Pericapsular nerve group block (PENG) at neutral position for shoulder manipulation: A feasible approach for a new indication.

2021 ◽  
Vol 75 ◽  
pp. 110541
Author(s):  
Rajasekar Ramadurai ◽  
Debesh Bhoi ◽  
Abhishek Nagarajappa ◽  
Paritosh Amar
Keyword(s):  
Neutral Position

НАРАТИВ ЯК КОНТЕНТНА ОСНОВА МІЖНАРОДНИХ СТРАТЕГІЧНИХ КОМУНІКАЦІЙ

2020 ◽  
pp. 4
Author(s):  
N. Zykun ◽  
A. Bessarab ◽  
L. Ponomarenko
Keyword(s):  
Selection Method ◽  
Historical Narrative ◽  
Neutral Position ◽  
Main Task ◽  
Grand Narrative ◽  
National Narrative ◽  
Strategic Communications ◽  
Analysis And Synthesis ◽  
The Media ◽  
International Interaction

<p><em>The article, basing on the analysis of selected media texts with reference to narrative from the leading Ukrainian newspapers «Dzerkalo Tyzhnia» (Weekly Mirror), «Den» (Day), «Ukraina Moloda» (Young Ukraine) for 2016–2020, the semantic and content characteristics of the «narrative», «strategic narrative», «small narratives» nominations has established; the directions of the semantic realization of the meaning of the narrative and its possibilities in the process of international strategic communications aimed at both external and internal audience, are outlined. It is proved that the main task of a strategic, or national, narrative is a reasoned explanation to the state population and interested audiences of specific realities, intentions, plans; justification of certain directions of state activity aimed at partners, at opponents and those occupying a neutral position.</em></p><p><em>There are divided the spheres of use of different narratological nominations: in international communications and in scientific discourse, the conceptual foundations of state identity and international interaction are referred to as strategic narrative or grand narrative, in publicistic discourse the narrative nomination is used, more rarely – historical narrative, national narrative.</em></p><p><em>The scientific novelty of the research is that the focus is on the media aspect of the use of one of the key concepts of strategic communications and the role of the media in its implementation.</em></p><p><em>The main general scientific methods used in this article are descriptive and comparative ones, as well as analysis and synthesis. The following empirical methods were also used: solid selection method (solid selection method for allocation texts with the «narrative» lexeme; quantitative method of content analysis with elements of qualitative one – for characterizing the semantic of the «narrative» term).</em></p><p><em>The results of the study can be used in the complex research of the technology of international strategic communications and in the practical activity of specialists in international strategic communications, a new trend in Ukraine, which is currently under active institutionalization.</em></p><strong><em>Key words:</em></strong><em> international strategic communications, propaganda, narrative, strategic narrative, grand narrative, «small narratives».</em>

Performance evaluation of a special 6-PUS type parallel manipulator

Robotica ◽  
2021 ◽  
pp. 1-15
Author(s):  
Xiaochu Liu ◽  
Yunfei Cai ◽  
Weitian Liu ◽  
Linlong Zhang ◽  
Chengxin Hu
Keyword(s):  
Performance Evaluation ◽  
Natural Frequency ◽  
Parallel Manipulator ◽  
Screw Theory ◽  
Shaking Table ◽  
Axial Stiffness ◽  
Neutral Position ◽  
Dynamics Model ◽  
Force Transmissibility ◽  
Kane Method

Abstract In this paper, a special 6-PUS parallel manipulator (PM) is utilized as a shaking table. Unlike the existing results about 6-PUS PMs, we make the actuator direction collinear with the linkage direction at neutral position. With respect to the application background, a further analysis of the special PM is carried out from the perspective of motion/force transmissibility, natural frequency and acceleration capability. Specially, the complete dynamics model is established based on the Kane method. Then, generalized transmission indices based on the screw theory are utilized to reflect its motion ability, and a model of natural frequency is proposed with the axial stiffness of linkages considered. Finally, the effect of the angle between the actuator direction and the linkage direction α on various performances is analyzed, and other results are included to illustrate its feasibility and usability.

scholarly journals Prediction accuracy of standard and total keratometry by swept-source optical biometer for multifocal intraocular lens power calculation

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hun Lee ◽  
Jae Lim Chung ◽  
Young Jun Kim ◽  
Jae Yong Kim ◽  
Hungwon Tchah
Keyword(s):  
Cataract Surgery ◽  
Case Series ◽  
Intraocular Lenses ◽  
Power Calculation ◽  
Neutral Position ◽  
Swept Source ◽  
Refractive Outcomes ◽  
Case Series Study ◽  
Significant Difference ◽  
Optical Biometer

AbstractWe aimed to compare the refractive outcomes of cataract surgery with diffractive multifocal intraocular lenses (IOLs) using standard keratometry (K) and total keratometry (TK). In this retrospective observational case series study, a total of 302 patients who underwent cataract surgery with multifocal IOL implantation were included. Predicted refractive outcomes were calculated based on the current standard formulas and a new formula developed for TK using K and TK, which were obtained from a swept-source optical biometer. At 2-month postoperatively, median absolute prediction errors (MedAEs) and proportion of eyes within ± 0.50 diopters (D) of predicted postoperative spherical equivalent (SE) refraction were analyzed. There was no significant difference between MedAEs or proportion of eyes within ± 0.50D of predicted refraction from K and TK in each formula. In TFNT00 and 839MP IOL cases, there was no difference between MedAEs from K and TK using any formula. In 829MP IOL cases, MedAE from TK was significantly larger than that from K in Barrett Universal II/Barrett TK Universal II (P = 0.033). In 677MY IOL cases, MedAE from TK was significantly larger than that from K in Haigis (P = 0.020) and Holladay 2 (P = 0.006) formulas. In the subgroup analysis for IOL, there was no difference between the proportion of eyes within ± 0.50 D of predicted refraction from K and TK using any formula. TFNT00 and 839MP IOLs were favorable with TK, with 677MY IOL with K and 829MP IOL being in a neutral position, which necessitates the study that investigates the accuracy of the new TK technology.

scholarly journals Effects of head positions on awake fiberoptic bronchoscope oral intubation: a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhuo Liu ◽  
Li Zhao ◽  
Zhongfeng Ma ◽  
Meiqi Liu ◽  
Xiaohang Qi ◽  
...  
Keyword(s):  
Tracheal Tube ◽  
Orotracheal Intubation ◽  
Neutral Position ◽  
Fiberoptic Bronchoscope ◽  
Glottic Opening ◽  
Vocal Cords ◽  
Oral Intubation ◽  
Vas Scores ◽  
Head Positions ◽  
Position Group

Abstract Background There are many factors affecting the success rate of awake orotracheal intubation via fiberoptic bronchoscope. We performed this study was to investigate the effects of head positions on awake Fiberoptic bronchoscope oral intubation. Methods Seventy-five adult patients, received general anaesthesia were included in this study. After written informed consent, these patients were undergoing awake orotracheal intubation via fiberoptic-bronchoscope and according to the head position, the patients were randomized allocated to neutral position group (NP group), sniffing position group (SP group) or extension position group (EP group). After sedation the patients were intubated by an experienced anesthesiologist. The time to view the vocal cords, the percentage of glottic opening scores (POGO), the time to insert the tracheal tube into trachea and the visual analog scale (VAS) scores for ease experienced of passing the tracheal tube through glottis, the hemodynamic changes and the adverse events after surgery were recorded. Results The time to view the vocal cords was significantly shorter and the POGO scores was significantly higher in the EP group compared with the other two groups (P < 0.05); The SpO2 in the EP group was higher than NP group at before intubation and higher than SP group and NP group at immediate after intubation (P < 0.05); The time to insert the tracheal tube into trachea, the VAS scores for passing the tracheal tube through glottis, the coughing scores had no significant differences among groups (P > 0.05). There were also no significant differences regard to the incidence of postoperative complications, mean arterial pressure and heart rate among the groups (P > 0.05). Conclusions The head at extension position had a best view of glottic opening than neutral position or sniffing position during awake Fiberoptic bronchoscope oral intubation, so extension position was recommended as the starting head position for awake Fiberoptic bronchoscope oral intubation. Trial registration Clinical Trials.gov. no. NCT02792855. Registered at https://register.clinicaltrials.gov on 23 september 2017.

scholarly journals Staying neutral or intervening?

2021 ◽  
Author(s):  
Maartje Hoogsteyns ◽  
Amalia Muhaimin
Keyword(s):  
Medical Students ◽  
The Netherlands ◽  
Medical Ethics ◽  
Cultural Change ◽  
Moral Distress ◽  
Institutional Constraints ◽  
Neutral Position ◽  
Insight Into ◽  
Proper Response

AbstractEthics teachers are regularly confronted with disturbing cases brought in by medical students in class. These classes are considered confidential, so that everyone can speak freely about their experiences. But what should ethics teachers do when they hear about a situation they consider to be outright alarming, for example where patients/students’ safety is at stake or where systematic power abuse seems to be at hand? Should they remain neutral or should they step in and intervene? In the Netherlands, as in many other countries, there are no clear guidelines for ethics teachers on how to respond. To get more insight into what teachers themselves think a proper response would be, we interviewed 18 Dutch medical ethics teachers. We found that Dutch ethics teachers will address the issue in class, but that they are overall reluctant to intervene; take action outside the scope of class. This reluctance is partly rooted in the conviction that ethicists should stay neutral and facilitate reflection, instead of telling students or physicians what to do. At the same time, this neutral position seems a difficult place to leave for those teachers who would want to or feel they need to. This has to do with various organizational and institutional constraints tied up with their position. The study invites medical ethics teachers to reflect on these constraints together and think about how to proceed from there. This study seeks to contribute to research on cultural change in medicine and medical students’ experiences of moral distress.

People's security — today's challenges of a new approach to policing: Working experience of the Community Security Initiative (CSI) project in Kyrgyzstan 2011

2012 ◽  
Vol 23 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Markus Mueller ◽  
Axel Ostlund
Keyword(s):  
Neutral Position ◽  
Police Reform ◽  
Political Will ◽  
New Approach ◽  
Local Staff ◽  
The Public ◽  
Communication Interaction ◽  
Interethnic Conflict ◽  
Police Ethics ◽  
Special Project

AbstractFor several years the OSCE has attempted to lobby and forge the political will to develop police reform in Kyrgyzstan. In June 2010 its police did not have the capacity to anticipate and prevent destabilisation and to maintain a neutral position in the management of the interethnic conflict. The fact that ethnic minorities are significantly underrepresented in the police contributed to this. As a result, the population's trust further deteriorated from an already existing critically low level. The then incumbent Transitional Government understood the need to support the police in restoring trust and confidence and hence requested the OSCE's assistance. A special project called the Community Security Initiative was created and a team of 28 international police advisors, supported by 21 local staff, deployed in January 2011 in twelve sensitive police stations including Osh. Using a new approach to communication/interaction these advisors try to change the perception of both the police and the population when addressing and resolving daily security problems in the communities. This requires a new and inventive approach putting peoples' security in the forefront. The main objective of CSI is to support the Kyrgyz Government in three main areas: improving relations between the police and the public, supporting and advising the MOI in respecting police ethics standards including human rights, and providing support and advice in the area of multiethnic policing.

Treatment of spasmodic torticollis with intradural selective rhizotomies

1993 ◽  
Vol 78 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Allan H. Friedman ◽  
Blaine S. Nashold ◽  
Robbin Sharp ◽  
Franco Caputi ◽  
Jose Arruda
Keyword(s):  
Marked Improvement ◽  
Excellent Result ◽  
Spasmodic Torticollis ◽  
Neutral Position ◽  
Preoperative Pain ◽  
Content Type ◽  
Head Posture ◽  
Solid Foods ◽  
Abnormal Head ◽  
Muscle Spasms

✓ To determine the effects of ventral cervical and selective spinal accessory nerve rhizotomy on spasmodic torticollis, 58 patients who had undergone surgery between 1979 and 1987 were reviewed retrospectively. At the time of surgery, each nerve rootlet was electrically stimulated to determine its effect on the nuchal musculature prior to sectioning. Forty-nine patients (85%) had a marked improvement in their condition, with 33 (57%) attaining an excellent result and 16 (28%) noting significant improvement. Patients complained of abnormal head posture, nuchal muscle spasms, and pain prior to surgery. Muscle spasms were completely relieved in 42 patients (72%) and markedly reduced in 10 (17%). Of the 47 patients with preoperative pain, 30 (64%) were free of their pain and eight (17%) noted that the pain was reduced in intensity and frequency. Thirty-four patients (59%) reported that their resting head posture was restored to a neutral position. The likelihood that a patient's head posture returned to normal was inversely proportional to the preoperative duration of the spasmodic torticollis. Twenty-six patients (45%) suffered mild transient difficulty with swallowing solid foods in the immediate postoperative period. In most cases these minor difficulties abated in the months following surgery.

Kinematics of the Ankle/Foot Complex: Plantarflexion and Dorsiflexion

Foot & Ankle ◽  
1989 ◽  
Vol 9 (4) ◽  
pp. 194-200 ◽  
Author(s):  
Arne Lundberg ◽  
Ian Goldie ◽  
Bo Kalin ◽  
Göran Selvik
Keyword(s):  
Plantar Flexion ◽  
Three Dimensional ◽  
Substantial Contribution ◽  
Neutral Position ◽  
Transverse Axis ◽  
Talocrural Joint ◽  
Foot Kinematics ◽  
Talocalcaneal Joint ◽  
Axis Rotation

In an in vivo investigation of eight healthy volunteers, three dimensional ankle/foot kinematics were analyzed by roentgen stereophotogrammetry in 10° steps of motion from 30° of plantar flexion to 30° of dorsiflexion of the foot. The study included all of the joints between the tibia and the first metatarsal, as well as the talocalcaneal joint, and was performed under full body load. Although the talocrural joint was found to account for most of the rotation around the transverse axis occurring from 30° of plantar flexion to 30° of dorsiflexion, there was a substantial contribution from the joints of the arch. This was seen particularly in the input arc from 30° of plantar flexion to the neutral position, where the dorsiflexion motion of these joints amounted to 10% to 41% of the total transverse axis rotation.

The Effect of Tibiotalar Fixation on Foot Biomechanics

1997 ◽  
Vol 18 (12) ◽  
pp. 792-797 ◽  
Author(s):  
Jennifer S. Wayne ◽  
Keith W. Lawhorn ◽  
Kenneth E. Davis ◽  
Karanvir Prakash ◽  
Robert S. Adelaar
Keyword(s):  
Subtalar Joint ◽  
Sagittal Plane ◽  
Lower Limbs ◽  
Coronal Plane ◽  
Neutral Position ◽  
Talonavicular Joint ◽  
Tibiotalar Joint ◽  
Contact Areas ◽  
Joint Contact ◽  
Peak Pressures

Contact areas and peak pressures in the posterior facet of the subtalar and the talonavicular joints were measured in cadaver lower limbs for both the normal limb and after fixation of the tibiotalar joint. Six joints were fixed in neutral, in 5–7° of varus and of valgus. Ten degrees of equinus angulation was also studied. Each position of fixation was tested independently. Neutral was defined as fixation without coronal or sagittal plane angulation compared with prefixation alignment of the specimen. When compared with normal unfused condition, peak pressures increased, and contact areas decreased in the subtalar joint for specimens fixed in neutral, varus, and valgus. However, the change in peak pressure for neutral fusion compared with normal control was not statistically significant ( P > 0.07). Peak pressures for varus and valgus fixation were significantly different from normal ( P < 0.001). Contact areas for all positions of fixation were significantly different from normal ( P < 0.001). Coronal plane angulation, however, also resulted in significantly lower contact areas compared with neutral fixation ( P < 0.001). Contact areas and peak pressures in the talonavicular joint did not appear to be substantially affected by tibiotalar fixation with coronal plane angulation. Equinus fixation qualitatively increased contact areas and peak pressures in the talonavicular and posterior facet of the subtalar joint. Neutral alignment of the tibiotalar joint in the coronal and sagittal planes altered subtalar and talonavicular joint contact characteristics the least compared with normal controls. Therefore, ankle fusion in the neutral position would be expected to most closely preserve normal joint biomechanics and may limit the progression of degenerative arthrosis of the subtalar joint.

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