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  • 1
    Online Resource
    Online Resource
    Mid-term to Long-term Follow-up Results of Reconstruction for Thumb Radial Polydactyly
    Ovid Technologies (Wolters Kluwer Health) ; 2022
    In:  Journal of Pediatric Orthopaedics Vol. 42, No. 8 ( 2022-09), p. 439-442
    Details
    In: Journal of Pediatric Orthopaedics, Ovid Technologies (Wolters Kluwer Health), Vol. 42, No. 8 ( 2022-09), p. 439-442
    Abstract: Preaxial or radial polydactyly is one of the most common hand congenital anomalies in newborns. Contemporary reconstruction methods include ligament reconstruction, excision of the polydactylous thumb, osteotomy, and other surgical techniques according to the type of polydactyly. The purpose of this study was to report mid-term to long-term reconstruction results for thumb (radial) polydactyly. Methods: We retrospectively reviewed the medical records of patients who underwent reconstruction surgery for preaxial polydactyly. Clinical outcomes, including the range of motion (ROM), pain, and complications, were evaluated. We assessed the final radiographs of the reconstructed thumb to identify the potential development of arthritis or other remaining deformities. After excluding cases without a simple radiograph and cases with a short follow-up period of fewer than 5 years, 26 thumbs were included. The surgical technique followed including excision of polydactylout thumb was tailored to the type of polydactyly. If the nail size of the thumbs was similar, the Bilhaut-Cloquet method was preferred. Results: The mean age of the patients at the surgery and final follow-up was 14.9 months (range: 8 to 30 mo) and 11.9 years (range: 5.8 to 19.3 y), respectively. The mean follow-up was 128.8 months years (range: 60 to 219 mo), and the mean ROM of the thumb was 32.7 and 57.5 degrees in the distal interphalangeal joint (DIP) and metacarpophalangeal (MP) joint, respectively. Ulnar or radial side instability was prominent in 7 patients in the involved joints (26.9%). One patient underwent interphalangeal (IP) fusion for extension lag with pain. The radiologic evaluation revealed that 2 patients developed radiographic evidence of IP joint arthritis (7.7%). Radial deviation of the MP or IP joint existed in 13 cases (range: 5 to 40 degrees) (50.0%), and ulnar deviation of the MP or IP joint existed in 2 cases (range: 19 to 20 degrees) (7.7%). Conclusions: In mid-term to long-term experience, sequelae such as joint instability, joint stiffness, and remaining deformity cannot be neglected. An unstable MP joint may result if the DIP joint remains stiff or has a lower ROM. Level of Evidence: Level IV—therapeutic studies.
    Type of Medium: Online Resource
    ISSN: 0271-6798
    URL: Article
    DOI: 10.1097/BPO.0000000000002195
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2022
    detail.hit.zdb_id: 2049057-4
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  • 2
    Online Resource
    Online Resource
    Retained Foreign Body Which Should be Suspected as a Cause of Retractable Chronic Hand Inflammation and Diagnostic Capacity of Ultrasonography
    World Scientific Pub Co Pte Ltd ; 2020
    In:  The Journal of Hand Surgery (Asian-Pacific Volume) Vol. 25, No. 04 ( 2020-12), p. 423-426
    Details
    In: The Journal of Hand Surgery (Asian-Pacific Volume), World Scientific Pub Co Pte Ltd, Vol. 25, No. 04 ( 2020-12), p. 423-426
    Abstract: Background: Foreign bodies in the hand are common but easily and often missed in the initial evaluation of injury. Diagnosing retained foreign bodies is difficult due to radiolucent foreign bodies. Purpose of this study is to emphasize the need of consideration of foreign bodies in patients with chronic synovitis in hand. Methods: Twenty-five patients who had retained foreign body in soft tissue of hand with chronic inflammation symptoms were included. Ultrasonography was conducted in all of the patients. Patient age, sex, localization of foreign body, duration of symptom, history of injury, follow up period, complication, and biopsy results were recorded and reviewed. Also, patients’ demographics and clinical results were retrospectively reviewed. Results: Nine of the 25 patients diagnosed with a foreign body in the hand did not remember the initial presentation of injury. The average symptom duration (from injury to hospitalization) was 10.5 months (range 1–96 months). The middle finger and the proximal interphalangeal joint were the most common site of a retained foreign body (10 patients). All patients were diagnosed via ultrasonography and underwent surgery. Biopsy results showed mainly chronic inflammation, fibrosis, granuloma, and foreign bodies. Conclusions: Patient with symptoms of cellulitis, osteomyelitis, and palpable mass in hand for over a month without a diagnosis should be suspected of retained FBs.
    Type of Medium: Online Resource
    ISSN: 2424-8355 , 2424-8363
    URL: Article
    DOI: 10.1142/S2424835520500459
    Language: English
    Publisher: World Scientific Pub Co Pte Ltd
    Publication Date: 2020
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  • 3
    Online Resource
    Online Resource
    A methodology for diagnosing FAC induced pipe thinning using accelerometers and deep learning models
    Elsevier BV ; 2020
    In:  Annals of Nuclear Energy Vol. 143 ( 2020-08), p. 107501-
    Details
    In: Annals of Nuclear Energy, Elsevier BV, Vol. 143 ( 2020-08), p. 107501-
    Type of Medium: Online Resource
    ISSN: 0306-4549
    URL: Article
    DOI: 10.1016/j.anucene.2020.107501
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
    detail.hit.zdb_id: 2000768-1
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  • 4
    Online Resource
    Online Resource
    Millennials’ Avoidance of International Assignments in the Middle East: A Case in the EPC Industry
    International Academy of Global Business and Trade ; 2022
    In:  International Academy of Global Business and Trade Vol. 18, No. 4 ( 2022-08-31), p. 57-74
    Details
    In: International Academy of Global Business and Trade, International Academy of Global Business and Trade, Vol. 18, No. 4 ( 2022-08-31), p. 57-74
    Abstract: Purpose – Working in the Middle East used to be a “must-have” experience in the Engineering, Procurement and Construction (EPC) industry. However, these days, millennials are not willing to accept such assignments. By adopting expectancy theory, this study explores the antecedents causing their reluctance. Design/Methodology/Approach – We adopt consensual qualitative research method with 21 in-depth interviews of expatriates with working experience in the Middle East from three EPC companies in South Korea. In particular, our study covers expatriates working in Qatar, Morocco, Algeria, Oman, Iraq, and Kuwait, which are rarely studied in the existing literature. Findings – We find that millennial expatriates are sensitive to harsh working environments that lead to limitations in their personal lives. Our study also shows that millennials perceive the reward as too low, especially when compared to expatriates in other countries or those at headquarters. Furthermore, they think working in the Middle East is not helpful to their future career. Research Implications – South Korean EPC companies should identify the characteristics of these millennials and make adjustments to current HR practices, such as pay raises and career support. Allowances for long-term employees in remote parts of the Middle East should also be increased. It is necessary to give extra points to promotion for those who have worked in secluded areas.
    Type of Medium: Online Resource
    ISSN: 1946-5130 , 2470-4733
    Uniform Title: Millennials’ Avoidance of International Assignments in the Middle East: A Case in the EPC Industry
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.20294/jgbt.2022.18.4.
    DOI: 10.20294/jgbt.
    DOI: 10.20294/jgbt.2022.18.4.57
    Language: Unknown
    Publisher: International Academy of Global Business and Trade
    Publication Date: 2022
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