Tratamiento de acné agudo y crónico y cicatrices de acné, utilizando el láser Neo Nd:YAG de 650 microsegundos de 1064 nm

Dr. Godfrey Raj-Kumar, obstetra/ginecólogo, Trinidad y Tobago

A una paciente de piel tipo IV se le ofreció una primera consulta gratuita en la que se le dio una explicación detallada del tratamiento propuesto. Se utilizaron espejos faciales para identificar las lesiones activas o comedones y las cicatrices con hoyos resultantes de lesiones crónicas no tratadas. En su segunda consulta, completó voluntariamente el formulario de consentimiento informado para el uso del procedimiento con láser Nd:YAG 1064. Le limpiaron la cara con un hisopo con alcohol etílico. Se advirtió a la paciente del efecto de escozor muy localizado y potencialmente breve al aplicar la luz sobre la lesión aguda mediante una única pasada y una pasada triple sobre las lesiones crónicas con hoyos. Se le ofreció la aplicación local de EMLA al 5 %, una crema anestésica local y/o un spray de cloruro de etilo en cada lesión. Este último es opcional dependiendo del umbral de dolor del paciente y solo se aplica inmediatamente antes del paso del pulso a la lesión individual, según la respuesta del paciente tras el tratamiento de las primeras lesiones. Las lesiones agudas del acné se trataron ajustando el láser a una fluencia de 159 J/cm2 en un tamaño de punto de 2 mm, un ancho de pulso de 0.6 ms y una sola pasada sobre cada lesión. Las lesiones crónicas se trataron con una fluencia de 21 J/cm2 en un punto de 6 mm, ancho de pulso de 0.6 ms y 3 pasadas sobre cada lesión. Las lesiones de acné activo solo se trataron en su primera consulta de tratamiento y luego se cambió el uso de anticonceptivos orales de Yasmin o Yaz a Diane 35. A la luz del hallazgo de dermatitis seborreica, se le pidió que usara Auroplus (ketokonazol al 4 %) de forma concomitante como champú una vez por semana y como un lavado facial muy diluido por la noche, dejándolo actuar durante la noche. Continuó el uso de estos, sin cesar. Solo recibió un tratamiento de las lesiones agudas en la primera consulta de tratamiento y las lesiones crónicas se trataron a intervalos de cuatro semanas a partir de entonces. Ha tenido tres tratamientos de las lesiones crónicas hasta la fecha y está satisfecha de que, ocho semanas desde su último tratamiento, no se requieran más.

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Staff Accountant / Junior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Staff Accountant / Junior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Staff Accountant / Junior Accountant

• Provide support to the Controller and the management team
• Maintain day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Support the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Uploading annual budget and tracking actual to budget variances
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Participation in quarterly inventory reconciliations
• Assist team with projects such as policy creation, system implementation, client support etc.

• Some experience with and strong understanding of the monthly close process and technical accounting
• Detailed oriented, with ability to see the big picture
• Self-starter who can work independently and employ time management skills to meet deadlines.
• Knowledge of MS Excel (V-lookup, formulas, pivot tables).
• Strong interpersonal and communication skills
• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP
• 1-3 years’ experience in an accounting function (including internship)
• General Ledger/Operational Accounting experience
• Knowledge of Quickbooks or other reporting software a plus (more the better)
• Industry experience a plus

Senior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Senior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Senior Accountant:

• Provide support to the Controller and the management team
• Own day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Assist in establishing and maintaining policies & procedures in accordance with GAAP and Aerolase policy
• Key contributor to the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Assist in the preparation of management reports – (cash management, various projections, month end reporting package)
• Involvement with the annual budget process
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Prepare and submit payroll
• Participation in quarterly inventory reconciliation to the perpetual
• Ad hoc projects

• Strong knowledge of the monthly close process and technical accounting

• Detailed oriented, with ability to see the big picture

• Experience in continuous improvement and accounting best practices

• Self-starter who can work independently and employ time management skills to meet deadlines.

• System savvy – ability to learn new financial software

• Intermediate knowledge of MS Excel (V-lookup, formulas, pivot tables).

• Global consolidations experience a plus

• Strong interpersonal and communication skills

• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP

• 3+ years’ experience working as a staff/senior accountant

• General Ledger/Operational Accounting experience a must

• Extensive knowledge of Quickbooks and other reporting software

• Prior involvement with system implementation

• Prior public accounting experience (any size firm) a plus

• Industry experience a plus

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