Search results for "Opel"
showing 10 items of 283 documents
Liikuntapelit osaksi koulun liikuntaa? : videopelitutkimus Jyrängön alakoulussa
2012
Saarinen Jussi. 2012. Liikuntapelit osaksi koulun liikuntaa? Videopelitutkimus Jyrängön alakoulussa. Liikuntatieteiden laitos, Jyväskylän yliopisto. Liikuntapedagogiikan Pro gradu –tutkielma, 85s. Tutkimus toteutettiin osana syksyllä 2010 käynnistynyttä Liikkuva koulu –hanketta, jonka tarkoituksena oli liikunnallistaa koulupäivää erilaisin keinoin. Tutkimuksen kohdejoukkona toimivat yhden hankkeeseen kuuluvan alakoulun neljäs- ja viidesluokkalaiset oppilaat (n=53). Tutkimuksella pyrittiin selvittämään alakoululaisten suhtautumista sekä pelikokemuksia liikuntapeleihin liittyen ja ennen kaikkea tarkastelemaan saatujen tutkimustulosten avulla liikuntapelien soveltuvuutta koulun liikuntakasvatu…
Pelaa ja opi : räätälöityjä verkkopelejä ammatilliseen oppimiseen
2007
Yhä useammalle ammatillisen koulutuksen oppijalle erilaiset virtuaaliset toiminta- ja peliympäristöt ovat keskeinen osa arkipäivää. Työelämässä puolestaan on asioita, joiden etukäteisharjoittelu on vaikeaa, kallista ja jopa vaarallista. Virtuaaliset peliympäristöt voivat tarjota ratkaisun tähän ongelmaan. Tutkimukset osoittavat, että parhaimmillaan pelit voivat parantaa oppimisen laatua ja tehostaa toimintaa, luoda kiinnostavia oppimistilanteita, auttaa sitoutumaan tehtävien suorittamiseen, ohjata käyttäytymistä ja ongelmanratkaisua sekä edistää yhdessä toimimisen taitoja. Lisäksi virtuaalimaailmassa pelaamisen avulla voidaan havainnollistaa vaarallisia tai pitkäkestoisia tilanteita sekä au…
Axial propeller flaps: A proposal for update of the "Tokyo consensus on propeller flaps".
2017
LETTER TO EDITOR
Laparoscopic laterally extended pelvic resection for gynecological malignancies
2020
Lateral isolated gynecological cancer infiltrating the pelvic side wall has been considered non-operable with a poor oncological outcome.[1][1] The development of the laterally extended endopelvic resection and surgical progress for disease, overcoming the endopelvic fascia infiltrating muscles and
Pelvic floor and abdominal muscle cocontraction in women with and without pelvic floor dysfunction: a systematic review and meta-analysis
2019
There is an ongoing discussion regarding abdominal muscle (AbM) and pelvic floor muscle (PFM) synergism. Therefore, this study aimed to investigate the cocontraction between AbMs and PFMs in women with or without pelvic floor dysfunction (PFD). The following databases were searched up to December 21, 2018: MEDLINE, EMBASE, LILACS, PEDro and CENTRAL. We included any study that assessed the cocontraction between PFMs and AbMs in women with and without PFD. Two reviewers independently screened eligible articles and extracted data. The outcomes were extracted and analyzed as continuous variables with random effect models. Twenty studies were included. A meta-analysis did not show differences in…
Complications and Solutions in Propeller Flap Surgery
2020
AbstractPropeller perforator flaps (PPFs) have long been proven as valid reconstructive tools for a wide range of soft tissue defects in different body regions. During the last decade, despite their numerous advantages, many authors have thoroughly analyzed outcomes of these flaps, sometimes discouraging their use mainly because of a high failure rate. Accurate patient selection, adequate preoperative planning, and an appropriate dissection technique seem to potentially improve outcomes. Our study provides a review of the relevant literature related to PPF complications and of our experience, describing reasons for failure, measures for preventing them, and approaches for a prompt evaluatio…
A Rare Case of Giant Basal Cell Carcinoma of the Abdominal Wall: Excision and Immediate Reconstruction with a Pedicled Deep Inferior Epigastric Arter…
2017
Patient: Female, 82 Final Diagnosis: Giant basal cell carcinoma Symptoms: Anemia Medication: — Clinical Procedure: — Specialty: Plastic Surgery Objective: Rare disease Background: Basal cell carcinoma (BCC) greater than 5 cm in diameter is called giant basal cell carcinoma (GBCC), or super giant basal cell carcinoma if it has a diameter larger than 20 cm. Giant BCC only accounts for 0.5% of BCCs and super giant BCC is exceedingly rare. On account of their rarity, there are no established guidelines for GBCC treatment. Case Report: We describe a peculiar case of an 82-year-old woman with a GBCC carcinoma of the lower abdominal wall. The tumor was surgically removed with ipsilateral inguinal …
Propeller flap for treatment of a poststernotomy sternal fistula: A case report.
2014
Summary The treatment of post-operative deep sternal wound infections is a real challenge for surgeons. Conservative treatment with debridement and vacuum-assisted closure (VAC) therapy is not always successful. In the most severe and chronic cases, a surgical debridement and reconstruction of the defect is mandatory. In this report, the authors present a case of a 61-year-old female patient with a chronic cutaneous fistula in the sternal region following a median sternotomy after coronary artery bypass. The patient had already undergone treatment with antibiotics, drainage of an abscess and local debridement, but the infection continued to relapse periodically. The authors decided to treat…
Propeller Flaps in the Head and Neck
2020
AbstractPropeller flaps have significantly expanded the reconstruction possibilities in the head and neck region. They allow for increased flap mobility and better scar concealing, and/or to perform a one-stage reconstruction with local tissue of similar color and texture, where multiple surgeries would be needed with traditional flaps or even free flaps would be required. This article describes the main propeller flaps for one-stage reconstruction in the head–neck region (facial artery perforator, supratrochlear artery axial perforator, deep lingual artery axial perforator, and anterior supraclavicular artery perforator flaps), their indications, and possible complications. Aesthetic and f…
The "Tokyo" consensus on propeller flaps
2011
Background: Overthepastfewyears,theuseofpropellerflaps,whichbasetheir blood supply on subcutaneous tissue or isolated perforators, has become in- creasingly popular. Because no consensus has yet been reached on terminology and nomenclature of the propeller flap, different and confusing uses of the term can be found in the literature. Methods: Inthisarticle,theauthorsreporttheconsensusonthedefinitionand classification of propeller flaps reached by the authors that gathered at the First Tokyo Meeting on Perforator and Propeller Flaps in June of 2009. Some peculiar aspects of the surgical technique are discussed. Results: A propeller flap can be defined as an “island flap that reaches the reci…