3,967 research outputs found
La casa familiare tra diritto italiano e straniero
No full textAnalisi comparata dei provvedimenti in materia di assegnazione e godimento della casa familiare a seguito di separazione dei coniugi
Registration: il sistema inglese della trascrizione immobiliare
No full textIl sistema della trascrizione immobiliare, recentemente introdotto in UK, viene esaminato in chiave comparata rispetto al sistema italiana, evidenziando punti in comune e difformità
Io scrivo, tu mi leggi, qualcuno risponderà : Lurking e partecipazione nei gruppi di apprendimento on line
No full textFunctional and aesthetic approach to adult unoperated Möbius syndrome: orthognathic surgery followed by bilateral free gracilis muscle transfers.
No full textFunctional and Aesthetic Approach to Adult
Unoperated Mo ̈bius Syndrome: Orthognathic
Surgery followed by Bilateral Free Gracilis
Muscle Transfers
Sir:
We read with great interest the article recently published
in your Journal by Chou et al., who reported
their experience in the treatment of an adult
patient withMo ̈bius syndrome.1 This was the first report
in the literature of orthognathic surgery in those types
of patients, and only one other article has been
published.2 Despite the great results obtained by the
authors and the innovative approach in Mo ̈bius syndrome
treatment, we found some points that should be
clarified.
The authors recommend at the end of the article that
the bony procedure be performed before soft-tissue adjustment:
although this timing is certainly easier for the
surgeon who can perform orthognathic surgery without
intraoperative difficulties related to previous muscle
transplantation, it could be detrimental to the patient in
different ways. Orthognathic surgery should be performed,
in Mo ̈bius patients and in normal patients, at the
end of bony growth, to allow for optimal and stable results,
avoiding recurrences and interferences with bony growth,
whereas facial animation should be performed as soon as
possible (we usually perform it starting from the age of 5
years) to allow for optimal social interactions and psychological
development.3
Furthermore, if orthognathic surgery and, in particular,
mandibular advancement, is performed before muscle
transplantation, the lack of muscular activity in the
lower third of the face could lead to a stretching of facial
soft tissues and in particular of the inferior lip and pericommissural
area that could result in worsening of inferior
lip eversion and oral competence. These iatrogenic
deformations are very difficult to correct also with muscle
transplantation and require special techniques, including
lip suspensions with fascia lata strips or commissuroplasty,
that complicate soft-tissue rehabilitation and worsen final
aesthetic and functional results. It is also important to
point out that when gracilis muscle transplanted for facial
animation is reinnervated with the motor nerve to the
masseter muscle, reinnervation is stronger, safer, and
faster than with other donor nerves,4 and there is no
interference with the orthognathic procedure that can be
safely performed at the end of growth.
In conclusion, we commend the authors for their
nice job, but we would also like to emphasize that the
approach they recommend should be used only for
patients in whom Mo ̈bius syndrome is diagnosed at the
end of growth (such as the one they reported) and not
in younger patients, who represent the majority of Mo ̈-
bius cases. In these patients, facial animation should be
performed as soon as possible and orthognathic surgery
should be delayed until after patient growth.
DOI: 10.1097/PRS.0b013e3182362d4a
Bernardo Bianchi, M.D.
Andrea Ferri, M.D.
Silvano Ferrari, M.D.
Chiara Copelli, M.D.
Maxillo-Facial Surgery Division
Teore Ferri, M.D.
Otolaryngology Head Neck Surgery Division
Enrico Sesenna, M.D.
Maxillo-Facial Surgery Division
Head and Neck Department
University Hospital of Parma
Parma, Italy
Correspondence to Dr. Ferr
Delle relationi vniuersali di Giouanni Botero Benese : parte seconda.
No full textEl ed. figura en banderilla, debajo se lee: "ad istanza"Imp. tomado de Colofón en h. [14] v.: "In Roma, appresso Guglielmo Faciotto, M.D. XCII"Sign.: *\p2\s, A-Z\p4\s, 2A-2O\p4\sPort. con grab. xi
George McClellan [1849-1913]: A Memoir read before the College of Physicians of Philadelphia, by J. Chalmers Da Costa, M.D., LL.D., Samuel D. Gross Professor of Surgery in Jefferson Medical College
No full textA memoir of Dr. George McClellan (1849-1913). Dr. McClellan was the author of the book Regional Anatomy, and grandson of George McClellan, M.D.; the founder of Jefferson Medical College
Future directions in managing aniridia-associated keratopathy
No full textThe authors regret (changes marked in bold): Arianne J.H. van Velthoven a b, Tor P. Utheim M.D. Dr. c d, Maria Notara Dr. e, Dominique Bremond-Gignac M.D. Dr. f g, Francisco C. Figueiredo M.D. Dr. h i, Heli Skottman Dr. j, Daniel Aberdam Dr. g, Julie T. Daniels Dr. k, Giulio Ferrari M.D. Dr. l m, Christina Grupcheva M.D. Dr. n, Carina Koppen M.D. Dr. °, Mohit Parekh Dr. p, Thomas Ritter Dr. q, Vito Romano Dr. r, Stefano Ferrari Dr. s 1, Claus Cursiefen M.D. Dr. e t 1, Neil Lagali Dr. u 1, Vanessa L.S. LaPointe Dr. a 1, Mor M. Dickman M.D. Dr. a b 1 a MERLN Institute for Technology-Inspired Regenerative Medicine, Maastricht University, Maastricht, the Netherlands b University Eye Clinic Maastricht, Maastricht University Medical Center+, Maastricht, the Netherlands c Department of Medical Biochemistry, Oslo University Hospital, Oslo, Norway d Department of Ophthalmology, Oslo University Hospital, Oslo, Norway e Department of Ophthalmology, Faculty of Medicine and University Hospital Cologne, Cologne, Germany f Ophthalmology Department, University Hospital Necker-Enfants Malades, APHP, Paris Cité University, Paris, France g Centre de Recherche des Cordeliers, Sorbonne Paris Cité University, Paris, France h Department of Ophthalmology, Royal Victoria Infirmary, Newcastle upon Tyne, UK i Biosciences Institute, Newcastle University, Newcastle upon Tyne, UK j Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland k UCL Institute of Ophthalmology, London, UK l IRCCS San Raffaele Scientific Institute, Division of Neuroscience, Cornea and Ocular Surface Disease Unit, Eye Repair Lab, Milan, Italym Vita-Salute San Raffaele University, Dept. Of Ophthalmology, Milan, Italyn Department of Ophthalmology and Visual Sciences, Medical University of Varna, Varna, Bulgaria o Department of Ophthalmology, Antwerp University Hospital, Edegem, Belgium p Schepens Eye Research Institute, Harvard Medical School, Boston, MA, USA q Regenerative Medicine Institute, University of Galway, Galway, Ireland r Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, Ophthalmology Clinic, University of Brescia, Brescia, Italy s Fondazione Banca degli Occhi del Veneto, Venice, Italy t Center for Molecular Medicine Cologne, University of Cologne, Cologne, Germany u Division of Ophthalmology, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden The authors would like to apologise for any inconvenience cause
2000 Commencement Address: G. Timothy Johnson, M.D.
No full textTimothy Johnson, M.D., medical editor for ABC News will deliver the principal address and receive an honorary degree at the 154th commencement exercises at the College of the Holy Cross on Friday, May 26, beginning at 10:30 a.m. at Fitton Field.
Johnson, one of the nation’s leading medical communicators of health care information, has provided commentary on medical problems and answers for viewers since 1975. In addition to commentary on Good Morning America, Johnson provides on-air analysis of medical news for World News Tonight, Nightline and 20/20. He consults with ABC News regardingcoverage of medical news. He is also medical editor for WCVB-TV, Channel 5 in Boston.
Johnson holds joint positions in medicine at Harvard University and Massachusetts General Hospital in Boston. He is the founding editor of the Harvard Medical School Health Letter and co-editor of the Harvard Medical School Health Letter Book. He is also coeditor of the book, “Your Good Health,” published by Harvard Press, as well as co-author with former US Surgeon General Dr. C. Everett Koop of the book, “Let’s Talk,” published by Zondervan in 1992.
He originally intended to join the ministry and graduated from the North Park Seminary in 1963. Two years later he decided to enter medicine. Johnson, who is a Phi Beta Kappa graduate of Augustana College, graduated summa cum laude from Albany Medical College and holds a master’s degree in public health from Harvard University. Johnson served as an assisting minister at the Community Covenant Church in West Peabody, Mass.https://crossworks.holycross.edu/commence_address/1012/thumbnail.jp
Robust energy transfer mechanism via precession resonance in nonlinear turbulent wave systems
No full textA robust energy transfer mechanism is found in nonlinear wave systems, which favours transfers towards modes interacting via triads with nonzero frequency mismatch, applicable in meteorology, nonlinear optics and plasma wave turbulence. We emphasise the concepts of truly dynamical degrees of freedom and triad precession. Transfer efficiency is maximal when the triads' precession frequencies resonate with the system's nonlinear frequencies, leading to a collective state of synchronised triads with strong turbulent cascades at intermediate nonlinearity. Numerical simulations confirm analytical predictions
SOME SOCIAL AND POLITICAL VIEWS M.D. SKOBELEVS
No full textThe article analyzes social and political views of M.D. Skobelev, an outstanding military commander, a hero of the Russian-Turkish and Balkan wars¸ who contributed greatly to the entry of Central Asia (Turkestan) and other regions into the Russian Empire. The author concludes that M.D. Skobelev’s views were close to those of the Slavophiles, though they differed greatly on a number of key issues. They both considered that it was necessary to restore national identity, to consolidate Orthodoxy, to give up European values to the detriment of national ones, to search for the own development way instead of the western one, which was deadlock and destructive
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