scholarly journals Conversion Disorder: Early Diagnosis and Personalized Therapy Plan Is the Key

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Lauren Miller ◽  
Robert L. Archer ◽  
Nidhi Kapoor
Keyword(s):  
Physical Therapy ◽  
Group Therapy ◽  
Early Diagnosis ◽  
Neurological Disease ◽  
Financial Burden ◽  
Recovery Process ◽  
Conversion Disorder ◽  
White Female ◽  
Speed Up ◽  
Sensory Functions

Conversion disorder is characterized by one or more symptoms of altered voluntary motor or sensory functions that cannot be explained by a neurological disease (Keynejad, 2019; Samuels et al., 2019). We present a patient with conversion disorder and discuss her process in overcoming this disorder. Additionally, we review the literature about this specific disorder. A 15-year-old white female was diagnosed with conversion disorder and has shown significant recovery with physical therapy and group therapy since. It is essential to recognize this disorder early to lessen the financial burden on families and to speed up the recovery process for these patients.

Task-Oriented Circuit Training for Mobility in Outpatient Stroke Rehabilitation in Germany and Austria: A Contextual Transferability Analysis

2020 ◽  
Vol 100 (8) ◽  
pp. 1307-1322
Author(s):  
Gudrun Diermayr ◽  
Maria Schomberg ◽  
Andrea Greisberger ◽  
Bernhard Elsner ◽  
Marit Gronwald ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Group Therapy ◽  
Routine Care ◽  
Insurance Companies ◽  
Walking Distance ◽  
Local Context ◽  
Cochrane Library ◽  
Circuit Training ◽  
Task Oriented

Abstract People with stroke cite mobility deficits as one of the most burdensome limitations. National and international stroke guidelines recommend physical therapy based on task-oriented practice, with high numbers of repetitions to improve mobility. In the outpatient setting in Germany and Austria, these principles have not yet been established. The purpose of this study was to identify an evidence-based intervention that could help reduce this research-practice gap. A stepwise approach proposed by Voigt-Radloff and colleagues and Cochrane Germany was used. First, the specific health service problem in the German and Austrian physical therapy outpatient context was identified. Second, a promising intervention was identified using a systematic search in the Cochrane Library and by grading the quality of the evidence using the Grading of Recommendations Assessment, Development and Evaluation. Finally, the transferability of the promising intervention into the local context was evaluated using predefined questions from the Cochrane guide and reports from health insurances, professional organizations, and national stroke guidelines. Task-oriented circuit training reviewed by English and colleagues was chosen. The review showed clinically important improvements in walking distance and speed. The quality of the evidence was graded high for these 2 outcomes. We identified contextual challenges for implementation at the setting level (eg, insufficient reimbursement for group therapy by insurance companies), the participant and therapist level (eg, unknown motivation for group therapy due to the established 1:1 patient-therapist ratio), and the outcome measure level (eg, lack of standardized, cross-culturally translated manuals). Although task-oriented circuit training is scientifically well established, barriers to implementation into routine care in Germany and Austria can be expected. In a next step, research using knowledge translation methodology will focus on the detailed evaluation of barriers and facilitators with relevant stakeholders.

Management of environmental quality and Kostolac mine areas natural resources usage

2014 ◽  
Vol 25 (3) ◽  
pp. 285-300 ◽  
Author(s):  
Svetlana Stevovic ◽  
Milica Miloradovic ◽  
Ivan Stevovic
Keyword(s):  
Natural Resources ◽  
Environmental Quality ◽  
Chemical Properties ◽  
Holistic Approach ◽  
Recovery Process ◽  
Open Pit ◽  
Open Pit Mines ◽  
Content Type ◽  
Degraded Area ◽  
Speed Up

Purpose – This paper aims to define and theoretically analyse the performance of modern methods investigated to speed up the recultivation process of degraded areas, and apply it into the mining basin, open pit mines, tailings and all other areas, which need environmental quality improvement. Design/methodology/approach – This paper presents methods of conservation and substitution of natural resources for the purpose of faster land recultivation (reclamation) in degraded coal mine areas. Two types of methods have been developed: forest slope recultivation and agricultural recultivation of flat landfills. Indicators of positive changes include: changes in chemical properties of tailings, increase in biogenic properties and changes in biodiversity. Findings – The research results show that the application of these methods, along with the holistic approach and adequate investment, can significantly contribute to the length of recovery process and accelerate it. Research limitations/implications – Mining basin Kostolac is used as a model test. The results can be applied on all mining basin, open pits and any degraded area. Originality/value – All results and conclusions were drawn, based on the original measurements and experiments. Stake holders, wanting to manage environmental quality after exploitation in mining basin, applying those methods, can find the value of this paper.

scholarly journals Soft Robotics in Body Assistance: An Intelligent Rehabilitation Device with Soft Continuum Actuation

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Ria Jain ◽  
Kunal Kapur ◽  
Jiaqi Wang ◽  
Yin Yu ◽  
Diarmid Flatley ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Radial Strain ◽  
Recovery Process ◽  
Soft Materials ◽  
Parametric Programming ◽  
Optimal Choice ◽  
Soft Robotics ◽  
Detailed Model ◽  
Pneumatic Actuators ◽  
Flexion Extension

In an effort to improve rehabilitation devices, the applications of soft robotics technologies to prosthetics and physical therapy was explored, particularly due to the benefits of the inherent properties of soft materials. A conceptual design for a soft robotics device prototype is proposed to assist with physical therapy for wrist tendonitis and arthritis, carpal tunnel syndrome, fractures and sprains, and compromised motor skills due to chronic stroke. The device assists in four motions that are commonly performed in wrist therapy: flexion, extension, and rotation (clockwise and counterclockwise) using soft pneumatic actuators to guide movements. The distinct directions were achieved by varying the lateral and radial strain limiting layers. The device uses embodied intelligence to make the device dynamically adaptable in real time, allowing for a customizable recovery process. A detailed model of the device was developed and the viability of the design was assessed using a suite of state-of-the-art simulation tools and limited hardware prototyping. Simulations were performed through integration of Rhinoceros 3D, Grasshopper 3D, Firefly, an Arduino microcontroller, biosensors, Python scripting, and visual parametric programming. Pressure and materials were simulated and tested in Simulia Abaqus and Autodesk Fusion 360. Several parametric variations were tried using simulations and the predictions revealed that rubber silicone at a pressure of 10 kiloPascals is the optimal choice.

MODIFIED MODULUS PROJECTION ALGORITHM FOR ERROR CONTROL IN REDUNDANT RESIDUE NUMBER SYSTEM CODE

2017 ◽  
Vol 15 (1) ◽  
pp. 130-142
Author(s):  
K A AMUSA ◽  
O O NUGA
Keyword(s):  
Error Control ◽  
Recovery Process ◽  
Number System ◽  
Residue Number System ◽  
Block Codes ◽  
Projection Algorithm ◽  
Speed Up ◽  
Redundant Residue Number System ◽  
Error Detecting ◽  
Maximum Minimum

This paper presents a modified modulus projection algorithm for decoding Redundant Residue Num-ber System (RRNS) codes. RRNS code is maximum-minimum distance block codes. RRNS has found wider applications in the field of signal processing especially for error control. The essence of this modification is to reduce the required computation overhead and speed up operation. The proposed method involves conversion of received residues into mixed radix form. Based on the error detecting capability of RRNS code under study, moduli projection is carried out iteratively to determine the corre-sponding integers. The proposed algorithm considerably reduces the number of required iterations involved in the recovery process, therefore improving the speed of decoding operation.

Investigation of central motor pathways: magnetic brain stimulation

2010 ◽  
pp. 4782-4785
Author(s):  
K.R. Mills
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Motor Control ◽  
Early Diagnosis ◽  
Lower Limb ◽  
Neurological Disease ◽  
Cranial Nerves ◽  
Motor Pathways ◽  
The Central Nervous System ◽  
Abnormal Motor

The ability to percutaneously stimulate the central nervous system of awake humans without causing pain has opened up new areas for neurophysiological investigation in the early diagnosis of neurological disease, also furthered the understanding of normal and abnormal motor control. Magnetic stimulators are now available that can excite both upper and lower limb areas of the motor cortex, as well as cranial nerves, motor roots, and deeply sited peripheral nerves....

scholarly journals PENGARUH INTERVENSI ENCHANCE RECOVERY AFTER SURGERY PADA POSTOPERATIVE TERHADAP LENGTH OF STAY: A SISTEMATIK REVIEW

2021 ◽  
Vol 9 (1) ◽  
pp. 107
Author(s):  
Jikrun Jaata
Keyword(s):  
Systematic Review ◽  
Length Of Stay ◽  
Enhanced Recovery ◽  
Early Mobilization ◽  
Recovery Process ◽  
Postoperative Phase ◽  
Post Operation ◽  
International Data ◽  
Speed Up ◽  
Eras Protocol

Background: Health problems arising in the post-operation must be addressed immediately to speed up the recovery process and minimize surgical complications thereby reducing the length of stay in hospital. Enhanced Recovery After Surgery (ERAS) interventions have been introduced to perioperative to reduce hospitalization days. Objective: this study aims to determine the effect of postoperative ERAS interventions on Length of Stay (LOS). Data Source: This systematic review was carried out in several international data bases published from 2010 to 2019 on Pubmed, Proquest, Google Scholar, and Science Direct which began searching on 01 to 31 July 2019. Method: a systematic review using the PRISMA checklist, then the research questions were arranged using PICO in the search for articles so that 11 articles met the inclusion criteria and then analyzed using CASP. Results: There were 7 out of 11 articles that had reviewed ERAS protocol interventions in the postoperative phase reducing the length of stay after the intervention was given and there were differences between the treatment group and the conventional group. While 4 articles were given early mobilization interventions which were part of ERAS in the postoperative phase there were 2 articles which after given the intervention also reduced the length of stay and the remaining 2 articles there was no difference in length of stay. However, the articles that have been reviewed are not known which items in the postoperative phase ERAS protocol cause a reduction in length of stay so that they become recommendations for research by looking at the effect of each item on the postoperative phase ERAS protocol. Conclusion: ERAS intervention in the postoperative phase reduces the length of stay. Keywords: laparotomy, abdominal surgery, colorectal surgery, ERAS, early mobilization, length of stay.

scholarly journals Analysis of Nursing Effect of Children with Henoch-Schonlein Purpura Based on the PDCA Nursing Model

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Shuai Qin ◽  
Dan Li ◽  
Bo Zhang
Keyword(s):  
Pediatric Patients ◽  
Gastrointestinal Symptoms ◽  
Recovery Process ◽  
Nursing Process ◽  
Henoch Schonlein Purpura ◽  
Intervention Effect ◽  
Speed Up ◽  
Schonlein Purpura ◽  
Henoch Schönlein Purpura

By applying the PDCA model to the care of children with Henoch-Schonlein purpura, the nursing process can be divided into four stages: planning, execution, inspection, and treatment. According to the age characteristics and disease progression of pediatric patients, a complete nursing plan is formulated to efficiently implement the nursing content and improve the nursing effect. This paper studies the application of the PDCA nursing model in the nursing of children with Henoch-Schonlein purpura and statistically analyzes the disappearance of skin rash, joint pain relief, disappearance of urine protein, disappearance of gastrointestinal symptoms, etc. Finally, this paper combines the experiment to evaluate the intervention effect of this nursing model and provides reference for the follow-up care of children with Henoch-Schonlein purpura. From the results of experimental research, it can be known that PDCA nursing can improve the comfort of children with Henoch-Schonlein purpura, shorten the time for symptom disappearance, and speed up the recovery process.

Order for the People's Commissariat of Health of the RSFSR June 2, 1937 No. 599

1937 ◽  
Vol 33 (7) ◽  
pp. 946-946
Author(s):  
P. Sergiev
Keyword(s):  
Health Care ◽  
Pain Relief ◽  
Early Diagnosis ◽  
Scientific Research ◽  
New Methods ◽  
Osteoarticular Tuberculosis ◽  
Period 2 ◽  
Mother And Child ◽  
Speed Up ◽  
Prevention And Therapy

I. In order to speed up the development of problems of particular relevance for Soviet health care, to announce a competition for the best original Soviet scientific research works on the following topics for 1937-38:1) Diagnosis and therapy of malaria with special attention to the interictal period.2) Diagnosis and treatment of schizophrenia.3). Methods of mass pain relief in childbirth, taking into account its effectiveness and impact on the mother and child.4) New methods of obtaining synthetic and natural vitamin preparations.5) Fighting summer children's diarrhea.6) Treatment of osteoarticular tuberculosis in the conditions of local resorts.7) Technique for early diagnosis of malignant neoplasms8) Etiology, prevention and therapy of influenza.9) New methods of obtaining synthetic and natural hormonal preparations.10) Treatment of pneumonia with serum.

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