Feb 14

Non Surgical Nose Job – Fact vs. Fiction

by

Alexander Rivkin, M.D.

In the four years since its introduction, the procedure of Non Surgical Rhinoplasty (Non Surgical Nose Job) has been embraced by both physicians and patients as a useful alternative to surgical rhinoplasty. The simplicity and ease of the procedure has brought in patients who were too scared or couldn’t afford surgery. Patients whose work schedules do not permit the downtime of surgical rhinoplasty appreciated the ability to correct the bump or deviation or droopy tip with an in-office injection procedure. Asian and black patients appreciated the ability to raise and define the bridge of their nose and de-emphasize a round tip, all without a major operation that, all too often, resulted in an unnatural appearance. Patients who had undergone several rhinoplasty operations to revise an unsatisfactory surgical result without success took advantage of this option to correct the lingering imperfection without going under the knife again.

This procedure is not for everyone. There is no way of actually reducing the size of a large nose without surgery. However, it is interesting to note that, just by camouflaging a bump or making a crooked nose straight, the patient’s nose will appear smaller. It is a bit of an optical illusion, but a feature that is regular and blends in with the rest of the face is less noticeable and appears smaller than a feature that is not in harmony, is asymmetric or bumpy. The Non Surgical Nose Job procedure is purely cosmetic. It will not improve breathing and cannot correct a deviated nasal septum.

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The Non Surgical Rhinoplasty procedure can be performed using a variety of fillers. I have always used calcium hydroxyapatite (Radiesse). It lasts a good amount of time (about 10 months) and holds its shape well. Small amounts of Radiesse are injected deep beneath the skin, so the aesthetic effect is natural and smooth. It is important to always inject as little as possible – the doctor can always bring the patient back for a touch up. Overfilling the nose, even by a little bit, looks terrible.

Radiesse is a very safe filler. Long term complications are unheard of and I have never seen a patient be allergic to the material. The most common complaint is that the effect doesn’t last long enough. This is not to say that side effects do not happen. The skin of the nose can be quite thin in some areas, especially after surgery. Overinjection of an area like that can cause damage to the skin, infection and even skin sloughing. This is why good training is essential to the safe and effective performance of the Non Surgical Nose Job. A variety of doctors are performing the procedure today and the informed consumer needs to be sure that the doctor they choose is well trained in injectables and trained specifically in this particular procedure.

Some of the rhinoplasty surgeons around the country have criticized the procedure as leading to complications such as bumpiness, poor aesthetic effect and nasal skin damage. They are absolutely correct. However it is the injector and not the procedure that they should be focusing on. If properly performed, the procedure is great. The issue is that there is no oversight over who can and cannot perform this procedure. I think that any problems that are being seen are most likely due to injector error.

Another criticism of this procedure is that it is a temporary measure. This was true when the only filler available was Radiesse. Last year, however, Artefill was approved by the FDA. Artefill is the first permanent filler available in the US. Artefill is sometimes used in patients who have a good result with Radiesse but want a permanent effect. Although it takes several sessions to build up the Artefill in the nose so that the effect is permanent, satisfaction rates so far have been excellent. Artefill should only be used in patients who have been shown to be non allergic via a skin test. Patients should also know that, once they get Artefill injections, they really should never have rhinoplasty surgery. Artefill stays in the skin for years, so performing surgical procedures on skin that has been injected with Artefill is much more complicated and difficult.

Needless to say, Non Surgical Rhinoplasty using Artefill should only be performed by physicians who are experts in the procedure. Artefill cannot be removed and it never goes away, so surgical excision is the only way to correct a mistake. In general, physicians who are not that experienced in the technique should be using one of the hyaluronic acid products – Restylane or Juvederm. These injectables last a good amount of time – about 6 to 8 months – and are easily dissolved with an enzyme if the effect is not as expected.

In summary, the Non Surgical Nose Job procedure has proven itself to be an excellent alternative to surgical rhinoplasty for certain patients. It is safe, effective, affordable, painless (relative to surgery) and involves minimal downtime. However, patients must choose their physician with care. The procedure has its pitfalls and the doctor must be well trained and experienced.

Alexander Rivkin M.D. is a Yale trained facial cosmetic surgeon and UCLA faculty member who has focused his practice exclusively on providing his patients with the latest in non-invasive cosmetic treatments. He has made his name in developing non-surgical alternatives to commonly performed cosmetic procedures. Dr. Rivkin divides his time between patient care, clinical research, educating other physicians, media appearances, and lecturing at scientific conferences throughout the world.

Article Source:

Non Surgical Nose Job – Fact vs. Fiction

}

Feb 14
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Cleveland, Ohio clinic performs US’s first face transplant

Thursday, December 18, 2008

A team of eight transplant surgeons in Cleveland Clinic in Ohio, USA, led by reconstructive surgeon Dr. Maria Siemionow, age 58, have successfully performed the first almost total face transplant in the US, and the fourth globally, on a woman so horribly disfigured due to trauma, that cost her an eye. Two weeks ago Dr. Siemionow, in a 23-hour marathon surgery, replaced 80 percent of her face, by transplanting or grafting bone, nerve, blood vessels, muscles and skin harvested from a female donor’s cadaver.

The Clinic surgeons, in Wednesday’s news conference, described the details of the transplant but upon request, the team did not publish her name, age and cause of injury nor the donor’s identity. The patient’s family desired the reason for her transplant to remain confidential. The Los Angeles Times reported that the patient “had no upper jaw, nose, cheeks or lower eyelids and was unable to eat, talk, smile, smell or breathe on her own.” The clinic’s dermatology and plastic surgery chair, Francis Papay, described the nine hours phase of the procedure: “We transferred the skin, all the facial muscles in the upper face and mid-face, the upper lip, all of the nose, most of the sinuses around the nose, the upper jaw including the teeth, the facial nerve.” Thereafter, another team spent three hours sewing the woman’s blood vessels to that of the donor’s face to restore blood circulation, making the graft a success.

The New York Times reported that “three partial face transplants have been performed since 2005, two in France and one in China, all using facial tissue from a dead donor with permission from their families.” “Only the forehead, upper eyelids, lower lip, lower teeth and jaw are hers, the rest of her face comes from a cadaver; she could not eat on her own or breathe without a hole in her windpipe. About 77 square inches of tissue were transplanted from the donor,” it further described the details of the medical marvel. The patient, however, must take lifetime immunosuppressive drugs, also called antirejection drugs, which do not guarantee success. The transplant team said that in case of failure, it would replace the part with a skin graft taken from her own body.

Dr. Bohdan Pomahac, a Brigham and Women’s Hospital surgeon praised the recent medical development. “There are patients who can benefit tremendously from this. It’s great that it happened,” he said.

Leading bioethicist Arthur Caplan of the University of Pennsylvania withheld judgment on the Cleveland transplant amid grave concerns on the post-operation results. “The biggest ethical problem is dealing with failure — if your face rejects. It would be a living hell. If your face is falling off and you can’t eat and you can’t breathe and you’re suffering in a terrible manner that can’t be reversed, you need to put on the table assistance in dying. There are patients who can benefit tremendously from this. It’s great that it happened,” he said.

Dr Alex Clarke, of the Royal Free Hospital had praised the Clinic for its contribution to medicine. “It is a real step forward for people who have severe disfigurement and this operation has been done by a team who have really prepared and worked towards this for a number of years. These transplants have proven that the technical difficulties can be overcome and psychologically the patients are doing well. They have all have reacted positively and have begun to do things they were not able to before. All the things people thought were barriers to this kind of operations have been overcome,” she said.

The first partial face transplant surgery on a living human was performed on Isabelle Dinoire on November 27 2005, when she was 38, by Professor Bernard Devauchelle, assisted by Professor Jean-Michel Dubernard in Amiens, France. Her Labrador dog mauled her in May 2005. A triangle of face tissue including the nose and mouth was taken from a brain-dead female donor and grafted onto the patient. Scientists elsewhere have performed scalp and ear transplants. However, the claim is the first for a mouth and nose transplant. Experts say the mouth and nose are the most difficult parts of the face to transplant.

In 2004, the same Cleveland Clinic, became the first institution to approve this surgery and test it on cadavers. In October 2006, surgeon Peter Butler at London‘s Royal Free Hospital in the UK was given permission by the NHS ethics board to carry out a full face transplant. His team will select four adult patients (children cannot be selected due to concerns over consent), with operations being carried out at six month intervals. In March 2008, the treatment of 30-year-old neurofibromatosis victim Pascal Coler of France ended after having received what his doctors call the worlds first successful full face transplant.

Ethical concerns, psychological impact, problems relating to immunosuppression and consequences of technical failure have prevented teams from performing face transplant operations in the past, even though it has been technically possible to carry out such procedures for years.

Mr Iain Hutchison, of Barts and the London Hospital, warned of several problems with face transplants, such as blood vessels in the donated tissue clotting and immunosuppressants failing or increasing the patient’s risk of cancer. He also pointed out ethical issues with the fact that the procedure requires a “beating heart donor”. The transplant is carried out while the donor is brain dead, but still alive by use of a ventilator.

According to Stephen Wigmore, chair of British Transplantation Society’s ethics committee, it is unknown to what extent facial expressions will function in the long term. He said that it is not certain whether a patient could be left worse off in the case of a face transplant failing.

Mr Michael Earley, a member of the Royal College of Surgeon‘s facial transplantation working party, commented that if successful, the transplant would be “a major breakthrough in facial reconstruction” and “a major step forward for the facially disfigured.”

In Wednesday’s conference, Siemionow said “we know that there are so many patients there in their homes where they are hiding from society because they are afraid to walk to the grocery stores, they are afraid to go the the street.” “Our patient was called names and was humiliated. We very much hope that for this very special group of patients there is a hope that someday they will be able to go comfortably from their houses and enjoy the things we take for granted,” she added.

In response to the medical breakthrough, a British medical group led by Royal Free Hospital’s lead surgeon Dr Peter Butler, said they will finish the world’s first full face transplant within a year. “We hope to make an announcement about a full-face operation in the next 12 months. This latest operation shows how facial transplantation can help a particular group of the most severely facially injured people. These are people who would otherwise live a terrible twilight life, shut away from public gaze,” he said.

Feb 14
Castro recovering following surgery: Cuban officials
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Castro recovering following surgery: Cuban officials

Sunday, August 6, 2006

Fidel Castro’s condition is “satisfactory” following surgery last Monday for intestinal bleeding according to Cuban vice-premier Carlos Lage and Cuba’s health minister José Ramón Balaguer who adds that it will not be long before the Cuban leader returns to work. On Saturday, Cuban parliamentary speaker Ricardo Alcaron told CNN’s Spanish service that Castro “remains in stable condition” and is “resting in order to recover as quickly as possible”.

Lage, who is in Bolivia for the opening of that country’s constitutional convention, said that Castro sends the Bolivian people “fraternal greetings” according to Cuban press agency Prensa Latina. Lage denied reports that Castro has stomach cancer and said that the ailing leader had “been made well by the operation and is recuperating favourably.”

Venezualan president Hugo Chavez sent his good wishes during his weekly broadcast saying “Fidel Castro, a hug for you, friend and comrade and I know you are getting better.”

“We have reliable information of your quick and notable recuperation” said Chavez on Castro’s condition. In a telephone conversation with Bolivian leader Eva Morales later in the broadcast, Chavez said of the Cuban leader “this morning I learned that he’s very well, that he is already getting out of bed, he’s talking more than he should — because he talks a lot, you know. He has sent us greetings,”

Castro, who turns 80 later this month, temporarily transferred power to his 75 year-old brother, Raul Castro, prior to his surgery, leading to widespread speculation in the United States that he is dying or dead.

No pictures of Castro have been released since his surgery was announced last Monday fuelling speculation around the world about his condition. Acting Cuban leader Raul Castro has also not been seen in public in the past week.

The island’s government has increased security due to fears of a US attack during Castro’s illness. US Secretary of State Condoleezza Rice told NBC News “The notion that somehow the United States is going to invade Cuba, because there are troubles in Cuba, is simply far-fetched”

Until temporarily relinquishing power to his brother last week, Fidel Castro had led the country since the 1959 Cuban Revolution.

Feb 11
Adverse Credit Loans A Guide To Loans For People With Poor Credit

By Tom Dawson

Most people believe that in todays economic climate it is not possible to arrange bad credit loans however this is not the case. In fact as a result of the credit crunch there has been an introduction of a few new loan types that have come about so that people with bad credit can still arrange finance. The point of this article is to give you an insight into what options are open to you, so that you choose the best one for your circumstances.

Secured Loans

Secured loans are loans that require some form of collateral to be pledged to the lender, usually in the form a second charge on your home. Because the lender has the added security of knowing that no matter what happens they will get their money back they are more inclined to lend you the money even if your credit history is not as good as it should be. This type of loan is also generally available for larger sums of money than any other type of bad credit loan, and usually at better interest rates. You can borrow amounts from 5,000 up to 75,000 so long as you have the income to repay it and enough equity in your home. This type of loan also offers longer repayment periods offering terms of up to 25 years.

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Guarantor Loans

A guarantor loan is a relatively new type of loan that has significantly increased its market share since the credit crunch took hold of the UK finance industry. The lenders do not even require the applicant to undergo a credit search as part of the underwriting criteria, which means that unless you are in an IVA or registered as bankrupt you can still arrange a loan, no matter how bad your credit record. This type of loan requires that you have a guarantor (co-signee) that guarantees the lenders repayments if you do not keep up with them. The guarantor will need to be a homeowner with a good credit and earning at least 800 per month. You can borrow loan amounts from 500 to 5,000 although some lenders will only allow you to lend up to 3,000 at first, they will however let you top up the loan after you have maintained regular payments for 6 months. Depending on the loan amount that you require, the repayments can be spread over terms between 12 and 60 months. The interest rates charged for this type of loan are considerably higher than those charged for a secured loan.

Logbook Loans

A logbook loan or V5 loans as they are sometimes known are a type of secured loan, however rather than the loan being secured on your home they are secured on your car logbook. They can also be arranged without a credit check and are available for loan amounts up to 50,000 so long as your car is valuable enough. So no matter what your credit history if you can afford to repay the loan, and your car is free of finance you should have no problem arranging this type of loan. Even though the lender will hold your car logbook until you repay the loan in full, making it a pretty safe bet for the lender the rates they charge for this type of loan are still quite high.

About the Author: Tom Dawson is a UK finance expert offering help and advice for all types of

online loans

but especially

loans with bad credit

. why not visit his site today?

Source:

isnare.com

Permanent Link:

isnare.com/?aid=732859&ca=Finances

Feb 11
Rebels blow up oil pipelines in Assam
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Rebels blow up oil pipelines in Assam

Saturday, June 10, 2006 Normal life in the Asom continued to be disturbed for third day in a row on Saturday following the series of subversive activities engineered by the banned United Liberation Front of Asom(ULFA). In the latest incident, Police on Saturday morning sounded red alert in the Guwahati city as an explosive timer device found in front of Kamrup SP office in Panbazar.

“The recovered device was kept in a Tiffin box, which was programmed to explode at 6:15 [IST] in the evening,” said police sources adding that the hand of ULFA was suspected. The passengers of Delhi-bound Rajdhani Express had a miraculous escape as a bomb planted on the tracks near Naharkatia in the Dibrugarh district detonated just before the superfast train was to pass last night, said official sources. On Friday night, at least six persons injured in the state, following five powerful blasts that was suspected to be triggered by the banned outfit.

These blasts came barely hours after a powerful bomb explosion that killed five people and injured over 15 at a busy vegetable market in the Guwahati city on Friday evening. According to police, at least six persons injured when a bomb exploded in the house of one Milan Deori in Rupaisiding- Tapoban-Tiniali area in the Tinsukia district allegedly planted by ULFA militants. Besides this the outfit reportedly blew off four Oil pipelines belonging to Assam Gas Company Limited and Oil India Limited (OIL) successively at two places in the Dibrugarh district last night.

Police source said that two blasts occurred at 10:25 IST and 25 minutes later damaged pipeline used for electricity generation at Namrup Thermal Power plant at a place under Naharkatia police station. Later two more explosions severely damaged two crude oil pipelines belonging to OIL, nearby Bhadoipanchali. In another incident, at least three army personnel injured when militants hurled grenade at an army truck at Doomdooma in Tinsukia district at around 8 p.m. IST yesterday. On Thursday, there were four separate explosions that left 34 people injured in the districts of Dhubri, Mangaldoi and Nagaon.

Feb 10
Wikinews interviews Joe Schriner, Independent U.S. presidential candidate
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Wikinews interviews Joe Schriner, Independent U.S. presidential candidate

Saturday, April 17, 2010

Journalist, counselor, painter, and US 2012 Presidential candidate Joe Schriner of Cleveland, Ohio took some time to discuss his campaign with Wikinews in an interview.

Schriner previously ran for president in 2000, 2004, and 2008, but failed to gain much traction in the races. He announced his candidacy for the 2012 race immediately following the 2008 election. Schriner refers to himself as the “Average Joe” candidate, and advocates a pro-life and pro-environmentalist platform. He has been the subject of numerous newspaper articles, and has published public policy papers exploring solutions to American issues.

Wikinews reporter William Saturn? talks with Schriner and discusses his campaign.

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Feb 3
Ford announces deep production cuts in response to growing losses
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Ford announces deep production cuts in response to growing losses

Saturday, August 19, 2006

Ford has announced sweeping cuts of 21% (168,000 units) in its US and Canadian production, resulting in the partial closure of ten of its plants during the fourth quarter. The measure comes on top of existing turnaround plans announced in January, in which 25,000 to 30,000 positions should be cut and 14 plants closed by 2012.

Ford is the world’s third-largest automaker and the U.S.’s second-largest. However it has in recent years been struggling with poor profitability and shrinking market shares. In 2005 it lost $1.6 billion and recently the company reported a second quarter loss of $254 million and a 34% year-year decline in sales for the month of July.

George Pipas, director of sales analysis at Ford, points to rising gas prices having negative impact on the sale of the companies SUV lines as well as its sales leader, the F-series pickup truck as being the direct cause of the latest initiative.

So far the following plants are thought to be affected:

Ford’s stock fell 17 cents (2.1%) to $8 on the New York Stock Exchange.

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Feb 3
Reasons To Hire A Traffic Ticket Lawyer In Pennsylvania}

Reasons to Hire a Traffic Ticket Lawyer in Pennsylvania

by

Michael Curtis Greenberg

People get scared when they are charged with a speeding ticket. The results usually depend on the offense, it could be either cancellation or suspension of your license or you might require doing some jail time. It is advisable to hire a traffic ticket lawyer Pennsylvania

in such situations. Here are some reasons why an attorney is necessary to handle such cases:

1. Peace of Mind:

Most of the time, it is required to appear in the court in a month or so for the traffic citation. During this period, you mind would surely drive you crazy by coming up with all the possible outcome of your case. Will I be charged with a hefty fine? Will I go to prison? All these things are sure to keep you awake and have an effect on your health.

You do not need to think about all these things as your traffic ticket lawyer Pennsylvania

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will sort all this out. The legal representative knows what are the possible outcome and the punishment that you might incur. With his/her help the chances of getting a punishment becomes less.

2. Chances are better of winning the case:

This is a significant reason to hire a lawyer for your case. When you have someone who represents you in the court then the judge might see that you really want to prove your innocence. The traffic ticket lawyer Pennsylvania knows the happenings of the court and will most likely win your case.

3. Getting an appeal:

If for some reason you lose then getting an appeal is more likely to happen if an attorney presents it. Judges have the power in a court room and they know this. However, if you have an experienced attorney with you then it will definitely make a huge difference for the judge. There is no such guarantee that you will win the case but you can still make an appeal. A traffic ticket lawyer Pennsylvania might have a better chance of winning that appeal.

4. Cost is lower:

In some of the cases you might find that the fine you are charged with is higher than the cost of hiring a lawyer for your case. The fees of the attorney do not have a public record like the penalties and fines do. Ultimately this means that you record stays clean.

5. Lawyers handle the case better:

An attorney knows how to handle the litigation and arbitration more effectively. If your case requires that you argue the charges then, it is better if you hire a professional traffic ticket lawyer Pennsylvania

to do all the talking. They would be able to shield you from unintentionally saying something that is disapproved in the court of law. He or she might even persuade the judge and prosecutor to present lower fines, lesser decision or dismiss the case altogether.

The entire above mentioned are really good reasons for you to hire an attorney. This could be the way in which you get to keep your license and stay out of the jail too.

Michael Curtis Greenberg

we have provided strong and aggressive legal representation in New Jersey since 1991 and Pennsylvania since 1992.

Article Source:

eArticlesOnline.com

}

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Feb 3
News briefs:July 14, 2010
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News briefs:July 14, 2010
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Feb 3
Bloggers investigate social networking websites
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Bloggers investigate social networking websites

Friday, January 27, 2006 The humble beginnings of many popular Web services, such as Google, LiveJournal, and Yahoo!, are well-documented and available on their websites, and frequently recounted in news stories about the firms. These websites are also scrutinized for any perceived violations of users’ privacy or other basic rights.

However, until recently, no investigation had been done into MySpace and Facebook, two new “social networking” sites of explosive popularity among teenagers and college students. American bloggers, using Google and financial records, have begun investigations into the origins and policies of these sites, making some claims that the site owners explicitly deny.

Wikipedia has more about this subject:

List of social networking sites

Contents

  • 1 Facebook
  • 2 MySpace
  • 3 Related News
  • 4 Sources
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