scholarly journals The Role of Free Tissue Transfers for Defect Coverage over the Body in Geriatric Populations

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 795
Author(s):  
Elif Kulakli-Inceleme ◽  
Matthias Knobe ◽  
Elmar Fritsche ◽  
Mario F. Scaglioni

The treatment of soft tissue defects in multimorbid frail patients requires optimized preoperative and perioperative management with a differentiated interdisciplinary approach. Preoperative assessment with established scores, such as the ASA score, is important in order to stratify the operative complication risk. Following the reconstructive ladder is important to avoid unnecessary long operations and consecutively higher operative risks. In cases where a free flap procedure is needed, infections should be treated properly, and vascular status and coagulation should be optimized before performing a free flap procedure. Attention should be paid to maintain independency, functionality and quality of life while choosing the best treatment option.

Author(s):  
Dr.Suraj Kumbar ◽  
Dr.Lohith BA ◽  
Dr.Ashvinikumar M ◽  
Dr. Amritha R ◽  
Dr. Shameem Banu

We are in technical era where there is more of sedentary life style and stress along with this urbanization is affecting our quality of food and health. This is leading to many lifestyle disorders and hormonal imbalances in our body. Hypothyroidism one among the endocrinal disorder. Thyroid is an endocrinal gland secrets T3 and T4 hormones regulated by TSH which is secreted by Pituitary gland. These hormones have two major effects on the body, 1) To increase the overall metabolic rate in the body 2) To stimulate growth in children. Hypothyroidism is common health issue in India. The highest prevalence of hypothyroidism (13.1%) is noted in people aged 46-54yrs old. With people aged 18-35 yrs being less affected (7.5%). To prevent these hazards Panchakarma is beneficiary to maintain metabolic rate. Here an attempt is made to diagnose hypothyroidism in the light of Ayurveda and management guidelines through Panchakarma.


2020 ◽  
Vol 26 (3) ◽  
pp. 78-82
Author(s):  
Т. F. Golubova ◽  
А. I. Kreslov

Climate is an active, powerful factor that can have a powerful therapeutic effect. Climatotherapy is prescribed for the purpose of General strengthening effects on the body, to stimulate its defenses, increase non-specific resistance, especially in chronic or sluggish pathological processes. The effect of climate therapy is manifested in the body's responses to environmental factors, the main condition of which is the use of physiologically based methods of dosing climate procedures. The bioclimatic station (BCS) of the resort of Yevpatoria carries out meteorological observations of medical orientation and their dosing. The creation of a modern center of climatotherapy, as a scientific-clinical Department of medical climatology on the basis of the BCS will allow to organize a single service on introduction of modern methods of climatotherapy in Evpatoria and the Republic of Crimea, improve the quality of the holiday of climateprotection and effectiveness of climatotherapy.


2020 ◽  
Vol 11 (5) ◽  
pp. 121-127
Author(s):  
Ajay Kushwaha ◽  
Nisha Kumari Ojha

Children are more susceptible to various infections because of underdeveloped immune system as compared to adults. Strengthening the immune system is a natural way to help the body fight against the disease-causing pathogens and immunomodulators can play a major role in this context. Various Ayurveda classics and studies published in journals related to Ayurveda drugs for improving immunity are reviewed and analysed. In Ayurveda, the objective of immune enhancement is achieved through the use of the Amalakyadi Rasayana (an Immunomodulators), as it increases longevity of life, memory, intellect, luxture, complexion, voice, strength of the body functions, strength of all senses and provides the resistance to disease, improves glow and power. Analysis of classical references and various experimental studies show that Amalakyadi Rasayana posse immuno-modulatory, Antioxidant, Anti-inflammatory, Antimicrobial, Anthelmintic activity. Present paper is a review to update knowledge on pharmacological properties, therapeutic actions and possible mode of action of the selected formulation, Amalakyadi rasayana from Yogaratnakara (Rasayanadhikara/17) to enhance the immunity in children. Rasayana is an important part of Ayurvedic therapeutics used to improve the quality of life by strengthening the tissue quality and by reducing the age-related tissue degeneration. This study reveals that Amalakyadi Rasayana have potential to improve or strengthen the immune system in children and thereby can lower down the morbidity rate in children.


2021 ◽  
Author(s):  
Dimitris Georgantzis Garcia ◽  
Sven Kevin van Langen

This chapter adds to the body of literature on the Circular Economy (CE), urban mining, and their intersection with consumer behaviour, by first providing a review of existing and emergent EU regulations aimed towards enhancing the collection rate of household WEEE. The fast growth of the EEE waste stream and its potential for Urban Mining as well as the inability of WEEE collection to keep up with the growth of the EEE industry is showcased with statistical data. The final section critically analyses the literature the intersection between consumer behaviour and closed-loop supply chains for EEE, identified through a systematic keyword search to ensure replicability. The findings point at a lack of theoretical, methodological and product-case heterogeneity among the identified sources, with most of them employing the Theory of Planned Behaviour and survey methods and focusing on mobile phones or general WEEE. While the literature suggests important behavioural differences across EEE categories, this was not representatively explored. The final section contributes to filling this gap by developing a taxonomy of EEE categories based on characteristics that may predispose consumer behaviour. The identified dimensions are: size, involvement, long-term reliability expectations, value type, internet access, multifunctionality, the quality of being outdated and social meaning.


2019 ◽  
Vol 21 (96) ◽  
pp. 129-133
Author(s):  
N. M. Khomyn ◽  
A. R. Mysak ◽  
S. V. Tsisinska ◽  
V. V. Pritsak ◽  
Yu. M. Lenyo ◽  
...  

It is well known that the value of full feeding of farm animals is an important condition for the production of livestock products. Because of the researches of many scientists was found that the value of feed is determined by the content of proteins, fats, carbohydrates, as well as vitamins, minerals and so on. However, the true value of the feed is determined by the part that is digestible and can be used by the body in the metabolism process. In the event of a violation of feeding level associated with the lack of nutrients or minerals of animals or their deficiency, the development of osteodystrophic processes is observed, which directly contribute to changes in the tendon-ligamentous apparatus of the finger of animals, there is an occurrence of prolonged osteotendinitis of the finger flexors, which causes to fingers extension, partially or completely removed from the hoof wall support, and overload of crumbs. Tightening of the crumb support is accompanied by the appearance of the skin of the hoof inflammatory process, excessive horn growth and deformation of the horn capsule. The final confirmation of osteodystrophy is the results of a multivariate mass volumetric analysis of the skeleton state and determination of the magnitude of the angles of the joints of the fingers. On the side of the hoof horn, there is an increase in the moisture content and SH-groups and a decrease in g-keratosis, which affects the biophysical properties of the hoof horn, which are shown by a decrease in density and hardness. Such changes indicate a deterioration in the quality of the hoof horn, a confirmation of which is a decrease in the intensity of erasing of the sole horn, the development of deformation and the occurrence of aseptic inflammation of the base of the skin of the sole horn.


2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Norul Hafizah Yusoff ◽  
Mohd Ramzi Mohd Hussain ◽  
Izawati Tukiman

The aim of this paper is to review and analyse the importance of the framework for urban farming activities to be implemented within cities environment. This paper also describes the role of the community to achieve the environmental, economic and social sustainability for the enhancement of the urban environment and healthy lifestyles through community participation in food supplies,nutrition, and spaces utilization. The paper evaluates the benefits and potential of urban farming activities within limited urban spaces and how it improves the quality of life. It also reviews on how urban farming is beneficial to the society due to food shortage crisis which is inadequate for the whole population. It is necessary to apply and practice in our daily lives for the consumption of food security, human safety, and health. Therefore, the role of community is very crucial in the implementation of urban farming activities within urbanized areas as the demand for green development increases. Based on this theoretical framework, it is hoped that the paper will be a useful addition to the body of knowledge in promoting a stronger community interdependence to create the sustainable urban environment.


2018 ◽  
Vol 3 (1) ◽  
pp. 67-81
Author(s):  
Rachel Yu-Ru Tan

The body of research providing empirical support for the importance of innovation for rapid economic growth has left countries scrambling to cultivate innovative capabilities amongst their citizens. China’s emergence as the top filer of domestic patent applications in 2011 has been attributed to policies enacted by the Chinese leadership aimed at increasing innovative activity within the country. This paper finds support for the argument that government intervention has a stronger influence on innovation than free markets, for patterns in domestic patent activity in China and Malaysia seem to coincide with each government’s policies and incentives that explicitly target innovative activity. However, the debate on the quality of Chinese patents suggests the importance of implementing a more sustainable innovation development strategy over enforcing short-term quantitative targets. This paper discusses the role of education in serving as a more sustainable method in the development of a nation’s innovation trajectory.


Author(s):  
Nurdin Nurdin

International Journal of Contemporary Islamic Education volume 2 issue 1 offers six   articles covering topics of Islamic education studies. Various issues relating to Islamic education interestingly presented to contribute to the body of knowledge and practices. Academia and practitioners in Islamic education studies may gain insight from reading the articles.   The first article is titled “Active Learning Strategies Implementation in Arabic Teaching at Senior High School” written by Asmawati Asmawati, Asy’ari Asy’ari, and Malkan Malkan from Postgraduate studies Institut Agama Islam Negeri Palu. This paper discusses the implementation of  active learning strategy in Arabic teaching at a senior high school in Palu city. The second article is titled “ Teachers’ Strategy in Improving Students’ Learning Achievement  of Al-Qur’an and Hadits  at Madrasah Tsanawiyah” written by Mardiah Mardiah, Askar Askar, and Rustina Rustina.   The paper discussed the strategies of teachers of the Qur'an and hadith subjects in improving the learning achievement of students in Madrasah Tsanawiyah (MTs) Al-Khairaat Biromaru.  The third article is titled “Contribution of Islamic Education Values in Marriage Tradition of Banggai Ethnic, Indonesia” written by Oyan D. Taufik, Sagaf S. Pettalongi, and Sidik Sidik. The paper discusses  the contribution of Islamic education values in marriage according to the customs of the tribe in district of Banggai Bulagi. The fourth paper is tittled “The Role of Environment in Improving Learning Quality:  A Case Study of Al-Istiqamah Modern Islamic Boarding School” written by Rara Pratiwi, Kamaruddin Kamaruddin, and Adawiyah Adawiyah. The paper discusses the role of learning environment in improving the quality of learning students in modern boarding school Al-Istiqamah Ngatabaru. The fifth article is titled “Effectiveness the Use of Audio Visual Media in Teaching Islamic Religious Education” written by Winarto Winarto, Ahmad Syahid, and Fatimah Saguni. The paper discussed  the effectiveness of using audio visual as media in improving learning achievement of a Islamic Junior high school. The last paper  is title “The Role of Islamic Education Teachers Competency in Improving the Quality of Education” written by Zuhaeriah Zuhaeriah, Moh. Ali, and Yusra Yusra. The paper  discusses  the urgency of the competency of teachers on the subjects of Islamic religious education.   I hope the articles presented in this issue add further empirical evidence to the growing body of research that examines various fields from Islam perspectives.  The articles could trigger other research to study other field of study with Islam perspectives Islamic institutions in Indonesia.    Nurdin Nurdin Editor-in-Chief IJCIED:  International Journal of Contemporary Islamic Education Volume II, Issue 1


2021 ◽  
Vol 27 ◽  
Author(s):  
Wheeler Torres ◽  
Mervin Chávez-Castillo ◽  
José L. Peréz-Vicuña ◽  
Rubén Carrasquero ◽  
María P. Díaz ◽  
...  

: Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease, which involves a pathological inflammatory response against articular cartilage in multiple joints throughout the body. It is a complex disorder associated with comorbidities such as depression, lymphoma, osteoporosis and cardiovascular disease (CVD), which significantly deteriorate patients’ quality of life and prognosis. This has ignited a large initiative to elucidate the physiopathology of RA, aiming to identify new therapeutic targets and approaches in its multidisciplinary management. Recently, various lipid bioactive products have been proposed to have an essential role in this process; including eicosanoids, specialized pro-resolving mediators, phospholipids/sphingolipids, and endocannabinoids. Dietary interventions using omega-3 polyunsaturated fatty acids or treatment with synthetic endocannabinoids agonists have been shown to significantly ameliorate RA symptoms. Indeed, the modulation of lipid metabolism may be crucial in the pathophysiology and treatment of autoimmune diseases.


2017 ◽  
Vol 17 (4) ◽  
pp. 589-612 ◽  
Author(s):  
Shahab Udin ◽  
Muhammad Arshad Khan ◽  
Attiya Yasmin Javid

Purpose The purpose of this paper is to explore the role of corporate governance proxies by ownership structure on the likelihood of firms’ financial distress for a sample of 146 Pakistani public-limited companies listed at the Karachi Stock Exchange over the period of 2003-2012. Design/methodology/approach The dynamic generalized method of moments (GMM) estimator and panel logistic regression (PLR) are used to determine the impact of corporate governance on the financial distress. The ownership structure is used as a determinant of corporate governance, while the Altman Z-score is utilized as an indicator of financial distress, as it measures financial distress inversely. The smaller the values of the Z-score, the higher will be the risk of financial distress. Findings The authors find insignificant impact of ownership structure on firms’ likelihood of financial distress based on the dynamic GMM method. However, the PLR results indicate that foreign shareholdings have a significant negative association with firms’ likelihood of financial distress, in the case of Pakistan. An evidence of a negative and insignificant relationship between institutional ownership and financial distress was observed, which indicates the passive role of institutional investors in Pakistan. The results also reveal a positive and significant relationship between insider’s ownership and likelihood of financial distress. This finding is consistent with the entrenchment hypothesis which predicts that insiders are more aligned with their self-interest than outside shareholders’ interest when their shareholding increases in the business. Furthermore, the results also reveal insignificant association between government shareholdings and the probability of financial distress. The reason could be the social welfare objective of the government entities rather than profit maximization. Practical implications The findings of this study provide more insight to corporate managers and investors about the association between the quality of corporate governance and the degree of financial distress, with respect to Pakistani firms. Furthermore, this study contributes to the existing literature by adding new evidence from developing countries like Pakistan which are helpful for regulatory bodies and policymakers in the formulation of long-term corporate governance strategies to manage the financial distress. It is well established that strengthening the quality of corporate governance practices enhances the efficiency of capital markets and reduces the probability of financial distress. Originality/value The study extends the body of existing literature on corporate governance and the likelihood of financial distress with reference to Pakistan. The results suggest that policymakers may pay special attention to the quality of corporate governance, specifically ownership structure, while predicting corporate financial distress.


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