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emergency surgical pathologies</title> <meta name="description" content="Search results for: curable emergency surgical pathologies"> <meta name="keywords" content="curable emergency surgical pathologies"> <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1, maximum-scale=1, user-scalable=no"> <meta charset="utf-8"> <link href="https://cdn.waset.org/favicon.ico" type="image/x-icon" rel="shortcut icon"> <link href="https://cdn.waset.org/static/plugins/bootstrap-4.2.1/css/bootstrap.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/plugins/fontawesome/css/all.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/css/site.css?v=150220211555" rel="stylesheet"> </head> <body> <header> <div class="container"> <nav class="navbar navbar-expand-lg navbar-light"> <a class="navbar-brand" href="https://waset.org"> <img src="https://cdn.waset.org/static/images/wasetc.png" alt="Open Science Research Excellence" title="Open Science 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method="get" action="https://publications.waset.org/abstracts/search"> <div id="custom-search-input"> <div class="input-group"> <i class="fas fa-search"></i> <input type="text" class="search-query" name="q" placeholder="Author, Title, Abstract, Keywords" value="curable emergency surgical pathologies"> <input type="submit" class="btn_search" value="Search"> </div> </div> </form> </div> </div> <div class="row mt-3"> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Commenced</strong> in January 2007</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Frequency:</strong> Monthly</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Edition:</strong> International</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Paper Count:</strong> 1962</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: curable emergency surgical pathologies</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1962</span> Emergency Surgery in the Elderly, What Particularities</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mekroud%20Amel">Mekroud Amel</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction The rate of use by the elderly of emergency departments, operating rooms and intensive care units has increased worldwide. Emergency surgery is a context where evaluation is often insufficient, with incomplete information gathering. The aim of this work is to shed light on the frequent use of emergency surgeries by the elderly and their characteristics, as well as on the lack of geriatric assessment scores in the emergency room. Material : Prospective, observational and descriptive, monocentric study. Patients aged 65 and over, admitted for emergency surgery in the operating room, were counted. Emergency operating room including visceral surgery, urology, traumatology and neurosurgery. Parameters studied: Patient characteristics, degree of autonomy, type of surgical pathology, operative management times, preoperative evaluation, postoperative outcome Results : 192 patients were identified over 12 months, from 09.01.2017 to 08.31.2018 Age from 65 to 101 years, 79.81 years +/- 8.38. With predominance of the age group between [65-75 years] 41.1% Female predominance, Sexratio = 0.81 Elderly subjects with total motor autonomy are in the majority at 57.8% Subjects without pathological ATCD represent 12.5% of cases Those who are on only one type of medication or without any treatment are at 36.9% Discussion : The emergency operative care of the elderly patient for a surgical or traumatological pathology is characterized by many specificities linked first to the emergency context, where the evaluation is often insufficient, besides the fact that the elderly patient has particularities requiring reception in centers with experience in the care of this category of patient, or, failing that, a center which uses the minimum of geriatric evaluation scores which are simplified for the emergency departments. In our hospital, we have not yet made this evaluation routine in the emergency room and this delay in the introduction of these scores can be directly attributed to the covid 19 pandemic. Besides the standard preoperative assessment, only 43.2% of patients were assessed in the preoperative period by an anesthesiologist. Traumatological emergencies come first 68.2% followed by visceral emergencies 19.2% (including proctological, urological emergencies), neurosurgical emergencies 7.8% and finally peripheral emergency surgery all acts combined 4.7%. Hospital stay at 9.6 +/- 16.8 days, average operability time of 4.5 +/- 3 days. Death rate at 7.29% Conclusion This work has demonstrated the major impact of emergency surgery, which remains curable for the most part, on the elderly patient despite total motor and cognitive autonomy preoperatively. The improvement of the preoperative evaluation, the reduction of the operating time and enhanced recovery after surgery, with personalized protocols, are the only guarantee for the resumption of preoperative autonomy in these patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=emergency%20surgery" title="emergency surgery">emergency surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=elderly%20patients" title=" elderly patients"> elderly patients</a>, <a href="https://publications.waset.org/abstracts/search?q=preoperative%20geriatric%20scores" title=" preoperative geriatric scores"> preoperative geriatric scores</a>, <a href="https://publications.waset.org/abstracts/search?q=curable%20emergency%20surgical%20pathologies" title=" curable emergency surgical pathologies"> curable emergency surgical pathologies</a> </p> <a href="https://publications.waset.org/abstracts/160136/emergency-surgery-in-the-elderly-what-particularities" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/160136.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">78</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1961</span> Making a Difference in a Crisis: How the 24-Hour Surgical Ambulatory Assessment Unit Transformed Emergency Care during COVID-19</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Bindhiya%20Thomas">Bindhiya Thomas</a>, <a href="https://publications.waset.org/abstracts/search?q=Rehana%20Hafeez"> Rehana Hafeez</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: The Surgical Ambulatory Unit (SAU) also known as the Same Day Emergency Care (SDEC) is an established part of many hospitals providing same day emergency care service to surgical patients who would have otherwise required admission through the A&E. Prior to Covid, the SAU was functioning as a 12-hour service, but during the Covid crisis this service was transformed to a 24 hour functioning Surgical Ambulatory Assessment unit (SAAU). We studied the effects that this change brought about in-patient care in our hospital. Objective: The objective of the study was to assess the impact of a 24-hour Surgical Ambulatory Assessment unit on patient care during the time of Covid, in particular its role in freeing A&E capacity and delivering effective patient care. Methods: We collected two sets of data retrospectively. The first set was collected over a 6-week period when the SAU was functioning at the Princess Royal University Hospital. On March 23rd, 2020, the SAU was transformed into a 24-hour SAAU. Following this transformation, a second set of patient data was collected over a period of 6 weeks. A comparison was made between data collected from when the hospital had a 12-hour Surgical Ambulatory unit and later when it was transformed into a 24-hour facility. Its effects on the change in the number of patients breaching the four hour waiting period and the number of emergency surgical admissions. Results: The 24-hour Surgical Ambulatory Assessment unit brought significant reductions in the number of patients breaching the waiting period of 4 hours in A&E from 44% during the period of the 12-hour Surgical Ambulatory care facility to 0% from when the 24-hour Surgical Ambulatory Assessment Unit was established. A 28% reduction was also seen in the number of surgical patients' admissions from A&E. Conclusions: The 24-hour SAAU was found to have a profound positive impact on emergency care of surgical patients. Especially during the Covid crisis, it played a crucial role in providing not only effective and accessible patient care but also in reducing the A&E workload and admissions. It thus proved to be a strategic tool that helped to deal with the immense workload in emergency care during the Covid crisis and helped free much needed headspace at a time of uncertainty for the A&E to better configure their services. If sustained, the 24-hour SAAU could be relied on to augment the NHS emergency services in the future, especially in the event of another crisis. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Princess%20Royal%20University%20Hospital" title="Princess Royal University Hospital">Princess Royal University Hospital</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20ambulatory%20%20assessment%20unit" title=" surgical ambulatory assessment unit"> surgical ambulatory assessment unit</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20ambulatory%20unit" title=" surgical ambulatory unit"> surgical ambulatory unit</a>, <a href="https://publications.waset.org/abstracts/search?q=same%20day%20emergency%20care" title=" same day emergency care "> same day emergency care </a> </p> <a href="https://publications.waset.org/abstracts/130711/making-a-difference-in-a-crisis-how-the-24-hour-surgical-ambulatory-assessment-unit-transformed-emergency-care-during-covid-19" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/130711.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">164</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1960</span> Implementation of a Photo-Curable 3D Additive Manufacturing Technology with Grey Capability by Using Piezo Ink-jets</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ming-Jong%20Tsai">Ming-Jong Tsai</a>, <a href="https://publications.waset.org/abstracts/search?q=Y.%20L.%20Cheng"> Y. L. Cheng</a>, <a href="https://publications.waset.org/abstracts/search?q=Y.%20L.%20Kuo"> Y. L. Kuo</a>, <a href="https://publications.waset.org/abstracts/search?q=S.%20Y.%20Hsiao"> S. Y. Hsiao</a>, <a href="https://publications.waset.org/abstracts/search?q=J.%20W.%20Chen"> J. W. Chen</a>, <a href="https://publications.waset.org/abstracts/search?q=P.%20H.%20Liu"> P. H. Liu</a>, <a href="https://publications.waset.org/abstracts/search?q=D.%20H.%20Chen"> D. H. Chen</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The 3D printing is a combination of digital technology, material science, intelligent manufacturing and control of opto-mechatronics systems. It is called the third industrial revolution from the view of the Economist Journal. A color 3D printing machine may provide the necessary support for high value-added industrial and commercial design, architectural design, personal boutique, and 3D artist’s creation. The main goal of this paper is to develop photo-curable color 3D manufacturing technology and system implementation. The key technologies include (1) Photo-curable color 3D additive manufacturing processes development and materials research (2) Piezo type ink-jet head control and Opto-mechatronics integration technique of the photo-curable color 3D laminated manufacturing system. The proposed system is integrated with single Piezo type ink-jet head with two individual channels for two primary UV light curable color resins which can provide for future colorful 3D printing solutions. The main research results are 16 grey levels and grey resolution of 75 dpi. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=3D%20printing" title="3D printing">3D printing</a>, <a href="https://publications.waset.org/abstracts/search?q=additive%20manufacturing" title=" additive manufacturing"> additive manufacturing</a>, <a href="https://publications.waset.org/abstracts/search?q=color" title=" color"> color</a>, <a href="https://publications.waset.org/abstracts/search?q=photo-curable" title=" photo-curable"> photo-curable</a>, <a href="https://publications.waset.org/abstracts/search?q=Piezo%20type%20ink-jet" title=" Piezo type ink-jet"> Piezo type ink-jet</a>, <a href="https://publications.waset.org/abstracts/search?q=UV%20Resin" title=" UV Resin "> UV Resin </a> </p> <a href="https://publications.waset.org/abstracts/24597/implementation-of-a-photo-curable-3d-additive-manufacturing-technology-with-grey-capability-by-using-piezo-ink-jets" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/24597.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">561</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1959</span> Antiplatelets and Anticoagulants in Rural Emergency General Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jeong-Moh%20John%20Yahng">Jeong-Moh John Yahng</a>, <a href="https://publications.waset.org/abstracts/search?q=Angelika%20Na"> Angelika Na</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Increasing numbers of general surgical patients are being prescribed antiplatelet and anticoagulant medications (APAC) for various cardiovascular and cerebrovascular conditions. Surgical patients who are on APAC present a management challenge as bleeding risk needs to be balanced with thromboembolic risk. Although guidelines exist in regards to APAC management in elective surgery, there is a lack of guidelines in the emergency surgery setting. In this study we aim to characterise APAC usage in emergency general surgical patients admitted to a rural hospital. We also assess the impact of APAC usage on clinical management of these patients. Methods: Prospective study of emergency general surgical admissions at Northeast Health Wangaratta (Victoria) from 2 July to 25 Oct 2014. Questionnaire collected demographics data, admission diagnosis, APAC usage, anaesthesia techniques, operation types, transfusion requirement and morbidity / mortality data. Results: During the 4 month study, 118 patients were classified into two groups: non-APAC (n=96, 81%) and APAC (n=22, 19%). Patients in the APAC group were older compared to the non-APAC patients (mean age 72 vs 42 years old). Amongst patients younger than 60 years old, only 1% of them were on APAC. In contrast, 49% of patients older than 60 years old were on APAC (p<0.001). Patients who were admitted with a bleeding problem were more likely to be on APAC (p<0.05). 19% of emergency general surgery patients were on APAC. The majority (91%) of them were on antiplatelet medication, with two patients being on dual antiplatelet agents (aspirin + clopidogrel or ticagrelor). 15% of emergency general surgical patients requiring operations were on APAC. 11% of all laparotomies and 33% of gastroscopy for haematemesis/melaena patients were on APAC. Both of the patients operated for bleeding following surgery at another hospital were in the APAC group. In regards to impact on clinical management, 59% of APAC patients had their medications interrupted or ceased, on average by 3.5 days (range 1-13 days). 2 out of 75 operations were delayed due to APAC usage. There was no difference in the use of central venous or arterial line for increased monitoring (p=0.14) or in the use of warming blanket (Bair Hugger™) (p=0.94). Overall, transfusion rate was higher amongst APAC patients (14% vs 3%) (p 0.04). The recorded morbidity (n=2) and mortality (n=1) in this study were all in the APAC group. Discussion: Nineteen percent of emergency general surgical admissions and fifteen percent of operated patients were on APAC. The prevalence of APAC usage was higher in those aged sixty and above. General surgical patients who were admitted with a bleeding problem were more likely to be on APAC. Two patients who were operated for bleeding following surgery at another hospital were in the APAC group. Note that there was no patient in the non-APAC group who was admitted for post-operative bleeding. We observed two cases in which operation was delayed due to APAC usage. Transfusion, morbidity and mortality rate were higher in the APAC group. Conclusion: In this study, nineteen percent of emergency general surgical admissions were on APAC. The use of APAC is more prevalent in the older age group, particularly those aged sixty and above. Higher proportion of APAC compared to non-APAC patients were admitted and operated for bleeding problems. There is an urgent need for clinical guidelines regarding APAC management in emergency general surgical patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=antiplatelet" title="antiplatelet">antiplatelet</a>, <a href="https://publications.waset.org/abstracts/search?q=anticoagulants" title=" anticoagulants"> anticoagulants</a>, <a href="https://publications.waset.org/abstracts/search?q=emergency%20general%20surgery" title=" emergency general surgery"> emergency general surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=rural%20general%20surgery" title=" rural general surgery"> rural general surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=morbidity" title=" morbidity"> morbidity</a>, <a href="https://publications.waset.org/abstracts/search?q=mortality" title=" mortality"> mortality</a> </p> <a href="https://publications.waset.org/abstracts/104381/antiplatelets-and-anticoagulants-in-rural-emergency-general-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/104381.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">134</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1958</span> The Overlooked Problem Among Surgical Patients: Preoperative Anxiety at Ethiopian University Hospital</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Yohtahe%20Woldegerima%20Berhe">Yohtahe Woldegerima Berhe</a>, <a href="https://publications.waset.org/abstracts/search?q=Tadesse%20Belayneh%20Melkie"> Tadesse Belayneh Melkie</a>, <a href="https://publications.waset.org/abstracts/search?q=Girmay%20Fitiwi%20Lema"> Girmay Fitiwi Lema</a>, <a href="https://publications.waset.org/abstracts/search?q=Marye%20Getnet"> Marye Getnet</a>, <a href="https://publications.waset.org/abstracts/search?q=Wubie%20Birlie%20Chekol"> Wubie Birlie Chekol</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Anxiety was repeatedly reported as the worst aspect of the perioperative time. The objective of this study was to assess the prevalence of preoperative anxiety among adult surgical patients at the University of Gondar Comprehensive Specialized Hospital (UoGCSH), Northwest Ethiopia. Methodology: Hospital-based cross-sectional study was conducted among surgical patients at the university hospital. After obtaining ethical approval, 407 surgical patients were approached during the preoperative period. Preoperative anxiety was assessed by the State-Trait Anxiety Inventory. The association between variables was determined by using binary logistic regression analysis. The strength of association was described in adjusted odds ratio (AOR) and a p-value < 0.05 at a 95% confidence interval which was considered statistically significant. Results: A total of 400 patients were included in this study, with a 98.3% response rate. Preoperative anxiety was observed among 237 (59.3%) patients, and the median (IQR) STAI score was 50 (40 – 56.7). age ≥ 60 years (AOR: 5.7, CI: 1.6 – 20.4, P: 0.007), emergency surgery (AOR: 2.5, CI: 1.3 – 4.7, P: 0.005), preoperative pain (AOR: 2.6, CI: 1.2 – 5.4, P: 0.005), and rural residency (AOR: 1.8, CI: 1.1 – 2.9, P: 0.031) were found significantly associated with preoperative anxiety. Conclusions: The prevalence of preoperative anxiety among surgical patients was high. Older age (≥ 60 years), emergency surgery, preoperative pain, and rural residency were found to be significantly associated with preoperative anxiety. Assessment for preoperative anxiety should be a routine component of preoperative assessment of both elective and emergency surgical patients. Preoperative pain should be appropriately managed as it can help to reduce preoperative anxiety. Optimal anxiety reduction methods should be investigated and implemented in the hospital. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=preoperative%20anxiety" title="preoperative anxiety">preoperative anxiety</a>, <a href="https://publications.waset.org/abstracts/search?q=anxiety" title=" anxiety"> anxiety</a>, <a href="https://publications.waset.org/abstracts/search?q=anxiety%20of%20anesthesia%20and%20surgery" title=" anxiety of anesthesia and surgery"> anxiety of anesthesia and surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=state-trait%20anxiety%20%20inventory" title=" state-trait anxiety inventory"> state-trait anxiety inventory</a>, <a href="https://publications.waset.org/abstracts/search?q=preoperative%20care" title=" preoperative care"> preoperative care</a> </p> <a href="https://publications.waset.org/abstracts/193666/the-overlooked-problem-among-surgical-patients-preoperative-anxiety-at-ethiopian-university-hospital" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/193666.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">15</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1957</span> Arteriosclerosis and Periodontitis: Correlation Expressed in the Amount of Fibrinogen in Blood</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Nevila%20Alliu">Nevila Alliu</a>, <a href="https://publications.waset.org/abstracts/search?q=Saimir%20Heta"> Saimir Heta</a>, <a href="https://publications.waset.org/abstracts/search?q=Ilma%20Robo"> Ilma Robo</a>, <a href="https://publications.waset.org/abstracts/search?q=Vera%20Ostreni"> Vera Ostreni</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Periodontitis as an oral pathology caused by specific bacterial flora functions as a focal infection for the onset and aggravation of arteriosclerosis. These two distant pathologies, since they affect organs at a distance from each other, communicate with each other with correlation at the level of markers of inflammation in the blood. Fluctuations in the level of fibrinogen in the blood, depending on the active or passive phase of the existing periodontitis, affect the promotion of arteriosclerosis. The study is of the review type to analyze the effect of non-surgical periodontal treatment on fluctuations in the level of fibrinogen in the blood. The reduction of fibrinogen levels in the blood after non-surgical periodontal treatment of periodontitis in the patient's cavity is visible data and supported by literature sources. Also, the influence of a high amount of fibrinogen in the blood on the occurrence of arteriosclerosis is also another important data that again relies on many sources of literature. Conclusions: Thromboembolism and arteriosclerosis, as risk factors expressed in clinical data, have temporary bacteremia in the blood, which can occur significantly and often between phases of non-surgical periodontal treatment of periodontitis, treatments performed with treatment phases and protocols of predetermined treatment. Arterial thromboembolism has a significant factor, such as high levels of fibrinogen in the blood, which are significantly reduced during the period of non-surgical periodontal treatment. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=fibrinogen" title="fibrinogen">fibrinogen</a>, <a href="https://publications.waset.org/abstracts/search?q=refractory%20periodontitis" title=" refractory periodontitis"> refractory periodontitis</a>, <a href="https://publications.waset.org/abstracts/search?q=atherosclerosis" title=" atherosclerosis"> atherosclerosis</a>, <a href="https://publications.waset.org/abstracts/search?q=non-surgical" title=" non-surgical"> non-surgical</a>, <a href="https://publications.waset.org/abstracts/search?q=periodontal%20treatment" title=" periodontal treatment"> periodontal treatment</a> </p> <a href="https://publications.waset.org/abstracts/164015/arteriosclerosis-and-periodontitis-correlation-expressed-in-the-amount-of-fibrinogen-in-blood" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/164015.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">108</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1956</span> Synthesis and Properties of Photocured Surface Modified Polyaniline Hybrid Composites</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Asli%20Beyler%20%C3%87i%CC%87%C4%9Fi%CC%87l">Asli Beyler Çi̇ği̇l</a>, <a href="https://publications.waset.org/abstracts/search?q=Memet%20Vezi%CC%87r%20Kahraman"> Memet Vezi̇r Kahraman</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Organic–inorganic hybrids have become an effective source of advanced materials because they combine the advantages of both the organic moiety such as flexibility, low dielectric constant, and processability, and inorganic moiety as rigidity, strength, durability, and thermal stability. By incorporating cross-linkable side chains, the hybrid materials can be made photosensitive and UV curable, which offers many advantages including low processing temperature, low equipment cost and compatibility. In this study, uv-curable organic-inorganic hybrid material, which was contained surface modified polyaniline particles (PANI), was prepared. PANI surface photografted with hydroxy ethyl methacrylate (HEMA) to produce hydroxyl groups. Hydroxyl functionalized PANI/HEMA was acrylated using isocyanato ethyl methacrylate (IEM) in order to improve the dispersion and interfacial interaction in composites. UV-curable formulation was prepared by mixing the surface modified PANI, polyethylene glycol diacrylate (PEGDA), trimethylolpropane triacrylate (TMPTA), hydrolized 3- methacryloxypropyltrimethoxysilane (hyd. MEMO) and photoinitiator. Chemical structure of nano-hybrid material was characterized by FTIR. FTIR spectra showed that the photografting of PANI was prepared successfully. Thermal properties of the nano-hybrid material were determined by thermogravimetric analysis (TGA). The morphology of the nano-hybrid material was performed by scanning electron microscopy (SEM). <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=polyaniline" title="polyaniline">polyaniline</a>, <a href="https://publications.waset.org/abstracts/search?q=photograft" title=" photograft"> photograft</a>, <a href="https://publications.waset.org/abstracts/search?q=sol-gel" title=" sol-gel"> sol-gel</a>, <a href="https://publications.waset.org/abstracts/search?q=uv-curable%20polymer" title=" uv-curable polymer"> uv-curable polymer</a> </p> <a href="https://publications.waset.org/abstracts/44891/synthesis-and-properties-of-photocured-surface-modified-polyaniline-hybrid-composites" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/44891.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">302</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1955</span> Controlling Fear: Jordanian Women’s Perceptions of the Diagnosis and Surgical Treatment of Early Stage Breast Cancer</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Rana%20F.%20Obeidat">Rana F. Obeidat</a>, <a href="https://publications.waset.org/abstracts/search?q=Suzanne%20S.%20Dickerson"> Suzanne S. Dickerson</a>, <a href="https://publications.waset.org/abstracts/search?q=Gregory%20G.%20Homish"> Gregory G. Homish</a>, <a href="https://publications.waset.org/abstracts/search?q=Nesreen%20M.%20Alqaissi"> Nesreen M. Alqaissi</a>, <a href="https://publications.waset.org/abstracts/search?q=Robin%20M.%20Lally"> Robin M. Lally</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Despite the fact that breast cancer is the most prevalent cancer among Jordanian women, practically nothing is known about their perceptions of early stage breast cancer and surgical treatment. Objective: To gain understanding of the diagnosis and surgical treatment experience of Jordanian women diagnosed with early stage breast cancer. Methods: An interpretive phenomenological approach was used for this study. A purposive sample of 28 Jordanian women who were surgically treated for early stage breast cancer within 6 months of the interview was recruited. Data were collected using individual interviews and analyzed using Heideggerian hermeneutical methodology. Results: Fear had a profound effect on Jordanian women’s stories of diagnosis and surgical treatment of early stage breast cancer. Women’s experience with breast cancer and its treatment was shaped by their pre-existing fear of breast cancer, the disparity in the quality of care at various health care institutions, and sociodemographic factors (e.g., education, age). Conclusions: Early after the diagnosis, fear was very strong and women lost perspective of the fact that this disease was treatable and potentially curable. To control their fears, women unconditionally trusted God, the health care system, surgeons, family, friends, and/or neighbors, and often accepted treatment offered by their surgeons without questioning. Implications for practice: Jordanian healthcare providers have a responsibility to listen to their patients, explore meanings they ascribe to their illness, and provide women with proper education and support necessary to help them cope with their illness. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=breast%20cancer" title="breast cancer">breast cancer</a>, <a href="https://publications.waset.org/abstracts/search?q=early%20stage" title=" early stage"> early stage</a>, <a href="https://publications.waset.org/abstracts/search?q=Jordanian" title=" Jordanian"> Jordanian</a>, <a href="https://publications.waset.org/abstracts/search?q=experience" title=" experience"> experience</a>, <a href="https://publications.waset.org/abstracts/search?q=phenomenology" title=" phenomenology"> phenomenology</a> </p> <a href="https://publications.waset.org/abstracts/7298/controlling-fear-jordanian-womens-perceptions-of-the-diagnosis-and-surgical-treatment-of-early-stage-breast-cancer" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/7298.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">325</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1954</span> Battling against the Great Disruption to Surgical Care in a Pandemic: Experience of Eleven South and Southeast Asian Countries</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Naomi%20Huang%20Wenya">Naomi Huang Wenya</a>, <a href="https://publications.waset.org/abstracts/search?q=Xin%20Xiaohui"> Xin Xiaohui</a>, <a href="https://publications.waset.org/abstracts/search?q=Vijaya%20Rao"> Vijaya Rao</a>, <a href="https://publications.waset.org/abstracts/search?q=Wong%20Ting%20Hway"> Wong Ting Hway</a>, <a href="https://publications.waset.org/abstracts/search?q=Chow%20Kah%20Hoe%20Pierce"> Chow Kah Hoe Pierce</a>, <a href="https://publications.waset.org/abstracts/search?q=Tan%20Hiang%20Khoon"> Tan Hiang Khoon</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: The majority of the cancelled elective surgeries caused by the COVID-19 pandemic globally were estimated to occur in low- and middle-income countries (LMICs), where surgical services had long been in short supply even before the pandemic. Therefore, minimising disruption to existing surgical care in LMICs is of crucial importance during a pandemic. This study aimed to explore contributory factors to the continuity of surgical care in LMICs, in the face of a pandemic. Methods: Semi-structured interviews were conducted over zoom, with surgical leaders of 25 tertiary hospitals from 11 LMICs in South and Southeast Asia, from September to October 2020. Key themes were subsequently identified from the interview transcripts, using Braun and Clarke's method of thematic analysis. Results: The COVID-19 pandemic affected all surgical services of participating institutions but to varying degrees. Overall, elective surgeries suffered the gravest disruption, followed by outpatient surgical care, and finally, emergency surgeries. Keeping healthcare workers safe and striving for continuity of essential surgical care emerged as notable response strategies observed across all participating institutions. Conclusion: This study suggested that four factors are important for the resilience of surgical care against COVID-19: adequate COVID-19 testing capacity and effective institutional infection control measures, designated COVID-19 treatment facilities, a whole-system approach to balancing pandemic response and meeting essential surgical needs, and active community engagement. These findings can inform healthcare institutions in other countries, especially LMICs, in their effort to tread a fine line between preserving healthcare capacity for pandemic response and protecting surgical services against pandemic disruption. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=COVID-19" title="COVID-19">COVID-19</a>, <a href="https://publications.waset.org/abstracts/search?q=pandemic" title=" pandemic"> pandemic</a>, <a href="https://publications.waset.org/abstracts/search?q=LMICs" title=" LMICs"> LMICs</a>, <a href="https://publications.waset.org/abstracts/search?q=continuity%20of%20surgical%20service" title=" continuity of surgical service"> continuity of surgical service</a> </p> <a href="https://publications.waset.org/abstracts/150919/battling-against-the-great-disruption-to-surgical-care-in-a-pandemic-experience-of-eleven-south-and-southeast-asian-countries" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/150919.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">84</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1953</span> Potential Role of IL-1β in Synovial Fluid in Modulating Multiple Joint Tissue Pathologies Leading to Inflammation and Accelerating Cartilage Degeneration</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Priya%20Kulkarni">Priya Kulkarni</a>, <a href="https://publications.waset.org/abstracts/search?q=Soumya%20Koppikar"> Soumya Koppikar</a>, <a href="https://publications.waset.org/abstracts/search?q=Datta%20Shinde"> Datta Shinde</a>, <a href="https://publications.waset.org/abstracts/search?q=Shantanu%20Deshpande"> Shantanu Deshpande</a>, <a href="https://publications.waset.org/abstracts/search?q=Narendrakumar%20Wagh"> Narendrakumar Wagh</a>, <a href="https://publications.waset.org/abstracts/search?q=Abhay%20Harsulkar"> Abhay Harsulkar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Osteoarthritis (OA) is associated with multiple and overlapping aetiologies. IL-1β is produced by stressed tissue and known to aggravate disease pathologies. We selected 10 patients with elevated IL-1β in their synovial fluids (SF). We hypothesized IL-1β as nodal-point connecting different pathologies. IL-1β was higher in all meniscal tear (MT) patients perhaps as the earliest response to injury. Since MT above age of 30 leads to OA in less than 5 years, it is attributed that IL-1β modulates OA pathology. Among all bilateral OA patients, an interesting case operated for Total-Knee-Replacement revealed differential cartilage degeneration demonstrating strong association with higher IL-1β. Symptoms like acute-pain, effusion and redness were correlated with higher IL-1β and NO (Nitric-oxide). However, higher IL-1β was also found without typical-inflammation characterized by infiltration of neutrophils and macrophages. Cultured synoviocytes responded to IL-1β by releasing NO. In conclusion, IL-1β in SF acquires central position influencing different OA pathologies and aetiologies. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=IL-1%CE%B2" title="IL-1β">IL-1β</a>, <a href="https://publications.waset.org/abstracts/search?q=meniscal%20tear" title=" meniscal tear"> meniscal tear</a>, <a href="https://publications.waset.org/abstracts/search?q=osteoarthritis" title=" osteoarthritis"> osteoarthritis</a>, <a href="https://publications.waset.org/abstracts/search?q=synovial%20fluid" title=" synovial fluid"> synovial fluid</a> </p> <a href="https://publications.waset.org/abstracts/6228/potential-role-of-il-1v-in-synovial-fluid-in-modulating-multiple-joint-tissue-pathologies-leading-to-inflammation-and-accelerating-cartilage-degeneration" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/6228.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">596</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1952</span> Investigation into Black Oxide Coating of 410 Grade Surgical Stainless Steel Using Alkaline Bath Treatment</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=K.%20K.%20Saju">K. K. Saju</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20R.%20Reghuraj"> A. R. Reghuraj</a> </p> <p class="card-text"><strong>Abstract:</strong></p> High reflectance of surgical instruments under bright light hinders the visual clarity during laparoscopic surgical procedures leading to loss of precision and device control and creates strain and undesired difficulties to surgeons. Majority of the surgical instruments are made of surgical grade steel. Instruments with a non reflective surface can enhance the visual clarity during precision surgeries. A conversion coating of black oxide has been successfully developed 410 grade surgical stainless steel .The characteristics of the developed coating suggests the application of this technique for developing 410 grade surgical instruments with minimal reflectance. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=conversion%20coatings" title="conversion coatings">conversion coatings</a>, <a href="https://publications.waset.org/abstracts/search?q=410%20stainless%20steel" title=" 410 stainless steel"> 410 stainless steel</a>, <a href="https://publications.waset.org/abstracts/search?q=black%20oxide" title=" black oxide"> black oxide</a>, <a href="https://publications.waset.org/abstracts/search?q=reflectance" title=" reflectance"> reflectance</a> </p> <a href="https://publications.waset.org/abstracts/41581/investigation-into-black-oxide-coating-of-410-grade-surgical-stainless-steel-using-alkaline-bath-treatment" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/41581.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">455</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1951</span> The Effect of Applying Surgical Safety Checklist on Surgical Team’s Knowledge and Performance in Operating Room</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Soheir%20Weheida">Soheir Weheida</a>, <a href="https://publications.waset.org/abstracts/search?q=Amal%20E.%20Shehata"> Amal E. Shehata</a>, <a href="https://publications.waset.org/abstracts/search?q=Samira%20E.%20Aboalizm"> Samira E. Aboalizm</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The aim of this study was to examine the effect of surgical safety checklist on surgical team’s knowledge and performance in operating room. Subjects: A convenience sample 151 (48 head nurse, 45 nurse, 37 surgeon and 21 anesthesiologist) which available in operating room at two different hospitals was included in the study. Setting: The study was carried out at operating room in Menoufia University and Shebin Elkom Teaching Hospitals, Egypt. Tools: I: Surgical safety: Surgical team knowledge assessment structure interview schedule. II: WHO surgical safety observational Checklist. III: Post Surgery Culture Survey scale. Results: There was statistical significant improvement of knowledge mean score and performance about surgical safety especially in post and follow up than pre intervention, before patients entering the operating, before induction of anesthesia, skin incision and post skin closure and before patient leaves operating room, P values (P < 0.001). Improvement of communication post intervention than pre intervention between surgical team’s (4.74 ± 0.540). About two thirds (73.5 %) of studied sample strongly agreed on surgical safety in operating room. Conclusions: Implementation of surgical safety checklist has a positive effect on improving knowledge, performance and communication between surgical teams and these seems to have a positive effect on improve patient safety in the operating room. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=knowledge" title="knowledge">knowledge</a>, <a href="https://publications.waset.org/abstracts/search?q=operating%20room" title=" operating room"> operating room</a>, <a href="https://publications.waset.org/abstracts/search?q=performance" title=" performance"> performance</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20safety%20checklist" title=" surgical safety checklist "> surgical safety checklist </a> </p> <a href="https://publications.waset.org/abstracts/25275/the-effect-of-applying-surgical-safety-checklist-on-surgical-teams-knowledge-and-performance-in-operating-room" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/25275.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">334</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1950</span> Adherence of Trauma and Orthopaedics Surgery Operative Notes to the RCS Good Surgical Practice Guidelines in Ashford and St. Peter's Hospital</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Maryam%20Risla%20Shahul%20Hameed">Maryam Risla Shahul Hameed</a>, <a href="https://publications.waset.org/abstracts/search?q=Tharsiga%20Yogarajah"> Tharsiga Yogarajah</a>, <a href="https://publications.waset.org/abstracts/search?q=Fritzy%20Mathew"> Fritzy Mathew</a>, <a href="https://publications.waset.org/abstracts/search?q=Tayyaba%20Syed"> Tayyaba Syed</a>, <a href="https://publications.waset.org/abstracts/search?q=Shalin%20Shaunak"> Shalin Shaunak</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Aim: Auditing the adherence of Trauma and Orthopaedics Operative notes to the RCS Good Surgical Practice Guidelines. Method: Clinical audit conducted on 150 operative notes over a period of 2 months April- May 2023, including emergency and elective surgeries performed in Ashford and St. Peter’s Hospital. The RCS Good Practice Surgical Guidelines for an ideal operative note were used to compare.Results: Date of the procedure and signature of the surgeon were mentioned in all the notes by default in the electronic template being used. Title of the operation performed and whether elective or emergency were mentioned by 92% and 45%, respectively. Name of theatre anaesthetist and operating surgeons were mentioned by 73% and 93% respectively. Time of surgery mentioned by 26%. Operative findings and operative diagnosis mentioned by 83% and 53% respectively. Incision and complications of surgery mentioned in 80% and 53%, respectively. Details of tissue added/ altered/ removed mentioned by 46%. Information on prosthesis or implant used is mentioned by 54%. Details of closure and anticipated blood loss mentioned in 91% and 45% respectively. Antibiotic prophylaxis was mentioned by 63%, out of which only 23% mentioned the name and duration of the antibiotic. VTE prophylaxis was mentioned by 84%, out of which only 23% and 29% mentioned the name and duration of the prophylaxis, respectively. Conclusion: There is more for improvement in the operative notes for better continuity of care between the operating surgeons and other doctors in the wards taking care of the patients post operatively. We recommend to follow a standardized guidelines by all the nationwide and a standard template to be followed by all. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=surgery" title="surgery">surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=notes" title=" notes"> notes</a>, <a href="https://publications.waset.org/abstracts/search?q=RCS" title=" RCS"> RCS</a>, <a href="https://publications.waset.org/abstracts/search?q=guidelines" title=" guidelines"> guidelines</a> </p> <a href="https://publications.waset.org/abstracts/170297/adherence-of-trauma-and-orthopaedics-surgery-operative-notes-to-the-rcs-good-surgical-practice-guidelines-in-ashford-and-st-peters-hospital" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/170297.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">165</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1949</span> Assessing the Impact of Frailty in Elderly Patients Undergoing Emergency Laparotomies in Singapore</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Zhao%20Jiashen">Zhao Jiashen</a>, <a href="https://publications.waset.org/abstracts/search?q=Serene%20Goh"> Serene Goh</a>, <a href="https://publications.waset.org/abstracts/search?q=Jerry%20Goo"> Jerry Goo</a>, <a href="https://publications.waset.org/abstracts/search?q=Anthony%20Li"> Anthony Li</a>, <a href="https://publications.waset.org/abstracts/search?q=Lim%20Woan%20Wui"> Lim Woan Wui</a>, <a href="https://publications.waset.org/abstracts/search?q=Paul%20Drakeford"> Paul Drakeford</a>, <a href="https://publications.waset.org/abstracts/search?q=Chen%20Qing%20Yan"> Chen Qing Yan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Emergency laparotomy (EL) is one of the most common surgeries done in Singapore to treat acute abdominal pathologies. A significant proportion of these surgeries are performed in the geriatric population (65 years and older), who tend to have the highest postoperative morbidity, mortality, and highest utilization of intensive care resources. Frailty, the state of vulnerability to adverse outcomes from an accumulation of physiological deficits, has been shown to be associated with poorer outcomes after surgery and remains a strong driver of healthcare utilization and costs. To date, there is little understanding of the impact it has on emergency laparotomy outcomes. The objective of this study is to examine the impact of frailty on postoperative morbidity, mortality, and length of stay after EL. Methods: A retrospective study was conducted in two tertiary centres in Singapore, Tan Tock Seng Hospital and Khoo Teck Puat Hospital the period from January to December 2019. Patients aged 65 years and above who underwent emergency laparotomy for intestinal obstruction, perforated viscus, bowel ischaemia, adhesiolysis, gastrointestinal bleed, or another suspected acute abdomen were included. Laparotomies performed for trauma, cholecystectomy, appendectomy, vascular surgery, and non-GI surgery were excluded. The Clinical Frailty Score (CFS) developed by the Canadian Study of Health and Aging (CSHA) was used. A score of 1 to 4 was defined as non-frail and 5 to 7 as frail. We compared the clinical outcomes of elderly patients in the frail and non-frail groups. Results: There were 233 elderly patients who underwent EL during the study period. Up to 26.2% of patients were frail. Patients who were frail (CFS 5-9) tend to be older, 79 ± 7 vs 79 ± 5 years of age, p <0.01. Gender distribution was equal in both groups. Indication for emergency laparotomies, time from diagnosis to surgery, and presence of consultant surgeons and anaesthetists in the operating theatre were comparable (p>0.05). Patients in the frail group were more likely to receive postoperative geriatric assessment than in the non-frail group, 49.2% vs. 27.9% (p<0.01). The postoperative complications were comparable (p>0.05). The length of stay in the critical care unit was longer for the frail patients, 2 (IQR 1-6.5) versus 1 (IQR 0-4) days, p<0.01. Frailty was found to be an independent predictor of 90-day mortality but not age, OR 2.9 (1.1-7.4), p=0.03. Conclusion: Up to one-fourth of the elderly who underwent EL were frail. Patients who were frail were associated with a longer length of stay in the critical care unit and a 90-day mortality rate of more than three times that of their non-frail counterparts. PPOSSUM was a better predictor of 90-day mortality in the non-frail group than in the frail group. As frailty scoring was a significant predictor of 90-day mortality, its integration into acute surgical units to facilitate shared decision-making and discharge planning should be considered. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=frailty%20elderly" title="frailty elderly">frailty elderly</a>, <a href="https://publications.waset.org/abstracts/search?q=emergency" title=" emergency"> emergency</a>, <a href="https://publications.waset.org/abstracts/search?q=laparotomy" title=" laparotomy"> laparotomy</a> </p> <a href="https://publications.waset.org/abstracts/150591/assessing-the-impact-of-frailty-in-elderly-patients-undergoing-emergency-laparotomies-in-singapore" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/150591.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">145</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1948</span> Delays for Emergency Cesarean Sections and Neonatal Outcomes in Three Rural District Hospitals in Rwanda: A Retrospective Cross-Sectional Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=J.%20Niyitegeka">J. Niyitegeka</a>, <a href="https://publications.waset.org/abstracts/search?q=G.%20Nshimirimana"> G. Nshimirimana</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Silverstein"> A. Silverstein</a>, <a href="https://publications.waset.org/abstracts/search?q=J.%20Odhiambo"> J. Odhiambo</a>, <a href="https://publications.waset.org/abstracts/search?q=Y.%20Lin"> Y. Lin</a>, <a href="https://publications.waset.org/abstracts/search?q=T.%20Nkurunziza"> T. Nkurunziza</a>, <a href="https://publications.waset.org/abstracts/search?q=R.%20Riviello"> R. Riviello</a>, <a href="https://publications.waset.org/abstracts/search?q=S.%20Rulisa"> S. Rulisa</a>, <a href="https://publications.waset.org/abstracts/search?q=P.%20Banguti"> P. Banguti</a>, <a href="https://publications.waset.org/abstracts/search?q=H.%20Magge"> H. Magge</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20Macharia"> M. Macharia</a>, <a href="https://publications.waset.org/abstracts/search?q=J.%20P.%20Dushime"> J. P. Dushime</a>, <a href="https://publications.waset.org/abstracts/search?q=R.%20Habimana"> R. Habimana</a>, <a href="https://publications.waset.org/abstracts/search?q=B.%20Hedt-Gauthier"> B. Hedt-Gauthier</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In low-resource settings, women needing an emergency cesarean section experiences various delays in both reaching and receiving care that is often linked to poor neonatal outcomes. In this study, we quantified different measures of delays and assessed the association between these delays and neonatal outcomes at three rural district hospitals in Rwanda. This retrospective study included 441 neonates and their mothers who underwent emergency cesarean sections in 2015 at Butaro, Kirehe and Rwinkwavu District Hospitals. Four possible delays were measured: Time from start of labor to district hospital admission, travel time from a health center to the district hospital, time from admission to surgical incision, and time from the decision for the emergency cesarean section to surgical incision. Neonatal outcomes were categorized as unfavorable (APGAR < 7 or death) and favorable (APGAR ≥ 7). We assessed the relationship between each type of delay and neonatal outcomes using multivariate logistic regression. In our study, 38.7% (108 out of 279) of neonates’ mothers labored for 12 to 24 hours before hospital admission and 44.7% (159 of 356) of mothers were transferred from health centers that required 30 to 60 minutes of travel time to reach the district hospital. 48.1% (178 of 370) of caesarean sections started within five hours after admission and 85.2% (288 of 338) started more than thirty minutes after the decision for the emergency cesarean section was made. Neonatal outcomes were significantly worse among mothers with more than 90 minutes of travel time from the health center to the district hospital compared to health centers attached to the hospital (OR = 5.12, p = 0.02). Neonatal outcomes were also significantly different depending on decision to incision intervals; neonates with cesarean deliveries starting more than thirty minutes after decision had better outcomes than those started immediately (OR = 0.32, p = 0.04). Interventions that decrease barriers to access to maternal health care services can improve neonatal outcome after emergency cesarean section. Triaging could explain the inverse relationship between time from decision to incision and neonatal outcome; this must be studied more in the future. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Africa" title="Africa">Africa</a>, <a href="https://publications.waset.org/abstracts/search?q=emergency%20obstetric%20care" title=" emergency obstetric care"> emergency obstetric care</a>, <a href="https://publications.waset.org/abstracts/search?q=rural%20health%20delivery" title=" rural health delivery"> rural health delivery</a>, <a href="https://publications.waset.org/abstracts/search?q=maternal%20and%20child%20health" title=" maternal and child health"> maternal and child health</a> </p> <a href="https://publications.waset.org/abstracts/62217/delays-for-emergency-cesarean-sections-and-neonatal-outcomes-in-three-rural-district-hospitals-in-rwanda-a-retrospective-cross-sectional-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/62217.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">224</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1947</span> Design Patterns for Emergency Management Processes</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Tom%C3%A1%C5%A1%20Lud%C3%ADk">Tomáš Ludík</a>, <a href="https://publications.waset.org/abstracts/search?q=Ji%C5%99%C3%AD%20Barta"> Jiří Barta</a>, <a href="https://publications.waset.org/abstracts/search?q=Josef%20Navr%C3%A1til"> Josef Navrátil</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Natural or human made disasters have a significant negative impact on the environment. At the same time there is an extensive effort to support management and decision making in emergency situations by information technologies. Therefore the purpose of the paper is to propose a design patterns applicable in emergency management, enabling better analysis and design of emergency management processes and therefore easier development and deployment of information systems in the field of emergency management. It will be achieved by detailed analysis of existing emergency management legislation, contingency plans, and information systems. The result is a set of design patterns focused at emergency management processes that enable easier design of emergency plans or development of new information system. These results will have a major impact on the development of new information systems as well as to more effective and faster solving of emergencies. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=analysis%20and%20design" title="analysis and design">analysis and design</a>, <a href="https://publications.waset.org/abstracts/search?q=Business%20Process%20Modelling%20Notation" title=" Business Process Modelling Notation"> Business Process Modelling Notation</a>, <a href="https://publications.waset.org/abstracts/search?q=contingency%20plans" title=" contingency plans"> contingency plans</a>, <a href="https://publications.waset.org/abstracts/search?q=design%20patterns" title=" design patterns"> design patterns</a>, <a href="https://publications.waset.org/abstracts/search?q=emergency%20management" title=" emergency management"> emergency management</a> </p> <a href="https://publications.waset.org/abstracts/2165/design-patterns-for-emergency-management-processes" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/2165.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">484</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1946</span> Dental Pathologies and Agriculture: Literature Review</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ricardo%20Andr%C3%A9s%20M%C3%A1rquez%20Ortiz">Ricardo Andrés Márquez Ortiz</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective: The objective of this literature review is to compile updated information from studies that have addressed the association between dental pathologies and agriculture. Materials and method: The research carried out corresponds to a documentary study of ex post facto retrospective, historiographic, and bibliometric design. An exhaustive bibliographic review search was carried out in databases and the Internet, books and articles on dental anthropology, archeology, and dentistry, on the relationship between dental pathologies and agriculture in prehistoric and current populations from different parts of the world. Subsequently, data collection was carried out through the ATLAS.ti computer program. Conclusions: In an influential article by Turner, which addresses the correlation between caries and the way of subsistence of both prehistoric and modern populations (hunting and gathering, mixed and agricultural economies), an average of 1.3% was found in hunter-gatherer societies, and 10.4% in agricultural societies. Sreebny compared global grain supply data (rice, wheat and corn) with DMF (spoiled, lost and blocked) rates. He concluded that rice has no association with dental caries, corn has a negative correlation, and wheat has a positive correlation. Additionally, intensive monoculture agricultural production systems cause an increase in dental pathologies. Meanwhile, polyculture agriculture, which leads to a more varied diet, generates a better state of dental health. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=dental%20pathologies" title="dental pathologies">dental pathologies</a>, <a href="https://publications.waset.org/abstracts/search?q=agricultural%20production%20systems" title=" agricultural production systems"> agricultural production systems</a>, <a href="https://publications.waset.org/abstracts/search?q=extensive%20agriculture" title=" extensive agriculture"> extensive agriculture</a>, <a href="https://publications.waset.org/abstracts/search?q=dental%20anthropology" title=" dental anthropology"> dental anthropology</a> </p> <a href="https://publications.waset.org/abstracts/185767/dental-pathologies-and-agriculture-literature-review" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/185767.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">44</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1945</span> “Friction Surfaces” of Airport Emergency Plan</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jakub%20Kraus">Jakub Kraus</a>, <a href="https://publications.waset.org/abstracts/search?q=Vladim%C3%ADr%20Plos"> Vladimír Plos</a>, <a href="https://publications.waset.org/abstracts/search?q=Peter%20Vittek"> Peter Vittek</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This article focuses on the issue of airport emergency plans, which are documents describing reactions to events with impact on aviation safety or aviation security. The article specifically focuses on the use and creation of emergency plans, where could be found a number of disagreements between different stakeholders, for which the airport emergency plan applies. Those are the friction surfaces of interfaces, which is necessary to identify and ensure them smooth process to avoid dangerous situations or delay. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=airport%20emergency%20plan" title="airport emergency plan">airport emergency plan</a>, <a href="https://publications.waset.org/abstracts/search?q=aviation%20safety" title=" aviation safety"> aviation safety</a>, <a href="https://publications.waset.org/abstracts/search?q=aviation%20security" title=" aviation security"> aviation security</a>, <a href="https://publications.waset.org/abstracts/search?q=comprehensive%20management%20system" title=" comprehensive management system"> comprehensive management system</a>, <a href="https://publications.waset.org/abstracts/search?q=friction%20surfaces%20of%20airport%20emergency%20plan" title=" friction surfaces of airport emergency plan"> friction surfaces of airport emergency plan</a>, <a href="https://publications.waset.org/abstracts/search?q=interfaces%20of%20processes" title=" interfaces of processes"> interfaces of processes</a> </p> <a href="https://publications.waset.org/abstracts/29708/friction-surfaces-of-airport-emergency-plan" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/29708.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">519</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1944</span> Functional Outcome and Quality of Life of Conservative versus Surgical Management of Adult Potts Disease: A Prospective Cohort Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mark%20Angelo%20Maranon">Mark Angelo Maranon</a>, <a href="https://publications.waset.org/abstracts/search?q=David%20Endriga"> David Endriga</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective: The aim of the study is to determine the differences in functional outcome and quality of life of adult patients with Potts disease who have undergone surgical versus non-surgical management. Methods: In this prospective cohort study, 45 patients were followed up for 1 year after undergoing pharmacologic treatment alone versus a combination of anti-Kochs and surgery for Potts disease. Oswestry Disability Index (ODI) and Short Form-36 (SF-36) were obtained on initiation of treatment, after three months, six months and one year. Results: ASIA scores from the onset of treatment and after 1 year significantly improved (p<0.001) for both non-surgical and surgical patients. ODI scores significantly improved after 6 months of treatment for both surgical and non-surgical patients. Both surgical and non-surgical patients showed significant improvement in their SF-36 scores, but scores were noted to be higher in patients who underwent surgery. Conclusions: Significant improvement with regards to functional outcome and quality of life was noted from both surgical and non-surgical patients after 1 year of treatment, with earlier improvements and better final scores in SF 36 and ODI in patients who underwent surgery. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=tuberculosis" title="tuberculosis">tuberculosis</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal" title=" spinal"> spinal</a>, <a href="https://publications.waset.org/abstracts/search?q=potts%20disease" title=" potts disease"> potts disease</a>, <a href="https://publications.waset.org/abstracts/search?q=functional%20outcome" title=" functional outcome"> functional outcome</a> </p> <a href="https://publications.waset.org/abstracts/142541/functional-outcome-and-quality-of-life-of-conservative-versus-surgical-management-of-adult-potts-disease-a-prospective-cohort-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/142541.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">148</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1943</span> Emergency Multidisciplinary Continuing Care Case Management</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mekroud%20Amel">Mekroud Amel</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Emergency departments are known for the workload, the variety of pathologies and the difficulties in their management with the continuous influx of patients The role of our service in the management of patients with two or three mild to moderate organ failures, involving several disciplines at the same time, as well as the effect of this management on the skills and efficiency of our team has been demonstrated Borderline cases between two or three or even more disciplines, with instability of a vital function, which have been successfully managed in the emergency room, the therapeutic procedures adopted, the consequences on the quality and level of care delivered by our team, as well as that the logistical consequences, and the pedagogical consequences are demonstrated. The consequences found are Positive on the emergency teams, in rare situations are negative Regarding clinical situations, it is the entanglement of hemodynamic distress with right, left or global participation, tamponade, low flow with acute pulmonary edema, and/or state of shock With respiratory distress with more or less profound hypoxemia, with haematosis disorder related to a bacterial or viral lung infection, pleurisy, pneumothorax, bronchoconstrictive crisis. With neurological disorders such as recent stroke, comatose state, or others With metabolic disorders such as hyperkalaemia renal insufficiency severe ionic disorders with accidents with anti vitamin K With or without septate effusion of one or more serous membranes with or without tamponade It’s a Retrospective, monocentric, descriptive study Period 05.01.2022 to 10.31.2022 the purpose of our work: Search for a statistically significant link between the type of moderate to severe pathology managed in the emergency room whose problems are multivisceral on the efficiency of the healthcare team and its level of care and optional care offered for patients Statistical Test used: Chi2 test to prove the significant link between the resolution of serious multidisciplinary cases in the emergency room and the effectiveness of the team in the management of complicated cases Search for a statistically significant link : The management of the most difficult clinical cases for organ specialties has given general practitioner emergency teams a great perspective and has been able to improve their efficiency in the face of emergencies received <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=emergency%20care%20teams" title="emergency care teams">emergency care teams</a>, <a href="https://publications.waset.org/abstracts/search?q=management%20of%20patients%20with%20dysfunction%20of%20more%20than%20one%20organ" title=" management of patients with dysfunction of more than one organ"> management of patients with dysfunction of more than one organ</a>, <a href="https://publications.waset.org/abstracts/search?q=learning%20curve" title=" learning curve"> learning curve</a>, <a href="https://publications.waset.org/abstracts/search?q=quality%20of%20care" title=" quality of care"> quality of care</a> </p> <a href="https://publications.waset.org/abstracts/160145/emergency-multidisciplinary-continuing-care-case-management" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/160145.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">80</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1942</span> Dental Pathologies and Diet in Pre-hispanic Populations of the Equatorial Pacific Coast: Literature Review</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ricardo%20Andr%C3%A9s%20M%C3%A1rquez%20Ortiz">Ricardo Andrés Márquez Ortiz</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective. The objective of this literature review is to compile updated information from studies that have addressed the association between dental pathologies and diet in prehistoric populations of the equatorial Pacific coast. Materials and method. The research carried out corresponds to a documentary study of ex post facto retrospective, historiographic and bibliometric design. A bibliographic review search was carried out in the libraries of the Colombian Institute of Anthropology and History (ICANH) and the National University of Colombia for books and articles on the archeology of the region. In addition, a search was carried out in databases and the Internet for books and articles on dental anthropology, archeology and dentistry on the relationship between dental pathologies and diet in prehistoric and current populations from different parts of the world. Conclusions. The complex societies (500 BC - 300 AD) of the equatorial Pacific coast used an agricultural system of intensive monoculture of corn (Zea mays). This form of subsistence was reflected in an intensification of dental pathologies such as dental caries, dental abscesses generated by cavities, and enamel hypoplasia associated with a lower frequency of wear. The Upper Formative period (800 A.D. -16th century A.D.) is characterized by the development of polyculture, slash-and-burn agriculture, as an adaptive agricultural strategy to the ecological damage generated by the intensive economic activity of complex societies. This process leads to a more varied diet, which generates better dental health. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=dental%20pathologies" title="dental pathologies">dental pathologies</a>, <a href="https://publications.waset.org/abstracts/search?q=nutritional%20diet" title=" nutritional diet"> nutritional diet</a>, <a href="https://publications.waset.org/abstracts/search?q=equatorial%20pacific%20coast" title=" equatorial pacific coast"> equatorial pacific coast</a>, <a href="https://publications.waset.org/abstracts/search?q=dental%20anthropology" title=" dental anthropology"> dental anthropology</a> </p> <a href="https://publications.waset.org/abstracts/185531/dental-pathologies-and-diet-in-pre-hispanic-populations-of-the-equatorial-pacific-coast-literature-review" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/185531.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">46</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1941</span> Heeled Shoes and The Sexes: Differences in Gait Implications</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jonathan%20de%20Rothewelle">Jonathan de Rothewelle</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Heeled shoes are notoriously bad for physical health. The vast majority of Americans have suffered lower extremity pain at some point in their lives; women have been in pain for centuries. More recently, however, with an increase in number due to cultural shifts in acceptability, more men wear heeled shoes. Men who wear heels (MWWH) also suffer lower limb pain. In my hypothesis, their pathologies should be treated as unique due to males’ difference in body mass, center of gravity, posture, gait, and foot anatomy when compared with their female counterparts. These differences alone warrant a closer examination of the pathologies associated with the wearing of heeled shoes among male populations. This research performs a broad literature review on the differences between male and female anatomy and discusses implications on heel wearing. This research discusses the need for further inquiry and makes recommendations for future study. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=heeled%20shoes" title="heeled shoes">heeled shoes</a>, <a href="https://publications.waset.org/abstracts/search?q=gait" title=" gait"> gait</a>, <a href="https://publications.waset.org/abstracts/search?q=pathologies" title=" pathologies"> pathologies</a>, <a href="https://publications.waset.org/abstracts/search?q=biological%20sex" title=" biological sex"> biological sex</a> </p> <a href="https://publications.waset.org/abstracts/161477/heeled-shoes-and-the-sexes-differences-in-gait-implications" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/161477.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">119</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1940</span> Improving the Emergency Medicine Teaching from the Perspective of Faculty Training</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Qin-Min%20Ge">Qin-Min Ge</a>, <a href="https://publications.waset.org/abstracts/search?q=Shu-Ming%20Pan"> Shu-Ming Pan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Emergency clinicians usually get teaching qualification after graduating from medical universities without special faculty training in China mainland. Emergency departments are overcrowded places, with large numbers of patients suffering undifferentiated illness. In the field of emergency medicine (EM), improving the faculty competencies and developing the teaching skills are important for medical education, they could enhance learners outcomes and hence affect the patients prognosis indirectly. This article highlights the necessities of faculty training in EM, illustrates the qualities a good clinical educator should qualify, advances the skills as educators in an academic setting and discusses the ways to be good clinical teachers. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=emergency%20education" title="emergency education">emergency education</a>, <a href="https://publications.waset.org/abstracts/search?q=competence" title=" competence"> competence</a>, <a href="https://publications.waset.org/abstracts/search?q=faculty%20training" title=" faculty training"> faculty training</a>, <a href="https://publications.waset.org/abstracts/search?q=teaching" title=" teaching"> teaching</a>, <a href="https://publications.waset.org/abstracts/search?q=emergency%20medicine" title=" emergency medicine"> emergency medicine</a> </p> <a href="https://publications.waset.org/abstracts/10119/improving-the-emergency-medicine-teaching-from-the-perspective-of-faculty-training" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/10119.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">596</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1939</span> A Systematic Review of Patient-Reported Outcomes and Return to Work after Surgical vs. Non-surgical Midshaft Humerus Fracture</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jamal%20Alasiri">Jamal Alasiri</a>, <a href="https://publications.waset.org/abstracts/search?q=Naif%20Hakeem"> Naif Hakeem</a>, <a href="https://publications.waset.org/abstracts/search?q=Saoud%20Almaslmani"> Saoud Almaslmani</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Patients with humeral shaft fractures have two different treatment options. Surgical therapy has lesser risks of non-union, mal-union, and re-intervention than non-surgical therapy. These positive clinical outcomes of the surgical approach make it a preferable treatment option despite the risks of radial nerve palsy and additional surgery-related risk. We aimed to evaluate patients’ outcomes and return to work after surgical vs. non-surgical management of shaft humeral fracture. Methods: We used databases, including PubMed, Medline, and Cochrane Register of Controlled Trials, from 2010 to January 2022 to search for potential randomised controlled trials (RCTs) and cohort studies comparing the patients’ related outcome measures and return to work between surgical and non-surgical management of humerus fracture. Results: After carefully evaluating 1352 articles, we included three RCTs (232 patients) and one cohort study (39 patients). The surgical intervention used plate/nail fixation, while the non-surgical intervention used a splint or brace procedure to manage shaft humeral fracture. The pooled DASH effects of all three RCTs at six (M.D: -7.5 [-13.20, -1.89], P: 0.009) I2:44%) and 12 months (M.D: -1.32 [-3.82, 1.17], p:0.29, I2: 0%) were higher in patients treated surgically than in non-surgical procedures. The pooled constant Murley score at six (M.D: 7.945[2.77,13.10], P: 0.003) I2: 0%) and 12 months (M.D: 1.78 [-1.52, 5.09], P: 0.29, I2: 0%) were higher in patients who received non-surgical than surgical therapy. However, pooled analysis for patients returning to work for both groups remained inconclusive. Conclusion: Altogether, we found no significant evidence supporting the clinical benefits of surgical over non-surgical therapy. Thus, the non-surgical approach remains the preferred therapeutic choice for managing shaft humeral fractures due to its lesser side effects. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=shaft%20humeral%20fracture" title="shaft humeral fracture">shaft humeral fracture</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20treatment" title=" surgical treatment"> surgical treatment</a>, <a href="https://publications.waset.org/abstracts/search?q=Patient-related%20outcomes" title=" Patient-related outcomes"> Patient-related outcomes</a>, <a href="https://publications.waset.org/abstracts/search?q=return%20to%20work" title=" return to work"> return to work</a>, <a href="https://publications.waset.org/abstracts/search?q=DASH" title=" DASH"> DASH</a> </p> <a href="https://publications.waset.org/abstracts/149651/a-systematic-review-of-patient-reported-outcomes-and-return-to-work-after-surgical-vs-non-surgical-midshaft-humerus-fracture" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/149651.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">98</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1938</span> Evaluation of Patients' Satisfaction Aspects in Governmental Egyptian Emergency Departments</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=N.%20Rashed">N. Rashed</a>, <a href="https://publications.waset.org/abstracts/search?q=Z.%20Aysha"> Z. Aysha</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20Fakher"> M. Fakher</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Patient satisfaction is one of the core objectives of health care facilities. It is difficult to evaluate patients response in the emergency setting. The current study aimed to evaluate patients and family aspects of satisfaction in both adult and pediatric emergency departments and their recommendations for improvement. Cross-section survey(Brief Emergency department Patient Satisfaction Scale (BEPSS), was translated and validated, then performed to evaluate patients satisfaction in two governmental hospitals Emergency departments. Three hundred patients and their families were enrolled in the study. The waiting time in the adult Emergency department ranged from (5 minutes to 120 minutes), and most admissions were at the morning shift while at the pediatric hospital the waiting time ranged from 5 minutes to 100 minutes) and most admissions were at the afternoon shift. The results showed that the main domain of satisfaction in BEPSS in the adult emergency department was respecting the patients family while in the pediatric emergency department, the main domain was the nursing care about treatment. The main recommendation of improvement in pediatric Emergency Department was modifying the procedures while in adult Emergency Department was improving the training of physicians. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=emergency" title="emergency">emergency</a>, <a href="https://publications.waset.org/abstracts/search?q=department-patient" title=" department-patient"> department-patient</a>, <a href="https://publications.waset.org/abstracts/search?q=satisfaction-adult-pediatric" title=" satisfaction-adult-pediatric"> satisfaction-adult-pediatric</a> </p> <a href="https://publications.waset.org/abstracts/111658/evaluation-of-patients-satisfaction-aspects-in-governmental-egyptian-emergency-departments" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/111658.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">144</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1937</span> Food Bolus Obstruction: A Rural Hospital’s Experience</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Davina%20Von%20Hagt">Davina Von Hagt</a>, <a href="https://publications.waset.org/abstracts/search?q=Genevieve%20Gibbons"> Genevieve Gibbons</a>, <a href="https://publications.waset.org/abstracts/search?q=Matt%20Henderson"> Matt Henderson</a>, <a href="https://publications.waset.org/abstracts/search?q=Tom%20Bowles"> Tom Bowles</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Purpose: Food bolus obstructions are common emergency surgical presentations, but there is no established management guideline in a rural setting. Intervention usually involves endoscopic removal after initial medical management has failed. Within a rural setting, this falls upon the general surgeon. There are varied endoscopic techniques that may be used. Methodology: A review of the past fifty cases of food bolus obstruction managed at Albany Health Campus was retrospectively reviewed to assess endoscopic findings and techniques. Operation notes, histopathology, imaging, and patient notes were reviewed. Results: 50 patients underwent gastroscopy for food bolus obstruction from August 2017 to March 2021. Ages ranged from 11 months to 95 years, with the majority of patients aged between 30-70 years. 88% of patients were male. Meat was the most common bolus (20% unspecified, 20% steak, 10% chicken, 6% lamb, 4% sausage, 2% pork). At endoscopy, 12% were found not to have a food bolus obstruction. Two patients were found to have oesophageal cancer, and four patients had a stricture and required dilatation. A variety of methods were used to relieve oesophageal obstruction ranging from pushing through to stomach (24 patients), using an overtube (10 patients), raptor (13 patients), and less common instruments such as Roth net, basket, guidewire, and pronged grasper. One patient had an unsuccessful endoscopic retrieval and required theatre for laparoscopic assisted removal with rendezvous endoscopic piecemeal removal via oesophagus and gastrostomy. Conclusion: Food bolus obstruction is a common emergency presentation. Within the rural setting, management requires innovation and teamwork within the safety of the local experience. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=food%20bolus%20obstruction" title="food bolus obstruction">food bolus obstruction</a>, <a href="https://publications.waset.org/abstracts/search?q=regional%20hospital" title=" regional hospital"> regional hospital</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20management" title=" surgical management"> surgical management</a>, <a href="https://publications.waset.org/abstracts/search?q=innovative%20surgical%20treatment" title=" innovative surgical treatment"> innovative surgical treatment</a> </p> <a href="https://publications.waset.org/abstracts/140739/food-bolus-obstruction-a-rural-hospitals-experience" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/140739.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">267</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1936</span> The Ludic Exception and the Permanent Emergency: Understanding the Emergency Regimes with the Concept of Play</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mete%20Ula%C5%9F%20Aksoy">Mete Ulaş Aksoy</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In contemporary politics, the state of emergency has become a permanent and salient feature of politics. This study aims to clarify the anthropological and ontological dimensions of the permanent state of emergency. It pays special attention to the structural relation between the exception and play. Focusing on the play in the context of emergency and exception enables the recognition of the difference and sometimes the discrepancy between the exception and emergency, which has passed into oblivion because of the frequency and normalization of emergency situations. This study coins the term “ludic exception” in order to highlight the difference between the exceptions in which exuberance and paroxysm rule over the socio-political life and the permanent emergency that protects the authority with a sort of extra-legality. The main thesis of the study is that the ludic elements such as risk, conspicuous consumption, sacrificial gestures, agonism, etc. circumscribe the exceptional moments temporarily, preventing them from being routine and normal. The study also emphasizes the decline of ludic elements in modernity as the main factor in the transformation of the exceptions into permanent emergency situations. In the introduction, the relationship between play and exception is taken into consideration. In the second part, the study elucidates the concept of ludic exceptions and dwells on the anthropological examples of the ludic exceptions. In the last part, the decline of ludic elements in modernity is addressed as the main factor for the permanent emergency. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=emergency" title="emergency">emergency</a>, <a href="https://publications.waset.org/abstracts/search?q=exception" title=" exception"> exception</a>, <a href="https://publications.waset.org/abstracts/search?q=ludic%20exception" title=" ludic exception"> ludic exception</a>, <a href="https://publications.waset.org/abstracts/search?q=play" title=" play"> play</a>, <a href="https://publications.waset.org/abstracts/search?q=sovereignty" title=" sovereignty"> sovereignty</a> </p> <a href="https://publications.waset.org/abstracts/150568/the-ludic-exception-and-the-permanent-emergency-understanding-the-emergency-regimes-with-the-concept-of-play" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/150568.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">90</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1935</span> Requirement Analysis for Emergency Management Software</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Tom%C3%A1%C5%A1%20Lud%C3%ADk">Tomáš Ludík</a>, <a href="https://publications.waset.org/abstracts/search?q=Ji%C5%99%C3%AD%20Barta"> Jiří Barta</a>, <a href="https://publications.waset.org/abstracts/search?q=Sabina%20Chytilov%C3%A1"> Sabina Chytilová</a>, <a href="https://publications.waset.org/abstracts/search?q=Josef%20Navr%C3%A1til"> Josef Navrátil</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Emergency management is a discipline of dealing with and avoiding risks. Appropriate emergency management software allows better management of these risks and has a direct influence on reducing potential negative impacts. Although there are several emergency management software products in the Czech Republic, they cover user requirements from the emergency management field only partially. Therefore, the paper focuses on the issues of requirement analysis within development of emergency management software. Analysis of the current state describes the basic features and properties of user requirements for software development as well as basic methods and approaches for gathering these requirements. Then, the paper presents more specific mechanisms for requirement analysis based on chosen software development approach: structured, object-oriented or agile. Based on these experiences it is designed new methodology for requirement analysis. Methodology describes how to map user requirements comprehensively in the field of emergency management and thus reduce misunderstanding between software analyst and emergency manager. Proposed methodology was consulted with department of fire brigade and also has been applied in the requirements analysis for their current emergency management software. The proposed methodology has general character and can be used also in other specific areas during requirement analysis. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=emergency%20software" title="emergency software">emergency software</a>, <a href="https://publications.waset.org/abstracts/search?q=methodology" title=" methodology"> methodology</a>, <a href="https://publications.waset.org/abstracts/search?q=requirement%20analysis" title=" requirement analysis"> requirement analysis</a>, <a href="https://publications.waset.org/abstracts/search?q=stakeholders" title=" stakeholders"> stakeholders</a>, <a href="https://publications.waset.org/abstracts/search?q=use%20case%20diagram" title=" use case diagram"> use case diagram</a>, <a href="https://publications.waset.org/abstracts/search?q=user%20stories" title=" user stories"> user stories</a> </p> <a href="https://publications.waset.org/abstracts/15704/requirement-analysis-for-emergency-management-software" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/15704.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">540</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1934</span> The Breast Surgery Movement: A 50 Year Development of the Surgical Specialty</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Lauren%20Zammerilla%20Westcott">Lauren Zammerilla Westcott</a>, <a href="https://publications.waset.org/abstracts/search?q=Ronald%20C.%20Jones"> Ronald C. Jones</a>, <a href="https://publications.waset.org/abstracts/search?q=James%20W.%20Fleshman"> James W. Fleshman</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The surgical treatment of breast cancer has rapidly evolved over the past 50 years, progressing from Halsted’s radical mastectomy to a public campaign of surgical options, aesthetic reconstruction, and patient empowerment. This article examines the happenings that led to the transition of breast surgery as a subset of general surgery to its own specialized field. Sparked by the research of Dr. Bernard Fisher and the first National Surgical Adjuvant Breast and Bowel Project trial in 1971, the field of breast surgery underwent significant growth over the next several decades, enabling general surgeons to limit their practices to the breast. High surgical volumes eventually led to the development of the first formal breast surgical oncology fellowship in a large community-based hospital at Baylor University Medical Center in 1982. The establishment of the American Society of Breast Surgeons, as well several landmark clinical trials and public campaign efforts, further contributed to the advancement of breast surgery, making it the specialized field of the current era. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=breast%20cancer" title="breast cancer">breast cancer</a>, <a href="https://publications.waset.org/abstracts/search?q=breast%20fellowship" title=" breast fellowship"> breast fellowship</a>, <a href="https://publications.waset.org/abstracts/search?q=breast%20surgery" title=" breast surgery"> breast surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20history" title=" surgical history"> surgical history</a> </p> <a href="https://publications.waset.org/abstracts/139585/the-breast-surgery-movement-a-50-year-development-of-the-surgical-specialty" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/139585.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">133</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1933</span> Sustainable Radiation Curable Palm Oil-Based Products for Advanced Materials Applications</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=R.%20Tajau">R. Tajau</a>, <a href="https://publications.waset.org/abstracts/search?q=R.%20Rohani"> R. Rohani</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20S.%20Alias"> M. S. Alias</a>, <a href="https://publications.waset.org/abstracts/search?q=N.%20H.%20Mudri"> N. H. Mudri</a>, <a href="https://publications.waset.org/abstracts/search?q=K.%20A.%20Abdul%20Halim"> K. A. Abdul Halim</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20H.%20Harun"> M. H. Harun</a>, <a href="https://publications.waset.org/abstracts/search?q=N.%20Mat%20Isa"> N. Mat Isa</a>, <a href="https://publications.waset.org/abstracts/search?q=R.%20Che%20Ismail"> R. Che Ismail</a>, <a href="https://publications.waset.org/abstracts/search?q=S.%20Muhammad%20Faisal"> S. Muhammad Faisal</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20Talib"> M. Talib</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20R.%20Mohamed%20Zin"> M. R. Mohamed Zin</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Bio-based polymeric materials are increasingly used for a variety of applications, including surface coating, drug delivery systems, and tissue engineering. These polymeric materials are ideal for the aforementioned applications because they are derived from natural resources, non-toxic, low-cost, biocompatible, and biodegradable, and have promising thermal and mechanical properties. The nature of hydrocarbon chains, carbon double bonds, and ester bonds allows various sources of oil (edible), such as soy, sunflower, olive, and oil palm, to fine-tune their particular structures in the development of innovative materials. Palm oil can be the most eminent raw material used for manufacturing new and advanced natural polymeric materials involving radiation techniques, such as coating resins, nanoparticles, scaffold, nanotubes, nanocomposites, and lithography for different branches of the industry in countries where oil palm is abundant. The radiation technique is among the most versatile, cost-effective, simple, and effective methods. Crosslinking, reversible addition-fragmentation chain transfer (RAFT), polymerisation, grafting, and degradation are among the radiation mechanisms. Exposure to gamma, EB, UV, or laser irradiation, which are commonly used in the development of polymeric materials, is used in these mechanisms. Therefore, this review focuses on current radiation processing technologies for the development of various radiation-curable bio-based polymeric materials with a promising future in biomedical and industrial applications. The key focus of this review is on radiation curable palm oil-based products, which have been published frequently in recent studies. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=palm%20oil" title="palm oil">palm oil</a>, <a href="https://publications.waset.org/abstracts/search?q=radiation%20processing" title=" radiation processing"> radiation processing</a>, <a href="https://publications.waset.org/abstracts/search?q=surface%20coatings" title=" surface coatings"> surface coatings</a>, <a href="https://publications.waset.org/abstracts/search?q=VOC" title=" VOC"> VOC</a> </p> <a href="https://publications.waset.org/abstracts/137696/sustainable-radiation-curable-palm-oil-based-products-for-advanced-materials-applications" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/137696.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 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