scholarly journals Comment to the Article by O.A. Kaplunov et al. “Hypotrophic Clavicle Pseudoarthrosis Treatment: A Case Report”

2021 ◽  
Vol 27 (4) ◽  
pp. 169-172
Author(s):  
Igor G. Belenkiy
Keyword(s):  
Surgical Treatment ◽  
Plate Osteosynthesis ◽  
Treatment Options ◽  
Factors Affecting ◽  
Osteosynthesis Plate ◽  
Fixation Stability ◽  
Clavicle Fractures ◽  
Mechanical Factors ◽  
The Right

In the comment on the article Treatment of Hypotrophic Nonunion of the Clavicle: A Clinical Case, the reasons for the failure of primary and refixation of the clavicle closed fracture are analyzed in detail. A 70-year-old patient got a fracture of the middle third of the left clavicle diaphysis as a result of a fall. He underwent four surgical treatment options: plate osteosynthesis; plate osteosynthesis + bone autoplasty; plate osteosynthesis + vascularized fibular flap reconstruction; external osteosynthesis. A month after the fourth attempt of surgical treatment, fusion, improvement of the function of the right upper limb and the quality of life of the patient were achieved. Technological inaccuracy, namely, the lack of the fragments fixation stability due to the incorrectly chosen length of the plate, as well as an incomplete assessment of the anamnesis and the identified cognitive behavioral features of the patient, are considered as possible reasons for the treatment failure. The author of the comment highlights modern approaches to the treatment of clavicle fractures, and also briefly dwells on the theory of fracture fixation in general. He pays special attention to biological and mechanical factors affecting fractures healing. The author considers the compliance with the basic principles of osteosynthesis to be the main factor in achieving good results in fracture treatment.

scholarly journals Hypotrophic Clavicle Pseudoarthrosis Treatment: a Case Report

2021 ◽  
Vol 27 (3) ◽  
pp. 111-118
Author(s):  
Oleg A. Kaplunov ◽  
Sergey A. Demkin ◽  
Kamil F. Abdullaev ◽  
Kirill O. Kaplunov
Keyword(s):  
Surgical Treatment ◽  
Plate Osteosynthesis ◽  
Treatment Options ◽  
Reconstruction Technique ◽  
Flap Reconstruction ◽  
Osteosynthesis Plate ◽  
Fixation Stability ◽  
Post Traumatic ◽  
Fibular Flap ◽  
The Right

Background. The treatment of post-traumatic of the clavicle false joint remains a subject of discussion regarding the technology of the surgical intervention. Recently, the use of vascularized fibular flap reconstruction technique has been popularized, but the potential of the external osteosynthesis remains relevant. Clinical case description. A 70-year-old patient got a fracture of the middle third of the left clavicle diaphysis as a result of a fall. He underwent four surgical treatment options: plate osteosynthesis; plate osteosynthesis + bone autoplasty; plate osteosynthesis + vascularized fibular flap reconstruction; external osteosynthesis. A month after the fourth attempt of surgical treatment, fusion, improvement of the function of the right upper limb and the quality of life of the patient were achieved. Technological inaccuracy, namely, the lack of the fragments fixation stability due to the incorrectly chosen length of the plate, as well as an incomplete assessment of the anamnesis and the identified cognitive behavioral features of the patient, are considered as possible reasons for the treatment failure. Conclusion. Attempts of surgical treatment using plates in combination with bone autoplasty, including vascularized skin-bone flaps, do not always ensure the achievement of clavicle fractures fusion. In such situations, it is advisable to use the potential of external osteosynthesis with the reasonable planning.

scholarly journals KINERJA LEMBAGA PERWAKILAN RAKYAT DAERAH (Studi Deskriptif Kualitatif Di DPRD Kota Bengkulu)

2015 ◽  
Vol 1 (2) ◽  
Author(s):  
Harius Eko saputra
Keyword(s):  
Mass Media ◽  
Public Service ◽  
Public Services ◽  
Research Seminar ◽  
Factors Affecting ◽  
The Public ◽  
Current Implementation ◽  
The One ◽  
The Right

Almost every day, in various mass media, especially in newspapers, it is found that there are so many complaints and unsatisfactory opinions from the community, as the customer, towards the current implementation of public service. These complaints and unsatisfactory opinions can describe how bad the quality of the current public service is, which is benefited by the community. It may be the right time for the community to be treated as citizens, who will have rights and give priority to their rights for being served afterwards. They are not anymore being considered as clients who previously have no any choice in choosing and in determining what kind of service that they really want to. There are so many results from research, seminar and writings that are conducted by experts in which their works talk about the implementation of a good and qualified public service. Currently, however, the qualified public service has not yet implemented as should have been. The implementation of public service still acts as however it please to be and only emphasize on its own interest without considering the consumer’s importance as the party that should really be served as well as possible. For this reason, a research, which is done in Service Integrated Unit of the Jember Regency, tries to find out any factors affecting quality of the public services. The main core of the public service implementation is the quality of norm of the service executor. The matter that should be realized is that the executor is the person who should serve for the community, and the community is the one who should be served as well as possible.Keywords: Implementation of public service, legislatif

scholarly journals Treatment options for iatrogenic bile duct injuries with the loss of confluence

2019 ◽  
Vol 2 (2) ◽  
pp. 10
Author(s):  
A. A. Asadova
Keyword(s):  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Treatment Options ◽  
Biliary Injury ◽  
Bile Duct Injuries ◽  
The Common ◽  
The Right

Iatrogenic bile duct injuries (IBDI) with the loss of confluence are the most feared types of biliary injury and represent 4% of all IBDI. The loss of confluence understood as when the right and the left hepatic ducts lose continuity with the common bile duct tree and to restore this continuity is a serious surgical challenge. Aim. The aim of this study is to share our results concerning the surgical treatment options of IBDI with the loss of confluence. Material and methods. During in a 10 years period (2008-2018) 105 patients with IBDI were admitted to our centers for surgical treatment. Among these patients there were only 13 patients with the loss of confluence (Strasberg E4 type).

scholarly journals Ways to improve outpatient phlebological care with “one day” technology

2021 ◽  
Vol 18 (1) ◽  
pp. 30-39
Author(s):  
A. V. Pelevin ◽  
O. N. Guzhkov ◽  
D. L. Mushnikov
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Varicose Veins ◽  
Treatment Options ◽  
Health Sector ◽  
Laser Coagulation ◽  
Personalized Approach

Introduction. Chronic venous insufficiency is one of the most common diseases, so finding the best treatment options is one of the most urgent tasks of surgery. One of the methods of implementing this direction is to apply a personalized approach. The aim of the study is to improve surgical care for patients with VVPC by introducing a personalized approach.Materials and methods. The study was based on clinical observations and special studies in 428 patients with uBVNC in outpatient settings. All of those surveyed were women. The average age of the patients was 42.3 ± 15.5 years. All patients were operated on — endovasal laser coagulation (EVLk) was performed in the traditional way. Clinical examination of patients, as well as special methods of research was carried out. A questionnaire was used to assess the quality of life of patients. The peculiarity of the study was the use of social and hygienic methods: survey, psychological testing, expert. Statistical analysis and mathematical processing of results were carried out with the help of modern computer technologies based on the Statisticala 6 application package.Results. It has been established that over the past five years in the Ivanovo region there has been an increase in the incidence of vessels of the lower extremities. The frequency of varicose veins exceeds 47 per 100 patients examined. The desire to perform surgery in the nonstate health sector is observed in 9.8 cases. In 85.0% of patients with VBNC, received for surgical treatment, have a lack of preparedness. Their information, clinical and psychological level is 65.0–89.0% of the due and direct influence on the formation of an unfavorable result.Conclusion. Thus, the implementation of a personalized approach to the surgical treatment of patients with chronic venous insufficiency by laser coagulation provides on a par with the reliable obliteration of altered veins the fastest clinical recovery of patients, improvement of their quality of life, satisfaction with results, good hemodynamic and cosmetic effects.

The development of management strategies for control of virological quality in oysters

1998 ◽  
Vol 38 (12) ◽  
pp. 29-35 ◽  
Author(s):  
W. J. Doré ◽  
K. Henshilwood ◽  
D. N. Lees
Keyword(s):  
Treatment Options ◽  
Management Strategies ◽  
Effective Control ◽  
Factors Affecting ◽  
Virus Removal ◽  
Treatment Processes ◽  
Quality Control Mechanism ◽  
Male Specific ◽  
Product Standard

This laboratory has previously described the development of a PCR method for the detection of small round structured viruses (SRSVs) in shellfish and the use of male-specific RNA bacteriophages as “viral” indicators to predict the occurrence and behaviour of such viruses in shellfish. We now describe the application of these procedures to monitor oyster harvesting areas, shellfish treatment processes and products sold to the consumer. Oysters are traditionally consumed raw and can be treated to enable them to meet the legislative end-product standard of <230 E coli/100g. Treatment options include purification (depuration) in tanks of clean seawater or relaying in clean seawater for a suitable period. These procedures are effective for enabling shellfish compliance with the existing bacterial end product standard but do not guarantee viral protection for the consumer. This study initially investigates the efficiency of these treatment processes for reducing viral contamination in sewage-contaminated oysters. Initial levels of viral pollution in oysters were found to be critical to the success of post-harvest treatment processes. Additionally, the success of depuration and relaying for virus removal was found to be dependent on the duration of the process and on factors affecting shellfish metabolic activity such as the water temperature. We demonstrate that by using male-specific RNA bacteriophage as an indicator of viral pollution combined with SRSV monitoring it is possible to derive management strategies for more effective control of the virological quality of oysters. Male-specific RNA bacteriophage monitoring of final products prior to sale to the consumer provided an effective quality control mechanism. We discuss the combined use of these new monitoring tools for more effective management of the virological quality of oysters sold to the consumer.

scholarly journals WeIghtIng the factors affectıng logıstıcs outsourcıng

2021 ◽  
Vol 4 (1) ◽  
pp. 19-33
Author(s):  
Çağlar Karamaşa ◽  
◽  
Ezgi Demir ◽  
Salih Memiş ◽  
Selçuk Korucuk ◽  
...  
Keyword(s):  
Service Provider ◽  
Service Providers ◽  
Global Market ◽  
Third Party ◽  
Logistics Outsourcing ◽  
Factors Affecting ◽  
Logistics Service ◽  
Logistics Service Provider ◽  
The Right

Today, growing and changing competitive conditions, products, and services, free movement of labor, and businesses with the information they develop strategies that create value to obtain a competitive advantage. Now, final buyers have the convenience of purchasing the products they demand with the features and conditions they want and at the price they accept. In such an environment, businesses use their supply chain and logistics activities more effectively and efficiently than their competitors. Today, achieving a strategic superiority in a global market where the content and quality of the products are the same is only possible by delivering the desired products to the customer at the desired price, at the desired time, in the desired amount, through the right channel, as quickly as possible and without any damage. In such a situation, the desire to focus on the main activities of the enterprises, the need for effective logistics operations, etc. logistics outsourcing has increased rapidly for reasons. Businesses can carry out logistics activities requiring expertise thanks to third party logistics (3PL) service providers in the field such as transportation, storage, customs clearance, without investing in logistics. For logistics outsourcing to be beneficial, a correct logistics service provider must be selected under the needs of the business. Selecting the right logistics service provider is important in increasing the benefit of outsourcing. In this study neutrosophic AHP was used to prioritize the factors.

scholarly journals Poland’s syndrome

2017 ◽  
Vol 5 (1) ◽  
pp. 63-70
Author(s):  
Olga E. Agranovich ◽  
Igor A. Komolkin ◽  
Alyona Ju. Dimitrieva
Keyword(s):  
Surgical Treatment ◽  
Clinical Features ◽  
Clinical Presentation ◽  
Treatment Options ◽  
The Body ◽  
Poland’S Syndrome ◽  
Poland's Syndrome ◽  
Congenital Condition ◽  
The Right ◽  
Bone Abnormalities

Poland’s syndrome is a rare congenital condition classically characterized by partial or complete absence of chest muscles on one side of the body and usually webbing of the fingers of the hand on the same side. There may also be rib (aplasia or hypoplasia) and chest bone abnormalities, which may be noticeable due to less fat under the skin. Breast and nipple abnormalities may also occur, and underarm hair is sometimes sparse or abnormally placed. In most cases, the abnormalities in the chest area do not cause health problems or affect movement. Poland’s syndrome most often affects the right side of the body and occurs more frequently in males than in females. The etiology is unknown; however, interruption of the embryonic blood supply to the arteries that lie under the collarbone (subclavian arteries) is the prevailing theory. There are many methods of operative correction because of the polymorphic clinical features of this syndrome. We gathered data on the etiology, pathogenesis, and clinical presentation of Poland’s syndrome and reviewed the existing surgical treatment options.

DESCRIPTION OF THE CASE OF METACHRONOUS CANCER OF THE CERVICAL ESOPHAGUS AFTER EXTIRPATION OF THE ESOPHAGUS WITH PRE-STERNUM ESOPHAGOPLASTY BY THE RIGHT HALF OF THE COLON

2018 ◽  
Vol 64 (2) ◽  
pp. 249-252
Author(s):  
Oleg Kit ◽  
Yevgeniy Kolesnikov ◽  
Aleksey Maksimov ◽  
Aleksandr Snezhko ◽  
Mikhail Averkin
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Metachronous Cancer ◽  
High Quality ◽  
Individual Approach ◽  
Patients With Cancer ◽  
Metachronous Tumor ◽  
Surgical Tactics ◽  
The Right

Repeated development of a metachronous tumor in the esophagus resected because of cancer is usually observed in later periods. The period of time between the plasticity of the esophagus and the appearance of tumor can reach several tens of years. Optimal for patients with cancer of their own esophagus after esophagoplasty is early and radical surgical treatment with an individual approach to choosing surgical tactics to achieve the possible high quality of life.

scholarly journals Plaster, splint, brace, tape or functional mobilization after first-time patellar dislocation: what’s the evidence?

2019 ◽  
Vol 4 (3) ◽  
pp. 110-114 ◽  
Author(s):  
Daan Vermeulen ◽  
Mara Rosa van der Valk ◽  
Laurens Kaas
Keyword(s):  
Surgical Treatment ◽  
Patellar Dislocation ◽  
Medial Patellofemoral Ligament ◽  
Treatment Options ◽  
Passive Restraint ◽  
New Research ◽  
First Time ◽  
Active Patients ◽  
Non Surgical Treatment

With an incidence of 5.8 per 100,000 per year, patellar dislocations are commonly seen in the emergency department. Surprisingly, there are only a few studies available that focus on the results of the different non-surgical treatment options after first-time patellar dislocation. The aim of this review is to provide an overview of the most recent and relevant studies on the rationales and results of the non-surgical treatment for first-time patellar dislocation. Patellar instability mainly affects young and active patients, with a peak incidence of 29 per 100 000 per year in adolescents. The medial patellofemoral ligament, a main passive restraint for lateral translation of the patella, is torn in lateral patellofemoral dislocations. Treatment of first-time patellar dislocation can be either conservative or surgical. There are two options in conservative management of first-time patellar dislocation: immobilization using a cylinder cast or removable splint, or, second, functional mobilization after applying a brace or patellar tape. The current available literature of conservative treatment after a first-time patellar dislocation is little and of low quality of evidence. Conclusions should be drawn with care, new research focussing on non-surgical treatment is therefore strongly needed. Cite this article: EFORT Open Rev 2019;4:110-114. DOI: 10.1302/2058-5241.4.180016

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