scholarly journals A Further Step to Develop Patient-Friendly Implementation Strategies for Virtual Reality–Based Rehabilitation in Patients With Acute Stroke

2016 ◽  
Vol 96 (10) ◽  
pp. 1554-1564 ◽  
Author(s):  
Minyoung Lee ◽  
Sung-Bom Pyun ◽  
Jinjoo Chung ◽  
Jungjin Kim ◽  
Seon-Deok Eun ◽  
...  

AbstractBackgroundVirtual reality (VR)–based rehabilitation is gaining attention as a way to promote early mobilization in patients with acute stroke. However, given the motor weakness and cognitive impairment associated with acute stroke, implementation strategies for overcoming patient-perceived difficulty need to be developed to enhance their motivation for training.ObjectiveThe purpose of this study was to explore patient-perceived difficulty and enjoyment during VR-based rehabilitation and the factors affecting those experiences.DesignAn exploratory mixed-method design was used in this study.MethodsEight individuals with acute stroke participated in 2 training modes of VR-based rehabilitation (ie, workout and game modes) 20 to 30 minutes per day for 5 to 8 sessions. A visual analog scale was used to assess patient-perceived difficulty and enjoyment at every session. Then semistructured interviews were conducted to explore the factors affecting those experiences.ResultsLevels of difficulty and enjoyment varied depending on the training mode and participants' phases of recovery. Five major factors were identified as affecting those varied experiences: (1) ease of following the directions, (2) experience of pain, (3) scores achieved, (4) novelty and immediate feedback, and (5) self-perceived effectiveness.ConclusionsLevels of difficulty and enjoyment during VR-based rehabilitation differed depending on the phases of recovery and training mode. Therefore, graded implementation strategies for VR-based rehabilitation are necessary for overcoming patient-perceived difficulty and enhancing enjoyment. Ease of following the directions might be best considered in the very early stage, whereas multisensory feedback may be more necessary in the later stage. Health professionals also should find a way for patients to avoid pain during training. Feedback, such as knowledge of results and performance, should be used appropriately.

2020 ◽  
Vol 7 (51) ◽  
pp. 3117-3121
Author(s):  
Amit Lal Goswami ◽  
Manik Saha

BACKGROUND Most commonly occurring impacted teeth encountered in dental surgery are mandibular 3rd molars. Reasons of impactions may be due to evolution and modern dietary habits, lack of space, decreased skeletal growth, and disproportionate crown size. Impacted tooth may cause various complications, if left untreated distal caries is commonly seen in mandibular 2nd molars. The aim of the current study was to determine the prevalence of distal caries of mandibular 2nd molars due to impacted mandibular 3rd molars. Symptoms like distal caries of 2rd molars is one of the major factors affecting the oral health next to periodontal disease and periodontal abscess. METHODS The study included 103 patients, reported to the dental department of Tripura Medical College and BRAM &Teaching Hospital, Agartala. The study was done from July 2019 – December 2019, age ranged from 18 to 50 years. Panoramic radiographic examinations were carried out in each patient. Angulations of impaction and incidence of caries of the adjacent mandibular 2nd molars were recorded. All data were collected and analysed using percentage analysis. RESULTS 103 patients panoramic radiographs were studied, out of 103, 63 (61 %) were male, 40 (39 %) were female. 31 patients (30.1 %) out of 103 patients were found to have distal caries of mandibular 2nd molars adjacent to mandibular 3nd molars. 85 % of caries was associated with mesioangular impaction. CONCLUSIONS Careful monitoring to detect the caries lesions in early stage is necessary, as the distal caries on the mandibular 2nd molars was found to be high. Subsequently proper measures should be taken for restoration of mandibular 2nd molars and removal of impacted mandibular 3rd molars, if necessary. KEYWORDS Distal Surface Caries, Mandibular 2nd Molars, Impacted Mandibular 3rd Molars, Angulation


Author(s):  
Yuhui Chen ◽  
Anatoliy Gorbenko ◽  
Vyachaslav Kharchenko ◽  
Alexander Romanovsky

The chapter investigates the uncertainty of Web Services performance and the instability of their communication medium (the Internet), and shows the influence of these two factors on the overall dependability of SOA. We present our practical experience in benchmarking and measuring the behaviour of a number of existing Web Services used in e-science and bio-informatics, provide the results of statistical data analysis and discuss the probability distribution of delays contributing to the Web Services response time. The ratio between delay standard deviation and its average value is introduced to measure the performance uncertainty of a Web Service. Finally, we present the results of error and fault injection into Web Services. We summarise our experiments with SOA-specific exception handling features provided by two web service development kits and analyse exception propagation and performance as the major factors affecting fault tolerance (in particular, error handling and fault diagnosis) in Web Services.


2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Pooshan Upadhyay ◽  
Keertiman Sharma

The paper presents the primary data of 150 respondents across Lucknow region. To explore the customers' <italic>perception</italic> of Nano, analysis has been done on various variables like price, style, attributes, availability, and the factors affecting the Indian customers are highlighted. A study of the performance of the retailers has also been done for fastest sales conversion .It was found that the three major factors influencing the decision of purchasing the car are price, fuel efficiency and performance of the car. The study also revealed that the majority of the respondents’ like the car because of their style and effective price and 70 percent Nano customers already had a car. It was also found that these perceptions are reflected in the performance of the company, too. With the increasing competition amongst automobile companies, the findings can act as a strategic tool to achieve competitive advantage and customer satisfaction.


1981 ◽  
Vol 9 (4) ◽  
pp. 359-365 ◽  
Author(s):  
N. S. Paget ◽  
T. F. Lambert ◽  
K. Sridhar

This paper reviews factors which may influence the vigilance tasks of an anaesthetist during an anaesthetic. Vigilance tasks are found to be unlike any other automatic, repetitive or monotonous tasks. While many factors affect vigilance and may result in performance decrements during psychological testing, little of this work has been done on anaesthetists. We suggest, however, that there are many parallels between findings related to vigilance in general and the type of work done by anaesthetists. Implications of major factors are discussed, and recommendations for further study are proposed.


Author(s):  
Mikhail Rozhkov ◽  
Benny C.F. Cheung ◽  
Eric Tsui

This paper presents a study that attempts to answer practical questions about work team performance issues. It considers organizational culture, team climate and manager behavior as the major factors affecting competencies and performance of team members. Theoretical background and practical implications are discussed here.


2012 ◽  
Author(s):  
R. A. Grier ◽  
H. Thiruvengada ◽  
S. R. Ellis ◽  
P. Havig ◽  
K. S. Hale ◽  
...  

2020 ◽  
Vol 99 (4) ◽  
pp. 405-411
Author(s):  
Elena Ju. Gorbatkova

Introduction. The important factors affecting health and performance of young people are the conditions of education, in particular, a comfortable microclimate in the classrooms of higher educational institutions. Materials and methods. In view of the urgency of this problem, an analysis was made of the microclimate parameters of educational organizations of different profiles (Ufa city, the Republic of Bashkortostan). 294 classrooms were studied in 22 buildings of 4 leading universities in Ufa. A total of 3,822 measurements were taken to determine the parameters of the microclimate. The analysis of ionizing radiation in the aerial environment of classrooms. There was performed determination of radon and its affiliated products content. In order to assess the conditions and lifestyle of students of 4 higher educational institutions of the city of Ufa, we conducted an anonymous survey of 1,820 students of I and IV years of education. Results. The average temperature in the classrooms of all universities studied was 23.9±0.09 C. The average relative humidity in all classrooms was 34.2 ± 0.42%. Analysis of ionizing radiation (radon and its daughter products decay) in the aerial environment of the classrooms and sports halls located in the basement determined that the average annual equivalent equilibrium volumetric activity of the radon daughter products (EROA ± Δ222Rn) ranged from 28 ± 14 to 69 ± 34.5 meter, which meets the requirements established by SanPiN. Conclusion. The hygienic assessment of the microclimate parameters of educational institutions of various profile revealed a number of deviations from the regulated norms. The results indicate the need to control the parameters of the microclimate, both from the administration of universities, and from the professors. According to the results of the study, recommendations were prepared for the management of higher educational institutions in Ufa.


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