Treatment of small breasts and inverted nipples

2021 ◽  
pp. 1435-1448
Author(s):  
Marion Grob ◽  
Elliott Smock

Augmentation mammoplasty is one of the most popular aesthetic surgical procedures in the world and the number of cases performed continues to increase yearly. This chapter presents a comprehensive review of this topic which includes implant selection, surgical approaches, management of complications, and some of the pitfalls associated with this popular procedure. The chapter also covers the classification and treatment of inverted nipples.

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Giancarlo Sborgia ◽  
Alfredo Niro ◽  
Francesco D’Oria ◽  
Alessandra Galeone ◽  
Luigi Sborgia ◽  
...  

Purpose. To report surgical management of ocular complications occurred after dexamethasone (DEX) implant (Ozurdex®) injection. Methods. Retrospective interventional case series. Results. Different surgical procedures including viscoexpression to manage the migration of the implant into the anterior chamber, “phaco-rolling” technique for the intralenticular injection, and vitrectomy with implant removal for an acute endophthalmitis were performed. Successful management of different complications after DEX implant by using individualized surgical approaches was observed. Conclusions. Early and targeted surgical management is required in selected cases of ocular complications after DEX implant. The implant removal was needed to preserve ocular anatomy and function.


Author(s):  
Noor Mohammad Osmani ◽  
Tawfique Al-Mubarak

Samuel Huntington (1927-2008) claimed that there would be seven eight civilizations ruling over the world in the coming centuries, thus resulting a possible clash among them. The West faces the greatest challenge from the Islamic civilization, as he claimed. Beginning from the Cold-War, the Western civilization became dominant in reality over other cultures creating an invisible division between the West and the rest. The main purpose of this research is to examine the perceived clash between the Western and Islamic Civilization and the criteria that lead a civilization to precede others. The research would conduct a comprehensive review of available literatures from both Islamic and Western perspectives, analyze historical facts and data and provide a critical evaluation. This paper argues that there is no such a strong reason that should lead to any clash between the West and Islam; rather, there are many good reasons that may lead to a peaceful coexistence and cultural tolerance among civilizations


2020 ◽  
Vol 11 (2) ◽  
pp. 1493-1504
Author(s):  
Bharatlal Sain ◽  
Manohar M ◽  
Gowda D V

Anti-microbial resistance (AMR) is the ability of a microbe to resist the effect of antibiotics. It has become the most important cause of concern throughout the world. AMR may develop a variety of mechanisms, including resistance, weakness or due to a certain therapeutic failure. The three major causes of resistance were identified to be over usage of anti-microbials, over-prescription, increased agricultural usage. The mechanism which leads to the development of AMR were found to be Metabolic Inactive Persister cells biofilm formation, Swarming, Obligate intracellular microbes, Reduced uptake and efflux pumps, Modification of the antibiotic binding site, Production of competitive inhibitors. Research is still being carried out and few methods successfully  delay or inhibit the progress of Resistance namely: Photodynamic therapy, which works on the principle of photosensitization, results in formation of ROS which destroy pathogenic cells, Vaccines, which strengthen the defence system to fight against foreign microorganisms efficiently, Antibiotic adjuvants, work by inhibiting any kind of mechanism related to the resistance increasing the drug’s antibacterial efficiency, Nano antibiotics which acts by interfering with the mechanisms for the development of the resistance and microfluidics give a better understanding of the bacteria and its superior antimicrobial susceptibility testing. Hence, in this review the above mechanisms of antimicrobial resistance as well the latest AMR combating strategies are been discussed.


2020 ◽  
pp. 175-272
Author(s):  
Suzanne Biers ◽  
Noel Armenakas ◽  
Alastair Lamb ◽  
Stephen Mark ◽  
John Reynard ◽  
...  

This chapter covers various surgical procedures for dealing with different urological cancers. For each method, it takes the reader through diagnosis, indications for the procedure, assessment and staging, patient preparation, and surgical approaches, then closure, and any other potential issues. Each topic is highly illustrated, to aid understanding for unfamiliar procedures.


Author(s):  
David L. Blustein

This chapter presents a comprehensive review of the ways in which the needs for survival and power intersect with working. Beginning with an overview of Maslow’s need hierarchy (which indicates the need for survival is fundamental to our existence) and the psychology-of-working framework, vignettes from the participants from the Boston College Working Project provide an in-depth perspective about the complex ways that striving for survival intersects with relationships, financial security, and thriving. The chapter concludes with a discussion of the role of time perspective and work volition in relation to the need to survive. The chapter makes clear that the drive for survival is an essential aspect of being alive in the world. Creating opportunities for people to meet this integral aspect of human experience, naturally, is a challenge that requires the best of our inner spirits and a commitment to nurturing the needs of the entire spectrum of people in our communities.


Author(s):  
Jonas Bloch Thorlund ◽  
L. Stefan Lohmander

Joint replacement is often considered the surgical treatment for patients with osteoarthritis (OA). However, several other surgical treatments, of which some are more frequently performed, have been advocated for patients with OA in order to relieve symptoms, stall progression, and avoid or postpone joint replacement. This chapter briefly describes the most common procedures such as knee and hip arthroscopy and knee and hip osteotomy. It also reviews the evidence for the efficacy of these treatments compared with non-surgical alternatives, which is frequently insufficient due to lack of controlled low-risk-of-bias studies. The risk of adverse events is also reported when data is available. Some of the more recent surgical techniques such as implantation of chondrocytes or stem cells are also described and discussed but their utility for treating osteoarthritis remains uncertain. There is a great need for continued innovation and development of surgical techniques for managing in particular the earlier stages of osteoarthritis. To reduce the risk of future costly failures, a stepwise introduction of new surgical procedures and devices must be encouraged.


2019 ◽  
Vol 144 (2) ◽  
pp. 150-155 ◽  
Author(s):  
Sarika Jain ◽  
Anu Abraham

Context.— In the 2016 update of the World Health Organization (WHO) classification of hematopoietic neoplasms, BCR-ABL1–like B-acute lymphoblastic leukemia/lymphoma (B-ALL) is added as a new provisional entity that lacks the BCR-ABL1 translocation but shows a pattern of gene expression very similar to that seen in B-ALL with BCR-ABL1. Objective.— To review the kinase-activating alterations and the diagnostic approach for BCR-ABL1–like B-ALL. Data Sources.— We provide a comprehensive review of BCR-ABL1–like B-ALL based on recent literature and the 2016 update of the World Health Organization classification of hematopoietic neoplasms. Conclusions.— Several types of kinase-activating alterations (fusions or mutations) are identified in BCR-ABL1–like B-ALL. The main categories are alterations in the ABL class family of genes, encompassing ABL1, ABL2, PDGFRB, PDGFRA (rare), and colony-stimulating factor 1 receptor (CSF1R) fusions, or the JAK2 class family of genes, encompassing alterations in JAK2, CRLF2, EPOR, and other genes in this pathway. These alterations determine the sensitivity to tyrosine kinase inhibitors. As a wide variety of genomic alterations are included in this category, the diagnosis of BCR-ABL1–like B-ALL is extremely complex. Stepwise algorithms and comprehensive unbiased testing are the 2 ways to approach the diagnosis of BCR-ABL1–like B-ALL.


2007 ◽  
Vol 23 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Symeon Missios

✓Trepanation (ανατρησιζ) is the process by which a hole is drilled into the skull, exposing the intracranial contents for either medical or mystical purposes. It represents one of the oldest surgical procedures, and its practice was widespread in many ancient cultures and several parts of the world. Trepanation was used in ancient Greece and Rome, as described in several ancient texts. Hippocrates and Galen are two of the most prominent ancient Greek medical writers, and their works have influenced the evolution of medicine and neurosurgery across the centuries. The purpose of this paper is to examine Hippocrates' and Galen's written accounts of the technique and use of trepanation in the ancient Greek and Roman world. Examination of those records reveals the ancient knowledge of neurological anatomy, physiology, and therapeutics, and illustrates the state and evolution of neurosurgery in the classical world.


2012 ◽  
Vol 256-259 ◽  
pp. 1952-1955
Author(s):  
Ting Guo ◽  
Hong De Qin

The far-flung ocean has abundant resource and the exploitation area of ocean oil and gas is developing from offshore to deepwater and ultra-deepwater following the increase demand for oil and gas resource. Therefore, one of the floating structures for deepwater exploitation is FPSO. The yaw of FPSO is more important problem to solve. This paper use Hydrostar to compute the RAOs, 1st-order and 2nd-order force of FPSO. A comprehensive review is introduced about the research on FPSO hydrodynamic in the world, including the coupling hydrodynamic analysis of deepwater FPSO with the mooring system. The results indicate that the FPSO’s 1st-order force and moment is a little large, however, the RAOs and 2nd-order force and moment are good. The FPSO with single point mooring system can control the displacement of FPSO effectively.


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