scholarly journals Robotic hernia surgery

Der Chirurg ◽  
2021 ◽  
Author(s):  
Michaela Ramser ◽  
Johannes Baur ◽  
Nicola Keller ◽  
Jan F. Kukleta ◽  
Jörg Dörfer ◽  
...  

AbstractThe treatment of inguinal hernias with open and minimally invasive procedures has reached a high standard in terms of outcome over the past 30 years. However, there is still need for further improvement, mainly in terms of reduction of postoperative seroma, chronic pain, and recurrence. This video article presents the endoscopic anatomy of the groin with regard to robotic transabdominal preperitoneal patch plasty (r‑TAPP) and illustrates the surgical steps of r‑TAPP with respective video sequences. The results of a cohort study of 302 consecutive hernias operated by r‑TAPP are presented and discussed in light of the added value of the robotic technique, including advantages for surgical training. r‑TAPP is the natural evolution of conventional TAPP and has the potential to become a new standard as equipment availability increases and material costs decrease. Future studies will also have to refine the multifaceted added value of r‑TAPP with new parameters.

2018 ◽  
Vol 9 (2) ◽  
pp. 109-114
Author(s):  
Gheorghe Andrei ◽  
Raluca Gâlmeanu ◽  
Florin Radu

Abstract Accounting it’s an important component of the economic information system. E. Horomnea believes that through specific means and procedures, accounting provides: clarifications of the past and the present of the economic entities, pertinent analyzes that are directed to the market; provides guidance on the strategic future; provides motivations and solutions for the decisions made. This article will analyze the evolution of managerial accounting from traditional costing to the new guidelines, when the issue of creating added value and managing third parties needs represents the future of any information system. After 1987 there are continuous changes and concerns, not only at Romanian level but at world wide scale.


Urban Science ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. 18
Author(s):  
Ayyoob Sharifi ◽  
Maryam Roosta ◽  
Masoud Javadpoor

As cities are exposed to a portfolio of risks, the concept of resilience has risen to prominence over the past two decades. Consequently, a large volume of research has been published on different aspects of urban resilience. However, urban form resilience is still relatively understudied. As a step toward filling this gap, this study examines resilience of nine selected neighborhoods from Shiraz, an old Iranian city. The selected cases represent three different urban form patterns, namely, traditional, semi-planned, and planned. Different indicators related to the physical configuration of lots, blocks, open and green spaces, and street networks are used to examine resilience of each neighborhood to three major stressors, namely, earthquakes, extreme heat events, and floods. Additionally, a combination of Shannon entropy and the VIKOR (VlseKriterijumska Optimizcija I Kaompromisno Resenje in Serbian) method is used to rank the resilience of each neighborhood to each of the three stressors. Results show that, overall, the physical form of the planned neighborhoods is more conducive to urban resilience. In contrast, the urban form of traditional neighborhoods was found to be less resilient. There were, however, some variations depending on the type of stressor considered. The paper concludes by emphasizing the need to consider social and economic factors in future studies of urban form resilience.


2021 ◽  
Vol 19 (1) ◽  
pp. 614-634
Author(s):  
Ayodele T. Odularu ◽  
Peter A. Ajibade

Abstract The aim of this review study was to assess the past significant events on diabetes mellitus, transformations that took place over the years in the medical records of treatment, countries involved, and the researchers who brought about the revolutions. This study used the content analysis to report the existence of diabetes mellitus and the treatments provided by researchers to control it. The focus was mainly on three main types of diabetes (type 1, type 2, and type 3 diabetes). Ethical consideration has also helped to boost diabetic studies globally. The research has a history path from pharmaceuticals of organic-based drugs to metal-based drugs with their nanoparticles in addition to the impacts of nanomedicine, biosensors, and telemedicine. Ongoing and future studies in alternative medicine such as vanadium nanoparticles (metal nanoparticles) are promising.


Author(s):  
D.W. Baxter

In 1975, medical neurology is a well established, viable, growing specialty in Canada. There are now almost 250 neurologists scattered across the country, congregated largely in the hospitals associated with our 16 medical schools. Neurology is a major component of the undergraduate curriculum in each of these schools, and the majority of schools are approved for postgraduate training in our specialty. The Royal College has certified an average of 18 new neurologists each year for the past five years. In our hospitals we work closely with our internist and neurosurgical colleagues and we receive the support of highly competent teams of neuropathologists, clinical electrophysiologists and neuroradiologists. We believe that we provide a generally high standard of consultation service to our medical and surgical colleagues. We accept direct responsibility for patients suffering from a host of acute neurological problems, but we accept long term responsibility for very few. We do a great deal of teaching at both the undergraduate and graduate levels. In fact, the major role which neurology plays in undergraduate curricula, and the stimulus of postgraduate education, probably have been the two most influential factors shaping the number, work patterns and distribution of Canadian neurologists. Many of us are engaged in clinical investigation, but relatively few medical neurologists in Canada make fundamental research contributions.


2015 ◽  
Vol 4 (4) ◽  
pp. 18-28
Author(s):  
Shuang Feng ◽  
Jon Stewart

The Chinese stock market is an emerging market that has gained much importance over the past few decades. Because of this, it also serves as a great subject for studying market inefficiencies and anomalies. In this paper we provide a review of evidence regarding the development, efficiency and integration of the Chinese stock market. In particular, we review recent literature in the areas of market segmentation, cross-listings and calendar effects. This provides evidence of market inefficiency in China. We also pose questions that can be answered in future studies.


2019 ◽  
Vol 7 (5) ◽  
pp. 1152-1159
Author(s):  
Wael Ibrahim Alsarrani ◽  
Ahmad Jusoh

Purpose: Leadership is an interactive concept that influences our daily lives. A quality concept is an approach and philosophy that leaders use to incorporate the leadership process into the organization successfully. Both concepts have an incremental history, correlation, and discussion. However, the two concepts have not yet been theoretically and empirically integrated. This paper attempts to integrate and discuss leadership and quality to create a single quality leadership style based on the definition of quality gurus and the leadership styles which relate more towards the quality of leadership. Methodology: The study used a systematic literature review to review the past literature related to the field of leadership and quality management. This study provides the constructs from definitions proposed by experts in this field. Each leadership styles have many constructs that may or may not be related to quality. Results: The study proposed a conceptual framework which combined the definitions of quality gurus and the different leadership styles. The finding of this study has contributed to the expansion of theoretical knowledge in the field of quality leadership style. Implications: This paper indicated that the review of the literature regarding what quality gurus define as important relating to leadership. This paper provides the constructs from quality gurus definitions. Novelty: Each leadership styles have many constructs that may or may not be related to quality. Therefore, future studies need to consider what the constructs from those leadership styles are considered effective to quality.


2016 ◽  
pp. 24 ◽  
Author(s):  
Malini Suchak ◽  
Michael Piombino ◽  
Kalina Bracco

Colony housing of cats allows shelters to maximize the number of cats housed in limited space. Most research on colony-housed cats examines stress in relation to group size or enclosure size.  While this is important for evaluating welfare, it is equally important to understand how cats are interacting socially in these colonies. We observed 259 adult cats housed in groups of two to eight individuals. Scan samples were used to assess how frequently individual cats were in close proximity to other cats. These data were used to measure individual differences in sociability and patterns of proximity to certain partners. We used information about the past history of the cat, which was collected upon admission to the shelter to identify predictors of time spent in proximity. There was a high degree of inter-individual variability in sociability. Strays tended to spend less time in proximity to other cats, and this effect was most pronounced in females.However, none of the information collected upon admission predicted patterns of proximity to certain partners, or which cats spent time in association witheach other. Future studies should explore the implications of differences in sociability by associating observations of social behavior and stress behaviors.


2011 ◽  
pp. 670-690
Author(s):  
Youakim Badr ◽  
Nanjangud C. Narendra ◽  
Zakaria Maamar

Traditional solutions to address interoperability issues are mainly process-centric so that consistent interactions among collaborating enterprises are ensured. These solutions examine interoperability from a technological perspective with focus on exchanging information messages between distributed and heterogeneous applications. However, interoperability from a business perspective has been overlooked in the past due to the complexity of reconciling diverse business strategies, organizational constraints, and IT infrastructures. Business interoperability denotes the ability of diverse enterprises to collaborate together to coproduce added-value products and services. In this chapter, a new line of thinking is promoted whereby interoperability is data-centric instead of process-centric. Business interoperability is dealt with by adopting business artifacts that are able to cross organizational boundaries, and by introducing a stack of three layers - strategy, service, and resource. Artifacts are self-contained business records that include attributes, states, and life cycles that reflect the changes in these states. The artifact concept not only describes a business entity, but also encompasses knowledge about what to process without explaining how to do it. The shift from processes to artifacts makes business interoperability “quite simple’’ to deploy and renders collaboration easy to manage and analyze. The chapter also introduces several interaction patterns that regulate the exchange of artifacts between enterprises. The ideas and proposals in this chapter are discussed via a realistic case-study to demonstrate how business people can seamlessly manage their day-to-day activities and intuitively construct interoperable and sustainable collaborations at the business and technological levels.


2012 ◽  
Vol 94 (7) ◽  
pp. 224-224
Author(s):  
Katie Bennett

In April the Daily Telegraph reported that the widespread rationing of tonsillectomies had resulted in a 40% rise in emergency admissions in the past decade. Ear, nose and throat surgeons, who have supported us in dealing with the increased media interest in the rationing of elective operations, agree that this is just part of a much larger problem. It is known that some trusts have drawn up a list of procedures deemed to be of 'limited clinical value' or 'low priority' against clinical guidance – these include hip and knee replacements, grommets, cochlear implants and elective hernia surgery.


2017 ◽  
Vol 17 (2) ◽  
Author(s):  
Fernando Rodrigues da Silva ◽  
Mariana Lúcio Lyra ◽  
Célio Fernando Baptista Haddad ◽  
Denise de Cerqueira Rossa-Feres

Abstract The vegetation cover in the Atlantic Forest has been converted to human use or degraded by human activities, which declined the vegetation to 16% of its original extent. Although several protected areas have been created in this Neotropical biome over the past decades, our knowledge of the amphibian species within these areas is still far from adequate. Here, we present lists of anuran species from three different areas of Parque Estadual da Serra do Mar: núcleos Curucutu, Santa Virgínia and São Sebastião. To survey anuran species, we visited six sampling units (two ponds, two streams and two trails inside forest fragments) in each locality. Samplings were accomplished from December 2014 to February 2015, December 2015 to February 2016 and December 2016 to February 2017, totalizing 27 days of field samplings in each sampling unit. We recorded 34 anuran species in the Núcleo Curucutu, 44 species in the Núcleo São Sebastião and 42 species in the Núcleo Santa Virgínia, totalizing 65 species belonging to 12 families (number of species in parentheses): Bufonidae (5), Brachycephalidae (6), Centrolenidae (1), Craugastoridae (1), Cycloramphidae (2), Hemiphractidae (1), Hylidae (29), Hylodidae (3), Leptodactylidae (12), Microhylidae (2), Odontophrynidae (2), and Phyllomedusidae (1). We hope that these lists can be useful for future studies as well as helping in the management and conservation planning of these protected areas.


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