Thursday, June 8, 2017

More isn't always better: making better health-care choices

More isn't always better: making better health-care choices
Canadians have more than one million unnecessary medical tests, treatments and procedures every year. But we can improve patient outcomes and save resources


By Wendy Levinson
Expert Adviser
EvidenceNetwork.ca
Wendy Levinson
Click image for Hi-Res
TORONTO, Ont./Troy Media/ - Each year, at least one million unnecessary tests, treatments and procedures are done in Canadian health-care settings. This means that hundreds of thousands of Canadians are exposed to potential harm by unnecessary care.
Unnecessary care could be a prescription drug, a diagnostic test or a medical procedure that doesn't improve a patient's health outcomes and isn't backed by the best available evidence. It may also involve risks and harmful side-effects.
In other words, this medical care offers no value to patients and strains resources.
A recent report from the Canadian Institute for Health Information (CIHI), in partnership with Choosing Wisely Canada, demonstrates how pervasive unnecessary care is across the country and highlights several key examples where changes could benefit patients and the health system.
So what are we better off without?
Unnecessary imaging has consequences.
The report says about 30 per cent of patients visiting Ontario and Alberta emergency departments for minor head injuries have CT scans. CT scans deliver strong X-ray radiation. Exposure to this radiation can increase lifetime cancer risk. Yet evidence shows there are good alternatives to CT scans for investigating head injuries. For example, doctors can use a set of questions, known as a clinical decision rule, to assess the severity of a head injury and decide if further diagnostic testing is warranted.
Unnecessary medications have side-effects.
The report estimates that one in 10 Canadian seniors regularly uses sleeping pills, known as benzodiazepines, and other sedative hypnotics. The long-term use of these medications outweighs benefits, which is why they're only recommended for short-term use. These medications increase the risk of falls causing injuries and car accidents in seniors.
Seniors aren't the only population where there is unnecessary and potentially harmful medication use. The report shows a disturbing 300 per cent increase in dispensed prescriptions for the powerful antipsychotic quetiapine for insomnia in children and youth in Manitoba, Saskatchewan and British Columbia. This drug is not recommended for children or youth and has a long list of harmful side-effects.
An important finding of the report is wide variation across regions and between provinces. Variation means major differences in medical practice, some of which are not evidence-based and can be harmful to patients.
Reducing variation improves quality for all Canadian patients and can reduce waste. A good example is pre-operative testing. In Ontario, nearly one in three patients having eye surgery had a preoperative test, compared to one in five in Alberta.
Medicine has evolved and so has medical practice. It used to be standard that before certain surgeries, like hip or knee replacements or cataract surgery, pre-operative tests would be done to ensure a patient was fit for surgery. These tests could include blood work, electrocardiograms and chest X-rays. As surgical techniques and technology evolve, however, most of these pre-operative tests are no longer needed unless there's a specific concern.
In spite of the pervasiveness of unnecessary care, the picture isn't bleak. The report also provides several examples of how health-care providers work hard to put in place better practices or protocols to reduce waste, which may also harm patients.
We know patients are aware of this problem, too. Ipsos Reid survey data shows that one in four Canadians say they have experienced unnecessary care in the past year. And 67 per cent of Canadians surveyed believe patient demand is also responsible for unnecessary care, rather than decisions made by health-care providers alone. Nearly half (42 per cent) of Canadians surveyed said they expect a test ordered or a prescription written when they visit a doctor's office.
But the vast majority (92 per cent) of Canadians surveyed also said they need more information to help make decisions and ask the right care questions.
So what should patients do?
Choosing Wisely Canada, a national, clinician-led campaign, has four key questions a patient can ask their care provider to help start a conversation about unnecessary care:
  • Do I really need this test, treatment or procedure?
  • What are the downsides?
  • Are there simpler, safer options?
  • What happens if I do nothing?
Together with health-care providers, Canadians can help reduce unnecessary care by asking questions and having conversations about when more isn't always better.
Wendy Levinson, MD, OC, is an expert adviser with EvidenceNetwork.ca, the chair of Choosing Wisely Canada and a professor of medicine at the University of Toronto.
© 2017 Distributed by Troy Media

Friday, June 2, 2017

NEAUVIA STIMULATE SAFETY: IN VITRO STRESS TEST


Injectable medical devices are products that are in direct contact with the patient’s skin and mucosa for extended periods of time.
The complete absence of systemic and, first and foremost, direct cellular toxicity is the essential requirement for a filler that is implanted in the skin and remains there for 8 months (on average).
For this reason in particular, in order to exclude even the lowest of cytotoxic effects, increasingly sensitive cytotoxicity assays are needed - which means performing in vitro tests using immortalised human keratinocytes as cell line.
Cytotoxicity can be assessed with the MTT test, which relies on mitochondrial activity. The test, originally developed by Mosman in 1983, is simple, accurate and yields reproducible results (Mosman, 1983). The MTT test is based on the principle that, in most viable cells, mitochondrial activity is constant, so an increase or decrease in the number of cells is directly proportional to mitochondrial activity. Viable cells convert MTT tetrazolium salts into formazan crystals, which can be solubilised in dimethyl sulphoxide (DMSO) for homogeneous spectrophotometric measurement. Therefore any change in the number of viable cells can be detected by measuring the optical density of formazan at 570 nm.
NEAUVIA STIMULATE Hydrogel 26 mg of HA with 1 % hydroxyapatite has shown complete absence of cytotoxicity at various concentrations, even ones higher than the normal concentration used for clinical purposes.
NEAUVIA STIMULATE is a "hybrid" filler, new, safe and reversible, which concentrates in a single product both the tissue filling functions of a filler and the collagen production of particle fillers, which already have successfully been on the market for years. The amount of collagen produced by NEAUVIA STIMULATE is comparable to particle fillers, without having the problem of being irreversibile. NEAUVIA STIMULATE is recommended for interventions on hands, cheeks, nasoslabial and jaw area, and the aesthetic corrections last approximately 12 months.
Prime Journal

Tuesday, May 30, 2017

Neauvia developed a unique MAN LINE of bioactive fillers and mesotherapy products..

Being aware of the differences between men and women tissue as well as their subjective expectation from the aesthetic medicine, Neauvia developed a unique MAN LINE of bioactive fillers and mesotherapy products.
 


 

Friday, May 26, 2017

Neuromuscular Toxins

The first option, which is most appropriate for active lines or age associated wrinkles that are just starting to appear, is to temporarily weaken or paralyze the muscle that is causing the wrinkle. Botulinum Toxin type A is a family of neurotoxins that block nerve signals that cause muscles to contract.

The toxin works directly where it is placed, and thus can be artistically used to alter facial expressions. Botox Cosmetic® is widely recognized, and was the first neurotoxin to be approved for cosmetic use in the United States. Other manufactures are producing variant toxins that will likely be approved for use in the near future, including Reloxin and PurTox. These toxins will be differentiated by their time to onset, duration of effect (the clinical effects of Botox Cosmetic® are typically 3 to 4 months), and the distance of effect from the injection site.

 Risks include bruising at the injection site, rare chance of an infection, and the possibility of unintentionally affecting nearby muscle groups. Specific risks should be discussed with your injector when considering treatment.




Friday, May 12, 2017

Wednesday, May 10, 2017

How is Dermal Filler Different to Botox?

 by Dr Timothy Beazleigh

How is Dermal Filler Different to Botox?



People are often confused by the difference between Botox and dermal filler treatments, assuming they are the same. Whilst Botox is a muscle relaxant and is used to minimise muscle contraction thus reducing fine lines and wrinkles on facial movement, dermal filler is used specifically to restore volume to deeper, lines, creases and folds that are usually static i.e. permanently visible on the face even when the face isn’t moving.


Traditional areas to treat with standard dermal fillers – including Juvederm and Restylane – are the nasolabial folds (corner of the nostrils to corners of the mouth), marionette lines (corners of mouth to chin/jowls) and the smokers lines (above the top lip). Thicker, more volumising fillers including Juvederm Voluma are used specifically to the mid face region to augment cheek bones, restore volume and plumpness to the lower cheeks and redefine the chin and temples. Fillers are also used to enchance and recontour lips.


As a treatment with dermal fillers requires the needle to penetrate the dermis deeper than for a standard Botox treatment, there is usually more opportunity for bruising to occur as the blood vessels are not visible to the practitioner (beyond the superficial layer), but bruising is by no means a standard side effect and occurs in approximately 50% of treatments.


Juvederm is the filler of choice at Melior Clinics Botox & Facial Aesthetic London Clinic as, being monophasic, it is smooth in consistency and also contains a built in anaesthetic, making the process a lot more comfortable for the patient.


Wednesday, May 3, 2017

Laser treatment for permanent filler complications

Employing an intralesional laser to treat inflammatory complications caused by permanent facial fillers showed a 92% overall improvement rate, according to an Italian study that appeared in the August issue of Plastic and Reconstructive Surgery.
A total of 218 consecutive patients (204 of whom were women) with a mean age of 49 years were treated with an 808 nm diode laser (LASEmaR 800; Eufoton, Treiste, Italy) between 2006 and 2013.
Patients with infiltrating distribution in the tissues, as in crisscross retrograde injection, were managed by intralesional laser treatment alone. However, patients with cystic distribution in the tissues, as in bolus injections, were treated with both laser-assisted evacuation and drainage through stab wound incisions.
Researchers chose the 810 nm wavelength because of less associated pain than other infrared diodes.
Typically, no anesthesia is required for the laser treatment, according to the study authors, which consists of percutaneously inserting a 200-micron fiberoptic laser directly into the lesions and drilling several small holes. The result is removal of the foreign substance and the inflammatory reaction.  
“A period of up to 6 months is usually necessary to fully appreciate the resolution of the lump together with the healing of the surrounding inflammation often extended far beyond the original implant,” writes lead author Daniel Cassuto, M.D., and his associates from Modena and Milan, Italy.

Tuesday, May 2, 2017

Product Review: Neckline Slimmer

http://www.plasticsurgeryportal.com/articles/neckline-slimmer-review/58

by Luke Willson

Product Review: Neckline Slimmer
For anyone struggling with "turkey neck" or a double chin, the Neckline Slimmer sounds almost too good to be true. Two minutes a day of moving your chin up and down against something with a little spring in it? Well, that sounds easy enough. Thanks to the Neckline Slimmer's inventor Paul Younane, an ex-professional rugby player turned physiotherapist, this new, "as-seen-on-TV" fad may actually be the solution to a problem many of us have to deal with. Or is it?
The Neckline Slimmer is a portable, affordable, easily operated device, small enough to fit in a purse. To use it, one end is placed on the chest, while a moveable pad rests under the chin. A spring contained within provides resistance (different springs are provided to adjust the level of intensity). By repeatedly depressing the pad, like a bicycle pump, in a nodding motion, the claim is that noticeable tightening along the jowls will be acheived in as little as two weeks.
Younane's product works on this simple principle: prolonged resistance exercise with a muscle group reduces surrounding deposits of fat. Consequently, the skin around the area will acquire a tighter appearance. While the Neckline Slimmer is designed to target the muscles on the front and side of the neck, this principle applies to all muscle groups. The key is that persistence over time is essential - like any exercise, the results only become noticeable gradually.
As we age, our skin sags, and the neckline is often the first area to go. However, diet and exercise aren't always enough to counteract the natural process of aging. It's enough to drive one to frustration. A product like the Neckline Slimmer certainly offers the opportunity for its user to regain more youthful contours over time. Keep in mind, however, this treatment system strengthens muscle and reduces fat deposits. If you are experiencing excessive amounts of loose, sagging skin on the neck and jaw, it might not be the right option for you. Real results may require an actual cosmetic procedure, such as a neck lift.
Neck Lift is a relatively simple cosmetic surgical procedure, like a mini-facelift for your neck, whereby loose, sagging skin is lifted and repositioned, giving you more toned, youthful definition. In fact, the Neck Lift can even be combined with a Facelift for even greater results. Or, if excessive fat is what you're looking to reduce, some minor liposuction under the chin might also be an option. A local plastic surgeon can help you decide what type of approach can deliver your desired in the simplest, safest, and quickest manner possible.
If cosmetic surgery sounds too serious, perhaps a less-invasive neckline treatment would interest you. Refirme®, which uses targeted heat energy to tighten skin, smooth out wrinkles and balance skin tone, will not only help give your neck better definition, it can even out your skin tone for an all-over luminous glow. Lipodissolve, a popular new injectable for breaking down fat deposits, is also a great non-surgical solution for slimming the neckline.
Everyone's body reacts differently to cosmetic procedures, and your specific characteristics will determine how a treatment affects you. Only a face-to-face consultation with a medical professional can give you the necessary information about your specific needs. If you'd like to learn more about any of the procedures mentioned or find a local provider, feel free to click here, or call 888.517.4187. And if you're interested in the Neckline Slimmer but would rather not buy an As Seen on Tv product, a nerf ball placed under the chin could very well offer the same type of resistance exercise!

Friday, April 21, 2017

Wednesday, April 19, 2017

Wrinkles A Quick Fix For Bunny Lines


Think about it: Which area of the face do you normally consider getting neurotoxin injections (better known as Botox, Dysport or Xeomin*)? Many women will tell you the crow's feet, forehead and even "the elevens," which are those pesky lines that form between the eyebrows. But you don't often hear about bunny lines, the wrinkles that form at the top of your nose when you scrunch it. That's likely because it's an area that many of us don't know can be treated because it hadn't occurred to us in the first place. 
















https://www.newbeauty.com/hottopic/blogpost/6313-a-quick-fix-for-bunny-lines/

Friday, March 31, 2017

Dr Patrick Treacy ~ Botoz

Intradermal botulinum toxin effective for intractable long-term neuropathic knee pain. A study presented at WCP, held in October in Buenos Aires, showed that in patients with intractable long-term neuropathic knee pain, intradermal botulinum toxin offered improved clinical outcomes



Tuesday, March 21, 2017

Botox Popularity Skyrocketing in the US


Anti-wrinkle injections have been gaining popularity for well over twenty years. In fact, over five million injections are made annually in the United States. This simple procedure yields immediate, fantastic results with no recovery time and can even be completed on your lunch break. The injections are typically done on facial tissue to lessen the appearance of wrinkles. The most common location for injections is around the eyes and on the forehead. Botox is also used for various other medical purposes such as excessive sweating in the face or underarms.
The Botox is injected into the muscle, temporarily relaxing the facial muscles that contract and expand with normal facial expressions. Physicians use nerve blockers to relax facial muscles, rendering the muscle unable to create new lines or deepen current wrinkles. When the muscles are relaxed, the appearance of wrinkles and lines is drastically reduced, leaving behind smooth skin that looks ten years younger.
Anti-wrinkle injections are effective, clean and even fast. The procedure is incredibly simple and can be completed in under fifteen minutes. As little as five or as many as ten injections are made directly at the site and the patient is free to resume their daily activities immediately following the procedure. Patients sometimes experience some very minor discomfort during the procedure, but the pain should subside rather quickly.
Gold Coast specialists Cosmos Clinic state that, after the original injection, patients will see results in as little as three days. In some cases the full results may take up to two weeks to become fully apparent. The result is younger looking skin that last at least three months, but can last for up to six months. Studies show that patients that maintain their anti-wrinkle injections with up to three annual visits will see permanent improvement to the lines in their skin. While maintenance on specific areas isn’t a necessity, the results are often so pleasing that patients want to maintain them permanently.

Wednesday, March 8, 2017

The difference between Botox and facial fillers

The difference between Botox and facial fillers



Sick of deep lines on your face? Wishing you could get a quick fix for the signs of aging around your mouth and eyes? You may think that Botox is your only option, but in fact there are other injectable cosmetics that plastic surgeons use to treat some lines on the face. That's why it's important for individuals to understand the difference betweeninjectables like Botox and facial fillers, like Juvederm.


What Botox does
According to the American Society of Aesthetic Plastic Surgeons (ASAPS), Botox is a neuromuscular toxin, and while it is the most widely recognized brand name for this type of cosmetic, there are other variations that have FDA approval, namely, Dysportand Xeomin. The injectable medicine is used to treat "active" facial lines, meaning those that have only recently formed. A board-certified plastic surgeon will inject the cosmetic into facial areas that are associated with the formation of wrinkles. For example, the muscles you use to frown may be responsible for lines around the mouth, so a plastic surgeon can use Botox to artistically alter facial expressions. This won't result in a loss of the ability to show emotions on the face - the intention is to make subtle changes that will stop lines from forming while promoting a natural appearance.

Thursday, March 2, 2017

Botulax


Anti-aging botulinum developed by Korean doctors
Market position No.1 product in domestic market within 2 yrs.
Welcomed and proved by field plastic surgeons.

SD International
Bangyidong, Songpagu Seoul, Seoul




Wednesday, March 1, 2017

Frown no more




Relax your frown

They erase the signs of age, turning back time to make you look younger; brighter, better.

Why You Have Wrinkles

Constant use of facial muscles combined with changes in your skin as you age, leads to lines and wrinkles as the skin sags and collapses around areas that are under repeated stress.

Squinting; smiling, frowning-all these expressions leave their mark on your face and make you look exhausted, older and a bit annoyed.

How Does Anti-Wrinkle Injectable Work?

An Anti-wrinkle injectable is a simple, non surgical procedure that will eradicate your facial lines in moments with a quick, painless injection. All you have to do is sit still, frown so the therapist can see the pattern your facial contraction has on your skin, and get a tiny injection or series of them (depending on area) with a very fine needle.

A small dose of a purified protein is injected into the facial muscle that is causing the wrinkle, and paralyses it by temporarily blocking the nerve impulse to the muscle, allowing it to relax. This allows the skin overlying the muscle to smooth out, and the persistent lines that have developed over time appear greatly improved.

Friday, February 24, 2017

Sculptra and Dermal Filler Combo



http://www.RajaniMD.com -Combination procedures in facial filling, collagen stimulation and body sculpting represent the theme for 2017 and beyond. 

Ageing has become an option that people can prevent and delay should they choose. 

Monday, February 20, 2017

Neauvia -a new type of hyaluronic filler

Lecture given to CCR London 2016 by Dr. Patrick Treacy on Neauvia -a new type of hyaluronic filler. 
The purest form of hyaluronic acid currently available is obtained from Bacillus subtilis. 

This bacterium, which is non-pathogenic to humans, produces HA in a process based on water usage. Unquestionable advantages of Bacillus Subtilis Hyaluronic Acid:


Thursday, February 16, 2017

Getting a surgery-free lunchtime facelift is easy and affordable without any downtime

TREATMENTS ON OFFER
WRINKLE INJECTIONS: Best used as a preventive they can also lessen the signs of ageing by “filling” facial lines or creases. Results can be seen in as little as half an hour and can last from a few months to a year, depending on the substance used.
ANTI-WRINKLE INJECTIONS: The purified form of the botulinum toxin effectively blocks muscle contractions to alleviate the effect of wrinkles that occur when you smile, frown and so on. The injections take a week or so to kick in and need to be repeated every few months to be maintained.








http://www.dailytelegraph.com.au/lifestyle/getting-a-surgeryfree-lunchtime-facelift-is-easy-and-affordable-without-any-downtime/news-story/fa834d3cbacf76e5a172e28d7c1f93d3

Monday, February 13, 2017

PRP




En Budron B2 - CH 1052
Le Mont sur Lausanne

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