When a woman is diagnosed with breast cancer many aspects of her physical, emotional, and sexual wholeness are threatened. The quickly expanding field of oncoplastic breast surgery aims to enhance the physician commitment to restore the patient's image and self-assurance. By combining a multidisciplinary approach to diagnosis and treatment with oncoplastic surgery, successful results in the eyes of the patient and physician are significantly more likely to occur. As a way to aid oncoplastic teams in determining which approach is most suitable for their patient's tumor size, tumor location, body habitus, and desired cosmetic outcome we present a review of several oncoplastic surgical approaches. For resections located anywhere in the breast, the radial ellipse segmentectomy incision and circumareolar approach for segmental resection are discussed. For resections in the upper or central breast, crescent mastopexy, the batwing incision, the hemibatwing incision, donut mastopexy, B-flap resection, and the central quadrantectomy are reviewed. For lesions of the lower breast, the triangle incision, inframammary incision, and reduction mastopexy are discussed. Surgeons who are interested in adding oncoplastic breast conserving therapies to their skill sets are encouraged to implement these surgical techniques where applicable and to seek out breast fellowships or enhanced training when appropriate.

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This short-term longitudinal study sought to identify the issues faced by a group of international Chinese students undertaking study in an Australian university. While the focus was on educational issues, socio-cultural and personal factors were also examined in an attempt to identify the sorts of strategies students used in settling into a new socio-cultural and educational context. Interviews conducted at the beginning and end of the first semester of study indicate a range of issues that are supported by previous studies. What has not previously been highlighted, however, is the emphasis on speaking and listening skills which students reported they needed to improve. Lack of proficiency in these areas was seen by students as hampering their active participation in class, leading to lack of confidence in approaching Australian students, and resulting in their inability to benefit from the "Australian experience". Many existing academic support structures in Australian universities tend to emphasize support with written and study skills. While this is important because of the direct impact on assessment, it is perhaps now opportune to place some emphasis on developing strategies and programmes that will support the development of students' speaking and listening skills, with a focus on intercultural communication.

Gastric volvulus is characterized by abnormal rotation of the stomach around an axis made by two fixed portions. Symptoms of gastric volvulus range from anemia and weight loss to severe epigastric or chest pain associated with nonproductive vomiting or upper gastrointestinal bleeding. Ischemia, necrosis, and perforation will occur if this condition remains untreated. We report a case of a 92-year-old patient with acute gastric volvulus treated with laparoscopic reduction and anterior gastropexy. We suggest that the laparoscopic approach to gastric volvulus is safe and feasible and should be considered. High-risk and elderly patients can particularly benefit from minimally invasive access. Anterior gastropexy palliates the symptoms and can be considered a definitive treatment in this patient population.

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