scholarly journals The therapeutic effect of cranioplasty in severe head injuries: Report of two cases

2013 ◽  
Vol 02 (02) ◽  
pp. 189-192 ◽  
Author(s):  
Marco Marsella ◽  
Leonardo Tigan ◽  
Eric Vicaut ◽  
Bernard George ◽  
Jean-Pierre Guichard ◽  
...  
Keyword(s):  
Functional Status ◽  
Decompressive Craniectomy ◽  
Head Injuries ◽  
Closed Head Injury ◽  
Positive Influence ◽  
Perfusion Computed Tomography ◽  
Aesthetic Appearance ◽  
The Subject ◽  
Global Brain ◽  
State Examination

Abstract Aesthetic appearance and brain protection are the main indications for cranial reconstruction following decompressive craniectomy. Recently, few reports indicated that cranioplasty could also improve both, cognitive and functional status. A group of 20 patients were treated with decompressive craniectomy following closed head injury; among these patients, two of them (who represent the subject of the current investigation) had to undergo subsequent cranioplasty removal due to the development of local infection. All patients were evaluated by Glasgow outcome scale, frontal assessment battery and mini-mental state examination at 1 week before completion of the cranioplasty as well as 6 and 24 weeks following cranioplasty. Perfusion computed tomography scans were also performed (1 week before and 6 weeks after cranioplasty) as well as a trans-cranial Doppler 1 week before, and 6 and 24 weeks after. The two patients being the subject of this study were also clinically and radiologically evaluated after cranioplasty removal. These two patients, who represent (not intentionally) two case control, showed a real clinical and cerebral perfusion improvement following repair of the skull defect followed by obvious clinical worsening after the skull flap had to be removed. Cranioplasty is likely not to have just a positive influence on cosmetic and protective features of the patients but also seem to improve both, cognitive and functional status by favorably influencing local and global brain hemodynamic and perfusion.

IMPROVE THE INTERETATION OF STUDY SUBJECTS PANCASILA AND CITIZENSHIP EDUCATION BY APPLYING KONSTEXTUAL LEARNING MODEL BERBASIS A TASK IN CLASS INFORMATICS XI SMK BINA ECLECTUS ACADEMIC YEAR 2015/2016

EDUKASI ◽  
2016 ◽  
Vol 13 (2) ◽  
Author(s):  
Hasanudin S. Usman
Keyword(s):  
Teaching And Learning ◽  
Learning Model ◽  
Positive Influence ◽  
Motivation To Learn ◽  
Test Results ◽  
Applied Learning ◽  
Know How ◽  
Design Activities ◽  
The Subject ◽  
Academic Year

The purpose of this research is to know how to incerease the students’ learning achievement that has been applied learning contextual task-based learning model and to know the influence of contextual learning in  the task-based teaching model to improve achievemen and motivation to learn the material pe civis lesson.   This research is an action research by theree rounds. Each round consists of four phases. Design activities are observation, and revesion. The subject of the research is XI grade students of Bina Informatika Ternate accademic year 2015/2016. Data obtained in the form of a formative test results, observation sheet teaching and learning activities. The results of the research showed that students’ achivement increased from round I to III that the round 1, (70.00 % ), (92,50 %)  3 cycles, conclusions of this research is the method of cooperatif learning can be a positive influence on students motivation and achievement in material udaya politics in Indonesia. It means that this model can be used as one of the alternative learning for Pkn.            Kata  kunci: PKn, cooperative learning method

Experimental Investigation of the Compatibility of Lime Coating with Insulation Straw Biocomposite

2022 ◽  
Author(s):  
Oumayma Bahou ◽  
Naima Belayachi ◽  
Brahim Ismail
Keyword(s):  
Experimental Investigation ◽  
Building Materials ◽  
Construction Sector ◽  
Additional Layer ◽  
Aesthetic Appearance ◽  
Innovative Solutions ◽  
Casein Protein ◽  
The Subject ◽  
Considerable Degradation ◽  
Bond Tests

The use of bio-based composite as building materials is one of the innovative solutions for dealing with environmental disorders caused by the construction sector. Among these materials we find biocomposites based on vegetable aggregates, which have proven their effectiveness as insulating materials in numerous studies. Despite the growing interest in these materials and the recognition of their performance, their use remains hampered by the lack of implementation rules specific to these materials to move towards a control of their use and their durability affected by the climate and use conditions to which they will be exposed at the level of a building. The objective of this work is to study the compatibility of a protective coating with a block substrate of biocomposites based on cereal straw. It is in fact a mixture of vegetable aggregates (straw), a binder composed of lime and additives also obtained from a renewable source (Ismail et al., 2020). These additives (air-entraining agent, casein protein and a biopolymer) have been added to improve both the fibre-binder interface and the porosity of the binder. The use of these bio-based materials for external or internal thermal insulation of the building requires the application of a coating to protect them against climatic aggressions and to give them an aesthetic appearance. The lime-based coatings, air-entraining agent and casein protein selected for this study have been the subject of an experimental investigation (Brahim Ismail, 2020). In order to assess the compatibility of these coatings with the straw-based insulating material, we were interested in studying the adhesion between the biocomposite and the coating after aging cycles in accordance with the EN 1015-21 standard. The samples (biocomposite + coating) were subjected to two types of aging, one using water and the other using a saline solution of sodium sulphates (Na2SO4). The results of the bond tests after aging showed that the cohesive fracture (at the level of the substrate) is a pattern observed in all the studied systems. In Addition, It has been found that the coating to which a percentage of fine fibers has been added undergoes considerable degradation after aging with salt solution, demonstrating the need of an additional layer of outer coating without fibers in order to ensure the sustainability of the system.

Mobile Learning to Support Computational Thinking in Initial Teacher Education

2021 ◽  
Vol 13 (1) ◽  
pp. 49-62
Author(s):  
Cornelia Connolly ◽  
Raquel Hijón-Neira ◽  
Seán Ó Grádaigh
Keyword(s):  
Teacher Education ◽  
Mobile Learning ◽  
Mobile Applications ◽  
Computational Thinking ◽  
Positive Influence ◽  
Subject Area ◽  
Initial Teacher Education ◽  
Quasi Experimental ◽  
The Subject

Research on the role of mobile learning in computational thinking is limited, and even more so in its use in initial teacher education. Aligned to this there is a need to consider how to introduce and expose pre-service teachers to computational thinking constructs within the context of the subject area they will teach in their future classrooms. This paper outlines a quasi-experimental study to examine the role of mobile learning in facilitating computational thinking development amongst pre-service teachers in initial teacher education. The study enquires if there are significant differences in grades achieved in computational thinking and programming learning when mobile learning is introduced. Findings showed and reaffirmed the positive influence of the mobile applications on the development of computational thinking amongst the pre-service teachers who participated.

Inappropriate Discharge Instructions for Youth Athletes Hospitalized for Concussion

PEDIATRICS ◽  
1995 ◽  
Vol 95 (2) ◽  
pp. 216-218
Author(s):  
Frank J. Genuardi ◽  
William D. King
Keyword(s):  
Head Injury ◽  
Injury Severity ◽  
Head Injuries ◽  
Closed Head Injury ◽  
Medical Society ◽  
Discharge Instructions ◽  
Youth Athletes ◽  
Closed Head Injuries ◽  
Closed Head ◽  
Grade 3

Objective. To evaluate the medical care, especially the discharge instructions regarding return to participation, received by youth athletes hospitalized for a closed head injury. Methods. We examined the records of all patients admitted over a 5-year period (1987 through 1991) to The Children's Hospital of Alabama for a sports-related closed head injury. Descriptive information was recorded and discharge instructions reviewed. Injury severity was graded according to guidelines current during the study period, as well as those outlined most recently by the Colorado Medical Society, which have been endorsed by a number of organizations including the American Academy of Pediatrics. Discharge instructions recorded for each patient were then compared with those recommended in the guidelines. Results. We identified 33 patients with sports-related closed head injuries. Grade 1 concussions (least severe) occurred in 8 patients (24.2%), grade 2 in 10 (30.3%), and grade 3 (most severe) in 15 (45.4%). Overall, discharge instructions were appropriate for only 10 patients (30.3%), including all with grade 1 concussions, but only 2 with a grade 2 (20.0%) and none with a grade 3 concussion. Conclusion. All who care for youth athletes must become familiar with the guidelines for management of concussion to provide appropriate care and counseling and to avoid a tragic outcome.

Cognitive and Functional Outcomes of Early Versus Delayed Cranioplasty after Decompressive Craniectomy

2018 ◽  
Vol 15 (01) ◽  
pp. 029-035
Author(s):  
Arun Kumar ◽  
Biswaranjan Nayak ◽  
Krishnamurthy B. H ◽  
Sushant Patro ◽  
Abhijeet C. R ◽  
...  
Keyword(s):  
Decompressive Craniectomy ◽  
Functional Outcomes ◽  
Tertiary Care ◽  
Age Distribution ◽  
Total Sample ◽  
Individual Case ◽  
Care Hospital ◽  
Early Cranioplasty ◽  
State Examination

Abstract Introduction Delay in doing cranioplasty (CP) after decompressive craniectomy (DC) may cause motor, cognitive, and language deficits. Studies show doing CP before developing such symptoms helps in improving the outcome. CP improves cerebrospinal fluid (CSF) dynamics and cerebral blood flow, which may lead to better cognitive and functional outcome. Objective The aim of the study was to assess cognitive and functional outcomes of early versus delayed cranioplasty (DCP) after DC. Methodology This was a prospective observational study on 42 patients aged over 16 years and up to 70 years, who had undergone CP after DC for severe traumatic brain injury in in-patient and outpatient department of neurosurgery at a tertiary care hospital in Bhubaneswar, Odisha, India from the period of March 01, 2016 to December 31, 2017. Cognitive and functional outcomes were compared in early and DCP groups in preoperative and follow-up period at 1 month, 3 months, and 6 months. Early cranioplasty (ECP) was within 2 months, and DCP was beyond 2 months. Results Total sample size under this study was 42; 21 in ECP and 21 in DCP group. Mean age was 41.40 ± 15.95 years. The age distribution was quite young with 38.1% in 30 to 49 age group and had very high proportion of males (85.7%). This analysis revealed that both the ECP and DCP groups have resulted in significant improvement in mini-mental state examination (MMSE) and Glasgow Outcome Scale Extended (GOSE) score after CP. But in the ECP group, there has been steady and significant improvement in MMSE and GOSE score at different follow-ups starting from postoperative 1 month in MMSE score and from 3 months up to 6 months in GOSE score. Conclusion Neurosurgeon should evaluate and carefully monitor each individual case and take up CP as early as possible with suitable indication.

scholarly journals Pengaruh Pembiayaan Mudharabah Dan Pembiayaan Musyarakah Terhadap Return Of Asset (Roa) Pada Bank Syariah Mandiri

2019 ◽  
Vol 4 (2) ◽  
pp. 277
Author(s):  
Ratih Komala Dewi
Keyword(s):  
Data Analysis ◽  
Data Collection ◽  
Quantitative Method ◽  
Secondary Data ◽  
Financial Statements ◽  
Positive Influence ◽  
Test Statistics ◽  
Interesting Conclusion ◽  
The Subject ◽  
Spss Software

 The study aims to determine the effect of Mudharabah Financing and Musyarakah Financing on Return of Assets (RoA) in Bank Mandiri Syariah in 2014-2018. The method of data collection in the subject of research was obtained by tabulating secondary data in the form of financial statements at Bank Mandiri Syariah in 2014 - 2018. The quantitative method of data analysis was done by processing SPSS software data in the form of classic assumption testing, testing F test statistics and testing t test to draw interesting conclusion. The results of this study indicate Mudharabah Financing and Musyarakah Financing have a positive influence on Return of Assets (RoA) in Bank Mandiri Syariah in 2014-2018 both partially and simultaneously.

The Use of Decompressive Craniectomy for the Management of Severe Head Injuries

2000 ◽  
pp. 475-478 ◽  
Author(s):  
Ullrich Meier ◽  
F. S. Zeilinger ◽  
O. Henzka
Keyword(s):  
Decompressive Craniectomy ◽  
Head Injuries

scholarly journals The Influence of Confucianism on Corporate Environmental Investment: Evidence from Chinese Private Firms

2019 ◽  
Vol 11 (21) ◽  
pp. 5941 ◽  
Author(s):  
Xixiong Xu ◽  
Lingling Duan ◽  
Youliang Yan
Keyword(s):  
Relevant Literature ◽  
Positive Influence ◽  
Economic Consequences ◽  
Informal Institution ◽  
Environmental Investment ◽  
Tremendous Progress ◽  
Internal Mechanism ◽  
The Subject ◽  
Enterprise Survey ◽  
The Impact

While China’s economic development has made tremendous progress, it has also caused serious environmental pollution problems. This paper uses the date of the Chinese Private Enterprise Survey (CPES) to empirically investigate the impact of Confucianism on corporate environmental investment and its internal mechanism. The results show that: (1) Confucianism plays a significant role in corporate environmental investment. (2) In the areas where environmental regulation is relatively weak, Confucianism has a more significant effect on promoting corporate environmental investment. (3) The positive influence of Confucianism on corporate environmental investment is more obvious in heavy polluting industries. This paper’s conclusions deepen the theoretical cognition of the economic consequences of Confucianism and enrich the relevant literature on the subject of Confucianism. At the same time, this paper also expands the understanding of the determinants of corporate environmental investment from the perspective of the informal institution.

The impact-absorbing effects of facial fractures in closed-head injuries

1987 ◽  
Vol 66 (4) ◽  
pp. 542-547 ◽  
Author(s):  
K. Francis Lee ◽  
Louis K. Wagner ◽  
Y. Eugenia Lee ◽  
Jung Ho Suh ◽  
Seung Ro Lee
Keyword(s):  
Head Injuries ◽  
Closed Head Injury ◽  
Neurological Deficits ◽  
Facial Fractures ◽  
Contingency Table Analysis ◽  
Chi Square ◽  
Content Type ◽  
Closed Head ◽  
Table Analysis ◽  
The Impact

✓ A series of 210 patients with facial fractures sufficiently severe to require cranial computerized tomography (CT) to evaluate suspected closed-head injury (CHI) was studied. The injuries were separated into five grades of severity based on neurological examination, including cranial CT. The injuries were also grouped into three categories based on facial regional involvement, using chi-square contingency table analysis. The data demonstrated that patients with upper facial fractures were at greatest risk for serious CHI. Injuries to both the mandibular and the midfacial regions with no upper facial involvement more frequently resulted in mild CHI with a modest likelihood of no neurological deficits. Trauma to only the mandibular region or to only the midfacial region was least likely to involve CHI.

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