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Fractional Ablative Radio-Frequency Resurfacing in Asian and Caucasian Skin: A Novel Method for Deep Radiofrequency Fractional Skin Rejuvenation

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Journal of Cosmetics, Dermatological Sciences and Applications 2012年第3期2卷 144-150页

作者： R. Stephen Mulholland D. H. Ahn Michael Kreindel Malcolm Paul Daeyoung Plastic Surgery practice Seoul South Korea Department of Surgery Aesthetic and Plastic Institute University of California Irvine California Invasix Ltd. Toronto Canada private Plastic Surgery practice Toronto Canada

This paper reports the clinical experience of a multi-center, multiple physician trial with a novel fractional radiofrequency ablative skin resurfacing and rejuvenation device (Fractora, Invasix, Israel) deployed on both Caucasian skin types I - III and Asian skin type IV. Histological study demonstrated deep ablation and collagen restructuring in the papillary and reticular dermis. The Fractora device combines the more “cone shaped” ablation seen with CO2 and Erbium lasers with a deep non-ablative heating pattern, seen with other bipolar RF fractional needle resurfacing devices. Ablation, coagulation zones and healing dynamics are analyzed for different energy settings. Two different treatment protocols are suggested: one for light skin and then one for darker skin with a higher risk of post-inflammatory hypperpigmentation. Treatment results show improvement in skin texture, pores, wrinkles and skin dyschromia.

关键词： Skin Resurfacing Skin Rejuvenation Fractional Treatment

Changes in the crown angulation and dental arch widths after nonextraction orthodontic treatment: Model analysis of mild crowding with high canines

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Open Journal of Stomatology 2012年第3期2卷 188-194页

作者： Morio Masunaga Hiroshi Ueda Kazuo Tanne Department of Orthodontics and Craniofacial Developmental Biology Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan Orthodontist in private practice Osaka Japan

This study was undertaken to examine which factors contributed to the correction of crowding in two patients who underwent nonextraction orthodontic treatment. A study model analysis was conducted to determine the effects of the orthodontic treatment for crowding with high canines on crown angulation and dental arch width in two patients. The results showed that the crown angulation was significantly increased, indicating distal tipping in the maxillary dental arch. This tendency was most commonly observed in the premolars among the lateral teeth. With respect to the dental arch width, the largest change was evident in the first molar and first premolar regions in cases 1 and 2, respectively. On the basis of these results, up-righting of mesially tipped lateral teeth and expansion of narrow dental arches could prove to be the keys to the success of space regaining or correction of high canines and mild crowding.

关键词： Crowding High Canine Crown Angulation Dental Arch Width Model Analysis

Perspectives of caregivers towards physiotherapy treatment for children with burns in Harare, Zimbabwe: A cross-sectional study

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Burns & Trauma 2016年第4期4卷 284-291页

作者： Matthew Chiwaridzo Vimbayinashe Juliet Zinyando Jermaine Matewu Dambi Farayi Kaseke Nyaradzai Munambah Tapfuma Mudawarima Department of Rehabilitation College of Health SciencesUniversity of ZimbabweP.O Box A178AvondaleHarareZimbabwe Trauma Center Physiotherapy private practice 1 Borrowdale laneBorrowdaleHarareZimbabwe Department of Rehabilitation Harare Central HospitalP.O Box ST 14SouthertonHarareZimbabwe

Background:Physiotherapy is an integral part of treatment for paediatric *** Zimbabwe,children are admitted in paediatric burn unit with their caregivers,who play important roles such as providing explanation and obtaining cooperation of the child during physiotherapy,which is often uncomfortable or painful to the *** aim of this study was to determine the perspectives of caregivers towards physiotherapy interventions administered to hospitalized children at central hospitals in Harare,***:A descriptive cross-sectional study was conducted using self-administered *** study was carried out at two large central hospitals(Parirenyatwa Hospital and Harare Central Hospital).The study targeted all the caregivers of children below the age of 12 years with a diagnosis of burns,irrespective of severity or area affected,who were admitted in the two paediatric burn *** the 34 caregivers eligible to participate,31(91.1%)questionnaires had complete data and were *** analyses were done using Statistica version ***:The median age of the caregivers was 28 years(IQR=24–33 years).Female caregivers constituted 90.3%of the *** majority of the caregivers(n=26,83.9%)were biological mothers to the hospitalised *** majority of children(n=20,64.5%)hospitalised were between 0 and 4 *** commonest cause of burns was scalding(n=19,61.2%).The burns were mainly in the upper extremities(n=11,35.5%).Physiotherapy for the burns was mainly active and passive joint range of motion exercises(n=30,96.8%).The caregivers’perceptions towards physiotherapy were mainly positive(n=20,64.5%)indicating that physiotherapy plays an important role in burn *** the 21 caregivers given a ward exercise programme,13(61.9%)were not ***:Caregivers’perspectives towards physiotherapy were largely positive and are similar to those found in other *** majority of the caregivers indicated that physiotherapy was

关键词： Physiotherapy Cross-sectional study Patient perspectives Burn rehabilitation

Edema, Enigma: 11 B-Hydroxysteroid Dehydrogenase Type 2 Inhibition by Sweetener “Stevia”

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Open Journal of Endocrine and Metabolic Diseases 2012年第3期2卷 49-52页

作者： Salina Esmail Udaya M. Kabadi private practice Upland USA University of Iowa Hospitals and Clinics Iowa City USA Des Moines University Des Moines USA

Intrduction: Edema, Hypertension and Hypokalemia occur with inhibition of 11 B-Hydroxysteroid Dehydrogenase Type 2 (11B-HSD2) by chronic Licorice ingestion. However, a similar presentation following a chronic use of another commonly used sweetener “Stevia” is not reported. Objective: To document a first case report of a subject presenting with Edema, Prehypertension and Hypokalemia induced by 11B-HSD2 inhibition induced by chronic ingestion of sweetener stevia. Case Report: 32 year old Caucasian woman presented with generalized edema (feet, hands and face) of over 6 months. She was noted to also manifest Prehypertension (138/88 mmHg) and Hypokalemia (3.4 mM/l). Laboratory tests revealed decline in serum aldosterone and plasma renin activity, an increase in plasma cortisol/cortisone ratio. On persistent interrogation, patient admitted to daily consumption of sweetener stevia for over 9 months. All the presenting manifestations resolved with normalization of the laboratory tests on withdrawal of stevia. Conclusion: This case report indicates that chronic ingestion of sweetener stevia may induce edema, hypertension and hypokalemia via reduced conversion of cortisol into cortisone by inhibition of 11 B-Hydroxysteroid Dehydrogenase Type 2.

关键词： Edema Enigma 11 B-Hydroxysteroid Dehydrogenase Type 2 Sweetener “Stevia”

Nitrogen nutrition,carbon accumulation andδ^(13)C of Cyclopia and Aspalathus species in different settings of the Cape fynbos,South Africa

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Journal of Plant Ecology 2016年第5期9卷 586-595页

作者： Sipho T.Maseko Felix D.Dakora Department of Crop Sciences Tshwane University of TechnologyPrivate Bag X680Pretoria 0001South Africa Chemistry Department Tshwane University of TechnologyPrivate Bag X680Pretoria 0001South Africa

Aims Cyclopia and Aspalathus are legumes harvested for production of Honeybush and Rooibos tea,*** grow these species from either seeds or cuttings over several years with continuous annual *** aims of this study were to assess the effect of plant age,plant species,toposequence,planting material and farmer practice on nitrogen(N)nutrition and water-use efficiency of two Cyclopia and Aspalathus species in the Cape *** The study was conducted using plants from Koksrivier farm located near Gansbaai(33°S 18°E,39 m.a.s.l),and at Kanetberg farm near Barrydale(33°S 21°E,830 m.a.s.l).The 15N natural abundance technique was used to determine N_(2)fixation,carbon(C)assimilation andδ^(13)C in shoot of Cyclopia and Aspalathus *** Findings Older tea plantations of *** and *** derived more N from fixation and exhibited greater water-use efficiency than younger *** Koksrivier,Aspalathus caledonensis and *** showed greater water-use efficiency and derived more N from fixation than Cyclopia *** harvesting of *** decreased N_(2)*** Kanetberg,***-nata plants on the upper and middle slopes derived more N from atmospheric fixation than those on the lower *** plants grown from seedlings recorded greater%Ndfa than cuttings.N_(2)fixation and water-use efficiency of Cyclopia was affected by age,slope and planting ***,symbiotic N nutrition and water-use efficiency of Cyclopia and Aspalathus were related.

关键词： Cyclopia subternata Cyclopia genistoides Koksrivier Kanetberg fynbos

Therapeutic Path of Dental Expertise in Obstructive Sleep Apnea Syndrome (OSAS)

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Modern Research in Inflammation 2018年第1期7卷 1-8页

作者： Antonio Crispino Vincenzo Crispino Luigi Crispino Lucia Valentino Leonzio Fortunato Schoolod Dentistry University of Catanzaro Catanzaro Italy private practice Agropoli (SA) Italy Magna Graecia Institute Dental Research Center Catanzaro Italy

Obstructive Sleep Apnea Syndrome (OSAS) is a respiratory sleep disorder characterized by repeated episodes of complete or partial obstruction of the upper airway. OSAS has a frequency of 4 percent and is classified according to the number of obstructive sleep apnea-hypopnea episodes. The OSAS diagnostic path starts with the evaluation of the patient’s clinical framework and follows an instrumental procedure, depending on the clinical severity of the patient. Dental practitioners have the ability to intercept early on the signs and symptoms of OSAS. At the same time, they can assess whether the patient has the indications for treatment with specific oral devices (Oral Appliances, OA). The purpose of this paper is to provide guidance for dental management of obstructive sleep apnea syndrome in adult individuals.

关键词： Obstructive Sleep Apnea Sleep Evaluation Positive Airway Pressure Treatment Oral Appliance Treatment

Aesthetic Medicine——A Separate Field of Medicine, as a Combination of Many Medical Specialties

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Open Journal of Nursing 2015年第2期5卷 158-162页

作者： Anna Galeba Jerzy TMarcinkowski Department of Social Medicine Poznan University of Medical SciencesPoznanPoland private practice of Aesthetic Medicine and Anti-Aging Warszawa and PoznanPoland

Aesthetic medicine is not a new area of medicine. It has been on the world’s market for several dozen years. Aesthetic and anti-aging medicine is a separate field of medicine combined with other areas such as: neurology, plastic surgery, cosmetic surgery, general surgery, orthopaedics, psychology, psychiatry, dermatology, gynaecology, andrology, endocrinology and so on. Aesthetic medicine is an area of medicine, dealing with human’s health in terms of: external appearance, image, aesthetics, well-being, visible skin changes and discomfort in the quality of life felt by a patient. The purpose of aesthetic medicine is to achieve patients’ satisfaction, as to their requirements related to the appearance, elimination of the complexes and the restoration of self-esteem. The following work shows, based on the overall impact of aesthetic medicine on the lives of patients and on the basis of the characteristics of some basic treatments in aesthetic medicine (fillers, botulinum toxin type A, intralipotherapy, needle mesotherapy, chemical peels), how this area of medicine is linked with other specialties and why it should be treated as a separate field of medicine.

关键词： Aesthetic Medicine Cosmetic Medicine Multi-Specialties Aesthetic Treatments

The Role of Cosmetic Gynecology Treatments in Women in Perimenopausal Period

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Open Journal of Nursing 2015年第2期5卷 153-157页

作者： Anna Galęba Beata Bajurna Jerzy TMarcinkowski Department of Social Medicine Poznan University of Medical SciencesPoznanPoland private practice of Aesthetic Medicine and Anti-Aging in Warszawa and Poznan Poland

The conditions in which we live nowadays contribute to exposure of our bodies to harmful factors such as UV radiation, pollution, smoking, poor eating habits, low physical activity, stress, which thereafter lead to the acceleration of skin aging process. In women, the process is additionally dependent on the menopause, as a result of the disappearance of hormones, the process is faster. Physiological changes that occur in women’s body during perimenopausal and menopausal period affect their sexual function: pain during an intercourse, decreased libido, lack of agitation. Deficiency of hormones, besides skin changes, leads to vaginal dryness, accompanied by inflammation, often correlated with discharge and burning. As a result of the loss of hyaluronic acid labia become slack and less moisturized. In addition, there has been observed: a gradual loss of pigment and hair, involution of the clitoris, and involution and sticking of labia minora, lipoatrophy of labia majora with subsequent reduction in their volume and thinning the lining around the vaginal opening. This article presents processes of skin aging. It describes mechanisms of intrinsic and extrinsic aging. It also presents the mechanisms of accelerated aging in women in perimenopausal period—accelerated skin aging dependent on hormonal factors associated with the loss of ovarian function. The research presents how the hormonal loss influences woman’s body, her genitals—its functionality and aesthetic look. It also shows how using filler treatments in gynecology can restore the aesthetic appearance of female genital and improve their functionality.

关键词： Menopause Perimenopausal Period Cosmetic Gynecology Cosmetic Medicine Aesthetic Medicine Aging of the Skin

Which treatment protocol, among classical methods and/or various laser applications is the most effective in root canal disinfection, <i>in vitro</i>? A systematic review

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Open Journal of Stomatology 2011年第4期1卷 126-139页

作者： Joanna Theodosopoulou Konstantinos Chochlidakis Alexandra Tsigarida Harvard School of Dental Medicine (HSDM) The Forsyth Institute Private Practice Department of Periodontology The Ohio State University Department of Prosthodontics Eastman Institute for Oral Health

Purpose: The aim of this systematic review was to answer the question “Which treatment protocol, am- ong classical methods and/or various laser applica- tions is the most effective in root canal disinfection, in vitro”. Materials and Methods: A MEDLINE, a Co- chrane and an Embase search (three specified search- es) were conducted to identify randomized controlled trials (RCT) until June 2010, conducted on human teeth and published in English, German or French language, examining the root canal disinfection after the use of lasers with or without mechanical instru-mentation. Additionally, hand search was conducted and contact with authors, when needed. Results: The MEDLINE, the Cochrane and the EMBASE search identified 240, 28, and 35 published articles, respec-tively. Ten articles from the MEDLINE and 5 articles from the Cochrane search (that were also identified in the MEDLINE search) met the inclusion and va-lidity assessment criteria. In E. faecalis elimination, instrumentation of the root canal and diode laser/665 nanometer/1 Watt (diode laser/665 nm/1 W) irradia-tion with the combined effect of Methylene Blue (MB) as photosensitizing agent (logCFU/ml = 1636) seemed to be the best method. In P. aeruginosa and in *** elimination, instrumentation of the root canal followed by irrigation with 5, 25% NaOCl (log-CFU/ml = 0) seemed to be the best method. In gen-eral, instrumentation of the root canal followed by irrigation with 5, 25% NaOCl (logCFU/ml = 0) and instrumentation of the root canal and Er: YAG laser/ 2940 nm/0.8 W irradiation (logCFU/ml = 1924) seemed to be the best (polymicrobial studies). Conclusions: There are treatment protocols with the assistance or not of laser irradiation that can eliminate E. faecalis, E. coli and S. aureus inside the root canal. However, there is a serious number of S. anginosus, F. nuclea-tum, A. naeslundii and P. aeruginosa that remain in-side the root canal even after laser irradiation. New research is needed in order

关键词： Lasers Classical Methods Endodontic Root Canal Therapy Dentin Bacteria Disinfection