scholarly journals Design of a Standing Device for Children with Spinal Dysraphysm

2021 ◽  
Author(s):  
Aydeé Robayo-Torres ◽  
Katherine Quiñones-Argote

The standing posture is one of the most important factors in the maturation of the neuromotor system, and it is an evolutionary necessity that phylogenetically makes possible the differentiation of functions between the upper and lower limbs, influencing a greater development of the latter; with a fundamental change in the shape of the foot: it increases the importance of the tarsus and metatarsus and reduces the work of the fingers, which facilitates the movement, transfer and independence of the individual in their activities of daily life. The design and production of the prototype of the device, the judgment of the experts, as well as the results of the physiotherapeutic evaluation before and after the standing program, are the threads that are woven in this research proposal. This study seeks to propose a prototype of a standing frame for pediatric patients with spina bifida. The design of a device for standing is proposed based on the individual characteristics of the users, which was evaluated by experts to later perform a case study on a standing program with this type of device in pediatric patients with spine bifida. The designed prototype seems to offer adequate conditions for maintaining standing and on some musculoskeletal conditions of the patient studied. The study concludes that assisted standing should be promoted through inexpensive, functional and continuous monitoring devices. A user-applied design is proposed and not a generic device model.

Author(s):  
Thomas Kourtessis ◽  
Andreas G. Avgerinos ◽  
Haralambos Tsiantis ◽  
Maria Liberi ◽  
Emmanouil Goufas

This chapter presents a case study related to the development of an in-school framework that is concerned with the identification, assessment and interventional management of children with developmental coordination disorder and motor learning disabilities. The aim was to use reliable and tested procedures of identification and assessment as well as to adopt teaching methodologies that discover, reveal and use the individual characteristics of each child to reduce the limitations and to make in-school movement situations accessible to all students. The initial goal was not necessarily the immediate improvement of motor dexterity of the child, but the improvement of the psychological and socio-affective.


2020 ◽  
Vol 3 (4) ◽  
pp. 1031
Author(s):  
David Siwi ◽  
Dewi Linggasari ◽  
Hokbyan R. S. Angkat

KRL Commuter Line as one of the transportation options is preferred in Jabodetabek because of its ability to meet the needs of large quantity of passengers. The title of this thesis is the Punctuality Analysis of the Commuter Line KRL Tanah Abang – Rangkasbitung Line (Case Study: Tanah Abang Station). The purpose of this study is to identify the departure’s punctuality towards the Green Line KRL schedule and classifying the departure delay rate and determining a solution to reduce the delay rate on the Green Line KRL. The method used is an online questionnaire and a field survey. Then it is analyzed by Gap Analysis in order to obtain information about the individual characteristics of Green Line KRL users in Tanah Abang Station. Tanah Abang Station respondents are 71% men and 29% women, consist 72%. users who aged 21% -30 years. 79.3% originated from DKI Jakarta Province with a S1 degree of 61%, the data shows that the passenger is 74% students. With expense ranged Rp 1,000,000 - Rp 2,000,000 per month. Most passengers use train to go to school/home. 76.8% respondents use KRL upon needs.ABSTRAKSalah satu moda transportasi yang diminati masyarakat Jabodetabek adalah KRL Commuter Line karena kemampuannya menampung penumpang dalam jumlah besar menjadikan KRL Commuter Line sebagai salah satu moda transportasi yang sangat diminati masyarakat luas. Judul penelitian ini adalah Analisis Tingkat Keterlambatan KRL Commuter Line Lintas Tanah Abang- Rangkasbitung (Studi Kasus: Stasiun Tanah Abang). Tujuan penelitian ini adalah untuk mengindentifikasi ketepatan waktu keberangkatan KRL Green Line dengan penjadwalannya di Stasiun Tanah Abang serta mengklasifikasikan tingkat keterlambatan keberangkatan KRL  Green Line dan menentukan solusi untuk mengurangi tingkat keterlambatan keberangkatan KRL Green Line. Metode Penelitian yang digunakan adalah kuesioner online dan survei lapangan. Lalu dianalisis dengan Gap Analysis agar didapatkan informasi mengenai karateristik individu dan karateristik perjalanan pengguna  KRL Green Line di Stasiun Tanah Abang. Pengguna Stasiun Tanah Abang mayoritas laki – laki sebesar 71% dan Wanita 29% , berdasarkan data responden, didominasi konsumen berumur 21 – 30 tahun sebesar 72 %. Didapat sebesar 79,3% berdomisilli dari Provinsi DKI Jakarta berpendidikan S1 sebesar 61% sehingga data menunjukan profesi konsumen adalah sebesar 74% pelajar/mahasiswa. Dengan pengeluaran rata-rata per bulan sebesar Rp 1.000.000 – Rp 2.000.000. Rata-rata menunjukan bahwa konsumen Stasiun Tanah Abang menggunakan KA untuk sekolah/pulang. Responden sepakat bahwa frekuensi penggunaan KA bersifat sesuai kebutuhan (76,8%).


Author(s):  
G.N. Anufriev ◽  
M.I. Zinchenko ◽  
V.V. Gul'tyaeva ◽  
D.Yu. Uryumtsev ◽  
S.G. Krivoshchekov

The effects of biofeedback trainings (BFT) are sufficiently detailed in scientific literature. However, the mechanism of their formation and individual characteristics of the reactions are not fully disclosed. The purpose of the paper is to study the indirect effect of biofeedback trainings aimed at managing arterial pulse on hypoxic stability and ANS state in healthy people, taking into account the individual characteristics of the response. Materials and Methods. The study involved 28 young women and 26 young men (19–23 years old), who underwent a 15-day biofeedback training. The authors measured the trial subjects’ heart rate (HR), duration of RR-intervals, blood pressure before and after the training. A hypoxic stress test was also carried out. Results. According to the results of the biofeedback trainings, all the volunteers were retrospectively divided into two groups: “reducing heart rate” (R) and “non-reducing heart-rate” (N). All females and N males demonstrated an almost twofold decrease in the number of low-resistant-to-hypoxia persons with their transition into a group of medium- and high- resistant ones. N-girls, if compared with R-girls, showed a greater increase in the number of highly resistant persons (p=0.06). Resistance comparison between male groups also showed a significant increase in highly resistant persons in N-males, if compared to R-males (p=0.01). Biofeedback-training in all groups led to a steady blood pressure decrease (both systolic (p<0.001) and diastolic (p<0.03)). Conclusion. The results obtained indicate an adaptive decrease in sympathetic activation at rest and in response to physiological (hypoxic) stress. Moreover, training effect intensity depends on the individual characteristics of the ANS initial state. Keywords: biofeedback, heart rate, hypoxic stress test, blood pressure, autonomic nervous system. Эффекты влияния тренингов с биологической обратной связью (БОС) достаточно подробно освещены в научной литературе, однако механизм их формирования и индивидуальные особенности возникающих реакций не до конца раскрыты. Цель. Изучение косвенного влияния цикла БОС-тренингов по управлению артериальным пульсом на гипоксическую устойчивость и состояние ВНС у здоровых людей с учетом индивидуальных особенностей реагирования. Материалы и методы. В исследовании приняли участие 28 девушек и 26 юношей от 19 до 23 лет, которые прошли 15-дневный БОС-тренинг. До и после тренинга проводилось измерение частоты сердечных сокращений (ЧСС), длительности RR-интервалов, артериального давления, а также гипоксический стресс-тест. Результаты. По показателям успешности БОС-тренингов добровольцы ретроспективно были подразделены на группы «снижающих ЧСС» (С) и «неснижающих» (Н). У всех девушек и Н-юношей было выявлено практически двукратное снижение количества низкорезистентных к гипоксии лиц с переходом их в группу средне- и высокорезистентных. У Н-девушек по сравнению с С-девушками количество высокорезистентных выросло сильнее (р=0,06). Сравнение резистентности между группами юношей показало также существенный прирост высокорезистентных в группе Н-юношей по сравнению с С-группой (р=0,01). БОС-тренинг у всей группы привел к устойчивому снижению АД, как систолического (p<0,001), так и диастолического (p<0,03). Выводы. Приведённые результаты свидетельствуют об адаптивном снижении симпатической активации в покое и в ответ на физиологический (гипоксический) стресс. При этом выраженность тренировочного эффекта зависит от индивидуальных особенностей исходного состояния вегетативной нервной системы. Ключевые слова: биологическая обратная связь, частота сердечных сокращений, гипоксический стресс-тест, артериальное давление, вегетативная нервная система.


1973 ◽  
Vol 38 (1) ◽  
pp. 15-24 ◽  
Author(s):  
Linda Lynch ◽  
Annette Tobin

This paper presents the procedures developed and used in the individual treatment programs for a group of preschool, postrubella, hearing-impaired children. A case study illustrates the systematic fashion in which the clinician plans programs for each child on the basis of the child’s progress at any given time during the program. The clinician’s decisions are discussed relevant to (1) the choice of a mode(s) for the child and the teacher, (2) the basis for selecting specific target behaviors, (3) the progress of each program, and (4) the implications for future programming.


VASA ◽  
2012 ◽  
Vol 41 (2) ◽  
pp. 132-135 ◽  
Author(s):  
Krohn ◽  
Gebauer ◽  
Hübler ◽  
Beck

The mid-aortic syndrome is an uncommon clinical condition characterized by severe narrowing of the descending aorta, usually with involvement of its renal and visceral branches, presenting with uncontrollably elevated blood pressures of the upper body, renal and cardiac failure, intestinal ischemia, encephalopathy symptoms and claudication of the lower limbs, although clinical presentation is variable. In this article we report the case of an eleven-year-old patient with the initial diagnosis of a mid-aortic syndrome and present the computed tomography angiography pictures and reconstructions before and after surgical therapy.


1990 ◽  
Vol 29 (05) ◽  
pp. 215-220 ◽  
Author(s):  
R. Benning ◽  
K. Nagel ◽  
M. Jugenheimer ◽  
S. Fischer ◽  
S. Worthmann ◽  
...  

A new 99mTc-labelled tracer (99mTc-Sestanriibi) was used for the first time to demonstrate the perfusion of the skeletal muscle. In 16 patients with obstructive atherosclerosis of the lower limbs the change of perfusion of thigh and lower leg was studied with SPECT before and after vascular surgery (n = 11) or percutaneous transluminal angioplasty (n = 5). Comparative results of scintigraphic measurements and clinical observations (ancle-arm pressure, treadmill test) in 10 surgical patients (14 operated legs) showed correct positive or negative results in 86% (12/14).


1990 ◽  
Vol 63 (01) ◽  
pp. 076-081 ◽  
Author(s):  
Pascale Gaussem ◽  
Sophie Gandrille ◽  
Pascale Molho-Sabatier ◽  
Loïc Capron ◽  
Jean-Noël Fiessinger ◽  
...  

SummaryUsing a monoclonal antibody-based assay, we measured the fibrin degradation product release in the supernatant of plasma clots obtained before and after venous occlusion (VO) in 30 patients with definite or suspected vascular thrombosis (19 definite and 2 suspected deep vein thrombosis, 6 recurrent superficial thrombophlebitis, 3 arterial occlusions of lower limbs). tPA and PAI-1 concentrations were determined using ELISA assays; the post-occlusion values were corrected for haemoconcentration. The increase in tPA during VO was correlated with haemoconcentration (r = 0.74), but 3 patients had ineffective VO (<2% increase in proteins). The fibrinolytic response to VO was evaluated using the shortening of the time necessary for the release of 200 μg of fibrin degradation products per mg of fibrinogen (Δ T 200). Two among the 27 patients with effective VO were bad responders with a Δ T 200 <3 h (whereas all the others had Δ T 200 >10 h). These patients had respectively a deficient tPA release (Δ tPA = 1 ng/ml) and an elevated PAI-1 level at rest (33 ng/ml). Several other patients were bad responders in terms of tPA release or of shortening of the euglobulin clot lysis time but they had a normal Δ T 200. This plasma clot test reflects the ability of free tPA to bind to fibrin (the amount of which depends on the level of tPA and PAI-1), and may be useful in the diagnosis of a hypofibrinolytic state.


2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Akhmad Khoyrun Najakh ◽  
Dwiwiyati Astogini ◽  
Sri Martini

The purpose of this study was to analyze the influence of attitudes on the intention to choose Islamic banks, to analyze the effect of subjective norm on the intention to choose Islamic banks. to analyze the effect of the control behavior of the intention to choose the Islamic banks, to analyze the moderating influence of religiosity on the relationship attitudes, subjective norms and behavioral control of the intention to choose the Islamic banks . The method used is a survey with a sampling technique used purposive sampling with a sample size of this study was 100 respondents . Further analysis tools used in this study is multiple regression analysis using SPSS 16.0 software . Based on this study it can be concluded that the attitude does not affect to the intention of choose Bank BRISyariah. Subjective norm positive effect on intention choose Bank BRISyariah. Control behavior does not affect to the intention choose Bank BRISyariah. Relationship between Attitudes, Subjective Norms and Behavior Control with the intention to select Bank BRISyariah not moderated by religiosity.Based on these conclusions can be said that the Bank BRISyariah should improve understanding related to the subjective norm in order to increase the number of customers who use the services of Islamic Banking . Further research is recommended in order to follow up and develop this research to further explore the independent and dependent variables continued before and after behavioral intention or intention to perform a specific action .


Author(s):  
M. M. Klunnikova

The work is devoted to the consideration of improving the quality of teaching students the discipline “Numerical methods” through the development of the cognitive component of computational thinking based on blended learning. The article presents a methodology for the formation of computational thinking of mathematics students, based on the visualization of algorithmic design schemes and the activation of the cognitive independence of students. The characteristic of computational thinking is given, the content and structure of computational thinking are shown. It is argued that a student with such a mind is able to manifest himself in his professional field in the best possible way. The results of the application of the technique are described. To determine the level of development of the cognitive component of computational thinking, a diagnostic model has been developed based on measuring the content, operational and motivational components. It is shown that the proposed method of developing computational thinking of students, taking into account the individual characteristics of students’ thinking, meaningfully based on the theoretical and practical aspects of studying the discipline, increases the effectiveness of learning the course “Numerical methods”. The materials of the article are of practical value for teachers of mathematical disciplines who use information and telecommunication technologies in their professional activities.


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