A comparative study of suction blister epidermal grafting and automated blister epidermal micrograft in stable vitiligo

AbstractThe automated blister epidermal micrograft (ABEM) is a newly introduced surgical transplantation for refractory vitiligo. Comparative analysis of other surgical methods is lacking. We conducted a retrospective study to compare the efficacy, safety, and experience of ABEM with conventional suction blister epidermal graft (SBEG). A total of 118 anatomically based vitiligo lesions from 75 patients were included. The primary outcome was the degree of repigmentation; the patient and operator experience were evaluated. SBEG had a significantly greater incidence of repigmentation (p < 0.001), as measured by the Physician Global Assessment, as well as improvements in the Vitiligo Area Scoring Index, particularly on the face/neck area (p < 0.001). ABEM, on the contrary, had reduced donor harvest time, a better patient operative experience, and more significant Dermatology Life Quality Index improvements. In a subgroup of 38 lesions from ten patients who received both SBEG and ABEM concomitantly, there was no difference in the degree of repigmentation in the same recipient area. Overall, the degree of repigmentation for SBEG is higher than ABEM, especially in the mobilized region, and the cost is less expensive. On the contrary, ABEM requires less procedure learning curve and can supply a greater transplanting zone with shorter donor site recovery. Understanding the benefits and drawbacks of two blister grafting procedures is essential for optimal surgical outcomes for vitiligo grafting.

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Satisfaction with Quality of Life in Patients with Minimum Cicatricial Damage of the Face and Neck

Clinical Psychology and Special Education ◽

10.17759/cpse.2018070106 ◽

2018 ◽

Vol 7 (1) ◽

pp. 75-90 ◽

Cited By ~ 3

Author(s):

A. Iaremenko ◽

E. Isaeva ◽

T. Kolegova ◽

E. Sitkina ◽

Yu. Vasilieva

Keyword(s):

Quality Of Life ◽

Physical Condition ◽

Traditional Method ◽

Comparison Group ◽

Short Form ◽

Life Quality ◽

Control Group ◽

Surgical Methods ◽

The Face

Satisfaction with quality of life and self-attitude in patients operated by «traditional» (conventional surgical methods) and endoscopically assisted methods are considered in the article. Differences in the quality of life in patients, self-attitude to ones appearance are described. 65 patients were surgically operated and examined. Control group – patients operated by «traditional» techniques (35 patients), the average age of patients was 38 ± 11,1 years. The comparison group – patients operated using endoscopically assisted methods (30 patients), the average age of patients was 44 ± 17,7 years. Psychodiagnostic methods: 1. N. E. Vodopyanova`s scale of life quality; 2. The Short Form-36; 3. S.R. Panteleev`s Assessment of self-relationship. Complaints of paresthesia and pain experienced by patients who underwent a “traditional” operation were revealed as a result of the examination. Operated on with an endoscopically assisted method patients did not present any complaints. Differences between the assessment of the life quality and self-relationship in examined groups were found. Operated on with an endoscopically assisted method patients evaluated life quality, satisfaction with their appearance and physical condition higher than patients operated on with a “traditional” method.

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Psychological Impact of Coronavirus (COVID-19) Disease on Cancer Patients

Coronaviruses ◽

10.2174/2666796701999210101151035 ◽

2021 ◽

Vol 01 ◽

Author(s):

Gaurav Dhiman

Keyword(s):

Cancer Patients ◽

Economic assessment of a community-based care package for people with lower limb disorder caused by lymphatic filariasis, podoconiosis and leprosy in Ethiopia

Transactions of the Royal Society of Tropical Medicine and Hygiene ◽

10.1093/trstmh/traa111 ◽

2020 ◽

Vol 114 (12) ◽

pp. 1021-1034

Author(s):

Natalia Hounsome ◽

Mersha Kinfe ◽

Maya Semrau ◽

Oumer Ali ◽

Abraham Tesfaye ◽

...

Keyword(s):

Quality Of Life ◽

Lymphatic Filariasis ◽

Lower Limb ◽

Life Quality ◽

Psychosocial Care ◽

Northwest Ethiopia ◽

World Health ◽

Care Package ◽

The Cost

Abstract We conducted an implementation research study to integrate a holistic package of physical health, mental health and psychosocial care for podoconiosis, lymphatic filariasis and leprosy into routine healthcare in Gusha cluster, Guagusa Shikudad district, northwest Ethiopia. The healthcare package included training patients in lower limb hygiene and skin care and provision of shoes, hygiene supplies and medication. The implementation activities included training events, workshops, awareness raising, self-help groups, supportive supervision, staff secondments and advisory board meetings. The cost of implementing the care package in Gusha cluster, with a population of 30 558 people, was 802 655 Ethiopian birr (ETB) (£48 159) and the cost of delivering care to 235 participants was 204 388 ETB (£12 263), or 870 ETB (£52) per person. There was a 35% decrease in the mean disability scores (measured using the World Health Organization Disability Assessment Schedule 2.0) and a 45% improvement in the dermatology-specific quality of life (measured using the Dermatology Life Quality Index) at the 3-month follow-up compared with baseline. There were reductions in the number of days with symptoms, days off usual activities/work and days with reduced activity due to illness, all of which were statistically significant. Our pilot suggests that integration of the care package into routine healthcare in Ethiopia may be effective in improving health-related quality of life and disability and reducing time out of economic activity due to illness.

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Accountability and the Media

The Annals of the American Academy of Political and Social Science ◽

10.1177/0002716213515154 ◽

2014 ◽

Vol 652 (1) ◽

pp. 206-221

Author(s):

Anton Harber

Keyword(s):

South African ◽

News Media ◽

Media Access ◽

Political Interference ◽

The Face ◽

Public Broadcaster ◽

The Media ◽

The Government ◽

The Cost ◽

Poor Management

Two decades of contestation over the nature and extent of transformation in the South African news media have left a sector different in substantive ways from the apartheid inheritance but still patchy in its capacity to fill the democratic ideal. Change came fast to a newly open broadcasting sector, but has faltered in recent years, particularly in a public broadcaster troubled by political interference and poor management. The potential of online media to provide much greater media access has been hindered by the cost of bandwidth. Community media has grown but struggled to survive financially. Print media has been aggressive in investigative exposé, but financial cutbacks have damaged routine daily coverage. In the face of this, the government has turned its attention to the print sector, demanding greater—but vaguely defined—transformation and threatened legislation. This has met strong resistance.

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The Decay of Consent: International Law in an Age of Global Public Goods

The American Journal of International Law ◽

10.5305/amerjintelaw.108.1.0001 ◽

2014 ◽

Vol 108 (1) ◽

pp. 1-40 ◽

Cited By ~ 33

Author(s):

Nico Krisch

Keyword(s):

Human Rights ◽

Public Goods ◽

International Law ◽

International Community ◽

Global Public Goods ◽

Community Values ◽

International Legal Order ◽

The Face ◽

Common Policies ◽

The Cost

The consensual structure of the international legal order, with its strong emphasis on the sovereign equality of states, has always been somewhat precarious. In different waves over the centuries, it has been attacked for its incongruence with the realities of inequality in international politics, for its tension with ideals of democracy and human rights, and for standing in the way of more effective problem solving in the international community. While surprisingly resilient in the face of such challenges, the consensual structure has seen renewed attacks in recent years. In the 1990s, those attacks were mainly “moral” in character. They were related to the liberal turn in international law, and some of them, under the banner of human rights, aimed at weakening principles of nonintervention and immunity. Others, starting from the idea of an emerging “international community,” questioned the prevailing contractual models of international law and emphasized the rise of norms and processes reflecting community values rather than individual state interests. Since the beginning of the new millennium, the focus has shifted, and attacks are more often framed in terms of effectiveness or global public goods. Classical international law is regarded as increasingly incapable of providing much-needed solutions for the challenges of a globalized world; as countries become ever more interdependent and vulnerable to global challenges, an order that safeguards states’ freedoms at the cost of common policies is often seen as anachronistic. According to this view, what is needed—and what we are likely to see—is a turn to nonconsensual lawmaking mechanisms, especially through powerful international institutions with majoritarian voting rules.

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ID: 1026 Reconstruction of the major defects of the tissue scalp

Biomedical Research and Therapy ◽

10.15419/bmrat.v4is.302 ◽

2017 ◽

Vol 4 (S) ◽

pp. 100

Author(s):

M.I. Muradov ◽

K.B. Mukhamedkerim ◽

A. ABaiguzeva ◽

K.E. Kazantaev ◽

D.Zh. Koshkarbaev

Keyword(s):

Donor Site ◽

Silicone Implants ◽

Fat Transfer ◽

Autologous Fat ◽

Autologous Fat Transfer ◽

Definitive Evidence ◽

Face Region ◽

The Face ◽

Volume Measurements ◽

The Mean

Background: To provide quantitative objective data demonstrating the longevity and amount of volume augmentation in the fatty dystrophy of the facial tissue obtained with autologous lipofilling. Methods: In our clinic had been operated 8 patients for last 2 years with fatty dystrophy of the facial tissue. A prospective analysis of all patients who underwent at our private practice and were followed up for at least 1,5 year. Surgery was performed under general anesthesia it is necessary for clear results tissue correction. We based on the literature has seen numerous clinical reports highlighting the benefits of autologous fat transfer for face from that areas, fat was collected from the abdomen (most frequently used donor site), hips, outer thighs (saddle-bags), internal knee or thigh, with quantitative volume measurements evaluating the amount of postoperative volume change. Results: Twenty eight patients were included in the study. The mean follow-up time was 18 months. The mean amount of autologous fat injected into each face region was 10-70 mL. Hypercorrection was performed after 3 months and it was 20-50% of the initial injected fat volume. Overall, the mean absolute volume augmentation measured at their last (after 6 month) post operative visit was 10-25%. There was variability between patients in the volume amount and percentage that remained. The resorption process was observed in two patients after 6 month. We made correction with hyaluronic acid and silicone implants. Conclusion: To our knowledge, this study is the first clinical quantification in our practise of autologous fat transfer and/or grafting in the literature that provides definitive evidence on the amount as well as the resultant longevity in the face. Autologous fat transfer to the face has definite long-term volume augmentation results. On average, approximately 25-35% of the injected volume remains at 18 months. However, some variability exists in the percentage of volume that remains that may require a touch-up procedure.

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Widespread variation in heat tolerance and symbiont load are associated with growth tradeoffs in the coral Acropora hyacinthus in Palau

eLife ◽

10.7554/elife.64790 ◽

2021 ◽

Vol 10 ◽

Author(s):

Brendan Cornwell ◽

Katrina Armstrong ◽

Nia S Walker ◽

Marilla Lippert ◽

Victor Nestor ◽

...

Keyword(s):

Climate Change ◽

Large Scale ◽

Habitat Restoration ◽

Natural Resistance ◽

Lower Growth ◽

Coral Reef Resilience ◽

The Face ◽

Lower Growth Rate ◽

Acropora Hyacinthus ◽

The Cost

Climate change is dramatically changing ecosystem composition and productivity, leading scientists to consider the best approaches to map natural resistance and foster ecosystem resilience in the face of these changes. Here we present results from a large-scale experimental assessment of coral bleaching resistance, a critical trait for coral population persistence as oceans warm, in 221 colonies of the coral Acropora hyacinthus across 37 reefs in Palau. We find that bleaching resistant individuals inhabit most reefs but are found more often in warmer microhabitats. Our survey also found wide variation in symbiont concentration among colonies, and that colonies with lower symbiont load tended to be more bleaching resistant. By contrast, our data show that low symbiont load comes at the cost of lower growth rate, a tradeoff that may operate widely among corals across environments. Corals with high bleaching resistance have been suggested as a source for habitat restoration or selective breeding in order to increase coral reef resilience to climate change. Our maps show where these resilience corals can be found, but the existence of tradeoffs with heat resistance may suggest caution in unilateral use of this one trait in restoration.

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The Impact of Unilateral or Bilateral Cataract Surgery on Visual Acuity and Life Quality of Elderly Patients

Journal of Ophthalmology ◽

10.1155/2015/509049 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Lei Zuo ◽

Haidong Zou ◽

Xinfeng Fei ◽

Weiqi Xu ◽

Jianhong Zhang

Keyword(s):

Visual Acuity ◽

Elderly Patients ◽

Cataract Surgery ◽

Life Quality ◽

Weighted Average ◽

Bilateral Cataract ◽

Surgical Methods ◽

Group A ◽

Group B ◽

The Impact

In the current study, the CLVQOL was used to assess VRQOL before unilateral or bilateral cataract surgery and at the end of the follow-up period in order to determine the greater beneficial mode of surgery for patients, if one of the two surgical methods is more beneficial over the other. The patients were classified as receiving unilateral (group A) and bilateral cataract surgery (group B). There were no significant differences between groups A and B before the operation in terms of life quality scores, binocular weighted average LogMAR BCVA, age, educational level, gender, systematic and ocular comorbidities, and the complications of the operation. It was shown that visual acuity improved more significantly with bilateral cataract surgery than with unilateral surgery in elderly patients with a high preoperative disease burden in Shanghai city. However, the improvement in life quality was not different in patients receiving either bilateral or unilateral cataract surgery.

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Data and Application Secutiry for Distributed Application Hosting Services

Information Security Policies and Actions in Modern Integrated Systems ◽

10.4018/978-1-59140-186-5.ch008 ◽

2004 ◽

pp. 273-316 ◽

Cited By ~ 2

Author(s):

Ping Lin ◽

K. Selçuk Candan

Keyword(s):

Data Storage ◽

Distributed Application ◽

Application Service Providers ◽

Security Challenges ◽

Internet Presence ◽

Management Hierarchy ◽

The Face ◽

Internet Environment ◽

Application Hosting ◽

The Cost

The cost of creating and maintaining software and hardware infrastructures for delivering web services led to a notable trend toward the use of application service providers (ASPs) and, more generally, distributed application hosting services (DAHSs). The emergence of enabling technologies, such as J2EE and .NET, has contributed to the acceleration of this trend. DAHSs rent out Internet presence, computation power, and data storage space to clients with infrastructural needs. Consequently, they are cheap and effective outsourcing solutions for achieving increased service availability and scalability in the face of surges in demand. However, ASPs and DAHSs operate within the complex, multi-tiered, and open Internet environment and, hence, they introduce many security challenges that have to be addressed effectively to convince customers that outsourcing their IT needs is a viable alternative to deploying complex infrastructures locally. In this chapter, we provide an overview of typical security challenges faced by DAHSs, introduce dominant security mechanisms available at the different tiers in the information management hierarchy, and discuss open challenges

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Cyber Resiliency Within Offshore Wind Applications

Marine Technology Society Journal ◽

10.4031/mtsj.54.6.10 ◽

2020 ◽

Vol 54 (6) ◽

pp. 108-113

Author(s):

Sarah Freeman ◽

Jake Gentle ◽

Tim Conway

Keyword(s):

Risk Assessment ◽

Offshore Wind ◽

Wind Generation ◽

Investment Strategies ◽

Remote Locations ◽

The Face ◽

Assessment Techniques ◽

The Cost

AbstractAs wind generation becomes more prevalent, it is critical that these resources remain secure and, perhaps more significantly, resilient in the face of cyberattacks. Additionally, the remote locations of offshore wind assets increase the cost associated with responding to cyber incidents. Existing risk assessment techniques, such as consequence prioritization and MITRE ATT&CK, can be used by the wind industry to identify potential impacts from cyberattacks. This perspective can then inform cybersecurity investment strategies for greatest impact.

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