Low-level radioactive waste : near-term management options for Illinois : a report to Governor James R. Thompson and the 83rd General Assembly /

Cover title.

Martinsville : report of the Illinois Low-Level Radioactive Waste Disposal Siting Commission on its inquiry into the Martinsville alternative site /

Includes bibliographical references.

Proposed site-selection criteria for a low-level radioactive waste disposal facility /

"August 16, 1995."

Site-selection criteria for a low-level radioactive waste disposal facility /

"December 19, 1996."

Statewide screening activities for Illinois' low-level radioactive waste (LLRW) disposal facility : final report to the Illinois Low-Level Radioactive Waste Task Group and the director, Illinois Department of Nuclear Safety /

"This report was prepared under a contract with the Illinois Dept. of Nuclear Safety (IDNS) in support of the Illinois Low-Level Radioactive Waste Task Group. Numerous staff members of the Illinois State Geological Survey (ISGS) and the Illinois State Water Survey (ISWS) contributed to this report, which was compiled under the general administrative direction of Bill Shilts and Derek Winstanley, Chiefs of the ISGS and ISWS, respectively."--P. iv.

Summary of responses to issues raised by public comment in reference to Site selection criteria for a low-level radioactive waste disposal facility /

"December 19, 1996."

Operator, organizational, direct support, general support, and depot maintenance manual : device, low level signaling, TT-523/GGC (NSN 5815-00-937-6146) and TT-523A/GGC (NSN 5815-00-999-3048).

"October 1967."

Operator, organizational, direct support, general support, and depot maintenance manual : device, low level signaling, TT-523/GGC (NSN 5815-00-937-6146) and TT-523A/GGC (NSN 5815-00-999-3048).

"October 1967."

Quaternary geology of the Martinsville alternative site, Clark County, Illinois : a proposed low level radioactive waste disposal site /

Includes bibliographical references (p. 81-83).

Piloted flight simulation study of low-level wind shear : phase 2 : all weather landing systems, engineering services support project, task 2 /

Includes bibliographical references.

Joining forces - Combining cognition-targeted motor control training with group or individual pain physiology education: A successful treatment for chronic low back pain

Chronic unremittent low back pain (LBP) is characterised by cognitive barriers to treatment. Combining a motor control training approach with individualised education about pain physiology is effective in this group of patients. This randomized comparative trial (i) evaluates an approach to motor control acquisition and training that considers the complexities of the relationship between pain and motor output, and (ii) compares the efficacy and cost of individualized and group pain physiology education. After an "ongoing usual treatment" period, patients participated in a 4-week motor control and pain physiology education program. Patients received four one-hour individualized education sessions (IE) or one 4-hour group lecture (GE). Both groups reduced pain (numerical rating scale) and disability (Roland Morris Disability Questionnaire). IE showed bigger decreases, which were maintained at 12 months (P < 0.05 for all). The combined motor control and education approach is effective. Although group education imparts a lesser effect, it may be more cost-efficient. [ABSTRACT FROM AUTHOR]

Core stability exercise in chronic low back pain

Exercise is commonly used in the management of chronic musculoskeletal conditions, including chronic low back pain (CLBP). The focus of exercise is varied and may include parameters ranging from strength and endurance training, to specific training of muscle coordination and control. The assumption underpinning these approaches is that improved neuromuscular function will restore or augment the control and support of the spine and pelvis. In a biomechanical model of CLBP, which assumes that pain recurrence is caused by repeated mechanical irritation of pain sensitive structures [1], it is proposed that this improved control and stability would reduce mechanical irritation and lead to pain relief [1]. Although this model provides explanation for the chronicity of LBP, perpetuation of pain is more complex, and contemporary neuroscience holds the view that chronic pain is mediated by a range of changes including both peripheral (eg, peripheral sensitization) and central neuroplastic changes [2]. Although this does not exclude the role of improved control of the lumbar spine and pelvis in management of CLBP, particularly when there is peripheral sensitization, it highlights the need to look beyond outdated simplistic models. One factor that this information highlights is that the refinement of control and coordination may be more important than simple strength and endurance training for the trunk muscles. The objective of this article is to discuss the rationale for core stability exercise in the management of CLBP, to consider critical factors for its implementation, and to review evidence for efficacy of the approach.

Prolotherapy injections for chronic low back pain - A systematic review

Study Design. A systematic review of randomized and quasi-randomized controlled trials. Objectives. To determine the efficacy of prolotherapy injections in adults with chronic low back pain. Summary of Background Data. Prolotherapy is an injection-based treatment for chronic low back pain. Proponents of prolotherapy suggest that some back pain stems from weakened or damaged ligaments. Repeatedly injecting them with irritant solutions is thought to strengthen the ligaments and reduce pain and disability. Prolotherapy protocols usually include co-interventions to enhance the effectiveness of the injections. Methods. The authors searched MEDLINE, EMBASE, CINAHL, and Science Citation Index up to January 2004, and the Cochrane Controlled Trials Register 2004, issue 1, and consulted content experts. Both randomized and quasi-randomized controlled trials comparing prolotherapy injections to control injections, either alone or in combination with other treatments, were included. Studies had to include measures of pain and disability before and after the intervention. Two reviewers independently selected the trials and assessed them for methodologic quality. Treatment and control group protocols varied from study to study, making meta-analysis impossible. Results. Four studies, all of high quality and with a total of 344 participants, were included. All trials measured pain and disability levels at 6 months, three measured the proportion of participants reporting a greater than 50% reduction in pain or disability scores from baseline to 6 months. Two studies showed significant differences between the treatment and control groups for those reporting more than 50% reduction in pain or disability. Their results could not be pooled. In one, cointerventions confounded interpretation of results; in the other, there was no significant difference in mean pain and disability scores between the groups. In the third study, there was little or no difference between groups in the number of individuals who reported more than 50% improvement in pain and disability. The fourth study reporting only mean pain and disability scores showed no differences between groups. Conclusions. There is conflicting evidence regarding the efficacy of prolotherapy injections in reducing pain and disability in patients with chronic low back pain. Conclusions are confounded by clinical heterogeneity among studies and by the presence of co-interventions. There was no evidence that prolotherapy injections alone were more effective than control injections alone. However, in the presence of co-interventions, prolotherapy injections were more effective than control injections, more so when both injections and co-interventions were controlled concurrently.