RESUMO
The injection of liquid silicone for cosmetic augmentation has a history of both legal as well as illicit practice in the United States and worldwide. Recently, the American Society of Plastic Surgeons has launched a public awareness campaign through patient stories and various statements in response to the rise in deaths related to this illicit practice. A articular segment of the population that has become a target is the transgender patient group. A brief review is provided of the history of industrial liquid silicone injection, including the pathophysiology to fully describe and review silicone injection injury. Three cases of soft tissue cellulitis and wound necrosis treated at our institution are summarized and a treatment algorithm proposed based on literature review of treatment options and our own experience.
Assuntos
Celulite (Flegmão)/etiologia , Técnicas Cosméticas/efeitos adversos , Necrose/etiologia , Silicones/efeitos adversos , Adulto , Celulite (Flegmão)/fisiopatologia , Celulite (Flegmão)/terapia , Feminino , Humanos , Injeções Subcutâneas , Masculino , Necrose/diagnóstico , Necrose/fisiopatologia , Necrose/terapia , Silicones/administração & dosagem , Pessoas Transgênero , Estados UnidosRESUMO
Fostering locally relevant and community-centered forms of science learning that develop students' critical science agency problematizes a "one-size-fits-all" model of teacher learning; teachers must examine how community needs and resources, local inequities and justice issues, and curriculum materials can converge to design novel learning opportunities for science learners. This paper presents the core commitments of EMPOWER, a cross-institutional effort that aims to support teachers' sensemaking and adaptations of curriculum materials to promote student ownership, engagement, and relevance at multiple sites across the U.S.