scholarly journals Using Decision Analysis to Understand the Indications for Unilateral Hand Transplantation

Hand ◽  
2016 ◽  
Vol 11 (4) ◽  
pp. 450-455 ◽  
Author(s):  
Brett McClelland ◽  
Christine B. Novak ◽  
Steven Hanna ◽  
Steven J. McCabe
Keyword(s):  
Quality Of Life ◽  
Decision Tree ◽  
Decision Analysis ◽  
Upper Extremity ◽  
Functional Recovery ◽  
High Probability ◽  
Improve Quality ◽  
Hand Transplantation ◽  
Trade Offs

Background: Upper extremity transplantation has been performed to improve quality of life, the benefit which must be traded off for the risk created by life-long immunosuppression. We believe the process of decision analysis is well suited to improve our understanding of these trade-offs. Method: We created a decision tree to include a branch point to illustrate the expected recovery of useful function in the transplant, using the best estimates for utility and probability that exist. Results: Our model revealed that when the probability of achieving a good result, graded as Chen level one or two is greater than 73%, transplantation is preferred over no transplantation. The decision is sensitive to the probability of major complications and the utility of a transplanted limb with minimal function. Conclusions: The results of this analysis show that under some circumstances given a high probability of satisfactory functional recovery, unilateral hand transplantation can be justified.

scholarly journals STUDY OF EFFICIENCY OF SURGICAL TREATMENT OF TUNNEL NEUROPATHY OF THE UPPER EXTREMITY AT ELDERLY PATIENTS

2020 ◽  
pp. 15-22
Author(s):  
K. A. Egiazaryan ◽  
I. G. Chulovskaya ◽  
M. A. Skvortsova ◽  
E. V. Lobachev ◽  
N. S. Ershov
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Upper Extremity ◽  
Excellent Result ◽  
Subsequent Treatment ◽  
Upper Extremities ◽  
Diagnostic Process ◽  
Improve Quality ◽  
Age Category

The research objective are the assessment and increase in efficiency of treatment of tunnel neuropathy of the upper extremities at patients aged from 60 years and also more senior.Material and methods - the examination and the subsequent treatment of 115 patients of age category 60 years and more senior with compression pathology of nerves of the upper extremity. Diagnostic process included clinical examination, an ultrasonography, an electroneuromyography (EMG).Results - total number of cases of neuropathy is 140 at 115 patients due to the multiple combined compression of nerves in several channels in 25 cases. All patients included in a research had performed open decompression of a nerve . The excellent result was received at 32 (27.8%) patients, good - in 68 (59.1%) cases, satisfactory - at 13 (11.3%) patients, unsatisfactory - at 2 (1.7%) patients.The conclusion - expeditious treatment of tunnel neuropathy at elderly patients allows to improve quality of life of patients and gives low level of complications.

Widening the horizons: Information space of the library for the blind as the resource to improve quality of life of visually impaired people

2020 ◽  
Author(s):  
Olga Novikova ◽  
Keyword(s):  
Quality Of Life ◽  
Continuing Education ◽  
Visually Impaired ◽  
Information Space ◽  
Advanced Training ◽  
Improve Quality ◽  
Visually Impaired People ◽  
Impaired People ◽  
Special Library

The special library acts as the cultural and educational center for visually impaired people, and as the center for continuing education. The multifunctional performance of the library is substantiated. The joint projects accomplished in cooperation with theatres and museums and aimed at integrating the visually impaired people into the society are described. Advanced training projects for the library professionals accomplished in 2018 are discussed.

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