scholarly journals Plastic surgery in India in the era of COVID-19 outbreak

2020 ◽  
Vol 6 (12) ◽  
pp. 543
Author(s):  
Naveen Kumar
Keyword(s):  
Plastic Surgery ◽  
International Health ◽  
Healthcare Services ◽  
Healthcare Personnel ◽  
Cochrane Library ◽  
Indian Government ◽  
Reconstructive Procedures ◽  
Pubmed Search ◽  
The Aesthetic ◽  
Google Search

<p>With rise in the number of cases of patients infected with the coronavirus and easing in the lockdown, there is a need to modify the practice of the plastic surgery in India that can ensure an effective patient care, minimum transmission of disease, better management of available resources and protection of health care personnel. A search was made on google search, pubmed search and cochrane library for the recommendations in the published literature using terms: plastic surgery, COVID-19, recommendations, guidelines, India. Guidelines were also searched and considered, provided by various Indian government agencies and international health organizations. There is a need to follow the set proposed guidelines and the recommendations in order to modify the clinical practice in the outpatient and preoperative settings along with the priority to be given to the emergent or traumatic conditions and reconstructive procedures in some malignant conditions. Otherwise it is judicious to postpone or delay the elective and the aesthetic procedure. With this article we can conclude that by modifying the current practices in plastic surgery and evidence based prioritization of cases we can ensure a balance between effective delivery of healthcare services and prevention of the exposure of healthcare personnel.</p>

scholarly journals Understanding the key processes of excellence as a prerequisite to establishing academic centres of excellence in Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abebaw Fekadu ◽  
Claire Oppenheim ◽  
Tsegahun Manyazewal ◽  
Corey Nislow ◽  
Yimtubezinash Woldeamanuel ◽  
...  
Keyword(s):  
Higher Education ◽  
Knowledge Management ◽  
Economic Transformation ◽  
Academic Excellence ◽  
Engaged Scholarship ◽  
Centers Of Excellence ◽  
Participatory Leadership ◽  
Pubmed Search ◽  
Google Search ◽  
Centres Of Excellence

Abstract Background Africa’s economic transformation relies on a radical transformation of its higher education institutions. The establishment of regional higher education Centres of Excellence (CoE) across Africa through a World Bank support aims to stimulate the needed transformation in education and research. However, excellence is a vague, and often indiscriminately used concept in academic circles. More importantly, the manner in which aspiring institutions can achieve academic excellence is described inadequately. The main objective of this paper is to describe the core processes of excellence as a prerequisite to establishing academic CoE in Africa. Methods The paper relies on our collaborative discussions and real-world insight into the pursuit of academic excellence, a narrative review using Pubmed search for a contextual understanding of CoEs in Africa supplemented by a Google search for definitions of CoEs in academic contexts. Results We identified three key, synergistic processes of excellence central to institutionalizing academic CoEs: participatory leadership, knowledge management, and inter-disciplinary collaboration. (1) Participatory leadership encourages innovations to originate from the different parts of the organization, and facilitates ownership as well as a culture of excellence. (2) Centers of Excellence are future-oriented in that they are constantly seeking to achieve best practices, informed by the most up-to-date and cutting-edge research and information available. As such, the process by which centres facilitate the flow of knowledge within and outside the organization, or knowledge management, is critical to their success. (3) Such centres also rely on expertise from different disciplines and ‘engaged’ scholarship. This multidisciplinarity leads to improved research productivity and enhances the production of problem-solving innovations. Conclusion Participatory leadership, knowledge management, and inter-disciplinary collaborations are prerequisites to establishing academic CoEs in Africa. Future studies need to extend our findings to understand the processes key to productivity, competitiveness, institutionalization, and sustainability of academic CoEs in Africa.

scholarly journals Scalp Reconstruction Following High Voltage Electric Burn

2014 ◽  
Vol 3 (2) ◽  
pp. 49-52 ◽  
Author(s):  
Md Zakir Hossain ◽  
Bidhan Sarker ◽  
Lutfar Kader Lenin ◽  
Ayesha Hanna ◽  
Limon Kumar Dhar
Keyword(s):  
Plastic Surgery ◽  
High Voltage ◽  
Skin Grafting ◽  
College Hospital ◽  
Transposition Flap ◽  
Reconstructive Procedures ◽  
Rotation Flap ◽  
Medical College ◽  
Scalp Reconstruction ◽  
Scalp Defects

Background: Scalp reconstruction following high voltage electric burn can be challenging. A useful Reconstructive algorithm is lacking. The purpose of this study was to evaluate our experience and to identify an appropriate reconstructive strategy. Methodology: This was a prospective observational study, conducted in the Burn unit of Dhaka Medical College Hospital & Department of Burn & Plastic Surgery,Sir Salimullah Medical College & Mitford Hospital over a period of five years. Reconstructive procedures, independent factors and outcomes were evaluated. A total of 7 procedures were performed in 30 patients. Techniques for reconstruction included skin grafting, outer table drilling & skin grafting, Bipedicle flap, Single rotation flap, Double opposing rotation flap, Transposition flap, Tissue expansion & primary closure. Conclusion: Important tenets for successful management of scalp defects are durable coverage, adequate debridement, preservation of blood supply, and proper wound drainage. Local scalp flaps with skin grafts remain the mainstay of reconstruction in most instances. DOI: http://dx.doi.org/10.3329/bdjps.v3i2.18251 Bangladesh Journal of Plastic Surgery July 2012, 3(2): 49-52

scholarly journals Hygienic assessment of the impact of 5G/IMT-2020 communication networks on public health (literature review)

2021 ◽  
Vol 100 (9) ◽  
pp. 929-932
Author(s):  
Anna M. Egorova ◽  
Lydiya A. Lutsenko ◽  
Anna V. Sukhova ◽  
Vyacheslav V. Kolyuka ◽  
Rustam V. Turdyev
Keyword(s):  
Public Health ◽  
Radio Frequency ◽  
Electromagnetic Radiation ◽  
Communication Networks ◽  
Biological Effects ◽  
Three Dimensional ◽  
Cochrane Library ◽  
Pubmed Search ◽  
The Cochrane Library ◽  
The Impact

The program “Digital Economy of the Russian Federation” approved the Concept for the creation and development of 5G / IMT-2020 networks. The development of 5G communications will significantly impact the implementation of many innovative projects and initiatives: the Smart City project, Unmanned Transport, etc. Along with significant technical advantages compared to previous generations of communication (2G, 3G, 4G), 5G technology has completely different emitting characteristics: more emitting elements, signal modulation, three-dimensional beam, the ability to control the beam, SHF (ultra-high) and EHF (extremely high) radio frequency ranges and centimetre and millimetre wavelengths of electromagnetic radiation. Therefore, it is becoming an especially urgent problem to ensure exposure to the human body of non-ionizing electromagnetic fields of the radio frequency range (30 kHz-300 GHz). The authors searched the literature on the biological effects of 5G cellular communications and electromagnetic radiation in the centimetre and millimetre ranges using the appropriate keywords in PubMed search engines, Scopus, Web of Science, Medline, The Cochrane Library, EMBASE, Global Health, CyberLeninka, RSCI and others. There is currently tentative and conflicting evidence on the impact of 5G. The rapidly growing density of wireless devices and antennas (considering future 5G networks) increases the public health risk from exposure to RF EMFs as the penetration depth for 5G EHF radiation is only a few millimetres. At these wavelengths, resonance phenomena are possible at the cellular and molecular levels, particularly concerning stimulating SHF and EHF oxidative processes and damaging DNA. The influence of the millimetre range of RF-EMF is poorly understood; oncological and non-oncological (impact on the reproductive, immune systems, etc.) effects are possible. Using numerical simulation methods of EMF radiation resonances on insects, Thielens A et al., 2018, found a significant overall increase in the absorbed RF power at a frequency of 6 GHz and higher than a frequency below 6 GHz.

scholarly journals Plastic surgery in the treatment of primary melanoma of the skin

2003 ◽  
Vol 60 (4) ◽  
pp. 427-433 ◽  
Author(s):  
Ljubomir Panajotovic ◽  
Jefta Kozarski ◽  
Snezana Krtinic ◽  
Bojan Stanojevic
Keyword(s):  
Plastic Surgery ◽  
Primary Tumor ◽  
Size Structure ◽  
Primary Melanoma ◽  
Radical Excision ◽  
Reconstructive Procedures ◽  
Military Medical Academy ◽  
Margins Of Excision ◽  
Surgical Methods ◽  
Melanoma Classification

Surgery is still the most effective treatment modality of skin melanoma. The margins of excision are determined by the thickness of primary tumor. From January 1999 to December 2001, 99 patients (57 male and 42 female, of the average age 55), were surgically treated at the Clinic for Plastic Surgery and Burns of the Military Medical Academy. The most usual localization of the primary tumor was the back (23.23%), followed by the forearm, and the lower leg. Regarding the clinical type of the melanoma, nodular melanoma dominated (62.62%). Microscopic staging of the melanoma (classification according to Clark and Breslow), showed that the majority of patients already suffered from the advanced primary disease, which called for radical excision and the choice of reconstructive methods in the closure of post-excision defects. The reconstructive plastic surgical methods enabled the closure of post-excision tissue defects, regardless of their size, structure, and localization. During the closure of post-excision defects, direct wound closure or split skin draft was performed in 76.76% of patients. Flaps were applied in 19.19% of patients with the primary melanoma of the head, face foot, and hand. The sufficiency of the available reconstructive procedures makes plastic surgery irreplaceable in the surgical treatment of the primary melanoma of the skin.

scholarly journals Clinical Risk Management: As Modern Tool for Prevention and Management of Care and Prevention Occupational Risk

2022 ◽  
Vol 19 (2) ◽  
pp. 831
Author(s):  
Raffaele La Russa ◽  
Stefano Ferracuti
Keyword(s):  
Risk Management ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Healthcare Personnel ◽  
Clinical Risk Management ◽  
Clinical Risk ◽  
Performance Quality ◽  
Management Of Care ◽  
Modern Tool

Clinical Risk Management aims to improve the performance quality of healthcare services through procedures that identify and prevent circumstances that could expose both the patient and the healthcare personnel to risk of an adverse event [...]

scholarly journals Nurses' practices in the context of primary healthcare in Portugal

2018 ◽  
Vol 23 (6) ◽  
pp. 520-532
Author(s):  
Carlise Rigon Dalla Nora ◽  
Rafaela Schaefer ◽  
João Neves-Amado
Keyword(s):  
Health Promotion ◽  
Latin American ◽  
Primary Healthcare ◽  
National Health System ◽  
Healthcare Services ◽  
Health Sciences ◽  
Cochrane Library ◽  
Original Research ◽  
Electronic Library ◽  
Effective Use

Aim The aim of this study was to identify and categorise the nursing practices of Portuguese nurses in the context of primary healthcare services. Methods A scoping review was undertaken using the Latin American and Caribbean Health Sciences literature database; Spanish Bibliographic Index of Health Sciences; Medical Literature Analysis and Retrieval System Online; Cochrane Library; Scientific Electronic Library Online; El Banco de Datos de Enfermería nursing database; and Cumulative Index to Nursing and Allied Health Literature databases. The search strategy included articles of original research, which involved nurses or nursing practices in the context of Portugal’s primary healthcare, published in Portuguese, Spanish and/or English. The review involved the analysis of 11 studies published in Latin American, Brazilian and Portuguese journals, therefore all were available in Portuguese, published between 2007 and 2013. Results From the analysis it was possible to establish four categories of primary healthcare nurses’ work: technical procedures, health promotion, independent actions, and management and training practices. Conclusions Primary healthcare nursing in Portugal is challenged in the context of making more effective use of its own competences, investing more in actions of health promotion and disease prevention and less in technical curative procedures, thus contributing to better performance in the Portuguese National Health System.

scholarly journals Patient Satisfaction in the Peruvian Health Services: Validation and Application of the HEALTHQUAL Scale

2020 ◽  
Vol 17 (14) ◽  
pp. 5111
Author(s):  
Fernando Barrios-Ipenza ◽  
Arturo Calvo-Mora ◽  
Félix Velicia-Martín ◽  
Fernando Criado-García ◽  
Antonio Leal-Millán
Keyword(s):  
User Satisfaction ◽  
Health Sector ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Healthcare Personnel ◽  
Attractive Alternative ◽  
Path Modeling ◽  
Outpatient Services ◽  
Cross Sectional ◽  
The Relationship

During recent years, public–private partnerships (PPPs) in the health sector have been an attractive alternative for improving healthcare services in developing countries such as Peru. Therefore, it is fundamental to consider a comprehensive set of healthcare qualities, like the HEALTHQUAL scale, when we measure dimensions of healthcare service quality. Currently, no studies have applied HEALTHQUAL in Peruvian hospitals. The purposes of this study were to (1) validate and evaluate the application of the HEALTHQUAL scale to measure user satisfaction in outpatient services at two PPP hospitals in Peru; and (2) test the relationship between user satisfaction, efficiency, and loyalty. A descriptive, cross-sectional study based on the HEALTHQUAL scale was carried out at the end of 2018. The measurement items were satisfaction with healthcare personnel, satisfaction with nonhealthcare personnel, satisfaction with facilities and equipment, perception of efficiency, and trust. The scale was administered to a nonprobability sample of 250 users who attended one of two PPP hospitals—Barton and Kaelin. The application of partial least squares path modeling significantly impacted on the perceived efficiency in the items of healthcare personnel, nonhealthcare personnel, and facilities and equipment. The HEALTQUAL scale demonstrated sufficient validity and thus can be applied for measuring user satisfaction in PPP hospitals.

Patient satisfaction of telephone or video interpreter services compared with in-person services: a systematic review

2018 ◽  
Vol 42 (2) ◽  
pp. 168 ◽  
Author(s):  
Corey Joseph ◽  
Marie Garruba ◽  
Angela Melder
Keyword(s):  
Patient Satisfaction ◽  
Consumer Satisfaction ◽  
English Language ◽  
Ad Hoc ◽  
A Priori ◽  
Current Evidence ◽  
Cochrane Library ◽  
Interpreter Services ◽  
Interpreter Service ◽  
Google Search

Objective This review was conducted to identify and synthesise the evidence around the use of telephone and video interpreter services compared with in-person services in healthcare. Methods A systematic search of articles published in the English language was conducted using PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, Database of Abstracts of Reviews of Effects (DARE), Joanna Briggs, Google Scholar and Google. Search terms included ‘interpreter’, ‘patient satisfaction’, ‘consumer satisfaction’ and ‘client satisfaction’. Any study that did not compare in-person interpreter services with either telephone or video interpreter services was excluded from analysis. Studies were screened for inclusion or exclusion by two reviewers, using criteria established a priori. Data were extracted via a custom form and synthesised. Results The database search yielded 196 studies, eight of which were included in the present review. The search using an Internet search engine did not identify any relevant studies. Of the studies included, five used telephone and three used video interpreter services. All studies, except one, compared levels of satisfaction regarding in-person interpretation and telephone or video interpretation. One study compared satisfaction of two versions of video interpretation. There is evidence of higher satisfaction with hospital-trained interpreters compared with ad hoc (friend or family) or telephone interpreters. There is no difference in satisfaction between in-person interpreting, telephone interpreting or interpretation provided by the treating bilingual physician. Video interpreting has the same satisfaction as in-person interpreting, regardless of whether the patient and the physician are in the same room. Higher levels of satisfaction were reported for trained telephone interpreters than for in-person interpreters or an external telephone interpreter service. Conclusions Current evidence does not suggest there is one particular mode of interpreting that is superior to all others. This review is limited in its translational capacity given that most studies were from the US and in a Spanish-speaking cohort. What is known about the topic? Access to interpreters has been shown to positively affect patients who are not proficient in speaking the local language of the health service. What does this paper add? This paper adds to the literature by providing a comprehensive summary of patient satisfaction when engaging several different types of language interpreting services used in healthcare. What are the implications for practitioners? This review provides clear information for health services on the use of language interpreter services and patient satisfaction. The current body of evidence does not indicate a superior interpreting method when patient satisfaction is concerned.

scholarly journals Lower Lip Reconstruction Using Unilateral Nasolabial Gate Flap (Fujimori Technique)

2013 ◽  
Vol 59 (1) ◽  
pp. 40-43 ◽  
Author(s):  
Alina Iacob ◽  
Bálint Bögözi
Keyword(s):  
Maxillofacial Surgery ◽  
Point Of View ◽  
Medium Size ◽  
Oral And Maxillofacial Surgery ◽  
Reconstructive Procedures ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Oncological Treatment ◽  
Level I ◽  
The Aesthetic

Abstract Background: In the medical literature there are multiple reconstructive procedures for small and medium size defects of the lower lip, but only a few methods for larger defects involving the whole lower lip. Choosing the repairing procedure for larger lower lip defects must take into account two aspects: flap or flaps used should be local flaps, and suture lines should correspond to the natural facial creases or follow the functional lines of different facial aesthetic units. Finally, the flap or flaps should be large enough to restore the entire postexcisional defect. However, the more tissue is lost from the lower lip, the more challenging the reconstruction is from a functional and cosmetic point of view. Material and methods: During the last 2 years in the Oral and Maxillofacial Surgery Department of the County Emergency Clinical Hospital in Tîrgu Mureș, the unilateral Fujimori technique has been successfully used for the reconstruction of large lower lip defects in 4 patients with extended, neglected squamous cell carcinomas involving almost the whole lower lip tissue. These patients underwent complex surgical and oncological treatment. Surgery was performed in two stages: first, excision of the tumor and immediate lip reconstruction, and then removal of submandibular lymph nodes (level I), in the second stage. Results: The aesthetic and functional recovery of these patients was very good, with no need of other subsequent surgical corrections. Conclusions: The postoperative reconstruction of large defects of the lower lip is far from optimal, but it is very important to restore an adequate muscle function, the lip continence and a satisfactory facial appearance.

scholarly journals Strategy of Container Assembly for a Positive Energy Impact in Poona India

2020 ◽  
Vol 170 ◽  
pp. 01004
Author(s):  
F. Mustapha ◽  
I. El Abbassi ◽  
A. kaci ◽  
E. Kadri ◽  
M. Darcherif
Keyword(s):  
Energy Consumption ◽  
Point Of View ◽  
Positive Energy ◽  
Modular Architecture ◽  
Indian Government ◽  
Tertiary Sector ◽  
Energy Impact ◽  
Passive Strategies ◽  
The Aesthetic ◽  
The Impact

Every year the Indian government is involved in the construction of nearly two million new buildings excluding the tertiary sector. These homes are not only intended primarily to house Indian populations, but the authorities concerned have also placed emphasis on sustainable development, since as all over the world the residential sector is the one that consumes the most energy. Indeed, active and passive strategies to reduce the energy consumption of dwellings have been established and even applied. Among the passive strategies, the global shape of the building, initially specific to modular architecture impacts the aesthetic part of the building but also its energetic bills. The concept of modular architecture is mainly the assembly of identical cells and, in different ways, the overall energy consumption depends on the initial assembly of the cells and therefore on the resulting shape of this assembly. The purpose of this article is to determine the impact of the shape on the energy balance. For this study, the container is the archetype used, in fact the metal box being a standardized, economical and easily transformable product in living space. The complex system resulting from the assembly of several containers offers a new way of thinking about housing from an architectural, economic, aesthetic and energetic point of view. In this article, we will focus on studying the impact of the overall shape of container-type housing on annual energy bill, with the aim of optimizing energy efficiency and achieving an eco-container model that meets international eco-sustainability criteria. The results demonstrate the undeniable correlation between geometric and energy aspects, the latter being mainly related to the internal thermal comfort of the container housing cells.

Sign in / Sign up

Export Citation Format

Share Document