Circular belt lipectomy : a retrospective follow-up study on perioperative complications and cosmetic outcome

The purpose of this study was to evaluate the perioperative complications and cosmetic outcomes of circumferential belt lipectomy in patients with evident truncal excess. In 21 women, a circumferential belt lipectomy was performed between April 2002 and March 2004. The mean weight loss before surgery was 44 kg, and the mean body mass index before surgery was 28.1 (range, 22.3-36.5). Patients scored cosmetic results on a visual analog scale. The average reduction weight was 3616 g (2110-7525 g). The average duration of the operation was 132 minutes (range, 79-210 minutes). Patients were discharged from the hospital between postoperative days 6 and 10 (average, day 8). Minor complications occurred in 7 patients and major complications in one. Smoking was a statistically significant cause of postoperative complications. The majority of patients judged the cosmetic outcome as good to excellent (15 patients >= 8, 5 patients = 7, 1 patient =6). Patients with truncal skin and fat excess on both the ventral and dorsal side can obtain a good cosmetic result with a circular belt lipectomy

Shaping the Breast in Aesthetic and Reconstructive Breast Surgery: An Easy Three-Step Principle. Part II - Breast Reconstruction after Total Mastectomy

This is Part II of four parts describing the three-step principle being applied in reconstructive and aesthetic breast surgery. Part I explains how to analyze a problematic breast by understanding the main anatomical features of a breast and how they interact: the footprint, the conus of the breast, and the skin envelope. This part describes how one can optimize results with breast reconstructions after complete mastectomy. For both primary and secondary reconstructions, the authors explain how to analyze the mastectomized breast and the deformed chest wall, before giving step-by-step guidelines for rebuilding the entire breast with either autologous tissue or implants. The differences in shaping unilateral or bilateral breast reconstructions with autologous tissue are clarified. Regardless of timing or method of reconstruction, it is shown that by breaking down the surgical strategy into three easy (anatomical) steps, the reconstructive surgeon will be able to provide more aesthetically pleasing and reproducible results. Throughout these four parts, the three-step principle will be the red line on which to fall back to define the problem and to propose a solution

Transdermal penetration enhancing effect of the N-alkylamide spilanthol

The dermal penetration of compounds may be influenced by other compounds when mixtures are presented to the skin. Plant extracts, often used in cosmeceuticals, are complex mixtures of wanted bio-actives as well as undesirable impurities like nanoparticles and mycotoxines. A major question is if plant bio-actives (like spilanthol) can significantly alter the dermal penetration of other compounds which can be actives (like testosterone) or impurities (like mycotoxins). If so, the qualification assessment of the product quality needs to include this influence within the Quality-by-Design strategy. Therefore, the concentration-dependent penetration promoting effect of spilanthol was investigated on the three CART transdermal model compounds i.e. caffeine, ibuprofen and testosterone [1]. It was shown that spilanthol has a compound and concentration dependent penetration enhancing effect. No significant penetration enhancing effect for ibuprofen has been observed. However, with increasing spilanthol concentration (from 0 up to 1%, m/V), the permeability of caffeine increases, resulting in an enhancing ratio (ER) of 4.60 ± 0.49 (mean ± SEM, n=4). For testosterone, a maximal penetration enhancing concentration of 0.5% spilanthol was found (ER = 4.13 ± 0.44 (mean ± SEM, n=3)). Our findings with these model compounds are also confirmed with mycotoxins [2]. In conclusion, the existence of a significant mutual influence of compounds towards skin penetration should always be considered as part of the functional quality evaluation or in topical product development. References [1] B. Baert, E. Deconinck, M. Van Gele, M. Slodicka, P. Stoppie, S. Bode, G. Slegers, Y. Vander Heyden, J. Lambert, J. Beetens, B. De Spiegeleer. Transdermal penetration behaviour of drugs: CART-clustering, QSPR and selection of model compounds, 2007, Bioorganic & medicinal chemistry, 15(22): 6943-6955. [2] B. De Spiegeleer, J. Boonen, L. Veryser, L. Taevernier, S.V. Malysheva, J. Diana Di Mavungu, S. De Saeger, N. Roche, P. Blondeel. Skin penetration enhancing properties of the plant N-alkylamide spilanthol, 2012, manuscript in preparation

Former des étudiants à l’intervention en EPS auprès d’élèves en situation de handicap moteur : apport d’un dispositif audio-visuel de formation

International audienceLa loi du 11 février 2005 pour l'égalité des droits et des chances instaure le droit à la scolarisation en milieu ordinaire pour les élèves en situation de handicap moteur (SHM). En conséquence, dans le cadre de la mastérisation de la formation des enseignants (2010), les dispositifs de formation des enseignants ont dû intégrer cette nouveauté.Notre étude porte sur un dispositif audio-visuel de formation d’étudiant de master à l'intervention en EPS auprès d'élèves de primaire en situation de handicap moteur. L'objectif est d'analyser les effets du dispositif pour a) préparer les étudiants à mettre en œuvre « des gestes ordinaires dans des situations extraordinaires » lors de leurs interventions en EPS (Grimaud & Saujat, à paraître), b) envisager un développement professionnel, c) susciter des formes de réflexivité au service de l'intervention et d) envisager la conception de dispositifs « faisant sens » pour les étudiants. L’étude est conduite en anthropologie cognitive selon l'hypothèse de l’action et cognition situées (Hutchins, 1995 ; Suchman, 1987) et en référence à la théorie du cours d'action (Theureau, 2004). Les données recueillies auprès de deux étudiantes portent sur : a) un suivi ethnographique du cours d'action des étudiantes en situation de formation à l’aide d’un enregistrement audiovisuel et b) des verbatims d’entretiens d’auto-confrontation post-séquence de formation. Les résultats montrent que l’usage de la vidéo permet a) d’envisager des « possibles » avec des élèves en SHM (de situations, d’activités physiques et sportives) facilitant l’intervention, b) de « décomplexer » les étudiants quant à leurs difficultés à intervenir avec des élèves en SHM, et c) de développer une « réflexion pragmatique » sur les choix et les types d’adaptation à mettre en place

Apprendre à enseigner l’Education Physique grâce à l’immersion sensorielle suscitée par un dispositif de vidéo-formation

International audienceThis case study, conducted in the course of action (Theureau, 2006) in cognitive anthropology, seeks to understand how a video-training device can help students enrolled in Master «Education» to learn how to teach a lesson Physical Education (PE). The purpose of this device was to enable students to identify some teaching skills in the classroom. Data were collected from a) video recordings of the training situation at the university and b) self-confrontation interview with a student. The results show that the video-training device sparked a sensory immersion allowing among students the development of reflexivity both a) individual, about bodily experience in the classroom and b) collective, about the business rules identification.Cette étude de cas, conduite dans le cadre du cours d’action (Theureau, 2006) en anthropologie cognitive, vise à comprendre comment un dispositif de vidéo-formation peut aider des étudiants inscrits en Master « Enseignement » à apprendre à enseigner une leçon d’éducation physique (EP). Le but du dispositif était de permettre aux étudiants d’identifier les habiletés corporelles nécessaires pour intervenir dans la classe. Les données ont été recueillies à partir a) d’un enregistrement vidéo de la situation de formation à l’université et b) d’un entretien d’auto-confrontation avec un étudiant. Les résultats montrent que le dispositif a suscité une immersion sensorielle permettant le développement chez les étudiants d’une réflexivité à la fois a) individuelle, portant sur l’expérience corporelle en classe et b) collective, sur l’identification de règles de métier

Pilomatricoma in Children: Common but often Misdiagnosed

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Oral strength in subjects with unilateral cleft lip and palate

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