Nutritional Insight into Preduodenal Pouch Reconstruction One Year after Total Gastrectomy

2012 ◽  
Vol 176 (1) ◽  
pp. 34-41 ◽  
Author(s):  
Srdjan Dikic ◽  
Tomislav Randjelovic ◽  
Svetlana Dragojevic ◽  
Dragan Gacic ◽  
Dragoljub Bilanovic ◽  
...  
Keyword(s):  
Total Gastrectomy ◽  
Pouch Reconstruction ◽  
One Year ◽  
Insight Into

scholarly journals Usefullness of Jejunal Pouch Reconstruction After Total Gastrectomy.

1994 ◽  
Vol 27 (9) ◽  
pp. 2093-2098 ◽  
Author(s):  
Shinya Adachi ◽  
Takahiko Kawashima ◽  
Tomoyoshi Ishikawa ◽  
Azusa Ozaki
Keyword(s):  
Total Gastrectomy ◽  
Jejunal Pouch ◽  
Pouch Reconstruction ◽  
Jejunal Pouch Reconstruction

scholarly journals Idiopathic Acute Exudative Polymorphous Vitelliform Maculopathy: Insight into Imaging Features and Outcomes

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Sónia Torres-Costa ◽  
Susana Penas ◽  
Ângela Carneiro ◽  
Renato Santos-Silva ◽  
Rodolfo Moura ◽  
...  
Keyword(s):  
Complete Resolution ◽  
Indocyanine Green Angiography ◽  
Fundus Autofluorescence ◽  
Correct Diagnosis ◽  
Posterior Pole ◽  
Imaging Features ◽  
Corrected Visual Acuity ◽  
Blurry Vision ◽  
One Year ◽  
Insight Into

The authors describe imagiological findings in idiopathic exudative polymorphous vitelliform maculopathy. A 41-year-old woman complained of bilateral blurry vision. Best-corrected visual acuity was 20/20 bilaterally. Bilateral small serous neurosensory detachments in the fovea were seen at fundoscopy and confirmed by spectral-domain optical coherence tomography. Fluorescein angiography was unremarkable. Indocyanine green angiography presented discrete hyperfluorescent spots on the posterior pole. Later, more bleb-like lesions with a vitelliform appearance and hyperautofluorescent on blue fundus autofluorescence were detected. One year later, a complete resolution of the fluid was observed. To conclude, multimodal evaluation of patients with idiopathic exudative polymorphous vitelliform maculopathy is essential for the correct diagnosis of this disease.

scholarly journals P105: Observational study of distribution of time and activities over the course of an emergency physician's shift

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S102-S103
Author(s):  
E. Feng ◽  
Z. Zia ◽  
C. Tong ◽  
N. Cornell
Keyword(s):  
Medical Information ◽  
Patient Flow ◽  
Second Phase ◽  
Time Motion ◽  
Patient Interaction ◽  
Physician Productivity ◽  
Motion Study ◽  
One Year ◽  
The Impact ◽  
Insight Into

Introduction: The growing scrutiny to improve Emergency Department (ED) wait times and patient flow have resulted in many efforts to increase efficiency and maximize patient throughput via systems improvements. This study investigates areas of efficiency improvement from the Emergency Physician (EP) perspective by examining EP workflow in a two phased observational time-motion study. In the initial phase, the distribution of time and activities of EPs were dissected to identify potential sources for streamlining to maximize physician productivity. The first phase was of the study was completed during the period immediately preceding the implementation of an Electronic Health Records (EHR). The second phase of the study will repeat the analysis one year post EHR implementation. This data will be dissected to again identify sources for streamlining in an EHR environment and to identify shifts in work flow from a paper-based system. Methods: An observational time motion study was conducted at St. Mary's Hospital ED, in Kitchener Ontario. An observer was paired with an EP for the duration of an 8 hour shift, to a total of 14 shifts in the first phase of the study. Nine task categories were measured concurrently with a stopwatch application on a tablet, along with the number of interruptions experienced by the EP. Means of each category were calculated and converted to percentages, representing the amount of time per 8 hour shift dedicated to each activity. The second phase will be repeated in Fall 2020, 1 year after EHR implementation. Results: A total of 14 shifts were observed, accounting for 112 hours of observation. EP's time was allocated amongst the following categories: direct patient interaction (40.8%), documentation (27.1%), reviewing patient results (18.4%), communicating with ED staff (7.63%), personal activities (5.7%), writing orders (5.1%), communicating with consultants (3.3%), teaching (1.7%) and medical information searches (1.3%). On average, EPs experienced 15.8 interruptions over the course of an 8 hour shift. Conclusion: In a paper charting system, the direct patient interaction accounts for the largest timeshare over the course of a given shift. However, the next two largest categories, documentation and reviewing patient data, both represent areas of potential streamlining via clerical improvements. Additionally, detailed measurements of EPs’ activities have proven feasible and provides the potential for future insight into the impact of EHR's on EP workflow.

scholarly journals Total gastrectomy with delayed Hunt-Lawrence pouch reconstruction for neonatal gastric perforation presenting with hematemesis

2020 ◽  
Vol 63 ◽  
pp. 101686
Author(s):  
Christina M. Theodorou ◽  
Peggy Chen ◽  
Melissa A. Vanover ◽  
Payam Saadai ◽  
Erin G. Brown ◽  
...  
Keyword(s):  
Total Gastrectomy ◽  
Gastric Perforation ◽  
Neonatal Gastric Perforation ◽  
Pouch Reconstruction

scholarly journals The use of borehole inclinometry in determining basal sliding and internal deformation at Haut Glacier d’Arolla, Switzerland

1997 ◽  
Vol 24 ◽  
pp. 331-337 ◽  
Author(s):  
Luke Copland ◽  
Jon Harbor ◽  
Marie Minner ◽  
Martin Sharp
Keyword(s):  
Hot Water ◽  
Short Term ◽  
Digital Inclinometer ◽  
Basal Sliding ◽  
Internal Deformation ◽  
One Year ◽  
Annual Scale ◽  
Insight Into ◽  
Displacement Measurements

A series of boreholes were drilled with high-pressure hot water across a section of Haut Glacier d’Arolla, Switzerland, in summer 1995. Twenty-three of the boreholes were profiled with a digital inclinometer soon aller drilling, and 14 were re-profiled up to 6 weeks later to determine changes in the longitudinal shape of boreholes with time. In addition to the main surveys, three boreholes were surveyed 14 times each to assess the accuracy and reproducibility of inclinometry measurements. These repeat surveys suggest that caution is needed in the interpretation of short-term borehole displacement measurements, and that the reoccupation of boreholes from one year to the next may be a better way to determine patterns of internal deformation and basal sliding. The annual scale may also have advantages in providing more long-term insight into glaciological processes than short term (single season) measurements.

The usefulness of Roux-en-Y reconstruction with aboral pouch following total gastrectomy for gastric cancer.

2017 ◽  
Vol 35 (4_suppl) ◽  
pp. 209-209
Author(s):  
Shirou Iwagami ◽  
Sugihara Hidetaka ◽  
Takao Mizumoto ◽  
Tatsuo Kubota ◽  
Nobutomo Miyanari ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Total Gastrectomy ◽  
Prognostic Nutritional Index ◽  
Short Term ◽  
Common Procedure ◽  
Term Outcome ◽  
Nutritional Parameters ◽  
Nutritional Index ◽  
One Year ◽  
Outcome Of Surgery

209 Background: Patients with gastric cancer that involves the upper part of the stomach should undergo total gastrectomy for their curative resection. Roux-en-Y reconstruction is the most common procedure followingtotal gastrectomy. However, this reconstruction causes them various postgastrectomy symptoms and problems of their nutritional status and QOL. Although the development of the new reconstruction to prevent these symptoms have being carried out, we have not generally established procedures. Methods: To compare the feasibility and the nutritional parameters of the patients with Roux-en-Y reconstruction with aboral pouch following total gastrectomy to the simple Roux-en-Y. From February 2011 to June 2014, sixty three patients with gastric cancer underwent total gastrectomy. We analyzed the short-term outcome of surgery and the nutritional parameters in two groups. Results: The aboral pouch was created as a side to side anastomosis approximately 50 cms distal to the esophagojejunostomy, 12 cm in length. Most nutritional parameters after surgery were similar in two groups. However, lymphocyte, serum albumin and prognostic nutritional index in aboral pouch group one year later were good tendency compared with simple Roux-en-Y group. Conclusions: Roux-en-Y reconstruction with aboral pouch might become one of the standard methods after total gastrectomy for gastric cancer.

scholarly journals Interaction rituals in an open drug scene

2019 ◽  
Vol 37 (1) ◽  
pp. 86-98
Author(s):  
Trond E Grønnestad ◽  
Hildegunn Sagvaag ◽  
Philip Lalander
Keyword(s):  
Drug Users ◽  
Ethnographic Study ◽  
Group Solidarity ◽  
Emotional Energy ◽  
Human Interactions ◽  
The Third ◽  
Interaction Rituals ◽  
Normal People ◽  
One Year ◽  
Insight Into

Aims: Open drug scenes can be found in most major cities in Europe. Despite often being closed down by the police, the drug community continues to exist, and the drug scenes reappear elsewhere. There seem to be forces that hold these communities together, regardless of the substances used. In this study we explore whether interaction rituals have an impact on the decision by people to stay in the drug scene or to return after quitting their drug use. Method: In this ethnographic study, one of the researchers spent time in an open drug scene in a Norwegian city over a one-year span and gathered data on the human interactions hosted by this scene. In addition, the researcher interviewed eight people from the scene to obtain greater insight into their lives and perceptions of the scene, drawing on Goffman’s and Collins’s theories about rituals. Findings: Three themes emerged. First, drug users bonded as a group and resisted what they called “normal people” passing by. Second, users demonstrated the importance of sharing drugs and services and adhering to the scene’s rules of conduct. The third and final theme is the focus of attention and the production of emotional energy. Conclusion: The experience of being outsiders and the need to hide some of their activities seemed to make it necessary for persons in the drug scene to have their own rules and rituals. These rules and rituals can be regarded as “interaction rituals”. They provide participants with the symbols of group membership, emotional energy, and group solidarity. This makes it hard to leave the scene and might explain why those who do often return.

Action Research Of Portfolio Assessment In Writing In English As A Foreign Language While Teaching Preparatory School Students In Georgia

2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Ramazan GOCTU
Keyword(s):  
Foreign Language ◽  
Portfolio Assessment ◽  
Teaching Writing ◽  
School Students ◽  
Preparatory School ◽  
Efl Writing ◽  
New Approach ◽  
Approach To Teaching ◽  
One Year ◽  
Insight Into

The goal of the article is to gain an insight into students’ view on portfolio assessment of English as a foreignlanguage (EFL) writing. Eleven students from Preparatory School at International Black Sea University who had notbeen successful in language study either at school or during one year at preparatory school and, correspondingly,needed a radically new approach to teaching writing. During a two-month summer course in writing portfolioassessment of their writing skills was applied to them for formative assessment. This time the students passed thetesting. Then they were interviewed to find out whether the students thought it was more efficient than the weeklytesting they had had the previous year of studies. The respondents’ answers revealed several reasons why studentswere more satisfied with portfolio assessment than with testing.

scholarly journals A Long-Term Follow-Up Result of Pouch Plasty for Severe Dysfunction of Jejunal Pouch Reconstruction After Total Gastrectomy: A Case Report

2015 ◽  
Vol 100 (5) ◽  
pp. 954-957 ◽  
Author(s):  
Takafumi Tamura ◽  
Satoshi Inagawa ◽  
Hideo Terashima ◽  
Yoshimasa Akashi ◽  
Katsuji Hisakura ◽  
...  
Keyword(s):  
Total Gastrectomy ◽  
Jejunal Pouch ◽  
J Pouch ◽  
Long Term Follow Up ◽  
Pouch Reconstruction ◽  
Epigastric Distress ◽  
Jejunal Pouch Reconstruction ◽  
To Receive

A 78-year-old woman with malignant lymphoma of the stomach underwent total gastrectomy with a jejunal-pouch (J-pouch) reconstruction in 1994. Twelve years after surgery the patient began to suffer epigastric distress and reflux symptoms. Eventually, she was unable to take anything by mouth. A series of diagnostic images seemed to indicate that the main cause of the dysfunction was flaccidity of the J-pouch and deformity of the outflow route induced by chronic excessive dilatation of the pouch wall. Because all conservative managements only led to temporary improvement and ended in failure, she hoped to receive the operation. We designed “pouch plasty” capable of ameliorating the pouch dysfunction. The aim of pouch plasty was to improve uneven tension of the pouch wall and repair deformity of the outflow route of the food. After the operation, the J-pouch resumed adequate drainage and had good reservoir function. More than 7 years later, the patient had no further complications.

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