Distally based peroneus brevis muscle flap for the use of reconstruction of lower third defects of leg and ankle

Peroneus brevis is a muscle in the lateral compartment of the leg which is expendable with minimal functional deficit. The objective of this study was to find out its use in the coverage of the defects of the lower third of leg and ankle. A retrospective analysis of the use of pedicled peroneus brevis muscle flaps used for coverage of defects of the lower third defects of leg and ankle between May 2022 and 2023 was carried out among 10 patients with said defects. The flaps were distally based for defects the lower third of leg and ankle. Split skin graft coverage was done in all cases. The distally based peroneus brevis muscle flap was used in a series of 10 patients with defects over the lateral malleolus (40%), anterior lower 1/3rd of tibia (40%) and tendoachilles (20%). Flap survival was 100% in all cases with 3 cases having 20% split skin graft loss. Donor site healed well in 100% of cases and no long term muscle function deficit was observed in all cases. This flap has a unique vascular pattern and falls into the type-4 muscle flap category under the Mathes and Nahai Classification. The flap is simple to raise and safe for the reconstruction of small-to moderate-sized skin defects of the distal third of the tibia and all parts of the ankle except the medial malleolus, which is too far from the pedicle of the distally based flap.

A Global Nearest-Neighbour Depth Estimation-based Automatic 2D-to-3D Image and Video Conversion

The proposed work is to present a new method based on the radically different approach of learning the 2D-to-3D conversion from examples. It is based on lobally estimating the entire depth map of a query image directly from a repository of 3D images (image depth pairs or stereo pairs) using a nearest-neighbour regression type idea

Therapeutic implications of recombinant human erythropoietin in anaemic related clinical manifestations

The introduction of recombinant human erythropoietin (RHUEPO) has revolutionised the treatment strategies for patients suffering with anaemia of chronic renal disease and chronic heart failure. Clinicalstudies and several observational evidences have demonstrated that RHUEPO is also useful in various non-uraemic conditions including haematological and oncological disorders, prematurity, HIV infectionand preoperative therapies. The successful treatment of all the anaemic related malfunctions with recombinant human erythropoietin (RHUEPO) has become a standard treatment tool for dialysis patients and as an interesting therapeutic option for several forms of non-renal anaemia. As a conesquence of both, RHUEPO has achieved the highest annual sales worldwide and the potential of it increases its scope in the future prospective also

Customer Expectations of Employee Emotional Labour in Service Relationships

Emotional labor has been defined by Hochschild (1983) as “the management of feeling to create a publicly observable facial and bodily display” (p. 7, 1983). Many jobs contain an emotional component that goes beyond the normal burden on feelings caused by work and thus require “emotional labor”. Hochschild (1983) distinguished between two approaches available to the emotional laborer - surface acting and deep acting. This thesis examines the relationships between employee emotional labour (Hochschild, 1983), customer perceived interaction quality and customer intention to continue the private banking service relationships. It also tests the mediating effects of customer expectations of emotional labour on the relationship between employee emotional labour and customer perceived interaction quality. Dyadic data was generated from customer-relationship manager pairs involved in private banking service relationships. Key findings demonstrate that employee deep acting relates positively with customer perceived interaction quality; however, employee surface acting does not relate negatively. At a more specific level, the greater the customer expectations of deep acting - the more positive the relationship between employee deep acting and customer perceived interaction quality and the more negative the relationship between employee surface acting and customer perceived interaction quality. The lower the customer expectations of surface acting, the more positive the relationship between employee deep acting and customer perceived interaction quality. Higher levels of customer perceived interaction quality then relate positively to the customer intention to continue the service relationship. This work helps simultaneously explore the flow of emotional labour from employees to customers and helps understand the service relationship holistically. Findings establish the importance of emotional labour and how it influences customers’ perception of their interactions. This knowledge is useful in building sustainable and fruitful service relationships for the benefit of the customers, employees and organizations

A Revised Novel Approach of Ischemic Stroke through Thrombolytic Therapy and Thrombectomy

This comprehensive overview analyses the development of ischemic stroke therapy, emphasizing the critical significance that thrombolytic therapy and thrombectomy techniques have played. With a particular set of difficulties, thrombolytic therapy tissue plasminogen activator, or tPA has revolutionized acute stroke care by breaking up clots in a crucial window of time. Simultaneously, thrombectomy has become a revolutionary intervention, especially for large-vessel occlusions, offering a localized, effective approach and expanding therapy windows. This review guides you through the historical events, technological developments, and continuing research that have shaped these methods. The importance of individualized treatment plans, the use of telemedicine, and the bright future prospects for the management of ischemic strokes are emphasized

Conceptualizing emotional labour, interaction quality and service continuity connections

This conceptual paper explores the dimensions of emotional labour and its interconnections to interaction quality and service continuity in both service encounters and service relationships. This provides the basis from which to develop new avenues for research to take account of the plausible layers of EL treatment and their interconnections to interaction quality and service continuity as outcomes

Software Defined Networking Opportunities for Intelligent Security Enhancement of Industrial Control Systems

In the last years, cyber security of Industrial Control Systems (ICSs) has become an important issue due to the discovery of sophisticated malware that by attacking Critical Infrastructures, could cause catastrophic safety results. Researches have been developing countermeasures to enhance cyber security for pre-Internet era systems, which are extremely vulnerable to threats. This paper presents the potential opportunities that Software Defined Networking (SDN) provides for the security enhancement of Industrial Control Networks. SDN permits a high level of configuration of a network by the separation of control and data planes. In this work, we describe the affinities between SDN and ICSs and we discuss about implementation strategies