Principles of Scalp Reconstruction

Outline of Presentation: Case Presentation Background History Anatomy Preoperative Assessment Surgical Technique Algorithm for approach to scalp defects Presentation: 41:47 Note: PowerPoint slides located at bottom of this pag

Nasal Reconstruction

Agenda: History Anatomy/Terminology Defect Analysis Reconstruction Options Cases Questions Presentation: 37:4

The Subscapular System of Flaps in Head and Neck Reconstruction

Presentation: 35:41 Note: PowerPoint slides are at bottom of page

Cerebrospinal Fluid Leakage and Cerebral Venous Sinus Thrombosis: A Case Report

Cerebrovascular venous thrombosis is an uncommon entity that may occur in the sinuses of the dura, the cortical veins, or the deep venous system. Common etiologies include states of hypercoagulability, such as oral contraceptives intake, malignancy, and trauma. Additional causes include inherent thrombophilic states, such as those caused by systemic lupus erythematosus, protein C or S deficiency, and antithrombin III deficiency. The pathogenesis of cerebral venous sinus thrombosis stems from the obstruction of venous outflow. Consequently, venous engorgement occurs, leading to decreased effective blood flow and white matter edema. Infarction or hemorrhage are not uncommon in the setting of venous thrombosis. Intracranial pressure also rises. The most common presenting symptom is headache.2,3 The impact of intracranial hypotension due to cerebrospinal fluid (CSF) leak on venous flow and thrombosis is not clear.1, 4-8, 10, 11 We present the case and treatment course of a patient who initially presented with an acute venous sinus thrombosis and in was later found to have a CSF leak and intracranial hypotension

Total Parenteral Nutrition in Patients Following Pancreaticoduodenectomy: Lessons from 1184 Patients

Poster presented at Sigma XI Student Research Day at Thomas Jefferson University. Background: Total parenteral nutrition (TPN) has historically been used conservatively in the management of patients after pancreaticoduodenectomy (PD). In this study, we evaluate the indications for and outcomes associated with TPN use in a high-volume pancreatic surgery center.https://jdc.jefferson.edu/surgeryposters/1007/thumbnail.jp

Low Birth Weight of Newborns and Its Association with Demographic and Socio-economic Determinants: Findings from Multiple Indicator Cluster Survey (MICS) Bangladesh 2019

Background: Low Birth Weight (LBW) is considered as one of the major public health problems which is an important determinant of morbidity and mortality among newborn babies in Bangladesh. This study aimed to examine the current prevalence of LBW and its association with different socio-economic and demographic determinants in the context of Bangladesh.   Methods: The cross-sectional data for this study were extracted from the Multiple Indicator Cluster Survey (MICS) Bangladesh 2019, which was carried out in 2019 by the Bangladesh Bureau of Statistics (BBS) in collaboration with UNICEF Bangladesh, as part of the Global MICS Program. To examine the association of LBW with other selected determinants, Chi-square (χ2) test was performed and a logistic regression model was used to explore the net effect of determinants on LBW using odds ratio (OR). Results: Using the sub-sample of nationally representative data, the study reveals that the prevalence of LBW in Bangladesh was 13.6%. The highest prevalence of LBW was found among mothers whose ages were less than 20 years, who did not receive prenatal care, who were not educated, who were from poor socio-economic conditions. LBW was also severe among infants with the highest birth order and multiple births. This study also identified the mother’s age at the time of childbirth, the status of receiving prenatal care, type of birth (single or multiple), birth order, educational status of the mother, wealth index, and place of residence are the most important determinants that are significantly associated with LBW status of newborns.  Conclusions: This study suggests that the Government should take necessary initiatives to address the risk factors which are responsible for the high prevalence of LBW in Bangladesh. This study will also deliver the degree of success in public health policy in Bangladesh and aims to help outline future tactics to lessen the prevalence of LBW. Keywords: Low birth weights (LBW), Multiple Indicator Cluster Survey (MICS), Bangladesh

Low Birth Weight of Newborns and Its Association with Demographic and Socio-economic Determinants: Findings from Multiple Indicator Cluster Survey (MICS) Bangladesh 2019

Background: Low Birth Weight (LBW) is considered as one of the major public health problems which is an important determinant of morbidity and mortality among newborn babies in Bangladesh. This study aimed to examine the current prevalence of LBW and its association with different socio-economic and demographic determinants in the context of Bangladesh.   Methods: The cross-sectional data for this study were extracted from the Multiple Indicator Cluster Survey (MICS) Bangladesh 2019, which was carried out in 2019 by the Bangladesh Bureau of Statistics (BBS) in collaboration with UNICEF Bangladesh, as part of the Global MICS Program. To examine the association of LBW with other selected determinants, Chi-square (χ2) test was performed and a logistic regression model was used to explore the net effect of determinants on LBW using odds ratio (OR). Results: Using the sub-sample of nationally representative data, the study reveals that the prevalence of LBW in Bangladesh was 13.6%. The highest prevalence of LBW was found among mothers whose ages were less than 20 years, who did not receive prenatal care, who were not educated, who were from poor socio-economic conditions. LBW was also severe among infants with the highest birth order and multiple births. This study also identified the mother’s age at the time of childbirth, the status of receiving prenatal care, type of birth (single or multiple), birth order, educational status of the mother, wealth index, and place of residence are the most important determinants that are significantly associated with LBW status of newborns.  Conclusions: This study suggests that the Government should take necessary initiatives to address the risk factors which are responsible for the high prevalence of LBW in Bangladesh. This study will also deliver the degree of success in public health policy in Bangladesh and aims to help outline future tactics to lessen the prevalence of LBW. Keywords: Low birth weights (LBW), Multiple Indicator Cluster Survey (MICS), Bangladesh

Screening for Venous Thromboembolism in Asymptomatic Trauma Patients: Effective in High Risk Patients

Hypothesis: Through data analysis of a large cohort of trauma patients, a clinically applicable protocol can be developed based on various predisposing factors for VTE in asymptomatic patients. By isolating the factors that make these patients high risk for VTE, we can effectively lower the incidence of PE in hospitalized trauma patients.https://jdc.jefferson.edu/patientsafetyposters/1001/thumbnail.jp

Non licensure practices in allopathy hospitals of Southern India - Infamous conduct

Health is a basic and primary need of a human being. With increase in population the health needs of the people are on rise but in many cases they are inadequately met. To maintain health in India different systems of medicine such as allopathy, homoeopathy, ayurveda, siddha, unani, etc are practiced. Indian law states that, a person trained and registered under a particular system of medicine should practice only that system and not the alternate system. But in recent times non-allopaths who are not licensed to practice have started practicing allopathy which is infamous conduct. [1] A survey was carried out in 40 allopathy nursing homes at bengaluru city. We found that on an average only 18 [12.41 %] of the duty doctors in the wards and casualty were holding medical degrees in MBBS and a maximum number 116 [87.59 %] were Ayurveda, homeopathic and unani degree holders and only 170 [34.94 %] of the nurses were qualified while maximum 280 [65.05%] were unqualified (meaning they had no degrees of any kind and they were just given some informal training in the hospital). In spite of presence of qualified consultants, this type of non licensure practice may hinder the quality of medical services