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Oklahoma City, MA, United States
Oklahoma City, MA, United States

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Silver J.K.,MA | Baima J.,Brigham and Womens HospitalChestnut Hill
CA Cancer Journal for Clinicians | Year: 2013

Answer questions and earn CME/CNE Adult cancer survivors suffer an extremely diverse and complex set of impairments, affecting virtually every organ system. Both physical and psychological impairments may contribute to a decreased health-related quality of life and should be identified throughout the care continuum. Recent evidence suggests that more cancer survivors have a reduced health-related quality of life as a result of physical impairments than due to psychological ones. Research has also demonstrated that the majority of cancer survivors will have significant impairments and that these often go undetected and/or untreated, and consequently may result in disability. Furthermore, physical disability is a leading cause of distress in this population. The scientific literature has shown that rehabilitation improves pain, function, and quality of life in cancer survivors. In fact, rehabilitation efforts can ameliorate physical (including cognitive) impairments at every stage along the course of treatment. This includes prehabilitation before cancer treatment commences and multimodal interdisciplinary rehabilitation during and after acute cancer treatment. Rehabilitation appears to be cost-effective and may reduce both direct and indirect health care costs, thereby reducing the enormous financial burden of cancer. Therefore, it is critical that survivors are screened for both psychological and physical impairments and then referred appropriately to trained rehabilitation health care professionals. This review suggests an impairment-driven cancer rehabilitation model that includes screening and treating impairments all along the care continuum in order to minimize disability and maximize quality of life. CA Cancer J Clin 2013. © 2013 American Cancer Society, Inc.


Patent
Ma | Date: 2015-03-25

An umbrella base is provided that includes a first support, a second support and a control device, which can include a foot pedal. The second support is rotatably coupled with the first support. The foot pedal is coupled with the first support, e.g., at a pivot. The foot pedal has at least one lateral member. The lateral member projects downward from an arm. The lateral member is located on the same side of the second support as the foot pedal. Movement of the foot pedal downward causes lateral members to disengage from the second support permitting the second support to rotate.


Patent
Ma | Date: 2014-09-10

An umbrella hub is provided that includes a hub body (100) and a plurality of slots (174). The hub body extends between an outer periphery (120) and a central aperture (124) configured to receive an umbrella pole. The slots comprise a pivot zone configured to receive and retain a mounting pin of an umbrella rib (104) or strut. The hub can be loaded in a generally horizontal direction. Deflectable surfaces enable rigid pins of the umbrella rib or strut to be engaged with the hub for pivoting therein.


The present invention regarding the use of anion-exchange membranes for Fe/Cr redox cells belongs to the area of flow redox batteries (or flow redox cells). An anion exchange membrane works as a separator between the positive and negative electrodes in Fe/Cr redox flow cell. The said anion exchange membranes include those composed of quaternized-ammonium polyether ether ketone, quaternized-ammonium polyether sulfone ketone, or quaternary phosphonium salt functional groups, etc. The used anion exchange membrane, which consists of non-fluorinated polymer and has been tested well in fuel cells, has good anion selectivity for Cl^(-) and cost much less in the present invention. Another advantage of using anion exchange membranes is that, as the internal conductivity inside the cell is no longer dependent on protons, it allows the lower concentration of hydrochloric acid in the electrolyte solution. Not only does it reduce the side reaction of hydrogen evolution but also it potentially makes the electrolyte solution less harmful to the environment. Thus, the use of anion exchange membranes for Fe/Cr flow batteries can lower their production cost while keeping their high efficiency and potentially reduce their harmful impact to the environment.


Patent
Ma | Date: 2014-09-17

A free arm umbrella (100) is provided including a mount structure (101), a shade providing structure including an upper hub (102) and a lower hub (103) coupled with the upper hub (102) by a plurality of umbrella structural members (105,106), and a first strut rod (110) and a second strut rod (120), wherein first and second ends of the first strut rod (110) are pivotally coupled with the lower hub (103) and an upper portion of the mount structure (101) respectively, one end of the second strut rod (120) is pivotally coupled with the upper hub (102) and another end is coupled with the mount structure (101). The umbrella (100) includes a rotation device (108) configured to be moveable between first and second positions, wherein when the rotation device (108) is in the first position the shade providing structure is prevented from rotating about an upright axis and wherein the rotation device (108) enables the shade providing structure to rotate about the upright axis when in the second position. The free arm umbrella (100) has advantages of simple structure, convenience of use, economic practicality, and being applicable to narrow space.


The invention relates to the field of parts of a sunshade umbrella, in particular to a controllable automatic umbrella unfolding device, which comprises an upper runner, a middle runner, a lower runner and a center bar. The upper runner of the umbrella is fixed at the top end of the center bar, the middle runner and the lower runner of the umbrella are movably sleeved on the center bar, the upper runner is connected with long ribs, the long ribs are connected with short ribs, the middle runner is connected with branch ribs, the branch ribs are connected with the short ribs, the short ribs are connected with the lower runner, a gas spring is disposed in the center bar, the tail end of a cylinder barrel of the gas spring is connected with the middle runner of the umbrella, a valve is arranged at the end of a piston rod of the gas spring, and a valve opening device is disposed corresponding to the valve. The automatic umbrella unfolding device has the beneficial effects of: automatic umbrella unfolding, controllable stroke, simple structure, very few components and relatively low cost.


Patent
Ma | Date: 2015-03-11

An umbrella is provided that has a transverse member mounted canopy control module. The umbrella has a support structure and a canopy. The support structure has a first support member having an upper end and a second support member. The second support member has a first end disposed adjacent to the first support member and a second end disposed away from the first end. The second support member extending along a longitudinal axis disposed transverse to the first support member. The canopy has an upper hub. The upper hub is pivotally coupled with the second support member. The umbrella also has an enclosure disposed at the first end of the second support member. A canopy control mechanism is disposed in the enclosure to alter the configuration of the canopy.


Patent
Ma | Date: 2015-03-25

An umbrella (10) is provided that has a transverse member mounted canopy control module (22). The umbrella (10) has a support structure (14) and a canopy (18). The support structure (14) has a first support member (34) having an upper end and a second support member (42). The second support member (42) has a first end disposed adjacent to the first support member (34) and a second end disposed away from the first end. The second support member (42) extending along a longitudinal axis disposed transverse to the first support member (34). The canopy (18) has an upper hub (70). The upper hub (70) is coupled with the second support member (42). The umbrella (10) also has an enclosure (160) disposed at the first end of the second support member (42). A canopy control mechanism is at least partially disposed in the enclosure (160) to alter the configuration of the canopy (18).


An umbrella assembly (100) is provided that comprises an umbrella hub (116) comprising an upper portion (142), a lower portion (146) and a passage configured to be disposed about an umbrella pole. The upper portion (142) includes a top surface that extends between the passage and an outer periphery of the hub. The lower portion (146) includes a bottom surface that extends between the passage and the outer periphery of the hub. The umbrella hub (116) also includes a first engagement position and a second engagement position. The first engagement position is configured to permit insertion of end portions of umbrella structural members into the hub. The first engagement position is provided by first relative movement of the upper and lower portions of the hub along an axis extending through the passage. The second engagement position is configured to retain end portions of umbrella structural members within the hub. The second engagement position is provided by second relative movement of the upper and lower portions of the hub along an axis extending through the passage.


Patent
Ma | Date: 2015-03-11

A cantilever umbrella assembly is provided that includes an upright pole, a runner, a transverse pole, and a canopy. The upright pole includes an upright guide surface. The runner is coupled with the upright pole and has a bearing coupled with the guide surface for guiding the runner along the upright pole. The cantilever umbrella assembly includes a deployable tension member with a first end disposed in the transverse pole and a second end coupled with the canopy.

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