scholarly journals Management of the Crooked Nose

2016 ◽  
Vol 7 (3) ◽  
pp. 168-172
Author(s):  
Jessica W Scordino ◽  
Frederick J Stucker
Keyword(s):  
Surgical Techniques ◽  
Successful Outcome ◽  
Open Approach ◽  
Form And Function ◽  
Crooked Nose ◽  
Self Image ◽  
Level Of Satisfaction ◽  
High Level ◽  
And Function ◽  
Nasal Function

ABSTRACT Aim: To describe an approach for the diagnosis and management of patients presenting with crooked nose. Background Patients with crooked nose suffer from functional ailments, most significant nasal obstruction, as well as esthetic concerns which may impact their self-image as well as others’ perception of them. As such, management of the crooked nose is an especially challenging task in that it demands careful attention to both nasal function and appearance. There are a plethora of surgical techniques which may be utilized, and the surgeon's approach must be tailored to each individual patient's presentation. Technique Accurate diagnosis is imperative for a successful outcome and relies on a thorough history and careful physical examination. Surgical intervention may be addressed by either an endonasal or open approach based on the location and severity of the deformity. It is helpful to break down the nose in vertical thirds when planning your surgical approach. Different techniques are used to address the upper third comprising the nasal bones, middle third composed of the upper lateral cartilages and septum, and the lower third composed of the lower lateral cartilages and caudal septum. Conclusion Management of the crooked nose is a technically challenging endeavor that highlights the need to address both form and function for a successful outcome. Effective treatment can significantly improve a patient's quality of life leading to a high level of satisfaction for both the patient and the surgeon. How to cite this article Scordino JW, Stucker FJ. Management of the Crooked Nose. Int J Head Neck Surg 2016;7(3):168-172.

L2 acquisition of the bei passive in Mandarin Chinese: A constructionist approach

2020 ◽  
Vol 9 (2) ◽  
pp. 169-198
Author(s):  
Chen Chen ◽  
Feng-hsi Liu
Keyword(s):  
Mandarin Chinese ◽  
Choice Task ◽  
L2 Acquisition ◽  
Low Level ◽  
Passive Construction ◽  
Form And Function ◽  
L2 Learners ◽  
Constructionist Approach ◽  
High Level ◽  
And Function

Abstract A major claim in the constructionist approach to language acquisition is that grammar is learned by pairings of form and function. In this study we test this claim by examining how L2 learners of Mandarin Chinese acquire the bei passive construction, a construction that is associated with the meaning of adversity. Our goal is to find out whether L2 learners make the association between the passive and adversity. Participants performed a sentence choice task under four conditions: an adversative context with an adversative verb, an adversative context with a neutral verb, a neutral context with a neutral verb and a positive context with a neutral verb. In each context participants were asked to select either the bei passive construction or its active counterpart. We found that high-level learners consistently chose the bei passive significantly more in adversative contexts than in non-adversative contexts regardless of the connotations of the verbs, while low-level learners made the distinction half of the time. In addition, while low-level learners did not yet associate adversity with the form of the construction, high-level learners did. We conclude that L2 learners do learn the bei passive construction as a form-meaning pair. The constructionist approach is supported.

scholarly journals Complications and Pitfalls in Maxillofacial Trauma

2014 ◽  
Vol 48 (2) ◽  
pp. 91-97
Author(s):  
Vidya Rattan ◽  
Sachin Rai ◽  
Shikha Yadav
Keyword(s):  
Treatment Failure ◽  
Surgical Procedure ◽  
Treatment Plan ◽  
Surgical Techniques ◽  
Maxillofacial Trauma ◽  
Trauma Surgeon ◽  
Form And Function ◽  
Fixation Devices ◽  
And Function ◽  
Made In

ABSTRACT Complications and pitfalls are unavoidable sequel of any surgical procedure. Although advances have been made in surgical techniques and fixation devices, these are far from ideal. The aim of trauma surgeon is to restore the patient to pre-injury form and function, but it may not be possible in each and every case. Treatment failure and poor outcome in a case of severe maxillofacial trauma is not uncommon. This is mainly dependent upon the extent of injury, delay in management, improper diagnosis, wrong treatment plan, poor execution of a treatment plan, wrong choice of fixation devices, inexperience of the surgeon and inability to seek help from other specialists, etc. The objective of this article is to discuss and analyze common complications and pitfalls along with the various methods and modalities to prevent and manage it. How to cite this article Rattan V, Rai S, Yadav S. Complications and Pitfalls in Maxillofacial Trauma. J Postgrad Med Edu Res 2014;48(2):91-97.

Heartfelt images: learning cardiac science artistically

2017 ◽  
Vol 44 (1) ◽  
pp. 20-27 ◽  
Author(s):  
Carol Ann Courneya
Keyword(s):  
Dental Students ◽  
Dental Student ◽  
Visual Metaphor ◽  
Art Making ◽  
Data Set ◽  
Anatomy And Physiology ◽  
Form And Function ◽  
Process Understanding ◽  
High Level ◽  
And Function

There are limited curricular options for medical students to engage in art-making during their training. Yet, it is known that art-making confers a variety of benefits related to learning. This qualitative study utilises a visual methodology to explore students’ art-making in the context of the cardiovascular sciences. The existence of a multiyear repository of medical/dental student generated, cardiac-inspired art, collected over 6 years, provided the opportunity to explore the nature of the art made. The aim was to categorise the art produced, as well as the depth and breadth of understanding required to produce the art. The data set included a wide variety of titled art (paintings, photographs, sketches, sculptures, collages, poetry and music/dance). Systematic curation of the collection, across all media, yielded three main categories: anatomical renderings, physiology/pathophysiology renderings and kinesthetic creations (music/dance/tactile). Overall (medical and dental) student-generated art suggested a high level of content/process understanding, as illustrated by attention to scientific detail, integration of form and function as well as the sophisticated use of visual metaphor and word play. Dental students preferentially expressed their understanding of anatomy and physiology kinesthetically, creating art that required manual dexterity as well as through choreography and dance. Combining art-making with basic science curricular learning invited the medical and dentistry students to link their understanding to different modes of expression and a non-biomedical way of knowing. Subsequent incorporation of the student-generated cardiac art into lectures exposed the entire class to creative pictorial expressions of anatomy, physiology and pathophysiology.

scholarly journals Five Year Safety and Satisfaction With the Lightweight Breast Implant

2021 ◽  
Author(s):  
Orel Govrin-Yehudain ◽  
Noam Calderon ◽  
Jacky Govrin-Yehudain
Keyword(s):  
Breast Implant ◽  
Capsular Contracture ◽  
Surgical Techniques ◽  
Silicone Implants ◽  
Form And Function ◽  
Kaplan Meier ◽  
And Performance ◽  
The Aesthetic ◽  
And Function ◽  
Surgeon Satisfaction

Abstract Background The B-Lite® lightweight breast implant (LWBI), weighs ~ 30% less than traditional silicone implants, while maintaining an equivalent size, form and function. The LWBI thus places less stress on breast tissues, preserves tissue stability and integrity over time, reducing weight-related complications and reoperation rates. Objectives To assess the long-term (over 5 year) safety and performance of the LWBI in primary and revision augmentation procedures. Methods Retrospective single-center, single surgeon analysis of prospectively collected data, was performed on 827 consecutive primary and revision augmentation patients operated between December 2013 and January 2019. 1653 implants (250-835 cc, mostly round, textured, extra high-profile) were implanted using standard surgical techniques. Direct physician-to-patient follow-up ranged from 6 to 67 months. Chart data on reoperations and overall complications as well as patient and surgeon satisfaction, were analyzed. Results The 5 year Per Patient Kaplan–Meier reoperation free rate was very high (97.1%). Only 2 out of 5 total cases of capsular contracture grade III required reoperation (KM rate 0.2%, CI- 0.1-1.0). No cases of rupture or BIA-ALCL were recorded. 94.9% of patients rated the aesthetic outcome, and 95.5% of patients rated the natural look and feel of their breasts, at 4-5 (Satisfied-Very Satisfied). Similarly, the surgeon rated 4-5 on 95.4% of the patients’ aesthetic outcomes. Conclusions The extremely favorable safety profile, high patient and surgeon satisfaction, and inherent benefits of reduced weight, in the largest known study of B-Lite® implant surgeries, should make the LWBI a strongly considered strategic alternative to traditional implants.

Omega Flap Technique: Revisiting Conventional Wisdom

Hand ◽  
2021 ◽  
pp. 155894472199078
Author(s):  
G. Balakrishnan ◽  
S. Vijayaragavan ◽  
Somesh Balakrishnan
Keyword(s):  
Medical Care ◽  
Surgical Techniques ◽  
Flap Necrosis ◽  
Secondary Surgery ◽  
Form And Function ◽  
Flap Technique ◽  
Volar Aspect ◽  
Different Types ◽  
Good Technique ◽  
And Function

Various surgical techniques have been described for the release of syndactylized fingers. In our experience, the omega flap technique, which includes a dorsal truncated flap and an anchor incision on the volar side, stands out as a good technique to release syndactyly. Incidentally, in symbrachydactyly also, the fused digits can be released using this technique. Despite this, we could find no reference in the recent years. We would like to stress the ease and importance of this technique, hoping many practicing hand surgeons will benefit from this. Our purpose was to revisit this technique and expose it to the younger generation of hand surgeons. We have operated on 20 cases of syndactyly of different types—simple, compound, and complex—and 5 cases of symbrachydactyly. In all cases, the omega flap on the dorsum and anchor incision on the volar aspect of the finger forming 2 lateral palmar flaps were used. The release of syndactyly was satisfactory in all patients. There was no flap necrosis. None of these cases have required secondary surgery because the primary releases were adequate. Release of syndactyly had been a problem for centuries. Awareness of the disability was insufficient in earlier days; currently, they seek early medical care. The release should be complete. These children must be able to achieve the form and function of the hand, and additionally precision to work. We believe that the use of omega flap and anchor flap is a good procedure for syndactyly release.

scholarly journals Does the reform of English local government contain lessons for New Zealand?

2011 ◽  
Vol 7 (4) ◽  
Author(s):  
Michael Reid
Keyword(s):  
New Zealand ◽  
Local Government ◽  
The Other ◽  
Government Reform ◽  
Form And Function ◽  
Hands On ◽  
Opposite View ◽  
High Level ◽  
And Function ◽  
Local Government Policy

In recent decades, despite differences of form and function, local government reform in England and New Zealand has exhibited very similar characteristics, with each system borrowing from the other: changes introduced in one country have usually been followed a few years later in the other. It is interesting, then, that at a time when both countries have centre-right governments, that trend now appears to have changed, and local government policy is  showing signs of major divergence. Where the New Zealand government appears to believe that only by greater ‘hands on’ involvement can the nation’s economic development be guaranteed, the British government has taken quite the opposite view, identifying the country’s high level of centralisation (second only to New Zealand’s in the OECD) as the problem, not the solution.

scholarly journals Function first or form first—a comparison of two design methods for undergraduate basic course

2020 ◽  
Vol 189 ◽  
pp. 03038
Author(s):  
Xie Guanyi ◽  
Duan Huifang
Keyword(s):  
Interior Design ◽  
Architectural Design ◽  
Course Design ◽  
Design Method ◽  
Design Methods ◽  
Formal Logic ◽  
Form And Function ◽  
Functional Logic ◽  
High Level ◽  
And Function

Talking about form and function in the architecture, two major traditions in design are always inevitable. They are two methods of architectural design: the first one is used by Beaux-Art system which takes form and order as the core; the second one is of Bauhuas system which focuses on function. Architecture is closely related to the interior, so are there also two design methods in the field of interior design? Through analysis of interior design textbooks in different academies, it was found that most existing design methods are based on function. Function-based design methods have a series of operable standard methods for function, but also have the problem of high level of functional logic and low level of formal logic. Does interior design also have a design approach starting from form and order and unifying function logic and formal logic? By transplanting the “kit-of-parts approach” in architectural design into interior design, applying the two design methods in undergraduate course of environmental design and comparing the two course design results, it was verified in this paper which design method is easier to balance form and function in basic design course.

scholarly journals Investigation of Severe Craniomaxillofacial Battle Injuries Sustained by U.S. Service Members: A Case Series

2012 ◽  
Vol 5 (4) ◽  
pp. 243-252 ◽  
Author(s):  
Pamela R. Brown Baer ◽  
Joseph C. Wenke ◽  
Steven J. Thomas ◽  
Colonel Robert G. Hale
Keyword(s):  
Surgical Techniques ◽  
Case Series ◽  
Wound Dehiscence ◽  
Service Members ◽  
Natural Form ◽  
Form And Function ◽  
The Face ◽  
Surgical Options ◽  
And Function ◽  
Battle Injuries

This case series describes craniomaxillofacial battle injuries, currently available surgical techniques, and the compromised outcomes of four service members who sustained severe craniomaxillofacial battle injuries in Iraq or Afghanistan. Demographic information, diagnostic evaluation, surgical procedures, and outcomes were collected and detailed with a follow-up of over 2 years. Reconstructive efforts with advanced, multidisciplinary, and multiple revision procedures were indicated; the full scope of conventional surgical options and resources were utilized. Patients experienced surgical complications, including postoperative wound dehiscence, infection, flap failure, inadequate mandibular healing, and failure of fixation. These complications required multiple revisions and salvage interventions. In addition, facial burns complicated reconstructive efforts by delaying treatment, decreasing surgical options, and increasing procedural numbers. All patients, despite multiple surgeries, continue to have functional and aesthetic deficits as a result of their injuries. Currently, no conventional treatments are available to satisfactorily reconstruct the face severely ravaged by explosive devices to an acceptable level, much less to natural form and function.

Scanning tunneling microscopy (STM) of DNA and RNA

1989 ◽  
Vol 47 ◽  
pp. 34-35
Author(s):  
Patricia G. Arscott ◽  
Gil Lee ◽  
Victor A. Bloomfield ◽  
D. Fennell Evans
Keyword(s):  
Molecular Structures ◽  
Inorganic Materials ◽  
Resolving Power ◽  
Scanning Tunneling ◽  
Tunneling Microscopy ◽  
Form And Function ◽  
Dna And Rna ◽  
Calf Thymus ◽  
And Function ◽  
The Relationship

STM is one of the most promising techniques available for visualizing the fine details of biomolecular structure. It has been used to map the surface topography of inorganic materials in atomic dimensions, and thus has the resolving power not only to determine the conformation of small molecules but to distinguish site-specific features within a molecule. That level of detail is of critical importance in understanding the relationship between form and function in biological systems. The size, shape, and accessibility of molecular structures can be determined much more accurately by STM than by electron microscopy since no staining, shadowing or labeling with heavy metals is required, and there is no exposure to damaging radiation by electrons. Crystallography and most other physical techniques do not give information about individual molecules.We have obtained striking images of DNA and RNA, using calf thymus DNA and two synthetic polynucleotides, poly(dG-me5dC)·poly(dG-me5dC) and poly(rA)·poly(rU).

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