10 demographic trends that are shaping the U.S. and the world. By DâVera Cohn and Andrea Caumont25 comments. At its core, demography is the act of counting people. But itâs also important to study the forces that are driving population change, and measure how these changes have an impact on peopleâs lives. For example, how does immigration affect U.S. population growth?
Type of Incisions. TYPE OF INCISIONS Upper Midline The upper midline incision provides access to the esophagus, hiatus, stomach and. duodenum, pancreas, and hepatobiliary system. If extended, it allows major hepatic resection, adrenalectomy, and splenectomy.
Midline shift is often associated with high intracranial pressure (ICP), which can be deadly. In fact, midline shift is a measure of ICP; presence of the former is an indication of the latter. Presence of midline shift is an indication for neurosurgeons to take measures to monitor and control ICP. Immediate surgery may be indicated when there is a midline shift of over 5 mm. The sign can be caused by conditions including traumatic brain injury, stroke, hematoma, or birth deformity that leads to a raised intracranial pressure.