scholarly journals An Exploratory Analysis of the Role of Adipose Characteristics in Fulltime Wheelchair Users’ Pressure Injury History

2021 ◽  
Vol 9 ◽  
Author(s):  
Sharon Eve Sonenblum ◽  
Megan Measel ◽  
Stephen H. Sprigle ◽  
John Greenhalgh ◽  
John McKay Cathcart
Keyword(s):  
Effect Size ◽  
Relative Difference ◽  
Full Time ◽  
Fat Infiltration ◽  
Wheelchair Users ◽  
Pressure Injury ◽  
History Of ◽  
Subcutaneous Adipose ◽  
Subject Characteristics

Aim: The goals of this study were 1) to identify the relationship between adipose (subcutaneous and intramuscular) characteristics and pressure injury (PrI) history in wheelchair users and 2) to identify subject characteristics, including biomechanical risk, that are related to adipose characteristics.Materials and Methods: The buttocks of 43 full-time wheelchair users with and without a history of pelvic PrIs were scanned in a seated posture in a FONAR UPRIGHT® MRI. Intramuscular adipose (the relative difference in intensity between adipose and gluteus maximus) and the subcutaneous adipose characteristics (the relative difference in intensity between subcutaneous adipose under and surrounding the ischium) were compared to PrI history and subject characteristics.Results: Participants with a history of PrIs had different subcutaneous fat (subQF) characteristics than participants without a history of PrIs. Specifically, they had significantly darker adipose under the ischium than surrounding the ischium (subQF effect size = 0.21) than participants without a history of PrIs (subQF effect size = 0.58). On the other hand, only when individuals with complete fat infiltration (n = 7) were excluded did individuals with PrI history have more fat infiltration than those without a PrI history. The presence of spasms (μ intramuscular adipose, 95% CI with spasms 0.642 [0.430, 0.855], without spasms 0.168 [−0.116, 0.452], p = 0.01) and fewer years using a wheelchair were associated with leaner muscle (Pearson Corr = −0.442, p = 0.003).Conclusion: The results of the study suggest the hypothesis that changes in adipose tissue under the ischial tuberosity (presenting as darker SubQF) are associated with increased biomechanical risk for pressure injury. Further investigation of this hypothesis, and the role of intramuscular fat infiltration in PrI development, may help our understanding of PrI etiology. It may also lead to clinically useful diagnostic techniques that can identify changes in adipose and biomechanical risk to inform early preventative interventions.

Videogames as Therapy

2013 ◽  
pp. 43-68 ◽  
Author(s):  
Mark Griffiths ◽  
Daria J. Kuss ◽  
Angelica B. Ortiz de Gortari
Keyword(s):  
Communication Skills ◽  
Cognitive Rehabilitation ◽  
Brain Injuries ◽  
The Elderly ◽  
Learning Disabled ◽  
Stroke Patients ◽  
Wheelchair Users ◽  
Therapeutic Benefits ◽  
History Of

There is a long history of using videogames in a therapeutic capacity, including rehabilitation for stroke patients, people with traumatic brain injuries, burns victims, wheelchair users, Erb’s palsy sufferers, children undergoing chemotherapy, children with muscular dystrophy, and autistic children. This chapter briefly examines a number of areas including: (1) videogames as physiotherapy and occupational therapy, (2) videogames as distractors in the role of pain management, (3) videogames and cognitive rehabilitation, (4) videogames and the development of social and communication skills among the learning disabled, (5) videogames and impulsivity/attention deficit disorders, (6) videogames and therapeutic benefits in the elderly, (7) videogames in psychotherapeutic settings, (8) videogames and health care, and (9) videogames and anxiety disorders. It is concluded that there has been considerable success when games are designed to address a specific problem or to teach a certain skill. However, generalizability outside the game-playing situation remains an important consideration.

Rethinking the Role of Artisans in Modern German Development

2009 ◽  
Vol 42 (1) ◽  
pp. 33-64 ◽  
Author(s):  
Hal Hansen
Keyword(s):  
Political Development ◽  
Training System ◽  
Full Time ◽  
German Development ◽  
Goods And Services ◽  
History Of ◽  
Part Time ◽  
Service Sectors ◽  
Social Economic Development

Since so much of what distinguishes Germany's social-economic development from that of other advanced capitalist societies derives from the prominence of the handicrafts (Handwerk) and their institutional legacy, it is regrettable that artisan sightings have become so rare in recent central European scholarship.1It is especially so because disparaging postwar historiographic portrayals of “backward” late-nineteenth- and early-twentieth-century artisans leave us without a way to understand the emergence of a prosperousMittelstandof small and medium-sized craft producers in the postwar years. Moreover, inasmuch as the existence of a vibrant, legally distinct class of handicraft firms constitutes one of the most striking features of the modern German political economy, we need an account of how it evolved and why.2Furthermore, without this, we have no way to explain several other distinctive “peculiarities” of German institutional arrangements: an educational system that directs a majority of young Germans to practically oriented, work-based apprenticeships supplemented by part-time schooling instead of academically oriented, full-time secondary schools; a labor market that effectively professionalized all occupations and limited the creation of mere “jobs”; and a training system that, as it diffused from the craft to the industrial and service sectors, reinforced Germany's historic manufacturing preference for producing diversified, high-quality goods and services.3In short, no history of modern German economic, social, or political development can afford to dispense with artisans or their institutions.

Videogames as Therapy

2020 ◽  
pp. 324-363
Author(s):  
Mark D. Griffiths ◽  
Daria J. Kuss ◽  
Angelica B. Ortiz de Gortari
Keyword(s):  
Cognitive Rehabilitation ◽  
Brain Injuries ◽  
Real Life ◽  
The Elderly ◽  
Learning Disabled ◽  
Wheelchair Users ◽  
Therapeutic Benefits ◽  
Life Challenges ◽  
History Of

There is a long history of using videogames in a therapeutic capacity including rehabilitation for stroke patients, people with traumatic brain injuries, burns victims, wheelchair users, Erb's palsy sufferers, children undergoing chemotherapy, children with muscular dystrophy, autistic children and individuals looking to overcome real-life challenges (including symptoms of depression) and boost their wellbeing (including boosting life satisfaction, self-efficacy and social support). This paper briefly and selectively examines a number of areas including: (1) videogames as physiotherapy and occupational therapy, (2) videogames as distractors in the role of pain management, (3) videogames and cognitive rehabilitation, (4) videogames and the development of social and communication skills among the learning disabled, (5) videogames and impulsivity/attention deficit disorders, (6) videogames and therapeutic benefits in the elderly, (7) videogames in psychotherapeutic settings, (8) videogames and health care, (9) videogames and anxiety disorders, and (10) videogames and psychological wellbeing. It is concluded that there has been considerable success when games are specifically designed to address a specific problem or to teach a certain skill. However, generalizability outside the game-playing situation remains an important consideration.

scholarly journals A Sociotechnical History of the Ultralightweight Wheelchair: A Vehicle of Social Change

2019 ◽  
Vol 45 (6) ◽  
pp. 1195-1219 ◽  
Author(s):  
Hilary Stewart ◽  
Nick Watson
Keyword(s):  
Social Change ◽  
Sport Performance ◽  
Boundary Object ◽  
Disabled People ◽  
Success Story ◽  
Wheelchair Users ◽  
Documentary Sources ◽  
History Of ◽  
Push And Pull

The emergence of the ultralightweight wheelchair has transformed the lives of millions of disabled people. It has radically changed the principles and practices of wheelchair design, manufacture, and prescription and redefined wheelchair users and wheelchair use. Designed and built largely by wheelchair users themselves, it was driven initially by a desire to improve sport performance and later by a wish for improved access to the community and built environment. In this paper, we draw on oral histories and documentary sources to reconstruct its sociotechnical history. We employ the analytical concept of “boundary object” to illuminate how the wheelchair as a technological artifact is implicated in relations of social change and show the role of wheelchair users in the development and emergence of the ultralightweight wheelchair. We highlight the tensions and negotiations within this history and the push and pull between different social groups. The emergence of the ultralightweight wheelchair helped to reconfigure ideas about wheelchairs and their users and allowed wheelchairs to gain a foothold within broader social and technological infrastructures. What makes this account powerful is that this is a success story for a group who have historically been excluded from design processes.

Elaborating the role of reflection and individual differences in the study of folk-economic beliefs

2018 ◽  
Vol 41 ◽  
Author(s):  
Kevin Arceneaux
Keyword(s):  
Decision Making ◽  
Individual Differences ◽  
Cognitive Processes ◽  
Evolutionary History ◽  
Behavioral Responses ◽  
History Of ◽  
Economic Beliefs

AbstractIntuitions guide decision-making, and looking to the evolutionary history of humans illuminates why some behavioral responses are more intuitive than others. Yet a place remains for cognitive processes to second-guess intuitive responses – that is, to be reflective – and individual differences abound in automatic, intuitive processing as well.

The role of a family history of adenocarcinomas in patients with Barrett oesophagus

2001 ◽  
Vol 120 (5) ◽  
pp. A442-A442
Author(s):  
P TSIBOURIS ◽  
M HENDRICKSE ◽  
P ISAACS
Keyword(s):  
Family History ◽  
History Of ◽  
Barrett Oesophagus

Protective Factors and Suicidality in Members of Arab Kindred

Crisis ◽  
2012 ◽  
Vol 33 (2) ◽  
pp. 80-86 ◽  
Author(s):  
Sami Hamdan ◽  
Nadine Melhem ◽  
Israel Orbach ◽  
Ilana Farbstein ◽  
Mohammad El-Haib ◽  
...  
Keyword(s):  
Risk Factors ◽  
Protective Factors ◽  
Suicidal Behavior ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
Suicidal Risk ◽  
Arab Population ◽  
Psychiatric Interview ◽  
History Of

Background: Relatively little is known about the role of protective factors in an Arab population in the presence of suicidal risk factors. Aims: To examine the role of protective factors in a subsample of in large Arab Kindred participants in the presence of suicidal risk factors. Methods: We assessed protective and risk factors in a sample of 64 participants (16 suicidal and 48 nonsuicidal) between 15 and 55 years of age, using a comprehensive structured psychiatric interview, the Composite International Diagnostic Interview (CIDI), self-reported depression, anxiety, hopelessness, impulsivity, hostility, and suicidal behavior in first-degree and second-relatives. We also used the Religiosity Questionnaire and suicide attitude (SUIATT) and multidimensional perceived support scale. Results: Suicidal as opposed to nonsuicidal participants were more likely to have a lifetime history of major depressive disorder (MDD) (68.8% vs. 22.9% χ2 = 11.17, p = .001), an anxiety disorder (87.5% vs. 22.9, χ2 = 21.02, p < .001), or posttraumatic stress disorder (PTSD) (25% vs. 0.0%, Fisher’s, p = .003). Individuals who are otherwise at high risk for suicidality have a much lower risk when they experience higher perceived social support (3.31 ± 1.36 vs. 4.96 ± 1.40, t = 4.10, df = 62, p < .001), and they have the view that suicide is somehow unacceptable (1.83 ± .10 vs. 1.89 ± .07, t = 2.76, df = 60, p = .008). Conclusions: Taken together with other studies, these data suggest that the augmentation of protective factors could play a very important role in the prevention of incidental and recurrent suicidal behavior in Arab populations, where suicidal behavior in increasing rapidly.

THE ROLE OF RECTAL EUS-FNA/B IN PRE-SACRAL UNDEFINED LESIONS IN PATIENTS WITH HISTORY OF LOWER GI NEOPLASIA

2020 ◽  
Author(s):  
B Mangiavillano ◽  
S Carrara ◽  
E Dabizzi ◽  
F Auriemma ◽  
V Cennamo ◽  
...  
Keyword(s):  
History Of
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