scholarly journals Clinical current features and treatment tactics of acute external hemorrhoids in outpatient and polyclinic conditions

2020 ◽  
Vol 7 (2) ◽  
pp. 144-153
Author(s):  
D. A. Lomonosov ◽  
A. L. Lomonosov ◽  
S. V. Volkov ◽  
A. A. Golubev

Purpose of the study. The study of the current problems for acute external hemorrhoids (AEH) diagnosis and treatment from the point of view of a practicing ambulatory coloproctologist in the Tver region (based on an analysis of the clinical features of the disease, its course and the applied tactics of the coloproctologist) was made.Patients and methods. A retrospective study with continuous series of 124 patients (2016–2017), using clinical and statistical research methods.Results. Acute external hemorrhoids (AEH) is a painful formation that suddenly arises due to acute thrombosis of the external hemorrhoid plexus, located near the anus, mainly at 3, 5, 7 hours on the proctological dial, with a free space between the hemorrhoid and the mucous membrane of the anal canal. Patients with AEH turned to the ambulatory coloproctologist at a later date (on average 11.7 days after the onset of the disease), most often without pain or with slight pain in the anus, with mild and moderate severity of the disease. The main complications of AEH were necrosis and hemorrhoidal wall rupture with bleeding from it. Conservative treatment of patients with AEH was due to clinical guidelines of the Russian Coloproctologists Association (RCA); it was ineffective in 11.3% of patients, who underwent outpatient surgery. All patients with severe pain, high grades of AEH, were offered for hospitalization to the surgical department (including coloproctologcal), but they refused. Low operative activity and late surgery in patients with AEH, who applied to the polyclinic, were due to the fact that only 12 (9.7%) patients sought help within the first 72 hours of the onset of the disease, low severity of pain, as well as the patients refused the proposed operations.Conclusions. The studied features of the outpatient coloproctologic service in AEH reveal the inadequate availability of system resources for patients, inappropriate informing the population with «mass-media» technologies; it makes difficulties to implement the recommendations of the RCA.

2019 ◽  
Vol 8 (1) ◽  
pp. 37-45
Author(s):  
Tomasz Lus

Submarines, as a very expensive and sophisticated type of weaponry, are being intensively exploited by the armed forces of many countries. This means that submarines are sent ever longer patrols, sometimes to distant regions. To meet such requirements, submarine sub-systems and components must have high reliability and operational readiness indicators. Among the many machines and devices found on submarines, the ones that generate, store, and consume energy (mainly electricity) deserve special attention. The largest energy consumers on the submarine are the components of its propulsion system. One of the most complicated and loaded devices on board submarine is a power generator with a diesel engine driving it, on whose continuous and reliable work the safe performance of tasks depends. According to statistical research, despite its importance for the process of performing tasks by submarines, diesel engines are still the least reliable devices on submarines. Despite the constant technological development of piston engines, their work in very difficult conditions under heavy load and at high counter-pressure at the exhaust outlet promotes their malfunction and damage. From this point of view, the development of charge air systems for submarine diesel engines based on the construction experience of MTU Company is described in the paper. The classification of submarines, their propulsion systems, and the working conditions of engines on submarines are presented in the paper. Air-Independent Propulsion (AIP) systems with their applications on chosen submarines are also described. The most significant change in submarine propulsion system observed in 2018, transition from lead-acid to lithium-ion batteries, is also presented.


2019 ◽  
Vol 8 (3) ◽  
pp. 83 ◽  
Author(s):  
Nitza Davidovitch ◽  
Eyal Eckhaus

Many studies have been conducted on teaching evaluations completed by students and on myths and facts concerning these evaluations performed by students at academic institutions. The current study is unique in examining the meaning of teaching evaluations as perceived by academic faculty members in Israel through direct questions, with an emphasis on faculty's recommendations for improving the evaluations to make students' comments meaningful for enhancing and advancing their teaching. The perception of evaluations is unique too. Evaluations are part of faculty's learning outputs in their courses, with the aim being for graduates of academic systems to have the ability to provide objective and fair assessments.One hundred seventy seven questionnaires were gathered from senior faculty at several academic institutions. Qualitative and statistical research tools were used in order to form a model that expresses the negative implications as seen by faculty members and alternatives for measuring the performance of faculty in academic teaching. The research findings indicate that lecturers note "professional" alternatives and see teaching evaluations as a populist rather than a professional tool. Moreover, although the lecturers gauge the damage caused to them as a result of student evaluations, where the enormous damage caused to them is disproportionate to the number of respondents, and although faculty members believe that student evaluations are untrustworthy, students' opinions on the courses are important. Their recommendation is that the evaluation should be a tool for teaching how to perform evaluations and convey criticism – and in this field not much has been done in academic institutions, if at all. Academia sees evaluations as a technical matter, a means of satisfying students by letting them express their opinions and of giving students a feeling that the system is attentive to their voice, to their views.Indeed, students' voice is important to the lecturers – their opinions of teaching are important – and that is precisely why action should be taken to render these evaluations fair. Students should understand the power of the words that express their evaluation of the lecturers. This point of view is a first of its kind, where academic faculty members support students' opinions and provide recommendations aimed at their improvement.


2020 ◽  
Vol 106 (3) ◽  
pp. 17-23
Author(s):  
O.A. Haluzynskyi ◽  
O.G. Haiko ◽  
G.V. Gayko

Summary. Relevance. Combined pathology of the lumbar spine and hip joint is rightly considered one of the serious problems of modern orthopedics. Among the many factors that can cause lumbar spine pain, a decrease in bone mineral density (BMD) of the vertebral bodies in the form of osteoporosis may play a role. Objective: to study BMD in patients with osteoarthritis of the hip joints with concomitant pathology of the spine. Materials and Methods. The analysis of data of densitometric and statistical research of 62 patients who had grade III-IV coxarthrosis (CA) with concomitant pathology of the spine was carried out. Results. Decreased BMD in patients with grade III CA was found in 22 (35.4%) in the form of osteopenia and in 8 (12.9%) as osteoporosis; in patients with grade IV CA – in 4 (6.4%) and in 17 (27.4%) – respectively. It was found that BMD in patients with grade IV CA is significantly lower than in patients with grade III and there is a probable medium-strength relationship between a stage of CA and BMD of the femoral neck. It has been proven that patients with hypoplastic coxarthrosis and the true form of lumbar vertebral syndrome (LVS) have probably lower mean BMD values and exactly these groups of patients have the highest incidence of osteopenia and osteoporosis. Conclusions. 51 (82%) patients with grade III-IV CA revealed a decrease in BMD in the form of osteopenia and osteoporosis, the degree of which depends on the severity of the disease and functional insufficiency of the limb. Changes in BMD have their own characteristics in patients with different types of CA and forms of LVS.


2018 ◽  
Vol 21 (2) ◽  
pp. 52
Author(s):  
Frank Kessler ◽  
Mirko Tobias Schäfer

This article proposes a consideration of today’s discourses on ‘big data’ from a media archaeological point of view, confronting such discourses with those surrounding projects for large- scale image archives in the nineteenth and early twentieth centuries. Collections of photographs, stereographs and films were thought of as trustworthy and unbiased documents, that allowed for the production of new forms of knowledge. The expectations as to the impact of such new media that circulated at the time are not unlike those formulated today with respect to ‘big data’. It is only by scrutinizing those discourses, and specifically the role attributed to media technologies, that we can understand the processes that govern the production of each medium’s bias.


2015 ◽  
Vol 26 (4) ◽  
pp. 53-69
Author(s):  
Thomas Olesen

Formålet med artiklen er at tilbyde en teoretisk og konceptuel ramme for forskning i uretfærdighedssymboler og sociale bevægelser. Uretfærdighedssymboler forstås som symboler, der for et kollektiv kondenserer og udstiller en generel uretfærdig tilstand i samfundet/verden. Studiet af uretfærdighedssymboler fremstår underbelyst i den politiske sociologi. Artiklen arbejder i to spor. På den ene side argumenteres det, at den nuværende samfundstype med globale kommunikationsstrømme og nye medieteknologier promoverer betydningen af uretfærdighedssymboler i de sociale bevægelsers aktiviteter. På den anden side pointeres det, at relationen mellem symboler og sociale bevægelser på ingen måde er historisk ny. Tværtimod er grundpåstanden, ikke mindst inspireret af den sene Durkheim, at symboler er et grundlæggende element i reproduktionen af menneskelige samfund. En udforskning af dynamikken mellem uretfærdighedssymboler og sociale bevægelser er sociologisk interessant af to grunde. For det første er uretfærdighedssymboler resultatet af politiske menings- og værdiprocesser, hvor kollektive aktører tillægger begivenheder, personer og andre objekter en universaliserende betydning. For det andet indgår uretfærdighedssymboler som en del af vores kollektive erindring og optræder derfor som idemæssige ressourcer, der kan mobiliseres uden for deres rumlige og tidslige forankring. Sociale bevægelser har med andre ord en social og politisk dobbeltrolle, hvor de både er skabere og ”forbrugere” af symboler. ENGELSK ABSTRACT: Thomas Olesen: Injustice Symbols and Social Movements The purpose of the article is to offer a theoretical and conceptual framework for research on injustice symbols and social movements. Injustice symbols are understood as symbols that condense and expose an overall unjust situation in society/the world. The study of these symbols appears somewhat neglected in political sociology. The article pursues two tracks. On the one hand, it argues that the present type of society with global currents of communication and new media technologies is promoting the significance of injustice symbols in the activities of social movements. On the other hand, it stresses that the relation between these symbols and social movements is by no means historically new. On the contrary, not least inspired by Durkheim, the basic argument is that symbols constitute a fundamental element in the reproduction of human societies. An investigation into the dynamics between injustice symbols and social movements is interesting from a sociological point of view for two reasons. First, injustice symbols are the result of political opinion- and value processes whereby collective actors ascribe a universalizing meaning to events, individuals and other objects. Second, these symbols form part of our collective memory. Consequently, they act as ideational resources that can be mobilized outside their spatial and time-related framework. In sum, social movements have a social and political double role where they are both creators and users of symbols. Keywords: social movements, symbols, new media ecology, Durkheim, injustice.


1959 ◽  
Vol 8 (1) ◽  
pp. 39-64 ◽  
Author(s):  
Luigi Gedda ◽  
Sandra Bérard-Magistretti

SUMMARYA family beloging to an isolated locality of Latium and comprising 362 subjects was studied. Among these subjects 63 cases of variably complicated iris atrophy, which the Authors distinguish in three degrees according to the severity of the disease, were found and studied. From the nosological point of view, glaucoma and hydrophthalmus proved to occur as secondary manifestations of the iris atrophy in this family. From the genetic standpoint it was confirmed that the transmission of the disease occurs by a dominance trait and that it probably corresponds only to a couple of autosomic allelomorphs. The penetrance seems to be almost complete, while the expressivity may be very variable.


Comunicar ◽  
2009 ◽  
Vol 16 (32) ◽  
pp. 51-64 ◽  
Author(s):  
Biswajit Das

The recent explosion of communication tools and services within last two decades has posed new questions that are beyond the comprehension of existing pedagogy in Indian Comm unication Studies. Indian society has witnessed a widespread proliferation of media technologies to such an extent that they have become ubiquitous in society. Media education, in In dia, however, remains an almost unexplored area of studies. This contribution puts forward the need for Media education far from a non-elitist point of view and proposes this Media education as a new pedagogy although its efficiency has not been proved convincingly yet. La reciente explosión de las herramientas y servicios de comunicación, durante las últimas dos décadas, ha planteado nuevas preguntas más allá de la comprensión de la pedagogía actual en los estudios de comunicación en la India. La sociedad india ha sido testigo de una muy extensa proliferación de tecnologías mediáticas, a tal grado que se han vuelto ubicuas en el entorno social. Sin embargo, la educación en medios en India sigue siendo un área de estudios casi inexplo rada. Esta contribución plantea la necesidad de una educación mediática desde una perspectiva no elitista al mismo tiempo que propone su posicionamiento como una nueva pedagogía aun reconociendo que los resultados de la investigación sobre la efectividad de la educación mediática son prácticamente inexistentes.


2020 ◽  
Vol 24 (1) ◽  
pp. 189-193
Author(s):  
K. Sokoliuk ◽  
◽  
A. Lyashenko ◽  

Annotation. Introduction. The article examines the services of logistic outsourcing from the point of view of Ukrainian manufacturing companies, analyzes the results of the survey, compares them with global trends. It was determined that Ukrainian companies use logistic outsourcing less often than companies in other regions of the world. Also, the most often outsourced fields were identified. Purpose. Analysis of logistics outsourcing services from the viewpoint of Ukrainian manufacturing companies and comparison of survey results based on the survey with global trends. Results. It was found that from the list of enterprise groups classification (micro, small, medium, large) all categories use the services of freight forwarding companies. The following types of logistic processes are most often outsourced: transportation, lease and maintenance of equipment, warehousing, logistic chain optimization. It was found that among other countries in the study of third-party logistics, Ukraine occupies the lowest position in the usage of outsourcing services in logistics. The reasons for outsourcing logistic processes in logistics are significant: lack of own resources and capacity, cost reduction. The relationship between causes and logistic processes has shown that in order to reduce logistic costs in the enterprise it is necessary to outsource transportation. Conclusions. Statistical research has shown a small relationship between the areas of logistic outsourcing and the main causes of outsourcing of logistic activities. Therefore, it is not appropriate to say that some logistical measures should be outsourced and others should not. The mixed system, which combines the usage of own and third-party production facilities, is the most suitable for most Ukrainian manufacturing companies Keywords: logistics, outsourcing, third-party logistics, transport, warehousing, supply chain management, optimization, respondent, survey.


2021 ◽  
pp. 152-158
Author(s):  
L. A. Davletshina ◽  
M. V. Karmanov ◽  
O. E. Bashina

The article considers the issues of statistical accounting of of persons of child age who have fallen into difficult life situation. The paper сarries out a comparison of the conceptual apparatus, revealing such a public category as “children” and gradation parameters of specified population groups from the point of view of revealing the object of study. The authors justify the need to characterize the subject of the study – a difficult life situation in which both an adult and a child can get, highlight particularly the age group “teenagers”. The study presents features of difficult life situations in which children and adolescents can get. The article lists the areas of occurrence of complex circumstances in which difficult life situations are formed and developed. Based on the analysis, the authors propose and substantiate an original system of indicators for assessing persons of child age who have fallen into a difficult life situation. 


2021 ◽  
Vol 2 (1) ◽  
pp. 89-113
Author(s):  
Cecilia Ferm Almqvist

This article explores the meaning and function of streaming media as a potential facilitator of musical Bildung. Taking the affordances of streaming media technologies as a starting point, the article thus focuses on the formative and cultivating dimensions a music streaming service such as Spotify might offer. The specific aim of this article is to describe and analyse how musical Bildung may evolve within a Spotify context from a user perspective. To address the aim from the point of view of music education, Spotify users’ activities and experiences of streaming media interactions were accessed, inspired by internet-related ethnography. Stimulated recall interviews, focusing on the participants’ experiences as well as their actual use of Spotify’s streaming service, were conducted, recorded, and transcribed. The generated material was subjected to co-operative hermeneutic content analysis. The results illuminate how Bildung evolves in users’ encounters with the service and with art mediated via Spotify. Relevant topics occurring in the human-art-technology relationship of Bildung from a Heideggerian perspective were Being-possible, the ability-to-be, and Spotify as the Other. In sum, it can be stated that Bildung evolves when Spotify exceeds the thingness of the Other, becoming a work of art in itself, throwing the user into Being.


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