scholarly journals Is the Greater Trochanter the Ideal Freehand Landmark for the S2AI Screw Angle in the Caudal Direction? Commentary on “Extra-articular Portion of the Sacroiliac Joint—Between the Sacral and Pelvic Tuberosities: An Anatomical Guide for the S2-Alar-Iliac Screw Trajectory” by Tatara et al

2021 ◽  
Vol 11 (6) ◽  
pp. 1008-1009
Author(s):  
Panyi Yang ◽  
Xueyang Tang
Keyword(s):  
Anatomical Landmarks ◽  
Greater Trochanter ◽  
Clinical Safety ◽  
Caudal Direction ◽  
Freehand Technique ◽  
Iliac Screw ◽  
Navigation Software ◽  
Guidance Technique ◽  
The Relationship ◽  
The Ideal

The author introduced a novel freehand technique for S2-Alar-Iliac screw placement Which demonstrated good clinical safety. However the optimal anatomical landmarks of the screw angle in the caudal direction have not been unified. The tip of the greater trochanter(TGT) was one of the most frequently chosen landmark in fluoroscopic or navigation guidance technique. Additional adjustments are always needed according to these studies. The freehand technique of the present study also choose the TGT as the as the landmark of the S2AI screw angle in the caudal direction, whether it also need any adjustment? We hope the author could explain more about this issue. Besides, the relationship between TGT and the sacral iliac bone is not static, which will make the reliability of the pre-surgery navigation software simulation doubtful.

scholarly journals Extra-articular Portion of the Sacroiliac Joint—Between the Sacral and Pelvic Tuberosities: An Anatomical Guide for the S2-Alar-Iliac Screw Trajectory

2020 ◽  
pp. 219256822090303
Author(s):  
Yasunori Tatara ◽  
Takanori Niimura ◽  
Tatsuhiro Sekiya ◽  
Hisanori Mihara
Keyword(s):  
Sacroiliac Joint ◽  
Screw Placement ◽  
Anatomical Landmarks ◽  
Related Complication ◽  
Screw Insertion ◽  
Iliac Screw ◽  
The Individual ◽  
The Right ◽  
Navigation Software ◽  
The Ideal

Study Design: A novel technique for S2-alar-iliac (S2AI) screw placement was analyzed. Objectives: Accurate confirmation of the S2AI screw trajectory with free-hand techniques is not simple, although some anatomical landmarks have been reported. To overcome the drawback, we aimed to introduce our technique for S2AI screw placement assisted with a guidewire using a new anatomical landmark. Methods: A total of 104 S2AI screws of 52 patients who underwent S2AI screw placement were investigated. Navigation software was used to simulate S2AI screw placement preoperatively. Screw placement was performed with the nonfluoroscopic free-hand technique. In this technique, a guidewire is inserted into the ilium from the extra-articular portion of the sacroiliac joint just lateral to the ideal screw entry point toward the tip of the greater trochanter and guides the screw trajectory. If the direction of the guidewire is satisfactory, all procedures of screw insertion are performed accordingly. The screw accuracy was assessed with computed tomography. Results: The modal size of the screw was 9.5 mm × 90 mm. The average horizontal angle was 42.0° (SD = 5.1°) on the right and 40.7° (SD = 4.7°) on the left. Of the 104 screws, 4 screws (3.9%) breached dorsally. No screw-related complication was observed. Conclusions: Because the guidewire can be inserted at an angle according to the individual morphology of the sacroiliac joint, it will be a reliable guide for the screw trajectory. This technique with a guidewire would help improve the accuracy of S2AI screw placement.

Evaluation of portal locations and periarticular structures in canine coxofemoral arthroscopy: a cadaver study

2004 ◽  
Vol 17 (04) ◽  
pp. 184-188 ◽  
Author(s):  
D. A. Hulse ◽  
K. S. Schulz ◽  
W. B. Saunders
Keyword(s):  
Cadaver Study ◽  
Neutral Position ◽  
Anatomical Landmarks ◽  
Greater Trochanter ◽  
Limb Position ◽  
Joint Pathology ◽  
Hip Flexion ◽  
Neurovascular Structures ◽  
Gross Examination ◽  
The Ideal

SummaryThe objectives of this study were to determine the optimum limb position for the creation of safe arthroscopy portals for coxofemoral arthroscopy, to determine anatomical landmarks for arthroscopy portals, and to determine distances of portals to periarticular neurovascular structures. Eight hemipelves were harvested from adult dogs that died for reasons unrelated to this project and were free of joint pathology as determined by gross examination at the conclusion of the study. The results suggest that the ideal limb position for canine coxofemoral arthroscopy was slight limb adduction, thirty degrees of hip flexion, with the stifle in a neutral position. With the limb in the ideal position, the arthroscope portal was 5 mm cranial (range 0 mm 10 mm) and 15 mm proximal (range 12 mm 18 mm) to the greater trochanter. The instrument portal was 10.2 mm cranial (range 5 mm 18 mm) and 14 mm proximal (range 7 mm 20 mm) to the greater trochanter. The sciatic nerve and the caudal gluteal artery were 9 mm caudal (range 6 mm 15 mm) to the arthroscope portal. This is the first study to evaluate the location of both arthroscopy portals and periarticular neurovascular structures in relation to surrounding surgical landmarks.

KONSTRUKSI ISLAM DALAM KEKUASAAN NEGARA

1970 ◽  
Vol 6 (2) ◽  
Author(s):  
Nurul Aini Musyarofah
Keyword(s):  
Islamic Law ◽  
Social Condition ◽  
The Other ◽  
Good Society ◽  
Ideal Form ◽  
Other Hand ◽  
Islamic Politics ◽  
The Relationship ◽  
The Ideal

The relationship between Islam and state raises a controversy that includes two main groups;formalists and substantialists. Both of them intend to achieve a good social condition which is inaccordance with Islamic politics. The ideal form of good society to be achieved is principallydescribed in the main source of Islamic law, Al Qur’an and As Sunnah, as follows. A form of goodsociety should supprot equality and justice, egalitarianism, and democracy in its social community.The next problem is what the needed methods and instruments to achieve the ideal Islamic politicsare. In this case, the debate on the formalization and substance of Islamic teaching is related to therunning formal political institution.Each group claims itself to be the most representative to the ideal Islam that often leads to anescalating conflict. On the other hand thr arguments of both groups does not reach the wholeMuslims. As a result, the discourse of Islam and state seems to be elitist and political. As a result,Both groups suspect each other each other and try to utilize the controversy on the relationshipbetween Islam and state to get their own benefit which has no relation with the actualization ofIslamic teaching.

Esteem and self-esteem as an interweaving polarity. Max Weber´s analysis from the Protestant ethic to the ideal-type of politician

Human Affairs ◽  
2020 ◽  
Vol 30 (3) ◽  
pp. 353-364
Author(s):  
Cristiana Senigaglia
Keyword(s):  
Social Life ◽  
Max Weber ◽  
Modern Society ◽  
Self Esteem ◽  
Protestant Ethic ◽  
Social Reputation ◽  
Conduct Of Life ◽  
The Social ◽  
The Relationship ◽  
The Ideal

AbstractAlthough Max Weber does not specifically analyze the topic of esteem, his investigation of the Protestant ethic offers interesting insights into it. The change in mentality it engendered essentially contributed to enhancing the meaning and importance of esteem in modern society. In his analysis, Weber ascertains that esteem was fundamental to being accepted and integrated into the social life of congregations. Nevertheless, he also highlights that esteem was supported by a form of self-esteem which was not simply derived from a good social reputation, but also achieved through a deep and continual self-analysis as well as a strict discipline in the ethical conduct of life. The present analysis reconstructs the different aspects of the relationship between social and self-esteem and analyzes the consequences of that relationship by focusing on the exemplary case of the politician’s personality and ethic.

Joseph Soloveitchik and Immanuel Kant's Mitzvah-Aesthetic

AJS Review ◽  
2001 ◽  
Vol 25 (1) ◽  
pp. 1-24 ◽  
Author(s):  
Zachary Braiterman
Keyword(s):  
Immanuel Kant ◽  
Social Ethics ◽  
Formal System ◽  
Order Effects ◽  
Critique Of Judgment ◽  
Jewish Thought ◽  
Personal Morality ◽  
History Of ◽  
The Relationship ◽  
The Ideal

In the following pages, I will address the relationship between Jewish thought and aesthetics by bringing Joseph Soloveitchik into conversation with Immanuel Kant, whose Critique of Judgment remains an imposing monument in the history of philosophical aesthetics. While Buber and Rosenzweig may have been more accomplished aesthetes, Soloveitchik's aesthetic proves closer to Kant's own. In particular, I draw upon the latter's distinction between the beautiful and the sublime and the notion of a form of indeterminate purposiveness without determinate purpose. I will relate these three figures to Soloveitcchik's understanding of halakhah and to the ideal of performing commandments for their own sake (li-shemah). The model of mitzvah advanced by this comparison is quintessentially modern: an autonomous, self-contained, formal system that does not (immediately) point to extraneous goods, such as spiritual enlightenment, personal morality, or social ethics. The good presupposed by this system proves first and foremost “aesthetic.” That is, immanent to the system. Supererogatory goods enter into the picture only afterward as second-order effects.

scholarly journals Defining the limits of caesarean scar niche repair: new anatomical landmarks

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Tanushree Rao ◽  
Neera Lambert ◽  
Bhaswati Ghosh ◽  
Timothy Chang
Keyword(s):  
Laparoscopic Repair ◽  
Anatomical Landmark ◽  
Anatomical Landmarks ◽  
Video Presentation ◽  
Surgical Method ◽  
Caesarean Scar ◽  
Reproducible Technique ◽  
The Ideal

Abstract Background Caesarean scar niche is increasingly being seen due to the rise in the number of caesarean sections worldwide. Indications and the ideal route for niche repair are still being researched. If the residual myometrium is less than 3 mm thick and potential fertility is needed, laparoscopy is the ideal surgical method for caesarean scar niche repair. The aim of this video presentation is to demonstrate techniques of identifying new anatomical landmarks during laparoscopic uterine niche repair. Results As seen in the video, Caesarean scar niche repair can be done in a step-by-step manner, with lateral bands serving as anatomical landmarks. Conclusions Lateral bands are a consistent anatomical landmark which identify the level and width of the uterine niche and thus simplify the laparoscopic repair making this a reproducible technique.

Imitating the Traditional Gods

Mnemosyne ◽  
2021 ◽  
pp. 1-22
Author(s):  
Vilius Bartninkas
Keyword(s):  
Role Models ◽  
Moral Virtues ◽  
The People ◽  
Additional Input ◽  
Virtuous Character ◽  
Ethical Role ◽  
Virtuous Life ◽  
The Relationship ◽  
Religious Aspect ◽  
The Ideal

Abstract This paper examines moral virtues and cult practice in Plato’s Laws. It explores the symposium and the chorus and their potential to provide a recognisable cultural setting, in which the Magnesian citizens can test their responses to pleasurable and painful experiences and thus train their moral virtues. The challenge to this reading is to explain what additional input to moral habituation is provided by the religious aspect of these institutions. This paper draws attention to the relationship between the people and the patron gods of the respective institutions. It argues that the cult practices are designed to reflect the virtuous character of the traditional gods, who serve as the ethical role models for the worshipers. In this way, the worship of the traditional gods not only facilitates moral progress by exemplifying the objective of virtuous life, but also gives an egalitarian version of the ideal of godlikeness to its citizens.

Gobernanza económica europea y modelo territorial de distribución del poder

2013 ◽  
pp. 153-191
Author(s):  
Ainhoa LASA LÓPEZ
Keyword(s):  
European Union ◽  
The European Union ◽  
European Level ◽  
Euro Pean ◽  
Economic Constitution ◽  
The One ◽  
The Impact ◽  
The Relationship ◽  
The Ideal

LABURPENA: Artikulu honetan, Europar Batasuneko botere-artikulazio berriak erkidegotan osatutako Espainian zer eragin daukan aztertuko dugu. Europa mailako politika-ekonomia erlazioak funtsezko bi koordenatu izan behar ditu ezinbestean. Alde batetik, Europako konstituzio-ordena ez dela gizartearen konstituzionalismoaren koordenatuetan ernatutako ordenaren berdina. Bestetik, Europako konstituzio ekonomikoa Europa bat egiteko proiektuak berarekin dakartzan aldaketa berriak gorpuzteko eremua dela. Izan ere, funtsean, Europako konstituzio ekonomikoa plataforma ezin hobea delako boterearen artikulazioa berria nola artikulatu asmatzeko, Europa guztirako. RESUMEN: el objetivo de este artículo es analizar el impacto que tiene la nueva articulación del poder en la Unión Europea en el Estado español de las autonomías. La relación política-economía a nivel europeo debe tener en cuenta dos coordenadas fundamentales. Por una parte, la consideración del orden constitucional europeo como un orden distinto al gestado bajo las coordenadas del constitucionalismo social. Por otra, la caracterización de la constitución económica europea como ámbito de materialización de las nuevas transformaciones que incorpora el proyecto de integración europeo. Fundamentalmente, porque la constitución económica europea representa la plataforma idónea desde la que dilucidar la nueva articulación del poder desde el espacio supranacional europeo. ABSTRACT: The aim of this paper is to analyse the impact of the new articula tion of power in the European Union in the Spanish state of autonomies. The relationship between politics and economy at European level must take into consideration two fundamental coordinates. On the one hand, the Euro pean constitucional system appears as a system opposite to that of social constitutionalism. Moreover, the characterization of the European economic constitution as a field of realization of the new transformations incorporated by the European project. Specially, because this represents the ideal platform in order to analyse the new articulation of power from European supranational space.

scholarly journals New Insights on the Mechanism of Fatty Acids as Buccal Permeation Enhancers

Pharmaceutics ◽  
2018 ◽  
Vol 10 (4) ◽  
pp. 201 ◽  
Author(s):  
Cristina Padula ◽  
Silvia Pescina ◽  
Sara Nicoli ◽  
Patrizia Santi
Keyword(s):  
Fatty Acids ◽  
Fatty Acid ◽  
Fluorescein Isothiocyanate ◽  
Penetration Enhancers ◽  
Systemic Delivery ◽  
Permeation Enhancers ◽  
Maximum Value ◽  
The Relationship ◽  
Insight Into ◽  
The Ideal

Buccal mucosa has recently received much attention as a potential route for systemic delivery of drugs, including biologics and vaccines. The aim of this work was to gain insight into the mechanism of fatty acids as buccal permeation enhancers, by studying the effect of a series of medium and long chain fatty acids on the permeation of a model high molecular weight and hydrophilic molecule, fluorescein isothiocyanate labelled dextran (FD-4, m.w. 4 kDa) across porcine esophageal epithelium. A parabolic relationship between fatty acid lipophilicity and enhancement was obtained, regardless of the presence and number of double bonds. The relationship, which resembles the well-known relationship between permeability and lipophilicity of transdermal delivery, presents a maximum value in correspondence of C10 (logP approx. 4). This is probably the ideal lipophilicity for the fatty acid to interact with the lipid domains of the mucosa. When the same analysis was performed on skin data, the same trend was observed, although the maximum value was reached for C12 (logP approx. 5), in agreement with the higher lipophilicity of the skin. The results obtained in the present work represent a significant advancement in the understanding of the mechanisms of action of fatty acids as buccal penetration enhancers.

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