scholarly journals Appearance of urology at the beginining of xxth century -from the general surgeon up to the highly trained specialist

2003 ◽  
Vol 131 (1-2) ◽  
pp. 92-95
Author(s):  
Ivan Ignjatovic

Evolvement of urology as a separate scientific discipline depends on several factors. Endoscopic diagnostics, radiological diagnostics, and operative techniques in general surgery, had provided an ability to perform more complex and longer operations. Urology had evolved from the great schools of surgery in Germany and France, and their the most important surgeons, who were intersted in urological surgery. The first endoscope was introduced in 1806, and received today?s form in 1879. Application of "X" rays in medicine started in 1895, and it was later applied as a cystography, retrograde pyelography as well as intravenous urography. The most important thing for the operative technique evolution were application of anhestesia, asepsis and new hemostatic devices. During the one century long development, urology had passed the way from completely unknown field, up to the discipline with the best diagnostic preciseness.

2021 ◽  
Vol 8 (6) ◽  
pp. 22-30
Author(s):  
Vincenzo Foti ◽  
Davide Savio ◽  
Roberto Rossi

The aim of this case series is to introduce the One-Time Cortical Lamina Technique, a simplification of the F.I.R.S.T. (Fibrinogen-Induced Regeneration Sealing Technique) in cases where only horizontal augmentation is needed. The indications for this technique are ASA2 and ASA1 anxious patients. Pre-requisites for this surgical technique are: a good amount of keratinized tissue, sufficient alveolar ridge width for placement of implants, thickness of vestibular bone at CBCT planning less than 1 mm with risk of threads exposure. Five patients with horizontal deficiencies were selected to test the efficacy of this approach. The defects were augmented using a porcine cortical bone lamina in combination with collagenated porcine bone mixed with fibrin sealant. The cortical lamina was placed only buccal to the implants and stabilized with fibrin sealant, without pins or screws. Upon completion of the implant surgery, healing abutments were connected to the implants and the soft tissue sutured around them. The healing was uneventful in all cases. Six months after surgery impressions for final restorations were taken and screwed crowns delivered. The new volume had hard consistency and the follow-up CBCT measured an average of 4.17 mm of horizontal bone augmentation. One to three years of follow up demonstrated the maintenance of vestibular volume, hard consistency and clinical stability. Intraoral X-rays showed no marginal bone loss. An advantage of this technique could be the one stage surgery that creates a stable environment for regeneration from day one.


2019 ◽  
Vol 1 (2) ◽  
pp. 45
Author(s):  
Maghrizal Roychan ◽  
Andre Triadi Desnantyo

ABSTRAKPenyakit Osteochondral Lesion of the Talus (OLT) adalah kelainan pada tulang talus di lapisan subchondral yang berupa lesi osteochondral pada talar dome dengan konsekuensi abnormalitas pada tulang rawan sendi talar. Pasien biasanya datang berobat ke tenaga kesehatan dengan keluhan yang tidak spesifik dan dengan gejala seperti nyeri pada pergelangan kaki, bengkak serta berkurangnya berkurangnya ruang gerak. Penegakan diagnosis bisa dilakukan dengan anamnesis, pemeriksaan fisik dan pemeriksaan penunjang sederhana seperti foto X-ray maupun pemeriksaan penunjang canggih seperti CT-Scan dan MRI. Tatalaksana OLT bervariasi. Tatalaksana pada OLT tergantung dari tahapan lesi, kronisitasnya, dan keluhan simtomatis yang menyertainya. Pasien dengan keluhan simtomatis yang akut dan non-displaced sering diberikan terapi nonoperatif biasanya berupa terapi konservatif dengan imobilisasi. Lesi yang tidak berhasil atau tidak menunjukkan perbaikan dalam keluhan simtomatisnya setelah 3 sampai 6 bulan, serta lesi dengan displacement dapat direncanakan untuk terapi operatif. Ada beberapa macam tehnik operatif yang dapat dilakukan untuk menyembuhkan OLT. Tehnik operatif ini dapat dikategorikan menjadi cartilage repair, cartilage regeneration dan cartilage replacement techniques.Kata kunci: osteochondral lesion of the talus, patofisiologi, tatalaksanaABSTRACTOsteochondral Lesion of the Talus (OLT) is an abnormality in the talus bone in the subchondral layer in the form of osteochondral lesions in the talar dome with consequent abnormalities in the talar joint cartilage. Patients usually come to a health care provider with nonspecific complaints and with symptoms such as pain in the ankles, swelling and reduced space for movement. The diagnosis can be made with a history, physical examination and simple investigations such as X-rays and sophisticated investigations such as CT-Scan and MRI. The management of OLT varies. The management of OLT depends on the stage of the lesion, its chronicity, and the accompanying symptomatic complaints. Patients with acute and non-displaced symptomatic complaints are often given nonoperative therapy usually in the form of conservative therapy with immobilization. Lesions that are unsuccessful or show no improvement in symptomatic complaints after 3 to 6 months, and lesions with displacement can be planned for operative therapy. There are several types of operative techniques that can be done to cure OLT. These operative techniques can be categorized into cartilage repair, cartilage regeneration and cartilage replacement techniques. Keywords: osteochondral lesion of the talus, patophysiology, treatment


2020 ◽  
Vol 6 (2) ◽  
pp. 97-108
Author(s):  
D. M. Kireev

The widespread use of the antiseptic or anti-rotting method in the last 20 years, which has yielded brilliant results both in general surgery, and especially in the surgical treatment of diseases of the abdominal and pelvic organs, also has its disadvantages, the main one of which undoubtedly should be considered poisoning when using various anti-rotting medicines. In the literature there is already a rich casuistic material of deadly poisoning when used as an anesthetic, iodoform, carbolic acid, mercuric chloride, etc., etc. antiseptics or antiseptic method of treatment, despite the quick and brilliant success, still left much to be desired and made, during this entire 20-year period, both in laboratory and at the bedside of the patient, to look for means to disinfect the wound, with on the one hand, and not having a harmful effect on patients and those around them, on the other. Carbolic acid was replaced by iodine preparations, iodine preparations with mercuric chloride preparations, mercuric chloride boric acid, copper sulfate, creolin, lysol and many others, some of which have already been abandoned, some are still being tested. The degree of concentration of solutions changed, the time of their contact with the early was limited, and nevertheless, cases of poisoning, which, however, became less common, nevertheless did occur.


2016 ◽  
Vol 12 (S329) ◽  
pp. 355-358
Author(s):  
Peter Kretschmar ◽  
Silvia Martínez-Núñez ◽  
Enrico Bozzo ◽  
Lidia M. Oskinova ◽  
Joachim Puls ◽  
...  

AbstractStrong winds from massive stars are a topic of interest to a wide range of astrophysical fields. In High-Mass X-ray Binaries the presence of an accreting compact object on the one side allows to infer wind parameters from studies of the varying properties of the emitted X-rays; but on the other side the accretor’s gravity and ionizing radiation can strongly influence the wind flow. Based on a collaborative effort of astronomers both from the stellar wind and the X-ray community, this presentation attempts to review our current state of knowledge and indicate avenues for future progress.


Author(s):  
Marco Orru

Émile Durkheim is generally recognized to be one of the founders of sociology as a distinct scientific discipline. Trained as a philosopher, Durkheim identified the central theme of sociology as the emergence and persistence of morality and social solidarity (along with their pathologies) in modern and traditional human societies. His distinctive approach to sociology was to adopt the positivistic method in identifying and explaining social facts – the facts of the moral life. Sociology was to be, in Durkheim’s own words, a science of ethics. Durkheim’s sociology combined a positivistic methodology of research with an idealistic theory of social solidarity. On the one hand, Durkheim forcefully claimed that the empirical observation and analysis of regularities in the social world must be the starting point of the sociological enterprise; on the other hand, he was equally emphatic in claiming that sociological investigation must deal with the ultimate ends of human action – the moral values and goals that guide human conduct and create the essential conditions for social solidarity. Accordingly, in his scholarly writings on the division of labour, on suicide, on education, and on religion, Durkheim sought to identify through empirical evidence the major sources of social solidarity and of the social pathologies that undermine it.


Author(s):  
Corinne Owers ◽  
Roger Ackroyd

The upper gastrointestinal (UGI) tract comprises of the oesophagus, stomach, and duodenum. Although some emergency management of UGI pathology may fall to the remit of the gastroenterologists, this chapter focuses specifically on surgical management of both benign and malignant pathology of these organs. UGI pathology contributes a significant amount to the on-call emergency workload for the general surgeon, as well as the UGI specialist. Subjects covered include the diagnosis and management of common pathologies in the upper gastrointestinal tract that are clinically relevant to those working in general surgery, including: gastro-oesophageal reflux (GORD) and ulcer disease, UGI bleeding, oesophagogastric cancer and bariatric surgery.


Author(s):  
Kennedy Prince Modugu

This study is a compendium of the existing literature on corporate disclosure with a view to identifying the gaps to which future empirical inquiry may be directed. The paper discusses the concept of disclosure as canvassed by different authors. This review is initiated with a working definition of disclosure. This was followed by a series of reviews of studies in developed countries. Added to this, are developing countries’ studies. The review showed that the influencers of corporate disclosure differ between developed and developing countries on the one hand, and within both economies on the other hand. The review revealed mixed findings on the determinants of corporate disclosure. This suggests that the factors determining corporate disclosure are not fixed, and vary from one jurisdiction to another. The paper also x-rays a litany of theories of corporate disclosure research and suggests a unified theory that amalgamates the existing theories; and that which will be amenable to the ever-changing reporting environment.


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