scholarly journals Hysteroscopy - history and development

2019 ◽  
Vol 147 (5-6) ◽  
pp. 375-379
Author(s):  
Ivana Rudic-Biljic-Erski ◽  
Mladenko Vasiljevic ◽  
Snezana Rakic ◽  
Sladjana Mihajlovic ◽  
Olivera Dzatic-Smiljkovic ◽  
...  

Hysteroscopy is the gold standard for diagnosing and managing endocervical and endometrial pathology. The development of today?s hysteroscopy begins in the early 19th century. Initially, hysteroscopy was used solely for diagnostics. Operative hysteroscopy surfaced with the development of distension media, the hysteroscope, and its associated instruments. Operative hysteroscopy underwent the most significant development in the early 1970s, when new hysteroscopes were introduced, and the distension media became more widely used. A multitude of hysteroscopic procedures are performed with the common goal of removing pathological changes in the endometrial cavity. In the 1980s, small cameras, also known as ?chip? cameras, were developed, leading to the transition of endoscopy into videoendoscopy. Bettocchi revolutionized modern hysteroscopy in 1996 when he used the first operative office hysteroscope. Operative resectoscopes, containing monopolar and bipolar energy, were also constructed. Hysteroscopic morcellators have been in use since the beginning of the 21st century. Today?s modern hysteroscopy represents a safe diagnostic and operative endoscopy.

Author(s):  
Paolo Giamundo

Background: Minimally-invasive treatments for hemorrhoids should be encouraged as they cause low morbidity, reasonable discomfort and quicker return to work. According to the “vascular theory” hemorrhoidal disease is mainly caused by blood overflow into hemorrhoidal plexus deriving from the superior hemorrhoidal arteries. Introduction: Many different procedures have been described in the literature with the common goal of reducing the blood flow into the hemorrhoidal piles. ‘HeLP’ (Hemorrhoids Laser Procedure) is a novel form of dearterialization to treat patients suffering from symptomatic hemorrhoids. Methods: The procedure consists of the closure of the terminal branches of the superior rectal artery approximately 2-3 cm above the dentate line by means of laser shots originated by a diode laser platform. The arteries, at that level, have variable location and distribution. Therefore, a doppler probe set at the frequency of 20MHz helps identifying the arteries that would be missed otherwise. The laser beam is well tolerated by patients. For this reason, anesthesia is not required in most cases and the procedure allows a quick return to daily activities. In case of concomitant severe mucosal prolapse, the laser treatment can be combined with suture mucopexy. Three to six running sutures allow a complete lifting of hemorrhoidal piles, securing long-term resolution of symptoms. Results and Conclusions: ‘HeLP’ is indicated in patients with symptomatic hemorrhoids where conservative treatment failed and when mucosal prolapse is scarce or not symptomatic. The addition of mucopexy to laser treatment (HeLPexx) contributes to overall resolution of symptoms when mucosal prolapse is an issue, Emborrhoid is another novel, ‘hi-tech’ form of selective dearterialization used in selected case of hemorrhoids where main symptom is bleeding. It is generally used in cases where surgery is contraindicated due to severe concomitant diseases.


Author(s):  
Rosalia Gonzales ◽  
Travis Mathewson ◽  
Jefferson Chin ◽  
Holly McKeith ◽  
Lane Milde ◽  
...  

Since the advent of modern-day screening collections in the early 2000s, various aspects of our knowledge of good handling practices have continued to evolve. Some early practices, however, continue to prevail due to the absence of defining data that would bust the myths of tradition. The lack of defining data leads to a gap between plate-based screeners, on the one hand, and compound sample handling groups, on the other, with the latter being the default party to blame when an assay goes awry. In this paper, we highlight recommended practices that ensure sample integrity and present myth busting data that can help determine the root cause of an assay gone bad. We show how a strong and collaborative relationship between screening and sample handling groups is the better state that leads to the accomplishment of the common goal of finding breakthrough medicines.


2017 ◽  
Vol 133 (1) ◽  
pp. 295-355 ◽  
Author(s):  
Emmanuel Farhi ◽  
Matteo Maggiori

AbstractWe propose a simple model of the international monetary system. We study the world supply and demand for reserve assets denominated in different currencies under a variety of scenarios: a hegemon versus a multipolar world; abundant versus scarce reserve assets; and a gold exchange standard versus a floating rate system. We rationalize the Triffin dilemma, which posits the fundamental instability of the system, as well as the common prediction regarding the natural and beneficial emergence of a multipolar world, the Nurkse warning that a multipolar world is more unstable than a hegemon world, and the Keynesian argument that a scarcity of reserve assets under a gold standard or at the zero lower bound is recessionary. Our analysis is both positive and normative.


Author(s):  
I. A. Shapoval ◽  

The paper presents the interdisciplinary analysis of the determinants of the system of self-communication discourse and internal dialogue as the forms of objectivation of human mental content focused on some actions for meeting some objectives. The author describes discourse as integration of communication and language processes in self-understanding and personal identity. Contextually determined and dynamic self-communication discourse, as a way of acquirement of new senses and confirmation of old ones, verbalizes current personal values. The study results reveal the characteristics and relations of the internal dialogue discourse determinants within the human objectivity–subjectivity continuum. Discourse determinants prescribe its context and rules and include the prototype place and agents with their motives and objectives. Self-positions manifested in Self and Non-Self (Other Self) binary self-predications form the core pair of agents. The modality of a person’s attitude to own Self-positions makes their communications a dialogue or a monologue on the boundary of their sub-territories as a discourse prototype place. The degree of discourse agency, its closeness within the prototype place, or transgression openness depends on the complexity and differentiation of Self-concept and ego boundaries functionality. The frustration of meta-necessity to keep self-confidence and self-acceptance by reassessment and reformation of interrelations of Self-positions determines the motives and objectives of self-communication. The common goal of self-organization is implemented through the internal dialogue in the form of institutionalization, verification, and integration of their Self-predications. Status-role characteristics of agents and functionality of discourse prototype place determine the specificity of its motives and objectives according to the systemic effects of Self-organization.


Author(s):  
Alla M. Shustova ◽  

The article is dedicated for the 85th anniversary of His Holiness Dalai Lama the 14th Tenzin Gyatso and considers his contribution to establishing the dialogue between academic research and spirituality. It depicts main points of Dalai Lama’s way in science, the results of which he described in his book ‘The Universe in a Single Atom. How Science and Spirituality Can Serve Our World’. In this book His Holiness tried to explain the possibility of reaching a unified vision of the world, based not only on science but also on spirituality. Dalai Lama is sure of the necessity of the dialogue between science and Buddhism; he believes that there are certain points, where science and Buddhist philosophy come very close to each other, and may form a good base for such a dialogue. It is for example non-theistic character of both science and Buddhism, the similarity of their methods of cognition, along with the common goal of attaining the truth. Dalai Lama raises one important question: Should there be a place for ethics in science? Giving the positive answer, he then proves it expressly. For several decades Dalai Lama has been undertaking active efforts to facilitate the dialogue between science and spirituality. Recently Russian scholars have also joined this process. By Dalai Lama’s initiative two big conferences were held under the aegis of the program “Fundamental knowledge: dialogues of Russian and Buddhist scholars”. As a result of these meetings the joint Russian and Buddhist research center was organized in South India to study the altered states of conciseness, basing on various types of Buddhist meditation.


2014 ◽  
Vol 96 (1) ◽  
pp. 5-10 ◽  
Author(s):  
D Carradice

This review presents the common diseases associated with superficial venous insufficiency of the leg. These include varicose veins, swelling, skin damage and ulceration. The benefits and rationale behind treatment are discussed, followed by the historical advances from ancient mortality and prayer to the modern endovenous revolution. Finally, an overview of modern treatment options will discuss the evidence supporting the gold standard of endothermal ablation and the cost effectiveness of treatment at this time of challenging resource limitation.


Author(s):  
P. Balathandayutham ◽  
V. Muralidharan

The concept of management refers to the process to plan, to organize, to staff, to direct and to control the activities in any organization for achieving the common goal in a very systematic manner. Further, the term management refers to both a method of science art to empower individuals and to make an institution more efficient and effective when compared to the state without the manager and the management. As a process of the institution, the management lies amidst the policy formation for and the actual control and command of the forces in the military sector. management covers elements like management of the resources of sector, management of the personnel in the field and acquisition management.


Author(s):  
Thamer Al-rousan

Along with the introduction of HTML5, a new user storage technologies; particularly, Web SQL Database, Web Storage, and Indexed Database API have emerged. The common goal of these storage technologies is to overcome the limitations of legacy of user-side storage mechanisms. All these technologies have many privacy and security concerns, and the main threat is user tracking. In this context, this study investigates the usage of these technologies and to find out which one of these technologies is primarily used by user trackers, and to calculate their frequency in context of 3rd-party tracking code. The result exposes that the adoption of Web Storage most commonly used amongst the three storage technologies. Motivated by the investigation results, this study examines the degree of protection which the popular web browsers supply to prevent privacy violations. The result reveals that the protection mechanisms that are provided by web browsers are almost the same, and in many occasions privacy violations do exist


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