involvement of governments in the mission, to define clear terms of reference, and to use a systematic pathway for situation assessment. Information must be collected regarding policies, health, disability, rehabilitation, social security systems, the need for rehabilitation, and the existing rehabilitation services and workforce. Site visits and stakeholder dialogues must be done. In order to develop a Rehabilitation Service Implementation Framework, existing rehabilitation services, workforce, and models for service implementation and development of rehabilitation professions are described. Governance, political will and a common understanding of disability and rehabilitation are crucial for implementation of the process. The recommendations of the World Report on Disability are used for reporting purposes. Conclusion: This concept is feasible, and leads to concrete recommendations and proposals for projects and a high level of consensus stakeholders.

Socio-economic impacts - an overview based on coal mining projects

International Nuclear Information System (INIS)

Singh, V.K.

1994-01-01

Socio-economic impacts of coal projects have assumed importance as new projects are affecting tribal/underdeveloped areas. The paper highlights the impacts on land uses and on life and culture of the habitats. It assesses socio-economic impacts and furnishes financial implications of rehabilitation. Some suggestions have also been given to neutralize the stresses developed due to development of coal fields

On an interesting project with hybrid ventilation in an urban environment with heavy traffic

International Nuclear Information System (INIS)

Mysen, Mads

2001-01-01

Kampen school, built in 1888, is located centrally in Oslo, Norway. Problematic indoor climate made it necessary to rehabilitate the school. This rehabilitation project is used as a 'case' in a large international research project that deals with energy-efficient rehabilitation of educational buildings. The project aims to (1) demonstrate that schools can be rehabilitated by means of ventilation systems that exploit the natural driving forces without this entailing considerable extra costs, (2) demonstrate that natural sunlight can be utilized as an energy-conserving measure at the same time as human need for daylight is satisfied, (3) demonstrate the importance of optimum selection of armatures and light sources with respect to energy and comfort, (4) demonstrate that these solutions imply reduced energy and maintenance costs such as to be profitable in a life-cycle perspective, (5) demonstrate that these solutions can inspire learning even in urban environments, and (6) demonstrate and exploit the potential for reduced energy consumption by demand-controlled ventilation and electric lighting according to area, natural driving forces and availability of daylight

300 Area Revitalization Project Management Plan

International Nuclear Information System (INIS)

Downey, H. D.

1999-01-01

The 300 Area Revitalization Team has been tasked with the responsibility to develop an integrated path forward for the 300 Area, as part of a commitment stemming from the 300 Area Disposition Workshop that was held on March 17, 1998. The integrated path forward that is needed must ensure that budget, schedule, and work scopes are complementary between the Programs that are involved in the 300Area. This Project Management Plan (PMP) defines the roles and responsibilities, and the overall approach, to development of a prioritized schedule for 300 Area activities that will achieve the end-state condition

Exemption procedure for large-scale site rehabilitation projects as laid down in the administrative agreement on the financing of site rehabilitation in the New Laender; Altlastengrossprojekte im Freistellungsverfahren nach dem Verwaltungsabkommen zur Finanzierung der Altlastensanierung in den neuen Bundeslaendern

Energy Technology Data Exchange (ETDEWEB)

Hohenlohe, A zu; Kosinowski, M; Radtke, H

1994-12-31

The present article describes the legal groundwork of the Administrative Agreement on the Financing of Site Rehabilitation in the new Laender. It then lists 19 large-scale projects and depicts the organisational structure adopted for their implementation. Finally it presents various site rehabilitation concepts and financial schemes. (SR) [Deutsch] Der Artikel beschreibt die gesetzlichen Grundlagen des Verwaltungsabkommens zur Finanzierung der Altlastensanierung in den neuen Bundeslaendern. Anschliessend werden 19 Grossprojekte aufgelistet und die Organisationsstruktur zur Umsetzung der Sanierungsarbeiten dargestellt. Abschliessend werden Altlatensanierungskonzepte und Finanzrahmen dargestellt. (SR)

Evaluating rehabilitation efforts following the Milford Flat Fire: successes, failures, and controlling factors

Science.gov (United States)

Duniway, Michael C.; Palmquist, Emily C.; Miller, Mark E.

2015-01-01

Uncontrolled wildfire in arid and semiarid ecosystems has become an increasing concern in recent decades. Active rehabilitation of fire-affected areas is often quickly initiated to minimize long-term ecosystem damage. However, the complex soil-geomorphic-vegetation patterns and low and variable moisture conditions in these regions makes restoration challenging. To further inform these post-fire management decisions, we present results from 5 years of vegetation and sediment flux monitoring following the Milford Flat Fire in west-central Utah, USA. Our sampling design includes monitoring plots in areas not burned, areas burned but where no rehabilitation was attempted, and burned areas where various rehabilitation approaches were implemented. At each of the 25 plots, vegetation cover and composition data were collected annually, and wind-driven sediment flux was measured using passive dust traps. To evaluate effectiveness of post-fire rehabilitation treatments in establishing desired species and limiting dominance of undesired species, we analyzed the temporal response of individual species and functional groups as well as community-level multivariate responses. The warm and dry conditions that persisted for approximately 12 months post-treatment, coupled with the surface disturbing rehabilitation approaches used, resulted in near-surface dust fluxes several orders of magnitude higher in treated areas than in unburned or burned areas where no rehabilitation occurred. These dry conditions and high surface sediment flux limited the establishment of seeded species in rehabilitation areas for nearly 3 years. Post-fire rehabilitation did not limit dominance by invasive annual species of concern. Perennial species composition in the areas burned but not subject to post-fire rehabilitation was relatively similar to unburned throughout the study period. In contrast, the burned plots where rehabilitation was attempted were characterized by no (successful. Though dry

Rehabilitation of Onitsha-Enugu Dual Carriageway in Anambra ...

African Journals Online (AJOL)

The rehabilitation of Onitsha-Enugu dual carriageway in Anambra State, Nigeria, which started in 2009 was marred by inadequate rehabilitation design and gross shortfall in earthwork quantities. The project was awarded at a cost less than 60% of what was actually needed to execute it at the time of award. Delays in the ...

Balneotherapy in Psoriasis Rehabilitation.

Science.gov (United States)

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

2017-01-01

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

[Dance projects as an integral part of CI rehabilitation and their impact on mental health: a pilot study].

Science.gov (United States)

Klink, B; Praetorius, M; Roder, S; Hintermair, M

2014-07-01

Alongside improvements in hearing and communication skills, the rehabilitation of children, adolescents and adults with a cochlear implant (CI) in recent years has increasingly taken into account mental health and quality of life issues. In the context of the programs offered, this study assesses the significance of dance for the mental health of adult clients with a CI. Eleven adult CI users participated in a dance project, which took place as a cooperation between the ENT University Hospital Heidelberg and the Baden State Theatre Karlsruhe. Participants were questioned at two different time points for assessment with the mental health scales (SPG). These scales measure seven different aspects of psychosocial well-being (including autonomy, willpower, affirmation of life and meaningfulness). Significant positive changes in the domains of affirmation of life, self-reflection and social integration were revealed by before and after comparisons; tendencies toward positive change were observed (p ≤ 0.10) in the domains of willpower, naturalness and meaningfulness. No changes were observed in the autonomy domain. The results indicate that the mental health of adult clients with a CI can be strengthened by dance as a complementary rehabilitation module. Concepts of CI rehabilitation should increasingly find anchor in the consideration of such arrangements for its range of offers.

75 FR 9189 - Office of Special Education and Rehabilitative Services; Overview Information; Assistive...

Science.gov (United States)

2010-03-01

... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Overview... single budget period of 12 months. The Assistant Secretary for Special Education and Rehabilitative... Secretary for Special Education and Rehabilitative Services may change the maximum project period through a...

75 FR 9193 - Office of Special Education and Rehabilitative Services; Overview Information; Assistive...

Science.gov (United States)

2010-03-01

... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Overview... budget period of 12 months. The Assistant Secretary for Special Education and Rehabilitative Services may... for Special Education and Rehabilitative Services may change the maximum project period through a...

Rehabilitation after traumatic brain injury.

Science.gov (United States)

Barnes, M P

1999-01-01

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

Benefit-cost analysis of fishery rehabilitation projects: A Great Lakes case study. Spec. issue: Responses to marine resource change/social sciences perspective

Science.gov (United States)

Bishop, R.C.; Milliman, S.R.; Boyle, K.J.; Johnson, B.L.

1990-01-01

Tools of benefit-cost analysis are used to evaluate a project to rehabilitate the yellow perch (Perca flavescens ) fishery of Green Bay, Wisconsin. Both sport and commercial fishers harvest from this stock, which has been suffering from much reduced productivity since the early 1960s. The project is composed of commercial quotas and other regulations. Measures of benefits and costs were used that explicitly incorporate uncertainly about the potential level of success of the project. The analysis shows that commercial fish producers will more or less break even compared to where they would have been without the project, but that substantial recreational benefits can be expected.

Evaluating rehabilitation efforts following the Milford Flat Fire: successes, failures, and controlling factors

Science.gov (United States)

Duniway, Michael C.; Palmquist, Emily C.; Miller, Mark E.

2015-01-01

Uncontrolled wildfire in arid and semiarid ecosystems has become an increasing concern in recent decades. Active rehabilitation of fire-affected areas is often quickly initiated to minimize long-term ecosystem damage. However, the complex soil-geomorphic-vegetation patterns and low and variable moisture conditions in these regions makes restoration challenging. To further inform these post-fire management decisions, we present results from 5 years of vegetation and sediment flux monitoring following the Milford Flat Fire in west-central Utah, USA. Our sampling design includes monitoring plots in areas not burned, areas burned but where no rehabilitation was attempted, and burned areas where various rehabilitation approaches were implemented. At each of the 25 plots, vegetation cover and composition data were collected annually, and wind-driven sediment flux was measured using passive dust traps. To evaluate effectiveness of post-fire rehabilitation treatments in establishing desired species and limiting dominance of undesired species, we analyzed the temporal response of individual species and functional groups as well as community-level multivariate responses. The warm and dry conditions that persisted for approximately 12 months post-treatment, coupled with the surface disturbing rehabilitation approaches used, resulted in near-surface dust fluxes several orders of magnitude higher in treated areas than in unburned or burned areas where no rehabilitation occurred. These dry conditions and high surface sediment flux limited the establishment of seeded species in rehabilitation areas for nearly 3 years. Post-fire rehabilitation did not limit dominance by invasive annual species of concern. Perennial species composition in the areas burned but not subject to post-fire rehabilitation was relatively similar to unburned throughout the study period. In contrast, the burned plots where rehabilitation was attempted were characterized by no (post-fire rehabilitation

Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP Part 4: Oral Rehabilitation

Directory of Open Access Journals (Sweden)

Jose Alberto de Souza FREITAS

2013-06-01

Full Text Available Treatment of patients with cleft lip and palate is completed with fixed prostheses, removable, total, implants and aims to restore aesthetics, phonetics and function and should be guided by the basic principles of oral rehabilitation, such as physiology, stability, aesthetics, hygiene and the expectations of the patient. In order to obtain longevity of a prosthetic rehabilitation, the periodontal and dental tissue as well as the biomechanics of the prosthesis are to be respected. The purpose of this article is to describe the types of prosthetics treatment, which are performed at HRAC/USP for the rehabilitation of cleft area in adult patients.

ICU early physical rehabilitation programs: financial modeling of cost savings.

Science.gov (United States)

Lord, Robert K; Mayhew, Christopher R; Korupolu, Radha; Mantheiy, Earl C; Friedman, Michael A; Palmer, Jeffrey B; Needham, Dale M

2013-03-01

To evaluate the potential annual net cost savings of implementing an ICU early rehabilitation program. Using data from existing publications and actual experience with an early rehabilitation program in the Johns Hopkins Hospital Medical ICU, we developed a model of net financial savings/costs and presented results for ICUs with 200, 600, 900, and 2,000 annual admissions, accounting for both conservative- and best-case scenarios. Our example scenario provided a projected financial analysis of the Johns Hopkins Medical ICU early rehabilitation program, with 900 admissions per year, using actual reductions in length of stay achieved by this program. U.S.-based adult ICUs. Financial modeling of the introduction of an ICU early rehabilitation program. Net cost savings generated in our example scenario, with 900 annual admissions and actual length of stay reductions of 22% and 19% for the ICU and floor, respectively, were $817,836. Sensitivity analyses, which used conservative- and best-case scenarios for length of stay reductions and varied the per-day ICU and floor costs, across ICUs with 200-2,000 annual admissions, yielded financial projections ranging from -$87,611 (net cost) to $3,763,149 (net savings). Of the 24 scenarios included in these sensitivity analyses, 20 (83%) demonstrated net savings, with a relatively small net cost occurring in the remaining four scenarios, mostly when simultaneously combining the most conservative assumptions. A financial model, based on actual experience and published data, projects that investment in an ICU early rehabilitation program can generate net financial savings for U.S. hospitals. Even under the most conservative assumptions, the projected net cost of implementing such a program is modest relative to the substantial improvements in patient outcomes demonstrated by ICU early rehabilitation programs.

Evaluating rehabilitation methods - some practical results from Rum Jungle

International Nuclear Information System (INIS)

Ryan, P.

1987-01-01

Research and analysis of the following aspects of rehabilitation have been conducted at the Rum Jungle mine site over the past three years: drainage structure stability; rock batter stability; soil fauna; tree growth in compacted soils; rehabilitation costs. The results show that, for future rehabilitation projects adopting refined methods, attention to final construction detail and biospheric influences is most important. The mine site offers a unique opportunity to evaluate the success of a variety of rehabilitation methods to the benefit of the industry in Australia overseas. It is intended that practical, economic, research will continue for some considerable time

Rehabilitation of the contaminated territories

International Nuclear Information System (INIS)

Lych, G.M.; Babosov, E.M.; Firsakova, S.K.

1997-01-01

In the chapter the system of management of socio economical development of contaminated territories in conditions of transition of the republic to market economy is described. The scientific substantiation of the complex programs of rehabilitation of both Bragin and Vetka areas of the Gomel Region is given. The methods of social support and socio psychological rehabilitation of the population having suffered after the Chernobyl accident are offered

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

Science.gov (United States)

2013-06-28

... attention on areas of national need. We intend this priority to improve outcomes among individuals with... improve the effectiveness of services authorized under the Rehabilitation Act of 1973, as amended... assistance, and information to improve the outcomes of individuals with disabilities who live in rural areas...

7 CFR 275.18 - Project area/management unit corrective action plan.

Science.gov (United States)

2010-01-01

... 7 Agriculture 4 2010-01-01 2010-01-01 false Project area/management unit corrective action plan... SYSTEM Corrective Action § 275.18 Project area/management unit corrective action plan. (a) The State agency shall ensure that corrective action plans are prepared at the project area/management unit level...

Holistic self-care for rehabilitation experienced by thai buddhist trauma patients in areas of political and social unrest.

Science.gov (United States)

Songwathana, Praneed; Watanasiriwanich, Wachiraya; Kitrungrote, Luppana

2013-01-01

This study describes the meaning and practice of holistic self-care for rehabilitation among Thai Buddhist trauma patients living in areas of political unrest where acts of terrorism occur. Eleven Thai Buddhist trauma patients were selected as specified. The data were collected by in-depth interviews between November 2011 and April 2012, and analyzed using the Van Manen method.Those interviewed described "holistic self-care for rehabilitation" as learning (1) to acquire a new life and (2) to bear the increased demands of care as a chronic disease. Health care responses fell into 3 categories: (1) improving physical self-sufficiency and rehabilitation by increasing muscle strength, pain management, and pressure sores; (2) improving psychological well-being by applying positive thinking, making an effort to live independently, and following a set of religious practices; and (3) finding harmony in life through caution and a willingness to adjust one's lifestyle. Although the participants seemed to adapt well to their new lifestyles, extensive support from health care professionals was necessary. This study promotes better understanding of the holistic health care experiences the survivors of trauma have as a result of an unstable political situation that includes aspects of social unrest and terrorism.

A new cognitive rehabilitation programme for patients with multiple sclerosis: the 'MS-line! Project'.

Science.gov (United States)

Gich, Jordi; Freixenet, Jordi; Garcia, Rafael; Vilanova, Joan Carles; Genís, David; Silva, Yolanda; Montalban, Xavier; Ramió-Torrentà, Lluís

2015-09-01

Cognitive rehabilitation is often delayed in multiple sclerosis (MS). To develop a free and specific cognitive rehabilitation programme for MS patients to be used from early stages that does not interfere with daily living activities. MS-line!, cognitive rehabilitation materials consisting of written, manipulative and computer-based materials with difficulty levels developed by a multidisciplinary team. Mathematical, problem-solving and word-based exercises were designed. Physical materials included spatial, coordination and reasoning games. Computer-based material included logic and reasoning, working memory and processing speed games. Cognitive rehabilitation exercises that are specific for MS patients have been successfully developed. © The Author(s), 2014.

Integration of healthcare rehabilitation in chronic conditions

Directory of Open Access Journals (Sweden)

Anne Frølich

2010-02-01

Full Text Available Introduction: Quality of care provided to people with chronic conditions does not often fulfil standards of care in Denmark and in other countries. Inadequate organisation of healthcare systems has been identified as one of the most important causes for observed performance inadequacies, and providing integrated healthcare has been identified as an important organisational challenge for healthcare systems. Three entities—Bispebjerg University Hospital, the City of Copenhagen, and the GPs in Copenhagen—collaborated on a quality improvement project focusing on integration and implementation of rehabilitation programmes in four conditions. Description of care practice: Four multidisciplinary rehabilitation intervention programmes, one for each chronic condition: chronic obstructive pulmonary disease, type 2 diabetes, chronic heart failure, and falls in elderly people were developed and implemented during the project period. The chronic care model was used as a framework for support of implementing and integration of the four rehabilitation programmes. Conclusion and discussion: The chronic care model provided support for implementing rehabilitation programmes for four chronic conditions in Bispebjerg University Hospital, the City of Copenhagen, and GPs' offices. New management practices were developed, known practices were improved to support integration, and known practices were used for implementation purposes. Several barriers to integrated care were identified.

Financial gerontology and the rehabilitation nurse.

Science.gov (United States)

Mauk, Kristen L; Mauk, James M

2006-01-01

Rehabilitation nurses, particularly those who work in geriatrics, recognize that the elderly have become increasingly heterogeneous, with many remaining active well into their 80s and beyond. As the baby boomers enter older adulthood, the senior healthcare market will be greatly affected. The areas of finance, economics, and marketing are seeing new trends that combine the expertise of financial planners with healthcare advisors and advocates for seniors. One emerging specialty area is financial gerontology. This article defines financial gerontology, presents emerging trends and certifications related to the field, and discusses implications for the rehabilitation nurse.

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

Science.gov (United States)

2010-12-27

... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Overview... Special Education and Rehabilitative Services may change the maximum amount through a notice published in... Secretary for Special Education and Rehabilitative Services may change the maximum project period through a...

75 FR 77629 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

Science.gov (United States)

2010-12-13

... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Overview... Secretary for Special Education and Rehabilitative Services may change the maximum amount through a notice... Secretary for Special Education and Rehabilitative Services may change the maximum project period through a...

75 FR 75666 - Office of Special Education and Rehabilitative Services Overview Information; National Institute...

Science.gov (United States)

2010-12-06

... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services Overview... Secretary for Special Education and Rehabilitative Services may change the maximum amount through a notice... Secretary for Special Education and Rehabilitative Services may change the maximum project period through a...

23 CFR 650.405 - Eligible projects.

Science.gov (United States)

2010-04-01

... FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS BRIDGES, STRUCTURES, AND HYDRAULICS Highway Bridge Replacement and Rehabilitation Program § 650.405 Eligible projects... rehabilitation. (b) Types of projects which are eligible. The following types of work are eligible for...

Status and outlook for the WISMUT Remediation Project in the States of Thuringia and Saxony, Germany

International Nuclear Information System (INIS)

Hagen, M.; Gatzweiler, R.; Jakubick, A.T.

2002-01-01

The ongoing WISMUT Remediation Program deals with the legacy of more than 40 years of largescale uranium mining and processing in the densely populated areas of Eastern Thuringia and Saxony (Germany). The mining and processing operations (total uranium production more than 220,000 tonnes) comprise an area of approx. 37 km 2 . WISMUT started with a complex site investigation program to determine the degree of contamination of affected areas and an extended environmental monitoring system of the pathways was established. The overall approach follows the general rule of guiding, planning and implementation of the site specific rehabilitation projects to ensure an optimal balance between rehabilitation costs and environmental benefits while complying with the applicable laws and requirements of the permitting agencies. The WISMUT approach to remediation can be viewed as an adaptable process tailored to specific circumstances and site specific situations taking public interests into account. Remediation solutions will be demonstrated by various site specific examples. The WISMUT decommissioning and rehabilitation project is now in its eleventh year and by middle of the year 2000 approximately half of the cleanup has been finished. A well thought out approach to water treatment and timely adjustment to changing conditions will help save water treatment costs. Consideration of the post rehabilitation use and surveillance requirements are an integral part of the optimisation of the remedial measures. (author)

Status of Activities on Rehabilitation Of Radioactively Contaminated Facilities and the Site of Russian Research Center ''Kurchatov Institute''

International Nuclear Information System (INIS)

Volkov, V. G.; Ponomarev-Stepnoi, N. N.; Melkov, E. S; Ryazantsev, E. P.; Dikarev, V. S.; Gorodetsky, G. G.; Zverkov, Yu. A.; Kuznetsov, V. V.; Kuznetsova, T. I.

2003-01-01

This paper describes the program, the status, and the course of activities on rehabilitation of radioactively contaminated facilities and the territory of temporary radioactive waste (radwaste) disposal at the Russian Research Center ''Kurchatov Institute'' (RRC KI) in Moscow as performed in 2001-2002. The accumulation of significant amounts of radwaste at RRC KI territory is shown to be the inevitable result of Institute's activity performed in the days of former USSR nuclear weapons project and multiple initial nuclear power projects (performed from 1950's to early 1970's). A characterization of RRC KI temporary radwaste disposal site is given. Described is the system of radiation control and monitoring as implemented on this site. A potential hazard of adverse impacts on the environment and population of the nearby housing area is noted, which is due to possible spread of the radioactive plume by subsoil waters. A description of the concept and project of the RRC KI temporary radwaste disposal site is presented. Specific nature of the activities planned and performed stems from the nearness of housing area. This paper describes main stages of the planned activities for rehabilitation, their expected terms and sources of funding, as well as current status of the project advancement. Outlined are the problems faced in the performance and planning of works. The latter include: diagnostics of the concrete-grouted repositories, dust-suppression technologies, packaging of the fragmented ILW and HLW, soil clean-up, radioactive plume spread prevention, broad radiation monitoring of the work zone and environment in the performance of rehabilitation works. Noted is the intention of RRC KI to establish cooperation with foreign, first of all, the U.S. partners for the solution of problems mentioned above

N Area Final Project Program Plan

International Nuclear Information System (INIS)

Day, R.S.; Duncan, G.M; Trent, S.J.

1998-07-01

The N Area Final Project Program Plan is issued for information and use by the U.S. Department of Energy (DOE), the Environmental Restoration Contractor (ERC) for the Hanford Site, and other parties that require workscope knowledge for the deactivation of N Reactor facilities and remediation of the 100-N Area. This revision to the program plan contains the updated critical path schedule to deactivate N Reactor and its supporting facilities, cleanout of the N Reactor Fuel Storage Basin (105-N Basin), and remediate the 100-N Area. This document reflects notable changes in the deactivation plan for N Reactor, including changes in deactivation status, the N Basin cleanout task, and 100-N Area remediation

Urban waterfront rehabilitation: can it contribute to environmental improvements in the developing world?

International Nuclear Information System (INIS)

Vollmer, Derek

2009-01-01

This paper examines urban waterfront rehabilitation as a sustainable development strategy in Chinese cities. Though waterfront rehabilitation is increasingly being employed in developed world cities, the environmental benefits are not always clear. Nonetheless, China, like other developing countries, has shown interest in this strategy, for improving its local water quality, upgrading environmental management, and improving quality of life for urban residents. As developing world cities struggle to break from the traditional model of 'pollute first, clean up later', it is critical that they employ strategies which minimize or remediate environmental impacts while still promoting economic development. This paper analyzes three such projects: the Qinhuai River Environmental Improvement Project in Nanjing, the Suzhou Creek Rehabilitation in Shanghai, and the Wuli Lake Rehabilitation in Wuxi. A critical analysis indicates that these projects have served numerous purposes which contribute to the cities' sustainable development. Though waterways may not be restored to pristine conditions, the incremental improvements appear to be a necessary catalyst for sustainable urban development.

Urban waterfront rehabilitation: can it contribute to environmental improvements in the developing world?

Energy Technology Data Exchange (ETDEWEB)

Vollmer, Derek [National Academies, 500 5th Street NW, Washington, DC 20001 (United States)], E-mail: dvollmer@nas.edu

2009-04-15

This paper examines urban waterfront rehabilitation as a sustainable development strategy in Chinese cities. Though waterfront rehabilitation is increasingly being employed in developed world cities, the environmental benefits are not always clear. Nonetheless, China, like other developing countries, has shown interest in this strategy, for improving its local water quality, upgrading environmental management, and improving quality of life for urban residents. As developing world cities struggle to break from the traditional model of 'pollute first, clean up later', it is critical that they employ strategies which minimize or remediate environmental impacts while still promoting economic development. This paper analyzes three such projects: the Qinhuai River Environmental Improvement Project in Nanjing, the Suzhou Creek Rehabilitation in Shanghai, and the Wuli Lake Rehabilitation in Wuxi. A critical analysis indicates that these projects have served numerous purposes which contribute to the cities' sustainable development. Though waterways may not be restored to pristine conditions, the incremental improvements appear to be a necessary catalyst for sustainable urban development.

Area 5 Site characterization project report, FY 1994

International Nuclear Information System (INIS)

Albright, W.; Tyler, S.; Chapman, J.; Miller, M.; Estrella, R.

1994-09-01

The Area 5 Site Characterization Project is designed to determine the suitability of the Radioactive Waste Management Site (RWMS) for disposal of low-level waste (LLW), mixed waste (MW) and transuranic waste (TRU). The Desert Research institute (DRI) has conducted this study for the Area 5 Site Characterization Project for the US Department of Energy, Nevada Operations Office (DOE/NV), Waste Management Division (WMD). The purpose of DRI's Area 5 Site Characterization Project is to characterize important properties of the upper vadose zone which influence infiltration and redistribution of water and transport of solutes as well as to characterize the water quality and hydrologic conditions of the uppermost aquifer. This report describes methods and presents a summary of all data and results from laboratory physical and chemical testing from borehole samples through September 1994. DRI laboratories performed soil water content, soil water potential, soil bulk density, and soil water extract isotope analyses

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

Science.gov (United States)

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

2016-02-01

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

Hanford Area 1990 population and 50-year projections

International Nuclear Information System (INIS)

Beck, D.M.; Scott, M.J.; Shindle, S.F.; Napier, B.A.; Thurman, A.G.; Batishko, N.C.; Davis, M.D.; Pittenger, D.B.

1991-10-01

The complex and comprehensive safety analysis activities carried out at Hanford for nonreactor nuclear facilities require data from a number of scientific and engineering disciplines. The types of data that are required include data pertaining to current population and population projections. The types of data found in this document include 1990 census totals for residential population within a 50-mile radius of the 100-N, 200, 300, and 400 Area meteorological towers. This document also contains 50-year projections for residential populations within a 50-mile radius of these four meteorological towers. The analysis of population projections indicates that residential population within a 50-mile radius of the four meteorological towers in question will continue to grow through 2040, although at a slower rate each decade. In all cases, the highest growth is projected for the decade ending in the year 2000. The annual growth rate for this period is projected to be 0.646, 0.633, 0.543, and 0.570 in the 100-N, 200, 300, and 400 Areas, respectively. By 2040, these growth rates are projected to drop to 0.082, 0.068, 0.078, 0.078, respectively. 4 refs., 1 figs., 4 tabs

A Concept for a Flexible Rehabilitation Tool for sub-Saharan Africa

DEFF Research Database (Denmark)

Lund, Henrik Hautop

2012-01-01

to address many diverse patient groups (e.g. disabled children, cardiac, and stroke patients), to be used in both urban and rural areas, to be easily used in community based rehabilitation (e.g. by community rehabilitation workers), to motivate the users, and to be robust to failure (e.g. power failure......) in remote areas. The concept leads to the implementation of modular interactive tiles for rehabilitation, and suggestions for future use in sub-Saharan Africa....

A Serious Games Platform for Cognitive Rehabilitation with Preliminary Evaluation.

Science.gov (United States)

Rego, Paula Alexandra; Rocha, Rui; Faria, Brígida Mónica; Reis, Luís Paulo; Moreira, Pedro Miguel

2017-01-01

In recent years Serious Games have evolved substantially, solving problems in diverse areas. In particular, in Cognitive Rehabilitation, Serious Games assume a relevant role. Traditional cognitive therapies are often considered repetitive and discouraging for patients and Serious Games can be used to create more dynamic rehabilitation processes, holding patients' attention throughout the process and motivating them during their road to recovery. This paper reviews Serious Games and user interfaces in rehabilitation area and details a Serious Games platform for Cognitive Rehabilitation that includes a set of features such as: natural and multimodal user interfaces and social features (competition, collaboration, and handicapping) which can contribute to augment the motivation of patients during the rehabilitation process. The web platform was tested with healthy subjects. Results of this preliminary evaluation show the motivation and the interest of the participants by playing the games.

A facial marker in facial wasting rehabilitation.

Science.gov (United States)

Rauso, Raffaele; Tartaro, Gianpaolo; Freda, Nicola; Rusciani, Antonio; Curinga, Giuseppe

2012-02-01

Facial lipoatrophy is one of the most distressing manifestation for HIV patients. It can be stigmatizing, severely affecting quality of life and self-esteem, and it may result in reduced antiretroviral adherence. Several filling techniques have been proposed in facial wasting restoration, with different outcomes. The aim of this study is to present a triangular area that is useful to fill in facial wasting rehabilitation. Twenty-eight HIV patients rehabilitated for facial wasting were enrolled in this study. Sixteen were rehabilitated with a non-resorbable filler and twelve with structural fat graft harvested from lipohypertrophied areas. A photographic pre-operative and post-operative evaluation was performed by the patients and by two plastic surgeons who were "blinded." The filled area, in both patients rehabilitated with structural fat grafts or non-resorbable filler, was a triangular area of depression identified between the nasolabial fold, the malar arch, and the line that connects these two anatomical landmarks. The cosmetic result was evaluated after three months after the last filling procedure in the non-resorbable filler group and after three months post-surgery in the structural fat graft group. The mean patient satisfaction score was 8.7 as assessed with a visual analogue scale. The mean score for blinded evaluators was 7.6. In this study the authors describe a triangular area of the face, between the nasolabial fold, the malar arch, and the line that connects these two anatomical landmarks, where a good aesthetic facial restoration in HIV patients with facial wasting may be achieved regardless of which filling technique is used.

Organizing vocational rehabilitation through interorganizational integration--a case study in Sweden.

Science.gov (United States)

Wihlman, Ulla; Lundborg, Cecilia Stålsby; Holmström, Inger; Axelsson, Runo

2011-01-01

This study describes and analysis five years of experiences from organising an interorganisational project on vocational rehabilitation. A qualitative case study approach was used based on interviews, focus group discussions and documents. The aim was to analyse how and why the project was organised in the way it was in relation to theories of integration, organisational change and learning. The results show that the vocational rehabilitation project was initiated mainly for financial reasons. It was organised as a mechanistic system with the aim of producing different activities, where financial control and support from all the levels of the organisations involved was important. A new bureaucracy between the different authorities involved was built up, where the vertical (top-down) integration was more important than the horizontal. The result was scattered islands of interprofessional work in different teams, but without contacts between them. The project did not influence the processes or workflows of the organisations involved in the project, which would be important from a service-user perspective. It may therefore be questionnable to organise the development of interorganisational integration for vocational rehabilitation in a separate project organisation. Instead, interorganisational networks with focus on interconnections of processes and workflows may be more flexible and adaptable. Copyright © 2010 John Wiley & Sons, Ltd.

Research in Danish cancer rehabilitation

DEFF Research Database (Denmark)

Høybye, Mette Terp; Dalton, Susanne Oksbjerg; Christensen, Jane

2008-01-01

rate at baseline was 86% (n = 1876). Most participants were younger women with breast cancer. They were generally well educated and working. The cancer survivors reported having comprehensive social networks and being physically active. Several cancer-related symptoms were reported by women...... site, sex, age, family, working status and social position. These challenges might be addressed optimally in multi-dimensional rehabilitation programmes....... of the cancer survivors with respect to cancer site, sociodemographic variables, social network, lifestyle, self-rated health and the prevalence of cancer-related late effects. The study is part of the FOCARE research project, in which the long-term effects of the rehabilitation programme are evaluated...

Virtual rehabilitation--benefits and challenges.

Science.gov (United States)

Burdea, G C

2003-01-01

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

The Challenges of Rehabilitating the Hercilio Luz Suspension Bridge

Directory of Open Access Journals (Sweden)

Hermes Carvalho

Full Text Available Abstract The Hercílio Luz suspension bridge, built in 1926, has been out of service since 1991 due to high corrosion levels and structural element impairment. A complete rehabilitation project was developed which included the replacement of the impaired items and foundation strengthening. For this, an auxiliary structure was employed to support the central span during the rehabilitation process. A carefully studied load transfer process, where the central span loading is transferred from the eye-bar towards the auxiliary structure will be performed. For this purpose, a synchronized jacking sequence will be used, which was predefined by means of numerical model analysis. All structural elements had their designs evaluated and some geometric changes were implemented. This paper presents all the methodology developed in the rehabilitation project of Hercilio Luz bridge, as well as the development stages up to the present date.

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

Science.gov (United States)

2012-09-26

...) Number: 84.250C] AGENCY: Rehabilitation Services Administration, Office of Special Education and...), provide vocational rehabilitation services to American Indians with disabilities who reside on or near... documents published by the Department. Dated: September 20, 2012. Melody Musgrove, Director of Special...

[ISO 9001 conformity in research, teaching and rehabilitation].

Science.gov (United States)

Howorka, K; Kletschka, G; Pumprla, J; Thoma, H

1998-01-01

Quality assurance, in particular in the areas of development and production of medical devices, is one of the tasks of biomedical engineering. The interdisciplinary working group "Functional Rehabilitation and Group Education, Vienna" is committed to the development and implementation of group education models on three levels: (1) direct education/instruction of patients with chronic diseases, (2) university research and teaching, and (3) development of technical aids for rehabilitation and the means for disseminating group education models in rehabilitation and therapy. Major aims were, by generating conformity with ISO 9001 standards, to achieve greater transparency and process optimization with very small resources in university (teaching, research, technical aids) and extra-university (rehabilitation) areas. A secondary aim was the establishment of interdisciplinary (clinical and biomedical) cooperation at university level. In all main areas (research, teaching and group education/instruction), ISO 9001-conformity was achieved by our activities on three methodological levels: (1) description and analysis of processes, (2) use of ISO 9001 standards for evaluating internal processes, and (3) optimization measures. The following article contains relevant elements of the quality manual and quality assurance system, and offers a typical example of innovative cooperation between medicine and medical engineering.

Dyslexia in secondary and higher education: intervention and rehabilitation

Directory of Open Access Journals (Sweden)

Marisa Silva

2017-12-01

Full Text Available We present an investigation that seeks to understand a specific case of a young female, attending secondary and then higher education school, who was diagnosed with dyslexia in the primary school and then ceased to have expert support after the start of the 5th grade. This study has as its main goal to identify the changes resulting from the implementation of specific activities, established in the intervention and rehabilitation program in the specific difficulty of learning- Dyslexia.  Moreover, we want to see if these changes result in success in basic areas of development and in the academic area of reading. The intervention and rehabilitation was performed for three months in areas where the student had difficulties.Keywords: Dyslexia; secondary and higher education; intervention and rehabilitation

Steps to Offering Low Vision Rehabilitation Services through Clinical Video Telehealth

Science.gov (United States)

Ihirig, Carolyn

2016-01-01

Telehealth clinical applications, which allow medical professionals to use telecommunications technologies to provide services to individuals remotely, continue to expand in areas such as low vision rehabilitation, where evaluations are provided to patients who live in rural areas. As with face-to-face low vision rehabilitation, the goal of…

75 FR 47801 - Office of Special Education and Rehabilitative Services; Overview Information; Special...

Science.gov (United States)

2010-08-09

... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Overview Information; Special Demonstration Programs--Model Demonstration Projects To Improve Outcomes for Individuals.... Alexa Posny, Assistant Secretary for Special Education and Rehabilitative Services. [FR Doc. 2010-19585...

ECOLOGICAL MANAGEMENT IN THE MINING AND METALLURGICAL MARAMURES AREA

Directory of Open Access Journals (Sweden)

Viorel POP

2015-04-01

Full Text Available The paper is part of the interdisciplinary recent concerns of "environmental management", looking to determine the damages caused by pollution, remediation expenditures, and benefits that may arise through the application of remediation techniques and decontamination technologies in the mining and metallurgical Maramureş area. Large areas of land were diverted from their original destination (pastures, arable land, forests being now covered with ponds and dumps of mine or flotation tailings, deposits that are insufficiently protected, and have become sources of pollution to surrounding areas. All Eastern European countries have in common major environmental problems, the most serious being due to mining, metallurgy and chemistry. In the relationship of "economic-ecological" equilibrium, should be considered both economic criteria, as well as ecological ones. Pollution as the deterioration of environment, requires costs for rehabilitation of degraded areas, and for environmental protection, costs for new technologies, non polluting ones. The assessment foundation of environmental damages, is necessary for establishing the priority directions in the allocation of funds for projects to protect and rehabilitate the environment.

Inter-organisational integration for rehabilitation in Sweden – variation in views on long-term goals

Directory of Open Access Journals (Sweden)

Ulla Sandström

2004-12-01

Full Text Available Purpose: The aim was to study variation in views on long-term goals expressed by members in a project concerning rehabilitation of individuals in an area in mid Sweden. The organisations participating were the municipal social services, the county council's health care organisation, the governmental social insurance office, the national employment service and the national labour market institute. Theory: A number of different meanings of the concept of integration are accounted for and the background of inter-organisational rehabilitation in Sweden is described. Methods: Qualitative interviews using a semi-structured interview guide with altogether 20 leading representatives of the various organisations, all members of the Steering Committee of the project. The analysis consisted of two parts: an in-depth analysis using a phenomenographically inspired approach and qualitative content analysis. Results: Two main views regarding the goal of inter-organisational integration were identified in the in-depth analysis: Category A, which regards integration as a new approach to rehabilitation, and Category B, which regards integration as a way of rendering the existing organisations more efficient. The content analysis showed a wide variation in spontaneously mentioned topics e.g. on the task of the group. Conclusions and discussion: There exists a risk that divergent views in the Steering Committee concerning the future direction of the collaboration may send mixed messages providing uneven support for the professionals within the different organisations. The study points to the importance of having a common vision and common, well-defined goals at the outset of a collaborative project in order to support micro-level cooperation.

Women's perceived work environment after stress-related rehabilitation: experiences from the ReDO project.

Science.gov (United States)

Wästberg, Birgitta A; Erlandsson, Lena-Karin; Eklund, Mona

2016-01-01

The study aimed to investigate (a) if women's perceptions of their work environment changed during a 16-week rehabilitation period and at a 12-month follow-up; (b) whether such changes were related to outcomes in terms of return to work, well-being and valued occupations. Eighty-four gainfully employed women on sick-leave due to stress-related disorders responded to instruments assessing perceptions of the work environment, well-being (self-esteem, self-mastery, quality of life, perceived stress, self-rated health) and perceived occupational value. Data about return to work were collected from registers. Non-parametric statistics were used. The increase in the women's ratings of their work environment was non-significant between baseline and completed rehabilitation but was statistically significant between baseline and the 12-month follow-up. No relationships were found between changes in perceptions of the work environment and outcomes after the rehabilitation. At the follow-up, however, there were associations between perceived work environment changes in a positive direction and return to work; improved self-esteem, self-mastery, quality of life, perceived occupational value and self-rated health; and reduced stress. It seems important to consider the work environment in rehabilitation for stress-related problems, and a follow-up appears warranted to detect changes and associations not visible immediately after rehabilitation. Work environment Perceptions of the work environment seem important for return to work, although other factors are likely to contribute as well. Perceptions of the work environment are associated with several aspects of well-being. When developing rehabilitation interventions a focus on the clients' perceptions of their work environment seems vital.

Recent trends for practical rehabilitation robotics, current challenges and the future.

Science.gov (United States)

Yakub, Fitri; Md Khudzari, Ahmad Zahran; Mori, Yasuchika

2014-03-01

This paper presents and studies various selected literature primarily from conference proceedings, journals and clinical tests of the robotic, mechatronics, neurology and biomedical engineering of rehabilitation robotic systems. The present paper focuses of three main categories: types of rehabilitation robots, key technologies with current issues and future challenges. Literature on fundamental research with some examples from commercialized robots and new robot development projects related to rehabilitation are introduced. Most of the commercialized robots presented in this paper are well known especially to robotics engineers and scholars in the robotic field, but are less known to humanities scholars. The field of rehabilitation robot research is expanding; in light of this, some of the current issues and future challenges in rehabilitation robot engineering are recalled, examined and clarified with future directions. This paper is concluded with some recommendations with respect to rehabilitation robots.

Sybar, a human motion analysis system for rehabilition medicine

NARCIS (Netherlands)

Hautus, E.H.

1997-01-01

The Sybar project is a designer's Ph.D project that deals with the development of a motion-analysis system for rehabilitation medicine, at the VU Hospital in Amsterdam. Human motion can be analyzed by biomechanical measurement systems. There are a number of different methods to generate several

A whole stand basal area projection model for Appalachian hardwoods

Science.gov (United States)

John R. Brooks; Lichun Jiang; Matthew Perkowski; Benktesh Sharma

2008-01-01

Two whole-stand basal area projection models were developed for Appalachian hardwood stands. The proposed equations are an algebraic difference projection form based on existing basal area and the change in age, trees per acre, and/or dominant height. Average equation error was less than 10 square feet per acre and residuals exhibited no irregular trends.

South Carolina: Charleston County Area Project Impact Environmental Education Program (A Former EPA CARE Project)

Science.gov (United States)

The Charleston County Area Project Impact is the recipient of a Level II CARE cooperative agreement. The project is under the direction of the Charleston County Building Services Department, in Charleston, S.C.

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

Science.gov (United States)

Schmidt-Ohlemann, M; Schweizer, C

2009-02-01

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

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

Science.gov (United States)

2013-05-07

... in nonrural areas (U.S. Census Bureau, 2011b), and rural vocational rehabilitation clients with... priorities, we designate the type of each priority as absolute, competitive preference, or invitational...)). Competitive preference priority: Under a competitive preference priority, we give competitive preference to an...

Tuberculosis in cattle: the results of the four-area project

Directory of Open Access Journals (Sweden)

Griffin John M

2005-11-01

Full Text Available The four-area project was undertaken to further assess the impact of badger removal on the control of tuberculosis in cattle herds in Ireland. It was conducted between 1997 and 2002 in matched removal and reference areas in four counties, namely Cork, Donegal, Kilkenny and Monaghan, representing a wide range of Irish farming environments. In the removal areas, a proactive programme of badger removal was conducted, on two or three occasions each year, whereas in the reference areas, badger removal was entirely reactive following severe outbreaks of tuberculosis amongst cattle. A detailed statistical analysis of this study has already been presented by Griffin et al. 13; this paper presents further, mainly descriptive, findings from the study. In total, 2,360 badgers were captured in the removal areas of which 450 (19.5% were considered positive for tuberculosis and 258 badgers were captured in the reference areas, with 57 (26.1% positive for tuberculosis. The annual incidence of confirmed herd restrictions was lower in the removal area compared to the reference area in every year of the study period in each of the four counties. These empirical findings were consistent with the hazard ratios found by Griffin et al. 13. Further, the effect of proactive badger removal on cattle tuberculosis in the four-area project and in the earlier east-Offaly project, as measured using the number of reactors per 1,000 cattle tested, were very similar, providing compelling evidence of the role of badgers in the epidemiology of tuberculosis in Irish cattle herds. The validity of the four-area project was discussed in detail. Efforts to minimise badger-to-cattle transmission in Ireland must be undertaken in association with the current comprehensive control programme, which has effectively minimised opportunities for cattle-to-cattle transmission.

Flexible pavement rehabilitation design based on pavement service life time span left

OpenAIRE

Gamelyak, I.; Shevchuk, V.

2005-01-01

The design of flexible pavement rehabilitation is analysed in terms of durability-cost. A notion of the remaining service life span is described. the model of rehabilitation strategy selection is presented for both design project and operation stages. the results can be used in the pavement management system.

75 FR 39429 - National Institute on Disability and Rehabilitation Research (NIDRR)-Disability and...

Science.gov (United States)

2010-07-08

... would deprive the disability and rehabilitation community in the U.S. of knowledge from many other... Project (DRRP)-- International Exchange of Knowledge and Experts in Disability and Rehabilitation Research... priority for a DRRP entitled International Exchange of Knowledge and Experts in Disability and...

Projections to early visual areas V1 and V2 in the calcarine fissure from parietal association areas in the macaque.

Directory of Open Access Journals (Sweden)

Elena eBorra

2011-06-01

Full Text Available Non-extrastriate projections to area V1 in monkeys, now demonstrated by several anatomical studies, are potential substrates of physiologically documented multisensory effects in primary sensory areas. The full network of projections among association and primary areas, however, is likely to be complex and is still only partially understood. In the present report, we used the anterograde tracer biotinylated dextran amine to investigate projections to areas V1 and V2 from subdivisions of the parietal association cortex in macaque. Parietal cortex was chosen to allow comparisons between projections from this higher association area and from other previously reported areas. In addition, we were interested in further elucidating pathways to areas V1 and V2 from parietal areas, as potentially contributing to attention and active vision. Of eight cases, three brains had projections only to area V2, and the five others projected to both areas V1 and V2. Terminations in area V1 were sparse. These were located in supragranular layers I, II, upper III; occasionally in IVB; and in layer VI. Terminations in V2 were denser, and slightly more prevalent in the supragranular layers. For both areas, terminations were in the calcarine region, corresponding to the representation of the peripheral visual field. By reconstructions of single axons, we demonstrated that four of nine axons had collaterals, either to V1 and V2 (n=1 or to area V1 and a ventral area likely to be TEO (n=3. In area V1, axons extended divergently in layer VI as well as layer I. Overall, these and previous results suggest a nested connectivity architecture, consisting of multiple direct and indirect recurrent projections from association areas to area V1. Terminations in area V1 are not abundant, but could be potentiated by the network of indirect connections.

77 FR 34363 - Disability and Rehabilitation Research Projects and Centers Program; Traumatic Brain Injury Model...

Science.gov (United States)

2012-06-11

... outcomes in the vocational rehabilitation process. Section 21 of the Rehabilitation Act specifically... priorities, we designate the type of each priority as absolute, competitive preference, or invitational...)). Competitive preference priority: Under a competitive preference priority, we give competitive preference to an...

From old lignite mining pits to new lakes. The example of rehabilitation of the former open-cast mining facilities at Berzdorf, Germany; Von alten Gruben zu neuen Seen am Beispiel des Tagebaues Berzdorf

Energy Technology Data Exchange (ETDEWEB)

Kolba, Manfred [LMBV mbH, Sanierungsbereich Lausitz, Senftenberg (Germany)

2009-09-15

The Lausitz and Central-German Mining Administration Company (LMBV) is project executor for the largest landscaping construction site in Europe. LMBV rehabilitates former open-cast mining facilities, as well as decommissioned coal-upgrading plants, to provide promising future areas for industrial complexes, and for landscapes that will attract a great number and variety of tourism developments. LMBV executes projects for the elimination of dangers as a result of the rising of groundwater to its former and natural level. In this context, the German Federal States involved in past and present lignite mining support extensive measures for enhancement of the standard of future use at the new lakes in Central Germany and in the Lausitz Region. This presentation shows the rehabilitation activities of LMBV as project executor in a great range of activities, by explaining the rehabilitation and transformation of the former lignite mining facilities in Berzdorf, Germany, in creation of the future Berzdorf Lake. (orig.)

Potential 'ecological traps' of restored landscapes: koalas Phascolarctos cinereus re-occupy a rehabilitated mine site.

Science.gov (United States)

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

2013-01-01

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

Potential 'ecological traps' of restored landscapes: koalas Phascolarctos cinereus re-occupy a rehabilitated mine site.

Directory of Open Access Journals (Sweden)

Romane H Cristescu

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

Improving the urban green system and green network through the rehabilitation of railway rust areas

Directory of Open Access Journals (Sweden)

Hutter Dóra

2014-11-01

Full Text Available The Industrial Revolution had a negative impact on both the city and the environment. By the second half of the 19th century, the urban erosion of industrial cities cried for direct intervention and curing. The methods developed either along an urban or an anti-urban philosophy: they resulted in the new models of green belt systems aimed at solving all the main urban problems with restructuring the urban fabric, controlling the urban spread into the rural landscape, the lack of green areas and open spaces for recreation and social life, and the lack of green spaces for ventilation. Nowadays, the major cities and capitals around the globe are competing for titles such as healthier, more liveable or even greener city. Given the unfortunate attributes of the urban structure in the historical cities, the development of new transportation sites or green areas is an extremely difficult issue. On the other hand, in the big cities, the brownfield sites are considered as reserve areas for sustainable urban development. Reusing the brownfields and rust areas is already a land saving urban development approach and in case of a complex and ecological urban rehabilitation it can underlie the development of an efficient urban green system and green network.

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

Science.gov (United States)

2013-04-17

... gaps; (5) identify mechanisms for integrating research and practice; and (6) disseminate findings. This... specified and defined in 34 CFR 350.13 through 350.19: Research, training, demonstration, development... Institute on Disability and Rehabilitation Research--Disability and Rehabilitation Research Projects and...

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

Science.gov (United States)

2013-05-09

... affect a sector of the economy, productivity, competition, jobs, the environment, public health or safety... Rehabilitation Research--Traumatic Brain Injury Model Systems Centers Collaborative Research Project AGENCY: Office of Special Education and Rehabilitative Services, Department of Education. ACTION: Final priority...

Medical Information for the Vocational Rehabilitation Counselor--A Training Guide.

Science.gov (United States)

Phelps, William R.

This paper presents information helpful to the vocational rehabilitation counselor and can be utilized in training programs for the newly employed untrained vocational rehabilitation practitioner. Areas covered include medical terminology, common prefixes and suffixes, speciality boards; paramedic professions, and medical education. Undergraduate…

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

Science.gov (United States)

Phelps, William R.

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

ANALYSIS OF INVESTMENT ATTRACTIVENESS REDEVELOPMENT PROJECTS THE INDUSTRIAL AREAS IN KIEV

Directory of Open Access Journals (Sweden)

Yevsyukov T. O.

2017-08-01

Full Text Available At the present stage of development of land relations in major cities of our country important issue is the development of investment, attract and use foreign investment. According to the Law of Ukraine "On investment activity" under the investment necessary to understand "all types of property and intellectual values invested in business and other activities, which resulted in creating profit (income or social effect is achieved." For the economy of any city, including the city. Kyiv and development of urban land use, renovation of industrial areas deindustrialization of inefficient production centers, it is extremely important investment activity (foreign investment as one of the most effective mechanisms for the development and activities of national companies. The purpose of the article to analyze the investment attractiveness of the redevelopment projects of industrial areas to economic development of eco-industrial land use in Kiev, despite the downward trend in investment activity of domestic enterprises, the need for technical and technological modernization of production as well as the entire market infrastructure, redevelopment of industrial areas. Redevelopment areas – this is a comprehensive activity aimed at changing the existing construction work carried out with the help of large investments (investments in reconstruction; renovation of; overhaul; demolition; conversion; improving the environment, which results in a positive effect on economic, social and environmental aspects. Investment and construction projects related to redevelopment of industrial land use (objects in the management of the city, characterized by considerable risks given the high capital intensity, binding to a specific area, and the impact of other internal and external factors. That is why this investment activity should be ensured exceptional dynamic management to ensure the quality of implementation and the necessary level of profitability and

A MODEL OF PARTNERSHIP PROJECT FOR HEALTH AND COMMUNITY DEVELOPMENT BETWEEN UNIVERSITY OF PITESTI AND A RURAL POPULATION, FROM A DISADVANTAGED GEOGRAPHICAL AREA

Directory of Open Access Journals (Sweden)

Constantin Ciucurel

2016-07-01

Full Text Available The purpose of this project aimed to apply a sanogenetic intervention on a rural population, from a disadvantaged geographical area. 50 students in Physical Therapy and 4 teachers were involved in assessment and intervention activities for optimization of the individual and collective health status of inhabitants of a village located in the Caras-Severin district, in the Cerna Mountains. The project results consisted in: a database regarding the health of the subjects; a model of therapeutic education and promoting of a healthy lifestyle among inhabitants; creating a network of social interaction among project participants; professional and transversal skills development of students; developing research skills of teachers. The activities referred to: subjects health assessment (medical diagnostic, anthropometric and physiometric measurements; recommending and implementing of programs of kinetic prophylaxis and rehabilitation; conducting activities to provide opportunities for social interaction and support. The project offered also the possibility of optimizing the students training by developing their professional skills of assessment and physiotherapeutic intervention, their transversal skills of teamwork, respect for the principles for professional ethics and self-assessment of needs for professional training and also for developing good inter-institutional relations, designed to facilitate the development of specific research activities, in benefit of both parts.

Assessment of functional vision and its rehabilitation.

Science.gov (United States)

Colenbrander, August

2010-03-01

This article, based on a report prepared for the International Council of Ophthalmology (ICO) and the International Society for Low Vision Research and Rehabilitation (ISLRR), explores the assessment of various aspects of visual functioning as needed to document the outcomes of vision rehabilitation. Documenting patient abilities and functional vision (how the person functions) is distinct from the measurement of visual functions (how the eye functions) and also from the assessment of quality of life. All three areas are important, but their assessment should not be mixed. Observation of task performance offers the most objective measure of functional vision, but it is time-consuming and not feasible for many tasks. Where possible, timing and error rates provide an easy score. Patient response questionnaires provide an alternative. They may save time and can cover a wider area, but the responses are subjective and proper scoring presents problems. Simple Likert scoring still predominates but Rasch analysis, needed to provide better result scales, is gaining ground. Selection of questions is another problem. If the range of difficulties does not match the range of patient abilities, and if the difficulties are not distributed evenly, the results are not optimal. This may be an argument to use different outcome questions for different conditions. Generic questionnaires are appropriate for the assessment of generic quality of life, but not for specific rehabilitation outcomes. Different questionnaires are also needed for screening, intake and outcomes. Intake questions must be relevant to actual needs to allow prioritization of rehabilitation goals; the activity inventory presents a prototype. Outcome questions should be targeted at predefined rehabilitation goals. The Appendix cites some promising examples. The Low Vision Intervention Trial (LOVIT) is an example of a properly designed randomized control study, and has demonstrated the remarkable effectiveness of

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

Science.gov (United States)

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

2013-01-01

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

United States Crystalline Repository Project - key research areas

International Nuclear Information System (INIS)

Patera, E.S.

1986-01-01

The Crystalline Repository Project is responsible for siting the second high-level nuclear waste repository in crystalline rock for the US Department of Energy. A methodology is being developed to define data and information needs and a way to evaluate that information. The areas of research the Crystalline Repository Project is involved in include fluid flow in a fractured network, coupled thermal, chemical and flow processes and cooperation in other nations and OECD research programs

Enrichment of arbuscular mycorrhizal fungi in a contaminated soil after rehabilitation.

Science.gov (United States)

Lopes Leal, Patrícia; Varón-López, Maryeimy; Gonçalves de Oliveira Prado, Isabelle; Valentim Dos Santos, Jessé; Fonsêca Sousa Soares, Cláudio Roberto; Siqueira, José Oswaldo; de Souza Moreira, Fatima Maria

Spore counts, species composition and richness of arbuscular mycorrhizal fungi, and soil glomalin contents were evaluated in a soil contaminated with Zn, Cu, Cd and Pb after rehabilitation by partial replacement of the contaminated soil with non-contaminated soil, and by Eucalyptus camaldulensis planting with and without Brachiaria decumbens sowing. These rehabilitation procedures were compared with soils from contaminated non-rehabilitated area and non-contaminated adjacent soils. Arbuscular mycorrhizal fungi communities attributes were assessed by direct field sampling, trap culture technique, and by glomalin contents estimate. Arbuscular mycorrhizal fungi was markedly favored by rehabilitation, and a total of 15 arbuscular mycorrhizal fungi morphotypes were detected in the studied area. Species from the Glomus and Acaulospora genera were the most common mycorrhizal fungi. Number of spores was increased by as much as 300-fold, and species richness almost doubled in areas rehabilitated by planting Eucalyptus in rows and sowing B. decumbens in inter-rows. Contents of heavy metals in the soil were negatively correlated with both species richness and glomalin contents. Introduction of B. decumbens together with Eucalyptus causes enrichment of arbuscular mycorrhizal fungi species and a more balanced community of arbuscular mycorrhizal fungi spores in contaminated soil. Copyright © 2016 Sociedade Brasileira de Microbiologia. Published by Elsevier Editora Ltda. All rights reserved.

Water rights of the head reach farmers in view of a water supply scenario at the extension area of the Babai Irrigation Project, Nepal

Science.gov (United States)

Adhikari, B.; Verhoeven, R.; Troch, P.

The farmer managed irrigation systems (FMIS) represent those systems which are constructed and operated solely by the farmers applying their indigenous technology. The FMIS generally outperform the modern irrigation systems constructed and operated by the government agencies with regard to the water delivery effectiveness, agricultural productivity etc., and the presence of a sound organization responsible to run the FMIS, often referred to as the ‘social capital’, is the key to this success. This paper studies another important aspect residing in the FMIS: potentials to expand the irrigation area by means of their proper rehabilitation and modernization. Taking the case study of the Babai Irrigation Project in Nepal, it is demonstrated that the flow, which in the past was used to irrigate the 5400 ha area covered by three FMIS, can provide irrigation to an additional 8100 ha in the summer, 4180 ha vegetables in the winter and 1100 ha maize in the spring season after the FMIS rehabilitation. The “priority water rights” of the FMIS part have been evaluated based on relevant crop water requirement calculations and is found to be equal to 85.4 million m 3 per year. Consequently, the dry season irrigation strategy at the extension area could be worked out based on the remaining flow. By storing the surplus discharge of the monsoon and autumn in local ponds, and by consuming them in dry period combined with nominal partial irrigation practice, wheat and mustard can be cultivated over about 4000 ha of the extension area. Furthermore, storage and surface irrigation both contribute to the groundwater recharge. The conjunctive use of ground, surface and harvested water might be the mainstream in the future for a sustainable irrigation water management in the region.

Tests used in Project Level Flexible Pavement rehabilitation studies. Research report

Energy Technology Data Exchange (ETDEWEB)

Jordaan, G.J.

1986-09-01

This paper gives guidelines for the use of tests and their interpretation in the various phases of flexible pavement rehabilitation design as currently adopted in South Africa. The procedure advocated involves a systematic approach to the investigation, evaluation and analysis of the existing pavement. In the recommended procedure, use is made of past pavement behavior and pavement condition, thereby making possible an early assessment of additional information needed. Much emphasis is placed on the optimum utilization of available resources in designing the best applicable remedy to an existing problem. The paper gives a comprehensive list of criteria for parameters measured on a routine basis on South African roads. The procedure suggested allows the condition of pavements to be expressed in comparable terms. Information on the development and use of some new and specialized tests which are used in pavement rehabilitation is given in an appendix.

Rehabilitation in Principle and Practice: Perspectives of Inmates and Officers

OpenAIRE

Yanique A. Anderson; Linda Gröning

2017-01-01

This article addresses rehabilitation, its conceptualisation by officers and inmates, and its expression in practice within a select Norwegian prison. It reports on findings from a qualitative interview-based research project conducted as a pilot study, whereby semi-structured interviews were conducted with inmates and officers at the prison. Furthermore, the authors examine the principle of rehabilitation as it follows from Norwegian law and assess how it is implemented in practice in a Norw...

Turbine hydraulic assessment and optimization in rehabilitation projects

International Nuclear Information System (INIS)

Bornard, L; Debeissat, F; Labrecque, Y; Sabourin, M; Tomas, L

2014-01-01

As turbines age after years of operation, a major rehabilitation is needed to give new life. The owner has two choices: resetting the turbine to the original state or an upgrade with new hydraulic components designed and optimized using state of the art technology. The second solution is by far a more interesting option which can maximize the efficiency gain, increase the turbine capacity and revenues, eliminate cavitation erosion and the needs for repair, reduce the turbine instabilities and smooth unit regulation, and adapt the design to new operation conditions. This paper shows some aspects of the turbine hydraulic assessment and possible solutions to improve existing water passages

[Networking as a subject of research and quality characteristic of rehabilitation].

Science.gov (United States)

Mau, W

2010-12-01

Rehabilitation has to meet numerous challenges in the sectorized health service and social security system. Rehabilitation science has analysed these problems at the interfaces between different actors and domains of care in a number of studies. In research projects and quality assurance, the solution-oriented and networking aspects of rehabilitation particularly of persons with chronic illnesses and disabilities are of interest. Therefore, exemplary studies concerning interface analyses leading to solutions and networking activities are discussed in this article. Different problems and fields of action regarding access to rehabilitation are presented: the role of physicians in practice concerning the patients' applications for rehabilitation, post-acute rehabilitation since introduction of the Diagnosis Related Groups in the acute hospital setting, and the involvement of companies and different funding agencies. With regard to networking in rehabilitation, issues dealt with are work-related interventions as well as challenges for the rehabilitation team concerning joint presentation of concepts in the face of an increasing differentiation of competences and a new distribution of roles and tasks. In this context, quality management within the rehabilitation facilities as well as internal and external patient-orientation including shared decision-making are highly significant during the rehabilitation process. The planning of activities to be realized after discharge from the rehabilitation facility is dealt with in greater detail in view of recommendations for and implementation of physical activities and stepwise return-to-work measures. Rehabilitation has an important course-setting function by supporting rehabilitants on their way toward self-management. Networking within, including and by means of rehabilitation requires considerable effort, which needs to be followed along by research and quality assurance. Due to its multifaceted competences and experiences

Biomechatronics in medical rehabilitation biomodelling, interface, and control

CERN Document Server

Xie, Shane (S Q )

2017-01-01

This book focuses on the key technologies in developing biomechatronic systems for medical rehabilitation purposes. It includes a detailed analysis of biosignal processing, biomechanics modelling, neural and muscular interfaces, artificial actuators, robot-assisted training, clinical setup/implementation and rehabilitation robot control. Encompassing highly multidisciplinary themes in the engineering and medical fields, it presents researchers’ insights into the emerging technologies and developments that are being utilized in biomechatronics for medical purposes. Presenting a detailed analysis of five key areas in rehabilitation robotics: (i) biosignal processing; (ii) biomechanics modelling; (iii) neural and muscular interfaces; (iv) artificial actuators and devices; and (v) the use of neurological and muscular interfaces in rehabilitation robots control, the book describes the design of biomechatronic systems, the methods and control systems used and the implementation and testing in order to show how th...

[How significant are customer surveys in the rehabilitation of patients with mental illness?].

Science.gov (United States)

Queri, S; Spörrle, M

2008-12-01

In Germany, customer surveys in the field of rehabilitation meanwhile are of high political relevance - particularly since the Deutsche Rentenversicherung (German Pension Insurance) has defined customer judgements as a significant outcome parameter. Both the theoretical conceptualization and the empirical data available suggest that customer satisfaction is a construct widely dependent on subjective factors, which has only little reference to the reality of treatment. In the Herzogsägmühle Rehabilitation Centre a detailed customer survey (rehabilitants with mental illness) was carried out for the first time in 2007 in the framework of internal quality management. Data analysis was to yield new knowledge concerning the validity of subjective patient-related outcome parameters as well as relative to the content dimensioning regarding satisfaction and quality judgments in this specific sample. A Centre-specific questionnaire was constructed taking into account existing empirical data and theoretical considerations concerning the relevant content dimensions of customer satisfaction. Forty-six mostly male rehabilitants with an average age of 25 were interviewed. The majority of the interviewees had been diagnosed as having a schizophrenic or an affective disorder. The data obtained was submitted to a predominantly explorative data analysis, also testing various hypotheses. The results show that the rehabilitants' judgements are differentiated and that the expected positive bias was restricted to a few areas. Also it could be shown that treatment satisfaction and quality evaluations present different content dimensions. While satisfaction depends on the evaluation of treatment efficacy, the quality judgement is dependent on evaluation of the professional skills of the staff involved. CONCLUSION/CONSEQUENCES: In particular the quality judgments of the rehabilitants are important in both internal and external (by the cost carriers) quality management assurance. Both

Evaluation of Rehabilitation Strategies and Management Schemes for the Improvement of Mangrove Management Programs in Lingayen Gulf

Directory of Open Access Journals (Sweden)

Severino Salmo III

2007-06-01

Full Text Available We evaluated the mangrove rehabilitation strategies and management schemes in five municipalities in Lingayen Gulf (Bolinao, Anda, Bani, Alaminos and San Fernando. Mangrove planting appears to be the first and only option used in the area, ignoring other recommended management strategies, e.g. conservation, landscaping, and sustainable production. All planting sites were located in coastal fringes and are mostly monospeficic stands of the species Rhizophora mucronata. The planted mangroves were constrained by low seedling survival and stunted growth as probably caused by poor species-substrate matching, mono-species planting and pest infestations. Three management schemes were noted: community-managed (Bolinao and Anda, local government unit (LGU-managed (Alaminos and San Fernando, and co-managed between the LGU and the community (Bani. The community-managed mangrove areas have the benefits of voluntary efforts from community-based organizations in conducting daily management activities but were constrained with budgetary and logistical concerns. In contrast, both LGU-managed and co-managed areas received institutional and logistical supports from their respective municipal governments, but lacking community participation made mangrove management difficult. Almost two decades of mangrove management indeed helped improved the mangrove forest condition, at least in terms of forest structure. These projects demonstrated some level of success but also encountered several setbacks. Several lessons can be derived from these areas that can help improve the mangrove rehabilitation and management approaches in Lingayen Gulf. Among the recommendations are: (1 provide ordinance enacting the remaining natural secondary growth mangroves as marine protected areas, (2 promote planting in former mangrove areas by reverting abandoned, idled and unproductive aquaculture ponds to mangroves; (3 improve management schemes by formulating resource management plan

Client perceptions of a work rehabilitation programme for women: the Redesigning Daily Occupations (ReDO) project.

Science.gov (United States)

Wästberg, Birgitta A; Erlandsson, Lena-Karin; Eklund, Mona

2013-03-01

The Redesigning Daily Occupations programme (ReDO) is a Swedish work rehabilitation programme for women on sick leave due to stress-related disorders. The aim of the study was to investigate the participants' perceptions of taking part in the work rehabilitation programme. Seven of the 38 women who completed ReDO were interviewed during and after the programme. The interviews were analysed by manifest and latent content analysis. The informants were satisfied with the content of the programme and the support they received in the programme and when returning to work. The women thought they had become more aware of what they did during a day and how they performed their daily activities, which helped them to change their ways of performing them. The result highlighted different parts of their rehabilitation process which constituted four sub-themes: "Perceptions of the ReDO", "The intrinsic process", "Person-related changes", and "Perceptions of returning to work", and formed the core theme "Critical parts of the rehabilitation process". The findings may not be generalized to other settings and future research should further investigate work rehabilitation for the target group.

76 FR 33333 - Use of Small Area Fair Market Rents for Project Base Vouchers in the Dallas TX Metropolitan Area

Science.gov (United States)

2011-06-08

... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5525-N-01] Use of Small Area Fair Market Rents for Project Base Vouchers in the Dallas TX Metropolitan Area AGENCY: Office of the Assistant... Small Area Fair Market Rents (SAFMRs) for Project-Based Vouchers (PBVs) located in the Dallas, TX...

Adaptation Research in Rehabilitation Counseling

Science.gov (United States)

Parker, Randall M.

2007-01-01

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

Imaging informatics-based multimedia ePR system for data management and decision support in rehabilitation research

Science.gov (United States)

Wang, Ximing; Verma, Sneha; Qin, Yi; Sterling, Josh; Zhou, Alyssa; Zhang, Jeffrey; Martinez, Clarisa; Casebeer, Narissa; Koh, Hyunwook; Winstein, Carolee; Liu, Brent

2013-03-01

With the rapid development of science and technology, large-scale rehabilitation centers and clinical rehabilitation trials usually involve significant volumes of multimedia data. Due to the global aging crisis, millions of new patients with age-related chronic diseases will produce huge amounts of data and contribute to soaring costs of medical care. Hence, a solution for effective data management and decision support will significantly reduce the expenditure and finally improve the patient life quality. Inspired from the concept of the electronic patient record (ePR), we developed a prototype system for the field of rehabilitation engineering. The system is subject or patient-oriented and customized for specific projects. The system components include data entry modules, multimedia data presentation and data retrieval. To process the multimedia data, the system includes a DICOM viewer with annotation tools and video/audio player. The system also serves as a platform for integrating decision-support tools and data mining tools. Based on the prototype system design, we developed two specific applications: 1) DOSE (a phase 1 randomized clinical trial to determine the optimal dose of therapy for rehabilitation of the arm and hand after stroke.); and 2) NEXUS project from the Rehabilitation Engineering Research Center(RERC, a NIDRR funded Rehabilitation Engineering Research Center). Currently, the system is being evaluated in the context of the DOSE trial with a projected enrollment of 60 participants over 5 years, and will be evaluated by the NEXUS project with 30 subjects. By applying the ePR concept, we developed a system in order to improve the current research workflow, reduce the cost of managing data, and provide a platform for the rapid development of future decision-support tools.

Rehabilitation programme for the Mary Kathleen uranium mine

International Nuclear Information System (INIS)

Duffield, I.R.; Ward, T.A.

1989-01-01

The Mary Kathleen uranium deposit was located in the North West region of the state of Queensland, Australia. It was discovered in 1954 and mined in two phases for a total of twelve years between 1958 and 1982. In October 1982 operations at the site ceased with the deposit virtually exhausted and all contractual commitments completed. From the outset, a site specific approach was adopted in developing the rehabilitation plan. Other sites'experience was evaluated but was adopted only if appropriate for Mary Kathleen. As a result of this approach a conceptual solution was established for each area within the site. Each solution was then used as the basis for detailed planning for rehabilitation of that area. The rehabilitation program commenced in mid 1982 and was completed in late 1985. Results of monitoring provided a strong basis for confidence that the objectives of the plan have been met, and allowed for the relinquishment of all the remaining mining leases in August 1987

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

Science.gov (United States)

2013-05-07

... or more business days to complete. If you are currently registered with the CCR, you may not need to.... Also note that you will need to update your registration annually. This may take three or more business... Rehabilitation Research--Disability and Rehabilitation Research Projects--Inclusive Cloud and Web Computing...

General Medical Terminology for Vocational Rehabilitation Counselors. "A Guide for the Rehabilitation Practitioner." Final Report.

Science.gov (United States)

Phelps, William R.

This training guide is prepared primarily for the Vocational Rehabilitation practitioner, although academicians may also find it of value. Sixteen specific areas are covered, including common abbreviations, prefixes and suffixes, root words, general terms, operative terminology, special senses and body systems, general medical examination, medical…

Patient-centred care: a review for rehabilitative audiologists.

Science.gov (United States)

Grenness, Caitlin; Hickson, Louise; Laplante-Lévesque, Ariane; Davidson, Bronwyn

2014-02-01

This discussion paper aims to synthesise the literature on patient-centred care from a range of health professions and to relate this to the field of rehabilitative audiology. Through review of the literature, this paper addresses five questions: What is patient-centred care? How is patient-centred care measured? What are the outcomes of patient-centred care? What are the factors contributing to patient-centred care? What are the implications for audiological rehabilitation? Literature review and synthesis. Publications were identified by structured searches in PubMed, Cinahl, Web of Knowledge, and PsychInfo, and by inspecting the reference lists of relevant articles. Few publications from within the audiology profession address this topic and consequently a review and synthesis of literature from other areas of health were used to answer the proposed questions. This paper concludes that patient-centred care is in line with the aims and scope of practice for audiological rehabilitation. However, there is emerging evidence that we still need to inform the conceptualisation of patient-centred audiological rehabilitation. A definition of patient-centred audiological rehabilitation is needed to facilitate studies into the nature and outcomes of it in audiological rehabilitation practice.

A Paradigm Shift from Emergency Response to Reconstruction and Rehabilitation: Creation of Peak National Body for Disaster Management in Pakistan

Directory of Open Access Journals (Sweden)

Shahed Khan

2015-09-01

Full Text Available The earthquake of 8 October 2005, an unprecedented disaster in the history of Pakistan, led to an equally exceptional national response. Reconstruction and rehabilitation of affected areas was indeed a herculean task. The Earthquake Reconstruction and Rehabilitation Authority (ERRA was immediately established as a peak national body with extraordinary powers and mandate to ensure coordinated actions for rescue, relief, reconstruction and rehabilitation. The national institutional set up was forced to readjust rapidly to convert this adversity into an opportunity to improve its capability to deal with disasters. This paper aims to provide an overview of the institutional strategy and measures undertaken in the wake of the 2005 earthquake. It looks at the strengths and weaknesses of installing an efficient entity largely adopting a command and control approach to efficiently and effectively deliver reconstruction projects on the ground. The paper seeks to derive lessons that can be useful for governments considering the setting up of comprehensive proactive disaster management systems.

76 FR 64085 - Post-2014 Resource Pool-Loveland Area Projects, Final Power Allocation

Science.gov (United States)

2011-10-17

... Resource Pool; Loveland Area Projects, General Eligibility Criteria. The resource pool for capacity and... transmission in Kansas. Final allocation of the Post-2014 Resource Pool; Loveland Area Projects, is contingent...

Above Ground Biomass-carbon Partitioning, Storage and Sequestration in a Rehabilitated Forest, Bintulu, Sarawak, Malaysia

International Nuclear Information System (INIS)

Kueh, J.H.R.; Majid, N.M.A.; Seca, G.; Ahmed, O.H.

2013-01-01

Forest degradation and deforestation are some of the major global concerns as it can reduce forest carbon storage and sequestration capacity. Forest rehabilitation on degraded forest areas has the potential to improve carbon stock, hence mitigate greenhouse gases emission. However, the carbon storage and sequestration potential in a rehabilitated tropical forest remains unclear due to the lack of information. This paper reports an initiative to estimate biomass-carbon partitioning, storage and sequestration in a rehabilitated forest. The study site was at the UPM-Mitsubishi Corporation Forest Rehabilitation Project, UPM Bintulu Sarawak Campus, Bintulu, Sarawak. A plot of 20 x 20 m 2 was established each in site 1991 (Plot 1991), 1999 (Plot 1999) and 2008 (Plot 2008). An adjacent natural regenerating secondary forest plot (Plot NF) was also established for comparison purposes. The results showed that the contribution of tree component biomass/ carbon to total biomass/ carbon was in the order of main stem > branch > leaf. As most of the trees were concentrated in diameter size class = 10 cm for younger rehabilitated forests, the total above ground biomass/ carbon was from this class. These observations suggest that the forests are in the early successional stage. The total above ground biomass obtained for the rehabilitated forest ranged from 4.3 to 4,192.3 kg compared to natural regenerating secondary forest of 3,942.3 kg while total above ground carbon ranged from 1.9 to 1,927.9 kg and 1,820.4 kg, respectively. The mean total above ground biomass accumulated ranged from 1.3 x 10 -2 to 20.5 kg/ 0.04 ha and mean total carbon storage ranged from 5.9 x 10 -3 to 9.4 kg/ 0.04 ha. The total CO 2 sequestrated in rehabilitated forest ranged from 6.9 to 7,069.1 kg CO 2 / 0.04 ha. After 19 years, the rehabilitated forest had total above ground biomass and carbon storage comparable to the natural regeneration secondary forest. The forest rehabilitated activities have the

Smart portable rehabilitation devices

Directory of Open Access Journals (Sweden)

Leahey Matt

2005-07-01

Full Text Available Abstract Background The majority of current portable orthotic devices and rehabilitative braces provide stability, apply precise pressure, or help maintain alignment of the joints with out the capability for real time monitoring of the patient's motions and forces and without the ability for real time adjustments of the applied forces and motions. Improved technology has allowed for advancements where these devices can be designed to apply a form of tension to resist motion of the joint. These devices induce quicker recovery and are more effective at restoring proper biomechanics and improving muscle function. However, their shortcoming is in their inability to be adjusted in real-time, which is the most ideal form of a device for rehabilitation. This introduces a second class of devices beyond passive orthotics. It is comprised of "active" or powered devices, and although more complicated in design, they are definitely the most versatile. An active or powered orthotic, usually employs some type of actuator(s. Methods In this paper we present several new advancements in the area of smart rehabilitation devices that have been developed by the Northeastern University Robotics and Mechatronics Laboratory. They are all compact, wearable and portable devices and boast re-programmable, real time computer controlled functions as the central theme behind their operation. The sensory information and computer control of the three described devices make for highly efficient and versatile systems that represent a whole new breed in wearable rehabilitation devices. Their applications range from active-assistive rehabilitation to resistance exercise and even have applications in gait training. The three devices described are: a transportable continuous passive motion elbow device, a wearable electro-rheological fluid based knee resistance device, and a wearable electrical stimulation and biofeedback knee device. Results Laboratory tests of the devices

Smart portable rehabilitation devices.

Science.gov (United States)

Mavroidis, Constantinos; Nikitczuk, Jason; Weinberg, Brian; Danaher, Gil; Jensen, Katherine; Pelletier, Philip; Prugnarola, Jennifer; Stuart, Ryan; Arango, Roberto; Leahey, Matt; Pavone, Robert; Provo, Andrew; Yasevac, Dan

2005-07-12

The majority of current portable orthotic devices and rehabilitative braces provide stability, apply precise pressure, or help maintain alignment of the joints with out the capability for real time monitoring of the patient's motions and forces and without the ability for real time adjustments of the applied forces and motions. Improved technology has allowed for advancements where these devices can be designed to apply a form of tension to resist motion of the joint. These devices induce quicker recovery and are more effective at restoring proper biomechanics and improving muscle function. However, their shortcoming is in their inability to be adjusted in real-time, which is the most ideal form of a device for rehabilitation. This introduces a second class of devices beyond passive orthotics. It is comprised of "active" or powered devices, and although more complicated in design, they are definitely the most versatile. An active or powered orthotic, usually employs some type of actuator(s). In this paper we present several new advancements in the area of smart rehabilitation devices that have been developed by the Northeastern University Robotics and Mechatronics Laboratory. They are all compact, wearable and portable devices and boast re-programmable, real time computer controlled functions as the central theme behind their operation. The sensory information and computer control of the three described devices make for highly efficient and versatile systems that represent a whole new breed in wearable rehabilitation devices. Their applications range from active-assistive rehabilitation to resistance exercise and even have applications in gait training. The three devices described are: a transportable continuous passive motion elbow device, a wearable electro-rheological fluid based knee resistance device, and a wearable electrical stimulation and biofeedback knee device. Laboratory tests of the devices demonstrated that they were able to meet their design

An assessment of rehabilitation success in an African grassland using ants as bioindicators

Directory of Open Access Journals (Sweden)

Samantha-Leigh Jamison

2016-09-01

Full Text Available Many studies that evaluate rehabilitation make use of invertebrate bioindicators. Invertebrates, especially ants, make useful indicators as they are sensitive to environmental change. We compared ant assemblages in rehabilitated and control sites in the Rietvlei Nature Reserve, a protected area important for grassland conservation in South Africa. Pitfall traps were used to sample ant assemblages at six control sites and six rehabilitated sites. In addition, environmental and vegetation surveys were conducted at each site. We found that the ant assemblages differed significantly between the control and rehabilitated sites, although there was considerable overlap; the control sites supported a greater species density and higher abundance of ants than the rehabilitated sites. In total, 36 ant species were collected (control sites: 34 species; rehabilitated sites: 26 species. The environmental survey revealed that percentages of bare ground and coarse sand, as well as soil pH, differed significantly between the control and rehabilitated sites. The control and rehabilitated sites also supported significantly different plant assemblages. Three indicator ant species were identified for the control sites: Crematogaster rectinota, Crematogaster amita and Monomorium fastidium. No indicator species were identified for the rehabilitated sites. These results suggest that recovery from the previous agricultural use of the area is still incomplete and highlights the lack of research examining the success of rehabilitation in the grassland biome. Conservation implications: The present study illustrates the need for further research on rehabilitation techniques utilised in the grassland biome. This is of value as the remainder of South African grasslands are considered critically endangered.

Changes in socio-economic and health condition of rehabilitated slum dwellers in Kolkata, West Bengal

Directory of Open Access Journals (Sweden)

M.H. Askari

2016-04-01

Full Text Available The cancerous spread of slum has been a rampant problem in urban areas worldwide. The acute shortage of housing facilities compels the poor to live in slums. Proper rehabilitation is considered as a very essential remedial measure to provide better living environment to slum peoples. This study is an essential attempt to gauge the effectiveness of a rehabilitation program, which studies the changes in socio-economic and health condition of rehabilitated slum dwellers since they got rehabilitated. In order to do so, a household survey was carried comprising 240 households in two rehabilitated sites in the city of Kolkata (ward no. 107 and 114 during the month of July, 2014. The results conforms a strand of a belief that in-situ rehabilitation or rehabilitation within short distance is more effective. A rehabilitation too far away area disrupts the existing social, economic and political ties of neighborhoods. Measures have also been proposed to overcome such problems and to make the slum dwellers an integral part of urban society.

Indian areas threatened by hydroelectric projects in Brazil

Energy Technology Data Exchange (ETDEWEB)

Aspelin, P L; Santos, S.C. dos

1981-10-01

In Brazil, as elsewhere, high priority is being given to developing domestic energy sources due to the spectacular increase in the cost of imported petroleum in recent years. This paper discusses the present situation of the thirty-two to thirty-four various Indian areas presently known to be threatened by seven major hydro-electric projects and one flood-control project, either planned or underway, in or directly involving Brazil. A total of at least 100,000 hectares of Indian land (or nearly one hectare for each remaining Brazilian Indian) will be flooded or otherwise expropriated by these projects. Past efforts by the Brazilian National Indian Foundation (FUNAI) to protect the Indians from the pressure of ''national development'' have not been sufficient. Research, planning, publicity, and political pressure are necessary to ensure that their efforts regarding these hydroelectric projects are more successful.

Internet-based self-help group with and without online-moderation as post-rehabilitation support

OpenAIRE

Pirsich, Carolin (geb. Ubben)

2011-01-01

After having received an in-patient-treatment in a psychosomatic rehabilitation, chronic mentally ill patients need to cope with their diseases on a long term base. They are confronted with the task to sustain and develop the acquired coping strategies as well as to integrate them into their everyday life. To support these efforts, rehabilitation clinics recommend follow-up care (e.g. through self-help groups). The project “Online discussion group Seehof” was designed for the rehabilitation c...

Human projected area factors for detailed direct and diffuse solar radiation analysis

DEFF Research Database (Denmark)

Kubaha, K.; Fiala, D.; Toftum, Jørn

2004-01-01

Projected area factors for individual segments of the standing and sedentary human body were modelled for both direct and diffuse solar radiation using detailed 3D geometry and radiation models. The local projected area factors with respect to direct short-wave radiation are a function of the solar...

Key Success Factors of Renewable Energy Projects Implementation in Rural Areas of Indonesia

Directory of Open Access Journals (Sweden)

Wati Hermawati

2017-12-01

Full Text Available This paper is an exploratory study on renewable energy implementation in the rural areas of Indonesia. The study aim was to investigate the factors contributing to the sustainability of renewable energy projects in the rural areas. It mostly uses a qualitative approach. Primary data was mainly obtained from in-depth interviews conducted in site areas with the project owners, project managers, a key person in each local government, industry representatives, and the local community, including local leaders and users of renewable energy. Secondary data in the form of various official project reports was also used. The results indicated that the success of energy project implementation lay not only in good technology performance and long-term maintenance, but was also highly dependent on six key factors, namely: (1 project planning and development; (2 community participation; (3 active communication and beneficiaries; (4 availability of maintenance program, workshop and technician; (5 project management and institutionalization; (6 local government support and networks. The findings from this study provide useful insights to all stakeholders involved in the implementation of renewable energy technology for the rural areas in Indonesia.

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

Science.gov (United States)

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

2009-03-01

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

Biofeedback in rehabilitation.

Science.gov (United States)

Giggins, Oonagh M; Persson, Ulrik McCarthy; Caulfield, Brian

2013-06-18

signals. VR and exergaming technology have been primarily investigated in post-CVA rehabilitation, however, more recent work has shown this type of biofeedback to be effective in improving exercise technique in musculoskeletal populations. While a number of studies in this area have been conducted, further large scale studies and reviews investigating different biofeedback applications in different clinical populations are required.

The effect of an interdisciplinary rehabilitation intervention comparing HRQoL, symptom burden and physical function among patients with primary glioma

DEFF Research Database (Denmark)

Hansen, Anders; Rosenbek Minet, Lisbeth Kirstine; Søgaard, Karen

2014-01-01

INTRODUCTION: Gliomas are among the biggest challenges in neurological and oncology rehabilitation and optimising treatment is of major clinical importance in this population. Although inpatient rehabilitation among glioma patients' results in improved functional measures, rehabilitation efforts...... of literature investigating the potential role of exercise as a supportive therapeutic intervention for a patient with cancer. ETHICS AND DISSEMINATION: The project is approved by the Regional Scientific Ethical Committees for Southern Denmark under Project-ID: (S-20140108) and by the Danish Data Protection...

Columbia Basin Wildlife Mitigation Project : Rainwater Wildlife Area Final Management Plan.

Energy Technology Data Exchange (ETDEWEB)

Childs, Allen

2002-03-01

This Draft Management Plan has been developed by the Confederated Tribes of the Umatilla Indian Reservation (CTUIR) to document how the Rainwater Wildlife Area (formerly known as the Rainwater Ranch) will be managed. The plan has been developed under a standardized planning process developed by the Bonneville Power Administration (BPA) for Columbia River Basin Wildlife Mitigation Projects (See Appendix A and Guiding Policies Section below). The plan outlines the framework for managing the project area, provides an assessment of existing conditions and key resource issues, and presents an array of habitat management and enhancement strategies. The plan culminates into a 5-Year Action Plan that will focus our management actions and prioritize funding during the Fiscal 2001-2005 planning period. This plan is a product of nearly two years of field studies and research, public scoping, and coordination with the Rainwater Advisory Committee. The committee consists of representatives from tribal government, state agencies, local government, public organizations, and members of the public. The plan is organized into several sections with Chapter 1 providing introductory information such as project location, purpose and need, project goals and objectives, common elements and assumptions, coordination efforts and public scoping, and historical information about the project area. Key issues are presented in Chapter 2 and Chapter 3 discusses existing resource conditions within the wildlife area. Chapter 4 provides a detailed presentation on management activities and Chapter 5 outlines a monitoring and evaluation plan for the project that will help assess whether the project is meeting the intended purpose and need and the goals and objectives. Chapter 6 displays the action plan and provides a prioritized list of actions with associated budget for the next five year period. Successive chapters contain appendices, references, definitions, and a glossary.

Designing Meaningful Game Experiences for Rehabilitation and Sustainable Mobility Settings

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Silvia Gabrielli

2014-03-01

Full Text Available This paper presents the approach followed in two ongoing research projects aimed to designing meaningful game-based experiences to support home rehabilitation, eco-sustainable mobility goals and more in general better daily lifestyles. We first introduce the need for designing meaningful game-based experiences that are well-connected to the relevant non-game settings and can be customized by/for users, then, we show examples of how this approach can be realized in the rehabilitation and sustainable mobility contexts.

COPD online-rehabilitation versus conventional COPD rehabilitation

DEFF Research Database (Denmark)

Hansen, Henrik; Bieler, Theresa; Beyer, Nina

2017-01-01

BACKGROUND: Rehabilitation of patients with chronic obstructive pulmonary disease (COPD) is a key treatment in COPD. However, despite the existing evidence and a strong recommendation from lung associations worldwide, 50% of patients with COPD decline to participate in COPD rehabilitation program......, symptoms, anxiety and depression symptoms, disease specific and generic quality of life. Primary endpoint is 10/12 weeks from baseline, while secondary endpoints are 22, 36, 62 weeks from baseline assessments. DISCUSSION: The study will likely contribute to knowledge regarding COPD tele...... accessibility and compliance. The aim of this multicenter RCT study is to compare the potential benefits of a 10-week online COPD rehabilitation program (CORe) with conventional outpatient COPD rehabilitation (CCRe). METHODS: This study is a randomized assessor- and statistician blinded superiority multicenter...

[Vocational orientation in medical rehabilitation: development of a practice handbook and a homepage as user-oriented media for rehabilitative practice].

Science.gov (United States)

Lukasczik, M; Löffler, S; Gerlich, C; Wolf, H-D; Neuderth, S

2011-06-01

Vocational orientation in medical rehabilitation has become an important issue in rehabilitation science and practice in Germany. Although a variety of vocationally oriented interventions has been developed in recent years, there is still a lack of consensus with regard to the definition of specific types of interventions as well as relevant criteria (e. g., methods; instruments; duration/frequency; patient groups). Building on preliminary definitions, basic types of vocationally oriented measures/interventions were conceptually modified and refined in the context of a consensual process. 39 experts of various professions were contacted during a 2-stage Delphi survey to evaluate existing definitions of vocationally oriented interventions using key questions. Standardized descriptions of 5 vocationally oriented basic interventions were specified in cooperation with an interdisciplinary panel of experts. Descriptions were published in a workbook and a homepage for researchers and clinicians, which also contain information on the implementation of measures into rehabilitative care as well as good practice examples. The media developed in this project may contribute to the transfer of research results on vocationally oriented rehabilitation into health care practice. © Georg Thieme Verlag KG Stuttgart · New York.

Participation in cancer rehabilitation and unmet needs: a population-based cohort study

DEFF Research Database (Denmark)

Holm, L.V.; Hansen, D.G.; Johansen, C.

2012-01-01

sex, age, and diagnosis, and the outcome variables for rehabilitation. RESULTS: A total of 3,439 patients participated, yielding an overall response rate of 70%. One third of the cancer patients reported a need for physical rehabilitation and one third for psychological rehabilitation. Half...... of the patients participated in at least one activity. Unmet needs were most often reported in psychological, sexual, and financial areas. Women expressed more needs, participated more often in rehabilitation activities, and had, to a higher extent, their emotional needs fulfilled. Breast cancer patients...

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

Science.gov (United States)

Institute for Information Studies, Falls Church, VA.

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

Airborne gamma survey of the historic Sleisbeck mine area in the Northern Territory, Australia, and its use for site rehabilitation planning

International Nuclear Information System (INIS)

Bollhoefer, A.; Pfitzner, K.; Ryan, B.; Martin, P.; Fawcett, M.; Jones, D.R.

2008-01-01

An airborne γ-survey provided information about the extent of radioactive contamination around the historic Sleisbeck mine. Quickbird satellite data were acquired to relate airborne measurements to land cover features. Enhanced equivalent uranium (eU) levels were found to be confined to the mine and low grade waste rock dumps. The average terrestrial background radiation dose rate estimated from the airborne gamma survey data was 0.10-0.14 μGy h -1 while the area around the mine exhibited a maximum of ∼2.3 μGy h -1 , but measurements on the ground indicate that this maximum is exceeded in some localized areas. Rehabilitation of the site is likely to result in a threefold reduction in radiation doses to people accessing the area

Rehabilitation of language in expressive aphasias: a literature review

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Denise Ren da Fontoura

Full Text Available ABSTRACT Objective: This paper reviews the methodological characteristics of studies on rehabilitation of expressive aphasia, describing the techniques of rehabilitation used. Methods: The databases Medline, Science Direct and PubMed were searched for relevant articles (January 1999 to December 2011 using the keywords Expressive / Broca / Nonfluent Aphasia, combined with Language or Speech Rehabilitation / Therapy / Intervention. Results: A total of 56 articles were retrieved describing rehabilitation techniques, including 22 with a focus on lexical processing, 18 on syntax stimulation, seven with the aim of developing speech and nine with multiple foci. Conclusion: A variety of techniques and theoretical approaches are available, highlighting the heterogeneity of research in this area. This diversity can be justified by the uniqueness of patients' language deficits, making it difficult to generalize. In addition, there is a need to combine the formal measures of tests with measures of pragmatic and social skills of communication to determine the effect of rehabilitation on the patient's daily life.

The Importance of Patient Involvement in Stroke Rehabilitation

Science.gov (United States)

2016-01-01

Objective To investigate the perceived needs for health services by persons with stroke within the first year after rehabilitation, and associations between perceived impact of stroke, involvement in decisions regarding care/treatment, and having health services needs met. Method Data was collected, through a mail survey, from patients with stroke who were admitted to a university hospital in 2012 and had received rehabilitation after discharge from the stroke unit. The rehabilitation lasted an average of 2 to 4.6 months. The Stroke Survivor Needs Survey Questionnaire was used to assess the participants' perceptions of involvement in decisions on care or treatment and needs for health services in 11 problem areas: mobility, falls, incontinence, pain, fatigue, emotion, concentration, memory, speaking, reading, and sight. The perceived impact of stroke in eight areas was assessed using the Stroke Impact Scale (SIS) 3.0. Eleven logistic regression models were created to explore associations between having health services needs met in each problem area respectively (dependent variable) and the independent variables. In all models the independent variables were: age, sex, SIS domain corresponding to the dependent variable, or stroke severity in cases when no corresponding SIS domain was identified, and involvement in decisions on care and treatment. Results The 63 participants who returned the questionnaires had a mean age of 72 years, 33 were male and 30 were female. Eighty percent had suffered a mild stroke. The number of participants who reported problems varied between 51 (80%, mobility) and 24 (38%, sight). Involvement in decisions on care and treatment was found to be associated with having health services needs met in six problem areas: falls, fatigue, emotion, memory, speaking, and reading. Conclusions The results highlight the importance of involving patients in making decisions on stroke rehabilitation, as it appears to be associated with meeting their health

Environmental rehabilitation of dismissed quarry areas in the Emilia Apennines (Italy) based on the exploitation of geosites

Science.gov (United States)

Soldati, Mauro; Coratza, Paola; Vandelli, Vittoria

2016-04-01

The landscape modifications induced by human activity in the past 50 years, due to quarrying in the catchment of Rio della Rocca (Province of Reggio Emilia, northern Italy) and plans for its environmental rehabilitation, are illustrated. The study area is located in the northern Apennines margin, specifically in the municipality of Castellarano, and is characterised by a great variety of abiotic environments and high biodiversity. As regards the geological aspects of the area, the main lithological outcrops consists of yellow sandstones belonging to the Epi-Ligurian Sequence (Upper Eocene - Lower Oligocene) and grey clays (Lower Pliocene - Lower Pleistocene) of the marine units of the Apennine margin. From a geomorphological viewpoint, the landscape evolution of this valley has been deeply influenced by the presence of rocks with different mechanical behaviour, gravitational and rainwash processes and, more recently, human activities. The latter have played a fundamental role in modelling the physical landscape of the area in recent times. In the Sassuolo area (Province of Modena), very close to the study area, there is the largest tile making district in the world, which was developed during the '60s and '70s of the 20th century, partly thanks to the wide availability of clayey raw materials with suitable technological properties. Since the mid-1950s the study area has been affected by intense quarrying activities which have largely modified its environmental and, in particular, geomorphological features. In the 1970s, three clay pits and four sandstone quarries were active in the area. The clay pits were used for tile production whereas the sandstone materials were utilised in large part for the building industry. This production scenario has radically changed during the past twenty years, with the progressive abandonment of quarries due to the introduction of ever-more restrictive environmental policies, imposing rigorous planning on mining activities

Commentary on Stiers and colleagues' guidelines for competency development and measurement in rehabilitation psychology postdoctoral training.

Science.gov (United States)

Hatcher, Robert L

2015-05-01

Comments on the article, "Guidelines for competency development and measurement in rehabilitation psychology postdoctoral training," by Stiers et al. (see record 2014-55195-001). Stiers and colleagues have provided a thorough and well-conceived set of guidelines that lay out the competencies expected for graduates of postdoctoral residencies in rehabilitation psychology, accompanied by a set of more specific, observable indicators of the residents' competence level. This work is an important aspect of the broader project of the Rehabilitation Psychology Specialty Council (APA Division 22, the American Board of Rehabilitation Psychology, the Foundation for Rehabilitation Psychology, the Academy of Rehabilitation Psychology, and the Council of Rehabilitation Psychology Postdocotral Training Programs) to develop overall guidelines for programs providing postdoctoral training in this field (Stiers et al., 2012). (c) 2015 APA, all rights reserved).

Effect of a group-based rehabilitation programme on glycaemic control and cardiovascular risk factors in type 2 diabetes patients: The Copenhagen Type 2 Diabetes Rehabilitation Project

DEFF Research Database (Denmark)

Vadstrup, Eva Soelberg; Frølich, Anne; Perrild, Hans Jørgen Duckert

2011-01-01

To compare the effectiveness of a group-based rehabilitation programme with an individual counselling programme at improving glycaemic control and cardiovascular risk factors among patients with type 2 diabetes.......To compare the effectiveness of a group-based rehabilitation programme with an individual counselling programme at improving glycaemic control and cardiovascular risk factors among patients with type 2 diabetes....

A medical social work perspective on rehabilitation.

Science.gov (United States)

Fugl-Meyer, Kerstin Sjögren

2016-10-12

This paper introduces a biopsychosocial model for use as a tool by medical social workers and other rehabilitation professionals for the descriptive analysis of the case history and follow-up of patients needing rehabilitative support. The model is based on action theory and emphasizes the demands on evidence-based clarification of the interplay between a subject's contextual life situation, their ability to act in order to realize their goals, and their emotional adaptation. Using clinical experience and literature searches, a standard operations procedure to adequately document the case history in clinical practice is suggested, thus providing strategies through which the work of medical social workers can be based on evidence. Some specific areas of concern for the medical social worker within the rehabilitation of disabled people are highlighted.

Rehabilitation and modernization project of units 1 and 2 of Laguna Verde Nuclear Power Plant. A strengthening project to 120%. (2nd phase); Proyecto de rehabilitacion y modernizacion de las Unidades 1and 2 de la CNLV. Un proyecto de reponteciacion al 120% (2ª Fase)

Energy Technology Data Exchange (ETDEWEB)

Liebana, B.; Merino, A.; Garcia, J. L.; Gomez, M.; Martinez, I.; Ruiz, L.

2010-07-01

The power increase of the Laguna Verde Nuclear Power Plant is a project for the rehabilitation and modernization of the turbo and associated equipment to get an increase of its power and of its service life. The project scope includes the design, the engineering, the equipment supply, the installation, the testing and the commissioning. This article presents the work of the second phase.

Regional energy projects in the Eurasian Area

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Vesić Dobrica

2012-03-01

Full Text Available The Eurasian area has a very rich energy reserves, and is characterized by a complex network of relationships between major suppliers and consumers. The central place in this area has Russia as a country richest in energy resources in Eurasia. Beside her, the European Union is the largest economic and political grouping in the world, and a huge consumer of energy. The dynamic development of Chinese economy requires more energy imports by China. Dependence of the European Union and China on imported energy is high and will grow in the future. Russia is the world's dominant natural gas producer and one of the two largest oil producers in the world. Russia is the largest natural gas supplier of the EU and a significant oil and natural gas supplier of China. Energy projects in Eurasia are the result of the need to strengthen the stability of energy supplies, efforts to diversify sources of supply, and the geographic redistribution of Russian oil and gas exports. Although the interests of the main actors often do not agree, the reasons of energy security affect the development of joint energy projects.

Characterizing speech and language pathology outcomes in stroke rehabilitation.

Science.gov (United States)

Hatfield, Brooke; Millet, Deborah; Coles, Janice; Gassaway, Julie; Conroy, Brendan; Smout, Randall J

2005-12-01

Hatfield B, Millet D, Coles J, Gassaway J, Conroy B, Smout RJ. Characterizing speech and language pathology outcomes in stroke rehabilitation. To describe a subset of speech-language pathology (SLP) patients in the Post-Stroke Rehabilitation Outcomes Project and to examine outcomes for patients with low admission FIM levels of auditory comprehension and verbal expression. Observational cohort study. Five inpatient rehabilitation hospitals. Patients (N=397) receiving post-stroke SLP with admission FIM cognitive components at levels 1 through 5. Not applicable. Increase in comprehension and expression FIM scores from admission to discharge. Cognitively and linguistically complex SLP activities (problem-solving and executive functioning skills) were associated with greater likelihood of success in low- to mid-level functioning communicators in the acute post-stroke rehabilitation period. The results challenge common clinical practice by suggesting that use of high-level cognitively and linguistically complex SLP activities early in a patient's stay may result in more efficient practice and better outcomes regardless of the patient's functional communication severity level on admission.

Dalayed referral of lower limb amputees for rehabilitation; an audit study

International Nuclear Information System (INIS)

Raza, M.A.; Fahim, M.; Gill, Z.A.; Waheed, A.

2014-01-01

determine the causes of delayed referral of lower limb amputees for rehabilitation. Study Design: Descriptive study. Place and Duration of Study: Armed Forces Institute of Rehabilitation Medicine Rawalpindi, from April 2012 to July 2012. Patient and Methods: Thirty two patient cases of lower limb amputation were included. They were referred cases to AFIRM from operational areas and CMHs all over Pakistan for provision of prosthesis and rehabilitation. Results: A total of 32 lower limbamputees' male patients with mean age 29 years were included in the study. Transtibial level was the most common amputation 19(57.6 %). Improvised Explosive Device (IED) was the most common mode of injury 19(57.6 %). 34.37 % patients were delayed due to leave granted to them at local set ups before referral to AFIRM for rehabilitation. Conclusion: Delayed referral for rehabilitation has poor impact on rehabilitation of an amputee. (author)

Technologic advances in aural rehabilitation: applications and innovative methods of service delivery.

Science.gov (United States)

Sweetow, Robert W; Sabes, Jennifer Henderson

2007-06-01

The level of interest in aural rehabilitation has increased recently, both in clinical use and in research presentations and publications. Advances in aural rehabilitation have seen previous techniques such as speech tracking and analytic auditory training reappear in computerized forms. These new delivery methods allow for a consistent, cost-effective, and convenient training program. Several computerized aural rehabilitation programs for hearing aid wearers and cochlear implant recipients have recently been developed and were reported on at the 2006 State of the Science Conference of the Rehabilitation Engineering Research Center on Hearing Enhancement at Gallaudet University. This article reviews these programs and outlines the similarities and differences in their design. Another promising area of aural rehabilitation research is the use of pharmaceuticals in the rehabilitation process. The results from a study of the effect of d-amphetamine in conjunction with intensive aural rehabilitation with cochlear implant patients are also described.

Study on water quality around mangrove ecosystem for coastal rehabilitation

Science.gov (United States)

Guntur, G.; Sambah, A. B.; Arisandi, D. M.; Jauhari, A.; Jaziri, A. A.

2018-01-01

Coastal ecosystems are vulnerable to environmental degradation including the declining water quality in the coastal environment due to the influence of human activities where the river becomes one of the input channels. Some areas in the coastal regions of East Java directly facing the Madura Strait indicate having experienced the environmental degradation, especially regarding the water quality. This research was conducted in the coastal area of Probolinggo Regency, East Java, aiming to analyze the water quality as the basis for coastal rehabilitation planning. This study was carried out using survey and observation methods. Water quality measurement results were analyzed conforming to predetermined quality standards. The coastal area rehabilitation planning as a means to restore the degraded water quality parameters is presumably implemented through mangrove planting. Thus, the mangrove mapping was also devised in this research. Based on 40 sampling points, the results illustrate that according to the quality standard, the water quality in the study area is likely to be deteriorated. On account of the mapping analysis of mangrove distribution in the study area, the rehabilitation of the coastal zone can be done through planning the mangrove forest plantation. The recommended coastal area maintenance is a periodic water quality observation planning in the river region which is divided into three zones to monitor the impact of fluctuating changes in land use or human activities on the coastal water quality.

Role-Playing (Psychodrama in the Social Rehabilitation of Juveniles

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Barbara Grzyb

2015-12-01

Full Text Available The article discusses the term of psychodrama in the aspect of the social rehabilitation process of juveniles. An important area of considerations is noting the most effective form of work in the modification of socially desirable behavior. Moreover, the identification and wider discussion of the aspect of psychodrama interaction indicates the emotional, therapeutic, and above all correctional dimension, so desired in the social rehabilitation of juveniles.

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

Science.gov (United States)

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

2016-05-01

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

MORE Resiliency in the Rehabilitation of Active Duty Service Members

Science.gov (United States)

2017-10-01

leverage the infrastructure of the Maximizing Outpatient Rehabilitation Effectiveness (MORE) study that is currently being conducted at Brooke Army Medical...Unclassified c. THIS PAGE Unclassified Unclassified 9 19b. TELEPHONE NUMBER (include area code ) Standard Form 298 (Rev. 8- TABLE OF CONTENTS... infrastructure of the Maximizing Outpatient Rehabilitation Effectiveness (MORE) study that is currently being funded by the Bridging Advanced Developments for

Relationship of psychology inpatient rehabilitation services and patient characteristics to outcomes following spinal cord injury: the SCIRehab project.

Science.gov (United States)

Heinemann, Allen W; Wilson, Catherine S; Huston, Toby; Koval, Jill; Gordon, Samuel; Gassaway, Julie; Kreider, Scott E D; Whiteneck, Gale

2012-11-01

To evaluate the effects of psychological interventions on rehabilitation outcomes, including residence and functional status at discharge, and residence, school attendance, or employment, and physical, social, occupational, and mobility aspects of participation 1 year after spinal cord injury (SCI). Prospective observational cohort study. Six inpatient rehabilitation facilities in the United States. Inpatients with SCI 12 years of age and older. Usual rehabilitation care. Functional Independence Measure at rehabilitation discharge and 1-year injury anniversary; discharge destination and residence at 1-year anniversary; Craig Handicap Assessment and Reporting Technique, Diener Satisfaction with Life Scale, Patient Health Questionnaire, employment or school attendance, rehospitalization, and occurrence of a pressure ulcer at 1-year anniversary. More time in psycho-educational interventions was associated with better function, discharge to home, home residence at 1 year, and the absence of pressure ulcers at 1 year. More psychotherapeutic sessions focusing on processing emotions and/or locus of control were associated with poorer function at discharge and 1 year, less physical independence and community mobility, lower satisfaction with life, and the presence of pressure sores at 1 year. Psychological services are an important component of comprehensive medical rehabilitation and tailored to patient needs and readiness to benefit from rehabilitation. Services focused on remediating deficits tend to be associated with negative outcomes, while services intended to foster adjustment and growth tend to be associated with favorable outcomes. Further research is needed to determine the optimal type and timing of psychological services during inpatient rehabilitation based on individuals' strengths and vulnerabilities. Note: This is the sixth in this third series of SCIRehab articles.

Goal planning: a retrospective audit of rehabilitation process and outcome.

Science.gov (United States)

Duff, Jane; Evans, Matthew J; Kennedy, Paul

2004-05-01

To consider the effectiveness of a goal planning programme for people with spinal cord injury (SCI) and address some of the current evidence gaps in goal setting. Retrospective audit. Consecutive series of 65 newly injured SCI patients. The Needs Assessment Checklist (NAC) has been specifically developed for the SCI population, and is used to assess patient attainment in core rehabilitation areas. A 'Goal Planning Progress' form was also used to specifically detail the goal planning process. Across the 65 patients, 396 goal planning meetings were held with 6176 goals set in total. Seventy-two per cent of the goals set at the first goal planning meeting were achieved by the second meeting. The rate of achievement at subsequent meetings was 68%. Significant differences in the number of planned rehabilitation days, number of goal planning meetings, and goals set were identified between injury categories. Significant positive correlations were found between the number of goals set and achievement, as measured by the NAC, in certain rehabilitation domains. The findings of this study demonstrate that the Needs Assessment and Goal Planning framework is effective in planning SCI rehabilitation. The capacity of this goal planning system to reflect individual need has also been established. Further systematic analyses of this process could potentially lead to more efficient rehabilitation and the identification of care pathways within clinical areas.

Rehabilitation of executive function and social cognition impairments after brain injury.

Science.gov (United States)

Manly, Tom; Murphy, Fionnuala C

2012-12-01

Brain injury is a major cause of long-term disability. Executive and social cognition sequelae are associated with poor outcome. This review examines recent evidence on the efficacy of rehabilitation in these areas. Accumulating evidence shows that interventions that work with patients on developing insight and strategies to offset executive impairments can produce significant benefits. Training of specific capacities, such as working memory, holds some promise, but more needs to be known about effect generalization. Evidence on social cognition rehabilitation following brain injury is sparse. Although there are some encouraging early results, more information on the clinical significance of change for everyday function is required. Rehabilitation in these areas is inherently difficult but vital if outcomes are to improve. Significant gains have been reported, and further work applying appropriate methods is urgently required.

Mexican Americans Receive Less Intensive Stroke Rehabilitation Than Non-Hispanic Whites.

Science.gov (United States)

Morgenstern, Lewis B; Sais, Emma; Fuentes, Michael; Ifejika, Nneka L; Jiang, Xiaqing; Horn, Susan D; Case, Erin; Lisabeth, Lynda D

2017-06-01

Mexican Americans (MAs) have worse neurological, functional, and cognitive outcomes after stroke. Stroke rehabilitation is important for good outcome. In a population-based study, we sought to determine whether allocation of stroke rehabilitation services differed by ethnicity. Patients with stroke were identified as part of the Brain Attack Surveillance in Corpus Christi (BASIC) project, TX, USA. Cases were validated by physicians using source documentation. Patients were followed prospectively for 3 months after stroke to determine rehabilitation services and transitions. Descriptive statistics were used to depict the study population. Continuous baseline variables were compared using 2 sample t tests or Wilcoxon rank-sum tests by ethnicity. Categorical baseline variables were compared using χ 2 tests. Ethnic comparisons of rehabilitation services were compared using χ 2 tests, Fisher's exact tests, and logistic regression. Seventy-two subjects (50 MA and 22 non-Hispanic white [NHW]) were followed. Mean age, NHW-69 (SD 13), MA-66 (SD 11) years, sex (NHW 55% male, MA 50% male) and median presenting National Institutes of Health Stroke Scale did not differ significantly. There were no ethnic differences among the proportion of patients who were sent home without any rehabilitation services ( P =0.9). Among those who received rehabilitation, NHWs were more likely to get inpatient rehabilitation (73%) compared with MAs (30%), P =0.016. MAs (51%) were much more likely to receive home rehabilitation services compared with NHWs (0%) ( P =0.0017). In this population-based study, MAs were more likely to receive home-based rehabilitation, whereas NHWs were more likely to get inpatient rehabilitation. This disparity may, in part, explain the worse stroke outcome in MAs. © 2017 American Heart Association, Inc.

Mexican Americans receive less intensive stroke rehabilitation than non Hispanic whites

Science.gov (United States)

Morgenstern, Lewis B.; Sais, Emma; Fuentes, Michael; Ifejika, Nneka L.; Jiang, Xiaqing; Horn, Susan D.; Case, Erin; Lisabeth, Lynda D.

2017-01-01

Background and Purpose Mexican Americans (MAs) have worse neurologic, functional and cognitive outcomes after stroke. Stroke rehabilitation is important for good outcome. In a population-based study, we sought to determine if allocation of stroke rehabilitation services differed by ethnicity. Methods Stroke patients were identified as part of the Brain Attack Surveillance in Corpus Christi (BASIC) project, Texas, USA. Cases were validated by physicians using source documentation. Patients were followed prospectively for three months following stroke to determine rehabilitation services and transitions. Descriptive statistics were used to depict the study population. Continuous baseline variables were compared using two sample t-tests or Wilcoxon rank-sum tests by ethnicity. Categorical baseline variables were compared using chi-squared tests. Ethnic comparisons of rehabilitation services were compared using chi-squared tests, Fisher’s exact tests and logistic regression. Results Seventy-two subjects (50 MA and 22 non-Hispanic white [NHW]) were followed. Mean age, NHW-69 (sd-13), MA-66 (sd-11) years, sex (NHW 55% male, MA 50% male) and median presenting NIHSS did not differ significantly. There were no ethnic differences among the proportion of patients who were sent home without any rehabilitation services (p=0.9). Among those who received rehabilitation NHWs were more likely to get inpatient rehabilitation (73%) compared with MAs (30%), p=0.016. MAs (51%) were much more likely to receive home rehabilitation services compared with NHWs (0%) (p=0.0017). Conclusions In this population-based study, MAs were more likely to receive home-based rehabilitation while NHWs more likely to get inpatient rehabilitation. This disparity may, in part, explain the worse stroke outcome in MAs. PMID:28386042

Housing, Urban Renewal and Socio-Spatial Integration. A Study on Rehabilitating the Former Socialistic Public Housing Areas in Beijing

Directory of Open Access Journals (Sweden)

Xiaoxi Hui

2017-11-01

housing reform further boosted urban renewal, often in the form of wholesale reconstruction and linked to real estate development. The market-driven urban reconstruction resulted in the resident displacement, community destruction, disappearance of historical images and, more threatening, socio-spatial segregation. It encountered the rising criticism from scholars and activists and resistance from the residents. As a result, many housing renewal projects, including the reconstruction projects of former public housing areas, had to be stopped or suspended in Beijing after 2004. Nowadays there is a dilemma for the urban renewal of Beijing’s former public housing areas. On the one hand, its conventional approach became inadaptable in the existing transitional context of China, and thus led to the increasing conflict of interests between different actors (or groups and the tension between individuality and collectivity; but on the other hand, if there will be social-oriented, adapted strategies, urban renewal would still be an effective means to improve the quality of living and to solve the housing problem of the city. Therefore, my study addressed the general research question, “What will be the adapted strategies used for the urban renewal of former socialistic public housing areas in Beijing to improve the local living conditions and to deal with the existing urban housing problem?” As a social-oriented, step-by-step approach to avoid wholesale reconstruction, urban rehabilitation might be an alternative approach for Beijing’s urban renewal. It is the hypothesis of my study. However, here comes the question if this approach, originally developed in the West, can adapt to the Chinese situation. In a transitional society undergoing continuous social diversification and differentiation as well as ethical collision, contemporary Chineseness could refer to the hybridity of ethoses. Facing this super hybrid situation, the adaptability of the Western approach, which was

Development of practice guidelines for psychological interventions in the rehabilitation of patients with oncological disease (breast, prostate, or colorectal cancer): Methods and results.

Science.gov (United States)

Reese, Christina; Weis, Joachim; Schmucker, Dieter; Mittag, Oskar

2017-10-01

The goal of this project was to develop evidence- and consensus-based practice guidelines for psychological interventions in the rehabilitation of patients with oncological disease (breast, prostate, or colorectal cancer). First of all, we conducted a literature search and survey of all oncological rehabilitation centers in Germany (N = 145) to obtain a thorough perspective of the recent evidence, guidelines, the structural framework, and practice of psychological services in oncological rehabilitation. Next, an expert workshop was held with national experts from scientific departments, clinicians from rehabilitation centers, and patients. In this workshop, we drafted and agreed upon an initial version of the practice guidelines. Afterwards, the practice guidelines were sent to all head physicians and senior psychologists at oncological rehabilitation centers in Germany for approval (N = 280 questionnaires). In addition, key recommendations were discussed with a group of rehabilitation patients. Finally, the practice guidelines were revised by the expert panel and made available online to the public. The practice guidelines have been widely accepted by both the expert panel and the surveyed clinicians and patients. They include recommendations for psycho-oncological interventions that should be offered to all rehabilitation patients with breast, prostate, or colorectal cancer. They also comprise recommendations for specific problem areas concerning psychological functions, body functions, and environmental and personal factors. The practice guidelines provide detailed recommendations for high-quality psychosocial care in an oncological rehabilitation context. It is their aim to guide the multidisciplinary team, especially psychologists and physicians, in their daily practice. Copyright © 2016 John Wiley & Sons, Ltd.

Implementing Modular Interactive Tiles for Rehabilitation in Tanzania – a pilot study

DEFF Research Database (Denmark)

Lund, Henrik Hautop; Jensen, Line Steiness Dejnbjerg; Ssessanga, Yusuf

2014-01-01

The pilot study in the Iringa region, Tanzania, indicates how the modular interactive tiles can be used for playful physical rehabilitation for many diverse patient groups (handicapped children, stroke, cardiac, diabetic patients, etc.) in both urban and rural areas, and how it motivates the user...... and adaptive playful technology for rehabilitation in sub-Saharan Africa....... through play to perform the physical rehabilitative actions. The system can be easily used by rehabilitation workers, and through the modularity it is robust to failure (e.g. power failure) in remote areas. The analyses of the use by many different user groups was condensed to a higher abstraction level...... to provide insight on the generalisation over the different user groups, and to provide pointers of opportunities and the means to meet these opportunities through subsequent development in the next cycles in the iterative research method. The pilot study indicates that the system can be a flexible...

Advances in rehabilitation medicine.

Science.gov (United States)

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

2013-10-01

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

Can patent foramen ovale affect rehabilitation? The uncommon association of platypnea-orthodeoxia syndrome and stroke.

Science.gov (United States)

Gallerini, S; Calchetti, B; Cianchi, C; Di Troia, A M; Madonna, R; Cresti, A; Mancuso, M

2011-06-01

Platypnea-orthodeoxia is a rare syndrome characterized by dyspnea and deoxygenation induced by a change to a sitting or standing from a recumbent position. It is the result of posturally accentuated intracardiac or pulmonary right-to-left shunt leading to arterial oxygen desaturation. Only few cases of platypnea-orthodeoxia syndrome are reported in the literature and the association between stroke and platypnea-orthodeoxia syndrome with evidence of patent foramen ovale is extremely rare. We describe the case of a 67-year-old female admitted to our Rehabilitation Unit for disabling basilar stroke due to paradoxical embolism from patent foramen ovale that during the first days of rehabilitation showed signs and symptoms of platypnea-orthodeoxia syndrome. To remove a life-threatening condition for the patient and in order to develop the normal rehabilitation project, that was stopped by the platypnea-orthodeoxia syndrome, the patient fastly underwent to percutaneous closure of patent foramen ovale. The stabilization of oxygen arterial saturation with postural changes and the disappearance of symptoms of POS allowed to develop the rehabilitation project with progressive neurological improvement.

Serious games for upper limb rehabilitation: a systematic review.

Science.gov (United States)

Proença, João Pedro; Quaresma, Cláudia; Vieira, Pedro

2018-01-01

The aim of this research is to carry out a systematic review of the use of technological gaming platforms with serious games in the upper limb rehabilitation of patients with neuromotor disorders. Through a systematic review, the first two authors defined the inclusion criteria and extracted the data, resulting in 38 studies collected from B-On, PubMed and Medline. Ninety-two per cent of the selected articles were published since 2010. This review documents 35 different gaming platforms types. Twenty-one of the 38 articles included in this review conducted a clinical trial and of those only eight report improvements in the target population following the use of the games and platforms. This review concludes that a new paradigm is emerging in the rehabilitation field, characterized by the systematic use of technological gaming platforms with serious games in/for rehabilitation. The use of this approach seems to be beneficial. However, to facilitate the full integration of these platforms, it is necessary to conduct more research in this area, explore new approaches and carry out in-depth clinical studies into the benefits of these platforms. Implications for rehabilitation This review states that the use serious games and gaming platforms for upper limb rehabilitation are starting a new paradigm in the rehabilitation. For a full integration of this technologies in the rehabilitation field more studies are needed.

Virtual Reality: The New Era of Rehabilitation Engineering [From the Regional Editor].

Science.gov (United States)

Tong, Shanbao

2016-01-01

Rehabilitation engineering refers to the development and application of techniques, devices, and protocols for restoring function following disability. Although in most cases the concept relates to motor functions (e.g., training after a stroke or the use of limb prosthetics), mental rehabilitation engineering is also an emerging area.

Expanded cardiac rehabilitation in socially vulnerable patients with myocardial infarction

DEFF Research Database (Denmark)

Hald, Kathrine; Nielsen, Kirsten Melgaard; Nielsen, Claus Vinther

2018-01-01

OBJECTIVE: Cardiac rehabilitation (CR) has been shown to reduce cardiovascular risk. A research project performed at a university hospital in Denmark offered an expanded CR intervention to socially vulnerable patients. One-year follow-up showed significant improvements concerning medicine...

Useful Method To Optimize The Rehabilitation Effort At A SCI Rehabilitation Centre

DEFF Research Database (Denmark)

Steensgaard, Randi; Dahl Hoffmann, Dorte

“Useful Method To Optimize The Rehabilitation Effort At A SCI Rehabilitation Centre” The Nordic Spinal Cord Society (NoSCoS) Meeting, Trondheim......“Useful Method To Optimize The Rehabilitation Effort At A SCI Rehabilitation Centre” The Nordic Spinal Cord Society (NoSCoS) Meeting, Trondheim...

Stroke Rehabilitation.

Science.gov (United States)

Belagaje, Samir R

2017-02-01

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

Proposal for Land Consolidation Project Solutions for Selected Problem Areas

Science.gov (United States)

Wojcik-Len, Justyna; Strek, Zanna

2017-12-01

One of the economic tools for supporting agricultural policy are the activities implemented under the Rural Development Program (RDP). By encouraging agricultural activities and creating equal opportunities for development of farms, among others in areas with unfavourable environmental conditions characterized by low productivity of soils exposed to degradation, decision makers can contribute to improving the spatial structure of rural areas. In Poland, one of the major concerns are agricultural problem areas (regions). In view of this situation, the aim of this article was to characterize the problem areas in question and propose land consolidation project solutions for selected fragments of those areas. This paper presents the results of a review of literature and an analysis of geodetic and cartographic data regarding the problem areas. The process of land consolidation, which is one of the technical and legal instruments supporting the development of rural areas, was characterized. The study allowed the present authors to establish criteria for selecting agricultural problem areas for land consolidation. To develop a proposal for rational management of the problem areas, key general criteria (location, topography, soil quality and usefulness) and specific criteria were defined and assigned weights. A conception of alternative development of the agricultural problem areas was created as part of a land consolidation project. The results were used to create a methodology for the development of agricultural problem areas to be employed during land consolidation in rural areas. Every agricultural space includes areas with unfavourable environmental and soil conditions determined by natural or anthropogenic factors. Development of agricultural problem areas through land consolidation should take into account the specific functions assigned to these areas in land use plans, as well as to comply with legal regulations.

Traumatic Brain Injury Rehabilitation in Hong Kong: A Review of Practice and Research.

Science.gov (United States)

Yu, Junhong; Tam, Helena M K; Lee, Tatia M C

2015-01-01

The rising public health concern regarding traumatic brain injury (TBI) implies a growing need for rehabilitation services for patients surviving TBI. To this end, this paper reviews the practices and research on TBI rehabilitation in Hong Kong so as to inform future developments in this area. This paper begins by introducing the general situation of TBI patients in Hong Kong and the need for rehabilitation. Next, the trauma system in Hong Kong is introduced. Following that is a detailed description of the rehabilitation services for TBI patients in Hong Kong, as exemplified by a rehabilitation hospital in Hong Kong. This paper will also review intervention studies on rehabilitating brain-injured populations in Hong Kong with respect to various rehabilitation goals. Lastly, the implications of culture-related issues will be discussed in relation to TBI. The intervention studies conducted in Hong Kong are generally successful in achieving various rehabilitative outcomes. Additionally, certain cultural-related issues, such as the stigma associated with TBI, may impede the rehabilitative process and lead to various psychosocial problems.

Traumatic Brain Injury Rehabilitation in Hong Kong: A Review of Practice and Research

Directory of Open Access Journals (Sweden)

Junhong Yu

2015-01-01

Full Text Available Background. The rising public health concern regarding traumatic brain injury (TBI implies a growing need for rehabilitation services for patients surviving TBI. Methods. To this end, this paper reviews the practices and research on TBI rehabilitation in Hong Kong so as to inform future developments in this area. This paper begins by introducing the general situation of TBI patients in Hong Kong and the need for rehabilitation. Next, the trauma system in Hong Kong is introduced. Following that is a detailed description of the rehabilitation services for TBI patients in Hong Kong, as exemplified by a rehabilitation hospital in Hong Kong. This paper will also review intervention studies on rehabilitating brain-injured populations in Hong Kong with respect to various rehabilitation goals. Lastly, the implications of culture-related issues will be discussed in relation to TBI. Results/Conclusions. The intervention studies conducted in Hong Kong are generally successful in achieving various rehabilitative outcomes. Additionally, certain cultural-related issues, such as the stigma associated with TBI, may impede the rehabilitative process and lead to various psychosocial problems.

Is Pilates an effective rehabilitation tool? A systematic review.

Science.gov (United States)

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

2018-01-01

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

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

Science.gov (United States)

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

2018-07-01

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

Rehabilitation after Stroke using Immersive User Interfaces in 3D Virtual and Augmented Gaming Environments

Directory of Open Access Journals (Sweden)

E. Vogiatzaki

2015-05-01

Full Text Available Stroke is one of most common diseases of our modern societies with high socio-economic impact. Hence, rehabilitation approach involving patients in their rehabilitation process while lowering costly involvement of specialised human personnel is needed. This article describes a novel approach, offering an integrated rehabilitation training for stroke patients using a serious gaming approach based on a Unity3D virtual reality engine combined with a range of advanced technologies and immersive user interfaces. It puts patients and caretakers in control of the rehabilitation protocols, while leading physicians are enabled to supervise the progress of the rehabilitation via Personal Health Record. Possibility to perform training in a familiar home environment directly improves the effectiveness of the rehabilitation. The work presented herein has been conducted within the "StrokeBack" project co-funded by the European Commission under the Framework 7 Program in the ICT domain.

Rehabilitation robotics.

Science.gov (United States)

Krebs, H I; Volpe, B T

2013-01-01

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

An Approach for a National eHealth Implementation – the Case of Modular Interactive Tiles for Rehabilitation

DEFF Research Database (Denmark)

Lund, Henrik Hautop; Jensen, Line Steiness Dejnbjerg; Ssessanga, Yusuf

2015-01-01

By the development of a mHealth tablet app together with modular interactive tiles for rehabilitation, we intend to facilitate the co-design, adaptation, demonstration and validation of modular ICT solutions for rehabilitation in deep rural sub-Saharan Africa. This results in highly mobile, modular...... community-based rehabilitation. Thereby, we investigate the adaptation, contextualisation and implementation in different rehabilitation methods and centres, including hospitals both in a city centres and in a rural area, NGO’s performing community based rehabilitation, and rehabilitation centres. Together...

Rehabilitation and older people.

OpenAIRE

Young, J.

1996-01-01

Rehabilitation is concerned with lessening the impact of disabling conditions. These are particularly common in older people and considerable health gain can be achieved by successful rehabilitation. Hospital doctors and general practitioners should be aware of the core principles of rehabilitation, be able to recognise rehabilitation need in their patients, and have sufficient knowledge of their local rehabilitation services to trigger the referral process.

COMPARISON OF REHABILITATION POLICIES IN LITHUANIA AND THE UNITED KINGDOM

Directory of Open Access Journals (Sweden)

Danguolė Jankauskienė

2017-03-01

Full Text Available The article analyses the formation, implementation and evaluation of rehabilitation policy in Lithuania and the United Kingdom through a comparative analysis and two empirical sociological qualitative studies. The following scientific problematic issues were raised: what is the situation in the field of rehabilitation policy formation, development and assessment in the historical perspective in Lithuania and the United Kingdom, what are the advantages and disadvantages of the implementation of rehabilitation policy in Lithuania and the UK, and what are the possibilities to change and improve the formation and implementation of rehabilitation policy. A comparative analysis of the principles of development, financing, legal regulation, advantages and disadvantages has been carried out, using scientific publications, reports, publications of foreign research papers, legal acts as well as qualitative researches of experts in Lithuania and the United Kingdom. Rehabilitation policies have been found to have similarities in the United Kingdom and Lithuania, but they are quite different as well. Lithuania developed its rehabilitation policy in a relatively short time in all areas of development amid a rapidly changing environment, with effective legal regulation, ambitious measures and limited resources. The United Kingdom’s rehabilitation policy has a much longer history; it changed in many ways to adapt to the needs of patients and society. It is based on the approach to the patient as an individual having a particular disorder, and the rehabilitation system promotes an individual rehab program in which the patient is an active participant and can even contribute to the plan, select services they need, and control the rehabilitation budget assigned to them. The system of rehabilitation policy between Lithuania and the UK varies considerably. In the UK, the focus is on the improvement of rehabilitation policy, working with communities, introducing

200 Area Deactivation Project Facilities Authorization Envelope Document

International Nuclear Information System (INIS)

DODD, E.N.

2000-01-01

Project facilities as required by HNF-PRO-2701, Authorization Envelope and Authorization Agreement. The Authorization Agreements (AA's) do not identify the specific set of environmental safety and health requirements that are applicable to the facility. Therefore, the facility Authorization Envelopes are defined here to identify the applicable requirements. This document identifies the authorization envelopes for the 200 Area Deactivation

75 FR 27327 - National Institute on Disability and Rehabilitation Research (NIDRR)-Disability and...

Science.gov (United States)

2010-05-14

... action to focus research attention on areas of national need. We intend this priority to improve... seeks to: (1) Improve the quality and utility of disability and rehabilitation research; (2) foster an... programs to improve rehabilitation outcomes for underserved populations; (4) identify research gaps; (5...

[Rehabilitation in the view of small and midsized enterprises: knowledge, appreciation and possibilities to cooperate - results of the KoRB-project].

Science.gov (United States)

Hesse, B; Heuer, J; Gebauer, E

2008-12-01

The experiences of small and midsized enterprises (SME) with medical rehabilitation were investigated in the KoRB-Study (KoRB= KOoperation Rehabilitation und Betrieb) for the first time. Opportunities for a targeted cooperation between the statutory pension insurance and these enterprises were explored. Based on explorative interviews, Westphalian employers, members of the works council, occupational health practitioners and employees were interrogated about the image of and their appreciation of medical rehabilitation in the work setting. Experience with rehabilitation and the level of information on rehabilitation were recorded as well as the compatibility of rehabilitation with operative processes in the working site. In addition rehab hospitals were asked about their experience in cooperating with enterprises. 697 employers of small and midsized enterprises, 458 members of the works councils, 73 occupational health practitioners, 47 rehab hospitals and 3 509 employees, who are members of the German Pension Fund of Westphalia, took part in the survey. Especially employers perceived rehabilitation positively and reported good experiences. Among the employees, those who had taken part in rehabilitation showed the highest appreciation. Occupational health practitioners were more restrained in their appraisal. Some of them complained about a lack of sustainability. The different target groups of the survey felt differently well informed about rehabilitation - best ratings came from the occupational health practitioners, worst ratings from the employees. All groups would welcome more accessible information in case of need. Medical rehabilitation in its standard form of "3 weeks full-time" often causes severe logistic problems in SME (e. g., replacement of employee, loss of experience). However the financial burden is perceived as less problematic. Employers favour alternative rehab models, which allow part-time working. Many employees, who expressed a need for

Forming artificial soils from waste materials for mine site rehabilitation

Science.gov (United States)

Yellishetty, Mohan; Wong, Vanessa; Taylor, Michael; Li, Johnson

2014-05-01

Surface mining activities often produce large volumes of solid wastes which invariably requires the removal of significant quantities of waste rock (overburden). As mines expand, larger volumes of waste rock need to be moved which also require extensive areas for their safe disposal and containment. The erosion of these dumps may result in landform instability, which in turn may result in exposure of contaminants such as trace metals, elevated sediment delivery in adjacent waterways, and the subsequent degradation of downstream water quality. The management of solid waste materials from industrial operations is also a key component for a sustainable economy. For example, in addition to overburden, coal mines produce large amounts of waste in the form of fly ash while sewage treatment plants require disposal of large amounts of compost. Similarly, paper mills produce large volumes of alkaline rejected wood chip waste which is usually disposed of in landfill. These materials, therefore, presents a challenge in their use, and re-use in the rehabilitation of mine sites and provides a number of opportunities for innovative waste disposal. The combination of solid wastes sourced from mines, which are frequently nutrient poor and acidic, with nutrient-rich composted material produced from sewage treatment and alkaline wood chip waste has the potential to lead to a soil suitable for mine rehabilitation and successful seed germination and plant growth. This paper presents findings from two pilot projects which investigated the potential of artificial soils to support plant growth for mine site rehabilitation. We found that pH increased in all the artificial soil mixtures and were able to support plant establishment. Plant growth was greatest in those soils with the greatest proportion of compost due to the higher nutrient content. These pot trials suggest that the use of different waste streams to form an artificial soil can potentially be used in mine site rehabilitation

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

Science.gov (United States)

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

2017-07-01

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

Application physiotherapy in rehabilitation rheumatoid arthritis

Directory of Open Access Journals (Sweden)

Angela Nogas

2017-02-01

National University of Water and Environmental Engineering   Abstract Background: Rheumatoid arthritis is one of the most common forms of inflammatory diseases of the joints. The disease leads to deformation, then to destruction of the diseased joint and to disability. Physiotherapy is used for the treatment and rehabilitation of rheumatoid arthritis. It is assumed that physiotherapy treatments that promote remission of the disease, improve the quality of patients’ life, create the necessary conditions for comprehensive rehabilitation programs. Objective: Systematic’s review conducting of studies that assess the effect of physiotherapy in the rehabilitation of patients with rheumatoid arthritis. Methods: Theoretical analysis of scientific and methodical literature, methods of analysis, synthesis, generalization. Results: To reduce inflammation in the joints is performed UV of affected joints weak or medium erythermal or middle erythermal doses used UHF therapy. UHF-therapy prescribed to the area of joint in I or II dose, duration 10 min., the course – 5-8 treatments. For patients with minimal activity is added electrophoresis NSAIDs. Electrophoresis aspirin is applied on the affected joints (every day, the course – 10-12 procedures, which favorably affect the course of rheumatoid arthritis. Conclusions: Physical therapy can reduce pain and stiffness in the joints, prevent deformity and restore function, improve independence and quality of life. State of the art is a major incentive to develop new activities in the treatment and rehabilitation of patients with rheumatoid arthritis to improve joint functional activity and their physical health.   Keywords: rheumatoid arthritis, physiotherapy, rehabilitation, hydrotherapy.

Creating aesthetically resonant environments for the handicapped, elderly and rehabilitation: Sweden

DEFF Research Database (Denmark)

Brooks, Tony; Hasselblad, Stefan

2005-01-01

CARE HERE (Creating Aesthetically Resonant Environments for the Handicapped, Elderly and Rehabilitation) was realised as a full European IST (Information Society Technologies) project, involving adults and children with learning disability, PMLD (Profound and Multiple Learning Disability...

Exoskeleton robots for upper-limb rehabilitation: state of the art and future prospects.

Science.gov (United States)

Lo, Ho Shing; Xie, Sheng Quan

2012-04-01

Current health services are struggling to provide optimal rehabilitation therapy to victims of stroke. This has motivated researchers to explore the use of robotic devices to provide rehabilitation therapy for strokepatients. This paper reviews the recent progress of upper limb exoskeleton robots for rehabilitation treatment of patients with neuromuscular disorders. Firstly, a brief introduction to rehabilitation robots will be given along with examples of existing commercial devices. The advancements in upper limb exoskeleton technology and the fundamental challenges in developing these devices are described. Potential areas for future research are discussed. Copyright © 2011 IPEM. Published by Elsevier Ltd. All rights reserved.

Ambivalence in rehabilitation

DEFF Research Database (Denmark)

Christensen, Jan; Langberg, Henning; Doherty, Patrick

2017-01-01

BACKGROUND: Knowledge about the organization and factors of importance to rehabilitation of veterans with lower limb amputation is sparse. The aim of this study was, therefore, to improve understanding of the influences of "military identity" on the organization of rehabilitation services...... and to investigate those factors influential in achieving successful rehabilitation, including interprofessional collaboration between different sectors involved in the rehabilitation of veterans with lower limb amputations. METHODS: We used a qualitative exploratory design, triangulating interviews and participant...... observation. Data were generated using in-depth semi-structured interviews (n = 6) exploring in-hospital and post-hospital rehabilitation in Danish veterans after unilateral lower limb amputation due to trauma. We conducted four sessions of participant observation, during weekly post...

Rehabilitating torture survivors

DEFF Research Database (Denmark)

Sjölund, Bengt H; Kastrup, Marianne; Montgomery, Edith

2009-01-01

survivors can be addressed from an evidence base generated both from traumatized and non-traumatized patient populations. Thus, trauma-focused cognitive behavioural therapy and/or eye movement desensitization and reprocessing, as well as interdisciplinary pain rehabilitation, should be components......, in December 2008. The main topics were: the context of torture; mental problems including psychotherapy; internet-based therapy and pharmaco-therapy; chronic pain; social integration and family; and functioning and rehabilitation. Available evidence highlights the importance of an interdisciplinary approach......, "Rehabilitating Torture Survivors", was organized by the Rehabilitation and Research Centre for Torture Victims (a rehabilitation clinic and global knowledge and research centre with government support) in collaboration with the Centre for Transcultural Psychiatry at Rigshospitalet in Copenhagen, Denmark...

Rehabilitation and Care of the Handicapped.

Science.gov (United States)

Engberg, Eugenie; And Others

An overview of services to help the handicapped is given in light of the characteristics of social conditions and social development in Denmark, and the history of rehabilitative care is examined. Information is given on the following areas: legislative, organization and financing; the national health service; the general education of handicapped…

Termites of the Savanna ecosystem project study area, Nylsvley

CSIR Research Space (South Africa)

Ferrar, P

1982-09-01

Full Text Available This report describes the termite fauna of the Savanna Ecosystem Project study area at the Nylsvley Nature Reserve, with an illustrated key for identification of species. Twenty-one species of fifteen genera and two families are recorded, and notes...

30 CFR 881.6 - Project contract.

Science.gov (United States)

2010-07-01

... contractors or suppliers for the construction, installation, services or work to be performed. (b) Project... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Project contract. 881.6 Section 881.6 Mineral... LAND RECLAMATION SUBSIDENCE AND STRIP MINE REHABILITATION, APPALACHIA § 881.6 Project contract. (a...

Sexual Dysfunction Associated with Physical Disability: A Treatment Guide for the Rehabilitation Practitioner.

Science.gov (United States)

Thorn-Gray, Beverly E.; Kern, Leslie H.

1983-01-01

Treatment guidelines are presented for rehabilitation personnel who work in the area of sexual dysfunction with the physically disabled. A step-by-step discussion of the intervention strategies that may be employed by rehabilitation staff who deal with sexual problems in disabled patients is presented. (Author/SEW)

Core competencies for cardiac rehabilitation/secondary prevention professionals: 2010 update: position statement of the American Association of Cardiovascular and Pulmonary Rehabilitation.

Science.gov (United States)

Hamm, Larry F; Sanderson, Bonnie K; Ades, Philip A; Berra, Kathy; Kaminsky, Leonard A; Roitman, Jeffrey L; Williams, Mark A

2011-01-01

Cardiac rehabilitation/secondary prevention (CR/SP) services are typically delivered by a multidisciplinary team of health care professionals. The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) recognizes that to provide high-quality services, it is important for these health care professionals to possess certain core competencies. This update to the previous statement identifies 10 areas of core competencies for CR/SP health care professionals and identifies specific knowledge and skills for each core competency. These core competency areas are consistent with the current list of core components for CR/SP programs published by the AACVPR and the American Heart Association and include comprehensive cardiovascular patient assessment; management of blood pressure, lipids, diabetes, tobacco cessation, weight, and psychological issues; exercise training; and counseling for psychosocial, nutritional, and physical activity issues.

Advanced robotics for medical rehabilitation current state of the art and recent advances

CERN Document Server

Xie, Shane

2016-01-01

Focussing on the key technologies in developing robots for a wide range of medical rehabilitation activities – which will include robotics basics, modelling and control, biomechanics modelling, rehabilitation strategies, robot assistance, clinical setup/implementation as well as neural and muscular interfaces for rehabilitation robot control – this book is split into two parts; a review of the current state of the art, and recent advances in robotics for medical rehabilitation. Both parts will include five sections for the five key areas in rehabilitation robotics: (i) the upper limb; (ii) lower limb for gait rehabilitation (iii) hand, finger and wrist; (iv) ankle for strains and sprains; and (v) the use of EEG and EMG to create interfaces between the neurological and muscular functions of the patients and the rehabilitation robots. Each chapter provides a description of the design of the device, the control system used, and the implementation and testing to show how it fulfils the needs of that specific ...

The decision-making process in dealing with populations living in areas contaminated by the Chernobyl accident. The ETHOS project

International Nuclear Information System (INIS)

Heriard-Dubreuil, G.; Schneider, T.

1998-01-01

Experience from the Chernobyl accident revealed strong disturbance in social life and stress phenomenon in the population living in the contaminated territories. The ETHOS project (founded by the radiation protection research programme of the European Commission-DG XII) has initiated an alternative approach of the rehabilitation of living conditions in the contaminated territories of the CIS in the post-accident context of Chernobyl. This project started at the beginning of 1996 and is implemented in the Republic of Belarus. Its main goal is to create the conditions for the inhabitants of contaminated territories to reconstruct their global quality of life. The main features of the methodological approach of the ETHOS project in the village of Olmany in the district of Stolyn (Brest region) since March 1996 are presented, and its implementation and first results are discussed. (R.P.)

Roads Rehabilitation and Environment in Moldova: Some Legal and Normative Harmonization Aspects

Directory of Open Access Journals (Sweden)

Cocirta Petru

2014-05-01

Full Text Available This paper analyzes the environmental regulatory reforms of the Republic of Moldova to restore roads and problems over time. Goals and objectives are the analysis of the current situation on road rehabilitation and environmental assessments in this area, as well as issues that require in rehabilitation and maintenance of roads in the Republic of Moldova.Are described briefly: general aspects of road rehabilitation issues; legislation and environmental regulations in the road; differences between Moldova and procedures of the World Bank's environmental assessment in the construction and rehabilitation of roads; problem of national legislative and normative acts harmonization to international requirements.The paper discusses specific environmental to appear on completion of the rehabilitation of roads in the Republic of Moldova. In the final part of the paper presents the conclusions and some suggestions on how to facilitate the rehabilitation of roads in accordance with Agenda 21 of the country and European and international requirements.

The cortical activation pattern by a rehabilitation robotic hand: a functional NIRS study.

Science.gov (United States)

Chang, Pyung-Hun; Lee, Seung-Hee; Gu, Gwang Min; Lee, Seung-Hyun; Jin, Sang-Hyun; Yeo, Sang Seok; Seo, Jeong Pyo; Jang, Sung Ho

2014-01-01

Clarification of the relationship between external stimuli and brain response has been an important topic in neuroscience and brain rehabilitation. In the current study, using functional near infrared spectroscopy (fNIRS), we attempted to investigate cortical activation patterns generated during execution of a rehabilitation robotic hand. Ten normal subjects were recruited for this study. Passive movements of the right fingers were performed using a rehabilitation robotic hand at a frequency of 0.5 Hz. We measured values of oxy-hemoglobin (HbO), deoxy-hemoglobin (HbR) and total-hemoglobin (HbT) in five regions of interest: the primary sensory-motor cortex (SM1), hand somatotopy of the contralateral SM1, supplementary motor area (SMA), premotor cortex (PMC), and prefrontal cortex (PFC). HbO and HbT values indicated significant activation in the left SM1, left SMA, left PMC, and left PFC during execution of the rehabilitation robotic hand (uncorrected, p < 0.01). By contrast, HbR value indicated significant activation only in the hand somatotopic area of the left SM1 (uncorrected, p < 0.01). Our results appear to indicate that execution of the rehabilitation robotic hand could induce cortical activation.

Performance of Community-Based Rehabilitation (CBR in Rural Areas of Islamic Republic of Iran

Directory of Open Access Journals (Sweden)

H. Nahvinejad

2003-09-01

Full Text Available The situation of people with disabilities in the developing countries should be a matter of great concern. There are today close to 250 million severely and moderately disabled persons in these countries; the annual increase is 10 million. Most of them are poor, dependent neglected, excluded from education, training and jobs; They die early and have no power while alive. Between 15 and 20% of all people new living below the poverty line have a disability: The majority of them have no share in community development programs and are virtually excluded from the public services they need to be prepared for a life in the community. Their human rights are not well protected. It is clear that in this situation an effort should be made to improve the quality of life of persons with disabilities. Countries acting to assist disabled people are motivated by a belief in equality and the desire to limit the severity of disability and the hardship it imposes on individuals and families, as well as to limit the loss that occurs when a part of the population is economically unproductive. All people have the right to health. In order to ensure that right for all citizens, a nation provides opportunities for disabled people to develop and use their physical and mental abilities. The World Health organization is striving to realize health for all. In 1978, the International conference on Primary Health Care, held in Alma-Ata, declared that primary health care would address the main health problems in the community and thus promote Health for All through the provision of promotive, preventive, curative, and rehabilitative services. Following the declaration, WHO developed the strategy of community-based rehabilitation (CBR as a means of integrating rehabilitation with health and development activities at the community level. The community-based rehabilitation system has in a very short time been introduced to about 90 developing countries.

Reaction time for processing visual stimulus in a computer-assisted rehabilitation environment.

Science.gov (United States)

Sanchez, Yerly; Pinzon, David; Zheng, Bin

2017-10-01

To examine the reaction time when human subjects process information presented in the visual channel under both a direct vision and a virtual rehabilitation environment when walking was performed. Visual stimulus included eight math problems displayed on the peripheral vision to seven healthy human subjects in a virtual rehabilitation training (computer-assisted rehabilitation environment (CAREN)) and a direct vision environment. Subjects were required to verbally report the results of these math calculations in a short period of time. Reaction time measured by Tobii Eye tracker and calculation accuracy were recorded and compared between the direct vision and virtual rehabilitation environment. Performance outcomes measured for both groups included reaction time, reading time, answering time and the verbal answer score. A significant difference between the groups was only found for the reaction time (p = .004). Participants had more difficulty recognizing the first equation of the virtual environment. Participants reaction time was faster in the direct vision environment. This reaction time delay should be kept in mind when designing skill training scenarios in virtual environments. This was a pilot project to a series of studies assessing cognition ability of stroke patients who are undertaking a rehabilitation program with a virtual training environment. Implications for rehabilitation Eye tracking is a reliable tool that can be employed in rehabilitation virtual environments. Reaction time changes between direct vision and virtual environment.

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

Science.gov (United States)

Beyer, Joachim; Seidel, Egbert J

2017-08-01

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

A Lean Six Sigma quality improvement project to increase discharge paperwork completeness for admission to a comprehensive integrated inpatient rehabilitation program.

Science.gov (United States)

Neufeld, Nathan J; Hoyer, Erik H; Cabahug, Philippines; González-Fernández, Marlís; Mehta, Megha; Walker, N Colbey; Powers, Richard L; Mayer, R Samuel

2013-01-01

Lean Six Sigma (LSS) process analysis can be used to increase completeness of discharge summary reports used as a critical communication tool when a patient transitions between levels of care. The authors used the LSS methodology as an intervention to improve systems process. Over the course of the project, 8 required elements were analyzed in the discharge paperwork. The authors analyzed the discharge paperwork of patients (42 patients preintervention and 143 patients postintervention) of a comprehensive integrated inpatient rehabilitation program (CIIRP). Prior to this LSS project, 61.8% of required discharge elements were present. The intervention improved the completeness to 94.2% of the required elements. The percentage of charts that were 100% complete increased from 11.9% to 67.8%. LSS is a well-established process improvement methodology that can be used to make significant improvements in complex health care workflow issues. Specifically, the completeness of discharge documentation required for transition of care to CIIRP can be improved.

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

Science.gov (United States)

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

2018-01-01

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

[Need for Information about Medical Rehabilitation of Persons with German Pension Insurance: a Written Survey].

Science.gov (United States)

Walther, Anna Lena; Falk, Johannes; Deck, Ruth

2017-07-26

Aim In order to acquire target group-specific information on rehabilitation for members of the German pension insurance, they were asked about their ideas about medical rehabilitation and desired information regarding subjects and kind of information transfer. Method The core of the project was a written survey of members of the German pension insurance. N=600 insured people were invited to participate in the study. The questionnaire was developed in a qualitative pre-study. Results N=196 questionnaires were evaluated. Recovery of working ability was mentioned by most persons as the aim of medical rehabilitation. The most common idea regarding indication for rehabilitation was a specific operation. Physiotherapy was most often considered as therapy during medical rehabilitation. Information about formal steps, realistic aims and rehabilitation clinics were important. A conversation with their physician, written information material and a website were the preferred information pathways. Two-thirds of participants thought that information about medical rehabilitation was important even though they had no rehabilitation indication at the time of survey. Conclusion The identified target-related information needs can be considered in a need-oriented development of information material. These can contribute to an informed decision for members of the German pension insurance for or against medical rehabilitation or an application for rehabilitation. Moreover, patient-oriented information can contribute to more successful rehabilitation participation, higher satisfaction with and a better rating of medical rehabilitation. © Georg Thieme Verlag KG Stuttgart · New York.

HISTORY OF NEUROPSYCHOLOGICAL REHABILITATION

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N. A. Varako

2014-01-01

Full Text Available ABSTRACT. The article reviews the history of neuropsychological rehabilitation. It begins with the description of first rehabilitation programs developed by Paul Broca and Shepherd Franz. Franz’s experimental work for motor recovery in monkeys and correlation between active movement or affected limb immobilization and rehabilitation outcomes are described in further details. Special focus is given on ideas of famous German neurologist and psychiatrist Kurt Goldstein, who laid the foundation for modern approach in rehabilitation. Goldstein developed the idea of connection between rehabilitation and patient’s daily life. He also pointed out the necessity of psychological care of patients with brain damage.Russian neuropsychological approach is presented by its founders L.S. Vygotskiy and A.R. Luriya. Aspects of higher mental processes structure and options of its correction such as “cognitive prosthesis” are described in the sense of the approach.Y. Ben-Yishay, G. Prigatano, B. Wilson represent neuropsychological rehabilitation of the second half of the 20th century. The idea of a holistic approach for rehabilitation consists of such important principles as patient’s active involvement in a process of rehabilitation, work of a special team of rehabilitation professionals, inclusion of patient’s family members. The short review of a new rehabilitation approach for patients in coma, vegetative states and critical patients under resuscitation is given. 

Forensic Ethics and Indirect Practice for the Rehabilitation Counselor

Science.gov (United States)

Barros-Bailey, Mary; Carlisle, Jeffrey; Blackwell, Terry L.

2010-01-01

For nearly 50 years, the specialty area of forensics has emerged as an established practice setting in rehabilitation counseling, and it is predicted to be the fastest-growing area of practice in the profession. Reflecting the increased number of practitioners in the specialty, the revised "Code for Professional Ethics of Rehabilitation…

Priority Scale of Drainage Rehabilitation of Cilacap City

Science.gov (United States)

Rudiono, Jatmiko

2018-03-01

Characteristics of physical condition of Cilacap City is relatively flat and low to sea level (approximately 6 m above sea level). In the event of a relatively heavy rainfall resulting in inundation at several locations. The problem of inundation is a serious problem if there is in a dense residential area or occurs in publicly-used infrastructure, such as roads and settlements. These problems require improved management of which include how to plan a sustainable urban drainage system and environmentally friendly. The development of Cilacap City is increasing rapidly, this causes drainage system based on the Drainage Masterplan Cilacap made in 2006 has not been able to accommodate rain water, so, it is necessary to evaluate the drainage masterplan for subsequent rehabilitation. Priority scale rehabilitation of the drainage sections as a guideline is an urgent need of rehabilitation in the next time period.

[Human-robot global Simulink modeling and analysis for an end-effector upper limb rehabilitation robot].

Science.gov (United States)

Liu, Yali; Ji, Linhong

2018-02-01

Robot rehabilitation has been a primary therapy method for the urgent rehabilitation demands of paralyzed patients after a stroke. The parameters in rehabilitation training such as the range of the training, which should be adjustable according to each participant's functional ability, are the key factors influencing the effectiveness of rehabilitation therapy. Therapists design rehabilitation projects based on the semiquantitative functional assessment scales and their experience. But these therapies based on therapists' experience cannot be implemented in robot rehabilitation therapy. This paper modeled the global human-robot by Simulink in order to analyze the relationship between the parameters in robot rehabilitation therapy and the patients' movement functional abilities. We compared the shoulder and elbow angles calculated by simulation with the angles recorded by motion capture system while the healthy subjects completed the simulated action. Results showed there was a remarkable correlation between the simulation data and the experiment data, which verified the validity of the human-robot global Simulink model. Besides, the relationship between the circle radius in the drawing tasks in robot rehabilitation training and the active movement degrees of shoulder as well as elbow was also matched by a linear, which also had a remarkable fitting coefficient. The matched linear can be a quantitative reference for the robot rehabilitation training parameters.

Rehabilitation Interventions for Children With Cerebral Palsy: A Systematic Review

Directory of Open Access Journals (Sweden)

Ali Abbaskhanian

2015-01-01

Full Text Available Context: Cerebral palsy (CP is a group of movement problems that do not worsen over time. They cause physical disability mainly in areas of body movement. It is caused by damage to the motor control centers of developing brain. Management of a child with CP to optimize functional abilities, typically includes the input of many disciplines, including occupational therapy (OT, physical therapy (PT and orthotic treatment. The main aim of this review was to compare the effects of most common rehabilitation intervention on CP. Evidence Acquisition: This systematic review was conducted on published papers that studied rehabilitation interventions approaches for children with CP. A literature search was performed using PubMed, SCOPUS and Google Scholar on papers published from January 1990 to October 2014. Results: From 125 articles related to rehabilitation interventions for children with Cerebral palsy, 36 articles met the inclusion criteria. Conclusions: The efficacy of rehabilitation interventions for children with CP is still inconclusive. Functional ability and social participation should be the main outcome measures in evaluating rehabilitation efficacy.

Motor Rehabilitation Using Kinect: A Systematic Review.

Science.gov (United States)

Da Gama, Alana; Fallavollita, Pascal; Teichrieb, Veronica; Navab, Nassir

2015-04-01

Interactive systems are being developed with the intention to help in the engagement of patients on various therapies. Amid the recent technological advances, Kinect™ from Microsoft (Redmond, WA) has helped pave the way on how user interaction technology facilitates and complements many clinical applications. In order to examine the actual status of Kinect developments for rehabilitation, this article presents a systematic review of articles that involve interactive, evaluative, and technical advances related to motor rehabilitation. Systematic research was performed in the IEEE Xplore and PubMed databases using the key word combination "Kinect AND rehabilitation" with the following inclusion criteria: (1) English language, (2) page number >4, (3) Kinect system for assistive interaction or clinical evaluation, or (4) Kinect system for improvement or evaluation of the sensor tracking or movement recognition. Quality assessment was performed by QualSyst standards. In total, 109 articles were found in the database research, from which 31 were included in the review: 13 were focused on the development of assistive systems for rehabilitation, 3 in evaluation, 3 in the applicability category, 7 on validation of Kinect anatomic and clinical evaluation, and 5 on improvement techniques. Quality analysis of all included articles is also presented with their respective QualSyst checklist scores. Research and development possibilities and future works with the Kinect for rehabilitation application are extensive. Methodological improvements when performing studies on this area need to be further investigated.

The use of video capture virtual reality in burn rehabilitation: the possibilities.

Science.gov (United States)

Haik, Josef; Tessone, Ariel; Nota, Ayala; Mendes, David; Raz, Liat; Goldan, Oren; Regev, Elli; Winkler, Eyal; Mor, Elisheva; Orenstein, Arie; Hollombe, Ilana

2006-01-01

We independently explored the use of the Sony PlayStation II EyeToy (Sony Corporation, Foster City, CA) as a tool for use in the rehabilitation of patients with severe burns. Intensive occupational and physical therapy is crucial in minimizing and preventing long-term disability for the burn patient; however, the therapist faces a difficult challenge combating the agonizing pain experienced by the patient during therapy. The Sony PlayStation II EyeToy is a projected, video-capture system that, although initially developed as a gaming environment for children, may be a useful application in a rehabilitative context. As compared with other virtual reality systems the EyeToy is an efficient rehabilitation tool that is sold commercially at a relatively low cost. This report presents the potential advantages for use of the EyeToy as an innovative rehabilitative tool with mitigating effects on pain in burn rehabilitation. This new technology represents a challenging and motivating way for the patient to immerse himself or herself in an alternate reality while undergoing treatment, thereby reducing the pain and discomfort he or she experiences. This simple, affordable technique may prove to heighten the level of patient cooperation and therefore speed the process of rehabilitation and return of functional ability.

Multifamily Housing Rehabilitation Process Improvements

Energy Technology Data Exchange (ETDEWEB)

Sweet, Marshall L. [Partnership for Home Innovation, Upper Marlboro, MD (United States); Francisco, Abby [Partnership for Home Innovation, Upper Marlboro, MD (United States); Roberts, Sydney G. [Partnership for Home Innovation, Upper Marlboro, MD (United States)

2016-03-01

Rea Ventures Group, LLC (Rea Ventures) partnered with Southface Energy Institute (Southface)—a member of the U.S. Department of Energy’s Partnership for Home Innovation Building America research team—to rehabilitate 418 low-income multifamily rental apartments located at 14 properties in Georgia (International Energy Conservation Code Climate Zones 2–4). These 22-year-old units with individual utility meters were arranged in row house or townhouse style. Rehabilitation plans were developed using a process prescribed by the U.S. Department of Agriculture (USDA) Rural Development program, which partially funded the building upgrades. The USDA is responsible for building, upgrading, and subsidizing housing in rural areas nationwide; this housing includes more than 14,000 existing multifamily housing developments. In 2012, more than $100 million in grants and loans were allocated for that purpose.

Cancer rehabilitation in Denmark

DEFF Research Database (Denmark)

Hansen, Helle Ploug; Tjørnhøj-Thomsen, Tine

2008-01-01

A fundamental assumption behind cancer rehabilitation in many Western societies is that cancer survivors can return to normal life by learning to deal with the consequences of their illness and their treatment. This assumption is supported by increasing political attention to cancer rehabilitation...... and a growth in residential cancer-rehabilitation initiatives in Denmark (Danish Cancer Society 1999; Government of Denmark 2003). On the basis of their ethnographic fieldwork in residential-cancer rehabilitation courses, the authors examine the new rehabilitation discourse. They argue that this discourse has...

77 FR 37025 - Final Priority: Disability Rehabilitation Research Project-Burn Model Systems Centers

Science.gov (United States)

2012-06-20

... populations that experience inequitable treatment and poor outcomes in the vocational rehabilitation process..., competitive preference, or invitational through a notice in the Federal Register. The effect of each type of... the priority (34 CFR 75.105(c)(3)). Competitive preference priority: Under a competitive preference...

Why Do Patients with COPD Decline Rehabilitation

DEFF Research Database (Denmark)

Mathar, Helle; Fastholm, Pernille; Hansen, Ida Rode

2016-01-01

AIM: This paper aimed to suggest possible answers to the question: Why do patients with COPD decline pulmonary rehabilitation (PR)? METHOD: The study is a metasynthesis inspired by Noblit of the existing qualitative research on the area. The data were collected during 2014. Six studies were found...

Quality Assurance Project Plan for Closure of the Central Facilities Area Sewage Treatment Plant Lagoon 3 and Land Application Area

International Nuclear Information System (INIS)

Lewis, Michael G.

2016-01-01

This quality assurance project plan describes the technical requirements and quality assurance activities of the environmental data collection/analyses operations to close Central Facilities Area Sewage treatment Plant Lagoon 3 and the land application area. It describes the organization and persons involved, the data quality objectives, the analytical procedures, and the specific quality control measures to be employed. All quality assurance project plan activities are implemented to determine whether the results of the sampling and monitoring performed are of the right type, quantity, and quality to satisfy the requirements for closing Lagoon 3 and the land application area.

Quality Assurance Project Plan for Closure of the Central Facilities Area Sewage Treatment Plant Lagoon 3 and Land Application Area

Energy Technology Data Exchange (ETDEWEB)

Lewis, Michael G. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

2016-10-01

This quality assurance project plan describes the technical requirements and quality assurance activities of the environmental data collection/analyses operations to close Central Facilities Area Sewage treatment Plant Lagoon 3 and the land application area. It describes the organization and persons involved, the data quality objectives, the analytical procedures, and the specific quality control measures to be employed. All quality assurance project plan activities are implemented to determine whether the results of the sampling and monitoring performed are of the right type, quantity, and quality to satisfy the requirements for closing Lagoon 3 and the land application area.

How a diverse research ecosystem has generated new rehabilitation technologies: Review of NIDILRR's Rehabilitation Engineering Research Centers.

Science.gov (United States)

Reinkensmeyer, David J; Blackstone, Sarah; Bodine, Cathy; Brabyn, John; Brienza, David; Caves, Kevin; DeRuyter, Frank; Durfee, Edmund; Fatone, Stefania; Fernie, Geoff; Gard, Steven; Karg, Patricia; Kuiken, Todd A; Harris, Gerald F; Jones, Mike; Li, Yue; Maisel, Jordana; McCue, Michael; Meade, Michelle A; Mitchell, Helena; Mitzner, Tracy L; Patton, James L; Requejo, Philip S; Rimmer, James H; Rogers, Wendy A; Zev Rymer, W; Sanford, Jon A; Schneider, Lawrence; Sliker, Levin; Sprigle, Stephen; Steinfeld, Aaron; Steinfeld, Edward; Vanderheiden, Gregg; Winstein, Carolee; Zhang, Li-Qun; Corfman, Thomas

2017-11-06

Over 50 million United States citizens (1 in 6 people in the US) have a developmental, acquired, or degenerative disability. The average US citizen can expect to live 20% of his or her life with a disability. Rehabilitation technologies play a major role in improving the quality of life for people with a disability, yet widespread and highly challenging needs remain. Within the US, a major effort aimed at the creation and evaluation of rehabilitation technology has been the Rehabilitation Engineering Research Centers (RERCs) sponsored by the National Institute on Disability, Independent Living, and Rehabilitation Research. As envisioned at their conception by a panel of the National Academy of Science in 1970, these centers were intended to take a "total approach to rehabilitation", combining medicine, engineering, and related science, to improve the quality of life of individuals with a disability. Here, we review the scope, achievements, and ongoing projects of an unbiased sample of 19 currently active or recently terminated RERCs. Specifically, for each center, we briefly explain the needs it targets, summarize key historical advances, identify emerging innovations, and consider future directions. Our assessment from this review is that the RERC program indeed involves a multidisciplinary approach, with 36 professional fields involved, although 70% of research and development staff are in engineering fields, 23% in clinical fields, and only 7% in basic science fields; significantly, 11% of the professional staff have a disability related to their research. We observe that the RERC program has substantially diversified the scope of its work since the 1970's, addressing more types of disabilities using more technologies, and, in particular, often now focusing on information technologies. RERC work also now often views users as integrated into an interdependent society through technologies that both people with and without disabilities co-use (such as the internet

PATHway: Decision Support in Exercise Programmes for Cardiac Rehabilitation.

Science.gov (United States)

Filos, Dimitris; Triantafyllidis, Andreas; Chouvarda, Ioanna; Buys, Roselien; Cornelissen, Véronique; Budts, Werner; Walsh, Deirdre; Woods, Catherine; Moran, Kieran; Maglaveras, Nicos

2016-01-01

Rehabilitation is important for patients with cardiovascular diseases (CVD) to improve health outcomes and quality of life. However, adherence to current exercise programmes in cardiac rehabilitation is limited. We present the design and development of a Decision Support System (DSS) for telerehabilitation, aiming to enhance exercise programmes for CVD patients through ensuring their safety, personalising the programme according to their needs and performance, and motivating them toward meeting their physical activity goals. The DSS processes data originated from a Microsoft Kinect camera, a blood pressure monitor, a heart rate sensor and questionnaires, in order to generate a highly individualised exercise programme and improve patient adherence. Initial results within the EU-funded PATHway project show the potential of our approach.

Measuring acute rehabilitation needs in trauma: preliminary evaluation of the Rehabilitation Complexity Scale.

Science.gov (United States)

Hoffman, Karen; West, Anita; Nott, Philippa; Cole, Elaine; Playford, Diane; Liu, Clarence; Brohi, Karim

2013-01-01

Injury severity, disability and care dependency are frequently used as surrogate measures for rehabilitation requirements following trauma. The true rehabilitation needs of patients may be different but there are no validated tools for the measurement of rehabilitation complexity in acute trauma care. The aim of the study was to evaluate the potential utility of the Rehabilitation Complexity Scale (RCS) version 2 in measuring acute rehabilitation needs in trauma patients. A prospective observation study of 103 patients with traumatic injuries in a Major Trauma Centre. Rehabilitation complexity was measured using the RCS and disability was measured using the Barthel Index. Demographic information and injury characteristics were obtained from the trauma database. The RCS was closely correlated with injury severity (r=0.69, p<0.001) and the Barthel Index (r=0.91, p<0.001). However the Barthel was poor at discriminating between patients rehabilitation needs, especially for patients with higher injury severities. Of 58 patients classified as 'very dependent' by the Barthel, 21 (36%) had low or moderate rehabilitation complexity. The RCS correlated with acute hospital length of stay (r=0.64, p=<0.001) and patients with a low RCS were more likely to be discharged home. The Barthel which had a flooring effect (56% of patients classified as very dependent were discharged home) and lacked discrimination despite close statistical correlation. The RCS outperformed the ISS and the Barthel in its ability to identify rehabilitation requirements in relation to injury severity, rehabilitation complexity, length of stay and discharge destination. The RCS is potentially a feasible and useful tool for the assessment of rehabilitation complexity in acute trauma care by providing specific measurement of patients' rehabilitation requirements. A larger longitudinal study is needed to evaluate the RCS in the assessment of patient need, service provision and trauma system performance

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

Science.gov (United States)

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

2013-01-01

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

Qualitative research in rehabilitation science: opportunities, challenges, and future directions.

Science.gov (United States)

VanderKaay, Sandra; Moll, Sandra E; Gewurtz, Rebecca E; Jindal, Pranay; Loyola-Sanchez, Adalberto; Packham, Tara L; Lim, Chun Y

2018-03-01

Qualitative research has had a significant impact within rehabilitation science over time. During the past 20 years the number of qualitative studies published per year in Disability and Rehabilitation has markedly increased (from 1 to 54). In addition, during this period there have been significant changes in how qualitative research is conceptualized, conducted, and utilized to advance the field of rehabilitation. The purpose of this article is to reflect upon the progress of qualitative research within rehabilitation to date, to explicate current opportunities and challenges, and to suggest future directions to continue to strengthen the contribution of qualitative research in this field. Relevant literature searches were conducted in electronic data bases and reference lists. Pertinent literature was examined to identify current opportunities and challenges for qualitative research use in rehabilitation and to identify future directions. Six key areas of opportunity and challenge were identified: (a) paradigm shifts, (b) advancements in methodology, (c) emerging technology, (d) advances in quality evaluation, (e) increasing popularity of mixed methods approaches, and (f) evolving approaches to knowledge translation. Two important future directions for rehabilitation are posited: (1) advanced training in qualitative methods and (2) engaging qualitative communities of research. Qualitative research is well established in rehabilitation and has an important place in the continued growth of this field. Ongoing development of qualitative researchers and methods are essential. Implications for Rehabilitation Qualitative research has the potential to improve rehabilitation practice by addressing some of the most pervasive concerns in the field such as practitioner-client interaction, the subjective and lived experience of disability, and clinical reasoning and decision making. This will serve to better inform those providing rehabilitation services thereby benefiting

Accelerometer-based wireless body area network to estimate intensity of therapy in post-acute rehabilitation

Directory of Open Access Journals (Sweden)

Hamel Mathieu

2008-09-01

Full Text Available Abstract Background It has been suggested that there is a dose-response relationship between the amount of therapy and functional recovery in post-acute rehabilitation care. To this day, only the total time of therapy has been investigated as a potential determinant of this dose-response relationship because of methodological and measurement challenges. The primary objective of this study was to compare time and motion measures during real life physical therapy with estimates of active time (i.e. the time during which a patient is active physically obtained with a wireless body area network (WBAN of 3D accelerometer modules positioned at the hip, wrist and ankle. The secondary objective was to assess the differences in estimates of active time when using a single accelerometer module positioned at the hip. Methods Five patients (77.4 ± 5.2 y with 4 different admission diagnoses (stroke, lower limb fracture, amputation and immobilization syndrome were recruited in a post-acute rehabilitation center and observed during their physical therapy sessions throughout their stay. Active time was recorded by a trained observer using a continuous time and motion analysis program running on a Tablet-PC. Two WBAN configurations were used: 1 three accelerometer modules located at the hip, wrist and ankle (M3 and 2 one accelerometer located at the hip (M1. Acceleration signals from the WBANs were synchronized with the observations. Estimates of active time were computed based on the temporal density of the acceleration signals. Results A total of 62 physical therapy sessions were observed. Strong associations were found between WBANs estimates of active time and time and motion measures of active time. For the combined sessions, the intraclass correlation coefficient (ICC was 0.93 (P ≤ 0.001 for M3 and 0.79 (P ≤ 0.001 for M1. The mean percentage of differences between observation measures and estimates from the WBAN of active time was -8.7% ± 2.0% using

Underground Test Area Quality Assurance Project Plan Nevada National Security Site, Nevada, Revision 0

Energy Technology Data Exchange (ETDEWEB)

Irene Farnham

2011-05-01

This Quality Assurance Project Plan (QAPP) provides the overall quality assurance (QA) program requirements and general quality practices to be applied to the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO) Underground Test Area (UGTA) Sub-Project (hereafter the Sub-Project) activities. The requirements in this QAPP are consistent with DOE Order 414.1C, Quality Assurance (DOE, 2005); U.S. Environmental Protection Agency (EPA) Guidance for Quality Assurance Project Plans for Modeling (EPA, 2002); and EPA Guidance on the Development, Evaluation, and Application of Environmental Models (EPA, 2009). The QAPP Revision 0 supersedes DOE--341, Underground Test Area Quality Assurance Project Plan, Nevada Test Site, Nevada, Revision 4.

Lifestyle intervention for type 2 diabetes patients: trial protocol of The Copenhagen Type 2 Diabetes Rehabilitation Project

DEFF Research Database (Denmark)

Vadstrup, Eva S; Frølich, Anne; Perrild, Hans

2009-01-01

BACKGROUND: Current guidelines recommend education, physical activity and changes in diet for type 2 diabetes patients, yet the composition and organization of non-pharmacological care are still controversial. Therefore, it is very important that programmes aiming to improve non-pharmacological t......BACKGROUND: Current guidelines recommend education, physical activity and changes in diet for type 2 diabetes patients, yet the composition and organization of non-pharmacological care are still controversial. Therefore, it is very important that programmes aiming to improve non...... and physical fitness will be examined after 6, 12 and 24 months. DISCUSSION: The Copenhagen Type 2 Diabetes Rehabilitation Project evaluates a multi-disciplinary non-pharmacological intervention programme in a primary care setting and provides important information about how to organize non...... programme consists of empowerment-based education, supervised exercise and dietary intervention. The effectiveness of this multi-disciplinary intervention is compared with conventional individual counselling in a Diabetes Outpatient Clinic and evaluated in a prospective and randomized controlled trial...

[Rehabilitation in rheumatology].

Science.gov (United States)

Luttosch, F; Baerwald, C

2010-10-01

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

Evaluation and rehabilitation of corrosion damaged reinforced concrete structures

International Nuclear Information System (INIS)

Paul, I.S.

1999-01-01

For the last two decades, rehabilitation of corrosion damaged concrete structures has been one of the most important challenges faced by the construction industry throughout the world. The extent of the damage is significant in cold climates and also in hot and humid climates. In both cases, the corrosion is invariably initiated by ingress of salts into the concrete either from de-icing salts used on roads, or from salt-laden air, soils or ground water. However, there is a contrast in sites of distress in the two climatic regions mentioned above. In cold climates, where de-icing salts are used, the damage is generally to superstructures and is therefore visible, but in hot, humid coastal regions damage is primarily in the substructures and may not be so clearly apparent. This paper presents the corrosion mechanism in concrete deterioration, the methods of evaluation of the damaged structures, and rehabilitation strategies. A case history of a concrete rehabilitation project is included together with some lessons learned in rehabilitation of corrosion damaged structures. Recommendations are made for maintenance of concrete structures and a warning is issued that salt run-off from roads in cold climates may cause distress in below ground concrete structures, similar to structures in hot and humid climates with saline groundwater and soils. (author)

Preliminary Evaluation of a Personal Healthcare System Prototype for Cognitive eRehabilitation in a Living Assistance Domain

Directory of Open Access Journals (Sweden)

Matteo Pastorino

2014-06-01

Full Text Available The integration of rehabilitation systems in an ambient assisted living environment can provide a powerful and versatile tool for long-term stroke rehabilitation goals. This paper introduces a novel concept of a personalized cognitive rehabilitation system in a naturalistic setting. The proposed platform was developed within the CogWatch project, with the intent of fostering independence in activities of daily living in patients with apraxia and action disorganization syndrome. Technical usability was evaluated in a series of pilot experiments, which illustrate how this approach may help to retrain patients in activities of daily living. The first system prototype has been tested with 36 participants divided into three groups, providing an exploratory evaluation of the usability of this solution and its acceptability. The technical solutions used within the CogWatch project are targeted to meet both the end users’ needs from the interaction and usability point of views and the clinical requirements associated with the use of such systems. The challenges behind the development of ambient assisted living systems for cognitive rehabilitation are discussed.

Project evaluation for energy supply in rural areas of developing countries

DEFF Research Database (Denmark)

Vidal, Rene Victor Valqui; Christensen, J. M.

1990-01-01

This paper reports the methodological experiences of the project: Energy Supply Technologies in Developing Countries, carried out in collaboration with the Department of Energy, Zambia. Existing methods for project evaluation, based on cost-benefit analysis, will be briefly presented, particularly...... as regards their inadequacy for assessing energy projects in rural areas.An alternative practical and PC-based approach will be presented in which emphasis is placed on the problem formulation phase, including the socio-economic, cultural and political aspects of the problem. This approach has been prepared...

Abundance of arbuscular mychorrizal fungi in rehabilitation area of nickel post-mining land of Sorowako, South Sulawesi

Science.gov (United States)

Akib, M. A.; Mustari, K.; Kuswinanti, T.; Syaiful, S. A.

2018-05-01

Acceleration management of land rehabilitation in nickel post-mining in Sorowako has been main attention of Vale Indonesia. This acceleration can be done by utilizing of natural resources, especially indigenous endomycorrhiza. Endomycorrhiza also called arbuscular mycorrhizal has got a lot of attention for its ability to form a mutualistic symbiosis with 80% - 96% of plant species. This study aims to determine the dominance of indigenous endomycorrhiza spores and its potential to accelerate the management of land rehabilitation post-mining of nickel, which is carried out in three stages; sampling rhizosphere, trapping spores, isolation and identification of the arbuscular mycorrhizal spores types. The results showed that the dominance of indigenous endomycorrhiza were Acalauspora sp (75.1%), Gigaspora sp (19.4%) and Glomus sp (5.6%). Research on the effectiveness of indigenous endomycorrhiza using Acalauspora sp in land rehabilitation of nickel post-mining is still ongoing.

Increasing patient engagement in rehabilitation exercises using computer-based citizen science.

Science.gov (United States)

Laut, Jeffrey; Cappa, Francesco; Nov, Oded; Porfiri, Maurizio

2015-01-01

Patient motivation is an important factor to consider when developing rehabilitation programs. Here, we explore the effectiveness of active participation in web-based citizen science activities as a means of increasing participant engagement in rehabilitation exercises, through the use of a low-cost haptic joystick interfaced with a laptop computer. Using the joystick, patients navigate a virtual environment representing the site of a citizen science project situated in a polluted canal. Participants are tasked with following a path on a laptop screen representing the canal. The experiment consists of two conditions: in one condition, a citizen science component where participants classify images from the canal is included; and in the other, the citizen science component is absent. Both conditions are tested on a group of young patients undergoing rehabilitation treatments and a group of healthy subjects. A survey administered at the end of both tasks reveals that participants prefer performing the scientific task, and are more likely to choose to repeat it, even at the cost of increasing the time of their rehabilitation exercise. Furthermore, performance indices based on data collected from the joystick indicate significant differences in the trajectories created by patients and healthy subjects, suggesting that the low-cost device can be used in a rehabilitation setting for gauging patient recovery.

Belarus: Towards a new post-Chernobyl rehabilitation strategy

International Nuclear Information System (INIS)

Trofimchik, Z.

2004-01-01

Today, Belarus still has to deal with many problems that resulted owing to the extensive contamination of its territory after the Chernobyl accident. These problems remain omnipresent in everyday life of the affected population and have a continuous impact on the economic well being of the country. This paper describes the major changes that have been carried out in the rehabilitation strategies in Belarus since the Chernobyl accident. The evolution of the legal and administrative framework for rehabilitation and actions taken in this context over the past two decades are summarized. The continuing challenges faced by the population in the affected areas are discussed and the key principles underlying rehabilitation strategies (that are both practicable and accepted) are identified. The latter include openness, voluntary participation, collective decision-making and empowerment of local population and professionals. These principles have underpinned the development of recent national and international initiatives that are described. (authors)

[The Role of Physician In Enhancement of Rehabilitation of Disabled Children].

Science.gov (United States)

Nizova, L M; Kislisyna, I G

2017-09-01

The national and international experience of rehabilitation of disabled children was investigated. On the basis of monitoring data problem of increasing of number of children with diagnosis of infantile cerebral paralysis, including necessity of development of new methods of their rehabilitation was established. The comparative dynamics of nosology of disabled children permitted to detect diseases of nervous system and congenital abnormalities (malformations), deformations and chromosomal disorders, psychological disorders and behavioral disorders mostly specific for urban and rural area. The model of institutional environment of rehabilitation of disabled children was developed including system of formal (state, legislative acts, health institutions, organizations of social support of population)and non-formal (public, non-commercial and social psychological organizations) institutions impacted by economic, social,legal and demographic factors. The role of physician is substantiated concerning increasing of quality of rehabilitation services: diagnostic of disordered functions, detection of optimal volume of medical, psychological and pedagogue activities in patients with severe speech disorders, motoric and and neuro-censorial disorders developed as a result of early organic damage of brain, neuro-infections, strokes, and other affection of brain. The adequate curative rehabilitative complex programs were developed of social everyday and social labor rehabilitation.

77 FR 21547 - Proposed Priorities; Disability and Rehabilitation Research Projects and Centers Program

Science.gov (United States)

2012-04-10

... recreational technologies that need to be tested for use by individuals with disabilities. For example, virtual reality (VR) and body movement tracking video-game technologies offer an emerging and highly promising...). Currently, therapy robots are found only in large medical and rehabilitation centers. There is a need to...

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

Science.gov (United States)

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

2018-01-01

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

Rehabilitation and education are underutilized for mild stroke and TIA sufferers.

Science.gov (United States)

Faux, Steven G; Arora, Pooja; Shiner, Christine T; Thompson-Butel, Angelica G; Klein, Linda A

2018-06-01

Transient ischemic attack (TIA) and mild stroke represent a large proportion of cerebrovascular events, at high risk of being followed by recurrent, serious events. The importance of early education addressing risk management, secondary prevention and lifestyle modifications is the centerpiece of further stroke prevention. However, delivering education and rehabilitation to this population can be complex and challenging. Via synthesis of a narrative review and clinical experience, we explore the unique and inherent complexities of rehabilitation management and education provision for patients following mild stroke and TIA. A considerable proportion of TIA/mild stroke survivors have ongoing rehabilitation needs that are poorly addressed. The need for rehabilitation in these patients is often overlooked, and available assessment tools lack the sensitivity to identify common subtle impairments in cognition, mood, language and fatigue. Active and accessible education interventions need to be initiated early after the event, and integrated with ongoing rehabilitation management. Priority areas in need of future development in this field are highlighted and discussed. Implications for rehabilitation Survivors of mild stroke and TIA have ongoing unmet rehabilitation needs and require a unique approach to rehabilitation and education. Rehabilitation needs are difficult to assess and poorly addressed in this cohort, where available assessment tools lack the sensitivity required to identify subtle impairments. Education needs to be initiated early after the event and involve active engagement of the patient in order to improve stroke knowledge, mood and motivate adherence to lifestyle modifications and secondary prevention. Rehabilitation physicians are currently an underutilized resource, who should be more involved in the management of all patients following TIA or mild stroke.

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

Science.gov (United States)

Jansen, E; Hänel, P; Klingler, C

2018-07-01

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

Qualitative exploration of the benefits of group-based memory rehabilitation for people with neurological disabilities: implications for rehabilitation delivery and evaluation.

Science.gov (United States)

Chouliara, Niki; Lincoln, Nadina B

2016-09-19

To identify patient-perceived benefits of memory rehabilitation and draw transferrable lessons for the delivery and evaluation of similar interventions for people with neurological disabilities. A qualitative study was conducted as part of a pragmatic randomised controlled trial comparing 2 memory rehabilitation approaches with a self-help control group. Postintervention interviews were conducted with 20 participants with a diagnosis of traumatic brain injury, multiple sclerosis or stroke. Data were analysed using a qualitative content analysis approach. Participants receiving memory rehabilitation reported that the sessions responded to previously unmet needs for information on brain injury and memory function and developed their insight along with a sense of self-efficacy and control over the management of their memory problems. Although they did not experience major improvements in their memory function per se, they reported that rehabilitation gave them the skills to effectively cope with the residual deficits. Respondents in the control groups did not report similar benefits. The opportunities for interaction offered by the group setting were greatly valued by all respondents. Mixed aetiology groups were received positively; however, marked differences in cognitive performance were frustrating for some participants. The study highlighted important patient-perceived outcomes that should be considered by researchers and rehabilitation professionals when evaluating the effects of memory rehabilitation. The use of domain-specific outcome measures which reflect these areas is recommended. Qualitative changes in the use of memory aids may be achieved which cannot be captured by frequency indices alone. The benefits of the group-based rehabilitation approach were stressed by participants, suggesting that a combination of group and individual sessions might be a good practice. ISRCTN92582254; Results. Published by the BMJ Publishing Group Limited. For permission to

Responding to the health and rehabilitation needs of people with disabilities post-Haiyan

Directory of Open Access Journals (Sweden)

Mylene Rose Benigno

2015-11-01

Full Text Available Introduction: It is estimated that 15% of the world’s population has a disability, and disasters increase their risk and vulnerability. Rehabilitation services were limited in the area of the Philippines that was affected by Typhoon Haiyan. This study describes the initial rehabilitation needs assessment and activities to increase rehabilitation services conducted in Leyte province of Region 8 after Haiyan. Method: A rehabilitation needs assessment for people with disabilities and injuries needing physical and functional rehabilitation care and assistive devices was conducted in health facilities, evacuation centres and selected municipalities in Leyte province between 9 November 2013 and 30 April 2014 by a consortium of agencies. Improvements to service delivery and referrals were documented. Results: Rehabilitation services were reduced immediately after Haiyan, but they increased in the following months and peaked four months after Haiyan. There were 2998 individuals needing medicine and rehabilitation management, functional care and assistive devices. These included persons with pre-existing disabilities whose situations had worsened and people who had sustained injuries in the typhoon. Additional improvements included rehabilitation services with provision of assistive devices at the regional hospital, development of a directory of disability services in the region and advocacy through community-based rehabilitation. Discussion: Information services and community knowledge for people with disabilities improved in Region 8 after Typhoon Haiyan, demonstrating that strengthening rehabilitation systems is a realistic goal after disasters.

Salt Lake City Area Integrated Projects: Rate adjustment: Environmental assessment

International Nuclear Information System (INIS)

1990-08-01

The Department of Energy (DOE) has determined that the proposed firm power rate increase for the Salt Lake City Area Integrated Projects (Integrated Projects) power would not constitute a major Federal action significantly affecting the quality of the human environment within the meaning of the National Environmental Policy Act of 1969 (NEPA, 42 USC 4321, et seq.) and, as such, does not require the preparation of an environmental impact statement (EIS). This determination is based on an environmental assessment (EA) prepared by the Western Area Power Administration (Western) dated August 1990 (DOE/EA-0457). The EA identifies and evaluates the potential environmental and socioeconomic effects of the proposed action, and based on the analysis contained therein, DOE concludes that the impacts to the human environment resulting from the implementation of the rate increase would be insignificant

Action research in rehabilitation with chronic stroke recovery: A case report with a focus on neural plasticity.

Science.gov (United States)

Pedersen, Malene; Bundgaard, Tina H; Zeeman, Peter; Jørgensen, Jørgen R; Sørensen, Peter M B; Berro, Hamza M; Larsson, Bodil W

2016-06-27

Chronic stroke patients are primarily referred to general rehabilitation, rather than to specific neurorehabilitation. Currently, there are no Danish clinical guidelines for chronic stroke, but recent research in neuroplasticity has contributed to possible rehabilitation interventions for these patients. The purpose of this project is to describe the use of a specialized neuroplastic approach in combination with an already existing training program. The project is designed as an action research project concerning four participants with chronic stroke. Through ten intervention, a neuroplastic focus has been added to their group training program including daily home training. Participants were tested before and after the intervention with MAS, DGI, 6MWT, SSQLS. All four participants improved their functional levels and their quality of life following the intervention. This report indicates that a specific neuroplastic focus in combination with action research has an impact on the participants with chronic stroke. However, there is still no clarity regarding what type of rehabilitation methods can be considered the most efficacious in promoting neuroplasticity. This case report serves as a pilot project for further studies of how to implement neuroplasticity in physical therapy.

[Interactive augmented reality systems : Aid for personalized patient education and rehabilitation].

Science.gov (United States)

Bork, F

2018-04-01

During patient education, information exchange plays a critical role both for patient compliance during medical or rehabilitative treatment and for obtaining an informed consent for an operative procedure. In this article the augmented reality system "Magic Mirror" as an additive tool during patient education, rehabilitation as well as anatomical education is highlighted. The Magic Mirror system allows the user of the system to inspect both a detailed model of the 3‑dimensional anatomy of the human body and volumetric slice images in a virtual mirror environment. First preliminary results from the areas of rehabilitation and learning anatomy indicate the broad potential of the Magic Mirror. Similarly, the system also provides interesting advantages for patient education situations in comparison to traditional methods of information exchange. Novel technologies, such as augmented reality are a door opener for many innovations in medicine. In the future, patient-specific systems, such as the Magic Mirror will be used increasingly more in areas such as patient education and rehabilitation. In order to maximize the benefits of such systems, further evaluation studies are necessary to find out about the best use cases and to start an iterative optimization process of these systems.

Frequently Asked Questions about Physical Medicine and Rehabilitation

Science.gov (United States)

... a Physiatrist Do What is the Difference Between Physical Therapy and Physiatry What Conditions Do Physiatrists Treat What ... on one area such as pediatrics, sports medicine, geriatric medicine, brain injury, and many ... Academy of Physical Medicine and Rehabilitation (AAPM&R) represents more than ...

Stroke rehabilitation.

Science.gov (United States)

Langhorne, Peter; Bernhardt, Julie; Kwakkel, Gert

2011-05-14

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

Current state of craniofacial prosthetic rehabilitation.

Science.gov (United States)

Ariani, Nina; Visser, Anita; van Oort, Robert P; Kusdhany, Lindawati; Rahardjo, Tri Budi W; Krom, Bastiaan P; van der Mei, Henry C; Vissink, Arjan

2013-01-01

This study aimed to review the current state of the techniques and materials used to rehabilitate maxillofacial defects. The MEDLINE and EMBASE databases were searched for articles pertinent to maxillofacial prostheses published from January 1990 to July 2011. The main clinical stages were the subject of analysis. A multidisciplinary approach is preferred when rehabilitating maxillofacial defects. Surgical reconstruction can be used for smaller defects, but larger defects require a prosthesis to achieve an esthetic rehabilitation. Implant retained prostheses are preferred over adhesive prostheses. Silicone elastomer is currently the best material available for maxillofacial prostheses; however, longevity and discoloration, which are greatly influenced by ultraviolet radiation, microorganisms, and environmental factors, remain significant problems. In the near future, the widespread availability and cost effectiveness of digital systems may improve the workflow and outcomes of facial prostheses. Patients report high satisfaction with their prostheses despite some areas that still need improvement. Maxillofacial prostheses are a reliable treatment option to restore maxillofacial defects and improve quality of life. Significant progress has been made in the application of implants for retention and digital technology for designing surgical guides, suprastructures, and craniofacial prostheses. Further improvements are necessary to enhance longevity of prostheses.

Exercise after Stroke: Patient Adherence and Beliefs after Discharge from Rehabilitation.

Science.gov (United States)

Miller, Kristine K; Porter, Rebecca E; DeBaun-Sprague, Erin; Van Puymbroeck, Marieke; Schmid, Arlene A

2017-03-01

Most people complete post-stroke rehabilitation within the first 6 months after stroke even though benefits from exercise are believed to persist well beyond 6 months. Physical and Occupational therapists provide home exercise programs (HEP) to instruct patients on exercises to continue after discharge from rehabilitation. Unfortunately, there is little known about HEP adherence rates in adults with stroke. The objectives of this project were to (1) determine the adherence rate with post-rehabilitation HEP and reasons for non-adherence, (2) assess for interactions between HEP adherence and self-report of depression and fatigue, and (3) determine patient beliefs about the benefit of exercise during stroke recovery. This was a cross-sectional, survey study. A survey was developed and distributed during stroke support group meetings to determine adherence rates with post rehabilitation HEP, reasons for non-adherence, and patient beliefs about the benefit of exercise. Eighty-nine percent of participants reported receiving a HEP and 65.3% of those reported being adherent with at least part of the HEP. Several reasons for non-adherence were identified, including 'doing different exercises than the ones given by the physical therapist', as the most frequently given reason. Study participants identified positive roles of exercise in their recovery from stroke. Patient adherence with HEP after discharge from rehabilitation is less than ideal. Reasons for non-adherence are varied. Rehabilitation therapists need to be able to identify and help patients manage barriers to HEP adherence to promote management of residual deficits.

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

Science.gov (United States)

Barolin, G. S.

1996-01-01

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

About rehabilitation of vegetation of disturbed ecosystems of the Semipalatinsk test sites

International Nuclear Information System (INIS)

Plisak, R.P.; Plisak, S.V.

2005-01-01

Full text: Semipalatinsk Test Sites are the place where 470 nuclear tests were conducted in 1949-1989: 26 surface, 87 air, 357 underground. Total area of polluted territories within the test sites reaches 400 square kilometers and 32 squire kilometers at adjoining territory. Radioactive precipitation spread at the territory of 304 thousand square kilometers by traces of radioactive clouds. The precipitation promoted negative processes in environment and damaged public health. One of the most negative factors is products of nuclear decay after underground nuclear tests. They accumulate in soil. Vertical and horizontal migration of radionuclides occurs. The radionuclides accumulate in plants and reach human organism through food chain. Vegetation cover of former Semipalatinsk Test Sites was partly destroyed or damaged on the test sites mentioned above. Nuclear explosions, military and technical construction, building of roads and communication network were conducted out here. Present vegetation cover of breached areas is represented by plant aggregations and communities. They are attributed to different stages of the process of restoration of initial (steppe) vegetation. Rates of rehabilitation of breached ecosystems are conditioned by degree of moisture and properties of formed technogene substratum (soil texture, presence of detritus, and quantity of fine earth). The higher rates of rehabilitation of breached vegetation are typical for ecosystems of flood lands, depressions between hills and slopes of hills of northern exposition. Rehabilitation of zonal ecosystems (sagebrush-eather-grass communities on light chestnut soils) in conditions of arid climate and insignificant water content in substratum of technogene objects proceeds slowly. Rates of restoration of haloxerophyte communities are conditioned by additional moistening of surface washing down of moist ure into micro depressions occupied by sanotiazol. The process of vegetation rehabilitation of damaged

Nuclear and radiological emergency management and rehabilitation strategies: towards a EU approach for decision support tools (EURANOS)

International Nuclear Information System (INIS)

Raskob, W.; Gering, F.; Lochard, J.; Nisbet, A.; Starostova, V.; Tomic, B.

2010-01-01

The 5-year multi-national project EURANOS, funded by the European Commission and 23 European Member States, started in April 2004. Integrating 17 national emergency management organisations with 33 research institutes, it brings together best practices, knowledge and technology to enhance the preparedness for Europe's response to any radiation emergency and long term contamination. Key objectives of the project are to collate information on the likely effectiveness and consequences of a wide range of countermeasures, to provide guidance to emergency management organisations and decision makers on the establishment of an appropriate response strategy and to further enhance advanced decision support systems (DSS), in particular, RODOS, through feedback from their operational use. Further, the project aims to create regional initiatives leading to information exchange based on state-of-the-art information technologies, to develop guidance which assists Member States in developing a framework for the sustainable rehabilitation of living conditions in contaminated areas

Rainwater Wildlife Area, Watershed Management Plan, A Columbia Basin Wildlife Mitigation Project, 2002.

Energy Technology Data Exchange (ETDEWEB)

Childs, Allen B.

2002-03-01

This Management Plan has been developed by the Confederated Tribes of the Umatilla Indian Reservation (CTUIR) to document how the Rainwater Wildlife Area (formerly known as the Rainwater Ranch) will be managed. The plan has been developed under a standardized planning process developed by the Bonneville Power Administration (BPA) for Columbia River Basin Wildlife Mitigation Projects (See Appendix A and Guiding Policies Section below). The plan outlines the framework for managing the project area, provides an assessment of existing conditions and key resource issues, and presents an array of habitat management and enhancement strategies. The plan culminates into a 5-Year Action Plan that will focus our management actions and prioritize funding during the Fiscal 2001-2005 planning period. This plan is a product of nearly two years of field studies and research, public scoping, and coordination with the Rainwater Advisory Committee. The committee consists of representatives from tribal government, state agencies, local government, public organizations, and members of the public. The plan is organized into several sections with Chapter 1 providing introductory information such as project location, purpose and need, project goals and objectives, common elements and assumptions, coordination efforts and public scoping, and historical information about the project area. Key issues are presented in Chapter 2 and Chapter 3 discusses existing resource conditions within the wildlife area. Chapter 4 provides a detailed presentation on management activities and Chapter 5 outlines a monitoring and evaluation plan for the project that will help assess whether the project is meeting the intended purpose and need and the goals and objectives. Chapter 6 displays the action plan and provides a prioritized list of actions with associated budget for the next five year period. Successive chapters contain appendices, references, definitions, and a glossary. The purpose of the project is

National Institute on Disability and Rehabilitation Research Program Directory, 1999.

Science.gov (United States)

National Inst. on Disability and Rehabilitation Research (ED/OSERS), Washington, DC.

This directory lists all projects funded by the National Institute of Disability and Rehabilitation Research (NIDRR) during the 1999 fiscal year. It includes summaries, funding data, and contact information for a broad range of programs. Programs are grouped into the following research priorities: (1) employment outcomes; (2) health and function;…

Rehabilitation-triggered cortical plasticity after stroke: in vivo imaging at multiple scales (Conference Presentation)

Science.gov (United States)

Allegra Mascaro, Anna Letizia; Conti, Emilia; Lai, Stefano; Spalletti, Cristina; Di Giovanna, Antonino Paolo; Alia, Claudia; Panarese, Alessandro; Sacconi, Leonardo; Micera, Silvestro; Caleo, Matteo; Pavone, Francesco S.

2017-02-01

Neurorehabilitation protocols based on the use of robotic devices provide a highly repeatable therapy and have recently shown promising clinical results. Little is known about how rehabilitation molds the brain to promote motor recovery of the affected limb. We used a custom-made robotic platform that provides quantitative assessment of forelimb function in a retraction test. Complementary imaging techniques allowed us to access to the multiple facets of robotic rehabilitation-induced cortical plasticity after unilateral photothrombotic stroke in mice Primary Motor Cortex (Caudal Forelimb Area - CFA). First, we analyzed structural features of vasculature and dendritic reshaping in the peri-infarct area with two-photon fluorescence microscopy. Longitudinal analysis of dendritic branches and spines of pyramidal neurons suggests that robotic rehabilitation promotes the stabilization of peri-infarct cortical excitatory circuits, which is not accompanied by consistent vascular reorganization towards pre-stroke conditions. To investigate if this structural stabilization was linked to functional remapping, we performed mesoscale wide-field imaging on GCaMP6 mice while performing the motor task on the robotic platform. We revealed temporal and spatial features of the motor-triggered cortical activation, shining new light on rehabilitation-induced functional remapping of the ipsilesional cortex. Finally, by using an all-optical approach that combines optogenetic activation of the contralesional hemisphere and wide-field functional imaging of peri-infarct area, we dissected the effect of robotic rehabilitation on inter-hemispheric cortico-cortical connectivity.

Albinistic common seals (Phoca vitulina) and melanistic grey seals (Halichoerus grypus) rehabilitated in the Netherlands

NARCIS (Netherlands)

Osinga, Nynke; 't Hart, Pieter; Vader, Pieter C. van Voorst

2010-01-01

The Seal Rehabilitation and Research Centre (SRRC) in Pieterburen, The Netherlands, rehabilitates seals from the waters of the Wadden Sea, North Sea and Southwest Delta area. Incidental observations of albinism and melanism in common and grey seals are known from countries surrounding the North Sea.

Virtual reality in cognitive and motor rehabilitation: facts, fiction and fallacies.

Science.gov (United States)

Tieri, Gaetano; Morone, Giovanni; Paolucci, Stefano; Iosa, Marco

2018-02-01

Over recent decades many researchers and clinicians have started to use Virtual Reality (VR) as a new technology for implementing innovative rehabilitation treatments in cognitive and motor domains. However, the expression 'VR' has often also been improperly used to refer to video games. Further, VR efficacy, often confused with that of video-game exercises, is still debated. Areas covered: In this review, we provide the scientific rationale for the advantages of using VR systems in rehabilitation and investigate whether the VR could really be a promising technique for the future of rehabilitation of patients, or if it is just an entertainment for scientists. In addition, we describe some of the most used devices in VR with their potential advantages for research and provide an overview of the recent evidence and meta-analyses in rehabilitation. Expert commentary: We highlight the efficacy and fallacies of VR in neurorehabilitation and discuss the important factors emerging from the use of VR, including the sense of presence and the embodiment over a virtual avatar, in developing future applications in cognitive and motor rehabilitation.

78 FR 27038 - Final Priorities; National Institute on Disability and Rehabilitation Research-Rehabilitation...

Science.gov (United States)

2013-05-09

... settings, including the community, rehabilitation service- delivery institutions, vocational rehabilitation...) Vocational rehabilitation (VR) practices that contribute to improved employment outcomes for individuals with... or more priorities, we designate the type of each priority as absolute, competitive preference, or...

75 FR 21606 - Office of Special Education and Rehabilitative Services; Overview Information; Rehabilitation...

Science.gov (United States)

2010-04-26

... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Overview.... Alexa Posny, Assistant Secretary for Special Education and Rehabilitative Services. [FR Doc. 2010-9626... education and training for rehabilitation personnel; (3) Disseminate, in a cost-effective manner...

Rehabilitation of the 6 largest hydropower plants in the Republic of Macedonia

International Nuclear Information System (INIS)

Chingoski, Vlatko; Savevski, Vasil

2004-01-01

In 1998, ESM (Electric Power Co. of Macedonia) received a loan from the International Bank for Reconstruction and Development (IBRD - The World bank) for the cost of the Power System Improvement Project, major part of which is the partial rehabilitation of the six largest HPPs in the Republic of Macedonia. Rehabilitation and life extension of these six largest hydro power plants is given the highest priority in the whole Power System Improvement Project mainly because these HPPs are, in general, fairly old, older than most of the thermal generation capacity and because a significant part of their equipment is wearing out, or is now obsolete with spare parts difficult to obtain. Furthermore, these plants play a vital role in the Macedonian Power System, providing peaking capacity, reserve capacity and frequency control. With the realization of this project, greater hydropower production is expected. It is also expected that HPPs will become a more vital part of the Macedonian Power System, which is also beneficial from an environmental aspect, due to greater usage of renewable energy resources in the country. (Original)

Fort Mason Center: Pier 2 Project

Energy Technology Data Exchange (ETDEWEB)

Nester, Patrick [Fort Mason Center, San Francisco, CA (United States)

2014-08-30

The rooftop Photovoltaic (PV) panels and radiant piping project was constructed by Fort Mason Center as part of its $21 million comprehensive rehabilitation of the Pier 2 shed which include the shed’s electrical, natural gas and water systems. Fort Mason Center improved performance while reducing energy and water usage and costs to demonstrate the efficiencies and opportunities available to large multi-function facilities. The scalable demand of these facilities required a layered approach to conservation, control and production. The project employed a comprehensive retrofit of electrical natural gas, and plumbing systems to maximize efficiency and lower carbon footprint specifically to demonstrate the effectiveness of these strategies in a public setting with varied and diverse use. The project was completed in July 2014 and met the expected outcomes regarding increased comfort and operational efficiency throughout the Pier 2 shed as well as on site electrical generation of current consumption. The entire Pier 2 shed project won a 2015 California Preservation Foundation design award for historic rehabilitation.

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

Science.gov (United States)

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

2017-01-01

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

Rehabilitation of disturbed land

Energy Technology Data Exchange (ETDEWEB)

Bell, L.C. [Australian Centre for Minesite Rehabilitation Research, Kenmore, Qld. (Australia)

1996-12-31

This chapter discusses the objectives of rehabilitation of lands in Australian disturbed by mining. It gives advice on rehabilitation planning and outlines the factors influencing post-mining land use and rehabilitation strategies, including climate, topography, hydrology, properties of soils, overburden and mineral processing wastes, flora and fauna and social considerations. Finally, the key elements of a rehabilitation plan are discussed, namely: landscape reconstruction; selective handling of overburden; and establishment and maintenance of a vegetative cover. 12 figs., 1 tab.

Physical rehabilitation in complex therapy of the ureter stones patients in the Truskavets health resort area

Directory of Open Access Journals (Sweden)

Shologon R.P.

2010-05-01

Full Text Available Efficiency of rehabilitation measures is considered in complex therapy with the use of differentiated methods of medical physical education for patients with stones of ureter. Under a supervision there was 143 patients. 93 patients were made basic group, 50 patients - control. From them 51 (56 % are men and 42 (54% are women. Age of patients made from 20 to 60 years. A sanatorium-resort rehabilitation is recommended with the use of the differentiated methods of medical gymnastics. Application of method improved the indexes of the functional state of buds and overhead urinary ways. Frequency of advancement and output of concrements is also megascopic.

Outcome quality of in-patient cardiac rehabilitation in elderly patients--identification of relevant parameters.

Science.gov (United States)

Salzwedel, Annett; Nosper, Manfred; Röhrig, Bernd; Linck-Eleftheriadis, Sigrid; Strandt, Gert; Völler, Heinz

2014-02-01

Outcome quality management requires the consecutive registration of defined variables. The aim was to identify relevant parameters in order to objectively assess the in-patient rehabilitation outcome. From February 2009 to June 2010 1253 patients (70.9 ± 7.0 years, 78.1% men) at 12 rehabilitation clinics were enrolled. Items concerning sociodemographic data, the impairment group (surgery, conservative/interventional treatment), cardiovascular risk factors, structural and functional parameters and subjective health were tested in respect of their measurability, sensitivity to change and their propensity to be influenced by rehabilitation. The majority of patients (61.1%) were referred for rehabilitation after cardiac surgery, 38.9% after conservative or interventional treatment for an acute coronary syndrome. Functionally relevant comorbidities were seen in 49.2% (diabetes mellitus, stroke, peripheral artery disease, chronic obstructive lung disease). In three key areas 13 parameters were identified as being sensitive to change and subject to modification by rehabilitation: cardiovascular risk factors (blood pressure, low-density lipoprotein cholesterol, triglycerides), exercise capacity (resting heart rate, maximal exercise capacity, maximal walking distance, heart failure, angina pectoris) and subjective health (IRES-24 (indicators of rehabilitation status): pain, somatic health, psychological well-being and depression as well as anxiety on the Hospital Anxiety and Depression Scale). The outcome of in-patient rehabilitation in elderly patients can be comprehensively assessed by the identification of appropriate key areas, that is, cardiovascular risk factors, exercise capacity and subjective health. This may well serve as a benchmark for internal and external quality management.

Nuclear power programmes and medium term projections in the OECD area

International Nuclear Information System (INIS)

Miida, J.; Haeussermann, W.; Mankin, S.

1977-01-01

The paper describes nuclear power growth forecasts up to 1985 on an individual country basis for the OECD area, based on present nuclear programmes. For the period between 1985 and the year 2000, no individual countries' estimates are given. The projections for this period are subdivided into three main areas: OECD Europe, North America and OECD Pacific Region. These projections are derived from the presently prevailing estimates concerning total energy growth, the increasing share of electricity requirements in total energy requirements and the growth of the nuclear share in electrical installed capacity. The basic assumptions are discussed and the combination of various possibilities results in upper and lower growth limits, which should include the most likely development. An attempt is also made to describe probable scenarios of nuclear reactor strategies, taking into account developments under way in the OECD area. Finally, the factors liable to influence nuclear power growth in a positive or negative way are briefly analysed

75 FR 21617 - Office of Special Education and Rehabilitative Services; Overview Information; Rehabilitation...

Science.gov (United States)

2010-04-26

... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Overview.... The Assistant Secretary for Special Education and Rehabilitative Services may change the maximum..., Assistant Secretary for Special Education and Rehabilitative Services. [FR Doc. 2010-9635 Filed 4-23-10; 8...

Innovative Work Practices and Lessons Learned at the N Area Deactivation Project

International Nuclear Information System (INIS)

Day, R.S.

1999-01-01

This report identifies many of the lessons learned, innovations,and effective work practices that derived from activities supporting the N Area Deactivation Project at the U.S. Department of Energy's (DOE) Hanford Site. The work practices discussed in this report may be applicable and beneficial to similar projects throughout the DOE complex

Motivational Rehabilitation using Serious Games

OpenAIRE

Antoni Jaume i Capó; Javier Varona Gómez; Gabriel Moyà; Francisco Perales

2013-01-01

Research studies show that serious games help to motivate users in rehabilitation processes, and rehabilitation results are better when users are motivated. In long term rehabilitation for maintaining capacities, the demotivation of chronic patients is common. In this work, we have implemented balance rehabilitation video game for cerebral palsy patients. The video game was developed using the prototype development paradigm and following desirable features for rehabilitation serious games pre...

Rehabilitation nutrition for sarcopenia with disability: a combination of both rehabilitation and nutrition care management

OpenAIRE

Wakabayashi, Hidetaka; Sakuma, Kunihiro

2014-01-01

Malnutrition and sarcopenia often occur in rehabilitation settings. The prevalence of malnutrition and sarcopenia in older patients undergoing rehabilitation is 49–67 % and 40–46.5 %, respectively. Malnutrition and sarcopenia are associated with poorer rehabilitation outcome and physical function. Therefore, a combination of both rehabilitation and nutrition care management may improve outcome in disabled elderly with malnutrition and sarcopenia. The concept of rehabilitation nutrition as a c...

Statistical Analysis of Questionnaire on Physical Rehabilitation in Multiple Sclerosis

Czech Academy of Sciences Publication Activity Database

Martinková, Patrícia; Řasová, K.

-, č. 3 (2010), S340 ISSN 1210-7859. [Obnovené neuroimunologickjé a likvorologické dny. 21.05.2010-22.05.2010, Praha] R&D Projects: GA MŠk(CZ) 1M06014 Institutional research plan: CEZ:AV0Z10300504 Keywords : questionnaire * physical rehabilitation * multiple sclerosis Subject RIV: IN - Informatics, Computer Science

Rehabilitation time before disability pension.

Science.gov (United States)

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

2012-10-30

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

Rehabilitation time before disability pension

Directory of Open Access Journals (Sweden)

Støver Morten

2012-10-01

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

Conceptual design report, 200 Area sanitary sewer system: Project 96L-EWL-116

International Nuclear Information System (INIS)

Pursley, D.L.

1994-01-01

Project L-116 will install an integrated sanitary sewer system in the 200 Area. This new system will connect existing sewer systems for facilities that have a foreseeable future, provide capacity and routing for future facilities, and install new septic sewer systems for existing facilities that cannot be feasibly connected to the new sewer system and have a mission that will extend beyond the year 2000. Project L-116 will construct a sanitary sewer collection, treatment, and disposal system for facilities in the 200-East and -West Areas and adjacent areas located on the 200 Area plateau. The existing septic systems will be abandoned or decommissioned in accordance with applicable Washington State and local codes and regulations. The conceptual design for the sanitary sewer system is designed around population forecasts of 5,000 people for 200-West Area and 9,000 people for 200-East Area. The definitive design will be based on the latest forecast populations at the time definitive design is initiated

38 CFR 21.283 - Rehabilitated.

Science.gov (United States)

2010-07-01

.... (Authority: 38 U.S.C. 3100) (c) Rehabilitation to the point of employability has been achieved. The veteran who has been found rehabilitated to the point of employability shall be declared rehabilitated if he... professional knowledge and skills obtained under the rehabilitation plan; or (3) Pursues additional education...

75 FR 27808 - Section 8 Housing Choice Voucher Program-Demonstration Project of Small Area Fair Market Rents in...

Science.gov (United States)

2010-05-18

... Voucher Program--Demonstration Project of Small Area Fair Market Rents in Certain Metropolitan Areas for.... ACTION: Notice of Demonstration Project of Small Area Fair Market Rents (FMRs) in Selected Metropolitan... topics related to small area FMRs, including how these small areas should be defined. Small area FMRs...

Solving some socio-economic relations in the area of the projected site of the Blahutovice nuclear power plant

International Nuclear Information System (INIS)

Uvirova, E.; Grosikova, B.

1988-01-01

Blahutovice nuclear power plant personnel will be accommodated in hostels and newly built appartments in Novy Jicin and in Hranice. Commuting of personnel to the plant from the two towns is discussed. A works health centre will be built in the nuclear power plant area delivering primary health care. A radiation medicine unit is also envisaged. The Beskydy Mts. in Northern Moravia are considered for recreation-rehabilitation facilities. (E.S.). 2 tabs., 5 refs

Locally Available Dietary Menus Promote Weight Gain among Acutely Malnourished Children Undergoing a Community-Based Nutrition Rehabilitation Program in Uganda

International Nuclear Information System (INIS)

Mugisha, Jennifer; Kakande, Celia

2014-01-01

acute malnutrition were enrolled. Their mean age was 15 ± 1.8 months with a male to female ratio of 1:1.2. Of those enrolled, 76% (1918/2525) completed the hearth cycles. Mean weight gain was calculated as 600 ± 1.01 g among malnourished children. Cure rate for a completed hearth cycle was estimated as 80%. There was an inverse correlation between the weight for height index at the start of the rehabilitation and weight gain (r = 0.401, p < 0.05). Severely malnourished children were more likely to present with severe wasting, eodema, infections and complications, compared to their moderately malnourished counterparts (p < 0.05). Children who needed referral had access to a total of 84 health units/centers scattered within the project area. Conclusion: Locally available foods were used to provide an affordable, potentially efficacious nutrition rehabilitation menu for children in the selected rural communities. Further study will be required to evaluate the intervention using more precise methods such as determining weight change in terms of actual body composition. The results contribute to the knowledge gap regarding local solutions to nutrition rehabilitation challenges at community level. (author)

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

Science.gov (United States)

2013-03-06

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

Assessment Of Carbon Leakage In Multiple Carbon-Sink Projects: ACase Study In Jambi Province, Indonesia

Energy Technology Data Exchange (ETDEWEB)

Boer, Rizaldi; Wasrin, Upik R.; Hendri, Perdinan; Dasanto,Bambang D.; Makundi, Willy; Hero, Julius; Ridwan, M.; Masripatin, Nur

2007-06-01

Rehabilitation of degraded forest land throughimplementation of carbon sink projects can increase terrestrial carbonstock. However, carbon emissions outside the project boundary, which iscommonly referred to as leakage, may reduce or negate the sequestrationbenefits. This study assessed leakage from carbon sink projects thatcould potentially be implemented in the study area comprised of elevensub-districts in the Batanghari District, Jambi Province, Sumatra,Indonesia. The study estimates the probability of a given land use/coverbeing converted into other uses/cover, by applying a logit model. Thepredictor variables were: proximity to the center of the land use area,distance to transportation channel (road or river), area of agriculturalland, unemployment (number of job seekers), job opportunities, populationdensity and income. Leakage was estimated by analyzing with and withoutcarbon sink projects scenarios. Most of the predictors were estimated asbeing significant in their contribution to land use cover change. Theresults of the analysis show that leakage in the study area can be largeenough to more than offset the project's carbon sequestration benefitsduring the period 2002-2012. However, leakage results are very sensitiveto changes of carbon density of the land uses in the study area. Byreducing C-density of lowland and hill forest by about 10 percent for thebaseline scenario, the leakage becomes positive. Further data collectionand refinement is therefore required. Nevertheless, this study hasdemonstrated that regional analysis is a useful approach to assessleakage.

Rehabilitation at Nabarlek: erosion assessment 1999

International Nuclear Information System (INIS)

Evans, K.G.; Saynor, M.J.; Hancock, G.R.

2001-01-01

Decommissioning work and the rehabilitation at the Nabarlek minesite were completed at the end of 1995. Site description, mining history, environmental management and rehabilitation have been summarised elsewhere (Prendergast et al 1999, Martin 2000, Waggitt 2001). Tailings were buried in the mined-out pit and capped with waste rock. An erosion assessment of the cap design, using a combination of modelling and analogue estimates, indicated that denudation rates on the cap would be -1 (Riley 1995). Riley (1995) suggested minor design modifications to reduce slope length on the pit cap to improve stability and provide structural integrity for several thousand years. Riley (1995) observed that roads were areas of most severe rill development in the Alligator Rivers Region (ARR) and suggested that rill development (0.2-0.3 m depth) on the pit cap would occur in the early stages of adjustment toward equilibrium but not persist in the long term. Consequently, as part of the process of assessing rehabilitation success, erosion at the former minesite was examined by ERISS in August and October 1999. A ground assessment of the perimeter of the evaporation ponds, pit and waste rock dump (WRD), unsealed roads to the north and east of the site and infrastructure area was conducted in August 1999. This survey described, quantified (using a tape and rule) and photographed erosion features. No transects were undertaken. In October 1999, a qualitative (descriptive and photographic) survey of the airstrip, constructed drains, unsealed roads to the west of the site, the pit and WRD was conducted. On this occasion, transects of the WRD and pit were taken but the locations of the transects were not surveyed

Humanoid assessing rehabilitative exercises.

Science.gov (United States)

Simonov, M; Delconte, G

2015-01-01

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

48 CFR 871.208 - Rehabilitation facilities.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Rehabilitation facilities... Vocational Rehabilitation and Employment Service 871.208 Rehabilitation facilities. Charges by rehabilitation facilities for the rehabilitation services provided under 38 U.S.C. Chapter 31 are paid in the same manner as...

Comprehensive cardiac rehabilitation

DEFF Research Database (Denmark)

Kruse, Marie; Hochstrasser, Stefan; Zwisler, Ann-Dorthe O

2006-01-01

OBJECTIVES: The costs of comprehensive cardiac rehabilitation are established and compared to the corresponding costs of usual care. The effect on health-related quality of life is analyzed. METHODS: An unprecedented and very detailed cost assessment was carried out, as no guidelines existed...... and may be as high as euro 1.877. CONCLUSIONS: Comprehensive cardiac rehabilitation is more costly than usual care, and the higher costs are not outweighed by a quality of life gain. Comprehensive cardiac rehabilitation is, therefore, not cost-effective....

Rehabilitation of deaf persons with cochlear implants; Rehabilitation Hoergeschaedigter mit Cochlearimplantaten

Energy Technology Data Exchange (ETDEWEB)

Gstoettner, W.; Hamzavi, J. [Universitaetsklinik fuer Hals-Nasen-Ohrenheilkunde, Wien (Austria); Czerny, C. [Universitaetsklinik fuer Radiologie, Wien (Austria)

1997-12-01

In the last decade, the rehabilitation of postlingually deaf adults and prelingually deaf children with cochlear implants has been established as a treatment of deafness. The technological development of the implant devices and improvement of the surgical technique have led to a considerable increase of hearing performance during the last years. The postlingually deaf adults are able to use the telephone and may be integrated in their original job. Prelingually deaf children can even visit normal schools after cochlear implantation and hearing rehabilitation training. In order to preoperatively establish the state of the cochlear, radiological diagnosis of the temporal bone is necessary. High resolution computerized tomography imaging of the temporal bone with coronar and axial 1 mm slices and MRI with thin slice technique (three dimensional, T2 weighted turbo-spinecho sequence with 0.7 mm slices) have proved to be valuable according to our experience. Furthermore a postoperative synoptical X-ray, in a modified Chausse III projection, offers good information about the position of the implant and insertion of the stimulating electrode into the cochlea. (orig.) [Deutsch] In der letzten Dekade hat sich der operative Einsatz von Cochlearimplantaten fuer die Rehabilitation taubgeborener Kinder und ertaubter Erwachsenen als erfolgreiche Therapie etabliert. Durch technische Weiterentwicklung der Implantatsysteme und Verbesserung der Operationstechnik konnten in den letzten Jahren die Hoerleistungen der Patienten deutlich verbessert werden. Postlingual ertaubte Erwachsene koennen nun oftmals wieder ins Berufsleben eingegliedert werden und praelingual ertaubte Kinder koennen regulaere Schulen besuchen. Im Rahmen der Voruntersuchung fuer die Cochlearimplantation ist die radiologische Felsenbeindiagnostik von besonderer Bedeutung. Hochaufloesendes CT des Felsenbeins in koronaren und axialen Ebenen mit 1 mm Schichtdicke und MRT in Duennschichttechnik (dreidimensionale, T2

Development and validation of Australian aphasia rehabilitation best practice statements using the RAND/UCLA appropriateness method

Science.gov (United States)

Power, Emma; Thomas, Emma; Worrall, Linda; Rose, Miranda; Togher, Leanne; Nickels, Lyndsey; Hersh, Deborah; Godecke, Erin; O'Halloran, Robyn; Lamont, Sue; O'Connor, Claire; Clarke, Kim

2015-01-01

Objectives To develop and validate a national set of best practice statements for use in post-stroke aphasia rehabilitation. Design Literature review and statement validation using the RAND/UCLA Appropriateness Method (RAM). Participants A national Community of Practice of over 250 speech pathologists, researchers, consumers and policymakers developed a framework consisting of eight areas of care in aphasia rehabilitation. This framework provided the structure for the development of a care pathway containing aphasia rehabilitation best practice statements. Nine speech pathologists with expertise in aphasia rehabilitation participated in two rounds of RAND/UCLA appropriateness ratings of the statements. Panellists consisted of researchers, service managers, clinicians and policymakers. Main outcome measures Statements that achieved a high level of agreement and an overall median score of 7–9 on a nine-point scale were rated as ‘appropriate’. Results 74 best practice statements were extracted from the literature and rated across eight areas of care (eg, receiving the right referrals, providing intervention). At the end of Round 1, 71 of the 74 statements were rated as appropriate, no statements were rated as inappropriate, and three statements were rated as uncertain. All 74 statements were then rated again in the face-to-face second round. 16 statements were added through splitting existing items or adding new statements. Seven statements were deleted leaving 83 statements. Agreement was reached for 82 of the final 83 statements. Conclusions This national set of 82 best practice statements across eight care areas for the rehabilitation of people with aphasia is the first to be validated by an expert panel. These statements form a crucial component of the Australian Aphasia Rehabilitation Pathway (AARP) (http://www.aphasiapathway.com.au) and provide the basis for more consistent implementation of evidence-based practice in stroke rehabilitation. PMID:26137883

Neurochemical, morphologic, and laminar characterization of cortical projection neurons in the cingulate motor areas of the macaque monkey

Science.gov (United States)

Nimchinsky, E. A.; Hof, P. R.; Young, W. G.; Morrison, J. H.; Bloom, F. E. (Principal Investigator)

1996-01-01

The primate cingulate gyrus contains multiple cortical areas that can be distinguished by several neurochemical features, including the distribution of neurofilament protein-enriched pyramidal neurons. In addition, connectivity and functional properties indicate that there are multiple motor areas in the cortex lining the cingulate sulcus. These motor areas were targeted for analysis of potential interactions among regional specialization, connectivity, and cellular characteristics such as neurochemical profile and morphology. Specifically, intracortical injections of retrogradely transported dyes and intracellular injection were combined with immunocytochemistry to investigate neurons projecting from the cingulate motor areas to the putative forelimb region of the primary motor cortex, area M1. Two separate groups of neurons projecting to area M1 emanated from the cingulate sulcus, one anterior and one posterior, both of which furnished commissural and ipsilateral connections with area M1. The primary difference between the two populations was laminar origin, with the anterior projection originating largely in deep layers, and the posterior projection taking origin equally in superficial and deep layers. With regard to cellular morphology, the anterior projection exhibited more morphologic diversity than the posterior projection. Commissural projections from both anterior and posterior fields originated largely in layer VI. Neurofilament protein distribution was a reliable tool for localizing the two projections and for discriminating between them. Comparable proportions of the two sets of projection neurons contained neurofilament protein, although the density and distribution of the total population of neurofilament protein-enriched neurons was very different in the two subareas of origin. Within a projection, the participating neurons exhibited a high degree of morphologic heterogeneity, and no correlation was observed between somatodendritic morphology and

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

Science.gov (United States)

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

2011-11-01

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

Evaluation of Rehabilitation Efficiency of Clogged wells drilled in fractured bedrock and alluvium

Science.gov (United States)

Lee, C.; Hamm, S.; Lee, J.; Ok, S.; Han, S.; Choo, C.; Kim, M.

2011-12-01

In Korea, more than one million of groundwater wells have been developed since 1990s. However, the groundwater wells have not been properly managed. Moreover, the importance of well maintenance and well rehabilitation has not been well recognized. In this circumstance, groundwater wells are usually terminated in 20-year operation due to well clogging, groundwater pollution, land use change, etc. which are originated from physical, chemical, biological, and artificial changes of and around the wells. The clogged state of the wells with diminished amount down to 80-85% can be ameliorated by various rehabilitation techniques as increasing discharge amount as well as extending the durability of the wells. In European countries and the USA, rehabilitation techniques of the clogged wells have been developed with understanding the cause and prevention of well bore clogging since 1990s. In recent years, the Korean Ministry of Environment (KME) recognized the importance of well rehabilitation. Under the support of the KME, this study evaluated the efficieny of rehabilitation using air surging, high-pressure water injection, brush & air surging, and explosive charge methods as applying to seven wells installed in fractured granite of Mt. Geumjeong and one well drilled in alluvial deposit of the Jeungsan-Ri area, Gyeongnam Province in the southeastern part of Korea. Hydraulic conductivity was estimated by using slug and pumping tests before and after well rehabilitation in order to assess physical, chemical, and biological changes of the wells. Hydraulic conductivity and pumping capacity of fractured bedrock are closely related to fracture characteristics such as fracture aperture, frequency, length, orientation, dip angle, interconnectivity, plane features, and filling materials. The evolution of clogging and filling of materials on and around the well makes decrease hydraulic conductivity and pumping capacity of the well. In this study, in addition of hydraulic conductivity

Detailed analysis of radon flux studies at Australian uranium projects

International Nuclear Information System (INIS)

Mudd, Gavin M.

2005-01-01

The release of radon gas and radon progeny from uranium projects is a major issue during operation as well as for the design of rehabilitation works. In Australia, there have been a number of premining radon flux studies as part of the environmental investigation and potential development of recent uranium projects. There is also an increasing amount of operational data on radon fluxes and loads from various aspects of projects, such as tailings, waste rock and mills. Thus there exists much useful measured data which can be used to assess the design radon flux and load targets for rehabilitation. The main projects for which radon data exists includes Ranger, Olympic Dam, Beverley, Honeymoon, Jabiluka, Yeelirrie, Lake Way, Koongarra, Moline, Coronation Hill, Rockhole, Nabarlek, Rum Jungle, Port Pirie and Ben Lomond. To date, much of this data has not been systematically evaluated. The need to compile and assess this data is twofold. Firstly, to assess the loads released from uranium production as an input into life-cycle analyses of the nuclear fuel cycle, such as those undertaken by UNSCEAR and industry groups. Secondly, there is a need to set suitable design standards for radon flux for the rehabilitation of former and current uranium projects. This paper will present such a detailed compilation of radon fluxes and loads which can then be used as the basis for both life-cycle analyses as well as setting appropriate site-specific rehabilitation criteria for radon. The implications for former and current projects is then discussed as well as future data needs. Ultimately, there is a critical need for thorough baseline surveys prior to mining to ensure accurate assessments of changes to radon fluxes and loads. The data and analysis presented is considered applicable to all uranium projects in Australia, as well as being a useful model for considering such issues internationally

Underwater Fiber Reinforced Polymer (FRP) Wrap Experimental Project

Science.gov (United States)

2018-01-30

In 2017, The Maine Department of Transportation in collaboration with the Kenway Corporation and Construction Divers Inc. (CDI), completed a rehabilitation project on the Rices Bridge (#2715) over the York River in York, Maine. The project was to add...

Glass FRP reinforcement in rehabilitation of concrete marine infrastructure

International Nuclear Information System (INIS)

Newhook, John P.

2006-01-01

Fiber reinforced polymer (FRP) reinforcements for concrete structures are gaining wide acceptance as a suitable alternative to steel reinforcements. The primary advantage is that they do not suffer corrosion and hence they promise to be more durable in environments where steel reinforced concrete has a limited life span. Concrete wharves and jetties are examples of structures subjected to such harsh environments and represent the general class of marine infrastructure in which glass FRP (GFRP) reinforcement should be used for improved durability and service life. General design considerations which make glass FRP suitable for use in marine concrete rehabilitation projects are discussed. A case study of recent wharf rehabilitation project in Canada is used to reinforce these considerations. The structure consisted of a GFRP reinforced concrete deck panel and steel - GFRP hybrid reinforced concrete pile cap. A design methodology is developed for the hybrid reinforcement design and verified through testing. The results of a field monitoring program are used to establish the satisfactory field performance of the GFRP reinforcement. The design concepts presented in the paper are applicable to many concrete marine components and other structures where steel reinforcement corrosion is a problem. (author)

Rehabilitation of pure alexia

DEFF Research Database (Denmark)

Starrfelt, Randi; Ólafsdóttir, Rannveig Rós; Arendt, Ida-Marie

2013-01-01

that pure alexia was an easy target for rehabilitation efforts. We review the literature on rehabilitation of pure alexia from 1990 to the present, and find that patients differ widely on several dimensions like alexia severity, and associated deficits. Many patients reported to have pure alexia......-designed and controlled studies of rehabilitation of pure alexia....

77 FR 73916 - Regulated Navigation Area; S99 Alford Street Bridge Rehabilitation Project, Mystic River, MA

Science.gov (United States)

2012-12-12

... against hazardous conditions created by repair work on the S99 Alford Street Bridge across the Mystic... navigation area that was promulgated to protect the public against hazardous conditions created by repair... restaurants), and vessels who intend to transit in the Mystic River beneath the S99 Alford Street Bridge...

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

Science.gov (United States)

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

2014-01-01

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

Working the way up in neurological rehabilitation: the holistic approach of nursing care.

Science.gov (United States)

Portillo, Mari Carmen; Cowley, Sarah

2011-06-01

To provide understanding of the nurses' role in neurological holistic rehabilitation and identify strategies for the enhancement of rehabilitation services. Although acute and chronic neurological patients and relatives experience emotional and social changes, most rehabilitation programmes do not deal with non-physical needs or involve nurses, leading to a poor definition and specialisation of the nursing role. Action research. The project took place in two neurological wards of a highly specialised hospital in Spain and lasted 30 months. An individualised nurse-led social rehabilitation programme was planned, implemented and evaluated. The nursing role and care in rehabilitation were explored with 37 nurses and 40 neurological patients and 40 relatives (convenience sampling). Semi-structured interviews and participant observations were developed. Content (QSR NUDIST Vivo v.2.0) and statistical (SPSS v. 13.0) analyses were run. The lack of time, knowledge and experience, the poor definition of the nursing role and ineffective communication with users limited holistic care in the wards. Some enhancing nursing strategies were proposed and explored: promotion of acceptance/adaptation of the disease through education, reinforcement of the discharge planning and planning of emotional and social choices based on the assessment of individual needs and resources at home. Nursing professionals are in a privileged position to deal with neurological patients' and carers' holistic needs. Several attributes of the advanced nursing role in rehabilitation teams have been proposed to deal with non-physical aspects of care. • Rehabilitation needs of neurological patients and carers at hospital have been described. • Nurses' perceptions of their work and role in rehabilitation have been presented. • Clinical strategies to develop the advanced nursing role in holistic neurological rehabilitation have been highlighted. © 2010 Blackwell Publishing Ltd.

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

Science.gov (United States)

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

2016-01-01

The aging of the workforce poses new challenges for maintaining work ability. Because of limited information on the effectiveness of vocational rehabilitation performed in traditional inpatient programs, extended interest in outpatient rehabilitation has risen in the past few years. We examined the effects of a new outpatient rehabilitation program where every participant defined their own goals to improve work ability by the aid of a goal-oriented multi-professional team. This report will focus on the employees' physical capacity during a nine-month program. A total of 605 municipal employees from different production areas of the City of Tampere took part in the outpatient rehabilitation program, implemented by the occupational health unit. Groups of 12 employees participated in eight one-day sessions at intervals of two to three weeks; the final follow-up was 9 months from the beginning. Submaximal aerobic capacity was tested by a calibrated cycle ergometer with a commercial program (Aino Fitware pro, Helsinki, Finland). Musculoskeletal tests assessed muscle strength, balance and mobility. During the 9-month follow-up of the rehabilitation program, the employees' physical capacity was improved. The follow-up test scores from a total of 329 employees were significantly higher in the submaximal aerobic capacity test (p health situation to take part in physical capacity tests; however they took part in the intervention. The new outpatient rehabilitation program organized by the occupational health unit had a positive influence on employees' physical capacity during a nine-month follow up.

Game System for Rehabilitation Based on Kinect is Effective for Mental Retardation

Directory of Open Access Journals (Sweden)

Fu Ying

2015-01-01

Full Text Available Kinect has already been widely used in the area of retardation, and this study is to evaluate whether the Game System for Rehabilitation based on Kinect is effective for children with mental retardation. The subjects in this paper are 112 children with mental retardation in Zhejiang province of China. The Game System for Rehabilitation based on Kinect was applied to assist the rehabilitation of children. Before the training, the Pediatric Evaluation of Disability Inventory (PEDI was used to evaluate abilities of children, including self-care, mobility, and social function. And after having been trained for a month, the abilities of these children were evaluated again by PEDI. The results in this paper is that, after the application of Game System for Rehabilitation based on Kinect, the PEDI score of children is significantly higher than the score before training. And it can be concluded that the Game System for Rehabilitation based on Kinect can significantly improve self-care, mobility, and social function of children with MR.

MANPOWER PROJECTIONS AND TRAINING NEEDS FORECAST TO 1975 FOR THE TERRE HAUTE AREA.

Science.gov (United States)

Indiana State Univ., Terre Haute.

USING U.S. CENSUS BUREAU AND INDIANA EMPLOYMENT SECURITY DIVISION DATA, A PREVIOUS STUDY WAS UPDATED TO INCLUDE PROJECTIONS OF MANPOWER AND TRAINING NEEDS FOR THE TERRE HAUTE AREA. GRAPHS SHOW TRENDS FOR EIGHT OCCUPATIONAL GROUPS IN THE UNITED STATES, THE NATION'S URBAN AREAS, INDIANA, AND THE TERRE HAUTE STANDARD METROPOLITAN AREA. MANPOWER NEEDS…

PHYSICAL REHABILITATION OF LOW BACK PAIN BASED ON A CONCEPTUAL SYSTEM APPROACHES

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Olena LAZARIEVA

2014-11-01

Full Text Available In Europe, back pain is a common disease, this is according to European statistics. In accordance with the new case, the pain each year occurs in 5% of the population. The aim of this work is to develop a conceptual approaches to the physical rehabilitation process at the surgical treatment of patients with back pain. Materials and methods . There was researched an experience of the domestic and foreign researches in physical rehabilitation area. Methods of the research were the analysis of the references and theoretical research methods (as an analysis, interpretation and synthesis of scientific and educational literature on the study problem. Abstraction (or idealization and schematization is the allocation of the essential foundations. Also we used experimenting with schemes (as a development of their content, sophistication and usability testing at development of concepts, practical models and physical rehabilitation programs. Results. The physical rehabilitation concept at the surgical treatment of patients with back pain was developed, given by the modern science in the diagnostics field, performing difficult complex spinal surgery with the using of new tools and the knowledge from the physical rehabilitation improvement. Conclusion. The using of a systematic methodology for physical rehabilitation in the surgical treatment of patients with vertebral pathology, helps to optimize research, diagnostic, therapeutic, rehabilitative and preventive measures, providing them with the required comprehensiveness, consistency, orderliness.

A chronosequence feasibility assessment of emergency fire rehabilitation records within the intermountain western United States-final report to the Joint Fire Science Program-Project 08-S-08

Science.gov (United States)

Kevin C. Knutson; David A. Pyke; Troy A. Wirth; David S. Pilliod; Matthew L. Brooks; Jeanne C. Chambers

2009-01-01

Department of the Interior (DOI) bureaus have invested heavily (for example, the U.S. Bureau of Land Management (BLM) spent more than $60 million in fiscal year 2007) in seeding vegetation for emergency stabilization and burned area rehabilitation of non-forested arid lands over the past 10 years. The primary objectives of these seedings commonly are to (1) reduce the...

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

Science.gov (United States)

Chang, Ling-Hui; Wang, Jye

2009-09-01

This study problematizes a unique therapeutic relationship in rehabilitation and how the interaction reflects the integration of rehabilitation ideology with local cultures. The data drew from a larger ethnographic study of a rehabilitation unit in Taiwan. Participants included 21 patient-caregiver pairs and their rehabilitation professionals. They participated in in-depth interviews and participant observation. A tough-love pedagogy emerged as a unique therapeutic relationship in the unit. Patients were asked to interpret the stress with therapy as an inevitable, beneficial experience toward recovery. A prevalent supposition that equated poor physical performance with weak morale legitimized the approach. Cultural metaphors used to describe and define rehabilitation transformed the stress that patients experienced with strenuous exercises into a beneficial substance that aids recovery. The transformation of the therapeutic relationship into a pedagogical one helped connect rehabilitation to shared educational experiences. In the unit, the complicit practice of therapists, caregivers, and patients established and perpetuated the practice of a tough-love pedagogy. The congruence between this tough-love approach and traditional Chinese pedagogical principles made the approach legitimate and desired.

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

Directory of Open Access Journals (Sweden)

Margrit Löbner

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

Problematising risk in stroke rehabilitation.

Science.gov (United States)

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

2016-11-01

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

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

Science.gov (United States)

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

2016-02-15

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

A survey on the current status of rehabilitation services and burnout of rehabilitation professionals in Shanghai.

Science.gov (United States)

Lu, Wenliang; Zhou, Ping; Zheng, Songbai; Xue, Di

2017-01-01

Although many studies have discussed burnout in clinical physicians, the evidence literature about physical rehabilitation professionals is still limited in China. To understand the current status of rehabilitation services and burnout of rehabilitation professionals in Shanghai. Twenty-four hospitals located in three districts of Shanghai were selected for this study. The questionnaire surveys of 24 hospitals and their 221 rehabilitation professionals and 235 other medical professionals were conducted. The percentages of the hospitals that had rehabilitation departments in three districts of Shanghai ranged from 25.0% to 88.9%, suggesting a great variation in distribution of rehabilitation resources. Only one tertiary general hospital had 12 beds for inpatient rehabilitation. The surveyed rehabilitation professionals who had graduate or undergraduate education accounted for 64.90% as a whole, but 49.32% in community health centers, 66.67% in secondary general hospitals, and 77.78% in tertiary general hospitals. The average scores for emotional exhaustion, cynicism and low professional efficacy were 11.66, 7.48, and 10.36 respectively. This study reveals that the resources in the field of rehabilitation in Shanghai need to be enhanced to meet its future demands. It is also recommended that the managers in secondary general hospitals and the local government pay more attention to the rehabilitation professionals in the secondary general hospitals because they are reporting higher emotional exhaustion. Finally, the value of rehabilitation services to help persons with disabilities need to be better conveyed to all interested parties.

Decision Model on Financing a Project Using Knowledge about Risk Areas

OpenAIRE

Ioana POPOVICI; Emil SCARLAT; Francesco RIZZO

2011-01-01

The research presents an alternative to the classical method of measuring financial risk in funding a project. The goal of the model described in the paper implies identifying "risky areas" within the financial balance of the project. The model analysis the financial risk behavior studied along four scenarios by varying only the cost of financing source used according to the specific type of funding. The model introduces the time factor into the analysis of financial risk due to the specific ...

[Changes in workers' rehabilitation procedures under the Brazilian social security system: modernization or undermining of social protection?].

Science.gov (United States)

Takahashi, Mara Alice Batista Conti; Iguti, Aparecida Mari

2008-11-01

This article describes the changes in workers' rehabilitation practices under the Brazilian National Social Security Institute (INSS) in the 1990s, in the context of neoliberal economic adjustment measures, based on an analysis of INSS documents from 1992 to 1997. The INSS plan for "modernization" of workers' rehabilitation led to: (1) dismantling of multidisciplinary teams; (2) induction of workers to accept proportional retirement pensions and voluntary layoffs; (3) under-utilization of the remaining INSS professional staff; (4) elimination of treatment programs for workers' rehabilitation; and (5) dismantling of INSS rehabilitation centers and clinics. The changes in the Brazilian social security system undermined the county's social security project and hegemony and reduced social security reform to a mere management and fiscal issue. Current "rehabilitation" falls far short of the institution's original purpose of social protection for workers, while aiming at economic regulation of the system to contain costs of workers' benefits. Workers that suffer work-related accidents are denied occupational rehabilitation, which aggravates their social disadvantage when they return to work.

Environmental impacts of Ghazi Barotha hydropower project on river Indus and surrounding areas

International Nuclear Information System (INIS)

Soomro, G.A.; Sufi, A.B.

2005-01-01

WAPDA being an esteemed organization of the country is involved in development of Water and Power Sector Projects. Ghazi Barotha Hydropower Project is another huge hydropower generation project in the country after Tarbela. The barrage to feed power channel of Ghazi Barotha Power Station are built over River Indus 7 Km down of Tarbela Dam. The project has been constructed to utilize the hydraulic head for power generation that is available between the tailrace of Tarbela Dam and the confluence of Haro River. In this reach river Indus drops by 76 m in distance of 63 Km. This is solely a power generation project with an installed capacity of 1450 MW. The purpose of this paper is to assess the negative impacts on the River Indus due to the construction of GBHP as Water of river Indus will be diverted to the power channel and the river Indus flows go to its lowest in low flow season. The reduction in river flow may change the ecology of the river - belas and people dependant on river water. In this context a study was made to keep the negative environmental impacts as low as possible and suggest mitigation measures to reduce negative impacts and provide enhancement measure to compensate the losses to be sustained by the area people and maintain the social life along with the ecology of the area less disturbed. The study demonstrated that the project is technically sound, economically viable and has limited environmental and social impacts on the area overall and specific the belas and people dependant on the Indus Water from Tarbela downstream up to confluence of Kabul River. (author)

Feedforward and feedback projections of caudal belt and parabelt areas of auditory cortex: refining the hierarchical model

Directory of Open Access Journals (Sweden)

Troy A Hackett

2014-04-01

Full Text Available Our working model of the primate auditory cortex recognizes three major regions (core, belt, parabelt, subdivided into thirteen areas. The connections between areas are topographically ordered in a manner consistent with information flow along two major anatomical axes: core-belt-parabelt and caudal-rostral. Remarkably, most of the connections supporting this model were revealed using retrograde tracing techniques. Little is known about laminar circuitry, as anterograde tracing of axon terminations has rarely been used. The purpose of the present study was to examine the laminar projections of three areas of auditory cortex, pursuant to analysis of all areas. The selected areas were: middle lateral belt (ML; caudomedial belt (CM; and caudal parabelt (CPB. Injections of anterograde tracers yielded data consistent with major features of our model, and also new findings that compel modifications. Results supporting the model were: 1 feedforward projection from ML and CM terminated in CPB; 2 feedforward projections from ML and CPB terminated in rostral areas of the belt and parabelt; and 3 feedback projections typified inputs to the core region from belt and parabelt. At odds with the model was the convergence of feedforward inputs into rostral medial belt from ML and CPB. This was unexpected since CPB is at a higher stage of the processing hierarchy, with mainly feedback projections to all other belt areas. Lastly, extending the model, feedforward projections from CM, ML, and CPB overlapped in the temporal parietal occipital area (TPO in the superior temporal sulcus, indicating significant auditory influence on sensory processing in this region. The combined results refine our working model and highlight the need to complete studies of the laminar inputs to all areas of auditory cortex. Their documentation is essential for developing informed hypotheses about the neurophysiological influences of inputs to each layer and area.

Post-rehabilitation environmental hazard of Cu, Zn, As and Pb at the derelict Conrad Mine, eastern Australia

International Nuclear Information System (INIS)

Gore, Damian B.; Preston, Nicholas J.; Fryirs, Kirstie A.

2007-01-01

A post-rehabilitation audit of the derelict Conrad base metal mine, eastern Australia, indicates ongoing environmental hazard regarding acid mine drainage and concentrations of arsenic and lead to 3 wt% in the soil and sediment. In order to rehabilitate remote contaminated sites effectively, on-site analyses should be carried out to ensure that the materials used to rehabilitate the site are not contaminant-bearing. Understanding the geomorphic setting of the rehabilitated areas is also important in understanding where, and for what period, contaminated materials might be stored in fluvial systems downstream of mine workings. Chemical and geomorphic audits should form a fundamental part of all rehabilitation works to ensure favourable environmental outcomes. - Post-rehabilitation audit of mine reveals ongoing As and Pb environmental hazard enhanced by acid drainage and site geomorphology

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

Science.gov (United States)

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

2015-01-01

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

Summary of field operations Technical Area I well PGS-1. Site-Wide Hydrogeologic Characterization Project

International Nuclear Information System (INIS)

Fritts, J.E.; McCord, J.P.

1995-02-01

The Environmental Restoration (ER) Project at Sandia National Laboratories, New Mexico is managing the project to assess and, when necessary, to remediate sites contaminated by the lab operations. Within the ER project, the site-wide hydrogeologic characterization task is responsible for the area-wide hydrogeologic investigation. The purpose of this task is to reduce the uncertainty about the rate and direction of groundwater flow beneath the area and across its boundaries. This specific report deals with the installation of PGS-1 monitoring well which provides information on the lithology and hydrology of the aquifer in the northern area of the Kirtland Air Force Base. The report provides information on the well design; surface geology; stratigraphy; structure; drilling, completion, and development techniques; and borehole geophysics information

The Australian Centre for Minesite Rehabilitation Research - an initiative to meet the strategic research needs for sustainable mining rehabilitation

International Nuclear Information System (INIS)

Bell, L.C.

1996-01-01

The Australian Centre for Minesite Rehabilitation Research (ACMRR) was established through a mining industry initiative to meet the need of industry governments and the community for sustainable systems for land affected by exploration, mining and mineral processing activities. The Centre, which is a consortium of the major groups associated with mining rehabilitation research in Australia, has a focus on both strategic research and technology transfer and combines a wide range of multidisciplinary skills covering engineering and the physical and biological sciences. The paper briefly describes the goals, structure, expertise and research and technology transfer activities of the Centre. The major research program areas of waste rock dump and final void stability, acid mine drainage, tailings disposal and remediation of ecosystem reconstruction are described in the context of national priorities. 3 refs., 1 fig

Rehabilitation Robots: Concepts and Applications in Stroke Rehabilitation

Directory of Open Access Journals (Sweden)