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Zhang, Bo, Wei-Xu Shi, Jian Wang, and Chao-Jing Tang. "Quantum direct communication protocol strengthening against Pavičić’s attack." International Journal of Quantum Information 13, no. 07 (2015): 1550052. http://dx.doi.org/10.1142/s0219749915500525.
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A quantum circuit providing an undetectable eavesdropping of information in message mode, which compromises all two-state [Formula: see text]-[Formula: see text] quantum direct communication (QDC) protocols, has been recently proposed by Pavičić [Phys. Rev. A 87 (2013) 042326]. A modification of the protocol’s control mode is proposed, which improves users’ 25% detection probability of Eve to 50% at best, as that in ping-pong protocol. The modification also improves the detection probability of Wójcik’s attack [Phys. Rev. Lett 90 (2003) 157901] to 75% at best. The resistance against man-in-the-middle (MITM) attack as well as the discussion of security for four Bell state protocols is presented. As a result, the protocol security is strengthened both theoretically and practically, and quantum advantage of superdense coding is restored.
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Li, Yongjian, Bohua Zhan, and Jun Pang. "Mechanizing the CMP Abstraction for Parameterized Verification." Proceedings of the ACM on Programming Languages 8, OOPSLA1 (2024): 1324–50. http://dx.doi.org/10.1145/3649858.
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Parameterized verification is a challenging problem that is known to be undecidable in the general case. is a widely-used method for parameterized verification, originally proposed by Chou, Mannava and Park in 2004. It involves abstracting the protocol to a small fixed number of nodes, and strengthening by auxiliary invariants to refine the abstraction. In most of the existing applications of CMP, the abstraction and strengthening procedures are carried out manually, which can be tedious and error-prone. Existing theoretical justification of the method is also done at a high level, without detailed descriptions of abstraction and strengthening rules. In this paper, we present a formally verified theory of in Isabelle/HOL, with detailed, syntax-directed procedure for abstraction and strengthening that is proven correct. The formalization also includes correctness of symmetry reduction and assume-guarantee reasoning. We also describe a tool AutoCMP for automatically carrying out abstraction and strengthening in , as well as generating Isabelle proof scripts showing their correctness. We applied the tool to a number of parameterized protocols, and discovered some inaccuracies in previous manual applications of to the FLASH cache coherence protocol.
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Krzywiecki, Łukasz, and Tomasz Wlisłocki. "Deniable Key Establishment Resistance against eKCI Attacks." Security and Communication Networks 2017 (2017): 1–13. http://dx.doi.org/10.1155/2017/7810352.
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In extended Key Compromise Impersonation (eKCI) attack against authenticated key establishment (AKE) protocols the adversary impersonates one party, having the long term key and the ephemeral key of the other peer party. Such an attack can be mounted against variety of AKE protocols, including 3-pass HMQV. An intuitive countermeasure, based on BLS (Boneh–Lynn–Shacham) signatures, for strengthening HMQV was proposed in literature. The original HMQV protocol fulfills the deniability property: a party can deny its participation in the protocol execution, as the peer party can create a fake protocol transcript indistinguishable from the real one. Unfortunately, the modified BLS based version of HMQV is not deniable. In this paper we propose a method for converting HMQV (and similar AKE protocols) into a protocol resistant to eKCI attacks but without losing the original deniability property. For that purpose, instead of the undeniable BLS, we use a modification of Schnorr authentication protocol, which is deniable and immune to ephemeral key leakages.
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Shohruh, Ibadullayev Sheraliyevich. "STRENGTHENING IMPLEMENTATION OF WPA3 SECURITY PROTOCOL FOR WIRELESS NETWORK." MEDICINE, PEDAGOGY AND TECHNOLOGY: THEORY AND PRACTICE 3, no. 1 (2025): 36–41. https://doi.org/10.5281/zenodo.14620126.
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This article wireless networks security to increase in order WPA3 protocol current of actual analysis and makes. The research during the WPA protocol evolution, in particular, WPA3 technology of the new features, for example, Simultaneous Authentication of Equals (in sa) engine and Individualized data encryption have been applied. WPA3 is not only data to shifrni will improve, but network security threats , minimizing the possibility of returns. Results that it shows, WPA3 protocol for wireless networks for new security standard provides and data protect to for optimal solution.
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Tao, Jiaye, Chao Hong, Yun Fu, et al. "Coverage-guided fuzz testing method based on reinforcement learning seed scheduling." Journal of Physics: Conference Series 2816, no. 1 (2024): 012107. http://dx.doi.org/10.1088/1742-6596/2816/1/012107.
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Abstract The existing fuzz testing methods for industrial control protocols suffer from insufficient coverage, false positives, and an inability to handle protocol semantics. This paper proposes a reinforcement learning-based seed scheduling coverage-guided fuzz testing method. Building upon coverage-guided fuzz testing techniques, we integrate reinforcement learning with seed scheduling to optimize the seed selection strategy, thereby enhancing the efficiency of protocol vulnerability detection. Experimental results demonstrate the feasibility and effectiveness of this approach. Through reinforcement learning guidance, seed scheduling is optimized, thereby strengthening the performance of fuzz testing in exploring vulnerabilities in industrial control protocols.
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Ferber, Reed, Lori Bolgla, Jennifer E. Earl-Boehm, Carolyn Emery, and Karrie Hamstra-Wright. "Strengthening of the Hip and Core Versus Knee Muscles for the Treatment of Patellofemoral Pain: A Multicenter Randomized Controlled Trial." Journal of Athletic Training 50, no. 4 (2015): 366–77. http://dx.doi.org/10.4085/1062-6050-49.3.70.
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Context Patellofemoral pain (PFP) is the most common injury in running and jumping athletes. Randomized controlled trials suggest that incorporating hip and core strengthening (HIP) with knee-focused rehabilitation (KNEE) improves PFP outcomes. However, no randomized controlled trials have, to our knowledge, directly compared HIP and KNEE programs. Objective To compare PFP pain, function, hip- and knee-muscle strength, and core endurance between KNEE and HIP protocols after 6 weeks of rehabilitation. We hypothesized greater improvements in (1) pain and function, (2) hip strength and core endurance for patients with PFP involved in the HIP protocol, and (3) knee strength for patients involved in the KNEE protocol. Design Randomized controlled clinical trial. Setting Four clinical research laboratories in Calgary, Alberta; Chicago, Illinois; Milwaukee, Wisconsin; and Augusta, Georgia. Patients or Other Participants Of 721 patients with PFP screened, 199 (27.6%) met the inclusion criteria (66 men [31.2%], 133 women [66.8%], age = 29.0 ± 7.1 years, height = 170.4 ± 9.4 cm, weight = 67.6 ± 13.5 kg). Intervention(s) Patients with PFP were randomly assigned to a 6-week KNEE or HIP protocol. Main Outcome Measure(s) Primary variables were self-reported visual analog scale and Anterior Knee Pain Scale measures, which were conducted weekly. Secondary variables were muscle strength and core endurance measured at baseline and at 6 weeks. Results Compared with baseline, both the visual analog scale and the Anterior Knee Pain Scale improved for patients with PFP in both the HIP and KNEE protocols (P < .001), but the visual analog scale scores for those in the HIP protocol were reduced 1 week earlier than in the KNEE group. Both groups increased in strength (P < .001), but those in the HIP protocol gained more in hip-abductor (P = .01) and -extensor (P = .01) strength and posterior core endurance (P = .05) compared with the KNEE group. Conclusions Both the HIP and KNEE rehabilitation protocols produced improvements in PFP, function, and strength over 6 weeks. Although outcomes were similar, the HIP protocol resulted in earlier resolution of pain and greater overall gains in strength compared with the KNEE protocol.
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Hermanns, Christina, Reed Coda, Sana Cheema, et al. "Variability in Rehabilitation Protocols after Superior Labrum Anterior Posterior Surgical Repair." Kansas Journal of Medicine 14 (October 14, 2021): 243–48. http://dx.doi.org/10.17161/kjm.vol14.15286.
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Introduction. Rehabilitation after a superior labral anterior posterior (SLAP) repair is an important aspect of patient outcomes, however, no standardized rehabilitation protocol has been defined. The purpose of this paper is to assess the variability of rehabilitation after SLAP repair to understand the need for standardization to improve patient outcomes. Methods. Protocols for SLAP repairs were collected through a search for Academic Orthopedic Programs and a general google search using the terms “[Program Name (if applicable)] SLAP Repair Rehab Protocol”. Protocols were compared by sling, range of motion (ROM), physical therapy, return to sport (RTS), return to throwing, and biceps engagement/ biceps tenodesis recommendations. Protocols for non-operative or generalized shoulders were excluded. Results. Sixty protocols were included. A total of 61.7% (37/60) recommended a sling for four to six weeks and 90% (54/60) included a full ROM recommendation, but time was variable. There were different exercises recommended, but pendulum swings were recommended by 53% (32/60), submaximal isometrics by 55% (33/60), and scapular strengthening by 65% (39/60). Of the sixty protocols, 33% (20/60) recommended return to sports in 24 weeks and 38.3% (23/60) recommended allowing throwing in 16 weeks. Conclusion. There was variability in protocols for SLAP repair, especially time until full ROM, RTS, and biceps strengthening. Time in sling and scapular strengthening were the least variable. A lack of specificity within protocols in what return to throwing meant for functional ability made it difficult to compare protocols. Considering the large number of Orthopedic programs, a relatively small number had published protocols. Further studies are needed to evaluate a standardized post-operative rehabilitation for SLAP repairs to improve outcomes.
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Jellad, Anis, Amine Kalai, Mohamed Guedria, et al. "Combined Hip Abductor and External Rotator Strengthening and Hip Internal Rotator Stretching Improves Pain and Function in Patients With Patellofemoral Pain Syndrome: A Randomized Controlled Trial With Crossover Design." Orthopaedic Journal of Sports Medicine 9, no. 4 (2021): 232596712198972. http://dx.doi.org/10.1177/2325967121989729.
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Background: Active rehabilitation has an important role in the management of patellofemoral pain syndrome (PFPS). Although some studies have shown the benefit of hip-muscle strengthening, the effect of combining hip-muscle stretching with strengthening has not yet been defined. Purpose: To evaluate the effect of combined strengthening of the hip external rotators and abductors and stretching of the hip internal rotators on pain and function in patients with PFPS. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: A total of 109 patients with PFPS (75 female and 34 male; mean age, 31.6 ± 10.8 years) were first randomly assigned to protocol A (n = 67) of the A-B arm (AB group; standard rehabilitation) or protocol B (n = 42) of the B-A arm (BA group; standard rehabilitation with strengthening of the hip external rotators and abductors and stretching of the hip internal rotators). Each protocol consisted of 3 sessions a week for 4 weeks. After a washout period, corresponding to a symptom-free period, rehabilitation programs were crossed over. A visual analog scale (VAS) evaluating perceived pain, the Functional Index Questionnaire (FIQ), and the Kujala score were administered at baseline, the end of each rehabilitation protocol, and 12 weeks after the completion of the second protocol for each group. Results: Until the final follow-up, VAS, FIQ, and Kujala scores were significantly improved in both the A-B and B-A arms ( P < .05 for all). Compared with protocol A, protocol B provided significant improvement in terms of pain and function in both the BA (VAS and Kujala; P < .001) and AB (VAS and Kujala; P < .001) groups. Conclusion: Combined strengthening of the hip abductors and external rotators with stretching of the hip internal rotators provided better outcomes, which were maintained for at least 12 weeks, in terms of pain and function in patients with PFPS.
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Imeri, Behrooz, and Mehdi Gheitasi. "Hip Abductor Muscles Strengthening's Effect on Lower Extremity's Function of Runners With Illitotibial Syndrome." Journal of Exercise Science and Medicine 12, no. 1 (2020): 189–200. http://dx.doi.org/10.32598/jesm.12.1.6.
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Introduction: Iliotibial Band Syndrome (ITBS) is among the most common injuries in distance runners. Thus, the present study investigated the effect of a special strengthening exercise program for abductor’s muscles according to NSCA protocol, on pain reduction and lower extremity function improvement among elite distance runners with ITBS. Materials and Methods: The subjects of the present study were 32 elite distance runners who were randomly divided into two groups of control and experimental (n=16/group). The experimental group performed the exercise program for 8 weeks; however, the control group followed their routine program. The pain was assessed by the Visual Analogue Scale of pain (VAS) and the lower extremity function was assessed by the Lower Extremity Functional Scale (LEFS). In the statistical procedure, the repeated-measures Analysis of Variance (ANOVA) and Bonferroni test was applied to determine the within-group and between-groups differences of the study variables, and for assessing the stability level of protocols’ effect on the experimental group and comparing the stages, respectively. The significance level was considered 0.05, test power as 95%, and effect size as 0.7; SPSS was used for all data analyses. Results: The present study data indicated that the strengthening exercise program on hip abductor muscles caused a significant decrease in pain (P=0.0001). The lower extremity function manifested a significant improvement in the experimental group after 8 weeks of strengthening exercise protocol (P=0.0001); it was durable even 3 months after the end of the exercise program. Conclusion: Hip abductor muscle strengthening, based on NSCA protocol, can be an effective approach in reducing pain and improving lower extremity function in elite distance runners with ITBS.
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Stephen, Geovinson George, Kamalakannan Mohanan, Praveen Kumar Kandakurti, and Ramprasad Mathukrishnan. "Comparative analysis of the effects of real-time audio-visual feedback, yoga and pressure biofeedback stabilizer in core strengthening: a randomised controlled trial." Biomedical Human Kinetics 17, no. 1 (2025): 135–46. https://doi.org/10.2478/bhk-2025-0013.
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Abstract Study aim: To compare the efficiency of a pressure biofeedback stabilizer (PBS), Riablo audio-visual feedback (RAV), and yoga in core strengthening exercise protocols in overweight individuals with trunk instability. Materials and methods: The randomized controlled trial included 144 overweight individuals with trunk stability ≤ 42.3% (72 male, 72 female), age 27±5 years and BMI 27.1±1.1. They were equally divided into three experimental groups (PBS, RAV, and Yoga) and one control group. A pre-test was conducted for trunk instability using the modified double straight leg lowering test followed by 6 weeks of core strengthening exercise protocols. A post-test was conducted four times after commencing the exercise protocols at the end of the first, second, third and sixth week. Results: The RAV group exhibited significant improvement from the first week (β= 1.5, SE = 0.33, p= 0.02) to the sixth week (β= 20.2, SE = 0.329, p< 0.001) in trunk stability. Although the first week result was negligible for the Yoga group, it showed improvement from the second week and reached a maximum at the sixth week (β= 13.9, SE = 0.329, p < 0.001). The PBS group showed slow but consistent improvement, noted from the third week and reaching a peak in the sixth week (β = 6.9, SE = 0.329, p < 0.001), while the control group exhibited no progress in trunk stability. Conclusions: The RAV training protocol improved core stability in overweight subjects faster than yoga and PBS protocols. All three training protocols improved core stability and balance compared to the control group, and exhibited a time-dependent association. To attain trunk stability faster and more efficiently, we suggest implementing the RAV core strengthening protocol.
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Abrishamchi, Reyhaneh, Hormoz Abdshahzadeh, Mark Hillen, et al. "High-Fluence Accelerated Epithelium-Off Corneal Cross-Linking Protocol Provides Dresden Protocol–Like Corneal Strengthening." Translational Vision Science & Technology 10, no. 5 (2021): 10. http://dx.doi.org/10.1167/tvst.10.5.10.
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Kaur, Prabhjot, Brajendra Singh, and Shyamal Koley. "Efficacy of Core Strengthening Exercises and Interferential Therapy on Lumbar Range of Motion in Patients with Spondylolisthesis." International Journal of Health Sciences and Research 13, no. 12 (2023): 223–28. http://dx.doi.org/10.52403/ijhsr.20231227.
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Background: Spondylolisthesis is a presumed cause of back pain. Degenerative spondylolisthesis is most commonly observed at the L4-5 level (male 3.9%, female 8.8%, total 5.9%). Various studies are available that showed the beneficial effects in the management of spondylolisthesis, but there were only a few studies conducted comparing the effect of core strengthening exercises and electrotherapy modality. Thus, the present study was designed for the comparison of core strengthening exercises and interferential therapy in patients with spondylolisthesis. Materials and Method: A total of 42 purposively selected confirmed cases of spondylolisthesis (both male and female) aged 25-40 years were considered for the present study. The subjects were further divided into two groups for intervention. Group-A consisted of 21 subjects who were treated with interferential therapy (IFT). Group-B consisted of 21 subjects who were treated with core strengthening exercises. Results: The results of the present study revealed that statistically significant differences were noted for lumbar range of motion between pre- and post-treatment in patients treated both with interferential therapy (p<0.001-0.004) (Group-A) and core strengthening exercises (p<0.003-0.001) (Group-B). But in post-treatment, the patients treated with core strengthening exercises had higher percentage of increment in lumbar range of motion than the patients treated with interferential therapy. Conclusion: The findings of the present study showed that both the five weeks of treatment protocol with interferential therapy and core strengthening exercises can be used to improve the functional disability and lumbar range of motion. But the core strengthening exercises protocol showed statistically greater improvement than interferential therapy protocol. Key words: Core strengthening exercises, Interferential therapy, Lumbar range of motion, Spondylolisthesis.
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Kervers, O. "Strengthening Compliance with the Biological Weapons Convention: The Protocol Negotiations." Journal of Conflict and Security Law 7, no. 2 (2002): 275–92. http://dx.doi.org/10.1093/jcsl/7.2.275.
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Kervers, O. "Strengthening Compliance with the Biological Weapons Convention: The Draft Protocol." Journal of Conflict and Security Law 8, no. 1 (2003): 161–200. http://dx.doi.org/10.1093/jcsl/8.1.161.
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den Elzen, M. G. J., R. J. Swart, and J. Rotmans. "Strengthening the Montreal protocol: does it cool down the greenhouse?" Science of The Total Environment 113, no. 3 (1992): 229–50. http://dx.doi.org/10.1016/0048-9697(92)90003-b.
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Du, Jinze, Rui Tang, and Tao Feng. "Security Analysis and Improvement of Vehicle Ethernet SOME/IP Protocol." Sensors 22, no. 18 (2022): 6792. http://dx.doi.org/10.3390/s22186792.
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The combination of in-vehicle networks and smart car devices has gradually developed into Intelligent Connected Vehicles (ICVs). Through the vehicle security protocol, ICVs can quickly realize communication transmission. However, with the more frequent connections between smart in-vehicle devices and the network, the relationship between intelligent cars and external systems is becoming more and more complicated, and in-vehicle networks are gradually facing many security issues. Strengthening the security of in-vehicle protocols has become particularly important. This paper uses the model building method based on the Colored Petri Net (CPN) theory to model the Scalable service-Oriented MiddlewarE over IP (SOME/IP) protocol of the vehicle Ethernet. The security protocol is formally verified and analyzed by combining it with the Dolev–Yao adversary model detection method. After verification, the protocol is subject to three attack vulnerabilities: replay, tampering, and deception. We introduce timestamps and random numbers to strengthen the protocol security. After the final analysis and verification, the improved scheme in this paper can effectively improve the security performance of the protocol.
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Cascia, Nicole, Kelsey Picha, Carolyn M. Hettrich, and Tim L. Uhl. "Considerations of Conservative Treatment After a Partial Ulnar Collateral Ligament Injury in Overhead Athletes: A Systematic Review." Sports Health: A Multidisciplinary Approach 11, no. 4 (2019): 367–74. http://dx.doi.org/10.1177/1941738119853589.
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Context: Ulnar collateral ligament (UCL) reconstructions continue to increase without consensus on an evidence-based treatment protocol for nonoperative management. Currently, there is no consensus on an effective nonoperative protocol for partial UCL injuries that uses return-to-play (RTP) rates in determining the outcome of conservative treatment. Objective: To systematically review RTP rates after conservative treatment of partial UCL injuries in overhead athletes along with descriptive components of each conservative intervention to identify an effective evidence-based nonoperative rehabilitation protocol. Data Sources: Articles in PubMed, CINAHL, MEDLINE, Academic Search Complete, and SPORTDiscus were identified in October 2018 based on the following terms: overhead athlete, ulnar collateral ligament, nonoperative treatment, and return to play. Study Selection: Seven retrospective, level 4 studies (n = 196) qualified for analysis. Study Design: Systematic review. Level of Evidence: Level 4. Data Extraction: Study design, level of evidence, demographics, sample size, sports involved, level of competition, grade or type of UCL diagnosis, conservative treatment components, and percentage RTP were extracted. Results: Overall, RTP rates after conservative treatment ranged between 42% and 100% (mean, 78% ± 20%). The most frequently reported components of rehabilitation protocols were (1) a period of rest, (2) stretching, (3) strengthening, and (4) a throwing program. Platelet-rich plasma injections were included in 5 (71%) of the 7 protocols with a rehabilitation period. Conclusion: Conservative treatment is a viable option for partial UCL tears in overhead athletes. A successful rehabilitation protocol includes the use of patient-reported outcomes, a sport-specific tailored treatment plan, kinetic chain strengthening, and an interval throwing program. Factors such as age, grading of tear, level of play, sport, and athlete’s perceived well-being should all be considered during treatment decisions.
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Vurmaz, Mehmet Onur, Samet Durmuş Kösemen, Hakan Akdeniz, Derya Aysen Alpay, Özlem Ağca Töre, and Bergün Meriç Bingül. "Loaded hip thrust-based PAP protocol effect on 20 meters sprint performance." Journal of Human Sport and Exercise 20, no. 2 (2025): 459–69. https://doi.org/10.55860/azqt2512.
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Background and Study Aim. This study aimed to investigate the effects of post-activation strengthening protocol (PAP) based on barbell hip thrust movements with different rest intervals on subsequent sprint performance. Material and Methods. Nine physical education and sports students (age 19.5 ± 0.2 years; height 180.3 ± 5.2 cm; body mass 81.2 ± 6.9 kg) participated in the study. 1RM of the barbell hip thrust movements of the athletes was taken and 85% of the movement was calculated (85 PAP). The athletes performed three different protocols after the dynamic warm up. The first protocol was 85PAP + 15 s rest interval, the second protocol consisted of 85PAP + 4 min rest interval; and the other protocol was 85PAP + 8 min. rest interval. Each protocol was followed by a 20-m sprint. Results. After the 85PAP protocol, there was a decrease in the sprint time after 15 s, 4 and 8 minutes (p < .05). Conclusions. When the waiting time increased, the sprint performance improved. This study demonstrated that intensive BHT exercise could increase the PAP effect. It was also found that the effect of the intensive BHT could vary according to the strength level of the individual.
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Dufour-Poirie, Mélanie. "©Trans-faire: A training protocol for strengthening unions and others’ care of workplace mental health injuries." Open Access Government 44, no. 1 (2024): 138–39. http://dx.doi.org/10.56367/oag-044-11401.
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©Trans-faire: A training protocol for strengthening unions and others’ care of workplace mental health injuries Mélanie Dufour-Poirier, Ph. D., CRIA, Associate Professor, School of Industrial Relations, Université de Montréal, walks us through ©Trans-faire, a training protocol for strengthening unions and others’ care of workplace mental health injuries. The neologism ©Trans-faire was devised by me (Dr. Mélanie Dufour- Poirier, PhD) and a former colleague, Dr. Francine D’Ortun, to serve as a term for the transfer of knowledge, expertise and soft skills among peers in the same working community (for further references, see our webpage).
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He, Ying, Juan Li, Yuxi Li, et al. "Strengthening the quality of clinical trials of acupuncture: a guideline protocol." BMJ Open 12, no. 1 (2022): e053312. http://dx.doi.org/10.1136/bmjopen-2021-053312.
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IntroductionAcupuncture has been accepted in many Western countries and clinical trials have been increasing recently. However, the problems of insufficient and low-quality evidence remain, and substantially hinder the development of acupuncture clinical trials. We therefore aim to develop a guideline to strengthen the quality of acupuncture clinical trials, in accordance with WHO handbook for guideline development and the Reporting Items for practice Guidelines in HealThcare. The guideline will help to improve the quality of acupuncture clinical trials.Methods and analysisWe will search for studies on the quality of acupuncture clinical trials using PubMed, EMBASE, Web of Science, China National Knowledge Infrastructure, Wanfang Data, China Science and Technology Journal Database, The Cochrane Library, the WHO and Health Technology Assessment websites, and other sources. We will also check reference lists and contact experts in the field. We will systematically evaluate the quality of acupuncture clinical trials, and extract and summarise the quality problems and countermeasures of such trials. We will also systematically review clinical trial quality control manuals and systems and formulate research questions on quality control in acupuncture clinical trials. Finally, we will develop the guideline and establish a comprehensive quality control system to ensure high quality acupuncture clinical trials. We will also evaluate the guideline and will update the guideline to reflect new scientific evidence.Ethics and disseminationEthics committee approval and informed consent are not required for developing guideline because only published data will be used, however, we will interview the patients, the ethics committee approval has been got from West China Hospital of Sichuan Unversity (Number: 2021-1188). We will publish all manuscripts arising from this research and present the findings at conferences.Guideline registration numberIPGRP-2021CN093.
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Tsaklis, P., and G. Abatzides. "ACL rehabilitation program using a combined isokinetic and isotonic strengthening protocol." Isokinetics and Exercise Science 10, no. 4 (2002): 211–19. http://dx.doi.org/10.3233/ies-2002-0107.
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Kim, Ho-Yoon, and Seung-Soo Shin. "Design of DID-based Verification Protocol for Strengthening Copyright Holders' Sovereignty." Journal of Industrial Convergence 20, no. 9 (2022): 47–58. http://dx.doi.org/10.22678/jic.2022.20.9.047.
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Zúñiga, Franziska, Sabina De Geest, Raphaëlle Ashley Guerbaai, et al. "Strengthening Geriatric Expertise in Swiss Nursing Homes: INTERCARE Implementation Study Protocol." Journal of the American Geriatrics Society 67, no. 10 (2019): 2145–50. http://dx.doi.org/10.1111/jgs.16074.
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Soares Baumfeld, Tiago, Nacime Salomão Barbachan Mansur, Fernando Villalon, Paulo Dos Santos, Bruno Shiefer, and Marcel Tamaoki. "PO 18076 - Shockwave therapy associated with eccentric strengthening for Achilles insertional tendinopathy." Scientific Journal of the Foot & Ankle 13, Supl 1 (2019): 10S. http://dx.doi.org/10.30795/scijfootankle.2019.v13.989.
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Introduction: Conservative treatment for insertional Achilles tendinopathy (IAT) has failed to produce encouraging results in recent years. Shockwave therapy (SWT) has become a reliable option for the management of this disease in recent years. The objective of this study is to report the effectiveness of low-energy SWT combined with an eccentric strengthening protocol in 19 consecutive patients. Methods: This is a prospective study of 19 patients diagnosed with IAT. The protocol consisted of SWT combined with eccentric training for 12 weeks. All patients were evaluated on the first day and after 24 weeks using the Victorian Institute of Sport Assessment-Achilles (VISA-A) score, the Pain Visual Analog Scale (VAS) and the American Orthopedic Foot and Ankle Society (AOFAS) questionnaire and algometry. The patients were also evaluated for compliance with the protocol, complications and final outcome. Results: All patients completed the study without complications. In total, 15 (79%) patients fully complied with the Alfredson protocol, and 13 (68%) considered the treatment successful. At the final evaluation, the patients required more pressure on the calcaneus to trigger pain (Algometry 1), reported less pain when applying the algometer with 3 kg of pressure (Algometry 2) and had less global pain (VAS) and higher AOFAS and VISA-A scores. All differences were significant. Conclusion: Eccentric training combined with SWT is an effective treatment for IAT. Further placebo-controlled studies with a longer follow-up are necessary to support this statement.
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Mansur, Nacime Salomão Barbachan, Tiago Baumfeld, Fernando Villalon, et al. "Shockwave Therapy Associated With Eccentric Strengthening for Achilles Insertional Tendinopathy: A Prospective Study." Foot & Ankle Specialist 12, no. 6 (2019): 540–45. http://dx.doi.org/10.1177/1938640019826673.
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Background. The usual initial treatment for insertional Achilles tendinopathy is nonsurgical. Yet there is no standard conservative treatment for Achilles insertional tendinopathy. Shockwave therapy (SWT) has become a reliable option for the management of this illness over the past years. The aim of this study is to report the effectiveness of low-energy SWT associated with an eccentric strengthening protocol in 19 consecutive patients. Methods. This is a prospective study with 19 patients aged between 26 and 72 years diagnosed with insertional Achilles tendinopathy. The protocol consisted of SWT associated with eccentric exercises for 12 weeks. All patients were evaluated on the first day and after 24 weeks (final follow-up) with the Victorian Institute of Sports Assessment–Achilles (VISA-A) score, visual analogue scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) questionnaire, and by algometry. At the last follow-up, patients were also assessed for adherence to the protocol, complications and final outcome (in their perception as success or fail). Results and Conclusion. Fifteen (79%) patients were fully adherent to the Alfredson protocol, and 13 (68%) patients considered the treatment protocol successful. At the last evaluation, patients demanded higher pressure on calcaneus to trigger pain (algometry 1), reported less pain when the algometer was applied with 3 kg (algometry 2), had less global pain (VAS), and had higher AOFAS and VISA-A scores. This study evidences that eccentric loading associated with SWT can dramatically improve patients’ symptoms. We can conclude that eccentric loading associated with SWT is an effective treatment for Achilles insertional tendinopathy. Levels of Evidence: Therapeutic, Level III: Prospective cohort
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Hoit, Graeme, Daniel B. Whelan, Tim Dwyer, Prabjit Ajrawat, and Jaskarndip Chahal. "Physiotherapy as an Initial Treatment Option for Femoroacetabular Impingement: A Systematic Review of the Literature and Meta-analysis of 5 Randomized Controlled Trials." American Journal of Sports Medicine 48, no. 8 (2019): 2042–50. http://dx.doi.org/10.1177/0363546519882668.
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Background: Femoroacetabular impingement is a common and debilitating source of hip pain in young adults. Although physiotherapy is used as a mainstay of nonoperative care for femoroacetabular impingement, the evidence regarding different physiotherapy practices is poorly understood. Purpose: To collect and synthesize the best available evidence and arrive at a summary estimate of treatment effect for the utility of physiotherapy in the management of femoroacetabular impingement. Study Design: Meta-analysis. Methods: A systematic review was performed on February 2, 2019, of PubMed, EMBASE, and Cochrane Library databases using “femoroacetabular impingement OR hip pain” and “physiotherapy OR nonoperative management” and their synonyms as search terms. Central treatment themes were identified across protocols, and pooled analyses were conducted to assess for differences in patient-reported outcome measures across these themes. Results: A total of 5 randomized controlled trials met our inclusion criteria. The studies included 124 patients with a mean age of 35 years, of whom 24% were male. The average follow-up was 9.4 weeks (range, 6-12 weeks), and the follow-up rate across all participants was 86%. Among these 5 studies, 4 studies used a physiotherapy protocol that focused on core strengthening versus no core strengthening, 4 studies compared active strengthening versus passive modalities, and 3 studies compared supervised versus unsupervised physiotherapy. Pooled analysis across all studies demonstrated improved outcomes in the treatment groups compared with the controls (standardized mean difference [SMD], 0.76; 95% CI, 0.38-1.13; P < .0001). Core strengthening (SMD, 0.82; 95% CI, 0.39-1.26; P = .0002), active physiotherapy (SMD, 0.70; 95% CI, 0.29-1.10; P = .0008), and supervised physiotherapy (SMD, 0.58; 95% CI, 0.14-1.03; P = .01) were found to result in statistically significant improvements in functional outcomes compared with no core strengthening, passive modalities, and unsupervised care, respectively. Conclusion: Supervised physiotherapy programs focusing on active strengthening and core strengthening are more effective than unsupervised, passive, and non–core focused programs. Future studies with longer term follow-up and validated femoroacetabular impingement specific outcome measures are required to determine prognostic factors for success with nonoperative care as well as to determine the ideal patient profile and structured rehabilitation protocol.
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Carvalho-Junior, Oldemar de Oliveira, Marcelo Antônio Tosatti, Procássia Maria Barbosa, Andreoara Schmidt, Priscila dos Santos Esteves, and Alesandra Bez Birolo. "Neotropical otter population strengthening in the wild / Reforço populacional de lontra neotropical na natureza." Brazilian Journal of Animal and Environmental Research 5, no. 2 (2022): 2540–52. http://dx.doi.org/10.34188/bjaerv5n2-088.
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This work aims to contribute to the definition of a protocol for the safe release of Lontra longicaudis in the wild. It is used information from the database of the Animal Refuge Conservationist Breeding Center of the Instituto Ekko Brasil/Projeto Lontra. A proposed enclosure is presented, containing a minimum area of 60 m2, for an individual, with a tank occupying at least 40% of the enclosure, with a depth of 1,5 m, a feeding area of 2 m2, in addition to research actions, social mobilization, environmental education, and public policies. The research seeks to create a protocol adapted to the conditions of the Lontra longicaudis species, developed for the southern region of Brazil. It can serve as a subsidy for the definition of a protocol for this purpose for the neotropical otter. Such a protocol, associated with the eight otter birth successes at the Conservationist Animal Refuge, all reaching adulthood, can serve as an important support for the need to reintroduce otters into places where the species has gone extinct.
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Indarta, Didiek Wahju, and Miranda Damayanti. "The Regional Supervisory Assembly’s Role in the Submission Delaying of the Notary Protocol by Heirs to Notary Recipient Protocol." JURNAL AKTA 11, no. 3 (2024): 685. https://doi.org/10.30659/akta.v11i3.39464.
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This study aims to analyze the role of the Regional Supervisory Council (MPD) in overseeing the submission of the notary protocol by the heirs to the protocol recipient notary, as well as the impact of the delay in submission. The research method applied in the preparation of this research is normative legal research. Normative legal research is a method that focuses on the study of positive law, namely the law that applies at a certain time and place. Notarial protocols are important documents that function as state archives and legal evidence. In this context, MPD has the responsibility to ensure that heirs fulfill their legal obligations in submitting notarial protocols on time. This research identifies various factors that cause delays in submission, including heirs' lack of awareness and knowledge, complicated administrative processes, as well as indifference to legal obligations. In addition, the research also revealed the negative impact of the absence of effective sanctions against late submission of protocols, which can result in legal uncertainty, losses for related parties, and a decrease in the integrity of the legal system. The results show that to improve the effectiveness of MPD supervision, socialization efforts, strengthening regulations, and enforcement of clear sanctions are needed. Thus, this study provides recommendations to improve the notary protocol submission mechanism and increase heirs' compliance with their legal obligations.
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Guy, Leshem, and Domb Menachem. "Strengthening IoT Network Protocols: A Model Resilient Against Cyber Attacks." IgMin Research 2, no. 2 (2024): 084–96. http://dx.doi.org/10.61927/igmin149.
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The pervasive Internet of Things (IoT) integration has revolutionized industries such as medicine, environmental care, and urban development. The synergy between IoT devices and 5G cellular networks has further accelerated this transformation, providing ultra-high data rates and ultra-low latency. This connectivity enables various applications, including remote surgery, autonomous driving, virtual reality gaming, and AI-driven smart manufacturing. However, IoT devices’ real-time and high-volume messaging nature exposes them to potential malicious attacks. The implementation of encryption in such networks is challenging due to the constraints of IoT devices, including limited memory, storage, and processing bandwidth. In a previous work [1], we proposed an ongoing key construction process, introducing a pivotal pool to enhance network security. The protocol is designed with a probability analysis to ensure the existence of a shared key between any pair of IoT devices, with the predefined probability set by the system designer. However, our earlier model faced vulnerabilities such as the “parking lot attack” and physical attacks on devices, as highlighted in the conclusion section. We present a complementary solution to address these issues, fortifying our previous protocol against cyber threats. Our approach involves the implementation of an internal Certification Authority (CA) that issues certificates for each IoT device before joining the network. Furthermore, all encryption keys are distributed by the primary IoT device using the Unix OS ‘passwd’ mechanism. If a device “disappears,” all encryption keys are promptly replaced, ensuring continuous resilience against potential security breaches. This enhanced protocol establishes a robust security framework for IoT networks, safeguarding against internal and external threats.
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Mahajan, Raman, Sakib Burza, Lex M. Bouter, et al. "Standardized Protocol Items Recommendations for Observational Studies (SPIROS) for Observational Study Protocol Reporting Guidelines: Protocol for a Delphi Study." JMIR Research Protocols 9, no. 10 (2020): e17864. http://dx.doi.org/10.2196/17864.
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Background Approximately 90% of currently published clinical and public health research is in the form of observational studies. Having a detailed and registered study protocol prior to data collection is important in any empirical study. Without this, there is no reliable way to assess the occurrence of publication bias, outcome reporting bias, and other protocol deviations. However, there is currently no solid guidance available on the information that a protocol for an observational study should contain. Objective The aim of this study is to formulate the Standardized Protocol Items Recommendations for Observational Studies (SPIROS) reporting guidelines, which focus on 3 main study designs of analytical epidemiology: cohort, case-control, and cross-sectional studies. Methods A scoping review of published protocol papers of observational studies in epidemiology will identify candidate items for the SPIROS reporting guidelines. The list of items will be extended with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist items and recommendations from the SPIROS steering committee. This long list serves as the basis for a 2-round Delphi survey among experts to obtain consensus on which items to include. Each candidate item from the long list will be rated on a 5-point Likert scale to assess relevance for inclusion in the SPIROS reporting guidelines. Following the Delphi survey, an expert-driven consensus workshop will be convened to finalize the reporting guidelines. Results A scoping review of published observational study protocols has been completed, with 59 candidate items identified for inclusion into the Delphi survey, itself launched in early 2020. Conclusions This project aims to improve the timeliness, completeness, and clarity of study protocols of observational studies in analytical epidemiology by producing expert-based recommendations of items to be addressed. These reporting guidelines will facilitate and encourage researchers to prepare and register study protocols of sufficient quality prior to data collection in order to improve the transparency, reproducibility, and quality of observational studies. International Registered Report Identifier (IRRID) PRR1-10.2196/17864
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Abbass, Ali, Maria C. Paiva, Daniel V. Oliveira, Paulo B. Lourenço, and Raul Fangueiro. "Insight into the Effects of Solvent Treatment of Natural Fibers Prior to Structural Composite Casting: Chemical, Physical and Mechanical Evaluation." Fibers 9, no. 9 (2021): 54. http://dx.doi.org/10.3390/fib9090054.
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This paper presents an optimized washing protocol for as-received natural fibers, prior to large-scale composite manufacturing, for the structural strengthening of historic masonry. The aim was to achieve a simple protocol for standard cleaning of fiber surfaces from low molecular weight constituents that may be detrimental towards interfacial strength without damaging the fibers. The proposed procedure employs the application of the solvent sequence: ethanol, acetone, hexane, with optimized incubation times and stirring conditions. Additionally, this procedure may change the surface of the fiber, thereby enhancing the durability of the fiber-matrix interface. The washing protocol resulted in an increase of tensile strength by 56%, 52% and 22% for flax, hemp and sisal fibers, respectively, as compared to the corresponding non-washed fibers, without loss of elongation. The static contact angle measurements confirmed exposure of a higher fraction of the hydrophilic crystalline cellulose, with a higher wettability observed after washing protocols.
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Zhang, Xiaowen, Zhanyang Zhang, and Xinzhou Wei. "An Improved Lightweight RFID Authentication Protocol." International Journal of Applied Logistics 2, no. 1 (2011): 76–84. http://dx.doi.org/10.4018/ijal.2011010105.
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This study extends the vulnerability analysis of a RFID authentication protocol and offers solutions to security weaknesses through enhanced measures. Vajda and Buttyan (VB) proposed a lightweight RFID authentication protocol, called XOR. Defend, Fu, and Juels (DFJ) analyzed it and proposed repeated keys and nibble attacks to the protocol. In this paper, we identify the source of vulnerability within VB’s original successive session key permutation algorithm. We propose three improvements, namely removing bad shuffles, hopping the runs, and authenticating mutually, to prevent DFJ’s attacks, thereby significantly strengthening the security of the protocol without introducing extra resource cost.
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Venneman, Sandy. "A commentary on Micah Bregman et al.: A method for testing synchronization to a musical beat in domestic horses (Equus ferus caballus)." Empirical Musicology Review 7, no. 3-4 (2013): 160. http://dx.doi.org/10.18061/emr.v7i3-4.3749.
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Dorich, J. M., and R. Cornwall. "Results of a Grip Strengthening Protocol for Nonspecific Wrist Pain in Adolescents." Journal of Hand Therapy 31, no. 1 (2018): 147. http://dx.doi.org/10.1016/j.jht.2017.11.010.
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Guliya, Sonali, Aksh Chahal, and Asir John Samuel. "Efficacy of core stability and supervised hip strengthening on knee osteoarthritis: a Randomized study protocol." Revista Pesquisa em Fisioterapia 11, no. 4 (2021): 823–32. http://dx.doi.org/10.17267/2238-2704rpf.v11i4.3972.
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INTRODUCTION: Osteoarthritis (OA) is a significant problem associated with pain; it reduces function, and hampered the quality of life. Only a few previous studies have established the comparative effect of core stability and hip strengthening exercise. OBJECTIVE: To investigate core stability and its relationship with supervised hip strengthening exercise in the management of knee OA. METHODS: This is a single centered project, two-group, pre-test, a post-test, randomized clinical trial where Forty-six patients with knee OA will be randomly allocated into two groups, Group A (experimental group 1) and B (experimental group 2) will receive core stability and hip strengthening exercise on three days a week for four weeks respectively across twelve treatment sessions. The primary outcome measure will be Knee Injury and Osteoarthritis Outcome measure (KOOS) in both English and Hindi versions, and secondary outcome measures will be Timed Up and Go test (TUG), Chair stand test to quantity pre and post effect of the intervention. EXPECTED RESULTS: This study planned to assess the efficacy and importance of core stability and hip strengthening exercise in reducing pain, improving function and quality of life in patients with knee OA. Protocol/Trial registration number: CTRI/2020/06/025973
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Sindhu B, Michael Selvaraj A, and Pavithra Lochani V. "EFFICACY OF TASK SPECIFIC STRENGTH TRAINING TO IMPROVE LOWER LIMB MOTOR PERFORMANCE IN SUBJECTS WITH STROKE." International Journal of Medical and Exercise Science 10, no. 01 (2024): 1723–32. http://dx.doi.org/10.36678/ijmaes.2024.v10i01.001.
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Objective: The objective of the study was to find out the effect of Functional Strengthening Exercise and conventional physiotherapy in motor performance of lower extremity in patients with middle cerebral artery stroke. The stroke patients have deficits in motor control and sensory system. Interventions like Task oriented exercises, strengthening programme, Neuro Developmental therapy (NDT) and Brunnstrom Movement therapy are required to achieve early recovery. Methodology: Thirty subjects were selected and divided into two groups based on selection criteria with age group between 45-55, both male and female, people affected by ischaemic stroke was included and those with cognitive deficits, visual and hearing disturbances, was excluded from the study. Pre-test was done by using Fugl-Meyer Motor Assessment (FMMA) - lower extremity as an outcome measure, proceeding with the treatment protocol; Group A: were the control group who received conventional physiotherapy. Group B: were the experimental group who received both task specific strengthening exercise programme along with conventional physiotherapy, treatment was given for 1 hour per day for 3 weeks. After the cessation of the treatment protocol, post-test was done using the same outcome measure. Result: Result of the study shows that task specific strengthening exercise along with conventional therapy was effective in the Motor recovery of Lower extremity in patients with middle cerebral artery stroke. Conclusion: Functional training which concentrates on strengthening the muscles is an effective technique which can be easily applied in stroke clients.
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He, Yulin. "CORE STRENGTH TRAINING ON PHYSICAL CONDITIONING OF COLLEGE MALE SOCCER PLAYERS." Revista Brasileira de Medicina do Esporte 28, no. 5 (2022): 501–4. http://dx.doi.org/10.1590/1517-8692202228052022_0063.
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ABSTRACT Introduction: The concept of CORE emerged in mechanical-neurological studies of rehabilitation in the 80s, referring to the central muscles of the human trunk, including the lumbar-pelvis-abdominal-perineal-hip complex responsible for the body orthostatic stability and support. Strengthening the CORE has received increasing attention from sports medicine specialists after the 2000s, and strength training is the subject of recent research in competitive sports. However, there is still a lack of conceptual studies of protocols for training focused on soccer athletes. Objective: Verify a CORE strength training protocol based on the analysis of the CORE training concept, its main functions, and introductory practical examples. Methods: Literature data collection, experimental and statistical-mathematical methods, and theoretical analysis about CORE training focused on explosive strength performance in soccer players are used. The developed protocol experiments with 44 athletes, divided into experimental and control groups, by sex. Information is collected on goal shooting, 30-meter pass, balance, stability, and symmetry. Results: The group experienced better results in both sexes(P<0.05). Conclusion: The explosion strength indicators of the players were significantly improved. Whether male or female athletes, the higher the skill level, the stronger the CORE stability in players. Therefore, the CORE stability and strengthening in athletes promote a benefit in the technical level of soccer players. Evidence Level II; Therapeutic Studies - Investigating the result.
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Langlet, David. "Advance Informed Agreement and Biosafety - the Elaboration, Functioning and Implications of AIA in the Cartagena Protocol." European Energy and Environmental Law Review 14, Issue 11 (2005): 291–310. http://dx.doi.org/10.54648/eelr2005042.
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The article provides a background on the perceived risks and benefits of living modified organisms (LMOs) and major scientific assessments made. It gives a brief account of the negotiations which led to the adoption of the Cartagena Protocol. The main focus is on describing and analysing the Advance Informed Agreement (AIA) procedure and the provisions for risk assessment and decision-making, including the precautionary approach and socio-economic considerations. Of particular interest is the way the procedure may contribute to strengthening the de facto territorial sovereignty of prospective importing States. The article further analyses the implementation of the AIA procedure in EC law and how this corresponds to the Protocol. It also gives attention to the provisions on access to information and public participation as means to enhance the legitimacy and quality of decisions regarding LMOs. Strengths and weaknesses of the Protocol with regard to the objective of strengthening the ability of importing countries to make and implement informed decisions are analysed. The article accounts for developments up to the second Meeting of the Parties held in June 2005.
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Meier, Ali. "Lingual Strengthening: Success in an Outpatient Setting." Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 24, no. 2 (2015): 71–74. http://dx.doi.org/10.1044/sasd24.2.71.
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In the last decade or more, dysphagia research has investigated the effect of lingual strengthening on oropharyngeal dysphagia with promising results. Much of this research has utilized strengthening devices such as the Iowa Oral Performance Instrument (IOPI) or the Madison Oral Strengthening Therapeutic (MOST) Device. Patients are often given a device to use, and are able to complete an exercise protocol daily or multiple times per day. This case study was completed to determine the effectiveness of using the IOPI in an outpatient clinic where therapy was conducted two to three times per week. The patient was seen post tongue resection due to oropharyngeal cancer. From initiation of IOPI use to patient discharge, the patient demonstrated a 71% increase in lingual strength at the anterior position, a 61% increase at the posterior position, and a 314% increase at the base of tongue position. His diet advanced from NPO to general based on gains in lingual strength and bolus propulsion.
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Sethi, Jasobanta. "Effect of proprioceptive neuromuscular facilitation strengthening versus proprioceptive neuromuscular facilitation stretching on glycosylated haemoglobin in patients with type 2 diabetes mellitus." Journal of medical pharmaceutical and allied sciences 11, no. 5 (2022): 5331–33. http://dx.doi.org/10.55522/jmpas.v11i5.4447.
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The study aimed to compare the effect of Proprioceptive neuromuscular facilitation strengthening (PNF Strengthening) Vs. Proprioceptive neuromuscular stretching (PNF Stretching) on Glycosylated haemoglobin (HbA1c) levels in patients with type 2 diabetes mellitus. Four hundred five type 2 diabetes mellitus patients were randomly allocated in Control group (Group A; n=138), Proprioceptive neuromuscular facilitation strengthening group (Group B; n=135) and Proprioceptive neuromuscular facilitation stretching group (Group C; n=132).HbA1c was measured pre and post intervention to examine the effect on blood glucose level. This study show that both PNF strengthening and PNF stretching have been effective in reduction of blood glucose level (p< 0.05). Whereas significant difference was found between the two interventions (p< 0.005).PNF strengthening has shown significant improvement compare to control and PNF stretching group. PNF strengthening may be a better treatment protocol for the clinicians towards benefit of the patients with type 2 diabetes mellitus.
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Wheelis, Mark L. "Strengthening Biological Weapons Control Through Global Epidemiological Surveillance." Politics and the Life Sciences 11, no. 2 (1992): 179–89. http://dx.doi.org/10.1017/s073093840001515x.
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A global epidemiological surveillance system is needed both for verification of the 1925 Geneva Protocol and as a confidence-building measure for the 1972 Biological Weapons Convention (BWC). This proposal should be part of the agenda of the Fourth Review Conference of the BWC, with preliminary consideration and analysis conducted at the national level and by appropriate international expert groups in preparation for the Review Conference. An example of the kind of program that might be constructed is described. Such a program would make it very difficult for hostile use of biological agents to remain undetected, would catalyze a dramatic increase in global public, agricultural, and veterinary health, and would offer reasonable assurance that emerging diseases would be detected at an early stage. These benefits easily justify the expenditures that would be required.
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Sunaryo, Syntia, and Siti Hajati Hoesin. "Legal Protection for Notary Service Users in the Absence of an Appointed Holder of Notary Protocols Following the Notary's Death." Asian Journal of Engineering, Social and Health 3, no. 12 (2024): 2842–55. https://doi.org/10.46799/ajesh.v3i12.485.
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The maintenance and storage of Notary protocols are critical responsibilities that must be managed meticulously due to their importance in ensuring the continuity of Notary services. This obligation is regulated through specific legal provisions, particularly in cases where a Notary has passed away. The Regional Supervisory Council holds the authority to appoint another Notary as the Protocol Holder of the deceased Notary. However, challenges arise when the MPD is unaware of the Notary's death or fails to appoint a Protocol Holder within the legal deadline. These lapses can disadvantage service users who require access to the deceased Notary's protocols, such as copies of deeds or other related documents. This study aims to analyze the responsibilities of the MPD in managing the protocols of deceased Notaries and to evaluate the legal protection available to service users. Utilizing a doctrinal research method with qualitative analysis of secondary data, this research highlights that the MPD is obligated to ensure the timely appointment of Protocol Holder Notaries. Failure to do so impedes public access to Notary services and compromises legal protection for users. To address these issues, the study recommends enhancing MPD supervision and procedural improvements, along with the enforcement of sanctions for negligence. Furthermore, service users are encouraged to seek legal remedies through the courts or supervisory councils to uphold their rights. Strengthening MPD performance and regulatory frameworks is essential for safeguarding public trust and ensuring effective legal protection.
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Dr.Raminder, Kaur Kathuriya, and Arijit Kumar Das Dr. "EFFECT OF LOWER LIMBS STRENGTHENING TO IMPROVE BALANCE IN COPD PATIENTS, RANDOMIZED CONTROL TRIAL." VIMS Journal of Physical Therapy 1, no. 2 (2019): 99–104. https://doi.org/10.5281/zenodo.3753835.
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Background: COPD is a progressive disease associated with an amplified chronic inflammatory response to nox-ious particles or gases in the airways and lungs.It’s management includes Pulmonary Rehabilitation .But Pulmonary Rehabilitation stays confined to the rehabilitation of lungs , it does not include treatment for secondary impairments like balance problems in patients with COPD. Aim - To improve the balance of patients suffering from COPD by im-proving the peripheral muscle strength with the help of progressive resisted exercises in addition to regular pulmo-nary rehabilitation. Objectives- 1.To find, if there is any improvement of balance by using P.R.E of lower limbs along with pulmonary rehab in COPD patients.2.To identify whether balance improvement can be done by pulmo-nary rehab for COPD.3.To compare whether pulmonary rehab with P.R.E or pulmonary rehab alone is effective in improving balance in COPD patients. Methodology- 30 subjects fulfilling the inclusion and exclusion criteria were selected. They were then segregated into groups by simple randomization procedure i.e group A and group B. Bal-ance was then assessed with NeuroCom’s Balance Master of both the groups. Subjects of Group A received pulmo-nary rehabilitation with strengthening exercises for lower limbs according to De Lorme’s model for 3 weeks, where-as Group B received the regular pulmonary rehabilitation (for 3 weeks). After the treatment protocol was complet-ed, the balance was reassessed for both the groups with the help of NeuroCom’s Balance Master. Result and Conclu-sion-The The intergroup significance were calculated by using Wilcoxon signed rank test and intragroup signifi-cance was calculated by using the Mann-Whitney rank sum test. On overall comparisons of treatment of group A and group B, group A showed significant improvement individually, but when compared with each other there was no statistically significant difference observed.
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Morgan, Courtney, Ryan M. Bell, Julie P. Burland, et al. "Effectiveness of an Accelerated Rehabilitation Protocol After Tibial Tubercle Osteotomy." Orthopaedic Journal of Sports Medicine 10, no. 11 (2022): 232596712211331. http://dx.doi.org/10.1177/23259671221133105.
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Background: Patients with recurrent patellar dislocations with trochlear dysplasia are commonly treated surgically with a tibial tubercle osteotomy (TTO). Recovery and rehabilitation processes are often nonoperative out of concern for fixation failure or fracture. A more accelerated rehabilitation protocol allowing for early weightbearing and quadriceps strengthening may help to improve patient outcomes as long as complications are not increased. Purpose: To evaluate the safety and effectiveness of an accelerated weightbearing and early strengthening postoperative rehabilitation program for patients who undergo TTO. Study Design: Case series; Level of evidence, 4. Methods: Included were patients who underwent unilateral/staged bilateral TTO performed by a single surgeon between August 2013 and February 2018 with ≥6 months of follow-up. The surgical indication was primarily for patients with recurrent patellar instability. In all cases, a diagnostic arthroscopy was performed to evaluate the cartilage surfaces and document patellar tracking. The TTO was performed using a freehand technique and two 3.5-mm fully threaded screws for fixation. Patients underwent an accelerated postoperative rehabilitation program that allowed for weightbearing and lower extremity strengthening starting at 4 weeks. Objective and subjective outcome measures included any postoperative complications, knee range of motion, and patient-reported outcome scores (Kujala Anterior Knee Pain Scale [AKPS] and Knee injury and Osteoarthritis Outcome Score composite [(KOOS5]). Results: A total of 51 knees in 50 patients (38 female, 12 male) with a mean age of 31.24 ± 12.57 years were included in the final analysis. Compared with preoperative values, postoperative maximum knee flexion was significantly improved (117.67° ± 32.65° vs 131.12° ± 9.02°, respectively; P = .022). Postoperative complications included 6 patients with arthrofibrosis requiring manipulation under anesthesia, 4 with removal of symptomatic hardware, 1 tibial fracture (due to a fall), and 1 conversion to patellofemoral arthroplasty. The mean postoperative AKPS and KOOS5 scores were 72.98 ± 21.51 and 75.05 ± 16.02, respectively. Conclusion: Accelerated postoperative rehabilitation in TTO patients was an effective means of treatment with good subjective and objective outcomes and complication rates lower than traditional rehabilitation protocols.
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P. Fisher, James, Mark Asanovich, Ralph Cornwell, and James Steele. "A neck strengthening protocol in adolescent males and females for athletic injury prevention." Journal of Trainology 5, no. 1 (2016): 13–17. http://dx.doi.org/10.17338/trainology.5.1_13.
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Moradi, Fereidoun, Hamid Mala, and Behrouz Tork Ladani. "Security Analysis and Strengthening of an RFID Lightweight Authentication Protocol Suitable for VANETs." Wireless Personal Communications 83, no. 4 (2015): 2607–21. http://dx.doi.org/10.1007/s11277-015-2558-0.
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Cornwall, Roger, and Jenny Dorich. "Results of a Grip Strengthening Protocol for Chronic, Nonspecific Wrist Pain in Adolescents." Journal of Hand Surgery 42, no. 9 (2017): S23—S24. http://dx.doi.org/10.1016/j.jhsa.2017.06.053.
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Kegelaers, Jolan, Imke Baetens, Veerle Soyez, Martijn Van Heel, Lisa Van Hove, and Paul Wylleman. "Strengthening Mental Health and Resilience Through Schools: Protocol for a Participatory Design Project." JMIR Research Protocols 12 (August 18, 2023): e49670. http://dx.doi.org/10.2196/49670.
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Background Mental health problems are a main contributor to the global burden of disease in children and young people within urban environments. In response, the potential of both school- and sport-based mental health promotion interventions has been advocated. However, there exists limited insights into how sport-based interventions can be integrated within school environment. Moreover, there is a need to consider children and young people’s specific needs, challenges, and motivations when designing novel mental health promotion interventions. Objective The Strengthening Mental Health and Resilience Through Schools (SMARTS) project aims to co-design an evidence-informed school-sport-based mental health promotion program. Specific objectives include (1) co-designing a multicomponent program, integrating sport sessions with class-based sessions, and complementing with educational modules for teachers and parents; (2) exploring how the mental health program can be implemented most effectively within the Brussels school system; and (3) conducting preliminary process and outcome testing of the program. Methods A participatory design framework will be adopted to develop the program. This framework involves end users throughout the entire study process, from problem identification to intervention delivery and evaluation, while at the same time ensuring program development remains directly informed by the available scientific evidence. Results Participant recruitment will commence in September 2023. The full project will be completed by March 2027. Conclusions With this intervention, we aim to provide a direct contribution to the promotion of children and young people’s mental health within the Brussels school context. At a broader level, conducting and documenting this large participatory design project can, hopefully, inspire other researchers to tailor their mental health programs to specific populations. International Registered Report Identifier (IRRID) PRR1-10.2196/49670
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Rosewilliam, Sheeba B., Catherine BüCher, Christine Roffe, and Anand D. Pandyan. "An approach to standardize, quantify and record progress of routine upper limb therapy for stroke subjects: The Action Medical Research Upper Limb Therapy protocol." Hand Therapy 14, no. 3 (2009): 60–68. http://dx.doi.org/10.1258/ht.2009.009017.
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Introduction. Explicitly describing therapy for research purposes, in terms of content and quantity, improves the validity of research and facilitates evidence-based clinical practice. However, such descriptions are not common in therapy research. The aim was to develop an upper limb therapy protocol which reflected local clinical practice in the stroke unit, and a recording form to document the content, quantity and progression of therapy. Methods. This was a multi-method study. A list of interventions commonly used for the rehabilitation of the stroke upper limb was compiled following a systematic literature search. This was then refined into the Action Medical Research Upper Limb Therapy (AMRULT) protocol in a two-stage process involving a survey and a group discussion. Six physical therapists and three occupational therapists supported its development. The AMRULT protocol was then piloted in a two-arm randomized controlled trial with 90 stroke patients for therapy and recording purposes. Results. The protocol classified therapies based on therapy input as passive, active assisted, active/strengthening and functional. Using this form it was possible to not only summarize the content of therapy but also objectively document progression (e.g. 14% of the participants progressed to functional exercises between the 5th and 8th weeks after stroke onset). Discussion. The AMRULT protocol and associated recording form were useful in both standardizing the delivery and quantification (content and progression) of therapy. While the AMRULT protocol was devised for a specific purpose, the method used can be adapted to develop protocols to support other research studies.
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Souza, Aline Alves de, Stephano Tomaz da Silva, Lorenna Raquel Dantas de Macedo, et al. "Physical therapy for muscle strengthening in individuals with amyotrophic lateral sclerosis: A protocol for a systematic review and meta-analysis." PLOS ONE 19, no. 7 (2024): e0307470. http://dx.doi.org/10.1371/journal.pone.0307470.
Full textAbstract:
Introduction People with Amyotrophic Lateral Sclerosis (ALS) can present initially muscle weakness, which is a debilitating symptom that may be improved by engaging in muscle strengthening activities. Currently, the effects of motor interventions for muscle strengthening in people with ALS are unclear. This review intends to analyze the effects of motor interventions for muscle strengthening in individuals with ALS Methods and analysis Randomized, non-randomized, and quasi-experimental clinical trials assessing individuals with ALS of both sexes, aged 18 years or older, who have received motor interventions for muscle strengthening considering all practices that can lead to increased strength, endurance, power and muscular hypertrophy will be included. No restriction on language, location, or publication date will be applied. MEDLINE, EMBASE, Cochrane Library (CENTRAL), SPORTDiscus, and Physiotherapy Evidence Database (PEDro) databases will be searched. The US National Institutes of Health Ongoing, ClinicalTrials.gov, and the reference lists of included studies will also be searched. Two reviewers will independently screen titles and abstracts and extract data from included studies. The methodological quality of the included studies will be assessed by the PEDro scale and the certainty of the evidence by the GRADE approach. Disagreements will be resolved by a third researcher. Findings will be presented in text and table formats. A meta-analysis will compare the effects of motor interventions for muscle strengthening versus placebo or other interventions.