scholarly journals The successive period and the simplest way to isolate the placenta

1929 ◽  
Vol 25 (4) ◽  
pp. 397-401
Author(s):  
Sh. Ya. Mikeladze
Keyword(s):  
Main Task ◽  
The Third ◽  
Subsequent Period ◽  
Successive Period ◽  
The Moment

From the moment of birth of the fetus, the third period of the birth act begins the succession period. A woman, both during childbirth and during the allocation of the placenta, in most cases does not do without the help of an obstetrician. The main task of the obstetrician is to monitor the correct flow of natural forces and come to help only when the latter are insufficient or are somehow disturbed. Any untimely intervention entails a violation of the normal course of the subsequent period and is the cause of a number of complications (strictures of the internal pharynx, separation of pieces of the placenta and membranes, etc.).

PREDICTION OF THE EFFICIENCY OF RECONSTRUCTIVE INTERVENTIONS ON THE MAJOR NERVES OF THE FOREARM, DEPENDING ON THE DEFECT DURATION AND THE FOLLOWING REHABILITATION

2020 ◽  
pp. 77-88
Author(s):  
Дмитрий Валериевич Судаков ◽  
Олег Валериевич Судаков ◽  
Людмила Валентиновна Кретинина ◽  
Наталья Владимировна Якушева ◽  
Артём Николаевич Шевцов
Keyword(s):  
Nervous Tissue ◽  
Clinical Situation ◽  
Economic Importance ◽  
Important Data ◽  
Subsequent Period ◽  
Complete Restoration ◽  
Reconstructive Microsurgery ◽  
The Moment

Статья посвящена построению прогноза эффективности реконструктивных вмешательств на магистральных нервах предплечья в зависимости от протяженности дефекта нервной ткани и особенностей последующего периода реабилитации пациентов. Данная тематика является весьма актуальной, так как с каждым годом во всем мире наблюдается определенный рост случаев травм различного генеза магистральных нервных стволов, которые затем нередко приводят к временной нетрудоспособности и даже инвалидности пациентов. Реконструктивная микрохирургия многие десятилетия пытается решить целый ряд проблем аутотрансплантации нервных стволов и повысить ее общую эффективность. Но из-за определенных проблем связанных с финансированием, некоторые вопросы трансплантологии и реабилитации остаются нерешенными и в настоящий момент. Все это придает представленной работе важное значение не только медицинского, но и социально - экономического плана. Целью работы стала попытка построения прогноза восстановительных операций на нервной ткани, с учетом объема пораженных структур и периода реабилитации. Объектами исследования стало 180 больных, которым по той или иной причине, осуществлялась реконструктивная операция на одном из магистральных нервов предплечья. Все пациенты были разделены на 3 группы по 60 человек, в зависимости от протяженности дефекта магистрального нерва: до 4 см, от 4 до 8 см и от 8 до 12 см. Последующее разделение внутри каждой группы на подгруппы производилось в зависимости от определенного поврежденного нерва (лучевой, локтевой, срединный). В работе изучалось течение раннего послеоперационного воспалительного процесса, с определением бактериальной микрофлоры в ране. Изучались и отдаленные последствия оперативного вмешательства. Своеобразной новизной для данной тематики в целом, стало выявление последующего установления инвалидности пациентов. Кроме того, важные данные были получены и по срокам реабилитации и частичного или полного восстановления утраченных функций по срокам в зависимости от размеров восстанавливаемого дефекта и от наличия или отсутствия необходимой реабилитации. Полученные в работе данные могут представлять интерес не только для врачей хирургов и травматологов, но и для организаторов здравоохранения, позволяя производить прогнозы по выздоровлению пациентов в каждой определенной клинической ситуации The article is devoted to the construction of a forecast of the effectiveness of reconstructive interventions on the main nerves of the forearm, depending on the length of the defect in the nervous tissue and the characteristics of the subsequent period of rehabilitation of patients. This topic is very relevant, since every year all over the world there is a certain increase in cases of injuries of various origins of the main nerve trunks, which then often lead to temporary disability and even disability of patients. For many decades, reconstructive microsurgery has been trying to solve a number of problems of autotransplantation of nerve trunks and improve its overall efficiency. But due to certain problems associated with funding, some issues of transplantation and rehabilitation remain unresolved at the moment. All this gives the presented work important not only medical, but also socio - economic importance. The aim of this work was to attempt to predict restorative operations on the nervous tissue, taking into account the volume of the affected structures and the period of rehabilitation. The objects of the study were 180 patients who, for one reason or another, underwent a reconstructive operation on one of the main nerves of the forearm. All patients were divided into 3 groups of 60 people, depending on the length of the main nerve defect: up to 4 cm, from 4 to 8 cm, and from 8 to 12 cm. Subsequent division within each group into subgroups was performed depending on the specific damaged nerve ( radial, ulnar, median). The work studied the course of the early postoperative inflammatory process, with the determination of bacterial microflora in the wound. The long-term consequences of surgery were also studied. A peculiar novelty for this topic as a whole was the identification of the subsequent establishment of disability in patients. In addition, important data were obtained on the timing of rehabilitation and partial or complete restoration of lost functions in terms of timing, depending on the size of the restored defect and on the presence or absence of the necessary rehabilitation. The data obtained in this work may be of interest not only for surgeons and traumatologists, but also for healthcare organizers, allowing them to make predictions about the recovery of patients in each specific clinical situation

Ship of the Future

1991 ◽  
Vol 28 (04) ◽  
pp. 197-212
Author(s):  
K. Paetow
Keyword(s):  
Research And Development ◽  
Organizational Structure ◽  
Development Projects ◽  
Main Task ◽  
Focal Points ◽  
Marine Research ◽  
The Third ◽  
Operational Costs ◽  
The Future

In 1980 work began on one of the most intensive and comprehensive marine research and development projects—the German Ship of the Future. The main task was the reduction of the operational costs of a vessel. After five years of work the project was successfully finished with the maiden voyage of the first SdZ prototype ship. The paper describes first the R&D project itself. The organizational structure, the financial background and some examples of development topics are explained. The second part deals with the conversion of the outcomes of the R&D project into the reality of a containership. The third part gives, by example of some focal points of the newly developed ship service technique, a broad description of the HDW-SdZ prototype ships and their economy. A short outlook to further developments concludes the paper.

scholarly journals CONSTRUCTION OF AN EFFECTIVE WAREHOUSE SYSTEM OF THE ENTERPRISE IN THE PROCESSING OF AGRICULTURAL CARGO

2021 ◽  
Vol 6 (166) ◽  
pp. 217-226
Author(s):  
O. Pavlenko ◽  
D. Velykodnyi
Keyword(s):  
Performance Indicator ◽  
Optimization Problems ◽  
Economic Effect ◽  
Unit Cost ◽  
Maximum Level ◽  
Technological Parameters ◽  
Goods And Services ◽  
The Third ◽  
Use Of Resources ◽  
The Moment

The article investigates the existing trends and prospects for the development of warehousing services in the system of production and processing of products, which allowed us to form the purpose of the research in this development. The chosen theme is quite topical, because warehousing processes are an integral part of the formation of supply logistics in modern production processes. One of the ways to reduce the cost of goods and services is the efficient use of resources. Ukrainian and foreign scientists have touched many questions concerning the development of the infrastructure component, solutions of optimization problems regarding the process of import-export of goods to the warehouse, but without determining the optimal values ​​of technological parameters of warehousing systems. The technological scheme of operation of the warehouse system of the enterprise LLC "MEGA CRISP» allows to see the whole chain of operations from the moment of arrival of the vehicle with cargo (containers and packaging) to the moment of sending the cargo (finished product) to the recipient; the necessary types of resources involved in these processes are also taken into account. Total costs were chosen as an evaluation indicator of the choice of an efficient supply channel. Relevant parameters of influence are taken into account: intensities of corresponding cargo flows, unit cost of the appropriate work and one hour of work of one worker, time of performance of an appropriate operation, quantity of the involved resources for performance of the appropriate operation and working time of the warehouse during the day. An imitation full-factor experiment was performed, based on the results of which a regression model in linear form with a non-zero coefficient was determined, in which each coefficient indicates the degree of influence of the relevant factor on the performance indicator. The results of determining the economic effect showed that "Variant 2" (increasing the number of workers) is the least expensive, and the level of costs is lower for all series of experiments compared to the basic variant - "Variant 1". The maximum difference is reached in 12217.8 hryvnias at the maximum loading of a warehouse. And when comparing the third and first variants: only at the maximum level of output flow (170 t / h), the third variant will be cheaper by 852.6 hryvnias. The highest level of positive value of the effect among the variants offered is "Variant 2", the level of savings will be 12,217.8 hryvnias per shift.

scholarly journals Banking sector development and foreign direct investment. A case of Botswana

2014 ◽  
Vol 4 (3) ◽  
pp. 44-50
Author(s):  
Kunofiwa Tsaurai
Keyword(s):  
Host Country ◽  
Banking Sector ◽  
Fdi Inflows ◽  
The Third ◽  
Long Run ◽  
Banking Sector Development ◽  
The Subject ◽  
Causality Relationship ◽  
The Moment ◽  
The Relationship

The study investigates if there is a causality relationship between banking sector development and FDI inflows in Botswana. Though quite a number of authors have written on the subject, there appears to be no consensus on the directional causality between banking sector development and FDI inflows into the host country. At the moment, three dominant perspectives exist regarding the relationship between banking sector development and FDI inflows into the host country. The first perspective says that banking sector development attracts FDI inflows into the host country. The second perspective suggests that there is a positive feedback effect between banking sector development and FDI inflows whilst the third perspective maintains that there is no direct causality relationship between the two variables. The results from this study are consistent with the third perspective that says there is no direct causality relationship between banking sector development and FDI net inflows. This confirms that the long run relationship between banking sector development and FDI net inflows is an indirect one and the two set of variables affect each other indirectly through other factors in Botswana.

scholarly journals Praca, robotnicy, archiwa, fotografia — utrwalanie stereotypów i walka o emancypację

2015 ◽  
Vol 59 (3) ◽  
pp. 203-221
Author(s):  
Tomasz Ferenc
Keyword(s):  
Historical Perspective ◽  
Methodological Problem ◽  
Digital Repository ◽  
The Third ◽  
Working People ◽  
Soviet Russia ◽  
The Moment ◽  
And Control ◽  
The 19Th Century ◽  
Scientific Tool

Work, workers, and workers’ living conditions quickly became a field of interest for photographers. Already by the middle of the 19th century there were photographs showing working people. Nevertheless, the contexts in which such photographs were taken varied considerably. The first part of this article presents, in the historical perspective, the different causes and strategies involved in making these types of documents, up to the moment when photographs began to appear that had been made by workers themselves. The movement to photograph workers, which developed in the first decades of the 20th century, is recalled in the second part of the article (using the examples of the Weimar Republic and Soviet Russia). The third part is devoted to photographic projects whose purpose was to increase the productivity of, and control over, workers. Photography is presented as a scientific tool for measuring movement and as an illustration of the most effective manners of organizing work. At the end, the Digital Repository of Worker Photography is described, as an example of work on a collection of photos and the creation of a platform permitting further work, but also as a legal and methodological problem.

Visitor Centres as a Contribution to Improving Urban-Rural Relations

2020 ◽  
pp. 193-214
Author(s):  
Aleksandar Videnovic ◽  
Milos Arandjelovic
Keyword(s):  
Quality Of Life ◽  
Cultural Heritage ◽  
Natural Environment ◽  
Rural Areas ◽  
Main Task ◽  
Public Buildings ◽  
The Third ◽  
Urban Rural

The architecture of public buildings in rural areas, through the advancement of skills, knowledge, technologies, and materials, has become increasingly representative in recent decades, especially considering tourism as a global theme. The work is related to the planning of visitor centers in rural areas and the main task is defined by the effort to improve the quality of life in such areas, that is, highlight the major advantages in space, such as the natural environment. The aim of the research is defined by establishing certain elements in the planning of the visitor centers within the idea of promoting local values and cultural heritage. The first part of the chapter has been defined as an analysis of the theoretical views. The second part of the study has been defined as an analysis of the visitor centers. Through a case study, in the third part of the chapter, the work presents a comparative overview of the process to achieve two individual similar investments in Serbia and Bosnia-Herzegovina.

Dewey and Higher Education

2018 ◽  
pp. 392-410
Author(s):  
Leonard J. Waks
Keyword(s):  
Higher Education ◽  
John Dewey ◽  
Final Stage ◽  
Logical Theory ◽  
Close Attention ◽  
The Third ◽  
The Moment ◽  
The University ◽  
Theory Of Inquiry

While John Dewey wrote relatively little about higher education, he had a well-developed and largely unexplored conception of the university, grounded in his three- stage account of thought or inquiry as developed in Studies in Logical Theory and further developed in Logic: Theory of Inquiry. The first stage is antecedent to inquiry proper, residing in the situations of living that evoke thought. The second is inquiry proper, where data or immediate materials are subjected to systematic thought to yield judgment. The third is the moment after thought has considered its data and reached its result and brought it forth in situations of living as transformed by this new element. This final stage, is the “objective of thought” but lies outside of the context of inquiry proper. This chapter, building on the Dewey corpus, explains that conception, with close attention to university-based research, teaching, and service.

21st century psychiatry: The need for a unitary framework

2016 ◽  
Vol 33 (S1) ◽  
pp. S3-S3
Author(s):  
M. Maj
Keyword(s):  
Mental Disorders ◽  
Protective Factors ◽  
21St Century ◽  
Complex Interaction ◽  
Diagnostic Systems ◽  
The Third ◽  
The Past ◽  
Fourth Level ◽  
Competing Interest ◽  
The Moment

While the plurality of approaches is a richness of psychiatry, we need today a unitary framework in which the vast majority of psychiatrists are able to place and recognize themselves. An essential component of this framework should be the awareness that a major outcome of research efforts of the past thirty years is the notion that a simple deterministic etiological model cannot be applied to mental disorders, which instead represent the product of the complex interaction of a multiplicity of vulnerability and protective factors of different nature (biological, intrapsychic, interpersonal, psychosocial). Most current significant etiological research in psychiatry can be accommodated within this framework, thus appearing much less chaotic, inconsistent and fragmentary. This first level of the framework affects in a probabilistic, not a deterministic, way the second one, that of neurobiological, cognitive and psychological intermediate processes. It is unavoidable that different languages be used to describe these processes, but these languages may be translatable into each other to some extent. Furthermore, comprehensive pathogenetic models usually require the integration of different languages. This second level leads, again in a probabilistic way, to the third level, that of symptoms, signs, cognitive dysfunctions and psychopathological dimensions. These are the elements composing the fourth level, the syndromal one. The ICD/DSM formulation of this fourth level is not optimal, but it is the best we have at the moment. Certainly, the fact that two major diagnostic systems exist in psychiatry adds to the confusion and the uncertainty, and should be overcome in the future.Disclosure of interestThe author has not supplied his declaration of competing interest.

Rocking the Boat: Jonah and the New Historicism

1997 ◽  
Vol 5 (4) ◽  
pp. 364-402
Author(s):  
Yvonne Sherwood
Keyword(s):  
Body Weight ◽  
Cultural Background ◽  
The Body ◽  
New Historicism ◽  
Defining Moment ◽  
The Third ◽  
The Bible ◽  
The Moment ◽  
Critical Imagination ◽  
Lines Of Force

AbstractThis reading is about critical versions of texts and how they survive (or over-live) in the critical imagination. It looks at three readings of the book of Jonah, from 1550, 1781-2 and 1860, the first freezing the moment where Jonah is catapulted from the boat as the narrative's single defining moment, the second abstracting the image of Jonah looking out over Nineveh and snarling over God's change of mind, and the third zooming in on the body of the whale, its species, jawsize and body weight. In each case it is clear that the book of Jonah (and thus the Bible) is not hermetically sealed off from culture nor merely read against a cultural background, but that the "Bible" and "Society," text and context, are held in complex and reciprocal lines of force. The story of Jonah, the whale, God and the Ninevites is a stage where the transformed fears and anxieties of cultures are acted out, and gives back to society a transformed, idealised, picture of itself.

The Charter of Economic Rights and Duties of States and the Deprivation of Foreign-Owned Wealth

1981 ◽  
Vol 75 (3) ◽  
pp. 437-475 ◽  
Author(s):  
Burns H. Weston
Keyword(s):  
Franz Kafka ◽  
The Other ◽  
Economic Rights ◽  
The Third ◽  
The Law ◽  
The Moment

In a parable drawn from The Trial, Franz Kafka once etched the following chilling profile: Before the Law stands a doorkeeper on guard. To this doorkeeper there comes a man from the country who begs for admittance to the Law. But the doorkeeper says that he cannot admit the man at the moment. The man, on reflection, asks if he will be allowed, then, to enter later. “It is possible,” answers the doorkeeper, “but not at this moment.” Since the door leading into the Law stands open as usual and the doorkeeper steps to one side, the man bends down to peer through the entrance. When the doorkeeper sees that, he laughs and says: “If you are so strongly tempted, try to get in without my permission. But note that I am powerful. And I am only the lowest doorkeeper. From hall to hall keepers stand at every door, one more powerful than the other. Even the third of these has an aspect that even I cannot bear to look at.” These are difficulties which the man from the country had not expected to meet; the Law, he thinks, should be accessible to every man at all times….

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