Treatment Area (treatment + area)

Distribution by Scientific Domains


Selected Abstracts


Emollients in a propanol-based hand rub can significantly decrease irritant contact dermatitis

CONTACT DERMATITIS, Issue 6 2005
Günter Kampf
The objective of this study is to determine the effect of emollients in a propanol-based hand rub on skin dryness and erythema. In this prospective, randomized, controlled, double-blind trial, 35 subjects participated; of them approximately half were atopic (modified Erlanger atopy score ,8). 2 propanol-based formulations were tested in a repeated open application test, 1 contained a mixture of emollients (0.81%, w/w). 2 aliquots of 0.7 ml of each formulation were applied twice per day over 2 weeks to the cubital fossa of each subject after random assignment of the preparations. Treatment areas were assessed before each application and 3 days postfinal application by visual inspection for erythema and dryness according to a standard scale. The sum score over all assessment time-points served as primary parameter. The mean sum score for erythema and dryness was significantly lower for the hand rub with emollients (0.8 ± 2.4) in comparison with that for the hand rub without emollients (1.5 ± 3.5; P = 0.022; Wilcoxon signed rank test). A comparison of the atopic and non-atopic subjects revealed no significant difference for any of the products (P > 0.05; Mann,Whitney U -test). It is concluded that the addition of emollients to a propanol-based hand rub can significantly decrease irritant contact dermatitis under frequent-use conditions. [source]


Cosmetic Use of Poly- l -Lactic Acid: A Retrospective Study of 130 Patients

DERMATOLOGIC SURGERY, Issue 2 2010
MELANIE D. PALM MD
BACKGROUND Poly- l -lactic acid (PLLA) is an effective treatment for patients seeking to correct volume loss due to aging. Although the Food and Drug Administration has approved PLLA for use in people with the human immunodeficiency virus (HIV), it is well-suited for patients seeking cosmetic treatment. OBJECTIVE To evaluate the efficacy and incidence of adverse events of HIV-negative patients treated with PLLA for volume restoration. MATERIALS AND METHODS This is a retrospective, single-center study of 130 HIV-negative patients treated with PLLA from 2003 to 2008. Patient satisfaction and incidence of adverse reactions were evaluated. RESULTS The most common reaction to PLLA treatment was the formation of nodules (8.5%). Almost all of the nodules were palpable; only one was visible. Treatment areas with the highest incidence of post-treatment nodules were the hands (12.5%) and cheeks (7.2%). Overall, patients were satisfied, with 55% having good to excellent correction; 75% of patients with five or more treatments rated their correction as good to excellent. Sixty-eight percent of all patients would repeat the procedure again. CONCLUSION PLLA is a safe, biodegradable volumizer used to reverse the signs of aging by gradually correcting volume loss. Patients should be aware of possible adverse reactions during the course of treatment. Nodule formation is low, with most patients having good to excellent correction. Drs. Butterwick and Goldman are consultants for Sanofi-Aventis. [source]


Circumference reduction and cellulite treatment with a TriPollar radiofrequency device: a pilot study

JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY & VENEREOLOGY, Issue 7 2009
W Manuskiatti
Abstract Background, A wide variety of treatments for circumference reduction and cellulite are available, but most procedures offer suboptimal clinical effect and/or delayed therapeutic outcome. Objective, To determine the safety and efficacy of the TriPollar radiofrequency device for cellulite treatment and circumference reduction. Methods, Thirty-nine females with cellulite received eight weekly TriPollar treatments. Treatment areas included the abdomen, thighs, buttocks and arms. Subjects were evaluated using standardized photographs and measurements of body weight, circumference, subcutaneous thickness, and skin elasticity of the treatment sites at baseline, immediately after and 4 weeks after the final treatment. Physicians' evaluation of clinical improvement scores using a quartile grading scale was recorded. Results, Thirty-seven patients (95%) completed the treatment protocol. There was significant circumference reduction of 3.5 and 1.7 cm at the abdomen (P = 0.002) and thigh (P = 0.002) regions, respectively. At 4 weeks after the last treatment, the average circumferential reductions of the abdomen and thighs were sustained. No significant circumferential reductions of the buttocks and arms at the last treatment visit compared to baseline were demonstrated (P = 0.138 and 0.152, respectively). Quartile grading scores correlating to approximately 50% improvement in cellulite appearance were noted. Conclusions, Tripollar radiofrequency provided beneficial effects on the reduction of abdomen and thigh circumference and cellulite appearance. Conflict of Interest The authors have no financial interest in this article. [source]


Eruptive Epidermoid Cysts Resulting from Treatment with Imiquimod

DERMATOLOGIC SURGERY, Issue 7 2005
Chelsy L. Marty MD
Background Because of its unique mechanism of action and safety profile, imiquimod, a topical immune response modifier, is used for many benign and malignant dermatologic conditions. Adverse effects are typically limited to treatment site erythema and erosion. Objective To describe a newly recognized adverse effect of imiquimod. Methods A 79-year-old woman being treated with imiquimod 5 days per week for a nodular basal cell developed a verrucous plaque over the treatment area after 7 weeks of therapy. Results Scouting biopsies demonstrated multiple comedones and ruptured epidermoid cysts. There was no evidence of residual basal cell carcinoma. Conclusions Imiquimod is a new and novel treatment option for cutaneous malignancies. We report its successful use in the treatment of a nodular basal cell carcinoma. The multiple comedones and ruptured epidermoid cysts are newly reported adverse effects of imiquimod therapy. [source]


Topical 3.0% diclofenac in 2.5% hyaluronan gel in the treatment of actinic keratoses

INTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 11 2001
John E. Wolf Jr MD
Background Actinic keratoses (AKs) are epidermal skin lesions with the potential to develop into invasive squamous cell carcinoma (SCC). Treatment at an early stage may prevent development of SCC. Current treatment options are highly destructive and associated with significant side-effects. Early studies with topical diclofenac were encouraging and led to its evaluation for the treatment of actininic keratosis. Previous studies have demonstrated that 3% diclofenac in 2.5% hyaluronan gel is effective and well tolerated in the treatment of AK. The present study was designed to further explore the therapeutic potential of this gel. Methods This randomized, double-blind, placebo-controlled trial involved outpatients with a diagnosis of five or more AK lesions contained in one to three 5 cm2 blocks. Patients received either active treatment (3% diclofenac gel in 2.5% hyaluronan gel) or inactive gel vehicle (hyaluronan) as placebo (0.5 g b.i.d. in each 5 cm2 treatment area for 90 days). Assessments included the Target Lesion Number Score (TLNS), Cumulative Lesion Number Score (CLNS), and Global Improvement Indices rated separately by both the investigator (IGII) and patient (PGII). Results Results obtained from 96 patients at follow up (30 days after end of treatment) indicated that a significantly higher proportion of patients who received active treatment had a TLNS = 0 compared to the placebo group (50% vs. 20%; P < 0.001). There was also a significant difference between the two groups in CLNS, with 47% of patients in the active treatment group having a CLNS = 0 compared with only 19% in the placebo group (P < 0.001). The proportion of patients with an IGII score of 4 (completely improved) at follow-up was 47% in the active treatment group compared with only 19% in the placebo group (P < 0.001); for PGII these values were 41% vs. 17%, P < 0.001. Both treatments were well tolerated, with most adverse events related to the skin. Conclusions Topical 3% diclofenac in 2.5% hyaluronan gel was effective and well tolerated for the treatment of AK. [source]


The use of light-emitting diode therapy in the treatment of photoaged skin

JOURNAL OF COSMETIC DERMATOLOGY, Issue 3 2007
FACCS, FRACGP, Fabien Baez MBBS, MAACS, MCPSA
Summary Background, Light-emitting diode (LED) therapy is an increasingly popular methodology for the treatment of sun damage. Combination use of light wavelengths reported to stimulate collagen synthesis and accelerate fibroblast,myofibroblast transformation may display a composite rejuvenative effect. Objective, To clinically assess reduction in sun damage signs following a 5-week course of LED therapy and to assess subject's perception of the treatment. Methods, Thirteen subjects with wrinkles or fine lines in the periorbital and nasolabial region and those presenting Glogau scale photodamage grade II,III received nine 20-min duration light treatments using the OmniluxÔ LED system. The treatments combined wavelengths of 633 and 830 nm at fluences of 126 and 66 J/cm2, respectively. Sun-damage reduction was assessed at 6, 9, and 12 weeks by clinical photography and patient satisfaction scores. Results, The majority of subjects displayed "moderate" (50%) or "slight" (25%) response to treatment at investigator assessment. Treatment of the periorbital region was reported more effective than the nasolabial region. At 12-week follow-up, 91% of subjects reported improved skin tone, and 82% reported enhanced smoothness of skin in the treatment area. Conclusion, Good response to LED therapy has been shown in this modest sample. Larger trials are needed to assess optimum frequency of light treatments and overall treatment time. [source]


A SURVEY OF THE PREVALENCE OF SALMONELLA AND OTHER ENTERIC PATHOGENS IN A COMMERCIAL POULTRY FEED MILL

JOURNAL OF FOOD SAFETY, Issue 1 2003
PAUL WHYTE
ABSTRACT A study of the prevalences of Salmonella, Listeria and thermophilic campylobacters in a dedicated commercial poultry feed mill was undertaken. Salmonella was frequently recovered in samples taken in the preheat and postheat treatment areas of the mill with the overall percentage of samples positive found to be 18.8% and 22.6%, respectively. Feed ingredients and dust collected in the preheat treatment locations within the mill were frequently contaminated with Salmonella (11.8% and 33.3% of samples, respectively). High prevalences of Salmonella were also detected in dust samples (24.2%) obtained from the postheat treatment area of the mill and from feed delivery vehicles (57.1%). Listeria was also recovered from samples at pre- and postheat treatment areas within the mill with overall isolation rates of 14.1% and 18.5% observed, respectively. The most frequently observed species of Listeria recovered from samples in both areas within the mill was L. innocua, L. monocytogenes, L. grayi and L. welshimeri. No thermophilic campylobacters were recovered from any of the samples analyzed in the current study. [source]


DISTRIBUTION OF SEDIMENT PHOSPHORUS POOLS AND FLUXES IN RELATION TO ALUM TREATMENT,

JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 3 2000
William F James
ABSTRACT: The distribution of sediment physical characteristics, sediment phosphorus (P) pools, and laboratory-based rates of P release from the sediments were used to identify regions and dosage for alum treatment in Wind Lake, Wisconsin. Using variations in sediment moisture content, we identified an erosional zone at depths < 1.4 m and an accumulation zone at depths > 2.6 m. Mean concentrations of porewater P, loosely-bound P, iron- and aluminum-bound P, and mean rates of P release from sediments under anoxic conditions were high in the accumulation zone compared to sediment P characteristics in the erosional zone, indicating focusing of readily mobilized sediment P pools from shallow regions and accumulation to deep regions. We determined that a future alum treatment for control of internal P loading would be most effective at depths > 2.6 in the accumulation zone. The mean rate of anoxic P release from sediments encountered in the accumulation zone (8.3 mg m -2 d -1) was used in conjunction with a summer anoxic period of 122 d, and a treatment area of 1.6 km2 to estimate an internal P load of 1,600 kg to be controlled. Our results suggest that an understanding of the distribution of sediment P pools and P fluxes in lakes provides a strategy for estimating alum dosage and application areas. [source]


Photodamage therapy using an electro-optic q-switched Nd:YAG laser

LASERS IN SURGERY AND MEDICINE, Issue 8 2010
Dina Yaghmai MD
Abstract Background and Objective Q-Switched Nd:YAG lasers produce photoacoustic effects in addition to photothermal effects which may allow for greater tissue collagen production. The objective of the study is to determine the effectiveness and tolerability of an Electro-Optic (EO) Q-switched Nd:YAG laser with Single Pulse and novel Double Pulse (DP) options in the treatment of photodamaged skin. Materials and Methods Sixteen subjects with photoaging were enrolled in this prospective, randomized, split-faced study. Subjects received 6 bi-weekly laser treatments. One half of the face was treated with a Single Pulse while the other half was treated with energies divided into a DP. Blinded investigators and subjects assessed improvement after the sixth treatment for wrinkles, coarseness, pigmentation, redness, laxity, comedones, pore size, and overall skin condition. Subjects also rated the tolerability of the treatments. Results For the Single Pulse side of the face, the investigators rated 33% of the patients as having a good to excellent (51% or greater) improvement in the overall condition of the skin while 47% of the subjects reported these levels. On the DP side, the overall improvement was good to excellent at a 27% rate by the investigators and 54% by the subjects. Distributions of improved ratings among investigators and subjects were similar for both sides of the treatment area. The majority of stinging/burning sensations during treatment were reported as mild on the DP side (62.8%) and moderate (63.8%) on the Single Pulse side. The chance of reporting none or only mild stinging/burning sensation during treatment was four times greater on the side of the face treated with the DP (P,<,0.0001). Conclusions Results have shown that treatment with the EO QS Nd:YAG laser provides a safe and effective method of skin rejuvenation with the additional benefit of significantly lower patient discomfort during use of the DP mode. Lasers Surg. Med. 42:699,705, 2010 © 2010 Wiley-Liss, Inc. [source]


Effect of dosing frequency on the safety and efficacy of imiquimod 5% cream for treatment of actinic keratosis on the forearms and hands: a phase II, randomized placebo-controlled trial

BRITISH JOURNAL OF DERMATOLOGY, Issue 4 2009
K. Gebauer
Summary Background, Clinical studies in cutaneous conditions other than actinic keratosis (AK) have revealed that the safety and efficacy profile of imiquimod is influenced by dosing frequency. Objectives, To evaluate dosing frequency response of imiquimod 5% for treatment of AK. Methods, This was a phase II, multicentre, randomized, double-blind, placebo-controlled study. Adults with , 10 but , 50 clinical AKs, one of which was histologically confirmed, were randomized (4 : 1) to 2,6 packets of imiquimod or placebo cream applied to the dorsum of the forearms and hands once daily 2, 3, 5 or 7 times per week for 8 weeks. The primary endpoint was complete clearance of AKs in the treatment area at 8 weeks post-treatment. Results, One hundred and forty-nine (94 men and 54 women) white subjects, with a mean ± SD age of 71 ± 10·2 years, were enrolled. Twenty-eight subjects (18·8%) discontinued from study: 0%, 3·1%, 6·9%, 30·0% and 33·3% withdrew for local skin reactions or adverse events in the combined placebo, and in the imiquimod 2, 3, 5 or 7 times per week groups, respectively. Seven serious adverse events occurred; none was related to the study drug. Median baseline lesions ranged from 38 to 40 for the treatment groups. Complete clearance was achieved in 0%, 3·2%, 6·9%, 3·3% and 6·7% of subjects, and partial clearance (, 75% lesion reduction) in 0%, 22·6%, 24·1%, 20·0% and 36·7% of subjects for the placebo and imiquimod 2, 3, 5 or 7 times per week regimens, respectively. Conclusions, Imiquimod 5% applied more frequently than 3 times per week to AKs was not well tolerated. Complete clearance rates were low; however, partial clearance rates increased with increased dosing frequency (P = 0·002). [source]


In situ photoimmunotherapy: a tumour-directed treatment for melanoma

BRITISH JOURNAL OF DERMATOLOGY, Issue 6 2006
M.F. Naylor
Summary We report a new immunological treatment for advanced cutaneous melanoma which combines laser stimulation with topical application of a toll-like receptor agonist. This treatment, in situ photoimmunotherapy (ISPI), provides an alternative to traditional therapies for melanoma patients with cutaneous metastases. A 6-week cycle of ISPI is carried out on cutaneous metastases located in a designated 20 × 20 cm treatment area: 2 weeks of pretreatment with twice-daily topical applications of imiquimod (5% cream under plastic occlusion), with a laser treatment session at week 2 and again at week 4. Topical imiquimod is continued for the entire 6-week cycle. Two patients with late-stage melanoma were treated with ISPI. Patient 1 had the primary tumour and local metastases on the left arm, as well as metastatic tumours in the lungs [American Joint Committee on Cancer (AJCC) stage IV]. Patient 2 had a head and neck melanoma with multiple local metastases (AJCC stage IIIC), which had failed repeated attempts at surgical resection and high-dose radiation therapy. Patient 1 is now free of all clinically detectable tumours (including the lung metastases) >20 months after the first treatment cycle. Patient 2 has been free of any clinical evidence of the tumour for over 6 months. These two cases demonstrate that ISPI can clear local tumour and trigger beneficial systemic responses, with a side-effect profile that compares favourably with other treatments for advanced melanoma. [source]


Long-term biomechanical properties after collagen crosslinking of sclera using glyceraldehyde

ACTA OPHTHALMOLOGICA, Issue 8 2008
Gregor Wollensak
Abstract. Purpose:, Chemical crosslinking by glyceraldehyde has been shown to increase significantly the biomechanical rigidity of sclera. It might therefore become an option for a sclera-based treatment of progressive myopia. The present pilot study was designed to test the long-term biomechanical efficiency of the new crosslinking method. Methods:, Six Chinchilla rabbits were treated with sequential sub-Tenon's injections of 0.15 ml 0.5 m glyceraldehyde, which were given in the supero-nasal quadrant of the right eye (OD) five times over 14 days. The rabbits were killed 4 months and 8 months after crosslinking treatment, respectively. Biomechanical stress,strain measurements of scleral strips from the treatment area were performed and compared to non-treated contralateral control sclera using a microcomputer-controlled biomaterial testing device. In addition, the eyes were examined histologically by light microscopy to evaluate possible side-effects. Results:, Following the crosslinking treatment, the ultimate stress was 10.2 ± 2.3 MPa after 4 months and 8.5 ± 2.2 MPa after 8 months versus 2.4 ± 0.3 MPa in the controls (increases of 325% and 254.17%, respectively); Young's modulus was 104.6 ± 13.7 MPa after 4 months and 53.2 ± 5.2 MPa after 8 months versus 9.6 ± 1.3 MPa in the controls (increases of 989.6% and 554.17%, respectively); and ultimate strain was 15.8 ± 1.5% after 4 months and 24.1 ± 0.7% after 8 months versus 38.4 ± 4.6% in the controls (decreases of 58.84% and 37.24%, respectively). Histologically, no side-effects were found. Conclusion:, Our new method of scleral collagen crosslinking proved very efficient in increasing scleral biomechanical strength over a period of up to 8 months. Glyceraldehyde can be applied easily by sequential parabulbar injections. Before clinical application in myopic patients, a study in an animal myopia model is recommended. [source]


Genetic diversity in Nordic and Baltic populations of Chondrostereum purpureum: a potential herbicide biocontrol agent

FOREST PATHOLOGY, Issue 6 2008
H. Vartiamäki
Summary We analysed genetic variation in the natural populations of a potential herbicide biocontrol agent, Chondrostereum purpureum, in Nordic and Baltic countries using random amplified microsatellite markers. The results showed high genetic diversity among the populations of this fungus, but almost a complete lack of local differentiation. The results implicate that any local strain from the area can be used as a biocontrol agent without a fear of introducing new genotypes to treatment areas. [source]


A SURVEY OF THE PREVALENCE OF SALMONELLA AND OTHER ENTERIC PATHOGENS IN A COMMERCIAL POULTRY FEED MILL

JOURNAL OF FOOD SAFETY, Issue 1 2003
PAUL WHYTE
ABSTRACT A study of the prevalences of Salmonella, Listeria and thermophilic campylobacters in a dedicated commercial poultry feed mill was undertaken. Salmonella was frequently recovered in samples taken in the preheat and postheat treatment areas of the mill with the overall percentage of samples positive found to be 18.8% and 22.6%, respectively. Feed ingredients and dust collected in the preheat treatment locations within the mill were frequently contaminated with Salmonella (11.8% and 33.3% of samples, respectively). High prevalences of Salmonella were also detected in dust samples (24.2%) obtained from the postheat treatment area of the mill and from feed delivery vehicles (57.1%). Listeria was also recovered from samples at pre- and postheat treatment areas within the mill with overall isolation rates of 14.1% and 18.5% observed, respectively. The most frequently observed species of Listeria recovered from samples in both areas within the mill was L. innocua, L. monocytogenes, L. grayi and L. welshimeri. No thermophilic campylobacters were recovered from any of the samples analyzed in the current study. [source]


A lethal ovitrap-based mass trapping scheme for dengue control in Australia: II.

MEDICAL AND VETERINARY ENTOMOLOGY, Issue 4 2009
Impact on populations of the mosquito Aedes aegypti
Abstract. In Cairns, Australia, the impacts on Aedes aegypti L. (Diptera: Culicidae) populations of two types of ,lure & kill' (L&K) lethal ovitraps (LOs), the standard lethal ovitrap (SLO) and the biodegradable lethal ovitrap (BLO) were measured during three mass-trapping interventions. To assess the efficacy of the SLO, two interventions (one dry season and one wet season) were conducted in three discrete areas, each lasting 4 weeks, with the following treatments: (i) SLOs (>200 traps, ,4/premise), BG-sentinel traps (BGSs; ,15, 1/premise) and larval control (container reduction and methoprene treatment) and (ii) larval control alone, and (iii) untreated control. Female Ae. aegypti populations were monitored for 4 weeks pre- and post-treatment in all three areas using BGSs and sticky ovitraps (SOs) or non-lethal regular ovitraps (ROs). In the dry season, 206 SLOs and 15 BGSs set at 54 and 15 houses, respectively, caught and killed an estimated 419 and 73 female Ae. aegypti, respectively. No significant decrease in collection size of female Ae. aegypti could be attributed to the treatments. In the wet season, 243 SLOs and 15 BGSs killed ,993 and 119 female Ae. aegypti, respectively. The mean number of female Ae. aegypti collected after 4 weeks with SOs and BGSs was significantly less than the control (LSD post-hoc test). The third mass-trapping intervention was conducted using the BLO during the wet season in Cairns. For this trial, three treatment areas were each provided with BLOs (>500, ,4/premise) plus larval control, and an untreated control area was designated. Adult female Ae. aegypti were collected for 4 weeks pre- and post-treatment using 15 BGSs and 20 SOs. During this period, 53.2% of BLOs contained a total of 6654 Ae. aegypti eggs. Over the intervention period, collections of Ae. aegypti in the treatment areas were significantly less than in the control area for BGSs but not SOs. An influx of relatively large numbers of young females may have confounded the measurement of changes in populations of older females in these studies. This is an important issue, with implications for assessing delayed action control measures, such as LOs and parasites/pathogens that aim to change mosquito age structure. Finally, the high public acceptability of SLOs and BLOs, coupled with significant impacts on female Ae. aegypti populations in two of the three interventions reported here, suggest that mass trapping with SLOs and BLOs can be an effective component of a dengue control strategy. [source]


Using Remote Sensing to Evaluate the Influence of Grassland Restoration Activities on Ecosystem Forage Provisioning Services

RESTORATION ECOLOGY, Issue 4 2009
Carolyn M. Malmstrom
Abstract As valuation of ecosystem goods and services derived from ecological processes becomes increasingly important in environmental decision-making, the need to quantify how restoration activities influence ecosystem function has grown more urgent, particularly within income-generating or subsistence-providing landscapes where economic needs and biodiversity goals must be balanced. However, quantification of restoration effects is often hindered by logistical issues, which include (1) the difficulty of systematically monitoring responses over large areas and (2) lack or loss of comparison sites necessary for assessing treatment effect. We explored the use of remote sensing to quantify the effects of native grass seeding and prescribed burns on ecosystem forage provisioning services within a California (U.S.A.) rangeland landscape. We used Landsat time series to monitor forage (green biomass) dynamics within 296 ha of treatment areas,distributed throughout a 36-km2 watershed,for 6 years and to identify post hoc comparison areas when a priori comparisons were lacking. Remote sensing analysis documented gains and losses in forage provisioning services due to restoration efforts and provided critical information for adaptive management. Our results demonstrate the degree to which invaded grasslands can be resistant to change and suggest that increasing the functional complexity of restoration mixes might help increase forage availability and reduce opportunities for weed reinvasion. [source]


Exposure of non-target tissues in medical diathermy

BIOELECTROMAGNETICS, Issue 1 2010
N. Leitgeb
Abstract With different prevalence in different regions, radio frequency (RF) electromagnetic fields (EMF) are widely used for therapeutic tissue heating. Although short-wave diathermy (27.12,MHz) is the most popular treatment modality, quantitative data on patient's exposure have been lacking. By numerical simulation with the numerical anatomical model NORMAN, intracorporal distributions of specific absorption rates (SAR) were investigated for different treatment scenarios and applicators. Quantitative data are provided for exposures of target treatment areas as well as for vulnerable regions such as the eye lenses, central nervous system, and testes. Different applicators and distances were investigated. Capacitive and inductive applicators exhibit quite a different heating efficiency. It could be shown that for the same output power therapeutic heat deposition can vary by almost one order of magnitude. By mimicking therapist's practice to use patient's heat perception as an indicator for output power setting, numerical data were elaborated demonstrating that muscle tissue exposures may be several times higher for inductive than for capacitive applicators. Presented quantitative data serve as a guide for power adjustment preventing relevant overexposures without compromising therapy; they also provide a basis for estimating target tissue heat load and developing therapeutic guidelines. Bioelectromagnetics 31:12,19, 2010. © 2009 Wiley-Liss, Inc. [source]