Emsworth Hospital

AIM: Laparoscopy has been widely used in surgical practice in pediatric age, and many techniques for laparoscopic hernia repair have been described till now. In this study, we compared two laparoscopic techniques performed by two surgeons; each surgeon practicing only one of the two techniques. MATERIALS AND METHODS: A retrospective analysis was performed on the surgical charts, enrolling 71 patients with uncomplicated inguinal hernia. Patients were divided into two groups according to the type of surgery: (Group A, 24 patients aged 2 months-8 years) laparoscopic percutaneous internal ring suturing technique and (Group B, 47 patients aged 35 days-12 years) three-port mini-laparoscopic technique. The hernia sac was ligated at the level of internal ring, using nonabsorbable 4/0-3/0 suture. Any unexpected contralateral opening was repaired in the same manner for both groups. Follow-up period was 4 months-2 years and 9 months-8 years, respectively. Operative time and complications were analyzed. RESULTS: Operation time (19.58 ± 7.06 minutes versus 35.87 ± 10.34 minutes, P < .001) was shorter in the percutaneous repair group. However, when subdivided by unilateral and bilateral presentation, only unilateral operative time was shorter compared to three-port group. There were no recurrences in Group A, while two recurrences occurred in Group B during the learning curve period. A contralateral opening accompanied the presenting unilateral hernia in 3 cases for Group A and 16 for Group B. One patient had to be converted open resulting from epigastric vessel injury, and postop hydrocele formation was seen in another in Group A. No intraoperative complications were seen in Group B. CONCLUSION: The overall experience shows that laparoscopic repair is a reliable approach regardless of the chosen technique. Percutaneous repair seems to be a less invasive method with shorter operative time, but it is not free of complications according to this series.

Introduction: It is widely accepted that obesity is a major public health problem in the world. The rapid rise in prevalence suggests environmental factors are responsible. Increased use of information and communication technology is also reported to be associated with increased rates of obesity. Objectives: Although many studies have analyzed the impact of televison viewing on obesity, the association of excessive Internet use with body mass index (BMI) has heretofore been evaluated only in relatively few studies. Aims: The purpose of this study was to investigate Internet use patterns and Internet addiction among adolescents and to examine the correlation between problematic Internet use and BMI. Methods: The study was conducted among 1938 students, aged between 14 and 18 years. Internet Addiction Test (IAT), Eating Attitudes Test, and a sociodemographic query form were used in the collection of data. Results: According to the IAT, 10.5% of the study sample was a ‘problematic Internet user’ or an ‘Internet addict’. A significant positive correlation between BMI and IAT (r = 0.307; p &lt; 0.01) and weekly Internet use (r = 0.215; p &lt; 0.01) was found. Linear regression analysis revealed a significant independent association of IAT with BMI (r = 0.235; p &lt; 0.001). Web surfing, watching online videos, chat rooms and Internet messaging, and playing online games were significantly associated with increased BMI (p&lt; 0.05). Conclusions: These results indicate an association between the Internet addiction and BMI. Further studies are needed to describe the causality of this association.

The author suggests that minimal manuals don't appeal to everyone, and that these nonminimalists can be identified and catered to. He identifies different type of learners and how they learn. For example, dynamic learners would be impatient with direct instruction, would probably ignore the instruction, and just experiment. Focused learners are likely to be highly responsive to an authoritative coach. Contemplative learners insist that instructors provide evidence for their claims. Rigorous learners would respond well to thoroughly prepared instruction, but not to ad-hoc sessions. After instruction, they would want to be given a chance to work out the process by themselves. Finally, the author presents a list of techniques, based on learning style preferences, that might help writers engage their audience.

Kişilerin öz-yeterlilik inançları; nasıl düşündüklerini, hissettiklerini, davrandıklarını ve kendilerini nasıl motive ettiklerini belirlemektedir. Öz-yeterlilik bireyin kendisinin, toplumsal yeterlilik ise kişinin üyesi olduğu grubun belli bir işi yapabilme kapasitesine ilişkin algısı olarak ifade edilmektedir. Bu araştırmada Covid-19 pandemisinin toplulukçu yeterlilik algıları üzerindeki etkileri incelenmiştir. Araştırmada veri toplama aracı olarak "Toplulukçu Yeterlilik Ölçeği" ve araştırmacı tarafından hazırlanan 7 soruluk demografik form kullanılmıştır. Bu bağlamda bu araştırmada sağlık çalışanlarının Covid-19 öncesi ve sonrası toplulukçu yeterlilik algılarının değişimleri incelenmiştir. Çalışmanın örneklemi özel bir hastanede çalışan 209 sağlık çalışanıdır. Elde edilen veriler analiz edilirken, betimsel istatistiklere, korelasyon ve fark analizlerine bakılmıştır. Verilerin analizi SPSS 23 programıyla yapılmıştır. Elde edilen sonuçlara Toplulukçu Yeterlilik Ölçeği Toplam puanının ön test ve son test puanları arasında istatistiksel olarak anlamlı ve orta kuvvette bir ilişki bulunmuştur. Toplulukçu Yeterlilik Ölçeğinin ve "Kararlılık ve Yılmama", "Birlik ve Dayanışma" ve " Ortak Bilinç" alt boyutlarının son test puanları, ön test puanlarına göre daha düşük olduğu belirlenmiştir. Buradan yola çıkarak Covid-19'un sağlık çalışanlarını olumsuz olarak etkilediği sonucuna erişebilmekteyiz.

New Zealand, an outstandingly beautiful country, offers an opportunity for the psychiatrist from the UK to work in an alternative environment. There is currently a shortage of trained psychiatrists to fill the available posts. The experience of a locum consultant post in adult mental health in the Nelson Marlborough Mental Health Service at the top of the South Island, at the beginning of the new millennium, forms the basis of observations made in this article, the purpose of which is to describe points of interest in the similarities and differences in psychiatric practice between the UK and New Zealand.

Journal Article Review: Theodicy in the World of the Bible Get access C.S. Rodd C.S. Rodd Emsworth, Hants Search for other works by this author on: Oxford Academic Google Scholar Journal of Semitic Studies, Volume 51, Issue 1, Spring 2006, Pages 198–200, https://doi.org/10.1093/jss/fgi100 Published: 01 March 2006

A new near-field - far-field transformation technique with planar spiral scanning is here proposed. It makes use of a very flexible source modelling, which fits very well a lot of actual antennas. By employing such a modelling, instead of the spherical one, it is possible to significantly reduce the error related to the truncation of the scanning zone, since the near-field data can be now acquired on a spiral lying on a measurement plane at a distance smaller than one half the source maximum size. Some numerical tests, assessing the accuracy of the technique and its stability with respect to random errors affecting the data, are reported.

Objective: This study aims to evaluate the clinical and radiological results of patients who were followed for at least 4 years after treatment with total hip arthroplasty, which was performed using a direct anterior approach and to compare the results with different surgical approaches in the literature.&#x0D; Materials and Methods: The study included 37 patients who underwent total hip replacement using the direct anterior approach. Harris hip scores and lower extremity functional scores were recorded. The correlations between the scores and gender, diagnosis, body mass index, time of walking time, length of hospital stay, and inclination angle were examined. &#x0D; Results: Of the cases,26(70.3%) were female and 11(29.7%) were male. The mean age was 51.2 (26-76) years. The patients were followed up for an average of 58 (48-72) months. No significant difference was determined between the improvement in Harris hip score and gender, age, body mass index, and length of hospital stay. Postoperative acetabular inclination was 40.8° (35 - 55). The early dislocation was observed in one of our patients. Serous discharge developed in three patients. In three patients, n.cutaneus femoralis lateralis injury developed. The periprosthetic fracture was observed during surgery in five patients.&#x0D; Conclusion: In our study, it was seen that patients have successful and fast functional results when total hip replacement using a direct anterior approach was performed. Compared to the literature, faster recovery is observed in the early period compared to other approaches; however, no difference is seen between the approaches in the mid- and long term. &#x0D; Keywords: Direct anterior approach, Total hip arthroplasty, mid-term results

An effective probe compensated near-field-far-field transformation technique from irregularly spaced near-field data acquired via the recently proposed planar-wide-mesh-scanning is developed in this work. The singular value decomposition method is applied for recovering the uniformly distributed samples, whose position is fixed by a nonredundant sampling representation of the electromagnetic field. Then an optimal sampling interpolation algorithm is used to reconstruct the plane-rectangular data required to carry out the standard near-field-far-field transformation. Numerical examples are reported to assess the effectiveness of the proposed technique.

The Association exists for those whose work consists mainly of teaching or research in the fields of Social Administration and Social Policy. It was formed some years ago to enable staff from universities, polytechnics, technical and other colleges, independent and Govern ment research organisations to meet and dis cuss matters of common interest.

Evaluation of data from unrelated hematopoietic stem cell transplants performed in our transplant center. At the Private Emsey Hospital Adult Stem Cell Transplantation Unit were evaluated retrospectively between 2016 and 2023 to Allogeneic hematopoietic stem cell transplantations performed on 76 patients with different diagnoses from unrelated donors. Data of patients with a mean age of 41.9 years were retrospectively analyzed. All donors were from a Turkish stem cell bank and 51% had HLA 1 allele incompatibility. 28 transplants were performed between different genders. Average follow-up was 17.3 months. Neutrophil engraftment occurred in an average of 18.1 days. Acute GVHD was detected in 26% and chronic GVHD in 41%. 1-year overall survival was 37% and disease-free survival was 32%. Non-relative stem cell transplantation is an important option especially in hematological diseases where there is no family donor and allogeneic transplantation is required. It has been observed that non-relative data performed in our clinic are similar to data from other centers.

Interdigital pilonidal sinus disease, also called “barber’s disease,” is an acquired occupational disease. Although sacrococcygeal pilonidal sinus disease is a common surgical issue, interdigital pilonidal sinus disease is rare and more likely localized between the fingers and toes. Approximately 50 cases of this disease have been published. However, there are insufficient publications on the incidence of this disease. This disease is caused by the penetration of newly cut, short, and sharp hair through interdigital skin. Although it is known as barber’s disease, it can be observed in patients in other professions related to hair and feature cut. Surgical excision is the accepted approach for treating this disease. Because of the complex structure of the hand anatomy and the high overall recurrence rate of pilonidal disease, preoperative determination of the best excision boundaries is important. It is thought that personal hygiene and use of protective measures are essential for preventing interdigital pilonidal sinus disease, which is acquired occupationally. In this study, we explain the importance and methods for prevention, protective surgical approach, and treatment of interdigital pilonidal sinus disease.

Bu çalışmada, hemşirelik öğrencilerinin günlük olarak deneyimledikleri hoş olmayan olaylar karşısındaki bireysel sıkıntılarını açma eğilimleri ile algıladıkları sosyal destek düzeylerinin ve bu değişkenler arasındaki ilişkinin belirlenmesi amaçlanmıştır. Kesitsel ve ilişki arayıcı tipte olan bu araştırma bir devlet üniversitesinde okuyan 386 hemşirelik öğrencisi ile gerçekleştirilmiştir. Verilerin değerlendirilmesinde istatistiksel yöntemlerden ortalama, standart sapma, yüzde, mod, medyan kullanılmıştır. Değişkenler arasındaki ilişkiyi değerlendirmede Spearman korelasyon analizi uygulanmıştır. İstatistiksel anlamlılık sınır değeri p&amp;lt;0.05 olarak belirlenmiştir. Çalışmaya katılan öğrencilerin öznel sıkıntıları açma ölçeği puan ortancası 41.00, çok boyutlu algılanan sosyal destek ölçeği puan ortancası 63.00 olarak bulunmuştur. Çalışmada hemşirelik öğrencilerinin öznel sıkıntılarını açma eğilimleri ile sosyal destek algıları arasında pozitif yönde anlamlı bir ilişki olduğu belirlenmiştir.

This paper considers the ethics of ageing among practitioners in the psychotherapy profession and the rights, responsibilities, and risks that come with an increasing number of people working at an older age. It suggests that the process of ageing is relevant to us all and how we engage with this is crucial to developing a professional community which lives—or seeks to live—according to the ethics of humanistic psychology.

Journal Article Brad E. Kelle and Frank Ritchel Ames (eds), Foreword by Susan Niditch, Writing and Reading War: Rhetoric, Gender, and Ethics in Biblical and Modern Contexts Get access Brad E. Kelle and Frank Ritchel Ames (eds), Foreword by Susan Niditch, Writing and Reading War: Rhetoric, Gender, and Ethics in Biblical and Modern Contexts (Society of Biblical Literature Symposium Series 42). Society of Biblical Literature, Atlanta 2008. Pp. xii + 265. Price: $34.95 paperback. ISBN: 978-1-58983- 354-8. C.S. Rodd C.S. Rodd Emsworth, Hants Search for other works by this author on: Oxford Academic Google Scholar Journal of Semitic Studies, Volume 56, Issue 1, Spring 2011, Pages 189–191, https://doi.org/10.1093/jss/fgq067 Published: 01 March 2011

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Hematopoietic stem cell transplantation (HSCT) is a treatment method that can provide cure for most hematological malignant diseases. In addition to hematological malignancy, HCT is also used as a treatment method in benign hematological diseases, solid tumors, and autoimmune diseases. Autologous hematopoietic stem cell transplantation (AHCT) is the most common procedure performed in solid tumors. Transplantation is performed first as high-dose chemotherapy (HDC) and then as OHCT. In our transplant center between 2021 and 2023, were evaluated data of high-dose chemotherapy (HDC) and OHCT. Our first case is a 43-year-old female patient who received multiple treatments with the diagnosis of refractory primary peritoneal adenocarcinoma. Our second case is a 22-year-old male neuroblastoma patient who was first diagnosed with a retroperitoneal mass. Our third case is a 27-year-old male patient diagnosed with refractory Ewing Sarcoma. Our fourth patient is a 29-year-old male, who was diagnosed with refractory testicular cancer and to whom we performed a transplant.

Revelation and the God of Israel Norbert M.Samuelson , Cambridge University Press, Cambridge 2002. x + 259. Price: £45.00 hardback. ISBN: 0-521-81202-X

Click to increase image sizeClick to decrease image size Notes The views expressed are those of the author and not necessarily those of the Ministry of Defence.

Journal Article Anselm's synod Get access F. H. Arnold F. H. Arnold 1Emsworth Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s6-VIII, Issue 204, 24 November 1883, Pages 416–417, https://doi.org/10.1093/nq/s6-VIII.204.416g Published: 24 November 1883