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Related Concept Videos

Flail Chest-I01:24

Flail Chest-I

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
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The pathophysiology of flail chest is complex, involving fractures of...
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Flail Chest-II01:26

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Freudian Psychology01:26

Freudian Psychology

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Sigmund Freud, an Austrian neurologist born in 1856, significantly influenced psychology through his exploration of the unconscious mind. His interest in patients suffering from hysteria and neurosis — conditions without apparent physical causes — led him to theorize the existence of an unconscious mind, a repository for feelings and urges beyond our awareness. Freud's innovative approach included techniques such as dream analysis, free association, and attention to slips of the...
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Structure of Self01:29

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Sigmund Freud's model of the human psyche is often illustrated using an iceberg analogy. The iceberg's visible tip represents the conscious mind, which includes thoughts and perceptions that individuals are immediately aware of. However, the larger, submerged portion of the iceberg represents the unconscious mind, a reservoir of repressed desires, instincts, and memories. According to Freud, human behavior is primarily shaped by this hidden realm.
Components of the Mind: Id, Ego, and...
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Free Jet01:14

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Free jets describe the flow of liquid exiting a reservoir through an opening into the atmosphere without resistance. The velocity (v) of the liquid jet is derived using Bernoulli's principle and expressed as:
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Another way in which a group presence can affect performance is social loafing—the exertion of less effort by a person working together with a group. Social loafing occurs when our individual performance cannot be evaluated separately from the group. Thus, group performance declines on easy tasks (Karau & Williams, 1993). Essentially individual group members loaf and let other group members pick up the slack. Because each individual’s efforts cannot be evaluated,...
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A Model of Free Tissue Transfer: The Rat Epigastric Free Flap
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Free Your Mind, Not Your Flap.

Alexander D Neusner1, Julian J Pribaz2, Lifei Guo1

  • 1Division of Plastic and Reconstructive Surgery, Lahey Hospital & Medical Center, Burlington, Mass.

Plastic and Reconstructive Surgery. Global Open
|June 20, 2022
PubMed
Summary
This summary is machine-generated.

Pedicled flaps offer a valuable alternative for soft tissue reconstruction, especially when free tissue transfers are not ideal. This case series demonstrates successful reconstruction of complex defects using pedicled flaps without microvascular anastomosis.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • Pedicled flaps were historically foundational in soft tissue reconstruction.
  • Free tissue transfers have become more popular due to surgical advancements.
  • Regional pedicled flaps remain crucial reconstructive options.

Purpose of the Study:

  • To highlight the utility of pedicled flaps in challenging reconstructive scenarios.
  • To present cases where pedicled flaps were chosen over free tissue transfers.
  • To demonstrate successful outcomes using pedicled flaps without microvascular anastomosis.

Main Methods:

  • Case series reporting on the use of pedicled flaps for soft tissue reconstruction.
  • Inclusion of challenging cases typically considered for microsurgical approaches.
  • Variety of pedicled flaps utilized for defects in different anatomical locations.

Main Results:

  • Successful reconstruction of difficult soft tissue defects using various pedicled flaps.
  • Reconstructions were performed on the abdomen, flank, shoulder, and back.
  • No cases required microvascular anastomosis for successful outcomes.

Conclusions:

  • Pedicled flaps are a viable and effective option for complex soft tissue reconstruction.
  • These flaps are particularly beneficial for patients with compromised recipient vessels or contraindications to prolonged anesthesia.
  • Pedicled flaps can provide comparable outcomes to free tissue transfers, potentially at a reduced cost and complexity.