Introduction: Tattoo Artists are exposed to Occupational Hazards, but the bibliography is scarce. Methodology: this is a Mixed Exploratory Study carried out with a quantitative component (online questionnaire) and a q...Introduction: Tattoo Artists are exposed to Occupational Hazards, but the bibliography is scarce. Methodology: this is a Mixed Exploratory Study carried out with a quantitative component (online questionnaire) and a qualitative component (online interview). The questionnaire was available between April 2020 and March 2021 and was distributed by the companies/professionals that work on Tattoos, main national magazines in the sector, companies that supply products and equipment and organizing committees of the main national congresses. The research project was approved by the Ethics Committee of the Faculty of Arts of the University of Porto (28.04.2020) and an informed consent was obtained. As an inclusion criterion, it was considered to carry out tattooing tasks on a paid basis. As exclusion criteria, working outside the country or not mastering the Portuguese language stood out. Results: 207 Tattoo Artists answered the questionnaire (25.87% of professionals registered in Portugal) and nine interviews took place. Numerous statistically significant associations were found between the variables analysed. Final considerations: the main weaknesses of the study are related to the difficulties inherent in data collection: as it was carried out using an online questionnaire, it was not controlled whether all respondents practiced the profession of Tattoo Artists. Furthermore, as it is a voluntary questionnaire, it is possible that the sample retained professionals who value Occupational Health issues. This investigation combined quantitative and qualitative techniques, so that it was possible to take advantage of and mitigate the disadvantages of both;in fact, the qualitative aspect sequentially completed and explored the data initially obtained in the survey, as well as it allowed to deepen issues initially not programmed, such as the possible interference of the Pandemic associated with SARS-COV2 in the general Risk Perception and compliance with the Standards of Good Practices. Regarding the interviews, the sample was reduced, although the answers were reasonably repeated. During those, even though the questions were posed based on what the Tattoo Artists’ thoughts on what most of the colleagues considered and not having to answer only for themselves, this may still have motivated them to respond in a more politically correct manner. In the overall project, very complete data were obtained on Occupational Health applied to this professional sector, part of which had not been published before, which will certainly constitute an asset to acting more effectively. Overall, Portuguese Tattoo Artists believe that most of their colleagues try to comply with the standards of Good Practice, and this attitude was boosted by the COVID-19 pandemic.展开更多
Introduction: The number of Tattoo artists has been increasing and there are important Occupational Risks associated. The aim of this article was to describe the position of these professionals regarding the Recommend...Introduction: The number of Tattoo artists has been increasing and there are important Occupational Risks associated. The aim of this article was to describe the position of these professionals regarding the Recommendations and to analyze their compliance when working alone or accompanied. Methodology: It is a Mixed Exploratory Study, involving a quantitative component (Observational Analytical of transversal nature), operated through an online survey and, in a second phase, a qualitative one (Case Study), through the use of interviews. A representative sample of the population under study was obtained, considering a 90% confidence interval. The research project was approved by a Ethics Committee and informed consent was obtained. Presentation and Discussion of the Results: The sample considered 207 questionnaires and nine interviews. The compliance with Standards increases with experience;those who reported that they do not always comply are those who use less the Personal Protective Equipment (t = 2.659;p = 0.008). Compliance is also influenced by the Perception of Risk, information, social pressure (more accentuated by COVID19) and motivation to increase profit. Those who considered the Recommendations to be adequate were statistically associated with compliance with Collective Protection Measures. Regarding the compliance when working alone or not, 86.0% stated that they maintained the same posture;of those who answered the opposite, 85.7% complied more alone. Those with less education were statistically associated to less compliance with the rules when alone (X<sup>2</sup> = 12.763;p = 0.005). Final Considerations: Previously unpublished data has been obtained, valuable to act effectively in this professional sector. It is fundamental to invest in training, as well as to elaborate Standards (developed jointly by Doctors/Safety Technicians and Tattoo artists). The organization of the Conventions should guarantee adequate conditions (area, access to disinfection/sterilization methods) and share Standards, promoting inspection and punishments for non-compliance, since they are the most unsafe places.展开更多
While the practice of tattooing has existed for thousands of years, it has recently begun growing in popularity in the US. With the increasing prevalence of tattoos, the methods and inks involved in the tattooing proc...While the practice of tattooing has existed for thousands of years, it has recently begun growing in popularity in the US. With the increasing prevalence of tattoos, the methods and inks involved in the tattooing process have also developed. Tattoos now use many brightly colored inks, often made using metal-based pigments. There is concern that chemicals may be present in tattoo inks in concentrations that may lead to human health concerns either during application or removal of tattoos. Since exposure to metals has been linked to tremors, liver damage, memory loss, cognitive loss, and even death, there is concern about the prevalence of metals in tattoo inks in general. To this end, a survey of 226 commercial tattoo inks was performed and each ink was analyzed for the presence of heavy metals using two different x-ray methods: Particle Induced X-Ray Emission and Scanning Electron Microscopy/ Energy Dispersive Spectroscopy. Fifteen metals were identified in various tattoo inks by these rapid x-ray methods, including chromium, manganese, nickel, copper, barium, and lead. Conclusions can be drawn about the prevalence of metals in some pigment colors and from some brands.展开更多
Introduction/Objectives: As Tattoo is being more accepted, more professionals dedicate to it. A study was designed with the aim of analysing the perception of Tattoo Artists regarding their Occupational Health/Safety ...Introduction/Objectives: As Tattoo is being more accepted, more professionals dedicate to it. A study was designed with the aim of analysing the perception of Tattoo Artists regarding their Occupational Health/Safety team (opinion about the support provided);as to find out what type accidents, symptoms and occupational diseases they have, in order to provide a better service. Methods: This is a mixed exploratory study, containing a quantitative observational (analytical, cross-sectional) and a qualitative component (Case Study). For the statistical analysis, predominantly non-parametric tests were used. The project was approved by the Ethics Committee and informed consent was obtained. Results: In terms of symptomatology/illnesses, musculoskeletal pathology is the most reported. In terms of accidents, cuts stand out. Several statistically significant relationships were found between the variables analysed. Discussion/Conclusions: The Occupational Health and Security services are considered insufficient by most of the Tattoo artists. It would be desirable that the Occupational Doctor has concrete knowledge regarding Tattooing, in particular semiology/pathology;makes recommendations in pharmacology and/or indicates which exams could be useful. In relation to the Safety Technician, it would be desirable also to have specific knowledge about the sector, making plausible suggestions for improvement.展开更多
Endoscopic tattooing is one of the most useful tools for the localization of small colorectal lesions especially in the laparoscopic setting.This is a minimally invasive endoscopic procedure without risk of major comp...Endoscopic tattooing is one of the most useful tools for the localization of small colorectal lesions especially in the laparoscopic setting.This is a minimally invasive endoscopic procedure without risk of major complications.However,many studies have revealed complications resulting from this procedure.In this article,several topics are reviewed including the accuracy,substance preparation,injected techniques and complications related to this procedure.展开更多
Although insulinomas are rare, they are the most com-mon pancreatic neuroendocrine tumor, with an inci-dence of four cases per million population. Insulinomas are generally benign indolent intrapancreatic tumors. Surg...Although insulinomas are rare, they are the most com-mon pancreatic neuroendocrine tumor, with an inci-dence of four cases per million population. Insulinomas are generally benign indolent intrapancreatic tumors. Surgical resection remains the main option for treat-ment. However, up to 67% of a pancreatic head insu-linomas are nonpalpable, thus surgical resection of the nonplapable insulinoma in this area could become prob-lematic resulting in prolonged surgical time, increased risk of pancreatic duct injury and need for pancreati-coduodenectomy. Endoscopic ultrasound-guided fine- needle tattooing(EUS-FNT), has been shown to have a crucial role for localization of pancreatic body and tail lesions, facilitating laparoscopic distal pancreatectomyand helping surgeons identify the location of the tumor. EUS-FNT might have a role for preoperative localiza-tion of pancreatic head insulinomas which are likely to be nonpalpable. We report a case of preoperative EUS-FNT for localization of a nonplapable pancreatic head insulinoma. This report demonstrates that EUS-FNT of pancreatic head insulinomas may facilitate surgical resection, reduce operative time and decrease surgical complications.展开更多
AIM:To evaluate and report the efficacy of combined surgical excision and corneal tattooing in patients with limbal dermoids.·METHODS:In a retrospective interventional case series,9 eyes of 8 patients were treate...AIM:To evaluate and report the efficacy of combined surgical excision and corneal tattooing in patients with limbal dermoids.·METHODS:In a retrospective interventional case series,9 eyes of 8 patients were treated with combined surgery of simple keratectomy and corneal tattooing for limbal dermoids.Medical records,including best-corrected visual acuity,anterior segment photography,demographic,clinical data,and follow-up information were reviewed.·RESULTS:The mean follow up period in this study was 50±15(range 36-77) months.There was no evidence of infection or recurrent limbal dermoids in any of the eyes during the follow-up period.All patients achieved good cosmetic outcomes with no complications.·CONCLUSION:Simple keratectomy and corneal tattooing of limbal dermoids could be an alternative option for surgery,especially when a donor cornea is not available.展开更多
AIM To prove that tattooing using indocyanine green(ICG) is feasible in laparoscopic surgery for a colon tumor.METHODS From January 2012 to December 2016, all patients who underwent laparoscopic colonic surgery were r...AIM To prove that tattooing using indocyanine green(ICG) is feasible in laparoscopic surgery for a colon tumor.METHODS From January 2012 to December 2016, all patients who underwent laparoscopic colonic surgery were retrospectively screened, and 1010 patients with colorectal neoplasms were included. Their lesions were tattooed with ICG the day before the operation. The tattooed group(TG) included 114 patients, and the non-tattooed group(NTG) was selected by propensity score matching of subjects based on age, sex, tumor staging, and operation method(n = 228). In total, 342 patients were enrolled. Between the groups, the changes in [Delta(Δ), preoperative-postoperative] the hemoglobin and albumin levels, operation time, hospital stay, oral ingestion period, transfusion, and perioperative complications were compared. RESULTS Preoperative TG had a shorter operation time(174.76 ± 51.6 min vs 192.63 ± 59.9 min, P < 0.01), hospital stay(9.55 ± 3.36 d vs 11.42 ± 8.23 d, P < 0.01), and postoperative oral ingestion period(1.58 ± 0.96 d vs 2.81 ± 1.90 d, P < 0.01). The Δ hemoglobin(0.78 ± 0.76 g/dL vs 2.2 ± 1.18 g/dL, P < 0.01) and Δ albumin(0.41 ± 0.44 g/dL vs 1.08 ± 0.39 g/dL, P < 0.01) levels were lower in the TG. On comparison of patients in the "N0" and "N1 or N2" groups, the N0 colon cancer group had a better operation time, length of hospital stay, oral ingestion period, Δ hemoglobin, and Δ albumin results than those of the N1 or N2 group. The operation methods affected the results, and laparoscopic anterior resection(LAR) showed similar results. However, for left and right hemicolectomy, both groups showed no difference in operation time or hospital stay.CONCLUSION Preoperative tattooing with ICG is useful for laparoscopic colectomy, especially in the N0 colon cancer group and LAR.展开更多
Tattooing the skin as a means of personal expression is a ritualized practice that has been around for centuries across many different cultures.Accordingly,the symbolic meaning of tattoos has evolved over time and is ...Tattooing the skin as a means of personal expression is a ritualized practice that has been around for centuries across many different cultures.Accordingly,the symbolic meaning of tattoos has evolved over time and is highly individualized,from both the internal perspective of the wearer and the external perspective of an observer.Within modern Western societies through the 1970 s,tattoos represented a cultural taboo,typically associated with those outside of the mainstream such as soldiers,incarcerated criminals,gang members,and others belonging to marginalized and counter-cultural groups.This paper aims to review the more recent epidemiology of tattoos in Western culture in order to establish that tattooing has become a mainstream phenomenon.We then review psychological and psychiatric aspects of tattoos,with a goal of revising outmoded stigmas about tattooing and helping clinicians working with tattooed patients to facilitate an exploration of the personal meaning of skin art and self-identity.We suggest that as a kind of augmentation of the physical exam,looking at and talking to patients about their tattoos can provide a valuable window into the psyche,informing clinical practice.展开更多
AIMTo assess the safety and cosmetic efficacy of a new multiple noncontinuous transepithelial puncture technique for tattooing a decompensated cornea.METHODSIt was a non-comparative clinical case series study. The stu...AIMTo assess the safety and cosmetic efficacy of a new multiple noncontinuous transepithelial puncture technique for tattooing a decompensated cornea.METHODSIt was a non-comparative clinical case series study. The study examines 33 eyes in 33 patients with total corneal opacity due to corneal decompensation, which developed following intraocular surgery. Corneal tattooing was performed using the multiple noncontinuous transepithelial puncture technique (i.e. pointage). The safety of this new surgical strategy was assessed by occurrence of adverse events for the follow-up period. The cosmetic efficacy was determined by the patient's cosmetic satisfaction and independent observer's opinion about patient appearance.RESULTSSeven women and 26 men were included in the study. The mean age was 46.4±17.5y (range: 7-67). In total, 30 of 33 patients (91%) reported cosmetic satisfaction within the follow-up period. Only 3 patients (9%) required additional tattooing due to cosmetic unsatisfaction. Cosmetic outcomes were analyzed and classified as excellent or good in 13 (39%) and 17 (52%) patients, respectively. No serious adverse events developed, except delayed epithelial healing in 3 cases.CONCLUSIONThe cosmetic outcomes of the multiple noncontinuous transepithelial puncture technique for corneal tattooing were good. The safety of this method is higher than conventional procedures. This new procedure also provides improved cost-effectiveness and safety over current corneal tattooing techniques.展开更多
Iliopsoas abscess(IPA) is an uncommon infection. The clinical presentation is usually insidious. Most patients present with nonspecific symptoms, leading to difficulty in prompt and accurate diagnosis. Delay in diagno...Iliopsoas abscess(IPA) is an uncommon infection. The clinical presentation is usually insidious. Most patients present with nonspecific symptoms, leading to difficulty in prompt and accurate diagnosis. Delay in diagnosis can lead to complications, such as sepsis and death. Tattooing has become more popular over the recent years and has been associated with tattooing-related and blood-borne infections. We present two related cases of methicillin-resistant Staphylococcus aureus IPA after tattooing and review the epidemiology, etiology, clinical features, and management of IPA.展开更多
BACKGROUND Compared to earlier,there has been an increase in the tattoo procedures for cosmetic purposes;and there has also been an increase in the tattoo procedures performed by non-medical personnel.In South Korea,o...BACKGROUND Compared to earlier,there has been an increase in the tattoo procedures for cosmetic purposes;and there has also been an increase in the tattoo procedures performed by non-medical personnel.In South Korea,only tattoos performed by a doctor are considered legal;however,there is still some debate over whether tattoo procedures performed by non-healthcare providers should be considered legal.CASE SUMMARY A 28-year-old woman visited our hospital with pain in both nipples and heat sensation over the last 4 d.She had a history of a nipple tattoo performed by an unlicensed person.Pinpoint bleeding was noted in both areolar areas,and the exudate mixed with pus and orange color ink was discharged.Oral medication and tulle with foam dressing were performed under the impression of cellulitis and allergic reaction.After 4 wk,nipples remained dark brown in color,resulting in a color mismatch between the nipple and orange-colored areola.The size of the areola was also found to be distinctly asymmetrical after healing.This complication may have been caused by the use of illegal ink or unsanitary procedures,or a problem may have occurred in the post-tattoo management stage.CONCLUSION Doctors use approved ink,aseptic procedure and appropriate postoperative care,and appropriate management can be performed in case of complications.展开更多
Background: Previously described methods for removal of tattoos are chemical, mechanical, surgical, termal and laser assited methods. Invention of the Q-switch mode, advanced the laser method, to be one of the most ef...Background: Previously described methods for removal of tattoos are chemical, mechanical, surgical, termal and laser assited methods. Invention of the Q-switch mode, advanced the laser method, to be one of the most effective methods of tattoo removal. Objective: Comparing the tattoo removal and rate of lymphatic elimination of 3 different wavelengths of Q-switched Nd-YAG laser (532nm, 1064nm, combination 532 + 1064). Methods: In this study we examined lymphatic elimination and the effect of 532 nm, 1064 nm, and the combination (532 + 1064 nm) wavelength of laser pulse for the possible lymphatic cleansing mechanism of black pigmented tattoos. This study was performed on 18 New-Zealand rabbits, black pigmented tattoos were engraved on the back and the four extremities of the animals. 532 nm wavelength of Q switched Nd: YAG laser beam was applied on the left upper and bilateral lower extremities of the rabbits. During this period, excisional skin biopsies and lymph node biopsies were performed on days 7, 14 and 21. Results: Day 21 lymph node biopsies revealed mixed type of reactive hyperplasia and intracellular pigments were markedly seen in the laser treatment group and no intracellular tattoo pigment was seen in the control group. Conclusion: The findingd of this study indicate that lymphatic elimination may be one of the significant mechanisms of tattoo removal and the application of different wavelengths of Q-switched Nd-YAG laser do not show statistically significant differences in tattoo removal.展开更多
External perceptions of individuals based on the presence of tattoos were assessed. College students completed anonline attitudinal assessment in a 4 × 2 design. Participants were asked to rate the aesthetics of ...External perceptions of individuals based on the presence of tattoos were assessed. College students completed anonline attitudinal assessment in a 4 × 2 design. Participants were asked to rate the aesthetics of tattoos and models（11 women and 17 men） from Photoshopped images. Results （n = 152 usable of 177 collected） indicate that aswhole models and tattoos are not affected in aesthetic appeal, but individually some models and tattoos wereaffected. Tattoos were rated as better quality art when the model can be seen; thus, contextualization allows forgreater appreciation of the tattoo. Results support extant research that indicates women＇s attractiveness is notaffected by tattoos, which also providing a new approach for tattooed individuals.展开更多
Background: There has been a longstanding debate regarding whether keratoacanthomas (KAs) are neoplastic or reactive/inflammatory lesions. Aim: The aim of this case report is to, within the aforementioned debate, offe...Background: There has been a longstanding debate regarding whether keratoacanthomas (KAs) are neoplastic or reactive/inflammatory lesions. Aim: The aim of this case report is to, within the aforementioned debate, offer support in favor of the potential reactive nature of keratoacanthomas. Case Presentation: A 64-year-old male presented with an eruption of 25 keratoacanthomas within a red ink tattoo. Eruptions were partially resolved over a matter of months, and completely resolved with treatment using oral Acitretin therapy. We believe this to be the third such reported case of eruptive KAs within only the red ink portions of a tattoo. Prior cases involved 2 and 8 KAs each. Discussion: Multiple studies suggest that KAs are neoplastic in nature and very distinct from cutaneous squamous cell carcinoma. Especially interesting is the finding that KAs have increased expression of apoptotic genes;this is particularly notable because of the tendency for these lesions to spontaneously involute. Skin tumorigenesis can occur in predisposed individuals after carcinogen exposure, thus red ink possesses theoretical potential as a carcinogen. KAs could be seen in this case as in fact a reactive neoplasm.展开更多
This work describes the application of a detailed set of TXRF evaluations to the elemental content of assorted tattoo inks, on the market of the city of Concepcion, Chile. We applied TXRF as a screening method for det...This work describes the application of a detailed set of TXRF evaluations to the elemental content of assorted tattoo inks, on the market of the city of Concepcion, Chile. We applied TXRF as a screening method for determining the composition in 3 sets of tattoo inks, in order to establish, from an inorganic point of view, the composition and purity of the samples, evaluating their elemental innocuousness. The analyzed 48 products were freely acquired from on line suppliers. All of them were analyzed by external standard quantification, but in order to inter-compare the results, a 15% of the samples were acidly digested and then quantified by the internal standard method. In the samples we determined: 1) their inorganic quantitative composition and, 2) the possible presence of elements which are potential health hazards. In this study few anomalies were found: 1) The high presence Ti of and W in few samples, 2) Arsenic was found in four of them, and 3) A trace detection of a rare earth element in a particular product. The products studied are almost freely imported from a world open marked, so the questions about their innocuousness could affect not only to the Chilean society.展开更多
The relationship between social class and social identity is that, on one hand, social identity is linked to social class and class distinction plays the most important role in determining social identity; and on the ...The relationship between social class and social identity is that, on one hand, social identity is linked to social class and class distinction plays the most important role in determining social identity; and on the other hand, social identity stresses the individual＇s subjective feelings and it refers to the perception of the individual. What is important is the effect of the psychological essence of social identity. In Oates＇s The Tattooed Girl （2004）, an individual＇s perception of social identity has an impact on his or her behavior that causes conflicts between the characters. This paper will analyze the issue of social identity in The Tattooed Girl from the following aspects： How the lower class with a subordinate social identity experiences the personal struggles; How the middle class with a privileged social identity undergoes spiritual suffering due to the traumatic memory; And how the less advantaged attempts to break the social identity boundary, and how such efforts lead to tragedy.展开更多
Tattoo custom in women of Yi ethnic group is a human cultural phenomenon with very rich connotation.Its social and psychological motive is complex.It is a comprehensive expression of religion,culture and custom of Yi ...Tattoo custom in women of Yi ethnic group is a human cultural phenomenon with very rich connotation.Its social and psychological motive is complex.It is a comprehensive expression of religion,culture and custom of Yi ethnic group under specific historical and regional conditions.展开更多
文摘Introduction: Tattoo Artists are exposed to Occupational Hazards, but the bibliography is scarce. Methodology: this is a Mixed Exploratory Study carried out with a quantitative component (online questionnaire) and a qualitative component (online interview). The questionnaire was available between April 2020 and March 2021 and was distributed by the companies/professionals that work on Tattoos, main national magazines in the sector, companies that supply products and equipment and organizing committees of the main national congresses. The research project was approved by the Ethics Committee of the Faculty of Arts of the University of Porto (28.04.2020) and an informed consent was obtained. As an inclusion criterion, it was considered to carry out tattooing tasks on a paid basis. As exclusion criteria, working outside the country or not mastering the Portuguese language stood out. Results: 207 Tattoo Artists answered the questionnaire (25.87% of professionals registered in Portugal) and nine interviews took place. Numerous statistically significant associations were found between the variables analysed. Final considerations: the main weaknesses of the study are related to the difficulties inherent in data collection: as it was carried out using an online questionnaire, it was not controlled whether all respondents practiced the profession of Tattoo Artists. Furthermore, as it is a voluntary questionnaire, it is possible that the sample retained professionals who value Occupational Health issues. This investigation combined quantitative and qualitative techniques, so that it was possible to take advantage of and mitigate the disadvantages of both;in fact, the qualitative aspect sequentially completed and explored the data initially obtained in the survey, as well as it allowed to deepen issues initially not programmed, such as the possible interference of the Pandemic associated with SARS-COV2 in the general Risk Perception and compliance with the Standards of Good Practices. Regarding the interviews, the sample was reduced, although the answers were reasonably repeated. During those, even though the questions were posed based on what the Tattoo Artists’ thoughts on what most of the colleagues considered and not having to answer only for themselves, this may still have motivated them to respond in a more politically correct manner. In the overall project, very complete data were obtained on Occupational Health applied to this professional sector, part of which had not been published before, which will certainly constitute an asset to acting more effectively. Overall, Portuguese Tattoo Artists believe that most of their colleagues try to comply with the standards of Good Practice, and this attitude was boosted by the COVID-19 pandemic.
文摘Introduction: The number of Tattoo artists has been increasing and there are important Occupational Risks associated. The aim of this article was to describe the position of these professionals regarding the Recommendations and to analyze their compliance when working alone or accompanied. Methodology: It is a Mixed Exploratory Study, involving a quantitative component (Observational Analytical of transversal nature), operated through an online survey and, in a second phase, a qualitative one (Case Study), through the use of interviews. A representative sample of the population under study was obtained, considering a 90% confidence interval. The research project was approved by a Ethics Committee and informed consent was obtained. Presentation and Discussion of the Results: The sample considered 207 questionnaires and nine interviews. The compliance with Standards increases with experience;those who reported that they do not always comply are those who use less the Personal Protective Equipment (t = 2.659;p = 0.008). Compliance is also influenced by the Perception of Risk, information, social pressure (more accentuated by COVID19) and motivation to increase profit. Those who considered the Recommendations to be adequate were statistically associated with compliance with Collective Protection Measures. Regarding the compliance when working alone or not, 86.0% stated that they maintained the same posture;of those who answered the opposite, 85.7% complied more alone. Those with less education were statistically associated to less compliance with the rules when alone (X<sup>2</sup> = 12.763;p = 0.005). Final Considerations: Previously unpublished data has been obtained, valuable to act effectively in this professional sector. It is fundamental to invest in training, as well as to elaborate Standards (developed jointly by Doctors/Safety Technicians and Tattoo artists). The organization of the Conventions should guarantee adequate conditions (area, access to disinfection/sterilization methods) and share Standards, promoting inspection and punishments for non-compliance, since they are the most unsafe places.
文摘While the practice of tattooing has existed for thousands of years, it has recently begun growing in popularity in the US. With the increasing prevalence of tattoos, the methods and inks involved in the tattooing process have also developed. Tattoos now use many brightly colored inks, often made using metal-based pigments. There is concern that chemicals may be present in tattoo inks in concentrations that may lead to human health concerns either during application or removal of tattoos. Since exposure to metals has been linked to tremors, liver damage, memory loss, cognitive loss, and even death, there is concern about the prevalence of metals in tattoo inks in general. To this end, a survey of 226 commercial tattoo inks was performed and each ink was analyzed for the presence of heavy metals using two different x-ray methods: Particle Induced X-Ray Emission and Scanning Electron Microscopy/ Energy Dispersive Spectroscopy. Fifteen metals were identified in various tattoo inks by these rapid x-ray methods, including chromium, manganese, nickel, copper, barium, and lead. Conclusions can be drawn about the prevalence of metals in some pigment colors and from some brands.
文摘Introduction/Objectives: As Tattoo is being more accepted, more professionals dedicate to it. A study was designed with the aim of analysing the perception of Tattoo Artists regarding their Occupational Health/Safety team (opinion about the support provided);as to find out what type accidents, symptoms and occupational diseases they have, in order to provide a better service. Methods: This is a mixed exploratory study, containing a quantitative observational (analytical, cross-sectional) and a qualitative component (Case Study). For the statistical analysis, predominantly non-parametric tests were used. The project was approved by the Ethics Committee and informed consent was obtained. Results: In terms of symptomatology/illnesses, musculoskeletal pathology is the most reported. In terms of accidents, cuts stand out. Several statistically significant relationships were found between the variables analysed. Discussion/Conclusions: The Occupational Health and Security services are considered insufficient by most of the Tattoo artists. It would be desirable that the Occupational Doctor has concrete knowledge regarding Tattooing, in particular semiology/pathology;makes recommendations in pharmacology and/or indicates which exams could be useful. In relation to the Safety Technician, it would be desirable also to have specific knowledge about the sector, making plausible suggestions for improvement.
文摘Endoscopic tattooing is one of the most useful tools for the localization of small colorectal lesions especially in the laparoscopic setting.This is a minimally invasive endoscopic procedure without risk of major complications.However,many studies have revealed complications resulting from this procedure.In this article,several topics are reviewed including the accuracy,substance preparation,injected techniques and complications related to this procedure.
文摘Although insulinomas are rare, they are the most com-mon pancreatic neuroendocrine tumor, with an inci-dence of four cases per million population. Insulinomas are generally benign indolent intrapancreatic tumors. Surgical resection remains the main option for treat-ment. However, up to 67% of a pancreatic head insu-linomas are nonpalpable, thus surgical resection of the nonplapable insulinoma in this area could become prob-lematic resulting in prolonged surgical time, increased risk of pancreatic duct injury and need for pancreati-coduodenectomy. Endoscopic ultrasound-guided fine- needle tattooing(EUS-FNT), has been shown to have a crucial role for localization of pancreatic body and tail lesions, facilitating laparoscopic distal pancreatectomyand helping surgeons identify the location of the tumor. EUS-FNT might have a role for preoperative localiza-tion of pancreatic head insulinomas which are likely to be nonpalpable. We report a case of preoperative EUS-FNT for localization of a nonplapable pancreatic head insulinoma. This report demonstrates that EUS-FNT of pancreatic head insulinomas may facilitate surgical resection, reduce operative time and decrease surgical complications.
文摘AIM:To evaluate and report the efficacy of combined surgical excision and corneal tattooing in patients with limbal dermoids.·METHODS:In a retrospective interventional case series,9 eyes of 8 patients were treated with combined surgery of simple keratectomy and corneal tattooing for limbal dermoids.Medical records,including best-corrected visual acuity,anterior segment photography,demographic,clinical data,and follow-up information were reviewed.·RESULTS:The mean follow up period in this study was 50±15(range 36-77) months.There was no evidence of infection or recurrent limbal dermoids in any of the eyes during the follow-up period.All patients achieved good cosmetic outcomes with no complications.·CONCLUSION:Simple keratectomy and corneal tattooing of limbal dermoids could be an alternative option for surgery,especially when a donor cornea is not available.
文摘AIM To prove that tattooing using indocyanine green(ICG) is feasible in laparoscopic surgery for a colon tumor.METHODS From January 2012 to December 2016, all patients who underwent laparoscopic colonic surgery were retrospectively screened, and 1010 patients with colorectal neoplasms were included. Their lesions were tattooed with ICG the day before the operation. The tattooed group(TG) included 114 patients, and the non-tattooed group(NTG) was selected by propensity score matching of subjects based on age, sex, tumor staging, and operation method(n = 228). In total, 342 patients were enrolled. Between the groups, the changes in [Delta(Δ), preoperative-postoperative] the hemoglobin and albumin levels, operation time, hospital stay, oral ingestion period, transfusion, and perioperative complications were compared. RESULTS Preoperative TG had a shorter operation time(174.76 ± 51.6 min vs 192.63 ± 59.9 min, P < 0.01), hospital stay(9.55 ± 3.36 d vs 11.42 ± 8.23 d, P < 0.01), and postoperative oral ingestion period(1.58 ± 0.96 d vs 2.81 ± 1.90 d, P < 0.01). The Δ hemoglobin(0.78 ± 0.76 g/dL vs 2.2 ± 1.18 g/dL, P < 0.01) and Δ albumin(0.41 ± 0.44 g/dL vs 1.08 ± 0.39 g/dL, P < 0.01) levels were lower in the TG. On comparison of patients in the "N0" and "N1 or N2" groups, the N0 colon cancer group had a better operation time, length of hospital stay, oral ingestion period, Δ hemoglobin, and Δ albumin results than those of the N1 or N2 group. The operation methods affected the results, and laparoscopic anterior resection(LAR) showed similar results. However, for left and right hemicolectomy, both groups showed no difference in operation time or hospital stay.CONCLUSION Preoperative tattooing with ICG is useful for laparoscopic colectomy, especially in the N0 colon cancer group and LAR.
文摘Tattooing the skin as a means of personal expression is a ritualized practice that has been around for centuries across many different cultures.Accordingly,the symbolic meaning of tattoos has evolved over time and is highly individualized,from both the internal perspective of the wearer and the external perspective of an observer.Within modern Western societies through the 1970 s,tattoos represented a cultural taboo,typically associated with those outside of the mainstream such as soldiers,incarcerated criminals,gang members,and others belonging to marginalized and counter-cultural groups.This paper aims to review the more recent epidemiology of tattoos in Western culture in order to establish that tattooing has become a mainstream phenomenon.We then review psychological and psychiatric aspects of tattoos,with a goal of revising outmoded stigmas about tattooing and helping clinicians working with tattooed patients to facilitate an exploration of the personal meaning of skin art and self-identity.We suggest that as a kind of augmentation of the physical exam,looking at and talking to patients about their tattoos can provide a valuable window into the psyche,informing clinical practice.
基金Supported by the Basic Science Research Program through the National Research Foundation of Korea(NRF) and funded by the Ministry of Education,Science,and Technology(MEST)(NRF-2010-0025662)the Asan Institute for Life Sciences,Seoul,Korea(2014-464)
文摘AIMTo assess the safety and cosmetic efficacy of a new multiple noncontinuous transepithelial puncture technique for tattooing a decompensated cornea.METHODSIt was a non-comparative clinical case series study. The study examines 33 eyes in 33 patients with total corneal opacity due to corneal decompensation, which developed following intraocular surgery. Corneal tattooing was performed using the multiple noncontinuous transepithelial puncture technique (i.e. pointage). The safety of this new surgical strategy was assessed by occurrence of adverse events for the follow-up period. The cosmetic efficacy was determined by the patient's cosmetic satisfaction and independent observer's opinion about patient appearance.RESULTSSeven women and 26 men were included in the study. The mean age was 46.4±17.5y (range: 7-67). In total, 30 of 33 patients (91%) reported cosmetic satisfaction within the follow-up period. Only 3 patients (9%) required additional tattooing due to cosmetic unsatisfaction. Cosmetic outcomes were analyzed and classified as excellent or good in 13 (39%) and 17 (52%) patients, respectively. No serious adverse events developed, except delayed epithelial healing in 3 cases.CONCLUSIONThe cosmetic outcomes of the multiple noncontinuous transepithelial puncture technique for corneal tattooing were good. The safety of this method is higher than conventional procedures. This new procedure also provides improved cost-effectiveness and safety over current corneal tattooing techniques.
文摘Iliopsoas abscess(IPA) is an uncommon infection. The clinical presentation is usually insidious. Most patients present with nonspecific symptoms, leading to difficulty in prompt and accurate diagnosis. Delay in diagnosis can lead to complications, such as sepsis and death. Tattooing has become more popular over the recent years and has been associated with tattooing-related and blood-borne infections. We present two related cases of methicillin-resistant Staphylococcus aureus IPA after tattooing and review the epidemiology, etiology, clinical features, and management of IPA.
文摘BACKGROUND Compared to earlier,there has been an increase in the tattoo procedures for cosmetic purposes;and there has also been an increase in the tattoo procedures performed by non-medical personnel.In South Korea,only tattoos performed by a doctor are considered legal;however,there is still some debate over whether tattoo procedures performed by non-healthcare providers should be considered legal.CASE SUMMARY A 28-year-old woman visited our hospital with pain in both nipples and heat sensation over the last 4 d.She had a history of a nipple tattoo performed by an unlicensed person.Pinpoint bleeding was noted in both areolar areas,and the exudate mixed with pus and orange color ink was discharged.Oral medication and tulle with foam dressing were performed under the impression of cellulitis and allergic reaction.After 4 wk,nipples remained dark brown in color,resulting in a color mismatch between the nipple and orange-colored areola.The size of the areola was also found to be distinctly asymmetrical after healing.This complication may have been caused by the use of illegal ink or unsanitary procedures,or a problem may have occurred in the post-tattoo management stage.CONCLUSION Doctors use approved ink,aseptic procedure and appropriate postoperative care,and appropriate management can be performed in case of complications.
文摘Background: Previously described methods for removal of tattoos are chemical, mechanical, surgical, termal and laser assited methods. Invention of the Q-switch mode, advanced the laser method, to be one of the most effective methods of tattoo removal. Objective: Comparing the tattoo removal and rate of lymphatic elimination of 3 different wavelengths of Q-switched Nd-YAG laser (532nm, 1064nm, combination 532 + 1064). Methods: In this study we examined lymphatic elimination and the effect of 532 nm, 1064 nm, and the combination (532 + 1064 nm) wavelength of laser pulse for the possible lymphatic cleansing mechanism of black pigmented tattoos. This study was performed on 18 New-Zealand rabbits, black pigmented tattoos were engraved on the back and the four extremities of the animals. 532 nm wavelength of Q switched Nd: YAG laser beam was applied on the left upper and bilateral lower extremities of the rabbits. During this period, excisional skin biopsies and lymph node biopsies were performed on days 7, 14 and 21. Results: Day 21 lymph node biopsies revealed mixed type of reactive hyperplasia and intracellular pigments were markedly seen in the laser treatment group and no intracellular tattoo pigment was seen in the control group. Conclusion: The findingd of this study indicate that lymphatic elimination may be one of the significant mechanisms of tattoo removal and the application of different wavelengths of Q-switched Nd-YAG laser do not show statistically significant differences in tattoo removal.
文摘External perceptions of individuals based on the presence of tattoos were assessed. College students completed anonline attitudinal assessment in a 4 × 2 design. Participants were asked to rate the aesthetics of tattoos and models（11 women and 17 men） from Photoshopped images. Results （n = 152 usable of 177 collected） indicate that aswhole models and tattoos are not affected in aesthetic appeal, but individually some models and tattoos wereaffected. Tattoos were rated as better quality art when the model can be seen; thus, contextualization allows forgreater appreciation of the tattoo. Results support extant research that indicates women＇s attractiveness is notaffected by tattoos, which also providing a new approach for tattooed individuals.
文摘Background: There has been a longstanding debate regarding whether keratoacanthomas (KAs) are neoplastic or reactive/inflammatory lesions. Aim: The aim of this case report is to, within the aforementioned debate, offer support in favor of the potential reactive nature of keratoacanthomas. Case Presentation: A 64-year-old male presented with an eruption of 25 keratoacanthomas within a red ink tattoo. Eruptions were partially resolved over a matter of months, and completely resolved with treatment using oral Acitretin therapy. We believe this to be the third such reported case of eruptive KAs within only the red ink portions of a tattoo. Prior cases involved 2 and 8 KAs each. Discussion: Multiple studies suggest that KAs are neoplastic in nature and very distinct from cutaneous squamous cell carcinoma. Especially interesting is the finding that KAs have increased expression of apoptotic genes;this is particularly notable because of the tendency for these lesions to spontaneously involute. Skin tumorigenesis can occur in predisposed individuals after carcinogen exposure, thus red ink possesses theoretical potential as a carcinogen. KAs could be seen in this case as in fact a reactive neoplasm.
文摘This work describes the application of a detailed set of TXRF evaluations to the elemental content of assorted tattoo inks, on the market of the city of Concepcion, Chile. We applied TXRF as a screening method for determining the composition in 3 sets of tattoo inks, in order to establish, from an inorganic point of view, the composition and purity of the samples, evaluating their elemental innocuousness. The analyzed 48 products were freely acquired from on line suppliers. All of them were analyzed by external standard quantification, but in order to inter-compare the results, a 15% of the samples were acidly digested and then quantified by the internal standard method. In the samples we determined: 1) their inorganic quantitative composition and, 2) the possible presence of elements which are potential health hazards. In this study few anomalies were found: 1) The high presence Ti of and W in few samples, 2) Arsenic was found in four of them, and 3) A trace detection of a rare earth element in a particular product. The products studied are almost freely imported from a world open marked, so the questions about their innocuousness could affect not only to the Chilean society.
文摘The relationship between social class and social identity is that, on one hand, social identity is linked to social class and class distinction plays the most important role in determining social identity; and on the other hand, social identity stresses the individual＇s subjective feelings and it refers to the perception of the individual. What is important is the effect of the psychological essence of social identity. In Oates＇s The Tattooed Girl （2004）, an individual＇s perception of social identity has an impact on his or her behavior that causes conflicts between the characters. This paper will analyze the issue of social identity in The Tattooed Girl from the following aspects： How the lower class with a subordinate social identity experiences the personal struggles; How the middle class with a privileged social identity undergoes spiritual suffering due to the traumatic memory; And how the less advantaged attempts to break the social identity boundary, and how such efforts lead to tragedy.
基金special funded project of basic scientific research grant for Southwest Minzu University(2019NQN30)general project of research and reform of school-level education and teaching of Southwest Minzu University 2019(1231119022)output of construction project of‘ethnicity language and character information processing laboratory’of key laboratory of Southwest Minzu University.
文摘Tattoo custom in women of Yi ethnic group is a human cultural phenomenon with very rich connotation.Its social and psychological motive is complex.It is a comprehensive expression of religion,culture and custom of Yi ethnic group under specific historical and regional conditions.
