scholarly journals Classifications for Proliferative Vitreoretinopathy (PVR): An Analysis of Their Use in Publications over the Last 15 Years

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Salvatore Di Lauro ◽  
Mustafa R. Kadhim ◽  
David G. Charteris ◽  
J. Carlos Pastor
Keyword(s):  
Clinical Practice ◽  
Surgical Treatment ◽  
Proliferative Vitreoretinopathy ◽  
Original Description ◽  
Therapy Outcome ◽  
Outcome Parameters ◽  
Classification Errors ◽  
Before And After ◽  
Pubmed Search ◽  
The Way

Purpose. To evaluate the current and suitable use of current proliferative vitreoretinopathy (PVR) classifications in clinical publications related to treatment.Methods. A PubMed search was undertaken using the term “proliferative vitreoretinopathy therapy”. Outcome parameters were the reported PVR classification and PVR grades. The way the classifications were used in comparison to the original description was analyzed. Classification errors were also included. It was also noted whether classifications were used for comparison before and after pharmacological or surgical treatment.Results. 138 papers were included. 35 of them (25.4%) presented no classification reference or did not use any one. 103 publications (74.6%) used a standardized classification. The updated Retina Society Classification, the first Retina Society Classification, and the Silicone Study Classification were cited in 56.3%, 33.9%, and 3.8% papers, respectively. Furthermore, 3 authors (2.9%) used modified-customized classifications and 4 (3.8%) classification errors were identified. When the updated Retina Society Classification was used, only 10.4% of authors used a full C grade description. Finally, only 2 authors reported PVR grade before and after treatment.Conclusions. Our findings suggest that current classifications are of limited value in clinical practice due to the inconsistent and limited use and that it may be of benefit to produce a revised classification.

Klein with Lacan: A Study on the Reception of Lacanian Ideas in Uruguay and Its Effects on Clinical Practices (1955–82)

2020 ◽  
Vol 22 (3) ◽  
pp. 341-361
Author(s):  
Gonzalo Grau-Pérez ◽  
J. Guillermo Milán
Keyword(s):  
Clinical Practice ◽  
Clinical Material ◽  
Clinical Practices ◽  
Before And After ◽  
The Difference ◽  
The 1960S ◽  
The Relationship ◽  
Discursive Approach ◽  
The Way ◽  
Clinical Cases

In Uruguay, Lacanian ideas arrived in the 1960s, into a context of Kleinian hegemony. Adopting a discursive approach, this study researched the initial reception of these ideas and its effects on clinical practices. We gathered a corpus of discursive data from clinical cases and theoretical-doctrinal articles (from the 1960s, 1970s and 1980s). In order to examine the effects of Lacanian ideas, we analysed the difference in the way of interpreting the clinical material before and after Lacan's reception. The results of this research illuminate some epistemological problems of psychoanalysis, especially the relationship between theory and clinical practice.

Comparison of the State of Sleep in Patients with Sleep-disordered Breathing Before and After Surgical Treatment

2003 ◽  
Vol 123 (0) ◽  
pp. 51-55
Author(s):  
Munenori Hayakawa ◽  
Tadao Nishimura ◽  
Kenji Suzuki ◽  
Natsuki Morishima ◽  
Nobuhiro Shibata ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Sleep Disordered Breathing ◽  
The State ◽  
Before And After ◽  
Disordered Breathing

Analisis Kinerja dan Pengaruh Pelebaran Jalan serta Pembuatan Median Jalan (Studi Kasus Jalan Temanggung Tilung Kota Palangkaraya)

2018 ◽  
Vol 7 (1) ◽  
pp. 51-60
Author(s):  
Fitri Wulandari ◽  
Nirwana Puspasari ◽  
Noviyanthy Handayani
Keyword(s):  
Data Retrieval ◽  
Service Level ◽  
Traffic Volume ◽  
Primary Data ◽  
Volume Data ◽  
Saturation Degree ◽  
The Road ◽  
Before And After ◽  
Road Widening ◽  
The Way

Jalan Temanggung Tilung is a 2/2 UD type road (two undirected two-way lanes) with a road width of 5.5 meters, which is a connecting road between two major roads, namely the RTA road. Milono and the path of G. Obos. Over time, the volume of traffic through these roads increases every year, plus roadside activities that also increase cause congestion at several points of the way. To overcome this problem, the local government carried out road widening to increase the capacity and level of road services. The study was conducted to determine the amount of traffic volume, performance, service level of the Temanggung Tilung road section at peak traffic hours before and after road widening. Data retrieval is done by the direct survey to the field to obtain primary data in the form of geometric road data, two-way traffic volume data, and side obstacle data. Performance analysis refers to the 1997 Indonesian Road Capacity Manual (MKJI) for urban roads. From the results of data processing, before increasing the road (Type 2/2 UD), the traffic volume that passes through the path is 842 pcs/hour and after road widening (Type 4/2 UD) the traffic volume for two directions is 973 pcs/hour, with route A equaling 528 pcs/hour and direction B equaling 445 pcs/hour. Based on the analysis of road performance before road enhancement, the capacity = 2551 pcs/hour, saturation degree = 0.331, and the service level of the two-way road are level B. Based on the analysis of the performance of the way after increasing the way, the direction capacity A = 2686 pcs/hour and direction B = 2674 pcs /hour, saturation degree for direction A = 0.196 and direction B = 0.166, service level for road direction A and direction B increase to level A

A view on Practical Utility of Paradi Gunas

2017 ◽  
Vol 2 (2) ◽  
Author(s):  
Sachin Bagali ◽  
Umapati Baragi ◽  
M. R. Sajjanshetti
Keyword(s):  
Clinical Practice ◽  
Professional Practice ◽  
Continuous Process ◽  
Clinical Activity ◽  
Successful Management ◽  
Knowledge Domain ◽  
Practical Utility ◽  
The Subject ◽  
The Way

In the present day scenario prime need of Ayurveda is practical applicability of Ayurvedic fundamental principles and research should be more focused on all aspects where scientific inputs should confirm Ayurveda’s principles and philosophy. In Ayurveda, Gunas are described as the way of presentation of action without which no Karma (action) can be possible. Ayurveda has provided significance to every Guna so that they become useful in clinical practice. Clinical practice or research is a continuous process including a series of events which need to be performed in a sequential manner. Though there are many factors on which accomplishment of treatment depends, among these Charaka has given prime importance to Paradi Gunas. In clinical practice, Guna which are to be with Bhishak are mainly the Paradi Gunas which can also be called as miscellaneous Gunas. As rightly quoted by Acarya Charaka, for getting success in the treatment Paradi Gunas are the best. The Sutra quotes "Sidhyupaya Chikitsayam" which means that Chikitsa i.e. Dhatusamya will be done mainly with the help of Paradi Gunas. Knowledge of Paradi Gunas are required to be present in pharmacists, physicians and Researchers. Acharya Charaka says that Chikitsa Siddhi i.e. successful management of disease is not possible without the knowledge of Paradi Gunas. Paradi Gunas play an important role in selection, adaption and manifestation of drug as per condition of the disease and the patient in particular Desha and Kala. The ultimate goal of any clinical activity is to contribute in the knowledge domain and to improve professional practice. Thus this literary review of Paradi Gunas serves to explore the subject of the clinical practice.

scholarly journals Early Surgery Does Not Improve Outcomes for Patients with Periprosthetic Femoral Fractures—Results from the Registry for Geriatric Trauma of the German Trauma Society

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 517
Author(s):  
Christopher Bliemel ◽  
Katherine Rascher ◽  
Tom Knauf ◽  
Juliana Hack ◽  
Daphne Eschbach ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Mortality Rate ◽  
Femoral Fractures ◽  
Geriatric Trauma ◽  
Outcome Parameters ◽  
Periprosthetic Femoral Fractures ◽  
Trauma Society ◽  
Eq5d Index ◽  
Early Surgical Treatment

Background and Objectives: Appropriate timing of surgery for periprosthetic femoral fractures (PFFs) in geriatric patients remains unclear. Data from a large international geriatric trauma register were analyzed to examine the outcome of patients with PFF with respect to the timing of surgical stabilization. Materials and Methods: The Registry for Geriatric Trauma of the German Trauma Society (Deutsche Gesellschaft für Unfallchirurgie (DGU)) (ATR-DGU) was analyzed. Patients treated surgically for PFF were included in this analysis. As outcome parameters, in-house mortality rate and mortality at the 120-day follow-up as well as mobility, the EQ5D index score and reoperation rate were analyzed in relation to early (<48 h) or delayed (≥48 h) surgical stabilization. Results: A total of 1178 datasets met the inclusion criteria; 665 fractures were treated with osteosynthesis (56.4%), and 513 fractures were treated by implant change (43.5%). In contrast to the osteosynthesis group, the group with implant changes underwent delayed surgical treatment more often. Multivariate logistic regression analysis of mortality rate (p = 0.310), walking ability (p = 0.239) and EQ5D index after seven days (p = 0.812) revealed no significant differences between early (<48 h) and delayed (≥48 h) surgical stabilization. These items remained insignificant at the follow-up as well. However, the odds of requiring a reoperation within 120 days were significantly higher for delayed surgical treatment (OR: 1.86; p = 0.003). Conclusions: Early surgical treatment did not lead to decreased mortality rates in the acute phase or in the midterm. Except for the rate of reoperation, all other outcome parameters remained unaffected. Nevertheless, for most patients, early surgical treatment should be the goal, so as to achieve early mobilization and avoid secondary nonsurgical complications. If early stabilization is not possible, it can be assumed that orthogeriatric co-management will help protect these patients from further harm.

Gustatory Function after Radiofrequency Tongue Base Reduction in Patients with Obstructive Sleep Apnea

2011 ◽  
Vol 145 (5) ◽  
pp. 853-857 ◽  
Author(s):  
Young Gyu Eun ◽  
Seung Youp Shin ◽  
Jae Yong Byun ◽  
Myung Gu Kim ◽  
Kun Hee Lee ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Surgical Treatment ◽  
Sleep Apnea ◽  
Medical Center ◽  
Tongue Base ◽  
Safe Procedure ◽  
Gustatory Function ◽  
Obstructive Sleep ◽  
Before And After ◽  
Tongue Base Reduction

Objectives. To investigate the changes in gustatory function as a complication after radiofrequency tongue base reduction (RTBR) in patients with obstructive sleep apnea (OSA). Study Design. Before-and-after study. Setting. Academic tertiary medical center. Subjects and Methods. Thirty-four patients with suspected velopharyngeal collapse only underwent uvulopalatopharyngoplasty (UPPP group). Twenty-five patients with velopharyngeal and retrolingual collapse underwent concurrent UPPP with RTBR (RTBR group). All patients were evaluated before surgery and at 1 and 4 weeks after surgical treatment. A questionnaire was given to assess symptoms of hypogeusia, dysgeusia, hyposmia, and sensation of the tongue. Electrogustometry (EGM) in 4 areas was used to determine gustatory function. Results. Postoperative values for subjective symptoms did not significantly change following surgical treatment in either group. EGM thresholds of all tested in both groups did not significantly change 1 week and 4 weeks after surgery. Conclusions. Gustatory function remained unchanged after RTBR in patients with OSA. The authors suggest that RTBR is a safe procedure in terms of taste sensation in OSA patients.

Clinical Practice Guidelines for the Surgical Treatment of Patients With Lynch Syndrome

2017 ◽  
Vol 60 (2) ◽  
pp. 137-143 ◽  
Author(s):  
Daniel O. Herzig ◽  
W. Donald Buie ◽  
Martin R. Weiser ◽  
Y. Nancy You ◽  
Janice F. Rafferty ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Surgical Treatment ◽  
Lynch Syndrome ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines
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