...Plantarflexor Strength, Balance and Walking Speed: A Pilot Study in Asymptomatic Volunteers” by Caplan N et al. Journal of Sport Rehabilitation © 2014 Human Kinetics, Inc. Note: This article will be published in a forthcoming issue of the Journal of Sport Rehabilitation. The article appears here in its accepted, peer-reviewed form, as it was provided by the submitting author. It has not been copyedited, proofed, or formatted by the publisher. Section: Original Research Report Article Title: One Week of Unilateral Ankle Immobilisation Alters Plantarflexor Strength, Balance and Walking Speed: A Pilot Study in Asymptomatic Volunteers Authors: 1Nick Caplan, 1Andrew Forbes, 2Sarkhell Radha, 1Su Stewart, 1Alistair Ewen, 1 Alan St Clair Gibson, and 1,3Deiary Kader Affiliations: 1Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK. 2Chelsea and Westminster Hospital, London. 3Gateshead Health NHS Foundation Trust, Gateshead, UK. Journal: Journal of Sport Rehabilitation Acceptance Date: October 7, 2014 ©2014 Human Kinetics, Inc. DOI: http://dx.doi.org/10.1123/jsr.2013-0137 “One Week of Unilateral Ankle Immobilisation Alters Plantarflexor Strength, Balance and Walking Speed: A Pilot Study in Asymptomatic Volunteers” by Caplan N et al. Journal of Sport Rehabilitation © 2014 Human Kinetics, Inc. One week of unilateral ankle immobilisation alters plantarflexor strength, balance and walking speed: a pilot study in asymptomatic volunteers 1 Nick Caplan PhD, 1Andrew...
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...Plastic Bronchitis Melanie Contreras Boise State University Abstract Plastic Bronchitis (PB) is a rare pathological disease which is characterized by the expectoration of bronchial casts. The bronchial casts obstruct the airway and cause life-threatening airway obstruction if undiagnosed and untreated. The mortality rate of plastic bronchitis is upwards of 50%. Due to its rarity, PB is hard to diagnose and has similar symptoms to other respiratory conditions. PB has been characterized into two parts; one is easier to treat while the other is not. Plastic Bronchitis Plastic bronchitis (PB) is a rare pathologic condition that has a high mortality rate of up to 50% (Lis et al., 2014). Plastic bronchitis...
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...components are manufactured in a controlled environment (on or off site), transported, positioned and assembled into a structure with minimal additional site work [1-4]. It consists of precast component systems, fabricated steel structures, innovative mould systems, modular block systems and prefabricated timber structures as construction components [3]. Parts of the building that are repetitive but difficult and too time consuming and labor intensive to be casted onsite – are designed and detailed as standardized components at the factory and are then brought to the site to be assembled [3]. The onsite casting activities in IBS utilize innovative and clean mould technologies [1-3]. The construction industry has started to embrace IBS as a method of attaining better construction quality and productivity, reducing risks related to occupational safety and health, alleviating issues for skilled workers and dependency on manual foreign labor, and achieving the ultimate goal of reducing the overall cost of construction. Apart from this, it offers minimal wastage, fewer site materials, a cleaner and neater environment, controlled quality, and lower total construction costs [4-6]. The chronology of IBS adoption in Malaysia has long historical note, back in the adoption of precast elements in buildings in the 1960s, to address the acute shortage...
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...Nursing 106 Spring 2016 Maternal Child Case Study All questions apply to this case study. You may type or clearly write this assignment. It must be legible. Responses to questions must be in your own words. Scenario M.H. is a three year old boy with cerebral palsy (CP) who has been admitted to your unit preoperatively. He will have surgery for a femoral osteotomy and tendon lengthening to stabilize hip joints and to help reduce spasticity. You are orienting the parents to the unit and have a nursing student assisting you. 1. After getting the family settled, you return to the nursing station, and the nursing student asks you to explain CP and what might have caused cerebral palsy. How would you answer the student’s question? 2. The nursing student asks what the family might have noticed that would indicate CP in M.H. when he was a baby. Which of these findings will you include in your discussion with student? (Select all that apply and state rationale) a. Head lag at 5 months b. Able to sit unassisted at 7 months c. Positive Moro (startle) reflex at 2 months d. Leg scissoring e. Right hand preference at 12 months f. Use of pincher grasp at 9 months g. Increased irritability Case Study Progress You and the nursing student finish a health history with the family and determine that M.H. has impaired vision (wears glasses), speech impairment, seizure disorder, and has had poor weight gain and feeding issues since birth....
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...This area of physiotherapy is something that definitely should have further research but this is easier said than done as Cerebral Palsy is a fairly rare condition, with a lot of variations which makes conducting studies difficult. Some would argue that there are some ethical problems with casting, , and it could be thought to be unethical to immobilize a child’s joint for such a long period of time, and could essentially exclude them from social situations. But a small improvement in stride length could mean a lot to that individual. The NICE guidelines for spasticity in children under the age of nineteen highlight the importance of taking into account the needs and preferances of the children and parents when planning the treatment and care of the individual. Children and young people and, as appropriate, their parents or carers, should have the opportunity to make informed decisions about their care and treatment, in partnership with their healthcare...
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...composite, good interfacial * bonding (wetting) between the dispersed phase and the liquid matrix should be obtained. * Wetting improvement may be achieved by coating the dispersed phase particles (fibers). Proper * coating not only reduces interfacial energy, but also prevents chemical interaction between the * dispersed phase and the matrix. * The simplest and the most cost effective method of liquid state fabrication is Stir Casting. * 26 * Stir Casting * Stir Casting is a liquid state method of composite materials fabrication, in which a dispersed * phase (ceramic particles, short fibers) is mixed with a molten matrix metal by means of * mechanical stirring. * The liquid composite material is then cast by conventional casting methods and may also be * processed by conventional Metal forming technologies. * Stir Casting is characterized by the following features: * Content of dispersed phase is limited (usually not more than 30 vol. %). * Distribution of dispersed phase throughout the matrix is not perfectly homogeneous: * 1. There are local clouds (clusters) of the dispersed particles (fibers); * 2. There may be gravity segregation of the dispersed phase due to a difference in * the densities of the dispersed and matrix phase. * The technology is relatively simple and low cost. *...
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...Total | N | F | N | F | N | F | Total | | 1. Front Desk | | | | | | | | | | | | a. Registration | 3 | 180 | 540 | 5 | 5 | 32 | 48 | 160 | 240 | 400 | 74 % | b. Verification | 3 | 255 | 765 | 9 | 4 | 32 | 48 | 288 | 192 | 480 | 63 % | 2. Radiology Department | | | | | | | | | | | | a. X-ray imaging | 6 | 240 | 9603 | 11 | 11 | 32 | 40.8 | 352 | 448.8 | 800.8 | 83 % | b. Development of X-rat | -1 | 240 | 9604 | 7 | 7 | 32 | 40.8 | 224 | 285.6 | 509.6 | 53%8 | c. Diagnostic reading and comments | 3 | 240 | 4805 | 5 | 5 | 32 | 40.8 | 160 | 204 | 364 | 76% | 3. Hand-off X-ray to Clinic | | | | | | | | | | | | a. Collection of X-ray | 3 | 2556 | 7657 | 2 | 2 | 32 | 40.8 | 64 | 81.6 | 145.6 | 19% 9 | b. Filing/exam room prep | 1 | 255 | 255 | 2 | 2 | 32 | 48 | 64 | 96 | 160 | 63% | 4. Examination Room | | | | | | | | | | | | a. Surgeon | 1 | 255 | 255 | 7 | 4 | 32 | 14.4 | 224 | 57.6 | 281.6 | 110% | b. Resident | 1(2)2 | 255 | 255 | - | 7 | - | 33.6 | - | 235.2 | 235.2 | 92% | c. Cast technician | 1 | 255 | 255 | 17 | 13 | 8 | 7.2 | 136 | 93.6 | 229.6 | 90% | 1- It’s an automatic activity 2- There are two senior resident students, but in a current time only one of them is working. 3-4-5 The current available time (in total) for these activities is: a. = 1440; b. 1440; c. = 720. But since Paediatric Orthopaedic Clinic use these activities only 2/3 of the total time they are...
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...social Life Report Vishal Mandaviya (PM002213) Masters in Habitat Management, CEPT University CONTENTS Introduction3 What is Gamthal4 Overview4 Location………………………………………………………………………………………………………………………………………4 Demography……………………………………………………………………………………………………………………………….5 History………………………………………………………………………………………………………………………………………..5 Social Aspects……………………………………………………………………………………………………………………………..5 Objective 6 Methodology 6 Existing Infrastructure7 Social Infrastructure ……………………..……………………………………………………………………………………………7 Road & transportation ……………………………………………………………………………………………………………….8 Water Supply & Drainage …………………………………………………………………………………………………………..9 Industrial Infrastructure……………………………………………………………………………………………………………10 Effect of Industries in Social life………….……………………………………………………………………………………………10 Industries in Gamthal ………………………………………………………………………………………………………………10 Effect of Industries on social life………………………………………………………………………………………………11 SWOT analysis...………………………………………………………………………………………………………………………12 Conclusions………………………………………………………………………………………………………………………………………13 References……………………………………………………………………………………………………………………………………….14 Endnotes….………………………………………………………………………………………………………………………………………15 Introduction The study was commissioned by CEPT University to analyze Gamthal in Ahmedabad include Demography, Social Life, Economy, Administration and infrastructure. The team of five students went to various Gamthal in Ahmedabad. My group had select...
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...Using Simulation Modeling to Improve Patient Flow at an Outpatient Orthopedic Clinic Thomas R. Rohleder, PhD Division of Health Care Policy and Research Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 tel: 507-538-1532 Email: rohleder@mayo.edu Peter Lewkonia, MD Faculty of Medicine University of Calgary Calgary, Alberta Diane Bischak, PhD Haskayne School of Business University of Calgary Calgary, Alberta Paul Duffy, MD Faculty of Medicine University of Calgary Calgary, Alberta Rosa Hendijani Haskayne School of Business University of Calgary Calgary, Alberta July 2011 Abstract We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced. Keywords: Outpatient Clinic, Discrete Event Simulation, Process Improvement, Patient Waiting I. Introduction Visiting hospital outpatient clinics is a very common way for...
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...Using Simulation Modeling to Improve Patient Flow at an Outpatient Orthopedic Clinic Thomas R. Rohleder, PhD Division of Health Care Policy and Research Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 tel: 507-538-1532 Email: rohleder@mayo.edu Peter Lewkonia, MD Faculty of Medicine University of Calgary Calgary, Alberta Diane Bischak, PhD Haskayne School of Business University of Calgary Calgary, Alberta Paul Duffy, MD Faculty of Medicine University of Calgary Calgary, Alberta Rosa Hendijani Haskayne School of Business University of Calgary Calgary, Alberta July 2011 Abstract We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced. Keywords: Outpatient Clinic, Discrete Event Simulation, Process Improvement, Patient Waiting I. Introduction Visiting hospital outpatient...
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...anatomical system. The absence or removal of a testicle, can cause certain effects such as atrophy, and in a younger model it can cause failure of accessory glands and ducts to develop for reproduction purposes (8). This study was carried out using male Sprague Dawley rats, to evaluate the effects of erectile function after two procedures were performed: castration or sham operation. Castration is a procedure in which the testicles are surgically removed. An incision is made in the scrotum, and then tunica vaginalis. The testicles are isolates and removed from the vasculature,...
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...Disney’s ITIL® Journey Glen Taylor, Vice President of Technology, Architecture and Security, Parks & Resorts, The Walt Disney Company Case Study October 2010 © Disney © The APM Group and The Stationery Office 2010 2 Disney’s ITIL® Journey Contents Introduction Disney’s ITIL journey Getting widespread adoption Choosing ITIL experts Glen’s advice for organizations adopting ITIL Acknowledgements Trademarks and statements 3 3 3 4 4 4 4 © The APM Group and The Stationery Office 2010 Disney’s ITIL® Journey 3 Introduction The Walt Disney Company (TWDC) has five major segments: Studios, Consumer Products, Media Networks, Interactive Media and Theme Parks & Resorts. Glen Taylor is VP of Technology for Theme Parks & Resorts (TP&R). It is the largest division in the organization and in 2009 generated $10.7 billion – approximately 30% of TWDC’s revenue. The division currently manages 11 parks, two water parks, 42 resorts and two cruise ships. The scale of the organization is extraordinary. Over 118 million people visit the parks every year. In comparison, the 2010 World Cup brought around 350,000 visitors to South Africa. Theme Parks & Resorts is the only segment of TWDC that interacts face-to-face with its customers every day, 365 days a year. During peak times some parks are open and full of guests for 18 hours a day. The 42 resorts have over 36,000 rooms worldwide. Cosmic Ray’s restaurant at Magic Kingdom in Orlando is the busiest quick-service restaurant...
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...Design of buildings for sustainability – Case study presentation Prof. Bernard V. Lim JP Principal, AD+RG Architecture Design and Research Group Limited Professor, School of Architecture, The Chinese University of Hong Kong The Hong Kong Community College The Hong Kong Polytechnic University Client: The Hong Kong Polytechnic University Project Manager: Campus Development Office, The Hong Kong Polytechnic University Project Architect: AD+RG Architecture Design and Research Group Ltd. Architectural Collaborators: AGC Design Ltd. Wang Weijen Architecture Acknowledgements Received - Green Building Award 2008 Merit Award in the New Construction Category. by Professional Green Building Council - Highest BEAM (Building Environmental Assessment Method) rating of Platinum by HKBEAM Society. (The first educational building in Hong Kong to achieve such rating) Acknowledgements Received - Finalist in “World Architecture Festival 2008” in Barcelona on October 2008 - one of the 12 Finalists in the Learning Category and is the only Hong Kong architectural practice in this Category. 0.0 Project Brief (I) Introduction The Project is a high-rise 19-storey institutional building for the Hong Kong Community College. It aims at providing a dynamic and interactive space for youth education while incorporating the sustainable design considerations and construction techniques into the building. 4 main design and engineering concepts: - Sustainable...
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...Wear 240 Ž2000. 168–179 www.elsevier.comrlocaterwear An experimental study of diesel engine cam and follower wear with particular reference to the properties of the materials J. Michalski ) , J. Marszalek, K. Kubiak Faculty of Mechanic Engineering and Aeronautics, Rzeszow UniÕersity of Technology, 35-959 Rzeszow, ul. W. Pola 2, Poland ´ ´ Received 9 August 1999; received in revised form 17 February 2000; accepted 17 February 2000 Abstract The main objective of this paper is to study and experimentally quantify the cam and follower wear mechanisms of a diesel direct valve-gear. Camshafts are made of nodular cast iron, surface hardened, ion nitrided and nitrosulphurized, and those made of grey chilled cast iron are mated with followers made of chilled grey cast iron and hardened steel. The investigation was carried out on a laboratory bench equipped with an engine head with a camshaft, followers and systems creating the conditions necessary for a routine run of the valve gear. Cam wear was defined by comparing the profile lifts of the cams. The height of the followers was measured using a coordinative measuring machine and a perpendicular optimeter. The rotational speed, valve displacement and the torque required by the valve gear were measured. Camshaft C9 and the thimble shaped followers with regulating plates F6 were also examined in a diesel engine. The effects of the materials the kinematic pair was made of, heat treatment and thermochemical treatment,...
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...The College of Computer Studies of the Panpacific University North Philippines is conducting elections for the Computer Wizard Society (CWS) officers every year. Paper-based voting system is currently used in electing officers for the CWS elections, which is laborious, time consuming and is unsecured in terms of the accuracy of the election results. The effectiveness of e-voting system compared to the manual voting before, the CWS advisers will encode the names of the candidates with a circle before it, which will be shaded by the voters in a piece of small paper. These papers will be the voting paraphernalia that will be distributed in each classroom of the CCS students by the CCS faculty members. After the election, all the distributed paper ballots will be collected by the CCS faculty members and they will tally the number of votes gained by the candidates through manual counting and after that, the results will be given to the CWS Adviser who will then announce the newly elected officers. In order to resolve these situations, the technology of electronic voting (e-voting) comes into existence. By using information technology, e-voting system can cast and count votes with higher convenience and efficiency, even make the electoral procedures simple and reduce the mistake rate of ballot examination. The studies show that there are lots of advantages through the use of e-voting system. Some of its advantages are; it is faster and convenient to use, e-voting has higher security...
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