The document discusses compression anastomosis (CA) as an alternative to stapled or hand-sewn anastomoses for gastrointestinal surgery. It provides a history of CA devices including the Murphy Button and Valtrac ring. The ColonRing uses nitinol springs that compress tissue with a consistent force, allowing for a natural healing process. Data from over 8,000 ColonRing cases showed a 3.0% clinical leak rate. Surgeons reported the ColonRing was easy to use and resulted in an almost seamless anastomosis compared to staplers that can cause strictures.
Total hip replacement,ARTHROPLASTY OF THE HIP: APPLIED BIOMECHANICS, DESIGN AND SELECTION OF TOTAL HIP COMPONENTS, ALTERNATE BARRINGS INDICATIONS, CONTRAINDICATIONS OF THR & TEMPLETING AND PRE-OP EVALUATION.
Eco surgical corporation offers a wide range of spine instruments, pituitary rongeurs and kerrisons rongeurs. we have been in business since 2008 and providing our customers with best quality products and service. www.ecosurgical.com
conventional plates including different functions of screws, modes of plate application, Compression Mode.
Neutralization Mode.
Buttress plate.
Antiglide plate.
Bridge plating or span plating.
Tension band.
prebending precountouring
working length
lag screw
AO principles
biological fixation
MIPO
Congenital Pseudoarthrosis of Tibia and Blounteโs Disease.pptxKaushal Kafle
ย
Congenital Pseudoarthrosis of Tibia and Blounteโs Disease, etiopathogenesis , cause of lowerlimb deformity and bowing in kids, treatment, prognosis and outcome, Tachdijans Padeiatric Orthopedics
Total hip replacement,ARTHROPLASTY OF THE HIP: APPLIED BIOMECHANICS, DESIGN AND SELECTION OF TOTAL HIP COMPONENTS, ALTERNATE BARRINGS INDICATIONS, CONTRAINDICATIONS OF THR & TEMPLETING AND PRE-OP EVALUATION.
Eco surgical corporation offers a wide range of spine instruments, pituitary rongeurs and kerrisons rongeurs. we have been in business since 2008 and providing our customers with best quality products and service. www.ecosurgical.com
conventional plates including different functions of screws, modes of plate application, Compression Mode.
Neutralization Mode.
Buttress plate.
Antiglide plate.
Bridge plating or span plating.
Tension band.
prebending precountouring
working length
lag screw
AO principles
biological fixation
MIPO
Congenital Pseudoarthrosis of Tibia and Blounteโs Disease.pptxKaushal Kafle
ย
Congenital Pseudoarthrosis of Tibia and Blounteโs Disease, etiopathogenesis , cause of lowerlimb deformity and bowing in kids, treatment, prognosis and outcome, Tachdijans Padeiatric Orthopedics
Anastomotic dehiscence after colorectal surgeryKETAN VAGHOLKAR
ย
Anastomotic dehiscence after colorectal surgery can have disastrous consequences. Various factors determine the
chances of anastomotic failure. The technical and systemic factors which a surgeon needs to be aware of are presented
in this article.
This presentation will help u know with the history,present and coming up trends in laparoscopy .Also it is an acquaintance presentation regarding laparoscopy.
Cervical Hybrid Arthroplasty by Pablo Pazmino MDPablo Pazmino
ย
This video explains Cervical Arthroplasty in combination with a fusion. When people have more than one cervical disc which has degenerated or which has sustained a traumatic rupture they may need a procedure to address both levels. These herniations may begin to affect the surrounding nerves and/or spinal cord. This video highlights the history, epidemiology, and treatment options both conservative and surgical. If you or someone you know needs to be seen in regards to Cervical Herniations/ Radiculopathy at multiple levels feel free to look us up online www.beverlyspine.com or call toll free 1-8SPINECAL-1
One of the most dreaded nightmares of any clinician is broken instruments in the midst of an endodontic treatment. NiTi rotary instruments show a high incidence of instrument fracture despite their favourable qualities.
Similar to Combined 14 clinical training--compression anastomosis (20)
Enterprise Excellence is Inclusive Excellence.pdfKaiNexus
ย
Enterprise excellence and inclusive excellence are closely linked, and real-world challenges have shown that both are essential to the success of any organization. To achieve enterprise excellence, organizations must focus on improving their operations and processes while creating an inclusive environment that engages everyone. In this interactive session, the facilitator will highlight commonly established business practices and how they limit our ability to engage everyone every day. More importantly, though, participants will likely gain increased awareness of what we can do differently to maximize enterprise excellence through deliberate inclusion.
What is Enterprise Excellence?
Enterprise Excellence is a holistic approach that's aimed at achieving world-class performance across all aspects of the organization.
What might I learn?
A way to engage all in creating Inclusive Excellence. Lessons from the US military and their parallels to the story of Harry Potter. How belt systems and CI teams can destroy inclusive practices. How leadership language invites people to the party. There are three things leaders can do to engage everyone every day: maximizing psychological safety to create environments where folks learn, contribute, and challenge the status quo.
Who might benefit? Anyone and everyone leading folks from the shop floor to top floor.
Dr. William Harvey is a seasoned Operations Leader with extensive experience in chemical processing, manufacturing, and operations management. At Michelman, he currently oversees multiple sites, leading teams in strategic planning and coaching/practicing continuous improvement. William is set to start his eighth year of teaching at the University of Cincinnati where he teaches marketing, finance, and management. William holds various certifications in change management, quality, leadership, operational excellence, team building, and DiSC, among others.
Event Report - SAP Sapphire 2024 Orlando - lots of innovation and old challengesHolger Mueller
ย
Holger Mueller of Constellation Research shares his key takeaways from SAP's Sapphire confernece, held in Orlando, June 3rd till 5th 2024, in the Orange Convention Center.
Improving profitability for small businessBen Wann
ย
In this comprehensive presentation, we will explore strategies and practical tips for enhancing profitability in small businesses. Tailored to meet the unique challenges faced by small enterprises, this session covers various aspects that directly impact the bottom line. Attendees will learn how to optimize operational efficiency, manage expenses, and increase revenue through innovative marketing and customer engagement techniques.
B2B payments are rapidly changing. Find out the 5 key questions you need to be asking yourself to be sure you are mastering B2B payments today. Learn more at www.BlueSnap.com.
"๐ฉ๐ฌ๐ฎ๐ผ๐ต ๐พ๐ฐ๐ป๐ฏ ๐ป๐ฑ ๐ฐ๐บ ๐ฏ๐จ๐ณ๐ญ ๐ซ๐ถ๐ต๐ฌ"
๐๐ ๐๐จ๐ฆ๐ฌ (๐๐ ๐๐จ๐ฆ๐ฆ๐ฎ๐ง๐ข๐๐๐ญ๐ข๐จ๐ง๐ฌ) is a professional event agency that includes experts in the event-organizing market in Vietnam, Korea, and ASEAN countries. We provide unlimited types of events from Music concerts, Fan meetings, and Culture festivals to Corporate events, Internal company events, Golf tournaments, MICE events, and Exhibitions.
๐๐ ๐๐จ๐ฆ๐ฌ provides unlimited package services including such as Event organizing, Event planning, Event production, Manpower, PR marketing, Design 2D/3D, VIP protocols, Interpreter agency, etc.
Sports events - Golf competitions/billiards competitions/company sports events: dynamic and challenging
โญ ๐ ๐๐๐ญ๐ฎ๐ซ๐๐ ๐ฉ๐ซ๐จ๐ฃ๐๐๐ญ๐ฌ:
โข 2024 BAEKHYUN [Lonsdaleite] IN HO CHI MINH
โข SUPER JUNIOR-L.S.S. THE SHOW : Th3ee Guys in HO CHI MINH
โขFreenBecky 1st Fan Meeting in Vietnam
โขCHILDREN ART EXHIBITION 2024: BEYOND BARRIERS
โข WOW K-Music Festival 2023
โข Winner [CROSS] Tour in HCM
โข Super Show 9 in HCM with Super Junior
โข HCMC - Gyeongsangbuk-do Culture and Tourism Festival
โข Korean Vietnam Partnership - Fair with LG
โข Korean President visits Samsung Electronics R&D Center
โข Vietnam Food Expo with Lotte Wellfood
"๐๐ฏ๐๐ซ๐ฒ ๐๐ฏ๐๐ง๐ญ ๐ข๐ฌ ๐ ๐ฌ๐ญ๐จ๐ซ๐ฒ, ๐ ๐ฌ๐ฉ๐๐๐ข๐๐ฅ ๐ฃ๐จ๐ฎ๐ซ๐ง๐๐ฒ. ๐๐ ๐๐ฅ๐ฐ๐๐ฒ๐ฌ ๐๐๐ฅ๐ข๐๐ฏ๐ ๐ญ๐ก๐๐ญ ๐ฌ๐ก๐จ๐ซ๐ญ๐ฅ๐ฒ ๐ฒ๐จ๐ฎ ๐ฐ๐ข๐ฅ๐ฅ ๐๐ ๐ ๐ฉ๐๐ซ๐ญ ๐จ๐ ๐จ๐ฎ๐ซ ๐ฌ๐ญ๐จ๐ซ๐ข๐๐ฌ."
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
Sustainability has become an increasingly critical topic as the world recognizes the need to protect our planet and its resources for future generations. Sustainability means meeting our current needs without compromising the ability of future generations to meet theirs. It involves long-term planning and consideration of the consequences of our actions. The goal is to create strategies that ensure the long-term viability of People, Planet, and Profit.
Leading companies such as Nike, Toyota, and Siemens are prioritizing sustainable innovation in their business models, setting an example for others to follow. In this Sustainability training presentation, you will learn key concepts, principles, and practices of sustainability applicable across industries. This training aims to create awareness and educate employees, senior executives, consultants, and other key stakeholders, including investors, policymakers, and supply chain partners, on the importance and implementation of sustainability.
LEARNING OBJECTIVES
1. Develop a comprehensive understanding of the fundamental principles and concepts that form the foundation of sustainability within corporate environments.
2. Explore the sustainability implementation model, focusing on effective measures and reporting strategies to track and communicate sustainability efforts.
3. Identify and define best practices and critical success factors essential for achieving sustainability goals within organizations.
CONTENTS
1. Introduction and Key Concepts of Sustainability
2. Principles and Practices of Sustainability
3. Measures and Reporting in Sustainability
4. Sustainability Implementation & Best Practices
To download the complete presentation, visit: https://www.oeconsulting.com.sg/training-presentations
Recruiting in the Digital Age: A Social Media MasterclassLuanWise
ย
In this masterclass, presented at the Global HR Summit on 5th June 2024, Luan Wise explored the essential features of social media platforms that support talent acquisition, including LinkedIn, Facebook, Instagram, X (formerly Twitter) and TikTok.
Putting the SPARK into Virtual Training.pptxCynthia Clay
ย
This 60-minute webinar, sponsored by Adobe, was delivered for the Training Mag Network. It explored the five elements of SPARK: Storytelling, Purpose, Action, Relationships, and Kudos. Knowing how to tell a well-structured story is key to building long-term memory. Stating a clear purpose that doesn't take away from the discovery learning process is critical. Ensuring that people move from theory to practical application is imperative. Creating strong social learning is the key to commitment and engagement. Validating and affirming participants' comments is the way to create a positive learning environment.
Company Valuation webinar series - Tuesday, 4 June 2024FelixPerez547899
ย
This session provided an update as to the latest valuation data in the UK and then delved into a discussion on the upcoming election and the impacts on valuation. We finished, as always with a Q&A
Implicitly or explicitly all competing businesses employ a strategy to select a mix
of marketing resources. Formulating such competitive strategies fundamentally
involves recognizing relationships between elements of the marketing mix (e.g.,
price and product quality), as well as assessing competitive and market conditions
(i.e., industry structure in the language of economics).
Personal Brand Statement:
As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
1. The Next Era in GI Surgery BioDynamixTM Anastomosis The Colon Ring HISTORY OF Compression Anastomosis Clinical Training Team
2. Routine Anastomotic TechniquesโHandsewn vs. Staples Until recently, there were only two routinely used techniques No difference whether sewn in one or two layers Stapling is faster Surgeon preference prevailed Literature supports whichever the surgeon uses
3. 3 โEminence-โโฆ(Instead of Evidence-)โฆBased Medicine Results inโ โRepeating the same mistakes with increasing confidence over an impressive number of years.โ O'Donnell M. A sceptic's medical dictionary. London: BMJ Books, 1997.
4. 4 The Velocity of Change When change occursโ โThe lag between the discovery of more efficacious forms of treatment and their incorporation into routine patient care is unnecessarily long, in the range of about 15 to 20 years.โ Institute of Medicine Crossing the Quality Chasm 2001
14. Murphy Button Two circular metallic rings Scalloped in the shape of a bowl Double purse strings Steel alloy coiled spring Necrosis of compressed tissue Very narrow lumen Frequent extrusion Limited clinical success Stenosis/Stricture - early or late 1891
41. Detachable Anvil Head Assembly Trocar Operating Knob Cutting Trigger ColonRingโขHousing Cutting Handle ColonRingTM Purse String Notch Plastic Anvil Ring Locking Spring Anvil Shaft Grasping Notch ColonRingTM Applier
42. Nitinolโs Basic Properties The Colon Ringโข is manufactured with Nitinol, a biocompatible alloy of nickel and titanium with several unique properties โ Shape Memory โ Unlike steel, Nitinol fully recovers its shape when heated past a transition temperature. Superelasticity โ Nitinol can be stretched far beyond the limits of other metal alloys (~20 times more than steel), while still remaining capable of returning to its original shape. Constancy of Force โ When deformed 1% to 6% from its predefined shape, Nitinol applies a consistent force range as it returns to its original shape. (Relaxes in cold and contracts in heat.)
43. Leaf Work Zone Work Zone 6%-1% Nitinol Leaf Spring at 6% Deformation Nitinol Leaf Spring at 1% Deformation Steel Leaf Spring at 0.4% Deformation Nitinol Leaf Spring at 0% Deformation
46. How the ColonRingTM Works Nitinol Spring Leaf at 6% Deformation (Thick Tissue) Nitinol Spring Leaf at 1% Deformation (Necrosed Tissue) Nitinol Spring Leaf at 3% Deformation (Thin Tissue)
47. Variation of Tissue Thickness within the Colon RingTM Tissue Thickness Tissue Thickness Nitinol Spring Leaf at 3% Deformation (Thin Tissue) Nitinol Spring Leaf at 6% Deformation (Thick Tissue) Leafs within the same ring can tolerate different deformation levels while still exerting almost the same force around the entire ring.
48. Application of the Colon RingTM The gap between the two ring elements adjusts according to tissue thickness. With greater tissue thickness, a larger gap is obtained (up to maximum). The Nitinol springs adjust the initial gap by compressing the tissue with a predefined force. The Nitinol springs within the ring act along the unloading plateau path (6%-1% of Strain) where a nearly constant force acts on the tissue. The fact that a nearly constant force can be obtained gives the Colon RingTM the ability to control the compression process. As the compression process progresses, the tissue trapped between the rings necroses, while the new anastomosis forms externally, and the gap decreases until "zero" gap occurs. At "zero" gap the ring detaches and is expelled naturally by intestinal peristalsis.
63. NiTi ColonRingTM Company Data 435 Averages represent averages of all data received for a given data point Data collected from over 600 surgeons at 375 sites in North America, Europe and Asia Sites range from major university medical centers to community-based hospitals Patients were 56% female, 44% male Procedures were 7% right hemicolectomy, 48% left hemicolectomy, 45% anterior resection Cases were 50% open and 50% lap Average age โ 62.4 (14 to 91) Average BMI โ 28.1 (16 to 55) Over 8,000 cases performed worldwide Of the 3,500 AR procedures, more than 450 involved chemo-radiated patients In all 7,641 commercial cases covered in this document, a clinical leak rate of 3.0% (228 cases) was reported. 156 15% 42% 40 4% 402 39% >25 cm <10 cm 11-15 cm 16-25 cm Height of Anastomosis In 1,033 Cases