scholarly journals Gerybinių stemplės anastomozės striktūrų gydymas

2008 ◽  
Vol 6 (3) ◽  
pp. 0-0
Author(s):  
Eugenijus Stratilovas ◽  
Egidijus Sangaila

Eugenijus Stratilovas,  Egidijus SangailaVilniaus universiteto Onkologijos instituto Bendrosios ir abdominalinės chirurgijosir onkologijos skyrius, Santariškių g. 1, LT-08660 VilniusEl paštas: [email protected] Įvadas Viena iš dažniausiai pasitaikančių vėlyvųjų komplikacijų po stemplės rezekcinio pobūdžio operacijų yra gerybinė anastomozės striktūra. Dėl striktūros išsivysčiusi disfagija ilgam pablogina ligonio gyvenimo kokybę. Pagrindiniai šios komplikacijos gydymo metodai išlieka dažnos endoskopijos, dilatacijos bužais sukėlus nejautrą. Autoriai siūlo taikyti gana paprastą šių striktūrų gydymo metodą – dilataciją Folley kateteriu. Rezultatai Šiuo būdu gydyti keturi pacientai. Visi procedūrą pakėlė gerai, gydymo komplikacijų nebuvo. Po dviejų procedūrų rijimas tapo normalus, toliau procedūros tęstos ambulatoriškai, praėjus 3 mėn. rijimas išliko normalus. Išvada Anastomozės striktūros dilatacija Folley kateteriu yra saugus, veiksmingas ir pigus metodas. Reikšminiai žodžiai: stemplės vėžys, anastomozės striktūra, dilatacija The treatment of the benign esophagus anastomosis strictures Eugenijus Stratilovas,  Egidijus SangailaVilnius University, Institute of Oncology, Department of Generaland Abdominal Surgery and Oncology, Santariškių str. 1, LT-08660 Vilnius, LithuaniaE-mail: [email protected] Background One of the most frequent late complications after the resectable type of esophageal surgery is benign anastomosis stricture. The subsequent dysphagia worsens the patients’ quality of life for a long time. The main treatment modalities for this complication remain frequent endoscopy, dilatation using weighted bougies under anesthesia. Authors recommend use a simple mode of treatment – dilatation with the Folley catheter. Results Four patients underwent the treatment. All patients felt well, there were no treatment complications. Swallowing after two procedures became normal, the treatment was continued in outpatient clinic; after three months the swallowing was good. Conclusions Dilatation of a stricture with the Folley catheter is a safe and cost-effective method. Key words: esophageal cancer, anastomosis benign stenosis, dilatation

2019 ◽  
Author(s):  
Ammar AlMustafa ◽  
Ahmad Alashkar

The article proposes an innovative solution to the problems in the access and quality of STEM concepts education to Persons Living with Disability (PwD) in Syria. A project management-based approach is detailed below for a cost-effective method to be implemented by non-governmental organizations or public agencies.


1997 ◽  
Vol 20 (3) ◽  
pp. 153-157
Author(s):  
D. Umido ◽  
P. Beretta ◽  
M.R. Vigano ◽  
P. Mariani ◽  
M. Borström ◽  
...  

Convective transport across dialysis membranes has been known for a long time to be a good alternative to diffusion. Predilution hemofiltration (HF) offers a better clearance of small molecules and overcomes the blood viscosity problems related to conventional postdilution HF treatment. Three patients have performed a total of 293 predilution HF treatment with AK 100 ULTRA. The bicarbonate substitution fluid has been prepared on-line by the machine. The treatments have been well tolerated and no adverse patients reactions related to the quality of the substitution fluid or the predilution HF treatment have been observed. There is a drop in creatinine for all patients indicating an improved creatinine clearance. Bicarbonate predilution HF has been shown to be a safe and efficient treatment modality, it offers the possibility to improve the cardiovascular stability of patients having problems with other treatment modalities an it offers an improved intertreatment well-being for the patients.


2013 ◽  
Vol 333-335 ◽  
pp. 122-125
Author(s):  
Xu Fei Wang ◽  
Kai Xie ◽  
Teng Li ◽  
Zhong Qun Li ◽  
Rong Bin Guo

A cost-effective method for quickly evaluating the equivalent series resistance (ESR) of electrolytic capacitors is proposed. This approach has the ability to measure the low ESR of milliohms level, meanwhile provide the pulsed testing current up to hundreds of amperes. Therefore, this method is suitable for fast inspecting the quality of bulk capacitors. The operational principle, circuit implementation and the calibration method are presented, and the performances of the prototype are tested, which validate the proposed scheme.


2001 ◽  
Vol 8 (3) ◽  
pp. 471-474 ◽  
Author(s):  
Tri G. Phan ◽  
Watson W. S. Ng ◽  
Dana Bird ◽  
Kara Smithers ◽  
Vicky Wong ◽  
...  

ABSTRACT We evaluated methods for the detection of autoantibodies to extractable nuclear antigens (ENAs) to determine the strategy that yielded the most cost effective and clinically meaningful result. We prospectively compared counterimmunoelectrophoresis (CIEP) with and without serum prediffusion (SPD) and found that SPD significantly improved the quality of precipitation lines. This resulted in a decreased requirement for repeat testing and, consequently, was associated with a significant decrease in reagent costs and specimen turnaround time. We also retrospectively compared reactivity by CIEP, CIEP plus SPD, enzyme-linked immunosorbent assay (ELISA), and line immunoassay (LIA) of 52 serum samples that were previously determined to be positive for ENAs, and we correlated the results with clinical diagnoses. There was significant agreement among CIEP, CIEP plus SPD, ELISA, and LIA for the detection of anti-SS-A, anti-SS-B and anti-RNP. In general, CIEP, CIEP plus SPD, and LIA correlated better with the clinical diagnoses than ELISA, even though ELISA detected anti-ENAs more often than the other methods. CIEP plus SPD is therefore the most cost effective method for the identification of clinically meaningful ENAs. Based on our experience, we now screen for ENAs by CIEP, and positive samples are then typed by CIEP plus SPD. Samples that are difficult to interpret are then further assessed by an alternative method.


Author(s):  
Danielle M. Gillard ◽  
Jeffrey D. Sharon

Abstract Purpose of Review To summarize and critically review recent literature on the relative cost-effectiveness of hearing augmentation versus stapes surgery for the treatment of otosclerosis. Recent Findings Otosclerosis leads to reduced patient quality of life, which can be ameliorated by either stapes surgery, or hearing aid usage. The success of stapes surgery is high, and the risks of serious postoperative complications are low. Hearing aids don’t have the complications of surgery but are associated with long-term costs. Cost-effectiveness models have shown that stapes surgery is a cost-effective method for treating otosclerosis. Summary Both stapes surgery and hearing aids can improve patient-reported quality of life in otosclerosis. Stapes surgery has larger upfront costs and surgical risks, but hearing aids are associated with longer lifetime costs. Stapes surgery is cost-effective for the treatment of otosclerosis.


The Healer ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 126-131
Author(s):  
Dr.Minal Shashikumar Vaidya ◽  
Vd.Ashwin Prakash Shinde ◽  
Vd. Mugdha Aveenash Vaidya

Interstitial Lung Diseases(ILD) are a group of diffuse parenchymal lung disorders, most of which cause progressive scarring of lung tissue associated with substantial morbidity and mortality as the scarring in ILD eventually affects the ability to breathe and get enough oxygen into the blood- stream. Prolonged ILD may result in pulmonary fibrosis. As there is no definite treatment for the disease, it has remained a great problem for the patients. Several conventional treatment modalities are in existence but not much comprehensive. Though the permanent cure for the disease is not available but Ayurveda can provide cost-effective and conveniently the better treatment which relieves the symptoms to a good extent and improves the quality of life of the diseased. In this article, a case study presented on a case of ILD. A 63 years old female, diagnosed case of ILD, attended Kayachikita OPD , with chief complaint of breathlessness since 2018 but severe from 1 month. Patient got admitted in IPD and treated on the Ayurvedic principles. At the time of discharge, symptomatic relief was found in breathlessness, effectiveness in FEV1( Forced Expiratory Volume in 1 sec)and also maitained saturation , but no significant changes in X-Ray Chest was observed after treatment.


2016 ◽  
Vol 31 (1_suppl) ◽  
pp. 125-129 ◽  
Author(s):  
Roshan Bootun ◽  
Alun H Davies

Management of varicose vein disease has changed drastically over the past decades. Since its introduction in vein practice, surgery has gone through several stages of evolution until the method of ligation with stripping eventually became and remained the standard for a long time. It was found to be effective at treating the condition and, indications of its beneficial impact on patients’ quality of life soon also became evident. However, being associated with significant morbidity, surgery gradually fell out of favour, especially, once the newer endovenous techniques were launched around the turn of the century. These endothermal methods allowed procedures to be carried out under local anaesthetic as day case interventions, often with a similar or even better effect on occlusion rates and quality of life. In addition, there is mounting evidence that these newer techniques might be more cost-effective. This review evaluates surgical treatment of varicose veins compared to endovenous methods and also assesses its place in current phlebological practice.


2018 ◽  
Vol 36 ◽  
Author(s):  
G. BRECCIA ◽  
M.B. BISIO ◽  
L. PICARDI ◽  
G. NESTARES

ABSTRACT: The availability of imidazolinone (IMI) resistant cultivars has provided an effective option for weed control in wheat production systems. IMI herbicides control several weeds, including Avena fatua and Lolium multiflorum, which are the most frequent grass weeds in wheat crops of the Argentine Pampas. The aim of this study was to develop a soil-less method that allows rapid phenotyping of IMI resistance in wheat. Nine wheat cultivars differing in IMI resistance were evaluated through a between-paper germination method. Herbicide concentrations required to reduce shoot and root length by 50% for resistant cultivars were > 75 fold that of the susceptible cultivars. The response of resistant and susceptible commercial cultivars was assessed in the between-paper and top-paper methods at 100 mM imazamox as discriminating dose. The Z’-factor was calculated for evaluation of the quality of the screening methods. Both germination methods showed Z’-factors > 0 indicating that the assays were appropriate but the between-paper method allowed to save space in the growth chamber. The germination methods were useful for distinguishing between susceptible and resistant plants carrying at least one resistance gene. The rapid, simple and cost-effective method described in the present study could be a potential tool when selecting for IMI resistance in wheat in breeding programs.


Proceedings ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 52 ◽  
Author(s):  
Zdenka Kovacova ◽  
Stefan Demcak ◽  
Magdalena Balintova

Pollution of water by toxic elements is one of the major factors of concern for human health, as well as for environmental quality, and draws a large amount of scientific attention. New and cheaper methods of wastewater treatment are increasing the quality of the environment and reducing the negative impacts on fauna, flora, and human beings. The sorption technique is considered a cost effective method for effectively removing heavy metals. During the past few years, there have been increasing studies dedicated to using low-cost adsorbents like bark, tannin-rich materials, lignin, chitosan peat moss, and sawdust. The presented paper describes the adsorption behavior of spruce wood sawdust. In order to determine its applicability for wastewater treatment, copper removal from model solutions was studied.


1986 ◽  
Vol 69 ◽  
Author(s):  
Allan Rosencwaig

AbstractWe describe a highly sensitive, noncontact method for inspecting important, but previously difficult to monitor, processes used in the manufacture of integrated circuits. This technique, based on the detection of thermal waves through laser-induced modulation of the sample's optical reflectance, has proven to be an excellent means for detecting and quantifying the extent of lattice damage or disorder in silicon and gallium arsenide wafers that results from chemopolishing, ion implantation and etching processes. This technique thus provides a powerful and cost effective method for monitoring the quality of incoming wafers, the dose and uniformity of ion implantations and the efficiency and uniformity of dry etch processes. Furthermore this method may be used on actual product wafers as well as test wafers since the measurements are performed in a completely nondamaging fashion and with micronscale resolution.


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