scholarly journals An augmented Web space for digital cities

2002 ◽  
Author(s):  
K. Hiramatsu ◽  
T. Ishida
Keyword(s):  
Web Space

Dorsalis indicis flap for repair of thumb and first web space deformities

1984 ◽  
Vol 73 (4) ◽  
pp. 710
Author(s):  
Guan Wen-xiang ◽  
Khoo Boo-Chai
Keyword(s):  
Web Space

Indirect Lymphoscintigraphy in Patients with Limb Oedema

1986 ◽  
Vol 1 (3) ◽  
pp. 211-215 ◽  
Author(s):  
A. Pecking ◽  
R. Cluzan ◽  
J.P. Desprez-Curely ◽  
P. Guerin
Keyword(s):  
Lower Limb ◽  
Lymphatic System ◽  
Invasive Procedures ◽  
Non Invasive ◽  
Morphological Findings ◽  
Invasive Method ◽  
Varicose Disease ◽  
Post Traumatic ◽  
Web Space ◽  
Clinical Problems

One thousand four hundred and fifty-five lymphoscintigraphies using a radio-labelled colloid were performed as an objective test for the diagnosis and the survey of lower limb oedemas. It is a non-invasive method involving only a subdermic bipedal injection into the first web space of each foot. Our results demonstrate that in chronic swollen legs due to venous causes occuring from post-thrombotic syndrome or varicose disease the lymphatic system can be insufficient (14.9% and 19.8% of these cases). Abnormal results are found in 91.3% of clinically primary lymphoedemas. In unilateral primary lymphoedemas the clinically healthy controlateral limb can be insufficient (25%). In post-traumatic lower limb oedemas the lymphatic flow remains normal while perilymphatic extravasation and dermal filling are always to be found at the trauma site. The lymphoscintigraphy is a simple, physiological and reliable test. The morphological findings based upon 1455 examinations allow us to think that this method may resolve the clinical problems without recourse to more invasive procedures. We can expect that in a few years this morphological study will be completed with a functional lymphatic test.

scholarly journals Surgical Technique for Complex Syndactyly in Apert Syndrome : A Serial Case

2021 ◽  
Vol 4 (2) ◽  
pp. 58
Author(s):  
Williams Mesang ◽  
Agus Santoso Budi ◽  
Magda Hutagalung
Keyword(s):  
Clinical Findings ◽  
Apert Syndrome ◽  
Live Births ◽  
Post Surgery ◽  
Aesthetic Appearance ◽  
Single Side ◽  
Exposed Bone ◽  
Web Space ◽  
Surgical Release ◽  
Vascular Branching

Abstract: Complex syndactyly in Apert syndrome, especially complicated with synonychia and synostosis, is a surgical challenge. The incidence of Apert Syndrome is reported to be approximately 1 per 100.000 to 160.000 live births and its incidence in Indonesia is not yet known. It is practically symmetrical causing significant dysfunction and infection if not treated properly. The goals in the treatment are separation of independent digits without disturbing function and growth, creation of a lined commissure, provision of skin cover for the denuded nail edge and exposed bone, and to create aesthetically pleasing individual fingertips with proper nails, nail folds and adequate pulp fullness. Many variations of surgical release of the first web space and of the remaining syndactyly have been described. Various approaches to the bony deformity of the thumb have also been described. All previously described techniques advocate releasing a single side of a digit at any given surgery to maintain the vascularity of that digit. This is due to the unreliability of the vascular branching pattern to the digits. In this serial case, we reported 5 cases of Apert syndrome. We described the clinical findings, incision design, immediate and post-surgery follow ups. The results were uneventful, with satisfying function and aesthetic appearance.

scholarly journals Content analysis of new means of communication in contemporary democratic states

2018 ◽  
Vol 325 ◽  
pp. 249-256
Author(s):  
Mihaela Rusu
Keyword(s):  
Content Analysis ◽  
New Media ◽  
Political Communication ◽  
Three Dimensional ◽  
Online Communication ◽  
Three Dimensional Model ◽  
Modern Democracy ◽  
Political Sphere ◽  
Web Space ◽  
The Uk

The previous period of United States presidential elections of 1996 has redirected the relevant scientific research to investigate the correlation online communication - political sphere. Consequently were formulated various paradigms and the most discussed was the democratic paradigm, according to which the representation serve as a basic principle of modern democracy. The study of the level of influence of new communication technologies on political sphere became, for a number of scientific investigations carried out in USA, Canada and later in some European countries such as France, Italy, the UK (in 2000 and since 2007 in Romania), an important objective of empirical research. In most cases, the first stage of the investigation of online political communication has been marked by some methodological problems such as: the changeable nature of web space, the necessity to elaborate new indicators able to represent basic aspects of studied reality, the temporal validity of the data. The elaboration of A Model of Cyber –Interactivity by Sally J. McMillan has contributed to overcome these difficulties and has demonstrated the effectiveness of content analysis as research method used for the study of Web Space dynamic reality. Later, the research team from the University of Rochester (Paul Ferber, Frantz Foltz, Rudy Pugliese) have perfected the two-way interactivity model (elaborated by Sally J. McMillan) and have it completed with three-dimensional model of interactivity for the purpose of quantitative investigation of political websites and to argue that these forms of new media correspond to the ideals of cyberdemocracy.

scholarly journals Split Dorsal Rectangular Flap for Creating Web Space in Secondary Syndactyly Surgery

2014 ◽  
Vol 3 (1) ◽  
pp. 66 ◽  
Author(s):  
Cihan Sahin ◽  
Safak Ekinci ◽  
Celalettin Sever ◽  
Huseyin Karagoz
Keyword(s):  
Web Space

scholarly journals Link invariant and $G_2$ web space

2017 ◽  
Vol 47 (1) ◽  
pp. 19-41
Author(s):  
Takuro Sakamoto ◽  
Yasuyoshi Yonezawa
Keyword(s):  
Link Invariant ◽  
Web Space

scholarly journals Soft tissue reconstruction of low voltage electric burn injuries of the thumb and first web space by the first dorsal metacarpal artery island flap: a three-year study from Eastern India

2020 ◽  
Vol 7 (4) ◽  
pp. 1082
Author(s):  
Madhumita Gupta ◽  
Prabir Kumar Jash
Keyword(s):  
Soft Tissue ◽  
Low Voltage ◽  
Burn Injuries ◽  
Soft Tissue Defects ◽  
Dorsal Metacarpal Artery ◽  
Web Space ◽  
Electric Burns ◽  
Tissue Defects ◽  
First Dorsal Metacarpal Artery

Background: Complex soft tissue defects of thumb and first web space are a reconstructive challenge. Low voltage electric burns of the hand commonly result in localised and deep soft tissue destruction. The first dorsal metacarpal artery flap (FDMA) is an attractive local flap option to reconstruct these. This study illustrates our experience with the same.Methods: Between March 2014 and February 2017, 16 patients with complex soft tissue defects of thumb and first web space resulting from low voltage electric burns underwent reconstruction with the FDMA flap and subsequent structured hand therapy. In the follow up visits objective assessment of hand function included tests of mobility using Kapandji Score, sensory evaluation with static 2 point discrimination and cortical reorientation. The Subjective Satisfaction Score was used to ascertain the patient’s overall perception of aesthetic and functional outcome.Results: Majority (43.75%) of the patients had defects involving the thumb IP joint. No case of complete flap failure was noted. In a mean follow-up of 11.5 months the reconstructed thumb showed return of good protective sensation as well as mobility. Though cortical reorientation was complete in only 18.75 %, it did not substantially impede hand functioning. All patients were satisfied with the functional and aesthetic result.Conclusions: In cases of low voltage electric burn injuries the FDMA flap is a reliable reconstructive option for small to moderate sized complex defects of thumb and first web space. It has minimal donor site morbidity and can be accomplished in a relatively simple single stage procedure.

scholarly journals Isolated Intermetatarsal Ligament Release as Primary Surgical Management for Morton’s Neuroma

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0013
Author(s):  
Mohamed Abdelaziz ◽  
Kathryn Whitelaw ◽  
Gregory Waryasz ◽  
Daniel Guss ◽  
Anne Johnson ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Nerve Transection ◽  
Digital Nerve ◽  
Morton’S Neuroma ◽  
The Past ◽  
Symptom Exacerbation ◽  
Morton's Neuroma ◽  
Web Space ◽  
Neuroma Formation

Category: Midfoot/Forefoot Introduction/Purpose: While the precise pathoetiology of Morton’s neuroma remains unclear, nerve inflammation as a result of chronic entrapment from the overlying intermetatarsal ligament (IML) may play a role. Traditional surgical management involved common digital nerve transection with neuroma excision, but this procedure risks unpredictable formation of a stump neuroma and potential worsening of symptoms. Accordingly, the senior author has over the past six years espoused isolated IML release and common digital nerve decompression in lieu of nerve transection or neuroma excision as an alternative treatment strategy. We hypothesized that IML release offers effective pain relief and high patient satisfaction level as a surgical treatment for recalcitrant Morton’s neuroma without the risk of stump neuroma formation or symptom exacerbation. Methods: Medical records for all consecutive patients treated surgically with isolated single interspace IML release for symptomatic and recalcitrant Morton’s neuroma over a four year period at a large academic medical center were examined. Any adult patient with clinically diagnosed Morton’s neuroma who had failed at least three months of conservative treatment and who then underwent single-webspace IML decompression were included. Any patient who had less than three months postoperative follow up, had undergone revisional neuroma surgery, or had undergone additional procedures at the time of the IML release were excluded. Overall patient satisfaction as well as pre- and post-operative Visual Analog Pain Scale (VAS) assessments were recorded for all patients. Results: Eleven patients underwent isolated, single interspace IML decompression for Morton’s neuroma over this time frame. One of these patients had a neuroma localized to the second web space and 10 were localized to the third web space. Average follow-up was 10.8± 9 (3-32) months (Table 1). VAS pain scores averaged 6.4 ± 1.9 (4-9) preoperatively and decreased to an average of 1.5 ± 1.6 (0-5) at final follow up (P = 0.003). All patients reported significant pain improvement and an overall satisfaction with the procedure (would undergo it again). No patients returned to the operating room, there were no postoperative infection nor worsening of pain, and no other complications were reported. Conclusion: Isolated single interspace IML release of chronically symptomatic Morton’s neuroma shows promising short-term results regarding pain relief and overall patient satisfaction, with few complications and no demonstrated risk of recurrent neuroma formation, permanent numbness, or postoperative symptom exacerbation. The authors’ collective experience with this approach has been positive enough over the past six years to result in the entire abandonment of the practice of neuroma excision in this patient population.

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