scholarly journals Effectiveness of Aural-Oral Approach Based on Volubility of a Deaf Child with Late-Mapping Bilateral Cochlear Implants

2021 ◽  
Vol 11 (3) ◽  
pp. 373-383
Author(s):  
Paris Binos ◽  
Elena Theodorou ◽  
Thekla Elriz ◽  
Kostas Konstantopoulos
Keyword(s):  
Cochlear Implants ◽  
Speech Therapy ◽  
Deaf Child ◽  
Repeated Measure ◽  
Language Therapy ◽  
Bilateral Cochlear Implants ◽  
Starting Point ◽  
Significant Difference ◽  
The Mean ◽  
Two Phases

Background: The purpose of this study was to investigate the effectiveness of aural-oral habilitation (AO) over the traditional speech-language therapy, based on the number of vocalization-volubility of a deaf child with late-mapping bilateral cochlear implants using sequential measurements. Methods: The spontaneous productions during child interactions were analyzed. The child (CY, 7;0 years old) with a mean unaided pure-tone average (PTA) hearing loss >80 dB HL was assessed by using an assessment battery. Study design consisted of two phases: (a) baseline (end of speech therapy) and (b) end of AO treatment. Protophones were analyzed via acoustical analysis using PRAAT software. Results: One-way repeated-measure ANOVAs were conducted within and between phases. The analyses revealed significant differences between the ‘phase’ and the vocalization outcome (F = 9.4, df = 1, p = 0.035). Post hoc analyses revealed the significant difference between the mean number of disyllable vocalizations of AO approach (p = 0.05). The mean number of vocalizations was calculated for each protophone type, but no other significant difference was measured. Conclusions: AO approach proved effective as measured through volubility. The outcome of this study is indicative and is a starting point for broader research.

Comparing the Effect of Hand and Foot Reflexology Massages on the Severity of Nausea, Vomiting and Ileus in patients after Abdominal Surgery

2021 ◽  
Vol 15 (6) ◽  
pp. 1589-1593
Author(s):  
Elham Shahraki Moghadam ◽  
Zahrasadat Manzari ◽  
Hossein Rashki Ghalenow ◽  
Hajar Noori Sanchooli
Keyword(s):  
Abdominal Surgery ◽  
Repeated Measures ◽  
Abdominal Distension ◽  
Repeated Measure ◽  
Chi Square ◽  
Exact Test ◽  
Positive Effects ◽  
Significant Difference ◽  
The Mean ◽  
Hands And Feet

Background: Common clinical problems after surgery include nausea, vomiting and ileus that many patients complain of after their surgery. These complications can delay the patient's discharge from hospital. Nowadays, to reduce drug side effects, the use of complementary medicine, including reflexology, has received a great deal of attention. Aim: To compare the effect of hand and foot reflexology massages on the severity of nausea, vomiting and ileus in patients after abdominal surgery. Methods: This is a clinical trial study that was conducted between 2013 and 2015 in the emergency surgical departments of Imam Reza (AS) and Ghaem (AS) hospitals in Mashhad. The samples of this study included 90 women with cholecystitis and appendicitis who met the inclusion criteria. In this study, patients were randomly divided into 3 groups of hand reflexology massage, foot reflexology massage and control. To check the digestive status, gastrointestinal sounds were checked every hour using a clinical stethoscope. Also, information on gas and feces elimination was collected and recorded every hour. The intervention was performed 1 and 12 hours after the surgery. In both groups of hands and foot reflexology massages, after general massage of the hands and feet, the areas related to the abdominal distension and removal of the ileus were pressed. It should be noted that, the duration of massage for each person was 10 minutes (20 minutes in total). Data were analyzed by SPSS software version 16 using Chi-square, Fisher’s exact test, two-way ANOVA, Kruskal-Wallis test and repeated measures ANOVA. Results: There was no statistically significant difference in the mean score of severity of nausea before the intervention between the three groups (p = 0.90), but after the intervention a significant difference was observed in the mean score of severity of nausea between the three groups (p=0.002). Also, the result of ANOVA test with repeated measure showed a statistically significant difference in the mean score of nausea by group and stage (p<0.001). There was also no statistically significant difference in the frequency of vomiting severity between the three groups after the intervention. However, at 4 and 24 hours after the intervention, a statistically significant difference was observed between the three groups in that regard. Conclusion: The results showed that both types of hand and foot reflexology massage has positive effects on nausea and return of gastrointestinal movements, so nurses can use reflexology as a non-pharmacological and complementary method to reduce the severity of nausea and return gastrointestinal movements in postoperative patients. Since the reflexology had little or no effect on the severity of vomiting and the acceleration of gastrointestinal movements in patients, further studies in this area are recommended. Keywords: Reflexology, Pain, Nausea and vomiting, Ileus, Surgery

scholarly journals Osteoarthritis Severely Decreases the Elasticity and Hardness of Knee Joint Cartilage: A Nanoindentation Study

2019 ◽  
Vol 8 (11) ◽  
pp. 1865 ◽  
Author(s):  
Mieloch ◽  
Richter ◽  
Trzeciak ◽  
Giersig ◽  
Rybka
Keyword(s):  
Elastic Modulus ◽  
Articular Cartilage ◽  
Weight Bearing ◽  
Patients Âgés ◽  
Low Weight ◽  
Starting Point ◽  
Significant Difference ◽  
The Mean ◽  
Grade 3 ◽  
Insight Into

The nanoindentation method was applied to determine the elastic modulus and hardness of knee articular cartilage. Cartilage samples from both high weight bearing (HWB) and low weight bearing (LWB) femoral condyles were collected from patients diagnosed with osteoarthritis (OA). The mean elastic modulus of HWB cartilage was 4.46 ± 4.44 MPa in comparison to that of the LWB region (9.81 ± 8.88 MPa, p < 0.001). Similarly, the hardness was significantly lower in HWB tissue (0.317 ± 0.397 MPa) than in LWB cartilage (0.455 ± 0.434 MPa, p < 0.001). When adjusted to patients’ ages, the mean elastic modulus and hardness were both significantly lower in the age group over 70 years (p < 0.001). A statistically significant difference in mechanical parameters was also found in grade 3 and 4 OA. This study provides an insight into the nanomechanical properties of the knee articular cartilage and provides a starting point for personalized cartilage grafts that are compatible with the mechanical properties of the native tissue.

scholarly journals Household Food Expenditure Share During Pregnancy: Evidence From Rural Sri Lanka

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 753-753
Author(s):  
Sajaan Gunarathne ◽  
Nuwan Wickramasinghe ◽  
Thilini Agampodi ◽  
Indika Prasanna ◽  
Suneth Agampodi
Keyword(s):  
Sri Lanka ◽  
Pregnant Women ◽  
Household Income ◽  
Repeated Measure ◽  
Household Food ◽  
Education Expansion ◽  
Significant Difference ◽  
Expenditure Share ◽  
Food Expenditure ◽  
The Mean

Abstract Objectives Maternal nutritional requirements are expected to vary during pregnancy due to changing demands. Household food expenditure (HFE) reflects the affordability for these nutritional demands. We explored the relationship between household income and the HFE during pregnancy. Methods The study was a part of Rajarata Pregnancy Cohort (RaPCo), a prospective cohort conducted in Anuradhapura district, Sri Lanka in 2019. Participants were recruited in the 1st trimester and followed up monthly for household expenditure data using a self-administered questionnaire. The associations between household income and HFE during all three trimesters were assessed with one-way ANOVA, repeated measure ANOVA, and correlation analysis. Results The sample sizes for each trimester were 1288,1049, and 168 pregnant women respectively. The mean (SD) age was 28.3 (5.6) years. The mean (SD) monthly household income and the expenditure were USD 261.29 (203.58) and USD 168.41 (108.68) respectively. The mean (SD) monthly HFE for each trimester were USD 55.18 (32.90), USD 55.07 (30.93), and USD 55.46 (31.67). There was a weak positive correlation (r = 0.022, p = 0.429) between household income and HFE in the 1st trimester and there were significant positive correlations in the 2nd (r = 0.275, p = 0.001) and 3rd trimesters (r = 0.403, p = 0.001). The household food expenditure share (HFES) out of total expenditure across three trimesters (35.0%, 33.3%, and 36.3%) were significantly different [F(2,134) = 3.82, p = 0.024]. The HFES in the income quintiles showed statistically significant difference only in the 2nd trimester [F(4,871) = 9.97, p = 0.001] and the HFHS from the lowest to the highest quintile were 36.1%, 31.7%, 32.1%, 30.0%, and 27.7% respectively. Conclusions On average, Sri Lankan rural pregnant women spend USD 55.24 as HFE and the HFES is 34.9%. The reported HFES value is consistent with the national household estimates in Sri Lanka. Even though the income is positively correlated with food expenditure, the HFES across income quintiles remain high during pregnancy, which reflects the perceived importance of addressing food requirements irrespective of the income. Funding Sources Accelerating Higher Education Expansion and Development (AHEAD), World Bank.

scholarly journals Relationship between the Occlusal Plane corresponding to the Lateral Borders of the Tongue and Ala-tragus Line in Edentulous Patients

2012 ◽  
Vol 13 (5) ◽  
pp. 590-594 ◽  
Author(s):  
Carole Abi-Ghosn ◽  
Carla Zogheib ◽  
Joseph E Makzoumé
Keyword(s):  
Acrylic Resin ◽  
Repeated Measure ◽  
Occlusal Plane ◽  
Significant Difference ◽  
Measure Analysis ◽  
The Mean ◽  
Edentulous Patients ◽  
Student’S T ◽  
Inferior Border ◽  
The Relationship

ABSTRACT Aim Definitions of the ala-tragus line (ATL) cause confusion, because the exact points of reference for this line do not agree. This study determined the relationship between the prosthetic occlusal plane (OP) corresponding to the lateral borders of the tongue and ATL which was established by using the inferior border of the ala of the nose and (1) the superior border of the tragus (ATL 1), (2) the tip (ATL 2) and (3) the inferior border of the tragus (ATL 3). Materials and methods Neutral zone moldings using phonation and autopolymerizing acrylic resin were recorded and leveled with the lateral borders of the tongue. Lateral cephalometric radiographs were taken of each subject by a standard method. Tracings were obtained on acetate paper to show the prosthetic OP and the three ATLs. The relationship between the prosthetic OP and each of ATL was measured for each subject. Mean and standard deviation values were then calculated for the relationship. Statistical analysis was performed using repeated measure analysis of variance followed by Bonferroni pairwise comparisons and Student's t-test (α = 0.05). Results Significant difference was found between the three mean angles (p = 0.001). There was no significant difference between the mean angle (5.00° ± 4.38) formed by OP and ATL 2, and the mean angle (4.90° ± 3.50) formed by OP and ATL 3 (p = 1.00) which revealed the smallest. Conclusion The findings of this study indicated that ATLs, extending from the inferior border of the ala of the nose to (1) the tip of the tragus of the ear, and (2) the inferior border of the tragus presented the closest relationship to the prosthetic OP corresponding to the lateral borders of the tongue. Clinical significance When the ATL is used for orientation of the OP in denture construction, it would seem preferable to define it as running from the inferior border of the ala of the nose to the tip or to the inferior border of the tragus of the ear. How to cite this article Abi-Ghosn C, Zogheib C, Makzoumé JE. Relationship between the Occlusal Plane corresponding to the Lateral Borders of the Tongue and Ala-tragus Line in Edentulous Patients. J Contemp Dent Pract 2012;13(5):590-594.

Planning a goal-oriented B2B content marketing strategy

2020 ◽  
Vol 38 (7) ◽  
pp. 1007-1020
Author(s):  
Shahrzad Yaghtin ◽  
Hossein Safarzadeh ◽  
Mehdi Karimi Zand
Keyword(s):  
Design Methodology ◽  
Analysis Method ◽  
Key Factors ◽  
Content Type ◽  
Content Analysis Method ◽  
Starting Point ◽  
Significant Difference ◽  
The Mean ◽  
Different Content ◽  
Content Marketing

PurposeThe main objective of this study is identification of the key factors in planning digital content marketing (DCM) strategy in line with the corporate's main marketing objectives in the B2B sector.Design/methodology/approachIn order to identify the different content types and their corresponding marketing goals, content analysis method was served to analyze the content of Instagram pages of 24 top-ranked corporates from three different industries. SPSS version 22 was used to investigate the significant difference levels and the mean ranks of identified content types.FindingsThe findings uncovered the twelve content types which are commonly published by the corporates in line with their main marketing goals in the B2B sector. Furthermore, the results revealed the most valuable content types from the B2B audiences' viewpoint and the most efficient content types in persuading audiences to participate in conversations.Research limitations/implicationsThis study sheds some light on the ambiguous facets of DCM in the B2B sector, and its findings is useful as the starting point for the scholars who intend to investigate the various aspects of DCM and for the practitioners who work in the related fields.Originality/valueThis research offers a novel contribution to using Instagram as a DCM platform in the B2B sector. Also it contributes to identifying the main factors in communicating to B2B audiences through DCM.

Efficacy of tele-rehabilitation compared with office-based physical therapy in patients with knee osteoarthritis: A randomized clinical trial

2017 ◽  
Vol 24 (8) ◽  
pp. 560-565 ◽  
Author(s):  
Kamran Azma ◽  
Zahra RezaSoltani ◽  
Farid Rezaeimoghaddam ◽  
Afsaneh Dadarkhah ◽  
Sarasadat Mohsenolhosseini
Keyword(s):  
Clinical Trial ◽  
Physical Therapy ◽  
Knee Osteoarthritis ◽  
Randomized Clinical Trial ◽  
Age Groups ◽  
Repeated Measure ◽  
Osteoarthritis Of The Knee ◽  
Post Intervention ◽  
Significant Difference ◽  
The Mean

Introduction Knee osteoarthritis is a major cause of disability among the middle to senior age groups. Despite being effective, office-based physical therapy (OBPT) needs professional human resources and is both costly and time-consuming. We aimed to compare the efficacy of tele-rehabilitation (tele-rehab) compared with OBPT in patients with knee osteoarthritis. Methods In this randomized clinical trial, patients with symptomatic osteoarthritis of the knee were assigned to participate in either a 6-week home-based tele-rehab or an OBPT program between 2015 and 2016. Our primary outcome was the mean change from the baseline until 1 and 6 month's post-intervention in scores of the Knee injury and Osteoarthritis Outcome Score (KOOS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). We used analysis of variance for the repeated measure statistical test. Results A total of 54 patients entered the final analysis, with 27 in each group. The mean age of the patients was 58.2 ± 7.41 years and 60.2% were female. In the tele-rehab and OBPT group, KOOS scores increased from baseline to 6 months post-intervention (50.6 to 83.1 and 49.8 to 81.8) respectively. There was no significant difference between tele-rehab and OBPT groups in any of the studied scales. Discussion The tele-rehab program is as effective as OBPT in improving the function of patients with knee osteoarthritis. Considering the much lower time and cost consumed by tele-rehab, it is the recommended program for the older population living in remote sites.

scholarly journals Effects of Spider Cage Therapy in Combination with Conventional Speech Therapy on Speech and Language Function in Children with Cerebral Palsy of Age between 05 and 15 Years

2021 ◽  
pp. 145-149
Author(s):  
Fahad Masood ◽  
Muhammad Sikander Ghayas Khan ◽  
Farjad Afzal ◽  
Amna Rashid ◽  
Saba Mubarak
Keyword(s):  
Cerebral Palsy ◽  
Speech Therapy ◽  
Baseline Score ◽  
Language Function ◽  
Speech And Language ◽  
Post Intervention ◽  
Significant Difference ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
The Mean

Objective: The objective of study was to determine the effects of spider cage therapy in combination with conventional speech therapy on speech and language function in children with cerebral palsy of age between 05 And 15 Years. Materials and Methods: A total of 20 children from a special institute with cerebral palsy who were provided with spider cage therapy in combination with conventional speech therapy were evaluated from January 2017 to June 2017. Effect of spider cage therapy in combination with conventional speech therapy was determined by applying dysarthric profile revised before and after the treatment. Results: Baseline score on dysarthric profile was 34.76±2.67 and post intervention score was 69.93±8.14. Result indicated that out of 20 children with cerebral palsy, there was a statistically significant difference in total score. Conclusion: The findings suggested that the Mean score of spider cage therapy in combination with conventional speech therapy post treatment in children with cerebral palsy was improved. On the basis of this study it is concluded that speech therapy in combination with conventional speech therapy is more effective in children with cerebral palsy.

scholarly journals A comparative study of metaphorical expression understanding between children with cochlear implants and normal children

2018 ◽  
pp. 131-136
Author(s):  
Hajar Bahrami ◽  
Salar Faramarzi ◽  
Mohammad Amouzadeh
Keyword(s):  
Cochlear Implants ◽  
Auditory Perception ◽  
Deaf Children ◽  
Abstract Concepts ◽  
Normal Children ◽  
Test Items ◽  
Gender And Age ◽  
Significant Difference ◽  
The Mean ◽  
Metaphorical Expression

Background and Aim: Understanding abstract concepts, especially metaphors in daily life and education is a complex conceptual phenomenon. Early hearing damages can affect an individual’s understanding of metaphors and their functions in different ways. This study aimed to compare the understanding levels of metaphorical expressions between children with cochlear implants (CIs) and normal children.Methods: In this study, 35 children with CIs were compared with 35 normal children in terms of understanding metaphorical expressions. Two groups were matched in terms of gender and age. The children with hearing problems received their implants when they were two to five years old. Both groups of children were evaluated using a researcher-made test. Finally, the data collected through the participants’ responses to the test items were analyzed using descriptive statistics and the independent samples t test.Results: There was a significant difference in understanding metaphorical and simile expressions between children with CIs and the normal children (p<0.05) in favor of the normal children. The mean±SD scores for the metaphorical and simile expressions in normal children were 9.57±1.78 and 8.11±2.39 while in children with CIs, they were 5.34±2.35 and 6.17±3.24, respectively.Conclusion: Although the cochlear implantation improves the auditory perception of deaf children, the perception of children with CIs was found to be weaker than normal children. Apparently, these children have spent several years of their lives without hearing, and this deprivation is likely to affect their understanding.

Phoneme Recognition and Confusions With Multichannel Cochlear Implants

2002 ◽  
Vol 45 (5) ◽  
pp. 1055-1069 ◽  
Author(s):  
Taina T. Välimaa ◽  
Taisto K. Määttä ◽  
Heikki J. Löppönen ◽  
Martti J. Sorri
Keyword(s):  
Cochlear Implants ◽  
Repeated Measure ◽  
Repeated Measure Design ◽  
Phoneme Recognition ◽  
Place Of Articulation ◽  
Open Set ◽  
Consonant Recognition ◽  
Measure Design ◽  
The Mean ◽  
Manner Of Articulation

The aim of this study was to investigate how postlingually severely or profoundly hearing-impaired adults relearn to recognize consonants after receiving multichannel cochlear implants. Consonant recognition of 19 Finnish-speaking subjects was studied for a minimum of 6 months and a maximum of 24 months using an open-set nonsense-syllable test in a prospective repeated-measure design. Responses were coded for phoneme errors, and proportions of correct responses and 95% confidence intervals were calculated for recognition and confusions. Two years after the switch-on, the mean recognition of consonants was 71% (95% confidence interval = 68–73%). The manner of articulation was easier to classify than the place of articulation, and the consonants [s], [r], [k], [t], [p], [n], and [j] were easier to recognize than [h], [m], [l], and [υ]. Adaptation to electrical hearing with a multichannel cochlear implant was successful, but consonants with alveolar, palatal, or velar transitions (high F2) were better recognized than consonants with labial transitions (low F2). The locus of the F2 transitions of the consonants with better recognition was at the frequencies 1.5–2 kHz, whereas the locus of the F2 transitions of the consonants with poorer recognition was at 1.2–1.4 kHz. A tendency to confuse consonants with the closest consonant with higher F2 transition was also noted.

scholarly journals Effects of Different Isokinetic Training Programs on Hamstring/Quadriceps Ratio and Proprioception in Patients with Patellofemoral Pain

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0014
Author(s):  
Hande Güney ◽  
İnci Yüksel ◽  
Defne Kaya ◽  
Mahmut Nedim Doral
Keyword(s):  
Knee Flexion ◽  
Training Programs ◽  
Peak Torque ◽  
Patellofemoral Pain ◽  
Repeated Measure ◽  
Eccentric Training ◽  
Isokinetic Training ◽  
Significant Difference ◽  
The Mean ◽  
Concentric Training

Objectives: To determine the effects of different isokinetic training programs; eccentric training, concentric training and combined (concentric-eccentric) training on quadriceps and hamstring muscle strength functional ratio (H/Qfunc ) and knee proprioception in Patellofemoral Pain Syndrome (PFPS) patients. Methods: Thirty patients with unilateral PFPS were randomly assigned to 3 groups: concentric (CON, n=10) (31.23±3.12 years), eccentric (ECC, n=10) (33.73±2.21 years) and combined (combined, n=10) (30.41±4.35 years). In accordance with the progression principle, the training program was divided into 3 mesoscycles, and the sets and angular speeds were increased in each mesocycle. All groups were treated for 8 weeks. To determine H/Qfunc, eccentric quadriceps and concentric hamstring peak torques were evaluated at 60°/sec with Biodex System 3 (Biodex® Corp., Shirley, NY, USA). 20° and 60° of knee flexion target angles were used to evaluate the knee proprioception. Peak torques and proprioception were evaluated before and 8-week after training. Repeated measure of ANOVA was used for the analysis. Results: There was a significant difference in H/Qfunc between groups at 60°/sec (F= 9.048, p<0.001). The mean improvement difference in ECC and CON-ECC groups were better than CON group. Proprioception improvement was found significant after 8-weeks training for both on 20° (F=150.879 p<0.001) and 60° (F=247.561, p<0.001) of knee flexion. The mean improvement was similar for 20° (F=1.964, p=0.132) and 60° (F=0.493, p=0.711) of knee flexion between the groups. Conclusion: Isokinetic training with the emphasis on eccentric training of quadriceps muscle had a significant effect in H/Qfunc in PFPS patients. This is mostly based on the improvement in quadriceps eccentric peak torque and the improvement in balance between hamstring and quadriceps muscles. Eccentric and combined (concentric-eccentric) training is more appropriate model for strengthening compared to only concentric training.

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