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Efficacia clinica e soddisfazione del paziente nella revisione di cicatrici con l’applicazione di un laser Er:YAG da 2940nm con impulsi di 300 microsecondi

Khalil A. Dott. Khatri, MD, Skin & Laser Surgery Center of New England, Nashua, NH; Dott. Viktor Moiseev, MD, Direttore Generale e Primario della clinica estetica “Sasha”, di Ryazan, Federazione Russa Obiettivo e background: Un laser Er:YAG da 2940nm con impulsi di 300 microsecondi ad una fluenza di 5 J/cm2 permette l’ablazione di tessuto cicatriziale senza danni termici residui significativi. Basandosi sul fatto che il laser Er:YAH è efficace in modo particolare nel tessuto idratato, che corrisponde alle prime fasi della formazione della cicatrice (10-14 giorni dopo la lesione), abbiamo ipotizzato che il trattamento laser della cicatrice avrebbe avuto la massima efficacia durante questo periodo. Materiali e metodi: Sono stati reclutati 11 soggetti maschi e 21 femmine con pelle di tipo II e III, 25 con cicatrici da trauma meccanico, 6 con cicatrici dovute all’acne e 1 con una cicatrice da ustione chimica. I soggetti sono stati divisi in due gruppi. Il primo (11 soggetti) presentava soggetti con cicatrici nelle prime fasi (14 giorni) e il secondo gruppo (21 soggetti) comprendeva persone con cicatrici di oltre un anno. Il trattamento è stato effettuato con un laser Er:YAG da 2940nm con impulsi di 300 microsecondi (Aerolase, USA) con una dimensione di punto di 6mm, una fluenza di 5 J/cm2 e una frequenza di ripetizione di 1,5 Hz. I trattamenti sono stati effettuati ad intervalli di 14 giorni. In totale sono stati effettuati 114 trattamenti svolti fino a quando è stato osservato il livellamento della cicatrice. Ogni soggetto ha subito una media di 3,6 trattamenti. Risultati: Nel primo gruppo, il livellamento fisico della cicatrice è stato osservato immediatamente dopo il primo trattamento, e nel secondo gruppo invece sono stati necessari due trattamenti. Il primo gruppo ha avuto in totale 29 trattamenti (media di 2,6) e il secondo 85 (media 4). Il 94% dei soggetti ha completato lo studio. Non sono state osservate complicazioni. Il 30% ha classificato i risultati come eccellenti, il 50% come buoni e il 20% come soddisfacenti. Conclusione:Un laser Er:YAG da 2940nm con impulsi di 300 microsecondi è uno strumento sicuro ed efficace per la revisione delle cicatrici. I risultati sono più rapidi, meglio tollerati e migliori con cicatrici relativamente fresche rispetto a quelle più vecchie. Come pubblicato in occasione del Meeting annuale del 2016 della American Society for Laser Medicine & Surgery ASLMS

Table of Contents

Hyperpigmentation

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Photos Courtesy of Jennifer Parker-Porter, MD.

Learn more about treating hyperpigmentation today.

Vascular Lesions

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Photos Courtesy of Michael Gold, MD.

Learn more about treating vascular lesions today.

Rosacea / Redness

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Learn more about treating rosacea and redness today.

Hair Removal

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PFB

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Learn more about treating PFB today.

Scars

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Photos Courtesy of Bradley Bloom, MD.

Learn more about treating scars today.

Autoimmune Disorders

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Learn more about treating autoimmune disorders today.

Skin Rejuvenation

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Photos Courtesy of Chesahna Kindred, MD.

Learn more about skin rejuvenation today.

Acne

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Photos Courtesy of Michael Gold, MD.

Learn more about treating acne today.

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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