Facial rejuvenation Botox New Westminster

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Whether you're looking to revitalize your skin, sculpt your body, or simply maintain your natural glow, we've got you covered. 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.

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Learn more about Facial rejuvenation Botox New Westminster here No need to press pause on your life. It's not just about slimming down; it's about reshaping your figure in a way that diet and exercise alone mightn't achieve. It's also crucial to keep your skin well-hydrated and protected from the sun.
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. Don't let the years dictate your skin's story. You'll find our laser treatments can do wonders for your skin, addressing issues like fine lines, wrinkles, and uneven pigmentation without any incisions. 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. Learn more about Best Botox clinic in New Westminster here.
You might find yourself intrigued by the promise of a procedure that not only rejuvenates your skin but does so with the precision of modern science. Choosing Manhas Health Co means opting for a partner who genuinely cares about your wellbeing and satisfaction. This innovative body sculpting technology isn't just about transforming your physique; it's also engineered with your comfort and safety in mind. Botox for migraines This isn't just about losing weight; it's about reshaping and contouring your body in ways that diet and exercise alone can't achieve.
Results will gradually appear over the next few weeks, with optimal outcomes visible after a series of treatments. As the treatment progresses, you'll feel a warm sensation, which is the indication that the collagen fibers are being stimulated and strengthened. Manhas Health Co. is on a mission to make aesthetic improvements accessible and convenient. 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.

If you're looking for something a bit more targeted, radiofrequency treatments might be up your alley. Imagine feeling the transformation as people share their journeys from self-conscious to self-confident. You'll feel a gentle warmth and muscle contractions during the session, which many find quite tolerable. You'll lie back as the Evolve-X device is applied to your target areas, where it works to destroy fat cells, tighten skin, and build muscle. Manhas Health Co. offers a range of revolutionary aesthetic services designed to meet your unique beauty and wellness needs with precision and care.

As you consider the safety and the transformative potential of this procedure, remember that countless individuals have navigated this journey before you, their testimonials and success stories a testament to the possibilities that lie ahead. Our vision extends beyond the treatments we offer. You'll need to avoid sun exposure and apply sunscreen diligently to protect the treated areas. Results gradually appear over the following weeks, with most women noticing significant improvements after one to three treatments.

As you're navigating through the myriad of options for achieving your ideal body shape, it's essential to understand what sets Evolve-X apart in a crowded market of promises and high expectations. Botox expert As we peel back the layers of what Manhas Health Co offers, you'll find there's much more to uncover about achieving the aesthetic harmony you desire. For those considering a more traditional route, Manhas Health Co also provides surgical options. However, it's crucial to consult with a professional first, especially if you have sensitive skin or specific concerns like active acne or rosacea.

This process tightens your skin, reduces wrinkles, and creates a more youthful appearance. During this initial meeting, you're not just another client; you're the center of attention. They'll monitor your comfort levels closely, ready to adjust the device's settings for an optimal experience. Now that we've highlighted the innovative technology behind our aesthetic treatments, let's get you ready for your visit to Manhas Health Co.

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Entity Name Description Source
Botulinum toxin Description for Botulinum toxin Source
Skeletal muscle Description for Skeletal muscle Source
Eyelid Description for Eyelid Source
Eye drop Description for Eye drop Source
Injectable filler Description for Injectable filler Source
Marionette lines Description for Marionette lines Source
Lip Description for Lip Source
Dermatology Description for Dermatology Source
Mohs surgery Description for Mohs surgery Source
Skin cancer Description for Skin cancer Source
Varicose veins Description for Varicose veins Source
Melanocytic nevus Description for Melanocytic nevus Source
Collagen induction therapy Description for Collagen induction therapy Source
Platelet-rich plasma Description for Platelet-rich plasma Source
Pattern hair loss Description for Pattern hair loss Source
Skin care Description for Skin care Source
New Westminster Description for New Westminster Source
British Columbia Description for British Columbia Source
Rhinoplasty Description for Rhinoplasty Source
Masseter muscle Description for Masseter muscle Source
Submental triangle Description for Submental triangle Source
Hair loss Description for Hair loss Source
Scalp Description for Scalp Source
Hair follicle Description for Hair follicle Source
Hyperhidrosis Description for Hyperhidrosis Source
Restylane Description for Restylane Source
Physiology Description for Physiology Source

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Richard Clement Moody arrived in British Columbia in December 1858, at the head of the Royal Engineers, Columbia Detachment, having been hand picked to "found a second England on the shores of the Pacific".  Moody "wanted to build a city of beauty in the wilderness" and planned his city as an iconic visual metaphor for British dominance, "styled and located with the objective of reinforcing the authority of the Crown and of the robe  Subsequent to the enactment of the Pre-emption Act of 1860, Moody settled the Lower Mainland and selected the site and founded the new capital, New Westminster. Moody and the Royal Engineers were trained in settlement and selected the site because of its defensibility: it was farther from the American border than the site of the colony's proclamation, Fort Langley, possessed "great facilities for communication by water, as well as by future great trunk railways into the interior and possessed an excellent port  Moody was also struck by the majestic beauty of the site, writing in his letter to Blackwood:

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Nearby Tourist Attractions

Glenbrook Ravine Park

Tourist attraction, Park
Glenbrook Ravine Park, 76 Jamieson Ct, New Westminster, BC V3L 5M7
Forested park featuring walking trails through wilderness areas & landscaped spaces.

Queen's Park

Tourist attraction, Park
Queen's Park, 3rd Ave, New Westminster, BC V3M 1V2
All-ages public area with playgrounds, spray park & petting farm plus artificial-turf sports field.

Queens Park Rose Garden

Tourist attraction, Garden
Queens Park Rose Garden, New Westminster, BC

Hume Park

Tourist attraction, Park
Hume Park, 660 E Columbia St, New Westminster, BC V3L 3Y2
Charming, amenity-rich community park featuring open green spaces, playing fields, a dog run & more.

Tipperary Park

Tourist attraction, Park
Tipperary Park, 315 Queens Ave, New Westminster, BC V3L 1K1
Plant-filled picnic & recreational area at City Hall with ponds, public art & tennis courts.

Citations and other links

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Before your IPL photo facial or laser hair removal session at Manhas Health Co, there are a few key steps you should follow to ensure the best possible outcome. Estimate of about $0.24783 spent on about 2,685 words.@ OpenAI Status: The OpenAI servers appear 100% healthy. You might feel a slight pressure or pinch during the injections, but the discomfort is generally minimal. Botox aftercare Building on our advanced aesthetic treatments, we now turn our focus to crafting skincare solutions that are perfectly suited to your individual needs. This personalized approach ensures optimal results, making it a top choice for those looking to invest in their skin's health and appearance. Botox clinic reviews

They'll walk you through the Evolve-X technology, explaining how it targets fat reduction, muscle toning, and skin tightening in a single session. Recognizing that each client has unique needs, we create personalized treatment plans tailored just for you. Botox for acne treatment Lastly, they offer PRP (Platelet-Rich Plasma) treatments, utilizing your body's natural healing properties to rejuvenate and revitalize the vaginal area. You can 1-click nicely format it here: https://alldocs.app/convert-multi-markdown-to-word-docx@ Main model used: gpt-4-turbo-preview.

At Manhas Health Co., we understand that a one-size-fits-all approach doesn't work when it comes to aesthetic services. That's why we've made our Before and After Gallery an essential tool. If you're battling acne scars or stretch marks, you'll find that Morpheus 8 can dramatically diminish their appearance, offering you a clearer, more even skin tone. Witnessing the transformation in your skin before and after Advanced Forma Face Sculpting sessions can be truly remarkable.

We're committed to providing a welcoming, pressure-free environment, where you can explore the possibilities at your own pace. Our follow-up appointments are meticulously scheduled to monitor your progress and make any necessary adjustments. Our signature facials begin with a thorough skin analysis, ensuring that the treatment you receive is perfectly suited to your skin's requirements. Always disclose your medical history and current medications during your consultation to further safeguard your health.

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Here, you'll find an easy-to-use scheduling tool that allows you to select the date and time that works best for you. This commitment to technological advancement means you're getting the most effective, safe, and up-to-date treatments available. Botox therapy Whether you're looking for a subtle enhancement or a transformative change, we've got you covered. Next, the concentrated PRP is carefully injected into the scalp where hair loss has occurred.

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We prioritize safety and results, employing state-of-the-art technology and personalized protocols that align with your aesthetic goals.

Next, we'll conduct a thorough assessment of your skin or the areas you wish to improve. Each member of our team brings a wealth of knowledge and a unique set of skills to the table. You'll leave this consultation with a clear understanding of the recommended procedures, their benefits, and what to expect during your journey. Sun protection can't be overstated.

Clients often share their stories, highlighting how the treatment has transformed their lives.

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The process is quick, often with minimal downtime, allowing you to return to your daily activities almost immediately. First things first, you'll want to book your consultation through our easy-to-use online platform or by giving us a call. If you experience any severe pain or notice any signs of infection, it's crucial to contact Manhas Health Co immediately.

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. At Manhas Health Co, we customize each treatment plan to perfectly match your individual beauty goals and needs. That's why we've dedicated ourselves to developing personalized skincare plans that address your specific concerns, whether it's combating acne, reducing signs of aging, or enhancing your natural glow. The device will move across the target areas, focusing on spots, wrinkles, or unwanted hair.

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Lastly, arrive a few minutes early to fill out any necessary paperwork without rushing.

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Exploring the myriad benefits of face sculpting, you'll immediately notice a more youthful, radiant complexion that defies age. But perhaps one of the most valued benefits is the boost in self-esteem. These stories aren't just about looking better; they're about feeling unstoppable.

It allows you to visualize potential outcomes and feel more informed when discussing your options with us. From the moment you step into our clinic in Facial rejuvenation Botox New Westminster, you'll find a supportive environment where your concerns and aspirations are heard. Together, these technologies offer a comprehensive body sculpting solution.

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First off, it's essential to keep your skin hydrated. This step targets the hair follicles directly, encouraging them to rejuvenate and produce new hair growth. You'll receive an email confirmation with all the details of your appointment, including tips on how to prepare for your session.

However, if you require more extensive corrections, alternative treatments might be more suitable.

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Together, we'll unlock the version of you that feels empowered to face the world with positivity and grace. Follow these directions closely to prevent infection and promote optimal healing.



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Book your appointment today and discover the difference at Manhas Health Co. If you're curious about how these procedures can transform your skin, you're in the right place. You'll meet with one of our expert practitioners who'll review your questionnaire, discuss your concerns, and outline potential treatment options.

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At Manhas Health Co., you'll find a suite of treatments that stand out for their minimal invasiveness and impressive outcomes.

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You can resume your daily activities immediately, though it's advised to abstain from sexual intercourse for a short period to allow the area to heal properly.

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These stories paint a vivid picture of the procedure's multifaceted benefits, from boosting self-esteem to enhancing physical and emotional intimacy. Hearing firsthand from those who've undergone vaginal rejuvenation at Manhas Health Co. can provide invaluable insights into the procedure's effectiveness and impact.

The science behind this innovation taps into cutting-edge techniques to ensure you're not just seeing temporary improvements but potentially long-lasting results. From facial rejuvenation to body contouring, our state-of-the-art treatments are tailored to meet your individual needs, ensuring you get the results you're looking for with minimal downtime. Unlike more invasive procedures, face sculpting allows you to return to your daily activities immediately, making it a convenient option for your busy lifestyle.

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The goal is to address concerns such as laxity, discomfort during intercourse, urinary incontinence, or aesthetic desires. Seeing is believing, and in this case, the after results speak volumes about the power of Advanced Forma Face Sculpting to rejuvenate and refresh. That's the promise of your journey with Manhas Health Co. – where your beauty aspirations become our dedicated mission.

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This extra time also allows you to relax and mentally prepare for your consultation. Our team of experts is on hand to guide you through a personalized experience, ensuring you receive treatments tailored to your unique needs and desires. With years of experience in the aesthetic field, our team understands that every individual's body and goals are unique. They'll look at everything from hydration levels to elasticity, ensuring they've a comprehensive understanding of what your skin truly needs. After revitalizing your complexion with our specialized facial therapies, explore our body contouring and sculpting services to further enhance your natural beauty.
Your story could be next. Book your appointment today and step into a world where age is truly just a number. By removing the outermost layers of skin, they unclog pores and prevent future breakouts, making them an effective solution for those battling persistent acne. Discover how real clients have transformed their self-esteem and appearance through our tailored aesthetic services.
Well, the laser gently penetrates your skin, targeting the problem areas without harming the surrounding tissue. We believe in an honest, transparent dialogue about what's achievable, setting realistic expectations from the start. You won't have to jump through hoops or wait forever on the phone. Read more about Facial rejuvenation Botox New Westminster here You're not just investing in a temporary fix; you're embracing an opportunity to redefine your features with results that can last from several months to a couple of years, depending on the product used.
But it's not all about the equipment. Aesthetic treatments Learn more about Facial rejuvenation Botox New Westminster here Moreover, this treatment can tighten sagging skin, providing a more youthful contour to your face and body without the need for invasive surgery. While we're on the subject of enhancing your appearance, let's explore how our laser hair removal services can offer you smooth, hair-free skin. You'll notice the difference in areas that tend to be stubborn.

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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.
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  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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