scholarly journals Тhree–level face lifting

2018 ◽  
Vol 85 (4) ◽  
pp. 38-40
Author(s):  
I. Yu. Slyusaryev ◽  
N. I. Slyusaryev ◽  
P. А. Denischuk

Objective. To follow–up and to compare a quality of stabilization of covering tissues in middle zone of the face, using ultrasonographic investigations, in long time after performance of a three–level face lifting and classical SMAS lifting. Маterials and methods. In the investigation 40 women–patients, ageing 42–70 yrs old, took part, in whom a face lifting was performed 5 – 8 yrs before. Investigation group consisted of 20 women, to whom three–level face lifting was performed, and a control one – 20 women, in whom face lifting was done in accordance to classic method. Results. Median indices of the covering elements thickness in projection of the anchor points in women–patients in 5 – 8 yrs after classic face liftinghave constituted: B – 3.9 mm, D – 5.9 mm, H – 6.6 mm; after three–level face lifting operation: В – 4.8 mm, D – 8.5 mm, H – 6.6 mm. Conclusion.Меthod of a three–level face lifting is indicated to the patients, suffering pronounced salient deformities of the face middle zone and depletion of the suborbital and cheekbone zones.

2020 ◽  
Author(s):  
Vladislav Nikulin ◽  
Amir Abdullaev ◽  
Mikhail Davydov ◽  
Alexey Rumyantsev ◽  
Vladislav Kirsanov ◽  
...  

Abstract Objective: to demonstrate an efficacy of Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in management of malignant ascites (MA) in patients with platinum-refractory ovarian cancer (OC).Background: MA in OC patients can dramatically affect quality of life. HIPEC is an investigational treatment modality that can be effective in MA setting but evidence-based data supporting this method are lacking. Cases presentation: 2 women 50-year-old, FIGO stage IV and 60-year-old, FIGO stage IIIC presented at our center, both had recurrent MA. Patients were treated with HIPEC after platinum-refractory recurrence. The first one had total control of MA with no evidence of disease at the time of last follow-up examination. The 2nd had 9 months of disease control – a relatively long time considering her MA recurrence rate.Conclusions: HIPEC can be successfully used for MA management in selected patients with epithelial OC refractory to standard chemotherapy, however more data are needed from randomized clinical trials.


2020 ◽  
Vol 5 (2) ◽  
pp. 116
Author(s):  
Enggar Wahyu Wulaningtyas ◽  
Ferry Dimas Prakoso ◽  
Meidi Putri Ariyani ◽  
Muhammad Iriandru Pradipta ◽  
Yuniaristanto Yuniaristanto ◽  
...  

As time goes by, there are more problems regarding the quantity and quality of water in Indonesia. One of these problems was found at Sebelas Maret University (UNS), precisely at Sistem Penyediaan Air Minum UNS (SPAM UNS). In serving its customers, SPAM UNS provides water tap and water dispenser facilities. However, there are still many weaknesses in the distribution of water. This is due to the frequent occurrence of pipe leaks and it takes a long time to find the location of the leak. As a result, financial losses experienced are quite large. The purpose of this study is to reduce losses by using the District Meter Area (DMA) concept to determine the area coverage (zoning) and the Analytical Hierarchy Process (AHP) method to determine the location of new reservoirs as a follow up of the zoning system. By implementing the DMA concept and the AHP method, SPAM UNS is able to reduce financial losses. The results obtained are making a new reservoir feasible because the value of the construction is almost the same as the initial loss value experienced by the UNS SPAM distribution network


PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e7142 ◽  
Author(s):  
Bhanu Bhakta Neupane ◽  
Sangita Mainali ◽  
Amita Sharma ◽  
Basant Giri

BackgroundLow-cost face masks made from different cloth materials are very common in developing countries. The cloth masks (CM) are usually double layered with stretchable ear loops. It is common practice to use such masks for months after multiple washing and drying cycles. If a CM is used for long time, the ear loops become stretched. The loop needs to be knotted to make the mask loop fit better on the face. It is not clear how washing and drying and stretching practices change the quality of a CM. The particulate matter (PM) filtering efficiency of a mask depends on multiple parameters, such as pore size, shape, clearance, and pore number density. It is important to understand the effect of these parameters on the filtering efficiency.MethodsWe characterized the surface of twenty different types of CMs using optical image analysis method. The filtering efficiency of selected cloth face masks was measured using the particle counting method. We also studied the effects of washing and drying and stretching on the quality of a mask.ResultsThe pore size of masks ranged from 80 to 500 μm, which was much bigger than particular matter having diameter of 2.5 μm or less (PM2.5) and 10 μm or less (PM10) size. The PM10filtering efficiency of four of the selected masks ranged from 63% to 84%. The poor filtering efficiency may have arisen from larger and open pores present in the masks. Interestingly, we found that efficiency dropped by 20% after the 4th washing and drying cycle. We observed a change in pore size and shape and a decrease in microfibers within the pores after washing. Stretching of CM surface also altered the pore size and potentially decreased the filtering efficiency. As compared to CMs, the less frequently used surgical/paper masks had complicated networks of fibers and much smaller pores in multiple layers in comparison to CMs, and therefore had better filtering efficiency. This study showed that the filtering efficiency of cloth face masks were relatively lower, and washing and drying practices deteriorated the efficiency. We believe that the findings of this study will be very helpful for increasing public awareness and help governmental agencies to make proper guidelines and policies for use of face mask.


2021 ◽  
Vol 13 (3) ◽  
pp. 93-98
Author(s):  
D. R. Khasanova ◽  
Yu. V. Zhitkova ◽  
G. R. Vaskaeva

In the context of the COVID-19 pandemic, healthcare is faced with several new problems, one of which is a post-covid syndrome. Symptoms in many COVID-19 survivors can persist for a long time, significantly affecting the quality of life and work performance. All of the above makes post-covid syndrome a socially significant disease, requires dynamic follow-up of such patients, and rehabilitation programs development. We are currently at the stage of accumulating knowledge about the SARS-CoV-2 pathophysiology and morphogenesis and its long-term consequences. This article discusses neuropsychiatric aspects of the post-covid syndrome: pathogenetic hypotheses, clinical features, and potentially promising treatment strategies.


2020 ◽  
Vol 4 (3) ◽  
pp. 314
Author(s):  
Churchil Febrion ◽  
Karto Wijaya ◽  
Dedi Sugandi

The density of urban settlements has resulted in poor visualization of the city, the need to improve the quality of buildings and rearrangement of the area which aims to improve the quality of visualization of the face of the city of Bandung for the better. Moreover, the area is located near one of Bandung's landmarks, namely the Pasopati bridge which is also an access to the city of Bandung. The high price of land and building materials causes a very dense residential environment, every existing land will be built as much as possible with bad construction values, of the many slum settlements in Bandung City, Tamansari is one of the settlements that are still slum. The buildings in the Tamansari area have various forms, the building area is relatively narrow and the material is minimal, and the construction is minimal. The tightness of the building distance makes road access in this area very narrow so that it cannot be used for evacuation routes and other emergency routes, another result of the density of the building is a lack of green open space or public facilities. This is what makes the visualization of this area worse and if you look at it from above the Pasopati bridge. The Pasopati Bridge is a bridge that stretches over this village and has become one of the city's icons, a bridge that connects the Pasteur area which is one of the access points to Bandung City to the center of Bandung City and across an area that has history and has even become an icon of the city of Bandung, namely Satay tower. This makes observers interested in researching slum buildings that have been built for a long time. The purpose of this study is to determine the level of slums on the banks of the Cikapundung river which is clearly visible from the bridge which is the access to the city gate of Bandung.


2021 ◽  
Vol 13 ◽  
pp. 1759720X2110201
Author(s):  
Susanna Maddali Bongi ◽  
Mauro Passalacqua ◽  
Giovanna Landi ◽  
Svetlana Mikhaylova ◽  
Lorenzo Tofani ◽  
...  

Background: Systemic sclerosis (SSc) alterations of the face and of the mouth cause aesthetic modifications and disability, impairing self-esteem and quality of life (QoL). The aim of this study was to verify the effects of two rehabilitation protocols on facial mimic and mouth opening. Methods: A total of 47 SSc patients (40 females and 7 males, mean age ± SD 59.08 ± 10.31 years), were consecutively selected: 22 were randomly assigned to protocol 1 [home exercises for temporomandibular joint (TMJ), mimic, masticatory and cervical spine muscles] and 25 to protocol 2 (home exercises and combined physiotherapeutic procedures performed by a physiotherapist). Each treatment had a duration of 12 weeks with a follow up of 8 weeks. TMJ dysfunction, orofacial involvement, disability, QoL, and safety were assessed at enrollment (T0), at the end of the treatment (T1), and at follow up (T2). Results: Both Protocol 1 and Protocol 2 induced significant improvements of some clinical and clinimetric parameters, but better results were obtained with Protocol 2. In the comparison between the effects of Protocol 1 and Protocol 2 at T1 and T2, a significant difference was observed only for Mouth Handicap in SSc [MHISS; Total ( p = 0.00178] and for MHISS Mouth opening ( p = 0.0098) at T1. No significant difference of indices of short-form 36 was observed. Conclusion: The present data suggest that TMJ involvement in SSc may be managed by rehabilitation treatments. The action of a physiotherapist prescribing and personalizing exercises may induce better therapeutic effects.


Author(s):  
Alexander G. Weil ◽  
Ralph Rahme ◽  
Robert Moumdjian ◽  
Alain Bouthillier ◽  
Michel W. Bojanowski

Objective:Decompressive hemicraniectomy (DH) has been shown to reduce mortality in patients with malignant middle cerebral artery (MCA) territory infarction. However, many patients survive with moderate-to-severe disability and controversy exists as to whether this should be considered good outcome. To answer this question, we assessed the quality of life (QoL) of patients after DH for malignant MCA territory infarction in our milieu.Methods:The outcome of all patients undergoing DH for malignant MCAterritory infarction between 2001 and 2009 was assessed using retrospective chart analysis and telephone follow-up in survivors. Functional outcome was determined using Glasgow outcome scale, modifed Rankin scale (mRS), and Barthel index (BI). The stroke impact scale was used to assess QoL.Results:There were 14 patients, 6 men and 8 women, with a mean age of 44 years (range 27-57). All patients had reduced level of consciousness preoperatively. Five had dominant-hemisphere stroke. Median time to surgery was 45 hours (range 1- 96). Two patients died and one was lost to follow-up. Of 11 survivors, 7 (63.6%) had a favorable functional outcome (mRS<4). No patient was in persistent vegetative state. Despite impaired QoL, particularly in physical domains, the majority of interviewed patients and caregivers (7 of 8), including those with dominant-hemisphere stroke, were satisfied after a median follow-up of 18 months (range 6-43).Conclusion:Most patients report satisfactory QoL despite significant disability even in the face of moderate-to-severe disability and dominant-hemsiphere stroke. Dominant-hemisphere malignant MCA territory infarction should not be considered a contraindication to DH.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
M. Soledad Herrera ◽  
Raúl Elgueta ◽  
M. Beatriz Fernández ◽  
Claudia Giacoman ◽  
Daniella Leal ◽  
...  

Abstract Background Confinement during the COVID-19 pandemic has placed great stress on older adults, which may be affecting their quality of life. Thus, this study aims to describe the changes in mental and physical health, isolation and loneliness, residence and socioeconomic resources in a national cohort of Chilean older adults before and during the COVID-19 outbreak. It also analyzes the changes in depressive symptoms by changes in the other quality of life indicators before and during the COVID-19 outbreak. Possible methodological biases of telephone surveys in older adults living in non-developed countries are also discussed. Methods Between June and September 2020, a random subsample of 720 people who had participated in the face-to-face V National Survey on Quality of Life in Older Adults in Chile conducted at the end of 2019 was followed up by telephone. Descriptive bivariate analyses were performed using t-test and non-parametric tests for independent variables, comparing the baseline sample with the current 2020 follow-up sample during the peak of the pandemic outbreak in Latin America. Furthermore, descriptive bivariate analysis through t-test and non-parametric test for paired samples compared the follow-up subsample at baseline with the not-included sample, examining possible biases of the telephone interview compared with the face-to-face interview. Results In the panel, there was no variation in self-rated health. The health symptoms that worsened were memory, stomach, and mood problems. Depressive symptoms and anxiety increased; similarly, smartphone users, social contacts, intergenerational co-residence and resilience increased. The telephone follow-up sample had a higher educational level and greater smartphone use than those not included in the subsample. Conclusions Although some physical and mental health indicators have worsened during the pandemic, older adults mobilized resources that could allow them to maintain their quality of life, such as improved resilience. Thus, these findings can guide future research and the development of efficient strategies to improve these resources among older adults to ensure wellbeing.


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