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The Truth About Hormonal Acne And How To Control It

Indian women's hormonal environments have changed dramatically as a result of increased stress and poor lifestyle choices. When it comes to polycystic ovaries, the condition is a hereditary one that can be passed down from mother to daughter. A hormonal imbalance known as PCOS or PCOD has become more common among women and young girls as obesity has become more common.

Despite the fact that PCOD is a gynaecological condition marked by irregular menstruation, it is most commonly diagnosed when patients visit a dermatologist for persistent acne, hirsutism, or hair loss.

So, as a dermatologist, when do I suspect PCOS or hormonal acne?


Suspicion usually arises during a consultation when one or more of the following factors are present:
* Inflammatory acne exacerbated by premenstrual hormones.
* Acne predominantly on the lower half of their face, the jawline, and upper neck.
* Hair loss and/or hirsutism are also present.
* Intense acne brought on by menstrual irregularities or PCOS.

Acne that does not respond to conventional acne treatments like topicals, antibiotics, or chemical peels is likely hormonal acne if none of the above factors can be ruled out.

Is it possible for a dermatologist to tell whether or not acne is caused by hormones?


It's a little complicated here. It is suggested that you undergo a series of blood tests. A clear hormonal imbalance may be discovered, or the results may be within normal ranges. While normal test results don't exclude PCOD as a possibility, the ratios of different investigations are taken into account when making this determination. The clinical diagnosis may be correct even if laboratory tests are negative!

When do you have your hormonal tests?


The use of anti-androgen medications is usually not recommended during the first consultation if the clinical diagnosis of hormonal acne is clear. Conventional acne treatment is started and response is tracked.

Investigations may not be required if the response is adequate.

After 6-8 weeks of treatment, if the patient does not improve, hormonal testing may be recommended.

Is it necessary to treat hormonal acne and PCOS acne with hormones in all cases?


No, that's not always the case. Patients who need a quick response and are open to hormonal treatment begin taking the medication at the beginning of their acne treatment. Patients who don't want to take hormones are prescribed antibiotics/retinoids, including topical and oral forms, as well as chemical peels.

To effectively control mild to moderate hormonal acne, I typically use advanced chemical peels such as Agera, Obagi Blue peel Radiance, and Azelan. The patient is encouraged to start taking medication if his or her response does not improve after 3-4 sessions. Patients who do not see improvement after 6-8 sessions are re-explained that oral anti-androgen medication is needed to control acne.

Acne is a completely curable dermatology lifestyle disorder. Non-hormonal acne takes 1-2 months to treat, while hormonal acne takes 3-6 months.

Hormonal acne requires a more stringent maintenance plan as well. This may comprise of customised skin care as well as ocassional chemical peels. You should find yourself a dependable dermatologist and start a long-term relationship.
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Your own course of events might shift, yet you can anticipate that the pain should die down quickly after the technique, which will permit a steady re-visitation of your ordinary exercises as a whole
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[October-2021]Braindump2go New SAA-C02 PDF and VCE Dumps Free Share(Q724-Q745)
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A.Deploy Amazon Kinesis Data Firehose to accept incoming data from the loT devices and write the data to Amazon S3 Build a web dashboard to display the data from the last 24 hours B.Deploy an Amazon API Gateway API endpoint and an AWS Lambda function to process incoming data from the loT devices and store the data in Amazon DynamoDB Build a web dashboard to display the data from the last 24 hours C.Deploy an Amazon API Gateway API endpoint and an Amazon Simple Notification Service (Amazon SNS) tope to process incoming data from the loT devices Write the data to Amazon Redshift Build a web dashboard to display the data from the last 24 hours D.Deploy an Amazon Simple Queue Service (Amazon SOS) FIFO queue and an AWS Lambda function to process incoming data from the loT devices and store the data in an Amazon RDS DB instance Build a web dashboard to display the data from the last 24 hours Answer: D QUESTION 726 A company has designed an application where users provide small sets of textual data by calling a public API. The application runs on AWS and includes a public Amazon API Gateway API that forwards requests to an AWS Lambda function for processing. The Lambda function then writes the data to an Amazon Aurora Serverless database for consumption. The company is concerned that it could lose some user data it a Lambda function fails to process the request property or reaches a concurrency limit. What should a solutions architect recommend to resolve this concern? A.Split the existing Lambda function into two Lambda functions Configure one function to receive API Gateway requests and put relevant items into Amazon Simple Queue Service (Amazon SQS) Configure the other function to read items from Amazon SQS and save the data into Aurora B.Configure the Lambda function to receive API Gateway requests and write relevant items to Amazon ElastiCache Configure ElastiCache to save the data into Aurora C.Increase the memory for the Lambda function Configure Aurora to use the Multi-AZ feature D.Split the existing Lambda function into two Lambda functions Configure one function to receive API Gateway requests and put relevant items into Amazon Simple Notification Service (Amazon SNS) Configure the other function to read items from Amazon SNS and save the data into Aurora Answer: A QUESTION 727 A developer has a script lo generate daily reports that users previously ran manually. The script consistently completes in under 10 minutes. The developer needs to automate this process in a cost-effective manner. Which combination of services should the developer use? (Select TWO.) A.AWS Lambda B.AWS CloudTrail C.Cron on an Amazon EC2 instance D.Amazon EC2 On-Demand Instance with user data E.Amazon EventBridge (Amazon CloudWatch Events) Answer: CE QUESTION 728 A solution architect is creating a new Amazon CloudFront distribution for an application. Some of Ine information submitted by users is sensitive. The application uses HTTPS but needs another layer" of security. The sensitive information should be protected throughout the entire application stack end access to the information should be restricted to certain applications. Which action should the solutions architect take? A.Configure a CloudFront signed URL B.Configure a CloudFront signed cookie. C.Configure a CloudFront field-level encryption profile D.Configure CloudFront and set the Origin Protocol Policy setting to HTTPS Only for the Viewer Protocol Policy Answer: C QUESTION 729 A company has an Amazon S3 bucket that contains confidential information in its production AWS account. The company has turned on AWS CloudTrail for the account. The account sends a copy of its logs to Amazon CloudWatch Logs. The company has configured the S3 bucket to log read and write data events. A company auditor discovers that some objects in the S3 bucket have been deleted. A solutions architect must provide the auditor with information about who deleted the objects. What should the solutions architect do to provide this information? A.Create a CloudWatch Logs fitter to extract the S3 write API calls against the S3 bucket B.Query the CloudTrail togs with Amazon Athena to identify the S3 write API calls against the S3 bucket C.Use AWS Trusted Advisor to perform security checks for S3 write API calls that deleted the content D.Use AWS Config to track configuration changes on the S3 bucket Use these details to track the S3 write API calls that deleted the content Answer: B QUESTION 730 A company has three AWS accounts Management Development and Production. These accounts use AWS services only in the us-east-1 Region. All accounts have a VPC with VPC Flow Logs configured to publish data to an Amazon S3 bucket in each separate account. For compliance reasons the company needs an ongoing method to aggregate all the VPC flow logs across all accounts into one destination S3 bucket in the Management account. What should a solutions architect do to meet these requirements with the LEAST operational overhead? A.Add S3 Same-Region Replication rules in each S3 bucket that stores VPC flow logs to replicate objects to the destination S3 bucket Configure the destination S3 bucket to allow objects to be received from the S3 buckets in other accounts B.Set up an IAM user in the Management account Grant permissions to the IAM user to access the S3 buckets that contain the VPC flow logs Run the aws s3 sync command in the AWS CLl to copy the objects to the destination S3 bucket C.Use an S3 inventory report to specify which objects in the S3 buckets to copy Perform an S3 batch operation to copy the objects into the destination S3 bucket in the Management account with a single request. D.Create an AWS Lambda function in the Management account Grant S3 GET permissions on the source S3 buckets Grant S3 PUT permissions on the destination S3 bucket Configure the function to invoke when objects are loaded in the source S3 buckets Answer: A QUESTION 731 A company is running a multi-tier web application on AWS. The application runs its database on Amazon Aurora MySQL. The application and database tiers are in the us-easily Region. A database administrator who monitors the Aurora DB cluster finds that an intermittent increase in read traffic is creating high CPU utilization on the read replica. The result is increased read latency for the application. The memory and disk utilization of the DB instance are stable throughout the event of increased latency. What should a solutions architect do to improve the read scalability? A.Reboot the DB cluster B.Create a cross-Region read replica C.Configure Aurora Auto Scaling for the read replica D.Increase the provisioned read IOPS for the DB instance Answer: B QUESTION 732 A developer is creating an AWS Lambda function to perform dynamic updates to a database when an item is added to an Amazon Simple Queue Service (Amazon SOS) queue. A solutions architect must recommend a solution that tracks any usage of database credentials in AWS CloudTrail. The solution also must provide auditing capabilities. Which solution will meet these requirements? A.Store the encrypted credentials in a Lambda environment variable B.Create an Amazon DynamoDB table to store the credentials Encrypt the table C.Store the credentials as a secure string in AWS Systems Manager Parameter Store D.Use an AWS Key Management Service (AWS KMS) key store to store the credentials Answer: D QUESTION 733 A company has a service that reads and writes large amounts of data from an Amazon S3 bucket in the same AWS Region. The service is deployed on Amazon EC2 instances within the private subnet of a VPC. The service communicates with Amazon S3 over a NAT gateway in the public subnet. However, the company wants a solution that will reduce the data output costs. Which solution will meet these requirements MOST cost-effectively? A.Provision a dedicated EC2 NAT instance in the public subnet. Configure the route table for the private subnet to use the elastic network interface of this instance as the destination for all S3 traffic B.Provision a dedicated EC2 NAT instance in the private subnet. Configure the route table for the public subnet to use the elastic network interface of this instance as the destination for all S3 traffic. C.Provision a VPC gateway endpoint. Configure the route table for the private subnet to use the gateway endpoint as the route for all S3 traffic. D.Provision a second NAT gateway. Configure the route table foe the private subnet to use this NAT gateway as the destination for all S3 traffic. Answer: C QUESTION 734 A company has an application that uses an Amazon OynamoDB table lew storage. A solutions architect discovers that many requests to the table are not returning the latest data. The company's users have not reported any other issues with database performance Latency is in an acceptable range. Which design change should the solutions architect recommend? A.Add read replicas to the table. B.Use a global secondary index (GSI). C.Request strongly consistent reads for the table D.Request eventually consistent reads for the table. Answer: C QUESTION 735 A company wants lo share data that is collected from sell-driving cars with the automobile community. The data will be made available from within an Amazon S3 bucket. The company wants to minimize its cost of making this data available to other AWS accounts. What should a solutions architect do to accomplish this goal? A.Create an S3 VPC endpoint for the bucket. B.Configure the S3 bucket to be a Requester Pays bucket. C.Create an Amazon CloudFront distribution in front of the S3 bucket. D.Require that the fries be accessible only with the use of the BitTorrent protocol. Answer: A QUESTION 736 A company recently announced the deployment of its retail website to a global audience. The website runs on multiple Amazon EC2 instances behind an Elastic Load Balancer. The instances run in an Auto Scaling group across multiple Availability Zones. The company wants to provide its customers with different versions of content based on the devices that the customers use to access the website. Which combination of actions should a solutions architect take to meet these requirements7 (Select TWO.) A.Configure Amazon CloudFront to cache multiple versions of the content. B.Configure a host header in a Network Load Balancer to forward traffic to different instances. C.Configure a Lambda@Edge function to send specific objects to users based on the User-Agent header. D.Configure AWS Global Accelerator. Forward requests to a Network Load Balancer (NLB). Configure the NLB to set up host-based routing to different EC2 instances. E.Configure AWS Global Accelerator. Forward requests to a Network Load Balancer (NLB). Configure the NLB to set up path-based routing to different EC2 instances. Answer: BD QUESTION 737 A company has developed a new content-sharing application that runs on Amazon Elastic Container Service (Amazon ECS). The application runs on Amazon Linux Docker tasks that use the Amazon EC2 launch type. The application requires a storage solution that has the following characteristics: - Accessibility (or multiple ECS tasks through bind mounts - Resiliency across Availability Zones - Burslable throughput of up to 3 Gbps - Ability to be scaled up over time Which storage solution meets these requirements? A.Launch an Amazon FSx for Windows File Server Multi-AZ instance. Configure the ECS task definitions to mount the Amazon FSx instance volume at launch. B.Launch an Amazon Elastic File System (Amazon EFS) instance. Configure the ECS task definitions to mount the EFS Instance volume at launch. C.Create a Provisioned IOPS SSD (io2) Amazon Elastic Block Store (Amazon EBS) volume with Multi-Attach set to enabled. Attach the EBS volume to the ECS EC2 instance Configure ECS task definitions to mount the EBS instance volume at launch. D.Launch an EC2 instance with several Provisioned IOPS SSD (io2) Amazon Elastic Block Store (Amazon EBS) volumes attached m a RAID 0 configuration. Configure the EC2 instance as an NFS storage server. Configure ECS task definitions to mount the volumes at launch. Answer: B QUESTION 738 An airline that is based in the United States provides services for routes in North America and Europe. The airline is developing a new read-intensive application that customers can use to find flights on either continent. The application requires strong read consistency and needs scalable database capacity to accommodate changes in user demand. The airline needs the database service to synchronize with the least possible latency between the two continents and to provide a simple failover mechanism to a second AWS Region. Which solution will meet these requirements? A.Deploy Microsoft SQL Server on Amazon EC2 instances in a Region in North America. Use SOL Server binary log replication on an EC2 instance in a Region in Europe. B.Create an Amazon DynamoDB global table Add a Region from North America and a Region from Europe to the table. Query data with strongly consistent reads. C.Use an Amazon Aurora MySQL global database. Deploy the read-write node in a Region in North America, and deploy read-only endpoints in Regions in North America and Europe. Query data with global read consistency. D.Create a subscriber application that uses Amazon Kinesis Data Steams for an Amazon Redshift cluster in a Region in North America. Create a second subscriber application for the Amazon Redshift cluster in a Region in Europe. Process all database modifications through Kinesis Data Streams. Answer: C QUESTION 739 A company has a production web application in which users upload documents through a web interlace or a mobile app. According to a new regulatory requirement, new documents cannot be modified or deleted after they are stored. What should a solutions architect do to meet this requirement? A.Store the uploaded documents in an Amazon S3 bucket with S3 Versioning and S3 Object Lock enabled B.Store the uploaded documents in an Amazon S3 bucket. Configure an S3 Lifecycle policy to archive the documents periodically. C.Store the uploaded documents in an Amazon S3 bucket with S3 Versioning enabled Configure an ACL to restrict all access to read-only. D.Store the uploaded documents on an Amazon Elastic File System (Amazon EFS) volume. Access the data by mounting the volume in read-only mode. Answer: A QUESTION 740 A company has a Microsoft NET application that runs on an on-premises Windows Server. The application stores data by using an Oracle Database Standard Edition server. The company is planning a migration to AWS and wants to minimize development changes while moving the application. The AWS application environment should be highly available. Which combination of actions should the company take to meet these requirements? (Select TWO.) A.Refactor the application as serverless with AWS Lambda functions running NET Core. B.Rehost the application in AWS Elastic Beanstalk with the .NET platform in a Multi-AZ deployment. C.Replatform the application to run on Amazon EC2 with the Amazon Linus Amazon Machine Image (AMI). D.Use AWS Database Migration Service (AWS DMS) to migrate from the Oracle database to Amazon DynamoDB in a Multi-AZ deployment. E.Use AWS Database Migration Service (AWS DMS) to migrate from the Oracle database to Oracle on Amazon RDS in a Multi-AZ deployment. Answer: AD QUESTION 741 A company wants to enforce strict security guidelines on accessing AWS Cloud resources as the company migrates production workloads from its data centers. Company management wants all users to receive permissions according to their job roles and functions. Which solution meets these requirements with the LEAST operational overhead? A.Create an AWS Single Sign-On deployment. Connect to the on-premises Active Directory to centrally manage users and permissions across the company B.Create an IAM role for each job function. Require each employee to call the stsiAssumeRole action in the AWS Management Console to perform their job role. C.Create individual IAM user accounts for each employee Create an IAM policy for each job function, and attach the policy to all IAM users based on their job role. D.Create individual IAM user accounts for each employee. Create IAM policies for each job function. Create IAM groups, and attach associated policies to each group. Assign the IAM users to a group based on their Job role. Answer: D QUESTION 742 A company provides machine learning solutions .The company's users need to download large data sets from the company's Amazon S3 bucket. These downloads often take a long lime, especially when the users are running many simulations on a subset of those datasets. Users download the datasets to Amazon EC2 instances in the same AWS Region as the S3 bucket. Multiple users typically use the same datasets at the same time. Which solution will reduce the lime that is required to access the datasets? A.Configure the S3 bucket lo use the S3 Standard storage class with S3 Transfer Acceleration activated. B.Configure the S3 bucket to use the S3 Intelligent-Tiering storage class with S3 Transfer Acceleration activated. C.Create an Amazon Elastic File System (Amazon EFS) network Tile system. Migrate the datasets by using AWS DataSync. D.Move the datasets onto a General Purpose SSD (gp3) Amazon Elastic Block Store (Amazon EBS) volume. Attach the volume to all the EC2 instances. Answer: C QUESTION 743 A company needs to retain its AWS CloudTrail logs (or 3 years. The company is enforcing CloudTrail across a set of AWS accounts by using AWS Organizations from the parent account. The CloudTrail target S3 bucket is configured with S3 Versioning enabled. An S3 Lifecycle policy is in place to delete current objects after 3 years. After the fourth year of use of the S3 bucket, the S3 bucket metrics show that the number of objects has continued to rise. However, the number of new CloudTrail logs that are delivered to the S3 bucket has remained consistent. Which solution will delete objects that are older than 3 years in the MOST cost-effective manner? A.Configure the organization's centralized CloudTrail trail to expire objects after 3 years. B.Configure the S3 Lifecycle policy to delete previous versions as well as current versions. C.Create an AWS Lambda function to enumerate and delete objects from Amazon S3 that are older than 3 years. D.Configure the parent account as the owner of all objects that are delivered to the S3 bucket. Answer: B QUESTION 744 A company has a website hosted on AWS. The website is behind an Application Load Balancer (ALB) that is configured to handle HTTP and HTTPS separately. The company wants to forward all requests to the website so that the requests will use HTTPS. What should a solutions architect do to meet this requirement? A.Update the ALB's network ACL to accept only HTTPS traffic B.Create a rule that replaces the HTTP in the URL with HTTPS. C.Create a listener rule on the ALB to redirect HTTP traffic to HTTPS. D.Replace the ALB with a Network Load Balancer configured to use Server Name Indication (SNI). Answer: C QUESTION 745 A company is deploying an application that processes large quantities of data in batches as needed. The company plans to use Amazon EC2 instances for the workload. The network architecture must support a highly scalable solution and prevent groups of nodes from sharing the same underlying hardware. Which combination of network solutions will meet these requirements? (Select TWO.) A.Create Capacity Reservations for the EC2 instances to run in a placement group B.Run the EC2 instances in a spread placement group. C.Run the EC2 instances in a cluster placement group. D.Place the EC2 instances in an EC2 Auto Scaling group. E.Run the EC2 instances in a partition placement group. Answer: BC 2021 Latest Braindump2go SAA-C02 PDF and SAA-C02 VCE Dumps Free Share: https://drive.google.com/drive/folders/1_5IK3H_eM74C6AKwU7sKaLn1rrn8xTfm?usp=sharing
Everything You Wanted To Know About Laser Hair Removal
Unwanted facial and body hair can have an impact on how we feel, how we interact with others, what we wear, and what we do. Shaving, plucking, bleaching and epilation using a device that pulls out multiple hairs at once are all options for concealing or removing unwanted hair. Electrolysis, which uses an electrical current to destroy individual hair follicles, and laser therapy are longer-term options. So, what exactly is laser hair removal? What can it accomplish? And what are the negative consequences? How does laser therapy work? Lasers emit a single wavelength of light in a single colour. The energy from the light is transferred to the skin and hair pigment melanin when it is directed at the skin. This causes the surrounding tissue to heat up and become damaged. However, in order to remove hair permanently while causing the least amount of damage to the surrounding tissue, the laser must be directed at specific cells. These are the hair follicle stem cells, which are located in the hair bulge. People are carefully shaved before treatment because the skin surface contains melanin, which we want to avoid damaging. Will it be effective in permanently removing hair? Laser treatment can permanently reduce hair density or permanently remove unwanted hair. Because permanent hair density reduction means that some hairs will regrow after a single course of therapy, patients will require ongoing laser treatment. Permanent hair removal means that no hairs in the treated area will regrow after a single course of therapy, and there is no need for ongoing laser therapy. The following factors influence whether hair is permanently removed or simply reduced in density: the colour and thickness of the treated hairs the colour of the patient's skin the type and quality of the laser used and the competence and training of the laser operator However, if you have grey hairs that lack melanin pigmentation, current lasers will not work. What number of treatments will I require? The number of treatments required is determined by your Fitzpatrick skin type. This categorises your skin based on its colour, sun sensitivity, and proclivity to tan. Skin that is pale or white, burns easily, and rarely tans (Fitzpatrick types 1 and 2) With 4-6 treatments every 4-6 weeks, people with dark hair can usually achieve permanent hair removal. People with fair hair will generally only achieve permanent hair reduction, and after an initial course of treatment, they may require 6-12 monthly treatments. Light brown skin that occasionally burns and gradually tans to light brown (type 3) With 6-10 treatments every 4-6 weeks, people with dark hair can usually achieve permanent hair removal. People with fair hair will usually only achieve permanent hair reduction, and after an initial course of treatment, they may require 3-6 monthly follow-up treatments. Moderate brown to dark brown skin that rarely burns and tans well (type 4 and 5) With 6-10 treatments every 4-6 weeks, people with dark hair can usually achieve permanent hair reduction. 3-6 monthly repeat treatments are usually required for maintenance. People with light-colored hair are unlikely to respond. Re-treatments must be spaced far enough apart to allow new hair growth to reach the bulge's level. What complications or side effects should I be aware of? To protect your eyes, you will be advised to wear goggles during treatment. You will also feel some discomfort during treatment, especially during the first few sessions. This is primarily due to not removing all hair in the treatment area prior to the procedure. Hairs that are not shaved absorb laser energy and heat the skin's surface. Repeat treatments at regular intervals reduce pain. After laser treatment, your skin will feel hot for 15-30 minutes. For up to 24 hours, there may be redness and swelling. Does the type of laser make a difference? The type of laser influences not only how well it works, but also your risk of side effects. Long-pulse ruby lasers, long-pulse alexandrite lasers, long-pulse diode lasers, and long-pulse Nd:YAG lasers are all suitable for hair removal. Intense pulsed light (IPL) devices are not lasers, but rather flash lamps that emit multiple wavebands of light at the same time. They function similarly to lasers, albeit less effectively, and have a much lower chance of permanently removing hair. To reduce the risk of damaging melanin-producing cells on the skin's surface, the laser used and how it is used can be tailored to your skin type. People with fair skin and dark hair can use an IPL device, an alexandrite laser, or a diode laser; those with dark skin and dark hair can use a Nd:YAG or diode laser; and those with blond or red hair can use a diode laser. Short laser pulses are used to control the spread of heat and unwanted tissue damage. The laser's energy is also adjusted: it must be strong enough to damage the bulge cells but not so strong that it causes discomfort or burns. Can I do it myself if I buy a home laser device? Home laser devices and IPL home devices range in price from $200 to $1,000. However, they do not work as well and must be used on a regular basis to maintain hair reduction. Only people with fair skin (Fitzpatrick types 1 and 2) and dark hair have their parameters set. Energy settings are limited for safety reasons. Complications may still arise in inexperienced hands. This includes skin pigmentation changes, burns, pain, and blistering. Medical grade lasers, on the other hand, must be registered with the government's regulatory agency, the Therapeutic Goods Administration. There are also national and state-based regulations governing the facility where the laser is used, as well as mandatory laser safety training and state-based qualifications and licencing for laser operators. As a result, a safe and regulated laser in the hands of a skilled dermatologist is advised. When should you see your doctor? Excess hair is not always a cause for concern. However, severe hirsuitism or excessive growth of dark and coarse hair over areas of the body where it would not normally grow or hypertrichosis excess hair growth for someone's age, sex, or race can be indicators of underlying illness. Extra androgen hormones can cause hirsutism, especially if it is accompanied by symptoms such as irregular periods or acne. Later in life, hypertrichosis can be a sign of cancer. Your dermatologist can look into these.