Approaching Digital Management Prior to Displacement of the Distal Phalanx

2016 ◽  
pp. 360-363
Author(s):  
Randy B. Eggleston
Keyword(s):  
Distal Phalanx ◽  
Digital Management

scholarly journals Anatomy of the Distal End of Flexor Digitorum Longus Tendon and Percutaneous Release Technique: A Cadaveric Study

2019 ◽  
Vol 4 (4) ◽  
pp. 247301141988427
Author(s):  
Baofu Wei ◽  
Ruoyu Yao ◽  
Annunziato Amendola
Keyword(s):  
Distal Phalanx ◽  
Neurovascular Bundle ◽  
Middle Phalanx ◽  
Flexor Digitorum Longus ◽  
Longus Tendon ◽  
Pull Out ◽  
Percutaneous Release ◽  
Significant Difference ◽  
Distal Interphalangeal ◽  
Flexor Digitorum

Background: The transfer of flexor-to-extensor is widely used to correct lesser toe deformity and joint instability. The flexor digitorum longus tendon (FDLT) is percutaneously transected at the distal end and then routed dorsally to the proximal phalanx. The transected tendon must have enough mobility and length for the transfer. The purpose of this study was to dissect the distal end of FDLT and identify the optimal technique to percutaneously release FDLT. Methods: Eight fresh adult forefoot specimens were dissected to describe the relationship between the tendon and the neurovascular bundle and measure the width and length of the distal end of FDLT. Another 7 specimens were used to create the percutaneous release model and test the strength required to pull out FDLT proximally. The tendons were randomly released at the base of the distal phalanx (BDP), the space of the distal interphalangeal joint (SDIP), and the neck of the middle phalanx (NMP). Results: At the distal interphalangeal (DIP) joint, the neurovascular bundle begins to migrate toward the center of the toe and branches off toward the center of the toe belly. The distal end of FDLT can be divided into 3 parts: the distal phalanx part (DPP), the capsule part (CP), and the middle phalanx part (MPP). There was a significant difference in width and length among the 3 parts. The strength required to pull out FDLT proximally was about 168, 96, and 20 N, respectively, for BDP, SDIP, and NMP. Conclusion: The distal end of FDLT can be anatomically described at 3 locations: DPP, CP, and MPP. The tight vinculum brevis and the distal capsule are strong enough to resist proximal retraction. Percutaneous release at NMP can be performed safely and effectively. Clinical Relevance: Percutaneous release at NMP can be performed safely and effectively during flexor-to-extensor transfer.

scholarly journals Digital Management Systems in Academic Health Sciences Laboratories: A Scoping Review

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 739
Author(s):  
Margareth Timóteo ◽  
Emanuelle Lourenço ◽  
Ana Carolina Brochado ◽  
Luciana Domenico ◽  
Joice da Silva ◽  
...  
Keyword(s):  
Scoping Review ◽  
Health Sciences ◽  
Management Systems ◽  
Experimental Medicine ◽  
Academic Health ◽  
Good Practices ◽  
High Staff Turnover ◽  
Digital Management ◽  
Good Laboratory ◽  
Management Reporting

Good laboratory practices (GLP) increase the quality and traceability of results in health sciences research. However, factors such as high staff turnover, insufficient resources, and a lack of training for managers may limit their implementation in research and academic laboratories. This Scoping Review aimed to identify digital tools for managing academic health sciences and experimental medicine laboratories and their relationship with good practices. Following the PRISMA-ScR 2018 criteria, a search strategy was conducted until April 2021 in the databases PUBMED, Web of Sciences, and Health Virtual Library. A critical appraisal of the selected references was conducted, followed by data charting. The search identified twenty-one eligible articles, mainly originated from high-income countries, describing the development and/or implementation of thirty-two electronic management systems. Most studies described software functionalities, while nine evaluated and discussed impacts on management, reporting both improvements in the workflow and system limitations during implementation. In general, the studies point to a contribution to different management issues related to GLP principles. In conclusion, this review identified evolving evidence that digital laboratory management systems may represent important tools in compliance with the principles of good practices in experimental medicine and health sciences research.

scholarly journals Effect of Knowledge Sharing and Digital Management to Performance on Ecotourism in Ranong Province, Thailand

2020 ◽  
Vol 11 (5) ◽  
pp. 481
Author(s):  
Witthaya Mekhum ◽  
Chonmapat Torasa
Keyword(s):  
Knowledge Sharing ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Management System ◽  
Partial Least Square ◽  
Least Square ◽  
Survey Method ◽  
Tourist Attraction ◽  
Digital Management ◽  
Information And Communication

Ecotourism is the combination of ecosystem and tourism. Ecosystem tourism includes travel to destinations where flora, fauna, and cultural heritage are the primary attractions. Present study wants to establish the link between knowledge sharing, information and communication technology (ICT) and ecotourism performance with mediation of tourist attraction and digital management system among employees of ecotourism provider companies in Ranong province of Thailand. Data is collected through questionnaire survey method and via dropdown technique. Partial Least Square (PLS) is used in this study for data analysis. Results indicate that knowledge sharing related to ecotourism and ICT has positive significant impact on ecotourism performance and on tourist attraction and digital management system respectively. Tourist attraction has positive significant impact on ecotourism performance but not mediate the relation. Digital management system mediates the relation and also has the positive significant impact on ecotourism performance. Practitioners should focus on knowledge sharing variable, ICT and digital management system for increasing the ecotourism performance among ecotourism provider companies in Ranong province of Thailand.

To Construct a Management System for Tourism Resources of Intangible Cultural Heritage

2011 ◽  
Vol 403-408 ◽  
pp. 377-382
Author(s):  
Xi Jia Huang ◽  
Qing Zhou
Keyword(s):  
Cultural Heritage ◽  
Management System ◽  
Development Theory ◽  
Intangible Cultural Heritage ◽  
Security Measures ◽  
Rational Development ◽  
Digital Management ◽  
Tourism Resources ◽  
Development And Utilization ◽  
Development Methods

The management of intangible cultural heritage as tourism resources has drawn more and more concerns recently. Therefore, it is an important project to construct a management system for the tourism resources of intangible cultural heritage under the instruction of sustainable development theory, system theory, and opportunity cost theory on the need of its inheritance. Generally speaking, this project involves two aspects: the management of its development and utilization calls for a series of rational development methods, such as government guidance, reasonable programming, tourism-oriented development, and life field restoration; whereas the management of its protection and inheritance requires some multidimensional security measures, including system security, education guarantee, non-governmental protection and digital management etc.. The construction of such a management system will function as standard and enlightenment to the management of intangible cultural heritage as tourism resources.

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