The complications of cholelithiasis caused by state authorization delays

1995 ◽  
Vol 9 (9) ◽  
Author(s):  
L.M. Guirguis ◽  
E.W. Taylor
Keyword(s):  
Complications Of Cholelithiasis ◽  
State Authorization

scholarly journals Professional Closure Beyond State Authorization

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Gitte Sommer Harrits
Keyword(s):  
Empirical Studies ◽  
Pierre Bourdieu ◽  
Degree Programs ◽  
Professional Degree ◽  
State Authorization ◽  
Different Sources

For decades, the Weberian approach to the study of professions has been strong, emphasizing state authorization and market monopolies as constituting what is considered a profession. Originally, however, the Weberian conception of closure, or the ways in which a profession is constituted and made separate, was broader. This article suggests a revision of the closure concept, integrating insights from Pierre Bourdieu, and conceptualizing professional closure as the intersection of social, symbolic and legal closure. Based on this revision, this article demonstrates how to apply such a concept in empirical studies. This is done by exploring social, symbolic and legal closure across sixteen professional degree programs. The analyses show a tendency for some overlap between different forms of closure, with a somewhat divergent pattern for legal closure. Results support the argument that we need to study these processes as an intersection of different sources of closure, including capital, lifestyles and discourse

scholarly journals Gallstone disease as a clinical marker of metabolic syndrome

2018 ◽  
Vol 15 (3) ◽  
pp. 3-8
Author(s):  
Andrey A. Svistunov ◽  
Miсhail A. Osadchuk ◽  
Natalia V. Kireeva ◽  
Alexey M. Osadchuk
Keyword(s):  
Metabolic Syndrome ◽  
Prognostic Model ◽  
Clinical Medicine ◽  
Gallstone Disease ◽  
Acute Cholangitis ◽  
Economic Losses ◽  
Additional Risk ◽  
The Metabolic Syndrome ◽  
Life Threatening ◽  
Complications Of Cholelithiasis

The prevalence of cholelithiasis, its close pathogenetic connection with metabolic syndrome, high frequency of surgical intervention, significant economic losses put forward this comorbid pathology in a number of leading problems of modern clinical medicine. The factors associated with the metabolic syndrome not only increase the risk of developing cholelithiasis, but also form the basis of non-drug and drug therapy. Metabolic syndrome often determines the occurrence of three common and potentially life-threatening complications of cholelithiasis: acute cholecystitis, acute cholangitis and biliary pancreatitis. Therefore, the solution of this problem is associated with the need for early detection of additional risk factors for cholelithiasis, optimization of the early diagnostic and prognostic model of existing multi-organ pathology with the aim of reducing the progression of the disease and its complications. The data obtained in recent years on the human genome with metabolic syndrome and cholelithiasis make it possible to predict the development of comorbid pathology and to fully ensure the effectiveness of primary prevention.

Accounting for State Authorization in Local Economic Development Policy Usage

2017 ◽  
Vol 50 (1) ◽  
pp. 24-36 ◽  
Author(s):  
Eric J. Stokan
Keyword(s):  
Economic Development ◽  
Local Economic Development ◽  
State Level ◽  
Tax Increment Financing ◽  
Economic Development Policy ◽  
Management Association ◽  
Tax Abatements ◽  
State Authorization ◽  
The Impact ◽  
Biased Estimates

This article empirically tests the impact of failing to account for state-level authorization when explaining the factors that lead municipalities to use tax abatements, tax increment financing, and enterprise zones. Although existing research implicitly assumes that state-level authorization exists, this article demonstrates that this unfounded assumption leads to biased estimates using the 1999, 2004, and 2009 International City/County Management Association (ICMA) Economic Development Survey data on a nationwide set of municipalities. This article refines what is known about the factors, leading to the usage of these three policies before offering implications for practitioners and researchers of local economic development.

scholarly journals A rare complication of cholecystolithiasis: perforation of the gallbladder

2021 ◽  
Vol 21 (84) ◽  
pp. e63-e66
Author(s):  
Bartosz Migda ◽  
◽  
Marlena Alicja Gabryelczak ◽  
Anna Migda ◽  
Katarzyna Prostacka ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Rare Complication ◽  
Gallstone Ileus ◽  
Mirizzi Syndrome ◽  
The Other ◽  
Gallbladder Perforation ◽  
Appropriate Care ◽  
History Of ◽  
Complications Of Cholelithiasis ◽  
Gallbladder Inflammation

Common complications of cholelithiasis include gallbladder inflammation, cholangitis, and acute pancreatitis. On the other hand, rare complications include gallbladder carcinoma, gallstone ileus, Mirizzi syndrome and gallbladder perforation. Some patients with cholecystitis do not require hospitalization. It is of key importance for proper further diagnosis and treatment to remember about the possible complications of cholecystitis, especially in oligosymptomatic patients. Therefore, ultrasound examinations in patients with a history of gallbladder stones should be performed with appropriate care. Ultrasound should be performed carefully in patients with a history of cholecystolithiasis, especially those oligosymptomatic, bearing in mind that there are some rare complications of this highly common clinical entity.

scholarly journals WAYS TO IMPROVE THE RESULTS OF TREATMENT OF PATIENTS WITH CHOLELITHIASIS AND MECHANICAL JAUNDICE.

ASJ. ◽  
2021 ◽  
Vol 1 (56) ◽  
pp. 33-39
Author(s):  
R. Kalibatov ◽  
O. Logvina ◽  
R. Kalmykova
Keyword(s):  
Bile Ducts ◽  
Surgical Intervention ◽  
Pathological Process ◽  
Control Group ◽  
Results Of Treatment ◽  
Different Types ◽  
Complications Of Cholelithiasis ◽  
Personalized Approach ◽  
Complications And Mortality ◽  
Medium Weight

Purpose. To create a personalized tactic of surgical treatment of patients with BSD and MJ considering the stage of the pathological process and thereby improve the results of treatment. Materials and methods. The experience of diagnosis and treatment of 537 patients with complications of cholelithiasis, manifested by mechanical jaundice, was analyzed. The first stage was 537 minimally invasive decompressions of the biliary tract, the second-500 different types of endosurgical interventions. Results. Depending on the tactical principles, all the subjects were divided into two groups. In one (control) group (n = 249), patients were admitted from 2010 to 2014. Their treatment was empirical: decompression of the bile tree was performed at different times, and surgery was performed without taking into account the stages of the pathological process and the severity of the patients. In the other analyzed group (n = 251), patients were admitted to the hospital from 2015 to 2019. Their treatment tactics were personalized: taking into account the stages of mechanical jaundice. individual terms of decompression of the bile ducts and the choice of surgical intervention were determined. When comparing the results obtained, the advantage of the personalized approach was established: a decrease in the percentage of postoperative complications and mortality was revealed. Conclusion. In patients with cholelithiasis and jaundice, the severity of the condition is due to hyperbilirubinemia. Stage 2 of mechanical jaundice-determined by the severity of cytolysis in hepatic insufficiency, manifested by hypertransaminasemia. The severity of cholangitis is determined by purulent-inflammatory, as well as septic signs of the disease, characterized by leukocytosis, circulating immune complexes and medium-weight molecules. In the cholestatic stage of jaundice development, treatment is planned, in the cytolytic stage — urgent, and in cholangitis-emergency. The use of personalized tactics for the treatment of patients with breast cancer has reduced the number of complications and mortality.

scholarly journals State Authorization and Summer Programming

2013 ◽  
Vol 7 ◽  
Author(s):  
Sue Day-Perroots
Keyword(s):  
State Authorization
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