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Hi all, my name is Sam.
I am an entrepreneurial 17 year old and own my own window cleaning business. I have cleaned many houses over the last 2 years and my clients have all been very happy and appreciative of my work. I have all my own window cleaning equipment to do almost any job so please … View moreHi all, my name is Sam.
I am an entrepreneurial 17 year old and own my own window cleaning business. I have cleaned many houses over the last 2 years and my clients have all been very happy and appreciative of my work. I have all my own window cleaning equipment to do almost any job so please don't hesitate to contact me. I have been cleaning windows on a regular basis and am very confident in the work that I do. If you are not satisfied with my work I offer a money-back guarantee.
If your windows are looking a little dirty and you think they need a clean feel free to contact me and arrange a time for a FREE quote. I look forward to hearing from you.
Thanks, Sam
021 991 250
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Transport is a subject on the minds of many in the Helensville electorate with public transport diff…
This is an extract from a review of treating fungal nail infections that you may find interesting.
Table 2: Most common predisposing factors for onychomycosis [5,14].
Impaired Quality of Life and Stigmatisation due to Onychomycosis
Studies have found that generally patients with onychomycosis … View moreThis is an extract from a review of treating fungal nail infections that you may find interesting.
Table 2: Most common predisposing factors for onychomycosis [5,14].
Impaired Quality of Life and Stigmatisation due to Onychomycosis
Studies have found that generally patients with onychomycosis avoid social gatherings as they have a fear of transmitting the infection to other people [5,11,12].
When patients were asked how they feel about the stigma onychomycosis has caused, patients felt greatest impairment due to onychomycosis being contagious; felt other people would stare at their nails and felt unattractive [5,12]. The most common problems affecting patient quality of life is cutting nails; disfigurement (cosmetically); illfitting shoes, leading to pain and discomfort [5,12].
In Vivo Studies
Horine et al. yielded retrospective results from an international multicentre study of 262 patients. Patients received one PinPointe short-pulsed Nd: YAG 1064 nm laser treatment. A single spot consisted of a pulse train of ten 200 mJ, 90 μs duration pulses at 1064 nm, delivered into a 1.5 mm spot. Laser was delivered in a 1.0-1.5 mm spacing grid pattern. The average light dose per nail plate was 115 J/ cm2. One or two laser passes was delivered per infected nail. Pretreatment debridement and thinning of onycholytic hyperkeratotic nail plate to 1 mm was achieved using a high-speed burr. Photographs were taken of the hallux at baseline and at post-procedure follow-up. A 100% response rate was seen with a mean of 78% absolute clear nail was achieved at seven month post-procedure follow-up [25].
Becker and Bershow reviewed three studies which achieved clinical success using a 1064 nm Nd: YAG laser. One study 72 patients received four laser treatments with one week between sessions. Three months post-treatment, 95.8% were clinically clear and culture negative. No details on culture sampling or laser parameters was given. All patients were followed up 6, 9 and 12 months post-procedure for recurrence and at the end of the study all patients were clinically and culture negative. In the second study eight patients were treated every three weeks for three sessions with a 1064 nm pulsed Nd: YAG laser. Seven out of eight patients were culture negative after the third treatment. No significant side effects were reported. These patients were also prescribed a topical nail lacquer after the first laser treatment. A third study conducted by Kimura et al. irradiated 37 toenails with microscopically confirmed onychomycosis up to three times with a 1064 nm Nd: YAG laser. At 16 weeks post-procedure follow-up 81% of toenails exhibited moderate to complete clearance [2,24].In 2014, Birstow did a systematic review of the effectiveness of lasers in the treatment of onychomycosis. Any original study, published in a peer reviewed journal, which examined the use of a laser technology in the treatment of onychomycosis was considered for inclusion. The initial search yielded 268 potential papers. Subsequently, duplicate papers, papers that did not fit the inclusion criteria and papers whose full study details were not obtainable were excluded from the review.
The remaining 12 papers that were published in the last four years were included in the review. He concluded that to date the data reported was at a low level of evidence as it was made up predominantly of case series involving a small number of patients with only two small randomised controlled studies (Table 4) [14].
AUTHORS LASER PATIENTS/NAILS TREATMENT DURATION OUTCOMES
Horineet al. PinPointe short-pulsed 1064 nm Nd: YAG 262 patients One treatment per infected nail 100% response rate; mean of 78% absolute clear nail at 7/12 follow up
Becker and Bershow 1064 nm Nd: YAG 72 patients Four treatments; one week between sessions 95, 8% clinically clear and culture negative at 3/12 follow up
1064 nm Nd: YAG 8 patients Every three weeks for three sessions (3; 6; 9) Seven out of eight patients culture negative after third treatment
Note: Topical antifungal prescribed after first treatment
1064 nm Nd: YAG 37 toenails Up to three treatments 16 weeks follow up 81% exhibited moderate to complete clearance
You can see the whole review here:-
www.omicsonline.org...
Hi everyone,
My sons Playcentre is having a Market Day on Saturday 23rd September. We'll be having a garage sale, bake sale as well as a bouncy castle & face painting! Fun for all the family...
All welcome & we'd love to see you!
Shannon :)
The Factory Markets have been a part of Albany's industrial district for the past two years and are …
Most of us will never get THIS upclose with those buzzy pollinators, so we thought you might enjoy this gallery.
Hi Neighbours,
What a terrible early-morning wake up for some of you. We're so pleased no one was hurt.
Sixteen fire crews helped extinguish a huge fire at an apartment building in northwest Auckland in the early hours of Friday morning.
A massive blaze ripped through the unoccupied … View moreHi Neighbours,
What a terrible early-morning wake up for some of you. We're so pleased no one was hurt.
Sixteen fire crews helped extinguish a huge fire at an apartment building in northwest Auckland in the early hours of Friday morning.
A massive blaze ripped through the unoccupied three-storey building in the suburb of Hobsonville at 3:55am.
Nearby residents were evacuated as the flames took hold.
Did you see the fire?
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Crime has been a hot topic lately with a number of dairies being targeted, and Upper Harbour candidates have shared their views.
Labour's Jin An said her opinions on crime have been shaped by spending a "fair bit" of time in criminal courts.
She said crime was a result of a … View moreCrime has been a hot topic lately with a number of dairies being targeted, and Upper Harbour candidates have shared their views.
Labour's Jin An said her opinions on crime have been shaped by spending a "fair bit" of time in criminal courts.
She said crime was a result of a number of social failings including poverty, inequality and a broken down health service.
National Party candidate Paula Bennett, the current minister of police, said while crime has been decreasing since 2008, a "slight" increase has occurred in the past two years.
Do you think crime is a big concern in your neighbourhood?
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Hello neighbours, here's a look at some new plants out in garden centres this month.
Whether you want to explore the rainforest, dine in wine country or escape to an island, there are so many ways to love your weekend in Auckland. Just ask All Blacks legend Sir John Kirwan.
Give me three words that come to mind when I say 'Upper Harbour'? Diverse, growing, families-focuse…
Young Upper Harbour voters are approaching their first vote with equal doses of excitement and nerve…
Get your yummy girl guide biscuits. 1 for $3.50 or 3 for $10. Perfect for fathers day for dad or grandad. Collect in Greenhithe or I can try deliver. Txt 027 4316 282
Check out our great cover today and story canvassing what local youth care about this election!
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