Pupil Examination in Children

2022 ◽  
pp. 86-96
Author(s):  
Iason Mantagos

Pupillary evaluation is a crucial part of every pediatric eye exam. It provides information about the structure of the eye as well as the afferent and efferent function of the eyes. It remains a quick and efficient test in the ocular evaluation. This chapter reviews the relevant neuroanatomy and the different components of the pupillary exam. The light-reflex and swinging flashlight tests are reviewed, as well as how a reverse afferent pupillary defect is detected. Clinical examples and pearls are provided to help the reader better understand the different aspects of the exam.

2018 ◽  
Vol 13 (Number 2) ◽  
pp. 1-11
Author(s):  
Muhammad Zulqarnain Arshad ◽  
Darwina Arshad

The small and medium-sized enterprises (SMEs) play a crucial part in county’s economic growth and a key contributor in country’s GDP. In Pakistan SMEs hold about 90 percent of the total businesses. The performance of SMEs depends upon many factors. The main aim for the research is to examine the relationship between Innovation Capability, Absorptive Capacity and Performance of SMEs in Pakistan. This conceptual paper also extends to the vague revelation on Business Strategy in which act as a moderator between Innovation Capability, Absorptive Capacity and SMEs Performance. Conclusively, this study proposes a new research directions and hypotheses development to examine the relationship among the variables in Pakistan’s SMEs context.


2018 ◽  
Vol 9 (1) ◽  
pp. 1-16
Author(s):  
S. Karly Kehoe ◽  
Chris Dalglish

Evidence of how history and culture have been or should be harnessed to promote sustainability in remote and rural communities is mounting. To be sustainable, development must come from within, it must serve future generations as well as those in the present and it must attend to the vitality of culture, society, the economy and the environment. Historical research has an important contribution to make to sustainability, especially if undertaken collaboratively, by challenging and transcending the boundaries between disciplines and between the professional researchers, communities and organisations which serve and work with them. The Sustainable Development Goals’ motto is ‘leaving no one behind’, and for the 17 Goals to be met, there must be a dramatic reshaping of the ways in which we interact with each other and with the environment. Enquiry into the past is a crucial part of enabling communities, in all their shapes and sizes, to develop in sustainable ways. This article considers the rural world and posits that historical enquiry has the potential to deliver insights into the world in which we live in ways that allow us to overcome the negative legacies of the past and to inform the planning of more positive and progressive futures. It draws upon the work undertaken with the Landscapes and Lifescapes project, a large partnership exploring the historic links between the Scottish Highlands and the Caribbean, to demonstrate how better understandings of the character and consequences of previous development might inform future development in ways that seek to tackle injustices and change unsustainable ways of living. What we show is how taking charge of and reinterpreting the past is intrinsic to allowing the truth (or truths) of the present situation to be brought to the surface and understood, and of providing a more solid platform for overcoming persistent injustices.


2020 ◽  
Vol 16 (2) ◽  
pp. 117-128
Author(s):  
Claudio Scarvaglieri

Based on a corpus of 70 tape-recorded therapy sessions (client-centered therapy, psychodynamic therapy), this paper presents analyses of therapists’ interventions that have the potential to trigger change processes. Using a conversation analytic approach, we identify utterances that re-formulate the patient’s experience from a different perspective. In a second step, we draw on concepts from cognitive and pragmatic linguistics, mainly “frame” and “category”, to analyze the conceptual side of these rewordings. We show that, besides processes of general abstraction, the conceptualization of the patient’s experience from a societal perspective is a crucial part of the rewordings. The verbal re-framing creates a potential for accessing stocks of societal knowledge that would not have been accessible based on the patient’s initial, individualistic and often erratic presentation of events. By changing the wording an experience is referred to, the therapist thus creates links to established collective knowledge about experiences of this category. Once such links to collective knowledge have been created, it then becomes possible to understand differently how the experience in question came to pass, which features it is characterized by and how it can be dealt with in a way that is collectively known to be helpful.


2018 ◽  
Vol 2 (1) ◽  
pp. 7-24
Author(s):  
Anne Katrine De Hemmer Gudme

This article investigates the importance of smell in the sacrificial cults of the ancient Mediterranean, using the Yahweh temple on Mount Gerizim and the Hebrew Bible as a case-study. The material shows that smell was an important factor in delineating sacred space in the ancient world and that the sense of smell was a crucial part of the conceptualization of the meeting between the human and the divine.  In the Hebrew Bible, the temple cult is pervaded by smell. There is the sacred oil laced with spices and aromatics with which the sanctuary and the priests are anointed. There is the fragrant and luxurious incense, which is burnt every day in front of Yahweh and finally there are the sacrifices and offerings that are burnt on the altar as ‘gifts of fire’ and as ‘pleasing odors’ to Yahweh. The gifts that are given to Yahweh are explicitly described as pleasing to the deity’s sense of smell. On Mount Gerizim, which is close to present-day Nablus on the west bank, there once stood a temple dedicated to the god Yahweh, whom we also know from the Hebrew Bible. The temple was in use from the Persian to the Hellenistic period (ca. 450 – 110 BCE) and during this time thousands of animals (mostly goats, sheep, pigeons and cows) were slaughtered and burnt on the altar as gifts to Yahweh. The worshippers who came to the sanctuary – and we know some of them by name because they left inscriptions commemorating their visit to the temple – would have experienced an overwhelming combination of smells: the smell of spicy herbs baked by the sun that is carried by the wind, the smell of humans standing close together and the smell of animals, of dung and blood, and behind it all as a backdrop of scent the constant smell of the sacrificial smoke that rises to the sky.


2020 ◽  
Author(s):  
Jordan Taylor ◽  
Paula Gleeson ◽  
Tania Teague ◽  
Michelle DiGiacomo

The role of unpaid and informal care is a crucial part of the health and social care system in Australia and internationally. As carers in Australia have received statutory recognition, concerted efforts to foster engagement in carer participation in work and education has followed. However, little is known about the strategies and policies that higher education institutions have implemented to support the inclusion of carers. This study has three components: first, it employs a review of evidence for interventions to support to support carers; second, it reviews existing higher education institutions’ policies to gauge the extent of inclusive support made available to student carers, and; third it conducts interviews with staff from five higher education institutions with concerted carer policies in Australia were held to discuss their institutions’ policies, and experiences as practitioners of carer inclusion and support. Results indicate difficulty in identifying carers to offer support services, the relatively recent measures taken to accommodate carers in higher education, extending similar measures which are in place for students with a disability, and difficulties accommodating flexibility in rigid institutional settings. A synthesis of these findings were used to produce a framework of strategies, policies and procedures of inclusion to support carers in higher education.


2020 ◽  
Vol 20 (1) ◽  
pp. 10-42
Author(s):  
Flora Mary Bartlett

I examine how tensions between locals, environmentalists, and State politicians in a small town in northern Sweden are reinforced through national discourses of climate change and sustainability. Turbulence emerges across different scales of responsibility and environmental engagement in Arjeplog as politicians are seen by local inhabitants to be engaging more with the global conversation than with the local experience of living in the north. Moreover, many people view the environmentalist discourses from the politicians in the south, whom they deem to be out of touch with rural life, as threatening to the local experience of nature. These discourses pose a threat to their reliance on petrol, essential for travel, and are experienced locally as a continuation of the south’s historical interference in the region. Based on thirteen months of field research, I argue that mistrust of the various messengers of climate change, including politicians and environmentalists, is a crucial part of the scepticism towards the climate change discourse and that we as researchers need to utilise the strengths of anthropology in examining the reception (or refusal) of climate change. The locals’ mistrust of environment discourses had implications for my positionality, as I was associated with these perceived ‘outsider’ sensibilities. While the anthropology of climate change often focusses on physical impacts and resilience, I argue that we need to pay due attention to the local turbulence surrounding the discourses of climate change, which exist alongside the physical phenomena.  


2019 ◽  
Vol 19 (1) ◽  
pp. 10-14
Author(s):  
Ryan Scott ◽  
Malcolm Le Lievre

Purpose The purpose of this paper is to explore insights methodology and technology by using behavioral to create a mind-set change in the way people work, especially in the age of artificial intelligence (AI). Design/methodology/approach The approach is to examine how AI is driving workplace change, introduce the idea that most organizations have untapped analytics, add the idea of what we know future work will look like and look at how greater, data-driven human behavioral insights will help prepare future human-to-human work and inform people’s work with and alongside AI. Findings Human (behavioral) intelligence will be an increasingly crucial part of behaviorally smart organizations, from hiring to placement to adaptation to team building, compliance and more. These human capability insights will, among other things, better prepare people and organizations for changing work roles, including working with and alongside AI and similar tech innovation. Research limitations/implications No doubt researchers across the private, public and nonprofit sectors will want to further study the nexus of human capability, behavioral insights technology and AI, but it is clear that such work is already underway and can prove even more valuable if adopted on a broader, deeper level. Practical implications Much “people data” inside organizations is currently not being harvested. Validated, scalable processes exist to mine that data and leverage it to help organizations of all types and sizes be ready for the future, particularly in regard to the marriage of human capability and AI. Social implications In terms of human capability and AI, individuals, teams, organizations, customers and other stakeholders will all benefit. The investment of time and other resources is minimal, but must include C-suite buy in. Originality/value Much exists on the softer aspects of the marriage of human capability and AI and other workplace advancements. What has been lacking – until now – is a 1) practical, 2) validated and 3) scalable behavioral insights tech form that quantifiably informs how people and AI will work in the future, especially side by side.


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