1,128 research outputs found

    Evaluating physical therapy students' knowledge of and adherence to the ambassador low back pain guideline

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    Purpose: To examine a process for evaluating physiotherapy (PT) students' knowledge of and adherence to the Ambassador Low Back Pain (LBP) guideline using vignettes. Methods: The study used a cross-sectional survey design. Participants were PT students who had received information related to the guideline as part of their curriculum. Primary measures were responses to questions about the management of four clinical vignettes. Adherence to guideline recommendations was measured by comparing participant scores to a guideline-based set of responses from a physiotherapist involved in developing the Ambassador guideline, which was considered a criterion standard. Results: A total of 74 respondents provided complete data, for a response rate of 89percent; 65 (88percent) reported no knowledge of the guideline. Overall consistency with the criterion standard was high (70percent). Respondents demonstrated high adherence when identifying red flags and deciding whether to refer to another provider. Conclusion: Despite known exposure, knowledge of the guideline was low in this sample of Canadian PT students. Nevertheless, in several key areas, unconscious adherence was high relative to the guidelinebased criterion standard. With minor modifications, the vignettes are suitable for evaluating the Ambassador LBP guidelines in a larger study.Bekkering GE, 2005, QUAL SAF HEALTH CARE, V14, P107, DOI 10.1136-qshc.2003.009357; Bekkering GE, 2003, PHYSIOTHERAPY, V89, P82, DOI DOI 10.1016-S0031-9406(05)60579-2; Bishop Paul B, 2003, Spine J, V3, P442, DOI 10.1016-S1529-9430(03)00152-9; Bishop Paul B, 2006, Spine J, V6, P282, DOI 10.1016-j.spinee.2005.10.008; Cassidy JD, 1998, SPINE, V23, P1860, DOI 10.1097-00007632-199809010-00012; Cutforth G, 2011, PHYSIOTHER CAN, V63, P278, DOI 10.3138-ptc.2009-39P; Di Iorio D, 2000, ARCH FAM MED, V9, P1015, DOI 10.1001-archfami.9.10.1015; Domenech J, 2011, PAIN, V152, P2557, DOI 10.1016-j.pain.2011.07.023; Foster NE, 2011, PHYS THER, V91, P790, DOI 10.2522-ptj.20100326; George SZ, 2011, BMC MED, V9, DOI 10.1186-1741-7015-9-128; Gould D, 1996, J CLIN NURS, V5, P207, DOI 10.1111-j.1365-2702.1996.tb00253.x; GRIMSHAW J, KNOWLEDGE SYNTHESIS; Grol R, 2003, LANCET, V362, P1225, DOI 10.1016-S0140-6736(03)14546-1; Gross DP, 2006, SPINE, V31, P2142, DOI 10.1097-01.brs.0000231771.14965.e4; Gross DP, 2009, DISABIL REHABIL, V31, P871, DOI [10.1080-01443610802355965, 10.1080-014413610802355965]; Harman K, 2009, PHYSIOTH CAN, V61, P88, DOI 10.3138-physio.61.2.88; Harstall C, 2011, J EVAL CLIN PRACT, V17, P693, DOI 10.1111-j.1365-2753.2010.01420.x; Hay EM, 2008, BMC MUSCULOSKEL DIS, V9, DOI 10.1186-1471-2474-9-58; Hayden JA, 2009, J CLIN EPIDEMIOL, V62, P781, DOI 10.1016-j.jclinepi.2008.09.004; Hayden JA, 2010, BEST PRACT RES CL RH, V24, P167, DOI 10.1016-j.berh.2009.12.005; Hill JC, 2011, LANCET, V378, P1560, DOI 10.1016-S0140-6736(11)60937-9; Hill JC, 2010, EUR J PAIN, V14, P83, DOI 10.1016-j.ejpain.2009.01.003; Hockings RL, 2008, SPINE, V33, pE494, DOI 10.1097-BRS.0b013e31817ba3bb; Ikezawa Y, 2010, J OCCUP REHABIL, V20, P367, DOI 10.1007-s10926-010-9230-z; Institute of Health Economics, 2009, GUID EV INF PRIM CAR; Koes BW, 2010, EUR SPINE J, V19, P2075, DOI 10.1007-s00586-010-1502-y; Main CJ, 2011, PHYS THER, V91, P820, DOI 10.2522-ptj.20110060; Peabody JW, 2000, JAMA-J AM MED ASSOC, V283, P1715, DOI 10.1001-jama.283.13.1715; Peabody JW, 2004, ANN INTERN MED, V141, P771; Poitras S, 2007, J EVAL CLIN PRACT, V13, P412, DOI 10.1111-j.1365-2753.2006.00725.x; Poitras S, 2012, SPINE, V37, P1252, DOI 10.1097-BRS.0b013e31824b6adf; Poitras S, 2005, PHYS THER, V85, P1168; Portney LG, 2009, FDN CLIN RES APPL PR; Rainville J, 2000, SPINE, V25, P2210, DOI 10.1097-00007632-200009010-00012; RASHIQ S, 2006, BMC MED EDUC, V6, P1; Rutten G, 2009, J CLIN EPIDEMIOL, V62, P167, DOI 10.1016-j.jclinepi.2008.04.004; Rutten GM, 2010, PHYS THER, V90, P1111, DOI 10.2522-ptj.20090173; Rutten GMJ, 2006, J EVAL CLIN PRACT, V12, P491, DOI 10.1111-j.1365-2753.2006.00699.x; Schreiber J, 2005, INTERNET J ALLIED HE, V3, P1; Shah R, 2010, OPHTHAL PHYSL OPT, V30, P209, DOI 10.1111-j.1475-1313.2010.00713.x; Turner Patricia A., 1999, Physiotherapy Theory and Practice, V15, P235, DOI 10.1080-095939899307649; van Tulder MW, 2004, SPINE, V29, pE357, DOI 10.1097-01.brs.0000137056.64166.51; Webster BS, 2005, J GEN INTERN MED, V20, P1132, DOI 10.1111-j.1525-1497.2005.0230.x11

    Numerical simulation of free surface flows with steep gradients

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    Civil Engineering and Geoscience

    Finite element modelling of transport and non-hydrostatic flow in environmental fluid mechanics

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    Sectie VloeistofmechanicaCivil Engineering and Geoscience

    Evolution of the floc size distribution of cohesive sediments

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    This thesis focuses on the flocculation process of cohesive sediment (mud) and in particular on the time evolution of the floc size distribution. Mud is mainly observed in estuarine environment and its settling velocity is strongly affected by its floc size distribution. Small flocs (1-50 micrometers) have a very small settling velocity and tend to remain in suspension while large flocs (50 micrometers-centimeters) are characterized by a large settling velocity and deposit rapidly inducing bed siltation. Moreover, small suspended flocs reduce light transmission through the water column and may carry pollutants through large distances. The investigation of the evolution of the floc size distribution is therefore relevant in the fields of civil engineering and ecology. Flocculation is the combination of the processes of aggregation and breakup and is influenced by the sediment and water properties, sediment concentration and turbulent motion. The relation between small scale particle-particles interactions and large-scale flocculation behavior is investigated in this thesis through both experimental and modeling work. In particular a series of coupled experiments where both the surface charge of the particles, quantified by their zeta-potential, and the flocculation behavior are observed. Flocculation is then modeled by means of a population balance equation where flocs are distributed in size classes and aggregation and breakup represent respectively birth and death of flocs in each class.Environmental fluid mechanicsCivil Engineering and Geoscience

    Hydrodynamic models in urban drainage application and calibration

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    Civil Engineering and Geoscience

    Deterministic and Stochastic Modelling of Ocean Surface Waves

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    Predicting the mean wave statistics in the nearshore, for instance the significant wave height, has predominantly been the domain of operational stochastic wave models based on the radiative transport (or energy balance) equation. Although reasonably successful in the nearshore, these models were originally developed for oceanic scales, and necessarily neglect or parametrise processes that are only significant in shallow water, such as the linear processes of interference and diffraction, or the nonlinear triad wave-wave interactions and dissipation due to wave breaking. In this dissertation we investigate the possibility of predicting the wave statistics on small scales in strongly non-linear conditions, such as found in the surfzone, using the recently developed Surface WAves till SHore (SWASH) model, whereas on larger scales we pursue a generalisation of existing stochastic models by incorporating coherent effects, hereby extending these models to include interference and diffractive effects.Hydraulic EngineeringCivil Engineering and Geoscience

    Particle models for transport in three-dimensional shallow water flow

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    Civil Engineering and Geoscience

    Harnessing high altitude solar power

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    As an intermediate solution between Glaser's satellite solar power (SSP) and ground-based photovoltaic (PV) panels, this paper examines the collection of solar energy using a high-altitude aerostatic platform. A procedure to calculate the irradiance in the medium/high troposphere, based on experimental data, is described. The results show that here a PV system could collect about four to six times the energy collected by a typical U.K.-based ground installation, and between one-third and half of the total energy the same system would collect if supported by a geostationary satellite (SSP). The concept of the aerostat for solar power generation is then briefly described together with the equations that link its main engineering parameters/variables. A preliminary sizing of a facility stationed at 6 km altitude and its costing, based on realistic values of the input engineering parameters, is then presented

    10 Questions to.. Professor Guus Stelling about 3Di water management

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    Since January 2002 Prof. Stelling is professor of fluid mechanics in the Civil Engineering and Geosciences faculty of the Technical University in Delft. Until July 2010 he was the head of the environmental fluid mechanics section. Presently professor Stelling is also visiting professor at the National University of Singapore in the Faculty of Engineering. In addition he is senior advisor at Deltares. InterviewHydraulic EngineeringCivil Engineering and Geoscience

    Large-scale turbulence structures in shallow separating flows

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    The Ph.D. thesis “Large-scale turbulence structures in shallow separating flows” by Harmen Talstra is the result of a Ph.D. research project on large-scale shallow-flow turbulence, which has been performed in the Environmental Fluid Mechanics Laboratory at Delft University of Technology. The dynamics of quasi two-dimensional turbulence structures in shallow separating flows have been studied both experimentally and numerically. The research work contained three parts: respectively laboratory experiments, three-dimensional simulations and two-dimensional simulations. A number of schematized flow cases have been investigated in a large-scale shallow laboratory flume, using the free-surface measurement technique of Particle Image Velocimetry (PIV). Subsequently, detailed three-dimensional Large Eddy Simulations (LES) have been performed on a parallel cluster, providing useful 3D data on the flow cases studied experimentally as well as on additional flow geometries. The conclusions drawn are useful for e.g. design purposes in engineering practice. Finally, the flow cases studied before have been revisited by means of 2D depth-averaged computations, testing a new approach to accurately resolve large-scale shallow-flow turbulence in a 2D schematization. The new approach has been coined Depth-Averaged Navier-Stokes with Large Eddy Stimulation (DANSLES). The thesis offers a rather complete picture of the turbulent flow cases that have been studied, both in terms of physical behavior and numerical modeling aspects.Environmental Fluid MechanicsCivil Engineering and Geoscience
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