11 How to Set Up a Research Protocol in Plastic Surgery

BMJ ◽  
1998 ◽  
Vol 316 (7139) ◽  
pp. 1244-1244
Author(s):  
I. F Stanley ◽  
P. Mohammed
Keyword(s):  

2020 ◽  
Vol 7 (2) ◽  
pp. 433
Author(s):  
Padma Deskit ◽  
R. K. Srivastava

Background: The super speciality care is not available in remote places in India. But the service of the plastic surgery can be taken to the remote district hospital by arranging plastic surgery camps thereby resulting in service to the poor, capacity building of the local doctors and infrastructure development of the remote hospital.Methods: It is a retrospective study, in which the author analysed the feasibility, management, difficulties and achievement of week long, annual plastic surgery camp in remote set up of a district hospital of Ladakh over three year from 2017 to 2019.Results: A total of 341 patients were included in this study of which 108 underwent various surgical interventions. The youngest operated was 5 months old and oldest was 86 years. Wide spectrum of deformity were seen and operated upon. Complication developed in only six patients (5.5%) which were managed successfully at Leh only. The immediate and long term follow-up result show no difference in surgical result as compared to those compared operated outside with negligible financial burden.Conclusions: Keeping in view the positive outcome, it is argued through this paper that such camps should be replicated in other remote locations all over India.


1998 ◽  
Vol 3 (1) ◽  
pp. 157-172 ◽  
Author(s):  
John Roberts

AbstractIn Ernst Friedrich's Krieg dem Kriege there is a large section of photographs of survivors of World War I with the most hideous disfigurements of the face: jaws are missing, gaping slashes stare out where mouths should be. Friedrich leaves this gallery of ‘untouchables’ to the end of the book as if to achieve the maximum debasement of military glory and heroism. The head and face are obviously the most vulnerable part of the body in warfare – brutal wounds to the face and decapitations are common. In World War I, a number of hospitals were set up to deal solely with head-wounds, developing the basis of what we now know as plastic surgery. Yet, in the representation of combat on screen, even in the most candid and unsentimental of war films, such as Hamburger Hill and Platoon, injuries to the face are rare or nonexistent. This absence has something to do with the difficulty of producing convincing prosthetic wound-cavities on the head; blown-off limbs can obviously be created with ease through covering up the actor's extant limb with padded clothing; bloody disembowellings can be simulated with the judicious use of imitation innards and the illusionistic application of broken flesh, and so on. But the problems of modelling head-wounds clearly only half-explain the consistency of the absence.


2010 ◽  
Vol 14 (07) ◽  
pp. 3-12

AUSTRALIA – Silk Microchip for Rapid Medical Testing. AUSTRALIA – New Insulin that Won't Need Cooling -a Boon for Diabetics. AUSTRALIA – Scientists Developing Synthetic Skin. AUSTRALIA – Australian Scientists' Lung Breakthrough. AUSTRALIA – Aussie Scientists Find the 'Lazy' Eye Gene. AUSTRALIA – Researchers Probe New Malaria Treatment. AUSTRALIA – Cancer Treatment Pioneered in Melbourne being Hailed as a Global Lifesaver. CHINA – Plastic Surgery Increasingly Popular Among Seniors. CHINA – Scientists Develop New Nanotech Approach. INDIA – India to Promote Biotech R&D Activities in NE States. INDIA – India to Set Up Academy of Scientific and Innovative Research. INDIA – Rare Ear Surgery Performed on Dubai Boy. INDIA – Global Biotech Firms Seek Partnerships in India for Bigger Gains. SINGAPORE – GSK, EDB to Fund S$50 mn to Support Manufacturing in Singapore. SINGAPORE – A*STAR, UK Unite to Fight Infectious Disease. SINGAPORE – New Treatment Option for Women Who Suffer from Incontinence. THAILAND – Thailand Builds Capabilities in Nanotech Research. OTHER REGIONS — NORTH AMERICA – Scientists Predict Lifespan. OTHER REGIONS — NEW ZEALAND – Orthopedic Implants Made from Shell.


2020 ◽  
Vol 53 (03) ◽  
pp. 405-408
Author(s):  
Lakshmi Saleem

AbstractHaving seen the retired life of our professors both in general and plastic surgery and how lonely and isolated they were toward the end of their lives prompted me to discuss the retirement plans. The retirement from active surgical practice is indeed difficult and more so in plastic surgery. I feel that it needs meticulous planning for setting up a successful practice and when to say sayonara, just like treatment planning of any surgical procedure for perfect execution! At the end of M.Ch training, one should analyze oneself about the goal of the professional life and commit oneself to either a solo/group practice as an independent institutional practice or in a corporate set-up or choose a state/central government set-up with some academic position. A successful plastic surgical practice is every plastic surgeon’s dream and it comprises professional and financial successes with a sense of personal achievement. The factors involved in the selection of practice are family obligations—if parents or spouse are in medical profession with an existing establishment—individual talent, willingness to learn newer techniques, and acceptance of help from the other professional colleagues. At the same time, life needs to be balanced between the professional and family commitments without ignoring either of them with a deep social and community responsibility. But what is the correct time to say sayonara? The timing of retirement is difficult to get right, but the basic additional principle that guides one is “Primum non-nocere”—do no harm—to the receiver.


2019 ◽  
Vol 8 (2) ◽  
pp. 1
Author(s):  
Philippe Joseph ◽  
Kévine Baillard ◽  
Jean-Philippe Claude ◽  
Yelji Abati ◽  
Séverine Ely-Marius ◽  
...  

Introduced species that become invasive alter the structural and functional organisation of the ecosystems of the host territories because of the absence of certain ecological locks. On a global scale, the consequences are very damaging for many key development-related sectors. Martinique, like all the islands of the Caribbean, is not immune to this phenomenon of biological invasion currently linked to greater globalisation. Among the potentially invasive introduced species and in the light of field observations, Funtumia elastica, native to tropical Africa, appears to have functional traits that could make it a species that is dangerous for local floristic diversity. Since no study exists in Martinique on the ecology of this taxon, we have set up a research protocol based on floristic surveys in various stations marked out by transects subdivided into quadrats. Using the data obtained, it has been possible to highlight the main features of the ecology of this species in terms of biodemography, ecological dominance, mesological affinities and of belonging to the different stages of vegetal succession.


2019 ◽  
Vol 13 ◽  
pp. 04019
Author(s):  
Franco Giannetti ◽  
Anna Maria Epifani ◽  
Marco Leprini ◽  
Giordano Martini

Vernaccia di San Gimignano is a Tuscan white wine, with a great historical tradition, produced mostly from the homonymous grapevine. One of the peculiarities of the vine, apart from producing fruity and sapid young wines, is the ability to generate structured wines, suitable for the aging process of “riserva” type. For a better understanding of the Vernaccia di San Gimignano characteristics, a research protocol has been set up. It specifically concerns the phenolic composition of the grapes observed by HPLC analysis. The hydroxycinnamic acids, the flavanols and the flavonols of the skins, the flavanols of the seeds and the hydroxycinnamic acids of the juice have been determined. The trans-caftaric acid is the predominant form in the juice (70-120 mg/L) and in the skins (5-12 mg/Kg) where there are higher values of quercetin (4-20 mg/Kg) and procyanidins (18-35 mg/Kg). Catechins (30-80 mg/Kg) prevail in the seeds.


2020 ◽  
Vol 05 (01) ◽  
pp. e32-e35
Author(s):  
Lohrasb R. Sayadi ◽  
Jennifer E. Fligor ◽  
Sean Couchois ◽  
Gregory R. D. Evans ◽  
Alan D. Widgerow ◽  
...  

Abstract Background Time spent under the microscope is often a limiting factor as plastic surgery residents work toward proficiency in microsurgery. This study describes and assesses a novel application of a digital microscope compatible with smart devices which can consistently and reliably magnify microsurgical fields. Methods A digital microscope was used to display an “operating” field on a tablet device. Two junior plastic surgery residents participated in multiple training sessions. During each session, residents completed two sessions of a knot-tying task and a chicken vessel anastomosis task. The sessions were recorded on the tablet, photographed, and graded by an experienced microsurgeon utilizing three standardized microsurgery training scales (OWOMSA, OSATS, and Global scale) for evaluation. Between sessions, the residents received feedback from the experienced microsurgeon. Results Statistically significant improvements (p < 0.05) in microsurgical technique were observed across 16 areas assessed by the standardized evaluation scales. Additionally, the residents' surveys suggest favorable attitudes toward the digital microscope and its value as a training device. Conclusion Traditional operating microscopes present considerable barriers for effective microsurgical training. The digital microscope analyzed in the present study provides solutions to several of these barriers: it is economical, lightweight, portable, and can be set up by the trainee on any flat surface; photographing and recording capabilities via the connected tablet device make the digital microscope setup optimized for education. Our study demonstrates measurable improvements in trainee's skills with use of—as well as favorable trainee attitudes toward—the digital microscope, which could present a valuable addition to plastic surgery education.


Author(s):  
T. G. Naymik

Three techniques were incorporated for drying clay-rich specimens: air-drying, freeze-drying and critical point drying. In air-drying, the specimens were set out for several days to dry or were placed in an oven (80°F) for several hours. The freeze-dried specimens were frozen by immersion in liquid nitrogen or in isopentane at near liquid nitrogen temperature and then were immediately placed in the freeze-dry vacuum chamber. The critical point specimens were molded in agar immediately after sampling. When the agar had set up the dehydration series, water-alcohol-amyl acetate-CO2 was carried out. The objectives were to compare the fabric plasmas (clays and precipitates), fabricskeletons (quartz grains) and the relationship between them for each drying technique. The three drying methods are not only applicable to the study of treated soils, but can be incorporated into all SEM clay soil studies.


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