Volume 9 | Issue 10 |

 Abstract

Background Traumatic brain injury is the leading cause of death and disability after road traffic accident. Coma and persistent vegetative state following traumatic brain injury has more impact on the health and recovery of the patient. There is no standard physiotherapy treatment which is relatively more acceptable. Among them sensory stimulation techniques have shown more marked effects. Despite of various studies and literature application of the sensory stimulation is still in doubt. This study is needed to comprehensively cover the information according to level of evidence and to put into practice. Methodology A preliminary search on the main search engines (Pub med, Embase, and Cochrane databases) was performed to identify therapeutic options commonly adopted to stimulate coma arousal after a TBI, and a systematic bibliographic investigation was carried out to find the more pertinent papers. Around 240 articles identified using search strategies, among them articles are excluded on the basis of title and abstract and then articles selected for the review on the basis of inclusion and exclusion criteria. Result The results of the studies reviewed were positive indicating the potential benefits of using multimodal sensory stimulation in early rehabilitation involving familiar person to arouse comatose patients. Conclusion Evidences support the use of multimodal sensory stimulation in early rehabilitation. The evidences indicate the involvement of family members in early rehabilitation is useful in significantly improving patients condition compared to the patients who received stimulation from nursing and other clinical staff but high-quality studies are needed to calculate the dosage, frequency and technique of application for different sensory stimuli.

Licence: creative commons attribution 4.0

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Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Coma stimulation, vegetative state, sensory stimulation, traumatic brain injury, family members.

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Creative Commons Attribution 4.0 and The Open Definition

 Abstract

Chemical industrial processes have become "business as usual" because of their energy-intensive production methods and unappealing branding. As a result of its high energy requirements, polycarbonate (PC) production has grown to be a major industrial operation. In addition, a considerable number of dangerous chemicals are used during the production process. In this research, we're looking at how PC manufacturing affects the environment. At this time, over 400 Mt year1 of plastic garbage is produced. Plastic pollution is on the rise, but we know very little about how long it will survive in the ecosystem. Environmental degradation rates and mechanisms for important thermoplastic polymer classes are summarised in this Perspective. Our meta-analysis shows that some of the most abundant and recalcitrant manufactured plastics are more persistent in the sea surface than previously anticipated and that further research is needed to determine the ultimate fate of these polymers as current knowledge does not support the deep sea as the final sink for all polymer types.

Licence: creative commons attribution 4.0

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Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Polycarbonate, energy-intensive production, polymers, environment.

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Creative Commons Attribution 4.0 and The Open Definition

 Abstract

Licence: creative commons attribution 4.0

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Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Assistive Technology, Social Performance , communication , community living and Intellectual Disability

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Creative Commons Attribution 4.0 and The Open Definition

 Abstract

The analysis and design of structures subjected blast loads requre a detailed understanding of blast phenomena and the dynamic responce of various structural elements.

Licence: creative commons attribution 4.0

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Creative Commons Attribution 4.0 and The Open Definition

 Keywords

current knowledge of blast responce of RC frame structure

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Creative Commons Attribution 4.0 and The Open Definition