scholarly journals A Study on the Development of Cranial Traction Therapy Program for Facial Non-Symmertric Correction -Utilize Delphi Technique

Author(s):  
Hea-Ju Hwang

The purpose of this study is to develop a cranial traction therapy program to help correct facial asymmetry of the hard tissues through the means of the treatment of soft tissues—a non-surgical therapeutic method for the correcting of facial asymmetry. We have formed a group of experts who have agreed to the study. In the primary survey, open questions were used. In the second survey, the results of the first survey were summarized and the degree of agreement was presented to the questions in each category. In the third survey, we conducted a statistical analysis of the degree of agreement on each item of question. All surveys also performed email. The distribution was calculated using the SPSS (ver.23.0) program, and the mean difference between the result and X² was calculated. The significance level was set to p<.05. Most of the questions attained a certain level of consensus by the experts (average of 4.0 or higher), it can be said that most are important and suitable questions. the results regarding the degree of importance for each of the points of evaluation made by the groups of experts in both the second and third stage of the cranial traction therapy program were verified using content validity ratio (CVR 77). The ratio for the cranial traction 13 points of evaluation was within the range of 0.40∼1.00, so the Delphi program for the cranial traction therapy verified that the content was valid.

1990 ◽  
Vol 64 (1) ◽  
pp. 15-22 ◽  
Author(s):  
N. R. Tindall ◽  
P. A. G. Wilson

ABSTRACTConventional methods for percutaneous infection of rats using third-stage juveniles ofNippostrongylus brasiliensiswhich have been artificially stimulated to exsheath lead to highly variable, and relatively poor, establishment in the intestine. A new system has been developed in which larvae applied to the skin still remain partially sheathed, as they would be in nature. Cultures of the freeliving stages of the parasite contain an annulus of clear, colourless polythene film to which some of the third-stage juveniles attach. Rats are infected with an individually counted, exact dose applied to the skin on polythene. Using this technique (‘EDT20Nb’), consistently high values for the mean proportion of the dose that becomes establishedhave been obtained, along with a variance well below the normally accepted level (from a total of 73 rats in 12 separate assays). In particular, the added component of variance between assays in this study was insignificant, so that the probability of quantitative agreement in replicate experiments based on the method is high. It is recommended for an experimental design in which small numbers of parasites can be used.


Author(s):  
K. Sharmila

Postpartum haemorrhage (PPH) has been more common over the last three decades, accounting for 11% of all pregnancy-related deaths in the United States. In the third stage of labour, risk classification and active management are crucial preventative techniques. To avoid negative effects, a multidisciplinary approach to PPH patient care is required. To treat uterine atony, uterotonic medicines like oxytocin are used in combination with manipulative procedures like uterine massage and balloon tamponade. The amount of blood loss, duration of the third stage, need for MRP, incidence of PPH, need for repeated oxytocics, and its side effects were measured in Group I 100 women who were administered injection oxytocin 10 IU injection methergin 0.2 mg IV within one minute of the baby's delivery. The mean blood loss at vaginal delivery in Group I was 100-150 ml and in group I P value 0.027, which was statistically significant .In  Group II was 160-200 ml with P value 0.036, which was statistically significant. The mean duration of third stag labour in Group 1 was 124.6 min and Group 2 was 144.8 min intravenous methergin is a better uterotonic when compared to intramuscular oxytocin to reduce the amount of blood loss at delivery and prevent complications like atonic PPH.


Author(s):  
Nurul Islamy ◽  
Nuswil Bernolian ◽  
Firmansyah BasiR ◽  
Theodorus Theodorus

  Objective: To compare the dose of oxytocin injected intraumbilicalltowards the duration of the third stage, blood loss volume, hemoglobinand hematocrit.   Methods: This study is a prospective randomised study with acontrol. The control group was given an intramuscular injection of10 IU oxytocin. The intervention of the three groups intraumbilicaloxytocin treatment dose of 10 IU, 20 IU and 30 IU diluted in 50 ml ofnormal saline solution and administered intraumbilically. Thesample selection by purposive sampling and the distribution groupbased on systematic random sampling (10 samples each). Data weretaken from the period April 2016-January 2017 with the inclusionand exclusion criteria. Data were analysed using Chi-square, T-test,ANOVA and Post hoc tests.   Results: Characteristics study for variables of age, occupation,parity, education, episiotomy and neonates weight showed homogeneouscharacteristics. The mean duration of the third stage forall groups was between 366.7  159.0 seconds and 440.1  244.99seconds. While the average number of postpartum haemorrhage forall group 61.894  226.3ml and 309.5  110.26 ml. There were nodifferences in the dose of oxytocin on the duration of the thirdstage (p> 0.05) and the amount of bleeding (p> 0.005). There was adifference of haemoglobin between intervention group of oxytocindose of 10 IU and 30 IU intraumbilical (p = 0.031). There was nodifference between the mean hematocrit levels between the groups(p> 0.005).   Conclusion: There were no differences in the dose of oxytocinintraumbilical towards the duration of the third stage, the amountof bleeding and hematocrit levels. The decrease of haemoglobingreater in 30 IU intraumbilical significantly. Keywords: duration of the third stage, haemoglobin and hematocrit,oxytocin intraumbilical, the amount of bleeding


2017 ◽  
Vol 3 ◽  
pp. 63
Author(s):  
M.V. Macropodi

In this work the duration of the life-cycle of Metaphycus helvolus (Comp.) (parasite mainly on the third stage), Μetaphycus affinis stanley (Comp.) (parasite mainly on the third stage) and Μetaphycus lounsburyi (How.) (parasite mainly on the fourth stage) (Hymenoptera: Encyrtidae) on S. οleae, developed on different substrates, i.e. potato sprouts and plants of Nerium oleander, under laboratory conditions was determined. Among the Hymenoptera parasitizing S. oleae on Corfu, M, helvolus and M. lounsburyi, are of particular importance M. affinis stanley was introduced in Corfu in 1976 and despite the fact that the population of S. οleae in the release area was practically eliminated from other factors shortly after the release of the parasite, there is evidence that the parasite was finally established. The above parasites can be successfully reared on S. οleae developed both on potato sprouts and Nerium oleander. The study was carried out at 23±1°C, 65-70% R.H. and 12 hours of artificial light per day. For each species, 3 potato sprouts and three plants of Nerium oleander in pots infested with S. οleae were placed in each 60X30X40 cm cage. The host insects were oviposited in by adult parasites introduced into the cages and left there for two days. The number of emerging adult parasites in each cage was recorded daily (a total number of adults emerged per cage varied from 23 to 195) and the time taken for 50% emergence was calculated from the correlation equation by plotting the cumulative percentage of adults emerged against time. For M. helvolus the mean duration time of the life cycle was estimated to be 19.4 days on scales developed on potato sprouts and 15.1 days on scales developed on N. oleander. For M. affinis stanley the relevant estimates were 18.8 days and 23.4 days, respectively, while for M. lounsburvi the estimates were 21.3 and 18.6 days, respectively. For M. helvolus and M. lounsburyi the duration of the life cycle was shorter when the host insect developed on Nerium plants than on potato sprouts. For M. affinis stanley the reverse was true. These differences show the effect of the host of S. oleae on the time of development of the parasites, possibly reflecting the differences of the scale insect developed on different hosts as food quality for the parasites.


2019 ◽  
Vol 2 (1) ◽  
pp. 31-39
Author(s):  
Ria Angelida Sitompul ◽  
Emmy Ria Aritonang ◽  
I Peranginangin

The purpose of this study was to find out the visitor's perception of the convenience of activities related to the presence of street vendors on Merdeka Square in Medan. The researcher collected data through the distribution of questionnaires consisting of three parts, namely in the first section containing Respondent Data, the second part contained eight Closed Questions, and in the third section contained four Open questions. This questionnaire was given to visitors to Merdeka Square as many as 45 respondents. The results of the Respondent's Answer are then tabulated, where each answer has an assessment weight. The first stage of processing the results of this assessment is to find the average analyzed based on Quartile on eight indicator variables, and test the validity of the questionnaire variables. Validity test is used to compare the correlation index r product moment Pearson with a significance level of 5%. which tells the assessment of all visitors to the presence of Street Vendors at Merdeka Square in Medan. The results of respondents' evaluations based on quartile analysis showed that the assessment score was at 958, which means that it was known that visitor perceptions of the presence of street vendors in Merdeka Square were quite negative. This is related to the convenience of Visitors in carrying out activities at Merdeka Square.


Author(s):  
Д.Н. Бобунов ◽  
А.С. Волкова ◽  
Д. М. Селезнев ◽  
А.К. Иорданишвили ◽  
А.В. Сенюков ◽  
...  

Основной задачей реабилитации спортсменов с травматическими повреждениями коленного сустава и окружающих мягких тканей является эффективное и безболезненное восстановление на всех этапах лечения. Целью данной работы является внедрение комплекса физических упражнений для лечения и профилактики травматических повреждениях коленного сустава у пациентов среднего и пожилого возраста на третьем этапе восстановительного лечения (МКБ-10: S80-S89). На сегодняшний день не существует единой регламентированной программы ведения пациентов среднего и пожилого возраста на амбулаторном этапе. В статье описан третий этап организации медицинской помощи в поздний реабилитационный период, период остаточных явлений течения заболевания, без рецидивов. Физические упражнения, представленные в данном комплексе, дают пациенту независимость в повседневной жизни при самообслуживании, самостоятельном перемещении, при наличии подтвержденной результатами обследования перспективы восстановления функции (реабилитационного потенциала). Предложенная методика апробирована на 148 пациентах, прошедших все три этапа восстановительного лечения, у которых длительность ремиссии составила 12-36 мес. The main task in the rehabilitation of athletes with traumatic injuries of the knee joint and surrounding soft tissues is effective and painless recovery at all stages of treatment. The aim of this work is to introduce a set of physical exercises for the treatment and prevention of traumatic injuries of the knee joint in middle-aged and elderly patients at the third stage of rehabilitation treatment (ICD-10: S80-S89). To date, there is no single regulated program for the management of middle-aged and elderly patients at the outpatient stage. The article describes the third stage of the organization of medical rehabilitation assistance in the late rehabilitation period, the period of residual symptoms of the course of the disease, without relapses. Physical exercises, presented in this complex, give the patient independence in everyday life in the implementation of self-service, independent movement, in the presence of the prospect of restoration of function (rehabilitation potential) confirmed by the results of the examination. The proposed technique was tested on 148 patients who underwent all 3 stages of rehabilitation treatment, in whom the duration of remission was 12-36 months.


2015 ◽  
Vol 8 (2) ◽  
pp. 93
Author(s):  
Juniar Siregar

This study presents a research report on improving students’ Learning results on IPA through Video. The objective was to find out whether students’ learning result improved when they are taught by using Video. It was conducted using classroom action research method. The subject of the study was the Grade IV students of SDN 187/IV Kota Jambi which is located on Jln. Adi Sucipto RT 05 Kecamatan Jambi Selatan, and the number of the students were 21 persons. The instruments used were test. In analyzing the data, the mean of the students’ score for the on fisrt sycle was 65,4 (42,85%) and the mean on cycle two was 68,5 (37,15%) and the mean of the third cycle was 81,4 (100%). Then it can be concluded that the use of video on learning IPA can improve the students’ learning result. It is suggested that teachers should use video as one of the media to improve students’ learning result on IPA.Keywords : IPA, students’ learning result, video


2015 ◽  
Vol 5 (3) ◽  
pp. 185-200
Author(s):  
Robert Z. Birdwell

Critics have argued that Elizabeth Gaskell's first novel, Mary Barton (1848), is split by a conflict between the modes of realism and romance. But the conflict does not render the novel incoherent, because Gaskell surpasses both modes through a utopian narrative that breaks with the conflict of form and gives coherence to the whole novel. Gaskell not only depicts what Thomas Carlyle called the ‘Condition of England’ in her work but also develops, through three stages, the utopia that will redeem this condition. The first stage is romantic nostalgia, a backward glance at Eden from the countryside surrounding Manchester. The second stage occurs in Manchester, as Gaskell mixes romance with a realistic mode, tracing a utopian drive toward death. The third stage is the utopian break with romantic and realistic accounts of the Condition of England and with the inadequate preceding conceptions of utopia. This third stage transforms narrative modes and figures a new mode of production.


2019 ◽  
Vol 10 (2) ◽  
pp. 117-125
Author(s):  
Dana Kubíčková ◽  
◽  
Vladimír Nulíček ◽  

The aim of the research project solved at the University of Finance and administration is to construct a new bankruptcy model. The intention is to use data of the firms that have to cease their activities due to bankruptcy. The most common method for bankruptcy model construction is multivariate discriminant analyses (MDA). It allows to derive the indicators most sensitive to the future companies’ failure as a parts of the bankruptcy model. One of the assumptions for using the MDA method and reassuring the reliable results is the normal distribution and independence of the input data. The results of verification of this assumption as the third stage of the project are presented in this article. We have revealed that this assumption is met only in a few selected indicators. Better results were achieved in the indicators in the set of prosperous companies and one year prior the failure. The selected indicators intended for the bankruptcy model construction thus cannot be considered as suitable for using the MDA method.


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