Domiciliary occupational therapy for patients with stroke discharged from hospital: randomised controlled trial

OBJECTIVE: To establish if a brief programme of domiciliary occupational therapy could improve the recovery of patients with stroke discharged from hospital. DESIGN: Single blind randomised controlled trial. SETTING: Two hospital sites within a UK teaching hospital. SUBJECTS: 138 patients with stroke with a definite plan for discharge home from hospital. INTERVENTION: Six week domiciliary occupational therapy or routine follow up. MAIN OUTCOME MEASURES: Nottingham extended activities of daily living score and "global outcome" (deterioration according to the Barthel activities of daily living index, or death). RESULTS: By eight weeks the mean Nottingham extended activities of daily living score in the intervention group was 4.8 points (95% confidence interval -0.5 to 10.0, P=0.08) greater than that of the control group. Overall, 16 (24%) intervention patients had a poor global outcome compared with 30 (42%) control patients (odds ratio 0.43, 0.21 to 0.89, P=0.02). These patterns persisted at six months but were not statistically significant. Patients in the intervention group were more likely to report satisfaction with a range of aspects of services. CONCLUSION: The functional outcome and satisfaction of patients with stroke can be improved by a brief occupational therapy programme carried out in the patient's home immediately after discharge. Major benefits may not, however, be sustained

Elementary Excitations of a Bose-Einstein Condensate in an Effective Magnetic Field

We calculate the low energy elementary excitations of a Bose-Einstein Condensate in an effective magnetic field. The field is created by the interplay between light beams carrying orbital angular momentum and the trapped atoms. We examine the role of the homogeneous magnetic field, familiar from studies of rotating condensates, and also investigate spectra for vector potentials with a more general radial dependence. We discuss the instabilities which arise and how these may be manifested.Comment: 8 pages, 4 figure

The SIR epidemic model from a PDE point of view

We present a derivation of the classical SIR model through a mean-field approximation from a discrete version of SIR. We then obtain a hyperbolic forward Kolmogorov equation, and show that its projected characteristics recover the standard SIR model. Moreover, we show that the long time limit of the evolution will be a Dirac measure. The exact position will depend on the well-know $R_0$ parameter, and it will be supported on the corresponding stable SIR equilibrium

Potential for improved ATSR dual‐view SST retrieval

Recent validation studies have confirmed that the first along‐track scanning radiometer (ATSR) can retrieve sea surface temperature (SST) to an accuracy of 0.3K even in the presence of heavy atmospheric aerosol. However, using the standard (pre‐launch) retrieval, this accuracy is achieved only when data from all three thermal channels (3.7, 11 and 12 µm) are available; in the absence of 3.7 µm data, retrieved SSTs are subject to significant cold bias. As 3.7 µm data are useful only for nighttime observations, and ATSR's 3.7 µm channel failed in May 1992, only 11 and 12 µm data informed SST derivation for most of the 1991–1996 mission. We demonstrate the potential for improvement in this retrieval, based on comparison of observed brightness temperatures with precise SSTs derived using 3.7 µm data. A reduction in global‐mean cold bias from >0.6K to <0.1K is achieved, with standard deviation approximately halved. We also examine the treatment of optical pathlength variation around the ATSR swath

Magnetomechanical performance and mechanical properties of Ni-Mn-Ga ferromagnetic shape memory alloys

A Ni-Mn-Ga ferromagnetic shape memory alloy was tested for strain versus applied field and strain versus stress. Field- induced strains up to 6 percent were measured with a hysteresis of about 160 kA/m. The results are compared with the predictions of modeling with a focus on hysteresis. The model is applied to the case in which the magnetic external field and external load are orthogonal to each other. It predicts the magneto-mechanical hysteresis as a function of the yield stress in a twinned martensite. Magnetization versus applied field was measured on a sample that was mechanically constrained in order to understand the magnetization behavior of the sample in the absence of twin motion. These measurements give the magnetic anisotropy and are used to estimate the demagnetization fields. The measured behavior of strain with stress at constant field is approximated by the model

Mobile phone and tablet apps to support young people’s management of their physical long-term conditions: a systematic review protocol

Background: The prevalence of long-term or chronic conditions that limit activity and reduce quality of life in young people aged 10-24 years is rising. This group has distinct health care needs and requires tailored support strategies to facilitate increasing personal responsibility for the management of their condition wherever possible, as they mature. Mobile phone and tablet mobile technologies featuring software program apps are already well used by young people for social networking or gaming. They have also been utilized in health care to support personal condition management, using condition-specific and patient-tailored software. Such apps have much potential, and there is an emerging body of literature on their use in a health context making this review timely. Objective: The objective of this paper is to develop a systematic review protocol focused on identifying and assessing the effectiveness of mobile phone and tablet apps that support young people’s management of their chronic conditions. Methods: The search strategy will include a combination of standardized indexed search terms and free-text terms related to the key concepts of young people; long-term conditions and mobile technology. Peer-reviewed journal articles published from 2003 that meet the inclusion and exclusion criteria will be identified through searching the generated hits from 5 bibliographical databases. Two independent reviewers will screen the titles and abstracts to determine which articles focus on testing interventions identified as a mobile phone or tablet apps, and that have been designed and delivered to support the management of long-term conditions in young people aged 10-24 years. Data extraction and quality assessment tools will be used to facilitate consistent analysis and synthesis. It is anticipated that several studies will meet the selection criteria but that these are likely to be heterogeneous in terms of study design, reported outcomes, follow-up times, participants’ age, and health condition. Sub-group analyses will be undertaken and where possible meta-analyses will take place.Results: This review will synthesize available knowledge surrounding tablet and mobile phone apps that support management of long term physical health conditions in young people. The findings will be synthesized to determine which elements of the technologies were most effective for this population. Conclusions: This systematic review aims to synthesize existing literature in order to generate findings that will facilitate the development of an app intervention. The review will form the first phase of development and evaluation of a complex intervention as recommended by the United Kingdom Medical Research Council. The knowledge gained from the review will be verified in subsequent phases, which will include primary qualitative work with health professionals and young people with long term conditions as research participants. Young people living with long-term conditions will be involved as co-researchers and consumer advisors in all subsequent phases to develop and evaluate an app to support the management of long-term physical health conditions

6% magnetic-field-induced strain by twin-boundary motion in ferromagnetic Ni–Mn–Ga

Field-induced strains of 6% are reported in ferromagnetic Ni–Mn–Ga martensites at room temperature. The strains are the result of twin boundary motion driven largely by the Zeeman energy difference across the twin boundary. The strain measured parallel to the applied magnetic field is negative in the sample/field geometry used here. The strain saturates in fields of order 400 kA/m and is blocked by a compressive stress of order 2 MPa applied orthogonal to the magnetic field. The strain versus field curves exhibit appreciable hysteresis associated with the motion of the twin boundaries. A simple model accounts quantitatively for the dependence of strain on magnetic field and external stress using as input parameters only measured quantities

New methods for digital modeling of historic sites

We discuss new methods for building 3D models of historic sites. Our algorithm automatically computes pairwise registrations between individual scans, builds a topological graph, and places the scans in the same frame of reference

One Dimensional Dynamical Models of the Carina Nebula Bubble

We have tested the two main theoretical models of bubbles around massive star clusters, Castor et al. and Chevalier & Clegg, against observations of the well studied Carina Nebula. The Castor et al. theory over-predicts the X-ray luminosity in the Carina bubble by a factor of 60 and expands too rapidly, by a factor of 4; if the correct radius and age are used, the predicted X-ray luminosity is even larger. In contrast, the Chevalier & Clegg model under-predicts the X-ray luminosity by a factor of 10. We modify the Castor et al. theory to take into account lower stellar wind mass loss rates, radiation pressure, gravity, and escape of or energy loss from the hot shocked gas. We argue that energy is advected rather than radiated from the bubble. We undertake a parameter study for reduced stellar mass loss rates and for various leakage rates and are able to find viable models. The X-ray surface brightness in Carina is highest close to the bubble wall, which is consistent with conductive evaporation from cold clouds. The picture that emerges is one in which the hot gas pressure is far below that found by dividing the time-integrated wind luminosity by the bubble volume; rather, the pressure in the hot gas is set by pressure equilibrium with the photoionized gas at T=10^4 K. It follows that the shocked stellar winds are not dynamically important in forming the bubbles.Comment: Accepted to APJ. 47 pages, 13 figure