This document summarizes different treatment options for acne. It discusses topical treatments like retinoids and antibiotics. It also discusses systemic treatments like isotretinoin, antibiotics and hormonal therapy. Non-ablative treatments covered include light, laser and radiofrequency. Ablative options discussed are peels and lasers. Surgical treatments are also mentioned. The document emphasizes that combining approaches provides best results and maintenance therapy can decrease relapse. It also notes that effective acne treatment can improve patients' emotional outlook.
Acne is a very common skin disease that can occur on many areas of the body and can develop at any age. Face acne is very common, but chest acne and back acne, as well as acne on the scalp, neck, shoulders, and upper arms are also ordinary. Acne is a disease that affects the skin's oil glands (Pilosebaceous unit). The small holes in your skin (pores) connect to oil glands under the skin. These glands make an oily substance called sebum. The pores connect to the glands by a canal called a follicle. Inside the follicles, oil carries dead skin cells to the surface of the skin. A thin hair also grows through the follicle and out to the skin. When the follicle of a skin gland clogs up, a pimple grows. Most pimples are found on the face, neck, back, chest, and shoulders. Acne is not a serious health threat, but it can cause permanent pits and scars....
For more information regarding Acne and other skin diseases please visit www.pureayurvedictreatment.com
Skin pigmentation:
Pigmentation means coloring. Skin pigmentation disorders affect the color of your skin. Your skin gets its color from a pigment called melanin. Special cells in the skin make melanin. When these cells become damaged or unhealthy, it affects melanin production. Some pigmentation disorders affect just patches of skin. Others affect your entire body.
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
My talk at Sharm Derma 2018
The aging is natural and inevitable process that can be slow down but it can not be stopped
But as dermatologist our duty is to help people to
AGE GRACEFULLY
The key to effectively treating hyperpigmentation is finding the right product for your sensetive skin. Visit askderm.com to find products that will leave you feling like new!
Acne vulgaris is a common chronic skin disease involving blockage and/or inflammation of pilosebaceous units
Acne can present as noninflammatory lesions, inflammatory lesions, or a mixture of both,
affecting mostly the FACE but also the back and chest.
Acne is a very common skin disease that can occur on many areas of the body and can develop at any age. Face acne is very common, but chest acne and back acne, as well as acne on the scalp, neck, shoulders, and upper arms are also ordinary. Acne is a disease that affects the skin's oil glands (Pilosebaceous unit). The small holes in your skin (pores) connect to oil glands under the skin. These glands make an oily substance called sebum. The pores connect to the glands by a canal called a follicle. Inside the follicles, oil carries dead skin cells to the surface of the skin. A thin hair also grows through the follicle and out to the skin. When the follicle of a skin gland clogs up, a pimple grows. Most pimples are found on the face, neck, back, chest, and shoulders. Acne is not a serious health threat, but it can cause permanent pits and scars....
For more information regarding Acne and other skin diseases please visit www.pureayurvedictreatment.com
Skin pigmentation:
Pigmentation means coloring. Skin pigmentation disorders affect the color of your skin. Your skin gets its color from a pigment called melanin. Special cells in the skin make melanin. When these cells become damaged or unhealthy, it affects melanin production. Some pigmentation disorders affect just patches of skin. Others affect your entire body.
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
My talk at Sharm Derma 2018
The aging is natural and inevitable process that can be slow down but it can not be stopped
But as dermatologist our duty is to help people to
AGE GRACEFULLY
The key to effectively treating hyperpigmentation is finding the right product for your sensetive skin. Visit askderm.com to find products that will leave you feling like new!
Acne vulgaris is a common chronic skin disease involving blockage and/or inflammation of pilosebaceous units
Acne can present as noninflammatory lesions, inflammatory lesions, or a mixture of both,
affecting mostly the FACE but also the back and chest.
Archer USMLE step 3 dermatology lecture notes. These lecture notes are samples and are intended for use with Archer video lectures. For video lectures, please log in at http://www.ccsworkshop.com/Pay_Per_View.html
New modalities in antiaging by Dr. Juliana Ghaben Specialist Dermatologist . ...Spectronix Group
DR Juliana Ghaben http://www.drjulianaghaben.com spoke on new modalities on antiaging at CME for KAYA skin CLinics . She is Board certified in Aesthetic Medicine and a trainer with SPECTRONIX . She spoke on Carboxytherapy , SECRET MICROFRACTIONAL RF AND Q SWITCH ND YAG , ALL MACHINES COURTSEY ; SPECTRONIX . http://spectronixglobal.com/
THE ART OF NON SURGICAL SKIN REJUVENATION. MULTIPLE APPROACHESOsama Moawad
The sudden explosion in recent years of nonsurgical
rejuvenative techniques is patient-driven. The modern
patient, man or woman, desires quick, safe and pre-
dictable nonsurgical techniques that will confer some
form of facial rejuvenation and at the same time allow
them to get back to work or their social lives with a
minimum of downtime. By that is meant a modicum
of bruising and swelling for 2–3 days (i.e., over a week-
end) and not the 2–4 weeks of downtime and scars
that often accompany open surgical techniques.
Whilst nonsurgical techniques are not a substitute
for traditional rejuvenative surgery, the combination
of several nonsurgical tools and procedures has be-
come a powerful adjunct to or a temporizing substi-
tute for open surgery.
Acne is the result of overactive sebaceous glands and excessive keratin production, leading to excessively oily skin that is prone to blackheads and pimples. You cannot change your skin type you cannot stop this process permanently. However, you can control this process and minimise your acne breakout reoccurrence by....
It is a disease with no cure that's why i am going for a research on this disease and get back with some new perspective of patients, I think these perspectives are helpful for the better treatment of this disease.
Decoding Facial Aging. An In-Depth Exploration of Aging Hallmarks.pptxOsama Moawad
The aging process is a multifaceted phenomenon influenced by many biological, environmental, social, and psychological factors. Within this intricate web of influences, the hallmarks of aging interact in a sophisticated network, highlighting the nuanced nature of biological aging. By adopting an interdisciplinary approach and utilizing innovative methodologies, researchers can pave the way for groundbreaking discoveries in aging research. Examining research findings across various physiological systems, such as skin, adipose tissue, connective tissue, skeletal muscles, and facial tissues, allows us better to understand the cellular and molecular underpinnings of facial aging. Incorporating a comprehensive and interconnected approach into patient assessments, treatment planning, preventive guidance, therapeutic applications, continuing education, and collaborative research efforts can optimize the outcomes of aging-related interventions. Aging research presents immense opportunities for advancing our understanding of aging and developing creative strategies to promote healthy aging and overall well-being.
Functional Anatomy of Facial Muscles. An Injector Eye. Part Two.pptxOsama Moawad
The facial muscles are a group of about 20 muscles that lie under the skin and control facial expressions. They also help with chewing and moving the ears, eyes, nose, and mouth. The facial muscles are innervated by the facial nerve (CN VII) and supplied by the facial artery. The facial muscles can be divided into five groups: muscles of the mouth, nose, eyelid, cranium, neck, and external ear.
Facial muscles are responsible for facial expressions, but they also influence the shape and contour of the face over time. The constant activity of facial muscles, combined with their eventual reduction in strength, changes the appearance of the face. They also influence the distribution and loss of subcutaneous fat, contributing to the facial volume. The effect of facial muscles on aesthetics and aging of the face is a complex topic that involves various factors. The author recommends investigating the relationship between adipose tissue facial muscles further.
Functional Anatomy of Facial Muscles. An Injector Eye. Part One.pptxOsama Moawad
The facial muscles are a group of about 20 muscles that lie under the skin and control facial expressions. They also help with chewing and moving the ears, eyes, nose, and mouth. The facial muscles are innervated by the facial nerve (CN VII) and supplied by the facial artery. The facial muscles can be divided into five groups: muscles of the mouth, nose, eyelid, cranium, neck, and external ear.
Facial muscles are responsible for facial expressions, but they also influence the shape and contour of the face over time. The constant activity of facial muscles, combined with their eventual reduction in strength, changes the appearance of the face. They also influence the distribution and loss of subcutaneous fat, contributing to the facial volume. The effect of facial muscles on aesthetics and aging of the face is a complex topic that involves various factors. The author recommends investigating the relationship between adipose tissue facial muscles further.
The Skin Functional Anatomy and Aging. An Injector Eye. Part Two light.pptxOsama Moawad
We live in an "era of injectables." facial fillers and botulinum toxin injections have become popular in facial surgery over the past decade, as they offer remarkable aesthetic benefits with little recovery time. In "The Skin Function Anatomy and Aging In an Injector Eye" course, you will learn about what will help you understand how the skin, the subcutaneous fat, and the facial muscles interact to produce facial expressions and support the facial structure. You will also learn how aging affects the skin's function and how it impacts our well-being and attractiveness. These are the essential factors that influence the results and safety of facial injections.
Whether you aim to treat a disease or reverse signs of aging, you need to understand the functional anatomy of the skin and the various factors that can affect its function. Knowing will help you apply existing knowledge or discover a novel way to achieve your goals and minimize potential complications that might arise.
The Skin Functional Anatomy and Aging. An Injector Eye. Part One.pptxOsama Moawad
We live in an "era of injectables." facial fillers and botulinum toxin injections have become popular in facial surgery over the past decade, as they offer remarkable aesthetic benefits with little recovery time. In "The Skin Function Anatomy and Aging In an Injector Eye" course, you will learn about what will help you understand how the skin, the subcutaneous fat, and the facial muscles interact to produce facial expressions and support the facial structure. You will also learn how aging affects the skin's function and how it impacts our well-being and attractiveness. These are the essential factors that influence the results and safety of facial injections.
Whether you aim to treat a disease or reverse signs of aging, you need to understand the functional anatomy of the skin and the various factors that can affect its function. Knowing will help you apply existing knowledge or discover a novel way to achieve your goals and minimize potential complications that might arise.
Injectables Adipose Tissue. Past Present and Future.pptxOsama Moawad
Injectable adipose tissue is a versatile and promising material for various applications in cosmetic, functional and regenerative surgery. In this presentation, I will provide an overview of the history, the current state and the future prospects of this technique, based on my own experience that spans over three decades. I will also discuss the evidence-based practice and the challenges and opportunities of using injectable adipose tissue in different surgical settings.
You will see some before and after examples of the outcomes of injectable adipose tissue in cosmetic, functional and regenerative surgery.
Thighs, Knees, and Lower Legs Liposuction.pptxOsama Moawad
Opinions regarding the ideal proportions of the female figure have varied widely through time and across cultures. In the current era, the aesthetic appeal of long legs seems to transcend culture. Artists portray long legs as attractive and defined. Many prospective liposuction patients want this "look." The thigh should be evaluated as a complete esthetic unit from the waistline to the knee circumferentially. In small volumes, circumferential thigh liposuction should be considered in patients with either lateral or medial lipodystrophies. However, in large volumes, Liposuction should be done in stages, reducing the degree of edema-induced venous stasis and the risk of thromboembolic venous disease as the untreated portion of the thigh provides cushioning lymphatics that compensate for the impaired lymphatic drainage in the treated.
Surgical Fat Reduction (liposuction). Part II.pptxOsama Moawad
Liposuction is the most performed cosmetic surgery in the world. Furthermore, it has become an essential complementary technique to enhance the aesthetic result of many other procedures, such as cervicoplasty, reduction or augmentation mammoplasty, abdominoplasty, brachioplasty, thigh lift, and postbariatric body contouring. Amenable to Liposuction are the face, neck, breast, arms, abdomen, mons pubis, back, hips, buttocks, thighs, knees, calves, and ankles. The genetic determination of lipodystrophy (a localized abnormality of body fat distribution) means it is diet and exercise-resistant. It results from adipose cell hypertrophy rather than hyperplasia. Its correction mandates surgical interventions. Surgical fat reduction or Liposuction corrects deep and superficial fat accumulations and, thus, remodels the face, neck, breast, and body contour deformities. It should be carried out in the lamellar layer if one desires long-term results.
Liposuction Complications and its Management.pptxOsama Moawad
Although many people view it as a simple and benign procedure, it can be associated with significant morbidity, especially large-volume liposuction. Physicians should limit the lipoaspirate to less than 5% of the body weight and treat less than 30% of the body surface in one session. The ideal situation involves a selected patient treated by a well-trained surgeon and anesthesiologist, the team working in a fully equipped, certified, and accredited facility with a well-trained operating room and recovery room staff. Unfortunately, complications can vary from mild postoperative nausea and vomiting to DVT/pulmonary embolism (P.E.) and even death. The onset of complications can be classified into the perioperative period (0–48 h), early postoperative period (days 1–7), and late postoperative period (1 week to 3 months). Major risk factors for developing severe complications are multiple procedures, poor standards of sterility, excessive infiltration and intoxication from lidocaine or adrenaline, excessive removal of fatty tissue with volume depletion in the third space, permissive postoperative discharge, and selection of unfit patients.
Buttocks Reduction Liposuction and Lipofilling-Egyptian Buttocks.pptxOsama Moawad
Obese, Egyptian, Arabic, or African female buttocks are characterized by; upper buttock hypertrophy leading to the shelving effect with increased projection in the anteroposterior above the mons pubis level, and the overall volume is usually disproportionate to the remainder body. Obese patients want to reduce or lessen volume, shelving, and projection but never ask for flattening the entire area. The buttocks contain deep fat deposits with relatively little fibrous tissue content and are amenable to all forms of liposuction. One can achieve a pleasing esthetic buttock by liposuction of the surrounding areas and attention to "gender ideal" muscular shape/ mass, fat distribution, and adherent areas. In our patients, we routinely improve the contour of the buttock, lower back, hips, and lateral thigh.
Breast Liposuction (Female vs. Male).pptxOsama Moawad
Breast reduction liposuction has gradually evolved into a primary or secondary modality for treating breast hyperplasia. Enlargement of the breast as the result of localized deposits of subcutaneous fat, primarily with normal or slightly increased glandular breast tissue, is known as pseudo-gynecomastia in male patients.
Liposuction of the back primarily reduces subcutaneous fat and results in skin retraction, more so in the upper back than in the lower back, due to the thicker skin and more fibrous fat found in the upper back. Suction lipectomy of the lumbar, flanks, and upper back unmasks and enhances the buttock region. Liposuction of the back often nicely complements abdomen liposuction in men and in women to give a more global improvement in the torso with improvement in the waistline. Liposuction of the upper back is an excellent complement to the arm, and breast lifts, while lower back liposuction will complement the abdomen, buttocks, and thigh lifts.
Patients present for arms contouring are classified according to the scheme proposed by Teimourian and Malekzadeh. Arm liposuction is done in all categories as a primary procedure or/ and in combination with brachioplasty. The goal of the liposuction surgeon is to reduce the bulk of fat all over the arm without creating a masculine appearance for female patients. Liposuction of the arm varies according to the amount of fat excess and the location and severity of skin redundancies. Although most complaints will be the inferior aspect of the arm, slenderizing (circumferential), the entire arm will produce a more optimal result.
Liposuction is usually performed in the fatty layer superficial to the platysma in the neck, an extremely safe region devoid of vital neurovascular structures. Fat is present in the area that extends between the sternocleidomastoid muscles from the mandibular border to the thyroid cartilage region. More fat is present inside the anterior cervical triangles at the submental and submandibular neck levels. Ideal candidates for neck liposuction are patients with isolated fat deposits, good skin tone, and minimal platysmal laxity. In appropriately selected patients, liposuction of the neck using tumescent local anesthesia can effectively remove fatty deposits with excellent skin redraping and contraction.
Surgical Fat Reduction (liposuction). Part II.pptxOsama Moawad
The newer liposuction methods aim to disrupt the fatty cell membrane – liquefaction – to enable more efficient fat removal.
Outcomes may be further enhanced by a degree of dermal injury, which promotes cutaneous retraction.
However, one should remember that any trauma under the skin risks collateral damage with the subcutaneous layer richly supplied by delicate vascular, neural, and fibrous supporting systems.
Liposuction techniques can be classified as superficial vs. deep, syringe vs. machine, and standard vs. energy assistant cannula. I will mention these techniques emphasizing syringe reduction liposuction and a technique I call external ultrasound-power assistant liposuction (U-PAL).
Surgical Fat Reduction (liposuction) Part I.pptxOsama Moawad
The absolute number of adipose cells varies during childhood. After a rapid increase during puberty, the genetically determined number becomes fixed. With obesity, the lamellar layer can increase its thickness much more than the areolar layer. In obese patients, it may be eight to ten times thicker than in normal-weight people, while the areolar tissue may only double in thickness. The only way to reduce the hypertrophic fatty layer is to destroy it in vivo or to take it out of the body. We can do that either invasively (liposuction) or non-invasively with the help of energy-dependent devices or chemically.
Adipose tissue "fattening" or localized fatty deposits with resultant body contour deformities result from adipose cell hypertrophy rather than hyperplasia. The transcutaneous delivery of ultrasound, radiofrequency, tissue cooling, low-level laser, physical massage, or a combination of these modalities) are marketed recently as a non-invasive fat reduction device. All devices have different characteristics influencing suitability for a particular practice, such as operator dependence, delegation capabilities, maintenance, and consumables. These devices lack the evacuation phase that is inherent to liposuction, so a physiologic macrophage-mediated phagocytic process accomplishes fat clearance.
The Science of the Subcutneous Adipose Tissue.pptxOsama Moawad
Dermatologists studied the panniculus adiposus (subcutaneous fat) as a metabolic depot, insulation, and buffer against trauma. In addition, it has endocrine effects and a role in local and systemic inflammation. Adipose tissue is a specialized connective tissue involved in the synthesis and storage of fat. It is mainly composed of specialized cells (adipocytes) enmeshed in a structural network of collagen fibers. The fat stored in adipose tissue comes from dietary fats or is produced in the body. Adipose tissue includes numerous anatomic depots. In adults, it is located beneath the skin (subcutaneous fat), around internal organs (visceral fat), in bone marrow (yellow bone marrow), in breast tissue, and in deposits between the muscles and in other organs. In humans, the distribution of adipose tissue varies due to genetics, age, sex, race, and, for some depots, sensitivity to hormones and glucocorticoids.
From Adding (1997) to Removing Fat (2022). The Liposuction Journey.pptxOsama Moawad
As a dermatologist, I was fascinated with Dr. J. Fulton's videos (American dermatologist and medical researcher who co-invented Retin-A) in the early nineties and how he treated patients suffering from acne scars (having acne scars himself). He used all available resurfacing techniques, i.e., chemical peels, dermabrasion, and ablative CO2 lasers. What drew my attention was fat grafting. I dreamed of filling those atrophic scars resistant to resurfacing techniques. I realized the paradigm shift of volume surgery to treat those scars. In 1996 I attended Dr. Sydney Colman's course (Lipo-structure: A New Paradigm for Micro-infiltration. New York). I bought his tools (cannulas and vac-Lock 10 ml syringes) and decided to do it! It was a great chance to learn from the master of fat grafting.
• In recent years, the usefulness of trichoscopy (scalp dermoscopy) (videodermatoscopy) has been reported for diagnosing hair loss diseases. This method allows viewing of the hair and scalp at X20 to X160 magnifications. Characteristic trichoscopy features of alopecia areata are black dots, tapering hairs (exclamation mark hairs), broken hairs, yellow dots, and short vellus hairs. In androgenetic alopecia (AGA), hair diameter diversity (HDD), perifollicular pigmentation/peripilar sign, and yellow dots are trichoscopically observed. In all cases of AGA and female AGA, HDD, more than 20%, which corresponds to vellus transformation, can be seen. In cicatricial alopecia (CA), the loss of orifices, a hallmark of CA, and the associated changes including perifollicular erythema or scale and hair tufting were observed. Different hair shafts variation such as vellus, terminal, micro-exclamation mark type, monilethrix, Netherton type, and pili annulati hairs can be seen . The number of hairs in one pilosebaceous unit can be assessed. Healthy Hair follicles variation healthy, empty, fibrotic ("white dots"), filled with hyperkeratotic plugs ("yellow dots"), or containing dead hair ("black dots"). Abnormalities of scalp skin color or structure include honeycomb-type hyperpigmentation, perifollicular discoloration (hyperpigmentation), and scaling are also seen with the help of trichoscopy.
Tattoo laser removal. what's up after 25 yearsOsama Moawad
• There is a need to increase awareness in the youth today regarding increased risks of tattooing when carried out in potential unsterile environments.
• Tattoo parlors should also be educated about the risks involved and the importance of using proper infection control procedures.
• Better regulation of tattoo inks and dyes can help ensure safe application and ease of removal, but it is currently lacking.
• Lasers are the established gold standard for tattoo removal, but employing the appropriate device and technique does not always guarantee a successful outcome. QS lasers are created technologies against blue, black, red, and green tattoos, with varying degrees of effectiveness. Other colors can be challenging to treat, although outcomes using fractional resurfacing and picosecond lasers are promising. Multi-pass treatments are a new approach for faster and more effective removal of tattoo pigments.
• The mechanisms responsible for variable responses of cosmetic tattoos to laser treatment are numerous and often interrelated.
• The laser industry and the tattoo practitioner are on different poles
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. a point prevalence of up to 100%
among adolescents and often
persists into adulthood, with
detrimental effects on self-
esteem.
Sixty percent of all acne cases are so-
called ‘physiologic acne’, the other
40% are those that need continuous
help by a specialist to prevent
physical or psychological scarring
5. Up to 15% of acne patients notice that sweating causes a deterioration in their acne,
especially if they live or work in a hot humid environment; for example, for a cook, ductal
hydration may be the responsible factor
Sweating exacerbate Acne
71. Blue Light
Medical SPA
kill P. acnes and/or causes disruption of sebaceous gland function,
and anti-inflammatory the effect that it is potentiated in PDT
73. These light sources have wavelengths that correspond to an
absorption peak of P acnes endogenous porphyrins causes death
Narrow Band UV
Broad Band IPL
KTP 532nm
Pulsed Dye Laser 595nm
Red light at 610-635nm
90-150u 90-150u
280u 450u
550u
74. RED
Non thermal, non laser light emitted diode (LED)
is a new Acne treatment option
75. BLUE LED
•90u-150u penetration
•Penetrate deeper than UVA
•Confined to the epidermis
•Can Kill Bacteria
•Not effective in PDT
•Prevention rather than treatment
Violet and Blue Light
76. RED LED
Red Light
•Penetrate deep (550u)
•Anti inflammatory
•Healing
•Effective in treating both
inflammatory and non
inflammatory acne
77. Phototherapy with mixed blue-
red light showed better
treatment response than blue
light alone.
78. RED and INFRARED LIGHT
Visible light as monotherapy is not recommended for the treatment of comedonal,
severe papulopustular and conglobate acne.
103. NEAR INFRA
RED
•1064nm Nd
YAG Laser
MID
INFRARED
•1230 nm Nd
YAG
•1450nm
•1540nm
Erbium
Water is the chromophore but no selective damage to sebaceous gland
104. Mid Infra-red Lasers
1320 nm Nd YAG
1450nm Diode
1540nm Erbium
Destroying sebaceous glands secondary to water heating
124. Salicylic Acid Peels
Effective in both inflammatory and comedonal acne. It lessen post
inflammatory hyperpigmentation
An excellent keratolytic
agent, useful against
comedones due to its
strong lipophilicity and
ability to penetrate the
pore