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This plan isn't just about choosing the right Evolve-X procedures; it's about timing, frequency, and even aftercare, ensuring your journey is as effective and comfortable as possible. Learn more about Non-Surgical Botox Treatments New Westminster here Moreover, you'll need to ensure you're choosing a qualified and experienced professional to perform the procedure. For the first few days, you might notice redness or swelling, similar to a sunburn. Most people describe the sensation as a rubber band snapping against the skin, and many machines come equipped with cooling devices to ease discomfort. Learn more about New Westminster Botox Clinic here. Exploring the benefits of treatment, you'll discover that rejuvenation can significantly enhance your quality of life by boosting confidence and comfort in your intimate health.
Let's make your beauty dreams a reality with a plan as unique as you are. The result? Recovery time is minimal, allowing you to return to your daily activities with little downtime.

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Don't hesitate to ask about their credentials, experience, and the safety protocols they follow.
You'll receive clear information about your treatment options and what you can realistically expect in terms of results. Botox for underarms For dermaplaning, you'll lie back as a specialist gently scrapes off dead skin and peach fuzz with a sterilized blade. Choosing Evolve-X for your body sculpting journey can revolutionize the way you look and feel, offering immediate and long-term benefits that go beyond conventional methods. Use a gentle, fragrance-free moisturizer to soothe and nourish your skin without causing irritation.
Seeing truly is believing when you look at the before and after photos of Evolve-X users, showcasing dramatic transformations. To book your consultation, simply visit the Manhas Health Co. website and navigate to the 'Contact Us' page. With state-of-the-art technology and a team that stays on top of the latest industry advancements, you're getting top-notch treatments that are both safe and effective. Feeling good about your intimate areas can profoundly impact your overall well-being and intimacy.

After exploring our Before and After Gallery, you'll find that our commitment to your transformation doesn't end with the procedure; ongoing support and care are integral to your journey with Manhas Health Co. You might notice slight pain, redness, or swelling, which typically subsides within a day or two. You'll appreciate the welcoming environment and the personalized attention you receive at Manhas Health Co. Pay attention to how well they listen and explain the process, including potential risks and aftercare.

Dermaplaning can be your secret weapon for a flawless, dewy complexion. By encouraging new collagen formation, it's tackling the root cause of skin sagging and wrinkles, rather than merely masking them. However, if these symptoms persist, don't hesitate to reach out to your skincare professional for advice.

That's why they've sourced the latest in skincare technology and treatments to help you maintain a youthful glow and vibrant skin. We also consider your skin's current condition and how it reacts to certain treatments. These usually resolve within a few days. Hyaluronic acid fillers

Pain and discomfort can be part of the recovery process, but they should be manageable with the prescribed pain relief methods or medications.

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The prime candidates for this innovative treatment are those experiencing the early signs of aging. They understand that everyone's skin and body are unique, which is why they take the time to listen to your concerns and goals.

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The area now known as New Westminster was originally inhabited by Kwantlen First Nation The discovery of gold in BC and the arrival of gold seekers from the south prompted fear amongst the settlers that Americans may invade to take over this land.

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Serpentine Hollow

Guildford
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Buntzen Lake Floating Bridge

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Buntzen Lake Floating Bridge, Anmore, BC

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Citations and other links

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Women seeking to enhance their sexual satisfaction and regain confidence in their intimate health also find this treatment appealing. You might be wondering if you're a good candidate for these treatments. We don't just stop at treating the problem areas. Instead, your plan will adapt as you progress, reflecting changes in your body and goals. Once you've scheduled your appointment, it's time to focus on what to expect when you begin your journey with us.

This personalized attention ensures that you're not just receiving a service, but an experience tailored just for you. With fillers, you're not just transforming your appearance; you're boosting your confidence and taking a step towards the best version of yourself.

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The treatment rooms boast the latest in aesthetic technology, ensuring that you're getting the most advanced treatments available.

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With a keen eye for detail and a gentle touch, Alex specializes in facial rejuvenation treatments that leave your skin glowing.

Dive into our revitalizing facial therapies, designed to rejuvenate your skin and unveil a radiant, youthful complexion. These aren't just temporary fixes; they're about enhancing your natural beauty in a way that feels authentic and lasts. Did you know that nearly 80% of individuals seeking smoother, more radiant skin consider laser hair removal and IPL photo facials as their top choices? Beyond the realm of Botox and fillers, we're excited to introduce you to cutting-edge options that promise not only rejuvenation but also a personalized approach to your beauty aspirations.

The versatility of laser therapy means that treatments can be customized to suit your specific needs, ensuring you get the best possible outcomes. You're encouraged to ask questions or express concerns at any point. Botox for forehead wrinkles You'll be guided through the process by our experienced specialists, who'll assess your skin and hair type to customize the treatment plan that's just right for you. We're committed to providing you with the highest quality of care, ensuring each visit leaves you feeling better, more confident, and satisfied with your results.

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They'll walk you through the Evolve-X technology, explaining how it targets fat reduction, muscle toning, and skin tightening in a single session. New Westminster anti-aging clinic Feeling comfortable and at ease enhances your experience and helps us take the best care of you. Booking your visit with Manhas Health Co. is a straightforward and hassle-free process, ensuring you're one step closer to achieving your aesthetic goals. Botox for wrinkles treatment Vaginal rejuvenation encompasses a series of cosmetic and functional treatments aimed at improving the appearance, sensation, and health of the vaginal area. Botox for excessive sweating Nestled in the heart of Non-Surgical Botox Treatments New Westminster, these facilities aren't just any ordinary space; they're a blend of modern technology and comforting aesthetics, designed to make you feel at ease while receiving the best possible care.

Like any medical intervention, vaginal rejuvenation carries its set of risks, though they vary based on the specific technique used. Following these preparatory steps closely will help you achieve smoother, more radiant skin with fewer complications. We understand that everyone's skin and body are different, which is why we use these innovative tools to create a customized treatment plan just for you. Embarking on your beauty journey with Manhas Health Co, you'll discover that achieving your goals is a collaborative and enlightening process.

Battling acne scars for years left her hiding behind layers of makeup.

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The session is designed to be as comfortable as possible, aiming to leave you feeling informed and taken care of throughout the entire process. You'll start seeing improvements in your skin's texture and tightness after a few sessions, with full results becoming apparent a few months after completing the treatment series. Let these success stories inspire you.

Imagine not having to deal with the daily hassle of shaving or the pain of waxing. Whether you're looking for advanced skin treatments, innovative anti-aging solutions, or body sculpting options, they've got you covered. We use cutting-edge techniques combined with high-quality, natural products to cleanse, exfoliate, and hydrate your skin, leaving it feeling refreshed and revitalized. Using cutting-edge tools in such a refined space, they're able to provide exceptional care, ensuring that your visit to Manhas Health Co. isn't just beneficial for your aesthetic needs but also a delightful experience in its own right.

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That's why we kick off your body sculpting journey with a comprehensive consultation. Regardless of the technique you lean towards, Manhas Health Co ensures you're informed, comfortable, and excited about your rejuvenation journey. Morpheus 8, leveraging microneedling combined with radiofrequency energy, excels in tightening skin, reducing wrinkles, and improving texture. You'll find each visit to be comfortable and relaxing, with most treatments requiring no downtime.

Keep an eye on our website or sign up for our newsletter to stay updated on these opportunities. Hearing firsthand from those who've undergone vaginal rejuvenation at Manhas Health Co. can provide invaluable insights into the procedure's effectiveness and impact. This step ensures that the treatment aligns with your needs and that you're a suitable candidate.

Manhas Health Co. offers a range of revolutionary aesthetic services designed to meet your unique beauty and wellness needs with precision and care. Rarely, you might experience temporary changes in skin pigmentation, particularly if you don't follow post-treatment care instructions like avoiding sun exposure. During this session, you'll have the opportunity to express what you're hoping to achieve and discuss any specific issues you'd like to address. Botox treatments in New Westminster

From the moment you step into our facility, you're in the hands of professionals who are as compassionate as they're skilled. You'll see firsthand the difference our expert team can make, whether it's through skincare treatments, body sculpting, or anti-aging procedures. A more defined, sculpted facial contour that not only looks more youthful but feels smoother and firmer to the touch.

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Imagine you're walking into Manhas Health Co., welcomed by a team that knows not just your name, but your skin's history and its future potential. Secondly, our specialists aren't only experts in their field but also trained to prioritize patient care above all. Invest in high-quality, gentle products that will nurture your skin without overwhelming it. Trust Manhas Health Co.

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to provide you with a skincare routine that's as unique as you are, enhancing your natural beauty with every application. Whether you're curious about the latest in non-invasive treatments or seeking a more profound change, the next steps will unveil how Manhas Health Co. stands apart in the realm of aesthetic enhancement.

Imagine walking out with a refreshed, more youthful appearance that feels as natural as it looks. IPL, or Intense Pulsed Light therapy, works wonders on your skin by targeting and reducing the visibility of age spots, sun damage, and freckles. If you're in for a chemical peel, the process slightly differs. You can rest easy knowing you're in safe hands, reducing the risks associated with more invasive procedures.

Whether it's fine lines, wrinkles, or a general loss of firmness, the treatment adapts to provide the most effective results.

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What's fascinating is that this technology doesn't just work on the surface; it goes deeper, ensuring the results aren't only visible but lasting. You're tapping into a world of aesthetic and therapeutic advantages that can transform your appearance and well-being. For example, if you have sensitive skin, we might opt for a gentler peel or adjust the frequency of treatments to ensure your skin's integrity isn't compromised.

Evolve-X isn't just about sculpting your body; it's about enhancing your overall quality of life. Their expertise can significantly minimize the risks. You can 1-click nicely format it here: https://alldocs.app/convert-multi-markdown-to-word-docx@ Main model used: gpt-4-turbo-preview. Before deciding, you'll have a consultation at Manhas Health Co., where your medical history, current health status, and goals will be discussed.

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That's the promise of your journey with Manhas Health Co. – where your beauty aspirations become our dedicated mission. However, like any treatment, there are risks and possible side effects you should be aware of.

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It's all part of our pledge to not just meet but exceed your expectations in both results and care. Rounding out the team is Mark Chen, a master in medical aesthetics. Choosing Evolve-X at Manhas Health Co isn't just about changing how you look; it's about embracing a healthier, more confident you. Learn more about Non-Surgical Botox Treatments New Westminster here
This innovative treatment combines micro-needling with fractional radiofrequency technology to target the deeper layers of your skin, stimulating collagen production like never before. At Manhas Health Co., we're committed to providing you with the most effective and comfortable experience. We then use this information to create a tailored regimen that includes cutting-edge products and innovative treatments, ensuring that you're getting exactly what your skin needs to thrive. She's known for her innovative techniques and personalized treatment plans that focus on natural-looking results.

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The magic of PRP lies in the growth factors it releases. Moreover, this treatment can tighten sagging skin, providing a more youthful contour to your face and body without the need for invasive surgery. Whether you're battling hair loss or seeking to enhance your skin's health from within, PRP offers a compelling, science-backed method for rejuvenation. Our holistic approach ensures you receive personalized care tailored to your body's unique needs, helping you maintain your results long-term. Read more about Non-Surgical Botox Treatments New Westminster here
If you experience any severe pain or notice any signs of infection, it's crucial to contact Manhas Health Co immediately. With years of experience and a passion for beauty and wellness, they're here to guide you through every step of your transformation journey. Estimate of about $0.24783 spent on about 2,685 words.@ OpenAI Status: The OpenAI servers appear 100% healthy. Botox price You might experience some tenderness or swelling, but don't worry; this is normal.

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Wrinkles on the face and hands are a typical sign of aging

A wrinkle, also known as a rhytid, is a fold, ridge or crease in an otherwise smooth surface, such as on skin or fabric. Skin wrinkles typically appear as a result of ageing processes such as glycation,[1] habitual sleeping positions,[2] loss of body mass, sun damage,[3] or temporarily, as the result of prolonged immersion in water. Age wrinkling in the skin is promoted by habitual facial expressions, aging, sun damage, smoking, poor hydration, and various other factors.[4] In humans, it can also be prevented to some degree by avoiding excessive solar exposure and through diet (in particular through consumption of carotenoids, tocopherols and flavonoids, vitamins (A, C, D and E), essential omega-3-fatty acids, certain proteins and lactobacilli).[5]

Skin

[edit]

Causes for aging wrinkles

[edit]
A woman of European origin with facial wrinkles

Development of facial wrinkles is a kind of fibrosis of the skin. Misrepair-accumulation aging theory suggests that wrinkles develop from incorrect repairs of injured elastic fibers and collagen fibers.[6][7][8] Repeated extensions and compressions of the skin cause repeated injuries of extracellular fibers in derma. During the repairing process, some of the broken elastic fibers and collagen fibers are not regenerated and restored but replaced by altered fibers. When an elastic fiber is broken in an extended state, it may be replaced by a "long" collagen fiber. Accumulation of "long" collagen fibers makes part of the skin looser and stiffer, and as a consequence, a big fold of skin appears. When a "long" collagen is broken in a compressed state, it may be replaced by a "short" collagen fiber. The "shorter" collagen fibers will restrict the extension of "longer" fibers, and make the “long" fibers in a folding state permanently. A small fold, namely a permanent wrinkle, then appears.

Sleep wrinkles

[edit]

Sleep wrinkles are created and reinforced when the face is compressed against a pillow or bed surface in side or stomach sleeping positions during sleep.[9] They appear in predictable locations due to the underlying superficial musculoaponeurotic system (SMAS), and are usually distinct from wrinkles of facial expression.[10] As with wrinkles of facial expression, sleep wrinkles can deepen and become permanent over time, unless the habitual sleeping positions which cause the wrinkles are altered.[11]

Water-immersion wrinkling

[edit]
A wrinkled finger after a warm bath

The wrinkles that occur in skin over prolonged exposure to water are sometimes referred to as pruney fingers or water aging. This is a temporary skin condition where the skin on the palms of the hand or feet becomes wrinkly. This wrinkling response may have imparted an evolutionary benefit by providing improved traction in wet conditions,[12] and a better grasp of wet objects.[13] These results were called into question by a 2014 study that failed to reproduce any improvement of handling wet objects with wrinkled fingertips.[14] However, a 2020 study of gripping efficiency found that wrinkles decreased the force required to grip wet objects by 20%, supporting the traction hypothesis.[15]

Prior to a 1935 study, the common explanation was based on water absorption in the keratin-laden epithelial skin when immersed in water,[16] causing the skin to expand and resulting in a larger surface area, forcing it to wrinkle. Usually the tips of the fingers and toes are the first to wrinkle because of a thicker layer of keratin and an absence of hairs which secrete the protective oil called sebum.

Adult sole showing water immersion wrinkling

In the 1935 study, however, Lewis and Pickering were studying patients with palsy of the median nerve when they discovered that skin wrinkling did not occur in the areas of the patients' skin normally innervated by the damaged nerve. This suggested that the nervous system plays an essential role in wrinkling, so the phenomenon could not be entirely explained simply by water absorption. Recent research shows that wrinkling is related to vasoconstriction.[17][18] Water probably initiates the wrinkling process by altering the balance of electrolytes in the skin as it diffuses into the hands and soles via their many sweat ducts. This could alter the stability of the membranes of the many neurons that synapse on the many blood vessels underneath skin, causing them to fire more rapidly. Increased neuronal firing causes blood vessels to constrict, decreasing the amount of fluid underneath the skin. This decrease in fluid would cause a decrease in tension, causing the skin to become wrinkly.[19]

This insight resulted in bedside tests for nerve damage and vasoconstriction. Wrinkling is often scored with immersion of the hands for 30 minutes in water or EMLA cream with measurements steps of 5 minutes, and counting the number of visible wrinkles in time. Not all healthy persons have finger wrinkling after immersion, so it would be safe to say that sympathetic function is preserved if finger wrinkling after immersion in water is observed, but if the fingers emerge smooth it cannot be assumed that there is a lesion to the autonomic supply or to the peripheral nerves of the hand.[20]

Other animals with wrinkles

[edit]

Examples of wrinkles can be found in various animal species that grow loose, excess skin, particularly when they are young. Several breeds of dog, such as the Pug and the Shar Pei, have been bred to exaggerate this trait. In dogs bred for fighting, this is the result of selection for loose skin, which confers a protective advantage.[21]

Techniques for reducing the appearance of aging wrinkles

[edit]
A man receiving a botox injection

Current evidence suggests that tretinoin decreases cohesiveness of follicular epithelial cells, although the exact mode of action is unknown. Additionally, tretinoin stimulates mitotic activity and increased turnover of follicular epithelial cells.[22] Tretinoin is better known by the brand name Retin-A.

Topical glycosaminoglycans supplements can help to provide temporary restoration of enzyme balance to slow or prevent matrix breakdown and consequent onset of wrinkle formation. Glycosaminoglycans (GAGs) are produced by the body to maintain structural integrity in tissues and to maintain fluid balance. Hyaluronic acid is a type of GAG that promotes collagen synthesis, repair, and hydration. GAGs serve as a natural moisturizer and lubricant between epidermal cells to inhibit the production of matrix metalloproteinases (MMPs).

Dermal fillers are injectable products frequently used to correct wrinkles, and other depressions in the skin. They are often a kind of soft tissue designed to enable injection into the skin for purposes of improving the appearance. The most common products are based on hyaluronic acid and calcium hydroxylapatite.

Botulinum toxin is a neurotoxin protein produced by the bacterium Clostridium botulinum. Botox is a specific form of botulinum toxin manufactured by Allergan for both therapeutic and cosmetic use. Besides its cosmetic application, Botox is used in the treatment of other conditions including migraine headache and cervical dystonia (spasmodic torticollis) (a neuromuscular disorder involving the head and neck).[23]

Dysport, manufactured by Ipsen, received FDA approval and is now used to treat cervical dystonia as well as glabellar lines in adults. In 2010, another form of botulinum toxin, one free of complexing proteins, became available to Americans. Xeomin received FDA approval for medical indications in 2010 and cosmetic indications in 2011.

Botulinum toxin treats wrinkles by immobilizing the muscles which cause wrinkles. It is not appropriate for the treatment of all wrinkles; it is indicated for the treatment of glabellar lines (between the eyebrows) in adults. Any other usage is not approved by the FDA and is considered off-label use.

Laser resurfacing is FDA-cleared skin resurfacing procedure in which lasers are used to improve the condition of the skin.[citation needed] Two types of lasers are used to reduce the appearance of fine lines and wrinkles on the face; laser ablation, which removes thin layers of skin, and nonablative lasers that stimulate collagen production. Nonablative lasers are less effective than ablative ones but they are less invasive and recovery time is short. After the procedure people experience temporary redness, itching and swelling.

See also

[edit]

References

[edit]
  1. ^ Danby, FW (Jul–Aug 2010). "Nutrition and aging skin: sugar and glycation". Clin Dermatol. 4. 28 (4): 409–411. doi:10.1016/j.clindermatol.2010.03.018. PMID 20620757.
  2. ^ American Academy of Dermatology. "Causes of Aging". AgingSkinNet. American Academy of Dermatology. Retrieved 5 March 2013.
  3. ^ Cosmetic Procedures for Wrinkles
  4. ^ Anderson, Laurence. 2006. Looking Good, the Australian guide to skin care, cosmetic medicine and cosmetic surgery. AMPCo. Sydney. ISBN 0-85557-044-X.
  5. ^ Schagen, S. K.; Zampeli, V. A.; Makrantonaki, E.; Zouboulis, C. C. (2012). "Discovering the link between nutrition and skin aging". Dermato-Endocrinology. 4 (3): 298–307. doi:10.4161/derm.22876. PMC 3583891. PMID 23467449.
  6. ^ Wang, Jicun; Michelitsch, Thomas; Wunderlin, Arne; Mahadeva, Ravi (2009). "Aging as a consequence of Misrepair—a novel theory of aging". arXiv:0904.0575 [q-bio.TO].
  7. ^ Wang-Michelitsch, Jicun; Michelitsch, Thomas (2015). "Aging as a process of accumulation of Misrepairs". arXiv:1503.07163 [q-bio.TO].
  8. ^ Wang-Michelitsch, Jicun; Michelitsch, Thomas (2015). "Tissue fibrosis: a principal evidence for the central role of Misrepairs in aging". arXiv:1505.01376 [q-bio.TO].
  9. ^ Sarifakioglu, Nedim; Terzioglu, A.; Ates, L.; Aslan, G. (2004). "A New Phenomenon: 'Sleep Lines' on the Face". Scan J Plast Reconstr Surg Hand Surg. 38 (4): 244–247. doi:10.1080/02844310410027257. PMID 15370809. S2CID 25307487.
  10. ^ Fulton, James E.; Gaminchi, F. (1999). "Sleep Lines". Dermatol Surg. 25 (1): 59–62. doi:10.1046/j.1524-4725.1999.08073.x. PMID 9935097.
  11. ^ Sarifakioglu, Nedim; Terzioglu, A.; Ates, L.; Aslan, G. (2004). "A New Phenomenon: 'Sleep Lines' on the Face". Scan J Plast Reconstr Surg Hand Surg. 38 (4): 244–247 [246]. doi:10.1080/02844310410027257. PMID 15370809. S2CID 25307487.
  12. ^ Mark Changizi; Romann Weber; Ritesh Kotecha; Joseph Palazzo (2011). "Are Wet-Induced Wrinkled Fingers Primate Rain Treads?". Brain, Behavior and Evolution. 77 (4): 286–90. doi:10.1159/000328223. PMID 21701145.
  13. ^ Kareklas, Kyriacos; Nettle, Daniel; Smulders, Tom V (January 9, 2013). "Water-induced finger wrinkles improve handling of wet objects". Biol. Lett. 9 (2): 20120999. doi:10.1098/rsbl.2012.0999. PMC 3639753. PMID 23302867.
  14. ^ Haseleu, Julia; Omerbašić, Damir; Frenzel, Henning; Gross, Manfred; Lewin, Gary R. (2014). Goldreich, Daniel (ed.). "Water-Induced Finger Wrinkles Do Not Affect Touch Acuity or Dexterity in Handling Wet Objects". PLOS ONE. 9 (1): e84949. Bibcode:2014PLoSO...984949H. doi:10.1371/journal.pone.0084949. PMC 3885627. PMID 24416318.
  15. ^ Davis, N. (8 November 2020). "Water-immersion finger-wrinkling improves grip efficiency in handling wet objects". bioRxiv 10.1101/2020.11.07.372631.
  16. ^ "Dr Karl's Homework – Skin Wrinkles in Water (26/1/2000)". Abc.net.au. 2000-01-26. Retrieved 2019-04-30.
  17. ^ Einar P.V. Wilder-Smith; Adeline Chow (2003). "Water-immersion wrinkeling is due to vasoconstriction". Muscle & Nerve. 27 (3): 307–311. doi:10.1002/mus.10323. PMID 12635117. S2CID 45193684.
  18. ^ Einar P. V. Wilder-Smith (2004). "Water immersion wrinkling". Clinical Autonomic Research. 14 (2): 125–131. doi:10.1007/s10286-004-0172-4. PMID 15095056. S2CID 44938772.
  19. ^ H. Zhai, K.P. Whilem H. L. Maibach (2007). Dermatotoxicology. pp. 280–281.
  20. ^ G Alvarez, J Eurolo; P Canales (1980). "Finger wrinkling after immersion in water". British Medical Journal. 281 (6240): 586–587. doi:10.1136/bmj.281.6240.586-a. PMC 1713922. PMID 7427379.
  21. ^ The Dog Encyclopedia: The Definitive Visual Guide. Penguin. 15 August 2023. p. 84. ISBN 978-0-7440-8513-6.
  22. ^ Stefanaki C, Stratigos A, Katsambas A (June 2005). "Topical retinoids in the treatment of photoaging". J Cosmet Dermatol. 4 (2): 130–4. doi:10.1111/j.1473-2165.2005.40215.x. PMID 17166212. S2CID 44702740.
  23. ^ Brin MF, Lew MF, Adler CH, Comella CL, Factor SA, Jankovic J, O'Brien C, Murray JJ, Wallace JD, Willmer-Hulme A, Koller M (1999). "Safety and efficacy of NeuroBloc (botulinum toxin type B) in type A-resistant cervical dystonia". Neurology. 53 (7): 1431–8. doi:10.1212/WNL.53.7.1431. PMID 10534247.
[edit]

In general, a filler is something that is used to fill gaps. Specialized meanings include:

Materials

[edit]
  • Filler (animal food), dietary fiber and other ingredients added to pet foods to provide bulk
  • Filler (materials), particles added to a matrix material, usually to improve its properties
  • Filler (packaging), a machine designed to fill packaging, usually occurs in food packaging
  • Filler metal, metal added in the making of a joint through welding, brazing, or soldering
  • Grain filler, a product that is used to achieve a smooth-textured wood finish
  • Injectable filler, a soft tissue filler injected into the skin to help fill in facial wrinkles
  • Star filler, a plastic insert in computer cables which separates wires

Media and entertainment

[edit]
  • Filler (media), in television and other media, material that exists outside the story arc to pad out other material
  • "Filler", song by hardcore punk band Minor Threat, from their debut E.P.

Other uses

[edit]

See also

[edit]

Military Policlinic in Legionowo, Poland

A clinic (or outpatient clinic or ambulatory care clinic) is a health facility that is primarily focused on the care of outpatients. Clinics can be privately operated or publicly managed and funded. They typically cover the primary care needs of populations in local communities, in contrast to larger hospitals which offer more specialized treatments and admit inpatients for overnight stays.

Most commonly, the English word clinic refers to a general practice, run by one or more general practitioners offering small therapeutic treatments, but it can also mean a specialist clinic. Some clinics retain the name "clinic" even while growing into institutions as large as major hospitals or becoming associated with a hospital or medical school.

Etymology

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The entrance to a surgery clinic in Greenwich, London

The word clinic derives from Ancient Greek κλίνειν klinein meaning to slope, lean or recline. Hence κλίνη klinē is a couch or bed and κλινικός klinikos is a physician who visits his patients in their beds.[1] In Latin, this became clīnicus.[2][3]

An early use of the word clinic was "one who receives baptism on a sick bed".[4]

Overview

[edit]
A medpunkt (health care access point) delivers primary health care to the residents of the village of Veliki Vrag, Russia.

Clinics are often associated with a general medical practice run by one or several general practitioners. Other types of clinics are run by the type of specialist associated with that type: physical therapy clinics by physiotherapists and psychology clinics by clinical psychologists, and so on for each health profession. (This can even hold true for certain services outside the medical field: for example, legal clinics are run by lawyers.)

Some clinics are operated in-house by employers, government organizations, or hospitals, and some clinical services are outsourced to private corporations which specialize in providing health services. In China, for example, owners of such clinics do not have formal medical education. There were 659,596 village clinics in China in 2011.[5]

Health care in India, China, Russia and Africa is provided to those regions' vast rural areas by mobile health clinics or roadside dispensaries, some of which integrate traditional medicine. In India these traditional clinics provide ayurvedic medicine and unani herbal medical practice. In each of these countries, traditional medicine tends to be a hereditary practice.

Function

[edit]
Policlinic in Karl-Marx-Stadt, German Democratic Republic

The function of clinics differs from country to country. For instance, a local general practice run by a single general practitioner provides primary health care and is usually run as a for-profit business by the owner, whereas a government-run specialist clinic may provide subsidized or specialized[dubiousdiscuss] health care.

Some clinics serve as a place for people with injuries or illnesses to be seen by a triage nurse or other health worker. In these clinics, the injury or illness may not be serious enough to require a visit to an emergency room (ER), but the person can be transferred to one if needed.

Treatment at these clinics is often less expensive than it would be at a casualty department. Also, unlike an ER these clinics are often not open on a 24/7/365 basis. They sometimes have access to diagnostic equipment such as X-ray machines, especially if the clinic is part of a larger facility. Doctors at such clinics can often refer patients to specialists if the need arises.[6]

Large outpatient clinics

[edit]
Children Policlinic in Novokosino District of Moscow

Large outpatient clinics vary in size, but can be as large as hospitals.

Function

[edit]

Typical large outpatient clinics house general medical practitioners (GPs) such as doctors and nurses to provide ambulatory care and some acute care services but lack the major surgical and pre- and post-operative care facilities commonly associated with hospitals.

Policlinic in Vilnius-Karoliniškės, Lithuania

Besides GPs, if a clinic is a polyclinic, it can house outpatient departments of some medical specialties, such as gynecology, dermatology, ophthalmology, otolaryngology, neurology, pulmonology, cardiology, and endocrinology. In some university cities, polyclinics contain outpatient departments for the entire teaching hospital in one building.

Internationally

[edit]
Policlinic in Písek, Czech Republic

Large outpatient clinics are a common type of healthcare facility in many countries, including France, Germany (long tradition), Switzerland, and most of the countries of Central and Eastern Europe (often using a mixed Soviet-German model), as well as in former Soviet republics such as Russia and Ukraine;[7] and in many countries across Asia and Africa.[8]

In Europe, especially in the Central and Eastern Europe, bigger outpatient health centers, commonly in cities and towns, are called policlinics (derived from the word polis, not from poly-).

Recent[when?] Russian governments have attempted to replace the policlinic model introduced during Soviet times with a more western model. However, this has failed.[9]

In the Czech Republic, many policlinics were privatized or leasehold and decentralized in the post-communist era: some of them are just lessors and coordinators of a healthcare provided by private doctor's offices in the policlinic building.[10]

India has also set up huge numbers of polyclinics for former defense personnel. The network envisages 426 polyclinics in 343 districts of the country which will benefit about 33 lakh (3.3 million) ex-servicemen residing in remote and far-flung areas.[11]

Policlinics are also the backbone of Cuba's primary care system and have been credited with a role in improving that nation's health indicators.[12]

Mobile clinics

[edit]
Hinduja National Hospital's mobile clinic
A mobile health clinic operated from a truck

Providing health services through mobile clinics provides accessible healthcare services to these remote areas that have yet to make their way in the politicized space. For example, mobile clinics have proved helpful in dealing with new settlement patterns in Costa Rica. Before foreign aid organizations or the state government became involved in healthcare, Costa Rica's people managed their own health maintenance and protection.[13] People relied on various socio-cultural adaptations and remedies to prevent illnesses, such as personal hygiene and settlement patterns.[13] When new settlements that sprang up along the coast became "artificial" communities, and due to lack of traditional home healing practices here, alternative methods such as mobile clinics had to be implemented in these communities for the protection and prevention of diseases.[13]

A study done in rural Namibia revealed the health changes of orphans, vulnerable children and non-vulnerable children (OVC) visiting a mobile clinic where health facilities are far from the remote villages.[14] Over 6 months, information on immunization status, diagnosis of anemia, skin and intestinal disorders, nutrition, dental disorders was collected and showed that visits to mobile clinics improved the overall health of children that visited regularly. It concluded that specified "planning of these programs in areas with similarly identified barriers may help correct the health disparities among Namibian OVC and could be a first step in improving child morbidity and mortality in difficult-to-reach rural areas."[14]

A mobile clinic run from a pickup truck in Yemen

Food supplementation in the context of routine mobile clinic visits also shows to have improved the nutritional status of children, and it needs further exploration as a way to reduce childhood malnutrition in resource-scarce areas. A cross-sectional study focussed on comparing acute and chronic undernutrition rates prior to and after a food-supplementation program as an adjunct to routine health care for children of migrant workers residing in rural communities in the Dominican Republic.[15] Rates of chronic undernutrition decreased from 33% to 18% after the initiation of the food-supplementation program and shows that the community members attending the mobile clinics are not just passively receiving the information but are incorporating it and helping keep their children nourished.[15]

Types

[edit]
Storefront clinic in Manhattan

There are many different types of clinics providing outpatient services. Such clinics may be public (government-funded) or private medical practices.

  • A CLSC are in Quebec; they are a type of free clinic funded by the provincial government; they provide service not covered by Canada's healthcare plan including social workers
  • In the United States, a free clinic provides free or low-cost healthcare for those with little or without insurance.
  • A retail-based clinic is housed in supermarkets and similar retail outlets providing walk-in health care, which may be staffed by nurse practitioners.
  • A general out-patient clinic offers general diagnoses or treatments without an overnight stay.
  • A polyclinic or policlinic provides a range of healthcare services (including diagnostics) without need of an overnight stay
  • A specialist clinic provides advanced diagnostic or treatment services for specific diseases or parts of the body. This type contrasts with general out-patient clinics.

See also

[edit]

References

[edit]
  1. ^ κλινικός in A Greek–English Lexicon. Retrieved 18 September 2016.
  2. ^ clinicus in A Latin Dictionary. Retrieved 18 September 2016.
  3. ^ Partridge, Eric. Origins: A short etymological dictionary of modern English. Book Club Associates, 1966.
  4. ^ Clinic, Webster's Revised Unabridged Dictionary, 1913.
  5. ^ "Statistical Communiqué on the 2011 National Economic and Social Development". stats.gov.cn. National Bureau of Statistics of China. 22 February 2012. Archived from the original on 6 April 2012. Retrieved 5 September 2012.
  6. ^ "Clinic search engine tools to find the right Clinic". 123 clinic. Retrieved 15 December 2016.
  7. ^ NLH – Health Management – Policlinics. Retrieved 3 July 2008.[permanent dead link]
  8. ^ Google
  9. ^ Ershova I, Rider O, Gorelov V (December 2007). "Policlinics in London". Lancet. 370 (9603): 1890–1. doi:10.1016/S0140-6736(07)61793-0. PMID 18068500. S2CID 43512994.
  10. ^ David Rath: Trnitá cesta privatizace českého zdravotnictví, Hospodářské noviny, 10 September 1996
  11. ^ "199 Additional Polyclinics For Ex-Servicemen". The Hindu. Chennai, India. 26 May 2010.
  12. ^ Cuba's primary health care revolution: 30 years on, Bulletin of the World Health Organization
  13. ^ a b c Morgan, Lynn M. (February 1993). Community Participation in Health: The Politics of Primary Care in Costa Rica. doi:10.1017/CBO9780511558092. ISBN 978-0-521-41898-0. Retrieved 8 May 2020. cite book: |website= ignored (help)
  14. ^ a b Aneni, Ehimen; De Beer, Ingrid H.; Hanson, Laura; Rijnen, Bas; Brenan, Alana T.; Feeley, Frank G. (2013). "Mobile primary healthcare services and health outcomes of children in rural Namibia". Rural and Remote Health. 13 (3): 2380. ISSN 1445-6354. PMID 24016257.
  15. ^ a b Parikh, Kavita; Marein-Efron, Gabriela; Huang, Shirley; O'Hare, Geraldine; Finalle, Rodney; Shah, Samir S. (September 2010). "Nutritional Status of Children after a Food-Supplementation Program Integrated with Routine Health Care through Mobile Clinics in Migrant Communities in the Dominican Republic". The American Journal of Tropical Medicine and Hygiene. 83 (3): 559–564. doi:10.4269/ajtmh.2010.09-0485. ISSN 0002-9637. PMC 2929051. PMID 20810820.

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