Illuminating neck dissection resource presents innovative techniques and insightful clinical pearls! This updated second edition of Functional and Selective Neck Dissection by Javier Gavilán, Alejandro Castro, Laura Rodrigáñez, and Jesús Herranz presents a unique point of view based on fascial dissection techniques developed by several generations of renowned surgeons at La Paz University Hospital. The book lays a foundation with in-depth discussion of fascial compartmentalization of the neck. The text covers the evolution of modern neck dissection, from George Crile in 1906 to current cutting-edge procedures, and details the transition from radical neck dissection to a less aggressive, equally effective approach for treating lymph node metastases in head and neck cancer. The relationship between functional and selective neck dissection is discussed from a pragmatic and nonconventional perspective, elucidating the connection from historical, anatomic, and surgical standpoints. The authors differentiate conceptual approaches, keystones in the evolution of scientific knowledge from surgical techniques, technical variations of a standard procedure designed to most effectively resolve a problem. The primary goal is providing the reader with expert guidance on a full spectrum of fundamental surgical techniques. Key Highlights Sequential operative photographs of actual procedures performed by the authors complemented by stellar illustrations further understanding of techniques Less radical operations discussed from American and Latin perspectives, ensuring a complete picture and integration of well-rounded best practices A chapter dedicated to hints and pitfalls offers insightful technical advice and precautions acquired through decades of practice Frequently asked questions and answers afford key insights on important surgical decisions, while suggested readings provide additional helpful materials This is an indispensable resource for practicing head and neck surgeons who treat patients with malignant tumors. Otorhinolaryngology, general surgery, and plastic surgery residents will also find it an invaluable source of information.
For all surgeons who manage patients with head and neck cancer, this information-packed book offers both a new approach and a new philosophy of treatment-one that rejects radical procedures except in advanced disease and focuses on a combined functional and selective approach for optimal outcome. You will find the rationale, indications, surgical steps, and results of these procedures, and be better equipped to handle a wide range of complex clinical situations. Functional and Selective Neck Dissection begins with a full explanation of the fascial compartmentalization of the neck, and goes on to explain and illustrate the procedures. Step-by-step descriptions of functional dissection surgeries, demonstrated with more than 200 high-quality, sequential operative photographs and drawings, highlight and clarify all points. Special features: A thorough description of the fascial anatomy of the neck, vital for facilitating an effective surgical approach in head and neck cancer patients Step-by-step surgical descriptions of functional neck dissections, augmented by hundreds of sequential operative photographs A full list of technical hints and pitfalls acquired through many years of clinical experience A unique chapter answering the most frequently asked questions about available surgical techniques A synthesis of the American and Latin viewpoints on neck dissection, key to understanding the evolution of the field and integrating the best aspects of both All head and neck surgeons, otolaryngologists, maxillofacial surgeons, plastic surgeons, and residents will find this synthesis of neck dissection techniques both informative and necessary for effective decision-making.
This book presents the first overview of the Toarcian Oceanic Anoxic Event in the southern Iberian paleomargin, in the western Tethys. The study of catastrophic events that affected the ecosystems in the past is of great interest, because it offers the possibility of establishing models that can be applied to current and future environmental changes. The book provides comprehensive information on the changes in marine ecosystems in connection with a global massive extinction, the Early Toarcian, and with the deposition of black shales, global warming and a disruption of the carbon cycle. In addition, the book describes the incidence of this event in this part of the Tethys close to the connection with the Protoatlantic, the Hispanic Corridor. Special attention is paid to sedimentological and ichnological aspects, fossil content (macroscopic and microscopic), and geochemistry. It also presents the facies changes related to fragmentation of the shelf and the evolution to hemipel agic troughs and swells in this paleomargin. Lastly, it characterizes this anoxic event in under-researched outcrops from southern Spain and compares the findings with those in well-known sections from northern and central Europe. This book offers a unique resource for all researchers interested in the Toarcian Oceanic Anoxic Event, but also in oceanic anoxic events that occurred during the Mesozoic in general, because of their similarity to recent climatic changes.
The Museum of Vertebrate Zoology (MVZ), located on the campus of the University of California, Berkeley, is a leading center of herpetological research in the United States. This monograph offers a brief account of the principal figures associated with the collection and of the most important events in the history of herpetology in the MVZ during its first 93 years, and lists all type specimens of recent amphibians and nonavian reptiles in the collection. Although the MVZ has existed since 1908, until 1945 there was no formal curator for the collection of amphibians and nonavian reptiles. Since that time Robert C. Stebbins, David B. Wake, Harry W. Greene, Javier A. Rodríguez-Robles (in an interim capacity), and Craig Moritz have served in that position. The herpetological collection of the MVZ was begun on March 13, 1909, with a collection of approximately 430 specimens from southern California and as of December 31, 2001, contained 232,254 specimens. Taxonomically, the collection is strongest in salamanders, accounting for 99,176 specimens, followed by "lizards" (squamate reptiles other than snakes and amphisbaenians, 63,439), frogs (40,563), snakes (24,937), turtles (2,643), caecilians (979), amphisbaenians (451), crocodilians (63), and tuataras (3). Whereas the collection's emphasis historically has been on the western United States and on California in particular, representatives of taxa from many other parts of the world are present. The 1,765 type specimens in the MVZ comprise 120 holotypes, three neotypes, three syntypes, and 1,639 paratopotypes and paratypes; 83 of the holotypes were originally described as full species. Of the 196 amphibian and nonavian reptilian taxa represented by type material, most were collected in México (63) and California (USA, 54). The Appendix of the monograph presents a list of curators, graduate and undergraduate students, postdoctoral fellows, research associates, research assistants, curatorial associates, curatorial assistants, and visiting faculty who have conducted research on the biology of amphibians and reptiles while in residence in the Museum of Vertebrate Zoology as of December 31, 2001.
Mejorar el rendimiento de una organización, a la par que la satisfacción y la realización de las personas que trabajan en ella, es la meta que cualquier buen empresario, gestor o directivo persigue en su día a día. Sin embargo, no todos la logran. Hace falta entrenar mucho el intelecto y la inteligencia emocional, entre otras capacidades, para subirse al podio del éxito en el arte del gobierno de las personas y las compañías. Con el fin de ayudar a cuantos más mejor a conseguir este fin, Javier Fernández Aguado, reconocido profesional del management, capitanea a otros once grandes expertos para ofrecer las claves y las reflexiones a quienes se interesen por este importante asunto. Las perspectivas de José Aguilar, José Manuel Casado, Cosimo Chiesa, Nuria Chinchilla, Luis Huete, Marcos Urarte, Eugenio de Andrés, Enrique Sueiro, Catalina Hoffmann, Christopher Smith y Francisco Misiego cubren tanto el ámbito público como el privado, el de las pymes y el de las multinacionales... Claves del management no es cualquier libro, sino el mejor ejemplo de que España ha dejado de ser importadora de pensamiento directivo para convertirse en exportadora neta del mismo. ¿Te lo vas a perder?
The AC/E Digital Culture Annual Report is a publication which looks at the impact of the internet on our society. Its aim is to delve into the transformation happening within the arts and culture sector and to help entities and professionals create experiences that are in line with the expectations of 21st century consumers. The first part of the 2018 edition brings together texts from professionals in the arts and culture sector as well as from experts in the digital field, in order to get up to speed on important issues regarding main trends. Every year the second part of the edition (Focus) looks at the changes happening among readers and reading material. The aim is to outline a map of digital reading material. Mario Tascón takes a close look at our most connected cities that have been created by the latest interconnected devices and the Internet of Things. He then analyses the role that cultural spaces are destined to perform within these cities. Next, JosО Manuel MenОndez and David Jimeno Bermejo describe the latest challenges faced by immersive technologies and its growing role within the ecosystem of digital content. The Experimental UNIT of the University of Valencia reviews its experience with the use of digital design and analyses how the latest possibilities of mobile devices can offer resources for the construction of the museography debate. Jovanka Adzic discusses a burning issue. In her analysis on the evolution of social networks and their continuously expanding influence on our way of life, she also takes a look at the problem of fake news on the internet. Jovanka goes on to refl ect on the competitive advantage of FANG obtained through large volumes of social data, within an economy driven by Big Data. Elena Neira takes a look at the impact of consumption of on-screen culture and the business models that are based on subscriptions— the so-called “Netfl ix model”. And Emma Rodero – in line with this year’s central theme of Focus – examines the theme of orality and analyses the growing influence of sound and voice in the digital era. Pablo GervЗs builds on the concept of computational creativity and its impact on literary creation. We have a total of seven articles by renowned experts to help us learn and reflect on the changes affecting our society as a whole and to give us a glimpse of new opportunities for the sector of arts and culture. Every year the second part of the edition (Focus) reflects and explains – through the use of best-practice examples both nationally and internationally – the biggest changes happening among readers and reading material in the digital era. The main objective of this section is to present a unified view on the matter. Authors Luis Miguel Cencerrado, Elisa Yuste and Javier Celaya outlines a map to help us navigate with ease through all types of texts; highlighting the role of the reader in the current context of hybrid literature (paper, digital, audio, visual, transmedia, etc.) which is favoured by the digital era we live in. The annual review is published in both Spanish and English, in PDF and EPUB format and can be downloaded for free under the licence of Creative Commons. The publication can be downloaded on the AcciЧn Cultural EspaЦola website in the section digital publications. A copy can also be obtained from major distributors of national and international digital books.
Me acuerdo, existió una vez, alrededor de una humilde casita, envestida de cabras y gallinas, ovejas algunos burros. Unos perros muy buenos cazadores 'pastores', algunos pericos domésticos y salvajes entre otras busarañitas aves y demás, un preciado ''Árbol de Cují''. Fue aquel duro ¡madero viviente, de tamaño no muy grande! Especialmente aposento de un típico magnífico ejemplar tamaño relativamente diminuto y colores ¡rojo bordeado de negro y algo gris grueso y blanquecino para algunas partes de la cara pico!; El ''San Antonio', ave, cuya vida pasa salvándos de los férreos e imprevistos ataques de la artillería inséctica. Allí, aprendí frente a ese Cujicito tan poblado, ¡además de muchos valores del trabajo!; El primer trinar con que estos engalanan la faena de un nuevo comenzar. Así fue que adornado de tan hidalgos huéspedes, hubo de llamársele al viejo querido árbol; ''Cujicito e San Antonios'' Esta lírica textual ha abierto los horizontes al muchacho hombre...
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