Trends in immediate postmastectomy breast reconstruction in the United Kingdom

The study aimed to evaluate local and national trends in immediate breast reconstruction (IBR) using the national English administrative records, Hospital Episode Statistics. Our prediction was an increase in implant-only and free flap procedures and a decline in latissimus flap reconstructions.Data from an oncoplastic center were interrogated to derive numbers of implant-only, autologous latissimus dorsi (LD), LD-assisted, and autologous pedicled or free flap IBR procedures performed between 2004 and 2013. Similarly, Hospital Episode Statistics data were used to quantify national trends in these procedures from 1996 to 2012 using a curve fitting analysis.National data suggest an increase in LD procedures between 1996 (n = 250) and 2002 (n = 958), a gradual rise until 2008 (n = 1398) followed by a decline until 2012 (n = 1090). As a percentage of total IBR, trends in LD flap reconstruction better fit a quadratic (R(2) = 0.97) than a linear function (R(2) = 0.63), confirming a proportional recent decline in LD flap procedures. Conversely, autologous (non-LD) flap reconstructions have increased (1996 = 0.44%; 2012 = 2.76%), whereas implant-only reconstructions have declined (1996 = 95.42%; 2012 = 84.92%). Locally, 70 implant-assisted LD procedures were performed in 2003 -2004, but only 2 were performed in 2012 to 2013.Implants are the most common IBR technique; autologous free flap procedures have increased, and pedicled LD flap procedures are in decline

A PROPOSED MODEL FOR ADVOCACY SERVICES FOR MEXICAN UNDOCUMENTED ALIENS WITH MENTAL HEALTH NEEDS

The purpose of this presentation is to discuss the studies that have focused on undocumented aliens from Mexico, to discuss barriers that inhibit their use of mental health services, and to outline ways in which social workers employed in mental health institutions can become actively involved in helping this group. Since 1900, immigration to the United States from Mexico has followed a pattern of continuing legal and illegal entry; legal alien families from Mexico are defined as those who have been legally admitted to the U.S., whereas undocumented families.are those residing in the U.S. who have entered illegally. Mexico has supplied more immigrants with United States working visas between 1957 and 1966 than any other country. However, an unknown number of Mexicans enter the country illegally; for example, the AFL-CIO estimates the total number of illegal aliens residing in the U.S. is over eight million

Illegal Aliens: The Need For a More Restrictive Border Policy

[Excerpt] In late 1974, the commissioner of the Immigration and Naturalization Service of the U.S. Department of Justice publicly stated that “the United States us being overrun by illegal aliens” and, he warned, “we are seeing just the beginning of the problem.” During that 1974 fiscal year, 788,000 illegal aliens were actually apprehended by INS. Of greater significance, however, is the fact that INS estimated that the number of undetected illegal aliens who entered the United States in that year ranged upwards to 4 million people. Moreover, the INS estimated the accumulated number of illegal aliens currently residing in the United States in 1974 to be between 7 and 12 million people

From command posts to corporations: applying United States Marine Corps leadership development to corporate organization development

This research investigates the applicability of the United States Marine Corps (USMC) leadership development (LD) to corporate organizational development (OD). Despite significant investment in LD, many corporate programs do not meet expectations, highlighting the need for effective models. The USMC LD approach, emphasizing personal and subordinate leadership skills development, mission accomplishment, and team welfare, presents a unique model for exploration. This study examines the integration of USMC leadership components-traits, principles, and core values-into corporate leadership roles and evaluates the perception of USMC veterans on their applicability in corporate settings. The research employs a mixed-methods approach, combining quantitative surveys of 125 participants and ten qualitative interviews to capture a comprehensive view of the USMC LD\u27s potential in corporate OD. The findings suggest that USMC LD is not only applicable but also potentially beneficial in enhancing corporate leadership practices, indicating a need for further exploration in this area

Reconnaissance and Security Operations

Reconnaissance and Security Operations, United States Army Field Manual FM 3-9

New Legal Rights in the Legal System of the United States of America

What new rights does the American legal system offer at the start of the 21st century? This article takes a snapshot of some of the most controversial topics in American society today and the juridical response to these topics by individual states, the United States Congress, and the United States Supreme Court. Although there are numerous legal topics that deserve mention and analysis, this article is limited to the discussion of 7 new rights created by state and federal laws. The new legal rights in the United States legal system discussed in this article include the following: 1) The right to the protection of the environment; 2) The right to privacy in relation to unsolicited telemarketing telephone calls; 3) The right to sexual offender residential information; 4) The right to the protection of victims of human trafficking; 5) The right to marry or to civil unions between same-sex couples; 6) The right to euthanasia or death with dignity; and 7) The right to determine what medical treatment to receive and the right to organ donation. The article also discusses the most far-reaching decisions handed down by the United States Supreme Court in 2008

Black Exceptionality in Academia: A Cultural-Historical Re-Conceptualization of Black Male Students Identified With Learning Disabilities in Higher Education

The under-representation of Black male students identified with learning disabilities (LD) in higher education is a symptom of a larger social injustice, the racialization of educational opportunities and outcomes in the United States. We provided a critical review of literature to examine the structural and social barriers facing Black college students identified with LD in terms of access to adequate support services, refusal of funds of knowledge that Black students bring to higher education, and hegemonic organization of higher education. Following themes are explored: a) historical legacy of racial inequity in academia; b) systemic contradictions in institutional practices; c) absence of collaborative networks. This article offers a conceptualization of antiblackness and the denial of Black exceptionality informed by Vygotskian cultural-historical activity theory and critical pedagogies. The concepts of cultural mediation, cultural hegemony, resistance, and agency will be used to examine the challenges and possibilities of scaffolding success and joy of Black males identified as LD in higher education

Successful Initiatives for Breaking the Glass Ceiling to Upward Mobility for Minorities and Women

Glass Ceiling ReportGlassCeilingBackground4SuccessfulInitiatives.pdf: 25357 downloads, before Oct. 1, 2020

Three Pamphlets about the Duel of February 24, 1838, Between Jonathan Cilley of Maine and William J. Graves of Kentucky

Contemporary documents which detail the feud between United States House of Representative members Jonathan Cilley, of Maine, and William J. Graves, of Kentucky. Cilley had spoken unfavorably on the floor of the House of James Watson Webb, publisher of the New York Morning Courier and Enquirer, concerning Webb having flip-flopped (because of $52,000 payment) on the issue of whether the Second Bank of the United States should continue operation. Webb gave a letter to his friend, Rep. William Graves of Kentucky, demanding an explanation or an apology of Cilley. Cilley explained he had not meant to impugn Webb\u27s reputation, but the explanation failed to satisfy either Webb or Graves. Unable to reconcile, a duel was decided upon, with Graves standing in for Webb. After a few rounds of firing, Cilley was struck in the leg, piercing his femoral artery. He died moments later. This ordeal outraged the Congress and much of the country, leading to Congress outlawing dueling in the District of Columbia in 1839 and a decision to expel from Congress any member who later took part in a duel. Includes: Report of the Committee on the Late Duel (1838) Discourse, Occasioned by the Recent Duel in Washington by Henry Ware Jr. (1838) Doctor Sprague\u27s Sermon, Occasioned by the Late Tragical Deed at Washington (1838)https://digicom.bpl.lib.me.us/books_pubs/1361/thumbnail.jp