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Building on their commitment to personalized care, Manhas Health Co. Botox for gummy smile New Westminster offers a comprehensive range of aesthetic services to meet your every need. With the latest technological advancements at their fingertips, they're setting new benchmarks in personalized body contouring. After payment, you're all set! With a comprehensive range of services, personalized consultations, and state-of-the-art technology, Manhas Health Co.

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is dedicated to ensuring that your experience is as transformative as the results you seek. Next, the concentrated PRP is carefully injected into the scalp where hair loss has occurred. Learn more about Botox for men New Westminster here
With their guidance, you'll navigate your aesthetic journey with confidence, knowing you're in skilled hands every step of the way. Why choose Manhas Health Co? Learn more about Botox Clinic New Westminster here. Before your scheduled treatment at Manhas Health Co, it's essential to properly prepare your skin to ensure the best possible results. If you're battling with redness or rosacea, IPL photo facials can help calm your skin, reducing the appearance of these issues.
You'll find privacy and comfort are prioritized, creating a serene environment that feels like a retreat from the outside world. First off, there's laser therapy, a popular choice for many. You'll find a range of options, from non-invasive facials that rejuvenate the skin to more intensive procedures like microneedling and PRP (Platelet-Rich Plasma) therapy, which promote collagen production and cell turnover. Unlike surgical options that can keep you off your feet for days or even weeks, Evolve-X allows you to return to your daily activities almost immediately.
Our follow-up appointments are meticulously scheduled to monitor your progress and make any necessary adjustments. Choosing Evolve-X at Manhas Health Co means opting for a cutting-edge, pain-free path to the body you've always wanted. You've earned this moment of celebration, and it's time to let your natural beauty shine. Evolve-X's cutting-edge technology targets specific areas for fat reduction, muscle definition, and skin tightening without requiring weeks or months to start seeing a difference.

As you consider the possibilities of rejuvenating your skin or exploring innovative beauty treatments, remember that this clinic isn't just about surface-level beauty. You'll find services tailored to rejuvenate and enhance your natural beauty, from laser hair removal and chemical peels to microdermabrasion and Botox injections. This process is quick and feels similar to a routine blood test.

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You're not just another client to us; you're a partner in this journey towards a more confident and radiant you. Botox for bunny lines New Westminster

Starting with a thorough skin analysis, the experts at Manhas Health Co. will identify your skin type, concerns, and goals. Botox and holistic skincare New Westminster John, whose partner underwent the procedure, notes a significant improvement in their relationship's intimacy, underscoring the emotional and relational impact of vaginal rejuvenation. It's a natural, non-surgical way to tackle hair loss, using your body's own healing properties to regenerate hair thickness and growth.

Whether you're looking for a subtle enhancement or a transformative change, we've got you covered. Each session lasts about 30 minutes, making it a perfect lunchtime treatment.

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Once you're deemed a suitable candidate, the actual process kicks off.

Use a gentle, fragrance-free moisturizer to soothe and nourish your skin without causing irritation. Unlike more invasive procedures, there's no downtime associated with Advanced Forma Face Sculpting, allowing you to return to your daily activities immediately after treatment. By strengthening the vaginal tissues, it helps in significantly reducing leaks and urgencies, giving you back control and peace of mind.



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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

Coquitlam Heritage at Mackin House

Tourist attraction, Heritage museum, Museum
Coquitlam Heritage at Mackin House, 1116 Brunette Ave, Coquitlam, BC V3K 1G2

Deer Lake Park

Tourist attraction, Park
Deer Lake Park, 5435 Sperling Ave, Burnaby, BC V5E 2L8
Scenic picnic areas & lakeside trails leading to the Burnaby Art Gallery & other attractions.

Eagles Estate Heritage Garden

Tourist attraction, Garden
Eagles Estate Heritage Garden, 5655 Sperling Ave, Burnaby, BC V5E 2T2

Trapped Coquitlam

Tourist attraction, Amusement center, Game store, Escape room center
Trapped Coquitlam, 1300 Woolridge St #9, Coquitlam, BC V3K 6Y6

Nikkei National Museum & Cultural Centre

Tourist attraction, Community center, Museum, National museum, Recreation center, Heritage museum
Nikkei National Museum & Cultural Centre, 6688 Southoaks Crescent, Burnaby, BC V5E 4M7
Japanese-Canadian history & culture are the focus at this complex with exhibits, a garden & events.

Burnaby Village Museum

Tourist attraction, Ethnographic museum, Local history museum, Museum
Burnaby Village Museum, 6501 Deer Lake Ave, Burnaby, BC V5G 3T6
Period costumed townsfolk & a carousel are highlights of this living museum of a 1920s village.

Jundigang truck yard

South Westminster
Tourist attraction
Jundigang truck yard, 54V5+MX9, Surrey, BC V3V 4G4

Citations and other links

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They also specialize in non-surgical face lifts and body contouring, providing you with alternatives to more invasive procedures. The science behind this innovation taps into cutting-edge techniques to ensure you're not just seeing temporary improvements but potentially long-lasting results. In the days following your session, you'll likely notice your skin feels tighter and more supple. They understand that everyone's skin and body are unique, which is why they take the time to listen to your concerns and goals. It's common to feel skeptical about what cosmetic treatments can achieve.

Our expert team at Manhas Health Co. is the backbone of our innovative aesthetic treatments, ensuring you receive personalized care tailored to your unique beauty goals. Your skin needs to be in its most natural state to benefit fully from dermaplaning and chemical peels. This means you're not getting a one-size-fits-all procedure. From laser skin rejuvenation to non-invasive body contouring, our technologies are designed to offer effective results with minimal discomfort and downtime.

These partnerships allow you to apply for financing plans that can be tailored to fit your budget, with competitive interest rates and flexible repayment terms. Whether you're looking to reduce love handles, slim down thighs, or define your abs, we've got you covered. There's no downtime, so you can resume your daily activities immediately after. Botox for muscle relaxation New Westminster Whether you're seeking to rejuvenate your skin, sculpt your body, or explore anti-aging treatments, they've got you covered with the latest advancements in aesthetic medicine.

This visual evidence can provide insight into their skill level and what you might expect from your own treatment. However, don't pluck or wax, as this removes the hair from the follicle, which is needed for the laser to target effectively. Following these preparatory steps closely will help you achieve smoother, more radiant skin with fewer complications. You're not just another appointment on their calendar; you're a priority, and they're committed to providing you with a comfortable, supportive environment.

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You can often return to your daily routine immediately after. While it delivers impressive improvements in skin quality and firmness, it can't replicate the results of surgical facelifts. Dermal fillers New Westminster You'll feel a warming sensation, akin to a hot stone massage, rather than any discomfort or pain.

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As you step inside, you'll notice the clinic's modern design, which isn't just for show. They're here to answer all your questions and make sure you're comfortable every step of the way.

It's a moment worth savoring, and there's no better way to do it than by embracing your newfound confidence. These substances can irritate the skin, making the Morpheus 8 procedure less comfortable and potentially hindering your recovery. But perhaps one of the most valued benefits is the boost in self-esteem. After the procedure, you'll notice an immediate difference.

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After your Morpheus 8 or PRP treatment, it's essential to adopt a skincare and hair care routine that'll preserve your rejuvenated look. When comparing Evolve-X to other body sculpting methods, it's evident that its unique safety and comfort features set it apart. Understanding the differences between Morpheus 8 and PRP treatments sets the stage for appreciating real success stories from Botox for men New Westminster. Chemical peels aren't just about surface-level beauty; they delve deeper, targeting acne and reducing the scars it leaves behind.

Additionally, incorporating a gentle cleanser will help maintain your skin's radiance without stripping it of natural oils.

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The magic of PRP lies in the growth factors it releases. If you're not sure about your schedule, don't worry; the site offers flexibility to reschedule. 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.

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For instance, Emma, a mother of two, recounts how the procedure not only enhanced her physical comfort but also restored her confidence, making her feel rejuvenated and more connected to her body. If you're curious about how these procedures can transform your skin, you're in the right place. However, if you require more extensive corrections, alternative treatments might be more suitable. It's crucial to have these sessions spaced out to catch all hair in its growth phase. Moreover, we emphasize a collaborative approach.

Don't let the years dictate your skin's story. In an age where aging gracefully is for the storybooks, you've probably considered turning back time with a little help from modern medicine. They're there to ensure your booking experience is as smooth and comfortable as the treatments they offer. When you undergo PRP treatment for hair restoration, your session will start with the collection of a small blood sample from your arm.

They understand that aging isn't just about lines and wrinkles; it's about how you feel inside and out. Before any procedure, you'll receive a detailed explanation of what to expect, and we'll answer any questions you have, ensuring you're fully informed and comfortable. After understanding the benefits of treatment, you might now wonder if you're the right candidate for vaginal rejuvenation at Manhas Health Co. Our specialists boast years of experience in the latest aesthetic techniques and technologies.

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Our approach is personalized, focusing on your individual features and goals to ensure that your natural charms are highlighted and cherished. Imagine stepping into the serene ambiance of Manhas Health Co. in Botox for men New Westminster, where the latest advancements in vaginal rejuvenation await to enhance your wellbeing and confidence. As for the results, patience is key. At Manhas Health Co., you'll start your journey with a personalized consultation to pinpoint exactly what you need to feel your best.

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They're not just about offering services; they're about providing a comprehensive skin care experience that's tailored to your unique needs. But the journey doesn't end there; the aftercare and results will redefine your skincare routine. It's not just about enhancing your appearance; it's about elevating your life. This platelet-rich plasma (PRP) is then injected directly into your scalp where it's needed most.

They'll work closely with you to understand your aspirations and recommend treatments that align with your desires and lifestyle. We'll ask about your lifestyle, health history, and any specific areas you want to improve. Imagine the possibilities for your own journey towards a more confident and radiant you. Certified Botox specialist New Westminster

If you're looking for something a bit more targeted, radiofrequency treatments might be up your alley. The treatment typically lasts about an hour, depending on the areas being targeted. Avoid strenuous exercise, heavy lifting, and sexual activity as advised by your healthcare provider.

Our team is here to educate and guide you, ensuring you're fully informed and comfortable with your choices. Products containing Vitamin C or E can fight free radicals, reducing the risk of damage to your rejuvenated skin. Before your Morpheus 8 session, it's crucial to follow specific preparation steps to ensure the best possible outcome.

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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. At Manhas Health Co., we offer a range of non-invasive procedures designed to enhance your beauty without the need for surgery. Your journey with us is a partnership, and we're dedicated to ensuring you feel supported, cared for, and satisfied throughout. That's why they're not just focused on the procedure itself but also on tailoring a personalized plan that aligns with your individual needs and aspirations.
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? You won't find a one-size-fits-all approach here. Botox for migraines New Westminster Using a precise, sterile blade, a skilled professional carefully exfoliates the surface of your skin.
Remember, consistency is key to keeping that youthful glow. Learn more about Botox for men New Westminster here 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.

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Read more about Botox for men New Westminster here First, head over to the Manhas Health Co.

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website.
You're a prime candidate if your skin is showing early to moderate signs of aging and you're in generally good health. You might wonder if you're the ideal candidate for this innovative treatment or what the procedure entails. This blood is then spun in a centrifuge, separating the platelets from other blood components.

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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]

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

[edit]
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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