scholarly journals Comparison of inhalation technique with the Diskus® and Autohaler® in asthmatic children at home

2021 ◽  
pp. 00215-2019
Author(s):  
A. van der Kolk ◽  
N. Lammers ◽  
M. Brusse-Keizer ◽  
J. van der Palen ◽  
J. Faber ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Outpatient Clinic ◽  
Daily Life ◽  
The Other ◽  
Inhalation Technique ◽  
Randomised Study ◽  
Common Chronic Disease ◽  
Asthmatic Children ◽  
Critical Error ◽  
At Home

ObjectiveAsthma is the most common chronic disease in childhood and anti-inflammatory medication is the cornerstone of treatment. Inhalers are frequently used incorrectly when demonstrated in the hospital, suggesting poor technique at home. We aimed to: 1) Compare daily inhalation technique with the Diskus® and Autohaler® in asthmatic children by filming inhalations at home; 2) Compare daily inhalation technique with technique demonstrated in the hospital.MethodsWe performed a randomised study in asthmatic children (6–18 years) from the outpatient clinic of MST hospital from July 2014 to April 2016. Children received inhalation instructions for the Diskus® and Autohaler® and were randomised to use one device in the morning and the other in the evening. During the 28-days study period, inhalations were filmed at home and subsequently demonstrated in the hospital. All inhalations were checked for 7 critical errors per device.ResultsA total of 636 videos with the Diskus® and 663 with the Autohaler® were provided by 27 children. The most common critical error in daily-life was an incorrect device position during preparation of the Diskus® (n=271) and an insufficiently deep inhalation (n=39) using the Autohaler®. Percentage of correct days using the Diskus® was 44%, compared to 96% with the Autohaler® (p<0.001). The two most common errors with the Diskus® were made at least twice as often at home than in the hospital.ConclusionInhalation technique at home was markedly better with the Autohaler® than with the Diskus®. Pediatricians should be aware that hospital-based demonstrations can overestimate daily inhalation technique with the Diskus®.

scholarly journals Parent’s perceptions and concerns about inhaled asthma therapy

2019 ◽  
Author(s):  
Rita Barreira ◽  
Madalena Sales Luís ◽  
Sara Marcos ◽  
Vivian Gonçalves ◽  
Rita Monteiro ◽  
...  
Keyword(s):  
Disease Control ◽  
Outpatient Clinic ◽  
Inhalation Technique ◽  
Asthma Therapy ◽  
Uncontrolled Asthma ◽  
Asthmatic Children ◽  
Pediatric Allergy ◽  
Parental Concerns ◽  
Inhaled Therapy ◽  
Regular Review

Aim: To determine parent´s perceptions and concerns about inhaled therapy and their relation to disease control. Methods:  A questionnaire was applied by interviewing parents of 119 asthmatic children attending the Pediatric Allergy or Pneumology outpatient clinic. Results: Eighty-one (68%) parents expressed concerns and worries about the use of inhaled therapy in their children, either with controlled or partially/uncontrolled asthma (65% Vs 78% p=0.22). Regarding their beliefs about inhaled therapy, 11% (n=13) stated that they considered pMDI’s/DPI’s less effective than nebulizers. When questioned about the knowledge of their child's acute exacerbation therapy, 91.5% (n=109) reported knowing it, albeit only 40% (n=44) did answer it correctly. Nine parents said they were unaware of their children’s reliever treatment. Discussion: We expected to find parental concerns about inhaled therapy, but such a high percentage wasn´t expected. A substantial number of parents believe that their children can become addicted or dependent on the use of the inhaler. This finding reinforces the misconceptions parents do have regarding inhaled therapy. There is a higher proportion of parents with concerns in the group with partially/uncontrolled asthma, although it was not statistically significant. The majority of patients/parents reported knowing the reliever plan in an exacerbation, although most of them could not explain the plan correctly. These results are worrying, as they show parents have an inappropriate knowledge of reliever measures. Therefore, we suggest that improvements in education about inhaled therapy should be made, including the regular review of the inhalation technique and the reliever plan in every consultation.

PENGGUNAAN RINFOCAL SEBAGAI APLIKASI PENGINGAT (REMINDER) KEGIATAN AKADEMIK PADA PERGURUAN TINGGI

CCIT Journal ◽  
2015 ◽  
Vol 9 (1) ◽  
pp. 13-26
Author(s):  
Indri Handayani ◽  
Qurotul Aini ◽  
Yessy Oktavyanti
Keyword(s):  
Daily Life ◽  
Human Life ◽  
The Other ◽  
Digital Form ◽  
Mind Mapping ◽  
Literature Reviews ◽  
Schedule Time

      Progress of technology and its developed is going so rapidly nowadays and it provide big affect on human life, some of them were education and daily life. Due to its development we also know the other form of calendar which is in digital form that we usually found in gadgets such as handphone or tablets and surely it is portable. Rinfo which is an email supporting facilities for the needs of Raharja College may help Pribadi Raharja in coordination and communication about task and/or event. Rinfo has some applications that integrated with Rinfo itself, such as RinfoGroup, RinfoSites, RinfoDocs, RinfoDrive, RinfoH and RinfoCal. RinfoCal is an calendar application that can be use as schedule time reminder application and it will send any reminder not only to one person but some or couple persons. RinfoCal may sent an pop-up notification or email notification. This paper will discuss about what is RinfoCal, how to use it, what’s the purpose of using RinfoCal, benefit of RinfoCal and so on. But, instead of its benefit, there are also some shortages including many people who using Rinfo doesn’t get the benefit of RinfoCal because they just pretending that RinfoCal is just an usual calendar.  This paper also present six problems from conventional reminder that will solved by RinfoCal fews are just doing reminders only once at a time or just remembering only one person, a mind mapping to simplify the analyze of problem and make the best solution, eight literature reviews that had been done to help analyzing problems of research. 

Armed Violence in the Ideology of Contemporary Islamic Fundamentalism - Study models

2019 ◽  
Vol 2 (4) ◽  
pp. 237
Author(s):  
Laith Mzahim Khudair Kazem
Keyword(s):  
United States ◽  
United States Of America ◽  
The United States ◽  
The Other ◽  
Islamic Fundamentalism ◽  
Islamic Movements ◽  
Important Means ◽  
Armed Violence ◽  
Goals And Objectives ◽  
At Home

The armed violence of many radical Islamic movements is one of the most important means to achieve the goals and objectives of these movements. These movements have legitimized and legitimized these violent practices and constructed justification ideologies in order to justify their use for them both at home against governments or against the other Religiously, intellectually and even culturally, or abroad against countries that call them the term "unbelievers", especially the United States of America.

TARP DVIEJŲ KOLONŲ: XVIII A. PABAIGOS – XIX A. PRADŽIOS VILNIAUS MASONŲ KASDIENYBĖ SIMBOLIKOJE

2018 ◽  
pp. 144-163
Author(s):  
Daiva Milinkevičiūtė
Keyword(s):  
Daily Life ◽  
The Other ◽  
Daily Routine ◽  
The Past ◽  
Secular World ◽  
National Characteristics ◽  
Conservative Christian ◽  
The Subject ◽  
The One ◽  
Craft Guilds

The Age of Enlightenment is defined as the period when the universal ideas of progress, deism, humanism, naturalism and others were materialized and became a golden age for freemasons. It is wrong to assume that old and conservative Christian ideas were rejected. Conversely, freemasons put them into new general shapes and expressed them with the help of symbols in their daily routine. Symbols of freemasons had close ties with the past and gave them, on the one hand, a visible instrument, such as rituals and ideas to sense the transcendental, and on the other, intense gnostic aspirations. Freemasons put in a great amount of effort to improve themselves and to create their identity with the help of myths and symbols. It traces its origins to the biblical builders of King Solomon’s Temple, the posterity of the Templar Knights, and associations of the medieval craft guilds, which were also symbolical and became their link not only to each other but also to the secular world. In this work we analysed codified masonic symbols used in their rituals. The subject of our research is the universal Masonic idea and its aspects through the symbols in the daily life of the freemasons in Vilnius. Thanks to freemasons’ signets, we could find continuity, reception, and transformation of universal masonic ideas in the Lithuanian freemasonry and national characteristics of lodges. Taking everything into account, our article shows how the universal idea of freemasonry spread among Lithuanian freemasonry, and which forms and meanings it incorporated in its symbols. The objective of this research is to find a universal Masonic idea throughout their visual and oral symbols and see its impact on the daily life of the masons in Vilnius. Keywords: Freemasonry, Bible, lodge, symbols, rituals, freemasons’ signets.

State of Fashion: Searching for the New Luxury

APRIA Journal ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 11-16
Author(s):  
José Teunissen
Keyword(s):  
Twentieth Century ◽  
Daily Life ◽  
Life Cycles ◽  
The Other ◽  
Century Model ◽  
Cocktail Party ◽  
The Public ◽  
Other Hand ◽  
The One

In the last few years, it has often been said that the current fashion system is outdated, still operating by a twentieth-century model that celebrates the individualism of the 'star designer'. In I- D, Sarah Mower recently stated that for the last twenty years, fashion has been at a cocktail party and has completely lost any connection with the public and daily life. On the one hand, designers and big brands experience the enormous pressure to produce new collections at an ever higher pace, leaving less room for reflection, contemplation, and innovation. On the other hand, there is the continuous race to produce at even lower costs and implement more rapid life cycles, resulting in disastrous consequences for society and the environment.

Designing for Dissemination in Chronic Disease Prevention and Management

2017 ◽  
Author(s):  
Neville Owen ◽  
Ana Goode ◽  
Takemi Sugiyama ◽  
Mohammad Javad Koohsari ◽  
Genevieve Healy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Cost Effectiveness ◽  
Health Behavior Change ◽  
The Other ◽  
Research Quality ◽  
Policy Initiatives ◽  
Rigorous Study ◽  
Behavior Change Program

This chapter emphasizes the need for research that is designed and implemented explicitly with dissemination in mind. This is illustrated in relation to environmental and policy initiatives to influence physical activity through active transport, and through the example of initiatives to reduce workplace sitting. The other element of this chapter, the broad-reach intervention-dissemination case study of a health behavior-change program, highlights the need to maintain key elements of research quality in designing for dissemination, to the extent that is practically possible: a rigorous study design; the systematic tracking of implementation and related costs; and, the conduct of dose-response, maintenance and cost-effectiveness analyses. These examples of designing for dissemination illustrate not only the exciting opportunities for real-world dissemination research, but also the resourcefulness and commitment required for success.

scholarly journals Grasp to See—Object Classification Using Flexion Glove with Support Vector Machine

Sensors ◽  
2021 ◽  
Vol 21 (4) ◽  
pp. 1461
Author(s):  
Shun-Hsin Yu ◽  
Jen-Shuo Chang ◽  
Chia-Hung Dylan Tsai
Keyword(s):  
Support Vector Machine ◽  
Daily Life ◽  
Object Classification ◽  
Target Object ◽  
The Other ◽  
Support Vector ◽  
Wide Range ◽  
Dark Space ◽  
Flex Sensors ◽  
Shape And Size

This paper proposes an object classification method using a flexion glove and machine learning. The classification is performed based on the information obtained from a single grasp on a target object. The flexion glove is developed with five flex sensors mounted on five finger sleeves, and is used for measuring the flexion of individual fingers while grasping an object. Flexion signals are divided into three phases, and they are the phases of picking, holding and releasing, respectively. Grasping features are extracted from the phase of holding for training the support vector machine. Two sets of objects are prepared for the classification test. One is printed-object set and the other is daily-life object set. The printed-object set is for investigating the patterns of grasping with specified shape and size, while the daily-life object set includes nine objects randomly chosen from daily life for demonstrating that the proposed method can be used to identify a wide range of objects. According to the results, the accuracy of the classifications are achieved 95.56% and 88.89% for the sets of printed objects and daily-life objects, respectively. A flexion glove which can perform object classification is successfully developed in this work and is aimed at potential grasp-to-see applications, such as visual impairment aid and recognition in dark space.

scholarly journals Nursing consultation practice for psychosocial problems on heart failure patiens in hospital-based outpatient clinic

2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
ERWIN Erwin ◽  
ELLY Nurachmah ◽  
TUTI Herawati
Keyword(s):  
Heart Failure ◽  
Support System ◽  
Family Environment ◽  
Outpatient Clinic ◽  
Social Problems ◽  
Family Members ◽  
Psychosocial Problems ◽  
The Family ◽  
Hospital Outpatients ◽  
At Home

Abstract Funding Acknowledgements Type of funding sources: None. Background The client"s condition for heart failure requires environmental support to be able to be confident and able to carry out activities according to the directions given while the patient is undergoing treatment in the hospital, but sometimes in the client"s time period at home there will be situations where patients may experience complaints or changes in conditions that can affect his cardiovascular status. Purpose this study is conducted to identify psychological and social problems and needs of heart failure clients with a qualitative approach of observation, invite individuals or families to participate, motivate individuals to develop the potential to maintain optimal health. In addition, this study was conducted to assess the need and effectiveness of the practice of consulting for heart failure nursing in hospital outpatients Method qualitative observation approach in nursing consulting practice using steps of the nursing process consisting of an assessment of physical, psychological and social conditions and client needs, formulating problems, making plans and taking care of actions in accordance with the problems that exist by nurses in the outpatient clinic at home sick. Results Clients who came to the outpatient clinic had various  psychological and social problems. From the observations and interviews it was found that psychological and social problems were the most common causes. Psychosocial problems arise due to the client himself, life companion (husband or wife) and family members who live together. So that the family system to support clients with heart failure is not awakened. Health education and promotion to clients, life companions, and family members of heart failure clients who live at home are needed when the client controls health to maintain the client"s health support system while at home. All clients and families in this study stated that the practice of nursing consultations in hospital outpatients is very helpful for clients and families to improve the situation they face. Conclusion the practice of nursing consultations can identify the problems and needs of clients and families. Strengthening the client support system for heart failure at home is needed so that psychological and social problems can be reduced when the client is in the family environment. Nursing consultation practices at outpatient hospitals are needed to help motivate clients and families in maintaining and increasing care and support for clients who suffer from heart failure while at home. Psychosocial problems The client felt anxious, lack of attention, complained sleeping difficulty, often forgot taking medicine, and forgot managing fluid intakeThe client,while at home, was fastidious and wanted to many, was difficult to be told or managed, was always suspicious with their spouse"s activity easily got angry or temperamental, the client"s child felt annoyed because the client acted annoying, the client"s spouse felt annoyed because the client was impatient and temperamentalPsychological, and social problems in heart failure patients

scholarly journals Global-Local Enhancement Network for NMF-Aware Sign Language Recognition

2021 ◽  
Vol 17 (3) ◽  
pp. 1-19
Author(s):  
Hezhen Hu ◽  
Wengang Zhou ◽  
Junfu Pu ◽  
Houqiang Li
Keyword(s):  
Sign Language ◽  
Daily Life ◽  
The Other ◽  
Challenging Problem ◽  
Language Recognition ◽  
Local Enhancement ◽  
Sign Language Recognition ◽  
Vocabulary Size ◽  
Hand Gestures ◽  
Fine Grained

Sign language recognition (SLR) is a challenging problem, involving complex manual features (i.e., hand gestures) and fine-grained non-manual features (NMFs) (i.e., facial expression, mouth shapes, etc .). Although manual features are dominant, non-manual features also play an important role in the expression of a sign word. Specifically, many sign words convey different meanings due to non-manual features, even though they share the same hand gestures. This ambiguity introduces great challenges in the recognition of sign words. To tackle the above issue, we propose a simple yet effective architecture called Global-Local Enhancement Network (GLE-Net), including two mutually promoted streams toward different crucial aspects of SLR. Of the two streams, one captures the global contextual relationship, while the other stream captures the discriminative fine-grained cues. Moreover, due to the lack of datasets explicitly focusing on this kind of feature, we introduce the first non-manual-feature-aware isolated Chinese sign language dataset (NMFs-CSL) with a total vocabulary size of 1,067 sign words in daily life. Extensive experiments on NMFs-CSL and SLR500 datasets demonstrate the effectiveness of our method.

Incest Offences and Alcoholism

1974 ◽  
Vol 14 (2) ◽  
pp. 124-128 ◽  
Author(s):  
M. Virkkunen
Keyword(s):  
Sexual Behaviour ◽  
Psychiatric Hospitalization ◽  
Large Family ◽  
Sexual Attitude ◽  
Living Conditions ◽  
The Other ◽  
Alcoholic Drinks ◽  
The Relationship ◽  
At Home

The purpose of this study was to clarify whether alcoholic incest offenders differ from other criminals who commit these offences. The series consisted of 45 cases of incest, of which 22 cases (48.9 per cent) gave an indication of alcoholism in the offender. The alcoholics showed more evidence of previous criminal offences, and this was especially true when considering acts of violence only. The alcoholics had also exhibited more often than the others aggressive features at home before the detection of incest. Statistically, significant differences were not arrived at as to depression, psychotic disturbances, intellectual defects, problems of jealousy, psychiatric hospitalization, and earlier sexual behaviour. The spouse had a rejective sexual attitude towards the offender in alcoholic cases more frequently than in other cases. The cause of this appeared to be mainly disgust at the abuse of alcoholic drinks and its consequences, as well as the result of a large family and/or poor living conditions. In more than half of the cases of incest in both groups actual intercourse had taken place. Generally, the relationship had, however, started by only touching sexual organs and so forth. According to the offender the victim had shown activity in one-third of the cases of alcoholics. The alcoholic offender tended to be under the influence of alcohol at least at the beginning of the relationship more often than the non-alcoholic person. Offences or an offence were reported by the victim or the offender's spouse in the cases of alcoholics more often than in the other cases; then the informer was usually an outsider. However, the victim's and the spouse's fear of the offender was one reason for concealment when the alcoholics were involved.

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