RESUMO
The Er:YAG laser provides superficial ablation and is generally used for more superficial rejuvenation. Three newer systems provide for thermal-coagulative and ablative properties. These systems are considered as intermediate resurfacing lasers, providing faster healing and results that are typically in between those of the CO2 and standard Er:YAG lasers. The use of traditional and combination Er:YAG lasers is reviewed along with preoperative and postoperative considerations.
Assuntos
Procedimentos Cirúrgicos Dermatológicos , Face/cirurgia , Terapia a Laser , Cicatriz/cirurgia , Humanos , Terapia a Laser/efeitos adversos , Terapia a Laser/métodos , Cuidados Pós-Operatórios , Envelhecimento da PeleAssuntos
Bacharelado em Enfermagem/organização & administração , Mentores/psicologia , Grupo Associado , Preceptoria/organização & administração , Evasão Escolar/psicologia , Estudantes de Enfermagem/psicologia , Atitude do Pessoal de Saúde , Humanos , Pesquisa em Educação em Enfermagem , Avaliação de Programas e Projetos de Saúde , Medição de Risco , Fatores de Risco , Apoio SocialRESUMO
Mantle cell lymphoma (MCL), an uncommon and aggressive form of non-Hodgkin lymphoma, typically involves lymph nodes. It usually only secondarily involves extranodal sites. We describe an unusual case of a MCL that presented and relapsed in the earlobes. Light microscopic findings were initially regarded as suggestive of small lymphocytic lymphoma, although subsequent analysis of fresh tissue by flow cytometry led to the diagnosis of MCL. Retrospective application of a broad panel of recently developed markers suitable for analysis of routinely processed tissue yielded results that also permitted a diagnosis of MCL. If these results had been available at the time of initial presentation, they would have obviated the need for rebiopsy. Greater awareness not only of the phenotypic criteria by which lymphomas are classified but of the lymphoma markers available for evaluation of routinely processed tissue should facilitate the accurate diagnosis of diseases like MCL and minimize the risk of misdiagnosis as an indolent disorder.
Assuntos
Biomarcadores Tumorais/análise , Ciclina D1/análise , Neoplasias da Orelha/diagnóstico , Orelha Externa , Linfoma de Célula do Manto/diagnóstico , Neoplasias Cutâneas/diagnóstico , Biópsia , Neoplasias da Orelha/química , Neoplasias da Orelha/patologia , Humanos , Linfonodos/patologia , Linfoma de Célula do Manto/química , Linfoma de Célula do Manto/patologia , Masculino , Pessoa de Meia-Idade , Pele/patologia , Neoplasias Cutâneas/química , Neoplasias Cutâneas/patologiaRESUMO
The demise of associate degree nursing education is greatly exaggerated. Most nurses enter nursing through associate degree programs. However, external forces--including changes in the structure of healthcare delivery models, changes in practice settings, and the public's demand for decreased healthcare cost--are forcing associate degree nursing educators to provide a different type of product. The authors offer strategies for educators to meet the challenge of equipping associate degree nursing students with the skills needed for the 21st century.
