scholarly journals Shoe Adaptation after Amputation of the II – V Phalangeal Bones of the Foot

2006 ◽  
Vol 30 (3) ◽  
pp. 324-329
Author(s):  
G. M. Rommers ◽  
H. J. M. Diepstraten ◽  
E. Bakker ◽  
E. Lindeman
Keyword(s):  
Case Reports ◽  
Spring Steel ◽  
Industrial Safety ◽  
Stair Climbing ◽  
Custom Made ◽  
Crush Injuries ◽  
Phalangeal Bone ◽  
Foot Orthosis ◽  
Made In

In The Netherlands, about 50% of all amputations of the lower limb are toes and forefoot amputations. Traumata of toes and mid-foot are rare. Preservation of the foot is the primary goal for treatment. Crush injuries of the foot may be associated with prolonged morbidity. This case study presents an insole solution for the solitary first phalangeal bone after amputation of the phalangeal bones II – V. The normal adaptation for forefoot amputations is stiffening of the sole of the shoe and a rocker bar to improve the toe off phase with load reduction of the forefoot. Because the patient had to do excessive stair climbing during work another solution was chosen. As a foot orthosis, a metal soleplate was made in order to have free movement during loading and toe-off during walking. The soleplate gives safety and provides self-adjusting properties after toe off. This enables the shoe technician to make a shoe without a rocker bar or an extra stiff insole. The 0.5 mm custom-made spring-steel plate is also used as a protective in industrial safety shoes. To improve shoe adaptation more research and case reports have to be published in order to inform doctors and shoe technicians about everyday solutions to partial foot amputations.

scholarly journals Ambulatory Function and Perception of Confidence in Persons with Stroke with a Custom-Made Hinged versus a Standard Ankle Foot Orthosis

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Angélique Slijper ◽  
Anna Danielsson ◽  
Carin Willén
Keyword(s):  
Carbon Composite ◽  
Stair Climbing ◽  
Walking Distance ◽  
Cost Index ◽  
Ankle Foot Orthosis ◽  
Physiological Cost ◽  
Custom Made ◽  
Test Velocity ◽  
Mean Differences ◽  
Foot Orthosis

Objective. The aim was to compare walking with an individually designed dynamic hinged ankle foot orthosis (DAFO) and a standard carbon composite ankle foot orthosis (C-AFO).Methods. Twelve participants, mean age 56 years (range 26–72), with hemiparesis due to stroke were included in the study. During the six-minute walk test (6MW), walking velocity, the Physiological Cost Index (PCI), and the degree of experienced exertion were measured with a DAFO and C-AFO, respectively, followed by a Stairs Test velocity and perceived confidence was rated.Results. The mean differences in favor for the DAFO were in 6MW 24.3 m (95% confidence interval [CI] 4.90, 43.76), PCI −0.09 beats/m (95% CI −0.27, 0.95), velocity 0.04 m/s (95% CI −0.01, 0.097), and in the Stairs Test −11.8 s (95% CI −19.05, −4.48). All participants except one perceived the degree of experienced exertion lower and felt more confident when walking with the DAFO.Conclusions. Wearing a DAFO resulted in longer walking distance and faster stair climbing compared to walking with a C-AFO. Eleven of twelve participants felt more confident with the DAFO, which may be more important than speed and distance and the most important reason for prescribing an AFO.

Custom-made silicone hand prosthesis: A case study

2016 ◽  
Vol 35 (4) ◽  
pp. 299-303 ◽  
Author(s):  
S. Nayak ◽  
P.K. Lenka ◽  
A. Equebal ◽  
A. Biswas
Keyword(s):  
Hand Prosthesis ◽  
Custom Made

MapTap and Cornelia Slow Digital Art History and Formal Art Historical Social Network Research

2016 ◽  
Vol 79 (3) ◽  
pp. 315-330 ◽  
Author(s):  
Koenraad Brosens ◽  
Klara Alen ◽  
Astrid Slegten ◽  
Fred Truyen
Keyword(s):  
Social Networks ◽  
Social Network ◽  
Early Modern ◽  
Data Model ◽  
Art History ◽  
Digital Art ◽  
Unique Data ◽  
Network Research ◽  
Custom Made

Abstract The essay introduces MapTap, a research project that zooms in on the ever-changing social networks underpinning Flemish tapestry (1620 – 1720). MapTap develops the young and still slightly amorphous field of Formal Art Historical Social Network Research (FAHSNR) and is fueled by Cornelia, a custom-made database. Cornelia’s unique data model allows researchers to organize attribution and relational data from a wide array of sources in such a way that the complex multiplex and multimode networks emerging from the data can be transformed into partial unimode networks that enable proper FAHSNR. A case study revealing the key roles played by women in the tapestry landscape shows how this kind of slow digital art history can further our understanding of early modern creative communities and industries.

scholarly journals Non-destructive handheld XRF study of archaeological composite silver objects—the case study of the late Roman Seuso Treasure

2021 ◽  
Vol 13 (5) ◽  
Author(s):  
Viktória Mozgai ◽  
Bernadett Bajnóczi ◽  
Zoltán May ◽  
Zsolt Mráv
Keyword(s):  
Fluorescence Analysis ◽  
The Body ◽  
High Quality ◽  
X Ray ◽  
Composite Objects ◽  
Mechanical Attachment ◽  
Non Destructive ◽  
Made In ◽  
Late Roman

AbstractThis study details the non-destructive chemical analysis of composite silver objects (ewers, situlas, amphora and casket) from one of the most significant late Roman finds, the Seuso Treasure. The Seuso Treasure consists of fourteen large silver vessels that were made in the fourth–early fifth centuries AD and used for dining during festive banquets and for washing and beautification. The measurements were systematically performed along a pre-designed grid at several points using handheld X-ray fluorescence analysis. The results demonstrate that all the objects were made from high-quality silver (above 90 wt% Ag), with the exception of the base of the Geometric Ewer B. Copper was added intentionally to improve the mechanical properties of soft silver. The gold and lead content of the objects shows constant values (less than 1 wt% Au and Pb). The chemical composition as well as the Bi/Pb ratio suggests that the parts of the composite objects were manufactured from different silver ingots. The ewers were constructed in two ways: (i) the base and the body were made separately, or (ii) the ewer was raised from a single silver sheet. The composite objects were assembled using three methods: (i) mechanical attachment; (ii) low-temperature, lead-tin soft solders; or (iii) high-temperature, copper-silver hard solders. Additionally, two types of gilding were revealed by the XRF analysis, one with remnants of mercury, i.e. fire-gilding, and another type without remnants of mercury, presumably diffusion bonding.

scholarly journals Influence of the variability of the odour emission rate on its impact range: a case study of the selected industrial source

2019 ◽  
Vol 100 ◽  
pp. 00070 ◽  
Author(s):  
Elżbieta Romanik ◽  
Yaroslav Bezyk ◽  
Marcin Pawnuk ◽  
Urszula Miller ◽  
Agnieszka Grzelka
Keyword(s):  
Emission Rate ◽  
Dispersion Model ◽  
Grid Size ◽  
Model Calculations ◽  
Gas Treatment ◽  
Industrial Source ◽  
Odour Concentration ◽  
Made In ◽  
Dynamic Olfactometry

Odour concentration measurements in a chosen industrial source were made in this study using the method of dynamic olfactometry. The two different scenarios considered the variation of the odour emission rate as input for the dispersion model were compared for the period 2017 (before installation of the equipment for gas treatment) and 2018 (after implementation of purifying technologies). In this paper the odour impact range was determined by applying model calculations conducted in the Polish reference dispersion model – OPERAT FB software for the grid size 2 x 2 km. The conducted research shows a significant improvement in the odour impact range of chosen industrial source in year 2018 compared to 2017.

Introducing Problem-based Learning to Special Needs Dentistry—A Case Study

2002 ◽  
Vol os9 (1) ◽  
pp. 9-13 ◽  
Author(s):  
Raman Bedi ◽  
Jackie A Champion ◽  
Roger Davies
Keyword(s):  
Special Needs ◽  
Problem Based Learning ◽  
Chi Square ◽  
Training And Education ◽  
Mixed Response ◽  
Conventional Teaching ◽  
The Subject ◽  
Better Than ◽  
Made In

Introduction In order to promote training and education in special-needs dentistry an attempt was made to introduce problem-based learning (PBL) as a method of postgraduate dental education. The aim of this paper was to review the principles of PBL and report on a case study using this methodology. Method The case study was of a PBL session, on the subject of ‘problems of obtaining appropriate dental care for people with epilepsy’, undertaken at a national conference. Delegates were asked to complete a pre- and post-session questionnaire on PBL and their attitudes to the session. Results The session received a mixed response. Only 33 (35%) thought the session was valuable and only 20 (31%) thought it was better than conventional teaching methods and yet over half (55%) said they would like to attend more PBL in special-needs dentistry. Professionals complementary to dentistry were more likely to find the PBL session of value and to prefer the method to a more conventional format than dentists were (chi-square=5.5, df=1, p<0.05 and chi-square=5.9, df=1, p<0.05 respectively). Conclusion Valuable feedback was received from delegates. This will enable improvements to be made in future courses so that the effectiveness of PBL can be optimised.

The "Right to Die": A Case Study in American Lawmaking*

1996 ◽  
Vol 3 (1) ◽  
pp. 49-74
Author(s):  
Alan Meisel
Keyword(s):  
Legal System ◽  
Right To Die ◽  
Judicial Process ◽  
Clinical Issue ◽  
The Press ◽  
American Law ◽  
American Legal System ◽  
The Right ◽  
Made In

AbstractIn the 20 years that have passed since the Karen Quinlan case exposed a simmering clinical issue to the light of day — more precisely, to the press and to judicial process — a consensus has developed in American law about how end-of-life decisionmaking should occur. To be sure, there are dissenting voices from this consensus, but they are often (though not always) about minor issues. By illustrating how this consensus has evolved, this paper explores how law is made in the American legal system and the roles that different legal and extra-legal institutions play in lawmaking.

Case Study Comparison: Limitations in Telehealth Relating to Poverty and Family Support

2021 ◽  
Vol 42 (02) ◽  
pp. 158-164
Author(s):  
Lindsey E. Jorgensen ◽  
Rachel E. Barrett
Keyword(s):  
Family Support ◽  
Pediatric Patients ◽  
Internet Access ◽  
Smart Devices ◽  
Internet Connection ◽  
The Third ◽  
Global Pandemic ◽  
Internet Connections ◽  
Made In

AbstractTelehealth appointments have grown in popularity due to the COVID-19 global pandemic. Three cases presented in this article show several different perspectives where telehealth was utilized. For the first patient, appointments were successfully completed via telehealth; however, the patient's family opted to continue with an unsecure internet connection at a local laundromat. For the second patient, a stable internet connection could not be obtained in his home, thus making telehealth appointments unavailable. The caregiver of this patient ended up driving to the clinic to have adjustments made in person. For the third patient, telehealth appointments were unavailable due to unstable internet connections as well as difficulty setting up video interpreting services. These cases highlight the idea that telehealth can be incredibly beneficial, when used correctly. For some, the option to attend appointments virtually gives them access to specialists that otherwise may not be available. For other patients, aspects such as access to smart devices and steady internet access must be considered to ensure a successful connection. The hope is that this article sheds light on some of the potential setbacks that can come from the use of telehealth appointments in a practice and provides discussion regarding for whom telehealth may be appropriate, even in pediatric patients. After reading this article, readers should be able to discuss ways in which there could be solutions for these barriers that may prevent some patients from utilizing these types of virtual appointments.

Translation policy

2021 ◽  
Vol 7 (3) ◽  
pp. 339-369
Author(s):  
Alireza Jazini
Keyword(s):  
End Users ◽  
Reception Theory ◽  
Audience Reception ◽  
Policy Network ◽  
Top Down ◽  
Bottom Up ◽  
Policy Model ◽  
Subsequent Research ◽  
Made In

Abstract The translation policy model by González Núñez (2013, 475) comprises three elements, namely “translation management”, “translation practices”, and “translation beliefs”. While the first two elements of this model are straightforward and easy to study in top-down approaches, translation beliefs can relate both to policymakers and policy receivers. However, the distinction has not been clearly made in this model and the element of translation beliefs has been chiefly treated in the literature as though it comes from the top levels of policymaking, hence overlooking the bottom-up aspects of it (see González Núñez 2014, 2016; Li et al. 2017). In order to improve this model, the present paper draws on the audience reception theory (Hall 1973), and shows that the current translation policy model requires a fourth element that I would call ‘translation reception’. The paper draws on the findings of a reception-oriented case study on translation policies in provincial broadcasting in Iran. This study argues that a more inclusive model of translation policy should not only include the authority-level elements of translation management, translation practices, and translation beliefs, but also the element of translation reception on the part of policy receivers. This way, I hope, the end users’ involvement in and contribution to the translation policy network will not be overlooked in subsequent research.

The Traceability of Construction and Demolition Waste in Flanders via Blockchain Technology: A Match Made in Heaven?

2021 ◽  
Vol 18 (4) ◽  
pp. 347-369
Author(s):  
Jonas Voorter ◽  
Christof Koolen
Keyword(s):  
Circular Economy ◽  
Construction And Demolition Waste ◽  
Waste Processing ◽  
Construction Sector ◽  
Sustainable Society ◽  
Demolition Waste ◽  
Blockchain Technology ◽  
Legal Case ◽  
Made In

Abstract The construction sector plays a crucial role in the transition to a circular economy and a more sustainable society. With this objective in mind, Flanders – the Dutch speaking part of Belgium – makes use of a traceability procedure for construction and demolition waste in order to guarantee that value can be derived from downstream waste processing activities. This article takes this traceability procedure as a legal case study and examines if the use of blockchain technology could lead to even stronger supply chains, better data management, and, more generally, a smoother transition to circular practices in the construction sector.

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