Interval Laparotomy with Placement of Temporary Closure

2019 ◽  
pp. 295-297
Author(s):  
Carolyn Gosztyla ◽  
Howard I. Pryor
Keyword(s):  
Temporary Closure

Some aspects of the idea of unity V. Solovyov and the present

2000 ◽  
pp. 20-25
Author(s):  
O. O. Romanovsky
Keyword(s):  
Nineteenth Century ◽  
National Policy ◽  
The State ◽  
Place Of Residence ◽  
The Government ◽  
The University ◽  
Temporary Closure

In the second half of the nineteenth century, the nature of the national policy of Russia is significantly changing. After the events of 1863 in Poland (the Second Polish uprising), the government of Alexander II gradually abandoned the dominant idea of ​​anathematizing, whose essence is expressed in the domination of the principle of serving the state, the greatness of the empire. The tsar-reformer deliberately changes the policy of etatamism into the policy of state ethnocentrism. The manifestation of such a change is a ban on teaching in Polish (1869) and the temporary closure of the University of Warsaw. At the end of the 60s, the state's policy towards a five million Russian Jewry was radically revised. The process of abolition of restrictions on travel, education, place of residence initiated by Nicholas I, was provided reverse.

Has the SARS-CoV-2 outbreak had an impact on uptake of digital cessation support in UK smokers? An interrupted time series analysis (Preprint)

2020 ◽  
Author(s):  
Olga Perski ◽  
Aleksandra Herbec ◽  
Lion Shahab ◽  
Jamie Brown
Keyword(s):  
Time Series ◽  
Smoking Cessation ◽  
Secondary Analysis ◽  
Interrupted Time Series ◽  
Step Change ◽  
Outcome Variable ◽  
Primary Analysis ◽  
Increasing Trend ◽  
The Uk ◽  
Temporary Closure

BACKGROUND The SARS-CoV-2 outbreak may motivate smokers to attempt to stop in greater numbers. However, given the temporary closure of UK stop smoking services and vape shops, smokers attempting to quit may instead seek out digital support, such as websites and smartphone apps. OBJECTIVE We examined, using an interrupted time series approach, whether the SARS-CoV-2 outbreak has been associated with a step change or increasing trend in UK downloads of an otherwise popular smoking cessation app, Smoke Free. METHODS Data were from daily and non-daily adult smokers in the UK who had downloaded the Smoke Free app between 1 January 2020 and 31 March 2020 (primary analysis) and 1 January 2019 and 31 March 2020 (secondary analysis). The outcome variable was the number of downloads aggregated at the 12-hourly (primary analysis) or daily level (secondary analysis). The explanatory variable was the start of the SARS-CoV-2 outbreak, operationalised as 1 March 2020 (primary analysis) and 15 January 2020 (secondary analysis). Generalised Additive Mixed Models adjusted for relevant covariates were fitted. RESULTS Data were collected on 45,105 (primary analysis) and 119,881 (secondary analysis) users. In both analyses, there was no evidence for a step change or increasing trend in downloads attributable to the start of the SARS-CoV-2 outbreak. CONCLUSIONS In the UK, between 1 January 2020 and 31 March 2020, and between 1 January 2019 and 31 March 2020, there was no evidence that the SARS-CoV-2 outbreak has been associated with a surge in downloads of a popular smoking cessation app. CLINICALTRIAL osf.io/zan2s

scholarly journals Multidisciplinary management of the pregnant patient in haemorrhagic shock secondary to an undiagnosed ruptured liver adenoma

2020 ◽  
Vol 13 (2) ◽  
pp. e231995
Author(s):  
Brittany Sanford ◽  
Catherine Hoeppner ◽  
Tammy Ju ◽  
Brian K Theisen ◽  
Anna BuAbbud ◽  
...  
Keyword(s):  
General Surgery ◽  
Case Reports ◽  
Hepatocellular Adenoma ◽  
Multidisciplinary Care ◽  
Exploratory Laparotomy ◽  
Pregnant Patient ◽  
Haemorrhagic Shock ◽  
Liver Adenoma ◽  
Life Threatening ◽  
Temporary Closure

Management of a ruptured hepatocellular adenoma during pregnancy is a rare and potentially life-threatening entity. Few case reports have described management of the pregnant patient who presents in haemorrhagic shock secondary to a ruptured liver adenoma. A 30-year-old primigravid woman at 31 weeks pregnant presented with abdominal pain and fetal bradycardia. After stat caesarean delivery of the infant, she had continued hemoperitoneum and was in shock secondary to an undiagnosed ruptured liver mass. General surgery was consulted intraoperatively and performed an exploratory laparotomy, packing and temporary closure. She was subsequently taken to interventional radiology (IR) for angioembolisation of the left hepatic artery. After stabilisation, she underwent formal abdominal closure. Management of a ruptured hepatocellular adenoma in pregnancy requires urgent multidisciplinary care including obstetrics gynaecology, general surgery and IR.

Editorial

2012 ◽  
Vol 11 (1) ◽  
Author(s):  
Chris Roseveare ◽  
Keyword(s):  
Patient Safety ◽  
Young Male ◽  
Final Diagnosis ◽  
Mass Casualty ◽  
Major Incident ◽  
Spare Capacity ◽  
Acute Medical Unit ◽  
Infected Urine ◽  
Temporary Closure ◽  
The Impact

The snow and freezing temperatures will hopefully have passed by the time this edition reaches you; the sight of daffodils may be asignal that the relief of spring is not far off. Winter frequently stretches AMU resources to the limit – in recent years we have had epidemics of seasonal and swine f lu, but this year Norovirus seems to have been the bigger challenge. Ward closures from diarrhoea outbreaks have traditionally been more of a ‘downstream’ problem (no pun intended), but the impact of closure of the AMU would be substantial.At the time of writing this has still, thankfully, been avoided in my own hospital; however it remains a circumstance for which we have to be prepared. This edition’s ‘Viewpoint’ article describes how temporary closure of the AMU was managed in a London hospital. The use of an empty ‘winter pressures ward’ eased the burden in this case, enabling the AMU service to be maintained. Even with the luxury of this spare capacity, there was clearly significant disruption, requiring close collaboration between a variety of departments, which is well described by the authors. Many hospitals have become highly dependent on a functioning AMU to provide timely, safe and effective care for medical emergencies. Major incident plans are in place to deal with mass casualty incidents; we need to consider similar contingencies to deal with AMU closure if patient safety is going to be maintained. This article is a timely reminder of the need for forward planning. Maintaining patient safety is a mantra which will be familiar to acute physicians, particularly those who attended any of the recent SAM meetings, where this theme has been well rehearsed. An acute medical unit can provide significant safety benefits by concentrating resources in a single area. However, for the 60% who cannot go directly home from the AMU, this model creates the need for care to be transferred at some point. It is well recognised that transfer is a time at which patient safety can become compromised; so if safety is our mantra, acute physicians and nurses have a responsibility to manage this process effectively. The article by David Hindmash and Liz Lees provides an important addition to the limited literature in this area. Structured checklists are becoming an increasing part of medical practice; this paper highlights how a checklist can be used to improve the quality of handover from AMU. The authors emphasise the need to keep the form simple, and the importance of regular reinforcement to ensure that it is used. What skills and attributes does an acute physician require? With interview season approaching it’s a question that many prospective trainees will be contemplating – remaining calm under pressure, communication skills and teamworking are some of the standard responses; but what about a good sense of smell? Most of us recognise the characteristic odour of melaena , or the whiff of infected urine. But the absence of body odour might be equally revealing. Luther and Yap noted their patient to be ‘remarkably clean’ – unusual, perhaps, for a young male patient on the AMU; along with his persistent demands to use the showering facilities, this was a clue to the final diagnosis of Cannabis Hyperemesis Syndrome.It’s a case worth reading and highlights the importance of lateral thinking, particularly when patients repeatedly attend – as well as having a ‘good nose’ to sniff out something unusual!

COVID-19 AND SOUNDSCAPE CHANGES DUE TO THE LOCKDOWN. THE CASE OF LIMA, PERU

Akustika ◽  
2021 ◽  
Author(s):  
walter Montano ◽  
Elena Gushiken
Keyword(s):  
Leisure Activities ◽  
Way Of Life ◽  
Environmental Sound ◽  
Educational Activities ◽  
Industrial Activities ◽  
Sound Levels ◽  
Temporary Closure ◽  
The Impact ◽  
The Way

The COVID-19 pandemic has changed the way of life of the world’s population, and initially all non-essential commercial and industrial activities in all countries were suspended, as well as the temporary closure of major airports and educational activities. As never before, environmental sound levels were reduced as a result of the quarantine, as the authorities ordered people to remain confined in their homes in order to reduce and prevent the SARS-CoV-2 transmission. Cities became silent and in some cases birds and wildlife “took over” this situation. This change in the soundscape led to sounds that were previously masked, now being heard, i.e. HVAC and other noises. This article presents the case of Lima, Peru, in which the impact and annoyance produced by aircrafts overflights are analyzed (during 2020); as well as the healthy soundscape levels achieved ‘thanks’ to the commercial lockdown and leisure activities.

scholarly journals US Moral Panics, Mexican Politics, and the Borderlands Origins of the War on Drugs, 1950–62

2018 ◽  
Vol 55 (2) ◽  
pp. 364-387
Author(s):  
Benjamin T. Smith ◽  
Wil G. Pansters
Keyword(s):  
Civil Society ◽  
Drug Policy ◽  
Moral Panic ◽  
War On Drugs ◽  
Moral Panics ◽  
The 1950S ◽  
Temporary Closure ◽  
Mexican Politics

During the 1950s Californian civil society advocates and politicians developed a moral panic over youth narcotic use. One of the key elements of this moral panic was the assertion that most drugs came over the border and that the only solution to this problem was blackmailing Mexico through temporary closure of the border. The idea not only became a tenet of later drug policy, but also, in conjunction with pressure from Mexico’s own moral reformers, forced regional politicians in Mexico to enact periodic clean up campaigns.

Risk Analysis Techniques for Safety Evaluation of Highway Work Zones

2000 ◽  
Vol 1715 (1) ◽  
pp. 10-17 ◽  
Author(s):  
Ana Maria Elias ◽  
Zohar J. Herbsman
Keyword(s):  
Risk Analysis ◽  
Safety Evaluation ◽  
Highway Safety ◽  
Point Of View ◽  
Work Zone ◽  
Work Zones ◽  
Construction Sites ◽  
Work Zone Safety ◽  
Accident Data ◽  
Temporary Closure

Construction sites or work zones create serious disruptions in the normal flow of traffic, resulting in major inconveniences for the traveling public. Furthermore, these work zones create safety hazards that require special consideration. Current legislation and programs, at both state and national levels, emphasize the need for a better understanding of work zone problems to address work zone safety. This reality—coupled with the temporary closure of more miles of highway every year for rehabilitation and maintenance—makes the analysis of safety at construction sites a serious matter. A summary of a comprehensive study associated with the development of a new practical approach to address highway safety in construction zones is presented. Because empirical models require sample sizes that are not attainable due to the intrinsic scarcity of construction zone accident data, the problem was studied from the point of view of risk analysis. Monte Carlo simulations were used to develop risk factors. These factors are meant to be included in the calculations of additional user costs for work zones, or simply applied as risk measurements, to optimize the length and duration of closures for highway reconstruction and rehabilitation projects. In this way, it will be possible to assess the danger of work zones to the traveling public and minimize adverse effect of work zones on highway safety.

scholarly journals The Application Of The Principle Of Notary Prudence In Knowing The Applicant By Notary

Jurnal Akta ◽  
2019 ◽  
Vol 6 (2) ◽  
pp. 321
Author(s):  
Gerin Prayoga ◽  
Jawade Hafidz
Keyword(s):  
Precautionary Principle ◽  
Processing System ◽  
Secondary Data ◽  
Primary Data ◽  
Application System ◽  
Transaction Analysis ◽  
System 2 ◽  
On Line ◽  
Legal Administration ◽  
Temporary Closure

Abstract. The purpose of this study was to: 1) To Know and analyze the application of the principle of notary prudence In Knowing the applicant. 2) To Detect and Analyze Effects Of Authentic And Notary Deed Not Applying the Precautionary Principle  In Knowing the applicant. The data used in this study are primary data, secondary data and data that can support tertiary study, which was then analyzed by the method of description and interpretation.Based on the results of data analysis concluded that: 1) The principle of recognizing User Services as referred to in paragraph (1) at least includes identification of User Services, User Verification Transaction Monitoring Services and User Services. Reporting to the Financial Transaction Analysis and Reporting Center (PPATK) is recommended if it is believed their suspicions of money laundering schemes will be carried out, the registration obligation remains to be done, the registration once for serving. Reporting through the application system GRIPS (Gatahering Report Information Processing System). 2) an authentic deed which turned out later proven to be pecucian money, then it becomes the responsibility of the applicant own. Notaries who do not register GRIPS, will apply sanctions in the form of the temporary closure of access to AHU account on line, and thus access to the system notary Legal Administration (SABH) will be automatically blocked.Keywords: Notary; Precautionary Principle; Protection.

scholarly journals The Impacts of Food Taboos and Preferences on Food Security in Developing Countries: Evidence from Ethiopia

2021 ◽  
Vol 10 (1) ◽  
pp. 1-11
Author(s):  
Alex Sewenet ◽  
Pavol Schwarcz
Keyword(s):  
Developing Countries ◽  
Food Security ◽  
Primary Data ◽  
Food Utilization ◽  
Orthodox Christian ◽  
Food Taboos ◽  
Essential Components ◽  
Policies And Programs ◽  
Private Investors ◽  
Temporary Closure

Abstract Food norms are embodied within all the essential components of food security; availability, access, utilization, and stability. However, the adverse economic influences of these norms are largely under–researched in developing countries. Unique in its scoop, this study thus investigates the impacts of food taboos and preferences (FTP) on food security in Ethiopia, one of the world’s food–insecure nations combined with a culture of strict food norms. On the basis of a qualitative research design with semi–structured in–depth interviews, primary data was collected from eleven key informants of pertinent multidisciplinary backgrounds, experts and decision–makers. The empirical evidence revealed that religious and secular– based FTP have put significant restrictions on the efficient utilization of the existing edible resources in the country. For example, during Orthodox Christian (OC) and Muslim fasting days, the overall food supply chain undergoes economic turbulence. Particularly, the economic challenge of OC fasting is expressed by (1) a decrease in consumption and supply of non–vegan foods, (2) the temporary closure of butcher and dairy shops, (3) an increase in the demand and price of vegan foods, and (4) an overall reduction in consumption and economic transactions. Moreover, the tradition of animal consecration at home has made many Ethiopians to rarely depend on supermarkets, groceries, and other licensed meat shops. In turn, this impedes the country’s endeavor of attracting local and foreign private investors in the general food sector. It also alienates people from access to food labels, meat quality controls, price, size, and choice advantages, all of which are essential for better, adaptive, and stable food utilization. The results discovered in this thesis enrich our understanding on the role of food norms in the economic systems. Particularly, the study sheds light on the indispensable need to consider the subject of FTP in policies and programs aiming to end food insecurity.

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