Commentary on: Skin Tightening With Hyperdilute CaHA: Dilution Practices and Practical Guidance for Clinical Practice

2021 ◽  
Author(s):  
Tatjana Pavicic
Keyword(s):  
Clinical Practice ◽  
Skin Tightening ◽  
Practical Guidance

scholarly journals Skin Tightening With Hyperdilute CaHA: Dilution Practices and Practical Guidance for Clinical Practice

2021 ◽  
Author(s):  
Z Paul Lorenc ◽  
Jeanette M Black ◽  
Jessie S Cheung ◽  
Annie Chiu ◽  
Roberta Del Campo ◽  
...  
Keyword(s):  
Clinical Practice ◽  
The United States ◽  
Tissue Response ◽  
Injection Technique ◽  
Skin Tightening ◽  
Filler Injection ◽  
Medical Education Program ◽  
The Face ◽  
Practical Guidance ◽  
Lymphocytic Infiltrates

Abstract Background Over the past several years, hyperdilute calcium hydroxylapatite (CaHA) has emerged as an effective modality for improving skin quality and managing laxity in the face, arms, hands, neck, décolletage, upper arms, abdomen, buttocks, and upper legs, as well as treating cellulite and striae. While undiluted CaHA is used to provide volume, hyperdilute CaHA is distributed across a much larger surface area in a more superficial plane to stimulate neocollagenesis and elastin formation over time. The absence of lymphocytic infiltrates and predominance of type 1 collagen in the tissue response to CaHA make hyperdilute CaHA a valuable tool for nonsurgical skin tightening. Objectives Provide practical step-by-step guidance on patient selection, dilution practices, and optimal injection technique to facilitate incorporation of the technique into clinical practice. Methods Over the course of 3 regional meetings in the United States, 12 expert physician injectors participated in live webinars as part of a continuing medical education program. Results The practical guidance in this manuscript is based upon the most frequently requested information by audience members and the information considered critical for success by the authors. Conclusions The minimally invasive nature of filler injection results in little down time, making this treatment particularly appealing. The recommendations presented are consistent with previously published consensus guidelines on hyperdilute CaHA but are intended to serve as “how-to” guidance from experience of expert injectors who have successfully treated the face and body.

Dental Photography: a Practical Guide

Dental Update ◽  
2020 ◽  
Vol 47 (10) ◽  
pp. 802-811
Author(s):  
Louis Mackenzie ◽  
Mike Sharland
Keyword(s):  
Clinical Practice ◽  
Virtual Patient ◽  
Dental Practice ◽  
Clinical Images ◽  
Face To Face ◽  
Single Lens ◽  
Practical Guidance ◽  
Remote Patient ◽  
Technological Improvements ◽  
Dental Photography

The use of photography in dentistry is well established. Progressive technological improvements and dedicated training and practice in the use of specialized dental photography equipment enables novice clinical photographers to quickly become as proficient as experienced experts. The range of applications for dental photography continues to grow and may enhance the assessment, diagnosis and management of the majority of patients. Digital single lens reflex (DSLR) cameras, coupled with macro lenses and specialized flashes, may predictably be expected to deliver the highest quality clinical images. As mastery of dental photography requires optimization of equipment, settings and photographic techniques, this article is designed to provide detailed practical guidance for clinicians wishing to incorporate dental photography as a routine component of clinical practice and to provide guidance on optimizing the use of photography to enhance remote patient consultations. CPD/Clinical Relevance: Dental photography has an important role in optimizing face-to-face and virtual patient care in contemporary general dental practice.

scholarly journals Switching between GLP‐1 receptor agonists in clinical practice: Expert consensus and practical guidance

2020 ◽  
Author(s):  
Akshay B. Jain ◽  
Amar Ali ◽  
Juan J. Gorgojo Martínez ◽  
Irene Hramiak ◽  
Ketan Kavia ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Expert Consensus ◽  
Receptor Agonists ◽  
Practical Guidance

scholarly journals Public health for paediatricians: Fifteen-minute consultation on addressing child poverty in clinical practice

2020 ◽  
pp. edpract-2020-319636
Author(s):  
Guddi Singh ◽  
Hannah Zhu ◽  
C Ronny Cheung
Keyword(s):  
Public Health ◽  
Clinical Practice ◽  
Young People ◽  
Child Health ◽  
Health Professionals ◽  
Child Poverty ◽  
Evidence Based ◽  
Children And Young People ◽  
Clinical Consultation ◽  
Practical Guidance

Paediatricians and other child health professionals have a key role in identifying, preventing or mitigating the impacts of poverty on child health. Approaching a problem as vast and intractable as poverty can seem daunting. This article will outline how social determinants impact child health, and provide practical guidance on how to address this problem through a public health lens. The aim is to give frontline practitioners a straightforward, evidence-based framework and practical solutions for tackling child poverty, across three levels: (1) the clinical consultation; (2) the clinical service for the population of children and young people we serve and (3) with a broader policy and social view.

scholarly journals International clinical practice guidelines for early psychosis

2005 ◽  
Vol 187 (S48) ◽  
pp. s120-s124 ◽  
Author(s):  
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Early Psychosis ◽  
Final Version ◽  
International Conference ◽  
The Third ◽  
Final Draft ◽  
Practical Guidance

SummaryThese international clinical practice guidelines were developed with detailed input from 29 invited international consultants, who provided content as well as detailed feedback on draft versions. The final draft of the guidelines was ratified by the Executive of the International Early Psychosis Association and presented and formally endorsed at the Third International Conference on Early Psychosis held in Copenhagen, September 2002. They have been revised slightly to include medications that were not available in 2002, although a fully comprehensive process of update has not yet been conducted. The final version is published in this Supplement with the aim of encouraging further discussion as well as providing practical guidance to clinicians and researchers. A second edition is planned for publication in 2008.

scholarly journals Use of online sources of information for dental prac-tice among private dental practitioners in Bangalore – a cross sectional survey

2017 ◽  
Vol 5 (1) ◽  
pp. 75
Author(s):  
Mayur Nath Reddy ◽  
Hemalatha K
Keyword(s):  
Clinical Practice ◽  
The Internet ◽  
Common Disease ◽  
Sources Of Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Online Source ◽  
Dental Practitioners ◽  
Practical Guidance ◽  
Online Sources

Introduction: The Internet seems to provide a new opportunity to overcome problems of access and provide clinically appropriate information to practitioners. However, while use of the Internet for clinical information has grown substantially in recent years. Access to the Internet has been improving rapidly for all professional groups. Dental professionals in clinical practice have been increasing opportunities to obtain information for clinical decision-making from a variety of resources, including a growing availability through online technology.Objectives:1)      To assess the frequency of utilizing online sources of information for practical guidance.2)      To assess the influence of online sources of information on practical guidance.Materials and Methods: A Cross-sectional survey was carried out among 386 private dental practitioners in Bangalore city. A self-administered, structured questionnaire containing 16 items was used (including demographic details). Cronbach's α was found to be 0.87 for each item. Statistical analysis was done using chi-square test.Results: 81.6% (n=315) of private dental practitioners use the Internet as their source of information for clinical practice. Only 18.4% (n=71) do not use, the main reason for not using internet is lack of time and it is too complicated to use. 44.8% (n=173) rated on online source as most influential and 45.6% (n=176) frequently using online source for guidance. Information was primarily sought on patient education, oral disease, updates on common disease, and diagnosis. Medline was the most frequently accessed source.Conclusion: A relatively large proportion of dental practitioners uses information from online sources for practical guidance. The Internet could be a valuable medium for the information, provided, that its use is accompanied by training in the identification, use, and application. 

scholarly journals Incivility experienced by nursing students in relations with nurses during clinical practice

2021 ◽  
Vol 27 (1) ◽  
pp. 29-38
Author(s):  
Yoon Young Hwang ◽  
Min Sun Chu
Keyword(s):  
Content Analysis ◽  
Clinical Practice ◽  
Nursing Students ◽  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
Practical Training ◽  
Methodological Rigor ◽  
Data Saturation ◽  
Convenience Sampling ◽  
Practical Guidance

Purpose: The purpose of this study was to describe the meaning of incivility experienced by nursing students in relations with nurses during clinical practice.Methods: This is a descriptive qualitative study that included thirty participants using convenience sampling in universities in S, J, Ch, and C provinces. Data saturation was achieved and methodological rigor was established. Qualitative content analysis was used to inductively determine categories.Results: The four categories derived from analysis were ‘left alone at clinical field’, ‘treated as an assistant’, ‘not respected as a person’ and ‘ignored future dreams’.Conclusions: Nursing students continue to carry out repetitive, low-risk tasks, for which they are not properly trained due to the lack of practical guidance in clinical practice. During clinical practice, they are not respected as persons by nurses and are negatively influenced by nurse professionals. A solution to this requires organic cooperation and policy preparation at universities and hospital sites to improve practical training of nursing students.

scholarly journals A more practical guide to incorporating health equity domains in implementation determinant frameworks

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Eva N. Woodward ◽  
Rajinder Sonia Singh ◽  
Phiwinhlanhla Ndebele-Ngwenya ◽  
Andrea Melgar Castillo ◽  
Kelsey S. Dickson ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Health Equity ◽  
Clinical Encounter ◽  
Prior Work ◽  
Consensus Process ◽  
Implementation Framework ◽  
Research And Practice ◽  
Societal Context ◽  
Practical Guidance ◽  
Relevant Factors

Abstract Background Due to striking disparities in the implementation of healthcare innovations, it is imperative that researchers and practitioners can meaningfully use implementation determinant frameworks to understand why disparities exist in access, receipt, use, quality, or outcomes of healthcare. Our prior work documented and piloted the first published adaptation of an existing implementation determinant framework with health equity domains to create the Health Equity Implementation Framework. We recommended integrating these three health equity domains to existing implementation determinant frameworks: (1) culturally relevant factors of recipients, (2) clinical encounter or patient-provider interaction, and (3) societal context (including but not limited to social determinants of health). This framework was developed for healthcare and clinical practice settings. Some implementation teams have begun using the Health Equity Implementation Framework in their evaluations and asked for more guidance. Methods We completed a consensus process with our authorship team to clarify steps to incorporate a health equity lens into an implementation determinant framework. Results We describe steps to integrate health equity domains into implementation determinant frameworks for implementation research and practice. For each step, we compiled examples or practical tools to assist implementation researchers and practitioners in applying those steps. For each domain, we compiled definitions with supporting literature, showcased an illustrative example, and suggested sample quantitative and qualitative measures. Conclusion Incorporating health equity domains within implementation determinant frameworks may optimize the scientific yield and equity of implementation efforts by assessing and ideally addressing implementation and equity barriers simultaneously. These practical guidance and tools provided can assist implementation researchers and practitioners to concretely capture and understand barriers and facilitators to implementation disparities.

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