Use of Social Media and an Online Survey to Discuss Complex Reconstructive Surgery: A Case of Upper Lip Reconstruction with 402 Responses from International Microsurgeons

2018 ◽  
Vol 34 (06) ◽  
pp. 413-419 ◽  
Author(s):  
Soo-Ha Kwon ◽  
Che-Hsiung Lee ◽  
Angela Hsu ◽  
Mark Shafarenko ◽  
Usama Omar ◽  
...  

Background The best reconstructive strategy for upper lip defects is still in debate. The purpose of this study was to analyze the decisions made by international microsurgeons, who were participated through online questionnaire, distributed by email and social media network. Materials and Methods A case of a two-thirds upper lip oncologic defect was presented via an online questionnaire and 402 microsurgeons replied their treatment options. The data were then analyzed according to the geographic area, microsurgical fellowship, seniority, and subspecialty. All the data were analyzed using SPSS 22. Results A total of 27.7% of microsurgeons chose a free flap, while 72.3% chose a local/pedicle flap as their preferred method for reconstruction. The most common choice of free and local/pedicle flaps was radial forearm (73.6%) and Abbé (36.2%), respectively. The microsurgeons in Europe preferred local/pedicle flaps than free flap when compared with Middle/South America, Asia-Pacific, Africa and South Asia/Middle East (11.6% versus 50%, 43.4%, 29.3% and 27.3%, respectively, multivariant p < 0.05). The microsurgeons with microsurgical fellowships preferred to use free flaps (32.9% versus 17.5%, multivariant p = 0.021). There was no difference for the seniority and specialty of the microsurgeons. Conclusions The online questionnaire is valuable and feasible for obtaining experts' opinions. This study provides a current global overview of surgical preferences for this common complicated clinical scenario.

INFORMASI ◽  
2022 ◽  
Vol 51 (2) ◽  
pp. 327-344
Author(s):  
Raidah Intizar Yusuf

Social media has been identified as a factor in adolescents' adoption of risky sexual behavior. This research is here to answer whether social media has a vertical effect on adopting risky sexual behavior, given the increasing number of influencers on the platform. We sought the connection of whether influencers can influence the dating standards of adolescents, which will end up contributing to the adoption of risky sexual behavior. As risky sexual behavior is becoming more prevalent in Makassar, we picked Makassar adolescents as our study object. We also compared urban and rural by including Maros adolescents. Data were collected data with an online survey. Four surveyors are employed to find targeted respondents: youth in their 15-18 years old. Respondents filled out an online questionnaire from September 7, 2020, to September 14, 2020. As many as 313 responses were valid, 50.5 percent of the respondents were domiciled in Makassar, and the remaining 49.5 percent came from Maros. Two out of three respondents are women (63.3 percent). A series of independent t-tests, and Andy F Hayes PROCESS scheme, were used to analyze the data. The independent t-test results showed that male urban adolescents are more likely to exhibit risky sexual behavior. The central hypothesis test results showed that social media influencers indirectly affect risky sexual behavior mediated by adolescent dating styles, answering the study's initial assumption.


Author(s):  
Daniel Hammer ◽  
Aurora G. Vincent ◽  
Fayette Williams ◽  
Yadranko Ducic

AbstractMidface reconstruction has been a consistent challenge for reconstructive surgeons even with the significant advances in technology and technique achieved over the recent years. A meticulous preoperative assessment of the patient is required to properly assess the defect or anticipated defect, determine proper reconstructive surgical plan, and discuss expected functional and aesthetic outcomes with the patient. For years we have employed local flaps, regional flaps, obturators, alloplastic implants, free flaps, or a combination of the previously mentioned techniques to address complex midface reconstruction. Free flap reconstruction in the midface requires special considerations for the pedicle, flap selection, and flap design to ensure an optimal outcome. The introduction of virtual surgical planning for reconstruction has enhanced patient outcomes to include advances in immediate dental rehabilitation at the time of free flap surgery. Postoperative considerations including quality of life, functional and aesthetic outcomes, and management of complications will also be discussed.


2021 ◽  
Vol 8 ◽  
Author(s):  
Giulia Vitale ◽  
Arnau L. Dedeu ◽  
Marta Pujol ◽  
Valerio Sbragaglia

Social media may provide information for monitoring recreational fisheries, but several caveats prevent operationalization. Specifically, the fraction and profile of recreational fishers sharing their catches is not known. Our aim was to advance the monitoring capacities of recreational fishing using social media data. We collected data with onsite (face-to-face) survey and online (emails) questionnaires to characterize marine recreational fishers sharing catches on digital platforms (“sharers”) along with other demographic or fishing information. In the online survey we found that 38% of recreational fishers share their catches using digital platforms (including the private messaging platform WhatsApp), but such proportion dropped to 12% when considering only public or semi-public social media (Instagram was the most commonly used platform, followed by Facebook, YouTube, and Twitter). A similar pattern was found with the online questionnaire where sharers represented 37% of recreational fishers (including WhatsApp), while such proportion dropped to 21% when considering only public or semi-public social media. In general, sharers were more avid (24 and 35 yearly fishing trips for onsite and online survey, respectively) compared to non-sharers (18 and 31 yearly fishing trips). Sharers also spent more money on each fishing trip (on average 26 and 31 euro for onsite and online survey, respectively) than non-sharers (on average 21 and 28 euro for onsite and online survey, respectively), but they had similar chances of catching something. However, for fishers with catches, the harvest per unit effort of sharers was higher than that of non-sharers (0.4 and 0.5 kg/h with respect to 0.3 and 0.4 kg/h, for onsite and online survey, respectively). Moreover, recreational fishers that caught trophy, iconic, or emblematic species were more inclined to share their catches. This study represents an important advancement for integrating social media data into the monitoring of recreational fishing.


Author(s):  
Abdullah Fozan A. Alhammad ◽  
Adel Omer M. Alrayes ◽  
Mohammad Mogbil A. Alhedaithy ◽  
Abdulkarim Abdullah A. Alabdulkarim ◽  
Faisal Raafat F. Alhakeem ◽  
...  

Introduction: Throughout the advancement of subsurface caries lesions, mineral is disbanded out of the enamel, causing enhanced penetrability that look like clinically as incipient or white spot lesions. Nowadays, these lesions are regularly treated by increasing remineralization, e.g., by enhancing the patient’s oral hygiene or fluoridation. Nevertheless, in uncooperative patients with cavitated proximal lesions, this approach has significant drawbacks. Methodology: A total of 508 dentists filled the online survey, which was distributed using social media and emails. Online questionnaire was constructed consisting of questions related to demographic data followed by questions linked to their knowledge and perception of Resin Infiltration use among their patients. Results: Overall knowledge reported by the participants regarding Resin Infiltration was 25.2% poor, 72.9% moderate and only 1.9% excellent. 64% of the dental professionals knew that RI is a micro-invasive procedure. Conclusion: It can be concluded from the findings that the knowledge of Riyadh based dental professionals regarding the use, indication and technique of Resin Infiltration is not satisfactory.


2018 ◽  
Vol 03 (02) ◽  
pp. e50-e54
Author(s):  
Shuhei Yoshida ◽  
Isao Koshima ◽  
Shogo Nagamatsu ◽  
Kazunori Yokota ◽  
Shuji Yamashita ◽  
...  

Background Island pedicle flaps often have the problem of limited reach. In such cases, free flaps are useful for reconstruction but often have the issue of unavailability of suitable recipient vessels. Therefore, it would be helpful if the pedicle of an island flap could be extended as far as necessary. Methods Here, we describe the use of interpositional vein grafts to extend island pedicle flaps for the reconstruction of an ischemic above-knee amputation stump in one case and to seal an intractable fistula on the buttock after radiation therapy in another case. In the patient with the ischemic stump, a deep inferior epigastric perforator flap was extended by 6 cm using the great saphenous vein harvested from the contralateral side, allowing successful coverage of the stump. In the patient with an intractable fistula on the buttock, a thoracodorsal artery and vein graft that was extended by 25 cm using the cephalic vein harvested from the right forearm to upper arm allowed successful sealing of the fistula. Results Circulation was satisfactory in both cases and both flaps survived. The operative procedure was straightforward. Conclusion Interpositional vein grafts may be a feasible option for the extension of island pedicle flaps to include the features of an island pedicle flap and a free flap.


2019 ◽  
Vol 7 (1) ◽  
pp. 52-58
Author(s):  
Surabhi Ranjan ◽  
Nebojša Skorupan ◽  
Xiaobu Ye ◽  
Ananyaa Sivakumar ◽  
Olga Yankulina ◽  
...  

Abstract Background Bevacizumab (BEV) received accelerated FDA approval in 2009 for the treatment of recurrent glioblastoma (rGBM). Unfortunately, prospective randomized controlled phase 3 studies (AVAglio and Radiation Therapy Oncology Group 0825 in newly diagnosed, European Organisation for Research and Treatment of Cancer 26101 in rGBM) failed to show an overall survival benefit with BEV added to standard therapy. In light of these data, we aimed to capture current utilization patterns and perceived value of BEV in the treatment of GBM among experts in the field. Methods An online questionnaire comprising 14 multiple choice questions was sent out in spring 2017 to 207 oncologists/neuro-oncologists treating patients with GBM at all National Cancer Institute–designated cancer centers in the United States. Results Sixty-two of 207 (30%) invitees responded (by training, 70% neuro-oncologists, 20% medical oncologists, 10% pediatric oncologists/neuro-oncologists). Participants reported use of BEV most frequently in rGBM for control of edema (85% of respondents) and/or when no other treatment options were available (68%). BEV is rarely used in newly diagnosed GBM (&lt;5% of cases by 78% respondents and in 5% to 10% cases by 15% respondents). Sixty-six percent of participants indicated that they thought BEV improved symptoms, 30% that it improved symptoms and survival, 3% that it had no benefit in GBM patients. Conclusion In this cross-sectional online survey we found that among neuro-oncology experts in the United States in 2017, BEV is predominantly utilized in select patients with rGBM, and is only rarely used in a small subgroup of patients with newly diagnosed GBM for control of edema. The low response rate may have introduced a nonresponse bias.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
J Harper ◽  
J S Botero-Meneses

Abstract Study question What are women’s attitudes to having children including their ideal age to have children, factors affecting their decision and their understanding of female fertility? Summary answer The average age women wanted to have children was age 30, with most still developing their career. They showed a good knowledge of fertility awareness. What is known already Women globally are delaying the birth of their first child, with the average age of first birth approaching age 32 in some countries. The fertility rate stands at 1.3 in several European Union countries. Some people are not having the desired family size or are childless by circumstance. We need to ensure we provide fertility education from school-age onwards. Study design, size, duration We conducted an anonymous, online survey of multiple choice and open-ended questions using Qualtrics software. The survey was live for 32 days from May 15th, 2020 to June 16th, 2020 and was promoted using social media. A mixed-method approach was used to analyse quantitative and qualitative data. Participants/materials, setting, methods A total of 922 women from 44 countries participated in the survey. After filtering out women who did not consent and those who did not want to have children, a total of 834 responses remained. Elimination of blank surveys or insufficient data resulted in a final number of 667 responses. Main results and the role of chance The mean age of the respondents was 31.3 (±4.76). The majority were white British (347/667, 52%) and heterosexual (614/667, 92.0%). A high proportion had a university education (195/667, 29%) or postgraduate education (392/667, 59%). The majority were married/in a civil partnership (223/667, 33%) or cohabitating (215/667, 32%). 135/667 (20%) were single and never married. When asked ‘In an ideal world, at what age approximately would you like to have had or have children? a normal distribution was observed with a mean age of 30.2 (±3.2). When asked ‘What factors have led you to decide on that particular age?’ the most frequent choice was “I am developing my career”, followed by “I am not financially ready.” Women were asked how informed they felt about fertility. The majority of women said they felt moderately informed (60%, 400/667), very informed (28%, 190/667), or they were not informed at all (12%, 77 /667). Most women thought female fertility decline starts at age 35 (32.8%, 219/667). To the question “What is the oldest age at which women can get pregnant?” almost 70% of women (465/667) believed the oldest age to be between 40–49 and 24%, (160/667) said over 50. Limitations, reasons for caution All surveys have a selection bias. The survey was only promoted on social media. As the survey was in English, the women who answered the survey were mainly UK residents who were highly educated. Wider implications of the findings: In a group of highly educated women, age 30 was the most common age for wanting a child but career development and finances are the main reasons affecting their decision. These women had some understanding of female fertility. Global fertility education is essential to ensure people make informed reproductive choices. Trial registration number NA


2018 ◽  
Vol 9 (2) ◽  
pp. 49-61
Author(s):  
Moses Natadirja

Social media nowadays can be used not only for interacting with each other, exchanges ideas, and develop new friends, furthermore it can be used to promote and selling products or services. It is also used for musician for sales and promotion of their CD album to their fans through social media, especially for musicians , who choose to be independent with limited budget and distribution channel. One of the musician who choose to be independent is Dua Drum. The purpose of this study is to examine the relationship between musician’s social media (Interactivity & Sincerity), the tie that fans may develop via social media (Sense of Closeness & Reciprocity), and purchase legal CD album. This Research is using a quantitative approach with gathering 127 responses through online questionnaire and analyzed using Structural Model Equation (SEM). The result of this research is there are a positive relationship between Interactivity & Sincerity with Sense of Closeness & Reciprocity, and also a positive relationship between Sense of Closeness & Reciprocity with Legal Purchase Intention of CD album. Keywords: Music, Internet Marketing, Social Media Marketing, Purchase Intention


Author(s):  
Corina-Maricica Seserman ◽  
Daniela Cojocaru

Today’s teenagers have a very close relationship with ICTs and the digital space related to them, as they have impacted the way the youth constructs their sense of self and the tools they use to perform their carefully constructed identity. One key element which influences the way one constructs their views by themselves is within the boundaries set by their biological sex and therefore through the behaviors associated with their asigned gender. Through the symbolic interactionist lense, or more specifically through Goffman's dramaturgical theory on the manner in which one presents him/herself in society, this paper looks at the manner in which teenagers use social media platforms and at the way they consume and create digital content in order to present their gender identity. The way teenagers consume and produce digital content differs and depends on how they interpret their ideals of femininity and masculinity, which are afterwards reproduced in the content they post on their social media pages. Therefore this research is an attempt to understand what are the factors teenagers take in account when consuming and producing content. What gender differences can be observed in regards to new media consumption? What difference can be observed in online activity behaviors between males and females? How do they feel about their gender identity concerning fitting in with their peer group? A mix-methodological approach was engaged in the data collection process. In the first stage of the research highschool students (n=324) from the city of Suceava (Romania) participated in taking an online survey. The initial intent was to meet with the young respondents in person, but due to the COVID-19 pandemic this was deemed impossible. For the second stage of data collection, six of the participants who took the online survey were invited to participate in a focus group designed to grasp a better understanding of the results from the previous stage. The discovered findings uncover engaging gender similarities and differences in social media consumption and the type, subject, matter and style in which they posted their content, but also in regards to the performance of the self between the online and offline space.


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