scholarly journals EXOSEKETONS: A REHAB TECH CONSUMER’S UNEXPECTED MARCH TO ACTION

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Chloe Angus
Keyword(s):  
Assistive Device ◽  
Post Injury ◽  
Stakeholder Perspectives ◽  
Professional Opinion ◽  
Exoskeleton Design ◽  
Ankle Foot Orthotics ◽  
Bare Minimum ◽  
Technology Solution ◽  
Device Technology

This paper is both a stakeholder perspectives as well as a ‘case study’ describing a journey from sudden disability to participant and investor in exoskeleton design. It tells of my experiences and opinions, as a successful fashion designer, when my life took a drastic turn on becoming paralysed from the waist down over the course of 24 hours, by a spinal tumour. Getting this diagnosis was ‘the worst day in my life’, and it was quickly followed by the ‘second worst’ when, in my determination to walk again, I received Knee Ankle Foot Orthotics (KAFOs) and was shocked to learn that this appeared to be the best technology solution available on the market ‘suitable’ for use in the community. Initial anger at the system for not being better, at the rehab team for their complacency, and at myself for allowing a feeling of helplessness to take over led to questions such as: what does this say about our society? and what are we all willing to accept, for ourselves and others? This is professional opinion and an essay about how we see ourselves and how others see us. The journey from pre-injury ‘consumer’ to post-injury ‘disabled’ person and learning that being labeled ‘disabled’ leads to the additional handicap of the narrow vision of “cost” taken by the mobility industry where innovative ideas are stripped down to the bare minimum with the excuse that patients are “lucky” to have what they have been “given”. Grappling with these labels and inequities and seeking a better outcome, I became an integral team member of an exoskeleton development team, leading to the design of The Next Generation Exoskeleton! This is MY story, the story of Chloe Angus. It is the story of inclusive, user focused design and is a call to include and respect the end users of all assistive device technology design early in the design process and it is being told from the perspective of a person having experience and success in the world of business. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/37250/28296 How To Cite: Angus C. Exoseketons: a rehab tech consumer’s unexpected march to action. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.2. https://doi.org/10.33137/cpoj.v4i2.37250 Corresponding Author: Chloe AngusChloe Angus Design, Vancouver, BC, Canada.E-Mail: [email protected] ID: https://orcid.org/0000-0002-5468-3121

scholarly journals Development on Indigenous Homelands and the Need to Get Back to Basics with Scoping: Is there Still "Unceded" Land in Northern Ontario, Canada, with Respect to Treaty No. 9 and its Adhesions?

2021 ◽  
Vol 12 (1) ◽  
pp. 1-49
Author(s):  
Leonard Tsuji ◽  
Stephen Tsuji
Keyword(s):  
Literature Search ◽  
Development Project ◽  
Lessons Learned ◽  
Development Projects ◽  
Northern Ontario ◽  
Starting Point ◽  
Library And Archives Canada ◽  
Bare Minimum ◽  
Comprehensive Literature Search

Scoping includes the establishment of unambiguous spatial boundaries for a proposed development project (e.g., a treaty) and is especially important with respect to development on Indigenous homelands. Improper scoping leads to a flawed product, such as a flawed treaty or environmental impact assessment, by excluding stakeholders from the process. A comprehensive literature search was conducted to gather (and collate) printed and online material in relation to Treaty No. 9 and its Adhesions, as well as the Line-AB. We searched academic databases as well as the Library and Archives Canada. The examination of Treaty No. 9 and its Adhesions revealed that there is unceded land in each of four separate scenarios, which are related to the Line-AB and/or emergent land in Northern Ontario, Canada. Lastly, we present lessons learned from our case study. However, since each development initiative and each Indigenous Nation is unique, these suggestions should be taken as a bare minimum or starting point for the scoping process in relation to development projects on Indigenous homelands.

A Case Study of the Health Cloud

2014 ◽  
pp. 272-283
Author(s):  
Roma Chauhan
Keyword(s):  
Technology Implementation ◽  
Software As A Service ◽  
Portable Devices ◽  
Healthcare Industry ◽  
Healthcare Data ◽  
Healthcare Process ◽  
Health Cloud ◽  
Healthcare Transformation ◽  
Technology Solution

Initiatives have recently been taken to facilitate effective sharing and collaboration of healthcare information. The process undertaken to manage healthcare data is always in debate. The healthcare industry is encouraged to leverage technology solution for providing improved services to patients and doctors. The chapter explains the need of the healthcare process re-engineering through the implementation of Software as a Service (SaaS). It also highlights the potential and challenges of integrating SaaS-based health cloud in the healthcare industry. This chapter explores the exciting journey of the Indian healthcare transformation through technology implementation. Moreover, the chapter discusses the different healthcare clouds and deployment models. It illustrates SaaS-based solutions for the healthcare segment and argues that cloud-based healthcare and mobile healthcare by use of portable devices can make health consultation convenient for patients across the world.

Major Metrics, Concerns, and Assessment Strategy for Mobility Assistive Devices

2020 ◽  
pp. 171-203
Author(s):  
Yiannis Koumpouros
Keyword(s):  
Literature Review ◽  
The Elderly ◽  
Assistive Devices ◽  
Daily Activities ◽  
Assistive Device ◽  
Mobility Devices ◽  
Mobility Aids ◽  
Environmental Causes ◽  
Elderly Mobility

The ageing of the population is one of the major societal and financial problems. The prevalence of disability increases dramatically by age. The loss of mobility can be devastating to the elderly. Mobility aids are a one-way street to maintain independent mobility. The performance of daily activities is restrained by a series of factors related to the assistive device limitations, or the ones emerged from environmental causes. A literature review reveals minimal tools for assessing mobility assistive devices able to capture users' satisfaction. The chapter presents an assessment methodology in order to investigate assistive mobility devices' limitations, dissatisfaction reasons, and identifies the most appropriate tools to study such limitations and conclude in valid outcomes. One of the valuable characteristics of the study presented in its generalizability since it is not disease oriented. A summary of the results from both the literature review and the real case study on a mixed group of end users are presented in the chapter.

Understanding the Advantages of Mobile Solutions for Chronic Disease Management

2012 ◽  
Vol 4 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Nilmini Wickramasinghe ◽  
Arthur Tatnall ◽  
Steve Goldberg
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Self Care ◽  
Actor Network Theory ◽  
Health Issues ◽  
Pervasive Technology ◽  
The Rich ◽  
Technology Solution

In an environment of escalating healthcare costs, chronic disease management is particularly challenging, since, by definition such diseases have no foreseeable cure and if poorly managed typically lead to further, complicated secondary health issues, which ultimately only serve to exacerbate cost. Diabetes is one of the leading chronic diseases and its prevalence continues to rise exponentially. Thus it behooves all to focus on solutions that can result in superior management of this disease. Hence, this article presents findings from a longitudinal exploratory case study that examined the application of a pervasive technology solution; a mobile phone, to provide superior diabetes self-care. Notably, the benefits of a pervasive technology solution for supporting superior self-care in the context of chronic disease are made especially apparent when viewed through the rich lens of Actor-Network Theory (ANT) and thus the paper underscores the importance of using ANT in such contexts to facilitate a deeper understanding of all potential advantages.

scholarly journals Insights from the Sustainability Monitoring Tool SUMINISTRO Applied to a Case Study System of Prospective Wood-Based Industry Networks in Central Germany

2020 ◽  
Vol 12 (9) ◽  
pp. 3896
Author(s):  
Jakob Hildebrandt ◽  
Alberto Bezama ◽  
Daniela Thrän
Keyword(s):  
Value Added ◽  
Life Cycle Management ◽  
Positive Influence ◽  
Added Value ◽  
Monitoring Tool ◽  
Study Region ◽  
Central Germany ◽  
Stakeholder Perspectives ◽  
Integrative Assessment

Bioeconomy regions are a young concept representing emerging amalgamation points for the implementation of cross-sectoral value-added chains. When sustainable bioeconomy strategies are rolled out, their proof-of-concept implies that industrial R&D activities should lead to impact decoupling and that the valorization of locally available lignocellulosic biomass has to contribute to an increase in added value. Furthermore, regional co-benefits for society and a positive influence on local environmental and socioeconomic conditions are major factors. The fulfillment of these strategic goals would be a milestone achievement when progressing from the blueprint development and the road-mapping stage towards socially accepted and sustainable wood-based bioeconomy strategies. For regional industrial and science stakeholders who run pilot facilities for process upscaling and for energy and material flow integration, this requires well-orchestrated integrative processes, which go beyond conventional “Life Cycle Management” approaches. It is obvious that assessing and monitoring such integrative systems will have to account for different stakeholder perspectives and for detailed technology deployment and resource conversion scenarios. Applying a sustainability index methodology in a case study region must include an evaluation of the whole supply chain and the process networks associated with the characteristic products of the evaluated region. To date, no such integrative assessment methods exist in the literature. Therefore, the aim of this paper is to lay out, on the basis of a practical example in the case study region of Central Germany, an assessment of the sustainability level of wood-based bioeconomy networks by applying the Sustainability Monitoring Tool -SUMINISTRO”- to examine regional bio-based industry networks.

Stakeholder perspectives of wood-pasture ecosystem services: A case study from Iberian dehesas

2017 ◽  
Vol 60 ◽  
pp. 324-333 ◽  
Author(s):  
Pablo Garrido ◽  
Marine Elbakidze ◽  
Per Angelstam ◽  
Tobias Plieninger ◽  
Fernando Pulido ◽  
...  
Keyword(s):  
Ecosystem Services ◽  
Stakeholder Perspectives ◽  
Wood Pasture

A Case Study on Designing a Passive Feeding-Assistive Orthosis for Arthrogryposis

2020 ◽  
Vol 14 (3) ◽  
Author(s):  
Miguel Nobre Castro ◽  
Tariq Rahman ◽  
Kristen Faith Nicholson ◽  
John Rasmussen ◽  
Shaoping Bai ◽  
...  
Keyword(s):  
Elbow Joint ◽  
Neuromuscular Disorders ◽  
Three Dimensional ◽  
The Body ◽  
Assistive Devices ◽  
Assistive Device ◽  
Motor Deficit ◽  
Anterior Aspect ◽  
Joint Center

Abstract Passive arm-assistive devices play an important role in the rehabilitation of patients with neuromuscular disorders or injuries by overcoming their motor deficit. Routine human activities such as feeding are not possible without the aid provided by one of these devices or by a caregiver. In this study, a body-powered assistive device was designed for feeding purposes using a compact spherical scissors mechanism and zero-free-length (ZFL) springs (rubber bands) to leverage the patient's residual biceps and healthy triceps function. This partially balanced and lightweight orthosis was also projected to accommodate the spring attachment points closer to the elbow joint center. The performance of the prototype was evaluated on a young adult with bilateral amyoplasia of the biceps due to arthrogryposis who could not initially reach the superior anterior aspect of the close-to-torso region of the reachable three-dimensional (3D) workspace (RWS). That was accomplished by measuring the anatomical RWS of the patient before and while wearing the device. The results show that the patient, with the assistance provided by the device, was able to attain positions in the frontal close-to-torso region of the body that included reaching her mouth, thus enabling independent feeding.

scholarly journals Penentuan Kifayah adna sebagai Jaminan Nafkah Isteri di dalam Islam: Kajian kes di Lembah Klang, Malaysia (Determining the Minimum Levels of Sufficiency (Kifayah adna) as Wife Guaranteed Maintenance in Islam: The Case Study of Klang Valley Malaysia)

2019 ◽  
Vol 6 (2) ◽  
pp. 111-126
Author(s):  
Bahiyah Ahmad
Keyword(s):  
Basic Needs ◽  
Minimum Level ◽  
Klang Valley ◽  
Level Of Living ◽  
Bare Minimum ◽  
Socioeconomic Studies

The minimum level of sufficiency (kifayah adna) for a wife guarantees her basic living maintenance in Islam. It is a level forwarded by some Hanafi scholars who considered it the bare minimum maintenance required to meet a wife’s basic needs. An adequate stipend for a wife’s maintenance secures her livelihood. This study interviews a group of mothers and judges. Analysis of the collected data reveals that determining what constitutes kifayah helps resolve various questions and uncertainties in judicial issues such as determining the minimum level of living in the community, over-maintenance issues, fasakh case claims due to a waiver of maintenance or inadequate livelihood and issues pertaining to polygamy. The paper concludes that determining the minimum level of kifayah and ensuring it is practised helps satisfy the basic needs of a wife and avoid her being subjected to harm. It is a clear manifestation of the maqasid al-shariah that seek to preserve life, intellect, religion, wealth and progeny. Its determination guarantees the wife a monthly stipend to ensure her needs are met. This requires periodic socioeconomic studies of society to ensure that the maintenance levels are adequate.

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