Facial Feminization Surgery: Guidelines for Patient Evaluation and Operative Techniques

FACE ◽  
2021 ◽  
pp. 273250162110605
Author(s):  
Naikhoba C.O. Munabi ◽  
William Y. Hoffman ◽  
Stacey H. Francis
Keyword(s):  
Patient Satisfaction ◽  
High Volume ◽  
Postoperative Management ◽  
Patient Evaluation ◽  
Operative Techniques ◽  
High Quality ◽  
Quality Outcomes ◽  
Selection For ◽  
Orbital Opening ◽  
Management Recommendations

Facial feminization surgery (FFS) is one of many gender affirming surgeries that can reduce gender dysphoria and rate of mis-gendering. A multidisciplinary team with experience caring for transgender patients is valuable for generating high quality outcomes and patient satisfaction. In particular, specific technical pearls can assist in improving outcomes of this procedure. This article provides a review of patient and procedure selection for a range of FFS procedures including chondrolaryngoplasty, hairline advancement, forehead reduction and recontouring, orbital opening and brow lift, rhinoplasty, lip lift or augmentation, malar augmentation, and mandibular recontouring and genioplasty. The authors share technical insights and pre- and postoperative management recommendations gained from experiences at 2 institutions performing high volume FFS.

Pyometra Management Practices in the High Quality, High Volume Spay-Neuter Environment

2021 ◽  
Vol 42 ◽  
pp. 100499
Author(s):  
Ashlee J. McCallin ◽  
Veronica A. Hough ◽  
Rachael E. Kreisler
Keyword(s):  
Management Practices ◽  
High Volume ◽  
High Quality

Wild Yeasts Selection for High-Quality Patagonian Wines

2016 ◽  
pp. 277-300
Author(s):  
Silvana María del Mónaco ◽  
Yolanda Leticia Curilén ◽  
Sebastián Mario Ezequiel Bravo ◽  
Adriana Beatriz Simes ◽  
Viviana Andrea Carreño ◽  
...  
Keyword(s):  
High Quality ◽  
Wild Yeasts ◽  
Selection For

scholarly journals Surgery for chronic pancreatitis: the comparison of two high-volume centers reveals lack of a uniform operative management

2021 ◽  
Author(s):  
Niccolò Surci ◽  
Claudio Bassi ◽  
Roberto Salvia ◽  
Giovanni Marchegiani ◽  
Luca Casetti ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
High Volume ◽  
Clinical History ◽  
Operative Management ◽  
Analysis Data ◽  
Time Frame ◽  
Timing Of Surgery ◽  
Operative Techniques ◽  
Surgical Units ◽  
Treatment Disparities

Abstract Purpose Many aspects of surgical therapy for chronic pancreatitis (CP), including the correct indication and timing, as well as the most appropriate operative techniques, are still a matter of debate in the surgical community and vary widely across different centers. The aim of the present study was to uncover and analyze these differences by comparing the experiences of two specialized surgical units in Italy and Austria. Methods All patients operated for CP between 2000 and 2018 at the two centers involved were included in this retrospective analysis. Data regarding the clinical history and the pre- and perioperative surgical course were analyzed and compared between the two institutions. Results Our analysis showed a progressive decrease in the annual rate of pancreatic surgical procedures performed for CP in Verona (no. = 91) over the last two decades (from 3% to less than 1%); by contrast, this percentage increased from 3 to 9% in Vienna (no. = 77) during the same time frame. Considerable differences were also detected with regard to the timing of surgery from the first diagnosis of CP — 4 years (IQR 5.5) in the Austrian series vs two (IQR 4.0) in the Italian series -, and of indications for surgery, with a 12% higher prevalence of groove pancreatitis among patients in the Verona cohort. Conclusion The comparison of the surgical attitude towards CP between two surgical centers proved that a consistent approach to this pathology still is lacking. The identification of common guidelines and labels of surgical eligibility is advisable in order to avoid interinstitutional treatment disparities.

scholarly journals Amplifiers and the origin of animal signals

2016 ◽  
Vol 283 (1832) ◽  
pp. 20160324 ◽  
Author(s):  
Laurens Bogaardt ◽  
Rufus A. Johnstone
Keyword(s):  
Signal Detection ◽  
Female Choice ◽  
Signal Detection Theory ◽  
Animal Communication ◽  
Detection Theory ◽  
Direct Selection ◽  
Simple Explanation ◽  
Male Quality ◽  
High Quality ◽  
Selection For

In 1989, Hasson introduced the concept of an ‘amplifier’ within animal communication. This display reduces errors in the assessment of traits for which there is direct selection and renders differences in quality among animals more obvious. Amplifiers can evolve to fixation via the benefit they confer on high-quality animals. However, they also impose a cost on low-quality animals by revealing their lower quality, potentially leading these to refrain from amplifying. Hence, it was suggested that, if the level of amplification correlates with quality, direct choice for the amplifying display might emerge. Using the framework of signal detection theory, this article shows that, if the use of an amplifier is observable, direct choice for the amplifying display can indeed evolve. Consequently, low-quality animals may choose to amplify to some extent as well, even though this reveals their lower quality. In effect, the amplifier evolves to become a signal in its own right. We show that, as amplifiers can evolve without direct female choice and are likely to become correlated with male quality, selection for quality-dependent amplification provides a simple explanation for the origin of reliable signals in the absence of pre-existing preferences.

Vision-based assessment of viability of acorns using sections of their cotyledons during automated scarification procedure

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Mirosław Jabłoński ◽  
Ryszard Tadeusiewicz ◽  
Adam Piłat ◽  
Józef Walczyk ◽  
Paweł Tylek ◽  
...  
Keyword(s):  
Computer Vision ◽  
Color Image ◽  
High Volume ◽  
The Other ◽  
Assessment Criteria ◽  
High Quality ◽  
Overall Design

Abstract The goal of the research described in the article was to develop the device for the automatic scarification of acorns and computer vision-based assessment of their viability. The color image of the intersection of the tissue of cotyledons was selected as a key feature for separating healthy seeds from the spoiled ones. Because the device is being designed for the diagnosis of high volume of seeds aiming at producing high-quality seedlings, several assessment criteria of the overall design of the automaton are being assessed. The basic one is the overall accuracy of viability recognition. The other refers to particular functions implemented in the model of the device being described.

scholarly journals ASSESSMENT OF THE CURRENT GERIATRIC PHARMACEUTICAL CARE IN THE UNITED ARAB EMIRATES

2019 ◽  
pp. 211-215
Author(s):  
OSAMA MOHAMED IBRAHIM ◽  
RANA IBRAHIM
Keyword(s):  
Elderly Patient ◽  
Patient Satisfaction ◽  
Pharmaceutical Care ◽  
United Arab Emirates ◽  
Geriatric Patients ◽  
Abu Dhabi ◽  
High Quality ◽  
Cross Sectional ◽  
Level Of Satisfaction ◽  
Training Courses

Objectives: The primary goal of this study is to assess the current geriatric pharmaceutical care and patient satisfaction among elderly patient. Another aim is to increase the awareness among pharmacists in providing better guidelines for proper geriatric pharmaceutical care in the United Arab Emirates (UAE). Methods: A pilot observational study was done through the dissemination of cross-sectional surveys among pharmacists and geriatrics in the Emirates of Abu Dhabi, Dubai, and Sharjah. Three hundred and eight pharmacists and 110 geriatric patients were randomly selected to participate in the study. Results: Among pharmacists participating in the study, 32.1% were from Abu Dhabi, 37.6% from Dubai, and 30.1% from Sharjah. Geriatric patients who participated from Abu Dhabi were 30.0%, 38.1% were from Dubai, and 31.8% were from Sharjah. Geriatrics level of satisfaction was higher in Abu Dhabi compared to Sharjah and Dubai (p=0.0005). Pharmacists in Sharjah and Dubai had higher interest in taking special courses on how to deal with elderly patients compared to pharmacists in Abu Dhabi (p<0.0001). Conclusions: Geriatrics satisfaction toward pharmaceutical care is not the same in all Emirates of the UAE. This calls for implementing diverse measures such as providing training courses for pharmacists specialized in geriatrics care, which aims to provide a high-quality pharmaceutical care to all geriatrics in the UAE.

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