• 제목/요약/키워드: Parmeshwar

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EVOLUTION OF THE EARTH AND OCCURRENCE OF EARTHQUAKES

  • Rathore, Narpat Singh
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2003년도 Proceedings of ACRS 2003 ISRS
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    • pp.369-371
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    • 2003
  • This paper attempts to study the evolution of the Solar System including the earth through various existing hypotheses and the occurrence of earthquakes on the earth. From the analysis of the various theories it can be inferred that the Mystery regarding evolution of Solar System is a complex problem which requires continuos research. The occurrence of the earthquake is also affected by the earth's rotation, which produces Centrifugal Force, which together with convection current causes plate displacement resulting in earthquakes. The extent of displacement varies with the size and density of the plates.

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Chest wall perforator flaps for partial breast reconstruction: Surgical outcomes from a multicenter study

  • Soumian, Soni;Parmeshwar, Rishikesh;Chandarana, Mihir;Marla, Sekhar;Narayanan, Sankaran;Shetty, Geeta
    • Archives of Plastic Surgery
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    • 제47권2호
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    • pp.153-159
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    • 2020
  • Background Perforator artery flaps based on the branches of intercostal arteries and lateral thoracic artery can be used for reconstruction after breast-conserving surgery (BCS). Although described more than a decade ago, these have not been adopted widely in clinical practice. We report on short-term and long-term surgical outcomes of partial breast reconstruction using chest wall perforator flaps from a prospective multicenter audit. Methods All patients operated for BCS and partial breast reconstruction using intercostal artery perforator or lateral thoracic artery perforator flaps from January 2015 to October 2018 were included in the analysis. Oncoplastic breast surgeons with appropriate level of training performed all tumor excisions and reconstructions as a single-stage procedure. Patient characteristics, treatment details and surgical outcomes were noted. Specific outcomes recorded were margin re-excision and complication rates. Results One hundred and twelve patients underwent the procedure in the given study period. The median age was 54 years. Median specimen weight was 62.5 g and median volume of excision was 121.4 mL. Fifteen patients (13.39%) underwent a margin re-excision for close or positive margins without additional morbidity. One patient required a completion mastectomy. Eight patients (7.14%) had an early complication. None of the patients required a contralateral symmetrization procedure. The results were comparable across the participating centers. Conclusions Chest wall artery perforator-based flaps are an excellent option for lateral and inferior quadrant partial breast reconstructions. The short and long-term surgical outcomes are comparable across sites and can be performed with minimal morbidity. Patient-reported outcome measures need to be studied.