scholarly journals Development of management of emergency surgical care for patients with acute traumatic and nontraumatic spinal pathologies in conditions of megapolis

2017 ◽  
Vol 176 (4) ◽  
pp. 39-43 ◽  
Author(s):  
A. K. Dulaev ◽  
V. A. Manukovskiy ◽  
D. I. Kutyanov ◽  
Yu. Yu. Bulakhtin ◽  
S. L. Brizhan’ ◽  
...  
Keyword(s):  
Emergency Care ◽  
Emergency Surgery ◽  
Management Strategy ◽  
Surgical Care ◽  
Effective Management ◽  
Practical Application ◽  
Decentralized System ◽  
Comparative Statistical Analysis ◽  
Centralized System ◽  
Made In

OBJECTIVE. The authors developed the management strategy of emergency care for patients with acute spinal surgical pathology in conditions of megapolis. MATERIAL AND METHODS. A comparative statistical analysis was made in 2627 patients. The patients (n =777) underwent treatment in multicenter hospitals of emergency care of the spine (decentralized system). The other patients (n = 1850) were treated in Municipal Center of Emergency Surgery of the Spine (centralized system). RESULTS. It is appropriate to establish departments of emergency surgery of the spine on the base of separate multicenter hospitals in megapolis. These hospitals should be properly equipped and they should have specially trained doctors and nurses, stable financing, effective management on admission to hospital. CONCLUSIONS. The efficacy of proposed measures allowed authors to recommend them to wide practical application.

scholarly journals The negative effects of COVID-19 and national lockdown on emergency surgery morbidity due to delayed access

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Francesco A. Ciarleglio ◽  
Marta Rigoni ◽  
Liliana Mereu ◽  
Cai Tommaso ◽  
Alessandro Carrara ◽  
...  
Keyword(s):  
Emergency Department ◽  
Blood Transfusion ◽  
Emergency Surgery ◽  
Surgical Care ◽  
Close Correlation ◽  
Negative Effects ◽  
Group 2 ◽  
Retrospective Comparative Study ◽  
The Impact ◽  
Group 1

Abstract Background The aim of this retrospective comparative study was to assess the impact of COVID-19 and delayed emergency department access on emergency surgery outcomes, by comparing the main clinical outcomes in the period March–May 2019 (group 1) with the same period during the national COVID-19 lockdown in Italy (March–May 2020, group 2). Methods A comparison (groups 1 versus 2) and subgroup analysis were performed between patients’ demographic, medical history, surgical, clinical and management characteristics. Results Two-hundred forty-six patients were included, 137 in group 1 and 109 in group 2 (p = 0.03). No significant differences were observed in the peri-operative characteristics of the two groups. A declared delay in access to hospital and preoperative SARS-CoV-2 infection rates were 15.5% and 5.8%, respectively in group 2. The overall morbidity (OR = 2.22, 95% CI 1.08–4.55, p = 0.03) and 30-day mortality (OR = 1.34, 95% CI 0.33–5.50, =0.68) were significantly higher in group 2. The delayed access cohort showed a close correlation with increased morbidity (OR = 3.19, 95% CI 0.89–11.44, p = 0.07), blood transfusion (OR = 5.13, 95% CI 1.05–25.15, p = 0.04) and 30-day mortality risk (OR = 8.00, 95% CI 1.01–63.23, p = 0.05). SARS-CoV-2-positive patients had higher risk of blood transfusion (20% vs 7.8%, p = 0.37) and ICU admissions (20% vs 2.6%, p = 0.17) and a longer median LOS (9 days vs 4 days, p = 0.11). Conclusions This article provides enhanced understanding of the effects of the COVID-19 pandemic on patient access to emergency surgical care. Our findings suggest that COVID-19 changed the quality of surgical care with poorer prognosis and higher morbidity rates. Delayed emergency department access and a “filter effect” induced by a fear of COVID-19 infection in the population resulted in only the most severe cases reaching the emergency department in time.

scholarly journals Surgical Interventions in Patients Hospitalised with COVID-19. A Review of Seven Months of Experience Working in a COVID-19 Dedicated Centre

2021 ◽  
Vol 10 (3) ◽  
pp. 395
Author(s):  
Justyna Rymarowicz ◽  
Michał Pędziwiatr ◽  
Piotr Major ◽  
Bryan Donohue ◽  
Karol Ciszek ◽  
...  
Keyword(s):  
Emergency Surgery ◽  
Surgical Procedure ◽  
Surgical Care ◽  
Major Surgery ◽  
Surgical Specialty ◽  
Surgical Interventions ◽  
Face To Face ◽  
Overall Mortality

The Coronavirus Disease 2019 (COVID-19) pandemic has made changes to the traditional way of performing surgical consultations. The aim of the present study was to assess the need for surgical care performed by various surgical specialties among patients infected with COVID-19 hospitalized in a COVID-19 dedicated hospital. All surgical consultations performed for patients infected with COVID-19 in a COVID dedicated hospital in a seven month period were evaluated. Data on demographics, surgical specialty, consult reason, procedure performed, and whether it was a standard face to face or teleconsultation were gathered. Out of 2359 COVID-19 patients admitted to the hospital in the seven month period, 229 (9.7%) required surgical care. Out of those 108 consultations that did not lead to surgery, 71% were managed by telemedicine. A total of 36 patients were operated on while suffering from COVID-19. Out of them, only three patients admitted primarily for COVID-19 pneumonia underwent emergency surgery. The overall mortality among those operated on was 16.7%. Conclusions: Patients hospitalised with COVID-19 may require surgical care from various surgical specialties, especially during peaks of the pandemic. However, they rarely require a surgical procedure and only occasionally require major surgery. A significant portion of potentially surgical problems could be managed by teleconsultations.

scholarly journals Dust Explosion Prevention and Mitigation, Status and Developments in Basic Knowledge and in Practical Application

2009 ◽  
Vol 2009 ◽  
pp. 1-12 ◽  
Author(s):  
Rolf K. Eckhoff
Keyword(s):  
Process Design ◽  
Basic Knowledge ◽  
Industrial Plant ◽  
Practical Application ◽  
Process Industries ◽  
Wide Range ◽  
Firm Knowledge ◽  
Systematic Education ◽  
Training Of Personnel ◽  
Made In

Right from the early days of the process industries, continuous efforts have been made to develop and improve measures for prevention and mitigation of dust explosions in these industries. Nevertheless this hazard continues to threaten industries that manufacture, use and/or handle powders and dusts of a wide range of combustible materials. To improve methods for predicting explosion development in real industrial plant has been one major challenge. Hence, during the last years comprehensive numerical simulation codes, for addressing this problem, have been developed. Progress has also been made in other areas, for example, ignition source prevention. The importance of adopting inherently safer process design, by building on firm knowledge in powder science and technology, and of systematic education/training of personnel, is also emphasized.

THE PROBLEM OF OSTEOPOROSIS IN MENOPAUSAL WOMEN AND POSSIBLE SOLUTIONS

2021 ◽  
Vol 2 (1) ◽  
pp. 15-17
Author(s):  
Maiorova M.O.
Keyword(s):  
Hormone Therapy ◽  
Bone Tissue ◽  
Calcium Metabolism ◽  
Management Strategy ◽  
Menopausal Hormone Therapy ◽  
Effective Management ◽  
Treatment Of Osteoporosis ◽  
Menopausal Women ◽  
Prevention And Treatment

41 women with osteoporosis were examined. The age of the examined people ranged from 50 to 60 years. All the women were postmenopausal. As a result of the study, it was found that the most effective management strategy for such patients is a combination of menopausal hormone therapy and non-hormonal drugs that affect calcium metabolism in bone tissue, improve its metabolism and reduce resorption. If there are contraindications to MGT, prevention and treatment of osteoporosis should also be carried out using the appointment of non-hormonal drugs. In this case, the use of ipriflavone is effective.

COMMITTEE ON ACCIDENT PREVENTION

PEDIATRICS ◽  
1957 ◽  
Vol 20 (3) ◽  
pp. 565-566
Author(s):  
Keyword(s):  
Emergency Care ◽  
Surgical Care ◽  
Electrical Energy ◽  
Civil Defense ◽  
Accident Prevention ◽  
Skeletal Trauma ◽  
Leg Injuries ◽  
Arm Injuries ◽  
Cervical Injuries ◽  
Open Injuries

The Committee on Accident Prevention of the American Academy of Pediatrics, in co-operation with the Surgical Section of the same organization, has prepared the following statements to cover the emergency management of childhood skeletal trauma and burns. Both of these statements are endorsed by the Committee on Trauma of the American College of Surgeons and have been approved by the Federal Civil Defense Administration. EMERGENCY CARE OF CHILDHOOD SKELETAL TRAUMA 1. Evaluate and splint where they lie before moving. Do not attempt reduction. 2. Move cervical injuries face up on a rigid support with manual traction applied gently by cupping chin at the time of moving. Sand bags on either side of neck to prevent turning, if possible. 3. Spine injuries should not be flexed in transportation. 4. Lower leg injuries, transport in pillow strapped with belt. 5. Upper leg injuries, transport with both legs and trunk bound to board without circulatory interference. 6. Lower arm injuries, transport with splint such as rolled newspaper, gentle compression wrapping and sling. 7. Upper arm can be bound to chest with lower arm supporting in sling. 8. Open injuries or open wounds, cover with sterile dressing, do not dust with antibiotic, but systemic antibiotic is useful. Do not attempt to retract bone back under skin. Get to surgical care promptly. 9. Do not cover distal tips of extremities if it can be avoided thus allowing a circulation check to be made from time to time. EMERGENCY CARE OF BURNS 1. Burns are due to thermal agents (scalds or fire); chemical agents (battery acid or lye); radiation (sunburn or nuclear); and electrical energy.

scholarly journals Breaking the Resource Curse: The Role of Natural Resource Funds

2021 ◽  
Vol 4 (2) ◽  
pp. 99-109
Author(s):  
Isaiah Adeleke ◽  
Umaru Mustapha Zubairu
Keyword(s):  
Natural Resource ◽  
Management Strategy ◽  
Resource Curse ◽  
Future Research ◽  
Effective Management ◽  
Journal Articles ◽  
Special Purpose Vehicle ◽  
Resource Governance ◽  
Effective Role

Studies have shown that the paradox of “the more resource-rich the poorer” otherwise known as “resource curse” has been prevalent in many countries endowed with natural resources. To mitigate this trend, a revenue management strategy called Natural Resource Funds (NRFs) - a government owned special-purpose vehicle to ensure effective management of the country’s natural wealth was embraced in some nations. This paper critically reviewed the roles of NRFs in breaking the resource curse. The Systematic Quantitative Assessment Technique (SQAT) was adopted in identifying and reviewing sixty-seven (67) peer reviewed journal articles that had researched on NRFs in the last decade. The findings were that NRFs have played an effective role in some advanced countries (Chile and China), while they have failed, especially in Africa, Middle East and Latin America due to poor institutional framework and governance. A globally set code of resource governance was recommended to strengthen the role of NRFs and enhance their effectiveness. Resource revenue maximization other than revenue utilization would be a good area for future research.

scholarly journals The DPOBE Model for Organizational Sustainability: An Exploratory Study about its Structure, Pillars and Components among a Group of Master Degree Students

2020 ◽  
Vol 17 (1) ◽  
pp. 38-52
Author(s):  
Aníbal Areia ◽  
Francisco Esteves ◽  
João Rocha Santos ◽  
Pedro Anunciação
Keyword(s):  
Exploratory Study ◽  
Master's Degree ◽  
Early Stage ◽  
Business Management ◽  
Business Administration ◽  
Organizational Sustainability ◽  
Practical Application ◽  
Master’S Degree ◽  
Practical Implications ◽  
Made In

AbstractResearch purpose. To get a validation of the structure, pillars and components that seem to be central, and under which, business management and managers need to develop abilities and competences to ensure the sustainability of their organizations according to the ‘DPOBE Model for Organizational Sustainability’ structure.Design/Methodology/Approach. For the validation of the structure, pillars and components and it’s practical application to measure the organization’s sustainability level with the referred model, despite the focus group exercise made in an early stage, it’s also important to get a solid opinion about it among managers and also in academia, specifically among teachers and investigators on management, business administration and economics as well near master and doctorate students in this field. In this paper, we analyse the results obtained in an exploratory study, based on a survey made among students from four different master’s degree in several specific areas of business management from the School of Business Administration from the Polytechnic Institute of Setúbal (Portugal).Findings. Main results obtained with this exploratory study let the authors be granted with the developments made so far in the model and its structure, pillars and components. However, only with a major collection of opinions (answer to the survey) from the referred groups, it’s possible to define and adjust the final structure and components of the DPOBE Model.Originality/Value/Practical implications. Being an investigation with several years of development, with several articles, chapters of books, master’s degree thesis, congress presentations and papers made so far, only with a solid and validated structure, pillars and components of the DPOBE Model for Organizational Sustainability, it’s possible to go to its aim, the use of it as a quantitative tool to measure the effective organizations sustainability in a way different from other existing sustainability tools and indexes.

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