50 research outputs found
THESSALONIKI PAEDIATRIC TRAUMA COURSE Thessaloniki, The MET Hotel, Greece June 16-18, 2022 (Thu-Sat) T by EPOS
Knowledge Clusters and Knowledge Hubs: Designing Epistemic Landscapes for Development
With globalization and knowledge-based production, firms may cooperate on a global scale, outsource parts of their administrative or productive units and negate location altogether. The extremely low transaction costs of data, information and knowledge seem to invalidate the theory of agglomeration and the spatial clustering of firms, going back to the classical work by Alfred Weber and Alfred Marshall, who emphasized the microeconomic benefits of industrial collocation. This paper will argue against this view and show why the growth of knowledge societies will rather increase than decrease the relevance of location by creating knowledge clusters and knowledge hubs, due to sharing of tacit knowledge and research and development outputs. Designing epistemic landscapes of knowledge clusters and hubs is, therefore, proposed as a viable development policy.knowledge governance; knowledge cluster; knowledge hub; epistemic landscape; development
Conversion of biarticular to monoarticular muscles as a component of multilevel surgery in spastic diplegia
We treated 20 children (40 limbs) with diplegic cerebral palsy who could walk by multilevel soft tissue operative procedures including conversion of the biarticular semitendinosus and gastrocnemius to monoarticular muscles. The mean age at surgery was 11.5 years (5.6 to 17.0). All patients underwent clinical and radiological examination and three-dimensional instrumented gait analysis before and at a mean of 3.1 years (2.0 to 4.5) after surgery. The passive range of movement at the ankle, knee and hip showed improvement at follow-up. Kinematic parameters indicated a reduced pelvic range of movement and improvement of extension of the knee in single stance after operation (p < 0.0001). However, postoperative back-kneeing was detected in five of the 40 limbs. The kinetic studies showed that the power of the hamstrings and plantar flexors of the ankle was maintained while the maximum knee extensor moment during stance was reduced. The elimination of knee flexor activity of semitendinosus and gastrocnemius combined with transfer of distal rectus femoris led to an improvement in gait as confirmed by gait analysis. </jats:p
