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All of us have or will have struggles in our lives that end up causing scars we could never have imagined would happen. I needed to trigger a positive outcome from my possibly fatal larger-than-life injury. I absolutely had to find a way to make sense of it. That is what compelled me to capture it and then write about my experience. That desire was to help others as well as myself. By telling you what I went through “in detail,” this story places me in a very vulnerable position. Yet, I am willing to subject myself to that knowing it could possibly benefit others. Throughout parts of this memoir, I needed to take my life back from the grips of death, and you will see how family, faith, and laughter helped me to do that.
This text book is open access under a CC BY 4.0 license. Written by a group of international experts in the field and the result of over ten years of collaboration, it allows students and readers to gain to gain a detailed understanding of scar and wound treatment – a topic still dispersed among various disciplines. The content is divided into three parts for easy reference. The first part focuses on the fundamentals of scar management, including assessment and evaluation procedures, classification, tools for accurate measurement of all scar-related elements (volume density, color, vascularization), descriptions of the different evaluation scales. It also features chapters on the best practices in electronic-file storage for clinical reevaluation and telemedicine procedures for safe remote evaluation. The second section offers a comprehensive review of treatment and evidence-based technologies, presenting a consensus of the various available guidelines (silicone, surgery, chemical injections, mechanical tools for scar stabilization, lasers). The third part evaluates the full range of emerging technologies offered to physicians as alternative or complementary solutions for wound healing (mechanical, chemical, anti-proliferation). Textbook on Scar Management will appeal to trainees, fellows, residents and physicians dealing with scar management in plastic surgery, dermatology, surgery and oncology, as well as to nurses and general practitioners
The definitive guide to safely and effectively treating scars—and improving the quality of life for every patient From a team of pioneers in dermatology and laser medicine, Treatment of Scars from Burns and Trauma provides the latest, most innovative methods for treating scars. It provides the essential information you need to know about how scarring occurs, how it affects patients, and how to design and implement the best possible treatment plan. This unparalleled resource covers every angle of scar treatment. First, it explains the fundamentals, including all the clinically relevant elements of wound care, pain, range of motion, and patient selection, along with treatment. It then focuses on treatment—both new and traditional techniques. Finally, it provides best practices for pain, infection, and ulceration management. This unique text covers a broad range of topics and treatments, including: Basic science of scars Patient selection and counseling Dermabrasion Laser-assisted drug delivery Fractional resurfacing Vascular lasers and lights Minimally invasive surgical techniques Treating Keloid and Hypertrophic scars Fat grafting Stem cell transfer
An explosion of research on bullying has raised our collective awareness of the serious impacts it can have on children. No longer do we accept it as an innocuous rite of passage, just a part of growing up that we grin and bear and grow out of later. But do we grow out of it, or are there lingering effects that last well beyond the school playgrounds and lunchrooms? Is bullying traumatic and, if so, does it last into adult life? Are there life-long consequences or are the effects pretty much shed as people grow? Are some of us more resilient than others? Are there any positive or unexpected outcomes as a result of being bullied (or having been a bully) as a child? In an effort to answer these questions, Bullying Scars describes childhood bullying from the vantage point of those victims, bullies, and bystanders who are now adults; the book discusses how lives have been changed, and explores the range of reactions adults exhibit.The research gathered for this book, through interviews with over 800 people, points out that even adult decision-making is often altered by the victimization they experience as children at the hands of peers, siblings, parents, or educators. Written in an engaging and accessible style that draws heavily from the rich interview data that deLara has collected, this book will be of interest to anyone struggling with the lingering effects of being bullied. Additionally, it is highly relevant to mental health professionals -- counselors, therapists, social workers, clinical psychologists -- working with clients who are dealing with these issues.
"This title in the Requisites in Dermatology series is the perfect resource for quick reference and rapid review in cosmetic dermatology. It succinctly presents all of the most essential clinical and foundational knowledge you need for certification, recertification, or practice. An extremely user-friendly full-color format, replete with full-color clinical photographs and other pertinent illustrations, makes it easy to locate and read up on any topic. Plus, full-text online access lets you consult the book from any computer, download all of the images, watch online lectures, and more." --Book Jacket.
A number of scar revision techniques can be utilized to treat specific types of scars, in combination with each other or with adjunctive therapies to achieve optimal results. Pathological conditions like hypertrophic scars and keloids are still challenging. Though a number of therapies exist to treat keloids, such as intralesional steroids and anti-metabolites, cryosurgery, to name a few, none are definitive in treatment. Understanding the molecular basis of keloids may lead to development of new therapies. Striae, also known as ‘stretch marks’, are extremely common, disfiguring and a real challenge to treat. Management of striae is a neglected field of research. Except for topical retinoids, the efficacy satisfactorily. Current treatment options include chemical peels, lasers and collagen induction therapy, with a tendency towards active intervention. However, studies are necessary to determine treatment strategies which produce results that are effective with minimal adverse effects. Post-acne scarring is one of the most common causes of facial scars, causing considerable cosmetic disability. Acne is a common skin disorder, unfortunately affecting a large number of teenagers. Usually patients have a combination of different types of scars; hence no single modality is useful. A combination of procedures is generally required for a satisfactory cosmetic outcome. The use of fractional lasers is gaining importance, as it is a minimally invasive procedure as compared to aggressive resurfacing procedures of the past. Collagen induction therapy is another promising technique. Today, patients are also getting up-to-date information about the various modalities available for scar treatment through media, such as magazines, advertisements and internet. However, exaggerated advertisements and information from nonprofessional sources, particularly with regard to lasers can influence patient expectations and result in unrealistic expectations. Patients need to understand that deep scars cannot be eliminated fully and can only be improved. They usually have high expectations from procedural techniques. Proper counseling is extremely important for a happy and satisfactory outcome. Current innovations and techniques in scar prevention and management and increasing use of minimally invasive surgeries are paving the way toward smoother, less noticeable scars. Every surgeon practicing aesthetics should be well versed with modalities of scar management and this is the aim of this clinical update.
This book is a printed edition of the Special Issue "Recent Advances in Scar Biology" that was published in IJMS
Scars explores a crime committed by a 39-year-old labourer who shot his wife twice in the face with a shotgun by examining the circumstances of four characters who have some connection to the crime: A young reporter, Angel, who lives with his mother and works the courthouse beat; A dissolute attorney who clings to life only for his nightly baccarat; A misanthropic and dwindling judge who's creating a superfluous Dorian Gray translation; and her killer, Luis Fiore, who, on May Day, went duck hunting with his wife, daughter and a bottle of gin.
A mythmaker of the highest order, China Miéville has emblazoned the fantasy novel with fresh language, startling images, and stunning originality. Set in the same sprawling world of Miéville’s Arthur C. Clarke Award-winning novel, Perdido Street Station, this latest epic introduces a whole new cast of intriguing characters and dazzling creations. Aboard a vast seafaring vessel, a band of prisoners and slaves, their bodies remade into grotesque biological oddities, is being transported to the fledgling colony of New Crobuzon. But the journey is not theirs alone. They are joined by a handful of travelers, each with a reason for fleeing the city. Among them is Bellis Coldwine, a renowned linguist whose services as an interpreter grant her passage—and escape from horrific punishment. For she is linked to Isaac Dan der Grimnebulin, the brilliant renegade scientist who has unwittingly unleashed a nightmare upon New Crobuzon. For Bellis, the plan is clear: live among the new frontiersmen of the colony until it is safe to return home. But when the ship is besieged by pirates on the Swollen Ocean, the senior officers are summarily executed. The surviving passengers are brought to Armada, a city constructed from the hulls of pirated ships, a floating, landless mass ruled by the bizarre duality called the Lovers. On Armada, everyone is given work, and even Remades live as equals to humans, Cactae, and Cray. Yet no one may ever leave. Lonely and embittered in her captivity, Bellis knows that to show dissent is a death sentence. Instead, she must furtively seek information about Armada’s agenda. The answer lies in the dark, amorphous shapes that float undetected miles below the waters—terrifying entities with a singular, chilling mission. . . . China Miéville is a writer for a new era—and The Scar is a luminous, brilliantly imagined novel that is nothing short of spectacular. BONUS: This edition contains an excerpt from China Miéville’s Embassytown.