Repair of Lip Defects with the Abbe and Estlander Flaps

2019 ◽  
pp. 329-336
Author(s):  
Howard N. Langstein ◽  
Stephen S. Kroll
Keyword(s):  
The Other ◽  
Successful Outcome ◽  
Vascular Pedicle ◽  
Anatomy And Physiology ◽  
Second Stage ◽  
Technical Details ◽  
Abbé Flap

Repair of lip defects with Abbe and Estlander flaps requires a thorough knowledge of lip anatomy and physiology in order to achieve a successful outcome. Both the Abbe and Estlander flaps are unipedicled lip flaps that transfer tissue from one lip to the other. The Abbe flap is extremely useful for repairing moderately sized defects of either lip but requires a second stage to divide the vascular pedicle. The Estlander flap is a “terminal” Abbe flap at either commissure and does not require a second stage. This chapter will discuss the technical details for the performance of these lip flaps.

Agni - Key factor for Shodhananga Snehapana.

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Pavithra. S. ◽  
H. G. Gouda ◽  
Rajalakshmi M. G.
Keyword(s):  
Operative Procedure ◽  
The Other ◽  
Successful Outcome ◽  
Other Hand ◽  
Key Factor ◽  
Health And Disease

Agni is termed as Vaishwanara as it takes the person from Mruthyuloka to Swargaloka. It is an important factor and is equitant to Prana; is one among Dashaprana Ayatana. Agni in Shareera is present in different forms with different actions. It is the responsible factor for both health and disease; on the other hand the successful outcome of treatment is also dependant on Agni. Chikitsa (treatment) is the process of bestowing normalcy which is either brought by Shodhana (purificatory) or Shamana (palliative) Karma. Snehapana is a pre-operative procedure for Shodhana Chikitsa where in Sneha Dravya (medicated fat) is administered for attainment of Upasthita Dosha Avastha and further ease in elimination of the vitiated Doshas. Assessment of Dosha, Dushya, Vyadhi Avastha, Roga Bala, Rogi Bala, Agni, Koshta etc. factors are essential for the attainment of Chikitsa Phala. Assessment of Agni not only helps in understanding Vyadhi but also enables to plan the dosage of Sneha to be administered. Thus this paper is an attempt to throw light on the importance of Agni, assessment of Agni and Agni Bala prior to Shodhananga Snehapana.

scholarly journals Parenchymal Guidewire Perforation during ERCP: An Unappreciated Injury

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
M. Ezzedien Rabie ◽  
Saad Al Faris ◽  
Ali Nasser ◽  
Abdul Aziz Shahir ◽  
Yasser Al Mahdi ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Emergency Surgery ◽  
Clinical Course ◽  
The Other ◽  
Clinical Deterioration ◽  
Medical Community ◽  
Successful Outcome ◽  
Hepatic Parenchyma ◽  
Pancreatic Parenchyma ◽  
Intraperitoneal Drainage

ERCP is attended with certain complications, the majority of which are well known to the medical community. Other less-known complications also exist. Guidewire injury to the hepatic or pancreatic parenchyma represents one of the much less appreciated, albeit preventable, complications. In this report, we present the clinical course of three patients who sustained guidewire perforation of the pancreatic or hepatic parenchyma. In one patient, the clinical deterioration was confidently attributed to guidewire perforation of the pancreatic parenchyma. Conservative treatment was successful and unnecessary emergency surgery was thus avoided. In the other two, in whom the cause of the clinical deterioration was unclear, an emergency surgery was performed. Guidewire injury to the hepatic parenchyma was then confirmed which needed only intraperitoneal drainage, with successful outcome.

scholarly journals Change detection and building spatial geodatabase for Iraqi marshes

2018 ◽  
Vol 162 ◽  
pp. 03021
Author(s):  
Oday Jasim ◽  
Noor Hamed ◽  
Tamarra Abdulgabar
Keyword(s):  
Data Collection ◽  
Spatial Data ◽  
Satellite Images ◽  
The Other ◽  
Image Mosaic ◽  
Economic Potential ◽  
Second Stage ◽  
Area Of Interest ◽  
Natural Factors ◽  
Three Stages

The Iraqi Marshlands has natural and economic potential through its environment rich in various forms of lives. This region has suffered numerous setbacks due to human and natural factors, especially in the last two decades of the last century, which led to significant environmental degradation. The purpose of this paper is to prepare spatial data for the area of the marshes in Iraq as a base (Hour-al Hoveizah and central marshes and Hammar). Also, the other aim is to produce a digital geodatabase for the marshes for the years 1973, 1986, 1999, 2006 and 2016 by using ArcGIS. The process of building geodatabase has been through done in three stages: the first stage is including data collection. The second stage will be by merging the satellite images covering the Iraqi marshes and add to images in order to get the image mosaic process. Also, a georeferencing of satellite images is to be done with all the traditional maps of the same area of the marsh. Finally, complete the full geodatabase for the area of interest by using ArcGIS as the in Cartography Design. The results of this research would be a geodatabase for the Iraqi marshes.

scholarly journals Evolution in the Brain, Evolution in the Mind: The Hierarchical Brain and the Interface between Psychoanalysis and Neuroscience

2017 ◽  
Vol 19 (3) ◽  
pp. 349-377
Author(s):  
Leonardo Niro Nascimento
Keyword(s):  
Brain Evolution ◽  
The Other ◽  
Common Source ◽  
Evolutionary Models ◽  
Anatomy And Physiology ◽  
Psychodynamically Oriented ◽  
The One ◽  
The Mind ◽  
The Brain ◽  
Shed Light

This article first aims to demonstrate the different ways the work of the English neurologist John Hughlings Jackson influenced Freud. It argues that these can be summarized in six points. It is further argued that the framework proposed by Jackson continued to be pursued by twentieth-century neuroscientists such as Papez, MacLean and Panksepp in terms of tripartite hierarchical evolutionary models. Finally, the account presented here aims to shed light on the analogies encountered by psychodynamically oriented neuroscientists, between contemporary accounts of the anatomy and physiology of the nervous system on the one hand, and Freudian models of the mind on the other. These parallels, I will suggest, are not coincidental. They have a historical underpinning, as both accounts most likely originate from a common source: John Hughlings Jackson's tripartite evolutionary hierarchical view of the brain.

scholarly journals Influence of the ozone therapy on neuropsychological manifestations of patients of the perimenopausal age with the discircular encephalopathy

2009 ◽  
Vol 8 (1(2)) ◽  
pp. 106-110
Author(s):  
Yu. O. Karatcheva ◽  
V. A. Guriyeva ◽  
G. I. Shumakher
Keyword(s):  
The Other ◽  
Ozone Treatment ◽  
Ozone Therapy ◽  
Basic Group ◽  
Second Stage ◽  
Therapy Treatment

In the sanatorium setting a research was conducted. It dealt with the effectiveness of the ozone therapy among the patients of perimenopausal age who have the discircular encephalopathy of the first and the second stage. Two groups were singled out against the scope of the therapy. The basic group included 50 patients, who beside the multimodality sanatorium therapy of the discircular encephalopathy got 1 course of the ozone treatment and phyto oestrogen Klimadinon. The other group, consisting of 42 patients, in comparison to the first had only the multimodality sanatorium therapy. The higher effectiveness of ozone therapy treatment among the patient in the basic group was proved according to all criteria.

scholarly journals VI. An examination into the structure of the cells of the human lungs; with a view to ascertain the office they perform in respiration. By Sir Everard Home, Bart. V. P. R. S. Illustrated by microscopical drawings from the pencil of F. Bauer, Esq. F. R. S

1827 ◽  
Vol 117 ◽  
pp. 58-64 ◽  
Keyword(s):  
Carbonic Acid ◽  
Present Theory ◽  
The Other ◽  
Atmospheric Air ◽  
Acid Gas ◽  
Anatomy And Physiology ◽  
Other Hand ◽  
Human Lungs ◽  
Measure For Measure ◽  
Anatomical Knowledge

No subject connected with physiological enquiry has more excited the attention of the anatomist and chemist, than respiration; but the association between this subject and animal heat, which has so long been supposed to exist, has led to the belief, for the last century, that both enquiries belong more particularly to chemistry than anatomy, and I may probably be considered as going out of my province in taking up this investigation. On the other hand, I see reason to believe that the process of respiration is in itself more simple than is imagined, and more within the reach of disco­very by means of accurate anatomical knowledge of the parts employed, than by means of acquaintance with the intricacies belonging to chemical affinities: I carry this so far as to contend that no explanation of respiration upon chemical principles is to be depended on, unless it accord in all respects with the anatomy and physiology of the lungs , by which the assumed process takes place. The present theory respecting respiration adopted by the chemists, is, that this process decarbonises the blood in the following manner; at every inspiration a compound of oxygen and nitrogen, mixed together, is received into the lungs, and in every expiration, the same volume is returned, measure for measure exactly, with this only difference, that what entered as oxygen is returned in the form of carbonic acid gas, which, according to their theory, proves that no part of the inspired atmospheric air has been retained in the lungs, but a quantity of carbon, equal to that of the oxygen inspired, has been extracted from the blood by the oxygen, making it become carbonic acid gas.

The effect of low sludge age on wastewater fractionation (SS, SI)

2003 ◽  
Vol 47 (11) ◽  
pp. 203-209 ◽  
Author(s):  
S. Haider ◽  
K. Svardal ◽  
P.A. Vanrolleghem ◽  
H. Kroiss
Keyword(s):  
Activated Sludge ◽  
Maximum Growth ◽  
Maximum Growth Rate ◽  
The Other ◽  
Second Stage ◽  
Lower Maximum ◽  
The Difference ◽  
Selection Of ◽  
Activated Sludge Systems ◽  
Raw Wastewater

In lab-scale experiments at the 2-stage activated sludge pilot plant of Vienna's central WWTP it is shown that the wastewater soluble COD concentration, which is inert to a sludge with SRT < 1 d (SIA) is about double compared to the SI concentration in sludge with SRT > 10 d (SIB). Unexpectedly the ratio of SIA/SIB is independent of the sludge age between SRTs of 0.4 and 1.0 days. The difference between the two SI fractions is soluble COD that is readily biodegradable by the sludge with SRT > 10 d. However, it is degraded at a lower maximum growth rate. These results comply with earlier results gained with different methods and at different WWTPs. It is hypothesised that very low sludge ages result in a selection of fast growing bacteria, which can utilise only part of the SS in the raw wastewater. The other part of SS therefore remains in the wastewater and can thus be utilised for enhanced denitrification in the second stage. It is still unknown beyond which sludge age the soluble inert COD SIA starts to decrease, finally reaching the value SIB for low loaded systems (SRT > 5 days). From this point on SI and SS are assumed only to depend on the wastewater composition and not on the sludge age. The assumption of the Activated Sludge Model No.1 that the biodegradable fractions can be modelled as a single substrate and by a single removal kinetic (one Monod term) appears not to be applicable for low sludge ages. Some suggestions for mathematical modelling, design and operation of 2-stage activated sludge systems are given.

The Third Place Game

2019 ◽  
Vol 21 (1) ◽  
pp. 64-86
Author(s):  
Netanel Nissim ◽  
Aner Sela
Keyword(s):  
Common Knowledge ◽  
The Other ◽  
Third Place ◽  
Second Stage ◽  
The Third ◽  
Other Hand ◽  
Strong Player ◽  
All Pay Auction ◽  
Total Effort

We study an elimination tournament with four contestants, each of whom has either a high value of winning (a strong player) or a low value of winning (a weak player) and these values are common knowledge. Each pairwise match is modeled as an all-pay auction. The winners of the first stage (semifinal) compete in the second stage (final) for the first prize, while the losers of the first stage compete for the third prize. We examine whether or not the game for the third prize is profitable for the designer who wishes to maximize the total effort of the players. We demonstrate that if the players are asymmetric and there are at least two strong players, then there is always a seeding of the players such that the third place game is not profitable. On the other hand, if there are at least two weak players, then there is always a seeding of the players such that the third place game is profitable.

Prodikos zur Entstehung des Götterglaubens

Mnemosyne ◽  
2020 ◽  
pp. 1-21
Author(s):  
Marianne Wifstrand Schiebe
Keyword(s):  
The Other ◽  
Second Stage ◽  
Syntactical Analysis ◽  
Ancient Texts

Abstract A number of ancient texts ascribe to the well-known sophist Prodicus a theory concerning the rise of religion according to which early men came to regard and worship as gods all kinds of things useful to life. Modern scholars often claim that Prodicus also envisaged a second stage during which inventors of useful things came to be considered divine. The evidence adduced is a passage from Philodemus’ On Piety, which is then, more or less explicitly, considered superior to the other testimonies. The Stoic philosopher Persaeus is here reported to have briefly sketched and endorsed Prodicus’ theory in one of his works. However, a thorough syntactical analysis of the passage reveals that it confirms the rest of the evidence. The second stage obviously alluded to in the damaged text of the papyrus is without doubt ascribed to Persaeus himself.

scholarly journals Effect of perineal massage in the second stage of labour, on the incidence of episiotomy and perineal tears

2019 ◽  
Vol 8 (4) ◽  
pp. 1387
Author(s):  
Abinaya Raja ◽  
Pallavee P. ◽  
Rupal Samal
Keyword(s):  
Health Professionals ◽  
Routine Care ◽  
Severe Form ◽  
The Other ◽  
Perineal Pain ◽  
Second Stage ◽  
Perineal Tears ◽  
Second Stage Of Labour ◽  
Perineal Massage

Background: This study aimed to investigate whether perineal massage during second stage of labour could decrease perineal trauma in the form of episiotomy and perineal tears.Methods: One hundred and fifty term antenatal women in labour were randomly assigned to two groups, one of which received perineal massage and the other received routine care during the second stage. Frequency of episiotomies, perineal tears, intact perineums, degrees of perineal tears, duration of second stage of labour and perineal pain after 24 hours was compared.Results: Perineal massage was efficient in reducing incidence of episiotomy, duration of second stage of labour and perineal pain assessed 24 hours after delivery. The frequency of perineal tears and intact perineums did not differ significantly. Perineal massage was protective against severe form of third degree perineal tears.Conclusions: Authors suggest that perineal massage can be routinely practiced by health professionals to improve quality of life in women post vaginal delivery.

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