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Intra-thoracic defects continue to pose a challenge for the reconstructive surgeon. Stable soft tissue coverage and obliteration of dead space can be particularly challenging when complicated by infection or previous radiation. These cases may require a less conventional method of reconstruction. We describe a case in which vacuum-assisted closure followed by pedicled omental flap transposition was successfully used to reconstruct a complicated intra-thoracic wound following pneumonectomy, radiation therapy, and recurrent wound dehiscences secondary to chronic infection.
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Including a discussion of legislative powers, constitutional regulations relative to the forms of legislation and to legislative procedure.
One lie snowballs into a full-blown double life in this irresistible story about an aspiring stand-up comedian. On the outside, Yumi Chung suffers from #shygirlproblems, a perm-gone-wrong, and kids calling her "Yu-MEAT" because she smells like her family's Korean barbecue restaurant. On the inside, Yumi is ready for her Netflix stand-up special. Her notebook is filled with mortifying memories that she's reworked into comedy gold. All she needs is a stage and courage. Instead of spending the summer studying her favorite YouTube comedians, Yumi is enrolled in test-prep tutoring to qualify for a private school scholarship, which will help in a time of hardship at the restaurant. One day after class, Yumi stumbles on an opportunity that will change her life: a comedy camp for kids taught by one of her favorite YouTube stars. The only problem is that the instructor and all the students think she's a girl named Kay Nakamura--and Yumi doesn't correct them. As this case of mistaken identity unravels, Yumi must decide to stand up and reveal the truth or risk losing her dreams and disappointing everyone she cares about.
First published in 1919, “Twenty Drawings” contains a fantastic collection of artwork by Khalil Gibran, with an introduction to Gibran and his work written by Alice Raphael. Gibran Khalil Gibran (1883 – 1931) was a Lebanese-American poet, writer, and artist best known as the author of “The Prophet” (1923), which is one of the best-selling books of all time. Gibran's work covers such themes as justice, religion, science, free will, love, happiness, the soul, the body, and death; and he is widely considered to have been one of the most important figures in Arabic poetry and literature during the first half of the twentieth century. These masterful paintings show another side of Gibran's art, which, similarly to his world-famous poetry and prose, display a deep sense of understanding of the human condition and the beauty of the human form. Many vintage books such as this are becoming increasingly scarce and expensive. It is with this in mind that we are republishing this volume now in an affordable, modern, high-quality edition complete with the original text and artwork.
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