1,721,023 research outputs found
Operative Surgery Vivas for the MRCS by Ali Abbassian, Sarah Krishnanandan and Christopher James
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Mentoring and surgical training: a time for reflection!
No full textEffective mentoring has an invaluable role in the development of surgeons at various levels and is frequently perceived vital in achieving career success. Its role therefore is only second to credentialing. However, the formal role of mentoring and learner support in surgical training remains non-existent. This is reflected in a paucity of empirical data on mentoring in graduate medical education which makes meaningful research even more difficult. This article reflects on these failings, explores the reasons for apathy towards mentoring in surgical training and why the attitudes toward mentoring remain casual and lukewarm. Furthermore the authors explore the literature on this subject to identify ways and methods of remedying the situation
18th International Conference on Statistical Sciences: Using Statistics for Sustainable Development Goals and Human Development
No full textBeyond any doubts, the whole world is moving too fast to embrace the artificial intelligence and machine learning technologies to benefit from big data. Consequently, the use of unprecedented volume and intensity of data is becoming more and more an integral part of everyday life of modern science and citizens. The reality is that many of the next generation digital technologies will be data driven, internet dependent and satellite guided. Starting from driver-less vehicles to store-less shopping platforms and delivery of personalised services will be digitised based on data guided evidence. In fact, data revolution is already here, and we are increasingly being exposed to various technologies that are dependent on results from analysis and prediction of data. The role of statistics and computing algorithms in the process are crucial and it will continue to grow. The policymakers in government offices, health services, technology centres and business establishments are moving towards evidence-based decision-making which is predominantly guided by data synthesis and analytics. This paper covers various aspects of data including its dimensions and diversities, sources, owners and methods of analysis, and statistical and computational essence leading to the new paradigm of science, data
Reply to: is peroral endoscopic myotomy (POEM) ready to replace laparoscopic Heller's myotomy (LHM) for achalasia?-comments on recent systematic review
No full textGastrointestinal carcinoid tumors - Current management strategies
No full textBACKGROUND: Carcinoid or neuroendocrine tumors of the gastrointestinal tract, although characteristically indolent, are also quite heterogeneous both with respect to histologic and endocrine features and with respect to clinical presentation and behavior. PURPOSE: This study was undertaken to review and summarize the current literature on classification controversies, site-specific carcinoid presentation and behavior, and diagnostic and management strategies for primary and advanced carcinoid tumors and the carcinoid syndrome. RESULTS: For carcinoid tumors, oncologic results depend on the location of the primary tumor, extent of locoregional and metastatic disease, functioning status of the tumor, and the feasibility of complete surgical extirpation. Whereas favorable survival rates are typically observed for appendiceal and rectal primaries, less favorable rates are often observed for colonic and ileal tumors. A search for additional tumors is generally advised because multiple carcinoids and second neoplasms are not uncommon. Because of the indolent nature of the tumor and because these therapies have been shown to improve quality and quantity of life, otherwise fit patients with advanced carcinoid disease should be treated with aggressive medical and surgical therapies. Development of a malignant carcinoid syndrome indicates the presence of a functionally active carcinoid tumor and portends a poor prognosis. CONCLUSION: Gastrointestinal carcinoids, although malignant, behave differently from other carcinomas. Results are highly variable and must be individualized according to the site of the primary tumor, extent of spread, and general condition of the patient. A prolongation of quality life can often be accomplished through aggressive medical and surgical therapies
Choice of Approach for Laparoscopic Common Duct Exploration. Laparoscopic Common Bile Duct Exploration Via Choledochotomy
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