scholarly journals The essential neurological examination in telemedicine consultations in the context of COVID 19/ O exame neurológico essencial nas consultas de telemedicina no contexto da COVID 19

2021 ◽  
Vol 4 (3) ◽  
pp. 13521-13529
Author(s):  
Maria Bianca Fialho Amorim ◽  
Gabriela Pires de Oliveira ◽  
Luciana Soares Lucio ◽  
Pedro Henrique Alves de Andrade ◽  
Felipe César Gomes de Andrade
Keyword(s):  
Neurological Examination ◽  
Pupillary Reflex ◽  
External Interference ◽  
Digital Platforms ◽  
Doctor Patient Communication ◽  
Global Pandemic ◽  
Neurological Exam ◽  
Integrative Process ◽  
Plantar Reflex ◽  
Neurological System

Introduction: In clinical evaluation, the neurological area is one of the most complex and extensive to be analyzed, besides that, when added with Neurophobia it becomes even more difficult. With the COVID-19 Pandemic, there was an accelerated process of migration from outpatient clinics to digital platforms, requiring doctors to update their way of examining patients. The essential neurological examination, the tool that collaborates in this updated assessment, demonstrates greater objectivity in confirming the normality of the neurological system. The practice of checklists is a tool that helps these doctors to better evaluate their patients, optimizing their time and exams, contributing to its clinical diagnosis. Methodology: Review study integrative process that culminated in the elaboration and adaptation of new measures for essential neurological therapy in patients in the context of COVID-19 through Telemedicine. Results and Discussion: When comparing the essential neurological exam with the knowledge experienced by the authors of this article and the global pandemic context, were recommendations on the application of telemedicine were made. In addition to the need for doctor-patient communication to be audible and visible, without external interference so as not to impair the exams, the participation of a patient's companion is important to assist the doctor in exams. With that done, we identified that some of the exams essential neurological conditions become difficult to perform digitally, being: Indirect fundoscopy and reflexes (Biceps, Brachioradialis, Triceps, Patellar, Aquileu). However, exams such as direct fundoscopy, pupillary reflex, eye chase, mimic facial, gait, and plantar reflex can be examined via digital platforms as long as always the patient is accompanied. Conclusion: It is concluded that, amid pandemic, essential neurological examination becomes outdated, but useful in several areas, helping the doctor to take more informed measures.

scholarly journals Twelve Agendas on Interacting with Information: A Human-Engaged Computing Perspective

2020 ◽  
Vol 4 (3) ◽  
pp. 191-199
Author(s):  
Chen Wang ◽  
Xiaojun (Jenny) Yuan ◽  
Xiangshi Ren
Keyword(s):  
Personal Development ◽  
Human Interaction ◽  
Good Opportunity ◽  
Digital Platforms ◽  
Symbiotic Relationships ◽  
Digital Devices ◽  
Global Pandemic ◽  
Information Interaction ◽  
The Many ◽  
Current Paradigm

AbstractDuring the coronavirus global pandemic crisis, we have received information from authentic and inauthentic sources. Fake news, continuous rumors, and prejudiced opinions from digital platforms and social media have the capacity to disrupt social harmony, to stall personal development, and to undermine trust on all levels of human interaction. Despite the wide plurality of perspectives, the diversity of contents, the variety of voices, and the many often-conflicting reasons for publishing, our interactions with information on digital devices are progressively shaping such situations and affecting decisions on all levels. We look at the limitations of existing designs and guidelines in the current paradigm, and we ask to what extent researchers and developers can focus and contribute, through their innovations, to the reduction of uncertainty and cases of misdirection, how they can mitigate tensions between information and humans, and how they can contribute to the maintenance and enhancement of worthy human values. Human-engaged computing (HEC) calls for innate user capacities to be enhanced rather than displaced by digital technologies so that the human factor in interactions is fully exploited and truly efficient symbiotic relationships between humans and devices can be achieved. Under the framework of HEC, we propose 12 research agendas from the theoretical, principled, and practical aspects, in order to develop future synergized interactions between humans and information. The present crisis presents us with a good opportunity to reflect on the need to empower humans in relation to the tools they use and to consider the next paradigm shift for designing information interaction.

scholarly journals New Governance Through Digital Platforms and the Old Urban Planning Process in Italy

2021 ◽  
Author(s):  
Cinzia Bellone ◽  
Fabio Naselli ◽  
Fabio Andreassi
Keyword(s):  
Social Interactions ◽  
Planning Process ◽  
Radical Change ◽  
New Governance ◽  
Digital Platforms ◽  
Global Pandemic ◽  
Spatial Dimensions ◽  
Spatial Reorganization ◽  
Physical Spaces ◽  
The Relationship

Current acceleration in digital innovations, unexpected challenges in our social interactions, acceleration to virtualization, limitation in our physical spaces, and unpredictable changes in our Old lifestyles - as originated from the COVID-19 global pandemic 2020 - continue to provide us with a framework, rapidly updating under our eyes, of the modifications our world is undergoing by pursuing into a New “digital age”. Or, as many scholars say nowadays, into the New Normal! These are shared and deep changes that concretely stress their effects on how ideally a city should function. Forcing us to reflect on the capability to achieve shared choices and visions for the future by taking vantage from both the New digital platforms and New suddenly opened paths. In the pages of this article authors, through different but shared viewpoints, propose an answer to the topic of "Governance 3.0", addressing the attempt of a radical change of those paradigms, now consolidated, within which the spatial dimensions, in which we live and act, are shaped. Also analyzing the relationship between Technocracy and Democracy as defined by Khanna, it is argued that it is possible to realize new forecasts and acquire a more democratic and participatory (inclusive) dimension of Governance, also thanks to new digital technologies, by exploring the general unconscious "feeling" of people, through anonymous data collection and without any direct or indirect interference with it. The analysis of the "Sentiment", already developed in other fields but easily exportable within the urban discipline, can be considered as the beginning of hybrid practices where digital and analogic find a compromise to make the "Urbs" more attractive and inclusive, while the "Civitas", connected to the Internet, can contribute to the optimization of services, of the "Polis" and a new social/spatial reorganization.

scholarly journals Learning to Adapt in a Global Pandemic of COVID-19: Insights to Support Vocational Education and Training (VET) in Southern Africa

2021 ◽  
Vol 36 ◽  
Author(s):  
Emmanuel Ojo ◽  
Presha Ramsarup ◽  
Nicola Jenkin
Keyword(s):  
Vocational Education ◽  
Adaptive Capacity ◽  
Education And Training ◽  
Local Communities ◽  
Vocational Education And Training ◽  
Small Scale ◽  
Local Networks ◽  
Digital Platforms ◽  
Global Pandemic ◽  
And Training

The COVID-19 pandemic impacted all education sectors significantly during the full global lockdown between March and June 2020, including the Vocational Education and Training (VET) sector. During this period, the authors jointly led nine researchers who were postgraduate students in six Southern African Development Community (SADC) countries (Botswana, Eswatini, Mozambique, South Africa, Zambia and Zimbabwe). Due to the restrictions during the lockdown, these nine researchers conducted a literature review and thirty interviews in local communities in these six SADC countries. This included both VET colleges as well as individuals in informal, small-scale and entrepreneurial activities. The authors refer to the qualitative data gathered by the interviews with these interviewees as ‘stories of adaptation’. In this paper we used these ‘stories of adaptation’ to explore the links between learning to adapt and expertise, and to consider how together these constructs offer insights into how VET can be strengthened to better support local communities.Two research questions were asked: (1) how do the notions of adaptive capacity and expertise as conceptual constructs help to understand vocational learning in a global pandemic? and (2) what insights can be drawn from the ‘stories of adaptation’ to strengthen the role of VET in local communities? Through a thematic analysis of the ‘stories of adaptation’, three key findings emerged: (1) capacity to adapt is a multi-level and multi-pronged construct; (2) use of digital platforms as well as local networks were key enabling mechanisms for adaptation; and, (3) learning and expertise are embedded in the capacity to adapt. Thus, we argue that building a responsive VET system for the SADC region is achievable by strengthening the nexus between learning, expertise and adaptive capacity. Keywords: adaptive capacity; expertise; global pandemic; vocational education

scholarly journals School society and pandemic in Mexico; online education: from temporary to permanent shelter

Apertura ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 142-157
Author(s):  
Gustavo Antonio Segura Lazcano ◽  
◽  
Ivett Vilchis Torres ◽  
Keyword(s):  
Online Education ◽  
Educational Institutions ◽  
Educational Systems ◽  
Social Situations ◽  
Digital Platforms ◽  
School Activities ◽  
Global Pandemic ◽  
The Status ◽  
Face Complex ◽  
Training Expectations

As a result of the global pandemic of covid-19, distance education went from being a little considered training option to the status of the main operating alternative for the school system. Educational institutions by adapting their work to the use of digital platforms have managed to keep their programs active despite reducing their training expectations. School activities at home face complex social situations that contravene the teaching precepts, cause poor learning and many cases of school dropout. Educational systems in the medium term will promote remote teaching modalities in digital and telematic versions, whose didactics will dominate the 21st century.

scholarly journals The Crossed Flexor Plantar Response in Patients with Klippel-Feil Syndrome

2017 ◽  
Vol 9 (2) ◽  
pp. 143-148 ◽  
Author(s):  
Anna Sadnicka ◽  
Simon F. Farmer
Keyword(s):  
Neurological Examination ◽  
Cutaneous Stimulation ◽  
Mirror Movements ◽  
Plantar Reflex ◽  
Stimulation Of

The plantar reflex is one of most important and widely tested components of the neurological examination. We describe 3 subjects with Klippel-Feil syndrome and mirror movements where unilateral cutaneous stimulation of the foot leads to flexor plantar responses in both feet. We discuss the evidence which suggests that this “crossed flexor” plantar response reveals a transcortical pathway for the flexor plantar response.

User Experience: An evaluation of the Pilot Education Platform and Online Learning at Wright State University

2021 ◽  
Vol 65 (1) ◽  
pp. 1215-1219
Author(s):  
Michael J. Vredenburgh ◽  
Paul B. Stone ◽  
Caroline G.L. Cao
Keyword(s):  
College Students ◽  
Online Learning ◽  
User Experience ◽  
Primary User ◽  
State University ◽  
Digital Platforms ◽  
Face To Face ◽  
Global Pandemic ◽  
New Learning ◽  
Education Platform

American college students’ lives were upended when the global pandemic reached our shores. Instead of interacting face-to-face, they were forced to attend classes online. This new learning environment required students and faculty to rely on digital platforms provided by their universities. This study evaluated the effectiveness of the Pilot platform at Wright State University, and the user experience by its two primary user populations: students and faculty. Attributes studied include the usability of elements including feedback, assignments, and communication. Recommendations focus on adjusting the grading input for faculty and to standardize an assignment posting method.

scholarly journals Difficulties of general practitioners in (de)prescribing benzodiazepines

2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
L Veloso de Sousa ◽  
I Rosendo ◽  
L M Monteiro
Keyword(s):  
Family Medicine ◽  
Family Doctor ◽  
Added Value ◽  
Convenience Sample ◽  
Family Doctors ◽  
Digital Platforms ◽  
Doctor Patient Communication ◽  
Open Questions ◽  
Doctor Communication

Abstract Background In Portugal, the consumption of psychotropic drugs, namely benzodiazepines, is almost double the average European consumption. Most of the prescriptions for benzodiazepines (BZD) are carried out by family doctors, since they are doctors more accessible to the general population. Therefore, it is essential to assess the difficulties of family doctors in prescribing and discontinuing BZD in order to understand how to optimize the consumption of these drugs in Portugal. Methods The data were collected through a survey sent to family doctors across the country by email and other digital platforms. The participants were interns and specialists in family medicine and a convenience sample was obtained of 274 physicians. The survey, previously structured, contained three open questions and twenty-five statements to be classified using a Likert scale. For the quantitative analysis, SPSS® program was used and the qualitative analysis was performed using the MAXQDA® data analysis facilitation software. Results Difficulties related to: patient's beliefs/attitudes and doctor-patient communication, means and strategies of prescription and discontinuation, dependence and tolerance, unwanted effects of BZDs, need for BZD and lack of alternatives/resources, doctor-doctor communication and role of the family doctor were identified. Conclusions The qualitative approach used in this study was essential, since the theme of the study is not widely explored in Portugal. An added value of the study is the inclusion of interns in General and Family Medicine. Studies are suggested that deepen these topics and allow the development of appropriate strategies to optimize the process of BZD (de)prescription.

scholarly journals Posterior reversible leukoencephalopathy syndrome (PRES) as a complication of ozone injections for chronic pain

2016 ◽  
Vol 3 (3) ◽  
pp. 65
Author(s):  
Sarah H Sofka ◽  
Troy M Krupica
Keyword(s):  
Magnetic Resonance Imaging ◽  
Intramuscular Injection ◽  
Muscle Tone ◽  
Resonance Imaging ◽  
Neurological Exam ◽  
Posterior Reversible Leukoencephalopathy Syndrome ◽  
Plantar Reflex ◽  
Magnetic Resonance Imaging Mri ◽  
Posterior Reversible Leukoencephalopathy

A 57-year-old female presented with encephalopathy, focal neurological findings, and possible seizure immediately after receivingan intramuscular injection of liquefied ozone to the posterior skull base. Ozone injections were being used to treat chronic neckpain and headaches. On presentation the patient was found to have a Glasgow Coma Scale score of 6. Her blood pressure washigh at 220/93 and she had a temperature of 39.5℃. Neurological exam revealed increased muscle tone in the left leg as well asan extension plantar reflex. Lab work, including lumbar puncture results, were unremarkable. Magnetic resonance imaging (MRI) showed findings consistent with Posterior Reversible Leukoencephalopathy Syndrome (PRES). The patient’s hypertension wastreated and she significantly recovered after five days. Follow up MRI three weeks later showed interval resolution of the previousfindings, and the patient had complete return to functional baseline thereby making the diagnosis of PRES most likely. No othercases of ozone induced PRES have been reported in the literature.

scholarly journals Neurological examination: pioneering authors and their books

2015 ◽  
Vol 73 (2) ◽  
pp. 140-146 ◽  
Author(s):  
Péricles Maranhão-Filho ◽  
Maurice Borges Vincent ◽  
Marcos Martins da Silva
Keyword(s):  
Neurological Examination ◽  
Neurological Exam ◽  
Xix Century

The objective of this article is to highlight some of the most important pioneering books specifically focused on the neurological examination and their authors. During the XIX Century, Alexander Hammond, William Gowers and Charles Mills pioneered the neurological literature, followed in the XX Century by Aloysio de Castro, Monrad-Krohn, Derek Denny-Brown, Robert Wartenberg, Gordon Holmes, and Russel DeJong. With determination and a marked sense of observation and research, they competently developed and spread the technique and art of the neurological exam.

scholarly journals Rethinking the neurological examination II: dynamic balance assessment

2011 ◽  
Vol 69 (6) ◽  
pp. 959-963 ◽  
Author(s):  
Péricles A. Maranhão-Filho ◽  
Eliana Teixeira Maranhão ◽  
Marco Antônio Lima ◽  
Marcos Martins da Silva
Keyword(s):  
Neurological Examination ◽  
Older Patients ◽  
Dynamic Balance ◽  
Balance Assessment ◽  
Balance Test ◽  
Sit To Stand ◽  
Neurological Exam ◽  
Bedside Tests ◽  
Dynamic Gait Index ◽  
Dynamic Gait

The authors propose that the neurological exam needs reevaluation with respect to the dynamic balance test (walking). Validated tests such as: preferred and maximum gait speed, dynamic gait index, five-times-sit-to-stand test, timed up & go cognitive and manual, should be part of the neurological examination routine. In the neurological exam of older patients, these same bedside tests bring the plus of evaluation the risk of occasional falling.

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