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Case Management - Europe PMC

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Last Updated: 14 January 2023

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Assessment of potential environmental impacts and sustainable management of municipal solid waste using the DPSIRO framework: a case study of Bahir Dar, Ethiopia.

The generation of municipal solid waste is on the rise globally, with detrimental effects on society, industry, and the climate. Reduce the negative impacts on the environment by implementing an integrated system for monitoring MSW and recovering the raw materials for the manufacture of new products. This paper aims to use the DPSIRO framework to create a framework that minimizes the negative effects of MSW in Bahir Dar city in a sustainable manner. According to the results, the waste disposal site emits about 46 Gg of greenhouse gases per year each year. The eutrophication capacity of organic waste produced in the city was 0. 0594 kg N-equivalent, or 54. 4 g N-equivalent. On an annual basis, the garbage also contains an average of 1112 mm of leachate per day. Human health and the planet are impacted by the state of the climate.

Source link: https://europepmc.org/article/MED/36635561


The use of botulinum toxin in the acute management of symptomatic complex incisional hernia: a case series.

Complications of incisional hernia are among the most commonest cases to the emergency surgical field. Botulinum toxin A is already used in surgical hernia elective management, and this review investigates whether the reforms may have been used to improve the outcomes of conservative management of acutely presenting incisional hernia. Methods Patients presenting between October 2020 and April 2022 without signs of visceral disease were advised by physicians with no evidence of surgery were given 300 units of Botox under image guidance to the abdominal wall in addition to standard conservative measures. Results Twelve patients were deemed eligible for Botox therapy. Median age was 75 years, with median BMI of 36. 45 kg/m 2 at 36. 45 kg/m2. All patients were put in risk; minimum ASA score was 3, and median frailty score was 5. Conclusion Botox may be a useful adjunct to established non-operative interventions in patients with acute instances of incisional hernia.

Source link: https://europepmc.org/article/MED/36633705


Exploring how waste management is being approached in green building rating systems: A case study.

Green building rating schemes recommend a number of indicators to determine the level of sustainability of buildings, as well as including waste as one of the categories that should be evaluated. In order to determine the current level of sustainability in each system's waste category and to suggest further steps that would improve this rating, the indicators are applied. Proper waste management has been shown to raise the quality of a building's sustainability in this way.

Source link: https://europepmc.org/article/MED/36633151


Current state of management of struma ovarii and preoperative imaging features: A retrospective case series study of 18 patients at a single institution.

Aim Even though 95% of struma ovarii are benign, it is often overtreated due to the difficulty in distinguishing it from malignancy, which can sometimes be misleading. Methods We retrospectively reviewed the medical history and imaging characteristics of 18 patients who were hospitalized postoperatively with struma ovarii, pathologically, at our hospital between 2015 and 2021. struma ovarii preoperatively was not identified in any of the cases. Four patients were suspected of borderline or malignant tumor preoperatively, and underwent abdominal adnexectomy, four patients were suspects of borderline or malignant tumor preoperatively, and four patients were admitted for future childbearing. In only 45% of patients with benign preoperative diagnosis, there was no such inclination for childbearing in laparoscopic surgery. Conclusions Struma ovarii is impossible to distinguish preoperatively from malignancy, making the choice of surgical option complicated. A comprehensive analysis of diffusion-weighted MRI and CT findings may increase the likelihood of preoperative diagnosis of struma ovarii.

Source link: https://europepmc.org/article/MED/36631946


Laparoscopic adrenalectomy of pheochromocytoma following management of severe aortic stenosis with transcatheter aortic valve replacement under monitored anesthesia care sedation: a case report.

Background The treatment of a patient with an active pheochromocytoma and severe aortic stenosis remains tense. Before laparoscopic adrenalectomy, preparation of laparoscopic adrenalectomy was carried out by successful management of an existing pheochromocytoma with concomitant severe aortic stenosis. Case analysis An 84-year-old woman with intense aortic stenosis was diagnosed with a symptomatic pheochromocytoma. Conclusion This case study illustrated the optimal treatment of treating acute aortic stenosis through a transcatheter aortic valve replacement using monitored anesthesia care sedation prior to laparoscopic adrenalectomy of a symptomatic pheochromocytoma.

Source link: https://europepmc.org/article/MED/36631749


Safety Management Systems implementation in commercial air transport industry: The United Kingdom Case Study

A few years after EU SMS legislation was enforced within the region, this paper presents a snapshot of the Safety Management Systems' implementation within the United Kingdom Commercial Air Transport domain. The safety assurance pillar of the SMS was the most difficult to be developed, according to safety experts from the largest UK air operators.

Source link: https://europepmc.org/article/PPR/PPR595185


Ruptured isolated spinal artery aneurysms: Case series of five patients and a review of the literature on management strategies.

Aneurysms of the spinal arteries are rare conditions, the majority of which are associated with other vascular abnormalities, such as spinal vascular malformations. Aim The aim was to investigate five patients with isolated SAAs in the United States. Methods Five cases of isolated SAAs were reported at our hospital, including two cases with multiple simultaneous SAAs. Five patients with eight isolated SAAs presented to our hospital, one aneurysm was lumbar in location, with the remaining seven being thoracic. Both patients were treated with glue embolization followed by laminectomy for hematoma evacuation; one patient was treated with only surgery; the other two, who both had multiple lesions, were treated conservatively with interval complete regression of their aneurysms. All five patients had stable neurological outcomes. Conclusions Multiple management tools exist for SAAs, as well as clinical consideration of patient evaluation and lesion morphology determine the most appropriate option.

Source link: https://europepmc.org/article/MED/36628492


Diagnostic challenge and management of thymic cavernous hemangioma: a case report and review of the literature.

Objective Thymic cavernous hemangioma as a benign lesion is extremely unusual, and it is difficult to distinguish it from other anterior mediastinal tumors on imaging. Case Presentation We treated a 63-year-old woman with thymic CH who was mistakenly identified by chest computed tomography. Contrast-enhanced chest CT described an anterior superior mediastinal mass, approximately 2. 5 cm in diameter, with centripetal enhancement and a wider range of enhancement in the post-mature period. An increased area of venous expansion at a long time may be a characteristic of CH, according to a result of enhanced chest CT.

Source link: https://europepmc.org/article/MED/36624647


Dental management of a pediatric patient with progressive familial intrahepatic cholestasis having dental anomalies: a case report and brief review of the literature.

Background Aspects Of Retrograde cholestasis is a heterogeneous group of disorders that contribute to intrahepatic cholestasis, leading to intrahepatic cholestasis, with the possibility of chronic liver disease and biliary cirrhosis. Case report Our case study We present the dental and medical history of a girl with type 3 reproductive intrahepatic cholestasis and several dental anomalies, who was referred to a dental clinic due to severe dental caries and pain, as well as extensive dental care. After being properly dental care, the patient was able to ingest without pain or discomfort.

Source link: https://europepmc.org/article/MED/36624442


An Evaluation of A Web-Based Crisis Management Training Program for Nurse Managers: The Case of The COVID-19 Crisis.

Objectives The effective management of nursing services, the key role in patient care and treatment in the fight against the COVID-19 pandemic, and nurse managers' active leadership in the battle against the pandemic have been two primary factors. This paper aims to investigate the effect of a web-based training program on nurse managers' knowledge levels during the COVID-19 pandemic. The study population included members of the Nurse Managers Association. Conclusions There was no statistically significant difference between the intervention and control groups' mean number of correct pre-test responses despite the fact that there was no statistically significant difference between the intervention and control groups' mean number of correct pre-test responses. Following the intervention group's web-based training program, however, the intervention group's mean number of correct post-test results was statistically significant higher than the control group's. Conclusions Web-based training courses can significantly raise nurse manager's knowledge levels.

Source link: https://europepmc.org/article/MED/36621010

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions