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Search results for: rehabilitation centres
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1085</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: rehabilitation centres</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">815</span> Controlled Deconstruction and Rehabilitation of Fire Damaged Structure</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Javed%20Y.%20Uppal">Javed Y. Uppal</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In this paper, a case study of a 13 storied multi storied main headquarters building of the Lahore Development Authority Lahore Pakistan has been presented, the 9th floor of which caught fire due to short circuiting and the flare spread through air-conditioning ducts to top three floors, and the building remained under fire for 15 hours before it was quenched. Some columns at the upper 3 floors started crumbling down, which were immediately propped. A visual inspection of site was first carried out, followed by onsite material tests and lab tests for residual strengths, which led to the decision of removal of the top 3 floors in a planned sequence of diamond cutting of middle strips, column strips, and shear walls, in panels and their lifting up by overhead cranes. The waffle slabs were stitched and jacketed with low viscosity polymer layer. The damaged bars were supplemented. The cracked columns were jacketed as well. The validity of rehabilitation procedure was established by load deflection behavior tests and long term performance observation over a period of 5 years. The paper concludes that the procedures adopted could be recommended for such events. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=fire%20damage" title="fire damage">fire damage</a>, <a href="https://publications.waset.org/abstracts/search?q=shotcrete" title=" shotcrete"> shotcrete</a>, <a href="https://publications.waset.org/abstracts/search?q=waffle%20slabs" title=" waffle slabs"> waffle slabs</a>, <a href="https://publications.waset.org/abstracts/search?q=delamination" title=" delamination"> delamination</a>, <a href="https://publications.waset.org/abstracts/search?q=drying%20cracking" title=" drying cracking"> drying cracking</a>, <a href="https://publications.waset.org/abstracts/search?q=jacketing" title=" jacketing"> jacketing</a> </p> <a href="https://publications.waset.org/abstracts/126322/controlled-deconstruction-and-rehabilitation-of-fire-damaged-structure" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/126322.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">112</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">814</span> Death Penalty and Life in Prison Penalty as Violations of the Principles of Human Dignity and Rehabilitation</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Maria%20Elisabete%20da%20Costa%20Ferreira">Maria Elisabete da Costa Ferreira</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Violent crimes, such as terrorism, organized crime and homicides, are increasing all around the World. This fact calls for the necessity to reflect upon the effectiveness of the deterrence offered by the criminal sanctions set today. The severity of the penalties depends on the social, cultural and even religious background of the State in question. In some States, such as Portugal, the common citizen finds the sentences too soft on the perpetrator and too long to be obtained. On the other hand, in 2023, several States still apply the death penalty, among which the USA, China, and most Middle Eastern countries. As for life in prison without the possibility of parole, the number of countries accepting this possibility in their criminal law is much higher, including England and Wales, the Netherlands, Moldova, Bulgaria, Italy, Ukraine, Poland, Turkey, Russia, and Serbia. This research aims to demonstrate that both the death penalty and life in prison penalty violate the principles of human dignity and social rehabilitation of the perpetrator and propose alternative penalties that can effectively protect society from crime. The research utilizes three main methodologies: the historical method, the comparative method, and the critical method. The historical method is employed to investigate the evolution of criminal penalties over time. The comparative method is used to compare the practices of different states regarding the death penalty and life in prison penalty. Finally, the critical method is applied to analyze and evaluate the shortcomings of these penalties. From a theoretical point of view, there have been drawn several theories throughout the years to support the idea that perpetrators of crimes should be punished. Today, one of the most commonly accepted theories sustains that the penalty will only be legitimate when necessary to protect society from the perpetrator and to rehabilitate him into society. Foremost, the choice of the penalty and the form of its execution should be guided by the principle of human dignity. The death penalty and life in prison penalty fail to achieve the goal of rehabilitation and disregard the human dignity principle. The right to life is a fundamental right declared in the Universal Declaration of Human Rights and stated in most Constitutions in the World. In conclusion, the research demonstrates that the death penalty and life in prison penalty are in violation of the principles of human dignity and social rehabilitation. These penalties fail to achieve their intended goals and disregard fundamental human rights. Although it may sound tempting to some States to rethink the current system of instated penalties to the admission of these penalties, it is imperative to take the inverse road because the protection of society must be achieved with respect to the perpetrator's fundamental rights, so, alternative penalties must be enforced. Society's belief in its citizen's ability to change must be reinforced, and, ultimately, the belief in Humankind. The findings of this research contribute to the discussion on the use of these penalties and aim to contribute to their decreasing usage in society. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=death%20penalty" title="death penalty">death penalty</a>, <a href="https://publications.waset.org/abstracts/search?q=life%20in%20prison%20penalty" title=" life in prison penalty"> life in prison penalty</a>, <a href="https://publications.waset.org/abstracts/search?q=human%20dignity" title=" human dignity"> human dignity</a>, <a href="https://publications.waset.org/abstracts/search?q=rehabilitation" title=" rehabilitation"> rehabilitation</a> </p> <a href="https://publications.waset.org/abstracts/171762/death-penalty-and-life-in-prison-penalty-as-violations-of-the-principles-of-human-dignity-and-rehabilitation" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/171762.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">66</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">813</span> The Importance of Development Evaluation to Preterm Children in Remote Area</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Chung-Yuan%20Wang">Chung-Yuan Wang</a>, <a href="https://publications.waset.org/abstracts/search?q=Min%20Hsu"> Min Hsu</a>, <a href="https://publications.waset.org/abstracts/search?q=Bo-Ya%20Juan"> Bo-Ya Juan</a>, <a href="https://publications.waset.org/abstracts/search?q=Hsiv%20Ching%20Lin"> Hsiv Ching Lin</a>, <a href="https://publications.waset.org/abstracts/search?q=Hsveh%20Min%20Lin"> Hsveh Min Lin</a>, <a href="https://publications.waset.org/abstracts/search?q=Hsiu-Fang%20Yeh"> Hsiu-Fang Yeh </a> </p> <p class="card-text"><strong>Abstract:</strong></p> The success of Taiwan's National Health Insurance (NHI) system attracts widespread praise from the international society. However, the availability of medical care in a emote area is limited. Without the convenient public transportation system and mature social welfare policy, these people are difficult to regain their health and prevent disability. Preterm children have more risk to get development delay. Preterm children in a remote area have the human right to get rehabilitation resources as those in the city area. Therefore, the aim of this study was to show the importance of development screening to preterm children in a remote area and a tract the government to notice the issue. In Pingtung, children who are suspected development delay would be suggested to take a skillful screening evaluation in our hospital. Those preterm children (within 1-year-old) visited our pediatric clinic would also be referred to take the development evaluation. After the physiatrist’s systemic evaluation, the subjects would be scheduled to take the development evaluation. Gross motor, fine motor, speech comprehension/expression and mental study were included. The evaluation was in-charged by a physical therapist, occupational therapy, speech therapist and pediatric psychologist. The tools were Peabody developmental scale, Bayley Scales of Infant and Toddler Development (Bayley-III) and Wechsler Preschool & Primary Scale of Intelligence-Revised (WPPSI-R). In 2013, 459 children received the service in our hospital. Among these children, fifty-seven were noted with preterm baby history (gestation within 37 weeks). Thirty-six of these preterm children, who had never receive development evaluation, were included in this study. Thirty-six subjects (twenty-six male and ten female) were included. Nineteen subjects were found development delay. Six subjects were found suspected development delay. In gross motor, six subjects were development delay and eight were suspected development delay. In fine motor, five subjects were development delay and three were suspected development delay. In speech, sixteen subjects were development delay and six were suspected development delay. In our study, through the provision of development evaluation service, 72.2% preterm baby were found their development delay or suspected delay. They need further early intervention rehabilitation service. We made their parents realize that when development delay was recognized at the early stage, they are often reversible. No only the patients but also their families were improved their health status. The number of the subjects was limited in our study. Further study might be needed. Compared with 770 physical therapist (PT) and 370 occupational therapy (OT) in Taipei, there are only 108 PT and 54 OT in Pingtung. Further, there are much fewer therapists working on the field of pediatric rehabilitation. Living healthy is a human's right, no matter where does he live. For those development delay children in remote area, particularly preterm children, early detection, and early intervention rehabilitation service could play an important role in decreasing their disability and improving their quality of life. Through this study, we suggest the government to add more national resources on the development evaluation to preterm children in a remote area. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=development" title="development">development</a>, <a href="https://publications.waset.org/abstracts/search?q=early%20intervention" title=" early intervention"> early intervention</a>, <a href="https://publications.waset.org/abstracts/search?q=preterm%20children" title=" preterm children"> preterm children</a>, <a href="https://publications.waset.org/abstracts/search?q=rehabilitation" title=" rehabilitation"> rehabilitation</a> </p> <a href="https://publications.waset.org/abstracts/12757/the-importance-of-development-evaluation-to-preterm-children-in-remote-area" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/12757.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">438</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">812</span> Rehabilitation Robot in Primary Walking Pattern Training for SCI Patient at Home</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Taisuke%20Sakaki">Taisuke Sakaki</a>, <a href="https://publications.waset.org/abstracts/search?q=Toshihiko%20Shimokawa"> Toshihiko Shimokawa</a>, <a href="https://publications.waset.org/abstracts/search?q=Nobuhiro%20Ushimi"> Nobuhiro Ushimi</a>, <a href="https://publications.waset.org/abstracts/search?q=Koji%20Murakami"> Koji Murakami</a>, <a href="https://publications.waset.org/abstracts/search?q=Yong-Kwun%20Lee"> Yong-Kwun Lee</a>, <a href="https://publications.waset.org/abstracts/search?q=Kazuhiro%20Tsuruta"> Kazuhiro Tsuruta</a>, <a href="https://publications.waset.org/abstracts/search?q=Kanta%20Aoki"> Kanta Aoki</a>, <a href="https://publications.waset.org/abstracts/search?q=Kaoru%20Fujiie"> Kaoru Fujiie</a>, <a href="https://publications.waset.org/abstracts/search?q=Ryuji%20Katamoto"> Ryuji Katamoto</a>, <a href="https://publications.waset.org/abstracts/search?q=Atsushi%20Sugyo"> Atsushi Sugyo </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Recently attention has been focused on incomplete spinal cord injuries (SCI) to the central spine caused by pressure on parts of the white matter conduction pathway, such as the pyramidal tract. In this paper, we focus on a training robot designed to assist with primary walking-pattern training. The target patient for this training robot is relearning the basic functions of the usual walking pattern; it is meant especially for those with incomplete-type SCI to the central spine, who are capable of standing by themselves but not of performing walking motions. From the perspective of human engineering, we monitored the operator’s actions to the robot and investigated the movement of joints of the lower extremities, the circumference of the lower extremities, and exercise intensity with the machine. The concept of the device was to provide mild training without any sudden changes in heart rate or blood pressure, which will be particularly useful for the elderly and disabled. The mechanism of the robot is modified to be simple and lightweight with the expectation that it will be used at home. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=training" title="training">training</a>, <a href="https://publications.waset.org/abstracts/search?q=rehabilitation" title=" rehabilitation"> rehabilitation</a>, <a href="https://publications.waset.org/abstracts/search?q=SCI%20patient" title=" SCI patient"> SCI patient</a>, <a href="https://publications.waset.org/abstracts/search?q=welfare" title=" welfare"> welfare</a>, <a href="https://publications.waset.org/abstracts/search?q=robot" title=" robot"> robot</a> </p> <a href="https://publications.waset.org/abstracts/22243/rehabilitation-robot-in-primary-walking-pattern-training-for-sci-patient-at-home" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/22243.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">428</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">811</span> Geospatial Techniques for Impact Assessment of Canal Rehabilitation Program in Sindh, Pakistan</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sumaira%20Zafar">Sumaira Zafar</a>, <a href="https://publications.waset.org/abstracts/search?q=Arjumand%20Zaidi"> Arjumand Zaidi</a>, <a href="https://publications.waset.org/abstracts/search?q=Muhammad%20Arslan%20Hafeez"> Muhammad Arslan Hafeez</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Indus Basin Irrigation System (IBIS) is the largest contiguous irrigation system of the world comprising Indus River and its tributaries, canals, distributaries, and watercourses. A big challenge faced by IBIS is transmission losses through seepage and leaks that account to 41 percent of the total water derived from the river and about 40 percent of that is through watercourses. Irrigation system rehabilitation programs in Pakistan are focused on improvement of canal system at the watercourse level (tertiary channels). Under these irrigation system management programs more than 22,800 watercourses have been improved or lined out of 43,000 (12,900 Kilometers) watercourses. The evaluation of the improvement work is required at this stage to testify the success of the programs. In this paper, emerging technologies of GIS and satellite remote sensing are used for impact assessment of watercourse rehabilitation work in Sindh. To evaluate the efficiency of the improved watercourses, few parameters are selected like soil moisture along watercourses, availability of water at tail end and changes in cultivable command areas. Improved watercourses details and maps are acquired from National Program for Improvement of Watercourses (NPIW) and Space and Upper Atmospheric Research Commission (SUPARCO). High resolution satellite images of Google Earth for the year of 2004 to 2013 are used for digitizing command areas. Temporal maps of cultivable command areas show a noticeable increase in the cultivable land served by improved watercourses. Field visits are conducted to validate the results. Interviews with farmers and landowners also reveal their overall satisfaction in terms of availability of water at the tail end and increased crop production. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=geospatial" title="geospatial">geospatial</a>, <a href="https://publications.waset.org/abstracts/search?q=impact%20assessment" title=" impact assessment"> impact assessment</a>, <a href="https://publications.waset.org/abstracts/search?q=watercourses" title=" watercourses"> watercourses</a>, <a href="https://publications.waset.org/abstracts/search?q=GIS" title=" GIS"> GIS</a>, <a href="https://publications.waset.org/abstracts/search?q=remote%20sensing" title=" remote sensing"> remote sensing</a>, <a href="https://publications.waset.org/abstracts/search?q=seepage" title=" seepage"> seepage</a>, <a href="https://publications.waset.org/abstracts/search?q=canal%20lining" title=" canal lining"> canal lining</a> </p> <a href="https://publications.waset.org/abstracts/17985/geospatial-techniques-for-impact-assessment-of-canal-rehabilitation-program-in-sindh-pakistan" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/17985.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">351</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">810</span> Comparison Of Data Mining Models To Predict Future Bridge Conditions</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Pablo%20Martinez">Pablo Martinez</a>, <a href="https://publications.waset.org/abstracts/search?q=Emad%20Mohamed"> Emad Mohamed</a>, <a href="https://publications.waset.org/abstracts/search?q=Osama%20Mohsen"> Osama Mohsen</a>, <a href="https://publications.waset.org/abstracts/search?q=Yasser%20Mohamed"> Yasser Mohamed</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Highway and bridge agencies, such as the Ministry of Transportation in Ontario, use the Bridge Condition Index (BCI) which is defined as the weighted condition of all bridge elements to determine the rehabilitation priorities for its bridges. Therefore, accurate forecasting of BCI is essential for bridge rehabilitation budgeting planning. The large amount of data available in regard to bridge conditions for several years dictate utilizing traditional mathematical models as infeasible analysis methods. This research study focuses on investigating different classification models that are developed to predict the bridge condition index in the province of Ontario, Canada based on the publicly available data for 2800 bridges over a period of more than 10 years. The data preparation is a key factor to develop acceptable classification models even with the simplest one, the k-NN model. All the models were tested, compared and statistically validated via cross validation and t-test. A simple k-NN model showed reasonable results (within 0.5% relative error) when predicting the bridge condition in an incoming year. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=asset%20management" title="asset management">asset management</a>, <a href="https://publications.waset.org/abstracts/search?q=bridge%20condition%20index" title=" bridge condition index"> bridge condition index</a>, <a href="https://publications.waset.org/abstracts/search?q=data%20mining" title=" data mining"> data mining</a>, <a href="https://publications.waset.org/abstracts/search?q=forecasting" title=" forecasting"> forecasting</a>, <a href="https://publications.waset.org/abstracts/search?q=infrastructure" title=" infrastructure"> infrastructure</a>, <a href="https://publications.waset.org/abstracts/search?q=knowledge%20discovery%20in%20databases" title=" knowledge discovery in databases"> knowledge discovery in databases</a>, <a href="https://publications.waset.org/abstracts/search?q=maintenance" title=" maintenance"> maintenance</a>, <a href="https://publications.waset.org/abstracts/search?q=predictive%20models" title=" predictive models"> predictive models</a> </p> <a href="https://publications.waset.org/abstracts/92447/comparison-of-data-mining-models-to-predict-future-bridge-conditions" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/92447.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">191</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">809</span> Effective Infection Control Measures to Prevent Transmission of Multi-Drug Resistant Organisms from Burn Transfer Cases in a Regional Burn Centre</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Si%20Jack%20Chong">Si Jack Chong</a>, <a href="https://publications.waset.org/abstracts/search?q=Chew%20Theng%20Yap"> Chew Theng Yap</a>, <a href="https://publications.waset.org/abstracts/search?q=Wan%20Loong%20James%20Mok"> Wan Loong James Mok</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Regional burn centres face the spectra of introduced multi-drug resistant organisms (MDRO) from transfer patients resident in MDRO endemic countries. MDRO can cause severe nosocomial infection, which in massive burn patients, will lead to greater morbidity and mortality and strain the institution financially. We aim to highlight 4 key measures that have effectively prevented transmission of imported MDRO. Methods: A case of Candida auris (C. auris) from a massive burn patient transferred from an MDRO endemic country is used to illustrate the measures. C. auris is a globally emerging multi-drug resistant fungal pathogen causing nosocomial transmission. Results: Infection control measures used to mitigate the risk of outbreak from transfer cases are: (1) Multidisciplinary team approach involving Infection Control and Infectious Disease specialists early to ensure appropriate antibiotics use and implementation of barrier measures, (2) aseptic procedures for dressing change with strict isolation and donning of personal protective equipment in the ward, (3) early screening of massive burn patient from MDRO endemic region, (4) hydrogen peroxide vaporization terminal cleaning for operating theatres and rooms. Conclusion: The prevalence of air travel and international transfer to regional burn centres will need effective infection control measures to reduce the risk of transmission from imported massive burn patients. In our centre, we have effectively implemented 4 measures which have reduced the risks of local contamination. We share a recent case report to illustrate successful management of a potential MDRO outbreak resulting from transfer of massive burn patient resident in an MDRO endemic area. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=burns" title="burns">burns</a>, <a href="https://publications.waset.org/abstracts/search?q=burn%20unit" title=" burn unit"> burn unit</a>, <a href="https://publications.waset.org/abstracts/search?q=cross%20infection" title=" cross infection"> cross infection</a>, <a href="https://publications.waset.org/abstracts/search?q=infection%20control" title=" infection control"> infection control</a> </p> <a href="https://publications.waset.org/abstracts/92651/effective-infection-control-measures-to-prevent-transmission-of-multi-drug-resistant-organisms-from-burn-transfer-cases-in-a-regional-burn-centre" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/92651.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">150</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">808</span> The Importance of Functioning and Disability Status Follow-Up in People with Multiple Sclerosis</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sanela%20Slavkovic">Sanela Slavkovic</a>, <a href="https://publications.waset.org/abstracts/search?q=Congor%20Nad"> Congor Nad</a>, <a href="https://publications.waset.org/abstracts/search?q=Spela%20Golubovic"> Spela Golubovic</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: The diagnosis of multiple sclerosis (MS) is a major life challenge and has repercussions on all aspects of the daily functioning of those attained by it – personal activities, social participation, and quality of life. Regular follow-up of only the neurological status is not informative enough so that it could provide data on the sort of support and rehabilitation that is required. Objective: The aim of this study was to establish the current level of functioning of persons attained by MS and the factors that influence it. Methods: The study was conducted in Serbia, on a sample of 108 persons with relapse-remitting form of MS, aged 20 to 53 (mean 39.86 years; SD 8.20 years). All participants were fully ambulatory. Methods applied in the study include Expanded Disability Status Scale-EDSS and World Health Organization Disability Assessment Schedule, WHODAS 2.0 (36-item version, self-administered). Results: Participants were found to experience the most problems in the domains of Participation, Mobility, Life activities and Cognition. The least difficulties were found in the domain of Self-care. Symptom duration was the only control variable with a significant partial contribution to the prediction of the WHODAS scale score (β=0.30, p < 0.05). The total EDSS score correlated with the total WHODAS 2.0 score (r=0.34, p=0.00). Statistically significant differences in the domain of EDSS 0-5.5 were found within categories (0-1.5; 2-3.5; 4-5.5). The more pronounced a participant’s EDSS score was, although not indicative of large changes in the neurological status, the more apparent the changes in the functional domain, i.e. in all areas covered by WHODAS 2.0. Pyramidal (β=0.34, p < 0.05) and Bowel and bladder (β=0.24, p < 0.05) functional systems were found to have a significant partial contribution to the prediction of the WHODAS score. Conclusion: Measuring functioning and disability is important in the follow-up of persons suffering from MS in order to plan rehabilitation and define areas in which additional support is needed. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=disability" title="disability">disability</a>, <a href="https://publications.waset.org/abstracts/search?q=functionality" title=" functionality"> functionality</a>, <a href="https://publications.waset.org/abstracts/search?q=multiple%20sclerosis" title=" multiple sclerosis"> multiple sclerosis</a>, <a href="https://publications.waset.org/abstracts/search?q=rehabilitation" title=" rehabilitation"> rehabilitation</a> </p> <a href="https://publications.waset.org/abstracts/99588/the-importance-of-functioning-and-disability-status-follow-up-in-people-with-multiple-sclerosis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/99588.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">121</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">807</span> Auditory Rehabilitation via an VR Serious Game for Children with Cochlear Implants: Bio-Behavioral Outcomes</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Areti%20Okalidou">Areti Okalidou</a>, <a href="https://publications.waset.org/abstracts/search?q=Paul%20D.%20Hatzigiannakoglou"> Paul D. Hatzigiannakoglou</a>, <a href="https://publications.waset.org/abstracts/search?q=Aikaterini%20Vatou"> Aikaterini Vatou</a>, <a href="https://publications.waset.org/abstracts/search?q=George%20Kyriafinis"> George Kyriafinis</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Young children are nowadays adept at using technology. Hence, computer-based auditory training programs (CBATPs) have become increasingly popular in aural rehabilitation for children with hearing loss and/or with cochlear implants (CI). Yet, their clinical utility for prognostic, diagnostic, and monitoring purposes has not been explored. The purposes of the study were: a) to develop an updated version of the auditory rehabilitation tool for Greek-speaking children with cochlear implants, b) to develop a database for behavioral responses, and c) to compare accuracy rates and reaction times in children differing in hearing status and other medical and demographic characteristics, in order to assess the tool’s clinical utility in prognosis, diagnosis, and progress monitoring. The updated version of the auditory rehabilitation tool was developed on a tablet, retaining the User-Centered Design approach and the elements of the Virtual Reality (VR) serious game. The visual stimuli were farm animals acting in simple game scenarios designed to trigger children’s responses to animal sounds, names, and relevant sentences. Based on an extended version of Erber’s auditory development model, the VR game consisted of six stages, i.e., sound detection, sound discrimination, word discrimination, identification, comprehension of words in a carrier phrase, and comprehension of sentences. A familiarization stage (learning) was set prior to the game. Children’s tactile responses were recorded as correct, false, or impulsive, following a child-dependent set up of a valid delay time after stimulus offset for valid responses. Reaction times were also recorded, and the database was in Εxcel format. The tablet version of the auditory rehabilitation tool was piloted in 22 preschool children with Νormal Ηearing (ΝΗ), which led to improvements. The study took place in clinical settings or at children’s homes. Fifteen children with CI, aged 5;7-12;3 years with post-implantation 0;11-5;1 years used the auditory rehabilitation tool. Eight children with CI were monolingual, two were bilingual and five had additional disabilities. The control groups consisted of 13 children with ΝΗ, aged 2;6-9;11 years. A comparison of both accuracy rates, as percent correct, and reaction times (in sec) was made at each stage, across hearing status, age, and also, within the CI group, based on presence of additional disability and bilingualism. Both monolingual Greek-speaking children with CI with no additional disabilities and hearing peers showed high accuracy rates at all stages, with performances falling above the 3rd quartile. However, children with normal hearing scored higher than the children with CI, especially in the detection and word discrimination tasks. The reaction time differences between the two groups decreased in language-based tasks. Results for children with CI with additional disability or bilingualism varied. Finally, older children scored higher than younger ones in both groups (CI, NH), but larger differences occurred in children with CI. The interactions between familiarization of the software, age, hearing status and demographic characteristics are discussed. Overall, the VR game is a promising tool for tracking the development of auditory skills, as it provides multi-level longitudinal empirical data. Acknowledgment: This work is part of a project that has received funding from the Research Committee of the University of Macedonia under the Basic Research 2020-21 funding programme. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=VR%20serious%20games" title="VR serious games">VR serious games</a>, <a href="https://publications.waset.org/abstracts/search?q=auditory%20rehabilitation" title=" auditory rehabilitation"> auditory rehabilitation</a>, <a href="https://publications.waset.org/abstracts/search?q=auditory%20training" title=" auditory training"> auditory training</a>, <a href="https://publications.waset.org/abstracts/search?q=children%20with%20cochlear%20implants" title=" children with cochlear implants"> children with cochlear implants</a> </p> <a href="https://publications.waset.org/abstracts/155907/auditory-rehabilitation-via-an-vr-serious-game-for-children-with-cochlear-implants-bio-behavioral-outcomes" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/155907.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">89</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">806</span> Innovative Power Engineering in a Selected Rural Commune</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Pawel%20Sowa">Pawel Sowa</a>, <a href="https://publications.waset.org/abstracts/search?q=Joachim%20Bargiel"> Joachim Bargiel</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This paper presents modern solutions of distributed generation in rural communities aiming at the improvement of energy and environmental security, as well as power supply reliability to important customers (e.g. health care, sensitive consumer required continuity). Distributed sources are mainly gas and biogas cogeneration units, as well as wind and photovoltaic sources. Some examples of their applications in a selected Silesian community are given. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=energy%20security" title="energy security">energy security</a>, <a href="https://publications.waset.org/abstracts/search?q=mini%20energy%20centres" title=" mini energy centres "> mini energy centres </a>, <a href="https://publications.waset.org/abstracts/search?q=power%20engineering" title=" power engineering"> power engineering</a>, <a href="https://publications.waset.org/abstracts/search?q=power%20supply%20reliability" title=" power supply reliability"> power supply reliability</a> </p> <a href="https://publications.waset.org/abstracts/51730/innovative-power-engineering-in-a-selected-rural-commune" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/51730.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">300</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">805</span> Quantification and Detection of Non-Sewer Water Infiltration and Inflow in Urban Sewer Systems</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=M.%20Beheshti">M. Beheshti</a>, <a href="https://publications.waset.org/abstracts/search?q=S.%20Saegrov"> S. Saegrov</a>, <a href="https://publications.waset.org/abstracts/search?q=T.%20M.%20Muthanna"> T. M. Muthanna</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Separated sewer systems are designed to transfer the wastewater from houses and industrial sections to wastewater treatment plants. Unwanted water in the sewer systems is a well-known problem, i.e. storm-water inflow is around 50% of the foul sewer, and groundwater infiltration to the sewer system can exceed 50% of total wastewater volume in deteriorated networks. Infiltration and inflow of non-sewer water (I/I) into sewer systems is unfavorable in separated sewer systems and can trigger overloading the system and reducing the efficiency of wastewater treatment plants. Moreover, I/I has negative economic, environmental, and social impacts on urban areas. Therefore, for having sustainable management of urban sewer systems, I/I of unwanted water into the urban sewer systems should be considered carefully and maintenance and rehabilitation plan should be implemented on these water infrastructural assets. This study presents a methodology to identify and quantify the level of I/I into the sewer system. Amount of I/I is evaluated by accurate flow measurement in separated sewer systems for specified isolated catchments in Trondheim city (Norway). Advanced information about the characteristics of I/I is gained by CCTV inspection of sewer pipelines with high I/I contribution. Achieving enhanced knowledge about the detection and localization of non-sewer water in foul sewer system during the wet and dry weather conditions will enable the possibility for finding the problem of sewer system and prioritizing them and taking decisions for rehabilitation and renewal planning in the long-term. Furthermore, preventive measures and optimization of sewer systems functionality and efficiency can be executed by maintenance of sewer system. In this way, the exploitation of sewer system can be improved by maintenance and rehabilitation of existing pipelines in a sustainable way by more practical cost-effective and environmental friendly way. This study is conducted on specified catchments with different properties in Trondheim city. Risvollan catchment is one of these catchments with a measuring station to investigate hydrological parameters through the year, which also has a good database. For assessing the infiltration in a separated sewer system, applying the flow rate measurement method can be utilized in obtaining a general view of the network condition from infiltration point of view. This study discusses commonly used and advanced methods of localizing and quantifying I/I in sewer systems. A combination of these methods give sewer operators the possibility to compare different techniques and obtain reliable and accurate I/I data which is vital for long-term rehabilitation plans. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=flow%20rate%20measurement" title="flow rate measurement">flow rate measurement</a>, <a href="https://publications.waset.org/abstracts/search?q=infiltration%20and%20inflow%20%28I%2FI%29" title=" infiltration and inflow (I/I)"> infiltration and inflow (I/I)</a>, <a href="https://publications.waset.org/abstracts/search?q=non-sewer%20water" title=" non-sewer water"> non-sewer water</a>, <a href="https://publications.waset.org/abstracts/search?q=separated%20sewer%20systems" title=" separated sewer systems"> separated sewer systems</a>, <a href="https://publications.waset.org/abstracts/search?q=sustainable%20management" title=" sustainable management"> sustainable management</a> </p> <a href="https://publications.waset.org/abstracts/20178/quantification-and-detection-of-non-sewer-water-infiltration-and-inflow-in-urban-sewer-systems" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/20178.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">333</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">804</span> Component-Based Approach in Assessing Sewer Manholes</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Khalid%20Kaddoura">Khalid Kaddoura</a>, <a href="https://publications.waset.org/abstracts/search?q=Tarek%20Zayed"> Tarek Zayed</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Sewer networks are constructed to protect the communities and the environment from any contact with the sewer mediums. Pipelines, being laterals or sewer mains, and manholes form the huge underground infrastructure in every urban city. Due to the sewer networks importance, the infrastructure asset management field has extensive advancement in condition assessment and rehabilitation decision models. However, most of the focus was devoted to pipelines giving little attention toward manholes condition assessment. In fact, recent studies started to emerge in this area to preserve manholes from any malfunction. Therefore, the main objective of this study is to propose a condition assessment model for sewer manholes. The model divides the manhole into several components and determines the relative importance weight of each component using the Analytic Network Process (ANP) decision-making method. Later, the condition of the manhole is computed by aggregating the condition of each component with its corresponding weight. Accordingly, the proposed assessment model will enable decision-makers to have a final index suggesting the overall condition of the manhole and a backward analysis to check the condition of each component. Consequently, better decisions are made pertinent to maintenance, rehabilitation, and replacement actions. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Analytic%20Network%20Process%20%28ANP%29" title="Analytic Network Process (ANP)">Analytic Network Process (ANP)</a>, <a href="https://publications.waset.org/abstracts/search?q=condition%20assessment" title=" condition assessment"> condition assessment</a>, <a href="https://publications.waset.org/abstracts/search?q=decision-making" title=" decision-making"> decision-making</a>, <a href="https://publications.waset.org/abstracts/search?q=manholes" title=" manholes"> manholes</a> </p> <a href="https://publications.waset.org/abstracts/82763/component-based-approach-in-assessing-sewer-manholes" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/82763.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">354</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">803</span> Promoting Patients' Adherence to Home-Based Rehabilitation: A Randomised Controlled Trial of a Theory-Driven Mobile Application </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Derwin%20K.%20C.%20Chan">Derwin K. C. Chan</a>, <a href="https://publications.waset.org/abstracts/search?q=Alfred%20S.%20Y.%20Lee"> Alfred S. Y. Lee</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The integrated model of self-determination theory and the theory of planned behaviour has been successfully applied to explain individuals’ adherence to health behaviours, including behavioural adherence toward rehabilitation. This study was a randomised controlled trial that examined the effectiveness of an mHealth intervention (i.e., mobile application) developed based on this integrated model in promoting treatment adherence of patients of anterior cruciate ligament rupture during their post-surgery home-based rehabilitation period. Subjects were 67 outpatients (aged between 18 and 60) who undertook anterior cruciate ligament (ACL) reconstruction surgery for less than 2 months for this study. Participants were randomly assigned either into the treatment group (who received the smartphone application; N = 32) and control group (who receive standard treatment only; N = 35), and completed psychological measures relating to the theories (e.g., motivations, social cognitive factors, and behavioural adherence) and clinical outcome measures (e.g., subjective knee function (IKDC), laxity (KT-1000), muscle strength (Biodex)) relating to ACL recovery at baseline, 2-month, and 4-month. Generalise estimating equation showed the interaction between group and time was significant on intention was only significant for intention (Wald x² = 5.23, p = .02), that of perceived behavioural control (Wald x² = 3.19, p = .07), behavioural adherence (Wald x² = 3.08, p = .08, and subjective knee evaluation (Wald x² = 2.97, p = .09) were marginally significant. Post-hoc between-subject analysis showed that control group had significant drop of perceived behavioural control (p < .01), subjective norm (p < .01) and intention (p < .01), behavioural adherence (p < .01) from baseline to 4-month, but such pattern was not observed in the treatment group. The treatment group had a significant decrease of behavioural adherence (p < .05) in the 2-month, but such a decrease was not observed in 4-month (p > .05). Although the subjective knee evaluation in both group significantly improved at 2-month and 4-month from the baseline (p < .05), and the improvements in the control group (mean improvement at 4-month = 40.18) were slightly stronger than the treatment group (mean improvement at 4-month = 34.52). In conclusion, the findings showed that the theory driven mobile application ameliorated the decline of treatment intention of home-based rehabilitation. Patients in the treatment group also reported better muscle strength than control group at 4-month follow-up. Overall, the mobile application has shown promises on tackling the problem of orthopaedics outpatients’ non-adherence to medical treatment. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=self-determination%20theory" title="self-determination theory">self-determination theory</a>, <a href="https://publications.waset.org/abstracts/search?q=theory%20of%20planned%20behaviour" title=" theory of planned behaviour"> theory of planned behaviour</a>, <a href="https://publications.waset.org/abstracts/search?q=mobile%20health" title=" mobile health"> mobile health</a>, <a href="https://publications.waset.org/abstracts/search?q=orthopaedic%20patients" title=" orthopaedic patients"> orthopaedic patients</a> </p> <a href="https://publications.waset.org/abstracts/103062/promoting-patients-adherence-to-home-based-rehabilitation-a-randomised-controlled-trial-of-a-theory-driven-mobile-application" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/103062.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">198</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">802</span> Applying WILSERV in Measuring Visitor Satisfaction at Sepilok Orangutan Rehabilitation Centre (SORC)</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=A.%20H.%20Hendry">A. H. Hendry</a>, <a href="https://publications.waset.org/abstracts/search?q=H.%20S.%20Mogindol"> H. S. Mogindol</a> </p> <p class="card-text"><strong>Abstract:</strong></p> There is an increasing worldwide demand on the field of interaction with wildlife tourism. Studies pertaining to the service quality within the sphere of interaction with wildlife tourism are plentiful. However, studies on service quality in wildlife attractions, especially on semi-captured wildlife tourism are still limited. The Sepilok Orangutan Rehabilitation Centre (SORC) in Sandakan, Sabah, Malaysia is one good example of a semi-captured wildlife attraction and a renowned attraction in Sabah. This study presents a gap analysis by measuring the perception and expectation of service quality at SORC through the use of a modified SERVQUAL, referred to as WILSERV. A survey questionnaire was devised and administered to 190 visitors who visited SORC. The study revealed that all the means of the six dimensions for perceived perceptions were lower than the expectations. The highest gap was from the dimension of reliability (-0.21), followed by tangible (-0.17), responsiveness (-0.11), assurance, (-0.11), empathy (-0.11) and wild-tangible (-0.05). Similarly, the study also showed that all six dimensions for perceived perceptions means were lower than the expectations for both local and foreign visitors. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=importance%20performance%20analysis" title="importance performance analysis">importance performance analysis</a>, <a href="https://publications.waset.org/abstracts/search?q=service%20quality" title=" service quality"> service quality</a>, <a href="https://publications.waset.org/abstracts/search?q=WIL-SERV" title=" WIL-SERV"> WIL-SERV</a>, <a href="https://publications.waset.org/abstracts/search?q=wildlife%20tourism" title=" wildlife tourism"> wildlife tourism</a> </p> <a href="https://publications.waset.org/abstracts/72878/applying-wilserv-in-measuring-visitor-satisfaction-at-sepilok-orangutan-rehabilitation-centre-sorc" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/72878.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">216</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">801</span> Strategic Evaluation of Existing Drainage System in Apalit, Pampanga</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jennifer%20de%20Jesus">Jennifer de Jesus</a>, <a href="https://publications.waset.org/abstracts/search?q=Ares%20Baron%20Talusan"> Ares Baron Talusan</a>, <a href="https://publications.waset.org/abstracts/search?q=Steven%20Valerio"> Steven Valerio</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This paper aims to conduct an evaluation of the drainage system in a specific village in Apalit, Pampanga using the geographic information system to easily identify inadequate drainage lines that needs rehabilitation to aid in flooding problem in the area. The researchers will be utilizing two methods and software to be able to strategically assess each drainage line in the village– the two methods were the rational method and the Manning's Formula for Open Channel Flow and compared it to each other, and the software to be used was Google Earth Pro by 2020 Google LLC. The results must satisfy the statement QManning > QRational to be able to see if the specific line and section is adequate; otherwise, it is inadequate; dimensions needed to be recomputed until it became adequate. The use of the software is the visualization of data collected from the computations to clearly see in which areas the drainage lines were adequate or not. The researchers were then able to conclude that the drainage system should be considered inadequate, seeing as most of the lines are unable to accommodate certain intensities of rainfall. The researchers have also concluded that line rehabilitation is a must to proceed. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=strategic%20evaluation" title="strategic evaluation">strategic evaluation</a>, <a href="https://publications.waset.org/abstracts/search?q=drainage%20system" title=" drainage system"> drainage system</a>, <a href="https://publications.waset.org/abstracts/search?q=as-built%20plans" title=" as-built plans"> as-built plans</a>, <a href="https://publications.waset.org/abstracts/search?q=inadequacy" title=" inadequacy"> inadequacy</a>, <a href="https://publications.waset.org/abstracts/search?q=rainfall%20intensity-duration-frequency%20data" title=" rainfall intensity-duration-frequency data"> rainfall intensity-duration-frequency data</a>, <a href="https://publications.waset.org/abstracts/search?q=rational%20method" title=" rational method"> rational method</a>, <a href="https://publications.waset.org/abstracts/search?q=manning%E2%80%99s%20equation%20for%20open%20channel%20flow" title=" manning’s equation for open channel flow"> manning’s equation for open channel flow</a> </p> <a href="https://publications.waset.org/abstracts/145918/strategic-evaluation-of-existing-drainage-system-in-apalit-pampanga" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/145918.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">128</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">800</span> Outcome of Bowel Management Program in Patient with Spinal Cord Injury</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Roongtiwa%20Chobchuen">Roongtiwa Chobchuen</a>, <a href="https://publications.waset.org/abstracts/search?q=Angkana%20Srikhan"> Angkana Srikhan</a>, <a href="https://publications.waset.org/abstracts/search?q=Pattra%20Wattanapan"> Pattra Wattanapan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Neurogenic bowel is common condition after spinal cord injury. Most of spinal cord injured patients have motor weakness, mobility impairment which leads to constipation. Moreover, the neural pathway involving bowel function is interrupted. Therefore, the bowel management program should be implemented in nursing care in the earliest time after the onset of the disease to prevent the morbidity and mortality. Objective: To study the outcome of bowel management program of the patients with spinal cord injury who admitted for rehabilitation program. Study design: Descriptive study. Setting: Rehabilitation ward in Srinagarind Hospital. Populations: patients with subacute to chronic spinal cord injury who admitted at rehabilitation ward, Srinagarind hospital, aged over 18 years old. Instrument: The neurogenic bowel dysfunction score (NBDS) was used to determine the severity of neurogenic bowel. Procedure and statistical analysis: All participants were asked to complete the demographic data; age gender, duration of disease, diagnosis. The individual bowel function was assessed using NBDS at admission. The patients and caregivers were trained by nurses about the bowel management program which consisted of diet modification, abdominal massage, digital stimulation, stool evacuation including medication and physical activity. The outcome of the bowel management program was assessed by NBDS at discharge. The chi-square test was used to detect the difference in severity of neurogenic bowel at admission and discharge. Results: Sixteen spinal cord injured patients were enrolled in the study (age 45 ± 17 years old, 69% were male). Most of them (50%) were tetraplegia. On the admission, 12.5%, 12.5%, 43.75% and 31.25% were categorized as very minor (NBDS 0-6), minor (NBDS 7-9), moderate (NBDS 10-13) and severe (NBDS 14+) respectively. The severity of neurogenic bowel was decreased significantly at discharge (56.25%, 18.755%, 18.75% and 6.25% for very minor, minor, moderate and severe group respectively; p < 0.001) compared with NBDS at admission. Conclusions: Implementation of the effective bowel program decrease the severity of the neurogenic bowel in patient with spinal cord injury. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=neurogenic%20bowel" title="neurogenic bowel">neurogenic bowel</a>, <a href="https://publications.waset.org/abstracts/search?q=NBDS" title=" NBDS"> NBDS</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injury" title=" spinal cord injury"> spinal cord injury</a>, <a href="https://publications.waset.org/abstracts/search?q=bowel%20program" title=" bowel program"> bowel program</a> </p> <a href="https://publications.waset.org/abstracts/62806/outcome-of-bowel-management-program-in-patient-with-spinal-cord-injury" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/62806.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">243</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">799</span> Cauda Equina Syndrome: An Audit on Referral Adequacy and its Impact on Delay to Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=David%20Mafullul">David Mafullul</a>, <a href="https://publications.waset.org/abstracts/search?q=Jiang%20Lei"> Jiang Lei</a>, <a href="https://publications.waset.org/abstracts/search?q=Edward%20Goacher"> Edward Goacher</a>, <a href="https://publications.waset.org/abstracts/search?q=Jibin%20Francis"> Jibin Francis</a> </p> <p class="card-text"><strong>Abstract:</strong></p> PURPOSE: Timely decompressive surgery for cauda equina syndrome (CES) is dependent on efficient referral pathways for patients presenting at local primary or secondary centres to tertiary spinal centres in the United Kingdom (UK). Identifying modifiable points of delay within this process is important as minimising time between presentation and surgery may improve patient outcomes. This study aims to analyse whether adequacy of referral impacts on time to surgery in CES. MATERIALS AND METHODS: Data from all cases of confirmed CES referred to a single tertiary UK hospital between August 2017 to December 2019, via a suspected CES e-referral pathway, were obtained retrospectively. Referral adequacy was defined by the inclusion of sufficient information to determine the presence or absence of several NICE ‘red flags’. Correlation between referral adequacy and delay from referral-to-surgery was then analysed. RESULTS: In total, 118 confirmed CES cases were included. Adequate documentation for saddle anaesthesia was associated with reduced delays of more than 48 hours from referral-to-surgery [X2(1, N=116)=7.12, p=.024], an effect partly attributable to these referrals being accepted sooner [U=16.5; n1=27, n2=4, p=.029, r=.39]. Other red flags had poor association with delay. Referral adequacy was better for somatic red flags [bilateral sciatica (97.5%); severe or progressive bilateral neurological deficit of the legs (95.8%); saddle anaesthesia (91.5%)] compared to autonomic red flags [loss of anal tone (80.5%); urinary retention (79.7%); faecal incontinence or lost sensation of rectal fullness (57.6%)]. Although referral adequacy for urinary retention was 79.7%, only 47.5% of referrals documented a post-void residual numerical value. CONCLUSIONS: Adequate documentation of saddle anaesthesia in e-referrals is associated with reduced delay-to-surgery for confirmed CES, partly attributable to these referrals being accepted sooner. Other red flags had poor association with delay to surgery. Referral adequacy for autonomic red flags, including documentation for post-void residuals, has significant room for improvement. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cauda%20equina" title="cauda equina">cauda equina</a>, <a href="https://publications.waset.org/abstracts/search?q=cauda%20equina%20syndrome" title=" cauda equina syndrome"> cauda equina syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=neurosurgery" title=" neurosurgery"> neurosurgery</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20surgery" title=" spinal surgery"> spinal surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=decompression" title=" decompression"> decompression</a>, <a href="https://publications.waset.org/abstracts/search?q=delay" title=" delay"> delay</a>, <a href="https://publications.waset.org/abstracts/search?q=referral" title=" referral"> referral</a>, <a href="https://publications.waset.org/abstracts/search?q=referral%20adequacy" title=" referral adequacy"> referral adequacy</a> </p> <a href="https://publications.waset.org/abstracts/190192/cauda-equina-syndrome-an-audit-on-referral-adequacy-and-its-impact-on-delay-to-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/190192.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">38</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">798</span> Continuous Blood Pressure Measurement from Pulse Transit Time Techniques</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Chien-Lin%20Wang">Chien-Lin Wang</a>, <a href="https://publications.waset.org/abstracts/search?q=Cha-Ling%20Ko"> Cha-Ling Ko</a>, <a href="https://publications.waset.org/abstracts/search?q=Tainsong%20Chen"> Tainsong Chen</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Pulse Blood pressure (BP) is one of the vital signs, and is an index that helps determining the stability of life. In this respect, some spinal cord injury patients need to take the tilt table test. While doing the test, the posture changes abruptly, and may cause a patient’s BP to change abnormally. This may cause patients to feel discomfort, and even feel as though their life is threatened. Therefore, if a continuous non-invasive BP assessment system were built, it could help to alert health care professionals in the process of rehabilitation when the BP value is out of range. In our research, BP assessed by the pulse transit time technique was developed. In the system, we use a self-made photoplethysmograph (PPG) sensor and filter circuit to detect two PPG signals and to calculate the time difference. The BP can immediately be assessed by the trend line. According to the results of this study, the relationship between the systolic BP and PTT has a highly negative linear correlation (R2=0.8). Further, we used the trend line to assess the value of the BP and compared it to a commercial sphygmomanometer (Omron MX3); the error rate of the system was found to be in the range of ±10%, which is within the permissible error range of a commercial sphygmomanometer. The continue blood pressure measurement from pulse transit time technique may have potential to become a convenience method for clinical rehabilitation. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=continous%20blood%20pressure%20measurement" title="continous blood pressure measurement">continous blood pressure measurement</a>, <a href="https://publications.waset.org/abstracts/search?q=PPG" title=" PPG"> PPG</a>, <a href="https://publications.waset.org/abstracts/search?q=time%20transit%20time" title=" time transit time"> time transit time</a>, <a href="https://publications.waset.org/abstracts/search?q=transit%20velocity" title=" transit velocity"> transit velocity</a> </p> <a href="https://publications.waset.org/abstracts/42468/continuous-blood-pressure-measurement-from-pulse-transit-time-techniques" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/42468.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">353</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">797</span> Using Analytics to Redefine Athlete Resilience</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Phil%20P.%20Wagner">Phil P. Wagner</a> </p> <p class="card-text"><strong>Abstract:</strong></p> There is an overwhelming amount of athlete-centric information available for sport practitioners in this era of tech and big data, but protocols in athletic rehabilitation remain arbitrary. It is a common assumption that the rate at which tissue heals amongst individuals is the same; yielding protocols that are entirely time-based. Progressing athletes through rehab programs that lack individualization can potentially expose athletes to stimuli they are not prepared for or unnecessarily lengthen their recovery period. A 7-year aggregated and anonymous database was used to develop reliable and valid assessments to measure athletic resilience. Each assessment utilizes force plate technology with proprietary protocols and analysis to provide key thresholds for injury risk and recovery. Using a T score to analyze movement qualities, much like the Z score used for bone density from a Dexa scan, specific prescriptions are provided to mitigate the athlete’s inherent injury risk. In addition to obliging to surgical clearance, practitioners must put in place a clearance protocol guided by standardized assessments and achievement in strength thresholds. In order to truly hold individuals accountable (practitioners, athletic trainers, performance coaches, etc.), success in improving pre-defined key performance indicators must be frequently assessed and analyzed. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=analytics" title="analytics">analytics</a>, <a href="https://publications.waset.org/abstracts/search?q=athlete%20rehabilitation" title=" athlete rehabilitation"> athlete rehabilitation</a>, <a href="https://publications.waset.org/abstracts/search?q=athlete%20resilience" title=" athlete resilience"> athlete resilience</a>, <a href="https://publications.waset.org/abstracts/search?q=injury%20prediction" title=" injury prediction"> injury prediction</a>, <a href="https://publications.waset.org/abstracts/search?q=injury%20prevention" title=" injury prevention"> injury prevention</a> </p> <a href="https://publications.waset.org/abstracts/60885/using-analytics-to-redefine-athlete-resilience" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/60885.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">228</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">796</span> Telemedicine for Telerehabilitation in Areas Affected by Social Conflicts in Colombia</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Lilia%20Edit%20Aparicio%20Pico">Lilia Edit Aparicio Pico</a>, <a href="https://publications.waset.org/abstracts/search?q=Paulo%20Cesar%20Coronado%20S%C3%A1nchez"> Paulo Cesar Coronado Sánchez</a>, <a href="https://publications.waset.org/abstracts/search?q=Roberto%20Ferro%20Escobar"> Roberto Ferro Escobar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This paper presents the implementation of telemedicine services for physiotherapy, occupational therapy, and speech therapy rehabilitation, utilizing telebroadcasting of audiovisual content to enhance comprehensive patient recovery in rural areas of San Vicente del Caguán municipality, characterized by high levels of social conflict in Colombia. The region faces challenges such as dysfunctional problems, physical rehabilitation needs, and a high prevalence of hearing diseases, leading to neglect and substandard health services. Limited access to healthcare due to communication barriers and transportation difficulties exacerbates these issues. To address these challenges, a research initiative was undertaken to leverage information and communication technologies (ICTs) to improve healthcare quality and accessibility for this vulnerable population. The primary objective was to develop a tele-rehabilitation system to provide asynchronous online therapies and teleconsultation services for patient follow-up during the recovery process. The project comprises two components: Communication systems and human development. A technological component involving the establishment of a wireless network connecting rural centers and the development of a mobile application for video-based therapy delivery. Communications systems will be provided by a radio link that utilizes internet provided by the Colombian government, located in the municipality of San Vicente del Caguán to connect two rural centers (Pozos and Tres Esquinas) and a mobile application for managing videos for asynchronous broadcasting in sidewalks and patients' homes. This component constitutes an operational model integrating information and telecommunications technologies. The second component involves pedagogical and human development. The primary focus is on the patient, where performance indicators and the efficiency of therapy support were evaluated for the assessment and monitoring of telerehabilitation results in physical, occupational, and speech therapy. They wanted to implement a wireless network to ensure audiovisual content transmission for tele-rehabilitation, design audiovisual content for tele-rehabilitation based on services provided by the ESE Hospital San Rafael in physiotherapy, occupational therapy, and speech therapy, develop a software application for fixed and mobile devices enabling access to tele-rehabilitation audiovisual content for healthcare personnel and patients and finally to evaluate the technological solution's contribution to the ESE Hospital San Rafael community. The research comprised four phases: wireless network implementation, audiovisual content design, software application development, and evaluation of the technological solution's impact. Key findings include the successful implementation of virtual teletherapy, both synchronously and asynchronously, and the assessment of technological performance indicators, patient evolution, timeliness, acceptance, and service quality of tele-rehabilitation therapies. The study demonstrated improved service coverage, increased care supply, enhanced access to timely therapies for patients, and positive acceptance of teletherapy modalities. Additionally, the project generated new knowledge for potential replication in other regions and proposed strategies for short- and medium-term improvement of service quality and care indicators <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=e-health" title="e-health">e-health</a>, <a href="https://publications.waset.org/abstracts/search?q=medical%20informatics" title=" medical informatics"> medical informatics</a>, <a href="https://publications.waset.org/abstracts/search?q=telemedicine" title=" telemedicine"> telemedicine</a>, <a href="https://publications.waset.org/abstracts/search?q=telerehabilitation" title=" telerehabilitation"> telerehabilitation</a>, <a href="https://publications.waset.org/abstracts/search?q=virtual%20therapy" title=" virtual therapy"> virtual therapy</a> </p> <a href="https://publications.waset.org/abstracts/185817/telemedicine-for-telerehabilitation-in-areas-affected-by-social-conflicts-in-colombia" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/185817.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">54</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">795</span> Assessing the Quality of Maternity Care in Sub-Saharan Africa Using the Donabedian Quality of Care Framework: A Systematic Scoping Review</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Bernice%20Boafoaa%20Gyapong">Bernice Boafoaa Gyapong</a>, <a href="https://publications.waset.org/abstracts/search?q=Anne%20Jones"> Anne Jones</a>, <a href="https://publications.waset.org/abstracts/search?q=Sam%20Bassett"> Sam Bassett</a>, <a href="https://publications.waset.org/abstracts/search?q=Janet%20Anderson"> Janet Anderson</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Maternal mortality and morbidity are global concerns, especially in sub-Saharan Africa (SSA). Most maternal mortalities occur at the time of birth. Quality intrapartum care is essential for improving maternal and newborn health outcomes. This scoping review aimed to assess and describe the quality of care during childbirth in SSA to provide an overview of the regional trend of the quality of intrapartum care, the challenges to quality care provision, and identify research gaps. Methods: A scoping review based on Arksey and O’Malley’s scoping review framework was conducted. Medline, CINAHL, PsycINFO, and maternal-infant databases were searched to identify the relevant studies for this review. A narrative summary was presented using themes based on the Donabedian structure, process, and outcome quality of care model. Results: A total of five hundred and forty-seven (547) publications were identified. Fifty-six (56) studies conducted in twenty (20) countries were included in the review. Thirty-four (34) were quantitative, sixteen (16) were qualitative, and six (6) were mixed methods. Most of the studies were related to the process component of quality of care. The provision of emergency obstetric care services, infrastructure, and availability of essential staff and equipment for perinatal care was inadequate in many facilities, particularly rural and peripheral health facilities. Many women experienced disrespectful care during childbirth. Routine care during labour and delivery was observed to be sub-optimal, yet some women reported high satisfaction with care. The use of health facilities for delivery was lower in health centres compared to hospitals. Conclusion: There are variations in the quality of maternity care provided in SSA. Intrapartum care quality is generally deficient in SSA, particularly in peripheral health facilities, health centres, and community clinics. Many of the quality-of-care issues identified are related to the structure component. Stakeholders must develop interventions that comprehensively address these interrelated issues to improve maternal healthcare quality, especially in primary healthcare facilities. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=quality%20of%20care" title="quality of care">quality of care</a>, <a href="https://publications.waset.org/abstracts/search?q=maternity%20health" title=" maternity health"> maternity health</a>, <a href="https://publications.waset.org/abstracts/search?q=Sub-Saharan%20Africa" title=" Sub-Saharan Africa"> Sub-Saharan Africa</a>, <a href="https://publications.waset.org/abstracts/search?q=intrapartum" title=" intrapartum"> intrapartum</a> </p> <a href="https://publications.waset.org/abstracts/181054/assessing-the-quality-of-maternity-care-in-sub-saharan-africa-using-the-donabedian-quality-of-care-framework-a-systematic-scoping-review" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/181054.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">70</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">794</span> Impact Evaluation of Vaccination against Eight-Child-Killer Diseases on under-Five Children Mortality at Mbale District, Uganda</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Lukman%20Abiodun%20Nafiu">Lukman Abiodun Nafiu</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This study examines the impact evaluation of vaccination against eight-child-killer diseases on under-five children mortality at Mbale District. It was driven by three specific objectives which are to determine the proportion of under-five children mortality due to the eight-child-killer diseases to the total under-five children mortality; establish the cause-effect relationship between the eight-child-killer diseases and under-five children mortality; as well as establish the dependence of under-five children mortality in the location at Mbale District. A community based cross-sectional and longitudinal (panel) study design involving both quantitative and qualitative (focus group discussion and in-depth interview) approaches was employed over a period of 36 months. Multi-stage cluster design involving Health Sub-District (HSD), Forms of Ownership (FOO) and Health Facilities Centres (HFC) as the first, second and third stages respectively was used. Data was collected regarding the eight-child-killer diseases namely: measles, pneumonia, pertussis (whooping cough), diphtheria, poliomyelitis (polio), tetanus, haemophilus influenza, rotavirus gastroenteritis and mortality regarding immunized and non-immunized children aged 0-59 months. We monitored the children over a period of 24 months. The study used a sample of 384 children out of all the registered children for each year at Mbale Referral Hospital and other Primary Health Care Centres (HCIV, HCIII and HCII) at Mbale District between 2015 and 2019. These children were followed from birth to their current state (living or dead). The data collected in this study was analysed using cross tabulation and the chi-square test. The study concluded that majority of mothers at Mbale district took their children for immunization and thus reducing the occurrence of under-five children mortality. Overall, 2.3%, 4.6%, 3.1%, 5.4%, 1.5%, 3.8%, 0.0% and 0.0% of under-five children had polio, tetanus, diphtheria, measles, pertussis, pneumonia, haemophilus influenzae and rotavirus gastroenteritis respectively across all the sub counties at Mbale district during the period considered. Also, different locations (sub counties) do not have significant influence on the occurrence of these eight-child-killer diseases among the under-five children at Mbale district. Therefore, the study recommended that government and agencies should continue to work together to implement measures of vaccination programs and increasing access to basic health care with a continuous improvement on the social interventions to progress child survival. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Diseases" title="Diseases">Diseases</a>, <a href="https://publications.waset.org/abstracts/search?q=Mortality" title=" Mortality"> Mortality</a>, <a href="https://publications.waset.org/abstracts/search?q=Children" title=" Children"> Children</a>, <a href="https://publications.waset.org/abstracts/search?q=Vaccination" title=" Vaccination"> Vaccination</a> </p> <a href="https://publications.waset.org/abstracts/124374/impact-evaluation-of-vaccination-against-eight-child-killer-diseases-on-under-five-children-mortality-at-mbale-district-uganda" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/124374.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">124</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">793</span> On the Way to the European Research Area: Programmes of the European Union as Factor of the Innovation Development the Scientific Organization in Ukraine</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Yuri%20Nikitin">Yuri Nikitin</a>, <a href="https://publications.waset.org/abstracts/search?q=Veronika%20Rukas"> Veronika Rukas</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Within the framework of the FP7 project "START" the cooperation with European research centres has had a positive impact on raising the level of innovation researches and the introduction of innovations Institute for Super hard Materials of the National Academy of Sciences (ISM NAS) of Ukraine in the economy of Europe and Ukraine, which in turn permits to speeds up the way for Ukrainian science to the European research area through the creation in Ukraine the scientific organizations of innovative type. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=programs%20of%20the%20EU" title="programs of the EU">programs of the EU</a>, <a href="https://publications.waset.org/abstracts/search?q=innovative%20scientific%20results" title=" innovative scientific results"> innovative scientific results</a>, <a href="https://publications.waset.org/abstracts/search?q=innovation%20competence%20of%20the%20staff" title=" innovation competence of the staff"> innovation competence of the staff</a>, <a href="https://publications.waset.org/abstracts/search?q=commercialization%20in%20business%20of%20industry%20of%20the%20Europe%20and%20Ukraine" title=" commercialization in business of industry of the Europe and Ukraine"> commercialization in business of industry of the Europe and Ukraine</a> </p> <a href="https://publications.waset.org/abstracts/6908/on-the-way-to-the-european-research-area-programmes-of-the-european-union-as-factor-of-the-innovation-development-the-scientific-organization-in-ukraine" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/6908.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">326</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">792</span> Uranoplasty Using Tongue Flap for Bilateral Clefts</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Saidasanov%20Saidazal%20Shokhmurodovich">Saidasanov Saidazal Shokhmurodovich</a>, <a href="https://publications.waset.org/abstracts/search?q=Topolnickiy%20Orest%20Zinovyevich"> Topolnickiy Orest Zinovyevich</a>, <a href="https://publications.waset.org/abstracts/search?q=Afaunova%20Olga%20Arturovna"> Afaunova Olga Arturovna</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Relevance: Bilateral congenital cleft is one of the most complex forms of all clefts, which makes it difficult to choose a surgical method of treatment. During primary operations to close the hard and soft palate, there is a shortage of soft tissues and their lack during standard uranoplasty, and these factors aggravate the period of rehabilitation of patients. Materials and methods: The results of surgical treatment of children with bilateral cleft, who underwent uranoplasty using a flap from the tongue, were analyzed. The study used methods: clinical and statistical, which allowed us to solve the tasks, based on the principles of evidence-based medicine. Results and discussion: in our study, 15 patients were studied, who underwent surgical treatment in the following volume: uranoplasty using a flap from the tongue in two stages. Of these, 9 boys and 6 girls aged 2.5 to 6 years. The first stage was surgical treatment in the volume: veloplasty. The second stage was a surgical intervention in volume: uranoplasty using a flap from the tongue. In all patients, the width of the cleft ranged from 1.6-2.8 cm. All patients in this group were orthodontically prepared. Using this method, the surgeon can achieve the following results: maximum narrowing of the palatopharyngeal ring, long soft palate, complete closure of the hard palate, alveolar process, and the mucous membrane of the nasal cavity is also sutured, which creates good conditions for the next stage of osteoplastic surgery. Based on the result obtained, patients have positive results of working with a speech therapist. In all patients, the dynamics were positive without complications. Conclusions: Based on our observation, tongue flap uranoplasty is one of the effective techniques for patients with wide clefts of the hard and soft palate. The use of a flap from the tongue makes it possible to reduce the number of repeated reoperations and improve the quality of social adaptation of this group of patients, which is one of the important stages of rehabilitation. Upon completion of the stages of rehabilitation, all patients had the maximum improvement in functional, anatomical and social indicators. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=congenital%20cleft%20lips%20and%20palate" title="congenital cleft lips and palate">congenital cleft lips and palate</a>, <a href="https://publications.waset.org/abstracts/search?q=bilateral%20cleft" title=" bilateral cleft"> bilateral cleft</a>, <a href="https://publications.waset.org/abstracts/search?q=child%20surgery" title=" child surgery"> child surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=maxillofacial%20surgery" title=" maxillofacial surgery"> maxillofacial surgery</a> </p> <a href="https://publications.waset.org/abstracts/169796/uranoplasty-using-tongue-flap-for-bilateral-clefts" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/169796.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">120</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">791</span> Earthquake Vulnerability and Repair Cost Estimation of Masonry Buildings in the Old City Center of Annaba, Algeria</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Allaeddine%20Athmani">Allaeddine Athmani</a>, <a href="https://publications.waset.org/abstracts/search?q=Abdelhacine%20Gouasmia"> Abdelhacine Gouasmia</a>, <a href="https://publications.waset.org/abstracts/search?q=Tiago%20Ferreira"> Tiago Ferreira</a>, <a href="https://publications.waset.org/abstracts/search?q=Romeu%20Vicente"> Romeu Vicente</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The seismic risk mitigation from the perspective of the old buildings stock is truly essential in Algerian urban areas, particularly those located in seismic prone regions, such as Annaba city, and which the old buildings present high levels of degradation associated with no seismic strengthening and/or rehabilitation concerns. In this sense, the present paper approaches the issue of the seismic vulnerability assessment of old masonry building stocks through the adaptation of a simplified methodology developed for a European context area similar to that of Annaba city, Algeria. Therefore, this method is used for the first level of seismic vulnerability assessment of the masonry buildings stock of the old city center of Annaba. This methodology is based on a vulnerability index that is suitable for the evaluation of damage and for the creation of large-scale loss scenarios. Over 380 buildings were evaluated in accordance with the referred methodology and the results obtained were then integrated into a Geographical Information System (GIS) tool. Such results can be used by the Annaba city council for supporting management decisions, based on a global view of the site under analysis, which led to more accurate and faster decisions for the risk mitigation strategies and rehabilitation plans. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Damage%20scenarios" title="Damage scenarios">Damage scenarios</a>, <a href="https://publications.waset.org/abstracts/search?q=masonry%20buildings" title=" masonry buildings"> masonry buildings</a>, <a href="https://publications.waset.org/abstracts/search?q=old%20city%20center" title=" old city center"> old city center</a>, <a href="https://publications.waset.org/abstracts/search?q=seismic%20vulnerability" title=" seismic vulnerability"> seismic vulnerability</a>, <a href="https://publications.waset.org/abstracts/search?q=vulnerability%20index" title=" vulnerability index"> vulnerability index</a> </p> <a href="https://publications.waset.org/abstracts/25212/earthquake-vulnerability-and-repair-cost-estimation-of-masonry-buildings-in-the-old-city-center-of-annaba-algeria" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/25212.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">451</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">790</span> Identification and Optimisation of South Africa's Basic Access Road Network</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Diogo%20Prosdocimi">Diogo Prosdocimi</a>, <a href="https://publications.waset.org/abstracts/search?q=Don%20Ross"> Don Ross</a>, <a href="https://publications.waset.org/abstracts/search?q=Matthew%20Townshend"> Matthew Townshend</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Road authorities are mandated within limited budgets to both deliver improved access to basic services and facilitate economic growth. This responsibility is further complicated if maintenance backlogs and funding shortfalls exist, as evident in many countries including South Africa. These conditions require authorities to make difficult prioritisation decisions, with the effect that Road Asset Management Systems with a one-dimensional focus on traffic volumes may overlook the maintenance of low-volume roads that provide isolated communities with vital access to basic services. Given these challenges, this paper overlays the full South African road network with geo-referenced information for population, primary and secondary schools, and healthcare facilities to identify the network of connective roads between communities and basic service centres. This connective network is then rationalised according to the Gross Value Added and number of jobs per mesozone, administrative and functional road classifications, speed limit, and road length, location, and name to estimate the Basic Access Road Network. A two-step floating catchment area (2SFCA) method, capturing a weighted assessment of drive-time to service centres and the ratio of people within a catchment area to teachers and healthcare workers, is subsequently applied to generate a Multivariate Road Index. This Index is used to assign higher maintenance priority to roads within the Basic Access Road Network that provide more people with better access to services. The relatively limited incidence of Basic Access Roads indicates that authorities could maintain the entire estimated network without exhausting the available road budget before practical economic considerations get any purchase. Despite this fact, a final case study modelling exercise is performed for the Namakwa District Municipality to demonstrate the extent to which optimal relocation of schools and healthcare facilities could minimise the Basic Access Road Network and thereby release budget for investment in roads that best promote GDP growth. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=basic%20access%20roads" title="basic access roads">basic access roads</a>, <a href="https://publications.waset.org/abstracts/search?q=multivariate%20road%20index" title=" multivariate road index"> multivariate road index</a>, <a href="https://publications.waset.org/abstracts/search?q=road%20prioritisation" title=" road prioritisation"> road prioritisation</a>, <a href="https://publications.waset.org/abstracts/search?q=two-step%20floating%20catchment%20area%20method" title=" two-step floating catchment area method"> two-step floating catchment area method</a> </p> <a href="https://publications.waset.org/abstracts/82953/identification-and-optimisation-of-south-africas-basic-access-road-network" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/82953.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">231</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">789</span> Application of GIS Techniques for Analysing Urban Built-Up Growth of Class-I Indian Cities: A Case Study of Surat</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Purba%20Biswas">Purba Biswas</a>, <a href="https://publications.waset.org/abstracts/search?q=Priyanka%20Dey"> Priyanka Dey</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Worldwide rapid urbanisation has accelerated city expansion in both developed and developing nations. This unprecedented urbanisation trend due to the increasing population and economic growth has caused challenges for the decision-makers in city planning and urban management. Metropolitan cities, class-I towns, and major urban centres undergo a continuous process of evolution due to interaction between socio-cultural and economic attributes. This constant evolution leads to urban expansion in all directions. Understanding the patterns and dynamics of urban built-up growth is crucial for policymakers, urban planners, and researchers, as it aids in resource management, decision-making, and the development of sustainable strategies to address the complexities associated with rapid urbanisation. Identifying spatio-temporal patterns of urban growth has emerged as a crucial challenge in monitoring and assessing present and future trends in urban development. Analysing urban growth patterns and tracking changes in land use is an important aspect of urban studies. This study analyses spatio-temporal urban transformations and land-use and land cover changes using remote sensing and GIS techniques. Built-up growth analysis has been done for the city of Surat as a case example, using the GIS tools of NDBI and GIS models of the Built-up Urban Density Index and Shannon Entropy Index to identify trends and the geographical direction of transformation from 2005 to 2020. Surat is one of the fastest-growing urban centres in both the state and the nation, ranking as the 4th fastest-growing city globally. This study analyses the dynamics of urban built-up area transformations both zone-wise and geographical direction-wise, in which their trend, rate, and magnitude were calculated for the period of 15 years. This study also highlights the need for analysing and monitoring the urban growth pattern of class-I cities in India using spatio-temporal and quantitative techniques like GIS for improved urban management. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=urban%20expansion" title="urban expansion">urban expansion</a>, <a href="https://publications.waset.org/abstracts/search?q=built-up" title=" built-up"> built-up</a>, <a href="https://publications.waset.org/abstracts/search?q=geographic%20information%20system" title=" geographic information system"> geographic information system</a>, <a href="https://publications.waset.org/abstracts/search?q=remote%20sensing" title=" remote sensing"> remote sensing</a>, <a href="https://publications.waset.org/abstracts/search?q=Shannon%E2%80%99s%20entropy" title=" Shannon’s entropy"> Shannon’s entropy</a> </p> <a href="https://publications.waset.org/abstracts/182970/application-of-gis-techniques-for-analysing-urban-built-up-growth-of-class-i-indian-cities-a-case-study-of-surat" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/182970.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">72</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">788</span> Algorithm for Predicting Cognitive Exertion and Cognitive Fatigue Using a Portable EEG Headset for Concussion Rehabilitation</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Lou%20J.%20Pino">Lou J. Pino</a>, <a href="https://publications.waset.org/abstracts/search?q=Mark%20Campbell"> Mark Campbell</a>, <a href="https://publications.waset.org/abstracts/search?q=Matthew%20J.%20Kennedy"> Matthew J. Kennedy</a>, <a href="https://publications.waset.org/abstracts/search?q=Ashleigh%20C.%20Kennedy"> Ashleigh C. Kennedy</a> </p> <p class="card-text"><strong>Abstract:</strong></p> A concussion is complex and nuanced, with cognitive rest being a key component of recovery. Cognitive overexertion during rehabilitation from a concussion is associated with delayed recovery. However, daily living imposes cognitive demands that may be unavoidable and difficult to quantify. Therefore, a portable tool capable of alerting patients before cognitive overexertion occurs could allow patients to maintain their quality of life while preventing symptoms and recovery setbacks. EEG allows for a sensitive measure of cognitive exertion. Clinical 32-lead EEG headsets are not practical for day-to-day concussion rehabilitation management. However, there are now commercially available and affordable portable EEG headsets. Thus, these headsets can potentially be used to continuously monitor cognitive exertion during mental tasks to alert the wearer of overexertion, with the aim of preventing the occurrence of symptoms to speed recovery times. The objective of this study was to test an algorithm for predicting cognitive exertion from EEG data collected from a portable headset. EEG data were acquired from 10 participants (5 males, 5 females). Each participant wore a portable 4 channel EEG headband while completing 10 tasks: rest (eyes closed), rest (eyes open), three levels of the increasing difficulty of logic puzzles, three levels of increasing difficulty in multiplication questions, rest (eyes open), and rest (eyes closed). After each task, the participant was asked to report their perceived level of cognitive exertion using the NASA Task Load Index (TLX). Each participant then completed a second session on a different day. A customized machine learning model was created using data from the first session. The performance of each model was then tested using data from the second session. The mean correlation coefficient between TLX scores and predicted cognitive exertion was 0.75 ± 0.16. The results support the efficacy of the algorithm for predicting cognitive exertion. This demonstrates that the algorithms developed in this study used with portable EEG devices have the potential to aid in the concussion recovery process by monitoring and warning patients of cognitive overexertion. Preventing cognitive overexertion during recovery may reduce the number of symptoms a patient experiences and may help speed the recovery process. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cognitive%20activity" title="cognitive activity">cognitive activity</a>, <a href="https://publications.waset.org/abstracts/search?q=EEG" title=" EEG"> EEG</a>, <a href="https://publications.waset.org/abstracts/search?q=machine%20learning" title=" machine learning"> machine learning</a>, <a href="https://publications.waset.org/abstracts/search?q=personalized%20recovery" title=" personalized recovery"> personalized recovery</a> </p> <a href="https://publications.waset.org/abstracts/134908/algorithm-for-predicting-cognitive-exertion-and-cognitive-fatigue-using-a-portable-eeg-headset-for-concussion-rehabilitation" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/134908.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">220</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">787</span> Cesium 137 Leaching from Soils of Territories, Polluted by Radionuclides </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=S.%20V.%20Vasilenkov">S. V. Vasilenkov</a>, <a href="https://publications.waset.org/abstracts/search?q=O.%20N.%20Demina"> O. N. Demina</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Chernobyl NPP accident is the biggest in history of nuclear energetic. Bryansk region of Russia was exposed by the most intensive radiation pollution. For that, we made some researches in order to find the methods of soil rehabilitation on territories, polluted by radionuclides with the means of Cesium 137 leaching by watering. For experiments we took the soil from the upper more polluted 10 cm layer of different species. Cesium 137 leaching was made by different methods in washing columns. Washout of Cesium was made by periodical cycles in terms of 4-6 days. In experiments with easy argillaceous soil with start specific radioactivity 4158 bk/kg through 17 cycles the effective reducing was achieved and contained 1512 bk/kg. Besides, results of researches showed, that in the first 6-10 cycles we can see reducing of washing rate but after application of intensificators: ultrasound water processing, aerification, application of fertilizers (KCl), lime, freezing, we can see increasing of Cesium 137 leaching. The experimental investigations in washout of Cesium (Cs) – 137 from the soil were carried out in the field and laboratorial conditions during its freezing and melting. The experiments showed, that washout of Cesium (Cs) – 137 from the soil is rather high after freezing, than non-frozen soil is. And it conforms to washout of Cesium, made under the influence of the intensificaters. This fact allows to recommend chip and easy to construct technically arrangement for regulation of the snow-melt runoff for rehabilitation of the radioactive impoundment. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=pollution" title="pollution">pollution</a>, <a href="https://publications.waset.org/abstracts/search?q=radiation" title=" radiation"> radiation</a>, <a href="https://publications.waset.org/abstracts/search?q=Cesium%20137%20leaching" title=" Cesium 137 leaching"> Cesium 137 leaching</a>, <a href="https://publications.waset.org/abstracts/search?q=agriculture" title=" agriculture"> agriculture</a> </p> <a href="https://publications.waset.org/abstracts/2351/cesium-137-leaching-from-soils-of-territories-polluted-by-radionuclides" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/2351.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">292</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">786</span> Green Materials for Hot Mixed Asphalt Production</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Salisu%20Dahiru">Salisu Dahiru</a>, <a href="https://publications.waset.org/abstracts/search?q=Jibrin%20M.%20Kaura"> Jibrin M. Kaura</a>, <a href="https://publications.waset.org/abstracts/search?q=Abubakar%20I.%20Jumare"> Abubakar I. Jumare</a>, <a href="https://publications.waset.org/abstracts/search?q=Sulaiman%20M.%20Mahmood"> Sulaiman M. Mahmood</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Reclaimed asphalt, used automobile tires and rice husk, were regarded as waste. These materials could be used in construction of new roads and for roads rehabilitation. Investigation into the production of a Green Hot Mixed Asphalt (GHMA) pavement using Reclaimed Asphalt Pavement (RAP) as partial replacement for coarse aggregate, Crumb Rubber (CR) from waste automobile tires as modifier for bitumen binder and Rice Husk Ash (RHA) as partial replacement of ordinary portland cement (OPC) filler, for roads construction and rehabilitation was presented. 30% Reclaimed asphalt of total aggregate, 15% Crumb Rubber of total binder content, 5% Rice Husk Ash of total mix, and 5.2% Crumb Rubber Modified Bitumen content were recommended for optimum performance. Loss of marshal stability was investigated on mix with the recommended optimum CRMB. The mix revealed good performance with only about 13% loss of stability after 24 hours of immersion in hot water bath, as against about 24% marshal stability lost reported in previous studies for conventional Hot Mixed Asphalt (HMA). <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=rice%20husk" title="rice husk">rice husk</a>, <a href="https://publications.waset.org/abstracts/search?q=reclaimed%20asphalt" title=" reclaimed asphalt"> reclaimed asphalt</a>, <a href="https://publications.waset.org/abstracts/search?q=filler" title=" filler"> filler</a>, <a href="https://publications.waset.org/abstracts/search?q=crumb%20rubber" title=" crumb rubber"> crumb rubber</a>, <a href="https://publications.waset.org/abstracts/search?q=bitumen%20content%20green%20hot%20mix%20asphalt" title=" bitumen content green hot mix asphalt"> bitumen content green hot mix asphalt</a> </p> <a 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