Material

Author(s):  
Jeffrey D. Friedman ◽  
Scott W. Mosser ◽  
Eric Ruff

A variety of materials are available for the operative closure of open surgical wounds. A working knowledge of the various properties and characteristics of the various suture materials is essential to the decision-making process for use of these materials. Such consideration includes whether the suture is monofilament or braided, permanent or dissolvable; the inherent tensile strength of the chosen material; and the wound environment in which the material will be placed. Recent modifications of these materials include the advent of barbed, locking sutures and the availability of a number of newer tissue adhesives and have contributed to the surgeon’s armamentarium of materials available to adequately close the variety of challenging wounds that are seen in surgical practice.

2021 ◽  
pp. 204946372110046
Author(s):  
Lorelle Dismore ◽  
Anna van Wersch ◽  
Aradhyula N Murty ◽  
Katherine Swainston

Background: Pain catastrophizing (PC) moderates surgical outcomes and behavioural interventions are recommended to optimise post-operative results. Less is known about surgeons’ experiences of providing care and their attitudes towards the use of interventions in practice. Objective: It is therefore invaluable to understand surgeons’ views on how best to support patients who may be at risk of suboptimal recovery. Eleven surgeons and three registrar orthopaedic practitioners took part in semi-structured interviews within a hospital setting. The surgical decision-making process, views of PC and the use of behavioural interventions in surgical practice were explored. Results: Thematic analysis identified five themes: pain expressions and pain behaviours affect the surgeons’ decision-making process, when pathologies and symptoms do not match, psychological factors pertaining to unsatisfactory outcomes, a service gap in surgical care and the acceptability of using a screening tool in surgical practice to identify patients at risk of suboptimal recovery. Conclusion: Orthopaedic surgeons face challenges in identifying who is likely to reach optimal versus suboptimal outcome. Surgeons are becoming increasingly aware of patient psychological distress being detrimental to outcomes, and they support the use of behavioural interventions to optimise post-operative outcomes or stop unnecessary treatments. The surgeons accept the use of a screening tool in surgical practice with better access to support services with input from allied health professionals. A screening tool may provide great utility for identifying at risk patients, to allow for modification of surgical patients care plans.


2014 ◽  
Vol 23 (2) ◽  
pp. 104-111 ◽  
Author(s):  
Mary Ann Abbott ◽  
Debby McBride

The purpose of this article is to outline a decision-making process and highlight which portions of the augmentative and alternative communication (AAC) evaluation process deserve special attention when deciding which features are required for a communication system in order to provide optimal benefit for the user. The clinician then will be able to use a feature-match approach as part of the decision-making process to determine whether mobile technology or a dedicated device is the best choice for communication. The term mobile technology will be used to describe off-the-shelf, commercially available, tablet-style devices like an iPhone®, iPod Touch®, iPad®, and Android® or Windows® tablet.


1970 ◽  
pp. 53-57
Author(s):  
Azza Charara Baydoun

Women today are considered to be outside the political and administrative power structures and their participation in the decision-making process is non-existent. As far as their participation in the political life is concerned they are still on the margins. The existence of patriarchal society in Lebanon as well as the absence of governmental policies and procedures that aim at helping women and enhancing their political participation has made it very difficult for women to be accepted as leaders and to be granted votes in elections (UNIFEM, 2002).This above quote is taken from a report that was prepared to assess the progress made regarding the status of Lebanese women both on the social and governmental levels in light of the Beijing Platform for Action – the name given to the provisions of the Fourth Conference on Women held in Beijing in 1995. The above quote describes the slow progress achieved by Lebanese women in view of the ambitious goal that requires that the proportion of women occupying administrative or political positions in Lebanon should reach 30 percent of thetotal by the year 2005!


2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Abdul Hamid Arribathi ◽  
Maimunah Maimunah ◽  
Devi Nurfitriani

This study aims to determine the stages that must be implemented in building a Business Intelligence System structured and appropriate in building Business Intelligence Systems in an organization, and understand the important aspects that must be considered for investment development Business Intelligence System is increasing. Business must be based on the conditions and needs of the organization in achieving the desired goals. If these conditions occur, then the decision-making process will be better and more accurate. The purpose of this study is to determine the important aspects that must be understood and prepared in using the Business Intelligence System in an organization. The method used is the explanation as well as the research library of several books, articles and other literature.


2012 ◽  
Vol 3 (4) ◽  
pp. 1-4
Author(s):  
George Ungureanu ◽  
◽  
Gabriela Ignat

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