Immediate Breast Reconstruction With Latissimus Dorsi Myocutaneous Flap and Silicone Implant Followed by Adjuvant Radiotherapy for Breast Cancer.

Background: About 30% to 50% of women with breast cancer undergo mastectomy, and approximately 50% of them will receive adjuvant radiotherapy (ART). This study evaluates the medium- and long-term impact of ART after immediate breast reconstruction (IBR) with latissimus dorsi myocutaneous (LDM) flap and silicone implants.

Methods: Clinical, surgical, and oncological data were retrospectively collected and analyzed based on the medical records of 176 patients who had undergone IBR with LDM flap and silicone implants.

Is Immediate Breast Reconstruction With a Latissimus Dorsi Myocutaneous Flap Safe for Starting Adjuvant Chemotherapy in Patients With Breast Cancer?

Introduction: Immediate breast reconstruction following mastectomy reduces perceptions of mutilation and femininity issues in oncological patients, but surgical complications should not delay chemotherapy. This study evaluated postsurgical complications in patients who underwent radical breast surgery followed by immediate reconstruction with latissimus dorsi myocutaneous flaps and silicone implants, along with resulting impacts in delaying chemotherapy.

Materials And Methods: This retrospective study utilized a prospectively maintained database.

Neoadjuvant chemotherapy impact on outcomes in immediate breast reconstruction with latissimus dorsi flap and silicone implant.

Background And Objectives: Neoadjuvant chemotherapy (NCH) has demonstrated efficacy in downsizing tumors and facilitating less extensive surgery. However, immediate breast reconstruction (IBR) after NCH has raised concerns regarding higher complication rates. This study evaluates the impact of NCH on outcomes following IBR with a latissimus dorsi flap and implant (LDI) after mastectomy.

Beyond Frontiers: An Examination of Ethical Leadership and Job Resources in Customs Officers' Well-Being.

Analyzing factors that contribute to job burnout and job satisfaction among customs officers are crucial for customs administration effectiveness and the country's safety. Based on the Conservation of Resources Theory (COR), we analyze how ethical leadership, job resources, and burnout play a role in customs officers' job satisfaction. Online questionnaires were administered to 53.

Anatomical feasibility of peripheral nerve transfer to reestablish external anal sphincter control - cadaveric study.

Purpose: Motor deficits affecting anal sphincter control can severely impair quality of life. Peripheral nerve transfer has been proposed as an option to reestablish anal sphincter motor function. We assessed, in human cadavers, the anatomical feasibility of nerve transfer from a motor branch of the tibialis portion of the sciatic nerve to two distinct points on pudendal nerve (PN), through transgluteal access, as a potential approach to reestablish anal sphincter function.

Continuity and Overlap of Roles in Victims and Aggressors of Bullying and Cyberbullying in Adolescence: A Systematic Review.

The objective of this study was to conduct a systematic review of research focused on analyzing the overlap and continuity of the roles in victims and aggressors of bullying and cyberbullying, as well as the exchange of roles in both harassment dynamics in adolescents. Searches in the main electronic databases for studies published in the last 20 years identified 19 studies that fulfilled inclusion criteria. The findings of the studies analyzed were not homogeneous, however, the main conclusion of all of them, to a greater or lesser extent, was that there is a component of continuity or superposition in the roles of both forms of bullying.

Victimization, loneliness, overt and relational violence at the school from a gender perspective.

This ex post facto study analyzes both the direct relationships between victimization and overt and relational violent behavior of students adolescents as the indirect relationships between these variables through the classroom environment, the loneliness, the nonconformist ideal reputation and transgression of social norms. The sample consisted of 1,795 adolescents (48% females) aged 11 to 18 years ( = 14.2,  = 1.

Comparison of aceclofenac with piroxicam in the treatment of osteoarthritis.

A multicentre, double-blind, randomised, parallel group study was undertaken to investigate the efficacy and safety of aceclofenac (123 patients, 100 mg twice daily) in comparison to piroxicam (117 patients, 20 mg once daily and placebo once daily) in patients with osteoarthritis of the knee. The treatment period of two months was preceded by a washout period of one week duration. On completion of the study, patients in both aceclofenac and piroxicam-treated groups exhibited significant improvement in pain intensity and functional capacity of the affected knee, as represented by the Osteoarthritis Severity Index (OSI) (p < 0.

Orbicularis oris muscle: a double-breasted suture for its repair in the unilateral cleft lip.

The release of abnormal insertions of orbicularis oris muscle from the columella and ala base, and from their inferior attachments along the labial margin, provides muscle flaps for a double-breasted suture in cleft lip repair. Using the muscle flaps for double-breasted sutures realigns the orbicularis oris muscle fibers to achieve an anatomical and functional repair that is characterized by a symmetrical lip length, nostrils, philtral column, and philtral dimple. Double-breasted sutures also increase muscle thickness surrounding the lip and consequently provides better symmetry for the nostril floor.