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Olszewski W.L.,Polish Academy of Sciences | Olszewski W.L.,Japanese Ministry of Internal Affairs and Communications Japan
International Angiology | Year: 2011

The microsurgical lympho-venous shunts have become one of the generally accepted modalities in treatment of limb lymphedema. This review highlight the indications for this procedure after over 40 years. This study was based on the personal experience of one surgeon and on the review of the literature. Patients with postinflammatory, postsurgical, idiopathic and hyperplastic lymphedema of lower limbs were included in the study. Basing on the review of results of the last 40 years the contemporary indications are: 1) lymphedema with local segmental obstruction but still partly patent distal lymphatics seen on functional lymphoscintigraphy (standard walking or pneumatic compression) and without an active inflammatory process in the skin, subcutaneous tissue and lymph vessels (DLA-dermatolymphangioadenitis); 2) classified according the etiology of lymphedema, this operation can bring about satisfactory results in cases of hyperplastic, postsurgical and postinflammatory types of lymphedema, whereas primary idiopathic lymphedema of non-genetic type should be treated with conservative means, although in a small number of cases an improvement was observed after lympho-venous shunting as long as 10 years. Microsurgical lymph node or lymphatic vessel to vein shunts have their established position among the therapy modalities for lymphedema of lower limbs in a strictly defined group of patients using lymphoscintigraphic imaging. Source


Olszewski W.L.,Polish Academy of Sciences | Olszewski W.L.,Japanese Ministry of Internal Affairs and Communications Japan
Phlebologie | Year: 2012

The author presents the actual definition of the lymphatic system, how close and dependent it is on the venous system, what is its composition, how does tissue fluid and lymph flow between the cells to the blood circulation, how it is changed in lymphedema, and in particular what is the tissue fluid/ lymph biochemistry, pressure and flow, histopathology and tissue location, and finally how to manage the most common complication of lymphedema that is dermato-lymphangioadenitis. © Schattauer 2012. Source


Hagihara A.,Kyushu University | Hasegawa M.,Japanese Ministry of Internal Affairs and Communications Japan | Abe T.,Kyushu University | Wakata Y.,Kyushu University | And 2 more authors.
PLoS Medicine | Year: 2013

Background: No studies have evaluated whether administering intravenous lactated Ringer's (LR) solution to patients with out-of-hospital cardiac arrest (OHCA) improves their outcomes, to our knowledge. Therefore, we examined the association between prehospital use of LR solution and patients' return of spontaneous circulation (ROSC), 1-month survival, and neurological or physical outcomes at 1 month after the event. Methods and Findings: We conducted a prospective, non-randomized, observational study using national data of all patients with OHCA from 2005 through 2009 in Japan. We performed a propensity analysis and examined the association between prehospital use of LR solution and short- and long-term survival. The study patients were ≥18 years of age, had an OHCA before arrival of EMS personnel, were treated by EMS personnel, and were then transported to hospitals. A total of 531,854 patients with OHCA met the inclusion criteria. Among propensity-matched patients, compared with those who did not receive pre-hospital intravenous fluids, prehospital use of LR solution was associated with an increased likelihood of ROSC before hospital arrival (odds ratio [OR] adjusted for all covariates [95% CI] = 1.239 [1.146-1.339] [p<0.001], but with a reduced likelihood of 1-month survival with minimal neurological or physical impairment (cerebral performance category 1 or 2, OR adjusted for all covariates [95% CI] = 0.764 [0.589-0.992] [p = 0.04]; and overall performance category 1 or 2, OR adjusted for all covariates [95% CI] = 0.746 [0.573-0.971] [p = 0.03]). There was no association between prehospital use of LR solution and 1-month survival (OR adjusted for all covariates [95% CI] = 0.960 [0.854-1.078]). Conclusion: In Japanese patients experiencing OHCA, the prehospital use of LR solution was independently associated with a decreased likelihood of a good functional outcome 1 month after the event, but with an increased likelihood of ROSC before hospital arrival. Prehospital use of LR solution was not associated with 1-month survival. Further study is necessary to verify these findings. Please see later in the article for the Editors' Summary. © 2013 Hagihara et al. Source


Murashbekov O.B.,Japanese Ministry of Internal Affairs and Communications Japan
Journal of Internet Banking and Commerce | Year: 2015

The paper submitted covers advanced methods of cybercrime fighting in developed countries and opportunities of their use for law enforcement in Republic of Kazakhstan. Economic opportunities of computer technologies make them attractive for criminals. Cybercrime is promoted by IT in everyday life and Internet. Technical methods of protection from criminal offense committed with the use of computer technologies are studied together with organizational and criminal law methods enabling efficient investigation of cybercrimes, correct classification of crime components and fair punishment. Feasibility of further criminalization of acts accounting for lucri causa and crime commitment method in cybercrimes is substantiated. The conducted research enabled the author to classify the advanced contemporary methods in connection with fighting cybercrime and come to the conclusion on their comprehensive use. Some exact steps were submitted for improvement of criminal regulations of Republic of Kazakhstan accounting for lucri causa and crime commitment method (using computer technologies in a number of classified components of crimes against property). © 2015 Murashbekov OB, et al. Source


Mihaila M.,Japanese Ministry of Internal Affairs and Communications Japan
NATO Science for Peace and Security Series B: Physics and Biophysics | Year: 2015

At national level, The General Inspectorate for Emergency Situations (GIES) is the specialized body of the Romanian Ministry of Internal Affairs responsible for the coordination of all organizations involved in emergency situations management, as part of the National Emergency Management System (NEMS) and component of the National Defence System. The National Emergency Management System aims at prevention and management of emergency situations, the planning and coordination of human, material and financial resources. The NEMS is an integrated framework inside of which all the support tasks for prevention and management of emergencies are shared among national ministries, central bodies and non-governmental organizations. The response is developed based on the National Plan for Protection and Intervention in case of a nuclear accident or radiological emergency, providing a national, coordinated response of all the components of the National Emergency System. © Springer Science+Business Media Dordrecht 2015. Source

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