The aim of this study was to determine the extent of ankle muscle weakness in children with cerebral palsy (CP) and to identify potential causes. Maximal voluntary contractions of plantar (PF) and dorsiflexors (DF) were determined at optimal angles in knee flexion and extension in both legs of 14 children with hemiplegia (7 males, 7 females) and 14 with diplegia (8 males, 6 females). Their results were compared to 14 age- and weight-matched control participants (5 males, 9 females). Muscle cross-sectional areas of soleus, posterior, and anterior compartment muscles were determined from MRIs in 14 children with CP (eight diplegia, six hemiplegia) and 18 control children. Specific tension (torque/unit area) of PF and DF was determined from torque and cross-sectional area results. Muscle volumes of PF and DF were also determined in both legs of five control children and five with hemiplegia. Muscle EMG was recorded from soleus, medial gastrocnemius, and tibialis anterior during each maximal voluntary contraction. Mean amplitude was significantly reduced in PF and DF in both CP groups and significantly higher levels of coactivation of antagonists were found compared to control participants. Strength of PF and DF was significantly reduced in both CP groups, but more importantly the muscles were found to be weak based on significantly reduced specific tensions. The PF were most affected, particularly in the group with hemiplegia. It is believed that an inability to maximally activate their muscles contributed to this weakness. A combination of incomplete activation and high levels of PF coactivation are thought to have contributed to DF weakness.
The aim of this study was to determine the extent of ankle muscle weakness in children with cerebral palsy (CP) and to identify potential causes. Maximal voluntary contractions of plantar (PF) and dorsiflexors (DF) were determined at optimal angles in knee flexion and extension in both legs of 14 children with hemiplegia (7 males, 7 females) and 14 with diplegia (8 males, 6 females). Their results were compared to 14 age‐ and weight‐matched control participants (5 males, 9 females). Muscle cross‐sectional areas of soleus, posterior, and anterior compartment muscles were determined from MRIs in 14 children with CP (eight diplegia, six hemiplegia) and 18 control children. Specific tension (torque/unit area) of PF and DF was determined from torque and cross‐sectional area results. Muscle volumes of PF and DF were also determined in both legs of five control children and five with hemiplegia. Muscle EMG was recorded from soleus, medial gastrocnemius, and tibialis anterior during each maximal voluntary contraction. Mean amplitude was significantly reduced in PF and DF in both CP groups and significantly higher levels of coactivation of antagonists were found compared to control participants. Strength of PF and DF was significantly reduced in both CP groups, but more importantly the muscles were found to be weak based on significantly reduced specific tensions. The PF were most affected, particularly in the group with hemiplegia. It is believed that an inability to maximally activate their muscles contributed to this weakness. A combination of incomplete activation and high levels of PF coactivation are thought to have contributed to DF weakness.
Ti t l e R e n a t u ri n g a mi c r o cli m a t e : t h e i m p a c t of g r e e ni n g a n ei g h b o u r h o o d o n in d o o r t h e r m al c o mfo r t d u ri n g a h e a t w a v e in M a n c h e s t er, UK
<p><strong>Abstract.</strong> North American leaders recently committed to reducing methane emissions from the oil and gas sector, but information on current emissions from Canadian unconventional developments is lacking. This study examined the incidence of methane in an area of unconventional natural gas development in northwestern Canada. In August to September 2015 we completed almost 8000 km of vehicle-based survey campaigns on public roads dissecting developments that mainly access the Montney formation in northeastern British Columbia. Six survey routes were repeated 3&#8211;6 times and brought us past over 1600 unique well pads and facilities developed by more than 50 different operators. To attribute on-road plumes to infrastructural sources we used gas signatures of residual excess concentrations (anomalies above background) less than 500&#8201;m downwind from infrastructural sources. All results represent emissions greater than our minimum detection limit of 0.59&#8201;g/s at our average detection distance (319&#8201;m). Unlike many other developments in the US for which methane measurements have been reported recently, the methane concentrations we measured at surface were close to normal atmospheric levels, except inside natural gas plumes. Roughly 47&#8201;% of active wells emitted methane-rich plumes above our minimum detection limit. Abandoned and under-development well sites also emitted methane-rich plumes, but the incidence rate was below that of producing wells. Multiple sites that pre-date the recent unconventional Montney development were found to be emitting, and in general we observed that older infrastructure tended to emit more often (per unit) with comparable severity in terms of measured excess concentrations on-road. We also observed emissions from facilities of various types that were highly repeatable. Emission patterns in this area were best explained by infrastructure age and type. Extrapolating our results across the Montney development, we estimate that the emission sources we located (emitting at a rate >&#8201;0.59&#8201;g/s) contribute more than 111,800 tonnes of methane annually to the atmosphere. This value exceeds reported bottom-up estimates of 78,000 tonnes for all oil and gas sector sources in British Columbia, of which the Montney represents about 55&#8201;% of production. The results also demonstrate that mobile surveys could be used to exhaustively screen developments for super-emitters, because without our intensive 6-fold replication we could have used single-pass sampling to screen 80&#8201;% of Montney-related infrastructure. This is the first bottom-up study of fugitive emissions in the Canadian energy sector, and these results can be used to inform policy development in an era of methane emission reduction efforts.</p>
U-values of building elements are often determined using point measurements, where infrared imagery may be used to identify a suitable location for these measurements. Current methods identify that surface areas exhibiting a homogeneous temperature-away from regions of thermal bridging-can be used to obtain U-values. In doing so, however, the resulting U-value is assumed to represent that entire building element, contrary to the information given by the initial infrared inspection. This can be problematic when applying these measured U-values to models for predicting energy performance. Three techniques have been used to measure the U-values of external building elements of a full-scale replica of a pre-1920s U.K. home under controlled conditions: point measurements, using heat flux meters, and two variations of infrared thermography at high and low resolutions. U-values determined from each technique were used to calibrate a model of that building and predictions of the heat transfer coefficient, annual energy consumption, and fuel cost were made. Point measurements and low-resolution infrared thermography were found to represent a relatively small proportion of the overall U-value distribution. By propagating the variation of U-values found using high-resolution thermography, the predicted heat transfer coefficient (HTC) was found to vary between 183 W/K to 235 W/K (±12%). This also led to subsequent variations in the predictions for annual energy consumption for heating (between 4923 kWh and 5481 kWh, ±11%); and in the predicted cost of that energy consumption (between £227 and £281, ±24%). This variation is indicative of the sensitivity of energy simulations to sensor placement when carrying out point measurements for U-values.
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