scholarly journals Telehealth application on the rehabilitation of children and adolescents

2014 ◽  
Vol 32 (1) ◽  
pp. 136-143 ◽  
Author(s):  
Maria Tereza N. dos Santos ◽  
Sarah Costa D. O. Moura ◽  
Ludmila Mourao X. Gomes ◽  
Ana Henriques Lima ◽  
Rafaela Silva Moreira ◽  
...  

Objective: To systematically review the literature on the telehealth initiatives in telerehabilitation practices in children and adolescents from zero to 18 years old. Data sources: Randomized and controlled clinical trials published in the past ten years (January 2002 to February 2012) in Medline/PubMed, Medline/BVS, PEDro and Cochrane Library databases. The descriptors "telemedicine", "rehabilitation" and "telehealth" were used in three different languages (English, Portuguese and Spanish). Data synthesis: From the 20 studies found in the literature, nine were included in this review. Most of the studies showed that telerehabilitation is able to produce better results in the treatment when compared to the traditional methods, providing less frequency of symptoms, better disease control, better quality of life and greater adherence to treatment. Conclusions: Telerehabilitation is a viable and effective strategy in the treatment of common diseases in children and adolescents. However, there are few studies on the subject in this age group. Although telehealth is already consolidated worldwide, there are no studies in Brazil that used the telerehabilitation in children and adolescents, which reinforces the need for more research and investments.

2015 ◽  
Vol 60 (8) ◽  
pp. 66-80
Author(s):  
Anna Wierzbicka ◽  
Agata Żółtaszek

Maintaining security is one of public tasks that determine the quality of life of the population. This issue is the subject of much debate both social and political. An in-depth assessment of the situation requires a variety of analyzes, significant from the point of view of the implementation of appropriate, effective strategy to increase the sense of security among citizens. The aim of the paper is to compare the state of public safety in selected European countries. The study was conducted based on Eurostat data from the years 2005–2011.


2017 ◽  
Vol 37 (S 01) ◽  
pp. S5-S8
Author(s):  
Delia Mihailov ◽  
Smaranda Arghirescu ◽  
Dan Poenaru ◽  
Jenel Patrascu ◽  
Cristina Ursu ◽  
...  

Summary Background: Haemophilia is a congenital disorder of coagulation with high economic burden due to its requirement for an expensive, lifelong replacement therapy, with additional costs for the frequent complications and for the severe handicapping consequences. The objective of this cross-sectional study aimed at giving an insight into the health condition of young haemophiliacs in the absence of a regular prophylactic therapy. Methods: It was conducted on a heterogeneous group of 37 children and adolescents (4–24 years of age), with similar on demand therapeutic regimen, coming from the whole country, focusing on the joint status by using the Haemophila Joint Health Score (HJHS) system and on quality of life (QoL) by using the EQ-5D-3L-Y questionnaire. Results: The results revealed an impressive situation: 70.3 % with chronic arthropathy, 19 % with target joints, 69 % with multiple joint involvement, mainly elbow (41 %) and knee (34 %), joint damage starting in the age group 6–12 years (18.18 % arthropathy vs. 96 % in the age group above 12 years). Joint score (6.67 ± 7.92), gait score (0.75 ± 1.14) and HJHS (7.43 ± 8.78) were highly correlated (r = 0.7, p = 0.001) with the annualised bleeding rate ABR (16.2 ± 12.1). They impacted the QoL in all domains, also expressed by a VAS of 68.39 ± 21.6. Conclusion: We concluded that in the situation of an international consensus that prophylactic replacement can prevent cost-effectively and cost-efficiently the deleterious joint damages, our study is supporting the introduction even of secondary and tertiary prophylaxis in young patients in our country.


2014 ◽  
Vol 13 (3) ◽  
pp. 341-348 ◽  
Author(s):  
Magdalena Szpytma

The problem regeneration of prefabricated housing in Poland is invariably the current issue. Due to a housing shortage, the demand for apartments in pre-fab housing is still high. Western Europe has begun to struggle with this problem much earlier and has a large experience in the subject of revitalization. However, the context of socio - economic development in Poland, different from the Western European, makes the transfer of complete solutions revitalization impossible . Presented examples show different strategies used in the past and now in Europe (housing revitalization Bijlmer in Amsterdam and building in Halle - Neustadt). They were based on the demolition to a lesser or greater extent. The difficult housing situation in Poland, related to the lack of sufficient amount of housing, poor infrastructure of social housing and complicated housing ownership structure of the buildings, mostly excludes demolition. However, the quality of prefabricated housing living could be significantly improved, without the need for demolition, as evidenced by the spectacular example of the revitalization of the Parisian skyscraper Tour Bois le Prêtre.


Author(s):  
Oleksiv Halyna Vasylivna

Over the past decade, the arsenal of original compositions for the accordion has considerably expanded, but a significant place among the performing repertoire is the genre of translation of works from the repertoire of other instruments, ensembles or orchestras for the accordion. Since the translation of the orchestral repertoire with account of the timbre features of the accordion, has not yet become the subject of musicology research, the task is to elucidation of the main principles of this genre. The combined analysis of translations and executive-methodical recommendations become the basis for a deep understanding of the ideological conception, stylistic features and rethinking of the timbre transformations, and therefore the quality of the performance of the work itself.Translation works for the accordion from the repertoire of the Ukrainian folk instruments orchestra has favorable conditions for many parameters, as demonstrated by Y. Oleksiv "Ukrainian fantasy". The timbre specificity - the existence of a large number of different instrumental groups and voices in the orchestra is successfully transmitted in the accordion translation due to a number of timbre registers of the instrument, the diversity of which allows the most complete transfer of orchestral coloration. The author takes into account the slight difference in the sound of the right and left keyboards of the accordion and demonstrates it in an advantageous applying for translation, creating the effect of a multi-timbre "dialogue". The techniques of playing on the accordion fully reproduce the dynamic gradations of the orchestral sound, as the characteristic feature of such orchestra is a chamber. The author simulates the techniques of sound formation and the specifics of various orchestral instruments. The bandura pinch, the overtones dulcimer "echo", the reed pipe glissando, the violin detache and the articulation variety of instrumental composition of the orchestra composer transmits using a detail palette. Perfect constructive features of the accordion allow you to successfully adapt the multi-layer orchestra texture. In the accordion translations of orchestral compositions, the epic and poetics of folk melodies are transmitted as clearly as possible. This work is aimed at deeper understanding of the content and expressiveness of translated works by the performers. The research can be an impetus for transmissions and their research on the repertoire of the chamber ensemble for the accordion, as well as the translation of pieces for the accordion.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Samanta Richter ◽  
Luisa Schilling ◽  
Nathália Camargo ◽  
Melissa Taurisano ◽  
Nathália Fernandes ◽  
...  

OBJECTIVES: To describe the main aspects of altered sleep in children and adolescents in the quarantine of COVID-19. METHODS: A narrative review of the current literature on the topic was carried out, based on the most recent national/international classification. RESULTS: The literature on the subject is still scarce. The sudden changes in routines and transfers of classes to virtual models provided flexibility in school activities, impacting the circadian rhythm of children and adolescents and, consequently, sleep. As a result, the lack of a routine with pre-established schedules by parents, results in longer use of electronic devices, from games to the media. CONCLUSIONS: It is essential that pediatricians advise parents on the importance of establishing a routine of daytime and nighttime activities, which will have an impact on the quality of sleep of children and adolescents during this quarantine period.


2019 ◽  
pp. 289-295
Author(s):  
Agnieszka Rumik ◽  
Iwona Paradowska-Stankiewicz ◽  
Jolanta Rudowska ◽  
Aleksandra Wiktor

INTRODUCTION. After the introduction of compulsory pertussis vaccination in Poland in 1960, there was a sharp decline in the incidence of this disease. For several years, however, an increase in the number of reported cases has been observed. In 2015 and 2016, the incidence was 12.9 and 17.8 per 100 000 population, respectively (1). The year 2017 can be treated as an inter-epidemic year in which there was a significant decrease (by 55.1%) incidence to 8.0 per 100 000 population compared to the previous year. Pertussis who are still old who may be the source of infection for non-immunized or not fully immunized newborns and infants are still a high percentage. Vaccination in accordance with the current calendar remains the most effective strategy for preventing illness. In our country, research is being carried out to optimize pertussis vaccination schedules using both whole-cell and acellular vaccines. OBJECTIVES. The aim of the study is to assess the epidemiological situation of pertussis in Poland in 2017 compared to the situation in previous years, with particular emphasis on assessing the vaccination status of children against pertussis. MATERIAL AND METHODS. The assessment of the epidemiological situation of pertussis in Poland was carried out on the basis of the results of the analysis of individual reports of suspected pertussis cases sent to NIZP-PZH by provincial sanitary-epidemiological stations and data from the bulletin ‘Infectious diseases and poisoning in Poland in 2017’ (2) and the bulletin ‘Protective vaccinations in Poland in 2017’ (3). RESULTS. In 2017, 3 061 pertussis cases were recorded. The incidence was 8.0 per 100 000 population and was 55% lower than in the previous year (17.8). The highest incidence of pertussis occurred in persons in the age group 0-4 years (37.0), and high in children and adolescents aged 5-9 and 10-14 years - 21.4 and 25.7 per 100 000 population. From 3 061 pertussis patients, 762 people (i.e. 25%) were hospitalized. In 2017, no deaths from pertussis were reported. SUMMARY AND CONCLUSIONS. The number of pertussis cases observed in 2017 indicates the persistent circulation of bacteria in the environment and the persistent susceptibility of the population to infection. Still, the only effective strategy to reduce the number of cases of vaccination remains the use of vaccinations according to the current calendar and expert recommendations.


Author(s):  
Sauro Succi

The actual dynamics of fluid flows is highly dependent on the surrounding environment, whose influence is mathematically described through the prescription of suitable boundary conditions. Boundary conditions play a crucial role, as they select solutions which are compatible with external constraints. Accounting for these constraints may be comparatively simple for idealized geometries but for general ones it represents a delicate (and sometimes nerve-probing!) task. In fact, the treatment of the boundary conditions often makes the difference in the quality of fluid dynamic simulations. This chapter illustrates the most common ways to impose boundary conditions to LB flows. The subject is very technical and has grown considerably for the past decade, which means that this chapter can only serve as a guiding introduction to the vast and still growing original literature.


1976 ◽  
Vol 13 ◽  
pp. 1-24 ◽  
Author(s):  
Peter Brown

I must begin with the words of the clergyman: ‘My short sermon for today is divided into three parts. One: God. Two: Man. Three: The Universe.’ It will be impossible to do justice to the subject in hand in the short span of one lecture. This is not only because of the vast range of time and space involved in any consideration of the parting of the ways between eastern and western Christianity in the late antique period. To embark on such a theme involves holding up for scrutiny the very nature of ecclesiastical history. For what we have to deal with is not merely what happened in the relations between east and west, but why what happened happened as it did. Once the ecclesiastical historian asks why, he will find himself sooner or later forced to grapple with the whole quality of men’s lives in the past—that is, with how they lived the full twenty-four hours of the day, not only in their books, but in their churches, not only in their churches, but in the most intimate and most monotonous rhythms of their life.


1987 ◽  
Vol 28 (1) ◽  
pp. 119-140 ◽  
Author(s):  
A. G. Hopkins

This article surveys research into the business history of Africa completed during the past decade, taking as a point of departure the author's previous essays, ‘Imperial business in Africa’, in this Journal (XVII, (1976), 29–48 and 291–305), and using as a point of reference the published proceedings of two conferences held in Paris and London in 1981 and 1983. It is apparent that knowledge of indigenous and expatriate business in the nineteenth and twentieth centuries has expanded considerably during the past ten years, and also that the studies produced by specialists on Africa have particular strengths: they remain integrated with other branches of history; they have illuminated the relationship between business enterprise and official policy; and they have been concerned to explore the wider social consequences of business activities and to relate historical research to current development issues. The literature reveals some characteristic weaknesses too, quite apart from limitations of source materials: the market for knowledge remains imperfect, and specialists often fail to incorporate work which is available; and their analysis is frequently limited by a reluctance to make use of theories of the firm and of accounting techniques. An explanation of these characteristics is offered, and it is concluded that once the present deficiencies have been recognized they can be overcome, and that the quality of research will improve still further as the subject continues to grow during the next decade.


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