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Mathematical modeling in preoperative planning for reconstructive and plastic surgery  [PDF]
Pavlovi? I.,Potkonjak V.,?uri?i? S.
Acta Chirurgica Iugoslavica , 2005, DOI: 10.2298/aci0503087p
Abstract: Social importance of skin emphasizes an importance of quality of methods of planning for reconstructive and plastic surgery. With modern technical improvement the usage of complex mathematical model based on biomechanical characteristics of tissue is possible. Two and three-dimensional model, expert systems and mechanical analysis are used. In this work we tested the system for mechanical analysis in preoperative planning of a simple procedure of the Z-plastic, named the finite-element method. Computer model simulates tissue coverages. With geometrical data some physical characteristics are added. Complex surface of skin is marked by the grid divided in quadrangular elements. Mechanical consequences and definitive results of surgical procedure are analyzed during the computer simulation of the action of tension of skin and suture material. In our analysis we found the finite-element method of great usefulness and noticed that "surgery simulators" might be an efficient way to speed-up learning curve in reconstructive surgery.
Survey of Attitudes on Professionalism in Plastic and Reconstructive Surgery
Jin Yong Kim,Seok Joo Kang,Jin Woo Kim,Young Hwan Kim
Archives of Plastic Surgery , 2013, DOI: http://dx.doi.org/10.5999/aps.2013.40.2.134
Abstract: Background The purpose of this study is to analyze the current attitudes toward professionalism,the core values, and the type of professionalism among plastic surgeons in Korea to establish acode of ethics regarding the role of professionalism for plastic and reconstructive surgeons.Methods From March 9, to July 1, 2012, face-to-face and mail surveys were conductedtargeting the 325 participants (256 specialists and 69 residents) who are registered membersof the Korean Society of Plastic and Reconstructive Surgeons. The proportion of each responsegiven to an item was obtained through statistical processing through frequency analysis. TheMann–Whitney U test was used to compare the differences in the responses between theresident group and the specialist group.Results The survey results on the perception of professionalism in plastic surgery showed thata high proportion (90.5%) of the respondents viewed the future of plastic surgeons as bright.Through evaluation of the importance of the value items,”professional dominance” (4.58 pts),”autonomy” (4.45 pts), ”lifestyle” (4.34 pts), and ”commercialism” (4.31 pts) were assessed ascritical values. ”Altruism” (3.84 pts), “interpersonal competence” (3.79 pts), and ”social justice”(3.61 pts) were viewed as lesser values. This difference showed the characteristics of anentrepreneurial outlook.Conclusions Plastic surgeons should pursue excellence, humanism, accountability, andaltruism in order to overcome the crisis of professionalism in plastic surgery. In order todevelop the necessary competencies of professionals, vocational education should be arrangedby the Korean Society of Plastic Surgeons, and an appropriate code of ethics should beestablished.
Applications of Nanotechnology in Reconstructive Surgery
Timothy Varghese
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1102455
Abstract:
The objective of this review was to critically present and evaluate recent investigations into nanotechnology and it’s applications in reconstructive surgery. In addition, this review aims to looks at a plethora of applications with nanotechnology in the subject area of reconstructive surgery. The Medline and PubMed databases were searched for clinical trial and case report publications dealing with reconstructive surgeries involving nanotechnology. Reports that were identified addressed different areas of reconstructive surgery and outlined a clear methodology for their studies. Eight publications show that the use of nanotechnology in reconstructive surgery is promising yet still in its early stages and that extensive research needs to be carried out if the expectation of this advancing technology is to overtake current surgical procedures. However, it is clear that there will be a continued interest and progression in this subject field as nanotechnology science is unveiled.
Applying Bruce Lee’s Jeet Kune Do Combat Philosophy in Plastic & Reconstructive Surgery—7 Principles for Success  [PDF]
Lee Seng Khoo, Vasco Senna-Fernandes
Modern Plastic Surgery (MPS) , 2014, DOI: 10.4236/mps.2014.42005
Abstract:

At first glance, it may appear that martial arts and surgery do not relate to each other at all. However, martial arts and surgery are all one on the path of knowledge and self discovery. Innovations are constantly being developed; some techniques stand the test of time while others are relegated to history. Martial arts and surgery have also branched out for example boxing, taekwondo, jujitsu and wrestling for martial arts whereas surgery has branched out to orthopaedics, paediatrics, cardiothoracic and neurosurgery to name a few. Some choose to specialize while others choose to be a generalist. Learning methodologies in martial arts and plastic surgery are similar. Martial arts students are the equivalent of surgical residents, and both have to enroll in a school that prepares them to be practitioners of their respective arts. In the last century, formal martial arts academies and surgical residency training programs have sprung up. The standards and entrance requirements vary from school to school as do training methodology and philosophical concepts. In this article, we seek to analyze Bruce Lee’s martial arts’ philosophy of Jeet Kune Do (JKD) and that how we can apply it to our personal path in Plastic & Reconstructive Surgery.

Moving the body painting into the art gallery — knowing about and appreciating works of Aboriginal art  [PDF]
Howard Morphy
Journal of Art Historiography , 2011,
Abstract: The paper focuses on two kinds of relationship: between Western fine art and Indigenous art, and between anthropological and art historical approaches to understanding and appreciating works of art. The primary focus is on the process by which Australian Aboriginal art came to be incorporated within galleries of fine art. This process brought both kinds of relationships to the fore in the contemporary context and challenged established boundaries exemplified by the distinction between the museum and the art gallery. It is argued that objects encompassed within the category of fine art come from very different cultural traditions and historical backgrounds. The methods of both art history and anthropology can be productively applied in analysing the forms and significance of artworks in their social and cultural contexts. The paper concludes by considering some of the implications of the co-presence of artworks from different cultural traditions in the same contemporary gallery spaces.
Surgical Treatment of 55 Patients with Pressure Ulcers at the Department of Plastic and Reconstructive Surgery Kosovo during the Period 2000–2010: A Retrospective Study  [PDF]
Shkelzen B. Duci,Hysni M. Arifi,Mimoza E. Selmani,Agon Y. Mekaj,Musli M. Gashi,Zejn A. Buja,Vildane H. Ismajli,Adem N. Kllokoqi,Enver T. Hoxha
Plastic Surgery International , 2013, DOI: 10.1155/2013/129692
Abstract: Objective. The objective of this study is to determine the incidence of PUs, the distribution of PUs, common injuries contributing to the occurrence of PUs in patients admitted to the Department of Plastic and Reconstructive Surgery Kosovo for surgical interventions of PUs, localization of PUs in body, the topical treatment of pressure ulcers before surgical intervention, the methods of surgical interventions, number of surgical interventions, duration of treatment, complications, and mortality. Materials and Methods. This study includes 55 patients with PUs treated surgically in 2000–2010 period in the Department of Plastic and Reconstructive Surgery Kosovo. The data were collected and analyzed from the archives and protocols of the University Clinical Center of Kosovo. Data processing was done with the statistical package In Stat 3. From statistical parameters arithmetic median and standard deviation were calculated. Data testing is done with -test and the difference is significant if . Conclusion. Despite preventive measures against PUs, the incidence of Pus remains high. 1. Introduction Pressure ulcers (PUs) are defined as localized injury to the skin or underlying tissue usually over bony prominence, as a result of pressure, or pressure in combination with shear or friction [1, 2]. Pressure ulcers are almost a serious, secondary complication of spinal cord injury that has the potential to interfere with physical, psychological, and social well being and to impact overall quality of life [3]. PUs are classified by the level of visible tissue damage, where stage I PUs exhibit nonblanchable erythematic (i.e., redness) on intact skin, stage II PUs are partial thickness ulcers, and stages III and IV ulcers involve full-thickness damage [4]. They are believed to occur from combination of extrinsic forces such as pressure, shear, and friction and intrinsic factors such as age, malnourishment, and consciousness level that influence a person’s tissue tolerance [5, 6]. Previous studies have identified the following factors as increasing the likelihood of developing a pressure ulcer: immobility, admission to the ICU, malnutrition, incontinence, hypoalbuminemia, spinal cord injury, stroke, reduced level of consciousness, fractures and/or major orthopedic procedure, advanced age, trauma, decreased perfusion, poor wound healing, inadequate nursing care, and chronic illness [7–10]. Contributing risk factors increase the patient’s susceptibility to a complex etiology that causes PUs [11]. Debridement of pressure sores often results in extensive soft tissue defects
FROM SCIENCE IN ART TO THE ART OF TEACHING SCIENCE  [PDF]
DANA CRACIUN
Journal of Science and Arts , 2012,
Abstract: Students, but teachers as well, are mostly unconscious of the connection between science and art or humanist sciences, as a result of the differences between these, sometimes even due to the completely different styles in which the subjects are approached. On the other hand, we can observe that contemporary artists do not only utilize edge technology in their creations, but are also inspired by science and even illustrate scientific principles in their artworks. But if art is inspired and is becoming more and more tied to science, couldn’t science be taught starting from art? An inter- and trans-disciplinary approach of science isn’t easy to achieve, but if the necessary means are found, this approach could lead to the rise in student’s interest towards these disciplines, to the growth of creativity in these fields and last but not least, to a learning experience that involves all the senses.In this study we analyze the way teachers integrate different artistic or human science specific resources in the teaching-learning-evaluation process of subjects from the Mathematics and Sciences curricular area. Differences that arise due to the teaching experience, educational environment or multi-disciplinary training, but also the common interest towards the art-and-science teaching activities and the willingness to participate in educational training programs are emphasized. Such objectives can be achieved by initiating projects based on the European Structural Funds.
Encuesta sobre el grado de satisfacción de los residentes de Cirugía Plástica, Estética y Reparadora a o 2009 Survey about satisfaction degree in 2009 in Plastic, Reconstructive and Aesthetic Surgery Trainees  [cached]
A. Taboada Suárez,B. Brea García,I. Couto González,E. González álvarez
Cirugía Plástica Ibero-Latinoamericana , 2010,
Abstract: Para dar respuesta a la pregunta de si la formación actual de los Médicos Internos Residentes de Cirugía Plástica, Estética y Reparadora en Espa a es la adecuada desde su punto de vista, decidimos elaborar una encuesta que fue enviada a los Médicos Internos Residentes de Cirugía Plástica del Sistema Nacional de Salud espa ol en formación durante el a o 2009. El cuestionario se remitió a los Servicios de Cirugía Plástica dónde previamente habíamos contactado telefónicamente con los tutores docentes (en total, 153 cuestionarios enviados). Recibimos contestación de 53. Planteamos también la opinión de los encuestados ante la hipotética realización de un examen al final del período de residencia, que aportara un título extra (e independiente del oficial) avalado por la Sociedad Espa ola de Cirugía Plástica, Reparadora y Estética (SECPRE). Presentamos los resultados estadísticos y las conclusiones extraídas tras analizar estos datos. In order to know if present training of Plastic, Aesthetic and Reconstructive Surgery in Spain is the appropriate, we decided to process a survey that was sent to the residents of the Spanish National Health Service in 2009. The questionnaire was sent by post to the Plastic Surgery Departments where we had previously made telephonic contact with the educational tutors (153 questionnaires were sent in total). We received 53. We also inquired about the hypothetical sitting of an exam at the end of the trainee period that could award an extra diploma (independent of the official specialist one) guaranteed by the Spanish Society of Plastic, Reconstructive and Aesthetic Surgery (SECPRE) We report the statistical results and the conclusions we have obtained after the analysis of these data.
Plastic Surgery—Myths and Realities in Developing Countries: Experience from Eastern Nepal  [PDF]
Brijesh Mishra,Robin Koirala,Nalini Tripathi,Kajan Raj Shrestha,Buddhinath Adhikary,Surendra Shah
Plastic Surgery International , 2011, DOI: 10.1155/2011/870902
Abstract: B.P. Koirala Institute of Health Sciences, Dharan, Nepal, is the only tertiary care referral centre in the eastern region of Nepal. This paper discusses the author’s experience of starting a plastic surgery unit in eastern Nepal regarding need and present status of plastic surgery care in Nepal. Methods. We analyzed the data of patients treated in Plastic surgery unit from July 2007 to February 2009. We did evaluation regarding type of patients, procedures, and their outcome. We also evaluated the limitations and their possible solutions to overcome the barriers to establish effective plastic surgical centers in developing countries. Results. Plastic surgery services were started as a unit in general surgery by single plastic surgeon and one general surgery resident on rotation. Total 848 patients were treated for different plastic-surgery-related conditions, which included 307 acute burn patients 541 general plastic surgery patients. Trauma constituted the major bulk 22%, followed by tumors 20%, while aesthetic surgery operations were only 10.1%. Conclusions. In developing countries, aesthetic procedures constitute very small part of plastic surgery interventions and plastic surgery units are primarily required for reconstructive needs for optimum management of patients. 1. Introduction Plastic surgery is a special branch of medicine that deals with correction of head-to-toe disfigurement and other anomalies in the physical form that are either congenital or acquired. In developing countries, plastic surgery is usually considered a nonessential super specialty service as it is commonly correlated with cosmetic surgery and hence, it is one of the last departments to be started in a government hospital. Advancements in technology have broadened the scope of plastic surgery and today it is performed for a variety of reconstructive and aesthetic purposes. This paper briefly discusses the author’s experience of plastic surgery services in the eastern region of Nepal; it discusses the demand of masses, limitations of infrastructure, and future perspectives in development of plastic surgery in eastern Nepal. 2. Material and Methods B.P. Koirala Institute of Health Sciences receives patients from different parts of eastern Nepal and neighbouring Indian states, namely, Bihar and west Bengal. This study would highlight the relevant observations, limitations, and suggestions for better fulfilment of the objectives of a plastic surgical centre for eastern Nepal. Plastic surgery services were provided by single plastic surgeon and one resident as a specialty unit
Medicine : Science or Art?  [cached]
S.C. Panda
Mens Sana Monographs , 2006,
Abstract: Debate over the status of medicine as an Art or Science continues. The aim of this paper is to discuss the meaning of Art and Science in terms of medicine, and to find out to what extent they have their roots in the field of medical practice. What is analysed is whether medicine is an "art based on science"; or, the "art of medicine" has lost its sheen (what with the rapid advancements of science in course of time, which has made present day medicine more sophisticated). What is also analysed is whether the "science of medicine" is a pure one, or merely applied science; or the element of science in it is full of uncertainty, simply because what is accepted as "scientific" today is discarded by medical practitioners tomorrow in the light of newer evidence. The paper also briefly touches upon how, in the field of present medical education, the introduction of medical humanities or humanistic education has the potential to swing the pendulum of medicine more towards the lost "art of medicine". The paper concludes by saying that the art and science of medicine are complementary. For successful practice, a doctor has to be an artist armed with basic scientific knowledge in medicine.
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