scholarly journals MANAGEMENT OF THE SURGICAL SOLUTIONS FOR FEEDING – A PREVENTION FACTOR FOR NUTRIENT BALANCE IMPAIRMENT

2017 ◽  
Vol 64 (3) ◽  
pp. 194-200
Author(s):  
Corneliu Tudor ◽  
◽  
Costel Şavlovschi ◽  
Cristian Brănescu ◽  
Ahed El-Khatib ◽  
...  
Keyword(s):  
Nutrient Balance ◽  
Surgical Techniques ◽  
Postoperative Management ◽  
Postoperative Surveillance ◽  
Feeding Tubes ◽  
Term Evolution ◽  
Long Run ◽  
Nursing Services ◽  
Limited Period

Aim. The paper aims, thanks to the long-standing practice, to synthesize the clinical experience gained during the surgery for feeding tubes management and highlight the details we had to deal with in order to overcome the local and general difficulties. Materials and method. A retrospective study was carried out over a period of 20 years (1996-2016), on the patients who underwent surgery for placing feeding tubes in our clinic. They were analyzed: the techniques used, the long-term evolution, the complications and the incidents and the way they were solved. Results. A total of 329 patients were enrolled in the study. The surgical techniques used were: classic surgical solutions (300 cases) and percutaneous endoscopic gatrostomy (PEG, 29 cases). For classical interventions, post-operative evolution was good in 219 patients (73%) and was complicated by various accidents and incidents in 81 cases (23%). The study presents the causes that may lead to these complications, the local and general, clinical and paraclinical consequences and the correct surgical attitude, as well as particular cases that required the adaptation of the surgical techniques to local anatomical and functional polymorphism. In the long run, the jejunostomy appears to be relatively inferior to gastrostomy, in terms of toland efficiency. PEG complications were minor and transient, but the reduced number of cases and the limited period of postoperative surveillance did not allow statistically significant conclusions to be drawn. Conclusions. The postoperative management of surgical feeding solutions requires permanent collaboration between surgeon, patient and outpatient nursing services at home and requires knowing and observing of a specific nursing protocol to avoid disturbing the nutrient balance of the patient.

scholarly journals Growth and business cycle in Argentina. A long-run approach, 1870–2015

2020 ◽  
Vol 28 (84) ◽  
pp. 197-220
Author(s):  
María Dolores Gadea ◽  
Isabel Sanz-Villarroya
Keyword(s):  
Long Term Evolution ◽  
Growth Potential ◽  
Short Term ◽  
Content Type ◽  
Developed Economies ◽  
Term Evolution ◽  
Long Run ◽  
High Volatility ◽  
The Moment

Purpose The purpose of this study is to focus deeply on the short term to explain the relative long-term evolution of the Argentinian economy in the long and the short term. Design/methodology/approach The study of the long-term evolution of the Argentine economy and identifying the moment in which it began to lose ground compared to other developed economies, such as Australia and Canada, constitutes the central axis of the historiography of this country. However, an additional problem presented by the Argentine economy is its high volatility. For this reason, the long term should be influenced by the short term, an issue that requires a more detailed study of the cyclical behavior and a deep analysis of the relationship between the long and the short term. Findings The results obtained point to a cyclical development that influences the long-term evolution and, therefore, explains Argentina’s convergence process with Australia and Canada. Frequent deep busts and short booms characterize the Argentine cycle, offsetting its long-term growth potential. Originality/value Although the long term has been profusely studied in Argentina, the short term has not been analyzed to the same extent, which is surprising given the extreme volatility of this economy (Prebisch, 1950). The studies performed on economic cycles have always been partial, disconnected from the long term and carried out without much technical rigor.

Aortic valve replacement with a pulmonary autograft: case studies of the Ross procedure

1997 ◽  
Vol 6 (6) ◽  
pp. 418-422 ◽  
Author(s):  
C Scott ◽  
M Schactman ◽  
LM Graver
Keyword(s):  
Aortic Valve ◽  
Preoperative Evaluation ◽  
Surgical Techniques ◽  
Spare Part ◽  
Postoperative Management ◽  
Term Treatment ◽  
Ross Procedure ◽  
Long Term Treatment ◽  
Attractive Option

The Ross procedure is an old surgical technique that is gaining popularity some 30 years after its introduction. The patient's own pulmonary valve is essentially used as a "spare part" to replace the diseased aortic valve. The Ross procedure has become an accepted and attractive option for patients with a life expectancy of more than 20 years and for patients in whom long-term treatment with anticoagulants is undesirable or problematic. Careful preoperative evaluation and postoperative management, as well as proficient surgical techniques, are all necessary to achieve good outcomes.

Keynote Paper — AUTOPOIETIC GENE-ENZYME CYCLES AND THE EMERGENCE OF LIFE

2014 ◽  
Vol 22 (03) ◽  
pp. 393-412
Author(s):  
PAUL A. LAVIOLETTE
Keyword(s):  
Single Gene ◽  
Enzyme Synthesis ◽  
Term Evolution ◽  
Keynote Paper ◽  
Long Run ◽  
Basic Set ◽  
Emergence Of Life ◽  
Inorganic Phosphates ◽  
Rna Genes

Systems concepts are applied to solve the problem of how early life could have emerged from an initially abiotic organic environment. Proteinoid or lipid microspheres are proposed to have polymerized from a primordial organic soup and to contain various amino acids and several different nucleobases. A self-replicating "basic set" hypercycle consisting of 10 XNA gene strands and 10 enzymes is proposed that utilizes inorganic phosphates as an energy source. The genes would utilize triplet combinations of adenosine and uracil to code for a replicase enzyme, a polymerase enzyme and eight-code translator (synthetase) enzymes. It is shown that there is a high probability that the basic set genes would emerge. Fissioning of the basic set microspheres into a population of microspheres all containing the basic set, could eliminate the problem of a single gene monopolizing use of the replicator enzyme at the expense of the others and greatly enhance the survivability of the replicating population as a whole. A thermodynamic analysis of such a self-replicating system is also presented. It is shown that genetic mutations will, in the long run allow the basic set to evolve to increased diversity, higher rates of enzyme synthesis and greater rates of entropy production. Long-term evolution could have resulted in organisms similar to contemporary bacteria that utilize RNA genes with a four nucleobase codon system.

Infrastructure mortgage in Russia: Opportunities and prospects

2019 ◽  
pp. 114-133
Author(s):  
G. I. Idrisov ◽  
Y. Yu. Ponomarev
Keyword(s):  
Federal Government ◽  
Public Debt ◽  
Budget Deficit ◽  
Expert Assessment ◽  
Inflation Expectations ◽  
Direct Impact ◽  
Long Run ◽  
Gdp Growth Rate ◽  
Negative Effect

The article shows that depending on the goals pursued by the federal government and the available interbudgetary tools a different design of infrastructure mortgage is preferable. Three variants of such mortgage in Russia are proposed, each of which is better suited for certain types of projects and uses different forms of subsidies. According to our expert assessment the active use of infrastructure mortgage in Russia can increase the average annual GDP growth rate by 0.5 p. p. on the horizon of 5—7 years. In the long run the growth of infrastructure financing through the use of infrastructure mortgage could increase long-term economic growth by 0.9 p. p., which in 20—30 years can add 20—30% of GDP to the economy. However, the change in the structure of budget expenditures in the absence of an increase in the budget deficit and public debt will cause no direct impact on monetary policy. The increase in the deficit and the build-up of public debt will have a negative effect on inflation expectations, which will require monetary tightening for a longer time to stabilize them.

Intraoperative, postoperative and long-term oncosurgical safety of therapeutic mammaplasty

2013 ◽  
Vol 154 (33) ◽  
pp. 1291-1296 ◽  
Author(s):  
László Romics Jr. ◽  
Sophie Barrett ◽  
Sheila Stallard ◽  
Eva Weiler-Mithoff
Keyword(s):  
Recurrence Rate ◽  
Tumour Size ◽  
Breast Conservation ◽  
Malignant Lesion ◽  
Surgical Techniques ◽  
Incomplete Resection ◽  
Immediate Reconstruction ◽  
Oncological Safety

Introduction: (Pre)malignant lesion in the breast requiring mastectomy conventionally may be treated with breast conservation by using oncoplastic breast surgical techniques, which is called therapeutic mammaplasty. However, no reliable data has been published so far as regards the oncological safety of this method. Aim: The aim of the authors was to analyse the oncological safety of therapeutic mammaplasty in a series of patients. Method: 99 patients were treated with therapeutic mammaplasty and data were collected in a breast surgical database prospectively. Results were analysed with respect to intraoperative, postoperative and long-term oncological safety. Results: Incomplete resection rate was 14.1%, which correlated with tumour size (p = 0.023), and multifocality (p = 0.012). Time between surgery (therapeutic mammaplasty) and chemotherapy was similar to time between conventional breast surgeries (wide excision, mastectomy, mastectomy with immediate reconstruction) and chemotherapy (mean 29–31 days; p<0.05). Overall recurrence rate was 6.1%, locoregional recurrence rate was 2% during 27 month (1–88) mean follow-up. Conclusions: Since literature data are based on relatively short follow-up and low patient number, it is highly important that all data on therapeutic mammaplasty is collected in a prospectively maintained breast surgical database in order to determine true recurrence after long-follow-up. Orv. Hetil., 2013, 154, 1291–1296.

Link-Level Simulator for Wireless local Area Network

2018 ◽  
Vol 6 (7) ◽  
pp. 314
Author(s):  
Chaithra. H. U ◽  
Vani H.R
Keyword(s):  
Wireless Local Area Network ◽  
Local Area Network ◽  
Local Area Networks ◽  
Local Area ◽  
Long Term Evolution ◽  
Wireless Local Area Networks ◽  
Area Network ◽  
Network Simulator ◽  
Term Evolution

Now a days in Wireless Local Area Networks (WLANs) used in different fields because its well-suited simulator and higher flexibility. The concept of WLAN  with  advanced 5th Generation technologies, related to a Internet-of-Thing (IOT). In this project, representing the Network Simulator (NS-2) used linked-level simulators for Wireless Local Area Networks and still utilized IEEE 802.11g/n/ac with advanced IEEE 802.11ah/af technology. Realization of the whole Wireless Local Area Networking linked-level simulators inspired by the recognized Vienna Long Term Evolution- simulators. As a outcome, this is achieved to link together that simulator to detailed performances of Wireless Local Area Networking with Long Term Evolution, operated in the similar RF bands. From the advanced 5th Generation support cellular networking, such explore is main because different coexistences scenario can arise linking wireless communicating system to the ISM and UHF bands.

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