scholarly journals Capability and Technology Performance Goals for the Next Step in Affordable Human Exploration of Space

2015 ◽  
Author(s):  
Diane L. Linne ◽  
Gerald Sanders ◽  
Karen Taminger
Keyword(s):  
Performance Goals ◽  
Human Exploration

Functional Anatomy Underlying Pharyngeal Swallowing Mechanics and Swallowing Performance Goals

2019 ◽  
Vol 4 (4) ◽  
pp. 648-655
Author(s):  
William G. Pearson ◽  
Jacline V. Griffeth ◽  
Alexis M. Ennis
Keyword(s):  
Functional Anatomy ◽  
Neuromuscular Control ◽  
Upper Esophageal Sphincter ◽  
Performance Goals ◽  
Laryngeal Elevation ◽  
Port Closure ◽  
Swallowing Dysfunction ◽  
Hyoid Movement ◽  
Pharyngeal Swallowing ◽  
Pharyngeal Constriction

Purpose Rehabilitation of pharyngeal swallowing dysfunction requires a thorough understanding of the functional anatomy underlying the performance goals of pharyngeal swallowing. These goals include the safe and efficient transfer of a bolus through the hypopharynx into the esophagus. Penetration or aspiration of a bolus threatens swallowing safety. Bolus residue indicates swallowing inefficiency. Several primary mechanics, or elements of the swallowing mechanism, underlie these performance goals, with some elements contributing to both goals. These primary mechanics include velopharyngeal port closure, hyoid movement, laryngeal elevation, pharyngeal shortening, tongue base retraction, and pharyngeal constriction. Each element of the swallowing mechanism is under neuromuscular control and is therefore, in principle, a potential target for rehabilitation. Secondary mechanics of pharyngeal swallowing, those movements dependent on primary mechanics, include opening the upper esophageal sphincter and epiglottic inversion. Conclusion Understanding the functional anatomy of pharyngeal swallowing underlying swallowing performance goals will facilitate anatomically informed critical thinking in the rehabilitation of pharyngeal swallowing dysfunction.

scholarly journals Validation of the Society for Vascular Surgery's Objective Performance Goals for critical limb ischemia in everyday vascular surgery practice

2011 ◽  
Vol 54 (1) ◽  
pp. 100-108.e4 ◽  
Author(s):  
Philip P. Goodney ◽  
Andres Schanzer ◽  
Randall R. DeMartino ◽  
Brian W. Nolan ◽  
Nathanael D. Hevelone ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Performance Goals ◽  
Objective Performance

scholarly journals North polar trough formation due to in-situ erosion as a source of young ice in mid-latitudinal mantles on Mars

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
J. Alexis P. Rodriguez ◽  
Kenneth L. Tanaka ◽  
Ali M. Bramson ◽  
Gregory J. Leonard ◽  
Victor R. Baker ◽  
...  
Keyword(s):  
Katabatic Wind ◽  
Spiral Pattern ◽  
Near Surface ◽  
Valuable Source ◽  
History Of ◽  
North Polar ◽  
Human Exploration ◽  
Erosional Event

AbstractThe clockwise spiral of troughs marking the Martian north polar plateau forms one of the planet’s youngest megastructures. One popular hypothesis posits that the spiral pattern resulted as troughs underwent poleward migration. Here, we show that the troughs are extensively segmented into enclosed depressions (or cells). Many cell interiors display concentric layers that connect pole- and equator-facing slopes, demonstrating in-situ trough erosion. The segmentation patterns indicate a history of gradual trough growth transversely to katabatic wind directions, whereby increases in trough intersections generated their spiral arrangement. The erosional event recorded in the truncated strata and trough segmentation may have supplied up to ~25% of the volume of the mid-latitude icy mantles. Topographically subtle undulations transition into troughs and have distributions that mimic and extend the troughs’ spiraling pattern, indicating that they probably represent buried trough sections. The retention of the spiral pattern in surface and subsurface troughs is consistent with the megastructure’s stabilization before its partial burial. A previously suggested warm paleoclimatic spike indicates that the erosion could have occurred as recently as ~50 Ka. Hence, if the removed ice was redeposited to form the mid-latitude mantles, they could provide a valuable source of near-surface, clean ice for future human exploration.

scholarly journals Self-healing materials for space applications: overview of present development and major limitations

2021 ◽  
Author(s):  
Laura Pernigoni ◽  
Ugo Lafont ◽  
Antonio Mattia Grande
Keyword(s):  
Orbital Debris ◽  
Space Environment ◽  
Technological Evolution ◽  
Self Healing ◽  
Space Systems ◽  
Space Applications ◽  
Structural Fatigue ◽  
Operational Life ◽  
Technological Limitations ◽  
Human Exploration

AbstractIn the last decade, self-healing materials have become extremely appealing for the field of space applications, due to their technological evolution and the consequent possibility of designing space systems and structures able to repair autonomously after damage arising from impacts with micrometeoroids and orbital debris, from accidental contact with sharp objects, from structural fatigue or simply due to material aging. The integration of these novel materials in the design of spacecraft structures would result in increased reliability and safety leading to longer operational life and missions. Such concepts will bring a decisive boost enabling new mission scenario for the establishment of new orbital stations, settlement on the Moon and human exploration of Mars.The proposed review aims at presenting the newest and most promising self-healing materials and associated technologies for space application, along with the issues related to their current technological limitations in combination with the effect of the space environment. An introductory part about the outlooks and challenges of space exploration and the self-healing concept is followed by a brief description of the space environment and its possible effects on the performance of materials. Self-healing materials are then analysed in detail, moving from the general intrinsic and extrinsic categories down to the specific mechanisms.

scholarly journals Web-based early intervention for children with motor difficulties aged 3–8 years old using multimodal rehabilitation (WECARE): protocol of a patient-centred pragmatic randomised trial of paediatric telerehabilitation to support families

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e046561
Author(s):  
Chantal Camden ◽  
Jill G Zwicker ◽  
Melanie Morin ◽  
Tibor Schuster ◽  
Melanie Couture ◽  
...  
Keyword(s):  
Early Intervention ◽  
Controlled Trial ◽  
Randomised Trial ◽  
Parental Knowledge ◽  
Performance Measure ◽  
Performance Goals ◽  
Web Based ◽  
Study Results ◽  
Motor Difficulties ◽  
Randomised Controlled

IntroductionMild motor difficulties in children are underdiagnosed despite being highly prevalent, leaving such children often underserved and at higher risk for secondary consequences such as cardiovascular disease and anxiety. Evidence suggests that early patient-oriented interventions, coaching parents and providing children with early stimulation should be provided, even in the absence of a diagnosis. Such interventions may be effectively delivered via telerehabilitation.Methods and analysisA family-centred, pragmatic randomised controlled trial will be carried out to evaluate the real-world effectiveness of a Web-based Early intervention for Children using multimodAl REhabilitation (WECARE). Families of children with motor difficulties, 3–8 years of age, living in Quebec, Canada, and receiving no public rehabilitation services (n=118) will be asked to determine up to 12 performance goals, evaluated using the Canadian Occupational Performance Measure (COPM, the primary outcome). Families will be randomised to receive either usual care or the WECARE intervention. The WECARE intervention will be delivered for 1 year via a web-based platform. Families will have access to videoconferences with an assigned rehabilitation therapist using a collaborative coaching approach, a private chat function, a forum open to all intervention arm participants and online resources pertaining to child development. Participants will be asked to re-evaluate the child’s COPM performance goals every 3 months up to 1 year post allocation. The COPM results will be analysed using a mixed Poisson regression model. Secondary outcomes include measures of the child’s functional ability, parental knowledge and skills and health-related quality of life, as well as qualitative outcomes pertaining to parental satisfaction and service delivery trajectories. Investigators and quantitative data analysts will be blinded to group allocation.Ethics and disseminationThe CIUSSS de l’Estrie—CHUS ethics committee approved this trial (2020-3429). Study results will be communicated via peer-reviewed journal publications, conference presentations and stakeholder-specific knowledge transfer activities.Trial registration numberNCT04254302.

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