- Reconstructive Surgery and Microvascular Techniques
- Reconstructive Facial Surgery Techniques
- Diversity and Career in Medicine
- Facial Rejuvenation and Surgery Techniques
- Orthopedic Surgery and Rehabilitation
- Healthcare Policy and Management
- Facial Trauma and Fracture Management
- Body Contouring and Surgery
- History of Medical Practice
- Primary Care and Health Outcomes
- Breast Implant and Reconstruction
- Anatomy and Medical Technology
- Cleft Lip and Palate Research
- Tumors and Oncological Cases
- Digital Imaging in Medicine
- Global Health Workforce Issues
- Peripheral Nerve Disorders
- Bone fractures and treatments
- Surgical site infection prevention
- Body Image and Dysmorphia Studies
- Telemedicine and Telehealth Implementation
- Construction Project Management and Performance
- Shoulder and Clavicle Injuries
- Mycobacterium research and diagnosis
- Facial Nerve Paralysis Treatment and Research
Stanford University
1988-2023
Queen Victoria Hospital NHS Foundation Trust
2020
Palo Alto University
2019
Kaiser Permanente
1983-2016
University of Pennsylvania Health System
2015
Colorado Permanente Medical Group
1989-2015
Duke University
2015
Group Health Cooperative
2015
Mass General Brigham
2015
University of KwaZulu-Natal
2007
Behavioral economics provides insights about the development of effective incentives for physicians to deliver high-value care. It suggests that structure and delivery can shape behavior, as thoughtful design decision-making environment. This article discusses several principles behavioral economics, including inertia, loss aversion, choice overload, relative social ranking. Whereas these have been applied motivate personal health decisions, retirement planning, savings they largely ignored...
Brent, Burt M.D.; Upton, Joseph Acland, Robert D. Shaw, William W. Finseth, Frederick J. Rogers, Christine Pearl, M. Hentz, Vincent R. M.D. Author Information
An opinion survey of South African architects, quantity surveyors, engineers and contractors regarding ethical behaviour within the construction industry reveals that seem to possess a reputation for unethical conduct. The range problems encountered includes collusion, bribery, negligence, fraud, dishonesty unfair practices. While bribery in form payments gifts is prevalent, fraud does not appear be as serious problem. Most professionals believe suffers from tendering practices, well...
We present a new concept of vascular anatomy, proposing that complex subcutaneous network, located between the dense and loose adipose tissue, connects larger vessels, vertical perforators, subdermal plexus. Knowledge location these vessels helps determine optimal, flap design level elevation. In this first two articles, we describe experimental portions our study. The sequel describes human experience clinical implications.
Professional codes of conduct have developed to reflect the parameters normative behaviour within which members professions should operate. The professional responsibilities and obligations toward their peers, clients general public are usually delineated these conduct. An overview business ethics construction is provided ethical issues facing South African summarized. Specifically, this paper addresses with regard breach public, as evidenced from a questionnaire survey architects,...
Stanford, Calif. From the Division of Plastic and Reconstructive Surgery Stanford University Medical Center.
Stanford, Calif. From the Division of Plastic and Reconstructive Surgery Stanford University Medical Center.
This article demonstrates that the periorbital fat, instead of being continuous and freely flowing, is encased within 3 compartments: 1 anterior to extraocular muscles, external deep muscles. In addition, study establishes fat loss axis globe does not affect anteroposterior location eye itself. Only fractures located posterior produce enophthalmos, only operative procedures create bony enlargement fatty displacement behind this correct exophthalmos. Furthermore, adding volume can...
The subcutaneous vascular system demonstrated in the first part of this study augments skin flap survival when included within human abdominal flaps. Flaps with larger vessels will survive to a greater length than flaps supplied solely by subdermal plexus. Knowledge is applicable breast reduction, mastectomy, and lipectomy.
We describe the vascular distribution to skin of arm as determined by cadaver dye injections and anatomical dissection. The superior ulnar collateral cutaneous artery provides a direct branch that supplies proximal two-thirds medial arm. An arterialized flap from is very thin, elastic, hairless--therefore excellent for hand resurfacing facial reconstruction. Five examples use 21 patients using local distant flaps are shown. indications, methods, bases delay detailed. Doppler flow meter used...
The traditional approach to breast cancer has been the surgical mastectomy. cosmetic deformity resulting from this procedure led development of our current methods reconstruction. inherent attraction lumpectomy and radiotherapy its equation with improved cosmesis. This may be an effective alternative surgery perspective does produce, in majority patients, acceptable result. However, paper demonstrates that it produce a result is less optimal than mastectomy postoperative etiology increased...
Cadaver studies and clinical evidence are presented to suggest that medial wall fractures often concomitant with orbital floor fractures. The located in the ethmoid bone midway between canthus lesser wing of sphenoid. These may be etiology late enophthalmus. discrepancy high frequency occurrence this study rarity diagnosis derives from limitations standard radiography. Computed tomography (CT scan) is useful delineating these operative approach through an incision above canthus. Surgical...
Schendel, Stephen A. D.D.S., M.D.; Pearl, Robert M. De'Armond, J. M.D., Ph.D. Author Information
The radiovolar area of the forearm constitutes a versatile source composite tissues for pedicle flap reconstruction hand and free-flap many areas body. skin is thin relatively hairless, vascular long large caliber. can be harvested to contain vascularized tendons bone. reliably reinnvervated. principal disadvantage, that this conspicuous donor site, has not been concern our patients. Nineteen 20 (95%) free flaps survived completely.
The results of tear film breakup (BUT) and Schirmer's I II tests were retrospectively analyzed on 146 patients undergoing elective blepharoplasty over a 41-month period. These evaluated in conjunction with ocular history, orbital periorbital anatomy, Bell's phenomenon order to determine their value, if any, identifying at risk developing post-blepharoplasty dry eye complication. One-hundred six (73 percent) had test that within normal limits, two these (1.9 complained postoperatively...
The rectus femoris myocutaneous flap is quite useful for definitive immediate coverage of complex wounds within its territorial arc. We describe 4 cases to illustrate the capabilities this flap. indications for, anatomy of, and surgical technique transfer, as well functional sequelae in two nonparaplegic patients are discussed.
Pathological vasospasm and free radical production contribute to skin flap necrosis. This study was undertaken determine if postoperative combination therapy with the vasodilator nitroglycerin anti-free agent allopurinol would result in an additive enhancement of survival rat model. Thirty-one Sprague-Dawley rats were randomized into four groups two cranially based dorsal flaps raised on each rat. Both surgeon data collector blinded treatments all agents given postoperatively. Control...
Persistent median artery should be considered in the evaluation of patients with carpal tunnel syndrome. We present 5 instances syndrome caused by pressure from patent arteries. The arteries bilateral 1 patient. Neuropraxia can so severe that thenar muscle atrophy and complete loss sensation occur. review embryonic development nerve vascular supply reported incidence persistent artery. use Doppler examination is stressed evaluating whether a present, if it essential to digital blood supply....
The etiology of acquired ptosis is almost always disinsertion the levator aponeurosis from tarsal plate. As opposed to congenital ptosis, where resection required compensate for muscle weakness, can be consistently treated with simple reattachment. This study examines both diagnostic and anatomic in 80 consecutive patients. Although dermatochalasis, trauma orbital hematoma, swelling, anophthalmos, multiple other diverse clinical etiologies were responsible this condition, was identical 79...
Persistent median artery should be considered in the evaluation of patients with carpal tunnel syndrome. We present 5 instances syndrome caused by pressure from patent arteries. The arteries bilateral 1 patient. Neuropraxia can so severe that thenar muscle atrophy and complete loss sensation occur. review embryonic development nerve vascular supply reported incidence persistent artery. use Doppler examination is stressed evaluating whether a present, if it essential to digital blood supply....