Article Commentary: Aberrant Hepatic Arterial Anatomy and the Whipple Procedure: Lessons Learned

2011 ◽  
Vol 77 (5) ◽  
pp. 517-526 ◽  
Author(s):  
Ronald S. Chamberlain ◽  
Abraham El-Sedfy ◽  
Dhiraj Rajkumar

Appreciation and study of hepatic arterial anatomical variability is essential to the performance of a pancreaticoduodenectomy to avoid surgical complications such as bleeding, hepatic ischemia/failure, and anastomotic leak/stricture. Awareness of this variability permits the surgeon to adapt the surgical technique to deal with anomalies identified preoperatively or intraoperatively thereby preventing unnecessary surgical morbidity and mortality. The objective of our study is to provide a comprehensive review of the anatomic arterial anomalies and discuss surgical strategies that will equip the surgeon to deal with all anomalies that may be encountered a priori or en passant during the course of a Whipple procedure.

NeuroImage ◽  
2017 ◽  
Vol 157 ◽  
pp. 144-156 ◽  
Author(s):  
Sarah Genon ◽  
Tobias Wensing ◽  
Andrew Reid ◽  
Felix Hoffstaedter ◽  
Svenja Caspers ◽  
...  

2019 ◽  
Vol 76 (1) ◽  
pp. 174-181 ◽  
Author(s):  
Kaio S. Ferreira ◽  
Kenneth Lynch ◽  
Beth A. Ryder ◽  
Michael Connolly ◽  
Thomas Miner ◽  
...  

2018 ◽  
Vol 36 (03) ◽  
pp. 277-284 ◽  
Author(s):  
M. Pallister ◽  
J. Ballas ◽  
J. Kohn ◽  
C. S. Eppes ◽  
M. Belfort ◽  
...  

Objective To evaluate the impact of a standardized surgical technique for primary cesarean deliveries (CDs) on operative time and surgical morbidity. Materials and Methods Two-year retrospective chart review of primary CD performed around the implementation of a standardized CD surgical technique. The primary outcome was total operative time (TOT). Secondary outcomes included incision-to-delivery time (ITDT), surgical site infection, blood loss, and maternal and fetal injuries. Results When comparing pre- versus postimplementation surgical times, there was no significant difference in TOT (76.5 vs. 75.9 minutes, respectively; p = 0.42) or ITDT (9.8 vs. 8.8 minutes, respectively; p = 0.06) when the entire cohort was analyzed. Subgroup analysis of CD performed early versus late in an academic year among the pre- and postimplementation groups showed no significant difference in TOT (79.3 early vs. 73.8 minutes late; p = 0.10) or ITDT (10.8 early vs. 8.8 minutes late; p = 0.06) within the preimplementation group. In the postimplementation group, however, there was significant decrease in TOT (80.5 early vs. 71.3 minutes late; p = 0.02) and ITDT (10.6 early vs. 6.8 minutes late; p < 0.01). Secondary outcomes were similar for both groups. Conclusion A standardized surgical technique combined with surgical experience can decrease TOT and ITDT in primary CD without increasing maternal morbidity.


PEDIATRICS ◽  
1959 ◽  
Vol 24 (1) ◽  
pp. 39-39

This is a concise and comprehensive review of the essentials in the diagnosis and management of megacolon. The author pioneered in the development of a surgical technique for the treatment of megacolon. The experience with this technique has now become extensive and it has been remarkably successful. Comment on modifications of the original technique which have been proposed indicates that none of the modifications are superior and some are inferior. Particular attention is given to the diagnostic value of biopsy of the rectal mucosa and search for the characteristic abnormality, namely, failure of development of ganglion cells. Pitfalls in the radiologic diagnosis and pecularities of the disease in the newborn are discussed. This article contains many practical points regarding the diagnosis and management of megacolon.


The rising expansion and diversification in the cybercrime arena have become difficult obstacles in order both to understand the extent of embedded risks and to define efficient policies of prevention for corporations, institutions, and agencies. The present study represents a comprehensive review of the origin, typologies, and developments of cybercrime and hacker subculture. This chapter confronts the issues by describing and discussing different criteria of classification in the field and by providing a broad list of definitions and an analysis of the cybercrime practices. A conceptual taxonomy of cybercrime is described as well. Common categories include the digital device is the target to commit the crime, the digital device is used as a tool to perpetrate the felony, or a digital device is an incidental condition to the execution of a crime. The authors complete their study by analyzing lessons learned and future actions that can be undertaken to tackle cybercrime and harden cybersecurity at all levels.


2017 ◽  
Vol 127 (12) ◽  
pp. 2833-2842 ◽  
Author(s):  
Sampath Chandra Prasad ◽  
Valeria Roustan ◽  
Gianluca Piras ◽  
Antonio Caruso ◽  
Lorenzo Lauda ◽  
...  

2013 ◽  
Vol 79 (2) ◽  
pp. 346-358 ◽  
Author(s):  
Vafa Rahimi-Movaghar ◽  
Seyed Behzad Jazayeri ◽  
Marjan Alimi ◽  
Kazem Abbassioun ◽  
Abbas Amirjamshidi

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 571-572
Author(s):  
Sarah Neller ◽  
Gail Towsley ◽  
Mary McFarland

Abstract Ethical wills communicate a legacy of values through non-legal emotional and supportive instruction to others and are distinct from legal or living wills. Employed for centuries, little is known about how and why ethical wills are used. We conducted the first scoping review on ethical wills to survey the breadth of published information and identify how they are defined and utilized. We followed the Joanna Briggs Institute methodology for scoping reviews employing an a priori protocol and PRISMA-ScR reporting guidelines . We searched 14 databases in November 2019 and January 2021 without filtering publication date or type. Our final extraction form included frequently used terms describing content, purpose, and outcomes. Two reviewers independently screened 1,568 results. Final extraction included 51 documents from 1997-2020, which were primarily published in lay or peer-reviewed journals within law, estate and financial planning, and religion; only 6 research articles were identified. Most frequently, descriptors characterized ethical wills as a non-material legacy of values, beliefs, wisdom, and life lessons learned written to family or future generations. Ethical wills were utilized most to be remembered, address mortality, clarify life’s meaning, and communicate what matters most. They provided opportunity to learn about self, were considered a gift to both writer and recipient and fostered intergenerational interaction and transcendence. Our findings highlight interdisciplinary utilization and dearth of research on ethical wills. Gerontological research is needed to explore ways ethical wills can be used to enhance generativity and intentional living as individuals age and prepare for the end of life.


2020 ◽  
Vol 7 (2) ◽  
pp. 54-62
Author(s):  
Md.Ashraful Azam Khan ◽  
Haslinda Hashim

Purpose of the study: This study aims to provide an overview of the key issues and challenges faced by the COVID-19 pandemic in the Malaysian tourism and hospitality industry, lessons learned from its devastating effects on the industry, and to contemplate possible solutions and strategies for post-pandemic recovery from a global perspective. Methodology: This is a conceptual study. In doing so, a comprehensive review of the most recent selected literature was gathered from academic and online news portal and relevant online platforms to extract the current state of the art knowledge. Based on the conceptual analysis, this study unfolds the uncertainties about the critical outcomes of the past events to provide some significant insights focusing on the COVID-19 pandemic, which is denoted as post-crisis analysis based on current and past events. Main Findings: Based on the comprehensive review of the related literature this paper finds that both from the academic and industry perspective that the emphasis should be given to study, teach and engage with current tourism-related concepts and theories to provide a holistic pedagogy to rebuild and transform the tourism and hospitality industry rather than maintaining the current tourism and hospitality trajectory in the post-Covid 19 pandemic age. Applications of this study: The practical implications of this paper is to assist the tourism and hospitality managers by providing a glimpse of the current and forthcoming challenges in the industry and to provide critical recovery strategies in the post-pandemic phase for the related tourism and hospitality operators to plan effective business strategies, activities and policies to adopt the new normal. Novelty/Originality of this study: This study exposes the vulnerability of an already gruesome Malaysia tourism and hospitality industry in the context of the Covid-19 pandemic based on the post-crisis analysis in relation to the current and past events, and consequently suggested some critical sustainable resilience strategies for a resurgence in the post-pandemic period from a global point of view.


2018 ◽  
Vol 6 (02/03) ◽  
pp. 053-056
Author(s):  
Ritunja Singh ◽  
Shilpa Chourasia ◽  
Palak Sharma ◽  
Soumya Gupta ◽  
Gangesh Singh ◽  
...  

AbstractPeriodontally accelerated osteogenic orthodontics (PAOO), also known as Wilckodontics, is a clinical procedure that combines corticotomy (a surgical technique in which the bone is cut, perforated, or mechanically altered), particulate bone grafting, and orthodontic force application. By this procedure, the teeth can be made to move through the bone rapidly by means of harnessing and stimulating the innate potential of the bone and utilizing tissue engineering principles. Once the tooth movement gets completed, bone rebuilds around the tooth, thereby reducing the time of orthodontic treatment from years to months. This article aims to present a comprehensive review about PAOO or Wilckodontics.


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