Evaluation of Light Specific Gravity Ropivacaine Combined with Sufentanil in Hip Arthroplasty at An Advanced Age

Objective: To observe the effect of light specific gravity ropivacaine combined with sufentanil in elderly patients undergoing hip replacement. Methods :89 elderly patients with hip arthroplasty from July 2019 to September 2020 were randomly divided into experimental group and control group. The experimental group was anesthetized with light specific gravity ropivacaine combined with sufentanil. The control group was anesthetized with equal specific gravity ropivacaine to compare the effect of anesthesia and the incidence of adverse reactions. Results: there was no significant difference in sensory recovery time and motor recovery time between the experimental group and the control group (P>0.05), and the incidence of adverse reactions between the two groups was low. The sensory block time in the experimental group was shorter than that in the control group (PP>0.05). Conclusion: ropivacaine combined with sufentanil subarachnoid anesthesia is more effective in elderly patients undergoing hip arthroplasty, and the safety of the anesthesia scheme is higher, which will not lead to serious adverse reactions during operation. Moreover, the application of the anesthesia scheme can effectively improve the analgesic effect during and after operation, and the clinical application value is high

Writing Against the Grain: T. Kingfisher\u27s Feminist Mythopoeic Fantasy

In On Fairy-stories, J. R. R. Tolkien defined and defended the genre of fantasy by quoting and then explicating his poem, Mythopoeia. Tolkien\u27s theory of mythopoeic literature can be applied to his own fiction, but, increasingly, scholars are applying it to other texts including superhero films and contemporary fantasy novels (Holdier, Kane). In this presentation, I argue that three of Kingfisher\u27s series, the Clocktaur War, Saint of Steel, and Paladin, set in and around Anuket City, fit some of the characteristics of mythopoeic fantasy identified by Tolkien while swerving notably from others. Thus, Kingfisher\u27s fantasy is similar to work by the writers Faye Ringel interviewed for her essay, Women Fantasists: In the Shadow of the Ring. Performing her own feminist swerve on Harold Bloom\u27s Anxiety of Influence, Ringel concludes that while the women fantasists accept some of Tolkien\u27s premises, they differ strongly with him on the subject of women\u27s roles (165). Tolkien\u27s necessary characteristics for a mythopoeic text involve textual elements and reader response. A mythopoeic fantasy is set in a secondary world that is internally consistent; the magic must be taken seriously, and the best of the genre involves the Consolation of the Happy Ending (32-33;75). Tolkien makes it clear that this genre is for readers who appreciate it, no matter what their age, challenging the assumption at the time that fairy stories were only suitable for children. Recovery, escape, and consolation are how mythopoeic fantasies impact readers. Tolkien makes it clear that fairies (elves) are not required while his epilogue places the genre firmly in his Christian belief system. Some of the elements in Kingfisher\u27s series that are mythopoeic are: the coherence of the secondary world, across three series with different characters; a version of Faërie, called the Vagrant Lands; the presence of magic, called wonderworking. Elements which swerve decisively from Tolkien\u27s criteria are the lack of kings and heroes; the presence of religious institutions and their orders; polytheism; the widespread distribution of wonderworking along with the lack of wizards; the focus on female protagonists. powerful male characters. Since Kingfisher is writing fantasy romance rather than epic fantasy, the protagonists include a forger, a perfumer, and a widowed housekeeper who inherits a magic sword. These swerves from Tolkien\u27s definition strengthen my experience of recovery, escape, and consolation as a reader, responses that grew stronger during my re-reading of her work during the first year of the pandemic. Tech Mod: Leslie Donovan

Mustang Daily, April 13, 2010

Student newspaper of California Polytechnic State University, San Luis Obispo, CA.https://digitalcommons.calpoly.edu/studentnewspaper/8043/thumbnail.jp

A Review of Non-Invasive Haptic Feedback stimulation Techniques for Upper Extremity Prostheses

A sense of touch is essential for amputees to reintegrate into their social and work life. The design of the next generation of the prostheses will have the ability to effectively convey the tactile information between the amputee and the artificial limbs. This work reviews non-invasive haptic feedback stimulation techniques to convey the tactile information from the prosthetic hand to the amputee’s brain. Various types of actuators that been used to stimulate the patient’s residual limb for different types of artificial prostheses in previous studies have been reviewed in terms of functionality, effectiveness, wearability and comfort. The non-invasive hybrid feedback stimulation system was found to be better in terms of the stimulus identification rate of the haptic prostheses’ users. It can be conclude that integrating hybrid haptic feedback stimulation system with the upper limb prostheses leads to improving its acceptance among users

The problem of pain: a heuristic and structural existential analysis of unexplained physical pain

This study was undertaken to increase understanding of recovery from chronic pain in the absence of medical intervention. Chronic pain is a debilitating condition that inflicts significant human suffering and costs the economy of the Western world £billions each year. Despite advances in modern medicine pain remains poorly understood and difficult to treat. Applying a heuristic methodology, an in-depth exploration was conducted into the author’s personal experience of recovery and participants (N=8) who had recovered from chronic pain were interviewed. The results indicate: • Chronic pain is a multi-dimensional phenomenon that serves a purpose and has personal meaning. • Pain serves as a non-verbal communication whose meaning can be revealed through tuning in to the felt sense of the experience. • Medical approaches were ineffective and often exacerbated pain. • Recovery occurred after all medically prescribed interventions had been exhausted and participants hit rock-bottom. This triggered a radical epistemological shift from the commonly held medical perspective into one that considers the physical, psychological, social, and spiritual aspects of the experience. • Chronic pain is difficult to define within the realms of medical pathology and might be alternatively viewed as a healthy response to an unhealthy social system and world which are inextricably linked to the body. • Adult chronic pain was associated with physical pain during childhood as well as repressed childhood trauma. • Key factors in recovery were engaging in a deep personal exploration that involved: (a) remembering and acknowledging childhood adversity, (b) reflecting on the current circumstances of life, (c) challenging previously held views of pain that were based on a medical understanding, (d) Confronting pain and the fear of pain, and (e) making significant life changes

Medication Adherence in the Elderly with Chronic Diseases Referring to Academic Medical Centers of Ardabil, Iran in 2018

Background: Today, the medical world faces an increase in the incidence of chronic diseases. Medication adherence is an essential component of the effective treatment of such diseases and failure to it, especially in the elderly, has a negative impact on health. Objectives: The current study aimed at determining the level of medication adherence in the elderly with chronic diseases referring to academic medical centers in Ardabil, Iran. Methods: In the current cross sectional study, 222 elderly patients with chronic diseases (i e, musculoskeletal, diabetes, cardiovascular and renal conditions) referring to the clinics of ImamKhomeini, Fatemi, and Alavi hospitals in Ardabil in 2018 were selected by convenience sampling method. Data were collected using a questionnaire including demographic characteristics and the Morisky medication adherence scale (MMAS). The data were analyzed using descriptive statisticsandmultivariate logistic regression analysis with SPSS version 16. Results: The mean age of the elderly was 68.25�7.65 years; 187 (84%) subjects had unsatisfactory medication adherence (score 6). The probability of satisfactory adherence to medication was higher in the elderly with higher level of education, but other variables such as age, gender, occupational status, income level, network of life, place of residence, marital status, and type of chronic disease had no significant effect on medication adherence. Conclusions: The high level of medication non-adherence in the elderly with chronic diseases is a matter of concern and it seems necessary to perform studies on the barriers to medication adherence in the elderly and solve them

Service recovery strategies to negative online reviews on restaurant business: A case study on Zomato

The occurrence of a service failure can take consumers to easily publish negative comments on social media platforms as review websites, which leads to the need for service providers to adopt service recovery strategies. In the online environment these strategies commonly take the form of management responses given by companies to negative reviews. Also, by analysing these comments, companies are able to identify failures and adopt actions and changes in the business to correct them. However, there is a scarcity of studies that explored how restaurants use service recovery strategies to deal with negative reviews. To fill this gap, an exploratory and qualitative analysis was conducted on 531 responses given by the management of 14 restaurants regarding negative comments on Zomato and interviews were carried out with some of these restaurant’ managers. The findings identify 12 management response strategies to deal with negative reviews: thanking, apology, invitation for a new visit, self-promotion, promise of change, explanation, standard reply, express feeling, request a new contact, suggest, deny problem and offer compensation. It was possible to conclude that most of the restaurants use these strategies in a similar way, as well as negative reviews led to business improvements classified in 11 recovery strategies: information update, information sharing, reviews database maintenance, environment adaptation, food quality improvement, packaging quality improvement, change in food and drinks confection, recipes innovation, change in booking procedure, staff training and staff supervision. In relation to these strategies, it was found that restaurants use them in a more diversified way.A ocorrência de falhas no serviço pode levar os consumidores a publicarem comentários negativos em plataformas de social media como os websites de reviews, pelo que as empresas necessitam de adotar estratégias de recuperação do serviço. No contexto online estas estratégias tomam comumente a forma de respostas gerenciais. Também pela análise destes comentários é possível identificar falhas e adotar ações para as corrigir. Contudo, existe uma escassez de estudos que exploraram a forma como os restaurantes usam estratégias de recuperação do serviço para lidar com os comentários negativos. Para preencher esta lacuna realizou-se uma análise exploratória e qualitativa a 531 respostas gerenciais de 14 restaurantes a comentários negativos no Zomato e foram realizadas entrevistas com alguns dos gerentes desses restaurantes. Os resultados identificam 12 estratégias de respostas dadas aos comentários negativos: agradecimento, pedido de desculpa, convite para nova visita, auto-promoção, promessa de mudança, explicação, resposta padrão, mostrar sentimento, solicitação de novo contacto, sugestão, negação do problema e oferecer compensação. Concluiu-se ainda que no geral a maioria dos restaurantes usam estas estratégias de forma semelhante e as reviews negativas levam a alterações nos restaurantes, classificadas em 11 estratégias: atualização de informações, partilha de informações, manutenção de base de dados de comentários, adaptação do ambiente, melhoria da qualidade da comida, melhoria da qualidade da embalagem, mudança na confecção dos alimentos e bebidas, inovação de receitas, mudança nos procedimentos de reservas, formação dos empregados e supervisão dos empregados. Em relação a estas estratégias verificou-se que os restaurantes as usam de forma mais diversificada