Engineering and Technology Aspects of an e-Government Architecture Based on Web Services

Abstract. In order for e-Government to be successful there is a strong requirement for approaches that are based on widely accepted technical standards and formal design methods. In this paper, we describe the architecture of the eMayor platform, a Web Services based platform that is built as a holistic service framework for the deployment and delivery of e-government enterprise services for European municipalities. The design of the platform is based on the ISO/RM-ODP standard. The goal of the paper is to present both a general architectural overview of the platform and its services, along with the engineering and technology aspects of the architecture as instances of the engineering and technology viewpoints of the RM-ODP standard

Consequences of neurologic lesions assessed by Barthel Index after Botox® injection may be underestimated

Y Dionyssiotis,1,2 D Kiourtidis,3 A Karvouni,3 A Kaliontzoglou,3 I Kliafas31Medical Department, Rehabilitation Center Amyntaio, General Hospital of Florina, Amyntaio, Florina, 2Physical Medicine and Rehabilitation Department, Rhodes General Hospital, Rhodes, Dodecanese, 3Neurologic Department, Rhodes General Hospital, Rhodes, Dodecanese, GreecePurpose: The aim of this study was to investigate whether the consequences of neurologic lesions are underestimated when the Barthel Index (BI) is used to assess the clinical outcome of botulinum toxin injection.Patients and methods: The records for all in- and outpatients with various neurologic lesions (stroke, multiple sclerosis, spinal cord injury, traumatic brain injury, and so forth) who had been referred to the authors’ departments and who had received botulinum toxin type A (Botox®) for spasticity within a 4-year period (2008–2011) were examined retrospectively. BI data were collected and analyzed.Results: The BI score was found to have increased in follow-up assessments (P = 0.048). No correlation was found between the degree of spasticity and the BI score.Conclusion: The specific injection of Botox in patients with neurologic lesions was not strongly correlated with a significant functional outcome according to the BI. The results of this study suggest that clinicians need to look at other measurement scales for the assessment of significant outcomes of Botox in the rehabilitation process after neurologic lesions.Keywords: botulinum toxin type A, spasticity, stroke, multiple sclerosi