how to generate barcode in c#.net 9: Leg Rejuvenation in .NET framework

Generator QR in .NET framework 9: Leg Rejuvenation

9: Leg Rejuvenation
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with a lower concentration of sclerosant For instance, one can substitute 01% STS foam for 02% STS liquid Lower concentrations are used for veins of all sizes Foamed solution should only be used for varicosities, perforating veins, reticular veins, and larger telangiectasias (10 to 2 mm) Smaller telangiectasia ( 1 mm) run the risk of increased pigmentation and matting as more in ammation occurs when relatively increased concentration interacts with the vein wall14
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During the treatment of spider veins, it is important to rst treat any of the blue reticular veins that are feeding the telangiectasias in the hope of decreasing the number of needle sticks and the potential number of treatments15 When treating blue reticular veins, always pull the syringe plunger back to see the ashback of blood, to ensure you are in the vessel before injection If there is no associated reticular vein, then start injecting at the base of the telangiectatic web The sclerotherapy tray is prepared with the necessary equipment (Figure 93 and Table 92) A 30-gauge needle, bent to an angle of 10 to 30 degrees with the bevel up, is placed on the skin so that the needle is parallel to the skin surface A 3-mL syringe lled with 15 to 2 mL of solution is held between the index and middle ngers (Figure 94) The nondominant hand is used to stretch the skin around the needle and may offer
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TABLE 92 Sclerotherapy Tray Cotton balls soaked with 70% isopropyl alcohol Protective gloves 3 mL disposable syringes 30 gauge disposable transparent hub needles Cotton balls or STD pads for compression TransporeTM and/or paper tape 2% nitroglycerine paste (for prolonged blanching or extravasation) Sclerosing solutions in labeled syringes: Sodium tetradecyl sulfate (various concentrations) Hypertonic saline (10%) and dextrose (25%) Glycerin (72%) diluted with 1% lidocaine with epinephrine (1:100 000) in a 2:1 solution 3-way stopcock to foam solutions (1:4 sclerosant:air)
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additional support for the syringe Magnifying lenses or operating loops on the order of 15 to 3 X may help cannulation of the smallest telangiectases The initial treatment of telangiectatic webs begins with the lowest possible concentration that will cause a telangiectases to sclerose over a period of 1 to 6 months postinjection This typically is 01% STS liquid or 72% glycerin for telangiectasia and 01% to 02% STS foam for reticular veins Posttreatment compression consists of use of a graduated 20 to
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Figure 93 Sclerotherapy tray The tray is composed of clearly labeled sclerotherapy solutions in 3 mL syringes, alcohol-saturated cotton balls, metal cup for sharps, three-way stopcock for foaming, extra 30 gauge needles, cotton balls and tape for compression, and nitropaste
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Figure 94 Position of the hands for sclerotherapy While the dominant hand holds the syringe and creates a platform with the fth digit, the nondominant hand stretches the skin and acts as a support for the needle hub so that ne changes in position are permitted
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| Regional Approach to Aesthetic Rejuvenation
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than surrounding chromophores, and which penetrates to the full depth of the target blood vessel with energy suf cient to damage the vessel without damaging the overlying skin The pulse duration must be long enough to slowly coagulate the vessel and its lining without damaging the surrounding tissue Over the years, the development of devices with longer wavelengths, improved cooling technology, and variable pulse durations have improved the results of laser or light treatment of leg veins, but, in general, they are not as effective as sclerotherapy
Pretreatment Evaluation
Reverse pressure from associated reticular or varicose veins must always be recognized and treated or laser treatment will be ineffective Pretreatment photographs are taken Informed consent is obtained with a discussion of the adverse effects of pain, erythema, swelling, bruising, hyper- or hypopigmentation, lack of ef cacy, and rarely crusting, blistering, and potential infection or scars A discussion with the patient informing him or her that a series of treatment will be necessary for improvement and will not prevent the formation of new vessels should also be included in the consultation Posttreatment compression is unnecessary Test sites may be considered with different laser and light sources to test the response of the vessels
Figure 95 Sclerotherapy results: Before and after sclerotherapy with foamed 01% STS and glycerin 30 mmHg support hose for 2 weeks for smaller veins Treatment intervals vary, but allowing at least 4 weeks between treatments helps to minimize the number of necessary sessions Typical results are shown in Figure 95
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