Changes in Foraminal Geometry With Anterior Decompression Versus Keyhole Foraminotomy in the Cervical Spine: A Biomechanical Investigation

Author(s):  
Bryant Chu ◽  
Calvin Kuo ◽  
Jackie Nguyen ◽  
Jeremi Leasure ◽  
Christopher Ames ◽  
...  

Cervical spondylosis can be treated with various surgical decompression techniques, notably anterior cervical decompression and fusion (ACDF) and posterior keyhole foraminotomy1. Although each procedure has distinct methods, there is no compelling evidence in the literature to advocate one over the other. Furthermore, subtle differences within the techniques have yet to be examined such as the salvage or resection of uncovertebral joints during ACDF. Systematic reviews2,5 and meta-analyses3 have not elucidated significant differences in pain improvement between ACDF techniques, and no study has compared clinical outcomes for ACDF versus posterior foraminotomy, the two most popular cervical decompression techniques to date. We provide benchtop evidence as to the relative effectiveness of foraminotomy, ACDF with or without resection, and a combination of all surgeries. We hypothesized that ACDF with uncovertebral resection would be most effective to open the neuroforamina. Results of this study inform best practices for cervical decompression surgeries.

Author(s):  
Pushpita Rajawat

The relative effectiveness of different pedagogical approaches and pedagogies in early childhood has raised substantial debate. While the other are associated with the acquisition of basic skills and knowledge and some of them are associated with socio-emotional development and problem-solving abilities. In general, research revealed both positive and negative effects of pedagogical approaches, without favouring specific pedagogical approaches over mainstream ones. However, it is important to note that research evidence and studies considering the same approaches in the same context are very limited. On the other hand, specific pedagogical practices are found to enhance child development, including high-quality interactions involving sustained-shared thinking methods, play-based learning, scaffolding, as well as a combination of staff- and child initiated activities. Research impacts pedagogy and pedagogical practices in the sense that research findings can inform policy makers and practitioners on best practices and what works best in enhancing staff performance, process quality and child development. Research on pedagogy and practices is usually not conducted at the national level, but focuses on particular programmes. So, research review has been used as a guide or manual to provide pedagogical guidance for Early Childhood Education (ECE) staff not only in India but also worldwide. The main focus of the study is that how of the best pedagogical practices and approaches across the country can be useful and implemented in early childhood education


2020 ◽  
Vol 75 (1) ◽  
pp. 52-57
Author(s):  
Felix Wao ◽  
Angela Romano ◽  
Marie Hardin

Journalism programs face many challenges today as they work to prepare students with the knowledge and skills to enter the ever-changing journalism industry. On one hand, programs need to determine whether students are learning the competencies their program designers have identified as essential to the field. On the other, students need to demonstrate the mastery of those skills before graduation. One of the best ways to measure these achievements is through the development and implementation of effective assessment processes. Syndicate 8 focused on this process.


Energies ◽  
2020 ◽  
Vol 13 (14) ◽  
pp. 3514
Author(s):  
Hazleen Aris ◽  
Iskandar Shah Mohd Zawawi ◽  
Bo Nørregaard Jørgensen

Malaysia is in the process of liberalising its electricity supply industry (ESI) further, with the second reform series announced in September 2018. If everything goes as planned, Malaysia would be the third country in the Association of Southeast Asia Nations (ASEAN) to have a fully liberalised ESI after the Philippines and Singapore. A number of initiatives have been in the pipeline to be executed and a lot more will be planned. At this juncture, it is important for Malaysia to look for the best practices and lessons that can be learnt from the experience of other countries that have successfully liberalised their ESIs. Being in the same region, it is believed that there is a lot that Malaysia can learn from the Philippines and Singapore. This paper therefore presents and deliberates on the chronological development of the countries’ progressive journeys in liberalising their ESIs. The aim is to discern the good practices, the challenges as well as the lessons learnt from these transformations. Analysis is being made and discussed from the following four perspectives; legislative framework, implementation phases, market components and impact on renewable energy penetration. Findings from this study would provide useful insight for Malaysia in determining the course of actions to be taken to reform its ESI. Beyond Malaysia, the findings can also serve as the reference for the other ASEAN countries in moving towards liberalising their ESIs.


Neurosurgery ◽  
1988 ◽  
Vol 23 (5) ◽  
pp. 662-665 ◽  
Author(s):  
Alan Hirschfeld ◽  
William Beutler ◽  
Juliet Seigle ◽  
Herbert Manz

Abstract We present two cases in which spinal epidural compression was caused by the expansion of bony elements into the spinal canal as a result of osteoblastic metastases. The precise nature of the compression was appreciated only on computed tomography. One patient had immediate and sustained neurological improvement after laminectomy. The other benefited temporarily, but widespread involvement of his spine ultimately led to paraplegia despite two more decompressive procedures. We think that bony expansion of the spine secondary to osteoblastic metastasis is not reversible with radiation therapy alone and is, therefore, an absolute indication for surgical decompression.


2018 ◽  
Vol 33 (4) ◽  
pp. 799-826 ◽  
Author(s):  
Hadyu Ikrami

Abstract On 19 June 2017, Indonesia, Malaysia, and the Philippines launched the Sulu-Sulawesi Seas Patrol (SSSP), a framework of maritime security cooperation aimed at protecting the Sulu Sea and Sulawesi (Celebes) Sea from maritime crimes. The three nations had announced that their cooperation might be modelled on the Malacca Straits Patrol (MSP), a similar form of cooperation between Indonesia, Malaysia, Singapore, and Thailand to safeguard the Straits of Malacca and Singapore. This article primarily compares both cooperative frameworks, and argues that the SSSP should be modelled on the MSP, subject to certain conditions. Where there are insufficient best practices in the MSP, this article contrasts the SSSP with other similar cooperative frameworks, including the Combined Maritime Forces and the ECOWAS Integrated Maritime Strategy. In addition, this article also discusses the relationship between the SSSP and MSP on one hand, and the ASEAN maritime security mechanisms on the other hand.


1977 ◽  
Vol 41 (3) ◽  
pp. 788-790 ◽  
Author(s):  
Ronald W. Hodgson

Higbee (1969, 1974) suggested the conflicting findings on the relative effectiveness of strong vs mild threat may result from arousal of two different kinds of fear by the messages used in research on threat appeal. One type of fear (nausea-type) is aroused by gruesome, vivid descriptions; the other fear (concern-type) is more related to the likelihood that the subject will experience the threat. In research reported here, subjects exposed to nausea-type threat expressed more aggression than subjects exposed to concern-type threat. These results support Higbee's suggestion that nausea-type threat and concern-type threat are different. Indirectly, they support the hypothesis that the conflicting findings are, in part, the result of unequivalent operations for the concept “threat” by different investigators.


10.29007/gdgh ◽  
2019 ◽  
Author(s):  
Greg Alpar ◽  
Marloes van Hoeve

Mathematics is the foundation of sciences and it is important in a learner’s career success. Growth mindset in mathematics teaching is essential to reach a broader student population effectively. Shifting the focus from performance and time pressure to deep understanding and personal growth, unnecessary competition vanishes among learners. As a result, they develop a better relation with their own thinking and they gain insights into the thinking of others. At the same time, collaboration and communication emerge naturally. The fear of mathematics and making mistakes disappear, while students learn by connecting ideas and applying the already learned study material.In the academic years of 2017-2018 and 2018-2019, two Dutch research projects dealt with the application of a growth mindset in mathematics teaching. One was in secondary schools, the other one at universities. In this article, we briefly report about and reflect on the exciting results of these studies and suggest further directions for research and the development of best practices.The ideas and experiences described in this paper are urgent as currently we are at the threshold of a new era in which education and learning are (and should be) really open for everyone; with low floor and without ceilings.


Author(s):  
Aimée A. Kane ◽  
Floor Rink

Promotions, temporary assignments, and planned efforts to transfer best practices are some of the myriad reasons why employees increasingly move within and across contemporary organizations. At the same time, compared to other learning mechanisms, individuals have unique capabilities for conveying knowledge and adapting it to new contexts. Accordingly, this chapter examines how and when the movement of individuals into organizational units influences learning. From a review of personnel movement in the organizational learning literature and learning in the team receptivity to newcomer literature, we uncover general tendencies in how personnel movement influences learning processes and key moderators of these effects. Centered on points of convergence and divergence, we present an overarching theoretical viewpoint on when personnel movement is most likely to result in learning that integrates across the two literatures, noting what each can learn from the other. The chapter concludes by outlining managerial implications.


Author(s):  
Flevy Lasrado

Innovation, is a subject of considerable interest for entrepreneurs. They share a keen interest in learning how to foster innovation and creativity in ways that help firms to create increasing amounts of wealth. Research on innovation and creativity has increased ever since they were considered to be the key to building a competitive advantage. In fact, it is a challenge for organizations to sustain innovation. In this chapter, we explore the factors that entrepreneurs should address to channel innovation in their organizations. Entrepreneurship, on the other hand, requires the funneling and implementation of creative ideas, leading to innovation. This chapter is particularly relevant to global managers seeking to identify inhibitors of creativity and business innovation and how to combat the roadblocks and create a sustainable innovation environment. The chapter discusses the three essential components that must be considered to spur innovation. We highlight the best practices associated with these factors through a case study of three organizations.


2015 ◽  
Vol 11 (28) ◽  
pp. 1 ◽  
Author(s):  
Mahfoudh Hussein Mgammal ◽  
Ku Nor Izah Bt Ku Ismail

<p>The aim of this paper is to offer an impression of the issues raised by the disclosure of companies’ tax information by supplying existing and historical viewpoints from the aspects of concepts, theory, constraints, benefits and measurements. We are concerned that full disclosure of organizations' tax information could result in firms weakening tax information, hampering tax enforcement, and maybe, in a weakened structure, disclosing private data that could give a competitive benefit to those organizations that are not requested to do such a disclosure. Hence, some studies do not underpin full disclosure. On the other hand, full tax disclosure could have numerous beneficial impacts. It might put pressure on regulators to develop the tax system and it might incite companies to oppose aggressive tax decrease strategies. We anticipate and expect interested parties to take into consideration the best practices of tax disclosure in implementing their future plans.</p>


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