Background: Dysphagia is common among stroke and acquired brain injury (ABI) patients and may result in aspiration. To reduce the risk of thin liquid aspiration, patients are often restricted to thickened fluids. Ther...Background: Dysphagia is common among stroke and acquired brain injury (ABI) patients and may result in aspiration. To reduce the risk of thin liquid aspiration, patients are often restricted to thickened fluids. There is considerable clinical interest in the risks and benefits of offering oral water intake, in the form of water protocols, to patients with thin-liquid dysphagia. Objectives: A controlled pilot study of a free water protocol was undertaken at Riverview Health Centre, in Winnipeg, Manitoba to assess benefits, feasibility and possible complications of free water protocol. Methods: The study examined 16 individuals with stroke or ABI who were randomly assigned to either a control group on thickened fluids (six subjects) or a treatment group (ten subjects) that followed a free water protocol. The average length of time in the study was 4.3 weeks with a range of 1 - 17 weeks among all participants. Results: Throughout the study, there was no incidence of pneumonia in any of the sixteen participants. No statistically significant difference was noted in the weekly total liquid intake between the treatment group and the control group. Perceived swallowing related care results suggest statistically significant improvements from initial to final measures for both the treatment group (p = 0.004) and the control group (p = 0.02). However, a comparison of the change in both measures, between the treatment and control groups, shows no statistically significant differences. Conclusion: This pilot study suggests the need for larger scale work in order to more accurately identify the effects of free water protocols.展开更多
It is well known that today's inter-domain routing protocol, Border Gateway Protocol (BGP), converges slowly during network failures. Due to the distribution nature of Internet routing decisions and the rate-limit...It is well known that today's inter-domain routing protocol, Border Gateway Protocol (BGP), converges slowly during network failures. Due to the distribution nature of Internet routing decisions and the rate-limiting timer Minimum Route Advertisement Interval (MRAI) of BGP, unavoidable convergence latency is introduced in reaction to network changes. During the period of convergence temporarily routing table inconsistencies cause short-term routing blackholes and loops which result in widespread temporary burst packet loss. In this paper, we present ROute-Free Forwarding (ROFF) - a novel technique for packet delivering continuously during periods of convergence. With slightly modifications on IP packet header and BGP, route loops and blackholes can be avoided. Our preliminary evaluation demonstrates that ROFF succeeds in reducing the number of Autonomous Systems (ASes) which experience burst packet loss and the duration of packet loss.展开更多
文摘Background: Dysphagia is common among stroke and acquired brain injury (ABI) patients and may result in aspiration. To reduce the risk of thin liquid aspiration, patients are often restricted to thickened fluids. There is considerable clinical interest in the risks and benefits of offering oral water intake, in the form of water protocols, to patients with thin-liquid dysphagia. Objectives: A controlled pilot study of a free water protocol was undertaken at Riverview Health Centre, in Winnipeg, Manitoba to assess benefits, feasibility and possible complications of free water protocol. Methods: The study examined 16 individuals with stroke or ABI who were randomly assigned to either a control group on thickened fluids (six subjects) or a treatment group (ten subjects) that followed a free water protocol. The average length of time in the study was 4.3 weeks with a range of 1 - 17 weeks among all participants. Results: Throughout the study, there was no incidence of pneumonia in any of the sixteen participants. No statistically significant difference was noted in the weekly total liquid intake between the treatment group and the control group. Perceived swallowing related care results suggest statistically significant improvements from initial to final measures for both the treatment group (p = 0.004) and the control group (p = 0.02). However, a comparison of the change in both measures, between the treatment and control groups, shows no statistically significant differences. Conclusion: This pilot study suggests the need for larger scale work in order to more accurately identify the effects of free water protocols.
基金Supported by Major State Basic Research Development Program (973 Program) (No. 2007CB307102, No. 2007CB 307100)
文摘It is well known that today's inter-domain routing protocol, Border Gateway Protocol (BGP), converges slowly during network failures. Due to the distribution nature of Internet routing decisions and the rate-limiting timer Minimum Route Advertisement Interval (MRAI) of BGP, unavoidable convergence latency is introduced in reaction to network changes. During the period of convergence temporarily routing table inconsistencies cause short-term routing blackholes and loops which result in widespread temporary burst packet loss. In this paper, we present ROute-Free Forwarding (ROFF) - a novel technique for packet delivering continuously during periods of convergence. With slightly modifications on IP packet header and BGP, route loops and blackholes can be avoided. Our preliminary evaluation demonstrates that ROFF succeeds in reducing the number of Autonomous Systems (ASes) which experience burst packet loss and the duration of packet loss.
