20 research outputs found
Recommended from our members
Psychological Empowerment in Community-Based Tourism: a case study of Yogyakarta, Indonesia
No full textFilza is a PhD student from Purdue University, her interests include issues regarding networks of community-based tourism (CBT) and sustainability in tourism. I am especially interested in rural communities in Southeast Asia.
Dr. Day is committed to ensuring tourism is a force for good in the world. He is the coauthor of The Tourism System 8th edition, author of “Introduction to Sustainable Tourism and Responsible Travel”, as well as over 25 peer-reviewed articles in various journals within Hospitality and Tourism. He currently chairs the Travel Care Code (travelcarecode.org), a network of academic and marketing organizations promoting responsible travel.Tourism as a service industry relies on the goodwill and the work of its local communities, in both developed and more rural areas. In these destinations, visitors often sought after the local experience which often includes interactions with tourism workers and their families showing their pride and spirit to serve. This experience often influences return visits wherein the opportunities to personalize interactions and share cultural experiences become substantial offerings that Community-based tourism has created for its visitors and participants. Scholars have studied CBT for some time and explored different aspects of the phenomenon in many areas of the world, including its impact towards empowerment. While many aspects of empowerment have been covered in CBT, including political, economic, psychological and social empowerment, there is a lack of studies that provide an in-depth understanding of each construct. This study intends to explore psychological empowerment in CBT participation through respondents’ own experiences
Primary Decompressive Craniectomy – Salvation in Closed TBI
No full textObjective: To evaluate the role of early Decompressive Craniectomy in closed traumatic brain injury in relation to functional outcome.Material and Methods: A study was conducted at the Department of Neurosurgery, Northwest General Hospital and Research Centre Peshawar Pakistan. 09 months Data from 22/06/2011 to 21/03/2012 was collected, and all the consecutive cases of closed head injury that required Decompressive Craniectomy (Primary Decompression) based on clinical an radiological findings were included in the study.Results: Out of 23 patients, 13 showed moderate to good recovery making this procedure one of the priority treatment options in closed traumatic brain injury.Conclusion: The promising outcome in our study suggests that an early Decompressive Craniectomy should be considered in severe closed head injury to improve the outcome
Epidemiology of Traumatic Brain Injury (TBI_ in UAE – A Review
No full textObjective: To evaluate the causes and pattern of Traumatic Brain Injury (TBI) in Dubai, UAE.Material and Methods: This descriptive study was carried out at Rashid Hospital, Dubai UAE from June 1, 2008 to August 27, 2008. All the patients admitted to neurosurgical unit referred from A&E were included and the total no. was 96 patients in this short study. Demographic data, causes and pattern of injury and presentation with clinical and radiological findings were recorded.Results: Most of the patients were young males (7.7:1) in the age range of 21 – 30 years. RTA being the most common (45%) cause in non-Arab expatriate population and 49 patients had minor injuries only with the rest included in moderate to severe category. The results were consistent with the international studies.Conclusion: Traumatic Brain Injury (TBI) is a potentially preventable cause of mortality and morbidity in young population world over and still there is a need for formulating new strategies to avoid it
Complications following Pediatric Posterior Fossa Tumors Surgery
No full textObjective: The goal of this study was to identify complications postoperatively occurring after posterior fossa tumor surgery in the pediatric population.
Methods: A retrospective review of cases of children under 15 years who underwent surgery for Posterior fossa tumors was conducted. Documented complications arising in the postoperative phase, in-hospital mortality rates, their management, and the patient’s general well-being were tracked till discharge. Complications were categorized based on a contracted version of the original Clavien-Dindo system, a system that was specifically designed for ranking the severity of surgical complications.
Results: 64.5% of males and 35.4% of females have a mean age of 9.22 ± 1.7 years. Between the onset of symptoms and the diagnosis, the average duration of time was 42.3 ± 12.8 days. The number of medulloblastoma cases was 19 and 11 cases each of ependymoma and pilocytic astrocytoma. Overall, the mean duration of stay was 8.1 ± 3.9 days. Hydrocephalous and CSF leaks from incision sites were the most frequent postop compilations, accounting for 58.3% of all the complications. Other complications reported were wound site infections in 12.5% of cases, peri-tumor edema in 16.6%, cerebellar mutism in 10.41%, tumor bed bleeds in 6.2%, and hospital-acquired pneumonia in 5.3% of cases.
Conclusion: The development of hydrocephalus and cerebrospinal fluid leaks were the most frequent complications, followed by peri-tumor edema, tumor bed hematoma, cerebellar mutism, oropharyngeal apraxia, also systemic complications including sepsis, postoperative pneumonia, and meningitis
Surgical Outcome & Cost Analysis of Single Stage Anterior Decompression and Cage Fixation in Patients with Thoracic and Lumbar Tuberculous Spondylitis: A Single Centre Experience Over Six – Years with Comprehensive Literature Review
No full textObjective: For Tuberculous spondylitis (TS) the optimal mode of management for extensive tuberculous spondylitis is still a subject of debate. We determined the outcome for single stage anterior decompression and cage fixation for dorso-lumbar TS.
Material and Methods: This prospective study was conducted between 2012 and 2018. Worsening or new onset neurological deficit, increasing deformity, large paraspinal abscess and those not responding to anti-tuberculous drug therapy were included. Patients with severe comorbidities (> ASA class III) and recurrent cases were excluded. Demographics, clinical features, radiological characteristics, intraoperative details, postoperative complications and follow-up condition were recorded.
Results: One patient with mean age of 45.6 ± 14.9 years with 17 (54.8%) males and 14 (45.2%) females. Mean symptoms duration was 71.9 ± 29.4 days. 41.9% had spasticity & 25.8% had sphincter dysfunction on presentation. Half (48%) of patients had a Frankel grade 3 or less bilaterally. Mean length of the procedure was 137.4 ± 19.9 minutes. 19.4% (n = 6) had postoperative pulmonary complications, 16.1% (n = 5) wound infection, 9.7% (n = 3) had worsening of neurologic deficit and one (3.2%) remained static. Graft extrusion and cage subsidence were noted in one (3.2%) patient each. Favorable outcome was observed in 83.9% (n = 26) while 16.1% (n = 5) had unfavorable outcome. Mean out-of-pocket cost was 164677.4 ± 11469.9 rupees (USD: 1187 approx).
Conclusion: Timely spinal decompression with stabilization at the onset of the Pott’s disease in patients who fulfil the criteria as surgical candidates carries a promising outcome
Descrizione delle feste et apparato fatto in Firenze per la solenne traslazione del corpo di S. Andrea Corsini fiorentino carmelitano, vescouo di Fiesole, l'anno MDCLXXXIII.
No full textDedication signed by the author, Sigismondo di S. Silverio.Mode of access: Internet.Signed on front free endpaper recto: So.i Ant.ij Arriguccij Flor. 1686. A note in another hand follows: Dell' Archivio di Firenze, A. Materie diverse filza XII no. 15. Amorial stamp on t.p. in purple ink (19th cent.), with monogram CT and motto Per vias rectas. Stamp on last p. in black ink: 04238.Binding: coarse gray paper
Studi Putusan Nomor 01/Pdt.Sus-Pailit/2017/PN.Niaga.Mdn
No full text99 HalamanSalah satu jenis badan usaha yang bukan badan hukum adalah Perseroan Komanditer. Sumber perseroan komanditer dalam menjalankan usahanya dapat ditinjau dari segi internal maupun eksternal CV itu sendiri. Sumber modal internal yaitu dari pemasukan modal (inbreng) para pengurus dan sumber modal eksternal misalnya melalui pinjaman dari lembaga perbankan maupun lembaga non perbankan dengan jaminan tertentu. Apabila pinjaman tersebut ternyata tidak dapat dikembalikan saat jatuh tempo dan telah dapat ditagih maka CV tersebut dapat diajukan pailit ke Pengadilan Niaga baik oleh Kreditur maupun oleh Debitur.
Metode penelitian yang digunakan adalah penelitian kepustakaan (Library Research) yaitu dengan melakukan penelitian terhadap berbagai sumber bacaan yaitu buku-buku, majalah hukum, pendapat para sarjana, peraturan undang-undang dan juga bahan-bahan kuliah. Penelitian lapangan (Field Research) yaitu dengan melakukan kelapangan dalam hal ini penulis langsung melakukan studi pada Pengadilan Negeri Medan dengan mengambil kasus yang berhubungan dengan judul yaitu tentang permohonan pernyataan pailit oleh pengadilan yaitu Putusan No:01/Pdt.Sus-Pailit/2017/ PN. Niaga Mdn.
Hasil penelitian yang diperoleh adalah Akibat hukum Bila Pengurus Perseroan Komanditer (CV) Di Pailitkan berdasarkan Putusan No. 01/Pdt.Sus-Pailit/2017/PN.Niaga Mdn seluruh harta kekayaan debitur serta segala sesuatu yang diperoleh selama kepailitan berada dalam sitaan umum sejak saat putusan pailit diucapkan. Karena debitur harus bertanggung jawab sepenuhnya baik itu harta perseroan komanditer maupun harta pribadinya sebab karena permohonan pernyataan pailit dikabulkan. Perseroan Komanditer (CV) dipailitkan sesuai ketentuan dalam Pasal 2 ayat 1 Undang – Undang No.37 Tahun 2004 Tentang Kepailitan dan Penundaan Kewajiban Pembayaran Utang secara tegas mengatur mengenai syarat limitatif mengenai Pernyataan pailit yaitu “seorang debitur yang mempunyai dua atau lebih kreditur dan tidak membayar lunas sedikitnya satu utang yang telah jatuh tempo dan dapat ditagih, dapat dinyatakan Pailit dengan putusan Pengadilan “baik atas permohonannya sendiri maupun atas permohonan dari salah satu atau lebih krediturnya.
Dalam hal utang piutang sebaiknya kita harus membayar hutang tepat pada waktunya agar tidak mengurangi kepercayaan orang tersebut dan agar tidak menunggak dan menjadi banyak hutang yang ditimbulkan sehingga membuat adanya suatu perkara yang timbul. Sebaiknya jika kita ingin mengajukan permohonan paiit ke Pengadilan harus memenuhi syarat-syarat yang diperlukan, harus dibuktikan secara sederhana dan jelas agar tidak memberikan keadaan yang bingung dalam proses pembuktian dan memutuskan suatu perkara yaitu perkara permohonan pailit. One type of business entity that is not a legal entity is a Limited Liability Company. The source of the partnership company in carrying out its business can be viewed from the internal and external aspects of the CV itself. The source of internal capital is from capital inflows by administrators and sources of external capital, for example through loans from banking institutions and non-banking institutions with certain guarantees. If the loan turns out that it cannot be returned when it is due and has been billed, the CV can be filed bankrupt to the Commercial Court either by the creditor or by the debtor.
The research method used is library research, namely by conducting research on various reading sources, namely books, legal magazines, opinions of scholars, law regulations and also lecture materials. Field research (Field Research), namely by doing spaciousness in this case the author immediately conducted a study at the Medan District Court by taking a case related to the title, namely about the application for bankruptcy statements by the court namely Decision No: 01 / Pdt.Sus-Pailit / 2017 / PN . Commerce Mdn.
The results obtained are the legal consequences if the Management of a Limited Liability Company (CV) is Bankrupt based on Decision No. 01 / Pdt.Sus-Pailit / 2017 / PN.Niaga Mdn, all assets of the debtor as well as everything obtained during the bankruptcy is in general confiscation from the time the bankruptcy decision was pronounced. This is because the debtor must be fully responsible for both the limited partnership's assets and his personal assets because the request for a bankruptcy statement was granted. Limited Liability Company (CV) is bankrupt in accordance with the provisions in Article 2 paragraph 1 of Law No.37 of 2004 concerning Bankruptcy and Postponement of Debt Payment Obligations, which explicitly regulates the limitative requirements regarding the bankruptcy statement, namely "a debtor who has two or more creditors and does not pay. in full, at least one debt that is due and collectible, can be declared bankrupt by a court decision "either on his own request or at the request of one or more creditors.
In the case of debts and receivables, we should have to pay debts on time so as not to reduce the person's trust and so as not to be in arrears and become a lot of debts incurred so as to make a case arise. We recommend that if we want to submit a bankruptcy application to the Court it must meet the necessary conditions, it must be proven simply and clearly so as not to give a confused situation in the evidentiary process and decide a case, namely a bankruptcy petition case
Lateral Intraventricular Epidermoid Cyst: A rare case report
No full textAbstract:
Epidermoid cysts originate from ectopic embryonic epithelial cells and are a very common type of benign intracranial tumor. However, the incidence of intraventricular epidermoid cysts is low, and lateral intraventricular epidermoid cysts are even rarer. Here, we present a case of lateral intraventricular epidermoid cyst and review the relevant literature. A 33?year?old male who was presented with complaints of aphasia, vomiting, inability to walk and previous history VP shunt which was blocked on examination. A computed tomography of the brain showed a low?density mass in the lateral ventricle and enlargement of the left ventricle. Cranial magnetic resonance imaging further confirmed that the mass was an epidermoid cyst. The patient underwent microscopic surgical resection combined with endoscopy via the Keen’s point as a tract to reach the ventricle. The mass was satisfactorily removed, and the patient recovered well. Lateral intraventricular epidermoid cysts often present with clinical symptoms due to the invasion of surrounding brain tissue or blockage of the cerebrospinal fluid system. Diagnosis relies on examination by magnetic resonance imaging, and treatment relies on surgical resection. The prognoses of patients are mostly excellent and depend on whether the tumor is resected cleanly or not.
Key Words:
Epidermoid cyst, lateral intraventricular, prognosis, surger
Outcome of Topical Epidural Methylprednisolone Versus Control in Lumbar Disc Surgery Patients
No full textObjective: The use of topical intraoperative methylprednisolone in lumbar disc surgery leads to significant improvement in pain relief and early resumption of daily life activities. The study determined the outcome of topical epidural methylprednisolone.
Materials & Methods: 60 patients included with diagnosed cases of the herniated lumbar disc with ASA Grade 2 and below. Group A was for patients who had to receive topical methylprednisolone while group B was the control group where no topical methylprednisolone had been used. The outcome was measured from OLBI and VAS scores. Results: In Group A, the mean hospital stay was 2 days, mean OLBI score was 35%, mean VAS score was 3, mean time to resumption of ADL was 7 days, mean dose of paracetamol (per day) was 3 mg, mean dose of Ketorolac (per day) was 90 mg. Whereas Group B, mean hospital stay was 3 days, mean OLBI score was 45%, mean VAS score was 5, mean time to resumption of ADL was 10 days, mean dose of paracetamol (per day) was 4 mg, mean dose of Ketorolac (per day) was 100 mg. In Group A, 91% of patients had a favorable outcome and 9% of patients had an unfavorable outcome. Whereas in Group B, 83% of patients had a favorable outcome and 15%of patients had an unfavorable outcome. There existed insignificant results in outcomes concerning diabetic/non-diabetic, and hypertension/non-hypertension. Conclusion: The use of topical intraoperative methylprednisolone in lumbar disc surgery leads to significant improvement in pain relief and early resumption of daily life activities as compared to without the use of topical methylprednisolone.
Keywords: Outcome, Epidural Methylprednisolone, Lumbar Disc Surgery, OLBI (Oldenburg Burnout Inventory), ADL (Activities Of Daily Life)
Outcome of patients operated for depressed skull fracture with dural tear
No full textObjective: The objective of this study was to determine the outcome of patients operated for depressed skull fracture with a dural tear.
Material and Methods: A descriptive case series (n = 155) was carried out in the Department of Neurosurgery, Hayatabad Medical Complex Peshawar for six months.
Results: The mean arrival GCS was 10.64 ± 2.33. About 21.9% (n = 32) patients presented with a GCS of ? 8, while the remaining 78.1% (n = 123) presented with a GCS of ? 8. About 8.4% (n = 13) patients died due to the complications of the brain injury. The most common postoperative complication was found to be progressive neurologic deficit (PND) occurred in 21 (13.5%) patients. Penetrating injury to the head was also associated with unfavorable outcomes after surgery (p = 0.046), which shows that penetrating injury is associated with increased brain damage and hence consequently poor outcomes.
Conclusions: The neurologic status as denoted by the Glasgow coma scale is one of the most important factors which predicts the outcome. Surgical management of depressed skull fractures with dural tear has favorable outcomes in about two-thirds of patients. The remaining one-third patient remains in the severely disabled group. Every effort should be made to reduce the occurrence of complications as they are directly related to postoperative functional outcomes
