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Study design:Retrospective study.Objectives:To determine the potential impact of rehabilitation care on associated symptoms and functional improvements of paraplegic patients with metastatic spinal cord compression.Setting:CMN Propara, Montpellier (France).Measures:Demographics, Functional Independence Measure (FIM), Frankel Modified Score and Visual Analog Scale (VAS) for pain, intercurrent adverse medical events and neurological outcome, duration of stay, survival time, rehospitalization in a non-Spinal Cord Injury unit, number of contracts defining the patients rehabilitation goals, number of contracts defining the patients duration of stay within the rehabilitation center.Results:We reviewed the charts of 26 patients. The initial neurological profile was paraplegia or paraparesis for 24 patients and quadriparesis for 2 patients. Regarding functional improvements: four patients demonstrated a poor functional evolution, five patients showed no functional improvements or very slight improvements and all the other patients showed an increase in their overall functional aptitudes. At the end of the stay, 14 patients were urinary independent. Our study reports 52 rehospitalizations in an another unit and 101 outpatient visits during their rehabilitation stay in a physical medicine and rehabilitation (PM&R) center. For the 14 patients who were deceased at the time of data collection, the median survival rate post-paraplegia was 12.7 months. A total of 12 of the 14 patients spent more than a third of their remaining survival time in a rehabilitation center.Discussion:Compared to the patients' life expectancy, their stay in a rehabilitation center is too long and prevents them from spending time with family and loved ones. The occurrence rate of the associated symptoms is high because of both cancer-related disorders and neurological disorders caused by the spinal cord lesion. PM&R professionals are faced with patients affected by chronic pain and fatigue as well as frequent rehospitalizations, short stays and outpatient stays, in the primary oncology unit. This study focuses on the need to privilege the patients' comfort over their functional rehabilitation.Spinal Cord (2009) 47, 115–121; doi:10.1038/sc.2008.75; published online 10 June 2008 [ABSTRACT FROM AUTHOR]

The deposition of natural dust in an area of 53 ha, situated in the northern Negev desert, is investigated in detail both in the wind tunnel (dust storm simulations over a topographic scale model) and in the field. The wind tunnel results and the field results show a high degree of agreement, indicating that scale-model simulation may be considered an important technique for future loess and desert research. More dust settles on windward slopes than on leeward slopes, which is in contradistinction with the widespread wind shadow concept. Air-flow separation zones immediately downwind of steep windward slopes have an important impact on dust deposition too. In the case of dust deposition on topographic scale models, a restricted height distortion of the model will not necessarily lead to serious problems. In addition, wind tunnel blockage percentages up to 13% may be allowed in order to obtain acceptable dust deposition patterns for the scale model. A mean gross dust deposition of about 200-250 g m[SUP-2] Year[SUP-1] Is calculated for the northern Negev desert for 1987. Thus, if the settled dust can be protected against erosion in the cultivated areas in the Negev, the dust content of the top soil will markedly increase with time. However, it has to be borne in mind that cultivation activities themselves may also contribute to a higher soil erosion and, hence, to a higher dust content in the atmosphere. At any rate, a higher dust content in the top soil will unquestionably have an important positive effect on agricultural yields. From the air dust concentration data and the dust deposition data, a deposition velocity of 4-7 cm s[SUP-1] Can be calculated for Avdat dust. [ABSTRACT FROM AUTHOR]