scholarly journals Robotic-Assisted Neck Dissection: Our Experience

Author(s):  
Salvatore Poma ◽  
Domenico Michele Modica ◽  
Alessandro Pitruzzella ◽  
Alberto Fucarino ◽  
Gianfranco Mattina ◽  
...  

Abstract Introduction Robotic neck dissection surgery allows less invasiveness to significantly improve the aesthetic impact even though it does not compromise the principles of radical cancer procedure. Objective The aim of our work is to describe our personal experience with robotic neck dissection surgery. Methods A retrospective study was conducted by analyzing 10 patients subjected to a robotic neck dissection surgery. In the period from August 2012 to December 2018, these patients have been treated exclusively with robotic lateral-cervical dissection. Five of them were subjected to robotic-assisted transaxillary neck dissection (RATAND) and the other 5 treated with robotic-assisted retroauricular neck dissection (RARAND), then the surgical results have been compared with 5 similar dissections performed by open neck dissection (OND). Results The average surgical time of RATAND was estimated in 166 minutes, the average surgical time of RARAND was estimated in 153 minutes and the average surgical time of OND was estimated in 48 minutes. Both robotic techniques are valid from the oncological and aesthetic point of view, but in terms of surgical time, they are much longer than the open technique. Conclusions In terms of the post-operative decree, in our opinion, the retroauricular technique is more rapid for the purposes of recovery.

PEDIATRICS ◽  
1960 ◽  
Vol 25 (3) ◽  
pp. 523-524
Author(s):  
WILLIAM A. BLANC

This book lives up to the expectation of the reader of the other Willis' classics : "Principles of Pathology," "Pathology of Tumours," and "Spread of Tumours in the Human Body." It encompasses an amazing sum of personal experience and of knowledge of very scattered subjects in the fields of medical and biologic literature This treatise makes for stimulating reading by offering a fresh point of view on old and seemingly settled problems, by brilliant treatment of classical subjects—like metaplasia—and by the insertion of these caustic, dogmatic and definitive remarks and unorthodox statements which are Willis' trademark. A good part of the teaching value of this admirable book may well derive from the stimulus of reader antagonism. One is constantly forced to reconsider the facts or one's interpretations in the quest for an argument in the lively dialogue conducted by the Master. It is obviously impossible for any one man to achieve proficiency in all the fields treated in the book and to append a perfect balanced and up-to-date bibliography to each chapter. Still, the numerous sins of commission or omission which may be picked up by specialists in narrow fields are mere trifles in view of the wealth of clear and condensed information and good basic bibliography.


2020 ◽  
Vol 61 (1) ◽  
pp. 181-199
Author(s):  
Sándor Radnóti

AbstractThis paper reconstructs Ruskin’s work from the perspective of the landscape, building upon the assumption that Modern Painters played a cardinal role in the emancipation of the genre. This reconstruction is complicated by the internal contradictions within the work: it cannot be regarded as a systematic work of philosophy, but belongs rather to the genre of sage writing. In volume I, Ruskin approached the landscape not from an aesthetic point of view, but from the direction of scientific truth. The aesthetic consequence of this was his anti-mimetic attitude, which differentiated between the imitation of nature and the uncovering of the truths of nature, and in this respect, he considered Turner the greatest master who had ever lived. Truth takes precedence over all aesthetic considerations, and for this reason Ruskin was resolutely against artistic tradition. Seen from his perspective, the history of landscape painting appeared as a series of scientific illustrations, which, with the forward march of science, came ever closer to truth-to-nature. The other two essential conditions of art, the other side of truth, were its moral and religious messages. Beauty is the work of God, and God must be praised in His work, in Nature. Only later did Ruskin introduce a historical dimension to the experience of the landscape. The modern era is characterised by the rise of the pre-eminent interest in the landscape, accompanied by a parallel decreasing interest in gods, saints, ancestors and humans. This later became the main motif of Ruskin’s activities as a social critic and reformer. In relation to the loss of faith and the prospect of regaining it, Ruskin saw landscape painting as the representative art of the modern era. In the later volumes of Modern Painters, Ruskin carefully distinguished between the task of science, which is to investigate the essence and uncover the truths of material nature, and the task of art, which is to explore the possible viewpoints or aspects of material nature. In volume V of Modern Painters he firmly asserted – in diametric contradiction to his earlier views – that the greatness and truth of Turner did not rest on scientific truth, for in this respect the artist was completely ignorant. This paper interprets and evaluates Ruskin’s extraordinarily harsh criticism of Claude Lorrain, which contrasts with the fact that Turner spent almost his entire life idolising and attempting to rival Claude.


2019 ◽  
Vol 7 (1) ◽  
pp. 46-57
Author(s):  
Sarah J. Ablett

Abstract Donald Trump famously used Hillary Clinton’s ‘toilet business’ or Marco Rubio’s ‘sweating like a pig’ as talking points in his campaign for the U. S. presidency. He thereby managed to use disgust’s intrinsic link to fear as a catalyst to negatively influence people’s opinion of his opponents. It was a tactic he also successfully used to rally his supporters against groups of people like ‘lying’ journalists or ‘rapist’ Mexicans. The mechanism of dehumanising the Other via association with disgust can be regarded as a dangerous tool of political rhetoric. In times like ours, where political discourse is commonly drenched in emotional hyperbole, it is paramount that we come to understand our emotions and learn how easily they may be hijacked for political purposes; this is especially true for such a seemingly ‘intuitive’ emotion as disgust. In his play I, Malvolio dramatist Tim Crouch gives voice to a Shakespearean character who has become a victim of discrimination via disgust. Crouch turns the perspectives around and allows the audience to see the story from the deplored’s point of view. This paper uses Crouch’s play for an exemplary analysis of the underlying structures of repulsion, and its relation to fear, and investigates the aesthetic possibilities of redemption.


Author(s):  
Eduardo Henrique PIROLLA ◽  
Gabriel Pavani PATRIOTA ◽  
Fernanda Junqueira Cesar PIROLLA ◽  
Felipe Piccarone Gonçalves RIBEIRO ◽  
Marina Guitton RODRIGUES ◽  
...  

ABSTRACT Introduction: Inguinal hernia is one of the most frequent surgical diseases. Currently, with the advantages of minimally invasive surgery, new questions arise: what will be the best approach for correction of inguinal hernia? Is there real benefit to the robotic approach? Objective: To compile results of the published studies that used the robot-assisted technique in the repair of inguinal hernia, analyzing its limitations, complications and comparing it with those of the pre-existing techniques. Method: The review was performed from the Medline database with the following descriptors: (inguinal hernia repair OR hernioplasty OR hernia) AND (robot OR robotic OR robotic assisted) being retrieved 391 articles. After verification of the titles and abstracts, we identified eight series of cases congruent with the objectives of this review. Three reviewers participated in the extraction and selection of results. Results: Comparative studies showed an increase in surgical time in relation to the open and videolaparoscopic approach. The complications present similar rates with the other repair routes. Conclusion: This technique has been shown to be effective for the correction of inguinal hernia, but the benefits of using robotic surgery are unclear. So, there is a need for randomized studies comparing laparoscopic to robotic repair


Triangle ◽  
2020 ◽  
pp. 33
Author(s):  
Christian Snoey Abadías

Time has always been a field full of experimental innovations during the 20th century, and Deseos, by Marina Mayoral, is not alien to that. This novel contains a double analysis of time: On one hand from a philosophical point of view, fiction gets divided on many occasions in two dierent parts: the chronological time of the clock and the psychological or lived time, which ts with the personal experience of time. On the other hand, from a technical perspective, the way time builds the structure of the text will be studied, and also the different kinds of flashbacks that allow characters' soliloquies. Finally, implicit and explicit time indicators that guide time's becoming will also be object of study.


2020 ◽  
Vol 18 (2) ◽  
pp. 135-153
Author(s):  
Anastasiia Gubaidullina ◽  

The article focuses on Mikhail Yasnov’s poetry that is addressed to children of different ages, from younger preschoolers to older schoolchildren. Yasnov’s poetry is viewed as a corpus of texts united by several general principles: among them are the harmony of childhood and the child’s trust in the world. Another unifying principle is poetic dialogue, manifested at different levels of literary texts: from characters and imagery to metatextuality and the author’s consciousness. Dialogue in this paper is understood as overcoming a single point of view, an attempt to go beyond the personal I motivated by the attention to the Other. Yasnov’s poetry focuses on the search for similarities and differences between the phenomena of reality as it presents many voices and life positions. The concept of dialogue has great moral potential in children’s poetry as it contributes to the formation of empathy and development of self-knowledge in children. The aesthetic value of dialogue lays in the enrichment of the thematic and figurative structure of the lyrics.


2005 ◽  
Vol 19 (3) ◽  
pp. 129-132 ◽  
Author(s):  
Reimer Kornmann

Summary: My comment is basically restricted to the situation in which less-able students find themselves and refers only to literature in German. From this point of view I am basically able to confirm Marsh's results. It must, however, be said that with less-able pupils the opposite effect can be found: Levels of self-esteem in these pupils are raised, at least temporarily, by separate instruction, academic performance however drops; combined instruction, on the other hand, leads to improved academic performance, while levels of self-esteem drop. Apparently, the positive self-image of less-able pupils who receive separate instruction does not bring about the potential enhancement of academic performance one might expect from high-ability pupils receiving separate instruction. To resolve the dilemma, it is proposed that individual progress in learning be accentuated, and that comparisons with others be dispensed with. This fosters a self-image that can in equal measure be realistic and optimistic.


Author(s):  
I. R. Khuzina ◽  
V. N. Komarov

The paper considers a point of view, based on the conception of the broad understanding of taxons. According to this point of view, rhyncholites of the subgenus Dentatobeccus and Microbeccus are accepted to be synonymous with the genus Rhynchoteuthis, and subgenus Romanovichella is considered to be synonymous with the genus Palaeoteuthis. The criteria, exercising influence on the different approaches to the classification of rhyncholites, have been analyzed (such as age and individual variability, sexual dimorphism, pathological and teratological features, degree of disintegration of material), underestimation of which can lead to inaccuracy. Divestment of the subgenuses Dentatobeccus, Microbeccus and Romanovichella, possessing very bright morphological characteristics, to have an independent status and denomination to their synonyms, has been noted to be unjustified. An artificial system (any suggested variant) with all its minuses is a single probable system for rhyncholites. The main criteria, minimizing its negative sides and proving the separation of the new taxon, is an available mass-scale material. The narrow understanding of the genus, used in sensible limits, has been underlined to simplify the problem of the passing the view about the genus to the other investigators and recognition of rhyncholites for the practical tasks.


2017 ◽  
Vol 4 (1) ◽  
pp. 41-61
Author(s):  
Pelin Sönmez ◽  
Abulfaz Süleymanov

Türkiye, Cumhuriyet tarihinin en yoğun zorunlu göç dalgasını 2011 yılından bu yana süren Suriye Savaşı ile yaşamaktadır. Suriye vatandaşlarının geçici koruma statüsü altında Türkiye toplumuna her açıdan entegrasyonları günümüzün ve geleceğin politika öncelikleri arasında düşünülmelidir. Öte yandan ülkeye kabul edilen sığınmacıların kendi kültürel kimliğini kaybetmeden içinde yaşadığı ev sahibi topluma uyumu, ortak yaşam kültürünün gelişmesi açısından önem arz etmektedir. Bu makalede, "misafir" olarak kabul edilen Suriyeli vatandaşların Türk toplumunca kabul edilmeleri ve dışlanma risklerinin azaltılmasına yönelik devlet politikaları ortaya konularak, üye ve aday ülkelere göçmenlerin dışlanmasını önlemek için Avrupa Birliği (AB) tarafından sunulan hukuki yapı ve kamu hizmeti inisiyatifleri incelenmekte, birlikte yaşam kültürü çerçevesinde Suriyeli vatandaşlara yönelik  toplumsal kabul düzeyleri ele alınmaktadır. Çalışma iki ana bölümden oluşmaktadır: göçmen ve sığınmacılara karşı toplumsal dışlanmayı engellemek için benimsenen yasa ve uygulamaların etkisi ve İstanbul-Sultanbeyli bölgesinde Suriyeli sığınmacılarla ilgili toplumsal algı çalışmasının sonuçları. Bölgede ikamet eden Suriyelilere yönelik toplumsal kabul düzeyinin yüksek olduğu görülürken, halkın Suriyelileri kendilerine  kültürel ve dini olarak yakın hissetmesi toplumsal kabul düzeyini olumlu etkilemektedir. ABSTRACT IN ENGLISHAn evaluation of the European Union and Turkish policies regarding the culture of living togetherThis article aims to determine the level of social acceptance towards Syrians within the context of cohabitation culture by evaluating EU’s legal structure and public service initiatives in order to prevent Syrian refugees from being excluded in member and candidate countries and by revealing government policies on acceptance of Syrians as “guest” by Turkish society and minimizing the exclusion risks of them. This article consists of two main parts, one of which is based on the effects of law and practices preventing refugees and asylum seekers from social exclusion, and the other is on the results of social perception on Syrians in Sultanbeyli district of Istanbul. At the end of 5-years taking in Syrian War, it is obvious that most of more than 3 million Syrian with unregistered ones in Turkey are “here to stay”. From this point of view, the primary scope of policies should be specified in order to remove side effects of refugee phenomenon seen as weighty matter by bottoming out the exclusion towards those people. To avoid possible large-scale conflicts or civil wars in the future, the struggle with exclusion phenomenon plays a crucial role regarding Turkey’s sociological situation and developing policies. In the meaning of forming a model for Turkey, a subtitle in this article is about public services for European-wide legal acquis and practices carried out since 1970s in order to prevent any exclusion from the society. On the other hand, other subtitles are about legal infrastructure and practices like Common European Asylum and Immigration Policies presented in 2005, and Law on Foreigners and International Protection introduced in 2013. In the last part of the article, the results of a field survey carried out in a district of Istanbul were used to analyze the exclusion towards refugees in Turkey. A face-to-face survey was randomly conducted with 200 settled refugees in Sultanbeyli district of Istanbul, and their perceptions towards Syrian people under temporary protection were evaluated. According to the results, the level of acceptance for Syrians living in this district seems relatively high. The fact that Turkish people living in the same district feel close to Syrian refugees culturally and religiously affect their perception in a positive way: however, it is strikingly seen and understood that local residents cop an attitude on the refugees’ becoming Turkish citizens.


2012 ◽  
Vol 5 (1) ◽  
pp. 39-49
Author(s):  
Tzu-Hui Chen

This narrative aims to explore the meaning and lived experiences of marriage that a unique immigrant population—“foreign brides” in Taiwan—possesses. This convergence narrative illustrates the dynamics and complexity of mail-order marriage and women's perseverance in a cross-cultural context. The relationship between marriage, race, and migration is analyzed. This narrative is comprised of and intertwined by two story lines. One is the story of two “foreign brides” in Taiwan. The other is my story about my cross-cultural relationship. All the dialogues are generated by 25 interviews of “foreign brides” in Taiwan and my personal experience.


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