scholarly journals The Role Of Rose (Rapid Onsite Evaluation) On Spinal Lesion Surgery Decision

2019 ◽  
Vol 5 (1) ◽  
pp. 66-73
Author(s):  
Sindrawati ◽  
Komang Agung ◽  
Carlos Binti ◽  
Anggita Dewi Dewi
Keyword(s):  
Surgical Techniques ◽  
Host Population ◽  
Pathological Fractures ◽  
Surgical Decision ◽  
Best Management ◽  
Normal Host ◽  
Spinal Lesion ◽  
Lytic Lesions ◽  
Histopathology Result

Introduction: Exposure and instrumentation of the spine must be meticulous and thorough regardless the techniques and approach selected. Management of the whole surgery process should be decided based on the best available evidence whenever possible. ROSE (Rapid Onsite Evaluation) cytology wrap up the surgical decision. Case Description: Fifteen cases comprise of lytic lesions and/or single pathological fractures of the corpus vertebrae will be presented and discuss as to how the surgical techniques and approaches are assisted by ROSE. ROSE cytology was performed in the operating theater during the surgery. Samples were taken after exposure of the minimal lesion using (18–21) G trocar needle or under fluoroscopy guided. Direct smear, air dried fixation, and Diff Quik staining would take about 10 minutes. Pathologist evaluated the specimen and provided the result in about 20 minutes. The overall 30 minutes allowed surgeon to prepare the further steps. Results would be malignant or benign without pursuing further detail diagnostic. Benign results should be categorized as infection, suspicious of granulomatic tuberculosis, or normal host population cells. The cases outcome were 8 normal host population cells advanced for vertebroplasty to fill the porotic bone. Three spondylitis tuberculosis were debrided without unnecessary instrumentation, and four malignant processes were assured to have enough samples for immunohistochemistry evaluation afterward. All ROSE cytology was confirmed accordingly by the histopathology result afterward. Conclusion: ROSE is easy and offers accurate sampling from the lesion itself. It is quick, therefore during surgery surgeon could decide the best management for the patient.

scholarly journals 466 Resection or Enucleation for Extremely Giant Hepatic Haemangiomata? A Case Report and Review of The Literature

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
R E Fraser ◽  
G R Layton ◽  
L L Kuan ◽  
A R Dennison
Keyword(s):  
Expectant Management ◽  
Evidence Base ◽  
Primary Treatment ◽  
Cavernous Haemangioma ◽  
Liver Tumours ◽  
Case Presentation ◽  
Best Management ◽  
Anatomical Liver Resection ◽  
Benign Liver

Abstract Background Cavernous hepatic haemangiomas are benign liver tumours and although common when small, giant haemangiomas (usually accepted as being greater than 10cm) are infrequent. Treatment is indicated in patients who are symptomatic or if diagnosis is unclear, although with giant haemangiomas, many support expectant management of asymptomatic lesions due to the risk of major complications. Traditionally hepatic resection has been the primary treatment option for these lesions, but a variety of other techniques, including enucleation, have been described as safe and effective alternatives. There remains equipoise in respect of the best management of giant haemangiomas above 10cm. Cases of such size are rare and so there is a paucity of data available. Case presentation We present a case of a 65-year-old male who underwent successful anatomical liver resection for a 5kg giant cavernous haemangioma of 26cm diameter following its incidental identification during an ultrasound scan. We also discuss and compare the role of resection and enucleation for the treatment of haemangiomata greater than 20cm in diameter. Conclusions This case demonstrates successful resection of an unusually giant haemangioma which, in contrast to the majority of literature, provides a valuable addition to the limited evidence base for management of this condition by anatomical resection.

scholarly journals The Potential Association between the Risk of Post-Surgical Adhesion and the Activated Local Angiotensin II Type 1 Receptors: Need for Novel Treatment Strategies

2021 ◽  
pp. 1-8
Author(s):  
Mahmood Tavakkoli ◽  
Saeed Aali ◽  
Borzoo Khaledifar ◽  
Gordon A. Ferns ◽  
Majid Khazaei ◽  
...  
Keyword(s):  
Angiotensin Ii ◽  
Molecular Mechanisms ◽  
Transforming Growth Factor ◽  
Therapeutic Potential ◽  
Angiotensin Receptor Blockers ◽  
Surgical Techniques ◽  
Treatment Strategies ◽  
Transforming Growth Factor Β

<b><i>Background:</i></b> Post-surgical adhesion bands (PSABs) are a common complication after abdominal or pelvic surgeries for different reasons like cancer treatment. Despite improvements in surgical techniques and the administration of drugs or the use of physical barriers, there has only been limited improvement in the frequency of postoperative adhesions. Complications of PSAB are pain, infertility, intestinal obstruction, and increased mortality. The most important molecular mechanisms for the development of PSAB are inflammatory response, oxidative stress, and overexpression of pro-fibrotic molecules such as transforming growth factor β. However, questions remain about the pathogenesis of this problem, for example, the causes for individual differences or why certain tissue sites are more prone to post-surgical adhesions. <b><i>Summary:</i></b> Addressing the pathological causes of PSAB, the potential role of local angiotensin II/angiotensin II type 1 receptors (AngII/AT1R), may help to prevent this problem. <b><i>Key Message:</i></b> The objective of this article was to explore the role of the AngII/AT1R axis potential to induce PSAB and the therapeutic potential of angiotensin receptor blockers in the prevention and treatment of PSAB.

Nasal Dermoids in Children: Factors Influencing the Distant Result

2021 ◽  
Author(s):  
Michal Kotowski ◽  
Paulina Adamczyk ◽  
Jaroslaw Szydlowski
Keyword(s):  
Pediatric Patients ◽  
Surgical Techniques ◽  
Intracranial Extension ◽  
Recurrence Rates ◽  
Local Conditions ◽  
Aesthetic Result ◽  
Factors Influencing ◽  
Vertical Incision ◽  
External Rhinoplasty

AbstractThe aim of the study was to present a single institution’s treatment strategy for nasal dermoids and to identify factors influencing distant results. The study covered 24 surgically treated pediatric patients with nasal dermoids (NDs). The medical data concerning demographics, preoperative local inflammations and surgical procedures, form of the abnormality, imaging, surgical techniques, and a role of osteotomies and reconstructions were analyzed. The recurrence rates and distant aesthetic outcomes were assessed. The surgical approach included vertical incision in 21 patients, the external rhinoplasty approach in 2 cases, and bicoronal incision in 1 child. The intracranial extension was confirmed in 6 patients. Seven out of 8 cases with preoperative local inflammations and 3 out of 4 with secondary fistulization were < 4 years old. Nine patients required osteotomies. Three children required reconstruction of the nasal skeleton. None of the distant cosmetic results was described as hideous or unsatisfactory. The incidence of local inflammatory complications is unrelated to the age of the patients. The distant aesthetic result depends on both the initial extent of the disease and preoperative local conditions or interventions. Prompt surgical intervention is highly recommended.

Touring for peace: the role of dual-narrative tours in creating transnational activists

2019 ◽  
Vol 5 (2) ◽  
pp. 200-218 ◽  
Author(s):  
Emily Maureen Schneider
Keyword(s):  
Attitude Change ◽  
Past Research ◽  
Host Population ◽  
Contact Hypothesis ◽  
Racial Groups ◽  
Content Type ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Peace And Justice

Purpose Scholarship on the contact hypothesis and peacebuilding suggests that contact with marginalized ethnic and racial groups may reduce prejudice and improve opportunities for conflict resolution. Through a study of dual-narrative tours to Israel/Palestine, the purpose of this paper is to address two areas of the debate surrounding this approach to social change. First, past research on the effectiveness of contact-based tourism as a method to change attitudes is inconclusive. Travel to a foreign country has been shown to both improve and worsen tourists’ perceptions of a host population. Second, few scholars have attempted to link contact-based changes in attitudes to activism. Design/methodology/approach Through an analysis of 218 post-tour surveys, this study examines the role of dual-narrative tours in sparking attitude change that may facilitate involvement in peace and justice activism. Surveys were collected from the leading “dual-narrative” tour company in the region, MEJDI. Dual-narrative tours uniquely expose mainstream tourists in Israel/Palestine to Palestinian perspectives that are typically absent from the majority of tours to the region. This case study of dual-narrative tours therefore provides a unique opportunity to address the self-selecting bias, as identified by contact hypothesis and tourism scholars, in order to understand the potential impacts of exposure to marginalized narratives. Findings The findings of this study suggest that while these tours tend to engender increased support for Palestinians over Israelis, their most salient function appears to be the cultivation of empathy for “both sides” of the conflict. Similarly, dual-narrative tours often prompt visitors to understand the conflict to be more complex than they previously thought. In terms of activism, tourists tend to prioritize education-based initiatives in their plans for post-tour political engagement. In addition, a large number of participants articulated commitments to support joint Israeli–Palestinian non-governmental organizations and to try to influence US foreign policy to be more equitable. Originality/value These findings complicate debates within the scholarship on peacebuilding as well as within movements for social justice in Israel/Palestine. While programs that equate Israeli and Palestinian perspectives are often criticized for reinforcing the status quo, dual-narrative tours appear to facilitate nuance and universalism while also shifting tourists toward greater identification with an oppressed population. Together, these findings shed light on the ability of tourism to facilitate positive attitude change about a previously stigmatized racial/ethnic group, as well as the power of contact and exposure to marginalized narratives to inspire peace and justice activism.

Interactive role of topography and best management practices on N2O emissions from agricultural landscape

2021 ◽  
Vol 212 ◽  
pp. 105063
Author(s):  
Waqar Ashiq ◽  
Hiteshkumar Vasava ◽  
Mumtaz Cheema ◽  
Kari Dunfield ◽  
Prasad Daggupati ◽  
...  
Keyword(s):  
Best Management Practices ◽  
Management Practices ◽  
Agricultural Landscape ◽  
N2o Emissions ◽  
Best Management

Helminthofauna of the fox (Vulpes vulpes) and korsak (Vulpes corsac)

2021 ◽  
Vol 3 ◽  
pp. 28-35
Author(s):  
I.M. Abirova ◽  
N.Zh. Eleugaliyeva ◽  
G.K. Zhumagaliyeva ◽  
M.G. Gusmanov
Keyword(s):  
Vulpes Vulpes ◽  
Toxocara Canis ◽  
Host Population ◽  
Farm Animals ◽  
Wild Animals ◽  
The West ◽  
West Kazakhstan ◽  
The One ◽  
Epidemiological Significance

For humans and domestic animals, parasites of wild animals can pose a threat to health, and even life. In this regard, it is important to establish the pathways of circulation of pathogens of dangerous helminthiasis, to identify the nature of the focus and the role of wild animals in this process, since these data serve as the basis for the development of anti-parasite measures. The study of parasitic organisms of wild animals is of great importance for science and practice. In natural biocenosis, one of their joints is parasitic species, which, on the one hand, are involved in the regulation of the host population; on the other hand, they prevent the introduction and spread of new species related to the host, i.e. participate in ensuring homeostasis of biocenosis. Parasitizing in various hosts, both definitive and intermediate, helminthes can determine the number and distribution over the territory not only of these hosts, but also of other animal species associated with these hosts by trophic and other connections. The foregoing determines the relevance of the problem of studying the fauna of helminthes of wild animals in the West Kazakhstan region, which is currently under-researched. The species composition of helminthes of the fox (Vulpes vulpes) and the korsak (Vulpes corsac) in the territory of the West-Kazakhstan region region was explored. In most cases, the invasion was recorded in an associative form. Some helminthes cause serious diseases in humans and farm animals. As a result of our research, we identified 6 species of intestinal helminthes in the common fox, two of which (Alveococcus multilocularis, Toxocara canis) have epidemiological significance. In korsak, 3 types of helminthes were identified at the autopsy before the species.

scholarly journals A brief literature review on the management of post-haemorrhoidectomy pain

2011 ◽  
Vol 1 (2) ◽  
pp. 32 ◽  
Author(s):  
Mohammed Mohsin Uzzaman ◽  
Muhammed Rafay Sameem Siddiqui
Keyword(s):  
Pain Relief ◽  
Literature Review ◽  
Literature Search ◽  
Surgical Techniques ◽  
Cochrane Library ◽  
Post Operative Pain ◽  
Symptomatic Control

The most commonly encountered complication after haemorrhoidectomy is post-operative pain. Relief of this pain may aid earlier recovery. A literature search was performed examining the different surgical and medical agents for the relief of post haemorrhoidectomy pain using Pubmed, MEDLINE, EMBASE, CINAHL and Cochrane library databases. Pain can be relieved by surgical or medical agents. Surgery incorporates a risk of incontinence. A number of studies examine the role of medical agents.A variety of surgical techniques and medical agents are available to the clinician in the treatment of post haemorrhoidectomy pain. Tailored management to individual patients should ensure appropriate symptomatic control and prompt recovery.

Regulatory role of parasites: impact on host population shifts with resource availability

Science ◽  
1991 ◽  
Vol 253 (5016) ◽  
pp. 185-188 ◽  
Author(s):  
J. Washburn ◽  
D. Mercer ◽  
Anderson
Keyword(s):  
Resource Availability ◽  
Host Population ◽  
Regulatory Role
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