scholarly journals Time Delays in Definitive Treatment for Polytrauma Patients Treated in the Royal Victoria Hospital, Belfast, N. IRELAND

2010 ◽  
Vol 8 (7) ◽  
pp. 551-552
Author(s):  
A. Robinson ◽  
B. Hanratty ◽  
S. McDonald ◽  
D. Kealey
2006 ◽  
Vol 175 (4S) ◽  
pp. 514-514
Author(s):  
David G. McLeod ◽  
Oliver Sartor ◽  
Paul F. Schellhammer ◽  
Anthony V. D'Amico ◽  
Susan Halabi ◽  
...  

Swiss Surgery ◽  
2003 ◽  
Vol 9 (4) ◽  
pp. 187-189
Author(s):  
Aslan ◽  
Caglar ◽  
Karagüzel ◽  
Melikoglu

Total colonic aganglionosis (TCA) extended to the ileum is seen quite rare among infants with Hirschsprung's disease. Type and timing of definitive surgery in these patients are controversial. This report was presented to discuss the management of two siblings with TCA. Case 1: A two-day-old girl was operated for partial intestinal obstruction. During laparotomy, serial frozen biopsies proved TCA extended to the terminal ileum and a loop ileostomy was performed. At five months of age, a modified Duhamel-Martin procedure without protective ileostomy was performed. An endo-GIA stapler was transanally used for colo-ileal anastomosis. She is doing well for the last five years. Case 2: A one-day-old boy admitted to the hospital with similar findings to his sister. Frozen biopsies during first laparotomy proved that majority of ileum and entire colon was aganglionic and a proximal ileostomy was performed. At 10 months of age, he underwent a similar Duhamel-Martin operation. He is in a good condition for the last four years. Conclusion: In infants, our modification on Duhamel-Martin procedure, which is based on the use of an endo-GIA stapler transanally for colo-ileal anastomosis without protective ileostomy, may be utilized as an alternative method in the definitive treatment of patients with TCA.


Author(s):  
Fransiskus Lauson Matondang ◽  
Rosnani Ginting

PT XYZ sering mengalami keterlambatan waktu karena dalam setiap keterlambatan yang dilakukan selalu ada penalty yang diberikan kepada perusahaan dan hal ini mengakibatkan tambahan biaya , oleh karena itu hal ini harus dihindari dengan membuat penjadwalan yang efisien, dalam hal ini dilakukanlah perbaikan dengan meminimisasi waktu penyelesaian maksimum Cmax pada mesin paralel yang berpola aliran flowshop (dan tidak boleh dilakukan interupsi yang dilakukan pada pekerjaan yang sedang diproses, untuk melakukan pekerjaan lainnya, satu lintasan hanya memproduksi satu produk dan hanya satu produk juga yang dikerjakan secara langsung. Waktu penyelesaian yang berbeda dari setiap mesin dengan pengerjaannya juga adalah masalah yang dihadapi untuk menjadikan mesin mesin ini sesuai menjadi satu penjadwalan yang terintegrasi dengan metode integer programming yang membuat penjadwalan dengan konsep riset operasi dengan metode pendekatan 0-1 utuk menjadi lebih efisien lagi , dihasilkan minimisasi keterlambatan total penyelesaian order dengan 42,28 menit lebih baik dari sebelumnya.   PT XYZ often experiences time delays because in every delay made there is always a penalty given to the company and this results in additional costs, therefore this must be avoided by making efficient scheduling, in this case repairs are carried out by minimizing the maximum completion time of Cmax on parallel machines that are patterned with flowshop flow (and no interruptions should be carried out on the work being processed, to do other work, one track only produces one product and only one product is directly worked. Different completion times of each machine with the workmanship is also the problem faced to make this machine suitable to be one scheduling integrated with integer programming methods that makes scheduling with the operational research concept with the 0-1 approach method to be more efficient, resulting in minimization of the delay in the total settlement of orders with 42.28 minutes was better than before.


2019 ◽  
Vol 1 (1) ◽  
pp. 72-81
Author(s):  
Hamidreza Shirzadfar ◽  
Narsis Gordoghli

In recent years, chronic medical problems have become increasingly prevalent. Chronic ‎illnesses challenge the view of life as a regular and continuous process, a challenge that has ‎important psychological consequences. The long duration of people suffering from these ‎diseases, the long process of treatment and the fact that there is no proper and definitive ‎treatment for most of these diseases and their associated complications have made chronic ‎diseases a detrimental factor in public health. According to the World Health Organization ‎‎(2006), the prevalence of chronic and non-communicable diseases is increasing in all countries, ‎especially developing countries, so that the major challenge for the health system in the present ‎century, is not living people, but better adapted to chronic illnesses and maintaining their ‎mental and social health and well-being Ed's life-threatening chronic physical illness.‎ Chronic pain is a pain that lasts longer than usual, and according to the criteria of the ‎International Association of Pain, this time is defined as at least 3 months to 6 months. Chronic ‎pain is such that not only faced the sick person whit the pressure of the pain but also with many ‎other pressure that affect different parts of her life. Fibromyalgia is one of the most rheumatologic disorders and one of the most resistant chronic ‎pain syndromes. Fibromyalgia is one of the most common musculoskeletal disorders in adults ‎and chronic pain is one of the most common complaints in this group of patients.


2010 ◽  
Vol 6 (4) ◽  
pp. 22
Author(s):  
Patrycja Ganslmeier ◽  
Christof Schmid ◽  
◽  

Mechanical circulatory support for end-stage heart failure has become routine and is now increasingly used as definitive treatment. Several small devices qualify for this purpose, but only a few have gained US Food and Drug Administration (FDA) approval as yet. Several studies, including the Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure (REMATCH) study, the Investigation of Non-transplant-Eligible Patients Who Are Inotrope Dependent (INTrEPID) and the HeartMate (HM) II trial have confirmed a significantly improved quality of life and functional capacity after device placement. However, cerebrovascular events, infection and device malfunction still pose a considerable risk to patients and hinder widespread use.


2015 ◽  
Vol 156 (15) ◽  
pp. 609-613
Author(s):  
Miklós Somlói ◽  
Emil Toldy-Schedel ◽  
Zoltán Nényei ◽  
Róbert Böszörményi ◽  
János Tomcsányi

Introduction: Extension of electrocardiographic monitoring via loop recorder implantation may increase the diagnostic yield of syncope work-up. Aim: In this retrospective observational study, the authors wanted to evaluate the diagnostic performance of implantable loop recorder in the everyday clinical practice. Method: The authors analyzed the electronically stored data of all patients who underwent loop recorder implantation between 2005 and 2014 in their cardiology department because of recurrent syncope of undetermined origin. Results: There were 52 loop recorder implantations within the study period. During the 167 (±136) days of monitoring, 36 (69.2%) diagnostic events occurred. In two-thirds of events, (46.2% of all monitored patients) a specific arrhythmia diagnosis was reached, allowing definitive treatment in these cases. In this selected population, there was no correlation between age, presence of known high-risk predictors, or accompanying trauma, and the mechanism of syncope. Conclusions: The high diagnostic rate of implantable loop recorder in the everyday clinical practice is in accordance with the findings in prospective clinical studies. This observation supports the early application of loop recorder in the diagnostic algorithm of syncope. Orv. Hetil., 2015, 156(15), 609–613.


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