scholarly journals Moulded supportive seating for the disabled

1978 ◽  
Vol 2 (1) ◽  
pp. 30-34 ◽  
Author(s):  
N. D. Ring ◽  
R. L. Nelham ◽  
F. A. Pearson

In severe cases of physical disability intimate supportive seating may be required to provide maximum comfort, a good position for functional activities, improved respiration, relief of localized pressure, control of spasm, protection, or improved management. A service for providing such seating has been developed at Chailey Heritage. The seat is vacuum-formed from thermoplastic materials, having a soft non-absorbent foam for the liner and a hard semi-rigid outer shell. A mould is obtained by casting the patient using the vacuum consolidation technique and by recording the resulting impression using plaster-of-Paris. Nearly 200 seats have been made using the technique with a high rate of success.

2017 ◽  
Vol 102 (3-4) ◽  
pp. 189-195
Author(s):  
Warren M. Rozen ◽  
Ken G. W. Teo ◽  
Gausihi Sivarajah ◽  
Rafael Acosta

The introduction of well-vascularized flaps for infected sternotomy wound reconstruction has improved mortality rates dramatically. Multiple variations of the pectoralis major flap have been described in this context. However, unresolved limitations of this flap include poor cosmesis and problematic coverage of the inferior third of the sternotomy wound. We describe an approach to address these issues. The humeral attachments are preserved and bilateral muscles are advanced in a limited fashion. The left sternocostal head is advanced medially and rotated anticlockwise, using this portion to fill the upper half of the sternum while the caudal portion of the right pectoralis muscle is used as a turnover flap at the lower half of the wound. In all 25 patients, the anterior axillary fold was preserved bilaterally and the infection completely resolved. Complications included 3 cases of hematoma, 2 cases of coagulopathy, and 1 late bone sequestrum (aseptic). Although the study had a limited sample size, we had a high rate of success and few complications. With the preservation of bilateral axillary folds, good cosmesis, and adequate wound coverage, we recommend this modification of the pectoralis major flap in even complicated cases of mediastinitis.


2019 ◽  
Vol 7 (1) ◽  
pp. 1-6
Author(s):  
Hosein Mehdipour ◽  
Yaghoub Moaddab ◽  
Khalil Azizian ◽  
Morteza Ghojazadeh ◽  
Mohammad Hossein Somi

Introduction: It has been shown that the combination therapy of Sofosbuvir-Daclatasvir (Sof/Dac) has a high rate of success in the treatment of patients. For the first time, a single pill of Sof/Dac has been formulated in Iran (Sovodak). In this regard, the present study was carried out aiming to investigate the safety and efficacy of Sovodak for 12 weeks during treatment of patients infected by genotype 1 hepatitis C virus (HCV). Methods: In this study, 50 patients (25 and 25 treatment-naïve and treatment-experienced patients, respectively) infected by HCV genotype 1 received Sovodak (1pill per day) for 12 weeks. Ribavirin was added for patients who had definitive evidence of liver cirrhosis. The sustained virological response (SVR12) was investigated 12 weeks after the end of the therapy. Results: All 50 patients completed the treatment period. The mean age of patients was 54.40 ± 11.69 years, in addition, 60% and 90% of the patients were male and infected by HCV genotype 1b, respectively. After 4 and 12 weeks of treatment with Sovodak, the HCV ribonucleic acid (RNA) titer was undetectable in 82% and 100 % of the patients, respectively and 100% of them achieved SVR12. None of the subjects reported treatment discontinuation because of adverse events, however, 3 patients reported transient side effects including foot swelling, headache, and vomiting. Conclusion: The results of this study showed that once-daily Sovodak single-pill for 12 weeks is an effective and safe medicine for treating patients infected by HCV genotype 1


Author(s):  
Julien Sebastien Jainsky ◽  
Deepa Kundur

In this chapter, we discuss the topic of security in wireless visual sensor networks. In particular, attention is brought to steganographic security and how it can be discouraged without challenging the primary objectives of the network. We motivate the development and implementation of more lightweight steganalytic solutions that take into account the resources made available by the network’s deployment and its application in order to minimize the steganalysis impact on the WVSN workload. The concept of preventative steganalysis is also introduced in this chapter as a means to protect the network from the moment it is deployed. Preventative steganalysis aims at discouraging any potential steganographic attacks by processing the WVSN collected data such that the possibility of steganography becomes very small and the steganalysis leads to high rate of success.


2015 ◽  
Vol 9 (3) ◽  
pp. 215-222 ◽  
Author(s):  
Luca Morelli ◽  
John Morelli ◽  
Matteo Palmeri ◽  
Cristiano D’Isidoro ◽  
Emanuele Federico Kauffmann ◽  
...  

2005 ◽  
Vol 28 (1) ◽  
pp. 67-80 ◽  
Author(s):  
Mariko Kubota

Abstract This article analyzes the self-correction of spelling by learners of intermediate Japanese. Participants in this study consisted of 20 students with kanji (Chinese characters) background and 43 without. This study investigates (1) types of spelling errors made; (2) the success rate of corrections made when codes for types of errors (error-codes) were given; (3) strategies used for correcting spelling errors; (4) reasons for a failure to correct errors; and (5) measures for further improvement in correction rates. Three methods, including ‘think-aloud’, observation notes, and the writing of an essay before and after corrections, were used as research tools. The findings show a high rate of success in the self-correction strategies. The errors made by the students may be attributed to a number of different causes. On the basis of the findings, this article puts forth the following suggestions, among others: the provision of increased time for corrections, of more detailed instruction in kanji, and of correct pronunciation instruction; increased practice in the use of dictionaries; and improved codes to indicate types of errors.


2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
T. M. Gause ◽  
T. E. Moran ◽  
J. B. Carr ◽  
D. N. Deal

Case. Historically, the most common pattern of pediatric scaphoid injury described is at the distal pole, which has a high rate of success with nonoperative management. Injury patterns have evolved as children are more commonly presenting with adult-type fracture patterns. We present the case of a scaphoid waist fracture in an 8-year-old male that resulted in nonunion and required surgical fixation. Conclusion. This case highlights the trend of adult pattern scaphoid fractures in the pediatric population and the utility of magnetic resonance imaging in patients who do not have complete carpal bone ossification at the time of initial radiographic evaluation.


1993 ◽  
Vol 30 (5) ◽  
pp. 508-510 ◽  
Author(s):  
Charles L. Puckett ◽  
Matthew J. Concannon ◽  
David Mcnaul ◽  
Constance Barone

The child with an excessive drooling problem often faces similar social deprivation to those with severe craniofacial malformations. Many of these children have other “strikes against them” (such as cerebral palsy) that, when coupled with drooling, isolate them from social interaction. Many methods have been employed to control drooling but surgery has been most consistently successful. The most popular of these has been the Wilke procedure or a modification of It. Several series have been reported, but a detailed correlation of mechanical success with the effects on social activity has not been reported. We reviewed a series of 23 cases of Wilke-type surgery. Analysis of the results showed a convincing Improvement in social activity after successful surgery. The Wilke procedure enjoys a relatively high rate of success In preventing excessive drooling, which seems to offer a dramatic improvement in social contact enjoyment.


1977 ◽  
Vol 40 (1) ◽  
pp. 191-196 ◽  
Author(s):  
Sidney K. Nelson

54 smokers were treated under one of three conditions. The longer the subject had been smoking prior to treatment and higher daily smoking rates at the time of therapy were the best predictors of whether the subject was able to quit smoking. Subjects were treated with several self-control procedures over varying number of daily sessions. It was concluded that an immediate punishment technique was not effective and that 5, 7, or 9 days of therapy were not of sufficient duration for a high rate of success to be attained.


2019 ◽  
Vol 45 (3) ◽  
pp. 5-16
Author(s):  
Monika Skura

People with physical disabilities, just as other people who have a different appearance or function in a different way may experience negative social mechanisms. Therefore, it is worth asking, what does it mean to experience different stages of the process of accepting one's disability in a society. The research sample consisted of 75 people with physical disabilities. The data was collected using a questionnaire and the Adjective Check List (ACL) by H.B. Gough, A.B. Heilbrun. The first part of this article aims to determine what difficulties are involved in experiencing a disability. Subsequently, the data is presented regarding the perception of the disabled people of: non-disabled people, people with physical disabilities and people with a different type of disability. It turns out, that regardless of the stage of adapting to their own disability, people with a physical disability are most likely to meet with the able-bodied and their own group of people.


Blood ◽  
2012 ◽  
Vol 120 (21) ◽  
pp. 271-271 ◽  
Author(s):  
Sherrill J. Slichter ◽  
Esther Pellham ◽  
S. Lawrence Bailey ◽  
Todd Christoffel

Abstract Abstract 271 Background: The largest transfusion (tx) trial to evaluate methods of preventing platelet (plt) alloimmunization (TRAP Trial; NEJM 1997;337:1861) demonstrated residual alloimmunization rates of 17% to 21% in AML patients (pts) undergoing induction chemotherapy despite receiving either filter-leukoreduced (F-LR) or UV-B irradiated (UV-BI) blood products, respectively. Our pre-clinical dog plt tx studies, the basis for testing UV-BI in the TRAP Trial, demonstrated this model was able to predict pt results; i.e., prevention of alloimmunization was 45% in the dog but 79% in pts. The greater effectiveness in pts was probably because they had chemotherapy-induced immunosuppression compared to the immunocompetent dogs. Our current dog plt tx studies have focused on evaluating F-LR to remove antigen-presenting WBCs (APCs) or pathogen-reduction (PRT) (Mirasol treatment) to inactivate APCs. Methods: For pts, plts are obtained using either apheresis procedures or as plt concentrates prepared from whole blood (WB). To re-duplicate these types of plts in our dog model, we prepared plt-rich-plasma (PRP) from WB which would be equivalent to non-leukoreduced apheresis plts. The PRP was then either unmodified, F-LR, PRT, or the treatments were combined. Because the success rates were very poor with the single treatments of PRP (see table), the WB studies evaluated only combined F-LR and PRT treatments. In clinical practice, the treated WB would then be used to prepare a plt concentrate. The WB studies assessed either PRT of the WB followed by F-LR of PRP made from the WB or, conversely, F-LR of the WB using a plt-sparing filter (Terumo Immuflex WB-SP) followed by PRT of the WB and then preparation of PRP. After completion of all treatments, PRP from each study was centrifuged to prepare a plt concentrate, the plts were radiolabeled with 51Cr, injected into a recipient, and samples were drawn from the recipient to determine recovery and survival of the donor's (dnr's) plts. Dnr and recipient pairs were selected to be DLA-DRB incompatible and crossmatch-negative. Eight weekly dnr plt txs were given to the same recipient or until the recipient became refractory to the dnr's plts defined as ≤5% of the dnr's plts still circulating in the recipient at 24-hours post-tx following 2 sequential txs. Results: The table shows the percent of recipients who accepted 8 weeks of dnr plts and the total number of dnr plts and WBC injected. Using either filter, there was equal reduction in WBCs to 105/tx. Acceptance of unmodified dnr plts was 1/7 recipients (14%), PRT 1/8 recipients (13%), PL1-B filter 1/5 recipients (20%), and PLS-5A filter 4/6 recipients (66%). None of these differences were statistically significant. In contrast, combining F-LR of the PRP followed by PRT of the PRP was effective in 21/22 recipients (95%), regardless of the filter used. WB studies showed dnr plts were accepted by 2/5 recipients (40%) when WB was first treated with PRT followed by F-LR of the PRP made from the WB. Conversely, if the WB was first F-LR followed by PRT of the WB, 5/6 (83%) accepted dnr plts; more of these studies are in progress. Data are given as average ±1 S.D. Conclusions: F-LR of PRP or WB followed by PRT of the same PRP or WB is highly-effective in preventing alloimmune plt refractoriness in our dog plt tx model. These data suggest that most of the APCs must be removed by filtration before PRT can eliminate the activity of any residual APCs. Based on the high rate of success of this combined approach in our immunocompetent dog model, similar results should be achieved in pts even those who are not immunocompetent as were the AML pts receiving chemotherapy in the TRAP Trial. Disclosures: Slichter: Terumo BCT: Research Funding.


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