550 research outputs found
Extremity reconstruction in sarcomas
No full textIn the last few decades significant advances have occurred in the diagnosis and therapy of bone and soft tissue sarcomas of the extrimities, which has made it possible to avoid amputations and conserve the limb in many cases. But careful case selection has to be done and consideration has to be given to the influence of adjuant modalities needed in the management.This article reviews the various aspects of limb salvage in extrimity sarcomas including the methods of reconstruction in deatil. Problems of reconstruction in a growing child is also dealt with separately
Soft Tissue Sarcoma in Contact with Bone: Is Bone Resection Indicated?
No full textTreating soft tissue sarcoma of the extremities requires a
multidisciplinary team in a referral sarcoma center.
Combining chemotherapy, radiotherapy, and surgery is crucial
in high-grade, deep, and large soft tissue tumors.
Limb salvage surgery with wide margins is the gold standard
of surgical treatment. Indeed, although it is not wholly
demonstrated, surgery with wide margins seems related to
low local recurrence rates and high disease survival.
Resection of nerves or vessels involved in the tumor is
mandatory; however, resection of the bone in contact with
the tumor is debated. If wide margins are not achievable,
amputation could be necessary
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Prognostic Factors in Dedifferentiated Chondrosarcoma: A Retrospective Analysis of a Large Series Treated at a Single Institution
No full textBackgroundDedifferentiated chondrosarcomas (DDCSs) are highly malignant tumors with a dismal prognosis and present a significant challenge in clinical management.MethodsIn an IRB approved retrospective protocol, we identified 72 patients with DDCS treated at our institution between 1993 and 2017 and reviewed clinicopathological characteristics, treatment modalities, and outcomes to analyze prognostic factors.ResultsFemur (44.4%), pelvis (22.2%), and humerus (12.5%) were most commonly involved sites. Twenty-three patients (31.9%) presented with distant metastasis, and 3 (4.2%) of them also had regional lymph node involvement. The median overall survival (OS) was 13.9 months. On multivariate analysis, pathological fracture, larger tumor size, lymph node involvement, metastasis at diagnosis, extraosseous extension, and undifferentiated pleomorphic sarcoma component correlated with worse OS, whereas surgical resection and chemotherapy were associated with improved OS. For progression-free survival (PFS), pathological fracture and metastasis at diagnosis showed increased risk, while chemotherapy was associated with decreased risk. Among patients who received chemotherapy, doxorubicin and cisplatin were significantly associated with improved PFS but not OS. Among patients without metastasis at diagnosis, 17 (34.7%) developed local recurrence. Thirty-one (63.3%) developed distant metastases at a median interval of 18.1 months. On multivariate analysis, R1/R2 resection was related with local recurrence, while macroscopic dedifferentiated component was associated with distant metastasis.ConclusionsThe prognosis of DDCS is poor. Complete resection remains a significant prognostic factor for local control. Chemotherapy with doxorubicin and cisplatin seems to have better PFS. More prognostic, multicenter trials are warranted to further explore the effectiveness of chemotherapy in selected DDCS patients
Temples of Jagannath in Puri and Ranpur - Orissa, India: a preliminary typological comparison
No full textWithin the framework of the Orissa Research Programme, established in early 1999 as a Schwerpunktprogramm of the German Research Council (Deutsche Forschungsgemeinschaft), architectural surveys have been carried out in Puri (December 1999) and in Ranpur (July 1999), the former centre of a feudatory state in the hinterland of coastal Orissa in northeast India. The Orissa Research Programme focuses on „Contested Centres“ and intends to unveil the mechanism of „construction and change of socio-cultural identities“ in Orissa. In this context a comparison between the imperial 12th century temple of Jagannath in the very centre with its miniature version built by one of the Little Kings six-hundred years later reflects the Programme’s aims in a very tangible way.
Dedicated to Ajay Shankar</p
Sosialisasi Pemilihan Umum 2024 kepada Kelompok Lansia di Desa Dangin Puri Kauh
No full textPemilihan umum tahun 2024 akan dilaksanakan dalam bentuk Pemilu Serentak, yakni memilih Calon Presiden dan Wakil Presiden dan Calon Legislatif secara bersamaan. Hal yang menjadi perhatian adalah sosialisasi dan edukasi mengenai pemilu dan tata cara penggunaan hak pilih di TPS kepada Pemilih Kelompok Lansia yang ada di Desa Dangin Puri Kauh. Tujuan dari Pengabdian Kepada Masyrakat ini adalah untuk mensosialiasaikanPemilu 2024 kepada pemilih kelompok lansia Desa Dangin Puri Kauh, agar kelompok lansia dapat teredukasi mengenai pemilu dan tata cara penggunaan hak pilih. Desa Dangin Puri Kauh memiliki 5.502 Pemilih aktif dan sekitar 12% adalah kelompok lansia yang menjadi sasaran dari kegiatan Pengabdian Kepada Masyarakat yang dilakukan oleh penulis, Metode yang digunakan adalah Sosialiasi Formal dengan mengumpulkan atau mendatangi kegiatan kelompok lansia Desa Dangin Puri Kauh yang sedang berkegiatan di Banjar atau tempat umum di sekitar Dangin Puri Kauh. Dengan diadakannya Sosialisasi Pemilu 2024 dapat mengedukasi kelompok lansia, sehingga kelompok lansia dapat terbantu saat menggunakan hak pilihnya di TPS. Penulis melakukan sosialisasi di kelompok lansia Banjar Pucak Sari dan Lansia yang sedang beraktifitas di sekitar Desa Dangin Puri Kauh. Pada akhirnya melalui sosialiasai dan edukasi pemilih kelompok lansia bisa teredukasi dan mendapat pendampingan pada saat menggunakan hak pilihnya di TPS.Kata kunci: Sosialisasi, Edukasi, Kelompok Lansia, Pemilihan Umum ABSTRACTThe 2024 general election will be held in the form of Simultaneous Elections, namely electing Presidential and Vice Presidential Candidates and Legislative Candidates simultaneously. The thing that is of concern is socialization and education regarding elections and procedures for using the right to vote at the TPS for the Elderly Group of Voters in Dangin Puri Kauh Village. The aim of this Community Service is to socialize the 2024 Election to elderly voters in Dangin Puri Kauh Village, so that elderly groups can be educated about elections and how to use their voting rights. Dangin Puri Kauh Village has 5,502 active voters and around 12% are elderly groups who are the target of Community Service activities carried out by the author. The method used is Formal Socialization by gathering or attending the activities of Dangin Puri Kauh Village elderly groups who are currently active in Banjar or public places around Dangin Puri Kauh. By holding the 2024 Election Socialization, the elderly group can be educated, so that the elderly group can be helped when exercising their right to vote at the TPS. The author carried out outreach to the elderly group of Banjar Pucak Sari and elderly people who were doing activities around Dangin Puri Kauh Village. In the end, through socialization and education, elderly voters can be educated and receive assistance when exercising their right to vote at the polling station.Keywords: Socialization, Education, Elderly Groups, 2024 General Electio
Complete extrusion of an implantable cardiac defibrillator
No full textPublished on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: [email protected] Puri, Suchi Khurana and Glenn D. Youn
The Journey of the Gods: A case study of Shree Jagannatha Temple , Puri, Odisha, India
No full textThe impact of urban morphological changes on heritage structures and their surroundings is investigated in this thesis. To accomplish so, the thesis focuses on and investigates the case of Shree Jagannatha Temple in Puri, which was built in the 12th century. The temple serves as the spiritual heart of Hinduism, one of the world’s oldest religions. As one of the country’s ‘Char Dhams (four prominent Hindu temple locations),’ it is crucial to the city’s economy. The inflow of pilgrims to the temple on significant occasions like the Ratha Yatra (Chariot Journey) surpassed the support system’s basic capacities. Grand Road (main road) for key religious rites degraded over time as a result of commercialization of the surrounding area, leading to illegal settlements as well. The urbanization of the area surrounding the temple has also adulterated the temple’s pinnacle’s visibility. The government of Odisha has presented a plan by Puri Konark Development Authority to transform the city of Puri into a world heritage city by 2031 in order to protect the temple and its significance. The thesis examines three architectural dimensions – setting, scale, and space – to better comprehend the factors that influenced the government’s decision. The research is limited to the urban changes in the 19th century, 20th century, and latest developments because considerable urban growth occurred in the last few decades. Site visits, photographic documentation, and comparative analysis were all part of the research for developing Serial Vision using the method of Gordon Cullen. Furthermore, Kulke and Hunter W. Stirling’s publications, as well as news articles, were useful resources for understanding history and stakeholder perspectives. Finally, the thesis explores the government’s document plans and how they may aid in the restoration of the temple’s monumentality.AR2A011Architecture, Urbanism and Building Science
Analisis Strategi RS. Puri Husada untuk Menciptakan Keunggulan Kinerja Bisnis dalam Jasa Pelayanan Rumah Sakit
No full textThis study aims to analyze the present situation of Puri Husada Hospital
that includes an evaluation of the condition of the hospital services industry and
its competitive pressures and the strength or weakness of Puri Husada Hospitalowned
resources in facing competition in hospital services industry. Puri Husada
Hospital has developed several strategies to deal with competition changes that
occur, so the study also aimed to evaluate the suitability of the strategy has been
applied.
Source of data used in this study came from the Central Bureau of
Statistics Sleman, Sleman District Health Office, and PERSI (Hospital
Association of Indonesia), documentation of Puri Husada Hospital, as well as
interviews with management of Puri Husada Hospital. In conducting the analysis,
the author conducted an analysis of the external environment faced by the Puri
Husada Hospital and then analyzes its internal environment then performed a
SWOT analysis (Strength, Weakness, Opportunity, Threat) to determine what
aspects of the strengths, weaknesses, opportunities, and threats of Puri Husada
Hospital. Based on the analysis of external and internal environment that has been
done, it can be identified the appropriate strategic alternatives for Puri Husada
Hospital once performed an evaluation of present strategies if still can be used to
face competition in the future.
The research results show that there are several factors that caused the
hospital services industry is still attractive to enter, on the other hand there are
also several factors that cause this industry is less attractive to enter. The strategy
has been implemented by Puri Husada Hospital still appropriate to face
competition that exists but requires some improvements in the implementation of
the strategy and also the implementation of other strategic alternatives
Evaluation of Web-Based Car Park Information System at PPPSRS Puri Casablanca Jakarta
No full textProblems in conventional and manual parking are the inability to obtain complete, informative, and interactive parking information because the manual system cannot provide complete parking information. Information technology can be implemented in a parking system to help provide more accurate, fast, and easily accessible information. In addition, the parking system interface can be made user-friendly, hence, the parking attendants can operate it properly. This parking system uses a client-server model with a shared database. The author found problems in the car parking system at PPPSRS Puri Casablanca Jakarta, i.e. still using the previous version of XAMPP. The research methodology used in this study are: Observation Methods, Literature Methods, and Interview Methods. The proposed Car Parking application showed acceptable for use by parking attendants of PPPSRS Puri Casablanca Apartment Jakarta. The menu choices presented are sufficient and the web design is simple so it doesn't confuse the parking attendant
Evaluasi Pengelolaan Sampah Ikan di Pasar Jembatan Puri Kelurahan Klaligi Kota Sorong
No full textThis research aims to describe and analyze the evaluation of fish waste management at the Jembatan Puri Market, Klaligi Village, Sorong City. In this research the author uses the concepts of waste management, waste impacts, fish waste management, and market management. This research uses a descriptive qualitative approach. The data collection techniques were carried out through observation, interviews, and literature review. With the following research results: First, the level of cleanliness and orderliness in the Jembatan Puri fish market, Klaligi Village, Sorong City may currently experience significant changes compared to several years ago, especially in terms of waste management. Second, the government's role in providing information, technical support, and resources to manage organic waste and control vector populations is very important. Environmental cleanup programs, health education, and training on waste management can help increase public awareness and encourage active participation in disease prevention efforts. Third, at the Jembatan Puri Fish Market, concrete steps have been taken to overcome the problem of waste management. One of the things that is done is to provide adequate and separate waste disposal sites according to type.Penelitian ini bertujuan untuk mendeskripsikan dan menganalisis Evaluasi Pengelolaan Sampah Ikan di Pasar Jembatan Puri Kelurahan Klaligi Kota Sorong. Dalam penelitan ini penulis menggunakan konsep manajemen sampah, dampak sampah, pengelolaan sampah ikan, dan pengelolaan pasar. Penelitian ini menggunakan pendekatan kualitatif deskriptif. Adapun teknik pengumpulan data dilakukan melalui observasi, wawancara dan kajian pustaka. Dengan hasil penelitian sebagai berikut: Pertama, tingkat kebersihan dan keteraturan di pasar ikan Jembatan Puri, Kelurahan Klaligi, Kota Sorong saat ini bisa jadi mengalami perubahan yang signifikan dibandingkan dengan beberapa tahun yang lalu, terutama dalam hal pengelolaan sampah. Kedu, peran pemerintah dalam memberikan informasi, dukungan teknis, dan sumber daya untuk mengelola limbah organik dan mengendalikan populasi vektor sangat penting. Program-program pembersihan lingkungan, penyuluhan kesehatan, dan pelatihan tentang pengelolaan limbah dapat membantu meningkatkan kesadaran masyarakat dan mendorong partisipasi aktif dalam upaya pencegahan penyakit. Ketiga, di Pasar Ikan Jembatan Puri, langkah-langkah konkret telah diambil untuk mengatasi masalah pengelolaan sampah. Salah satu hal yang dilakukan adalah menyediakan tempat pembuangan sampah yang memadai dan terpisah sesuai dengan jenisnya
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