scholarly journals Case Report: Perspective of a Caregiver on Functional Outcomes Following Bilateral Lateral Pectoral Nerve Cryoneurotomy to Treat Spasticity in a Pediatric Patient With Cerebral Palsy

2021 ◽  
Vol 2 ◽  
Author(s):  
Jack Scobie ◽  
Paul Winston
Keyword(s):  
Cerebral Palsy ◽  
Functional Outcomes ◽  
Botulinum Toxin A ◽  
Upper Body ◽  
Nerve Blocks ◽  
Pectoral Nerve ◽  
Shoulder Region ◽  
The Right

Spasticity is common and difficult to manage complication of cerebral palsy that significantly affects the function and quality of life of patients. This case study reports a 15-year-old male with quadriplegic cerebral palsy, Gross Motor Function Classification System 5 (GMFCS 5), who presented with significant bilateral adducted and internally rotated shoulders as a component of generalized spasticity. Spasticity in the lower limb of the patient had been treated with botulinum toxin A (BoNT-A) injections; however, the shoulder region was spared due to concerns of toxin spread and aspiration risk. Following diagnostic nerve blocks, the patient underwent bilateral cryoneurotomies of the right and left lateral pectoral nerves (LPNs) lasting 3.5 min for each lesion. One month after the cryoneurotomies, the range of motion (ROM) had improved from 86° to 133° on the right and 90° to 139° on the left. Improvements in ROM were retained at 9 months post-procedure. At 8.5 months following the cryoneurotomies, the caregiver reported improvements in upper body dressing, upper body washing, transferring, and the ability of the patient to remain sitting in his wheelchair for extended periods. Cryoneurotomy may be an effective procedure for improving shoulder ROM and specific functional outcomes for caregivers of patients with spasticity arising from cerebral palsy.

A Pre-Prototyping Framework to Explore Human-Centered Prototyping Strategies During Early Design

2020 ◽  
Author(s):  
Salman Ahmed ◽  
H. Onan Demirel
Keyword(s):  
Human Factors ◽  
Product Development Process ◽  
Extensive Literature ◽  
Human Factors Engineering ◽  
Design Strategies ◽  
Key Factors ◽  
Hands On ◽  
The Right

Abstract Current prototyping frameworks are often prompt-based and heavily rely on designers’ experience. The lack of systematic guidelines in prototyping activities causes unwanted variation in the quality of the prototype. Notably, there is limited, or no prototyping framework exists that enables human factors engineering (HFE) guidelines be part of the early product development process. In this paper, a pre-prototyping framework is proposed to render human-centered design strategies to guide designers before the hands-on prototyping activity starts. The methodology consists of extracting key factors related to prototyping and human factors engineering principles based on an extensive literature review. The key elements are then combined to form the prototyping categories, dimensions (theory), and tools (practice). The resulting prototyping framework can be used to develop prototyping strategies consist of theoretical guidelines and practical tools that are needed during the prototyping of human-centered products. The framework provides systematic guidance to designers in the early stages of the design process so that designers, in particular novices in ergonomics and human factors, can have a head start in building the prototypes in the right direction. Finally, a case study is presented to demonstrate a walk-through and efficacy of the proposed pre-prototyping framework.

scholarly journals The Tallinn Manuals and the Making of the International Law on Cyber Operations

2019 ◽  
Vol 13 (1) ◽  
pp. 67-86
Author(s):  
Papawadee Tanodomdej
Keyword(s):  
International Law ◽  
Use Of Force ◽  
Political Activism ◽  
Customary International Law ◽  
State Practice ◽  
The Right ◽  
International Experts

The Tallinn Manuals (the Manuals) attempted to clarify how to apply existing international law to cyber operations. Though the Manuals are non-binding instruments, the Group of International Experts claimed that they reflected the lex lata applicable to cyber operations. However, this claim is questionable due to the dominating role of a few Western states in the drafting process and the linked neglect of the practice of “affected states” in cyber operations. This article examines the quality of the Manuals’ drafting process and the composition and impartiality of the experts involved. It focuses on the issue of the prohibition of the use of force. The aim of this examination is not to discuss whether the Manuals provided the right answer to the question of how international law applies to cyber operations. Rather, they function as a case study of how legal scholarship may affect the making of international law. The article concludes that certain rules in the Manuals are marked by NATO influence and overlook the practice of other states engaged in cyber operations. Therefore, the Manuals disregard the generality of state practice, which should be the decisive factor in the formation of customary international law. As far as “political activism” may be involved, the article argues that the role of legal scholars as assistants to the cognition of international law could be compromised.

scholarly journals Effects of Botulinum Toxin Treatment in Nonambulatory Children and Adolescents With Cerebral Palsy: Understanding Parents’ Perspectives

2018 ◽  
Vol 33 (11) ◽  
pp. 724-733 ◽  
Author(s):  
Linda Nguyen ◽  
Briano Di Rezze ◽  
Ronit Mesterman ◽  
Peter Rosenbaum ◽  
Jan Willem Gorter
Keyword(s):  
Cerebral Palsy ◽  
Botulinum Toxin ◽  
Children And Adolescents ◽  
Botulinum Toxin A ◽  
International Classification Of Functioning ◽  
Interpretive Description ◽  
Structured Interviews ◽  
Botulinum Toxin Treatment ◽  
The Right

Children and adolescents with cerebral palsy often receive botulinum toxin A (BoNT-A) to manage hypertonia. This qualitative study aimed to describe and categorize BoNT-A effects that parents observed using the WHO’s International Classification of Functioning, Disability and Health (ICF) framework. An interpretive description methodology was used; semi-structured interviews were conducted with 15 parents of nonambulatory young people with cerebral palsy (mean age 10.2 years, SD 3.9, 7 males) who received BoNT-A. Parents reported BoNT-A effects on each ICF category. Through interpretive description, an overall theme emerged: “finding the right path to do what is best.” Five subthemes included (1) Parents’ hopes, (2) Parents’ goals for their child, (3) Parents’ learning what works, (4) Parents’ reflections, and (5) Parents’ destination. This study provides insights into parents’ journeys of how they learned about BoNT-A effects in their child, which helped them to identify goals for future treatment.

Religion between Liberty and Equality

2016 ◽  
Vol 4 (2) ◽  
pp. 179-193
Author(s):  
Silvio Ferrari
Keyword(s):  
Cultural Background ◽  
Legal Regulation ◽  
Linear Process ◽  
Final Outcome ◽  
Freedom Of Religion ◽  
Good Case ◽  
Globalization Of Law ◽  
The Right

In this paper I argue that the shift from liberty to equality in the legal regulation of freedom of religion is part of a larger process of globalization of law that can change the “quality” of the right to freedom of religion and belief However, this shift does not have the same impact on different areas of the legal regulation of freedom of religion and belief. Moreover, it needs to be contextualized and considered in the light of the different historical and cultural background of each country. For these reasons the shift from liberty to equality cannot be understood as a linear process. The forms it takes and its final outcome can be very different according to the legal fields and the countries that are taken into consideration. Europe, with its rich background of internal diversity, provides a good case-study to test the soundness of this claim.

scholarly journals THE ROLE OF THE CJRAE SOCIAL WORKER IN PREVENTING ADDICTION IN CHILDREN FROM THE CLUJ COUNTY SCHOOLS

2019 ◽  
Vol 11 (3) ◽  
pp. 97-107
Author(s):  
Ramona PURA
Keyword(s):  
Social Worker ◽  
Access To Education ◽  
Job Description ◽  
Qualitative Research Design ◽  
Addiction Prevention ◽  
The Social ◽  
The Right

The CJRAE institution is designed to ensure the quality of specific educational services provided to childern, teachers, parents and to allow everyone’s access to education by providing the necessary assistance. This article’s purpose is to determin the role of the social worker in addiction preventing programs of The Institution of Resourses and Educational Asistence of Cluj county (CJRAE Cluj). The study adopted a qualitative research design using the case study of an addiction preventing program runned in the Cluj county schools, between years 2017 and 2018. The social worker can have an important impact in school and social integration of children, as he has the abilities and competencies to identify the right resources for intervention; more than this, the job description of social worker empolyee in CRJAE, shows that they have the attribution to develop together with other educational partners useful programs for children, schools and comunity. That’s why, we have to know if and how the social worker contributes in these addiction prevention programs.

scholarly journals Penerapan Strategic Marketing Pada Bank Syariah Mandiri Kantor Cabang Jemur Handayani Surabaya

2015 ◽  
Vol 1 (12) ◽  
pp. 863
Author(s):  
Aprilia Kinasih Putri Ramadhani ◽  
Ari Prasetyo
Keyword(s):  
Office Workers ◽  
Strategic Marketing ◽  
Islamic Banking ◽  
Analysis Method ◽  
Know How ◽  
Market Coverage ◽  
Branch Office ◽  
The Right

Islamic Banking in Indonesia are developing rapidly. it can be seen by the number of offices that increase from year to year. This development of islamic banking can make a competition between the islamic banking. Therefore, to face the tight competition, islamic banking needs the right strategic marketing that compatible with sharia principle. The strategic marketing consists of three components. They are segmenting, targeting, and positioning. This research aims to know how the application of strategic marketing in Bank Syariah Mandiri Branch Office of Jemur Handayani Surabaya.This research is using qulitative approach with case study strategy. The datacollecting method is using direct interview with Bank Syariah Mandiri Branch Office of Jemur Handayani’s office workers. The data analysis method is using descriptive qualitative approach.The result of this research shows that strategic marketing which is applied in Bank Syariah Mandiri Branch Office of Jemur Handayani are compatible with sharia principle. Market segments in Bank Syariah Mandiri Branch Office of Jemur Handayani are from lending and funding. For targeting, Bank Syariah Mandiri Branch Office of Jemur Handayani is using the full market coverage pattern. And the positioning is done by raising the quality of service.

scholarly journals Customer Satisfaction Is Effected By The Quality Of Service: A Case Study Indonesian

2021 ◽  
Vol 12 (3) ◽  
pp. 3560-3567
Author(s):  
Rusdiyanto Et.al
Keyword(s):  
Quality Of Service ◽  
Customer Satisfaction ◽  
Service Quality ◽  
Quantitative Methods ◽  
Statistical Tests ◽  
Collection Method ◽  
Study Population ◽  
The Right

This study aims to determine and analyze the effect of service quality indicators in measurement using Tangible, Emphaty, Reliability, Responsiveness, and Assurance on Banking Customer Satisfaction in Indonesia.This research uses quantitative methods that are descriptive and tends to analyze using an inductive approach. This type of research uses Explanatary Research, the study population uses banking customers. The data collection method in this study is to spread questions with the right target, the questionnaire in this study has requirements that must be met: The questions are factual, the questions are opinion, the questions are self-perception.The findings in this study explain that service quality affects customer satisfaction, the results of statistical tests with t test can be concluded that service quality has an influence on banking customer satisfaction.

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