scholarly journals Dermal Filler

2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Ferra O. Mawu

Abstract: Dermal filler is a non-surgical procedure to improve facial volume or the anatomy of other parts of the body. It is also a rejuvenate therapy to achieve a younger appearance. Besides that, the need of lipodystrophy therapy is increasing. There are several types of fillers with their superiorities and inferiorities; therefore, it is pretty difficult to determine and choose the ideal filler. Dermal fillers vary in duration of therapeutic effect, filler technique, filler origin, and their physical properties. To date, there is no perfect filler so far. An ideal filler must be non-allergenic, non-carcinogenic, non-teratogenic, as well as has achievable cost and long acting effect. In case that dermal filler is therapeutical indicated, good preparation of doctor and patient is essentially needed. Consultation and information have to cover the therapy indication, filler technique, filler limitation, side effects, outcome, cost, and informed consent. As the other cosmetic procedures, to achieve optimal satis-faction, the doctor must be able to provide effective communication to the patient before and after the dermal filler therapy.Keywords: dermal fillerAbstrak: Dermal filler adalah prosedur non-bedah untuk penambahan volume wajah atau anatomi tubuh lainnya. Prosedur ini juga merupakan salah satu terapi rejuvenasi yang bertujuan untuk tampilan lebih muda. Selain itu, kebutuhan untuk terapi lipodistrofi juga makin meningkat. Terdapat berbagai jenis filler dengan keunggulan dan kekurangaood prepnnya masing-masing, sehingga agak sulit menentukan atau memilih produk filler yang ideal. Dermal filler bervariasi dalam hal lamanya efek terapi yang diperoleh, cara pemberian, asal filler, dan sifat fisiknya. Sampai saat ini tidak ada produk filler yang sempurna. Untuk menjadi ideal, produk filler harus nonalergenik, nonkarsinogenik, nonteratogenik, harga terjangkau dan berefek terapi yang panjang. Saat dermal filler menjadi pilihan terapi atau tindakan, persiapan yang tepat baik dokter maupun pasien merupakan hal yang esensial. Konsultasi dan informasi harus meliputi ketepatan indikasi pemberian filler, tehnik pemberian, keterbatasan filler, efek samping, kemungkinan hasil akhir, biaya, dan informed consent. Sebagaimana prosedur kosmetik lainnya, untuk kepuasan bersama, dokter harus mampu dan bersedia memberikan komunikasi efektif kepada pasien sebelum dan sesudah terapi dermal filler.Kata kunci: dermal filler

2017 ◽  
Vol 48 (10) ◽  
pp. 1616-1623 ◽  
Author(s):  
R. Patel ◽  
E. Chesney ◽  
M. Taylor ◽  
D. Taylor ◽  
P. McGuire

AbstractBackgroundPaliperidone palmitate is one of the most widely prescribed long-acting injectable (LAI) antipsychotics in the UK. However, it is relatively expensive and there are few data comparing its effectiveness to that of other LAI antipsychotics. We sought to address this issue by analyzing a large anonymized electronic health record (EHR) dataset from patients treated with LAI antipsychotics.MethodsEHR data were obtained from 1281 patients in the South London and Maudsley NHS Foundation Trust (SLaM) who started treatment with a LAI antipsychotic between 1 April 2011 and 31 January 2015. The number of days spent as a psychiatric inpatient and the number of admissions to a psychiatric hospital were analyzed in each of the 3 years before and after LAI prescription.ResultsPatients treated with paliperidone palmitate (n = 430; 33.6%) had a greater number of inpatient days and a greater number of admissions in the year prior to treatment than those treated with other LAI antipsychotics. Nevertheless, in the 3 years after initiation there were no significant differences between paliperidone and the other LAI antipsychotics in the number of days as an inpatient (B coefficient 5.4 days, 95% confidence interval (CI) −57.3 to 68.2, p = 0.86) or number of hospital admissions (Incidence rate ratio 1.07, 95% CI 0.62 to 1.83, p = 0.82).ConclusionPaliperidone palmitate was more likely to be prescribed in patients with more frequent and lengthy hospital admissions prior to initiation. However, the absence of differences in outcomes after initiation indicates that paliperidone palmitate was not more effective than other cheaper LAI antipsychotics.


2020 ◽  
Vol 9 (7) ◽  
pp. 276-281
Author(s):  
Danielle Davy

Filler migration is a rare complication of dermal filler treatment. Although most research has found that more permanent fillers, such as silicone, are more likely to migrate due to their long-term presence in the body, there have also been reported cases of filler migration from short-term hyaluronic acid-based dermal fillers. As lip augmentation procedures are fast becoming one of the most frequently requested treatments in medical aesthetics, this article looks at the longevity of hyaluronic acid lip dermal fillers, while also aiming to assess the cause of dermal filler post-treatment migration and evaluating how to minimise its risk.


2009 ◽  
Vol 103 (10) ◽  
pp. 1433-1441 ◽  
Author(s):  
Hélène Arguin ◽  
Marina Sánchez ◽  
George A. Bray ◽  
Jennifer C. Lovejoy ◽  
John C. Peters ◽  
...  

The aim of these studies was to evaluate the potential of some nutritional approaches to prevent or reduce the body load of organochlorines (OC) in humans. Study 1 compared plasma OC concentrations between vegans and omnivores while study 2 verified if the dietary fat substitute olestra could prevent the increase in OC concentrations that is generally observed in response to a weight-reducing programme. In study 1, nine vegans and fifteen omnivores were recruited and the concentrations of twenty-six OC (β-hexachlorocyclohexane (β-HCH), p, p′-dichlorodiphenyldichloroethane (p, p′-DDE), p, p′-dichlorodiphenyltrichloroethane (p, p′-DDT), hexachlorobenzene, mirex, aldrin, α-chlordane, γ-chlordane, oxychlordane, cis-nonachlor, trans-nonachlor, polychlorinated biphenyl (PCB) nos. 28, 52, 99, 101, 105, 118, 128, 138, 153, 156, 170, 180, 183 and 187, and aroclor 1260) were determined. In study 2, the concentrations of these twenty-six OC were measured before and after weight loss over 3 months in thirty-seven obese men assigned to one of the following treatments: standard group (33 % fat diet; n 13), fat-reduced group (25 % fat diet; n 14) or fat-substituted group (1/3 of dietary lipids substituted by olestra; n 10). In study 1, plasma concentrations of five OC compounds (aroclor 1260 and PCB 99, PCB 138, PCB 153 and PCB 180) were significantly lower in vegans compared with omnivores. In study 2, β-HCH was the only OC which decreased in the fat-substituted group while increasing in the other two groups (P = 0·045). In conclusion, there was a trend toward lesser contamination in vegans than in omnivores, and olestra had a favourable influence on β-HCH but did not prevent plasma hyperconcentration of the other OC during ongoing weight loss.


1964 ◽  
Vol 6 (1) ◽  
pp. 119-123 ◽  
Author(s):  
R. L. Van Spaendonck ◽  
F. X. Vanschoubroek

SUMMARYIn determining the milk yield of the sow by weighing the litter before and after suckling, loss of weight due to metabolic processes must be considered.An experiment is described to investigate the loss of weight of piglets caused by metabolic processes between two consecutive weighings, and to investigate the relationship between this loss on the one hand and the body weight and the age of the piglets on the other. Weight changes of 15 litters of average 9·8 piglets were studied during 66 weighing periods of 16 minutes, by putting the pigs in a cage, fixed on a differential balance. Each weighing period consisted of 8 periods of 2 minutes, so that in all, loss of weight was studied during 528 2-minute periods.


Cephalalgia ◽  
2008 ◽  
Vol 28 (12) ◽  
pp. 1339-1342 ◽  
Author(s):  
M Etemadifar ◽  
AH Maghzi ◽  
M Ghasemi ◽  
A Chitsaz ◽  
M Kaji Esfahani

This study was designed to evaluate the efficacy of gabapentin (GBP) in the treatment of SUNCT syndrome on a relatively large sample of Persian patients. Eight patients with SUNCT syndrome underwent a 4-week, open-label, daily treatment of 600-900 mg GBP. The frequency, intensity and duration of attacks were compared before and after the trial. After 4 weeks of treatment, intensity, duration and frequency of headaches were significantly ( P< 0.05) reduced. In addition, five patients (62.5±) were completely relieved from headaches, and in the other three patients the mean intensity, frequency and duration of headaches were decreased notably. In this study, GBP was well tolerated and no unfavourable side-effects were reported. After the end of the trial all patients continued the medication, and after 3 months none reported undesired side-effects or return of the headaches to the pre-treatment status. Our patients had a significant response to GBP, and considering other case reports on the effectiveness of GBP in the treatment of SUNCT syndrome, we propose that, taking into account the good side-effect profile and lack of interactions of GBP, this drug could be considered as an option for the treatment of SUNCT.


Author(s):  
Alan Dowty

The sheer volume of literature on the Arab-Israel conflict is enormous. Most of these writings are, however, contentious, if not polemical; scholarly research occupies only one wing of the edifice. But even this scholarly literature is vast, and it tends to be identified, for the most part, with one side or the other. This does not mean that research conducted by “involved” parties can be reflexively set aside. Such research can be valuable, sometimes precisely because of this involvement—but the reader needs to be aware of the scholar’s relationship to the subject of the research. The ideal of a truly disinterested, unaffiliated, “objective” adjudicator of Arab-Israel issues is not irrelevant, but it is an ideal that is met, if at all, only by a small proportion of the prominent scholars who have contributed the most-important works in the field. Without the “involved” scholars, there would be little for a bibliographer to report. A second issue is an imbalance arising from the greater number of scholarly works on the conflict coming from Israeli and Jewish academic researchers compared to the number written by Palestinian or Arab scholars (at least regarding books in English). In part this imbalance has lessened in recent years with more Palestinian academic works, and from the appearance of “post-Zionist” or “revisionist” Israeli or Jewish scholars who have published studies highly—even devastatingly—critical of the standard Israeli narrative. (“Revisionism” in this context should be distinguished from Revisionist Zionism, which is, in fact, at the other end of the spectrum.) Post-Zionists tend to fall into two schools: positivists, who simply use primary sources and declassified documents to debunk founding myths that have seldom been challenged; and “post-modernists” or “deconstructionists,” who see academic research as a manifestation of a power relationship and identify the Palestinians as the oppressed party. The conclusions of the second group, in particular, are often quite supportive of the conclusions of Palestinian and Arab scholars who work from the same premise. Apart from these differing approaches, scholarship on the conflict also corresponds in large part to the historical stages of its evolution: the Ottoman period, both before and after the beginning of Zionist settlement in 1882; the British Mandate between the two world wars; the interstate conflict phase from Israel’s creation in 1948 to the 1967 war; the reemergence of the Palestinians in the 1970s and 1980s; and the rise and fall of the Oslo peace process since the early 1990s.


Author(s):  
Agung Sedayu

Keeping cleanliness and holiness is the duty for all moslems. To perform these religious duties, every time and everywhere, we must keep and support hard on the holiness of the physic and psychic value aspects. Most cleaning activities have been done in toilet and the other similar places. The Main tool to clean is water; therefore toilet is always having water having the image as a wet place. Toilet is one of the arranged rooms in building and assumed to be added room that is not so important. In fact, it has a very vital and important function. Inside of the toilet we have the erudition and philosophy which must be done, like praying before and after entering this room, and also some other rules to follow when we are in it. Cleaning the psychic is started at cleaning the body, and cleaning the psychic is supported by cleanliness of our environment including toilet as a part of the house. Therefore, before designing it, all of the moslem architects must concern and focus on the erudition and philosophy of Islamic fiqih containing about the effort to be clean and holy. Design results should reflect Islamic values, and the toilet having Islamic characteristics, especially having strength points on cleanliness and holiness. This paper is to discuss about toilet design from the perspective of fiqih values on cleanliness and holiness. The objectives are to give more information and knowledge about toilet design principles having Islamic values based on  fiqih law references on cleanliness and holiness.<br /><br />Keywords: Toilet, Place To Clean<br /><br />


Author(s):  
Chaitanya Kumar K ◽  
Mothilal K ◽  
Mahender K ◽  
Ravi D

Out of most of the dreadful diseases in the world Diabetes, shortly known as DM, is the most dreadful. The primary cause of diabetes is the lack of insulin due to the insufficient secretion of insulin by the pancreas or the insensitivity of the body to reuptake the insulin. This results in the accumulation of the sugar or glucose in the blood, only thereby disturbing all the other physiological conditions in the body. Herbs, as we know, are devoid of or have very fewer side effects when compared to the antidiabetic synthetic drugs. There is evidence to show that the herbs are safer and the chemical leads that are isolated from the medicinal plants are potent in controlling diabetes. The antidiabetic activity of herbs was proven, and the mechanism of action of the drugs was also established in many pieces of research. The polyherbal churna was prepared using various herbs like Tinospora, Glycerrihiza etc. that are already proven for the antidiabetic activity. This formulation was investigated for the antidiabetic activity at two doses and was compared with a marketed formulation and also a standard synthetic drug in STZ induced DM method. The prepared churna formulation showed a better activity compared with the standard and the marketed churna. The prepared churna at 200mg dose showed better activity than the 100mg dose.


2018 ◽  
Vol 85 (4) ◽  
pp. 322-326 ◽  
Author(s):  
Hanna Klaus

Since contraceptives have been used to remove fertility from the conjugal act, the social consequences predicted in the encyclical Humanae vitae, such as the rise in cohabitation, decline of marriage, rise of divorce, and single parenthood, have exceeded expectations. The degradation of the sexual act from total mutual self-giving to momentary union has led to doubting the significance of the biological truth of the body and opened the door to gender fluidity. Promiscuity became normative, and the need for consent became eroded until women revolted with the #MeToo movement. Promiscuity, cohabitation, and divorce have resulted in 40 percent of children born to unmarried parents whose tenuous unions often leave the children in melded and dysfunctional families. Relation-free “hookups” have become the norm among young adults, leaving a flood of emotionally damaged women, an epidemic of sexually transmitted infections, and unplanned pregnancies, to which the healthcare industry has responded by doubling down on the means which caused the problem in the first place with near-coercive promotion of long-acting, reversible contraceptives (LARCs). LARCs must be inserted and removed professionally and make reproductive choice moot. Respecting the truth of the body is the precise counter measure. A woman’s cyclic fertility is easily observed with reliable biomarkers—natural family planning—which requires the whole person. Fertility awareness–based methods of family planning have no side effects, are easy to learn, and can be used to achieve as well as delay conception. The self-discovery inherent in learning fertility literacy has empowered adolescent girls and boys to understand and value their sexuality and fertility and avoid choosing harmful behaviors. Why does society continue to treat fertility as if it were a disease? Summary: Removing the idea of pregnancy from the sexual act as the result of readily available contraception has effectively limited choices about sexual behavior to the satisfaction of momentary desires. As Humanae vitae predicted, fewer marriages were contracted, divorce increased and now 40% of children are born out of wedlock despite extensive public education campaigns to promote contraception. Side effects of the hormonal pill have reduced their use so health care professionals have doubled down, providing long acting contraceptives which do not require the user to exercise choice before each act of intercourse, or of taking a pill. There is a much better way to regulate births–to learn to read the book of nature. Fertility is not a disease to be removed from the body. All that is needed is to understand the natural signs of fertility–natural family planning, now called FABM–Fertility Awareness-Based Methods. These have no side effects, enhance couple communication and offer effective choice for child spacing and demonstrably support premarital chastity for teens.


2018 ◽  
Vol 6 (4) ◽  
pp. 165-171
Author(s):  
Hamid Noshad ◽  
Davoud Mohammadi Nejhad ◽  
Parastou Hoseini ◽  
Majid Montazer ◽  
Behnaz Ghamari ◽  
...  

Introduction: Dyslipidemia is one of the most common problems in hemodialysis patients and healthcare system. Some studies have suggested the use of carnitine in the treatment of dyslipidemia in hemodialysis patients. This study was carried out aiming to evaluate the effect of atorvastatin and carnitine combination versus atorvastatin alone on the lipid profile of hemodialyzed patients. Methods: In this clinical trial, 50 hemodialysis patients referred to the educational centres of Tabriz University of Medical Sciences, Tabriz, Iran, for haemodialysis were enrolled. Patients were randomly assigned into two groups. In the first group, patients were treated with carnitine (1000 mg three times daily) and atorvastatin (10-80 mg/day based on the baseline lipid profile of the patients) and in the second group, the patients were treated with atorvastatin alone for six months. The levels of triglyceride (TG), cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), and haemoglobin before and after intervention were compared. The side effects of carnitine administration were also evaluated. Results: Results showed that TG, cholesterol, and LDL levels were significantly lower in the carnitine group compared to those in the other group at the end of study (P < 0.050). In addition, HDL and haemoglobin levels were significantly higher in the carnitine group in comparison to the other group (P < 0.050). No major side effects of carnitine were observed among the patients. Conclusion: The use of carnitine plus atorvastatin combination is an effective and safe method in the treatment of dyslipidemia in patients undergoing hemodialysis without imposing significant side effects.


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