Purpose: To study the association between fatigue and participation and QoL after acquired brain injury (ABI) in adolescents and young adults (AYAs). Materials & Methods: Cross-sectional study with AYAs aged 14–25 years, diagnosed with ABI. The PedsQL™ Multidimensional Fatigue Scale, Child & Adolescent Scale of Participation, and PedsQL™4.0 Generic Core Scales were administered. Results: Sixty-four AYAs participated in the study, 47 with traumatic brain injury (TBI). Median age at admission was 17.6 yrs, 0.8 yrs since injury. High levels of fatigue (median 44.4 (IQR 34.7, 59.7)), limited participation (median 82.5 (IQR 68.8, 92.3)), and diminished QoL (median 63.0 (IQR 47.8, 78.3)) were reported. More fatigue was significantly associated with more participation restrictions (β 0.64, 95%CI 0.44, 0.85) and diminished QoL (β 0.87, 95%CI 0.72, 1.02). Conclusions: AYAs with ABI reported high levels of fatigue, limited participation and diminished quality of life with a significant association between fatigue and both participation and QoL. Targeting fatigue in rehabilitation treatment could potentially improve participation and QoL.
MULTIFILE
19-11-2019
In order to guarantee structural integrity of marine structures in an effective way, operators of these structures seek an affordable, simple and robust system for monitoring detected cracks. Such systems are not yet available and the authors took a challenge to research a possibility of developing such a system. The paper describes the initial research steps made. In the first place, this includes reviewing conventional and recent methods for sensing and monitoring fatigue cracks and discussing their applicability for marine structures. A special attention is given to the promising but still developing new sensing techniques. In the second place, wireless network systems are reviewed because they form an attractive component of the desired system. The authors conclude that it is feasible to develop the monitoring system for detected cracks in marine structures and elaborate on implications of availability of such a system on risk based inspections and structural health monitoring systems
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