scholarly journals Role of speech-language pathologist in tracheostomy care – A case study

2020 ◽  
Vol 71 ◽  
pp. 97-99
Author(s):  
P. S. Divya ◽  
A. Vijay ◽  
A. Ganesh
Keyword(s):  
Oral Intake ◽  
Skin Surface ◽  
Speech Language Pathologist ◽  
Suboccipital Craniotomy ◽  
Dysphagia Rehabilitation ◽  
Feeding Assessment ◽  
The Right

A “tracheotomy” refers to the surgical procedure that creates an opening between the trachea and the midline skin surface of the neck. Indicators for a tracheostomy tube include airway protection, removal of tracheal secretions, and wean from long-term mechanical ventilation. Assessment and management will be overseen by a multidisciplinary team which includes a speech-language pathologist whose involvement in tracheostomy include assisting the patient to tolerate successful periods of cuff deflation and saliva management, re-establishing verbal communication, conducting swallow assessments to re-establish oral intake, providing dysphagia rehabilitation, and providing input into the decannulation decision. This case study is focusing on the 42-year-old male who had the right cerebellopontine angle meningioma for which he underwent retrosigmoid, suboccipital craniotomy, and excision of lesion. Tracheostomy was done following stridor and wheezing, and he is under nasogastric tube for feeding. Assessment and management for swallowing and speech were focussed and results were documented.

Caregivers' Perceptions of Speech-Language Pathologist Talk About Child Language and Literacy Disorders

2020 ◽  
Vol 29 (4) ◽  
pp. 2049-2067
Author(s):  
Karmen L. Porter ◽  
Janna B. Oetting ◽  
Loretta Pecchioni
Keyword(s):  
Language And Literacy ◽  
Collective Case Study ◽  
Study Approach ◽  
School Aged Children ◽  
Speech Language Pathologist ◽  
Therapy Goals ◽  
Semistructured Interviews ◽  
Types Of Information

Purpose This study examined caregiver perceptions of their child's language and literacy disorder as influenced by communications with their speech-language pathologist. Method The participants were 12 caregivers of 10 school-aged children with language and literacy disorders. Employing qualitative methods, a collective case study approach was utilized in which the caregiver(s) of each child represented one case. The data came from semistructured interviews, codes emerged directly from the caregivers' responses during the interviews, and multiple coding passes using ATLAS.ti software were made until themes were evident. These themes were then further validated by conducting clinical file reviews and follow-up interviews with the caregivers. Results Caregivers' comments focused on the types of information received or not received, as well as the clarity of the information. This included information regarding their child's diagnosis, the long-term consequences of their child's disorder, and the connection between language and reading. Although caregivers were adept at describing their child's difficulties and therapy goals/objectives, their comments indicated that they struggled to understand their child's disorder in a way that was meaningful to them and their child. Conclusions The findings showed the value caregivers place on receiving clear and timely diagnostic information, as well as the complexity associated with caregivers' understanding of language and literacy disorders. The findings are discussed in terms of changes that could be made in clinical practice to better support children with language and literacy disorders and their families.

scholarly journals Blending in: A Case Study of Transitional Ambidexterity in the Financial Sector

2021 ◽  
Vol 13 (4) ◽  
pp. 1690
Author(s):  
Beniamino Callegari ◽  
Ranvir S. Rai
Keyword(s):  
Financial Sector ◽  
Economic Sustainability ◽  
Organizational Ambidexterity ◽  
Management Literature ◽  
Innovative Capabilities ◽  
Financial Firm ◽  
The Relationship

Organizational ambidexterity is widely recognized as necessary for the economic sustainability of firms operating in the financial sector. While the management literature has recognized several forms of ambidexterity, the relationship between them and their relative merits remain unclear. By studying a process of implementation of ambidextrous capabilities within a large Scandinavian financial firm, we explore the role of top-down reforms and bottom-up reactions in determining the development of sector-specific innovative capabilities. We find that blended ambidexterity follows naturally from the attempt to correct the tensions arising from harmonic ambidextrous blueprints. The resulting blended practice appears to be closely related to the reciprocal model of ambidexterity, which appears to be a necessity rather than a choice, for large firms attempting to develop innovative capabilities. Consequently, we suggest to re-interpret current taxonomies of ambidexterity not as alternative blueprints, but rather as stages in a long-term process of transition.

scholarly journals Sinabung volcano: how culture shapes community resilience

2019 ◽  
Vol 28 (3) ◽  
pp. 290-303
Author(s):  
Marta Mori ◽  
Ronan McDermott ◽  
Saut Sagala ◽  
Yasmina Wulandari
Keyword(s):  
Structured Interviews ◽  
Content Type ◽  
Aid Dependency ◽  
Relief Operations ◽  
Long Term Impact ◽  
Cultural Experts ◽  
Practical Implications

Purpose The purpose of this paper is to explore how culture, including traditions and social structures, can influence resilience and how culturally sensitive relief operations can put affected people and their context at the core of any interventions. Design/methodology/approach A case study of the Mt Sinabung volcano area in Indonesia was undertaken. As part of the case study, an analysis of interventions was conducted, which was complemented by semi-structured interviews with Karo cultural experts and humanitarian organisations. Findings Culture influences the manner in which the Karo people react to volcano eruptions with varying implications for recovery. In addition, relief organisations which understand people’s actions through a cultural lens have better managed to tailor programs with long-term impact, thereby avoiding aid dependency. Practical implications Practical examples of disaster management activities that adequately account for the beneficiaries’ way of living prior to the eruptions are provided. Aid actors are provided with guidance concerning how to better tailor their activities in line with a cultural lens. Originality/value The study provides empirical grounding for claims concerning the role of culture in planning interventions in Indonesia and other similar contexts.

A ROLE OF AYURVEDA IN THE MANAGEMENT OF APASMARA (EPILEPSY): A CASE STUDY

2021 ◽  
Vol 12 (4) ◽  
pp. 24-29
Author(s):  
Shruti . ◽  
C V Rajashekhar ◽  
Manjunatha Adiga
Keyword(s):  
Antiepileptic Drugs ◽  
Palliative Treatment ◽  
Cognitive Level ◽  
Frequent Seizure ◽  
Seizure Attack ◽  
Seizure Attacks

Apasmara (epilepsy) is defined as the apagama (deterioration) of smriti (memory) associated with bibhasta cheshta (seizures) due to derangement of dhi and satwa, mainly related to vata and rajo dosha vitiation, which effects both Sharira (body) and Mana (mind). The present antiepileptic drugs control the seizure attack, but long-term use generates adverse effect at cognitive level and leads to behavioral disorders, hence there is need of safe and effective treatment which not only controls seizure attack but helps to cure the disease. A 44-year-old man approached Kayachikitsa OPD with the complaints of frequent seizure attacks, since from at the age of one and half year with regular oral antiepileptic drugs medications (allopathic), the dose of medications increasing yearly and he was not satisfied with treatment, so he was advised with Panchakarma treatment starting from Deepana, Pachana, Vamana (medicated emesis), Virechana (medicated purgation), Basti (medicated enema), Shirodhara along with palliative treatment. After each treatment it was observed that the patient was satisfied with treatment and the complaints of seizure attack reduced in frequency and duration with improved quality of life. Palliative treatment was advised to continue along with modern medications.

The role of motivation in talent selection and ­development in competitive sport

2021 ◽  
Keyword(s):  
Measurement Instrument ◽  
Psychological Characteristics ◽  
Advantages And Disadvantages ◽  
Current State ◽  
Talent Selection ◽  
Comprehensive Picture ◽  
Performance Development ◽  
The Right

The early and long-term development of promising young athletes is a decisive factor in being internationally competitive in top-level sports. Among the multitude of talent criteria suggested in the literature, motivation plays a prominent role in the area of psychological characteristics. It is recognised in practice and research as a relevant criterion for performance development across all sports. This article provides an overview of the current state of talent research in the field of motivation. First, the most common theories of motivation in competitive sports are described, then different measurement methods and their advantages and disadvantages as well as the predictive value of motivation for athletic performance are discussed. Finally, implications for practice are suggested. It can be summarised that motivation in sport is conceptualised and operationalised in different ways and that the decision for the right measurement instrument depends on the goal of the assessment. To get a comprehensive picture of an athlete’s motivational status, it is useful to assess several aspects of motivation through different methods.

Dissemination and Cultural Change as an Alternative Business Value Proposition in the Construction Industry: Manni Group Case Study

2021 ◽  
pp. 239496432110497
Author(s):  
Umberto Tinazzi
Keyword(s):  
Construction Industry ◽  
Cultural Change ◽  
Business Value ◽  
Value Proposition ◽  
Positive Role ◽  
New Techniques ◽  
Group Case ◽  
The Right

There is a gap of knowledge between practitioners about the off-site construction. For this reason, the Manni Group case study presented in this article highlights the positive role of dissemination as business value proposition support in the context of off-site construction industry. The Manni Group involved opinion leaders, professionals, universities and industrial partners in a network of dissemination that, going beyond the concept of advertising, it generated a multiple effect of value creation between the direct and indirect involved stakeholders. Dissemination emerges as a model of action that creates impacts on cultural change. It is scalable and applicable in many areas where actors have the right competences to manage the dissemination. Wherever there is a knowledge gap or friction towards new techniques and methodologies, the model is able to create value for companies and stakeholders involved in the emerging network.

scholarly journals Additional Benefits of Community Managed Forest: A Case Study of Champadevi Community Forest

2012 ◽  
Vol 12 ◽  
pp. 127-132
Author(s):  
Bhanu B Panthi
Keyword(s):  
Carbon Sequestration ◽  
Significant Contribution ◽  
Research Area ◽  
Environmental Benefits ◽  
Managed Forests ◽  
Managed Forest ◽  
Community Based

This research attempts to identify the existing condition of the community managed forest based on the assumption that it will serve as a proxy for the condition of other forests in the mid hills region of Nepal. The research area has an atypical variation in altitude and diverse pattern of vegetation. This study mainly focuses on estimating carbon content in the forest and identifying the species that has more carbon storage capacity. The research signifies the role of forests in mitigation of ‘Global warming’ and ‘Climate change’ by storing carbon in tree biomass. These types of community based forest management programs are significant for their additional carbon sequestration through the avoidance of deforestation and degradation. The carbon sequestration have a significant contribution to environmental benefits, any shrinkage of forests have an enormous impact on CO2 emission with long term consequences. Thus, the development and expansion of community managed forests provide many benefits to the adjacent community and globally at large.DOI: http://dx.doi.org/10.3126/njst.v12i0.6490 Nepal Journal of Science and Technology 12 (2011) 127-32 

scholarly journals Pick-Up Savings System to Improve the Financial Management Capabilities of Village Communities: Analysis of The Role of Village-Owned Enterprises

2022 ◽  
Vol 2 (3) ◽  
pp. 225-230
Author(s):  
Eka SISKAWATI ◽  
Meri YULIA ◽  
Zahara ZAHARA
Keyword(s):  
Financial Management ◽  
Village Community ◽  
Village Communities ◽  
Business Entities ◽  
Management Capabilities ◽  
The Village ◽  
Economic Institution

The business entity owned by the Village, as an economic institution at the village level, established to improve the economic welfare of the village community. One of the efforts made is to increase awareness behavior in saving. The behavior of villagers in saving  is often still short-term oriented, so most villagers have not been able to manage finances to anticipate their financial problems in the future. Therefore, research on the role of BUMDes as a village-scale economic institution in improving the financial management capabilities of the village community is very important to do. The purpose of this research is to find out how the role of business entities have    in improving the financial management capabilities of the community through  savings products with a savings pick-up system.  This research uses a qualitative approach with case study methods  in Village Owned Enterprises (BUMDes) Pakandangan Emas. Data collection techniques are conducted through interviews and observations in the field. This research found that Unit sharia savings business in BUMDes Pakandangan Emas can shape people's behavior  in long-term financial management. This behavior is formed mainly through a savings system that is directly picked up to the community.

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