1,721,007 research outputs found

    Composite Tissue Allotransplantation by Modulation of Immunosuppression

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    Ritt, M.J.P.F. [Promotor]Winters, H.A.H. [Copromotor

    Experienced Outcomes of Medical Interventions in Individuals With Gender Incongruence and Atypical Sex Development

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    Ritt, M.J.P.F. [Promotor]Cohen-Kettenis, P.T. [Promotor]Kreukels, B.P.C. [Copromotor]Mullender, M.G. [Copromotor

    Safety & imaging of modern silicone breast implants: The PIP recall placed in perspective

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    Ritt, M.J.P.F. [Promotor]Niessen, F.B. [Copromotor]Nanayakkara, K.D.P.W.B. [Copromotor

    Strategies to Optimize Outcomes after DIEP Flap Breast Reconstruction

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    Ritt, M.J.P.F. [Promotor]Lin, S.J. [Copromotor]Winters, H.A.H. [Copromotor

    Outcomes and challenges in ulnar-sided wrist surgery

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    The findings in this thesis underlined the confounding nature of ulnar-sided wrist pain. It is crucial to be aware of the complex overlap and interaction of the pathologies at the ulnar wrist, to guide accurate diagnosis. Relevant diagnostic imaging can assist in establishing the right diagnosis and exclude other pathology. However, it must be noted that each modality has its own specific indications and set of advantages and disadvantages. Furthermore, it may be difficult to differentiate structural sources of ulnar-sided wrist pain from unrelated incidental findings, which once again highlights the importance of taking a thorough history and performing a detailed physical examination. We stated that PROMs can assist in the development of a treatment plan to meet the specific preferences and needs of a particular patient, as they quantify care from the patient’s perspective. In this thesis we found relatively high rates of complications and reoperations after ulnar-sided wrist surgery. However, these high rates did not always necessarily lead to inferior patient-reported outcomes. We believe that psychological factors and coping strategies have a great influence on level of pain and physical functioning. Advances in medical imaging technology with the use of artificial intelligence (AI) in radiology and new techniques such as 4D-CT, may allow improved assessment of wrist kinematics and pathology in ulnar-sided wrist pain. Furthermore, there is growing evidence for a strong influence of psychosocial factors on PROMs across a range of upper-extremity disorders. We believe that that there is more to generating optimal outcomes than resolving pathophysiology, restoring anatomy, and focusing on the technical components alone. More large-scale and prospective studies are required to compare several ulnar-sided wrist procedures, ideally with implementation and a great focus on the influence of psychological and social factors

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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