In the face of increasing subspecialisation, how does the specialty ensure that the management of ENT emergencies is timely, appropriate and safe?

2016 ◽  
Vol 130 (6) ◽  
pp. 516-520 ◽  
Author(s):  
M J Rouhani
Keyword(s):  
Emergency Surgery ◽  
Literature Search ◽  
Ent Surgery ◽  
Safe Management ◽  
The Face ◽  
Current Guidance

AbstractBackground:The field of ENT surgery is one of the most varied specialties, with numerous subspecialties and continuing divergence. With this evolution there comes, however, a risk that specialists become de-skilled in certain areas. In the case of ENT emergencies, this can be particularly dangerous.Methods:Current guidance from relevant UK professional membership bodies regarding emergency surgery provision was inspected and a literature search was performed to identify studies relating to management of ENT emergencies in the context of increasing subspecialisation.Results and conclusion:The specialty currently has provisions in place to ensure timely, appropriate and safe management of emergencies, in the form of guidelines and emergency clinics; however, there is scope for improvement of the system.

scholarly journals Personal identification with artificial intelligence under COVID-19 crisis: a scoping review

2022 ◽  
Vol 11 (1) ◽  
Author(s):  
Shinpei Matsuda ◽  
Hitoshi Yoshimura
Keyword(s):  
Artificial Intelligence ◽  
Scoping Review ◽  
Literature Search ◽  
Personal Identification ◽  
Flow Diagram ◽  
Cochrane Library ◽  
Identification Methods ◽  
Institutional Infrastructure ◽  
The Face ◽  
Critical Consideration

Abstract Background Artificial intelligence is useful for building objective and rapid personal identification systems. It is important to research and develop personal identification methods as social and institutional infrastructure. A critical consideration during the coronavirus disease 2019 pandemic is that there is no contact between the subjects and personal identification systems. The aim of this study was to organize the recent 5-year development of contactless personal identification methods that use artificial intelligence. Methods This study used a scoping review approach to map the progression of contactless personal identification systems using artificial intelligence over the past 5 years. An electronic systematic literature search was conducted using the PubMed, Web of Science, Cochrane Library, CINAHL, and IEEE Xplore databases. Studies published between January 2016 and December 2020 were included in the study. Results By performing an electronic literature search, 83 articles were extracted. Based on the PRISMA flow diagram, 8 eligible articles were included in this study. These eligible articles were divided based on the analysis targets as follows: (1) face and/or body, (2) eye, and (3) forearm and/or hand. Artificial intelligence, including convolutional neural networks, contributed to the progress of research on contactless personal identification methods. Conclusions This study clarified that contactless personal identification methods using artificial intelligence have progressed and that they have used information obtained from the face and/or body, eyes, and forearm and/or hand.

scholarly journals A Novel Mutation in the Adult-Onset Alexander’s Disease GFAP Gene

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Dhillon B. Zaver ◽  
Nathan T. Douthit
Keyword(s):  
Genetic Analysis ◽  
Literature Search ◽  
Novel Mutation ◽  
Adult Onset ◽  
Radiological Findings ◽  
Radiologic Findings ◽  
Alexander's Disease ◽  
The Face ◽  
Broad Variety ◽  
Caucasian Female

The case describes a 25-year-old Caucasian female diagnosed with Alexander’s disease (AxD) as an outpatient after extensive inpatient workup. Her presenting complaints included incontinence, clumsiness, seizures, dysphagia, and dysarthria. She was also found to have pancytopenia and dysautonomia. A full neurologic and hematologic workup yielded very little results, until a thorough literature search of her presenting complaints and radiologic findings pointed to adult-onset Alexander’s Disease. Alexander’s disease is a rare genetic leukodystrophy with a broad variety of presentations. Despite its infrequency in adults and the difficulty in diagnosis, the prevalence of AxD has been increasing due to ease of genetic analysis and identification of key clinical and radiological findings. This case illustrates the necessity of vigilance and persistence in the face of unusual patient presentations; occasionally, the sound of hoofbeats is zebras.

scholarly journals Clinical effects of transparent facial pressure masks: A literature review

2019 ◽  
Vol 43 (3) ◽  
pp. 349-355 ◽  
Author(s):  
Sander B Kant ◽  
Carlo Colla ◽  
Eric van den Kerckhove ◽  
Andrzej Piatkowski de Grzymala
Keyword(s):  
Literature Review ◽  
Literature Search ◽  
Well Being ◽  
Current Evidence ◽  
Clinical Effects ◽  
Hypertrophic Scars ◽  
Pressure Therapy ◽  
Scar Assessment ◽  
The Face ◽  
Objectively Measured

Background: Severe facial hypertrophic scars are known to severely impact emotional well-being. Pressure therapy by means of transparent face masks has been used for almost 40 years, but evidence about the clinical effects remains sparse. Objectives: To provide a summary on the efficacy of transparent face masks in the treatment of facial hypertrophic scars. Methods: A literature search was conducted in PubMed, MEDLINE, and Cochrane databases through 1 January 2018. Articles describing the clinical effects of facial pressure therapy for remodeling the face after trauma or surgery with a validated tool were included. This review included studies of participants treated with facial hypertrophic scars, both minors and adults. Results: Three articles involving 33 patients were selected for inclusion. Two studies described statistically significant improvement in facial scars measured by durometer, ultrasound, and the Patient and Observer Scar Assessment Scale (POSAS). Conclusions: Facial pressure masks have been shown to deliver significant improvement in facial scars, measured by both subjective and objective tools. However, only three studies could be included in this literature review. Also, because of considerable limitations of the studies, it remains difficult to draw substantial conclusions about the efficacy of transparent face masks. Clinical relevance This literature review provides a summary of the current evidence on the subjectively and objectively measured clinical effects of transparent face masks in the treatment of facial scars, highlighting the need for further research on this topic.

scholarly journals Development of a Safety protocol for Management Thirst in the Immediate Postoperative Period

2014 ◽  
Vol 48 (5) ◽  
pp. 834-843 ◽  
Author(s):  
Leonel Alves do Nascimento ◽  
Lígia Fahl Fonseca ◽  
Edilaine Giovanini Rosseto ◽  
Claudia Benedita dos Santos
Keyword(s):  
Postoperative Period ◽  
Literature Search ◽  
Graph Algorithm ◽  
Specific Model ◽  
Extensive Literature ◽  
Expert Consultation ◽  
Applied Study ◽  
Safe Management ◽  
Level Of Consciousness ◽  
Extensive Literature Search

Objective To develop a safety protocol for the management of thirst in the immediate postoperative period. Method Quantitative, methodological, and applied study conducted in April-August 2012. An extensive literature search and expert consultation was carried out to develop the protocol and its operating manual. Theoretical and semantic analyzes were carried out by experts. Results Assessment of level of consciousness, reflexes of protection of the airways (cough and swallowing), and absence of nausea and vomiting were selected as safety criteria. These criteria were grouped and formatted in a graph algorithm, which indicates the need to interrupt the procedure if a security criterion does not reach the expected standard. Conclusion The protocol was elaborated to fill in the gap in the literature of a specific model concerning nursing actions in the safe management of thirst in the immediate postoperative period.

scholarly journals Repensar a Educação Ambiental: Um Olhar Crítico

2012 ◽  
Vol 1 (1) ◽  
Author(s):  
Walter Júnior Faria ◽  
Luiz Mauricio Silva
Keyword(s):  
Environmental Education ◽  
Social Relations ◽  
Literature Search ◽  
Public Institutions ◽  
Educational Activity ◽  
Social Aspects ◽  
Qualitative Character ◽  
Social Commitment ◽  
The Face ◽  
Sustainable Societies

Através deste presente artigo, será apresentado o tema Repensar a Educação Ambiental: um olhar crítico. A educação ambiental é uma ação educativa que se desenvolve, através de uma prática, em que valores e atitudes promovem um comportamento rumo a mudanças perante a realidade, tanto em seus aspectos naturais como sociais, desenvolvendo habilidades e atitudes necessárias para dita transformação e emancipação e assim resgatarmos o tratado de Educação para Sociedades Sustentáveis e por novos valores que a educação ambiental se propõe formar. O objetivo deste estudo é fazer com que as pessoas possam compreender a educação ambiental crítica e emancipatória em seus compromissos com as lutas populares, com as instituições públicas e com a transformação radical das relações sociais que definem nosso modo de ser na natureza. A metodologia utilizada foi um estudo bibliográfico, exploratório, de caráter qualitativo. Como método de estudo foi utilizado o dedutivo.Palavras-chave: Educação Ambiental, Sustentabilidade e Compromisso Social.ABSTRACTThrough this present article will show the theme Rethinking Environmental Education: a critical look. Environmental education is an educational activity that develops through practice, in which values and attitudes towards promoting behavior change in the face of reality, both natural and social aspects, developing skills and attitudes required for transformation and empowerment and told thus recovers the treaty of Education for Sustainable Societies and new values that environmental education is proposed to form. The aim of this study is to get people to understand the critical environmental education and emancipatory in its engagement with popular struggles, with public institutions and the transformation of social relations that define our way of being in nature. The methodology used was a literature search, exploratory, of qualitative character. As a study method was used deductive.Words-key: Environmental Education, Sustainability and Social Commitment.

scholarly journals Giant Intracranial Aneurysm in a Ten-Year-Old Boy with Parry Romberg Syndrome

2009 ◽  
Vol 15 (2) ◽  
pp. 165-173 ◽  
Author(s):  
T. Bosman ◽  
J. Van Beijnum ◽  
M.A.A. Van Walderveen ◽  
P.A. Brouwer
Keyword(s):  
Intracranial Aneurysm ◽  
Intracranial Aneurysms ◽  
Literature Search ◽  
Vascular Diseases ◽  
White Matter Lesions ◽  
Giant Intracranial Aneurysm ◽  
Brain Calcification ◽  
The Face ◽  
Progressive Neurological Deficit ◽  
Parry Romberg Syndrome

Parry-Romberg syndrome (PRS) is a rare acquired syndrome consisting of progressive hemiatrophy of the face. We present a child with PRS and progressive neurological deficit caused by a giant intracranial aneurysm and reviewed the literature concerning all intracranial abnormalities in patients with PRS. A literature search identified 27 articles reporting on 88 patients with PRS and intracranial abnormalities. Ipsilateral brain calcification and hemiatrophy are the most prominent features on CT scan and hyper-intense white matter lesions are most frequently seen on T2-weighted MRI. Although lacking precise prevalence data, intracranial abnormalities are not uncommon in patients with PRS. We found three other PRS patients with intracranial aneurysms. Our case and literature search suggests a possible association between PRS and intracranial aneurysms. We consider this association important for clinical practice and recommend including intracranial vascular diseases in the differential diagnosis when dealing with a PRS patient with neurological symptoms.

scholarly journals Management of SARS-CoV-2 in the Military and Lessons for Future Pandemics

2021 ◽  
Author(s):  
Terence Yi-Song Liew ◽  
Benjamin Zhi Qiang Seah ◽  
Choon Guan Chua ◽  
Benjamin Boon Chuan Tan
Keyword(s):  
Threat Assessment ◽  
Contact Tracing ◽  
Intelligence Gathering ◽  
Multiple Strategies ◽  
Management Measures ◽  
Safe Management ◽  
High Death ◽  
The Face ◽  
The Republic ◽  
The Military

ABSTRACT Introduction The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has resulted in devastating consequences, with high death tolls and significant impact on global health, geopolitics, and socioeconomic aspects of society among others. Militaries around the world have been affected in many ways, in terms of force attrition and disruption to operations. Materials and Methods The Republic of Singapore Air Force (RSAF) had formulated multiple strategies and executed several contingency plans to respond swiftly and effectively to the pandemic. Measures taken by the RSAF included leveraging pandemic drawer plans, continuous medical intelligence gathering on SARS-CoV-2 characteristics, conducting rapid disease testing and contact tracing, formulating a risk assessment matrix for personnel based overseas, enforcing safe management measures and mask-wearing, and ensuring that critical medical functions were sustained. Results This article summarizes important lessons learnt that may be applied to future pandemics, including the importance of threat assessment, pandemic preparedness, adopting a tiered defense strategy, widespread testing, expeditious contact tracing and isolation, effective communication, and re-defining the new norms for post-pandemic recovery. Conclusion The military remains essential to every country’s defense and security. However, its unique construct and nature of operations may render it susceptible to uncontained viral transmission. To minimize manpower attrition and maximize force health in the face of a devastating pandemic, well-thought and tailored management measures must be implemented.

scholarly journals Heavy and wet: evaluating the validity and implications of assumptions made when measuring growth efficiency using18O water

2019 ◽  
Author(s):  
Grace Pold ◽  
Luiz A. Domeignoz-Horta ◽  
Kristen M. DeAngelis
Keyword(s):  
Microbial Community ◽  
Literature Search ◽  
Growth Efficiency ◽  
Future Studies ◽  
Carbon Use Efficiency ◽  
The Face ◽  
Methodological Bias ◽  
Wet Lab ◽  
Use Efficiency

1AbstractHow microbes allocate carbon to growth vs. respiration plays a central role in determining the ability of soil to retain carbon. This carbon use efficiency (CUE) is increasingly measured using the18O-H2O method, in which heavy oxygen incorporated into DNA is used to estimate growth. Here we evaluated the validity of some of the assumptions of this method using a literature search, and then tested how violating them affected estimates of the growth component of carbon use efficiency in soil. We found that the18O method is consistently sensitive to assumptions made about oxygen sources to DNA, but that the effect of other assumptions depends on the microbial community present. We provide an example for how the tools developed here may be used with observed CUE values, and demonstrate that the original conclusions drawn from the data remain robust in the face of methodological bias. Our results lay the foundation for a better understanding of the consequences to the18O method underlying assumptions. Future studies can use the approach developed here to identify how different incubation conditions and/or treatments might bias its CUE estimates and how trustworthy their results are. Further wet-lab work dissecting the assumptions of the18O method in soil will help justify the scenarios under which it is reasonable to trust its results.

scholarly journals The Altemeier Procedure for Strangulated Rectal Prolapse: A Case Report

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Amal Hajri ◽  
Karim Yaqine ◽  
Saad Rifki El Jai ◽  
Rachid Boufettal ◽  
Driss Errguibi ◽  
...  
Keyword(s):  
Case Report ◽  
Rectal Prolapse ◽  
Anal Canal ◽  
Emergency Surgery ◽  
Rare Complication ◽  
Emergency Situation ◽  
Perineal Rectosigmoidectomy ◽  
The Face ◽  
Altemeier Procedure ◽  
Old Men

Rectal prolapse is the complete protrusion of the rectum through the anal canal. It is most common in elderly people, but can rarely occur at any age, the strangulated rectal prolapse is a rare complication. We report the case of a 78-year old men who underwent emergency surgery for strangulated rectal prolapse. Emergency perineal rectosigmoidectomy (Altemeier repair) was performed with simple outcome. This case highlights the importance of Altemeier’s procedure in the face of a strangulated rectal prolapse in an emergency situation.

Prosumers in times of crisis: definition, archetypes and implications

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bodo Lang ◽  
Rebecca Dolan ◽  
Joya Kemper ◽  
Gavin Northey
Keyword(s):  
Design Methodology ◽  
Literature Search ◽  
Web Of Science ◽  
Content Type ◽  
Societal Benefits ◽  
The Face ◽  
Definition Of ◽  
Practical Implications ◽  
Specific Definition

PurposeThis paper defines prosumers in light of the COVID-19 crisis and other contexts. It addresses how prosumers helped overcome challenges caused by COVID-19 and is the first paper to develop a taxonomy of prosumers, their differentiating characteristics and the degree to which they are useful in overcoming the challenges of COVID-19.Design/methodology/approachWe conducted a literature search of the prosumer literature using the Web of Science and Scopus databases.FindingsThis study solves a definitional dilemma of prosumers and develops six prosumer archetypes displaying the nuances of prosumers. The study shows that the six prosumer archetypes vary in their usefulness in addressing challenges caused by COVID-19. The findings demonstrate the micro (individual), meso (organizational) and macro (societal) benefits offered by prosumers in times of crises.Research limitations/implicationsThis study has some clear implications for the prosumer literature, the services literature and the crisis literature by clarifying the role of prosumers in times of crisis.Practical implicationsThis paper offers several implications at the micro (individual), meso (organizational), and macro (societal) levels that are offered by prosumers in times of crises. The benefits of prosumers afford individuals, service practitioners and other organizations ways to remain resilient and strong in the face of significant crises such as COVID-19.Originality/valueThis paper makes three specific contributions. First, it contributes to the service literature by highlighting the role and value of prosumers in crises, an area currently under-researched. Secondly, it developed six prosumer archetypes displaying the nuances of prosumers, contributing to the prosumer literature by sharpening the focus of this versatile phenomenon and demonstrating the differential value of each type of prosumer in times of crises. Lastly, the study advances the prosumer literature by resolving the definitional dilemma of prosumers and by providing a broad, yet specific definition of prosumers that captures the different perspectives evident in the prosumer literature.

Sign in / Sign up

Export Citation Format

Share Document