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Avoiding second donor site and the second set of neck vessels in a case of absent peroneal skin perforators
This report describes the procedure of a case in which the skin paddle of the free fibula flap derived its supply solely from a soleal musculocutaneous perforator originating from the posterior tibial system. In contrast, the osteo-muscular component was supplied by the peroneal vascular system. We harvested the skin paddle with its vascular supply from the posterior tibial artery separately, and the osteo-muscular fibula was harvested with its supply from peroneal vessels. In this way, we avoided violation of the second donor site for the skin paddle. In addition, we used the distal end of peroneal vessels to salvage our skin paddle instead of sacrificing another set of neck vessels for anastomosis. This technique may also be utilised in cases where the neck vessels may not be available due to previous surgeries, radiation therapy, or decision by the surgery team to not sacrifice two sets of neck vessels for anastomosis.
The Quest for Inner Sunshine
The name of this pioneer in the auto industry needs no introduction. Sipping coffee in the HQ of Singhania headquarters in Worli, Mumbai, Rahul Singhania ponders. A deep battle within to carry on the legacy of his father Yash Singhania who grew from an automobile engineer to a pioneer in the auto industry, not to forget the red tape back in those days. This is a motivational fiction story of Karan Singhania, son of Rahul Singhania, the only heir of the Singhania Empire. Karan had the education, talent, and motivation to run and manage the great Singhania Industries. Nonetheless, this never could help Rahul Singhania win the long ongoing internal battle. This is the transformational story of Karan, who learns the morals and values that his grandfather set, during his prince-to-pauper journey and becomes the bearer of these in the future in a hard way. Did Karan manage to learn, did he pass the idiosyncratic life test? Did the search for the next heir of the Singhania hit a zilch?
The Punjab Record
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Innocent Until Proven Muslim
On September 11, 2001, nineteen terrorists hijacked four airplanes and carried out attacks on the United States, killing more than three thousand Americans and sending the country reeling. Three days after the attacks, President George W. Bush declared, "This is a day when all Americans from every walk of life unite in our resolve for justice and peace." Yet in the days following, Bush declared a "War on Terror," which would result in years of Muslims being targeted on the basis of collective punishment and scapegoating. In 2009, President Barack Obama said, "America must play its role in ushering in a new era of peace." Instead, Obama perpetuated the War on Terror's infrastructure that Bush...
