Trattamento dell’acne acuta o cronica e delle cicatrici acneiche con l’uso del laser Neo Nd:YAG da 1064nm e impulsi di 650 microsecondi

Dr. Godfrey Raj-Kumar, OB/GYN, Trinidad & Tobago

Ad una paziente con pelle di tipo IV è stata offerta una prima visita gratuita, durante la quale è stata data una dettagliata spiegazione del trattamento proposto. Sono stati utilizzati degli specchi per identificare le lesioni attive o i comedoni e le vaiolature risultanti dalle lesioni croniche non trattate. Alla sua seconda visita ha compilato volontariamente il modulo di consenso informato per l’uso della procedura con il laser Nd:YAG 1064nm. Il suo viso è stato pulito tamponandolo con alcool etilico. Alla paziente è stato segnalato il potenziale effetto pungente, di breve durata e molto localizzato, dell’applicazione della luce alla lesione acuta con una singola passata e una tripla passata sulle lesioni croniche delle vaiolature. Le è stata offerta l’applicazione locale di EMLA al 5%, una crema anestetica locale e/o in caso di bisogno, uno spray a base di etilcloruro da applicare a ogni lesione. Quest’ultimo è opzionale a seconda della soglia del dolore del paziente e applicato solo immediatamente prima del passaggio dell’impulso sulla lesione, secondo la risposta del paziente al trattamento delle prime lesioni. Le lesioni da acne acuta sono state trattate Impostando il laser ad una fluenza di 159 J/cm2 su una dimensione di punto di 2mm, con ampiezza dell’impulso di 0,6ms e una sola passata su ogni lesione. Le lesioni croniche sono state trattate con una fluenza di 21 J/cm2 su un punto di 6mm, un’ampiezza dell’impulso di 0,6ms e 3 passate su ogni lesione. Le lesioni dell’acne attiva sono state trattate solo in occasione della sua prima visita per il trattamento. La paziente allora usava come contraccettivo orale Yasmin o Yaz, sostituito con Diane 35. Alla luce dei rilievi di dermatite seborroica, le è stato chiesto di usare insieme Auroplus (chetoconazolo al 4%) come shampoo una volta alla settimana e per Il lavaggio del viso, molto diluito la sera, lasciandolo agire per tutta la notte. Ha continuato ad usarli senza demordere. Era stata sottoposta ad un solo trattamento delle lesioni acute in occasione della sua prima visita e le lesioni croniche erano state trattate poi ad intervalli di quattro settimane. Ad oggi è stata trattata tre volte per le lesioni croniche ed è soddisfatta che non occorrano forse altri interventi, a 8 settimane dal suo ultimo trattamento.

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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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