Hyaluronic Acid in Facial Rehabilitation—A Narrative Review

Background: Hyaluronic acid fillers (HAF) are a versatile tool in esthetic medicine. They also have a potential for medical indications including facial rehabilitation. Materials and methods: We performed a literature search on PUBMED and Google Scholar until December 2022. Clinical trials, clinical studies, review articles, systematic reviews, meta-analyses, case series, and case reports were considered for review. Keywords "facial rehabilitation”, "acne scars”, "traumatic scars”, "oral restoration”, "facial lipoatrophy”, "facial asymmetry”, "periocular correction”, "nasal obstruction”, "ear lobe restoration”, "morphea”, AND "hyaluronic acid filler” were used to select articles. Results: We prepared a narrative review on the use of HAF for correction of facial asymmetry and asymmetric lips, improvement of different types of scars, improvement of the jaw line, improvement of ear lobes, periocular and oral restoration, and the treatment of nasal obstruction and morphea en coub de sabre. The amount of HA used in these indications is often less than 1 mL. The bolus technique, fanning, and dual-plane injections can be utilized for treatment. Duration of clinical effects depends upon the anatomical region and is usually maintained between 2 months and 2 years. Adverse events are often mild and temporary. Vascular occlusion is a severe adverse event, but it has not been reported yet for these medical indications. Repeated injections are recommended to obtain a longer-lasting improvement. In cases of morphea, only stable and non-inflammatory plaques should be treated. The advantage of HAF compared to permanent and semipermanent fillers is the availability of hyaluronidase for rapid removal of filler material and to revise overcorrection. Conclusions: HAF play an auxiliary role in facial rehabilitation. Knowledge of filler qualities, anatomy, and underlying diagnoses is important for their safe application. More prospective controlled trials are necessary to improve evidence.

COVID-19, Hyper Vulnerabilities, Silenced Traumas, and Colonial Scars: Social Work Scholars Engaging in Critical Dialogue with Racialized Communities

The arrival of the COVID-19 pandemic has resulted not only in the closing of national borders but also in the revival of symbolic borders informed by colonial, orientalist, and white supremacist legacies that have entrenched socioeconomic and racial inequalities, resulting in devastating impacts on migrant and refugee communities in the Global South and on racialized communities in the Global North. At the same time, racialized and migrant communities, and their allies, continue to struggle and reformulate strategies of survival and resistance. As social work educators and scholars situated in Quebec, Canada, the authors of this chapter aim to engage in critical dialogue and reflection about the ways in which COVID-19 has reorganized how they engage in social work research and education alongside oppressed communities and within their university and school of social work. The authors witnessed of the impacts of COVID-19 were shaped by forms of hypervulnerability that revived feelings of belonging and rejection to dominant and oppressed communities as well as silenced and intergenerational traumas. These dynamics were informed by historical colonial heritages that are often erased but then resurfaced in the form of colonial scars. As COVID-19 broke upon these colonial scars, the authors engage in critical dialogue about the ways in which their varied social locations and experiences shaped how they navigated complex "insider/outsider” dynamics. Through deep listening and giving account to oneself, a decolonial feminist approach in responding to COVID-19 crises is proposed. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

INSTRUCTIONAL COURSE BUCHAREST, 2022

The article presents the discussion on forced interruption due to the Covid-19 pandemic. Topics include scientific program included sessions related to burn local treatment, burn general and surgical care, enzymatic debridement for burn wounds, scars and reconstruction;and MBC's educational activities despite the current worldwide international climate of crisis and still uncertain situation.

Young Australians' labour market engagement and job aspiration in the wake of the COVID ‐19 pandemic

Young people tend to bear the brunt of adverse employment consequences of a crisis due mainly to the precarious nature of their job and their over-representation among jobseekers who are having to find employment when jobs are scarce. Using quarterly welfare payment data for the period 2019-2021 from the Department of Social Services, we noted a marked increase in the percentage of 16- to 21-year-olds who received youth allowance (other) payments. While a greater proportion of Indigenous youth than non-Indigenous youth received the payments from 2019 to 2021, the gap widened following the outbreak of the pandemic. Further, applying regression analysis to data from the 2019 and 2020 waves of the 2015 Cohort of the Longitudinal Study of Australian Youth (LSAY), we find no statistically significant change in individual-level labour force status between 2019 and 2020. However, pandemic-induced labour market crises appear to have been associated with reduced work hours, heightened career concerns and sustained nonemployment, where potential impacts are larger among traditionally vulnerable youth groups such as female, Indigenous and overseas-born young persons. The study highlights the need for recognising the intersectionality of youth and other forms of identity (such as gender, Indigenous status and nativity) while designing labour market policies.

Main Topic: COVID-19 part V. (Main Topic: COVID-19 part V.)

This issue contains 12 articles discussing COVID-19 and other medical conditions. In particular, topics are: changes in characteristics and outcomes of critically ill COVID-19 patients in Tyrol, Austria, over 1 year;clinical characterization of hospitalized COVID-19 patients during the second wave of pandemic in the district of Rohrbach, Upper Austria;perspectives and needs of people at increased risk of severe illness from COVID-19;12-month SARS-CoV-2 antibody persistency in a Tyrolean COVID-19 cohort;prevalence of SARS-CoV-2 antibodies in healthy blood donors from Tyrol, Austria, in summer 2020;asymptomatic deep vein thromboses in prolonged hospitalized COVID-19 patients;direct cardiovascular complications and indirect collateral damage during the COVID-19 pandemic;point of care echocardiography and lung ultrasound in critically ill patients with COVID-19;management of hospitalized influenza A patients during the season 2018-19;CAR T-cell therapy and critical care;infectious diseases after medical conventions;and a case report of a frontal pulsating skin indentation with a central scar.

From the Cochrane Library: Hydrosurgical Debridement Versus Conventional Surgical Debridement for Acute Partial-Thickness Burns

The Cochrane systematic review “Hydrosurgical debridement versus conventional surgical debridement for acute partial-thickness burns” analyzed existing randomized controlled trials (RCTs) enrolling participants with acute partial-thickness burn injuries requiring debridement and grafting;this yielded one eligible study randomizing 61 pediatric patients to either conventional debridement (n=31) or hydrosurgery (n=30) [1]. Study conclusions were very low certainty on the GRADE (Grading of Recommendations Assessment, Development and Evaluation) assessment, showed a high risk of reporting bias, and were limited by the small sample size (not powered to detect differences in primary outcomes). RPD is a Joint Coordinating Editor for Cochrane Skin, a dermatology section editor for UpToDate, a Social Media Editor for the Journal of the American Academy of Dermatology, a Podcast Editor for the Journal of Investigative Dermatology (JID), Editor-in-Chief of JMIR Dermatology, a coordinating editor representative on Cochrane Council, and Cochrane Council cochair and director of the University of Colorado Anschutz Medical Campus United States Cochrane Affiliate.

Bullous Pemphigoid Following the Moderna mRNA-1273 Vaccine.

As the onset of novel variants of the severe acute respiratory syndrome coronavirus 2 virus pushes policy-makers to push widespread vaccination efforts, it is likely that an increased number of severe cutaneous adverse reactions (SCARs) will present. Therefore, it is important to understand the presentation of possible SCARs. However, data are limited regarding which SCARs are most likely to be found following vaccination, and specific presentations in certain demographic groups, such as postmenopausal women, remain widely unknown. Here, we present the case of a 73-year-old female with no medical history or allergies presenting with a unique reaction of systemic bullous pemphigoid following the Moderna mRNA-1273 vaccine. To our knowledge at the time of this writing, based on a thorough review of the literature using PubMed, no such cases exist following the Moderna vaccine in the United States in elderly, postmenopausal women. We present a brief discussion on the presentation and management to hopefully alleviate future morbidity from similar reactions with increased distribution of the vaccine.

Healing of Skin Biopsies in Wild Juvenile Green Turtles, Chelonia mydas

Skin biopsies are routinely collected from sea turtles for a variety of molecular analyses;however, almost no information exists on the natural healing rates at the site of the biopsy. Here, we monitored the healing rates of 17 juvenile green turtles (Chelonia mydas) for up to 488 d after we took a 6-mm biopsy tissue sample in Eleuthera, The Bahamas. Although scarring persisted for several months, biopsy sampling had a minimal long-term impact—tissue repair and maturation was observed after a year and a half, and there was no evidence of infection at any point during the healing process.