scholarly journals Sutureless Approach for Gastroschisis Patients in Palestine

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Yousef S. Abuzneid ◽  
Sadi A. Abukhalaf ◽  
Duha Rabi ◽  
Abdelrahman Rabee ◽  
Safwan Mashhour ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Abdominal Wall ◽  
Abdominal Cavity ◽  
Developed Countries ◽  
Referral Hospital ◽  
Traditional Management ◽  
Wide Acceptance ◽  
The Developed Countries ◽  
Operative Closure ◽  
Bowel Herniation

Gastroschisis is a ventral abdominal wall congenital defect with bowel herniation outside the abdominal cavity. Gastroschisis traditional management is the primary operative closure surgery (POCS), but the sutureless silo approach (SSA), a novel alternative, gains wide acceptance in the developed countries and across nations. This study describes the first-ever gastroschisis patient managed with the sutureless silo approach in Palestine. In addition, we shall use this case as the very first nucleus for the upcoming gastroschisis management in our referral hospital because the SSA yields a reduced hospital stay which is fundamental to our institution due to the limited number of beds and lower management costs to the hospital and families.

scholarly journals Prospective study of laparoscopic surgery in paediatric patients

2020 ◽  
Vol 7 (2) ◽  
pp. 500
Author(s):  
Dharmendra Kumar Pipal ◽  
Neeraj Kumar ◽  
Saurabh Kothari
Keyword(s):  
Laparoscopic Surgery ◽  
Paediatric Patient ◽  
Hospital Stay ◽  
Abdominal Wall ◽  
Umbilical Vein ◽  
Abdominal Cavity ◽  
Analgesic Requirement ◽  
Paediatric Patients ◽  
Common Diagnosis ◽  
Duration Of Surgery

Background: Laparoscopic cholecystectomy and laparoscopic appendectomy is gold standard treatment modality for symptomatic cholelithiasis and appendicitis. Laparoscopy in paediatric patient have many limitations and  factors restricting its use in paediatric patient are smaller surface area for access, compliant abdominal wall,  the liver margin  below the rib cage, the bladder being  an intra-abdominal structure, the viscera close to  anterior abdominal wall and small sized abdominal cavity and conventional instruments too long for paediatrics use.  The so-called obliterated structures like umbilical vein, umbilical artery and urachus remain relatively large and partially patent in infants further restricting use of therapeutic laparoscopy.Methods: The present study was carried out in Department of General Surgery, MDM Hospital, Dr. S. N. Medical College, Jodhpur, Rajasthan. Total 50 patients were included in the present study of laparoscopic surgery in paediatric patients below 14 years of age and were studied in terms of, duration of surgery, postoperative pain, analgesic requirement, postoperative hospital stay, intraoperative and postoperative complication and factors necessitating conversion of laparoscopic procedure to open method.Results: As per the present study inguinal hernia was most common diagnosis (48%) followed by hydrocele (22%) and acute appendicitis (22%).Conclusions: It is concluded from the present study that laparoscopic surgery in paediatric patients is safe, complication free, had less analgesic requirement, shorter duration of surgery, short postoperative hospital and total hospital stay and better cosmetic results.

scholarly journals Clinical characteristics of paediatric autoimmune hepatitis at a referral hospital in Sub Saharan Africa

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0239964
Author(s):  
Taiba Jibril Afaa ◽  
Kokou Hefoume Amegan-Aho ◽  
Matilda Tierenye Dono ◽  
Eric Odei ◽  
Yaw Asante Awuku
Keyword(s):  
Liver Disease ◽  
Autoimmune Hepatitis ◽  
Developed Countries ◽  
Referral Hospital ◽  
Sub Saharan Africa ◽  
Advanced Liver Disease ◽  
History Of ◽  
Sub Saharan ◽  
The Developed Countries

Background Autoimmune hepatitis (AIH) is a progressive inflammatory liver disease of unknown aetiology. The number of reported AIH cases is increasing in the developed countries but the same cannot be said about sub Saharan Africa (SSA). Paediatric AIH diagnosis is usually missed and patients present with decompensated liver disease. Our study highlights the clinical profile of paediatric AIH cases at a referral hospital in Ghana. Methods This is a retrospective review of all cases of children diagnosed with autoimmune hepatitis at the gastroenterology clinic in Korle Bu Teaching Hospital, Accra, Ghana. Data was extracted from the patients’ records from April 2016 to October 2019. These children were diagnosed based on the presence of autoantibodies, elevated immunoglobulin G and histologic presence of interphase hepatitis with the exclusion of hepatitis A, B, C and E depending on their clinical presentation, Wilson’s disease, HIV, Schistosomiasis and sickle cell disease. Results Thirteen patients aged between 5 years to 13 years with a mean age of 10 years were diagnosed with AIH. All the patients had type 1 AIH with majority 8 (61.5%) being females. Most of the children presented with advanced liver disease with complications. Three patients had other associated autoimmune diseases. The patients were treated with prednisolone with or without azathioprine depending on the severity of the liver disease. Conclusion Majority of paediatric AIH presents with advanced liver disease. There is the need for early detection to change the natural history of AIH in SSA.

How to Assure Stable Development in Unstable Financial Environment?

2007 ◽  
pp. 4-26 ◽  
Author(s):  
M. Ershov
Keyword(s):  
Stock Market ◽  
Developed Countries ◽  
Market Liquidity ◽  
Market Mechanisms ◽  
Russian Economy ◽  
The Developed Countries ◽  
Russian Stock Market ◽  
Stable Development ◽  
Financial Environment

Growing involvement of Russian economy in international economic sphere increases the role of external risks. Financial problems which the developed countries are encountered with today result in volatility of Russian stock market, liquidity problems for banks, unstable prices. These factors in total may put longer-term prospects of economic growth in jeopardy. Monetary, foreign exchange and stock market mechanisms become the centerpiece of economic policy approaches which should provide for stable development in the shaky environment.

The Reproduction Vector of the Russian Economy: 1999-2007

2008 ◽  
pp. 94-109 ◽  
Author(s):  
D. Sorokin
Keyword(s):  
Economic Policy ◽  
Human Capital ◽  
Growth Rates ◽  
Developed Countries ◽  
Gdp Per Capita ◽  
Real Sector ◽  
Russian Economy ◽  
Per Capita ◽  
The Developed Countries

The problem of the Russian economy’s growth rates is considered in the article in the context of Russia’s backwardness regarding GDP per capita in comparison with the developed countries. The author stresses the urgency of modernization of the real sector of the economy and the recovery of the country’s human capital. For reaching these goals short- or mid-term programs are not sufficient. Economic policy needs a long-term (15-20 years) strategy, otherwise Russia will be condemned to economic inertia and multiplying structural disproportions.

Power Generation for India with Higher Efficiency

2018 ◽  
Vol 6 (7) ◽  
pp. 267
Author(s):  
Umeshkannan P ◽  
Muthurajan KG
Keyword(s):  
Power Generation ◽  
Objective Function ◽  
Fossil Fuels ◽  
Programming Model ◽  
Developed Countries ◽  
Power Requirement ◽  
Average Efficiency ◽  
Potential Demand ◽  
The Developed Countries ◽  
Developed Nations

The developed countries are consuming more amount of energy in all forms including electricity continuously with advanced technologies.  Developing  nation’s  energy usage trend rises quickly but very less in comparison with their population and  their  method of generating power is not  seems  to  be  as  advanced  as  developed  nations. The   objective   function   of   this   linear   programming model is to maximize the average efficiency of power generation inIndia for 2020 by giving preference to energy efficient technologies. This model is subjected to various constraints like potential, demand, running cost and Hydrogen / Carbon ratio, isolated load, emission and already installed capacities. Tora package is used to solve this linear program. Coal,  Gas,  Hydro  and  Nuclear  sources can are  supply around 87 %  of  power  requirement .  It’s concluded that we can produce power  at  overall  efficiency  of  37%  while  meeting  a  huge demand  of  13,00,000  GWh  of  electricity.  The objective function shows the scenario of highaverage efficiency with presence of 9% renewables. Maximum value   is   restricted   by   low   renewable   source’s efficiencies, emission constraints on fossil fuels and cost restriction on some of efficient technologies. This    model    shows    that    maximum    18%    of    total requirement   can   be   met   by   renewable itself which reduces average efficiency to 35.8%.   Improving technologies  of  renewable  sources  and  necessary  capacity addition  to  them in  regular  interval  will  enhance  their  role and existence against fossil fuels in future. The work involves conceptualizing, modeling, gathering information for data’s to be used in model for problem solving and presenting different scenarios for same objective.

International Economic Assistance in the 1970's — A Critique of Partners in Development (Review Article)

1970 ◽  
Vol 10 (4) ◽  
pp. 469-490
Author(s):  
Nurul Islam
Keyword(s):  
Developing Countries ◽  
Foreign Aid ◽  
International Aid ◽  
Developed Countries ◽  
Armed Conflicts ◽  
Economic Assistance ◽  
Self Help ◽  
Service Charge ◽  
The Developed Countries ◽  
Defence Expenditure

Foreign economic aid is at the cross-roads. There is an atmosphere of gloom and disenchantment surrounding international aid in both the developed and developing countries — more so in the former than in the latter. Doubts have grown in the developed countries, especially among the conservatives in these countries, as to the effectiveness of aid in promoting economic development, the wastes and inefficiency involved in the use of aid, the adequacy of self-help on the part of the recipient countries in husbanding and mobilising their own resources for development and the dangers of getting involved, through ex¬tensive foreign-aid operations, in military or diplomatic conflicts. The waning of confidence on the part of the donors in the rationale of foreign aid has been accentuated by an increasing concern with their domestic problems as well as by the occurrence of armed conflicts among the poor, aid-recipient countries strengthened by substantial defence expenditure that diverts resources away from development. The disenchantment on the part of the recipient countries is, on the other hand, associated with the inadequacy of aid, the stop-go nature of its flow in many cases, and the intrusion of noneconomic considerations governing the allocation of aid amongst the recipient countries. There is a reaction in the developing countries against the dependence, political and eco¬nomic, which heavy reliance on foreign aid generates. The threat of the in¬creasing burden of debt-service charge haunts the developing world and brings them back to the donors for renewed assistance and/or debt rescheduling.

PENGARUH INFRASTRUKTUR SECARA SPASIAL TERHADAP KONVERGENSI PERTUMBUHAN EKONOMI DI INDONESIA

INFO ARTHA ◽  
2017 ◽  
Vol 1 ◽  
pp. 17-28
Author(s):  
Anisa Fahmi
Keyword(s):  
Economic Growth ◽  
Regional Economics ◽  
Developed Countries ◽  
Road Infrastructure ◽  
Long Run ◽  
Catch Up ◽  
The Developed Countries ◽  
Positive Effect ◽  
Neoclassical Growth Theory

Motivated by inter-regional disparities condition that occurs persistently, this study examines the Indonesian economy in the long run in order to know whether it tends to converge or diverge. This convergence is based on the Solow Neoclassical growth theory assuming the existence of diminishing returns to capital so that when the developed countries reach steady state conditions, developing countries will continuously grow up to 'catch-up' with developed countries. Based on regional economics perspective, each region can not be treated as a stand-alone unit,therefore, this study also focuses on the influence of spatial dependency and infrastructure. Economical and political situations of a region will influence policy in that region which will also have an impact to the neighboring regions. The estimation results of spatial cross-regressive model using fixed effect method consistently confirmed that the Indonesian economy in the long term will likely converge with a speed of 8.08 percent per year. Other findings are road infrastructure has a positive effect on economic growth and investment and road infrastructure are spatially showed a positive effect on economic growth. In other words, the investment and infrastructure of a region does not only affect the economic growth of that region but also to the economy of the contiguous regions. 

OBJECTIVES AND FUNCTIONS OF LOBISTRY ACTIVITY IN UKRAINE: REALITIES TODAY AND EVOLUTIONARY FORECAST

2018 ◽  
Vol 1 (12) ◽  
pp. 329-339
Author(s):  
Tikhon Sergeyevich Yarovoy
Keyword(s):  
Civil Society ◽  
Political System ◽  
Developed Countries ◽  
Public Interests ◽  
The Public ◽  
Political Events ◽  
The Developed Countries ◽  
Definition Of ◽  
Industrial Groups

The article is devoted to the research of goals and functions of lobbying activity. The author has processed the ideas of domestic and foreign scientists, proposed his own approaches to the definition of goals and functions of lobbying activities through the prism of public administration. As a result, a generalized vision of the goals and functions of lobbying activities as interrelated elements of the lobbying system was proposed, and a forecast for further evolution of the goals and functions of domestic lobbying was provided. The analysis of lobbying functions allowed us to notice the tendencies in shifting the goals of this activity. If the objectives were fully covered by functions such as mediation between citizens and the state, the information function and the function of organizing plurality of public interests, then the role of strengthening the self-organization of civil society and the function of compromise become increasingly important in the process of formation in the developed countries of civil society and the development of telecommunication technologies. Ukrainian lobbyism will not be left to the side of this process. Already, politicians of the highest level, leaders of financial and industrial groups have to act, adjust their goals (even if they are — declared), taking into account the reaction of the public. In the future, this trend will only increase. The analysis of current research and political events provides all grounds for believing that, while proper regulatory legislation is being formed in Ukraine, the goals and functions of domestic lobbying will essentially shift towards a compromise with the public. It is noted that in spite of the existence of a basic direction of action, lobbying may have several ramified goals. Guided by the goals set, lobbyism can manifest itself in various spheres of the political system of society, combining the closely intertwined interests of various actors in the lobbying process, or even — contrasting them.

On the issue of the revitalization and modernization of the engineering in Russia

2019 ◽  
pp. 19-24
Author(s):  
A. E. Melnikov
Keyword(s):  
National Economy ◽  
Technological Progress ◽  
Developed Countries ◽  
The State ◽  
Engineering Technology ◽  
Operational Characteristics ◽  
Technical Potential ◽  
Significant Barrier ◽  
The Developed Countries ◽  
Competitive Products

Currently, one of the important tasks of the economic policy of Russia is the formation of a hightech image of the national economy, capable of effective functioning in the changing global geopolitical and geoeconomic conditions. In this context, the issue of revitalization of mechanical engineering, which plays a key role in the development of the country’s economy, is of particular relevance. This sector is a link between scientific and technological progress and the level of provision of domestic producers with domestic machines and equipment, allowing them to produce competitive products and to a lesser extent depend on the state of the external environment. The example of the developed countries of the world shows that the development of advanced engineering technology significantly increases the efficiency of the national economy, helps to accelerate its growth. At the same time, in Russia, in order to unleash the scientific and technical potential and activate engineering, it is necessary to initiate modernization processes in it. Based on the foregoing, the purpose of the study is to analyze the state of Russian engineering from the position of its role in the country’s economy. It is shown that at present a significant barrier to the development of this sector is the predominance of imported equipment, due to technical and operational characteristics, often superior to domestic counterparts.

To the comparative analysis of the digitalization process of state administration in Russia and other countries

2020 ◽  
pp. 75-117
Author(s):  
A.N. Shvetsov
Keyword(s):  
Public Administration ◽  
Information And Communication Technologies ◽  
Large Scale ◽  
Communication Technologies ◽  
Developed Countries ◽  
Electronic Government ◽  
Digital Government ◽  
Information And Communication ◽  
The Developed Countries ◽  
Comprehensive Programs

The article compares the processes of dissemination of modern information and communication technologies in government bodies in Russia and abroad. It is stated that Russia began the transition to «electronic government» later than the developed countries, in which this process was launched within the framework of large-scale and comprehensive programs for reforming public administration in the 1980s and 1990s. However, to date, there is an alignment in the pace and content of digitalization tasks. At a new stage in this process, the concept of «electronic government» under the influence of such newest phenomena of the emerging information society as methods of analysis of «big data», «artificial intelligence», «Internet of things», «blockchain» is being transformed into the category of «digital government». Achievements and prospects of public administration digitalization are considered on the example of countries with the highest ratings — Denmark, Australia, Republic of Korea, Great Britain, USA and Russia.

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