Exploring physical activity in people after stroke: a substudy of the Falls After Stroke Trial.

Purpose: The Falls After Stroke Trial (FAST) intervention involves habit-forming functional exercise and mobility practice which may increase physical activity. This substudy of FAST explores physical activity in community-dwelling people after stroke comparing the FAST intervention to usual care.

Methods: This study used a subset of 49 participants from a randomised trial.

Global decarbonization potential of CO mineralization in concrete materials.

CO mineralization products are often heralded as having outstanding potentials to reduce CO-eq. emissions. However, these claims are generally undermined by incomplete consideration of the life cycle climate change impacts, material properties, supply and demand constraints, and economic viability of CO mineralization products.

Atomic-Level and Surface Structure of Calcium Silicate Hydrate Nanofoils.

Deciphering the calcium silicate hydrate (C-S-H) surface is crucial for unraveling the mechanisms of cement hydration and property development. Experimental observations of C-S-H in cement systems suggest a surface termination which is fundamentally different from the silicate-terminated surface assumed in many atomistic level studies. Here, a new multiparameter approach to describing the (001) basal C-S-H surface is developed, which considers how the surface termination affects the overall properties (Ca/Si ratio, mean chain length, relative concentration of silanol and hydroxide groups).

Does carbon footprint reduction impair mechanical properties and service life of concrete?

Unlabelled: The aim of this study is to evaluate how much the changes in the concrete mix design, which enable carbon footprint reduction, are impacting mechanical properties and predicted service life of concrete structure. The starting point of this study was concrete mix used in a recent reinforced concrete Pelješac Bridge in the Adriatic. In the first round of experiments the amount of cement in this initial mix was significantly lowered, without jeopardising workability of the mix.

Bobath therapy is inferior to task-specific training and not superior to other interventions in improving arm activity and arm strength outcomes after stroke: a systematic review.

Question: What is the effect of Bobath therapy on arm activity and arm strength compared with a dose-matched comparison intervention or no intervention after stroke?

Design: Systematic review of randomised trials with meta-analysis.

Participants: Adults after stroke.

Intervention: Bobath therapy compared with no intervention or other interventions delivered at the same dose as the Bobath therapy.

Atomic-Level Structure of Zinc-Modified Cementitious Calcium Silicate Hydrate.

It has recently been demonstrated that the addition of zinc can enhance the mechanical strength of tricalcium silicates (CS) upon hydration, but the structure of the main hydration product of cement, calcium silicate hydrate (C-S-H), in zinc-modified formulations remains unresolved. Here, we combine Si DNP-enhanced solid-state nuclear magnetic resonance (NMR), density functional theory (DFT)-based chemical shift computations, and molecular dynamics (MD) modeling to determine the atomic-level structure of zinc-modified C-S-H. The structure contains two main new silicon species (Q and Q) where zinc substitutes Q silicon species in dimers and bridging Q silicon sites, respectively.

Economic evaluation of digitally enabled aged and neurological rehabilitation care in the Activity and MObility UsiNg Technology (AMOUNT) trial.

Objective: To investigate the trial-based cost-effectiveness of the addition of a tailored digitally enabled exercise intervention to usual care shown to be clinically effective in improving mobility in the Activity and MObility UsiNg Technology (AMOUNT) rehabilitation trial compared to usual care alone.

Design: Economic evaluation alongside a pragmatic randomized controlled trial.

Participants: 300 people receiving inpatient aged and neurological rehabilitation were randomized to the intervention ( = 149) or usual care control group ( = 151).

The effect of paste composition, aggregate mineralogy and temperature on the pore solution composition and the extent of ASR expansion.

The reaction kinetics of the alkali silica reaction depends on the composition of the pore solution. The evolution of the pore solution composition in different cement pastes and concretes was studied. Pastes containing silica fume or metakaolin had the lowest amount of alkalis in the pore solution.

Physical therapists demonstrate clinical behaviors consistent with established clinical practice guidelines in managing individuals following amputation.

Background And Purpose: Investigating physical therapy in amputation management offers insights into clinical practice. This study explores the self-reported clinical practice of physical therapists in amputation management and compares it to established clinical practice guidelines to determine whether physical therapists are delivering care that is considered recommended clinical practice.

Method: An online survey of Australian physical therapists with limited or extensive experience in managing individuals following amputation.

Effectiveness of home-based exercise for improving physical activity, quality of life and function in older adults after hospitalisation: A systematic review and meta-analysis.

Objective: To determine if home-based exercise programmes for older adults after hospitalisation are effective at improving physical activity, quality of life, activities of daily living (ADL) and mobility compared to no intervention, standard care or centre-based exercise.

Methods: Databases were searched from inception to March 2022. Randomised controlled trials which included home-based exercise in older adults recently discharged from hospital were included.

Simple automation of SEM-EDS spectral maps analysis with Python and the edxia framework.

In a recent article, we described the edxia framework, a user-friendly framework to analyse the microstructure of cementitious materials using SEM-EDS hypermaps. The manual approach presented was shown to be efficient to answer the relevant scientific questions. However, it is limited for batch analysis and (semi-)automated treatments.

Examining user perspective of an online learning resource for physiotherapists: A mixed methods study of the TRAIN program.

Background: Implementing task specific training is a commonly reported challenge for less experienced therapists. A potential method to improve the ability of recent graduate and student therapists is to upskill regarding task specific training via an online education resource.

Purpose: To evaluate the use and acceptability of the TRAIN program as an online learning resource for physiotherapists.

Feasibility of a Self-Managed, Video-Guided Exercise Program for Community-Dwelling People with Stroke.

Background: Ongoing rehabilitation after stroke is limited. Using video-guided exercises, which are implemented with a self-management approach, may be a way to facilitate ongoing exercise in the home environment.

Objectives: To investigate the feasibility of a video-guided exercise program, implemented with a self-management approach for people with stroke.

Home-based, tailored intervention for reducing falls after stroke (FAST): Protocol for a randomized trial.

Rationale: People with stroke experience falls at more than twice the rate of the general older population resulting in high fall-related injuries. However, there are currently no effective interventions that prevent falls after stroke.

Aims: To determine the effect and cost-benefit of an innovative, home-based, tailored intervention to reduce falls after stroke.

A Brief Intervention to Support Implementation of Telerehabilitation by Community Rehabilitation Services During COVID-19: A Feasibility Study.

The coronavirus disease 2019 (COVID-19) pandemic has necessitated adoption of telerehabilitation in services where face-to-face consultations were previously standard. We aimed to understand barriers to implementing a telerehabilitation clinical service and design a behavior support strategy for clinicians to implement telerehabilitation. A hybrid implementation study design included pre- and post-intervention questionnaires, identification of key barriers to implementation using the theoretical domains framework, and development of a targeted intervention.

Regional Waste Streams as Potential Raw Materials for Immediate Implementation in Cement Production.

There is an urgent need to apply available technologies to reduce the environmental impact of the construction industry. One of the possible solutions that can be implemented immediately is the industrial symbiosis between the waste-producing industries on the one hand and the cement industry, which consumes enormous amounts of raw materials for its production, on the other. In order for the industry to accelerate the use of these available materials and technologies, the potential of these materials must be disclosed.

Bobath therapy is inferior to task-specific training and not superior to other interventions in improving lower limb activities after stroke: a systematic review.

Question: In adults with stroke, does Bobath therapy improve lower limb activity performance, strength or co-ordination when compared with no intervention or another intervention?

Design: Systematic review of randomised trials with meta-analyses.

Participants: Adults after stroke.

Intervention: Bobath therapy compared with another intervention or no intervention.

App-based supplemental exercise in rehabilitation, adherence, and effect on outcomes: a randomized controlled trial.

Question: To determine the uptake of an app-based supplemental exercise programme in a rehabilitation setting and the effect of such a programme on length of stay and function compared to usual care physiotherapy.

Design: Randomized controlled trial with random allocation and assessor blinding.

Participants: A total of 144 individuals with mixed diagnoses (orthopaedic, neurological, reconditioning) admitted for inpatient sub-acute rehabilitation.

An ongoing physiotherapist-led exercise program in residential aged care: Description of participant satisfaction and outcomes.

Objective: This study documents aged care residents' outcomes after, and satisfaction with, participation in a rehabilitation program conducted in a co-located gym.

Methods: A mixed-method prospective cohort study was conducted. All residents who attended the program were invited to participate in the study.

The Atomic-Level Structure of Cementitious Calcium Aluminate Silicate Hydrate.

Despite use of blended cements containing significant amounts of aluminum for over 30 years, the structural nature of aluminum in the main hydration product, calcium aluminate silicate hydrate (C-A-S-H), remains elusive. Using first-principles calculations, we predict that aluminum is incorporated into the bridging sites of the linear silicate chains and that at high Ca:Si and HO ratios, the stable coordination number of aluminum is six. Specifically, we predict that silicate-bridging [AlO(OH)] complexes are favored, stabilized by hydroxyl ligands and charge balancing calcium ions in the interlayer space.