The feasibility of a self-management programme (My Life After Stroke; MLAS) for stroke survivors.

PURPOSE: An evidence-based, theory-driven self-management programme "My Life After Stroke" (MLAS) was developed to address the longer-term unmet needs of stroke survivors.This study's aim was to test the acceptability and feasibility of MLAS as well as exploring what outcomes measures to include as part of further testing. METHODS: Stroke registers in four GP practices across Leicester and Cambridge were screened, invite letters sent to eligible stroke survivors and written, informed consent gained. Questionnaires including Southampton Stroke Self-Management Questionnaire (SSSMQ) were completed before and after MLAS.Participants (and carers) attended MLAS (consisting of two individual appointments and four group sessions) over nine weeks, delivered by two trained facilitators. Feedback was gained from participants (after the final group session and final individual appointment) and facilitators. RESULTS: Seventeen of 36 interested stroke survivors participated alongside seven associated carers. 15/17 completed the programme and attendance ranged from 13-17 per session. A positive change of 3.5 of the SSSMQ was observed. Positive feedback was gained from facilitators and 14/15 participants recommended MLAS (one did not respond). CONCLUSIONS: MLAS was a feasible self-management programme for stroke survivors and warrants further testing as part of the Improving Primary Care After Stroke (IPCAS) cluster randomised controlled trial.IMPLICATIONS FOR REHABILITATIONMy Life After Stroke is a self-management programme developed for stroke survivors living in the community.MLAS is feasible and acceptable to stroke survivors.MLAS could be considered to help address the unmet educational and psychological needs of stroke survivors.

Scaling dielectrowetting optical shutters to higher resolution: microfluidic and optical implications.

A detailed study is reported on the implications of scaling dielectrowetting optical shutters to higher resolutions. Reducing droplet sizes from millimeters to 100 µm in diameter increases the relevance of microfluidic physics such as pinning, film breakup, and dewetting speed as well as optical physics such as transmission and diffraction. In addition, in this work we present improved material systems, including optimized dielectric stacks which reduce electrochemical degradation, and blended lower-viscosity fluids which increase dewetting speed. A higher-resolution device of ~250 µm diameter demonstrates switching speeds of <100 ms and a clear, optically transmissive aperture of >70%. In addition to revealing science not previously discussed, this work has strong applied importance as scaling to higher resolutions is desirable for improving visual appearance in applications ranging from smart windows to electronic signage.

Partial-post Laplace barriers for virtual confinement, stable displacement, and >5 cm s(-1) electrowetting transport.

Laplace barriers composed of full-posts or ridges have been previously reported as a mechanism for virtual fluid confinement, but with unstable displacement (capillary fingering or fluid trapping, respectively). A new platform of 'partial-posts' eliminates the disadvantages of full-posts or ridges, while providing ~60-80% open channel area for rapid electrowetting fluid transport (>5 cm s(-1)). The fluid mechanics of partial-post Laplace barriers are far more complex than previous Laplace barriers as it involves two mechanisms: fluid can first begin to propagate either between, or under, the partial-posts. Careful design of channel and partial-post geometries is required, else one mechanism will dominate over the other. The physics and performance of partial-post Laplace barriers are verified using theoretical equations, experimental results, and dynamic numerical modeling.

Laplace barriers for electrowetting thresholding and virtual fluid confinement.

Reported are Laplace barriers consisting of arrayed posts or ridges that impart ∼100 to 1000 s of N/m(2) Laplace pressure for fluid confinement, but the Laplace pressure is also small enough such that the barriers are porous to electrowetting control. As a result, the barriers are able to provide electrowetting flow thresholding and virtual fluid confinement in noncircular fluid geometries. A simple theoretical model for the barriers and experimental demonstrations validate functionality that may be useful for lab-on-chip, display devices, and passive matrix control, to name a few applications.