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Modulation associated with Renin-Angiotensin System May Sluggish The conversion process via Mild Mental Incapacity to Alzheimer's Disease.
Design  This study was designed to review the relevant current literature and provide an expert opinion. Conclusions  Tendon transfers have evolved from polio to tetraplegia to war and represent an extremely powerful technique to correct neurologic and musculotendinous deficits in a variety of patients affected by trauma, peripheral nerve palsies, cerebral palsy, stroke, and inflammatory arthritis. In the contemporary setting, these very same principles have also been very successfully applied to vascularized composite allotransplantation in the upper limb.
The predominant focus of academic research on the sharing economy has been on Airbnb and Uber; to this extent, the diversity of business models ascribed to the sharing economy has not yet been sufficiently explored. Greater conceptual and empirical research is needed to increase understanding of business models in the sharing economy, particularly attributes that deliver on its purported sustainability potential.

We aimed to elaborate an improved sharing economy business modelling tool intended to support the design and implementation of sharing economy business models (SEBMs) with improved sustainability performance.

We used a structured approach to business modelling, morphological analysis, to articulate relevant business model attributes. Our analysis was informed by a narrative literature review of business and platform models in the sharing economy. We also iteratively tested, refined, and evaluated our analysis through three structured opportunities for feedback.

The output of the morphological analysis was a sharing economy business modelling tool for sustainability, with stipulated preconditions and descriptions of all business model attributes.

The sharing economy is not sustainable by default, so we must be strategic and deliberate in how we design and implement SEBMs. The sharing economy business modelling tool should be of interest not only to researchers and practitioners, but also to advocacy organisations and policymakers who are concerned about the sustainability performance of sharing platforms.
The sharing economy is not sustainable by default, so we must be strategic and deliberate in how we design and implement SEBMs. The sharing economy business modelling tool should be of interest not only to researchers and practitioners, but also to advocacy organisations and policymakers who are concerned about the sustainability performance of sharing platforms.This study explores the possibility of adapting specific progress-monitoring tools developed in the US for use in English-medium private schools in Bangalore. In the US, many teachers adopt progress-monitoring tools like the Dynamic Indicators of Basic Early Literacy Skills (DIBELS) and Curriculum Based Measurement (easyCBM) to keep track of their students' reading abilities. We report on Phase 1 of a longitudinal study that included three phases of data collection. Participants included 1003 students in Grades 1, 3 and 5, and 50 teachers. Both quantitative and qualitative data were collected. Results indicated that students in low-cost schools struggled on all reading measures throughout elementary school; students in middle-cost schools had below average to average scores on reading measures; and students from high-cost schools had average to above average scores on all measures. Moreover, factors like oral language proficiency in English, socio-economic status, school and curriculum increased in their significance in predicting reading as students progressed through elementary grades. Teacher data suggested that the reading goals and instructional strategies varied considerably across schools. Implications for reading instruction and practice within the Indian context will be discussed.Food waste represents the largest fraction of the municipal solid waste generated in Europe and its management is associated to suboptimal performance in environmental, health, and social dimensions. By processing detailed multi-fold local data as part of a comprehensive and broadly understandable sustainability framework, this study quantifies the environmental and socio-economic impacts of household food waste management in the Amsterdam Metropolitan Area based on priorities set by local stakeholders. Five alternative short-term management options have been assessed against the current system, relying on poor separate collection and incineration. Four options involve separate collection of food waste followed by biological treatments (home/centralised composting and anaerobic digestion) while one involves a mix of separate collection and centralised mechanical-biological treatment followed by anaerobic digestion. Among these, separate collection followed by anaerobic digestion coupled with effective nutrient and energy recovery is, according to our findings, the preferred option to improve the sustainability of the current system in all dimensions considered, except for the economic pillar due to the collection costs. Home and centralised composting as well as mechanical-biological treatment are associated to more adverse impacts based on our findings. CAY10603 The study informs local stakeholders and authorities on the potential consequences of their options, thereby allowing them to make sound choices for a future waste and circular economy strategy.[Purpose] To summarize the existing official guidelines issued by the World Confederation for Physical Therapy and Associations of Physical Therapy in various countries and to clarify the recommended methods of respiratory rehabilitation and physiotherapy for patients in different stages of the coronavirus disease of 2019 (COVID-19). [Methods] An introductory literature search was conducted using the keywords "COVID-19", "respiratory rehabilitation", "physical therapy", and others in the database of the Association of Physical Therapy. [Results] Using 12 coronavirus disease-2019 rehabilitation-related articles, we summarized data on physical therapy (PT) evaluation; treatment; indications; contraindications; and termination indicators for patients in acute, stable, and post-discharge stages. [Conclusion] PT for COVID-19 patients with coronavirus disease 2019 should be formulated according to the stage of the disease and condition of the patients.[Purpose] To further the understanding of dysfunctions to which a simulated experience method could be applied, we clarified whether a simulated experience method can promote caregivers to utilize the abilities of care recipients with pseudo-hemiplegia or pseudo-limited range of motion (ROM) in multiple joints. [Participants and Methods] We studied transfer assistance in 60 nursing assistants from nursing home settings 30 were assigned to the pseudo-hemiplegia (26 females, 4 males) and limited ROM in multiple joints (27 females, 3 males) groups. One healthy person was fitted with orthotic braces to mimic hemiplegia or limited ROM in multiple joints, each making it difficult to stand-up. Participants were randomized to either a simulated experience group (involving interventional help from a physical therapist between the first and second measurements) or a control group. The load difference on the lower limbs of the care recipient between two rounds of transfer assistance was examined. [Results] The difference between the second and first measurements was -5.9 ± 74.5 N for the control group and 107.9 ± 123.6 N for the simulated experience method in the pseudo-hemiplegia study, and -14.7 ± 64.7 N and 149.1 ± 132.4 N, respectively, for the pseudo-limited ROM-in-multiple-joints study. [Conclusion] The simulated experience method promoted transfer assistance of a care recipient with pseudo-hemiplegia or pseudo-limited ROM in multiple joints. These results suggest that hemiplegia and limited ROM in multiple joints are added as dysfunctions that can be applied to a simulated experience method in transfer assistance.[Purpose] In caregivers, low load posture is necessary to prevent lower back pain during patient handling activities such as sit-to-stand support. This study focused on the foot-position of caregivers as an adjustable and useful parameter. A wide stance decreases the stress on the lumbar vertebra. However, this foot-position increases loading of the spinae erector muscles. The aim of this study was to investigate the relationship of anterior-posterior and lateral-medial distances between feet and activity of the spinae erector muscles to determine the optimal foot-position for reducing stress on the lumbar vertebra without increasing spinae erector muscle load. [Participants and Methods] Five young male participants were asked to provide sit-to-stand support 10 times using nine normalized foot-positions with different anterior-posterior and lateral-medial distances. Surface electromyograms of the erector spinae and lower limb muscles were measured during sit-to-stand support. [Results] The results showed that the optimal foot-position (anterior-posterior 55%, lateral-medial 20% of body height) increased muscle activity within the lower limb muscles compared with the lower back muscles and did not increase loads on the erector spinae muscle. [Conclusion] Optimizing foot-position can reduce stress on the lumbar vertebra without increasing load on the spinae erector muscles.[Purpose] To investigate reliability and discriminant validity of a single question about total lying time for assessing physical inactivity in community-dwelling older people. [Participants and Methods] The participants were 54 healthy older individuals (mean age, 72.5 years), who were asked to recall retrospectively their mean total lying and sleep times per day in the previous week (7 days). The total lying and sleep times per day in the forthcoming week (7 days) were also investigated prospectively after confirming the mean total lying and sleep times per day in the previous week, and their mean values per day were calculated. [Results] Intraclass reliability of total lying and sleep times per day in the forthcoming week were acceptable [ICC (1, 1) for total lying time=0.835, ICC (1, 1) for sleep time=0.707]. No significant difference in average total lying time between the previous (8.4 ± 2.0 hours/day) and forthcoming (8.7 ± 1.7 hours/day) weeks was seen. In the forthcoming week, average total lying time was significantly higher than average sleep time (7.1 ± 1.3 hours/day). There was low significant correlation between total lying time and sleep time. [Conclusion] Total lying time can be measured with acceptable reliability and discriminant validity, and is a different outcome than sleep time in community-dwelling older adults.[Purpose] External focus (EF) instructions demonstrate a learning effect on motor performance enhancement. However, the effective EF distance during standing long jump performance of non-athletes has not been clarified. This study aimed to determine the effects of EF at different distances on jumping performance. [Participants and Methods] A total of 40 non-athlete participants were randomly divided among four groups. The no attention line group performed a standing long jump without the attention line on the floor; those in the -20-cm EF group, the ± 0-cm EF group, and +20-cm EF group performed the jump attention line with an attention line 20-cm posterior, at ± 0 cm, and 20-cm anterior as the reference jump distances, respectively. [Results] The mean rate of increase between the first to second jump distances in the +20-cm EF group was higher than that in the no attention line group. The rates at which the jumpers reached the attention line in the ± 0-cm EF group and the +20-cm EF group were lower than the rate in the -20-cm EF group.
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