scholarly journals Intraoral Surgical Management of the Multiple Giant Submandibular Sialolithiasis

2018 ◽  
Vol 6 (3) ◽  
pp. 25 ◽  
Author(s):  
Javad Yazdani ◽  
Atena Afzali Mehr ◽  
Mohsen Hashemi ◽  
Tanaz Abdolahi ◽  
Farzin Ahmadpour
Keyword(s):  
Surgical Treatment ◽  
Electrolyte Imbalance ◽  
Correct Selection ◽  
Solid Mass ◽  
Current Case ◽  
Endocrine Disorder ◽  
Submandibular Glands ◽  
Intraoral Approach ◽  
The Right ◽  
Selection Of

Sialolithiasis is considered one of the most common diseases of the salivary gland, mainly affects submandibular glands. In the current case, a 57‑year‑old male complaining of a tender solid mass in the right sublingual area was cadidate to undergo surgical treatment. The patient suffered swelling and pain for 11 months. Imaging revealed multiple unilateral salivary stones in the submandibular glands. The sialoliths were removed through intraoral approach under local anesthesia. Examination revealed four sialoliths, one of them sized larger than 37 mm in length. Beside those giant sialolithes, what makes this case is unique is the patient’s endocrine disorder, the secondary hyperparathyroidism. So it would be plausible to consider checking possible endocrine and electrolyte imbalance in such cases alongside correct selection of surgical treatment plane.

MAGNETIC LASER THERAPY OF IRRITATIVE URINARY DISORDERS AFTER SURGICAL TREATMENT OF BENIGN PROSTATIC HYPERPLASIA

Vestnik ◽  
2021 ◽  
pp. 166-168
Author(s):  
А.М. Жаксыбергенов ◽  
А.А. Марат ◽  
Ф.Ж. Хатамов ◽  
Ж.К. Нарманов ◽  
Ж.К. Сырлыбек
Keyword(s):  
Surgical Treatment ◽  
Benign Prostatic Hyperplasia ◽  
Laser Therapy ◽  
Prostate Gland ◽  
Prostatic Hyperplasia ◽  
Correct Selection ◽  
Urinary Disorders ◽  
Magnetic Laser Therapy ◽  
Selection Of Patients ◽  
Selection Of

Цель: Несмотря на четко определенные критерии отбора пациентов для лечения доброкачественная гиперплазия предстательной железы (ДГПЖ), часть больных остается неудовлетворенной результатами операции. Это вынуждает искать дополнительные методы лечения, которые могли бы войти в комплекс реабилитационных мероприятий для этой категории больных. Методы: В настоящем исследовании мы проанализировали группу пациентов из 69 больных, перенесших оперативное лечение по поводу ДГПЖ (как трансуретральную резекцию предстательной железы, так и открытую аденомэктомию), имевших в послеоперационном периоде выраженную ирритативную симптоматику. Результаты: Эффекты магнитно-лазерной терапии в зоне оперированной предстательной железы способны воздействовать на те звенья патогенеза ирритативных расстройств мочеиспускания, которые недоступны другим методам. Выводы: При правильном отборе пациентов применение магнитно-лазерной терапии на зону оперированной железы, задней уретры и мочевого пузыря позволяет достичь удовлетворяющего пациента результата операции в гораздо ранние сроки, нередко существенно сократить послеоперационной койко-день, в ряде случаев избежать длительного курса антибактериальной терапии или дорогостоящих α--адреноблокаторов. Purpose: Despite the clarity of the selection of patients for the treatment of benign prostatic hyperplasia (BPH), some of the patients are unsatisfied with the results of the operation. This forces us to look for additional methods of treatment that could be included in the complex of rehabilitation measures for this category of patients. Methods: In this study, we analyzed a group of patients from 69 patients who underwent surgical treatment for BPH (both transurethral resection of the prostate gland and open adenomectomy) who had severe irritative symptoms in the postoperative period. Results: The effects of magnetic laser therapy in the area of the operated prostate can affect those links in the pathogenesis of irritative urinary disorders that are inaccessible to other methods. Conclusions: With the correct selection of patients, the use of magnetic laser therapy on the area of the operated gland, posterior urethra and bladder allows achieving a satisfactory surgical result at a much earlier time, often significantly shortening the postoperative bed-day, in some cases avoiding a long course of antibiotic therapy or expensive α-adrenergic blockers.

STUDYING IMPACT OF DEFLECTOR SHAPE ON ACCELERATIONS FORCED BY EXPLOSION OF SMALL EXPLOSIVE CHARGE

2012 ◽  
Vol 165 (3) ◽  
pp. 303-313
Author(s):  
Piotr SASKA ◽  
Damian PIETRUSIAK ◽  
Jerzy CZMOCHOWSKI ◽  
Artur ILUK
Keyword(s):  
Measuring Equipment ◽  
Field Tests ◽  
Experimental Tests ◽  
Correct Selection ◽  
Research Station ◽  
Explosive Charges ◽  
Vertical Accelerations ◽  
The Right ◽  
The Impact ◽  
Selection Of

This paper presents the results of experimental tests of accelerations caused by the detonation of low-power explosive charges. The field tests were performed on a specially-designed research station. With the right design and the correct selection of the measuring equipment, vertical accelerations were measured for the three basic shields used in explosion-resistant vehicles. The recorded parameters were analysed in terms of the angle of the impact of the shock wave on the shield and its distance from the centre of the deto-nation on their size.

scholarly journals A POST-TREATMENT RETROSPECTIVE EVALUATION OF SLIPPED CAPITAL FEMORAL EPIPHYSIS

2021 ◽  
Vol 29 (4) ◽  
pp. 181-183
Author(s):  
GUSTAVO REMIGIO GOMES ◽  
DAVID ISRAEL DE CARVALHO NASCIMENTO ◽  
DAVI COUTINHO FONSECA FERNANDES GOMES ◽  
LUCAS HENRIQUE ARAUJO DE OLIVEIRA ◽  
TÚLIO VINÍCIUS DE OLIVEIRA CAMPOS ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Slipped Capital Femoral Epiphysis ◽  
High Morbidity ◽  
Retrospective Evaluation ◽  
Pediatric Orthopedics ◽  
Level Of Evidence ◽  
Endocrine Disorder ◽  
Belo Horizonte ◽  
The Right

ABSTRACT Objective: To analyze the cases of slipped capital femoral epiphysis (SCFE) submitted to surgery at the Pediatric Orthopedics Surgery service of the Hospital Risoleta Tolentino Neves (HRTN), Belo Horizonte/MG, between 2016 and 2019. Methods: Patients treated for SCFE at the HRTN between January/2016 and January/2019 participated in this study. The following data were collected: gender, age, affected side, procedure performed, and postoperative complications. Results: Twenty-one patients were treated at HRTN during the specified period. Among these, most were female (57%) with mean age of 12 years. At the initial diagnosis, about 80% of the patients presented with chronic/acute-on-chronic epiphysis. The left hip was slightly more affected than the right (6:5), with a bilateral rate of 47%, and avascular necrosis was the most frequent complication, occurring in 33% of cases. Conclusion: Slipped femoral capital epiphysis is associated with high morbidity; thus, early diagnosis, endocrine disorder investigation, and appropriate surgical treatment are key for improving these patients’ clinical and functional outcome. Level of Evidence II, Retrospective study.

scholarly journals FEATURES OF SURGICAL TREATMENT OF GALLSTONE DISEASE AND PREVENTION OF ITS COMPLICATIONS

2021 ◽  
pp. 31-37
Author(s):  
V. V. Kryzhevskii ◽  
O. O. Bilyayeva ◽  
Yu. V. Pavlovych
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Surgical Treatment ◽  
Medical Center ◽  
Gallstone Disease ◽  
Correct Selection ◽  
City Hospital ◽  
Radical Method ◽  
Bail Out ◽  
Selection Of Patients ◽  
Selection Of

The aim. To analyze the results of surgical treatment of gallstone disease (GD), methods of prevention of complications. Materials and methods. To analyze the results of surgical treatment of gallstone disease (GD), methods of preventing complications. Results and discussion. The data of 204 patients with GD who underwent laparoscopic cholecystectomy (LC) at the Kiev City Hospital No. 6 and the Medical Center “Universal Clinic Oberig” for 2018 were analyzed. Conclusions. The only radical method of treatment of CD is LC. To reduce the complications of LC, it is necessary to conduct the correct selection of patients and apply bail-out strategies to overcome complex LHE.

Computerized cavernosography is a method of preoperative preparation of patients for penile prosthesis implantation

2021 ◽  
Vol 65 (5) ◽  
pp. 42-44
Author(s):  
P. Kyzlasov ◽  
Ali Mustafayev ◽  
A. Bashkov ◽  
Yu. Udalov ◽  
T Topuzov ◽  
...  
Keyword(s):  
Preoperative Planning ◽  
Penile Prosthesis ◽  
Correct Selection ◽  
Preoperative Preparation ◽  
Financial Loss ◽  
Prosthesis Implantation ◽  
The Right ◽  
Selection Of

Purpose: to evaluate the possibilities of CT cavernosography in the preoperative preparation of patients, in order to determine the size of cavernous bodies, for the correct selection of the size of pemile implants. Material and methods: 26 patients who underwent penile prosthesis implantation with preoperative preparation in the form of CT cavernosography, in order to determine the size of cavernous bodies. Results: In 15 patients, the data on the sizes of cavernosography coincided with the true ones without errors, in 11 patients the error was 0.5 cm (which was compensated by the nozzles from the kit). During the observation of complications after the installation of penile prosthesis implantation associated with improper selection of size was not fixed. Conclusion: CT cavernosography is an effective way of preoperative planning of patients with the aim of clarifying the size of cavernous bodies and selecting the right size of the prosthesis. This method allows you to select an implant with an accuracy of 0.5 cm, which in turn will reduce the risk of complications associated with improper selection of prostheses, as well as improve the economic component in the form of reducing the number of cases when the prosthesis was opened with an incorrectly selected size, which queue leads to financial loss of the clinic.

PROBLEM ASPECTS OF THE IMPLEMENTATION OF CRIMINAL PROCEDURAL NORMS OF PROTECTION OF THE VICTIMS FROM CRIME

2020 ◽  
pp. 72-76
Author(s):  
Яна Валерьевна Самиулина
Keyword(s):  
Preventive Measure ◽  
Criminal Procedure ◽  
Legal Rights ◽  
Criminal Proceedings ◽  
Effective Mechanism ◽  
The Russian Federation ◽  
The Individual ◽  
The Right ◽  
To Receive ◽  
Selection Of

В настоящей статье предпринята попытка исследовать отдельные проблемные аспекты института потерпевшего в российском уголовном процессе. В этих целях подвергнуты анализу правовые нормы, регламентирующие его процессуальный статус. Раскрываются отдельные пробелы уголовно-процессуального законодательства в сфере защиты законных прав и интересов потерпевшего. Автор акцентирует внимание на том, что совершенствование уголовно-процессуального законодательства в части расширения правомочий потерпевшего по отстаиванию своих нарушенных преступлением прав следует продолжить. На основании проведенного исследования действующего законодательства в части регламентации прав потерпевшего от преступления предлагается расширить перечень получаемых им копий постановлений, указанных в п. 13 ч. 2 ст. 42 УПК РФ. Автор предлагает включить в перечень указанной законодательной нормы право получения потерпевшим копии постановления об избрании конкретного вида меры пресечения, избранного в отношении подозреваемого (обвиняемого). Для создания действенного механизма защиты интересов потерпевших от преступления юридических лиц предлагаем ч. 9 ст. 42 УПК РФ изложить в следующей редакции: «в случае признания потерпевшим юридического лица его процессуальное право в уголовном процессе осуществляет представляющий его профессиональный адвокат». This article attempts to investigate certain problematic aspects of the institution of the victim in the Russian criminal process. For this purpose, analyzed the individual norms governing his procedural status. Separate gaps of the criminal procedure legislation in the sphere of protection of the legal rights and interests of the victim are disclosed. The author emphasizes that the improvement of the criminal procedure legislation in terms of the extension of the victim’s authority to defend his rights violated by the crime should be continued. On the basis of the study of the current legislation regarding the regulation of the rights of the victim of a crime, it is proposed to expand the list of decisions received by him, referred to in paragraph 13, part 2 of article 42 Code of Criminal Procedure. The author proposes to include in the list of the indicated legislative norm the right to receive the victim a copy of the decision on the selection of a specific type of preventive measure, selected in relation to the suspect (accused). To create an effective mechanism for protecting the interests of legal entities victims of a crime, we offer part 9 of art. 42 of the Code of Criminal Procedure of the Russian Federation shall be reworded as follows: «if a legal entity is recognized as a victim, his procedural right in criminal proceedings is exercised by the professional lawyer representing him».

The Long Road to Sustainability

2018 ◽  
Author(s):  
Alexander Gillespie
Keyword(s):  
Sustainable Development ◽  
Environmental Problem ◽  
Social Sustainability ◽  
Good News ◽  
Correct Selection ◽  
The Third ◽  
Positive Indicators ◽  
Laws And Policies ◽  
Developed World ◽  
Selection Of

This book examines the idea of sustainable development, made up of economic, social, and environmental parts over the period of human history. This work suggests humanity has been unsustainable in all three areas for most of its history, although in the last few hundred years the scale of unsustainability has increased, while, simultaneously, answers have started to emerge. This conclusion can be seen in two parts, namely the economic and social sides of sustainable development and then the environmental ones. This work suggests that, with the correct selection of tools, solid and positive foundations for the economic and social sides of sustainable development is possible as the world globalizes. This is not, however, a foregone conclusion. Despite a number of recent positive indicators in this area, there are still very large unanswered questions with existing mechanisms and other gaps in the international architecture which, if not fixed, could quickly make problems of economic and social sustainability worse, not better. With the third leg of sustainable development, that for the environment, the optimism is not as strong. The good news is that science, laws, and policies have evolved and expanded to the level that, in theory, there is no environmental problem which cannot be solved. In many areas, especially in the developed world, success is already easy to measure. Where it is not easy to measure, and pessimism creeps in, is in the developing world, which is now inheriting a scale and mixture of environmental difficulties which are simply unprecedented.

scholarly journals The Impact of Alkaloid-Producing Epichloë Endophyte on Forage Ryegrass Breeding: A New Zealand Perspective

Toxins ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 158
Author(s):  
Colin Eady
Keyword(s):  
Seed Production ◽  
Health Issues ◽  
Abiotic Stressors ◽  
Livestock Health ◽  
The Right ◽  
The Impact ◽  
The Relationship ◽  
And Storage ◽  
Selection Of ◽  
Epichloë Endophyte

For 30 years, forage ryegrass breeding has known that the germplasm may contain a maternally inherited symbiotic Epichloë endophyte. These endophytes produce a suite of secondary alkaloid compounds, dependent upon strain. Many produce ergot and other alkaloids, which are associated with both insect deterrence and livestock health issues. The levels of alkaloids and other endophyte characteristics are influenced by strain, host germplasm, and environmental conditions. Some strains in the right host germplasm can confer an advantage over biotic and abiotic stressors, thus acting as a maternally inherited desirable ‘trait’. Through seed production, these mutualistic endophytes do not transmit into 100% of the crop seed and are less vigorous than the grass seed itself. This causes stability and longevity issues for seed production and storage should the ‘trait’ be desired in the germplasm. This makes understanding the precise nature of the relationship vitally important to the plant breeder. These Epichloë endophytes cannot be ‘bred’ in the conventional sense, as they are asexual. Instead, the breeder may modulate endophyte characteristics through selection of host germplasm, a sort of breeding by proxy. This article explores, from a forage seed company perspective, the issues that endophyte characteristics and breeding them by proxy have on ryegrass breeding, and outlines the methods used to assess the ‘trait’, and the application of these through the breeding, production, and deployment processes. Finally, this article investigates opportunities for enhancing the utilisation of alkaloid-producing endophytes within pastures, with a focus on balancing alkaloid levels to further enhance pest deterrence and improving livestock outcomes.

scholarly journals Simulation Verification of the Contact Parameter Influence on the Forces’ Course of Cereal Grain Impact against a Stiff Surface

2021 ◽  
Vol 11 (2) ◽  
pp. 466
Author(s):  
Włodzimierz Kęska ◽  
Jacek Marcinkiewicz ◽  
Łukasz Gierz ◽  
Żaneta Staszak ◽  
Jarosław Selech ◽  
...  
Keyword(s):  
Dynamic Properties ◽  
Decisive Role ◽  
Force Sensor ◽  
Contact Forces ◽  
Correct Selection ◽  
Contact Parameter ◽  
Cereal Grain ◽  
Wide Range ◽  
The Impact ◽  
Selection Of

The continuous development of computer technology has made it applicable in many scientific fields, including research into a wide range of processes in agricultural machines. It allows the simulation of very complex physical phenomena, including grain motion. A recently discovered discrete element method (DEM) is used for this purpose. It involves direct integration of equations of grain system motion under the action of various forces, the most important of which are contact forces. The method’s accuracy depends mainly on precisely developed mathematical models of contacts. The creation of such models requires empirical validation, an experiment that investigates the course of contact forces at the moment of the impact of the grains. To achieve this, specialised test stations equipped with force and speed sensors were developed. The correct selection of testing equipment and interpretation of results play a decisive role in this type of research. This paper focuses on the evaluation of the force sensor dynamic properties’ influence on the measurement accuracy of the course of the plant grain impact forces against a stiff surface. The issue was examined using the computer simulation method. A proprietary computer software with the main calculation module and data input procedures, which presents results in a graphic form, was used for calculations. From the simulation, graphs of the contact force and force signal from the sensor were obtained. This helped to clearly indicate the essence of the correct selection of parameters used in the tests of sensors, which should be characterised by high resonance frequency.

scholarly journals Surgical treatment for common hepatic aneurysm. Original one-step technique

Open Medicine ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 898-904
Author(s):  
Bruno Amato ◽  
Renato Patrone ◽  
Gennaro Quarto ◽  
Rita Compagna ◽  
Roberto Cirocchi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hepatic Artery ◽  
Distal Part ◽  
Intraoperative Ultrasound ◽  
Section Area ◽  
One Step ◽  
A New Technique ◽  
Open Surgical Treatment ◽  
The Right ◽  
Vascular Stapler

AbstractIntroductionHepatic artery aneurysms are rare, and their treatment represents a challenge for the surgeons.Materials and methodsA new technique is presented for common hepatic artery (CHA) aneurysm: it requires minimal vascular surgical dissection and only one linear vascular stapler is applied at the bottom of aneurysm. Aneurysm exclusion is easily obtained, which allowed retrograde thrombosis. Liver blood supply is ensured to the right and left hepatic artery, through the gastroduodenal artery, and can be previously monitored, with temporary clamping of the section area, by visual control, enzyme evaluation and intraoperative ultrasound examination. We reported an open surgical treatment, with simultaneous removal of hepatic and adrenal metastases, secondary to colon cancer.ResultsThe duration of vascular surgery was 30 min and did not involve complications. Postoperative controls confirmed the efficacy of the procedure.DiscussionThis original technique can be added to the various open and endovascular techniques so far described for the treatment of a CHA aneurysm. It is advisable as open surgery, mostly in case of associated pathologies.ConclusionsThe authors believe that this “one shot” technique by vascular staple of the distal part of CHA is minimally invasive and effective to obtain the exclusion of the aneurysm.

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