Conservative Methods Research Articles

Malay identity in the exploration of miniature creation as souvenirs: contextual miniature of Malay architecture of North Sumatra, Indonesia

As a testament to the past Malay glory, there are monumental architectures in Medan (North Sumatra, Indonesia), Langkat (North Sumatra, Indonesia) and Batubara Regencies (North Sumatra, Indonesia) that have become Malay icons. The city of Medan and several areas in North Sumatra are known as tourist destinations since the early 20th century. The tourism has strong potential but it has not been supported by representative souvenir products. This article discusses the preservation of Malay identity through research into the manufacture of miniatures as souvenirs. The aim is to explore the potential of Malay architectural forms to be explored in the production of miniature souvenirs to revitalize North Sumatra’s Malay identity. The replicated research methods are survey, creation (creative experiment), and conservation methods in the socio-cultural approach. Research data was collected from various sources and analyzed using an interactive model. The results of the study explain that the potential identity of Malay architecture can be mapped based on its type (function) and structure. Its exploratory potential, both technically and aesthetically, lies in the dynamic visualization of roof forms and architectural facades. As it is researched based on the iconic Malay architectural figures, the miniature products are exclusive in the form of unique souvenirs with a strong Malay identity.

Analysis of assisted reproductive outcomes in patients with atypical endometrial hyperplasia and early-stage endometrial cancer after fertility-sparing treatment.

To explore the assisted reproductive outcomes of patients with atypical endometrial hyperplasia (AEH) and early-stage endometrial cancer (EEC) who achieved complete remission after conservative treatment and to provide reference for clinical selection of appropriate conservative treatment. This retrospective cohort study included seven patients with EEC and 62 patients with AEH who underwent invitro fertilization or intracytoplasmic sperm injection at the Reproductive Center of the Third Affiliated Hospital of Zhengzhou University between August 2015 and October 2023. The authors divided the participants into two groups based on the type of fertility-sparing treatment received: the oral medication group and the levonorgestrel-releasing intrauterine system (LNG-IUS) group. The primary outcome was the cumulative clinical pregnancy rate. Secondary outcomes included clinical pregnancy rate per transfer cycle, embryo utilization rate, and high-quality embryo rate. The LNG-IUS group had a significantly higher rate of usable embryos compared with the oral medication group (80.8% vs 91.1%, P = 0.005) and also had a thinner endometrial thickness on the day of embryo transfer. The cumulative clinical pregnancy rate was higher in the LNG-IUS group compared with the medication group (46.7% vs 78.9%, P = 0.037), and the difference was statistically significant. For patients with AEH and EEC with fertility needs, the conservative treatment method of LNG-IUS can achieve better assisted reproductive outcomes.

Healing joints with precision: The role of prolotherapy in treating TMD’s

Temporomandibular disorders (TMD) affect the masticatory muscles and temporomandibular joints, causing pain and functional issues. This case report describes a 41-year-old female with chronic severe degenerative arthropathy of the left TMJ, who initially responded to conservative treatments but later received prolotherapy for persistent symptoms. Following prolotherapy, her pain score decreased from 7 to 3, and her mouth opening improved from 25 mm to 44 mm over three months. This case highlights prolotherapy's potential as an effective alternative for TMD treatment, complementing traditional conservative methods.

Spreading the “scientific approach”: the chemical turn in conservation from the Musée d’ethnographie du Trocadéro to colonial museums in the French empire

ABSTRACT This text retraces the installation of the laboratory in the Musée d’ethnographie du Trocadéro in the 1930s. It questions the ambitions that lay behind the “scientific” conception of museum conservation as promoted by the museum’s technical assistant, Adrien Fédorovsky, in parallel with many other European museums. Particular attention is paid to chemical methods of conservation and the setting up of toxic chambers. The products used and their suppliers are documented, and overlaps with other social fields sketched out. Finally, the text traces the spread of chemical conservation methods to planned and completed museums in the French empire.

Soliton solutions of derivative nonlinear Schrödinger equations: Conservative schemes and numerical simulation

In this paper, we numerically study soliton solutions of derivative nonlinear Schrödinger equations based on several conservative finite difference methods. All schemes own second-order accuracy with the convergence order O(τ2+h2) in the discrete L∞-norm, where h denotes the spatial step size and τ denotes the temporal step size. We show that difference schemes preserve some discrete counterparts of continuous conservation laws, and all these schemes are solvable. Extensive numerical examples with soliton solutions are carried out to verify the theoretical results. These results manifest that our schemes have potential application to soliton propagation in optical fibers.

Generational differences in payment habits and solutions in the digital space

With the rise of digitalisation, payment habits and solutions have undergone a significant transformation, which is also driven by generational differences. Our study aims to explore how the payment preferences and habits of each generation differ in the digital space. Older generations tend to prefer more conservative payment methods, such as credit cards or cash, while younger generations are more open to modern, innovative solutions such as mobile payments and cryptocurrencies. Our paper highlights the extent to which technological developments and digital literacy are influencing the payment habits of different generations, and how the role of security and convenience is shaping the payment choices of different age groups. The study focuses on the financial literacy of each generation, including how to navigate 21st century finance. It is no exaggeration to say that not everyone has the same knowledge or understanding of modern finance. However, effective financial decision-making requires not only an understanding of traditional finance, but also the ability to keep abreast of the financial changes of the modern age. This study will hopefully shed light on the importance of the subject and the importance of developing financial literacy. We can strongly assume that financial literacy can be characterised at very different levels when looking at different generations, so it seems worthwhile to look more closely at the level of financial literacy among different generations. However, the present study focuses on financial habits and solutions.

Comparison of Treatment Methods for Carpal Tunnel Syndrome: Surgical vs. Non-Surgical

Introduction Carpal tunnel syndrome (CTS) is a common condition that results from the compression of the median nerve within the carpal tunnel in the wrist. Both surgical and non-surgical treatments are used to manage CTS. While surgery is necessary in some cases, many patients can be treated effectively with conservative methods. This review compares the efficacy of surgical treatment for CTS against various conservative approaches. Aim The study aims to evaluate and compare the outcomes of surgical versus conservative treatments for CTS, focusing on symptom relief, patient outcomes, and long-term prognosis. State of Knowledge The carpal tunnel is a narrow passage in the wrist formed by carpal bones and the flexor retinaculum. Compression of the median nerve within this tunnel leads to CTS, which can be caused by anatomical variations or systemic conditions like diabetes. Symptoms include pain, numbness, and tingling in the hand, which may worsen at night or with repetitive movements. Summary (Conclusions) Surgical treatment, especially decompression, offers superior symptom relief and functional improvement but carries risks of complications. Conservative treatments like wrist immobilization and anti-inflammatory medications are effective for many patients, supporting their use as initial treatment. Further research is needed to optimize CTS management.

Fractures of the thoracolumbar spine in osteoporosis.

Due to increasing life expectancy, the prevalence of fractures caused by osteoporosis is raising. These fractures significantly reduce the quality of life in the elderly population. They represent both a disease and an injury simultaneously. While they were once treated solely with conservative methods, new techniques and implants are expanding the indications for surgical treatment. This article presents the current treatment options.

SP4.12 - A single centre experience of managing patients admitted for elective Nissen’s Fundoplication as a day case procedure

Abstract Aims Laparoscopic Nissen’s fundoplication (LNF) is an elective procedure used to treat gastro-oesophgeal reflux which cannot be managed effectively with medical and conservative methods. LNF is the most common surgical procedure used to treat reflux in the UK and optimising the discharge process for these patients can therefore prevent excessive admission times for many patients. This study aimed to analyse the success of LNF as a day case procedure in a tertiary centre. Methods The notes from patients who underwent LNF between January 2020 and December 2023 were retrospectively reviewed. The demographics, co-morbidities and the rates of readmission and complications of the patients included were noted. All patients were managed following local and national surgical, anaesthetic and nursing guidelines. Results 67 patients underwent LNF within the time frame studied, each of which were initially planned to be kept in hospital overnight. 41 (61.2%) cases however, were considered to be medically safe for discharge as a day case operation. None of the patients studied required readmission or suffered any complications despite this change in their care plan. Conclusions This single centre experience showed that patient safety was not compromised by encouraging LNF as a day case procedure in selected patients. Day-case protocols should therefore be considered for patients undergoing LNF who have no/few major co-morbidities and can be looked after at home post-operatively in order to reduce healthcare costs and maximise bed space availability.

Research Progress of Camptocormia in Parkinson Disease.

Camptocormia, also known as bent spine syndrome, primarily affects individuals with Parkinson disease (PD). This review provides an overview of camptocormia in PD, covering its definition, epidemiology, causes, diagnosis, and treatment. In the epidemiology section, we delve into its prevalence, gender disparities, and ongoing genetic research. Regarding diagnosis and assessment, we discuss evolving diagnostic criteria and measurement techniques, as well as new diagnostic tools. For management and treatment, a wide array of options is available, from conservative methods such as physical therapy and botulinum toxin injections to surgical interventions such as spinal orthopedic surgery and deep brain stimulation. We stress the significance of personalized care and multidisciplinary collaboration. This comprehensive review aims to provide clinicians, researchers, and healthcare professionals with a comprehensive understanding of camptocormia in PD, highlighting its clinical features, diagnostic strategies, management approaches, and future perspectives.

Study on protection and sustainable inheritance of Fujian Tubao: A case study of Fuxing Bao in Yong’an City

Fujian Tubao, a defensive residential structure predominantly found in central Fujian, represents a significant cultural heritage of the region. However, with the rapid urbanization underway, Fujian Tubao faces the threat of extinction, presenting severe challenges to its survival and development. Identifying a sustainable development path for Fujian Tubao is crucial for preserving regional culture. This study uses Fuxing Bao, a quintessential example of Fujian Tubao, as a case study to explore conservation methods based on adaptive reuse. Through field surveys, questionnaires, in-depth interviews, and case studies, we analyze the historical background of the building, focusing on the current physical and social environment of Fuxing Bao. Our findings indicate that the current state of preservation of Fuxing Bao can meet the requirements for adaptive reuse. By integrating results from surveys and interviews with local villagers, we propose sustainable development strategies and conservation methods. This research offers a sustainable development model for Fujian Tubao and other traditional regional dwellings. By adopting an adaptive reuse perspective, it aims to better address the conflict between modern living and traditional architectural preservation, ensuring that these architectural spaces are properly protected and continue to play a unique role in contemporary society.

Groove pancreatitis – an unusual case of pancreatitis, case report

Groove pancreatitis is a rare form of chronic pancreatitis affecting the pancreaticoduodenal groove, leading to ductal stenosis and symptoms like abdominal pain, vomiting, and jaundice. It often coexists with cystic dystrophy of the duodenal wall (CDDW), marked by duodenal wall thickening and cyst formation. We report a case of a 36-year-old male with persistent abdominal pain and a history of acute pancreatitis, diagnosed with CDDW via MRI. Despite multiple endoscopic interventions, ductal access was challenging due to inflammation and conservative management with proton pump inhibitors and pancreatic enzymes provided symptom relief. Diagnostic tools include MRI, endoscopy, and EUS were administered. Management of groove pancreatitis still remains a challenge consisting of treatment ranging from conservative methods to surgical intervention for refractory cases, emphasizing a cautious, stepwise approach and lifestyle changes.

RESSECÇÃO DE AMELOBLASTOMAS CONVENCIONAIS APÓS TRATAMENTO CONSERVADOR E RELATO DE TRANSFORMAÇÃO PERIFÉRICA: SÉRIE DE CASOS E REVISÃO INTEGRATIVA

Introduction: Ameloblastoma is a slow-growing tumor, presenting bone expansion and high recurrence rates. It originates from the tooth enamel, dental follicle, periodontal ligament or lining of odontogenic cysts and odontogenic epithelium. Recently, in 2022, the WHO reclassified ameloblastomas into conventional, unicystic, peripheral and metastatic due to prospective views based on updates to genetic studies, which has generated a dilemma in the literature regarding the ideal therapeutic approach for conventional ameloblastoma, to provide a lower surgical risk and morbidity to patients. Purpose: Carry out an integrative review of the literature, describing 02 resections of conventional ameloblastomas after conservative treatment and 01 report of peripheral transformation, providing valuable information on management. Methodology: The current study was divided into two stages. The first step consists in a descriptive series of three cases of conventional ameloblastomas treated by conservative methods, where two of them were subsequently submitted to partial resection and the third one turned into a peripheral ameloblastoma. In the second step, an integrative and systematic review was carried out in accordance with the PRISMA recommendations on resection and excision for treating conventional ameloblastomas. Results: Classification and treatment methods in cases of ameloblastoma are based on histopathological characteristics and can range from enucleation to resection with reconstruction. This study focuses on three case reports of patients with conventional ameloblastoma. The treatment consisted in two partial resections with primary reconstructions and one enucleation combined with a peripheral osteotomy after conservative treatments without prolonged follow-up. The treatment of choice and recurrence were evaluated, and the patients had satisfactory results. Conclusion: There is no consensus on the treatment of ameloblastomas. Both conservative surgeries and radical interventions are used. The chosen treatment must take into account the location of the tumor, size, age, general health condition and cooperation of the patient, possibility of long-term delivery, histopathological pattern and professional experience.

Overview of Leech Therapy as an Alternative Treatment for Varicose Ulcers: Mechanisms and Efficacy

Varicose ulcer, the most severe and debilitating complication of chronic venous insufficiency in the lower limbs, impart substantial obstacles in medical management because of their chronicity and propensity for recurrence. About 80 percent of ulcerations on the lower extremities are triggered by varicose ulcer. Despite advances in diagnosis and treatment, varicose ulceration remains a major healthcare concern due to its potential for life-threatening complications. The morbidity has a detrimental effect on life expectancy. Venous ulceration results from persistent venous pressure brought on by venous insufficiency. Although the diagnosis is primarily clinical, it must be distinguished from other lower limb ulcer causes. Reduction of edema, enhancement of ulcer healing, and avoidance of recurrence are the objectives of treatment. Although conservative care, mechanical treatment, pharmaceutical, and surgical methods are available for the treatment of venous ulcers, but Hirudotherapy, also known as leech therapy, has grown into a prominent complementary treatment option. It has the potential to promote wound healing and alleviate varicose ulcer symptoms. The objective of this review is to accord a thorough overview of the application of leech therapy to the management of varicose ulcers. The present study emphasizes on the mechanisms of action, efficacy and safety profile of leech therapy in the context of managing varicose ulcers by synthesizing a collection of available literature, clinical investigations, and case reports.

Industry-Wide Application of Value Investing: A Comprehensive Analysis of Technology, Healthcare, Energy, and Catering Sectors

Value investing has been proved to be a valid means to dive into deeper market, in order to find the intrinsic value. It is grounded in a long-term perspective, focusing on the fundamental aspects of a business, such as its financial health, management quality, competitive position, and growth prospects. On the basis of above information, this paper is going to talk about the practical investing behaviors in different industries, including the technology, healthcare, energy and catering industries, surpassing the dimension of theory. With the improvement of every industry, innovations and risks have been taken into consideration, directing investors to take promising or conservative methods. By applying the principles of value investing across different industries, investors can seek to build portfolios that are not only diversified but also grounded in the fundamental strengths of the businesses they invest in. In each of these industries, value investors must conduct thorough due diligence, analyzing financial statements, market positions, competitive advantages, and growth potential.

Healing of periapical lesion by non-surgical endodontic therapy: A case report

Periapical lesions often arise as a consequence of pulpal diseases, and most inflammatory periapical lesions are initially managed with conservative non-surgical methods. The success of root canal treatment hinges on the thorough cleaning, shaping, and obturation of the root canal system. Calcium hydroxide and triple antibiotic paste (TAP) are preferred intracanal medicaments due to their effective antibacterial properties. This case report details the non-surgical management of a periapical lesion associated with the mandibular central incisors in a 18-year-old female who presented with periodic swelling and pus drainage in the labial sulcus, due to traumatic accident in the that area. The case underscores the effectiveness of using calcium hydroxide and TAP as interappointment endodontic dressings, leading to favorable clinical and radiographic outcomes for managing a periapical radiolucency.

Caesarean scar defect and retained products of conception (RPOC): a step-by-step combined hysteroscopic and laparoscopic treatment.

Uterine scar defect (also called uterine niche or isthmocele) associated to retained products of conception (RPOC) is an uncommon occurrence following caesarean section. Typically, the primary indicator is abnormal vaginal bleeding, and an accurate diagnosis can be established through ultrasound evaluation. Several surgical and endoscopic treatments have been described. To show a step-by-step video of combined hysteroscopic and laparoscopic approach to perform isthmocele repair in a patient with caesarean scar defect and RPOC. We report a case of a 34-year-old patient who was referred to our Digital Hysteroscopic Clinic (DHC) for abnormal vaginal bleeding and persistent pelvic pain, three months after a caesarean section. A single-step diagnostic approach through transvaginal ultrasound and diagnostic hysteroscopy revealed the presence of an isthmic uterine niche within the caesarean scar area, containing a poorly vascularised heterogeneous hyperechoic focal mass measuring 33x11x33 millimetres. Removal of RPOC and surgical complications. All retained placental tissue was removed and the uterine wall defect was corrected. No complications occurred and the patient was discharged two days after the procedure. Patient was asymptomatic at 3 months follow up and ultrasound and hysteroscopy showed a reconstituted uterine wall. An integrated hysteroscopic and laparoscopic approach seems to be an effective conservative method to remove RPOC and perform isthmocele repair with optimal surgical results.

ADVANCES IN NON-SURGICAL MANAGEMENT OF GONARTHROSIS: A SYSTEMATIC REVIEW

Objectives: Knee osteoarthritis (KOA) is typically the result of wear and tear andprogressive loss of articular cartilage and may eventually lead to disability. Treatment forKOA begins with conservative methods and progresses to surgical treatmentoptions when conservative treatment fails. This systematic review aims to highlight the latestadvancements in non-surgical interventions to improve the management of this commonmusculoskeletal disorder. Methods: A comprehensive search of sources available in both English and Frenchencompassing various databases such as PubMed, Google Scholar, and relevant medicaljournals in addition to recommendations provided by prominent organizations(EULAR, ACR, SFR, SOFMER, OARSI, ESCEO, NICE, PANLAR, AAOS). Inclusion criteria were good quality systematic reviews, meta-analyses, practice guidelinesexcludingsurgicalKOA treatment. Results:We thoroughly examined a large set of 545 articles and meticulously selected 117 for detailed analysis. This carefully selected set comprised randomized controlled trials, consensus statements, international guidelines, systematic reviews, meta-analyses, cohort studies, and reviews. Qualitative synthesis revealed widely approved nonpharmacological therapies such as information/education programs, weight loss, and physicalactivity. Most agreed on pharmacological therapies were oral and local NSAIDs, Paracetamol, and intra articular corticosteroid injection. Other treatment options were subject to controversy. Conclusion:Various options are available for the treatment of KOA. However, KOA remains a commonglobal health challenge, affecting millions and compromising the quality of life through pain, functional limitations, and associated morbidities. A comprehensive and personalized approach seems crucial in order to reduce pain, improve knee function over the long term.

Innovative Approaches for Climate-Resilient Farming: Strategies against Environmental Shifts and Climate Change

Climate change, driven predominantly by human activities such as burning fossil fuels and deforestation, is causing significant alterations to global weather patterns. This phenomenon results in more frequent and severe weather events, including prolonged droughts, intense rainfall, and shifting temperature regimes. Such changes pose a substantial threat to agriculture, a sector highly dependent on stable climatic conditions. Crop yields are increasingly unpredictable due to these extreme weather events and shifting growing seasons, impacting food security and livelihoods worldwide. To address these challenges, climate resilience agriculture has emerged as a pivotal solution. This approach involves adopting farming practices and technologies designed to withstand and adapt to changing climatic conditions. Strategies include diversifying crop varieties, precision agriculture, climate smart agriculture, nano biochar application, coated fertilizer applications, natural farming, site specific nutrient management, mulching, precise water management, seed bombing, direct seeding in rice, implementing soil conservation methods etc. Additionally, climate resilience agriculture promotes the integration of traditional knowledge with modern scientific advancements to enhance ecosystem robustness and productivity. By fostering adaptive capacity and reducing vulnerability, climate resilience agriculture aims to safeguard food systems and sustain agricultural productivity in the face of ongoing climate disruptions.

Laser Hemorrhoidoplasty and Lateral sphincterotomy Procedures vs Conservative Treatment for Hemorrhoids and Fissure in Ano: A Trial Comparing Laser and Conservative treatments

Objective: According to the ‘‘vascular’’ theory, arterial overflow in the superior hemorrhoidal arteries would lead to dilatation of the hemorrhoidal venous plexus. Hemorrhoid laser procedure (LHP) is a new laser procedure for outpatient treatment of hemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by laser coagulation. Aim: Our aim was to compare the hemorrhoid laser procedure and laser aided lateral sphincterotomy vs conservative treatment of symptomatic hemorrhoids and fissure in ano. Material and Method: A comparison trial between hemorrhoid laser procedure, lateral sphincterotomy and conservative treatment for hemorrhoids and fissure in ano was made. This study was conducted at Vels Medical College and Hospital, Manjankaranai, Tamil Nadu. Patients with symptomatic grade III or grade IV hemorrhoids with minimal or complete mucosal prolapse were eligible for the study: 30 patients treated with the laser hemorrhoidoplasty, 30 patients–with laser aided lateral sphincterotomy and 40 patients treated with conservative methods. Operative time, postoperative pain, post-op healing time were evaluated. Results: A total number of 100 patients ( 65 men and 35 women, mean age, 46 years) entered the trial. Significant differences between laser hemorrhoidoplasty, laser sphincterotomy and conservative treatments were observed in operative time and early postoperative pain. The procedure time for LHP was 15.49 min laser aided lateral sphincterotomy was 10.19 min. Conclusion: The laser hemorrhoidoplasty and laser guided sphincterotomy procedures were more effective than conservative methods. Postoperative pain and healing time were drastically less in the early and late post op period.