Combination and Rotational Therapy in Androgenetic Alopecia

Management of androgenetic alopecia is a challenge because of its long course, need for continuous treatment, and potential adverse effects of the therapies. In order to enhance efficacy, minimize side effects, and ensure patient compliance, the authors propose a scheme for using combination treatments with a rotational scheme, based on current evidence for efficacy, pharmacokinetic properties, convenience of administration over long term, side effect profile, and patient acceptance.

Hair Transplant Practice Guidelines

The field of hair transplant (HT) has grown exponentially in the past decade, especially after the introduction of follicular unit excision (FUE). There is much variation in criteria for case selection, the technique, pre- and post-procedure protocols, by different surgeons. Techniques continue to evolve and evidence in the form of controlled data is not available for all techniques and protocols being used; there is also a debate as to who can do what, what should be the training for staff, role of technicians. This has led to a situation wherein medico legal issues have cropped up as to what is minimum acceptable. An attempt is made to summarize standard protocols with the available evidence. It is emphasized that the objective of these guidelines is to recommend minimum standards for practice of hair transplantation. The principles outlined in these guidelines are of a general nature only, minimal in their level and are not meant to cover all situations. It should be understood that these recommendations are by no means binding and universal, represent minimum standards only and as in all surgical techniques, variations in techniques are possible. It is also further clarified that these are based on current literature, and as science evolves, these guidelines could also change in future. Where published evidence is not available, consensus expert opinion is presented. The task force emphasizes that each patient has to be treated on his/her own merit and that these guidelines do not limit the physician from making an appropriate choice or the necessary innovation for a given patient. The task force recognizes that the treating surgeon is best suited to decide what is needed for a given patient in a given situation. Innovations in medicine need flexibility in approach and these guidelines do not limit the surgeon from undertaking innovative research.

The development of the acid deposition and oxidant model (ADOM)

This paper describes the development and testing of the Acid Deposition and Oxidant Model (ADOM), a nine-year project funded by a consortium consisting of Environment Ontario, Environment Canada, the German Umweltbundesamt, and the Electric Power Research Institute. The project consisted of three major phases: a design phase, an implementation phase, and an evaluation phase. In the design phase, the system being modeled was divided into its components-transport, gas phase chemistry, aqueous phase chemistry, dry deposition and cloud processes. The formulation of the modules for each of these processes was guided by the requirement that the modules reflect the state of the art, and at the same time be consistent with the available numerical resources. In the implementation phase, submodels were constructed, and then subjected to several tests, which included mathematical consistency checks, sensitivity studies, and evaluation against field and laboratory data. The modules were then assembled and interfaced with the input data sets. The codes for the modules as well as the overall model were vectorized to take advantage of the capabilities of supercomputers such as the CRAY. The North American and West German versions of the model are being tested against data collected in North America and in Europe. This paper describes the evaluation of ADOM with data associated with a regional ozone episode in Ontario in June 1983, and measurements made during an experiment to study the scavenging characteristics of spring storms in the central and northeastern United States in April 1981.