Apparatus methods in complex treatment of patients with atrophic scars

2020 ◽  
pp. 70-73
Author(s):  
A. M. Talybova ◽  
A. G. Stenko
Keyword(s):  
Normal Values ◽  
Negative Impact ◽  
Surgical Techniques ◽  
Laser Resurfacing ◽  
Fractional Photothermolysis ◽  
Radiofrequency Therapy ◽  
Chemical Peels ◽  
Atrophic Scars ◽  
Positive Effect

Atrophic scars are a common pathology that can have a negative impact on the patient’s quality of life. Methods for correcting atrophic scars include chemical peels, dermabrasion, ablative or non-ablative laser resurfacing, filler insertion, and surgical techniques. Depending on the type and severity of the scar, an individual approach is required to obtain satisfactory results. Material and methods. The study included 32 patients with atrophic scars. Depending on the therapy, the patients were divided into two groups in which they received microneedle radiofrequency therapy or fractional photothermolysis. The effectiveness of the methods of therapy was assessed using laser doppler fluometry and ultrasound scanning. Research results. The RF microneedle method and fractional photothermolysis have a positive effect on the epidermal-dermal structure of the skin, which is expressed in the approximation of the acoustic density and thickness of the epidermis and dermis to normal values, and also improve microcirculation. When analyzing the results of correction of atrophic scars, more pronounced positive dynamics was observed after the application of RF microneedles.

scholarly journals Innovative methods in treatment of patients with atrophic post-acne scars

2020 ◽  
pp. 47-51
Author(s):  
P. S. Kolcheva ◽  
A. M. Talybova ◽  
A. G. Stenko
Keyword(s):  
Normal Values ◽  
Negative Impact ◽  
Surgical Techniques ◽  
Laser Resurfacing ◽  
Innovative Methods ◽  
Acne Scars ◽  
Chemical Peeling ◽  
Atrophic Scars ◽  
Positive Effect

Atrophic scars after acne are a widespread condition that can have a negative impact on the patient’s quality of life. Correction methods for acne scars include chemical peeling, dermabrasion, ablative or non-ablative laser resurfacing, filler insertion and surgical techniques. Depending on the type and severity of the scar, an individual approach is required to obtain satisfactory results.Material and methods. Under observation were 61 patients with various manifestations of post-acne. Among them 21 (34.44 %) men and 40 (65.57 %) women. Depending on the therapy, the patients were divided into two groups and two subgroups depending on the type of scar. Efficiency was evaluated using ultrasound scanning.Results. The RF microneedle method and fractional photothermolysis have a positive effect on the epidermo-dermal structure of the skin, which is expressed in the approximation of the acoustic density and thickness of the epidermis and dermis to normal values. The most pronounced positive effect in both methods was noted in the correction of post-acne hypertrophic scars. When analyzing the results of correction of atrophic scars, more pronounced positive dynamics was observed after the use of RF microneedles.

scholarly journals KAJIAN PELAKSANAAN PROGRAM PEMBERDAYAAN MASYARAKAT PESISIR BERBASIS PENGELOLAAN BERKELANJUTAN PADA BUDIDAYA BANDENG DI PESISIR KABUPATEN KARAWANG

2014 ◽  
Vol 9 (1) ◽  
pp. 13
Author(s):  
Dicky Rachmanzah ◽  
Bambang Widigdo ◽  
Yusli Wardiatno
Keyword(s):  
Program Implementation ◽  
Performance Indicators ◽  
Achievement Goals ◽  
Sustainable Management ◽  
Negative Impact ◽  
Community Empowerment ◽  
Coastal Communities ◽  
Positive Effect ◽  
Empowerment Program

Penelitian ini bertujuan untuk: (1) menilai kesesuaian pelaksanaan dan capaian tujuan program penberdayaan melalui penilaian Indeks Pelaksanaan Program dan Indeks Pencapaian Tujuan;  (2) mengidentifikasi  pengaruh  variabel  pelaksanaan  sebagaimana  disebutkan  dalam  pedoman pemberdayaan terhadap tujuan program pemberdayaan dalam dimensi ekologis, ekonomi, dan  sosial, serta; (3) merumuskan strategi perbaikan yang perlu dilakukan sehingga pelaksanaan program pemberdayaan masyarakat pesisir dapat terlaksana dan berlanjut secara efektif. Metode penelitian  yang digunakan adalah metode survey. Hasil penelitian menunjukkan bahwa: (1) Indeks Pelaksanaan Program adalah sebesar 2,39 dengan kategori ‘Baik’. Indikator yang memerlukan upaya perbaikan  yaitu indikator ketepatan waktu penyaluran bantuan; (2) Indeks Pencapaian Tujuan sebesar 2,11 dengan kategori Cukup. Indikator capaian tujuan peningkatan kualitas lingkungan dan peningkatan kelembagaan kelompok memerlukan upaya perbaikan guna pencapaian kategori yang lebih baik; (3) Terhadap pencapaian tujuan dalam dimensi ekonomi berupa peningkatan produksi budidaya, variabel ketepatan waktu penyaluran, kecukupan jumlah bantuan, dan aktivitas pendampingan berpengaruh positif, sedangkan variabel kejadian kekeringan berpengaruh negatif; (4) Untuk pencapaian tujuan dalam  dimensi  sosial,  hanya  variabel  aktivitas  pendampingan  yang  berpengaruh  signifikan  terhadap peningkatan kelembagaan kelompok, dan; (5) Keseluruhan variabel pelaksanaan tidak berpengaruh terhadap capaian tujuan dalam dimensi ekologis berupa peningkatan kualitas lingkungan. Dengan memperhatikan hasil analisis, beberapa opsi kebijakan yang perlu dilakukan oleh Kementerian Kelautan dan Perikanan yaitu: (1) penyesuaian waktu penyaluran bantuan dengan musim tanam untuk meningkatkan efektifitas capaian tujuan dalam dimensi ekonomi; (2) peningkatan dukungan terhadap aktivitas pendampingan oleh tenaga penyuluh, untuk meningkatkan capaian tujuan dalam dimensi sosial, dan; (3) peningkatkan capaian tujuan dalam dimensi ekologis, berupa peningkatan kualitas lingkungan melalui pemberian intensif bagi pembudidaya yang memiliki sertifikat cara budidaya ikan yang baik (CBIB)(Title: Implementation Study of The Coastal Communities Empowerment Program Based on Sustainable Management of Milkfish Cultured In The Coastal Regency of Karawang)This study aimed to: (1) assess the suitability of the empowerment program implementation and  goals through the introduction of programs implementation Indexes and achievement of goals indexes;  (2) identify influences of enforcement variable mentioned in empowerment guidelines against goals of empowerment programs, the objectives in the form of economic, social, and ecology dimensions, and; (3) formulate strategy that needs to be done so the program can continue and be implemented effectively  in achieving its goal. Survey was used as the research method. The result of studies have shown that:  (1) Program Implementation Index that states performance level of coastal community empowerment program is worth 2.39 with the Good category. Performance indicators that require improvement efforts in order to achieve a better category , i.e. punctuality indicators of aid distribution; (2) Achievement Index that states the level of achievement goals of empowerment program is worth 2.11 with moderate 14 categories. The whole purpose of indicators that include increased production, increased institutional  farmer group, and improving the quality of the environment in the category of quite and require attention  and improvement efforts in order to achieve a better category; (3) against the objectives in the form of economic, variable aid delivery timeliness,adequacy of the amount of aid, and mentoring activity has a positive effect, while the incidence of drought has negative impact; (4) against the objectives in the form of social, only mentoring activities has a positive effect, and; (5) all of implementation variable hasn’t  effect against the objectives in the form of ecology. By considering the results of the analysis, some policy options that need to be done by Ministry of Marine Affairs and Fisheries are: 1) timing adjustment aid to the fish cultivation to increase the effectiveness of objectives in the form of economic; (2) Improved support for mentoring activities, to increase the objectives in the form of social; (3) and improvement of objectives in the form of ecology objectives through the rovision of intensive to the farmers who are  certified best aquaculture practiced

Impact of the Nature of Employment on the Quality of Working Life

2021 ◽  
pp. 170-188
Author(s):  
Vyacheslav Yu. Babyshev ◽  
◽  
Galina A. Barysheva ◽  
Thi Bich Ngoc Tran ◽  
Dao Thanh Binh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Positive Impact ◽  
Working Life ◽  
General Level ◽  
Quality Of Working Life ◽  
Part Time ◽  
The Impact ◽  
Positive Effect

Technological and demographic changes have actualized the question of the influence of the nature of employment and the parameters of the workplace on the quality of a person’s working life. A scientific review and analysis of the impact of current trends in employment modes on the quality of human life is presented. Based on the literature review, it has been concluded that if there is unanimity among scientists about the positive impact of the regime of protected and standard employment on the quality of life, there is active debate about the impact of the regime of vulnerable and precarious employment. Also, based on the analysis of the literature, it has been determined that people’s subjective satisfaction does not always coincide with a positive impact on the objective quality of life. The study is based on comparative and correlation analysis as a method for processing statistical data from the OECD, ILO and WB. The employment regimes were classified according to four enlarged groups: economic sectors, professions, status, and employment regime. The assessments of the quality of life were classified according to three indicators: the human development index, the quality of life index and the international happiness index. The most important factors in the development of the labor market, influencing the quality of working life, have been identified: parameters of the quality of the workplace (the level of wages, employment stability, qualifications of workers, the level of social and legal guarantees) and the general level of employment. The most reasoned point of view was revealed: the regime of standard protected employment (permanent full-time work under a formal contract) has a positive effect, and the regime of precarious work (various options for informal, temporary or part-time employment) has a negative impact on the quality of life. The protected employment regime (hired labor and selfemployment as an entrepreneur) has a positive effect, while the vulnerable employment regime (individual self-employment and intra-family employment) has a negative impact on the quality of life. The transition to a “new” economy and highly skilled jobs has a significant impact on the quality of working life. The opinion of experts about non-standard forms of employment as a single category is refuted. The positive influence of the mode of part-time employment on the quality of life is revealed, the contradictory influence of the mode of temporary employment on the quality of life is shown. Achievement of material well-being and sociopolitical stability to a large extent contradicts the subjective happiness of people and the protection of the environment.

scholarly journals Organ-Preserving Surgery for Penile Carcinoma

2008 ◽  
Vol 2008 ◽  
pp. 1-7 ◽  
Author(s):  
Francisco E. Martins ◽  
Raul N. Rodrigues ◽  
Tomé M. Lopes
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Psychological Impact ◽  
Surgical Techniques ◽  
Penile Carcinoma ◽  
Current Status ◽  
Radical Radiotherapy ◽  
Surgical Options ◽  
Cosmetic Outcomes

Introduction. Penile carcinoma has traditionally been treated by either surgical amputation or radical radiotherapy, both associated with devastating anatomical, functional, and psychological impact on the patient's life. Innovative surgical techniques have focused on penile preservation in well-selected patients to minimize physical disfigurement and consequently maximize quality of life. The objective of this article is to define the current status of these organ-preserving surgical options for penile carcinoma.Materials and Methods. An extensive review of the Pubmed literature was performed to find articles discussing only reconstructive surgery which have contributed significantly to change traditional, frequently mutilating treatments, to develop less disfiguring surgery, and to improve patients' quality of life over the last two decades.Results. Several articles were included in this analysis in which a major contribution to the change in therapy was thought to have occurred and was documented as beneficial. Some articles reported novel techniques of less-mutilating surgery involving different forms of glans reconstruction with the use of flaps or grafts. The issue of safe surgical margins was also addressed.Conclusion. The development of less-disfiguring techniques allowing phallus preservation has reduced the negative impact on functional and cosmetic outcomes of amputation without sacrificing oncological objectives in appropriately selected patients based on stage, grade, and location of the tumour. Until more prospective studies are available and solid evidence is documented, organ preservation should be offered with caution.

scholarly journals A CASE REPORT ON OPEN PORES

2021 ◽  
Vol 9 (12) ◽  
pp. 3183-3186
Author(s):  
Nabeela Sultan ◽  
Shagufta Aleem
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Negative Impact ◽  
Acne Vulgaris ◽  
Treatment Options ◽  
Facial Skin ◽  
Common Condition ◽  
Radiofrequency Therapy ◽  
Points Of View

Enlarged pores of facial skin always remain a matter of concern from both dermatologic and cosmetologic points of view. There were many conditions that are difficult to treat in which facial pores enlarge among them most common condition is acne vulgaris. This condition put a negative impact on a person’s quality of life and as well as also socially devastating for many individuals as it affects the physical appearance of a person. Although enlarged pores are not of medical concern it is considered as a more cosmetic con- cern. There are many available possible treatment options for enlarged pores but this case report is based on clinical evaluation of radiofrequency therapy in treating enlarged skin pores. In this report, three ses- sions of therapy every week for 3 weeks were applied. The results show a gradual decrease in the size of pores with almost clear skin. Keywords: acne vulgaris, enlarged pores, facial pores, radiofrequency

scholarly journals Atrophic Scars: Reinforcing the Flap Mattress Using Adipocyte Transfer in Paraplegic Patients at Risk of Pressure Ulcer Recurrence

2020 ◽  
pp. 531-533
Author(s):  
Luc Téot
Keyword(s):  
Surgical Techniques ◽  
Pressure Sore ◽  
Ulcer Recurrence ◽  
Fatty Tissue ◽  
Fat Harvesting ◽  
The Face ◽  
Patients At Risk ◽  
Atrophic Scars ◽  
Paraplegic Patient

AbstractAtrophic scars may be defined as depressive areas on the skin, due to a defect of fatty tissue under the skin. This situation may lead to adherence to the depth (fascia, bone, tendon) to be a source of functional impairment. Most of the atrophic scars are secondary to acne localized over the face. Multiple techniques were proposed to restore the volume and uniformize the surface, like laser, injection of fat, microneedling, microdermabrasion, dermal fillers, and surgical techniques such as subcision and platlet rich plasma (PRP). On the basis of level 1 evidence currently available, it appears that PRP can improve the quality of atrophic acne scars treated with ablative fractional CO2 laser and decrease the duration of laser-related side effects including edema and erythema (Goutos). Regenerative surgery, including fat harvesting, centrifugation, and isolation of adipocyte stem cells, has been promoted since years and should be repeated when injected fat progressive crush is observed. The clinical case presented here is a paraplegic patient presenting a pressure sore in the left ischiatic area. The flap was successful but the depth of the transplanted fatty tissue was decreasing after some years. A first fat injection was programmed.

scholarly journals Effect on Administration Policies, the Public Service Quality and Satisfaction on the System Administration Manunggal under One Roof in Indonesia

2017 ◽  
Author(s):  
Isa Ansari. K ◽  
Rahman Kadir ◽  
Ansar
Keyword(s):  
Quality Of Service ◽  
Service Quality ◽  
Negative Impact ◽  
Policy Formulation ◽  
Significant Positive Effect ◽  
The Public ◽  
System Administration ◽  
Positive Effect ◽  
Evaluation Of Policies

This paper aims to test and analyze the influence of the Administration in the form of policy formulation, implementation and evaluation of the quality of service and the satisfaction of the public. This research was conducted on The Office of System Administration Manunggal under One Roof in Indonesia with a population of 5.292 people and carried out with formulations Slovin on the precision of 5% with a total sample of 372 respondents. The study's hypotheses were tested using a model of Structural Equation Model (AMOS ver. 18). The study found that 1) directly in policy formulation and evaluation of policies and significant positive effect on the quality of service, while the implementation of policies have a positive impact and no significant effect on the quality of service; 2) direct policy formulation and evaluation of policies and significant positive effect on public satisfaction, and implementation of policies and no significant negative effect on public satisfaction; 3) the quality of the service directly positive and significant impact on public satisfaction; and 4) indirectly policy formulation and evaluation of policies through quality service and significant positive effect on public satisfaction, while policy implementation indirectly through service quality and no significant negative impact on public satisfaction.

INFLUENCE OF CALCIUM IONS IN THE CONDITIONS OF THE PRELIMINARY AND BASIC DEFECATION ON THE QUALITY OF THE TREATED JUICE

2018 ◽  
Author(s):  
Р.С. РЕШЕТОВА ◽  
В.О. ГОРОДЕЦКИЙ ◽  
О.Ю. БГАНЦЕВА ◽  
С.О. СЕМЕНИХИН
Keyword(s):  
Ph Value ◽  
Negative Impact ◽  
Calcium Salts ◽  
Three Samples ◽  
Two Samples ◽  
High Alkalinity ◽  
Soluble Calcium ◽  
Series Of Experiments ◽  
Positive Effect

На основе анализа механизма диссоциации гидроксида кальция в известково-сахарных растворах и реакций известково-сахарных соединений на стадиях предварительной прогрессивной и основной дефекаций обосновано влияние возврата карбоната кальция в виде суспензии сатурационных осадков при проведении преддефекации на качество очищенного сока. Установленные теоретические положения подтверждены серией экспериментов. Исследовано влияние возвратов на снижение степени разрушения осадка преддефекованного сока с чистотой 88,7% при повышении щелочности. Для трех образцов диффузионного сока проводили прогрессивную преддефекацию, дефекацию с одинаковым расходом извести и при одинаковых технологических режимах (температуре и длительности). Для 1-го образца преддефекацию проводили только известковым молоком, без возвратов суспензий сатурационных осадков. Для 2-го образца наряду с известковым молоком добавляли 20-процентную суспензию осадка сока первой сатурации в количестве 50% к массе сока. Для 3-го образца преддефекацию проводили известковым молоком с возвратом 20-процентной суспензии осадка сока второй сатурации, содержащей 7% твердой фракции. Установлено, что во всех образцах при добавлении извести после преддефекации в сахарных растворах повышается содержание растворимых солей кальция. Для подтверждения влияния высокой щелочности при дефекации на разрушение части образованного на преддефекации осадка проведены исследования в заводской лаборатории на производственных соках. Преддефекованный сок делили на два образца. Для 1-го образца отделяли осадок отстаиванием до основной дефекации, во 2-м образце сок подвергали дефекации без отделения осадка. Оба образца обрабатывали известью в количестве 2,0% СаО к массе сока в течение 20 мин при температуре 50–52°С. Установлено, что в отсутствие осадка преддефекованного сока повышение содержания солей кальция в дефекованном соке значительно меньше, чем в его присутствии. Доказано, что при известково-углекислотной очистке для повышения положительного влияния двухзарядного иона кальция и снижения отрицательного воздействия однозарядного иона гидроксикальция целесообразно проводить предварительную дефекацию при плавном нарастании щелочности и при конечном значении рН в пределах от 10,8 до 11,2 для исключения накопления растворимых солей кальция; осуществлять возврат суспензии осадка сока второй сатурации для снижения содержания растворимых солей в сахарных растворах за счет более прочной связи несахаров в частицах осадка и препятствования их разрушения при высокой щелочности. Based on the analysis of the mechanism of dissociation of calcium hydroxide in lime-sugar solutions and reactions of lime-sugar compounds at the stages of preliminary progressive and basic defecation, the effect of the return of calcium carbonate in the form of a suspension of carbonation sediment during preliminary defection on the quality of purified juice is justified. The established theoretical positions are confirmed by a series of experiments. The effect of returns on reducing the degree of destruction of the sediment of pre-defected juice with a purity of 88,7% with an increase in alkalinity was studied. For three samples of diffusion juice, progressive preliminary defection, defecation with the same lime consumption and under the same technological conditions (temperature and duration) were carried out. For the 1st sample preliminary defecation conducted only with milk of lime, no refunds suspensions carbonation sediments. For the 2nd sample, along with lime milk, a 20% suspension of sediment of the first saturation juice was added in an amount of 50% to the juice mass. For the 3rd sample, preliminary defection was carried out with lime milk with the return of a 20% suspension of sediment the juice of the second saturation containing 7% of the solid fraction. It is established that in all samples by the addition of lime after preliminary defecation in sugar solutions the content of soluble calcium salts increases. To confirm the effect of high alkalinity during defecation on the destruction of part of the sediment formed on the preliminary defection studies in the factory laboratory on production juices were carried out. The preliminary defected juice was divided into two samples. For the 1st sample the sediment was separated by settling to the basic defecation, in the 2nd sample the juice was subjected to defecation without sediment separation. Both samples were treated with lime in an amount of 2,0% CaO to the juice mass for 20 min at a temperature of 50–52°C. It was found that in the absence of sediment of the preliminary defected juice, the increase of calcium salts in the defected juice is much less than in its presence. It is proved that in lime-carbon dioxide purification to increase the positive effect of a double-charged calcium ion and reduce the negative impact of a single-charge hydroxycalcium ion, it is advisable to carry out preliminary defecation with a smooth increase in alkalinity and at a final pH value in the range from 10,8 to 11,2 to exclude the accumulation of soluble calcium salts; to return the suspension of the saturation sediment of juice the second to reduce the content of soluble salts in sugar solutions due to a stronger bond of non-sugars in the sediment particles and prevent their destruction at high alkalinity.

scholarly journals Improvement of surgical treatment in diffuze adenomyosis (a review)

2020 ◽  
pp. 254-259
Author(s):  
A. A. Gorpenko ◽  
V. D. Chuprinin ◽  
N. A. Buralkin ◽  
A. S. Safronova
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Surgical Techniques ◽  
Abnormal Uterine Bleeding ◽  
Definitive Treatment ◽  
Surgical Approaches ◽  
Management Guideline ◽  
Scientific Databases ◽  
Universal Approach

Introduction. Adenomyosis has a significantly negative impact on women’s quality of life, causing abnormal uterine bleeding, dysmenorrhea, and chronic pelvic pain and low quality of life. There are no single theory of pathogenesis, unique prognosis and diagnostic markers for adenomyosis. The definitive treatment for adenomyosis is hysterectomy but is not appropriate for patients who wish to preserve their fertility. In this article presents data about etiology, classification, pathogenesis, clinical manifestation and surgical techniques for the treatment of adenomyosis published in medical–scientific databases.Materials and methods. The review includes data from foreign and Russian articles published in the Pubmed journals on this topic.Results. There are a lot of surgical approaches for adenomyosis; however, there is no any universal approach and management guideline for these patients.Conclusion. Adenomyosis – if multifactorial disease. There is no single pathogenesis theory. The clinical picture of adenomyosis varies from asymptomatic to severe pain. The management of adenomyosis is complex and should guide personally for each patient. All techniques and options should be considered and discussed with the patient.

scholarly journals The Economic Impact of Consumer Purchases in Fast Fashion Stores

2019 ◽  
Vol 12 (41) ◽  
pp. 58-70
Author(s):  
Ľubica Knošková ◽  
Petra Garasová
Keyword(s):  
Economic Impact ◽  
Case Studies ◽  
Negative Impact ◽  
Secondary Data ◽  
Perceived Quality ◽  
Consumer Survey ◽  
Fast Fashion ◽  
Low Level ◽  
Positive Effect

Abstract In recent years fast fashion has become a new trend. Fast fashion has changed the way how consumers are dressed and think about fashion. Clothes became cheaper, and shopping became a form of entertainment. The aim of the paper is to identify the economic impact of consumer purchases in fast fashion stores. Authors discuss fast fashion situation using results of own consumer survey, case studies, research studies and secondary data applying analysis, Abstraction, synthesis, deduction, comparison, description, and specification. Authors conclude that consumers’ purchases have a big impact on economics, because how we found out, fast fashion has a growing trend both in stores and in ecommerce. Form our survey it is evident that majority of consumers cannot link the high perceived quality of the clothing during shopping in fast fashion stores with achieved low level of durability during wearing. Increasing customer consumption can have a positive effect on economics, but also a negative impact on environment.

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