The Evolution and Future of Rhytidectomy Literature: A Bibliographic Study

2018 ◽  
Vol 36 (2) ◽  
pp. 85-90
Author(s):  
Adam Honeybrook ◽  
Matthew Crowson ◽  
Charles Woodard ◽  
Jamil Asaria ◽  
Dane Barrett
Keyword(s):  
English Language ◽  
Surgical Techniques ◽  
The United States ◽  
Skin Aging ◽  
Intellectual Structure ◽  
Surgical Approaches ◽  
Annual Growth Rate ◽  
Face Lift ◽  
Younger Adults ◽  
New Techniques

Since Eugene Holländer performed the first rhytidectomy in 1901, face-lift surgery has dramatically transformed over 100+ years. Our objective was to assess conceptual themes and content evolution in the published rhytidectomy literature. A bibliometric rhytidectomy analysis was performed on English-language literature between the period of 1951 and 2017. Analyses included most productive authors, countries, journals, most-cited articles, and keywords. K-means clustering was used to discern trends in topics. A total of 1927 rhytidectomy abstracts were mined from the Scopus® bibliographic database over the period of 1951-2017. These abstracts originated from 500 different source publications and 3744 different authors. The annual growth rate of rhytidectomy literature is 6.87 articles/year. The most productive countries were the United States (856 publications), France (107 publications), and Brazil (67 publications). Between-country collaborations were rare. From 1995-2015, the recent literature centered on younger adults, surgical approaches, and complications. Older literature investigated surgical techniques, facial skin, aging, and lipectomy. Two distinct concept clusters were discovered: (1) surgical outcomes and techniques/approaches, and (2) study design. Bibliometric analyses are useful in understanding intellectual structure, gaps, and opportunities for knowledge advancement. The recent rhytidectomy literature is focused on new techniques/approaches, complications, and younger adults and is dominated by US-based clinicians.

Colorectal Liver Metastasis

2019 ◽  
Author(s):  
Brian E Kadera ◽  
Michael D’Angelica
Keyword(s):  
Colorectal Cancer ◽  
Surgical Techniques ◽  
Disease Free Survival ◽  
Hepatic Arterial Infusion ◽  
The United States ◽  
Surgical Approaches ◽  
Portal Vein Ligation ◽  
Arterial Infusion ◽  
Liver Remnant ◽  
Infusion Chemotherapy

Metastatic colorectal cancer isolated to the liver is a common clinical presentation in the United States, occurring in an estimated 50,000 patients per year. Unlike most stage IV malignancies, surgery is an effective mainstay of therapy. In the past several decades, novel surgical approaches, improved systemic chemotherapy, and locoregional therapies such as ablation and hepatic arterial infusion chemotherapy have broadened the indications for resection. At the same time, advances in perioperative care and adoption of parenchymal-sparing surgical techniques have lowered the perioperative mortality of liver resection to approximately 1%. Surgical cure is possible and using 10-year disease-free survival as a definition, this can be achieved in approximately 20 to 30% of well-selected patients. The majority of patients recur; thus, active surveillance is appropriate to identify patients for potential salvage therapy, including in some cases repeat resections and/or ablation, which is associated with prolonged survival and potential cure. More research is needed in biomarker drivers of prognosis, as there are few reliable clinicopathologic indicators to identify those in whom surgery will not benefit. This review contains 7 figures, 7 tables, and 90 references. Key Words: colorectal cancer, FOLFOX, FOLFIRI, hepatic arterial infusion, hepatic resection, liver remnant, microwave ablation, portal vein ligation, ALPPS

Colorectal Liver Metastasis

2019 ◽  
Author(s):  
Brian E Kadera ◽  
Michael D’Angelica
Keyword(s):  
Colorectal Cancer ◽  
Surgical Techniques ◽  
Disease Free Survival ◽  
Hepatic Arterial Infusion ◽  
The United States ◽  
Surgical Approaches ◽  
Portal Vein Ligation ◽  
Arterial Infusion ◽  
Liver Remnant ◽  
Infusion Chemotherapy

Metastatic colorectal cancer isolated to the liver is a common clinical presentation in the United States, occurring in an estimated 50,000 patients per year. Unlike most stage IV malignancies, surgery is an effective mainstay of therapy. In the past several decades, novel surgical approaches, improved systemic chemotherapy, and locoregional therapies such as ablation and hepatic arterial infusion chemotherapy have broadened the indications for resection. At the same time, advances in perioperative care and adoption of parenchymal-sparing surgical techniques have lowered the perioperative mortality of liver resection to approximately 1%. Surgical cure is possible and using 10-year disease-free survival as a definition, this can be achieved in approximately 20 to 30% of well-selected patients. The majority of patients recur; thus, active surveillance is appropriate to identify patients for potential salvage therapy, including in some cases repeat resections and/or ablation, which is associated with prolonged survival and potential cure. More research is needed in biomarker drivers of prognosis, as there are few reliable clinicopathologic indicators to identify those in whom surgery will not benefit. This review contains 7 figures, 7 tables, and 90 references. Key Words: colorectal cancer, FOLFOX, FOLFIRI, hepatic arterial infusion, hepatic resection, liver remnant, microwave ablation, portal vein ligation, ALPPS

Hepatoblastoma: Review of Pathology, Diagnosis and Modern Treatment Strategies

2020 ◽  
Vol 16 (4) ◽  
pp. 276-291
Author(s):  
Adil A. Abbas ◽  
Alaa M.N. Samkari ◽  
Abeer S. Almehdar
Keyword(s):  
Surgical Techniques ◽  
Treatment Strategies ◽  
Disease Free Survival ◽  
Staging System ◽  
The United States ◽  
Surgical Approaches ◽  
Beta Hcg ◽  
Individualized Approach ◽  
Pre Treatment ◽  
Consensus Classification

Hepatoblastoma (HB) is the most common primary malignant hepatic tumor of childhood and, occurring predominantly in the first two years of life. Approximately 100 cases are diagnosed every year in the United States of America. The management of HB has changed markedly over the last three decades. Alfa feto protein (AFP) and beta human chorionic gonadotrophin (beta HCG) are the main tumor markers and are markers for diagnosis and follow up. International collaborative efforts have led to the implementation of the Pre - Treatment Extent of the Disease PRETEXT staging system consensus classification to assess upfront resectability. Complete surgical resection plays a key role in successful management. Overall, outcomes have greatly improved over the past decades mainly because of advances in chemotherapy (CTR) agents and administration protocols, newer surgical approaches and liver transplantation (LT). Targeted medications towards the newly discovered β-catenin and Wnt genetic pathways in tumor cells may soon become an option for treatment. The current disease free survival (DFS) rates are approaching 85%. For the 25% of patients with metastasis at presentation, the overall survival (OS) remains poor. A more individualized approach to treating the heterogeneous spectrum of HB may become the basis of successful treatment in complex cases. Newer medications and surgical techniques are being exploited. Here we present a comprehensive review of the recent advances in the management of HB. A wide literature search was made using internet search engines such as PubMed and Google scholar. More than 100 articles were reviewed and the information extrapolated was arranged to produce this review.

Data, dogma, or latest fashion? How scientific meetings and peer-reviewed literature affect cardiac surgical practice

2005 ◽  
Vol 15 (S1) ◽  
pp. 161-164
Author(s):  
Thomas L. Spray
Keyword(s):  
Surgical Techniques ◽  
Regulatory Control ◽  
Surgical Approaches ◽  
New Techniques ◽  
Surgical Strategies ◽  
Minimal Data ◽  
Cardiac Surgeon ◽  
Scientific Meetings ◽  
New Strategies ◽  
New Surgical Technique

For many years, surgeons have been able to implement new techniques and treatments with minimal oversight. Although regulatory control over application of new strategies for treatment is far different today, surgeons have enjoyed a greater degree of freedom than other specialists. The laboratory of the surgeon, and particularly the congenital cardiac surgeon, is often the operating room, since appropriate animal models are not available. Thus, the congenital cardiac surgeon has often been stimulated to modify existing techniques, or create new surgical approaches, to improve the perceived limitations of previously known surgical strategies.1 The introduction of a new surgical technique has often taken the strong ego and persistence of a surgical innovator, and has subjected the surgeon to criticism from medical colleagues. Although innovation is a proud heritage of the development of congenital cardiac, it now seems appropriate, as we are more cognizant of the past accomplishments in the development of repairs for congenital cardiac malformations, to evaluate how surgical techniques become widely adopted, often with only minimal data to suggest improvement over previously accepted procedures.

scholarly journals Multi-institutional Analysis of Surgical Management and Outcomes of Mandibular Fracture Repair in Adults

2018 ◽  
Vol 11 (1) ◽  
pp. 041-048 ◽  
Author(s):  
Dmitry Zavlin ◽  
Kevin T. Jubbal ◽  
Anthony Echo ◽  
Shayan A. Izaddoost ◽  
Jeffrey D. Friedman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Techniques ◽  
The United States ◽  
Fracture Repair ◽  
Surgical Approaches ◽  
Facial Trauma ◽  
Mandibular Fractures ◽  
Complication Rates ◽  
Improvement Program ◽  
Concomitant Injuries

Mandibular fractures are rare, most commonly occurring in young male patients who present with facial trauma. The etiology, incidence, and presentation vary among previous publications depending on cultural and socioeconomic factors of the region of origin. This multi-institutional study aims to present demographic characteristics, surgical treatment, and clinical outcomes of surgical repair of mandible fractures in the United States. An analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) adult databases of the years 2006 through 2014 was performed identifying 940 patients with an International Classification of Diseases, version 9 (ICD-9) diagnosis of either closed or open fracture of the mandible. Preoperative, perioperative, and postoperative details were categorized and evaluated for these two cohorts. Multivariate analysis was performed to detect risk factors related to any complications. Patients were predominantly male (85.7%), young with a mean age of 34.0 ± 14.8 years, and relatively healthy with body mass index of 23.6 ± 8.2 and an American Society of Anesthesiologists (ASA) class of 1 or 2 (84.4%). However, more than half were regular smokers (51.1%). The top five most frequent procedures performed for mandibular repair were exclusively open surgical approaches with internal, external, or interdental fixation in both cohorts. Patients with open fractures were more often admitted as emergencies, treated inpatient, required longer operative times, and presented with more contaminated wounds ( p < 0.05). Overall, medical (1.7%) and surgical complications (3.7%) were low. A high ASA class 3 or above and emergency operations were identified as risk factors for medical adverse events. Despite frequent concomitant injuries after trauma and a diverse array of mandibular injury types, our patient sample demonstrated favorable outcomes and low complication rates. Open surgical techniques were the most common procedures in this study representing the American population.

scholarly journals Death under Control: The Portrayal of Death in Mass Print English Language Magazines in Canada

2006 ◽  
Vol 52 (2) ◽  
pp. 153-167 ◽  
Author(s):  
Juanne Nancarrow Clarke
Keyword(s):  
Critical Discourse Analysis ◽  
English Language ◽  
The United States ◽  
Geographic Region ◽  
Life Extension ◽  
New Techniques ◽  
North Americans ◽  
Social Motivations ◽  
American Society ◽  
The Right

The purpose of this article is to discuss the portrayal of death in modern North American society in the highest circulating English language magazines available in Canada and published either in the United States or in Canada, in 1991, 1996, and 2001. The prevailing underlying frame/discourse of which there were a number of sub-variants, was the notion of the control of death. Stories focused on people taking control of death by 1) passive and active euthanasia, 2) suicide with political and social motivations and messages, 3) suicide deaths among celebrities and the families of celebrities, 4) dramatic murders, 5) issues in the “right to die movement,” and 6) new techniques and technologies for life extension. There was a very small minority of articles on miscellaneous issues such as death rates and their variation across geographic region, social class, environmental condition, and cause. The article ends with discussion of the ways that this portrayal of death obfuscates the real lack of control most North Americans, particularly those who are poor or “racialized,” have over the timing, or circumstances of death. In addition, as a critical discourse analysis, it discusses the interests that are served by this perspective.

Pre-Referral Procedures: Meeting Unique Needs of English Language Learners

2002 ◽  
Vol 8 (1) ◽  
pp. 4-6 ◽  
Author(s):  
Vera Joanna Burton ◽  
Betsy Wendt
Keyword(s):  
English Language Learners ◽  
Language Learners ◽  
School System ◽  
English Language ◽  
First Language ◽  
The United States ◽  
Public School System ◽  
Language Difference ◽  
Number Of Children ◽  
School Team

An increasingly large number of children receiving education in the United States public school system do not speak English as their first language. As educators adjust to the changing educational demographics, speech-language pathologists will be called on with increasing frequency to address concerns regarding language difference and language disorders. This paper illustrates the pre-referral assessment-to-intervention processes and products designed by one school team to meet the unique needs of English Language Learners (ELL).

The Speech-Language Assessment of English Language Learning Students: A Non-Standardized Approach

2013 ◽  
Vol 14 (4) ◽  
pp. 95-101 ◽  
Author(s):  
Robert Kraemer ◽  
Allison Coltisor ◽  
Meesha Kalra ◽  
Megan Martinez ◽  
Bailey Savage ◽  
...  
Keyword(s):  
Language Learning ◽  
Language Impairment ◽  
Specific Language Impairment ◽  
English Language ◽  
Language Assessment ◽  
The United States ◽  
English Language Learning ◽  
Assessment Practices ◽  
Evidence Based ◽  
English Speaking

English language learning (ELL) children suspected of having specific-language impairment (SLI) should be assessed using the same methods as monolingual English-speaking children born and raised in the United States. In an effort to reduce over- and under-identification of ELL children as SLI, speech-language pathologists (SLP) must employ nonbiased assessment practices. This article presents several evidence-based, nonstandarized assessment practices SLPs can implement in place of standardized tools. As the number of ELL children SLPs come in contact with increases, the need for well-trained and knowledgeable SLPs grows. The goal of the authors is to present several well-establish, evidence-based assessment methods for assessing ELL children suspected of SLI.

Working With Interpreters to Support Students Who Are English Language Learners

2016 ◽  
Vol 1 (16) ◽  
pp. 15-27 ◽  
Author(s):  
Henriette W. Langdon ◽  
Terry Irvine Saenz
Keyword(s):  
United States ◽  
English Language Learners ◽  
Language Learners ◽  
English Language ◽  
First Language ◽  
The United States ◽  
The Other ◽  
Primary Language ◽  
Second Best ◽  
Support Students

The number of English Language Learners (ELL) is increasing in all regions of the United States. Although the majority (71%) speak Spanish as their first language, the other 29% may speak one of as many as 100 or more different languages. In spite of an increasing number of speech-language pathologists (SLPs) who can provide bilingual services, the likelihood of a match between a given student's primary language and an SLP's is rather minimal. The second best option is to work with a trained language interpreter in the student's language. However, very frequently, this interpreter may be bilingual but not trained to do the job.

Current Strategies in the Management of Spinal Metastatic Disease

Swiss Surgery ◽  
2003 ◽  
Vol 9 (2) ◽  
pp. 55-62 ◽  
Author(s):  
Bartanusz ◽  
Porchet
Keyword(s):  
Spinal Cord ◽  
Surgical Techniques ◽  
Cord Compression ◽  
Treatment Modalities ◽  
Surgical Approaches ◽  
Spinal Stabilization ◽  
Management Algorithm ◽  
Specific Manner ◽  
Extensive Surgery ◽  
Selection Of

The treatment of metastatic spinal cord compression is complex. The three treatment modalities that are currently applied (in a histologically non-specific manner) are surgery, radiotherapy and the administration of steroids. The development of new spinal instrumentations and surgical approaches considerably changed the extent of therapeutic options in this field. These new surgical techniques have made it possible to resect these tumours totally, with subsequent vertebral reconstruction and spinal stabilization. In this respect, it is important to clearly identify those patients who can benefit from such an extensive surgery. We present our management algorithm to help select patients for surgery and at the same time identifying those for whom primary non-surgical therapy would be indicated. The retrospective review of surgically treated patients in our department in the last four years reveals a meagre application of conventional guidelines for the selection of the appropriate operative approach in the surgical management of these patients. The reasons for this discrepancy are discussed.

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