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Michel Pistor developed mesotherapy in France in 1952. The practice is well known for its use in cellulite reduction. The goal of mesotherapy in skin rejuvenation is to increase the biosynthetic capacity of fibroblasts with the reconstruction of an optimal physiological environment, enlargement of cellular activity, and production of new collagen, elastin, and hyaluronic acid, leading to in…
When approaching a cosmetic patient, there are many factors to consider. Whether the patient is interested in botulinum toxins, fillers, cosmeceutical advice, lasers, light sources, liposuction, a face-lift, or blepharoplasty, the physician needs to consider the medical condition of the patient, his or her psychologic tolerance for the procedure, the suitability of the procedure for the c…
Clinical decision-making is often fraught with uncertainties. However, expert diagnosticians are able to maintain a degree of suspicion throughout the assessment process, to consider a range of potential explanations, and then to generate and narrow their differential diagnosis, based on their previous experience, familiarity with the evidence related to various diagnoses, and understandin…
Sudden cardiac death remains a major public health problem and accounts for 450 000 deaths annually in the United States and 400 000 in Europe. Michel Mirowski began developing an implantable defibrillator in the mid-1960s. The first automatic defibrillator was finally implanted in a human patient in 1980. The device presently known as an implantable cardioverter-defibrillator (ICD) has …
The debate between proponents and critics of complementary and alternative medicine (CAM) continues to renew both old and new arguments and biases at the start of the twenty-first century. The opinions of health providers, consumers, and researchers remain divided on whether this “unproven form of medicine” can be or ever will be demonstrated as being cost-effective, accessible, and mos…
What is the NCLEX® Examination? In April 1994 nurse licensure candidates began taking the National Council Licensure Examination (NCLEX®) on a computer at test centers located across the United States and select international sites. The change to computerized adaptive testing (CAT) for the nurse licensure examination came about as a result of a decision made in August 1991 by the Natio…
Human beings are social creatures. All of us, with rare exception, live out our lives in the company of other people. An Eskimo lives in a small, tightly knit community of close relatives; a rural Mexican may live in a small village with hardly more than 200 members. In contrast, someone from New York City might be a member of many overlapping communities, such as professional societies, …
Female pelvic anatomy is a complex combination of muscles, ligaments, nerves, and blood vessels that act dynamically to provide support for the urethra, bladder, uterus, and rectum. An understanding of normal mechanisms of pelvic support are essential in the evaluation of women with voiding complaints, urinary incontinence, and bowel dysfunction related to pelvic floor relaxation. Thus, the…
Traumatic injuries to the cervical vessels are relatively uncommon and constitute only about 5–10% of all vascular injuries. In about 25% of patients with blunt head and neck trauma, the cervical vessels are involved. The most common mechanism is penetrating injuries, but the incidence of blunt vascular trauma is probably underestimated because related symptoms are often vague and not …
global prevelance of diabetec