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Archive for August, 2009

Propose a New Idea in a Proposal Cover Letter

Propose a New Idea in a Proposal Cover Letter

Have a thought about how to do things at work in a new way? Want to test a process you’ve been considering? Ready to approach your superior with suggestions for change? Do one of these or any other in a thoughtful and well-written proposal cover letter. Written proposals give the employer a chance to consider the ideas without feeling pressured. He or she can read and think about it and then decide what to do. Proposal cover letters are great tools for anyone to use when asking others to look over a new approach. Find some examples of proposal cover letters online at amazing-cover-letters.com and use them as models for yours.

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Satisfaction with technological equipment in individuals with tetraplegia following spinal cord injury


Satisfaction with technological equipment in individuals with tetraplegia following spinal cord injury

OBJECTIVE: To measure the acquisition, use and satisfaction with high technology equipment by spinal cord injured tetraplegic subjects. DESIGN AND SETTING: A questionnaire was mailed to 102 tetraplegic subjects who were hospitalised in the rehabilitation center of Kerpape (Ploemeur, France) between 1998 and 2004, and 59 subjects responded. The questionnaire asked about the use of telephones, computers, wheelchairs and environmental controls at home. RESULTS: When a piece of equipment was acquired, it was very often used. Patient satisfaction with equipment was 79.3%. Home phones and mobile phones were often used with options such as hands-free devices (78 and 59% respectively). A total of 64.4% of subjects acquired a manual wheelchair and 61% a power wheelchair. The most commonly acquired options on the power wheelchairs were the powered recline (73,7%) and tilt (71,1%) systems. All options were used but all were more desired than acquired. A total of 27.1% of subjects desired a pushrim-activated handicap scooters, but only 15.3% had acquired one; 695% of subjects had a computer. Communication was the first use for the computer (82.5%); 49.2% of subjects had acquired an environmental control system, but 20% desired one. The first reason for lack of acquisition was financial difficulties but also accessibility and information problems. The factor that influenced the acquisition and need for equipment was the degree of spinal cord injury. No other factor reduced patient satisfaction with equipment. CONCLUSION: Patients were satisfied with the equipment they acquired. But their needs, especially wheelchair options and environmental control systems, were not satisfied.

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Perceptions of power mobility use and safety within residential facilities.


Perceptions of power mobility use and safety within residential facilities.

BACKGROUND: medicare power wheelchairs enhance quality of life by enabling occupation, improving self-esteem and facilitating social interaction. Despite these benefits, the risks associated with power mobility use raise serious concerns in residential facilities. PURPOSE: As there is no gold standard to assess when a client is unsafe, a two-phase study was conducted to develop client-centred guidelines for handicap scooters use. METHOD: In the first phase of the study, presented here, 18 in-depth, qualitative interviews were conducted with a variety of stakeholders, including power mobility users, other residents, staff and family members. RESULTS: A thematic analysis of the interviews revealed four main themes: 1) the meaning of power mobility, 2) learning the rules of the road, 3) red flags: concerns about safety, and 4) solutions. PRACTICE IMPLICATIONS: Given the importance of power mobility, safety measures need to address issues of mobility and safety for power mobility drivers and those around them.

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What is a Business Credit Card?

What is a Business Credit Card?

Is a business business line of credit card yet another marketing scheme created for incredulous people or is a practical tool for businesses? Read on to find out why something like a business building business credit card exists and what it is useful for.

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Get Started With a FREE Cover Letter

Get Started With a FREE Cover Letter

If you’re looking for a great new job but you’re busy with the job you have, you may wonder how to make that happen. Here’s how. Search the Internet for an example of a fabulous free cover letter example. They’re all around. Are you in the market for a position as a nurse, a CEO, a secretary, a salesperson, a college teacher, a heavy equipment driver? A free cover letter examples for these professions and thousands more are available online. Go to a search engine, type in the words free cover letter and the name of the job you’re interested in and go from there.

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Reliability and validity of the power-mobility community driving assessment


Reliability and validity of the power-mobility community driving assessment

The Power-Mobility Community Driving Assessment (PCDA) is a performance-based measure designed to assess driving performance of individuals using power wheelchairs or handicap scooters in community environments. This article reports the results of pilot testing and an evaluation of the assessment’s reliability and validity. Pilot testing was conducted with a random selection of Canadian occupational therapists working in the area of mobility. Although the response rate was very low, feedback confirmed the utility of the measure and contributed to one substantive scoring revision. Reliability and validity testing was conducted with a sample of 34 drivers. Internal consistency results were positive. Interrater reliability was fair to high but limited by the lack of variability in the scores. Construct validity hypotheses were tested on the relationships between PCDA scores and vision, perception, cognition, and environmental accessibility. Results indicated no relationships between the PCDA and perceptual and cognitive function and only a weak trend for a relationship with environmental accessibility. Concurrent validity was established: PCDA scores were positively associated with the judgments of therapists familiar with the driving performance of participants. In summary, the PCDA has moderate to good reliability, and content and concurrent validity results were found. More research is needed, particularly on the underlying constructs of successful driving performance. At this point, rehabilitation professionals and their clients are urged to use this assessment to establish driving performance rather than relying on assessments of perception, cognition, or environmental accessibility to predetermine whether someone will receive power mobility. Clinicians may find this a useful tool to identify where clients are able to drive safely in community settings, to identify specific learning needs, and, through those, to promote independent living for drivers of power-mobility devices.

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Reliability of upper extremity anaerobic power assessment in persons with tetraplegia.


Reliability of upper extremity anaerobic power assessment in persons with tetraplegia.

BACKGROUND/OBJECTIVE: Reliable assessment of upper extremity anaerobic power in persons with cervical spinal cord injury (SCI) may indicate the ability to successfully and safely perform many daily activities. PURPOSE: To examine test-retest reliability of upper extremity Wingate anaerobic testing (WAnT) in persons with motor/sensory complete tetraplegia. METHODS: Forty-five persons with cervical-level SCI (15 individuals each at C5, C6, and C7 levels of injury) performed 2-arm WAnT bouts, with 2 to 4 days between bouts. Subjects performed the WAnT seated in their medicare power wheelchairs and medical scooters using a tabletop-mounted Monarch 834E ergometer. Resistance loads were applied relative to injury level, with 1%, 2%, and 3% of body mass applied to subjects with C5, C6, and C7 level injuries, respectively. All subjects were directed to crank the ergometer at maximal velocity for a 30-second period. Values of peak power (Ppeak) and mean power (Pmean) were determined using an SMI OptoSensor 2000 system. Ppeak and Pmean were compared between trials and between groups using 2-way analyses of variance for repeated measures. Coefficients of determination (r2) were calculated between trials. RESULTS: There were no significant differences in Ppeak or Pmean detected between the 2 trials of WAnT in the C5, C6, or C7 groups. Regression analyses revealed statistically significant associations between bouts for Pmean and Ppeak in each of the 3 groups (P < 0.05). CONCLUSIONS: Upper extremity WAnT is reliable for upper extremity anaerobic power assessment in persons with cervical SCI at or below the C5 level.

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From the Store: Home First


From the Store: Home First

When shopping for <a href=’http://www.1topsecret-bbq-sauce-recipe.com’>sauce recipe</a>, buy cold food like meat and poultry last, right before checkout. Separate raw <a href=’http://www.1topsecret-bbq-sauce-recipe.com’>bbq sauce recipes</a> meat and poultry from other food in your shopping cart.

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Write a Killer Cover Letter Today!

Write a Killer Cover Letter Today!

What is a killer cover letter? It’s one that is over the top in clarity and precision. You include just those details that are relevant to the job you’re seeking: your education, experience, reason for interest in this particular position and how you’re ready to assume all duties associated with it. Assume a friendly yet professional tone that will help you come across as a team player, a man or who can come onboard and work well with others. Killer cover letters are rare in today job search market. But you can write a killer cover letter that will break that trend. Go for it.

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Demographic and socioeconomic factors associated with disparity in wheelchair customizability among people with traumatic spinal cord injury


Demographic and socioeconomic factors associated with disparity in wheelchair customizability among people with traumatic spinal cord injury

OBJECTIVES: To determine if a standard of care for wheelchair provision exists within the participating centers and if there is disparity in wheelchair customizability among the study sample. DESIGN: Convenience sample survey. SETTING: Thirteen Model Spinal Cord Injury Systems that provide comprehensive rehabilitation for people with traumatic spinal cord injury (SCI) and that are part of the national database funded through the US Department of Education. PARTICIPANTS: A total of 412 people with SCI who use wheelchairs over 40 hours a week. INTERVENTION: Survey information was obtained from subjects via telephone and in-person interviews and from the national database. Collected information included age, race, education, level of injury, and wheelchair funding source. MAIN OUTCOME MEASURES: Number and type (manual or power) of wheelchairs. Wheelchair customizability as defined by design features (eg, adjustable axle position, programmable controls). RESULTS: Ninety-seven percent of manual wheelchair users and 54% of power wheelchairs users had customizable wheelchairs. No power wheelchair user received a wheelchair without programmable controls. Minorities with low socioeconomic backgrounds (low income, Medicaid/Medicare recipients, less educated) were more likely to have standard manual and standard programmable power wheelchairs. Older subjects were also more likely to have standard programmable power wheelchairs and handicap scooters. CONCLUSIONS: The standard of care for manual wheelchair users with SCI is a lightweight and customizable wheelchair. The standard of care for power wheelchairs users has programmable controls. Unfortunately, socioeconomically disadvantaged people were less likely to receive customizable wheelchairs.

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Consolidate YourCredit Card Debt and Ease a Headache

Consolidate YourCredit Card Debt and Ease a Headache

building business credit card bills are really tough to pay off; once you have more than one card with a balance it can be very difficult to keep up with the payments. Add to that the penalties that you will have to pay for late payments and the problem is never-ending. The headache of having to pay so many bills at one time is one that can easily be eliminated if you consider the option of trying to consolidate your business line of credit card debt. This way you pay off your bills as one bill instead of many and it will actually save you money.

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Training programs in spinal cord injury


Training programs in spinal cord injury

INTRODUCTION: Individualised exercise training programs in spinal cord injury (SCI) individuals are considered highly effective for improving and maintaining capacity for physical activity, as well as for reducing cardiovascular risk. However, no consensus exists on the type, intensity, and frequency of the training programs for SCI. OBJECTIVE: To review the literature about training program characteristics for SCI and describe their efficacy, limits, and results, with the aim of proposing specific recommendations. METHODS: Query using Medline and Embase databases. Ninety-nine references were found, including the following: Clinical studies examining physical endurance capacity of individuals with SCI, physiological responses to maximal exercise, or cardiovascular differences between sedentary and wheelchair-trained subjects; Articles? investigating the effects of training programmes for SCI. RESULTS: Various combinations of training intensity, duration, frequency, type, and ergometers have been proposed for SCI. Whatever the characteristics of the training program, a review of 25 cardiorespiratory training studies involving SCI subjects revealed an average improvement of 9% to 99% in VO2max, 19% to 118% in power wheelchairs
power output, and a decrease in submaximal values after 4 to 36 weeks of training. DISCUSSION - CONCLUSION: Wheelchair ergometers seems to be interesting for SCI because it mimics closely the daily motor tasks of wheelchair users and allows for adjustment of the medicare power wheelchairs. Both continuous and interval training programmes are appropriate, but intermittent exercise intensities may be more beneficial since they mimic the intermittent nature of daily activity patterns. Furthermore, on the basis of the results of these studies, we recommend that training at or above 70% of maximum heart rate, for 30 minutes of rhythmic exercise, three days per week during eight weeks, will provide a sound of basis for design of an endurance exercise programme for people with SCI.

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Real-time head movement system and embedded Linux implementation for the control of power wheelchairs


Real-time head movement system and embedded Linux implementation for the control of power wheelchairs

medicare power wheelchairs has become very important for our quality of life. A loss of mobility due to an injury is usually accompanied by a loss of self-confidence. For many individuals, independent mobility is an important aspect of self-esteem. Head movement is a natural form of pointing and can be used to directly replace the joystick whilst still allowing for similar control. Through the use of embedded LINUX and artificial intelligence, a hands-free head movement wheelchair controller has been designed and implemented successfully. This system provides for severely disabled users an effective power wheelchairs control method with improved posture, ease of use and attractiveness.

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Looking for a Great Cover Letter Example? Read This.

Looking for a Great Cover Letter Example? Read This.

If you want a fabulous new job, it’ll be important to look at a selection of great cover letter example. Where can you find them? On the web, of course. No more guessing about what hiring managers are looking for. They respond to letters that contain helpful information written in an upbeat and positive manner, detailing what the job hunter has done, can do, and will do if he or she wins the job. So if you’re looking for a winning cover letter examples, go to one of the search engines and type in the name of the position you want and add the words cover letter example. Then write your own, including all the elements you see here.

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