scholarly journals СИСТЕМА ПІДТРИМКИ ПРИЙНЯТТЯ РІШЕНЬ ПРИ ПРОВЕДЕННІ ВІТРЕКТОМІЇ У ПАЦІЄНТІВ З ПРОЛІФЕРАТИВНОЮ ДІАБЕТИЧНОЮ РЕТИНОПАТІЄЮ

Author(s):  
A. M. Ruban

The article presents the some approaches to create a system support of making decision during vitrectomy in patients with diabetic proliferative retinopathy, promotes objective assessment of individual risk-management for patient and allows optimize ophthalmological care for them.

Author(s):  
A. M. Ruban

he article propose a new system support of making decision during vitrectomy in patients with diabetic proliferative retinopathy, according by objective assessment of individual risk-management. The article presents some comparative results (anatomical and functional results, rate of complications) between two groups: with new and standard approaches.


Author(s):  
А. M. Ruban

The article presents the some approaches to create a system support of making decision during miniinvasive diabetic vitrectomy in patients with diabetic proliferative retinopathy, promotes objective assessment of individual risk-management for patient and allows optimize ophthalmological care for them. This was a retrospective study of 145 patients (145 eyes) who underwent combined sutureless vitrectomy for the complications of proliferative diabetic retinopathy. The study and analysis of the clinical characteristics (N-145) and 60 kinds of complications have selected 33 factors, characterizing the general condition of the patient, ophthalmic status which have been integrated into the risk map. Prediction of surgical intervention was determined by the amount of points. Total risk was studied in three samples of “training” (145 patients), «control» (50 patients) and the “examination” (30 cases). Based on 225 observations determined the dependence of an adverse operation of points of risk and identified 4 risk levels: low risk (first stage), the likelihood of an adverse outcome is less than 0.05; average risk is the likelihood of an adverse outcome is 0.05-0.4; high risk-the probability of an adverse up 0.41-0.9 and extreme risks, the likelihood of an adverse outcome is greater than 0.9.


Author(s):  
L.N. Boriskina ◽  
◽  
A.S. Zotov ◽  
A.S. Balalin ◽  
S.V. Balalin ◽  
...  

Objective. To evaluate the results of complicated cataract surgery in patients with neovascular glaucoma in case of diabetic proliferative retinopathy or postthrombotic macular edema. Material and methods. A retrospective study of the complicated cataract surgery with IOL implantation results was performed in 38 patients (38 eyes) with neovascular glaucoma. The first stage was Lucentis intravitreal injection, then after 2 weeks intraocular pressure (IOP) under combined medical therapy was determined: 1) if IOP was <25 mm Hg, then phacoemulsification was performed; 2) if IOP remained >25 mm Hg, the second stage was transscleral cyclophotocoagulation, and 2 weeks later – cataract phacoemulsification. Results. All patients with neovascular glaucoma had significant increase of the best corrected visual acuity from the initial level on the 1st day, 1- and 3-months post-op. IOP values under medical treatment corresponded to the range of the average statistical norm. There was no recurrence of neovascularization or IOP increase. Conclusion. The application of Lucentis intravitreal injections as well as IOP lowering to the average statistical norm range under medication or laser surgery provide the basis for an effective and safe complicated cataract surgery with IOL implantation in patients with neovascular glaucoma in case of diabetic proliferative retinopathy or post-thrombotic macular edema. Key words: cataract, neovascular glaucoma, phacoemulsification.


2018 ◽  
Vol 44 (7) ◽  
pp. 902-918 ◽  
Author(s):  
Elizabeth Sheedy ◽  
Martin Lubojanski

Purpose Risk management is now considered the responsibility of all financial services professionals, not just senior leaders or risk specialists. Very little is known about the role of staff in risk management, so the purpose of this paper is to, first, clarify what constitutes “desirable” risk management behaviour by financial services staff based on the practitioner and regulatory literature. Based on this understanding, the authors analyse the characteristics of those who are most likely to display such behaviour. Design/methodology/approach The paper analyses some 36,000 survey responses across ten banks headquartered in Anglo countries. Findings Desirable risk management behaviour at the employee level includes compliance but goes well beyond mere compliance to include speaking up, thoughtful engagement with and accountability for the risk management framework. The authors find a significant negative association between individual risk tolerance and desirable risk management behaviour. Older workers as well as those with greater seniority are more likely to report desirable risk management behaviour. The link between female gender and risk management behaviour is not supported after controlling for individual risk attitudes. The authors provide evidence that females who succeed in financial services do not conform to traditional female stereotypes. Practical implications Findings suggest financial institutions should hire/retain more older workers and those with lower risk tolerance to improve risk management. Hiring more females, however, is not likely to lead to better risk management. Originality/value The paper is the first to investigate risk management behaviour in financial services staff. The research exploits a unique, difficult to obtain data set.


2012 ◽  
Vol 23 (4) ◽  
pp. 158-162 ◽  
Author(s):  
Arnon Blum ◽  
Dorina Socea ◽  
Rotem Shelly Ben-Shushan ◽  
Lital Keinan-Boker ◽  
Modi Naftali ◽  
...  

1993 ◽  
Vol 25 (06) ◽  
pp. 331-332 ◽  
Author(s):  
Kathleen Hopkins ◽  
D. Brart ◽  
D. Russell-Jones ◽  
A. Chignell ◽  
P. Sönksen

1999 ◽  
Vol 54 (4) ◽  
pp. 221-222
Author(s):  
Finn Friis Lauszus ◽  
Poul Lange Gron ◽  
Joachim G. Klebe

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