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Search Results: 1 - 10 of 3251 matches for " Conversion Experience "
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Results of laparoscopic cholecystectomy in a third-level university hospital after 17 years of experience
Priego,P.; Ramiro,C.; Molina,J. M.; Rodríguez Velasco,G.; Lobo,E.; Galindo,J.; Fresneda,V.;
Revista Espa?ola de Enfermedades Digestivas , 2009, DOI: 10.4321/S1130-01082009000100003
Abstract: objective: the aim of the study is to determine the results obtained with laparoscopic cholecystectomy at ramón y cajal hospital after 17 years of experience, comparing current results with those at the beginning of the experience. material and methods: between 1991 and december 2007, 3,933 laparoscopic cholecystectomies were performed at the "ramón y cajal hospital"; 1,849 patients were operated on between 1991 and 2000, and 2,084 between 2001 and 2007. patients studied included 69.8% of women and 30.2% of men, with a mean age of 56.95 years (range 9-94 years). in all, 54.68% of patients had a concomitant disease before surgery (hypertension, diabetes, ischemic heart disease, respiratory disease...). surgery was performed by a staff surgeon for 58.04% of cases, and by a resident in the remaining 41.96%. surgical indications were cholelithiasis in 75.5%, pancreatitis in 13.3%, cholecystitis in 6.3%, choledocholithiasis in 3.05%, and others in 1.2% of cases. results: mean hospital stay was 3.06 days. conversion to open surgery was required for 8.3% of cases (331 patients). the major surgical complication rate was 2.34%, with the most frequent being hemoperitoneum (1%). common bile duct injury occurred in thirteen cases (0.3%), 51 patients (1.3%) were soon re-operated, and 5 patients died (0.13%). when the results of both decades (1991-2000 vs. 2001-2007) were compared, we observed differences in the number of procedures performed by residents (31.7 vs. 51.1%, p = 0.00001), number of laparoscopic cholecystectomies for cholecystitis (4.9 vs. 7.53%, p = 0.001), conversion rate (5.46 vs. 11%, p = 0.000001), and mean hospital stay (2.43 vs. 3.7 days, p = 0.001). conclusion: these results should be interpreted with caution as this is a retrospective study with multiple uncontrolled variables (high number of surgeons and continuous learning curve). the lower conversion rate and mean hospital stay in the first decade of the learning curve are amazing, although this could be
O papel da experiência religiosa no enfrentamento de afli??es e problemas de saúde
Mota, Clarice Santos;Trad, Leny Alves Bomfim;Villas Boas, Maria José Villares Barral;
Interface - Comunica??o, Saúde, Educa??o , 2012, DOI: 10.1590/S1414-32832012000300007
Abstract: this article assesses the relationship between religious experience and facing up to situations of affliction and illness. through analysis on the paths to conversion and religious adherence among black families who sought relief for their distress or health problems, an understanding of how religious experience influences people's ways of conducting their lives and facing up to adverse situations was sought. this study formed part of a broader research project of ethnographic nature that was conducted in a poor district of salvador, bahia. through semi-structured interviews and field immersion, it was observed that the families investigated resorted to a wide variety of religions in their search for relief for their physical or spiritual distress of individual or family nature. thus, singular paths were produced, which reflected the diversity of beliefs and cure alternatives offered by religious institutions in the contemporary world.
Male gender is not a risk factor for the outcome of laparoscopic cholecystectomy: A single surgeon experience
Al-Mulhim Abdulmohsen
Saudi Journal of Gastroenterology , 2008,
Abstract: Background/Aim: Previous studies regarding the outcome of laparoscopic cholecystectomy (LC) in men have reported inconsistent findings. We conducted this prospective study to test the hypothesis that the outcome of LC is worse in men than women. Materials and Methods: Between 1997 and 2002, a total of 391 consecutive LCs were performed by a single surgeon at King Fahd Hospital of the University. We collected and analyzed data including age, gender, body mass index (kg/m 2 ), the American Society of Anesthesiologists (ASA) class, mode of admission (elective or emergency), indication for LC (chronic or acute cholecystitis [AC]), comorbid disease, previous abdominal surgery, conversion to open cholecystectomy, complications, operation time, and length of postoperative hospital stay. Results: Bivariate analysis showed that both genders were matched for age, ASA class and mode of admission. The incidences of AC ( P = 0.003) and comorbid disease ( P = 0.031) were significantly higher in men. Women were significantly more obese than men ( P < 0.001) and had a higher incidence of previous abdominal surgery ( P = 0.017). There were no statistical differences between genders with regard to rates of conversion ( P = 0.372) and complications ( P = 0.647) and operation time ( P = 0.063). The postoperative stay was significantly longer in men than women ( P = 0.001). Logistic regression analysis showed that male gender was not an independent predictor of conversion (Odds ratio [OR] = 0.37 and P = 0.43) or complications (OR = 0.42, P = 0.42). Linear regression analysis showed that male gender was not an independent predictor of the operation time, but was associated with a longer postoperative stay ( P = 0.02). Conclusion: Male gender is not an independent risk factor for satisfactory outcome of LC in the experience of a single surgeon.
The Culture Shock of St Patrick
Edward Dutton
Estudios Irlandeses : Journal of Irish Studies , 2011,
Abstract: This article will shed new light on the Confession of St Patrick by examining it through the prism of the culture shock model. It will argue that the stages of the saint's conversion broadly follow the stages of culture shock and that some modern examples of culture shock are very similar to religious conversion experience. It will contextualise these observations into the thesis that 'religion' and 'culture' are only clearly distinguished in Western or post-Enlightenment societies, that 'culture' has come to replace God in many modern societies and that a strong divide between the two concepts is not philosophically sustainable. Accordingly, it will apply the modern model of 'culture shock' to Patrick's experience, arguing that it exemplifies this model.
Results of laparoscopic cholecystectomy in a third-level university hospital after 17 years of experience Resultados de la colecistectomía laparoscópica en un hospital universitario de tercer nivel tras 17 a os de experiencia
P. Priego,C. Ramiro,J. M. Molina,G. Rodríguez Velasco
Revista Espa?ola de Enfermedades Digestivas , 2009,
Abstract: Objective: the aim of the study is to determine the results obtained with laparoscopic cholecystectomy at Ramón y Cajal Hospital after 17 years of experience, comparing current results with those at the beginning of the experience. Material and methods: between 1991 and December 2007, 3,933 laparoscopic cholecystectomies were performed at the "Ramón y Cajal Hospital"; 1,849 patients were operated on between 1991 and 2000, and 2,084 between 2001 and 2007. Patients studied included 69.8% of women and 30.2% of men, with a mean age of 56.95 years (range 9-94 years). In all, 54.68% of patients had a concomitant disease before surgery (hypertension, diabetes, ischemic heart disease, respiratory disease...). Surgery was performed by a staff surgeon for 58.04% of cases, and by a resident in the remaining 41.96%. Surgical indications were cholelithiasis in 75.5%, pancreatitis in 13.3%, cholecystitis in 6.3%, choledocholithiasis in 3.05%, and others in 1.2% of cases. Results: mean hospital stay was 3.06 days. Conversion to open surgery was required for 8.3% of cases (331 patients). The major surgical complication rate was 2.34%, with the most frequent being hemoperitoneum (1%). Common bile duct injury occurred in thirteen cases (0.3%), 51 patients (1.3%) were soon re-operated, and 5 patients died (0.13%). When the results of both decades (1991-2000 vs. 2001-2007) were compared, we observed differences in the number of procedures performed by residents (31.7 vs. 51.1%, p = 0.00001), number of laparoscopic cholecystectomies for cholecystitis (4.9 vs. 7.53%, p = 0.001), conversion rate (5.46 vs. 11%, p = 0.000001), and mean hospital stay (2.43 vs. 3.7 days, p = 0.001). Conclusion: these results should be interpreted with caution as this is a retrospective study with multiple uncontrolled variables (high number of surgeons and continuous learning curve). The lower conversion rate and mean hospital stay in the first decade of the learning curve are amazing, although this could be related to better patient selection and a lower number of cholecystites operated using a laparoscopic approach in the initial series. In general, these results are acceptable and concur with the rest of the literature. Objetivo: el objetivo del estudio es conocer los resultados obtenidos con la colecistectomía laparoscópica en el Hospital Ramón y Cajal en sus 17 a os de experiencia, comparando los resultados actuales con los del inicio de la experiencia. Material y métodos: entre enero de 1991 y diciembre de 2007 se efectuaron en el Hospital Ramón y Cajal un total de 3.933 colecistectomías lap
The Gap between Mind and World in Mind and World Remains  [PDF]
Chung-I. Lin
Open Journal of Philosophy (OJPP) , 2013, DOI: 10.4236/ojpp.2013.32044
Abstract: In Mind and World, McDowell endorses: empirical thoughts should be justified, ultimately, by things they are about; and, that empirical thoughts are immediately about their ultimate justifiers. But, it also holds two other views: first, as we relate our empirical judgments to their credentials, we ultimately rely on experience, despite its fallibility; second, our empirical judgments are about things in the external world. These views appear inconsistent with one another. McDowell’s way of accommodating the seeming inconsistency appeals to the idea of conceptuality of experience and the holism of the conceptual. Mainly by an argument from false experience, I demonstrate that the conceptual resources relevant to McDowell’s idea of the conceptuality of experience fall short of delivering the accommodation he promises.
Apply Ground Theory to Interpret Escapist Experiences in Mudanwan Villa  [PDF]
Tase-Lung Chen, Li-Shiue Gau, Tain-Fung Wu
Open Journal of Social Sciences (JSS) , 2014, DOI: 10.4236/jss.2014.23009
Abstract:

The escapist experience requires great immersion and participation. Tourists participating in escapist experiences embark from their daily life and voyage to a specific place and do activities worthy of their time (Oh, Fiore, & Jeoung, 2007; Pine & Gilmore, 1999). This study attempted to apply the ground theory to interpret escapist experiences and use Mudanwan Villa in the south of Taiwan as an exemplary place for the escapists to be away from their daily life. “Mudanwan Villa was used as a key word in the traditional Chinese Google to search for comments left by the villa visitors or other online respondents. Secondary data were then collected from 25 blogs, Pixnets, or discussion forums in travel advisor websites. Content analysis was used, following the grounded data techniques to do the coding and find the themes by an inductive reasoning. The findings provide three propositions. First, temporary residents coming to Mudanwan Villa actively pursue positive experiences such as relaxation and enjoyment. Second, the destination is so unique and special that visitors are willing to pay the high price and endure the long-range transportation difficulties in order to arrive at the villa. Third, the emphasized values associated with the escapist experiences in Mudanwan Villa are detachment, pleasure, wealth, and social recognition (Struch, Schwartz, & van der Kloot, 2002). The detachment value indicates that visitors in the villa can get away from the daily routine and immerse into the destination (Oh, Fiore, & Jeoung, 2007). The pleasure value implies that the escapists can enjoy the space, experience the environment nearby, and actively use any facilities here in the villa. The wealth value suggests that those people who come to the villa are able to afford the high price. The value of social recognition means that escapist experiences in this unique destination become a status symbol to share with others. This study provides useful information for managers to design a unique experiencescape particularly perhaps to attract independent tourists from Mainland China.

Notas sobre a experiência e o saber de experiência
Bondía, Jorge Larrosa;
Revista Brasileira de Educa??o , 2002, DOI: 10.1590/S1413-24782002000100003
Abstract: the text proposes to think education taking the pair experience/sense as its starting point, in opposition to that way of thinking education as a relation between science and technology or between theory and practice. to this end, it explores the meaning of the words experience and sense. with respect to the first, it criticises the excess of information and the obligation of having an opinion, postures which are at the base of "significant learning". it also criticises the excess of work which does not allow experience and the very relation work/experience. with relation to sense, this is explored on the basis of the subject of the experience, defined not by his/her activity but by the readiness to be transformed by experience - a human passageway, submitted to a logic of passion. it affirms that the knowledge of experience is acquired in the relationship between knowledge and human, singular concrete life.
Pancreas Transplant Salvage by Proximal Loop Ileostomy and Distal Ileostotomy Tube for Duodenal Stump Leak after Enteric Conversion  [PDF]
Monroy-Cuadros Mauricio, Rodriguez-Velez Cesar
Surgical Science (SS) , 2011, DOI: 10.4236/ss.2011.21001
Abstract: After pancreas transplantation, some patients with bladder drainage (BD) of the pancreatic duct will need to be converted to enteric drainage (ED) because of reflux pancreatitis, metabolic acidosis, and urological complications. However, ED is associated with higher rates of duodenal stump leak, intra-abdominal abscess, and peritonitis. In some cases of enteric anastomosis leakage, a primary repair can be attempted, but in more severe cases, graft pancreatectomy is indicated. We report one patient who received a combined kidney and pancreas transplant with BD of exocrine secretions, but who required ED conversion 6 years later because of persistent metabolic acidosis and adverse urological symptoms. However, a significant duodenal leak was discovered 4 days post-operatively. To salvage the transplanted pancreas, we performed a diverting loop ileostomy proximal to the entero-entero anastomosis and the distal section was drained retrogradely with an ileostostomy tube, allowing the area of the leak to heal. Three months later, the ileostomy was reversed without complications, the symptoms that led to the ED conversion resolved, and the kidney and pancreas allografts remain functional 48 months later. We suggest that this might be a method by which transplanted pancreas may be salvaged in the case of leakage after ED conversion.
Seismic education: two experiences compared
H. D. Thier,V. Midoro
Annals of Geophysics , 1993, DOI: 10.4401/ag-4291
Abstract:
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