111,990 research outputs found
Laparoscopic treatment of morgagni-larrey hernia in a pediatric patient
No full textWe report the case of a 2-year-old boy affected by a Morgagni-Larrey hernia discovered accidentally. The hernia was large, and it contained an accessory hepatic lobe. The repair was performed easily utilizing a laparoscopic approach. On the basis of our experience, we can affirm that laparoscopic correction of Morgagni-Larrey hernia is not a difficult operation. In our opinion, the minimally invasive procedure may be the first-choice treatment for this kind of diaphragmatic defect
RIPARAZIONE LAPAROSCOPICA CON RETE DI ERNIA DIAFRAMMATICA DI MORGAGNI-LARREY
No full textUomo di 27 anni affetto da voluminosa ernia di Morgagni-Larrey. Pneumoperitoneo con ago di Veress. Posizionamento di 4 accessi laparoscopici. All’esplorazione della cavità peritoneale si reperta voluminosa ernia di Morgagni con impegno del grande omento. Riduzione dell’ernia. Misurazione del difetto erniario. Resezione del sacco. Plastica parziale del difetto con punti staccati di PDS 3.0. Sospensione della rete protesica con 3 punti transparietali. Completamento della plastica con rete protesica (Proceed) fissata con Protack e colla di fibrina
author-bios-SRD-19-0063.R1 – Supplemental material for The Network Structure of Police Misconduct
No full textSupplemental material, author-bios-SRD-19-0063.R1 for The Network Structure of Police Misconduct by George Wood, Daria Roithmayr and Andrew V. Papachristos in Socius</p
Congenital Morgagni–Larrey diaphragmatic hernia in a child associated with hypoplasia of the muscular layer of the right diaphragmatic dome (a clinical case)
No full textA rare variant of dysontogenesis of the embryonic diaphragm in children is Morgagni–Larrey hernia and hypoplasia of the muscular layer of the diaphragm. The low frequency of these malformations, which ranges from 1 : 2000 to 1 : 4000 newborns, and the nonspecific clinical manifestations of the disease explain the limited experience of specific specialists in diagnostics, features of surgical treatment, and early postoperative rehabilitation of children with these anomalies.
Aim. To analyze the features of the clinical course, diagnosis, and surgical treatment of a rare diaphragmatic malformation in a child, Morgagni–Larrey hernia combined with hypoplasia of the right diaphragmatic dome, using an original case as an example.
Clinical case. A 13-year-old boy K., who was undergoing inpatient treatment in the surgical department of Zaporizhzhia Regional Children’s Clinical Hospital, was diagnosed with a large congenital hernia of the anterior part of the right diaphragmatic dome based on clinical complaints and results of laboratory and instrumental examinations. Following a comprehensive clinical and laboratory evaluation, the child underwent surgery, including right-sided anterolateral thoracotomy, plastic repair of the right diaphragmatic dome, removal of the congenital Morgagni–Larrey hernia with defect repair using a polypropylene anti-adhesive mesh (Peters Surgical, France), and pleural cavity drainage using the Bülau technique. Intraoperatively, a large congenital hernia of the anterior diaphragm (measuring 17 × 15 × 12 cm) and hypoplasia of the right diaphragmatic dome muscular part were identified. The hernial sac contents were adherent to the greater omentum. Postoperative diagnosis: congenital diaphragmatic defects, including hypoplasia of the right diaphragmatic dome and Morgagni–Larrey hernia. The postoperative period was uneventful with the wound healing by primary intention. Pleural cavity drainage was removed on day 3, and the patient was discharged home on day 10. Follow-up examinations at 6 months and 1 year revealed the patient remained asymptomatic with no complaints or functional impairments.
Conclusions. Morgagni–Larrey diaphragmatic hernia combined with hypoplasia of the right diaphragmatic dome remained asymptomatic in the patient for an extended period. The gradual increase in hernia size led to compression of the right lung and nonspecific clinical manifestations, including coughing attacks. The most effective diagnostic method, beyond chest radiography, was computed tomography. The transthoracic surgical approach was the most appropriate, enabling the elimination of the significant hernial process and plastic repair of the right diaphragmatic dome
Going Beyond Counting First Authors in Author Co-citation Analysis
No full textThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Modern methods of treatment of Morgagni—Larrey hernia
No full textВ клинике лечили 3 пациентов по поводу врожденной диафрагмальной грыжи Морганьи – Ларрея. Использование современных видеоэндоскопических методов, включая лапароскопию, позволило значительно улучшить результаты и надежность операции, уменьшить продолжительность лечения пациентов в стационаре. При идентификации заболевания необходимо выполнение оперативного вмешательства для предотвращения тяжелых осложнений. Целесообразно дальнейшее изучение заболевания для совершенствования хирургической техники и улучшения результатов лечения.In the clinic 3 patients were treated for inborn diaphragmatic Morgagni—Larrey hernia. The modern videoendoscopic methods application, including laparoscopy, have permitted to improve significantly the operation results and security, to reduce the patients stationary treatment duration. Since the disease is diagnosed it is necessary to perform operative intervention for the severe complications prophylaxis. Further studying of the disease is expedient for surgical technique and the treatment results improvement
A Software For Surgical And Radiotherapy Planning Through Multimodal Brain Image Registration And Fusion
No full textNaranjo Ornedo, V.; Morales, S.; Legaz-Aparicio, A.; Larrey-Ruiz, J.; Bernabeu, A.; Fuentes-Hurtado, F. (2015). A Software For Surgical And Radiotherapy Planning Through Multimodal Brain Image Registration And Fusion. International Journal of Computer Assisted Radiology and Surgery. 10(Suppl 1):S15-S17. https://riunet.upv.es/handle/10251/65379SS15S1710Suppl
Variations on the Author
No full text“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Programme d'instructions sommaires sur la médecine / par M. le baron Larrey,... ; Commission scientifique du Mexique
No full textAvec mode text
Využití sociálních médií v B2B prodeji
No full textTato diplomová práce se zabývá tím, jak mohou B2B obchodníci využívat sociální média v prodeji. Na základě systematické rešerše literatury, autor zjistil, že akademici, zkoumající danou problematiku, navrhují další výzkum, a to: v kterých konkrétních krocích se dají využít sociální média v prodeji (Salo, 2017). Autor se na základě toho rozhodl zjistit, jaké sociální sítě, různé technologie a pluginy se dají využít v B2B prodeji - tzv. social sellingu. Social selling se v této práci týká primárně procesu akvizice a okrajově péčí o stávající zákazníky. Autor si vybral kvalitativní průzkum pomocí 10 hloubkových polo-strukturovaných rozhovorů, aby odhalil jak, která sociální média to jsou, tak i motivaci prodejců, proč tato média používat/nepoužívat. Aby autor dodržel správnost vyhodnocení výsledků, data byla analyzována pomocí Tématické analýzy, která v této studii vykrystalizovala 2 hlavní strategické přístupy v social sellingu. Tyto přístupy (tzv. Push a Pull strategie) obsahují praktické příklady a konkrétní aktivity, které mohou prodejci využívat v každodenní praxi. Tyto výsledky jsou prezentovány s důrazem na praktičnost a jednoduchost implementace. Tvoří proto hlavní přínos autorovo výzkumu. V poslední části autor zmiňuje výzvy a manažerská doporučení, které mohou obchodníci využít v každodenním pracovním životě.This diploma thesis focuses on social media usage in B2B sales. Based on the systematic literature review conducted by the author, he has found out that recent researchers (Salo, 2017) suggest further research in the area of how and in which sales phase should various social networking sites, technologies and plugins used. To further fill this research gap, author decided to identify these social media and their usage among B2B salespeople in the so-called social selling process. The social selling process in this thesis applies mainly to acquiring new prospects and tangentially to taking care of existing clients (follow-up step). Author has chosen a qualitative research method via conducting 10 in-depth semi-structured interviews to reveal these instruments as well as motivation of a sales person on why to use social media in the selling process. The collected data was analyzed using Thematic analysis to ensure the right procedure and to identify main themes which crystalized into 2 main strategic approaches in social selling. These approaches (Push and Pull) include practical examples of concrete activities which sales people can use in their daily jobs and are presented with focus on practicality and ease of implementation. These also form the main contribution of author`s research. In the last part, author mentions challenges in social selling and recommended managerial implications for salesforce
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