34 research outputs found
Melitaea telona Fruhstorfer 1908
No full textLectotype of <i>Melitaea telona</i> Fruhstorfer, 1908 <p> The present authors designated a ♁ lectotype specimen for <i>Melitaea phoebe telona</i> Fruhstorfer, 1908 (Tennent & Russell, 2023) in the Muséum National d’Histoire Naturelle (MNHN), Paris. As can be seen from an illustration (Tennent & Russell, 2023: 133, fig. 1a), the abdomen was detached from the specimen before the designation was made, and was not dissected (Fig. 5).</p> <p> Benyamini(2023:86,fig.2)illustrated the♁genitalia,apparently of this specimen,labelled“6270– LECTOTYPE <i>M. telona</i> /Jerusalem, Palestine (Israel), VDP = 0.740mm ”, although there is no mention of either ‘Jerusalem’ or ‘Israel’ on the labels of the lectotype (Tennent & Russell, 2023: 133, fig. 1a); nor is there any acknowledgement of the MNHN. The Curator of Lepidoptera at MNHN acknowledged that the abdomen was loaned to Benyamini in 2022 (Rodolphe Rougerie, <i>in litt</i>. to the first author, 23 May 2023).</p> <p>We believe that the number “6270” refers to a drawing by John Coutsis (see similar numbers in Oorschot & Coutsis (2014), accompanying genitalia drawings by Coutsis), as it is in the same numerical sequence as other numbered drawings figured by Benyamini (2023: 86, Fig. 2).</p>Published as part of <i>Russell, Peter J. C. & Tennent, W. John, 2023, Notes on the Melitaea ornata Christoph, 1893, complex in the Levant (Lepidoptera Nymphalidae) including new synonymy and observations on lectotype designations for Melitaea phoebe dorae Graves, 1925, pp. 276-284 in Zootaxa 5353 (3)</i> on page 282, DOI: 10.11646/zootaxa.5353.3.5, <a href="http://zenodo.org/record/8427459">http://zenodo.org/record/8427459</a>
A systematic approach to the surgical treatment of gynaecomastia
No full textNumerous techniques have been described for the correction of gynaecomastia, and the surgeon is faced with a wide range of excisional and liposuction procedures. There is a paucity of literature describing an integrated approach to the management of this condition and the roles of the different treatment modalities. A review of all gynaecomastia patients operated on by one surgeon over a 2-year period was undertaken. Patient satisfaction was assessed using a linear analogue scale with a maximum score of 10. In total, 48 breasts in 29 patients were treated—31 breasts by liposuction alone (19 by conventional liposuction, 12 by ultrasound-assisted liposuction), eight breasts by liposuction and open excision, and nine breasts by liposuction, open excision and skin reduction (concentric or Lejour mastopexy). There were no early postoperative complications, such as haematoma, seroma or infection, and 91% of patients were very satisfied (score: 8–10) with their cosmetic outcome. The most frequently encountered complication was a residual subareolar lump (five breasts), all in patients treated by conventional liposuction alone. In order to avoid the common complication of an uncomfortable residual subareolar nodule, the threshold for open excision in patients undergoing conventional liposuction should be low. Ultrasound-assisted liposuction extends the role of liposuction in gynaecomastia patients. Although skin excess remains a challenge, it can be satisfactorily managed without excessive scarring. A practical approach to the surgical management of gynaecomastia, which takes into account breast size, consistency, skin excess and skin quality, is proposed
First record of Celaenorrhinus ratna daphne Evans,1949 from Himachal Pradesh and its first photographic record from the Western Himalayas (Lepidoptera: Hesperiidae, Pyrginae)
No full textThe daphne subspecies of Celaenorrhinus ratna Fruhstorfer, [1908] reported first by Evans (1949) from Uttarakhand and has not been reported in the past from the neighbor state Himachal Pradesh. In July 2017, Author recorded and photographed about eight specimens of Celaenorrhinus ratna daphne Evans, 1949 for the first time near McLeodganj town of Himachal Pradesh.La subespecie daphne de Celaenorrhinus ratna Fruhstorfer, [1908] citada por primera vez por Evans (1949) de Uttarakhand y no ha sido citada en el pasado del estado vecino Himachal Pradesh. En julio de 2017, el autor registró y fotografió unos ocho ejemplares de Celaenorrhinus ratna daphne Evans, 1949 por primera vez cerca de la ciudad de McLeodganj de Himachal Pradesh
Ultrasonic liposuction in the treatment of gynecomastia
No full textBackground:
Ultrasound-assisted liposuction is a technique that is widely used all over the body for minimal access lipectomy. Recently, it has been reported to be especially suitable for the treatment of gynecomastia. To date, however, there is only one published study that specifically addresses ultrasound-assisted liposuction as a treatment modality for gynecomastia.
Methods:
A review was undertaken of all the gynecomastia patients treated with ultrasound-assisted liposuction by a single surgeon over a 3-year period. Thirteen consecutive patients (aged 16 to 57 years) with bilateral, diffuse, soft to moderately firm gynecomastia were studied.
Results:
There were no early postoperative complications of hematoma, seroma, infection, or thermal injury. Similarly, there were no treatment-induced asymmetries, contour deformities, or irregularities. One patient requested “touch-up” ultrasound-assisted liposuction for “residual” breast tissue several months after an initial satisfactory correction of chest contour. None of the patients required initial open-excision or skin-reduction procedures. Patients were asked to rate their cosmetic results in four categories on linear analogue scales with a maximal score of 10. The average scores were 9.1 for overall satisfaction, 9.2 for scars, 9.2 for shape, and 8.9 for improved self confidence.
Conclusion:
Ultrasound-assisted liposuction is an effective treatment modality in patients with homogenous soft to moderately firm gynecomastia, giving good cosmetic results and a high level of patient satisfaction
Recommendations for undergraduate medical electives : a UK consensus statement
No full textIntroduction
Many doctors, across grades and specialities, supervise or advise students and juniors undertaking elective placements. Electives form part of medical curricula on a worldwide scale. The Medical Schools Council (MSC) Electives Committee in the UK identified a gap in the current literature in relation to provision of comprehensive recommendations for the design and management of undergraduate elective programmes. Electives afford many known benefits for medical and other health care students, but the context, and risks (impacting potentially on patient, public and student well-being) are usually different from those associated with ‘home’ clinical placements.
Aim
The aim is to share experiences and good practice within UK Medical Schools, and inform and inspire others involved with similar programmes across the globe.
Method
This paper reports the results of the formation of a sub-group to draft a set of recommendations, drawing on the reported experiences of academic elective leads across all UK schools, and including input from the MSC, and the student group Medsin (to capture the learner voice). The final document was the result of a national consultative process of four iterations. The end document was approved at school level, e.g. by curriculum committee, by each of the participating schools.
Recommendations
The recommendations consolidate the experiences of 30 participating UK medical schools. The consultation process generated 17 pre-departure recommendations, seven during elective recommendations, 11 post elective recommendations and a further four recommendations relating to infectious disease.
Conclusion
We believe developing elective programmes using collective recommendations will provide a basis for a safer and more structured approach to a medical elective without losing the uniqueness and creative experiences valued by participants. Issues relating to undergraduates leaving their home school to experience medicine in a new context or country replicate across sites, so many recommendations will be transferable internationally
International short‐term placements in health professions education : a meta‐narrative review
Get PDFIntroduction: In order to be prepared for professional practice in a globalised world, health professions students need to be equipped with a new set of knowledge, skills and attitudes. Experiential learning gained during an international placement has been considered as a powerful strategy for facilitating the acquisition of global health competencies. The aim of this review was to synthesise the diverse body of empirical research examining the process and outcomes of international short‐term placements in health professions education. Methods: A systematic review was conducted using a meta‐narrative methodology. Six electronic databases were searched between September 2016 and June 2022: Medline, Embase, CINAHL, PsycINFO, Education Research Complete and Web of Knowledge. Studies were included if they reported on international placements undertaken by undergraduate health professions students in socio‐economically contrasting settings. Included studies were first considered within their research tradition before comparing and contrasting findings between different research traditions. Results: This review included 243 papers from 12 research traditions, which were distinguished by health profession and paradigmatic approach. Empirical findings were considered in four broad themes: learner, educational intervention, institutional context and wider context. Most studies provided evidence on the learner, with findings indicating a positive impact of international placements on personal and professional development. The development of cultural competency has been more focus in research in nursing and allied health than in medicine. Whereas earlier research has focussed on the experience and outcomes for the learner, more recent studies have become more concerned with relationships between various stakeholder groups. Only few studies have looked at strategies to enhance the educational process. Conclusion: The consideration of empirical work from different perspectives provides novel understandings of what research has achieved and what needs further investigation. Future studies should pay more attention to the complex nature of the educational process in international placements
Early experience with an anatomical soft cohesive silicone gel prosthesis in cosmetic and reconstructive breast implant surgery
No full textRecently, an anatomic breast implant filled with soft cohesive silicone gel was introduced by Mentor Medical Systems onto the European market. This study reports the early experience of a single surgeon with this implant. All patients who received a Contour Profile Gel (CPG) implant from March 2001 to October 2002 were studied. Patient satisfaction with breast shape and consistency was assessed using linear analogue scales with a maximum score of 10. Thirty-five patients received CPG implants for cosmetic (10 patients, 20 breasts) and reconstructive (25 patients, 31 breasts) surgery purposes. Patients were satisfied with their breast shape (mean score: 8.3). Eighty-five percent of the breasts were rated as soft (score ≥6). No serious esthetic complications such as implant malposition or significant capsular contracture were observed. Anatomic soft cohesive gel implants provide excellent results in selected cases. They are well accepted by patients and not associated with an increased rate of complications
Socio-economic status and overweight or obesity among school-age children in sub-Saharan Africa - a systematic review
No full textChildhood overweight and obesity have emerged as a public health concern in sub-Saharan Africa. We conducted a systematic review with the aim to examine the association between socio-economic status (SES) and overweight or obesity among school-age children in sub-Saharan Africa. In March 2014 we searched five electronic databases for reports which presented cross-sectional data on prevalence levels of overweight or obesity stratified by SES groups among school-age children in sub-Saharan Africa. We used a random-effect model to pool the relative indexes of inequality of the association from the individual studies. In total, 20 reports satisfied the inclusion criteria providing results of 21 datasets. The risk of overweight or obesity in children from highest SES households was 5.28 times as high as that of children from lowest SES households (95% confidence interval [CI] 2.62 to 10.66). On subgroup analysis, this association was statistically significant for household income and composite SES measures but not for parental educational attainment and occupation type. Similarly, the risk of overweight or obesity in children attending affluent (private) schools was 15.94 times as high as that of children going to either urban or rural public schools (95% CI 5.82 to 43.68). The magnitude of the association tended to be stronger for area or school-type compared with composite measures. In summary, children from higher SES households and those attending private schools tended to be overweight and obese
The use of plastinated prosections for teaching anatomy - the view of medical students on the value of this learning resource
No full textOver the past decade, the role of anatomical teaching in the undergraduate medical curriculum has changed considerably. At some medical schools, active dissection of cadaveric specimens is gradually being replaced by prosection-based methods and other resources such as e-learning. Warwick Medical School has recently obtained a large collection of plastinated prosections, which replace wet cadaveric specimens in undergraduate anatomy teaching. The aim of this study was to examine students' views on the use of plastinated prosections for their anatomical learning. A mixed method approach was employed using a questionnaire and focus group for data collection. The questionnaire was completed by 125 first-year medical students (response rate 68%). The majority of students (94%) rated plastinated prosections as a valuable resource for their anatomical learning. Various features of the specimens were highlighted, such as the detailed view of relevant anatomy, appreciation of relations between structures, and visualization of anatomy in real life. However, learning on plastinated prosections was perceived to be compromised because of limitations in terms of tactile and emotional experience. We conclude that plastinated prosections are an adequate resource for the early stages of undergraduate training, but that the learning experience may be further enhanced by providing opportunity for the study of wet cadaveric material. Clin. Anat. 24:246–252, 2011. © 2011 Wiley-Liss, Inc
