Conservative Methods Research Articles

Ultrasound-guided minimally invasive cubital tunnel thread release: An experimental study.

Cubital Tunnel Syndrome is characterized by the compression of the ulnar nerve in the cubital tunnel and can cause restrictions to the activities of daily living. Traditional treatment includes conservative methods and, in more severe cases, different types of surgery. In these cases, common side effects of surgery may limit the clinical success. A new alternative could be a minimally invasive Ultrasound-guided (US-guided) thread release of cubital tunnel retinaculum also known as the Osborne's ligament. The aim of this study was to assess the efficacy and safety of ultrasound-guided thread cubital tunnel release (TCuTR) in an anatomical specimen model. In this single-center prospective experimental study, US-guided thread cubital tunnel release (TCuTR) was performed on 11 softly embalmed anatomic specimens. Subsequently, the elbows were dissected to assess the transection of Osborne's ligament and potential damage to adjacent structures. Due to calcification, one specimen was ineligible for the intervention. In all remaining ten interventions, Osborne's ligament (OL) was completely transected, without any damage to the surrounding nerves, blood vessels, tendons, or muscles. US-guided decompression has demonstrated a high success rate in transecting Osborne's ligament while averting damage to neighboring structures. This emerging technique appears to present an efficient and secure alternative to existing procedures.

Identification of conservation and restoration materials for iron relics through ultraviolet-induced visible luminescence imaging and pyrolysis-gas chromatography/mass spectrometry

Understanding the previous protection and restoration efforts and the current state of cultural relics is essential before compiling a conservation and restoration plan. The lack of detailed archival records for some early conservation operations, the identification of restoration materials necessitates the use of scientific analytical methods. In this study, the composition and spatial distribution of historical restoration materials on five iron relics were investigated through pyrolysis-gas chromatography/mass spectrometry (Py-GC/MS) and ultraviolet-induced visible luminescence imaging (UVL). The relics studied were iron weight 20791, iron adze head 2335, and iron axe 2334 from the Gansu Provincial Museum, iron sword D0008 from the Zhaotong Municipal Museum, and iron sword 450 from the National Museum of China. All five relics had undergone restoration without accompanying archival records. UVL revealed the distribution of various conservation materials. Notably, two distinct layers of the conservation material were observed on iron axe 2334. Differences in the fluorescence color and intensity of iron sword 450 provided information regarding the sampling strategy. The samples were collected under ultraviolet light emitting diode illumination to ensure representativeness and minimize damage to the relics. Through Py-GC/MS, the coating materials for iron weight 20791 and iron adze head 2335 were identified as boiled tung oil mixed with rosin resin. Iron axis 2334 had a two-layer coating: a base layer of boiled tung oil and a top layer of shellac. The coating material for iron sword D0008 was determined to be paraffin wax. The protective layer of iron sword 450 included multiple materials, including shellac, polystyrene, and bisphenol-A-type epoxy resin. This study confirms that UVL combined with Py-GC/MS serves as an effective technique for analyzing historical restoration materials. UVL guided the selection of representative samples for Py-GC/MS, reducing the time and amount of sampling required and minimizing further damage to the relics. This research provides valuable data for the restoration archives of five iron artifacts, offering a scientific basis for conservators to evaluate conservation methods, devise future conservation strategies, and exclude ineffective conservation materials.

Orthoses and other conservative methods in hallux valgus

Orthoses and other conservative methods in hallux valgus

Urban Water Crisis in Kabul City: Key Challenges and Solutions

Water is an essential human need for survival. However, billions globally wake up daily with accessible and affordable clean water. Rapid population growth, urbanization, climate change, precipitation regime changes, industrial development, and environmental degradation increase pressure on urban water resources. As a result, water demand is continuously rising, leading to prominent shortages in many cities in developing and developed countries, regardless of their developmental condition. One such city facing significant water scarcity is Kabul, the capital of Afghanistan, where rapid urbanization has outpaced local water supply infrastructure, resulting in unsustainable exploitation of groundwater resources. This directly threatens the well-being of millions of residents in this city. In anticipation of the exhaustion of local water sources, Kabul will soon need to explore alternative water supply methods, such as inter-basin water transfers, to meet the growing demand. This paper aims to offer a broad overview of urban water crises, evaluating the key drivers of water shortages, exploring the specific water crisis facing Kabul, and analyzing previous research, reports, papers, flow data, groundwater data, maps/charts, field observations, surveys, GIS data, and statistical analysis as the methods for this work. So, to combat declining groundwater levels, a sustainable groundwater management approach is crucial. The approach includes water conservation methods, the implementation of efficient irrigation techniques, and the adoption of water pricing mechanisms.

The Impact of Covid-19 on Lower Urinary Tract Symptoms (LUTS) in Patients Treated Conservatively for Benign Prostatic Hyperplasia

Benign prostatic hyperplasia (BPH) is a non-malignant urological pathology characterized by a progressive increase in the volume of the prostate gland and one of the important diseases which affect lower urinary tract symptoms (LUTS). Covid-19 is a new viral infection with epidemiological characteristics of a pandemic. The disease is presented as a respiratory, cardiovascular, and neurological late complication. There is limited data that low urinary tract can be affected and aggravate symptoms and quality of life (QoL). Our pilot study describes a male population treated with conservative methods for BPH and the effect of Covid-19 infection on their LUTS and QoL. This was a case-control study between April 2021 and November 2021. The study included 33 patients with a history of Covid-19 infection. The assessment of LUTS was carried out by processing the data obtained from the completed by the patients IPSS questionnaires (the last one before, immediately, and five months after Covid-19). The control group consisted of 50 patients, which for the management of the selection bias, matched according to demographic and clinical features of the group. All patients underwent ultrasound diagnostics giving information about the volume of the prostate gland and the amount of residual urine. Two years after the beginning of the Covid-19 pandemic, we can confidently say that not all characteristics of this type of infection are sufficiently clear. More in-depth studies on Covid-19 as a cause of worsening LUTS and overall progression of BPH could help identify new aspects of infection leading to significant improvements in its treatment.

Trends and Changes in Treating Proximal Humeral Fractures in Italy: Is Arthroplasty an Increasingly Preferred Option? A Nation-Wide, Population-Based Study over a Period of 22 Years.

Background: Proximal humeral fractures (PHFs) are common, especially in the elderly, and account for 4% to 10% of all fractures, with women more often affected than men. Treatments include conservative methods, internal fixation and arthroplasty, with surgical approaches increasingly being used due to technological advancements. This study analyzes the evolution of PHF treatments in Italy from 2001 to 2022, using data from the Italian Hospital Discharge Records (HDRs) Database, and includes a stratified analysis by age and sex. Methods: Using HDR data from 2001 to 2022, records with ICD9-CM codes for proximal humeral fractures (812.0 and 812.1) among diagnoses were selected and categorized into three treatment groups: arthroplasty, fixation and conservative. Time series were analyzed with stratification by sex and age. Results: The extracted data included 486,368 records of PHFs, with 223,742 cases treated surgically (arthroplasty or internal fixation) and 262,626 treated conservatively; the average patient age was 66.6 years, with a higher proportion of women, especially among arthroplasty patients. Over time, the use of fixation and arthroplasty increased from 20% of treatments in 2001 to over 60% in 2022, with fixation becoming the most common treatment method by 2014 and arthroplasty significantly increasing among women, particularly in the 65-74 and 75-84 age groups. Conclusions: The study shows that in Italy, over the past two decades, treatment for PHFs has shifted from conservative methods to a preference for internal fixation and increasingly for arthroplasty, particularly among women and patients aged 65-84, reflecting evolving trends and technological improvements.

Evaluation of the efficacy of low-level laser therapy in the treatment of ulnar neuropathy at the elbow in terms of symptoms and clinical and electrophysiological findings: a randomized, prospective, double-blind clinical trial.

Ulnar neuropathy at the elbow (UNE) is the second most common entrapment neuropathy and presents with symptoms such as pain, paresthesia, and weakness in the elbow. Provocative tests and electrophysiological examinations are helpful in the diagnosis of UNE. Low-level laser therapy is one of the conservative treatments of UNE however, limited results were reported on the effectiveness of low-level laser therapy (LLLT) in the treatment of UNE. In our study, we aimed to the efficacy of LLLT in reducing symptoms and providing clinical and electrophysiological improvement in patients with UNE. This study with a randomized-sham controlled, and double-blind design included 68 patients aged 18-60 years who were diagnosed with UNE. LLLT was applied to the first group, and sham laser was applied to the second group. The VAS pain, paresthesia, and weakness scores, grip strength, and provocative test positivity were evaluated in clinical examination. The QuickDASH questionnaire was administered to assess functional status. Electrophysiologically, motor distal latency (MDL) differences, sensory distal latency (SDL), motor and sensory nerve conduction velocity (NCV) were examined. Evaluations were performed before treatment and on the 15th day and at the third month after treatment. The LLLT group showed improvement in symptoms, clinical findings, motor NCV, and MDL at both post-treatment evaluations and sensory NCV on the post-treatment 15th day (p < 0.05). The comparison of post-treatment changes between the two groups revealed that the LLLT group had greater improvement in VAS day and night pain scores at both post-treatment evaluation times, QuickDASH scores at the third month, and sensory NCV on the 15th day (p < 0.05) compared to the SL group. There were no significant differences between the groups in terms of the post-treatment changes in VAS weakness scores, grip strength and electrophysiological findings (p > 0.05). It was observed that splinting alone was effective in UNE, but the addition of LLLT, one of the conservative treatment methods, enhanced treatment outcomes.

Mural infectious endocarditis in a patient with tetralogy of Fallot: a clinical case

The article presents a clinical case of development of mural infective endocarditis (IE) with formation of vegetations in the region of the upper third of the interventricular septum in patient A., 51 years old, with uncorrected tetralogy of Fallot. The patient was admitted with complaints of increased heart rate, interruptions in the heart work, feet swelling, shins up to the upper third, dyspnea at rest, general weakness, fever up to 39 оC, sweating, headache. During transthoracic echocardiography on the upper third of the interventricular septum (IVS) from the side of the RV, an additional echo-positive linear mobile formation 0.9 cm long is visualized, similar to the chords of the tricuspid valve. Thus, based on the identification of 1 major Duke criterion (imaging criterion — the presence of parietal vegetation) and 3 minor criteria (predisposing factors — congenital heart disease of the blue type; fever &gt;38 оC; positive blood culture not meeting the requirements for the major criterion), laboratory and instrumental diagnostic data and anamnesis, the following diagnosis was established: "Secondary infective endocarditis with damage to the upper third of the interventricular septum". Taking into account the sensitivity of the identified microflora, polymyxin and moxifloxacin were prescribed. During therapy, a dry cough and dry wheezing in the projection of the middle lobe on the right appeared. To exclude septic embologenic pneumonia, computed tomography of the chest organs was performed, on which no focal/infiltrative changes were detected. However, a shunt connecting the brachiocephalic trunk with the right pulmonary artery was visualized, which may explain the cause of compensation of hypoxemia that arose due to pathological hemodynamics as a result of high pulmonary stenosis. Given the incomplete effectiveness of therapy, as well as the sensitivity of the infectious agents isolated, a decision was made to change antibacterial therapy to vancomycin in combination with imipenem. Conservative treatment methods allowed not only to compensate for the existing clinical symptoms, but also to achieve reference values of laboratory parameters, despite the impossibility of surgical intervention.

Synergistic conservation approaches for nurturing soil, food security and human health towards sustainable development goals

Using chemical fertilizers extensively in small farms has helped increase crop yields, supporting food security and economic growth. However, recent studies show that these fertilizers are often used inefficiently and inconsistently. This leads to environmental harm, unbalanced soil nutrients, and lower-quality food production. These issues threaten food security, which is vital for human survival and may lead to the abandonment of arable land. This situation calls for a significant shift in soil conservation research to better connect scientific findings with practical conservation methods, ensuring that agricultural progress goes hand in hand with environmental sustainability. Effective use of nitrogen (N), phosphorus (P), and potassium (K) fertilizers is vital for both environmental sustainability and food security. Correcting nutritional imbalances, especially the disrupted N/P ratio caused by faulty fertilization practices, is key to ensuring a balanced nutrient supply. These imbalances have a substantial effect on aquatic and terrestrial ecosystems, altering their functionality, biodiversity and human nutrition Therefore, adopting balanced fertilization techniques is essential to combine environmental sustainability with global food security and achieve the Sustainable Development Goals (SDGs).To optimize nutrient consumption and production efficiency, regulations should be enacted to enforce the 4R principle, which involves applying the right nutrient source at the appropriate rate, time, method and location. This article emphasizes the connections between current agricultural practices, land use, fertilizer application, soil degradation, and future challenges. It promotes environmentally friendly farming methods that recognize the vital links between soil quality, food security, human health, and environmental sustainability.

Developing a water budget for the Amman-Zarqa basin using water accounting plus and the pixel-based soil water balance model

AbstractWater resources assessments are essential for effective planning in water-scarce regions such as Jordan. Such assessments require sufficient data in space and time. The WaPOR-based Water Accounting Plus (WA +) framework is relevant as it integrates remote sensing data and the Pixel-Based Soil Water Balance model to simulate a basin’s water balance. However, since it relies on remote sensing, this framework only tracks water consumption in irrigated agriculture and does not consider non-irrigation water use and its return flow. This paper modifies the WaPOR-based WA + framework to include non-irrigation manmade consumption and its return flows. The modified framework provides a more comprehensive water budget for the Amman-Zarqa (AZ) basin, presented in a modified WA + resource base sheet for 2018 through 2021. The results show that water availability in the AZ basin is highly responsive to precipitation changes. Average precipitation was approximately 926 Mm3/year between 2018 and 2020, corresponding to an average available water of 485 Mm3/year. However, a reduction in average precipitation by 28% in 2021 corresponded to a reduction in available water to 243 Mm3/year. Nevertheless, substantial groundwater outflows to neighbouring basins may indicate that available water is being overestimated. Manmade consumption increased by 18% from 2018 to 2021, and the total demand exceeded the available supply by 150%. This underscores the pressing need to investigate supply augmentation and conservation methods. Future studies could focus on improving the representation of groundwater dynamics in the modified framework by improving groundwater dynamics in PixSWAB and testing the modified framework with other remote sensing datasets.

The phenomenon of China’s carbon accounting policies and practices

Purpose This study aims to explore China’s carbon accounting policies and practices to enhance its carbon accounting and trading practices and achieve carbon neutrality. Design/methodology/approach This study adopts a phenomenological methodology to explore carbon accounting by setting the scope of the phenomenon, establishing research methods, conducting interviews with 30 participants from 14 emitting entities and four accounting firms and establishing methods for data analysis. Five themes were identified using a five-step coding method. Findings The results show no uniformity in the accounting treatment of carbon trading; however, common characteristics exist, and they have generally adopted simplified and conservative accounting methods under China’s emission trading scheme. Their common characteristics are that the granted allowances are not recognised as assets by most emitting entities, emissions allowance assets are measured using the historical cost method, most emitting entities only conduct accounting when there are actual cash flows or outflows with regard to carbon emissions allowance trading, and only a few emitting entities disclose carbon trading information in their financial statements or corporate social responsibility reports. Originality/value This study highlights accountants’ crucial role in carbon activities by guiding emitting entities’ low-carbon initiatives and culture and transforming managers’ mindsets. It also introduces the China Accounting Standards Committee-based accounting methods for allowances and obligations, aiding carbon disclosure quality and sustainability. These findings also inform the carbon accounting standards that may enhance corporate accountability and address climate change.

Overview of Pilonidal Cyst Treatment Methods - Review Paper

Introduction and purpose A pilonidal cyst also known as a pilondial sinus, is an inflammatory condition that occurs in the intergluteal region, which can lead to serious infections. It most commonly affects young men, with risk factors including the presence of hair in this area, excessive sweating, obesity, and poor hygiene. Symptoms include a lump, pain, and purulent discharge from openings in the skin. Diagnosis involves taking a medical history, a physical examination, and often an ultrasound. The aim of this paper is to present and compare the available methods for treating pilonidal cysts. Materials and methods Literature available in PubMed databases were reviewed using the following keywords: ‘’Pilonidal cyst’’, ‘’Hair cyst’’, ‘’Abscess’’, ‘’Treatment of pilonidal cyst’’,’’ Bascom II method’’,’’ Limberg flap’’,’’ Suchorski technique’’, ‘’V-Y or Z skin flap reconstruction’’,’’ the Karadakis’’ Results The available treatment methods can be divided into conservative and invasive approaches. Conservative methods include hair removal and improved hygiene. Among the surgical methods, there are traditional excision techniques and modern methods such as excision using the Bascom II method, Limberg flap, Suchorski technique, or V-Y or Z skin flap reconstruction. The Karadakis method, which involves shifting a skin flap, is particularly effective for obese patients. Conclusion Treatment of pilonidal cysts depends on the stage and symptoms. Abscesses require urgent surgical intervention, while asymptomatic cysts can be treated conservatively or surgically.

Advancements in Metacarpal Fracture Management: A Narrative Review of Rehabilitative Strategies.

Metacarpal fractures are prevalent injuries that can significantly impact hand functionality if not managed effectively. This narrative review examines recent advancements in treatment strategies, comparing conservative and surgical interventions, and evaluates the role of early mobilization and innovative rehabilitation techniques. We analyze evidence showing that surgical treatment with low-profile titanium plates provides superior stabilization, enabling earlier mobilization and better functional outcomes compared to conservative methods or K-wire fixation. Early mobilization, facilitated by metacarpal braces or controlled active exercises, enhances recovery and reduces the need for extended physical therapy. We also explore the integration of technology in rehabilitation, which has improved patient adherence and satisfaction. The review highlights the importance of personalized treatment plans and discusses the potential of novel rehabilitation approaches to optimize metacarpal fracture management. Future research should focus on refining these strategies and developing standardized protocols to enhance hand function and patient satisfaction.

Environmental impact of modern agricultural practices: Strategies for reducing carbon footprint and promoting conservation

Modern agricultural practices have significantly transformed food production, leading to increased efficiency and productivity. However, these advancements have also had notable environmental impacts, particularly concerning carbon emissions and resource depletion. This study explores the environmental impact of contemporary agricultural practices, emphasizing the need for strategies to mitigate carbon footprints and enhance conservation efforts. Agriculture contributes substantially to greenhouse gas emissions through sources such as livestock, synthetic fertilizers, and fossil fuel consumption. These emissions contribute to climate change and global warming. Additionally, modern farming practices often lead to deforestation, habitat loss, and soil degradation, exacerbating biodiversity loss and reducing soil health. Water usage in agriculture also poses significant challenges, with high water consumption and pollution from runoff affecting water resources and aquatic ecosystems. To address these issues, several strategies can be employed to reduce the carbon footprint of agriculture. Adoption of sustainable farming practices such as conservation tillage and no-till farming can enhance soil carbon sequestration, improving soil health and reducing emissions. Agroforestry and cover cropping further contribute by capturing atmospheric carbon and improving soil structure. The integration of renewable energy sources like solar and wind power in farming operations, along with energy-efficient technologies, can also reduce reliance on fossil fuels and lower overall greenhouse gas emissions. Promoting conservation involves implementing practices that protect and restore natural resources. Soil conservation methods, including erosion control techniques like terracing and contour plowing, help maintain soil health and prevent degradation. Efficient water management strategies, such as drip irrigation and rainwater harvesting, reduce water consumption and mitigate pollution from runoff. Biodiversity conservation can be supported through the preservation of natural habitats and the promotion of biodiverse farming systems, which enhance ecosystem resilience and stability. Effective policy frameworks and support mechanisms are crucial for driving the adoption of these strategies. Government policies, including environmental regulations and incentives, play a pivotal role in encouraging sustainable practices. Research and innovation are essential for developing new technologies and practices, while education and extension services ensure the dissemination of knowledge and best practices to farmers. Modern agricultural practices have significant environmental impacts, but through the adoption of sustainable practices and innovative strategies, it is possible to reduce carbon footprints and promote conservation. Continued research, supportive policies, and effective implementation of conservation strategies are essential for achieving a more sustainable agricultural future. Keywords: Environmental Impact, Agricultural Practices, Carbon Footprint.

Incidence and Management of Pseudocysts in Patients With Ventriculoperitoneal Shunts: A Study in Pakistan.

Ventriculoperitoneal (VP) shunts are a common medical intervention used to treat hydrocephalus, a condition characterized by the accumulation of cerebrospinal fluid (CSF) in the brain's ventricles, leading to increased intracranial pressure. While VP shunts are effective in managing hydrocephalus, they can lead to complications such as the formation of abdominal pseudocysts, which can compromise the functionality of the shunt and pose significant health risks. The primary objective of this study was to determine the incidence of pseudocyst formation in patients with VP shunts in Pakistan. The secondary objective was to evaluate the outcomes of conservative versus surgical management strategies and identify risk factors associated with pseudocyst recurrence in this population. This prospective observational study was conducted at Jinnah Teaching Hospital, Pakistan, from January 2021 to December 2022. The study included 50 patients diagnosed with pseudocysts associated with VP shunts. Participants were managed with either conservative (observation and aspiration) or surgical interventions (shunt revision, relocation, removal, or pseudocyst excision). The primary outcome measures were the resolution rates of pseudocysts and the incidence of complications. Statistical analysis was performed using chi-square tests, t-tests, and Kaplan-Meier survival analysis, with significance set at p<0.05. The study found a 3.5% incidence of pseudocysts among 1400 VP shunt patients. The median time to pseudocyst formation was 22 months (IQR 18-30). Surgical management yielded an 85% resolution rate compared to 60% for conservative management (p = 0.02). The recurrence of pseudocysts was significantly associated with advanced age (HR 1.8, 95% CI 1.1-3.2), a higher BMI (HR 2.1, 95% CI 1.3-3.7), and the presence of hydrocephalus (HR 1.6, 95% CI 1.2-2.9). Although surgical interventions had a higher complication rate (14% vs. 6% for conservative management), the difference was not statistically significant (p = 0.1). The study highlights a 3.5% incidence of pseudocysts in VP shunt patients, with surgical management proving more effective than conservative methods despite a slightly higher, non-significant risk of complications. These findings underscore the importance of tailored patient management, particularly for those at higher risk of recurrence, and suggest the need for further research to enhance surgical techniques and outcomes, especially in resource-limited settings.

20th-Century World Built Heritage Facing Water: Conservation of Fallingwater and Boa Nova Tea House

The conservation of 20th-century architectural heritage presents unique challenges due to the modern materials and construction techniques used by pioneering architects. This paper investigates the preservation challenges of iconic architectural works exposed to water environments, focusing on Fallingwater by Frank Lloyd Wright and the Boa Nova Tea House by Álvaro Siza Vieira. These structures, situated in natural settings with significant exposure to water, serve as case studies for examining conservation methods and their broader implications. This study explores archival documents, interviews with conservation experts, and literature reviews to highlight the main degradation phenomena related to the impact of environmental conditions on the material’s integrity. Despite limited specific data on monitoring and maintenance, this research underscores the importance of ongoing conservation efforts. Fallingwater’s case highlights the necessity of restoration techniques, while the Boa Nova Tea House illustrates minimal intervention strategies to maintain authenticity. This study concludes that the effective conservation of 20th-century built heritage necessitates a balance between preserving original design intents and adapting to environmental challenges. It emphasizes the need for innovative conservation strategies, adherence to international guidelines, and the establishment of comprehensive management and monitoring plans to safeguard the integrity and authenticity of culturally significant architecture.

In-plane buckling strength of catenary CFST truss arches: Experimental and design formulas

This study performed an indoor experiment to examine the failure mechanism of a catenary CFST truss arch under a mid-span single-point load. A parametric analysis of a finite element model, validated with literature and experimental data, was conducted, taking into account material strength, rise-span ratio, arch axis coefficient, and steel ratio. A new buckling strength verification formula is proposed, which integrates stability coefficients for pre-buckling deformation and the rise-span ratio, as well as correction coefficients for varying bending moments and axial forces. The results indicate that in-plane failure modes in CFST truss arches typically initiate with the yielding of the web members before the chord tubes, contrasting with truss column failures. The buckling strength showed a direct correlation with material strength, rise-span ratio, and steel ratio, though with diminishing returns. The rise-span ratio and arch axial coefficient had minimal impact. The proposed verification formula, which includes pre-buckling deformation, arch axis coefficient, and the rise-span ratio, provides a precise and conservative method for evaluating the in-plane buckling strength of catenary CFST arches, enhancing engineering design practices.

Evaluating Treatment Modalities for Reducing Recurrence in Central Giant Cell Granuloma: A Narrative Review.

Treating central giant cell granuloma (CGCG) is challenging due to high recurrence rates and variable therapy responses. This study examines the efficacy of various treatments in reducing CGCG recurrence. A literature review explored outcomes of surgical excision, curettage, intralesional corticosteroid injection, and adjuvant therapy, considering factors like lesion location, size, and histological features. Aggressive surgical techniques such as en bloc resection were found to potentially lower recurrence rates compared to conservative approaches. However, treatment should be tailored to individual patient needs. Further research is needed to confirm these findings and improve treatment strategies. A concise literature review was conducted using PubMed, MEDLINE, and Google Scholar, focusing on papers published from 1986 to 2024. Search terms included "central giant cell granuloma", "recurrence", "treatment modalities", and "surgical excision". Studies reporting recurrence rates and treatment outcomes for CGCG were analyzed. Twenty-nine studies were reviewed, including six studies on surgical excision and curettage, eight studies on intralesional corticosteroid injections, six studies on calcitonin therapy, five studies on interferon-alpha therapy, and four studies on the therapy with denosumab. Analysis indicated that aggressive surgical treatments like en bloc resection were associated with lower recurrence rates compared to conservative methods. Predictors of recurrence included lesion size (>3 cm), location (mandible), and aggressive histopathological features. Aggressive surgical excision combined with nonsurgical methods may lower recurrence rates, while conservative techniques remain viable in some cases. Further prospective research is needed to validate these findings and enhance CGCG treatment options.

Improved Simplified Engineering Fault Displacement Hazard Evaluation Method for On-Fault Sites

The safety of high-potential risk facilities concerned with fault displacement hazards is a complex technical issue, especially if the fault is revealed beneath the facility during the operation. Applying simple conservative engineering hazard evaluation methods is rational if an urgent decision should be made to continue operation or implement protective measures. Engineering methods are being published for strike-slip on-fault sites and structures. Their crucial point is to estimate the probability of the rupture at the site intersection and consider the displacement distribution over the rupture length relative to the site’s on-fault location. It is shown in the paper that strict geometrical relations between the site location, length and initial point of the rupture determine whether the principal fault displacement intersects the site. The paper considers these geometrical parameters as independent random variables and applies a screening of ruptures contributing to the hazard. Magnitude- and on-fault coordinate-dependent empirical relations have been analysed and selected to evaluate the site displacements. The procedure resulted in realistic but conservative hazard curves for different on-fault site locations using data from the Paks site in Hungary. The results were compared to those obtained by the conservative engineering method for the same site and some published analyses.

Osteoarthritis in athletes – surgical and non-surgical aspects of treatment

Introduction: Osteoarthritis (OA) is a degenerative chronic process that primarily affects the elderly, but there are also reports of OA in the young and sports-active population. Symptoms of OA usually include pain, joint stiffness, and crepitation. Physical, radiologic, and laboratory tests are required for diagnosis. The main goal of OA treatment is to restore normal function to the joint affected by OA. Methods: A literature search on PubMed was used to collect facts about the relationship between sports and OA and possible treatment methods. All forms of articles were considered in the literature search. Articles that were not written in English were not included. Literature from the library of the Faculty of Medicine in Mostar was an additional source of information. Results: OA occurs more frequently in people who play or have played professional sports. On the other hand, daily exercise has a positive effect on cartilage metabolism. Most articles reported the occurrence of OA in former professional athletes. The joint most commonly affected by OA was the knee. Injuries were a predictive factor for the occurrence of OA, and most studies talk about anterior cruciate ligament injuries. Running and football were the most commonly studied sports. Treatment options include conservative treatment, surgical methods, and biological therapy. Conclusion: Frequent strain and injury in athletes can cause cartilage damage and potentially lead to the development of OA. The benefits of exercise far outweigh the risks of developing OA. In addition, some studies report a significant stimulating effect of exercise on cartilage cell metabolism. Treatment of OA consists of the use of analgesics, intra-articular therapy, and physiotherapy. Surgical methods are considered when conservative approaches are unsuccessful. Biological therapy and similar treatments are the new potential treatments.