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Verruciform xanthomas are rare lesions affecting 0.025-0.5 of the population. They present as an asymptomatic, slow growing solitary lesion on the oral mucosa. Commonly misdiagnose as squamous cell carcinoma, verruca vulgaris, leukoplakia, and lichen planus. Presented is a 22 year old male with a painful verruciform xanthoma on the posterior ear lobe in a prior ear piercing. Keywords: Keloid, trauma-induced, verruciform xanthoma, Author(s): Hannah E. Myers (corresponding author) [1]; Subhapradha Rangarajan [2]; Michael Roberts [3,4]; Christopher Buckley [3,4]; Josh Hammel [3,4] Introduction Verruciform xanthomas are rare lesions affecting 0.025-0.5 of the population.[sup.[1]] [...]

Objectives: To investigate knowledge and awareness of dental complications with oral piercings among adults with oral piercings, a control population with no piercings and body‐piercing professionals in South‐East Queensland, Australia. Methods: Participants recruited from public and private dental clinics and body‐piercing professionals from piercing centres in the same region completed questionnaires to assess knowledge and attitudes. Results: Respondents comprised 54 pierced individuals, 54 controls and 35 body‐piercing professionals. Only 13% of the pierced group were informed about oral piercing‐related complications, and 14% of body‐piercing professionals did not warn their clients about long‐term complications. The latter included chipped teeth (26%) and gingival recession (15%). About 76% play with their piercing, developing teeth grinding (15%), jaw clenching (15%) and sleep disturbances (4%). Interestingly, 41% of those with oral piercings advised others against getting piercings. Conclusions: There is a lack of awareness about dental‐related complications among pierced individuals and body‐piercing professionals. A significant proportion of pierced individuals advise others against getting piercings. Body piercers do not consistently advise clients about risks associated with oral piercings. Thus, it is recommended that programmes be developed to improve awareness of oral and dental complications associated with oral piercings. [ABSTRACT FROM AUTHOR]

The presence of facial jewelry and medical devices within a radiographic field of view may promote the formation of artifacts that challenge diagnostic interpretation. The objective of this article is to describe a previously unreported radiographic anomaly produced by an oral piercing site below the lower lip. This unusual artifact masqueraded as a severe resorptive defect, dental caries, or cervical abfraction and occurred following removal of an extremely large labret below the lower lip and subsequent acquisition of a radiographic image. The radiolucency was ultimately attributed to an extensive aperture below the lower lip created by a series of sequentially larger soft tissue expanders. Clinicians should seek correlation of atypical radiographic presentations with soft tissue defects secondary to injury or intentional oral piercing. [ABSTRACT FROM AUTHOR]

Introduction and purpose: The Coronavirus Disease 2019 (COVID-19) and its effects on patients remain the main focus of many researchers across the world. One of the challenges faced by medical professionals is the impact of the infection on the course of chronic diseases. Manifestations of the infection are observed mainly in the respiratory system, but other organs, particularly the cardiovascular system, are also frequently affected. Recent data indicates that arterial hypertension and cardiovascular diseases (CVD) are the most prevalent comorbidities in patients suffering from SARS-CoV-2 infection. Material and methods: This study aimed to investigate the impact of SARS-CoV-2 infection on the cardiovascular system. Apart from the literature review we conducted a retrospective study to check the necessity for modification of chronic treatment in patients with CVD after recovery from COVID-19, particularly regarding the use of beta blockers. Results: Using the Mann-Whitney U test a positive correlation (p = 0.04) was found between the presence of coronary artery disease before COVID-19 and a need for an increase in the beta-blockers dose. Conclusions: Patients with preexisting CVD should be closely monitored during and after recovery from SARS-CoV-2 infection due to the higher risk of complications and the potential need for modifications in the treatment of chronic diseases. Patients with coronary artery diseases may need an increase in beta-blocker doses after recovery. This is an important issue for future research, especially in the context of long COVID-19. [ABSTRACT FROM AUTHOR]

Just as tattoos continue to increase in popularity, many people with tattoos also seek removal, often due to career concerns. Prospective clients interested in laser tattoo removal may do research about the procedure online, as the internet increasingly becomes a resource to get preliminary health information. However, it is important that the online health information on the topic be of high quality and be accessible to all patients. We analyzed 77 websites from a Google search query using the terms "Laser tattoo removal patient Information" and "Laser tattoo removal patient Instructions" to assess this. The websites were evaluated for their readability using multiple validated indices and comprehensiveness. We found that websites had a broad readability range, from elementary to college, though most were above the recommended eighth-grade reading level. Less than half of the websites adequately discussed the increased risk of pigmentary complications in the skin of color clients or emphasized the importance of consulting with a board-certified dermatologist/plastic surgeon before the procedure. Over 90% of the websites noted that multiple laser treatments are likely needed for complete clearance of tattoos. The findings from our study underscore a significant gap in the accessibility and quality of online information for patients considering laser tattoo removal, particularly in addressing specific risks for patients with darker skin tones and emphasizing the need for consulting a board-certified physician before undergoing the procedure. It is important that online resources for laser tattoo removal be appropriately written to allow better decision-making, expectations, and future satisfaction for potential clients interested in the procedure. [ABSTRACT FROM AUTHOR]

This section offers news briefs from the National Environmental Health Association (NEHA) as of July 2024. A toolkit for Body Art Model Code adoption for jurisdictions has been developed. A Disaster Readiness Simulator is under development to enable organizations to test and understand emergency response capabilities and human resource capacities. The 17th International Federation of Environmental Health World Congress was held in Perth, Western Australia.

Inhomogeneous lithium‐ion (Li+) deposition is one of the most crucial problems, which severely deteriorates the performance of solid‐state lithium metal batteries (LMBs). Herein, we discovered that covalent organic framework (COF‐1) with periodically arranged boron‐oxygen dipole lithiophilic sites could directionally guide Li+ even deposition in asymmetric solid polymer electrolytes. This in situ prepared 3D cross‐linked network Poly(ACMO‐MBA) hybrid electrolyte simultaneously delivers outstanding ionic conductivity (1.02 × 10−3 S cm−1 at 30 °C) and excellent mechanical property (3.5 MPa). The defined nanosized channel in COF‐1 selectively conducts Li+ increasing Li+ transference number to 0.67. Besides, The COF‐1 layer and Poly(ACMO‐MBA) also participate in forming a boron‐rich and nitrogen‐rich solid electrolyte interface to further improve the interfacial stability. The Li‖Li symmetric cell exhibits remarkable cyclic stability over 1000 h. The Li‖NCM523 full cell also delivers an outstanding lifespan over 400 cycles. Moreover, the Li‖LiFePO4 full cell stably cycles with a capacity retention of 85% after 500 cycles. the Li‖LiFePO4 pouch full exhibits excellent safety performance under pierced and cut conditions. This work thereby further broadens and complements the application of COF materials in polymer electrolyte for dendrite‐free and high‐energy‐density solid‐state LMBs. [ABSTRACT FROM AUTHOR]

The interrelated side reactions and dendrites growth severely destabilize the electrode/electrolyte interfaces, resulting in the difficult application of aqueous Zn ion batteries (AZIBs). Hydrophobic protective layer possesses natural inhibition ability for side reactions. However, the conventional protective layer with plane structure is difficult to attain joint regulation of side reaction and Zn nucleation. Herein, a novel three‐dimensional (3D) electrically conductive and hydrophobic (3DECH) interface is elaborated to enable stable Zn anode. The as‐prepared 3DECH interface presents a uniform 3D morphology with hydrophobic property, large specific surface area, abundant zincophilic sites, and excellent electroconductivity. Therefore, the 3DECH interface achieves uniform nucleation and dendrite‐free deposition from synergetic benefits: (1) increased nucleation sites and reduced local current density through the special 3D structure and (2) uniform electric potential distribution and rapid Zn2+ transport due to the electroconductive alloy chemistry, thus coupling the hydrophobic property to obtain a highly reversible Zn anode. Consequently, the modified anode achieves a superior coulombic efficiency of 99.88% over 3500 cycles, and the pouch cells using modified anode and LiMn2O4 (LMO) cathode retain a capacity of 84 mAh g−1 after 700 cycles at a reasonable depth discharge of 36%, without dendrite piercing and "dead Zn." [ABSTRACT FROM AUTHOR]

Outlined with this report is what is known regarding a significant donation of photographs received by the Museum of Archaeology and Anthropology (MAA), Cambridge, in 2010. The photographer was Jutta Merensky, later Jutta Gethen (1911–96). Information available at present indicates that she visited the Pacific twice or more, probably in 1961 and over 1968–69. Several hundred transparencies and prints now cared for in Cambridge feature landscapes, ceremonies, people and daily activities in Aotearoa New Zealand, Samoa, French Polynesia and elsewhere and notably include a sequence of tatau (tattooing) photographs from Samoa. [ABSTRACT FROM AUTHOR]

The article discusses the lack of regulation and oversight surrounding outpatient elective intravenous hydration therapy, also known as IV drip therapy, in the United States. IV hydration therapy is offered at various establishments, including medical spas and IV hydration clinics, and is marketed for various medical applications. The lack of regulation raises concerns about the safety and sterility of the procedures, as well as the potential for transmissible risks to blood donors. The article suggests increased regulatory oversight and a 3-month deferral for blood donation after receiving IV hydration therapy from unregulated establishments. [Extracted from the article]

The article "Insights in ADHD: 2023" published in Frontiers in Psychiatry discusses seven papers that cover various aspects of Attention-Deficit/Hyperactivity Disorder (ADHD). The papers explore topics such as prevalence, clinical management, dose optimization, neurocognitive mechanisms, and the association between ADHD and external factors. The studies provide insights into the higher burden of illness among adults with ADHD, the importance of a comprehensive differential diagnosis for accurate treatment, the potential indicators of subclinical ADHD, the influence of ADHD on neuro-ophthalmologic function, and the role of emotion dysregulation and depressive symptoms in ADHD. The article emphasizes the need for further scientific investigations to fill the knowledge gaps surrounding ADHD. [Extracted from the article]

In her autofictional writings, Marta Sanz exhibits herself tattooing her own middle-aged, diseased body before the public gaze. Her body could be any woman’s body: it becomes a privileged locus from which to examine a sense of vulnerability that exceeds the author herself. Sanz’s work serves as an entry point to the study of an emerging mode of socially committed autofiction produced by a transgenerational group of contemporary feminist authors, including Paula Bonet, Layla Martínez and Sara Torres. I turn to the works of Jacques Rancière and Sara Ahmed to examine how the aesthetics of these texts might affect the reader, thereby shedding light on the political – the relations to be established between what is seen and what is imaginable; what is done and what can be done –. The life writings recently published by Bonet, Martínez, Sanz and Torres, I sustain, signal the passage from a centripetal and patriarchal model of autofiction, where the author monologues with himself, to a centrifugal model, where the author reaches out to her audience. [ABSTRACT FROM AUTHOR]

Postoperative pain is a common complication in patients undergoing major surgical operations, interfering with comfort and recovery and increasing the risk of further complications. This study aimed to evaluate the effectiveness of NSAIDs in managing postoperative pain at Manokwari Regional Hospital. Utilizing qualitative research methods, data was collected through observation and literature study and analyzed via data reduction, data presentation, and conclusion drawing. The findings indicate that NSAIDs effectively alleviate postoperative pain by inhibiting cyclooxygenase (COX) enzymes responsible for prostaglandin production. However, their use is limited by potential systemic side effects, including gastrointestinal disorders, kidney impairment, increased blood pressure, heart attack, and heart failure. Consequently, topical NSAID formulations are recommended to mitigate these risks. The study suggests that while NSAIDs are effective, clinicians should consider their side effects and prefer topical alternatives. Future research should explore the efficacy and safety of topical NSAIDs and alternative pain management strategies to enhance clinical practice. [ABSTRACT FROM AUTHOR]

Background: Acoustic telemetry is an important tool to study the movement of aquatic animals. However, studies have focussed on particular groups of easily tagged species. The development of effective tagging methods for ecologically important benthic species, such as sea stars, remains a challenge due to autotomy and their remarkable capacity to expel any foreign material. We tested three methods to surgically attach acoustic transmitters to the common sea star Asterias rubens; two methods attached the tag to the aboral side of the central body and the third attached the transmitter to the aboral side of an arm. Laboratory experiments evaluated each method in terms of survivability, tag retention, associated injuries, and changes in feeding behaviour and physical condition. Results: Laboratory results were highly variable; however, all tagging methods caused significant injury to the epidermis and deeper tissue around the attachment site over periods greater than 4 weeks. Attaching a tag by horizontally piercing the central body (method HPC) had minimal effects in the short-term (2–3 weeks) and this method was used for a pilot tagging study in the field, where 10 sea stars were tagged and placed within an existing acoustic telemetry array. Although, the interpretation of field data was challenging due to the characteristic slow movement of sea stars, movements of a similar magnitude to previous studies were identified during the 2–4 weeks after sea stars were tagged and released. However, this apparent period of tagging success was followed by a reduction in movement that, when viewed in conjunction with laboratory results, potentially indicated a deterioration in the sea stars' physical condition. Conclusions: While acoustic telemetry continues to provide novel insights into the ecology of a wide variety of marine species, species-specific effects of tagging should be evaluated before starting field studies. If the autonomous study of benthic movement is to expand beyond hard-bodied macroinvertebrates current methodological and analytical challenges must be addressed. [ABSTRACT FROM AUTHOR]

Surgical management of a diseased thyroid depends on sonological and pathological evaluation and thereby, planning of the surgery. The definite surgery has two objectives: removal of the diseased gland and preservation of the nerves, namely EBSLN (External Branch of Superior Laryngeal Nerve) and RLN (Recurrent Laryngeal Nerve) and the Parathyroid glands. The objectives of the study were: (1) To identify the course of the RLN and EBSLN of both sides, during Thyroidectomy. (2) To discern various anatomical landmarks, the relations of the two nerves with them and anatomical variations, if any. In this Prospective observational study, fifty selected goitre patients underwent various types of thyroidectomies based on sonological and cytological criteria. The course and anatomical variations of EBSLN and RLN were photo-documented and results were analysed. Most of the EBSLN were found as Cernea type 1 type (25 out of 50), followed by Cernea type 2a (comprising 36%). The least common was type 2b. It was found that 36 out of 50 (72%) of RLN passed posterior to Inferior Thyroid Artery (ITA). Moreover, before piercing cricothyroid joint, the RLN showed bifurcation in 13 out of 50 subjects (26%), 1 participant had trifurcation and the remaining 36 (72%) had a single trunk. The EBSLN shows relation to the horizontal plane passing through the upper pole of the thyroid gland and it is more prone to get damaged when it passes within less than 1 cm to the plane. The RLN has various relations to the distinct anatomical landmarks thereby helping in safe dissection of the nerve. The study also noted the RLN in relation to ITA and branching before entering into the cricothyroid joint. [ABSTRACT FROM AUTHOR]

This article shows the effective clearance and safe treatment for a novel Picosecond Laser with shortest pulse width in treatment sessions with 4 patients. Conclusion: Picosecond lasers with very short pulse length can enable a more effective and painless treatment than nanosecond Lasers for black and colored tattoos and in some cases, it is possible to clear tattoos with fluences of a lesser scale than with nanosecond domain pulses. Our cases show better clearance in less treatment sessions compared to other lasers with which we have gained experience in our practice. The MOA (Mechanism of action) allows a safe and effective treatment with lower fluences, as a result decreasing the thermal energy transfer to surrounding tissues and minimizing the risk of scarring and reducing the patient’s pain. [ABSTRACT FROM AUTHOR]

In this paper, the works of Argentinean writer Samanta Schweblin are explored, focusing on the concept of dissolved horror as a guiding framework. Dissolved horror describes a unique form of horror that goes beyond the typical extremes of gore and gothic imagery. Instead, it embraces an eerie, peculiar, and intimate lyrical dimension, prompting Schweblin to reshape semantics and challenge traditional narrative conventions in horror storytelling. To analyze Schweblin's aesthetic and poetic approach to dissolved horror, this article draws a parallel with the body of work by Mariana Enriquez. This comparative analysis sheds light on Schweblin's distinct narrative patterns, tropes, and strategies. I trace the literary trajectories of these two prominent writers, rooted in their individual experiences as adolescents exposed to the pervasive climate of fear and the haunting specter of shattered and vanished lives and bodies during the Argentinean military dictatorship. By delving into both authors' poetic affinities and unique creative paths, I aim to contribute to a more precise and thoughtful taxonomy that enables readers to fully comprehend the current and unparalleled Latin American feminine and feminist literary landscape. [ABSTRACT FROM AUTHOR]

Introduction: Pigments of tattoo inks may over time migrate to other parts of the body. Inks kinetics are still poorly understood and little studied. The aim of this first study was to investigate the kinetics of tattoo inks pigment in tattooed porcine skin, which is closer to human skin than mouse skin studied in the past. Methods: Three animals were tattooed on the inner thigh and one animal served as untreated control. Skin biopsies were taken on days 7, 14, and 28 after tattooing. Animals were sacrificed on day 28 and homogenate samples of the liver, spleen, kidney, and brain, as well the local lymph nodes were prepared. All samples were analyzed for ink components using inductively coupled plasma-mass spectrometry. The ink itself was characterized by dynamic light scattering and matrix-assisted laser desorption-ionization mass analysis. Results: Titanium (212 g/kg), copper (6 mg/kg), aluminum (1 mg/kg), zirconium (1 mg/kg), and chromium (3 mg/kg) were found in the ink. Significant deposits of ink elements were detected in the tattooed skin when compared to non-tattooed skin from the same animal (mean ± standard deviation: titanium 240 ± 81 mg/kg, copper 95 ± 39 mg/kg, aluminum 115 ± 63 mg/kg, zirconium 23 ± 12 mg/kg, and chromium 1.0 ± 0.2 mg/kg; p < 0.05). Lymph node concentrations of titanium, copper, aluminum, zirconium, and chromium were 42 ± 2 mg/kg, 69 ± 25 mg/kg, 49 ± 18 mg/kg, 0.3 ± 0.2 mg/kg, 0.5 ± 0.2 mg/kg, respectively. Conclusion: Deposits in skin were unchanged from days 7–28 indicating no redistribution or elimination. No significant deposits of ink elements were found in the liver, spleen, kidney, and brain. In conclusion, our findings confirmed distribution of elements from tattoos to regional lymph nodes, but neither to excretory organs, e.g., liver and kidney, nor to spleen and brain. Thus systemic internal organ exposure was not found. [ABSTRACT FROM AUTHOR]

Background: Daith piercing is a special ear‐piercing method that punctures the crus of the helix. The penetrated site at the ear's innermost point is assumed to stimulate a pressure point associated with the vagus nerve. It has been reported that the pierced spot relieves migraine and tension‐type headaches by activating vagal afferents, leading to the inhibition of neurons in the caudal trigeminal nucleus via the nucleus tractus solitarii. Objective: The objective of this narrative literature review is to summarize the current state of knowledge concerning daith piercing for the treatment of migraine and tension‐type headaches from the perspectives of the Chinese and Western auricular systems. Methods: PubMed and China National Knowledge Infrastructure databases were searched using the keywords "daith piercing," "auricular points," "headache," and "acupuncture" from database inception to September 1, 2023. Only studies on humans were eligible; otherwise, no further restrictions were applied to the study designs, type of headache, or patient population of the identified articles. Bibliographies of all eligible studies were screened for further eligible studies. The main outcome of interest was a quantitative measure of pain relief by daith piercing. Secondary outcomes were relapse time of headache and further outcomes related to daith piercing, if available. Results: From a total of 186 identified articles, one retrospective study and three case reports fulfilled the inclusion criteria. No clinical trial was identified. The obtained studies describe patients experiencing chronic headaches undergoing daith piercing without changing or reducing their usual medication. In all case studies and the retrospective study, patients reported substantial reductions in pain immediately after daith piercing; however, headache symptoms recurred several weeks to months thereafter. From the perspective of the Chinese and Western auricular systems, no sufficient explanation for the described treatment effect of daith piercing was found. Conclusion: The available literature, combined with the reported recurrence of pain as well as the associated side effects of daith piercing, indicate that current evidence does not support daith piercing for the treatment of migraine, tension‐type headaches, or other headache disorders. Plain Language Summary: This paper summarizes what we know about Daith piercing (DP) for chronic migraine and tension‐type headache and discusses how DP might work. Current evidence does not support DP as an effective treatment of chronic migraine and tension‐type headache. These findings might assist clinicians in discussing this subject with patients as well as guide future research. Plain Language Summary: This paper summarizes what we know about Daith piercing (DP) for migraine and tension‐type headache and discusses how DP might work. Current evidence does not support DP as an effective treatment of migraine and tension‐type headache. These findings might assist clinicians in discussing this subject with patients as well as guide future research. [ABSTRACT FROM AUTHOR]

The popularity of esthetic medicine is growing every year, also among patients with autoimmune inflammatory rheumatic diseases (AIRD). The objective of this study was to evaluate the safety of esthetic medicine (AM) procedures in patients with AIRD. A semi-structured, anonymous questionnaire regarding rheumatic and concomitant diseases and AM procedures was distributed among adult patients hospitalized in the rheumatology department or attending outpatient clinic in the National Institute of Geriatrics, Rheumatology, and Rehabilitation, Warsaw. The main outcome was the occurrence of an adverse event. A number of 512 patients took part in the survey and 15 were excluded (AM procedure preceded the diagnosis of AIRD). The study group consisted of 497 patients, of whom 47 had undergone AM procedures. The procedures performed included: tattooing (22 patients), piercing (16 patients), hyaluronic acid (7 patients), botulinum toxin (5 patients) injections, laser procedures (6 patients), plastic surgery (4 patients), mesotherapy (3 patients) and others. The vast majority of patients had these performed during remission or low disease activity. 70.2% of patients received treatment with disease-modifying antirheumatic drugs (DMARDs) during the AM procedure, with TNF-alfa inhibitors being the most common (63.6%). Adverse events occurred in 15% of patients. All were mild and transient site reactions. Most patients would like to repeat the AM procedure in the future. The use of esthetic medicine procedures in patients with AIRD, including those treated with biologic DMARDs, was associated with a risk of mild site reactions. Most of the patients expressed satisfaction with the results of the AM procedure. [ABSTRACT FROM AUTHOR]

Aim: Evidence on the impact of oral piercings on periodontal conditions is scarce. Thus, the aim of this systematic review was to evaluate the influence of oral piercings on periodontal health. Materials and Methods: A systematic literature search was performed for studies published by 6 June 2023, using three electronic databases and a hand search. Clinical trials including ≥10 patients wearing ≥1 oral piercing and presenting data on probing pocket depths (PPDs) were considered. Primary outcomes were PPD, and secondary outcomes included clinical attachment loss (CAL), gingival recession, bleeding on probing (BOP), and plaque score (PI). A synthesis of results, using a vote‐counting method, was applied. Results: From 131 titles identified, eight studies, published between 2007 and 2022, were included. Out of these were six cross‐sectional studies and two case series. A total of 236 lip piercings and 236 tongue piercings in overall 408 patients were analyzed. In patients with tongue piercings, teeth adjacent to the piercing showed increased PPD (3 of 5 studies), more CAL (3 of 4 studies), more gingival recessions (4 of 4 studies) and a higher BOP (2 of 3 studies) compared with control teeth. In patients with lip piercings, teeth adjacent to the piercing demonstrated more gingival recessions (3 of 4 studies) compared with control teeth. Time since piercing placement was associated with localized periodontal destruction in patients with tongue and/or lip piercings (4 of 7 studies). Conclusions: The available evidence from eight studies suggests negative effects of tongue piercings on several periodontal health parameters of adjacent teeth, while gingival recessions were frequently detected in patients with lip piercings. [ABSTRACT FROM AUTHOR]

Body piercing has been practiced for centuries in Asian and African countries as a part of religious and cultural ceremonies. Complications like bleeding, pyogenic bacterial infections like staphylococcal and pseudomonas, viral infections like hepatitis B virus, allergic reactions, scarring, granuloma formation, and sarcoid-like foreign body formation have been reported. Thaipusam is a traditional religious festival observed in Asian countries, commonly in India and Malaysia. During the celebration, devotees allow their bodies to be pierced and decorated with needles, hooks, and skewers (Alagu kuthuthal) on cheeks, tongue, chest, and back, followed by "holy ash" (Vibhuthi). We report a case of cutaneous tuberculosis because of the body piercing during this traditional festival. The patient was started on anti-tubercular therapy, and the lesions disappeared within 2 months of ATT. [ABSTRACT FROM AUTHOR]

Objective: To determine the association between adolescent hospitalization for suicide attempts and the subsequent risk of eating disorder hospitalization. Method: This was a cohort study of 162,398 adolescent girls in Quebec, Canada, including 7741 with suicide attempts before 20 years of age, matched to 154,657 adolescents with no attempt between 1989 and 2019. The main exposure measure was suicide attempt hospitalization. The main outcome measure was hospitalization for an eating disorder up to 31 years later, including anorexia nervosa, bulimia nervosa, and other eating disorders. We used adjusted Cox regression models to estimate hazard ratios (HR) and 95% confidence intervals (CI) for the association between adolescent suicide attempts and eating disorder hospitalization. Results: Adolescent girls admitted for a suicide attempt had 5.55 times the risk of eating disorder hospitalization over time (95% CI 3.74–8.23), compared with matched controls. Suicide attempt was associated with anorexia nervosa (HR 3.57, 95% CI 1.78–7.17) and bulimia nervosa and other eating disorders (HR 8.55, 95% CI 5.48–13.32). Associations were pronounced in girls with repeated suicide attempts. Girls who attempted suicide through self‐poisoning had an elevated risk of anorexia nervosa, whereas girls who used violent methods such as cutting or piercing had a greater risk of bulimia nervosa and other eating disorders. Suicide attempt was strongly associated with eating disorder hospitalization in the year following the attempt, but associations persisted throughout follow‐up. Discussion: Suicide attempt admission is associated with the long‐term risk of eating disorder hospitalization in adolescent girls. Public Significance: This study of adolescent girls suggests that suicide attempt admission is associated with the long‐term risk of hospitalization for eating disorders. The risk is greatest in the year after the attempt, but persists over time. Adolescents who present with a suicide attempt may benefit from screening for eating disorders and long‐term follow‐up to help prevent the exacerbation or development of eating disorders. [ABSTRACT FROM AUTHOR]

Purpose: This systematic review explored dental complications associated with metal ion release from oral piercings using the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Methods: Item retrieval from October 2022 to December 2022 from databases, such as Cochrane Central Register of Controlled Trials, Medline, PubMed, Embase, Scopus and Web of Science, using predefined search terms was undertaken by two independent reviewers. Data were extracted and risk of bias was assessed using the Joanna Briggs Institute (JBI) critical appraisal checklist. From 1509 identified studies, 25 were included for analysis. Results: Of the 25 studies, 20 included both clinical examination and questionnaire-based data. The remaining five studies were deemed low quality based on the Joanna Briggs Institute criteria. The average time piercings were worn ranged between 5 and 48 months. Most studies did not investigate complications from metal ion release. Only two studies examined the direct effects of metal ion release and showed that metal ions may cause hypersensitivity reactions and mucosal changes. Other soft tissue complications were reported, with gingival recession noted in 16 out of 25 studies, especially due to lip piercings. Studies reporting other complications were as follows: swelling (9), pain (8), infection (6), bleeding (6), inflammation (5), alterations to speech, eating and/or swallowing (5), changes to taste or metallic taste (5), and mucosal changes (4). Ten studies reported tooth chipping from tongue piercings. Conclusion: Oral piercings leach metal ions into surrounding tissues which may cause local mucosal changes. Furthermore, oral piercings cause damage to both soft and hard oral tissues, particularly gingival recession for lip piercings and tooth chipping for tongue piercings. Thus, to prevent such adverse injuries, dental professionals should discourage patients against oral piercings. [ABSTRACT FROM AUTHOR]

Objectives: Due to the growing popularity of body modifications, dental practitioners are increasingly confronted with oral piercing and its implications. Successful consultation and subsequent change of patient behavior require an understanding of the patient's personality and the deep reasons that explain this self-injurious behavior. This is the first study evaluating personality traits and aspects of body perception in a cohort of adults with oral piercing. Method and materials: Sixty-two individuals with labial and/or tongue piercing completed three validated questionnaires assessing body perception and personality traits (Questionnaire for assessing one's own body; Sensation Seeking Scale; Big Five Inventory Scale). Fisher Exact probability test and Mann-Whitney U test were used to determine differences in frequency data and in psychologic parameters between subgroups. Results: Eighteen single- and 44 multiple-pierced individuals completed the study (53 women, 9 men). The odds for being multiple pierced was significantly higher for tongue than for labial piercing (3.89 and 0.63, respectively; P = .003). In all psychologic parameters measured, the sample showed score distributions within reference norms. However, multiple-pierced individuals displayed a significantly lesser feeling of attractiveness, less self-confidence, and more uncertainty/anxiety towards their body than single-pierced probands (P < .05). Conclusion: Psychologic characteristics of individuals with oral piercing do not fundamentally differ from those of the average population. Therefore, dental practitioners should focus on the medical and dental implications of oral piercing in the counseling of patients who have or intend to have such done. [ABSTRACT FROM AUTHOR]

This article explores the factors that impact patients' confidence in their Mohs surgeons. The study surveyed 157 adult patients who were about to undergo Mohs surgery and analyzed their responses. The study found that factors such as physician appearance, reputation, communication skills, and support staff significantly influenced patient confidence. Additionally, patient-centered communication skills, referrals, and positive impressions of staff members were associated with increased patient confidence. The article concludes that identifying these characteristics can help strengthen the patient-physician relationship. The article also includes a case study examining the examination of tissue samples for residual basal cell carcinoma. It is published by the American Society for Dermatologic Surgery and unauthorized reproduction is prohibited. [Extracted from the article]

The aim of the study is to determine the most common complications in patients with proximal humerus fractures (PHFx) operated with an angle - stable plate (ASP) and their dependency with subsequent unplanned interventions (re-operations). For the period from 2016 to 2019, 114 cases of PHFx were operated with ASP, of which 64 without augmentation. The average age of the patients was 67 years (22-87), the follow-up period was between 12 and 42 months. Patients were evaluated clinically (Constant-Murley Score, DASH score) and radiologically (two projections). 41 cases of complications (36%) have been recorded during the follow-up period. Among implant-related complications, the most common were those involving screws (14%) and subacromial impingement (7%). Implant nonrelated complications included 7.9% reposition loss, AVN (7%), adhesive capsulitis (7%), infection (1.8%). The established rate of reoperations (6.1%) does not correspond to the established rates of complications. Despite the clinical and radiological findings in registered complications the leading factors for the choice of another intervention in most cases are subjective evaluation of the patients in relation to their post-operative condition, as well as the requirements determined by their age. [ABSTRACT FROM AUTHOR]

The article focuses on the depiction of the writing process, as showcased in Monty Python's sketch of Thomas Hardy writing "The Return of the Native." It details the intricate gestures, hesitations, and patterns observed during the act of writing, emphasizing the complexities and nuances of the writing process. The authors, inspired by Steffen Martus and Carlos Spoerhase's "Geistesarbeit," delve into the detailed examination of the labor of the mind in humanities.

This study is aimed at challenging the notion that risk-taking is based merely on some mechanistic foundation like control deficiencies or process imbalances. We hypothesize that risk-taking has an adaptive function and is an optimal strategy for an agent who (1) has scarce knowledge about the current environment or (2) is in a position in which a potential loss is not threatening. We argue that the two above are related to age which, in turn, may explain association between age and risk-taking commonly reported in the developmental literature. We investigate the possible influence of the age-related variables on the risk propensity in two ways: by inducing rich or scarce knowledge and safe or unsafe position in the experimental environment with task parameters and, simultaneously by examining actual differences between adolescents and adults. The results of two experiments that used a novel compound risk task provide support for the first hypothesis concerning knowledge about the environment. On the other hand, the results falsify the second "safe position" hypothesis. Also, the second experiment reveals that one's status relative to resources can influence risk-taking, but it does so in a way that is different from our initial assumption. [ABSTRACT FROM AUTHOR]

Diagnosis is an activity that refers to the examination of something. Diagnosis is often associated with medical activities as a determinant of a person's condition, in the health sector diagnosis means a procedure performed by a doctor to determine a patient's condition. Unfortunately, it is rare to diagnose disease using an object wound, whereas if the wound is not treated immediately it can lead to more serious illnesses such as ulcers and tetanus or in some cases it can cause infection which then becomes a complication, in the worst case amputation occurs. The skin protects the body from various threats, the skin is also the first fortress for the body. Before implementing a prototype external wound diagnosis, it is necessary to test the accuracy of the algorithm to be used so we know that the algorithm used is suitable for the system to be developed. The algorithm that can be used for diagnosis or classification is the Support Vector Machine or SVM which in the process goes through 3 stages, namely data collection, preprocessing, and classification. This research obtained the results of feature extraction on the wound image test data using GLCM with a contrast value of 0.0082, a correlation value of 0.9769, an energy value of 0.6391, and a homogeneity value of 0.9959 as well as the accuracy of using the SVM algorithm which was measured using a confusion matrix to get an accuracy value of 96.39%, 93.06% precision, recall 92.85%, and F1-score 92.58%. The results of the accuracy of the classification of external wound images using the SVM algorithm are 92.85%. [ABSTRACT FROM AUTHOR]

Background: To evaluate the feasibility of creating flanges using an optic piercing technique with a 6 − 0 polypropylene monofilament for scleral fixation of dislocated one-piece diffractive multifocal intraocular lenses (IOLs). Study Design: Experimental study and case series. Subjects: Optical bench test and eyes with IOL dislocation. Methods: Two separate 6 − 0 polypropylenes were penetrated twice at the opposite peripheral optic of the TECNIS Synergy IOL (Johnson & Johnson Vision). The root mean square of the modulation transfer function (MTFRMS), at between + 1.00 and − 4.00 D of defocus, was measured in the TECNIS Synergy IOL both with and without optic piercing in the optical bench study. This case series included three eyes from two patients who underwent scleral-fixation of multifocal IOLs using the four-flanged polypropylene optic piercing technique. The postoperative corrected distance visual acuity (CDVA) at 4 m, the uncorrected near visual acuity (UNVA) at 40 cm, and IOL centration were evaluated. Results: The optical bench test showed no differences in MTFRMS values measured in the TECNIS Synergy IOL, either with or without optic piercing at all defocuses. In all three case series, the postoperative CDVA at 4 m was 20/20 and UNVA at 40 cm was J1. Postoperative anterior segment photographs showed good centration of IOLs in all cases. Conclusion: The four-flanged polypropylene optic piercing technique for multifocal IOL scleral fixation can provide excellent clinical outcomes and IOL stability after surgery without diminishing the performance of the multifocal IOLs. [ABSTRACT FROM AUTHOR]

Rationale and Objective: To evaluate the characteristic clinical and imaging findings of charcoal granuloma and suggest features that may differentiate charcoal granuloma from breast cancer. Materials and Methods: This retrospective study included 18 patients with a histologically confirmed breast charcoal granuloma between 2005 and 2021 at a single institution. All patients had a history of breast surgery after ultrasound (US)-guided charcoal marking. Two radiologists analyzed the radiologic findings of charcoal granulomas, including the presence of a mass or calcification; the shape, margin and density of the masses on mammography; and the location, size, shape, margin, orientation, echogenicity, vascularity, presence of an echogenic halo, and posterior acoustic shadowing on US. In cases with available follow-up images, we also investigated whether the size and shape had changed. Results: The median interval between breast surgery and the diagnosis of charcoal granuloma was 2.3 years (range, 0.7–18.3 years). Thirteen lesions (72.2%) were detected on screening images. In 11 (61.1%) cases, the surgical incision was not made in the tattooed skin area. Mammography showed positive findings in 10/15 patients, and most lesions were isodense masses (70%). There were no cases with calcification. On US, all lesions were masses and showed a taller-than-wide orientation (61.1%), round or oval shape (55.6%), and iso- or hyperechogenicity (83.3%). Echogenic halo (27.8%) and posterior acoustic shadowing (16.7%) were uncommon. On Doppler US, only four cases (22.2%) showed increased vascularity. Most were classified as BI-RADS 3 (38.9%) or 4A (50.0%). After biopsy, 12 patients had follow-up mammography and US. The size of the lesion decreased in nine cases and remained unchanged in three cases. A decrease in the lesion size after biopsy showed a negative correlation with the interval between detection on imaging and biopsy (p = 0.04). Conclusion: Charcoal granuloma is most commonly found 2–3 years after surgery and occurs more frequently when the incision site is different from the tattooed skin area. US findings of tall and round or oval masses with iso- or hyperechogenicity without increased vascularity could help to differentiate them from malignancies. [ABSTRACT FROM AUTHOR]

This article uses the Stratford Festival's 2022 production of Hamlet, directed by Peter Pasyk and starring Amaka Umeh, to examine the performance conditions which shaped the play's metatheatrical speech acts and subsequent audience responses. Building on J.L. Austin's theory of speech acts and recent work by Stephen Purcell on Shakespearean metatheatricality, this article demonstrates spontaneous audience responses within the Stratford Hamlet as essential to the co-creation of the performance. This performance analysis also proposes new theoretical language for how metatheatrical speech acts provoke responses in a thrust-stage performance space such as Stratford's Festival Theatre. [ABSTRACT FROM AUTHOR]

The article focuses on the complications associated with body piercings, particularly cutaneous and mucosal piercings. Topics include the prevalence of body piercing, common complications such as infections and tissue damage, and the importance of hygiene in piercing salons to prevent these complications.

This article investigates Jane Austen's network of bodily metaphors in Persuasion, re‐examining 'bloom' in the context of its pair, 'ruin'. While the novel is traditionally understood as a progress narrative that moves from Anne's self‐description as being 'in ruins' to the restoration of her 'bloom', the article examines the inconsistency around Anne's appearance and 'bloom' throughout the novel, contending that rather than presenting a progression, the novel stages the problematics of physiognomy, of reading the body as an index of internal feeling. I argue that by situating Austen's metaphors within context of picturesque writing on ruins and 'roughness' from William Gilpin and Uvedale Price, we can conceive of weathered, worn out, broken, pierced, and ruined bodies as the rough texture that animates Persuasion. [ABSTRACT FROM AUTHOR]

This study delves into the philosophy, aesthetics, and educational components of somaesthetics to highlight the art of living by practicing body awareness. Specifically, this study focuses on 'education as a practice in somaesthetics' by using yoga as a practical example of this new educational model.This paper reconceptualize education from the perspective of somaesthetics by examining the themes of meliorism, to-and-fro motion, transcendence, and philosophical living as self-cultivation. I also examine the significance of yoga as a conscious process of a bodily experience that results in creating self-style. It analyses twenty-two records of yoga practitioners' experiences and feelings through the method of embodied meta-cognitive verbalisation to illustrate how body awareness plays a critical role in many facets of self-improvement. [ABSTRACT FROM AUTHOR]

Appendicitis is the most common general surgery condition encountered in pregnant patients. Its presentation and diagnosis can be confounded by physiological changes of pregnancy causing atypical symptoms and overlap between pregnancy symptoms and appendicitis. Diagnosis of appendicitis in pregnancy is important, as pregnant persons have a much higher rate of complication from appendicitis. In this case report, we describe a patient with a history of right lower quadrant pain thought to be related to round ligament pain. Her previously undiagnosed appendicitis was discovered during routine inspection during caesarian section. The patient's final pathology revealed a metallic foreign body, one of the rarest causes of appendicitis. [ABSTRACT FROM AUTHOR]