Academic literature on the topic 'Surgery, Plastic – Australia'

Background: Bibliometrics is the analysis of research produced by individuals and institutions. While previous analyses have assessed sub-specialty fields, as well as contributions of individual countries to the plastic surgical literature, no bibliometric analyses to date have measured the contribution of plastic surgeons from Australia and New Zealand.Methods: Plastic surgery journals with the 15 highest impact factors were identified. Total publications in a ten-year period from October 2007 to September 2017 by Australian and New Zealand Plastic Surgeons were recorded, as were h-indices for all surgeons.Results: 588 articles were published by 498 surgeons, with the largest numbers in Plastic and Reconstructive Surgery (142), Burns (133), and the Journal of Plastic, Reconstructive and Aesthetic Surgery (112). Mean h-index for Associate Professors was 9.29, and for Professors was 17.17.Conclusion: Australian and New Zealand plastic surgeons continue to be actively involved in world-class research and innovation. The volume and quantity of research produced supports the development of an Australasian Journal of Plastic Surgery.

Background: Bibliometrics is the analysis of research produced by individuals and institutions. While previous analyses have assessed sub-specialty fields, as well as contributions of individual countries to the plastic surgical literature, no bibliometric analyses to date have measured the contribution of plastic surgeons from Australia and New Zealand.Methods: Plastic surgery journals with the 15 highest impact factors were identified. Total publications in a ten-year period from October 2007 to September 2017 by Australian and New Zealand Plastic Surgeons were recorded, as were h-indices for all surgeons.Results: 588 articles were published by 498 surgeons, with the largest numbers in Plastic and Reconstructive Surgery (142), Burns (133), and the Journal of Plastic, Reconstructive and Aesthetic Surgery (112). Mean h-index for Associate Professors was 9.29, and for Professors was 17.17.Conclusion: Australian and New Zealand plastic surgeons continue to be actively involved in world-class research and innovation. The volume and quantity of research produced supports the development of an Australasian Journal of Plastic Surgery.

Many specialist groups have developed clinical trial initiatives in response to the growing need for more collaborative research, and these are proliferating in multiple countries across the globe. The Royal Australasian College of Surgeons (RACS), under the direction of Professor John Windsor, established the clinical trials network of Australia and New Zealand (CTANZ). CTANZ supports the Australasian clinical trials in plastic, reconstructive and aesthetic surgery (ACTPRAS) research group which has already facilitated two multicentre, international, collaborative studies.

Background: Changes in the marketing of plastic surgery services in Australia has resulted in more plastic surgeons advertising on personal professional websites. In May 2014 the Australian Health Practitioner Regulation Agency (AHPRA) published ‘Guidelines for advertising regulated health services’. This study evaluates the compliance of plastic surgeons with these advertising standards. Method: The professional websites for all members of the Australian Society of Plastic Surgeons (ASPS) were analysed using the AHPRA guidelines. Each website was assessed by two independent medical reviewers noting the use of deceptive advertising, gifts/discounts, comparison with other surgeons, website photos, inappropriate marketing phraseology to encourage surgery and the creation of unreasonable expectations. Results: Over 80 per cent of ASPS members are fully compliant with the AHPRA guidelines. Less than one per cent of surgeons listed information considered to be misleading, deceptive, or creating unreasonable expectations. Gifts or discounts were offered by 5.8 per cent, 5.5 per cent used inappropriate marketing phraseology, 4.9 per cent made comparisons with other surgeons and 1.3 per cent had website photos that did not comply with recommended guidelines. Thirty-four per cent of surgeons were on Facebook, 20.4 per cent on Twitter and 19.4 per cent on Instagram. Of NSW surgeons, 13.8 per cent of had inappropriate website photos. Approximately 19 per cent of surgeons in WA and SA used inappropriate marketing to encourage surgery. Conclusion: The majority of ASPS members are compliant with the national advertising guidelines. Regional non-compliance with specific areas was noted suggesting targeted education may be of benefit.

Health services exist to address the health needs of the community. But in Australia at present there are not enough detailed data to tell us to what extent, community by community, our highly regarded health system is meeting those needs. We know that demand for health care services is growing faster than the overall economy, and that we no longer have a general shortage of doctors, but most problematically there is a significant geographic maldistribution of those doctors away from rural and regional areas.iFor plastic surgery services, there is very little understanding of what the aggregate needs of rural communities are, or how these needs vary by community. We know by anecdote that there is significant inequity in plastic surgery services and that rural and regional locations often have unfilled positions and diminished services. We note that 80 per cent of specialist plastic surgeons live and work wholly within the five largest Modified Monash level 1 (MM1) Australian cities.1 Only 8.5 per cent of specialist plastic surgeons are permanently based outside those five cities. We also note that this is a more serious negative divergence than other comparable surgical specialties.While we briefly explore the basis for some ‘innovative’ solutions in this paper, we are constantly reminded that a prerequisite of any ‘solution’ should be an in-depth study of what Australian rural communities need or want in terms of plastic surgery services.

Background and Aim. The optimum management of Bowen’s Disease (BD) is undefined. A review of current practice is required to allow the development of best practice guidelines.Methods. All BD cases, diagnosed in one UK centre and one Australian centre over a year (1 July 2012–30 June 2013), were analysed retrospectively. Patients with BD were identified from histopathology reports and their medical records were analysed to collect demographic data, site of lesion, and treatment used.Results. The treatment of 155 lesions from the UK centre and 151 lesions from the Australian centre was analysed. At both centres BD was most frequently observed on the face: UK had 70 (45%) lesions and Australia had 83 (55%) lesions (P=0.08). The greatest number of lesions was managed by the plastic surgery department in the UK centre, 72 (46%), and the dermatology department in the Australian centre, 121 (80%). The most common therapy was surgical excision at both centres.Conclusions. In both UK and Australia, BD arises on sun-exposed sites and was most commonly treated with surgical excision despite a lack of robust evidence-based guidelines.

Sets out the principles of craniofacial surgery and how they have been utilised to form the Australian Craniofacial Unit. Progress of the organisation is mapped over twenty one years using selected published papers in which the author has in some way contributed to the development of teaching, research and service in craniofacial surgery. Papers are grouped so as to show the progress made in the areas of trauma, the craniosynostoses, rare craniofacial clefts, frontal ethmoidal meningoencephaloceles, craniofacial tumours, as well as research and development.
Thesis (M.D.) -- University of Adelaide, Dept. of Surgery, 1999

Includes bibliographical references.
2 v. :
Title page, contents and abstract only. The complete thesis in print form is available from the University Library.
Sets out the principles of craniofacial surgery and how they have been utilised to form the Australian Craniofacial Unit. Progress of the organisation is mapped over twenty one years using selected published papers in which the author has in some way contributed to the development of teaching, research and service in craniofacial surgery. Papers are grouped so as to show the progress made in the areas of trauma, the craniosynostoses, rare craniofacial clefts, frontal ethmoidal meningoencephaloceles, craniofacial tumours, as well as research and development.
Thesis (M.D.)--University of Adelaide, Dept. of Surgery, 1999

Throughout the world, each year, approximately 250,000 people develop melanoma and 40,000 die from the disease. Melanoma is characteristically a disease of fair-skinned persons exposed to high ambient levels of ultraviolet (UV) radiation. The incidence has doubled over the last 20 years although unlike other countries the rate of increase in Australia has slowed in recent years, possibly due to public education campaigns targeting excessive UV exposure. Globally the incidence in patients over the age of 65 continues to increase and accounts for disproportionately more melanoma-related deaths. Nevertheless, melanoma in younger persons (<35 years) is among the leading causes of cancer-related mortality in fair-skinned populations. Until the last decade, the outlook for patients with advanced melanoma was uniformly poor but the development of specific therapies targeting the mitogen-activated protein kinase pathway (mutated BRAF melanoma) and immune checkpoint therapy has delivered enormous improvements in outcome.

Rakesh Roshan’s Khoon Bhari Maang (Blood-Smeared Forehead, India, 1988) is closely modelled on the iconic Australian television 3-part, mini-series Return to Eden (Karen Arthur, Kevin James Dobson, 1983), itself a self-conscious appropriation and strategic indigenisation of the melodramatic conventions and “feminised address” of the prime time American soap opera. In Return to Eden, a treacherous tennis champ marries a meek and dowdy heiress, Stephanie Harper, and throws her into alligator-infested waters; she survives, has plastic surgery, becomes a supermodel, and returns to exact revenge on her husband. In the transnational film remake, Khoon Bhari Maang, the heroine’s transformation is more extreme – in accordance with her revenge, which is more violent – and also more complex, in terms of cultural identity, since her journey, from frumpy Aarti to the sultry Jyoti, necessitates a negotiation of traditional/modern and Indian/non-Indian modes of womanhood (and this also resonates with the ‘reinvention’ of its star, Rekha, in the late 1970s). Drawing on recent discussions of the anxious “assemblage” of femininity in popular Hindi cinema this chapter focuses on issues raised by Khoon Bhari Maang’s presentation of the make-over conceit.

RESUMO A abordagem sistêmica é um processo interdisciplinar, cujo princípio primordial é compreender a interdependência recíproca e relações de todas as áreas e da necessidade de sua integração, permitindo maior aproximação entre os seus limites de estudo. Nesse contexto o olhar sistêmico, da ergonomia, sobretudo no que se refere à segurança, ao conforto e à eficácia de uso, de funcionalidade e de operacionalidade dos objetos, considerando todos os produtos ou sistemas de produtos, como sistema de uso, desde os mais simples aos mais complexos ou sistêmicos, tem como objetivo adequá-los aos seres humanos, tendo em vista as atividades e tarefas exercidas por eles. No que se refere ao design funcional, os conhecimentos da ergonomia, nessa visão sistêmica, relativos à sua metodologia de projeto, são absolutamente necessários, e a sua aplicação aponta a melhor adequação dos produtos aos seus usuários. Como é o caso do vestuário feminino funcional, sobretudo no que se refere a proteção das mamas, que são peças convencionais que necessitam de um correto dimensionamento e especificação dos tecidos e de outros materiais. É um tipo de vestuário que apresenta funcionalidade diversa, como para a proteção física, o aumento do volume da mama, enchimento no bojo de pano, de água, de óleo, estruturado com arame, etc.; para amamentação (sutiã que se abre na frente, em parte ou totalmente); para o design inclusivo (pessoas com deficiência e mobilidade reduzida, no caso de mamas com prótese ou órtese) facilitando com fechamentos e aberturas colocadas em peças de roupas difíceis de manusear, roupas confortáveis e fáceis de vestir. São peças usadas por pessoas com biótipos e percentis antropométricos variáveis e com características corporais que mudam significativamente nas passagens para a adolescência, idade adulta e idosa. As mudanças corporais apresentam diferenças significativas em termos de volume das mamas, nas quais as soluções ergonômicas por uma abordagem sistêmicas que se evidencia mais para a complexidade de uso, são as mais necessárias em termos de atributos como, segurança, conforto, comodidade corporal, facilidade do vestir, funcionalidade, além da estética. Esta pesquisa, embora exploratória e descritiva, não isenta de desafios, tem por objetivo, por meio de dados e informações ergonômicas sistêmicas contribuir com o design funcional, de modo a oferecer subsídios para a confecção de roupas funcionais ou tecnologia vestível, com os atributos citados, respeitando a diversidade e inclusão das pessoas em todas as fases de sua vida, atendendo assim os princípios formais do design. Palavra-chave: Abordagem sistêmica, Ergonomia, Design funcional. REFERENCIAS AROS, Kammiri Corinaldesi. 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