A novel surgical technique of use of the Goligher self-retaining retractor for microvascular anastomosis in reconstruction after minimally invasive mastectomy.

In recent years, minimally invasive breast surgery (MIBS) has revolutionized breast cancer treatment, allowing for preservation of aesthetic outcomes while ensuring oncological safety. However, this has created a new challenge in maintaining optimal visualization and dexterity during microvascular anastomosis which is critical for successful autologous tissue reconstruction. Traditional retractors often limit maneuverability, potentially impacting the outcomes of anastomotic procedures.

The Role of Duplex Ultrasound and Flow/Pressure Ratio in Predicting Invasive Treatment for High Venous Pressure in Patients Undergoing Hemodialysis.

: Vascular access complications, particularly high venous pressure, pose significant challenges for hemodialysis patients undergoing hemodialysis. Limited research has focused on identifying predictive factors for invasive treatment. This study aimed to identify patients who might benefit from frequent monitoring and conservative management based on duplex ultrasound (DUS) evaluation.

Exploring occupational well-being profiles, outcomes, and predictors among Chinese teachers: A mixed-methods approach using latent profile and decision tree analysis.

Understanding the varied profiles of occupational well-being, their outcomes, and predictors is key to formulating effective strategies for enhancing teachers' occupational health and well-being. This study employed latent profile analysis (LPA) to identify distinct occupational well-being profiles and their outcomes among 366 Chinese teachers, and decision tree analysis to explore the factors predicting each profile. The results showed three occupational well-being profiles: burnout, engaged, and burnout-engaged.

A longitudinal investigation of parenting, depression, and counseling use among Asian American adolescents.

Introduction: Asian American adolescents are equally or more likely to experience depression but less likely to seek treatment for depression than adolescents from other racial and ethnic groups in the US. The current study examined the long-term effects of parental care, parental control, and parental closeness on depression and counseling use among Asian American adolescents.

Methods: Using data from the National Longitudinal Study of Adolescent Health (Add Health), we conducted a cross-lagged path analysis with 270 Asian American adolescents (48.