scholarly journals Features of treatment in children with fractures of the distal metaphysis of the shin bones: cases report

2020 ◽  
Vol 10 (4) ◽  
pp. 453-460
Author(s):  
Alexander I. Dorokhin ◽  
Anastasia A. Adrianova ◽  
Vladimir I. Khudik ◽  
Dmitriy S. Sorokin ◽  
Alexey K. Goryunov

This case study discusses the treatment of distal methapyphiseal fractures of shin in children. The choice of this problem based on wide expansion of fractures and poor treatment results. Age of children ranges from 10 to 16 years. Examination was done with X-rays, computed tomography (CT), and ultrasound, especially in cases where damaged ligamentous apparatus was suspicious. The main method of treatment was surgicalosteosynthesis by pins, plates, and screws. In the rehabilitation period, the legs were immobilized by Plaster of Paris for 46 weeks. The first case demonstrated the probability of damage of the distal tibiofibularis ligaments and necessity of their reconstruction. In the management of the second case, the efficacy of CT scans in validation of the fracture is presented. The treatment of the teenager presented in the third case was based on biomechanical principles. In majority of cases, outcomes in the period of 68 weeks after trauma were good and satisfactory. In our opinion, diagnosis and treatment of distal methapyphiseal fractures of the shin in children must be different that was proved in the examination of bones and ligaments injuries. Creation of the special structure classification for understanding and effective treatment of these kinds of methepyphiseal fractures in children is believed to be necessar.

Author(s):  
Grant Goodall

Courses on invented languages can do much more than just introduce students to linguistics. Through three case studies, it is shown that as students learn how to design a language, they also learn about the design of human language in a way that is unlikely to occur in other courses. The first case study involves the creation of a lexicon, in relation to John Wilkins’ invented language of 1668 and to Saussurean arbitrariness, commonly regarded as a fundamental design property of human language. The second case study concerns phonemic inventories. By designing their own from scratch, students see the competing pressures that phonemic inventories must satisfy in all languages. The third case study concerns inflectional morphology and the pressures that determine the form of particular morphemes. All of these case studies are accessible to students and help them engage with important aspects of the design properties of human language.


1996 ◽  
Vol 21 (2) ◽  
pp. 1-6 ◽  
Author(s):  
Marilyn Fleer

This paper details three examples of technology education in process. The first case study highlights how an early childhood teacher comes to think about and plan for technology education. A series of diary entries are included to show the progression in thinking. In the second case study, a preschool teacher shows how very young children can participate in technology education. In the third case study a Year 3 teacher reveals how young children can become investigators in a simulated architects studio. The focus is on following the children's technological questions. All three case studies provide some insight into the sort of technological language that can be fostered in early childhood.


2007 ◽  
Vol 19 (1) ◽  
pp. 135-173 ◽  
Author(s):  
Hélène Buzelin

Abstract Over the past ten years, the publishing and book selling industries (in Canada and elsewhere) have undergone a process of hyper-concentration that seems to threaten the future of independent publishing. How might this changing environment reflect on the attitudes of independent publishers toward translation and on the way they handle translation projects? This is the question this article seeks to examine. It is based on the first case study of a research programme that consists in following, by use of an ethnographic approach, the production process of literary translations in three independent Montréal-based publishing houses: from negotiations over the acquisition of translation rights to the launch of the translation. The article is divided into three parts. The first explains the rationale, methodology and ethics underlying this research; the second part tells the story of the title under study in a way that highlights the range of actors involved in the production of this translation, their own constraints and concerns, as well as the way publishing, editorial and linguistic/stylistic decisions intertwine. Based on this particular case, the third part discusses some of the strategies a publisher and his collaborators may devise in order to produce literary translations in an independent but network-based, competitive way. Particular emphasis is placed on strategies of cooperation such as co-translation and co-edition publishing, as well as on the role played by literary agents in the allocation of translation rights.


2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Natalie A. Benjamin ◽  
Jennifer Jelsma

Introduction: Peripheral neuropathy (PN) is the most common neurological condition seen in people living with human immunodeficiency virus (HIV) and has been estimated to be present in up to 30% of people with AIDS. Prevalence may be increasing as it appears to be related to the use of antiretroviral therapy in many cases, particularly medication containing stavudine. It is often characterised by burning and numbness in the feet. It can interfere severely with function and sufferers resort to a large number of strategies in an attempt to reduce pain.Case presentation: A 50-year-old man presented with severe PN and showed symptoms of extreme weakness and sensitivity of both lower limbs. His symptoms gradually worsened over a period of 18 months to such an extent that he was unable to walk. Medication had no effect on his pain or related symptoms. The authors tested the use of a Vibromat clinical vibrator to treat his PN symptoms. The patient was treated using the same modality for five evenly spaced (monthly) sessions.Outcome: The patient showed marked improvement in pain, numbness and pins and needles symptoms after the first session. He was able to walk a short distance with assistance. Treatment was continued and after the third session he was able to walk unaided. Symptom relief was maintained for 4 months.Conclusion: This is the first case demonstrating the use of the Vibromat in successfully treating the signs and symptoms of PN. This is important for clinicians who manage patients with HIV-related PN and pain.


2019 ◽  
Vol 15 (1-2) ◽  
pp. 43-65
Author(s):  
Christian Lequesne ◽  
Gabriel Castillo ◽  
Minda Holm ◽  
Walid Jumblatt Abdullah ◽  
Halvard Leira ◽  
...  

Summary Diversity and its management have become an issue in all organisations. Ministries of foreign affairs (MFAs) do not escape the issue. In the 2000s, states decided to consider more ethnic diversity in the recruitment of their diplomats. In some countries, this new goal requires affirmative action programs. This article is based on three case studies. The first case study analyses two Western countries — France and Norway — where MFAs have to reflect the diversity of immigration in their societies. The second case study analyses the case of Brazil, a country where the legacy of slavery still causes discrimination in the recruitment of diplomats. The third case study analyses ethnic diversity in the MFAs of India and Singapore, which recognise multiculturalism or multiracialism. The study draws five comparative conclusions to generalise on why MFAs in the world cannot escape the challenge of ethnic diversity in their recruitment policy.


Author(s):  
William J. Long

AbstractThis chapter introduces the first case study that serves as empirical referent for a Buddhist approach to statecraft in ancient times by considering the early kingdom of Aśoka. This chapter and the one that follows offer “proofs of concept” for the possibility of applying Buddhist ideas in the practice of politics and statecraft. Aśoka governed according to the dharma, meaning principles and policies that reflect Buddha’s teachings, although Aśoka expressed his principles and policies in edicts written in nonreligious, nonexclusive language. Aśoka’s rule was characterized by the promotion of nonviolence; social welfare; environmental protection; religious tolerance; political pluralism; the fair and compassionate administration of justice; and sound and responsive public administration meaning transparency, accessibility, impartiality, and accountability. His foreign policy was founded on principles of nonviolence, nonaggression, conciliation, stability, and improved understanding among international actors through diplomacy and mutually beneficial commerce. Aśoka even practiced the exercise of “soft power” by establishing medical facilities in foreign lands, sharing beneficial plants, and installing infrastructure beyond his immediate borders as acts of goodwill toward neighboring countries. While these governing principles and policies may be commonplace today, Aśoka, it should be remembered, governed in Asia in the third century B.C.E.


1993 ◽  
Vol 107 (12) ◽  
pp. 1151-1152 ◽  
Author(s):  
V. Abdullah ◽  
P. Williamson ◽  
A. Gallimore ◽  
N. S. Shah

We report a case of primary middle ear lipoma diagnosed in the right ear of a five-year-old child with concurrent bilateral middle ear effusions. The lipoma occupied a site favoured by congenital cholesteatoma and was occlusive to the eustachian tube contributing to its dysfunction. This is the first case of de novo middle ear lipoma diagnosed in the UK, and the third in world literature. Our CT scans are suggestive of a similar but smaller lesion in the left ear of the same child.


2015 ◽  
Vol 17 (4) ◽  
pp. 73-85 ◽  
Author(s):  
Victor Lazzarini ◽  
Damián Keller ◽  
Marcelo Soares Pimenta

This paper focuses on the prototyping stage of the design cycle of ubiquitous music ecosystems. The authors present three case studies of prototype deployments for creative musical activities. The first case exemplifies a ubimus system for synchronous musical interaction using a hybrid Java-JavaScript development platform, mow3s-ecolab. The second case study makes use of the HTML5 Web Audio library to implement a loop-based sequencer. The third prototype—a sine-wave oscillator—provides an example of using the Chromium open-source sand-boxing technology Portable Native Client (PNaCl) platform for audio programming on the web. This new approach involved porting the Csound language and audio engine to the PNaCl web technology. The PNaCl Csound environment provides programming tools for ubiquitous audio applications that go beyond theWeb Audio framework. The limitations and advantages of the three approaches proposed—the hybrid Java/JavaScript environment, the HTML5 audio library and the PNaCl Csound infrastructure—are discussed in the context of rapid prototyping of ubimus ecosystems.


2012 ◽  
Vol 29 (1) ◽  
pp. 65-74 ◽  
Author(s):  
Sture Brändström ◽  
Johan Söderman ◽  
Ketil Thorgersen

The purpose of this article is to analyse three case study examples of musical folkbildning in Sweden. The first case study is from the establishment of the state-funded Framnäs Folk High Music School in the middle of the last century. The second case study, Hagström's music education, is from the same time but describes a music school run by a private company. The third case study concerns a contemporary expression of folkbildning, namely hip-hop. The theoretical framework that inspired this article stems from the work of Pierre Bourdieu. The double feature of folkbildning appears in terms of: elitist and democratic tendencies, high and low taste agendas, control and freedom.


2020 ◽  
Author(s):  
Ludmila Budrina

The newly developed high-tech methods of attribution and assessment have sometimes been viewed as replacements for more traditional approaches. This article uses three case studies to examine the role of documents and published resources as the important sources of information for the attribution of malachite pieces commissioned to the European artists by Nikolay Demidov. The first case highlights the role of archival documents in the identification of the elements and complete reconstruction of an important table centrepiece. The second example uses the materials published by the media of different countries made accessible by the digitalization process, and the placement of this digital copy in the open databases. With the support from the three articles published in the English, French and Vatican journals, it was possible to identify author, date of creation and the relation to the client for one pair of columns, which are the first example of the architectural use of malachite. The third case shows the role of iconographic sources – original pieces and printed graphics – in the attribution of the pieces from the presumably lost collection of Russian malachite created for the First World’s Exhibition in London in 1851. In conclusion, the author discusses the importance of the traditional methods of assessment and attribution based on the documents and printed sources. Keywords: malachite, stonecutting art, Demidov family, Thomire, Sibilio, private malachite manufacture of Demidov, The World Exhibition in London (1851)


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