Circumferential Liposuction of the Female Arm

2018 ◽  
Vol 36 (3) ◽  
pp. 125-129
Author(s):  
Roland Boeni
Keyword(s):  
Local Anesthesia ◽  
Obese Patients ◽  
Skin Tightening ◽  
Female Patients ◽  
Skin Excision ◽  
Tumescent Liposuction

Traditionally, liposuction of the upper arms addresses only the posterolateral aspect. We evaluated the efficacy of circumferential arm liposuction in a larger series of patients. Power-assisted tumescent liposuction in local anesthesia was performed on 79 female patients with enlarged upper arms. All patients showed an immediately visible reduction of the circumference of the upper arms and there was a significantly improved skin tightening effect. There were no complications. Circumferential liposuction of the upper arms is a not very well known, superior technique to reduce arm fat, which obviates skin excision in most cases. Using this approach, surgeons can expand their client base by including elderly and obese patients with skin ptosis who seek leaner and athletic looking arms without scars.

scholarly journals Turbinoplasty by laser

1970 ◽  
Vol 16 (1) ◽  
pp. 9-14
Author(s):  
Md Zillur Rahman ◽  
ABM Tofazzal Hossain
Keyword(s):  
Key Words ◽  
Diode Laser ◽  
Local Anesthesia ◽  
Nasal Obstruction ◽  
Day Care ◽  
Female Patients ◽  
Key Words Laser ◽  
Laser Techniques ◽  
Laser Group

This is a study of 61 cases of turbinoplasty done in 3 hospitals of Bangladesh from August2007 to July 2009 (2 years). This study compares turbinoplasty by laser with that of non-lasertechniques. 60.65% of patients were operated by laser and 39.34% of patients were operatedby non-laser techniques. Majority of the patients were from 21- 40 years of age, (62.16% inlaser group and 54.16% in non-laser group). Male & Female patients ratio was 3:1 in bothgroups. 100% of the patients were presented with nasal obstruction. 98.36% with nasaldischarge, 95.08% with headache and 75.40% with frequent sneezing (p<0.01). Most patientswere operated under local anesthesia in both groups (78.38% and 58.33% respectably).Follow up was satisfactory up to 3 months (Laser group 81.08 % and non-laser group 70.83%). Most of the patient were all symptoms free (86.48 % in laser group and 79.16 % in nonlasergroup). Only 8 patients (21.62%) present with crusting in laser group in respect to 22patients (91.66%) in non-laser group with no incidence of severe post–operative nasal bleedingin laser group. 34 patients (91.89%) of Laser group and 13 patients (35.13%) of non-lasergroup were treated as day care surgery.Most of the cases (70.27%) were operated by diode laser. Recurrences of symptoms werenegligible in laser group (2.70%).Key Words: Laser; Turbinoplasty.DOI: 10.3329/bjo.v16i1.5775Bangladesh J Otorhinolaryngol 2010; 16(1): 9-14

scholarly journals Study of Drug Prescription Pattern of Obese and Non-Obese Patients with Type-II Diabetes with or without Hypertension

2020 ◽  
Vol 6 (1) ◽  
pp. 81-93
Author(s):  
Mijala Bajracharya ◽  
S Nakarmi
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Obese Patients ◽  
Age Group ◽  
Waist To Hip Ratio ◽  
Female Patients ◽  
Male Patients ◽  
Oral Hypoglycemic Drugs

Correction: The page numbers were changed from 98-100 to 81-93 on 31/08/2020. Background: Obesity is regarded as worldwide health problems which may put a person at a higher risk of serious health conditions leading to morbidity and mortality. Obesity is a risk factor for many diseases of which hypertension and type-2 diabetes mellitus are the most important. Hypertension, diabetes mellitus and obesity together form 24% of the global risk for mortality. Cardiovascular diseases related to these life-style disorders has major effect on life expectancy and impaired quality of life. Objectives: The study was done to evaluate the drug prescribing pattern of type - 2 diabetes and hypertension in both obese and non-obese patients. Along with it, this study also attempt to find the contributing factors associated with it and different types of drugs selected in those conditions respectively. Method: A descriptive cross-sectional study was conducted in 2074 at Manmohan memorial teaching hospital. A total of 101 out-patient were interviewed, measurements were done to calculate BMI and waist to hip ratio and their prescriptions were reviewed. For Treatment Guideline of HTN, JNC 8[20] was followed and Updated Treatment Guidelines for Type 2 Diabetes by the American Diabetes Association (ADA) [21] was followed in case of diabetes. Result: Among 101 patients studied, 58 were males and 43 were females. Regarding physical activity, only 26.7% of total patients were involved in morning walk and 3% in yoga, remaining 71% of study patients did not involve in any kind of physical exercise. Regarding food habits, 22.8% were smokers, 49.5% were alcoholics and 96% were non-vegetarians. Waist to hip ratio was also observed higher in both males (35.6%) and females (39.6%). Among the101 total participants, the age group of 41-55 years were found to be more obese than other age group (34 in numbers) followed by age group 56-70 which were 16 in numbers. Male patients were more obese (41) than female patients (31). Highest number (31) of the obese patients were diagnosed with type 2 diabetes mellitus, followed by second highest number (26) of patients diagnosed with hypertension and 15 patients with both the conditions. The commonly prescribed oral hypoglycemic drugs were metformin (35.60%) followed by glimepiride (24.80%). Among anti-hypertensive drugs, amlodipine (22.80%) was most common in prescriptions followed by losartan (18.80%) and Telmisartan (17.80%). Conclusion: The results of the present study show that higher number of male patients (41) were obese than female patients (31). About 30% of patients were found obese-diabetic, 26% were obese-hypertensive and 15% were with both obese diabetic and hypertensive condition. Among oral hypoglycemic drugs, metformin (35.60%) was mostly prescribed followed by glimepiride (24.80%). Among antihypertensives, amlodipine (22.8%) was mostly prescribed followed by losartan (18.80%). Atorvastatin (11.9%) was mostly prescribed oral hypolipidemic agent.

scholarly journals Applications of Helium Plasma in Rejuvenation of the Face and Neck

2021 ◽  
Author(s):  
Deirdre Leake ◽  
Janet Lee
Keyword(s):  
Patient Selection ◽  
Radiofrequency Energy ◽  
Open Approach ◽  
Skin Tightening ◽  
Bipolar Radiofrequency ◽  
Tissue Contraction ◽  
Thermal Spread ◽  
Helium Gas ◽  
The Face ◽  
Skin Excision

Energy based devices have been developed for the purposes of tissue contraction and skin tightening. Its application in the face and neck have been explored using lasers, temperature controlled monopolar and bipolar radiofrequency, and ultrasound. The purpose of this chapter is to explore the various applications for the face and neck using Renuvion™, a unique energy driven device based on plasma generated from the combination of helium gas and radiofrequency energy. The advantage of this technology is its ability to offer precise delivery of heat to tissue with minimal thermal spread, in part due to the rapid cooling aided by the helium gas. We will explore the options in which this technology can be incorporated to rejuvenate the face and neck, the patient selection considerations in choosing method of approach, surgical technique, anticipated outcomes, potential concerns and or complications associated with this and expected perioperative care. Applications in the face and neck include: (1) Subdermally in the neck as a stand alone procedure with or without liposuction. (2) Subdermally in a limited incision, non-excisional technique with a concomitant platysmaplasty either with an open approach or percutaneous use of suture suspension for the platysmal muscle. (3) Subdermally in conjunction with an open traditional rhytidectomy involving skin excision. (4) Ablative resurfacing—fractional or pulsed and full continuous modalities (non-FDA cleared at the time of this writing). It is the authors’ experience that with appropriate patient selection this can be a powerful tool that can deliver skin tightening and rhytid reduction not seen by other technologies available.

scholarly journals Obesity Drives an Oral Microbiota Signature of Female Patients With Periodontitis.

2021 ◽  
Author(s):  
Charlotte Thomas ◽  
Matthieu Minty ◽  
Thibault Canceill ◽  
Pascale Loubieres ◽  
Vincent Azalbert ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Pilot Study ◽  
Body Mass ◽  
Therapeutic Strategies ◽  
Oral Microbiota ◽  
Obese Patients ◽  
Female Patients ◽  
Taxonomic Analysis ◽  
Obese Subjects

Abstract The aim of this study was to analyze the link between oral microbiota and obesity in humans. We conducted a pilot study including 19 subjects with periodontitis divided into two groups: normo-weighted subjects (NWS) with a body mass index (BMI) between 20 and 25 (n=9) and obese subjects (OS) with a BMI >30 (n=10). The abundance of the Capnocytophaga genus, found in oral microbiota by taxonomic analysis, was higher (2.47% ± 3.02 vs 0.27% ± 0.29, p=0.04) in OS compared to NWS. Decayed teeth (2.25 ± 2.21 vs 0, p=0.04) were significantly increased in obese females (OF) compared to obese males (OM) associated with a dysbiotic oral microbiota (39.45 ± 3.74 vs 26.41 ± 11.21, p=0.03 for the Chao 1 index). OF were characterized by an increase in the Streptococcus genus (34.12% ± 14.29 vs 10.55% ± 10.42, p=0.05) compared to OM where the Neisseria genus was increased (5.75% ± 5.03 vs 58.05% ± 30.64, p=0.008). These first data suggest that the sex gender is determinant in the link between oral dysbiotic microbiota and obesity. Our study proposes an adaption of therapeutic strategies for obese patients with periodontitis following the sex gender.

scholarly journals Body as subject, body as object: how treatment of the obese patient can be improved by dance therapy

2018 ◽  
Vol 10 (2) ◽  
pp. 20203 ◽  
Author(s):  
Solange Muller-Pinget ◽  
Lara Allet ◽  
Alain Golay
Keyword(s):  
Quality Of Life ◽  
Dance Therapy ◽  
Self Esteem ◽  
The Body ◽  
Therapeutic Education ◽  
Control Group ◽  
Obese Patients ◽  
Self Perception ◽  
Female Patients

Objectives: To give obese patints the motivation to take care of themselves. To help them focus on self perception rather than on their figure and BMI. This study aimed to analyze the impact of dance therapy on the body as subject as experienced by the patient. Methodology: After randomization, 27 female patients undertook a dance therapy program for 16 weeks and were compared against a control group of 19 female patients. The effects on conscious walking, posture, self-esteem and quality of life were measured using questionnaires on self-perception of posture, walk, self-esteem and quality of life. Results: The results after dance therapy showed significant improvement in the body as subject (posture p < 0.02; conscious walking p < 0.001; quality of life p < 0.01; body esteem p < 0.003; and sense of self-worth p < 0.005). The results for the control group had not changed after 16 weeks. Conclusion: after 4 months of dance therapy, obese patients developed a perception of a “body as subject they experience”, which led them to significantly improve their self-esteem and quality of life. Practice implications: Dance therapy should be incorporated into therapeutic education programs to improve the perceptive dimension of our obese patients.

scholarly journals Effectiveness of Premedication with Analgesics vs Placebo for Success of Inferior Alveolar Nerve Block in Irreversible Pulpitis

2012 ◽  
Vol 2 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Aisha Wali ◽  
Talha Mufeed Siddiqui ◽  
Nauman Qamar ◽  
Rabia Khan ◽  
Nausheen Jawaid
Keyword(s):  
Success Rate ◽  
Local Anesthesia ◽  
Nerve Block ◽  
Naproxen Sodium ◽  
Inferior Alveolar Nerve ◽  
Endodontic Treatment ◽  
Inferior Alveolar Nerve Block ◽  
Female Patients ◽  
Experienced Pain ◽  
Irreversible Pulpitis

ABSTRACT Pain is considered to be the major cause for seeking emergency endodontic treatment. Pain management is of vital importance in endodontics with no exception. Local anesthesia is considered to be the primary method to control pain. An effective local anesthesia cannot be obtained if pulp is inflamed. Clinician prescribes nonsteroidal anti-inflammatory drugs (NSAIDs) as premedication on a routine basis for mild to moderate pain to reduce pulpal inflammation before injecting anesthesia. These drugs are beneficial in providing relief from pain and inflammation in irreversible pulpitis and helps in providing effectiveness of inferior alveolar nerve block. Moreover, they have a short half life, which would make them ideal for a single dosage prior to the management of severe pain. Aim To conduct a randomized-placebo controlled clinical trial to compare the effectiveness of premedication with analgesics vs placebo for success of inferior alveolar nerve block in irreversible pulpitis. Materials and methods The study consisted of 80 adult patients attending operative Outpatient Department in Baqai Dental College. Informed Consent was obtained from each participant. Subjects were randomly divided in four groups comprising of 20 subjects in each group. Group A received piroxicam (Feldene 20 mg, Pfizer), group B received diclofenac potassium (Fastaid Plus, 50 mg platinum pharmaceutic), group C received naproxen sodium (Synflex 550 mg, ICI), and group D received a placebo drug becefol (Abbott). Medication was given 1 hour before initiating endodontic treatment. After 1 hour of oral administration of tablets, inferior alveolar nerve block using 1.8 ml of 2% lidocaine containing 1: 200,000 epinephrine was given. After 15 minutes, access cavity preparation was initiated and patients were asked to inform if they experienced pain. Patients were excluded from the study if they experienced pain but if the patient did not feel pain endodontic treatment was continued. p-value was set at 0.05. Data was analyzed by using Chi-square test (SPSS 19). Results The result showed that out of 80 patients who participated in the study, success rate for piroxicam came out to 90% (10 male and 8 female patients), followed by diclofenac potassium with 75% success rate (9 male and 6 female patients), naproxen sodium with 35% success rate (3 male and 4 female patients) and placebo with 10% success (1 male and 1 female patient). Conclusion The current study concludes that premedication given 1 hour before injecting anesthesia is helpful in reducing pain intensity and thus causing inferior alveolar nerve block to be effective. How to cite this article Wali A, Siddiqui TM, Qamar N, Khan R, Jawaid N. Effectiveness of Premedication with Analgesics vs Placebo for Success of Inferior Alveolar Nerve Block in Irreversible Pulpitis. Int J Prosthodont Restor Dent 2012;2(1):5-9.

Obesity as a prognostic factor for incidence and survival in female patients diagnosed with breast cancer.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e12567-e12567
Author(s):  
Islam Elsayed Ramadan
Keyword(s):  
Breast Cancer ◽  
Cancer Incidence ◽  
Breast Cancer Incidence ◽  
Normal Weight ◽  
Obese Patients ◽  
Age Group ◽  
Female Patients ◽  
Younger Age ◽  
The Impact

e12567 Background: The incidence of obesity in females ≥15 years of age in Egypt is one of the highest all over the world (33%)we investigated the impact of increased BMI on breast cancer incidence and survival. Methods: we reviewed files for 1873 female patients with breast cancer, presented at ACOD, from Jan. 1996 to Dec. 2005. , only 907 were eligible BMI of every patient was calculated and four groups were formed.The duration of follow-up was calculated from the date of registration to the date of death or last follow-up. The locoregional control period was between the end of treatment and failure of local control at 5 years or death or last follow-up OS was measured as the interval between the beginning of treatment and death or last follow-up evaluation. Results: patients were classified into 4 groups, the first group included 100 patients of BMI less than 18.5, the second group including 299 patients of BMI more than or equal to 18.5 and less than 25, the third group including 336 patients of BMI more than or equal to 25 and less than 30, and the fourth group including 172 patients of BMI more than 30. the highest peak of breast cancer incidence was in the age group 55-65 years (32.4%), while the lowest incidence was in the age group more than 65 (8.6%). Obese patients had the tendency to have breast cancer in younger age than normal weight patients with a mean of 38.6 years vs. 58.6 years. results showed that over weight patients constituted more than 37% while obese patients only constituted 19 %, normal weight 33% and underweight 11%. In our study, the majority of cases were staged as stage II and III (42.6 and 45.9 % respectively). Only 10.2% of patients in our series were recorded with stage IV; most of them were obese.Patients with increased BMI, in our study, had a significantly lower DFS ( p < 0.013).there was a statistically significant correlation between overall survival and BMI of patients (p=0.0015); there was an increase in mortality with increasing BMI. Conclusions: Our results report an increase in the incidence of breast cancer in overweight and obese patients in our population. Patients with high BMI were diagnosed at younger age, had more advanced stage and a statistically significant lower DFS & OS as compared to normal weight patients.

Tumescent Liposuction under General Anesthesia

1992 ◽  
Vol 9 (1) ◽  
pp. 49-54 ◽  
Author(s):  
Howard A. Tobin
Keyword(s):  
Blood Loss ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Autologous Transfusion ◽  
Tumescent Liposuction ◽  
Liposuction Surgery ◽  
Hemostatic Effects

Tumescent liposuction has been recently established as a technique of infiltration of dilute concentrations of lidocaine and adrenalin, which appears to drastically limit the amount of blood loss during liposuction surgery. Previous reports focused on its use under local anesthesia. I have found that it is equally applicable to patients undergoing liposuction surgery under general anesthesia and have also found that the concentration of adrenalin can be reduced from 1: 1,000,000 to 1: 4,000,000 without compromising the hemostatic effects. The technique allows relatively large amounts of fat to be aspirated safely without autologous transfusion.

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