Can the UroLift prostatic implant device treat the symptoms of benign prostatic hypertrophy,avoid sexual dysfunction and reduce hospital TURP waiting times? A single centre,single surgeon experience and review of the literature

BPH associated with LUTS and sexual dysfunction is common. We performed UroLift on 11 patients, average age 71?years (range 56–90). IPSS improved by an average of 9 points post-procedure. Pre-operatively their post-void residuals were 306.3?ml (range 120–499?ml SD [120.6]) and their Q_MAX was 7?ml/s (range 4–14 SD [2.8] ml/s). Post-procedure the post-void residual decreased by 35.4% at 4?months (mean difference – 106.3?ml). Q_MAX improved by an average of 1.7?ml/s, which was not statistically significant. No patients suffered any sexual dysfunction side effects and all patients were satisfied with their result. Hospital stay and theatre time were significantly reduced. Average length of stay was just 10.6 (6–18) hours and average theatre time just 18.7 (12–30) min. This is significantly faster than other surgery for LUTS. We therefore feel that there are significant benefits for both the patients, who are able to go home much faster, and also the hospital, who are able to perform far more surgeries for their patients. Patients also do not require an inpatient bed so patients should not be cancelled on the day of theatre.     

e-Social work in practice: a case study

ABSTRACT

This paper presents a theoretical reflection on e-social work by considering a case study: an intervention programme with vulnerable people, included in the services catalogue of a non-governmental organization (NGO), Zaragoza Red Cross Assembly. This programme cares for older people with a home assistance system mediated by information and communication technologies (ICTs). The digital convergence of the Spanish Red Cross and the digitalization of internal processes were accelerated by the use of ICTs as a tool in the aftermath of the 2008 crisis: first, to manage bureaucratic matters; second, to coordinate professionals and third, to interact with users. The text is divided into five sections including an introduction and final remarks. The first section describes the intervention programme and its evolution from a traditional social work vision to an e-social work perspective. The second section describes and analyses the intervention programme and the incorporation of ICTs in this NGO, over more than two decades. The third section describes professional contributions to the implementation and adaptation of social work to new social and technological circumstances and users’ requirements based on these intervention experiences.     

Relationship between the degree of perineal trauma at vaginal birth and change in haemoglobin concentration

Background

Postpartum anaemia is a problem with high prevalence that significantly affects maternal recovery. Among the causal factors is perineal trauma. However, it is still not known what degree of perineal trauma produces a greater reduction of haemoglobin.

Search and Recombination Process to Innovate: A Review of the Empirical Evidence and a Research Agenda

The view of innovation as a process of searching and recombining existing knowledge elements has been adopted in several industries. The innovation management literature has recognized the fundamental role that search and recombination play in innovation development. However, the relevant research has provided complex, fragmented and mixed results. The authors aim to identify areas of convergence and provide directions for future research by collecting empirical evidence regarding how firms conduct the search and recombination process. They conducted a systematic literature review of 87 empirical articles in the innovation management field. The review reveals differences among the solutions adopted both within and across organizational boundaries. Specifically, it shows that the variety and diversity of knowledge elements are critical in creating breakthrough innovations. Therefore, this paper discusses how to provide access to a variety of knowledge elements. It also highlights other fundamental questions calling for further investigation, such as how scientific knowledge elements are successfully recombined and how recombination and search dynamics occur in small and medium‐sized firms. The review concludes by summarizing the current state of affairs and suggests promising directions for future investigation.     

Kaizen and ergonomics: the perfect marriage

This paper is an approach of how Kaizen (Continuous Improvement) and Ergonomics could be implemented in the field of work. The Toyota's Team Members are the owners of this job, applying tools and techniques to improve work conditions using the Kaizen Philosophy in a QCC Activity (Quality Control Circle).