the distally based sural fasciocutaneous flap has become a main part of the reconstruction of the lower leg, heel and foot. however, perfusion problems and venous congestion have been reported. over the past decade, several flap modifications have been reported to improve flap viability and to solve a myriad of reconstructive needs. the purpose of this paper is to describe our experience in har...

Facial appearance has a well-documented effect on perceived leadership ability. Face judgments of leadership ability predict political election outcomes across the world, and similar judgments of business CEOs predict company profits. Body height is also associated with leadership ability, with taller people attaining positions of leadership more than their shorter counterparts in both politics...

The primary purpose of this narrative is to elucidate the numerous significant changes that occur at the intensive care unit (ICU) level as a medical center pursues becoming a Level I trauma center. Specifically, we will focus on the following important areas: (1) leadership and strategy issues behind the decision to move forward with becoming a trauma center; (2) preparation needed to take a h...

closure of fascia after transverse rectus abdominis musculocutaneous (tram) flap has usually been performed with direct closure or synthetic material. the dermal autograft was removed from zone iv of flap was an alternative to reinforce fascial closure. the dermal autograft was used in 34 patients after tram harvest for breast, head and neck reconstruction and prolene mesh was used in 42 other ...

This article examines transformational leadership and servant leadership to determine what similarities and differences exist between the two leadership concepts. The authors posit that the primary difference between transformational leadership and servant leadership is the focus of the leader. The transformational leader’s focus is directed toward the organization, and his or her behavior buil...

Leadership is in fact a process of influencing followers. Characteristics of leadership are functions of time and situation and differ in different cultures and countries. Managers of international organizations should obtain enough knowledge of these cultural characteristics and differences and should have the utmost versatility while executing their leadership tasks. In this paper we have con...

In some democratic contexts, there is a strong aversion to the directive, individualistic and masculine expressions of leadership that have come to dominate the study of political leadership. Such leadership is antithetical to consensus democracies in parts of continental Europe, where the antipathy to leadership has linguistic, institutional as well as cultural dimensions. Political-administra...

Leadership Perceptions Leadership long has been a focus of higher education (Astin & Astin, 2000). Although defined in different ways, it resonates as a principle within many institutions. While the commitment to leadership development has remained strong, different perspectives on leadership have gained prominence, and many models, perceptions, theories, and definitions concerning leadership a...