Affordable Botox in New Westminster

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Best of all, there's no need for recovery time, so you can get back to your daily activities right away, sporting a natural, refreshed glow that radiates from within. Learn more about Manhas Health Co. here. 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. Evolve-X isn't just about sculpting your body; it's about enhancing your overall quality of life.

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For example, our laser systems are designed to target specific concerns with utmost accuracy, reducing the risk of side effects. Learn more about Affordable Botox in New Westminster here
Dermaplaning gently scrapes away the top layer of dead skin cells, revealing a smoother and brighter complexion underneath, while chemical peels address a range of issues from fine lines to acne scars by exfoliating the skin at a deeper level. They understand that every individual's journey to self-confidence is unique, which is why they tailor their services to meet your specific desires and concerns. This personalized approach ensures the treatment is tailored to your specific needs.
Regardless of the technique you lean towards, Manhas Health Co ensures you're informed, comfortable, and excited about your rejuvenation journey. You'll find that areas with thinning hair become denser, and overall hair health improves.

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Clients often express amazement at their results, highlighting not just the physical changes but the boost in confidence they feel.
Sarah's journey began with apprehension, but after her personalized skincare regimen, she's now brimming with confidence, showcasing a radiant complexion that mirrors her inner vitality. Choosing Evolve-X at Manhas Health Co isn't just about changing how you look; it's about embracing a healthier, more confident you. It's a game-changer if you're battling hair loss or thinning.

Apart from their revolutionary services, there's an underlying story of community impact and a journey towards renewed confidence that might just resonate with your own aspirations. While fillers offer a remarkable avenue for cosmetic enhancement, exploring other advanced treatments at Manhas Health Co can further elevate your journey to achieving your aesthetic goals. You'll feel a warming sensation, akin to a hot stone massage, rather than any discomfort or pain. It's not just about slimming down; it's about reshaping your figure in a way that diet and exercise alone mightn't achieve.

But perhaps one of the most valued benefits is the boost in self-esteem. Imagine feeling the transformation as people share their journeys from self-conscious to self-confident. It's not just about the treatments; it's about understanding your desires and how we can turn them into reality.

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Use a gentle, fragrance-free moisturizer to soothe and nourish your skin without causing irritation. In addition to Evolve-X's remarkable benefits, the technology offers the unique advantage of personalized body contouring, ensuring each treatment plan is tailored specifically to your needs.

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You'll also need to stop using any products containing retinol, glycolic acid, or other harsh chemicals on the treatment area 48 hours prior.

As you progress, we'll monitor your transformation closely, adjusting the approach as needed to maximize your results. They've also launched a scholarship program for aspiring students in the health and beauty industry, demonstrating their investment in the future of their field and the community. It's all part of our pledge to not just meet but exceed your expectations in both results and care.

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New Westminster (colloquially known as New West) is a city in the Lower Mainland region of British Columbia, Canada, and a member municipality of the Metro Vancouver Regional District. It was founded by Major-General Richard Moody as the capital of the Colony of British Columbia in 1858 and continued in that role until the Mainland and Island colonies were merged in 1866. It was the British Columbia Mainland's largest city from that year until it was passed in population by Vancouver during the first decade of the 20th century.

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Nearby Tourist Attractions

Mundy Park

Tourist attraction, City park
Mundy Park, 641 Hillcrest St, Coquitlam, BC V3J 6N9
178 acres of forest habitat with 2 lakes, sports facilities, disc golf & an outdoor pool.

Port Moody Station Museum

Tourist attraction, Entertainer, Historical landmark, History museum, Local history museum
Port Moody Station Museum, 2734 Murray St, Port Moody, BC V3H 1X2
Small destination offering local history exhibits & programs in a 1908 train station.

Rocky Point Park

Tourist attraction, City park
Rocky Point Park, 2800 Murray St, Port Moody, BC V3H 1X2
Waterfront recreation area with a pier, pool, skate park, restaurant, playground & boat ramp.

Shoreline Trail

Tourist attraction, City park, Hiking area
Shoreline Trail, 2934 Murray St, Port Moody, BC V3H 1X2
This walking trail along the Burrard Inlet offers sweeping views & allows leashed dogs.

Burnaby Fraser Foreshore Park

Tourist attraction, Park
Burnaby Fraser Foreshore Park, 7751 Fraser Park Dr, Burnaby, BC V5J 5L8
Riverfront park with outdoor gym equipment, dog area, picnic spots & a playground.

Hawthorne Rotary Park

Whalley
Tourist attraction, Park
Hawthorne Rotary Park, 10513 144 St, Surrey, BC V3T 4V4
Residential area park with a playground, spray pad, gardens, trails, picnic shelter & washrooms.

Glenlyon Foreshore Outlook

Tourist attraction, Historical landmark
Glenlyon Foreshore Outlook, 9186 Glenlyon Pkwy, Burnaby, BC V5J 5J8

World Police and Fire Games decoration

Metrotown
Tourist attraction
World Police and Fire Games decoration, 3789 BC-99A, Burnaby, BC V5H 1Y4

Citations and other links

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Manhas Health Co. is on a mission to make aesthetic improvements accessible and convenient. In an age where aging gracefully is for the storybooks, you've probably considered turning back time with a little help from modern medicine. While Advanced Forma Face Sculpting offers remarkable results, it's not the perfect fit for everyone. We understand that deciding on a treatment can be daunting. Arrive with a clean face to allow the device to work more effectively on your skin.

Remember, your skin is more receptive now, making it the perfect time to introduce beneficial ingredients like hyaluronic acid and vitamin C. Building on their range of aesthetic services, Manhas Health Co. also specializes in advanced laser therapy, a cutting-edge option for those seeking targeted skin rejuvenation and healing. Given the importance of minimizing risks associated with Morpheus 8 and PRP treatments, selecting a qualified specialist is crucial for your safety and the success of your procedure. This innovative approach is gaining traction for its effectiveness and natural results.

From laser skin rejuvenation to non-invasive body contouring, our state-of-the-art equipment allows us to tailor each procedure to meet your specific needs and goals. This means you're not getting a one-size-fits-all procedure. They offer thorough consultations to discuss your concerns and desired outcomes, ensuring you're well-informed and comfortable every step of the way. Serums rich in vitamins C and E can help fight free radicals, reducing inflammation and promoting a radiant complexion.

The sample is then placed in a centrifuge, where it's spun to separate the platelet-rich plasma (PRP) from the rest of the blood components. Our team of experts then crafts a customized plan that aligns with your personal aspirations and lifestyle. That's why we've designed a comprehensive aftercare program tailored to meet your unique needs and ensure the longevity of your results. We're committed to creating a supportive environment where you feel valued and understood. Skin clinic

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Imagine walking out feeling revitalized, with results that not only look natural but feel in harmony with your unique self. You won't see the full effects immediately. Applying a cool compress can provide relief. This concentration of PRP is what'll be used in your treatment. Non-invasive aesthetics For those looking to redefine contours, our body sculpting services offer a non-surgical approach to reshaping and toning.

The treatment typically lasts about an hour, depending on the areas being targeted. And let's not forget makeup application; without the peach fuzz and dead skin cells, your foundation will glide on seamlessly. Similarly, our body contouring devices use the latest techniques to sculpt and tone without the need for surgery. Morpheus 8 isn't just about turning back the clock on aging; it's also about addressing issues that might've seemed beyond reach.

Together, we'll unlock the version of you that feels empowered to face the world with positivity and grace. It's not every day that one encounters a breakthrough poised to redefine the standards of non-invasive cosmetic enhancements. You won't find a one-size-fits-all approach here. We'll ask about your lifestyle, health history, and any specific areas you want to improve.

Having prepared your skin as advised, you're now set to experience what unfolds during your dermaplaning or chemical peel treatment at Manhas Health Co. This extra time also allows you to relax and mentally prepare for your consultation. Plus, it's a testament to our commitment to excellence and the high-quality standards we uphold in every procedure. Out of the 52 calls to the OpenAI API server, 0 failed.@ Settings used: Length=Medium, Voice=Second_Person, FAQ=Short, Active_Voice, Conclusion, 15_Subheadings_is_Mere_Recommendation@ Midjourney AI Image Prompt: /imagine prompt:Create an image featuring a sleek, futuristic treatment room with the Evolve-X body sculpting device glowing softly, a silhouette of a person experiencing the treatment, and the Manhas Health Co.

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logo subtly integrated. --v 6 --ar 16:9@ Meta Description: Journey into the future of non-invasive body sculpting with Evolve-X at Manhas Health Co, a revolution in achieving your ideal physique.# Experience the Future of Body Sculpting With Evolve-X at Manhas Health CoHave you ever wondered if the future of body sculpting could already be at our doorstep with technologies like Evolve-X at Manhas Health Co?

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This might involve cleaning the area and applying a topical anesthetic to minimize any discomfort. You've seen the buzz around traditional cosmetic surgeries, but the tide is turning.

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Moreover, Manhas Health Co. doesn't stop at treatments. The team is dedicated to providing tailored advice and treatments that align with your health and wellness journey.

We'll explore the intricacies behind Evolve-X, how it compares to traditional methods, and why it could be the personalized approach you've been searching for.

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Why settle for off-the-shelf solutions when a bespoke beauty experience awaits? Our advanced equipment and software allow us to provide precise, targeted treatments that enhance your natural beauty and promote well-being.

Say goodbye to the daily hassle and hello to lasting results. The result? Depending on the procedure, you might be given protective eyewear to shield your eyes from bright flashes of light.

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This includes your name, phone number, and email address, ensuring you'll receive a confirmation email and reminders about your appointment. Led by renowned specialists in the field of aesthetic medicine, our professionals are dedicated to offering the latest in non-surgical rejuvenation techniques. The science behind this innovation taps into cutting-edge techniques to ensure you're not just seeing temporary improvements but potentially long-lasting results.

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They'll work closely with you to understand your aspirations and recommend treatments that align with your desires and lifestyle. Botox treatment plans The beauty of PRP hair restoration lies in its simplicity and effectiveness. This is your time to ask questions and express any reservations. Like laser therapy, it boosts collagen but penetrates deeper into the tissue for enhanced tightening effects. Plan a night out with friends or a special date where you can feel proud and confident in your skin's appearance.

It's non-invasive, practically painless, and requires no downtime. Botox for crow’s feet That's why our experts sit down with you to listen to your concerns, goals, and aspirations. Chemical peels aren't just about surface-level beauty; they delve deeper, targeting acne and reducing the scars it leaves behind. We provide tailored aftercare advice to help you maintain and prolong the benefits of your procedures.

If you're noticing symptoms like dryness, discomfort during intercourse, or urinary incontinence, you could be an ideal candidate. Stepping through our doors, you're not just another client; you're part of a community dedicated to enhancing your natural beauty and promoting your overall well-being. After your procedure, you'll need to follow specific guidelines to ensure a smooth and effective healing process. Whether you're battling fine lines, acne scars, or just seeking that elusive glow, we've got you covered.

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Our friendly staff is ready to assist you, answer any preliminary questions you might have, and set up your appointment at a convenient time. Botox injections Their expertise can significantly minimize the risks. At Manhas Health Co., you'll start your journey with a personalized consultation to pinpoint exactly what you need to feel your best. We're committed to providing a welcoming, pressure-free environment, where you can explore the possibilities at your own pace.

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First, head over to the Manhas Health Co. website. Learn more about Affordable Botox in New Westminster here Choosing laser hair removal means investing in smoother skin for the long haul. And it's not just about the legs or underarms; we can treat almost any area of the body where unwanted hair is a concern. They're tailored to meet your unique needs, whether you're looking to plump up thin lips, enhance shallow contours, soften facial creases, or improve the appearance of recessed scars.

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Your first step involves a detailed consultation with our experts, who'll map out a custom plan designed just for you.
You'll appreciate how Morpheus 8 can address a wide range of skin concerns beyond aging. You're not just losing inches; you're gaining a more defined, toned, and sculpted physique. The number of treatments varies depending on your hair type, color, and the area being treated. Visit our Before and After Gallery today.
Evolve-X makes it possible. This process tightens your skin, reduces wrinkles, and creates a more youthful appearance. Read more about Affordable Botox in New Westminster here Hearing firsthand from those who've undergone vaginal rejuvenation at Manhas Health Co. can provide invaluable insights into the procedure's effectiveness and impact. It's a testament to the power of non-invasive technology to not just change how you look, but how you feel about your body.
They're not just for those who've experienced childbirth; aging, significant weight loss, or genetic factors can also affect vaginal health. Leading the pack is Dr. Our experts will provide you with all the information you need, including details about the procedure, what to expect during recovery, and the anticipated results. There's no downtime, allowing you to resume your daily activities immediately.

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Cosmetic may refer to:

  • Cosmetics, or make-up, substances to enhance the beauty of the human body, apart from simple cleaning
  • Cosmetic, an adjective describing beauty, aesthetics, or appearance, especially concerning the human body
  • Cosmetic, a topical product that is not a drug
  • In-game cosmetics, video game virtual goods that generally offer no competitive advantage

See also

[edit]

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]

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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