scholarly journals Editorial. Ipsilateral hemiparesis and its history for neurosurgery: same side, wrong side

2019 ◽  
Vol 47 (3) ◽  
pp. E8
Author(s):  
Mark C. Preul
Keyword(s):  
Wrong Side ◽  
Ipsilateral Hemiparesis

scholarly journals Fencing affects African wild dog movement patterns and population dynamics

Oryx ◽  
2021 ◽  
pp. 1-9
Author(s):  
Helen M. K. O'Neill ◽  
Sarah M. Durant ◽  
Stefanie Strebel ◽  
Rosie Woodroffe
Keyword(s):  
Population Dynamics ◽  
Large Scale ◽  
Animal Movement ◽  
Landscape Connectivity ◽  
Ecological Impact ◽  
Movement Patterns ◽  
Wrong Side ◽  
African Wild Dog ◽  
Wild Dog ◽  
Wild Dogs

Abstract Wildlife fences are often considered an important tool in conservation. Fences are used in attempts to prevent human–wildlife conflict and reduce poaching, despite known negative impacts on landscape connectivity and animal movement patterns. Such impacts are likely to be particularly important for wide-ranging species, such as the African wild dog Lycaon pictus, which requires large areas of continuous habitat to fulfil its resource requirements. Laikipia County in northern Kenya is an important area for wild dogs but new wildlife fences are increasingly being built in this ecosystem. Using a long-term dataset from the area's free-ranging wild dog population, we evaluated the effect of wildlife fence structure on the ability of wild dogs to cross them. The extent to which fences impeded wild dog movement differed between fence designs, although individuals crossed fences of all types. Purpose-built fence gaps increased passage through relatively impermeable fences. Nevertheless, low fence permeability can lead to packs, or parts of packs, becoming trapped on the wrong side of a fence, with consequences for population dynamics. Careful evaluation should be given to the necessity of erecting fences; ecological impact assessments should incorporate evaluation of impacts on animal movement patterns and should be undertaken for all large-scale fencing interventions. Where fencing is unavoidable, projects should use the most permeable fencing structures possible, both in the design of the fence and including as many purpose-built gaps as possible, to minimize impacts on wide-ranging wildlife.

scholarly journals Analysis and outcomes of wrong site thyroid surgery

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gianlorenzo Dionigi ◽  
Marco Raffaelli ◽  
Rocco Bellantone ◽  
Carmela De Crea ◽  
Carlo Enrico Ambrosini ◽  
...  
Keyword(s):  
Thyroid Surgery ◽  
Rare Event ◽  
Lymph Node Excision ◽  
Legal Action ◽  
Preventive Strategies ◽  
Case Presentation ◽  
Wrong Site Surgery ◽  
Wrong Side ◽  
Low Volume ◽  
Wrong Site

Abstract Background In thyroid surgery, wrong-site surgery (WSS) is considered a rare event and seldom reported in the literature. Case presentation This report presents 5 WSS cases following thyroid surgery in a 20-year period. We stratified the subtypes of WSS in wrong target, wrong side, wrong procedure and wrong patient. Only planned and elective thyroid surgeries present WSS cases. The interventions were performed in low-volume hospitals, and subsequently, the patients were referred to our centres. Four cases of wrong-target procedures (thymectomies [n = 3] and lymph node excision [n = 1] performed instead of thyroidectomies) and one case of wrong-side procedure were observed in this study. Two wrong target cases resulting additionally in wrong procedure were noted. Wrong patient cases were not detected in the review. Patients experienced benign, malignant, or suspicious pathology and underwent traditional surgery (no endoscopic or robotic surgery). 40% of WSS led to legal action against the surgeon or a monetary settlement. Conclusion WSS is also observed in thyroid surgery. Considering that reports regarding the serious complications of WSS are not yet available, these complications should be discussed with the surgical community. Etiologic causes, outcomes, preventive strategies of WSS and expert opinion are presented.

Distal Radius Fracture Treatment Outcomes in Patients With Ipsilateral Hemiplegia or Hemiparesis

Hand ◽  
2021 ◽  
pp. 155894472199973
Author(s):  
Nicholas Munaretto ◽  
Adam Tagliero ◽  
Raahil Patel ◽  
Peter C. Rhee
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Case Series ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Functional Classification ◽  
Radius Fractures ◽  
Radiographic Outcomes ◽  
Ipsilateral Hemiparesis

Background Little information exists to guide decision-making with regard to distal radius fractures in the setting of ipsilateral hemiparesis or hemiplegia. Methods Patients who sustained a distal radius fracture in the setting of ipsilateral hemiparesis or hemiplegia secondary to brain injury were evaluated. Investigated variables included perioperative pain, preinjury House functional classification score, length of immobilization, radiographic outcome measurements, and time to union. Results There were 15 patients with distal radius fractures with a mean age of 65.9 years. The mean clinical and radiographic follow-up was 2.8 and 2.9 years, respectively. Wrists were placed into the nonoperative group (NOG, n = 10) and operative group (OG, n = 5). Pain significantly decreased at final follow-up for both groups. Baseline House functional classification scores averaged 1.3 and 1.6 for the NOG and OG, respectively, and were maintained at final follow-up. Length of immobilization for the NOG was 46 days and OG was 37 days, P = .15. Radiographic outcomes at final follow-up in the NOG and OG, respectively, were a mean radial height of 9.3 versus. 11.6 mm, radial inclination of 18.3° versus 22.3°, 4.2° dorsal tilt versus 5.3° volar tilt, and tear drop angle of 45.6° versus 44.5°. There were no significant differences in these measurements. Time to radiographic union averaged 58 days for the NOG and 67 days for the OG, P = .42. There were no revision surgeries. Conclusions Based on this small case series, patients with distal radius fracture and ipsilateral hemiparesis or hemiplegia may have similar clinical, functional, and radiographic outcomes, regardless of nonoperative or operative treatment.

Common general surgical never events: analysis of NHS England never event data

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Islam Omar ◽  
Rishi Singhal ◽  
Michael Wilson ◽  
Chetan Parmar ◽  
Omar Khan ◽  
...  
Keyword(s):  
Breast Implants ◽  
Skin Condition ◽  
Chest Drain ◽  
Event Data ◽  
Wrong Site Surgery ◽  
Wrong Side ◽  
Retained Foreign Body ◽  
Never Events ◽  
Never Event ◽  
Wrong Site

Abstract Background There is little available data on common general surgical never events (NEs). Lack of this information may have affected our attempts to reduce the incidence of these potentially serious clinical incidents. Objectives The purpose of this study was to identify common general surgical NEs from the data held by the National Health Service (NHS) England. Methods We analysed the NHS England NE data from April 2012 to February 2020 to identify common general surgical NEs. Results There was a total of 797 general surgical NEs identified under three main categories such as wrong-site surgery (n = 427; 53.58%), retained items post-procedure (n = 355; 44.54%) and wrong implant/prosthesis (n = 15; 1.88%). We identified a total of 56 common general surgical themes—25 each in the wrong-site surgery and retained foreign body categories and six in wrong implants category. Wrong skin condition surgery was the commonest wrong-site surgery (n = 117; 27.4%). There were 18 wrong-side chest drains (4.2%) and 18 (4.2%) wrong-side angioplasty/angiograms. There were seven (1.6%) instances of confusion in pilonidal/perianal/perineal surgeries and six (1.4%) instances of biopsy of the cervix rather than the colon or rectum. Retained surgical swabs were the most common retained items (n = 165; 46.5%). There were 28 (7.9%) laparoscopic retrieval bags with or without the specimen, 26 (7.3%) chest drain guide wires, 26 (7.3%) surgical needles and 9 (2.5%) surgical drains. Wrong stents were the most common (n = 9; 60%) wrong implants followed by wrong breast implants (n = 2; 13.3%). Conclusion This study found 56 common general surgical NEs. This information is not available to surgeons around the world. Increased awareness of these common themes of NEs may allow for the adoption of more effective and specific safeguards and ultimately help reduce their incidence.

Syria under Pressure

2004 ◽  
Vol 33 (4) ◽  
pp. 53-69 ◽  
Author(s):  
ANDERS STRINDBERG
Keyword(s):  
Political Culture ◽  
Economic Sanctions ◽  
Weapons Of Mass Destruction ◽  
Mass Destruction ◽  
Government Officials ◽  
Wrong Side ◽  
Military Presence ◽  
Sharp Criticism ◽  
The U.S ◽  
Invasion Of Iraq

Syria's sharp criticism of the U.S.-led invasion of Iraq in March 2003 opened a particularly tense phase in Syrian-American relations, culminating in the May 2004 imposition of U.S. economic sanctions under the Syria Accountability Act. While accusing Damascus of being on the ““wrong side”” in the wars against terror and Iraq, Washington has raised a number of other issues, including Syria's military presence in Lebanon, its support for Hizballah and various Palestinian factions, its alleged ““interference”” in Iraq, and its possible possession of weapons of mass destruction. This report, based on numerous interviews with government officials, analysts, opposition figures, and ordinary citizens, examines Syria's reactions to these allegations, gradual changes in Syrian political culture, and various domestic developments.

The Wrong Side of History

2021 ◽  
Vol 2 (10) ◽  
pp. 50-75
Author(s):  
N. M. Cedeño ◽  
Keyword(s):  
Short Story ◽  
Public Service ◽  
Source Material ◽  
Political Climate ◽  
Wrong Side

Is it appropriate to hold politicians accountable for their past votes, their past actions, and their past opinions, even if they are not reflective of them today? In this work of philosophical short story fiction, Senator McCoy is 130 years old and is considered a "national treasure" for his nearly century of public service. Shortly before his retirement he is confronted by a member of an extremist organization (that supports eugenics) who have found evidence of a paper he published in college where he supports abortion. Given the modern political climate where every person is needed to build society, this information would forever stain his legacy. Senator McCoy hires a "fixer" to find and destroy the source material and preserve his legacy. However, things go wrong and the would-be blackmailer crashes the Senators party in an attempt to expose him. The Senator is nearly killed, but is finally able to enjoy an untarnished retirement legacy free from the truth of his past.

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