Digital photography for rhinoplasty

Standardized, high-quality, preoperative photographs of the nose are critical for preoperative rhinoplasty planning, comparative postoperative assessment, and demonstration of surgical results. To produce these high-quality, reproducible photographs, it is essential to standardize lighting, to properly position the patient in standard views, to avoid lens distortion, and to maintain consistent camera-to-subject distances. Traditional photographic standards have been well documented in the literature; however, most do not address digital photography, and none address digital photography for rhinoplasty. Certain variables in digital photography that are not present in 35-mm photography can be critical to the appearance of the final image. Variables such as image color and contrast (which usually vary between digital cameras), focal length differences between 35-mm and most digital cameras, the effect of resolution and compression on image quality, and the effect of the printing method used can affect the appearance of the external anatomy of the nose in the final print or image. Lack of detail in the external nasal anatomy becomes an issue if the surgeon uses the photograph intraoperatively for reference, as the authors do. Initially, the authors experienced difficulties with observing subtleties in the tip-defining points and tip anatomy using digital photography when compared with our traditional methods of 35-mm photography. The lack of detail in the external anatomy was most prevalent in the frontal and basal views. Thus, the authors have since tailored their photographic methods to document the rhinoplasty patient to maximize the visual information of the external nasal anatomy in the photographic and the printed image. This article is intended to review the photographic principles for standardized rhinoplasty photography, address the additional considerations necessary when using digital photography, discuss the printing variables that can affect overall quality of the printed image, and discuss the authors' new method of photographing the rhinoplasty patient.     

Acceptance and Perception of Nigerian Patients to Medical Photography

The aim of the study was to determine the acceptance and perception of Nigerian patients to medical photography. A self‐administered questionnaire was distributed among Nigerian patients attending oral and maxillofacial surgery and plastic surgery clinics of 3 tertiary health institutions. Information requested included patients' opinion about consent process, capturing equipment, distribution and accessibility of medical photographs. The use of non‐identifiable medical photographs was more acceptable than identifiable to respondents for all purposes (P = 0.003). Most respondents were favourably disposed to photographs being taken for inclusion in the case note, but opposed to identifiable photographs being used for other purposes most especially in medical websites and medical journals. Female respondents preferred non‐identifiable medical photographs to identifiable ones (P = 0.001). Most respondents (78%) indicated that their consent be sought for each of the outline needs for medical photography. Half of the respondents indicated that identifiable photographs may have a negative effect on their persons; and the most commonly mentioned effects were social stigmatization, bad publicity and emotional/psychological effects. Most of the respondents preferred the use of hospital‐owned camera to personal camera/personal camera‐phone for their medical photographs. Most respondents (67.8%) indicated that they would like to be informed about the use of their photographs on every occasion, and 74% indicated that they would like to be informed of the specific journal in which their medical photographs are to be published. In conclusion, non‐identifiable rather than identifiable medical photography is acceptable to most patients in the studied Nigerian environment. The use of personal camera/personal camera‐phone should be discouraged as its acceptance by respondents is very low. Judicious use of medical photography is therefore advocated to avoid breach of principle of privacy and confidentiality in medical practice.     

Remote identification of exotic mosquito specimens using digital photography

Abstract  A method using digital photography to enable confirmation of taxonomic identifications of mosquito specimens is presented. Portfolio documents containing up to 20 photographs of various taxonomic features of exotic mosquito species were taken through the microscope, reformatted and sent via email for confirmation of the identifications. Examples of the photographs produced are provided in this paper. The method has advantages in situations requiring rapid turnaround times, such as biosecurity responses.     

Piercing transfigurations: Representations of suffering in Cyprus

This paper explores representations of suffering in Cyprus, a divided island. It examines differences between Greek and Turkish Cypriots in their official publicity/propaganda photographic material in representing the issue of missing persons in Cyprus. It attempts to show that the differences are relatable not just to their different persuasive strategies, but also to different approaches to photography, to experience and memory. For the Greek Cypriots, the sacrifice of the person has to be represented as an absent body, the quintessential example being Christ. By contrast, for the Turkish Cypriots it is the presence of a (dead) body, the body of the dead hero/fighter, that signifies a sacrifice and transforms him into a shehit (martyr). Such differences can be related to differences between the two groups in the political fabulation of the past and its appeal to “memory” and “experience”. The Turkish Cypriots because of their pressing political problems, especially between 1963–70 when they tended to view their survival as being at stake, use photographs in a relatively “realist” matter‐of‐fact way although their aim is highly emotionally charged. Greek Cypriots use photographs as representations of what is in effect an iconic predicament: representation as participating in some fundamental way in that which it represents. After examining the predicament of depicting suffering through photography, the paper suggests that to respond effectively to suffering we may have to approach it not through the seductive realism of the photograph but through its means of representing the symbolic and the imaginary.     

Can we use photography to estimate radiation interception by a crop canopy?

Accuracy of determining radiation interception, and hence radiation use efficiency, depends on the method of measuring photosynthetically active radiation intercepted. Methods vary, from expensive instruments such as Sunfleck ceptometers to simple methods such as digital photography. However, before universal use of digital photography there is need to determine its reliability and compare it with conventional, but expensive, methods. In a series of experiments at Lincoln, New Zealand, canopy development for barley, wheat, white clover and four forage brassica species was determined using both digital photographs and Sunfleck ceptometer. Values obtained were used to calculate conversion coefficient (Kf/Ki) ratios between the two methods. Digital photographs were taken at 45° and 90° for barley, wheat and white clover and at only 90° for brassicas. There was an interaction of effects of crop and cultivar for the cereal crops. Barley closed canopies earlier than wheat, and ‘Emir’ barley and ‘Stettler’ wheat had consistently higher canopy cover than ‘Golden Promise’ and ‘HY459′, respectively. Canopy cover was consistently larger at 45° than 90° for cereals. However, for white clover, the angle of digital photography was not important. There was also an interaction between effects of species and method of determining canopy cover for brassicas. Photographs gave higher cover values than ceptometer for forage rape and turnip, but the relationship was variable for forage kale and swede. Kf/Ki ratios of 1.0–1.10 for cereals, white clover and forage rape and turnip show that digital photographs can be used to estimated radiation interception, in place of Sunfleck ceptometer, for these crops.     

The Photograph and the Malanggan: Rethinking images on Malakula,Vanuatu

From the recent efflorescence of anthropological engagements with photography we are by now aware that photography is an embodied practice and that photographs are complex materialisations of the subjective and experiential as well as the objective and evidential. Despite discussions of ‘visual repatriation’ (e.g. Brown and Peers 2006 ), and of local responses to colonial photography and other kinds of archival images in the Pacific, little has been discussed regarding the status of photographs as particularly ‘Pacific’ artefacts—objects that make sense in indigenous terms as well as being understood in terms of the connections to other places that their production and circulation might signify. Following Wright’s exhortation to recognise ‘the provincial nature of Eurocentric notions of photography and … suggesting that a certain corporeality and materiality constitute elements of its identity’ (2004: 74) , I discuss the resonance of historical photographs in Vanuatu, building an analogy with Malanggan—funerary carvings from Northern New Ireland. I do not mean to suggest that photographs are complex ritual artefacts, but rather follow the ways in which Malanggan have been used as anthropological conceits, in order to discuss the representational efficacy and materiality of Melanesian images in facilitating the crystallisation of memory and history ( Küchler 1988 ), the enchantment of technology ( Gell 1998, 1999 ), and the consolidation of certain kinds of property relations ( Strathern 2005b ). As my title suggests, I draw on Strathern’s combination of Malanggan and Patents to rethink the potential utility of Malanggan as a ‘way to think’ about the meanings of photographs in Pacific communities.     

The Nissl substance of living and fixed spinal ganglion cells. II. An ultraviolet absorption study

Living chick spinal ganglion neurons grown for 19 to 25 days in vitro were photographed with a color-translating ultraviolet microscope (UV-91) at 265, 287, and 310 mmicro. This instrument was unique in permitting rapid accumulation of ultraviolet information with minimal damage to the cell. In the photographs taken at 265 mmicro of the living neurons, discrete ultraviolet-absorbing cytoplasmic masses were observed which were found to be virtually unchanged in appearance after formalin fixation. These were identical with the Nissl bodies of the same cells seen after staining with basic dyes. The correlation of ultraviolet absorption, ribonuclease extraction, and staining experiments with acid and basic dyes confirmed the ribonucleoprotein nature of these Nissl bodies in the living and fixed cells. No change in distribution or concentration of ultraviolet-absorbing substance was observed in the first 12 ultraviolet photographs of a neuron, and it is concluded that the cells had not been subjected to significant ultraviolet damage during the period of photography. On the basis of these observations, as well as previous findings with phase contrast microscopy, it is concluded that Nissl bodies preexist in the living neuron as discrete aggregates containing high concentrations of nucleoprotein.     

Use of digital photographs for artificial tooth selection

Digital photography has become available to everybody. The aim of this study was to examine possibility of calculating the width of a missing central incisor using digital photographs. Digital photographs were obtained from 51 dentate subjects using a 3.1 Megapixel digital camera from various distances: 35 cm, 70 cm, 1 m and 1.5 m. For the calculation of the width of maxillary left central incisor (MLI), the following equation was used: MLI(calculated) = Photographic width of MLI x IPD / photographic IPD. Statistical analysis was made (Kolmogorov-Smirnov test, dependent sample t-test, correlation and frequencies) using SPSS 10.0 for Windows. Results revealed no significant difference between the calculated MLI (70 cm, 1 m and 1.5 m distance) and actual MLI, however calculated MLI from 35 cm distance was significantly different from the actual MLI value (p < 0.01). The highest correlation was between calculated MLI (70 cm distance) and actual MLI. However, the highest percentage of results from a distance of 70 cm also fitted within +/- 0.3 mm; +/- 0.5 mm and +/- 1 mm difference from the actual MLI values. However, the results obtained from 1 m distance were also satisfactory. The technique of use of digital photography is of proven value in calculating the width of a maxillary central incisor. The photographs using a simple digital camera should be taken from a distance from 70 cm to 1 m. Saving such photographs in a dental office may eventually be helpful for calculating dimensions of artificial teeth.     

‘Black and white,a significant contrast’: Race,humanism and missionary photography in the Pacific

Taking the example of ‘Studies in black and white’, a genre of photographs taken around the end of the nineteenth century by Methodist missionaries in the Pacific, this article seeks to go beyond conventional analyses that scrutinize colonial photography for forms of domination. I argue that these photographs, and the context in which some of them were published, reveal a complex interplay between two contradictory principles: on the one hand, a Christian humanism, articulating a vision of commonality and equality, and on the other, paternalism, articulating a vision of superiority and inequality .      

Estimation of Leaf Area Index and Plant Area Index of a Submerged Macrophyte Canopy Using Digital Photography

Non-destructive estimation using digital cameras is a common approach for estimating leaf area index (LAI) of terrestrial vegetation. However, no attempt has been made so far to develop non-destructive approaches to LAI estimation for aquatic vegetation. Using the submerged plant species Potamogeton malainus, the objective of this study was to determine whether the gap fraction derived from vertical photographs could be used to estimate LAI of aquatic vegetation. Our results suggested that upward-oriented photographs taken from beneath the water surface were more suitable for distinguishing vegetation from other objects than were downward-oriented photographs taken from above the water surface. Exposure settings had a substantial influence on the identification of vegetation in upward-oriented photographs. Automatic exposure performed nearly as well as the optimal trial exposure, making it a good choice for operational convenience. Similar to terrestrial vegetation, our results suggested that photographs taken for the purpose of distinguishing gap fraction in aquatic vegetation should be taken under diffuse light conditions. Significant logarithmic relationships were observed between the vertical gap fraction derived from upward-oriented photographs and plant area index (PAI) and LAI derived from destructive harvesting. The model we developed to depict the relationship between PAI and gap fraction was similar to the modified theoretical Poisson model, with coefficients of 1.82 and 1.90 for our model and the theoretical model, respectively. This suggests that vertical upward-oriented photographs taken from below the water surface are a feasible alternative to destructive harvesting for estimating PAI and LAI for the submerged aquatic plant Potamogeton malainus.     

THE NISSL SUBSTANCE OF LIVING AND FIXED SPINAL GANGLION CELLS : II. AN ULTRAVIOLET ABSORPTION STUDY

Living chick spinal ganglion neurons grown for 19 to 25 days in vitro were photographed with a color-translating ultraviolet microscope (UV-91) at 265, 287, and 310 mµ. This instrument was unique in permitting rapid accumulation of ultraviolet information with minimal damage to the cell. In the photographs taken at 265 mµ of the living neurons, discrete ultraviolet-absorbing cytoplasmic masses were observed which were found to be virtually unchanged in appearance after formalin fixation. These were identical with the Nissl bodies of the same cells seen after staining with basic dyes. The correlation of ultraviolet absorption, ribonuclease extraction, and staining experiments with acid and basic dyes confirmed the ribonucleoprotein nature of these Nissl bodies in the living and fixed cells. No change in distribution or concentration of ultraviolet-absorbing substance was observed in the first 12 ultraviolet photographs of a neuron, and it is concluded that the cells had not been subjected to significant ultraviolet damage during the period of photography. On the basis of these observations, as well as previous findings with phase contrast microscopy, it is concluded that Nissl bodies preexist in the living neuron as discrete aggregates containing high concentrations of nucleoprotein.     

Complete intra-annual cycle of leaf area index in a Platanus orientalis L. stand

Leaf area index (LAI) analysis of deciduous forest trees is usually restricted to seasonal monitoring involving the assessment of distinct leaf phenological stages within definite time intervals of the year. However, continuous LAI monitoring that includes entire leaf periods is necessary to define the ecophysiological characteristics of deciduous trees. Therefore, this study investigated the intra-annual cycle of the LAI for a Platanus orientalis L. stand in the Bart?n watershed of Turkey. A complete cycle involves three periods: foliation, stable, and defoliation. The foliation period comprises budburst, leaf emergence and flushing sessions, whereas the defoliation period consists of leaf senescence and leaf fall sessions. The stable period is in between these two periods when LAI values are at a climax around maximum. Eight points were determined in the field for the analysis of LAI by a hemispherical photography technique. Over a relatively frequent schedule, photographs were taken almost weekly during the foliation period. Both weekly and approximate monthly photographs were applied during the stable period. Finally, near-monthly photographs were taken for the defoliation period. The foliation period lasted for about 1.5 months from mid-April to May with the mean LAI reaching from 0.16 up to 2.38. Mean LAI was between 2.38 and 2.47 for a stable period over 2 months (June and July). For the defoliation period, mean LAI dropped from 2.42 down to 0.35 over 5 months from August to December. The total foliated period was more than 8 months, which is relatively long for a temperate forest. In addition, correlations between mean LAI and maximum, mean and minimum temperatures were highly significant (P < 0.01) with coefficients (r) of 0.79, 0.90 and 0.93, respectively. By describing the intra-annual LAI pattern, this study fills a gap in the literature on the phenology of Platanus orientalis L.     

The black sun of the Nilgiris: Astronomy,photography and physical anthropology in South India

This article examines how photographs showing Nilgiri people were brought back to France and deposited at the Museum national d'histoire naturelle in 1872. This leads me to recall the circumstances of a scientific mission made by the French astronomer Jules Janssen in South India in 1871. The paper throws light on the sources and on the personal experience of his wife, who published an ethnographic article in 1882. The importance of photography in the activities and achievements of Jules Janssen was well known. However the snapshots he brought back are better appraised in the context of the beginnings of photography and the development of its practice in British India. This case also illustrates the relations between photography and physical anthropology.     

“A Devil's Engine”: Photography and Spirits in the Western Solomon Islands

This article looks at photographic practices in Roviana Lagoon in the western Solomon Islands of the South Pacific. It argues that the efficacy or affective power of photographs in this context must be understood in terms of what is locally called maqomaqo (soul or shadow). Photographs contain a material trace of the essence of what they portray, which enables them to “touch” their viewers. This case study allows us to think about the innate metaphysic of photography, and about the way in which “photography” only ever exists as a series of local photographies, which emerge from the interplay between this innate metaphysic of the photographic technology and local ontologies.     

A remote photographic technique for high replication, large scale understanding of spatial distribution patterns of intertidal crabs

Intertidal crabs are intricately involved in many estuarine processes. However, their integration in general applicable ecological models is limited by a lack of understanding regarding their landscape level spatial distribution patterns. This gap, in part, reflects on the time consuming sampling methods employed which limit the scale and level of replication in spatial distribution studies. We developed a new photographic technique tailored towards high replication, large scale sampling of spatial distribution patterns of intertidal crabs occupying bare, low intertidal banks with limited topographic heterogeneity. Therefore, photographs were taken from a boat maintained at a distance at which crabs were not disturbed. After standardisation, estimates of abundance, relative occurrence and presence/absence of crabs were reliably obtained. Compared to pitfall trapping, hand catch and visual observation, photography collected a higher number of replicates in a shorter timeframe, allowing sampling across large areas and providing better representation of species occurring in lower densities. However, small, cryptic species were not as well represented and outcomes are influenced by the crab’s activity patterns. Overall, photography provides a new, complementary sampling technique and has the potential to rapidly produce extensive data on crab spatial distributions, making it attractive for landscape level spatial ecology research and monitoring.     

Standardizing the Protocol for Hemispherical Photographs: Accuracy Assessment of Binarization Algorithms

Hemispherical photography is a well-established method to optically assess ecological parameters related to plant canopies; e.g. ground-level light regimes and the distribution of foliage within the crown space. Interpreting hemispherical photographs involves classifying pixels as either sky or vegetation. A wide range of automatic thresholding or binarization algorithms exists to classify the photographs. The variety in methodology hampers ability to compare results across studies. To identify an optimal threshold selection method, this study assessed the accuracy of seven binarization methods implemented in software currently available for the processing of hemispherical photographs. Therefore, binarizations obtained by the algorithms were compared to reference data generated through a manual binarization of a stratified random selection of pixels. This approach was adopted from the accuracy assessment of map classifications known from remote sensing studies. Percentage correct () and kappa-statistics () were calculated. The accuracy of the algorithms was assessed for photographs taken with automatic exposure settings (auto-exposure) and photographs taken with settings which avoid overexposure (histogram-exposure). In addition, gap fraction values derived from hemispherical photographs were compared with estimates derived from the manually classified reference pixels. All tested algorithms were shown to be sensitive to overexposure. Three of the algorithms showed an accuracy which was high enough to be recommended for the processing of histogram-exposed hemispherical photographs: “Minimum” ( 98.8%; 0.952), “Edge Detection” ( 98.1%; 0.950), and “Minimum Histogram” ( 98.1%; 0.947). The Minimum algorithm overestimated gap fraction least of all (11%). The overestimation by the algorithms Edge Detection (63%) and Minimum Histogram (67%) were considerably larger. For the remaining four evaluated algorithms (IsoData, Maximum Entropy, MinError, and Otsu) an incompatibility with photographs containing overexposed pixels was detected. When applied to histogram-exposed photographs, these algorithms overestimated the gap fraction by at least 180%.     

The physical attractiveness of facially deformed patients before and after craniofacial surgery

The present experiment investigated whether the physical attractiveness of craniofacially deformed children and adolescents could be improved by surgical procedures. Twenty patients between the ages of 5 months and 17 years were randomly selected from patient files. Patient diagnoses included facial clefts, hypertelorism, Treacher Collins syndrome, and craniofacial dysostosis (Crouzon's and Apert's syndromes). Rigorously standardized photographs of patients taken before and after surgery were shown to 40 "naive" raters ranging in age from 17 to 52 years. Raters analyzed the photographs with regard to global physical attractiveness. These ratings indicated that the patients' physical attractiveness was reliably (62 percent) improved following surgery. The results are discussed in light of recent evidence that untreated craniofacial patients may be at risk for psychosocial disorders and in terms of the growing evidence of the importance of physical appearance for the development of cognitive and social-emotional competence. In addition, a standardized assessment system is described that can be used to facilitate the compilation of actuarial data predicting surgical outcomes. Finally, the importance of empirically evaluating the effectiveness of surgical procedures and practitioners on a continuing basis is emphasized.     

Representation/Self-representation: A Tale of Two Portraits; or,Portraits and Social Science Representations

The problem of representation is profound for anthropology: how do representation and represented relate? What motivates or warrants bridges over the inevitable disconnection between the two? I suggest that photographs and portraits provide a rich basis for thinking about the particular sorts of warrant for anthropological representation. My most general suggestion is that anthropological representation may be conceived of as a form of portraiture, and that it is an exercise in ekphrasis (a verbal account or evocation of a typically non-present image or object). Portraits need social conventions (such as a name in the caption) to be taken as such; representation is a three-part relationship between object, image and society. Cases from Cameroonian studio photography and a portrait of Marilyn Strathern exemplify the argument.     

Shades of Empire: Police Photography in German South-West Africa

This article looks at a photographic album produced by the German police in colonial Namibia just before World War I. Late 19th- and early 20th-century police photography has often been interpreted as a form of visual production that epitomized power and regimes of surveillance imposed by the state apparatuses on the poor, the criminal and the Other. On the other hand police and prison institutions became favored sites where photography could be put at the service of the emergent sciences of the human body—physiognomy, anthropometry and anthropology. While the conjuncture of institutionalized colonial state power and the production of scientific knowledge remain important for this Namibian case study, the article explores a slightly different set of questions. Echoing recent scholarship on visuality and materiality the photographic album is treated as an archival object and visual narrative that was at the same time constituted by and constitutive of material and discursive practices within early 20th-century police and prison institutions in the German colony. By shifting attention away from image content and visual codification alone toward the question of visual practice the article traces the ways in which the photo album, with its ambivalent, unstable and uncontained narrative, became historically active and meaningful. Therein the photographs were less informed by an abstract theory of anthropological and racial classification but rather entrenched with historically contingent processes of colonial state constitution, socioeconomic and racial stratification, and the institutional integration of photography as a medium and a technology into colonial policing. The photo album provides a textured sense of how fragmented and contested these processes remained throughout the German colonial period, but also how photography could offer a means of transcending the limits and frailties brought by the realities on the ground.     

Adding retinal photography to screening for diabetic retinopathy: a prospective study in primary care.

OBJECTIVE--To evaluate whether adding retinal photography improved community screening for diabetic retinopathy. SETTING--Mobile screening unit at rural and urban general practices in south west England. SUBJECTS--1010 diabetic patients from primary care. DESIGN--Prospective study; patients were examined by ophthalmoscopy by general practitioners or opticians without fundal photographs and again with photographs, and assessments were compared to those of an ophthalmologist. MAIN OUTCOME MEASURES--Whether fundal photography improved the sensitivity of detection of retinopathy and referrable diabetic retinopathy, and whether this sensitivity could be improved by including a review of the films by the specialist. RESULTS--Diabetic retinopathy was detected by the ophthalmologist in 205 patients (20.5%) and referrable retinopathy in 49 (4.9%). The sensitivity of the general practitioners and opticians for referrable retinopathy with ophthalmoscopy was 65%, and improved to 84% with retinal photographs. General practitioners'' sensitivity in detecting background retinopathy improved with photographs from 22% to 65%; opticians'' sensitivity in detecting background retinopathy improved from 43% to 71%. The sensitivity of detecting referrable retinopathy by general practitioners improved from 56% to 80% with photographs; for opticians it improved from 75% to 88%. CONCLUSIONS--Combining modalities of screening by providing photography with specialist review of all films in addition to direct ophthalmoscopy through dilated pupils improves assessment and referral for diabetic retinopathy by general practitioners and opticians. With further training and experience, primary care screeners should be able to achieve a sensitivity that will achieve an effective, acceptable, and economical community based screening programme for this condition.