homemade tattoo machine and ink | Which Facial Treatments Really Work Part 1 Its All About The Hype

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My wife complains that going for a facial is more stress than bliss nowadays. "Too many options and choices ... I don't know if I should go for a deep-clean cream cleanser or a blemish-relief clarifying one; would a diamond polishing be better than a ultrasonic exfoliation; and is a gold or propolis mask better for my skin?"

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best diy tattoo paper | Its true vitamins can make you look younger!

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Botox Efficacy Improved By Zinc Supplementation

More reasons to hit the vitamin shelves - a recent study has shown that zinc supplements can help to boost the effectiveness of botox injections, not just in cosmetic applications such as wrinkle treatments, but also in medical treatments such as for eye spasms, migraines and bladder incontinence.

Oculoplastic surgeon Dr. Charles Soparkar showed that the duration and efficacy of a botox treatment was improved by up to 30% when a  mix of zinc and phytase was given in addition to normal botox injections. The result has been less frequent botox re-injections, and better effects from each treatment session, meaning patients save more in the long run. 

Botulinum toxin A is very highly dependent on the availability of zinc for it to work properly. It has been shown that botox injections do not work very well in low zinc conditions. However, many people are zinc deficient, due to zinc binding substances in our food. The addition of phytase works to inhibit the activity of these zinc binders, or phytates, so it helps the zinc to be better absorbed by the body. 

A new zinc supplement, Zytaze (USD60 - 80 per box) has been introduced in the US, specifically to be used in conjunction with Botox injections. Will it be available here in Asia? We will have to wait and see. 

Cosmetic Medicine, MD

Dr. Liow Tiong Sin is an aesthetic practitioner who practices in Kuala Lumpur and Melaka, Malaysia. He has more than 12 years of expertise with non-surgical cosmetic treatments, and  conducts training courses for other doctors from all around Asia. To connect with Dr. Liow, Like Cosmedmds Facebook page. medical centre website or email. 

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homemade tattoo tracing paper | Sun Safety Is Your Sunscreen Doing Its Job

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Proper sun protection should be of key concern for all people of all walks of life. With the correct sun care, skin whitening lotions, depigmentation treatments and anti-aging creams would probably be much less popular and certainly a lot less necessary.

A main factor in the health and appearance of the skin is its interaction with the sun. Ultraviolet (UV) rays in sunlight can cause skin darkening, accelerate the aging process, cause skin abnormalities and are the number one cause of skin cancer. So much damage is caused by lack of knowledge about the negative effects of the sun, and when the harm is done, it takes a lot of time, effort and often discomfort to reverse it. 

This recent blog post, detailing the damage done to a truckers face from exposure to the sunlight through his drivers seat window, is compelling evidence of the damaging effects of sunlight.So it goes without saying that sun protection is a topic dear to the heart of any doctor who has any dealings with the skin. As with many skin care products, sun care products can be misleading and poorly understood, and thus are prone to being used improperly.

Proper medical-grade sun care is far more important than collagen drinks
and Vitamin A creams in the fight against premature aging. 

Daily sun care is of course, something that most of us know we must use, but it is easy to ignore the need for this when we are in a rush or when other issues seem more pressing. Despite their tender skin, sun protection for children is often something that is poorly utilised. For those who have undergone laser or other corrective skin care procedures, effective sun protection is of paramount importance. As the skin is healing, it is at its most susceptible to damage.

Here are a few of my basic rules for proper, effective sun protection, whether you have recently undergone an aesthetic procedure, or even if you are only concerned with staying healthy in the sun.


1. Use a Sunblock With Zinc for Complete Protection. The SPF label on your sunscreen only refers to its UVB blocking components. UVB rays are responsible for burning the skin, but UVA rays are the ones that cause cancer, DNA mutation and cause deeper damage of the skin. UVA rays are only blocked by physical sunblock components that leave a white residue on your skin. This can be considered unsightly by some, and is why many cosmetic sunscreens do not contain it. UVA rays can be minimally blocked by some chemical components including titanium, but only a sunblock containing zinc will give you proper protection against UVA rays. There are formulations available that offer micronized zinc that does not leave an unsightly residue.

2. A Higher SPF May Not Be Necessary. An SPF of 30 blocks 96.5% of UVB rays, and an SPF of 45 blocks 98% of UVB. Therefore, any sunscreen with an SPF of at least 30 is more than sufficient for anyone who spends a moderate amount of time out in the sun. A higher SPF will not give you greater protection or prolong its effectiveness. I also have patients tell me their skin cream is SPF 15, their foundation is SPF15, and the powder is SPF 15, surely it all adds up to SPF 45! Unfortunately, no, different layers of sun protection may seem like more coverage, but in actual fact it does not provide increased protection.

3. Apply Sunblock To The Skin, 30 Minutes Before Exposure, and Reapply Frequently. For it to work effectively, sunblock needs to be applied to dry, cleansed skin, under your make-up or skin creams, where it can create a physical layer. Allow the sunblock to set and gain effectiveness for up to 30 minutes before exposure to the sun. It is also important to note that sunblock needs to be reapplied every 1.5 hours or so for full coverage. No sunblock lasts all day, despite their claims. Sunblock is also never completely waterproof, but some brands have water resistance that allow them to be used at the beach.

4. Look For Additives for Added Protection. If you can find a brand that offers added antioxidants such as Vitamins C & E, these additives have the ability to reduce inflammation and improve overall skin protection.

5. Oral Sunblock Can Be An Effective Tool For Photo-Protection. There are some antioxidant products in the market that act as oral sunblocks, to decrease the damaging effects of the sun. Used in conjunction with topical sun protection, they can be an added layer of protection against the long-term effects of sun damage.

6. Prevention is Better Than Cure. Avoiding exposure to sunlight isnt entirely practical, but minimising exposure when the sun is at its peak between the hours of 10am to 4pm helps. Use curtains and shades to minimise the amount of sunlight into your home, and sun protective clothing can give an added layer of protection when you are outdoors.

7. Darker Skin Is Not Immune To The Effects of UV Rays. Although darker skin types are naturally protected from the sun burning effects of UVB rays, damage can still be caused by UVA that result in melasma, sun spots and even cancer. Melasma, in particular,  is quite common in dark skin types and can be  very pronounced and widespread. It is especially hard to treat as the natural pigmentation of the skin makes it very sensitive to most melasma treatments currently available. The best advice is to use an SPF of at least 15 with zinc at all times, and avoid overt exposure to sunlight during peak sun hours.

Melasma in dark skin types can be very hard to treat 

The proper use of the right medical-grade sunblock can be very helpful in reducing the risks of sun related skin conditions such as cancer, melasma, pigmentation disorders and photoaging. Since sun damage isnt generally evident until years after the worst has been done, often patients come to me in their 40s and 50s lamenting their melasma, pigmentation and wrinkled complexions. In our tropical South East Asian countries, effective sun care must surely be one of the easiest ways to look good even in to maturity.

- Cosmetic Medicine , MD

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diy temporary tattoo eyeliner | El Paso County Focusing on Acquired Brain Injury

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In 2010, the Texas Juvenile Justice Department (TJJD) in collaboration with the Office of Acquired Brain Injury (OABI), piloted a program to identify youth involved in the justice system that may have presented with an undiagnosed traumatic brain injury (TBI).  The collaboration between TJJD and the OABI established objectives to identify justice-involved youth with a TBI utilizing the Brain Injury Screening Questionnaire (BISQ) in an effort to provide “pathways to services” designed to reduce recidivism, foster healthier individuals and improve cognitive and emotional regulation skills.

Through the collaboration developed between the TJJD and the OABI, the El Paso County Juvenile Justice Center was able to develop a partnership with Dr. Wayne Gordon at Mount Sinai School of Medicine’s Brain Injury Research Center.  The partnership was designed to afford services to justice-involved youth identified with a TBI.  Through this collaborative effort the development of the Youth Short Term Executive Plus Program (YSTEP) was designed.

The program is based on an adult model developed by and used at Mt. Sinai’s Brain Injury Research Center which has been modified and formatted for an adolescent population through the application of cognitive behavioral strategies coupled with dialectical behavior therapy mindfulness skills.  It is designed to facilitate the development of executive functioning in adolescents as well as develop that have been identified as possibly having a traumatic brain injury through the administration of the BISQ and/or youth that have demonstrated a history of poor problem solving and/or self regulating skills.

The El Paso program focuses on providing group services utilizing the YSTEP curriculum to youth court-ordered into the Challenge Academy, which is a secure post adjudication para-military style program that offers supportive residential drug treatment services and youth court order to Intensive Supervised Probation under the Serious Habitual Offenders Comprehensive Action Program (SHOCAP).   Both populations have been identified as having a higher likelihood of exposure to activities that may enhance the likelihood of a TBI (i.e. history of abuse, assaults, substance use, etc) as well as a higher rate of recidivism based on identified risk factors and limited protective factors.

The YSTEP program is conducted in 10 -12 sessions with each session building upon the previous week’s lesson.  Sessions may range from one to two hours depending on the modalities used (i.e. role play, in vivo activities, coupled with didactic therapy) and programming structure (youth placed in a secure environment vs. community based youth).  Youth participating in the YSTEP program are taught techniques and strategies to aid in understanding how the emotional cycle impacts outcomes and behaviors; to recognize triggering events, thoughts, emotions, sensations and behaviors that contribute to a loss of emotional control as well as poor decision making and or problems solving experiences in an effort to strengthen their understanding of causal relationships.

Lessons include Identifying Triggers and Understanding Anger; Understanding and Exploring Sensations;  Relaxation Strategies and Techniques; Thoughts and Thinking Errors and How they Impact Choices and Outcomes;  Thinking and the Decision Making Process; Understanding Consequences, Outcomes & Behaviors; Types of Communication & Effective Communication Strategies  and the Emotional Cycle as well as Integrating Strategies to Effectively Cope with Difficult Situations.

Although a program evaluation through data analysis being conducted by Dr. Gordon and his team at Mt. Sinai is pending, the lack of resources to address cognitive deficits and emotional regulation issues has sparked interest in the implementation and/or replication of the YSTEP program.  In August 2014, Rebecca Derocher with the Health Resources and Services Administration (HRSA) conducted a site visit at the El Paso County Juvenile Justice Center to review the program and protocols in place.  Interest in implementing the program has also been demonstrated by the country of New Zealand and more recently discussion have occurred with the HRSA TBI Grant Coordinator for the Alabama Department of Rehabilitative Services Ms. Augusta Cash with regards to implementing a program for justice involved youth in Alabama.

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diy henna tattoo eyeliner | Mart Education Department Opens Its Doors to Parents

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On September 17th, 2015,  McLennan County State Juvenile Correctional Facility opened its Education doors to parents.  Students and parents took a tour of vocational buildings to learn about our Welding, Horticultural Science, and Principles of Agricultural classes.

After their tour, parents visited throughout the school and, for many of them, this was their first opportunity to visit face-to-face with their youth’s teachers and administrators. In many of the classrooms, student work was posted so parents could view what students are learning and the expectations that teachers have for them.

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