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Diabetologia Notes de lecture     Hybrid Journal  
Diabetology Intl.     Hybrid Journal   (Followers: 1, SJR: 0.273, h-index: 5)
Dialectical Anthropology     Hybrid Journal   (Followers: 8, SJR: 0.314, h-index: 9)
Die Weltwirtschaft     Hybrid Journal   (Followers: 2)
Differential Equations     Hybrid Journal   (Followers: 2, SJR: 0.364, h-index: 15)
Differential Equations and Dynamical Systems     Hybrid Journal   (Followers: 1, SJR: 0.63, h-index: 7)
Digestive Diseases and Sciences     Hybrid Journal   (Followers: 4, SJR: 1.19, h-index: 89)
Directieve therapie     Hybrid Journal  
Discrete & Computational Geometry     Hybrid Journal   (Followers: 2, SJR: 1.269, h-index: 40)
Discrete Event Dynamic Systems     Hybrid Journal   (Followers: 2, SJR: 0.42, h-index: 32)
Distributed and Parallel Databases     Hybrid Journal   (Followers: 4, SJR: 0.766, h-index: 30)
Distributed Computing     Hybrid Journal   (Followers: 2, SJR: 1.41, h-index: 31)
DNP - Der Neurologe und Psychiater     Full-text available via subscription  
Documenta Ophthalmologica     Hybrid Journal   (Followers: 2, SJR: 0.946, h-index: 40)
Doklady Biochemistry and Biophysics     Hybrid Journal   (Followers: 2, SJR: 0.2, h-index: 10)
Doklady Biological Sciences     Hybrid Journal   (SJR: 0.248, h-index: 10)
Doklady Botanical Sciences     Hybrid Journal  
Doklady Chemistry     Hybrid Journal   (SJR: 0.272, h-index: 12)
Doklady Earth Sciences     Hybrid Journal   (SJR: 0.48, h-index: 17)
Doklady Mathematics     Hybrid Journal   (SJR: 0.345, h-index: 13)
Doklady Physical Chemistry     Hybrid Journal   (SJR: 0.299, h-index: 12)
Doklady Physics     Hybrid Journal   (Followers: 1, SJR: 0.293, h-index: 17)
Douleur et Analg├ęsie     Hybrid Journal   (SJR: 0.113, h-index: 6)
Drug Delivery and Translational Research     Hybrid Journal   (Followers: 2, SJR: 0.607, h-index: 8)
Drug Safety - Case Reports     Open Access  
Drugs : Real World Outcomes     Hybrid Journal   (Followers: 1)
Dynamic Games and Applications     Hybrid Journal   (Followers: 2, SJR: 0.481, h-index: 5)
Dysphagia     Hybrid Journal   (Followers: 243, SJR: 0.822, h-index: 52)
e & i Elektrotechnik und Informationstechnik     Hybrid Journal   (Followers: 9, SJR: 0.279, h-index: 9)
e-Neuroforum     Hybrid Journal  
Early Childhood Education J.     Hybrid Journal   (Followers: 14, SJR: 0.466, h-index: 16)
Earth Science Informatics     Hybrid Journal   (Followers: 3, SJR: 0.282, h-index: 7)
Earth, Moon, and Planets     Hybrid Journal   (Followers: 6, SJR: 0.303, h-index: 29)
Earthquake Engineering and Engineering Vibration     Hybrid Journal   (Followers: 7, SJR: 0.482, h-index: 21)
Earthquake Science     Hybrid Journal   (Followers: 8, SJR: 0.418, h-index: 9)
East Asia     Hybrid Journal   (Followers: 7, SJR: 0.18, h-index: 9)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 9, SJR: 0.362, h-index: 27)
EcoHealth     Hybrid Journal   (Followers: 2, SJR: 0.88, h-index: 26)
Ecological Research     Hybrid Journal   (Followers: 8, SJR: 0.847, h-index: 43)
Economia e Politica Industriale     Hybrid Journal  
Economia Politica     Hybrid Journal   (SJR: 0.375, h-index: 6)
Economic Botany     Hybrid Journal   (Followers: 9, SJR: 0.527, h-index: 44)
Economic Bulletin     Hybrid Journal   (Followers: 4)
Economic Change and Restructuring     Hybrid Journal   (Followers: 1, SJR: 0.264, h-index: 9)
Economic Theory     Hybrid Journal   (Followers: 9, SJR: 2.557, h-index: 34)
Economic Theory Bulletin     Hybrid Journal   (Followers: 2)
Economics of Governance     Hybrid Journal   (Followers: 2, SJR: 0.408, h-index: 14)
Ecosystems     Hybrid Journal   (Followers: 19, SJR: 1.909, h-index: 93)
Ecotoxicology     Hybrid Journal   (Followers: 10, SJR: 1.333, h-index: 56)
Education and Information Technologies     Hybrid Journal   (Followers: 234, SJR: 0.366, h-index: 16)
Educational Assessment, Evaluation and Accountability     Hybrid Journal   (Followers: 17, SJR: 0.374, h-index: 15)
Educational Psychology Review     Hybrid Journal   (Followers: 15, SJR: 2.776, h-index: 61)
Educational Research for Policy and Practice     Hybrid Journal   (Followers: 7, SJR: 0.273, h-index: 9)
Educational Studies in Mathematics     Hybrid Journal   (Followers: 11, SJR: 0.825, h-index: 32)
Educational Technology Research and Development     Partially Free   (Followers: 219, SJR: 1.785, h-index: 52)
Electrical Engineering     Hybrid Journal   (Followers: 13, SJR: 0.336, h-index: 18)
Electrocatalysis     Hybrid Journal   (SJR: 0.883, h-index: 10)
Electronic Commerce Research     Hybrid Journal   (Followers: 4, SJR: 0.582, h-index: 16)
Electronic Markets     Hybrid Journal   (Followers: 5, SJR: 0.411, h-index: 8)
Electronic Materials Letters     Hybrid Journal   (Followers: 3, SJR: 1.407, h-index: 15)
Elemente der Mathematik     Hybrid Journal   (Followers: 1)
Emergency Radiology     Hybrid Journal   (Followers: 4, SJR: 0.678, h-index: 25)
Emission Control Science and Technology     Hybrid Journal  
Empirica     Hybrid Journal   (Followers: 3, SJR: 0.319, h-index: 16)
Empirical Economics     Hybrid Journal   (Followers: 8, SJR: 0.489, h-index: 31)
Empirical Software Engineering     Hybrid Journal   (Followers: 5, SJR: 1.285, h-index: 39)
Employee Responsibilities and Rights J.     Hybrid Journal   (Followers: 2, SJR: 0.361, h-index: 15)
Endocrine     Hybrid Journal   (Followers: 5, SJR: 0.878, h-index: 57)
Endocrine Pathology     Hybrid Journal   (Followers: 2, SJR: 0.638, h-index: 31)
Energy Efficiency     Hybrid Journal   (Followers: 11, SJR: 0.732, h-index: 14)
Energy Systems     Hybrid Journal   (Followers: 11, SJR: 1.176, h-index: 7)
Engineering With Computers     Hybrid Journal   (Followers: 5, SJR: 0.433, h-index: 30)
Entomological Review     Hybrid Journal   (Followers: 3, SJR: 0.144, h-index: 5)
Environment Systems & Decisions     Hybrid Journal   (Followers: 2)
Environment, Development and Sustainability     Hybrid Journal   (Followers: 29, SJR: 0.419, h-index: 29)
Environmental and Ecological Statistics     Hybrid Journal   (Followers: 5, SJR: 0.458, h-index: 32)
Environmental and Resource Economics     Hybrid Journal   (Followers: 18, SJR: 1.632, h-index: 54)
Environmental Biology of Fishes     Hybrid Journal   (Followers: 4, SJR: 0.725, h-index: 58)
Environmental Chemistry Letters     Hybrid Journal   (Followers: 2, SJR: 0.741, h-index: 28)
Environmental Earth Sciences     Hybrid Journal   (Followers: 11, SJR: 0.724, h-index: 63)
Environmental Economics and Policy Studies     Hybrid Journal   (Followers: 6, SJR: 0.524, h-index: 4)
Environmental Evidence     Open Access  
Environmental Fluid Mechanics     Hybrid Journal   (Followers: 2, SJR: 0.437, h-index: 24)
Environmental Geochemistry and Health     Hybrid Journal   (Followers: 2, SJR: 1.013, h-index: 36)
Environmental Geology     Hybrid Journal   (Followers: 12)
Environmental Health and Preventive Medicine     Hybrid Journal   (Followers: 3, SJR: 0.522, h-index: 19)
Environmental Management     Hybrid Journal   (Followers: 32, SJR: 0.942, h-index: 66)
Environmental Modeling & Assessment     Hybrid Journal   (Followers: 11, SJR: 0.533, h-index: 31)
Environmental Monitoring and Assessment     Hybrid Journal   (Followers: 8, SJR: 0.685, h-index: 52)
Environmental Science and Pollution Research     Hybrid Journal   (Followers: 14, SJR: 0.885, h-index: 46)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 3, SJR: 1.4, h-index: 17)
Epileptic Disorders     Hybrid Journal   (Followers: 1, SJR: 0.608, h-index: 38)
EPJ A - Hadrons and Nuclei     Hybrid Journal   (Followers: 1, SJR: 1.287, h-index: 63)
EPJ B - Condensed Matter and Complex Systems     Hybrid Journal   (Followers: 3, SJR: 0.731, h-index: 89)
EPJ direct     Hybrid Journal  
EPJ E - Soft Matter and Biological Physics     Hybrid Journal   (Followers: 1, SJR: 0.641, h-index: 62)
EPMA J.     Open Access   (SJR: 0.284, h-index: 6)
ERA-Forum     Hybrid Journal   (Followers: 2, SJR: 0.128, h-index: 3)
Erkenntnis     Hybrid Journal   (Followers: 13, SJR: 0.621, h-index: 16)
Erwerbs-Obstbau     Hybrid Journal   (SJR: 0.206, h-index: 9)

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Journal Cover   European Journal of Plastic Surgery
  [SJR: 0.171]   [H-I: 14]   [4 followers]  Follow
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1435-0130 - ISSN (Online) 0930-343X
   Published by Springer-Verlag Homepage  [2302 journals]
  • A general algorithm for chest wall reconstruction based on a retrospective
    • Abstract: Background Many chest wall reconstruction algorithms have been proposed, but there is still no general consensus. The purpose of this study is to review our single institutional experience in chest wall reconstruction and identify a working algorithm based on our retrospective analysis. Methods This is a retrospective analysis of 54 patients who underwent chest wall reconstruction in our department from 1996 to 2011. Results The mean follow-up was 38 months. Central chest wall defects were the most common, while infection and tumour resection were the two most common indications. The pedicled latissimus dorsi flap was a versatile flap, used as a single or combination flap for anterolateral, lateral and posterior defects. The pectoralis major flap was suitable for central and anterolateral defects and the rectus abdominis flap for lower central defects. Omentum flaps were useful in radiation-damage skin or in patients with recurrent infection. Conclusions Locoregional flaps are the mainstay of chest wall reconstruction. Most skeletal reconstruction, when required, is safely accomplished with the use of prosthetic materials. Free flaps are usually only indicated for large defects or when regional flaps are unavailable. Level of Evidence: Level IV, therapeutic study.
      PubDate: 2015-04-16
  • Abdominal wall neuropraxia: a previously unreported complication of
           latissimus dorsi flap breast reconstruction
    • Abstract: Abstract The latissimus dorsi flap is one of the most commonly used in breast reconstruction. We report the case of a 61-year-old female, who developed abdominal wall neuropraxia as a complication of latissimus dorsi free flap harvest. The cause of injury was compression of the T8–T12 spinal root outlets due to lateral spinal flexion during the procedure, which caused demyelination of the nerve roots. This complication is previously unreported in the literature. Level of Evidence: Level V, risk/prognostic study.
      PubDate: 2015-04-15
  • Erratum to: The reconstructive challenges of electrical burns to the
           scalp: a case series
    • PubDate: 2015-04-14
  • Apocrine carcinoma of the nasal alar rim
    • Abstract: Abstract Apocrine carcinoma is a rare and potentially highly aggressive cutaneous adenocarcinoma, normally seen in areas rich in apocrine glands. An apocrine carcinoma was diagnosed following excisional biopsy of a nasal rim lesion and expert review of the histology. It represents the first reported case in this area. Following exclusion of further lesions by PET CT, a wide local excision was performed curatively, followed by a three-stage reconstruction with a nasolabial flap to correct the defect. Management of such rare lesions is difficult and is best directed, as in this case, by specialist pathological input and through a specialist MDT. Level of Evidence: Level V, diagnostic study.
      PubDate: 2015-04-14
  • Modified application of thumb tourniquet to enlarge the operative field
    • PubDate: 2015-04-07
  • Acknowledgment to reviewers – 2014
    • PubDate: 2015-04-01
  • A variant of Poland’s syndrome: axillary web containing rudimentary
           pectoralis major muscle
    • PubDate: 2015-04-01
  • Streamlining wound washout: a novel method of wound irrigation
    • PubDate: 2015-04-01
  • “Slip sliding” technique. A new method to perform
    • Abstract: Background When performing breast augmentation in patients affected by mild-moderate ptosis or pseudoptosis, the plastic surgeon often has to choose whether to perform a glandular mastopexy or not. This decision is controversial not only due to the residual scarring, but also breast reshaping with potential asymmetries, often poorly tolerated or directly rejected by the patient herself. Methods We performed the “slip sliding technique” on nine Caucasian female patients from July 2011 to April 2014. By this technique, a glandular reshaping is performed with a single superior half-moon-shaped periareolar access and an undermining above and underneath the muscle. The breast implant is positioned in the submuscular plane and the breast parenchyma is lifted cranially, resulting in a mastopexy-augmented breast without its traditional scars. Results Ptosis and pseudoptosis correction were satisfactory in all cases to both patients and surgeons. No ptosis recurrence or asymmetries were observed. Conclusions Despite the recent introduction and a limited number of treated patients, the slip sliding technique has proven to reach good results in patients where breast augmentation alone is doubtful. In our opinion, the slip sliding is a valid technique when mastopexy has to be associated to breast augmentation surgery in selected patients. Level of Evidence: Level V, therapeutic study.
      PubDate: 2015-04-01
  • A case of non-ischaemic blue finger and toe
    • PubDate: 2015-04-01
  • Idiopathic scaphoid avascular necrosis in a patient with hypohidrotic
           congenital ectodermal dysplasia
    • Abstract: Abstract Hypohidrotic ectodermal dysplasia (HED), also called Christ–Siemens–Touraine (CST) syndrome, is a rare genetic syndrome that affects structures of ectodermal origin, such as the nails, teeth, hair, sweat glands, and skin. Deficiency or absence of these anatomical structures can result in hypotrichosis, hypodontia, hypohidrosis, or anhidrosis. Most cases show X-linked inheritance associated with mutations in the ectodysplasin (EDA) gene, although autosomal dominant or recessive inheritance patterns have also been observed. Avascular necrosis of the scaphoid bone is common after a fracture and can also be associated with systemic disease or chronic steroid administration, while idiopathic avascular necrosis of the scaphoid is very rare. This report presents a patient with HED who developed idiopathic avascular necrosis of the scaphoid and discusses the potential association between the two. Level of Evidence: V, diagnostic study.
      PubDate: 2015-04-01
  • A rare case of primary apocrine carcinoma of the axilla
    • PubDate: 2015-04-01
  • Results of upper limb digital and hand replant and revascularisation at a
           UK Hand Centre
    • Abstract: Background There is an increasing awareness of replantation amongst the general public, with an expectation for reattachment of digits. Currently, there is a paucity of evidence on the outcomes of replantation or revascularisations in the UK with most surgical experience literature from the USA or East Asian countries. Methods We report a case series of 28 patients over a 7-year period with replantation or revascularisation performed at a tertiary National Health Service hand centre in the UK. Data was collected retrospectively from hospital clinical notes and electronic imaging. Results Out of the 28 patients identified, 16 had single digit replantation or revascularisation, of which 11 digits ultimately survived. Nine patients underwent multiple digit replantation or revascularisation with a combined total of 25 digits, only five of these digits survived. Conclusions Factors found to adversely affect survival were increased number of attempted replants, power-saw mechanism of injury and prolonged ischaemic time. Reduced ischaemic times and single digit amputations were associated with improved survival. Level of Evidence: level IV, risk/prognostic study.
      PubDate: 2015-04-01
  • Post-traumatic radioulnar synostosis treated effectively with tissue
           expander capsule interposition: a novel technique
    • Abstract: Abstract Post-traumatic radioulnar synostosis is a rare condition characterised by abnormal fibro-osseous union between radius and ulna along the length of the interosseous membrane, resulting in loss of forearm pronation and supination. Various surgical techniques have been described and numerous interpositional materials have been used. We present a novel technique of utilising a tissue expander capsule as the interpositional gliding surface. This technique provides an autologous capsule and an expanded adipofascia, which are well vascularised for increased length and reliability. Level of Evidence: Level V, therapeutic study.
      PubDate: 2015-04-01
  • Cause of death among head and neck skin cancer patients in a Nigerian
           hospital: significance of the cranium
    • Abstract: Background Most cancers in the head and neck region spread locally. This study was designed to evaluate the involvement of the cranium in cause of death among head and neck skin cancer patients. Methods All cases of skin malignancy appearing in the head and neck region were documented. Cause of death was noted for all deceased head and neck skin cancer patients. Cranial involvement, or not, was recorded in each case. Recurrent lesions, types of previous treatment, if any, and cranial perforation, when present, were documented. Results One hundred thirty-one patients were seen. One hundred eighteen (90.1 %) had lesions involving the cranium. Thirty-four head and neck cancer patients died during study period. Thirty-two (94.1 %) died as a result of local spread of disease to the brain through the cranium. Recurrent and persistent lesions were accounted for 35 (26.7 %) cases; out of which, 18 (13.7 %) had been excised and wound was immediately closed directly; 10 (7.6 %) had been excised and wound immediately primarily closed using vascularized free flaps. Five (3.8 %) had previously been managed solely with radiotherapy. Two (1.5 %) applied 5FU ointment on prescription for basal cell carcinoma, which transmuted to squamous cell carcinoma. Eleven (8.4 %) referral cases with cranial perforation presented after recurrence. Conclusions Deaths that were caused by spread of cancer to the brain through the cranium were 94.1 %. Radiotherapists should be educated on the grave danger of causing osteoradionecrosis of the cranium. The value of medical remedies for malignancies around the cranium should be properly reevaluated. Surgery appears to be the favoured therapy for cranium-involved skin cancer. Level of Evidence: Level IV, risk / prognostic study
      PubDate: 2015-04-01
  • Clinical and histopathological analysis of 790 naevi excised from 509
           patients due to cosmetic reasons
    • Abstract: Background The risk of malignant transformation is the most important reason for melanocytic naevi excision whereas the most common reason for excision is cosmetic disturbance. Methods Our study was conducted in a retrospective design from June 2009 to October 2013 involving 790 naevi excisions from 509 patients (332 male, 177 female) due to cosmetic disturbance. Each patient was evaluated for age and gender in addition to the clinical characteristics of the lesions such as location, size, depth and morphology. Results The average age of our patient group was 36.4 (18–68). Of the 509 patients, 332 were female (65.2 %) and 177 were male (34.7 %). Intradermal naevus was the most common type. Of all patients, 93.3 % had intradermal, dysplastic or compound naevi. Of all lesions, 93.9 % were intradermal, dysplastic or compound naevi. Buccal region was the most common excision site in the face with 112 excisions. Female gender was dominant in all naevi types except for dysplastic naevi and junctional naevi. Male gender was dominant in these groups. Conclusions Gender and age in addition to the clinical characteristics of the lesion such as location, size, depth and morphology were analysed for each patient. To our knowledge, our study has the largest naevi excision number performed for only cosmetic reasons. Even though there was no malignant melanoma identified, high rate of dysplastic naevi was an important data due to its malignancy risk. Level of Evidence: Level III, risk/prognostic study.
      PubDate: 2015-04-01
  • Cutaneous metastasis in the face as the first manifestation of esophageal
           Adenocarcinoma: case report and literature review
    • Abstract: Abstract Metastasis to the skin from carcinoma arising in other organs is uncommon, yet it may be the first presentation of neoplastic disease. The incidence of esophageal adenocarcinoma has been rapidly rising and now accounts for at least half of esophageal carcinomas. Cutaneous metastases of esophageal adenocarcinoma are extremely rare; less than 1 % of patients with metastatic disease have cutaneous involvement. We reported a rare cutaneous cheek metastasis from an adenocarcinoma in an 81-year-old white man, who was excised, and the defect repaired with a reverse cervicofacial flap. Subsequent investigations, based on the result of the pathological anatomy, detected the primary tumor in the esophagus, despite no symptoms. Although cancer of internal organs rarely presents with skin metastases, any suspicious lesions with rapid growth should be ruled out as their metastatic origin. We reported a case and reviewed the clinical characteristics of the few patients reported on the literature. Level of Evidence: Level V, diagnostic study
      PubDate: 2015-04-01
  • Restoration of a total vaginal closure following McIndoe vaginoplasty
    • Abstract: Abstract Vaginal aplasia is a rare congenital anomaly, and McIndoe technique is the most preferred for this anomaly. Here, the authors present an unusual case with a total vaginal closure following McIndoe vaginoplasty, its management, and surgical tips and reviewed the related literature. Level of Evidence: Level V, therapeutic study.
      PubDate: 2015-04-01
  • Reconstruction of calvarial and scalp defects using anterolateral thigh
           free flaps: A case series
    • Abstract: Background Regardless of underlying cause, calvarial and scalp reconstruction can be a challenging task. With increasing defect size, the local options also decrease, and in moderate to large sized defects, a free flap reconstruction is usually required. Since 2007, we have used the anterolateral thigh (ALT) flap as our flap of choice, and we present our results with this flap. Methods The study was a retrospective case series in a university hospital setting. All patients who had this procedure performed were included until October 2014, and their data was retrieved from electronic patient records. Results In total, eight patients were reconstructed with an ALT flap for calvarial (six) or scalp (two) reconstruction. The flaps used were fasciocutaneous (four), myocutaneous (three), and adipofascial (one). All patients were male with a mean age of 59 years. The median flap length was 22.5 cm and median flap width was 8 cm. All flaps survived. One patient was offered a revision procedure because of color mismatch, but this was cancelled as the patient requested hair transplantation in a private setting. No donor site morbidity was noted in any of the patients. Conclusions The ALT flap is very versatile and can be harvested in a number of different ways according to defect requirements. It has minimal donor site morbidity and is the optimal flap option for calvarial and scalp reconstruction, although still insufficient regarding to color mismatch and lack of hair. Level of Evidence: Level V, therapeutic study
      PubDate: 2015-03-06
  • Experience of 592 free tissue transfers: the case for clinical assessment
           alone to monitor free flaps
    • Abstract: Background Monitoring the microcirculation postoperatively has been the subject of numerous original articles and reviews since the early 1980s. Effective monitoring returns compromised flaps to the operating room early, increases the flap success and reduces secondary complications. We would like to present the case based on our experiences that clinical monitoring alone is sufficient for the majority of patients. Methods Using a retrospective case note review, we present the experiences of the senior surgeon (DG) in his first 592 consecutive free tissue transfers in practice. Results The overall success rate was 98.9 % (585/592) with an overall salvage rate of 93 % (13/14). Conclusions Clinical monitoring provides sufficient reassurance in the majority of patients undergoing free tissue transfers. We believe that buried flaps and flaps to the lower limb may warrant adjunctive monitoring techniques on a case-by-case basis. Level of Evidence: Level IV, diagnostic study.
      PubDate: 2015-02-26
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