Treatment of striae distensae with needling therapy versus microdermabrasion with sonophoresis

Striae distensae (SD) is a challenging cosmetic problem for which various treatment modalities have been applied. Our aim was to evaluate the efficacy and tolerability of needling therapy versus microdermabrasion with sonophoresis in the treatment of SD. Materials and methods: Forty female patients with SD (mean duration 2.98 ± 2.66) were enrolled in this study. Patients were assigned to two groups, Group 1 treated with needling therapy and Group 2 treated by microdermabrasion with sonophoresis. In Group 1, three sessions of needling therapy were performed for each patient with 4-week interval between the sessions, while in Group 2, ten sessions of combined microdermabrasion and sonophoresis were performed for each patient. Skin biopsies were taken from the most atrophic site stained with hematoxylin and eosin stain and Masson trichrome stains to study the histopathological changes and efficacy of treatment, respectively. Results: There was a significant clinical improvement in SD in Group 1 compared with Group 2. Amount of collagen, number of fibroblasts, and epidermal thickness increased in the dermis at the end of treatment sessions (90% in Group 1 compared to 50% in Group 2). Conclusion: Needling therapy is an easy, safe, and economic method and considered as a suitable modality in management of striae.     

Reconnecting Homeless Adolescents and Their Families: Correlates of Participation in a Family Intervention

Prevention Science - Behavioral family interventions are an effective way to intervene to prevent negative developmental outcomes for adolescents. Participation in family interventions encompasses...     

Social connection as a public health adaptation to extreme heat events

Climate change is an increasingly important public health issue, reflected in morbidity and mortality outcomes during extreme heat events. At the same time, the harms of social isolation with respect to a wide range of health outcomes are becoming better understood. Given that older adults are at higher risk during hot weather and at higher risk of social isolation, they are among those at highest risk for adverse impacts of extreme heat events. While specific strategies to reduce heat exposure have been described in the literature and promoted in public health practice, these may not be readily available to socially isolated older adults. As such, it is crucial to identify key approaches to address risk due to social isolation in the aging population, and to acknowledge their limitations and barriers. Interventions rooted in social connection, a concept widely applied in interventions for public health and social well-being, should be applied as a tool for adaptation to extreme heat events.     

Heterogeneity of Second-Line Treatment for Patients With Multiple Myeloma in the Connect MM Registry (2010-2016)

Background

The treatment landscape for multiple myeloma (MM) has undergone recent changes with the regulatory approval of several new therapies indicated for second- and later-line disease. Using data from Connect MM, the largest multisite, primarily community-based, prospective, observational registry of MM patients in the United States, selection of second-line treatments was evaluated during a 5-year period from 2010 to 2016.

Effect of Chemical Surface Texturing on the Superhydrophobic Behavior of Micro–Nano-Roughened AA6082 Surfaces

Superhydrophobic surfaces on 6082 aluminum alloy substrates are tailored by low-cost chemical surface treatments coupled to a fluorine-free alkyl-silane coating deposition. In particular, three different surface treatments are investigated: boiling water, HF/HCl, and HNO₃/HCl etching. The results show that the micro-nano structure and the wetting behavior are greatly influenced by the applied surface texturing treatment. After silanization, all the textured surfaces exhibit a superhydrophobic behavior. The highest water contact angle (WCA, ≈180°) is obtained by HF/HCl etching. Interestingly, the water sliding angle (WSA) is affected by the anisotropic surface characteristics. Indeed, for the HF/HCl and the HNO₃/HCl samples, the WSA in the longitudinal direction is lower than the transversal one, which slightly affects the self-cleaning capacity. The results point out that the superhydrophobic behavior of the aluminum alloys surface can be easily tailored by performing a two-step procedure: (i) roughening treatment and (ii) surface chemical silanization. Considering these promising results, the aim of further studies will be to improve the knowledge and optimize the process parameters in order to tailor a superhydrophobic surface with an effective performance in terms of stability and durability.