Author's Personal Experience (author + personal_experience)

Distribution by Scientific Domains


Selected Abstracts


Surgical Management of Stable Vitiligo: A Review with Personal Experience

DERMATOLOGIC SURGERY, Issue 3 2000
Sharad Mutalik MB
Background. Various modalities are available for surgical management of stable, localized patches of vitiligo, which are resistant to conventional medical treatment. Cutaneous surgeons often struggle to select among various methods of surgical treatment that include camouflage tattooing, melanocyte transplants, excision, and melanocyte culture. The advantages, disadvantages, and limitations of all the available modalities are reviewed. Objective. The purpose of this review is to find out if any guidelines can be drawn regarding the surgical management of stable vitiligo. Methods. This article is based on a review of the medical literature and the author's personal experience over the last decade. Results. It is difficult to draw any fixed guidelines from this review. Treatment must be individualized depending upon the site and the extent of involvement. Conclusion. Although the retrospective nature of this article limits its validity, discussing the various therapeutic options is of value as continuing medical education. Surgical treatment may be individualized to obtain the best possible cosmetic result. [source]


Capturing the power of academic medicine to enhance health and health care of the elderly in the USA

GERIATRICS & GERONTOLOGY INTERNATIONAL, Issue 1 2004
William R Hazzard
As in Japan, the US population is aging progressively, a trend that will challenge the health-care system to provide for the chronic, multiple and complex needs of its elderly citizens. and as in Japan, the US academic health enterprise has only belatedly mounted a response to that challenge. Herein is reviewed a quarter of a century of the author's personal experience in developing new programs in gerontology and geriatric medicine from a base in the Department of Internal Medicine at three US academic health centers (AHC): The University of Washington (as Division Head), Johns Hopkins University (as Vice-Chair), and Wake Forest University (as Chair). Rather than to build a program from a new department of geriatrics, this strategy was chosen to capture the power and resources of the department of internal medicine, the largest university department, to ,gerontologize' the institution, beginning with general internal medicine and all of the medical subspecialties (the approach also chosen to date at all but a handful of US AHC). The keystone of success at each institution has been careful faculty development through fellowship training in clinical geriatrics, education and research. Over the same interval major national progress has occurred, including expanded research and training at the National Institute on Aging and the Department of Veterans Affairs, and accreditation of more than 100 fellowship programs for training and certification of geriatricians. However, less than 1% of US medical graduates elect to pursue such training. Hence such geriatricians will remain concentrated at AHC, and most future geriatric care in the USA will be provided by a broad array of specialists, who will be educated and trained in geriatrics by these academic geriatricians. [source]


CKO wanted , evangelical skills necessary: a review of the Chief Knowledge Officer position

KNOWLEDGE AND PROCESS MANAGEMENT: THE JOURNAL OF CORPORATE TRANSFORMATION, Issue 1 2001
Nick Bontis
One of the key challenges for business executives in the knowledge era is to manage intellectual capital. Drawing upon: (1) the author's personal experience as CKO of Knexa.com , the world's first knowledge exchange auction; and (2) the relatively nascent literature on the roles and responsibilities of CKOs, this paper highlights five perspectives that a CKO must embrace to be successful: (1) CKO as Knowledge Sharing Icon; (2) CKO as Trust Steward; (3) CKO as Total Trainer; (4) CKO as Techno Nerd; and (5) CKO as Number-crunching Accountant. Copyright © 2001 John Wiley & Sons, Ltd. [source]


Child health in an urbanizing world

ACTA PAEDIATRICA, Issue 1 2002
M Gracey
The aim of this study is to document and comment on the effects of urbanization on child health, internationally, using published reports and the author's personal experience. Urbanization is having profound effects on the health and well-being of infants and children in industrialized and developing countries. This will affect generations into the future. The changes are not confined to cities and large towns; they rapidly influence transitional societies in remote and rural areas, because globalization is changing infant feeding practices and children's diets and lifestyles. In developing countries, overcrowding and environmental pollution are massive problems made worse by undernutrition and infections, particularly respiratory and diarrhoeal diseases. In developed societies there are many other problems, e.g. injuries, poisonings, violence, drug abuse, exposure to industrial and atmospheric pollutants, including pesticides, sexually transmissible diseases, and "lifestyle", diseases including obesity and cardiovascular disease risk. There is an urgent need for paediatricians, health planners, policy-makers, governments and the community to understand these issues and work towards minimizing their harmful effects on children. Conclusion: Urbanization has profound effects on child health, globally; these must be recognised so that harmful influences of urbanization can be reduced for the benefit of all children. [source]


Discussion of laser-assisted liposuction,

LASERS IN SURGERY AND MEDICINE, Issue 10 2009
Brian D. Zelickson MD
Abstract There has been a significant advancement in the use of lasers for body contouring over the past several years. This article will review the recent past and discuss the future of this trend. Introduction There is much confusion over the definition of procedures using lasers for lipolysis and liposuction. This review article discusses the definitions of suction-assisted liposuction, laser lipolysis, and laser-assisted liposuction in detail. The development of these procedures is then discussed and pertinent articles are reviewed. Materials and Methods Pubmed and FDA.gov web sites were searched for published articles and FDA approved devices employing lasers for targeting fat for body contouring. This information along with the authors' personal experience was used to review and discuss this topic. Discussion There is a specific difference between suction-assisted liposuction, laser-assisted liposuction, and laser lipolysis. This review article clarifies these definitions and highlights the recent articles employing lasers for minimally invasive fat reduction. Lasers Surg. Med. 41:709,713, 2009. © 2009 Wiley-Liss, Inc. [source]