scholarly journals Creating Value in Plastic Surgery

2018 ◽  
Vol 32 (04) ◽  
pp. 187-190
Author(s):  
Faryan Jalalabadi ◽  
Shayan Izaddoost ◽  
Edward Reece

AbstractValue is defined as the worth, utility, or importance something holds. It can be derived from a variety of goods and services and is relative to a given industry or population. This article will discuss elements of plastic surgery that hold value as to how it pertains to the key players in a medical transaction. It will also discuss strategies for identifying and generating value. Roles of the different members in a plastic surgery transaction were analyzed, specifically the patient, the surgeon, and the facility. Different factors that generated value for all parties were identified throughout the literature. Factors identified that created value included the following: the surgeon's knowledge, experience, and decision-making ability; and technical skill/speed, restoration of life, restoration of form and function, restoration of psychological deficit, instant surgical results, convenience of access, outcomes, cost accounting, research, compassion, and bedside manner. Plastic surgeons can gear their practice to provide the system and their patients with services that hold value. We present several factors that can generate value for the patient, surgeon, and hospital system.

2013 ◽  
Vol 135 (10) ◽  
Author(s):  
Brian Sylcott ◽  
Jonathan Cagan ◽  
Golnaz Tabibnia

This work investigates how consumers make preference judgments when taking into account both product form and function. In prior work, where aesthetic preference is quantified using visual conjoint methods, aesthetic preference and functional preference were handled separately. Here, we introduce a new methodology, metaconjoint analysis, for testing the hypothesis that when consumers make decisions taking into account both a product's form and its function they employ a more complex decision-making strategy than when basing their decisions on form or function alone. We anticipate that this strategy will involve both analytical and emotional processes. When compared with participant ratings of form and function combinations across 28 subjects, the metaconjoint model is shown to have a correlation that was not statistically different from an additive model of form and function. However, unlike the additive model, the metaconjoint model gave additional information about how participants make tradeoffs between form and function. Next, we developed a novel paradigm using functional magnetic resonance imaging (fMRI) to determine what parts of the brain are primarily involved with a given tradeoff between form and function. While in the scanner, study participants were asked to make decisions in trials where only form varied, where only function varied, and where both form and function varied. Results from 14 participants suggest that choices based on products that vary in both form and function involve some unique and some common brain networks as compared to choices based on form or function alone; notably, emotion-related regions are activated during these complex decisions where form and function are in conflict. These results are consistent with the inclusion of emotion in decision-making with regards to product choice and demonstrate the feasibility of using fMRI to address questions about the mental processes underlying consumer decisions. Studying preference decisions together with their accompanying neurological activity will give engineers and designers greater insight into the consumer decision-making process.


Author(s):  
David Blockley

‘Everything has structure’ considers the fundamental nature and role of structure and the relationship of structural engineering with other engineering disciplines and with architecture. Decision making is driven by the purpose of a man-made structure and how ‘fitness for purpose’ is realised. There is a need to understand how forces flow through a structure in order to ensure it meets its primary purpose of being strong and safe whilst at the same time meeting many other needs such as affordability, aesthetic, and regulatory and environmental criteria. The best structures are a harmony of architecture and engineering—where form and function are one and the flow of forces is logical.


Author(s):  
Gordon L. Clark ◽  
Adam D. Dixon ◽  
Ashby H. B. Monk

This chapter looks to the future and rehearses the argument about form and function, recognizing that today's ideal form of the sovereign wealth fund (SWF) is based on two sets of rules: those related to who is responsible for investment decision-making and those related to the conceptual foundations of investment practice. Thereafter, it suggests that the form of SWFs may not be stable over the long term; the challenge facing SWFs is, in part, about transcending traditional forms of investment management in favor of a genuine commitment to long-term investment in the interest of both the SWF and the sovereign. The chapter argues that transcending the current paradigm may necessitate the transformation of the form of SWFs such that they become strategic investors rather than portfolio investors, knitting together their sponsors' geopolitical interests with investment management.


Author(s):  
Jane Leaver

A burn is a thermal insult to the skin and underlying tissue. A good understanding of the physiology of burns is essential to effectively manage the burn patient’s care, in order to optimize recovery from a potentially life-threatening injury. An ABCDE approach is used to assess the patient, along with gaining a comprehensive history, including mechanisms of injury, the time elapsed since the burn, and any treatment already initiated. Plastic surgery is concerned with correcting or restoring form and function. It can involve reconstructive surgery, the treatment of burns, the removal of lesions, and cosmetic surgical procedures.


2021 ◽  
pp. 699-744

This chapter evaluates plastic surgery, which is a constantly evolving surgical discipline based upon technical exactitude, detailed anatomical knowledge, and innovation. Plastic surgeons have strong aesthetic awareness, but the true scope of their practice is very much broader. The ethos of this work is to restore form and function. In pursuit of this goal, techniques have been refined that enable the transfer of tissues around the body as non-vascularised ‘grafts’, or vascularised ‘flaps’ that may be ‘pedicled’ on their anatomical blood supply, or revascularised after autologous transplantation by microvascular anastomosis. Globally, plastic surgeons collaborate with many specialties to enable oncological treatments and manage congenital abnormalities and trauma and severe soft tissue infections (SSTIs) across a broad range of conditions. In addition to this work, plastic surgeons have been involved in the development of composite tissue allotransplantation techniques that include facial, abdominal wall, and hand transplantation. The chapter then highlights some of the common reasons for referral to plastic surgery and describes some of the common plastic surgery techniques available to address these.


Author(s):  
Patricia G. Arscott ◽  
Gil Lee ◽  
Victor A. Bloomfield ◽  
D. Fennell Evans

STM is one of the most promising techniques available for visualizing the fine details of biomolecular structure. It has been used to map the surface topography of inorganic materials in atomic dimensions, and thus has the resolving power not only to determine the conformation of small molecules but to distinguish site-specific features within a molecule. That level of detail is of critical importance in understanding the relationship between form and function in biological systems. The size, shape, and accessibility of molecular structures can be determined much more accurately by STM than by electron microscopy since no staining, shadowing or labeling with heavy metals is required, and there is no exposure to damaging radiation by electrons. Crystallography and most other physical techniques do not give information about individual molecules.We have obtained striking images of DNA and RNA, using calf thymus DNA and two synthetic polynucleotides, poly(dG-me5dC)·poly(dG-me5dC) and poly(rA)·poly(rU).


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