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Do you know how to whiten your teeth? Everyone wants to look and feel good about themselves and one of the best ways to do just that is to have a beautiful smile. It is best to be knowledgeable of the processes involved on how to whiten teeth before actually getting it done. Nowadays, everyone [...]
Source: http://www.romow.com/health-blog/teeth-whitening-options-to-consider/
By MICHAEL LAKE
This is a summary of the HIT Trends report for May 2011. You can get the current issue or subscribe here.
E-prescribing scale and innovation. Surescripts reports dramatic growth for e-prescribing with a third of office-based physicians on its network and 20% of all scripts now going electronically to pharmacies and mail order. Yet [...]
Source: http://thehealthcareblog.com/blog/2011/06/09/hit-trends-summary-for-may-2011/
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Overeaters Anonymous meditation and writing meeting Thursdays at 7 a.m., St. Benedict Monastery, 9535 Linton Hall Rd., Bristow. 703-361-0106. 703-754-9237. www.oanova.org. Free.
Parkinson?s exercise class Thursdays and Tuesdays 1:30-2:30 p.m., Greenbriar Community Center, 4615 Stringfellow Rd., Chantilly. 703-378-7221. $10; care partners, $5; registration required.
Source: http://feeds.washingtonpost.com/click.phdo?i=dd8be0bdb02fb9ef32ba0d2876bdad2a
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In the United States, painful periods (Dysmenorrhoea) are estimated to cause 600 million lost working hours and cost two billion dollars in lost productivity…
Source: http://www.medicalnewstoday.com/articles/240513.php
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A California-based plastic surgeon says the culture on the West coast may be behind a recent statistic that found that 38 percent of the breast implant surgeries performed in the U.S. are performed in Western states.
Working long hours appears to substantially increase a person's risk of becoming depressed, regardless of how stressful the actual work is, a new study suggests.
Source: http://rss.cnn.com/~r/rss/cnn_health/~3/pbpTtIPHbss/index.html
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Background: Patients with syndromic craniosynostosis and midface hypoplasia are often treated with Le Fort III advancement. The authors present four patients with extraordinarily long-term follow-up (in excess of 20 years).
Methods: An institutional review board?approved retrospective chart review was performed on all patients with syndromic craniofacial synostosis who underwent Le Fort III advancement. Patients with greater than 20 years of cephalometric and photographic records were identified. Lateral cephalograms were obtained preoperatively, immediately postoperatively, at 1-year follow-up, and at long-term follow-up. Cephalograms were traced, digitized, and averaged. Fifty cephalometric landmarks were identified for serial measurements.
Results: Of the four patients identified, one had Apert syndrome and three had Crouzon syndrome. Average age at the time of Le Fort III advancements was 11 years (range, 4 to 20 years). Average length of postoperative follow-up was 25 years (±5 years). No patient had significant anterior midfacial growth following Le Fort III advancement. Both young patients (<10 years) had substantial vertical inferior midfacial growth after advancement.
Conclusions: These data demonstrate that the Le Fort III segment of children with syndromic craniosynostosis does not grow significantly forward. Moreover, the traditional Le Fort III osteotomy does not provide the amount of midface advancement necessary to avoid phenotypic recidivism in these syndromic patients. This study also suggests that patients undergoing Le Fort III advancement appear to have zygomatic effacement and ptosis of the overlying soft tissue with deepening of the facial folds; collectively, it is suggested that these changes give the appearance of accelerated facial aging.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.
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Brava® and Autologous Fat Transfer Is a Safe and Effective Breast Augmentation Alternative: Results of a Six-Year, Eighty-One Patients Prospective Multicenter Study.
Plast Reconstr Surg. 2012 Jan 18;
Authors: Khouri RK, Eisenmann-Klein M, Cardoso E, Cooley BC, Kacher D, Gombos E, Baker TJ
Abstract
INTRODUCTION:: Breast augmentation by autologous fat transfer is an appealing alternative in need of scientific validation. MATERIALS AND METHODS:: A prospective multicenter study enlisted 81 women (age 17-63). Patients wore Brava®, a bra-like vacuum-based external tissue expander, for four weeks, then underwent autologous fat injection using 10 – 14 needle puncture sites into each breast in a 3D fanning pattern (average, 277 ml volume injected per breast). Patients resumed Brava® wear within 24 hours for 7 or more days. Pre- and post-treatment breast volumes were derived from 3D volumetric reconstruction of MRI scans, and outcomes were compared to a meta-analysis of 6 recent published reports on AFT breast augmentation without expansion. Follow-up ranged from 12 months to 6 years (average 3.7 years). RESULTS:: Breast volume was unchanged between 3 and 6 months. Seventy-one of the treated women were compliant with Brava wear and had a mean augmentation volume at 12 months of 233 ml/breast compared to 134 ml/breast in published series without Brava (p<0.00001). Graft survival was 82 ± 18% compared to 55 ± 18% without Brava (p<0.00001). There was a strong linear correlation (R = 0.87) between pre-grafting Brava expansion and the resultant breast augmentation. There were no suspicious breast masses or nodules. MRI recognized a 16% incidence of fat necrosis easily identified at one-year mammographic evaluation. SUMMARY/CONCLUSIONS:: The addition of Brava® expansion prior to autologous fat grafting leads to significantly larger breast augmentations, with more fat graft placement, higher graft survival rates, and minimal graft necrosis or complications, demonstrating high safety and efficacy for the procedure.
PMID: 22261565 [PubMed - as supplied by publisher]
For years before the identity of her long-standing problem was revealed, Hannah Love?s family had its own name for the periodic, disabling episodes: ?Hannah?s stomach thing.?
The attacks, which first struck when she was 3, would gradually progress from discomfort to a crescendo of sharp pains to an abdomen so swollen she could not bear the touch of clothing. Nausea and vomiting invariably followed.
Source: http://feeds.washingtonpost.com/click.phdo?i=082fcd8042b9d3ec6f6863a3e0663525
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By Matthew Holt
It’s Thursday morning. Fresh off the digital presses. It’s finally here. THCB (after a long absence) is back hosting Health Wonk Review….
Health IT Dept
We start close to home with huge news for THCB’s sister organization Health 2.0. (FD-Matthew Holt THCB’s Founder is also Co-Chairman at Health 2.0). And the news is that the world [...]
Source: http://thehealthcareblog.com/blog/2011/06/09/its-thcbs-health-wonk-review/
Older women who have lost more than two inches in height face an increased risk of breaking bones and dying, according to a new study published in the January issue of the Journal of Bone and Mineral Research and funded by the National Institutes of Health…
Source: http://www.medicalnewstoday.com/releases/240167.php
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The end of the year is coming up, and it is time for men and women to come up with their New Year’s resolutions for 2011. Common New Year’s resolutions made by men and women relate to their desire to lose weight, stop smoking cigarettes or drinking alcohol, improve their health, spend more time with [...]
Source: http://www.romow.com/health-blog/new-years-plastic-surgery-makeovers/
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Whether you?re wearing a tank top, bathing suit or cocktail dress, there?s no better accompaniment than well-shaped breasts.
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When it comes to plastic surgery, patients may feel overwhelmed by the number of choices available to them.
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The authors of a study published online on Tuesday that was designed to overcome the difficulties of obtaining accurate and reliable data in Fetal Alcohol Syndrome research, say their findings reinforce the warning that there is no safe level of alcohol consumption during pregnancy…
Source: http://www.medicalnewstoday.com/articles/240412.php
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Since the longtime leader of North Korea, Kim Jong-Il, passed away in mid-December, the media has been speculating about what will happen in the hermetic country’s future.
New research published in the January issue of Anesthesia & Analgesia finds that Botulinum neurotoxin Type A, otherwise known as Botox, may have positive effects on muscles that are relatively distant from the point of injection.
Many plastic surgeons say that plastic surgery was a popular gift during the holiday season.
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Background: The advent of self-inflating hydrogel tissue expanders heralded a significant advance in the reconstructive potential of this technique. Their use, however, is limited by their uncontrolled isotropic (i.e., uniform in all directions) expansion.
Methods: Anisotropy (i.e., directional dependence) was achieved by annealing a hydrogel copolymer of poly(methyl methacrylate-co-vinyl pyrrolidone) under a compressive load for a specified time period. The expansion ratio is dictated by the percentage of vinyl pyrrolidone content and the degree of compression. The expansion rate is modified by incorporating the polymer within a silicone membrane. The in vivo efficacy of differing prototype devices was investigated in juvenile pigs under United Kingdom Home Office Licence. The devices were implanted within a submucoperiosteal pocket in a total of six porcine palates; all were euthanized by 6 weeks after implantation. A longitudinal volumetric assessment of the expanded tissue was conducted, in addition to postmortem analysis of the bony and mucoperiosteal palatal elements.
Results: Uncoated devices caused excessive soft-tissue expansion that resulted in mucoperiosteal ulceration, thus necessitating animal euthanasia. The silicone-coated devices produced controlled soft-tissue expansion over the 6-week study period. There was a statistically significant increase in the volume of expanded soft tissue with no evidence of a significant acute inflammatory response to the implant, although peri-implant capsule formation was observed. Attenuation of the bony palatal shelf was noted.
Conclusion: A unique anisotropic hydrogel device capable of controlled expansion has been developed that addresses a number of the shortcomings of the technology hitherto available.
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Rick Warren shed 60 pounds on a religious diet-lifestyle program. Now the pastor is helping his congregation at Saddleback Church lose weight too.
Source: http://rss.cnn.com/~r/rss/cnn_health/~3/i-eW6e8r6X8/index.html
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According to a study published online in Gut, high levels of the trace elements nickel and selenium in the body may lower the risk of developing the most common type of pancreatic cancer, whilst high levels of arsenic, lead, and cadmium could increase the risk of developing the disease…
Source: http://www.medicalnewstoday.com/articles/239684.php
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Whether you?re wearing a tank top, bathing suit or cocktail dress, there?s no better accompaniment than well-shaped breasts.
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Overeaters Anonymous meditation and writing meeting Thursdays at 7 a.m., St. Benedict Monastery, 9535 Linton Hall Rd., Bristow. 703-361-0106. 703-754-9237. www.oanova.org. Free.
Parkinson?s exercise class Thursdays and Tuesdays 1:30-2:30 p.m., Greenbriar Community Center, 4615 Stringfellow Rd., Chantilly. 703-378-7221. $10; care partners, $5; registration required.
Source: http://feeds.washingtonpost.com/click.phdo?i=dd8be0bdb02fb9ef32ba0d2876bdad2a
In all the rush to find acai berries, mangosteen and other super foods of the moment, many of the most common super foods are under rated and under-valued. Read up on these super foods to stop skipping over the best options and start getting the maximum value out of your meals. 1. Greek Yogurt If [...]
Source: http://www.romow.com/health-blog/10-under-rated-super-foods/
An increasing number of baby boomers are looking for love online, and may want to make some cosmetic enhancements in order to find their perfect match.
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A small study published online in the journal GUT suggests that certain types of mouth bacteria, some of which are found in gum disease, for example Granulicatella adjacens, are linked to the development of pancreatic cancer…
Source: http://www.medicalnewstoday.com/articles/235949.php
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Through the haze of exhaustion and elation that often characterizes the first disorienting weeks of motherhood, Karen Good felt something else: a gnawing fear for her own health.
Good, then 41, had given birth to a healthy baby boy shortly after Christmas 2007. Her son was delivered four weeks early because she had developed preeclampsia, a potentially life-threatening condition characterized by high blood pressure and protein in the urine. In most cases the remedy is delivery; once the baby is born the mother?s blood pressure usually returns to normal.
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Comparing Breast-Reduction Techniques: Time-to-Event Analysis and Recommendations.
Aesthetic Plast Surg. 2012 Jan 19;
Authors: Hunter-Smith DJ, Smoll NR, Marne B, Maung H, Findlay MW
Abstract
BACKGROUND: Breast reduction is a common procedure used to improve physical and aesthetic factors associated with breast hypertrophy. This study investigated how surgical technique alone affects the risk factors for complications and profiled differences between techniques. Complications were assessed by the use of time-to-event methods. METHODS: Patient information was extracted from a cohort of 283 patients. Demographic, surgical, and follow-up information was analyzed for patients undergoing surgical procedures using the inferior pedicle Wise pattern (IPWP) and modified Hall-Findlay (MHF) techniques. The patients managed with the IPWP technique were considered control subjects. The failure rates were described using the Kaplan-Meier failure estimator to provide a true estimate of the experienced complication rates. RESULTS: Overall, few differences were noted between the groups except for total tissue removed. The overall failure (complication) rate at 6 months was 18.8%, with 9% of all the patients experiencing a major complication that required operative intervention/revision. As expected, the period with the greatest risk of complication was the first month after surgery. Surgical technique, total tissue removed, and age were nonpredictive of complications. Overall, the IPWP group had significantly more total tissue removed than the MHF group (median difference, 227 g; P = 0.002). There was no evidence of a learning curve when an experienced surgeon moved from the one technique to the other. CONCLUSION: At 6 months after surgery, 19% of patients are expected to have experienced a complication. There appears to be few differences in outcomes between the techniques of breast reductions used, and the success or otherwise almost certainly relates to factors independent of surgical technique and includes patient selection, operative skill, and experience. Time-to-event analysis provides a precise assessment and description of the complication profile. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266 .
PMID: 22258836 [PubMed - as supplied by publisher]
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Background: This article examines outcomes following repeated breast reduction using vertical scar reduction mammaplasty. The results of performing repeated breast reduction in patients for whom operative records were available for the previous breast reduction were compared with those for whom these records could not be obtained.
Methods: A retrospective review of all patients who underwent repeated breast reduction for recurrent symptomatic mammary hypertrophy, inadequate volume reduction during the primary operation, and significant postoperative breast volume asymmetry was performed.
Results: Twenty-five patients had repeated breast reduction. The initial technique was known in 13 patients and unknown in 12 patients. The average total reduction per breast (including liposuction) was 658 g (range, 30 to 1150 g). Liposuction was used more often in cases for which the initial technique was unknown (p = 0.000). No patients experienced necrosis of the nipple-areola complex, and there was no significant difference in the complication rates between patients for whom the previous pedicle was known versus those in whom it was unknown (p = 0.220).
Conclusions: Using vertical scar reduction mammaplasty, repeated breast reduction is a safe procedure, even when the initial technique is unknown. A vertically oriented, inferior wedge excision of tissue can be safely excised, irrespective of the initial pedicle. For patients with ptosis in whom the nipple-areola complex needs to be transposed superiorly, a carefully planned and de-epithelialized superior pedicle should be used. In addition, liposuction is an important adjunct to achieve volume reduction, while limiting the amount of dissection during repeated breast reduction.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
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According to a study published in the British Journal of Cancer, individuals who consume too much processed or red meat may have an increased risk of developing pancreatic cancer…
Source: http://www.medicalnewstoday.com/articles/240319.php
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Monsplasty for Women After Massive Weight Loss.
Aesthetic Plast Surg. 2012 Jan 19;
Authors: Marques M, Modolin M, Cintra W, Gemperli R, Ferreira MC
Abstract
BACKGROUND: Ptosis with excess skin in the pubic area is a very common deformity in patients after massive weight loss. This deformity requires adequate surgical treatment whether combined with abdominoplasty or not. The enlarged pubogenital area may lead to psychosocial distress and impaired quality of life. METHODS: A series of 23 women with a mean age of 39.5 years who previously underwent bariatric surgeries and later presented with pubogenital ptosis underwent monsplasty. The preoperative surgical markings and the surgical technique presented are easily reproducible. In this prospective study, the surgical outcomes were assessed by questionnaires applied to the patients, who scored the following parameters: movement dynamics, aesthetic appearance, sexual performance, improved hygiene, and use of clothing items. RESULTS: Four of the parameters assessed (movement dynamics, aesthetic appearance, hygiene, and use of clothing items) showed clear improvement, with scores ranging from good to very good. A small percentage of the patients (13%) reported fair improvement in sexual performance. CONCLUSION: The findings showed monsplasty to be a simple and reproducible technique with favorable outcomes and low morbidity rates. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266 .
PMID: 22258835 [PubMed - as supplied by publisher]
