Abstract Congenital knee dislocation (CKD) is a rare malformation characterized by hyperextension deformity of the knee with anterior tibia displacement, present at birth. Rarely reported, CKD might occur as an isolated deformity or commonly associated with musculoskeletal abnormalities, with the most common ones being developmental dysplasia of the hip (DDH) and clubfoot. The etiology is unknown, but CKD has been associated with certain intrinsic and extrinsic factors. Treatment with conservative methods at an early stage is most likely to yield successful results. We report here a rare case of successful spontaneous reduction of CKD in an infant within 24 hours of life. (CKD displacement birth reported abnormalities DDH (DDH clubfoot unknown factors results 2 life

Resumo A luxação congênita do joelho (LCJ) é uma malformação rara caracterizada por deformidade de hiperextensão do joelho com deslocamento anterior da tíbia, presente ao nascimento. Raramente relatada, a LCJ pode ocorrer como uma deformidade isolada ou comumente associada a anormalidades musculoesqueléticas, sendo as mais comuns a displasia do desenvolvimento do quadril (DDQ) e o pé torto congênito (PTC). A etiologia é desconhecida, mas a LCJ foi associada a certos fatores intrínsecos e extrínsecos. O tratamento com métodos conservadores em um estágio inicial tem maior probabilidade de produzir resultados bem-sucedidos. Relatamos aqui um caso raro de redução espontânea bem-sucedida de LCJ em um bebê nas suas primeiras 24 horas de vida. (LCJ tíbia nascimento relatada musculoesqueléticas DDQ (DDQ PTC. PTC . (PTC) desconhecida extrínsecos bemsucedidos. bemsucedidos bem sucedidos. sucedidos bem-sucedidos bemsucedida sucedida 2 vida (PTC

The increasing demand for outpatient services has led to overcrowded clinics, long waiting times for patients, and extended staff working hours in outpatient clinics. Simulation tools have been used to ameliorate deficiencies in the appointment system, resource allocation, and patient flow management that are the root causes of these problems. Integrated studies that considered these three factors together produced better results than attempts to resolve individual causes. While simulation has proved to be an effective problem-solving tool for outpatient clinic management, there is still room for improvement. This paper reviews studies over the past 50 years that have applied management simulation to resolve outpatient clinic problems.

OPSOMMING Die toenemende vraag na buitepasiëntdienste het gelei tot oorlaaide klinieke, lang wagtye vir pasiënte en verlengde werksure vir personeel in buitepasiëntklinieke. Simulasie sagteware is gebruik om tekortkominge in die afspraakstelsel, hulpbron toekenning en pasiëntvloeibestuur (die hoof oorsake van hierdie probleme) te versag. Geïntegreerde studies, wat hierdie drie faktore gesamentlik in ag neem, het beter resultate gelewer as studies wat individuele gevalle probeer aanspreek het. Alhoewel simulasie 'n effektiewe probleemoplostegniek vir buitepasiëntkliniekbestuur is, is daar steeds ruimte vir verbetering. Hierdie artikel hersien navorsing (wat strek oor die laaste 50 jaar) wat bestuursimulasie toegepas het om buitepasiëntkliniek probleme aan te spreek.