\’Nipple By Number\’ Device Helps Plastic Surgeons Perform 3D Nipple Tattoos

Newswise —

December 26, 2019 –

Three-dimensional tattoos offer a new alternative for creating a natural-looking nipple after breast reconstruction.

For most women, accessing this option means finding a tattoo artist with the skill to create these detailed tattoos. Now a new device called Nipple By Number® enables plastic surgeons to perform realistic-looking 3D

nipple tattoos as an in-office procedure, reports a paper in the January issue of

Plastic and Reconstructive Surgery®

,

the official medical journal of the

American Society of Plastic Surgeons

(ASPS).

\”Nipple by Number® is a simple stencil device that allows consistent, realistic 3D tattooing of the nipple-areola complex [NAC] to complete breast reconstruction,\” comments lead author Solomon Azouz, MD, of Mayo Clinic Arizona, Scottsdale. \”It allows plastic surgeons to perform this sought-after procedure in a safe, reliable, and more- affordable manner, without the need for special training or experience.\”

For most patients, mastectomy results in loss of the NAC – the nipple and surrounding tissue.

Breast reconstruction

has important benefits after mastectomy, but the surgical options for NAC reconstruction are limited.

In recent years, 3D breast tattoos have emerged as a new approach to creating a natural-appearing nipple and areola. Developed by skilled tattoo artists, these techniques use subtle effects of light and shadow to create realistic-looking 3D NAC tattoos.

But 3D nipple tattoos may be difficult to access for most patients. Relatively few artists can perform these sophisticated tattoos. Patients and surgeons may have concerns about verifying the artist\’s skill, or about visiting a tattoo parlor to have the procedure performed. In a survey, Dr. Azouz and colleagues found that less than one-fourth of plastic surgery offices can perform 3D nipple tattoos, or even refer patients to a qualified tattoo artist. National average out-of-pocket costs range from $640 for unilateral to $956 for bilateral breast tattoos.

The Nipple By Number device was developed to provide plastic surgeons with a way of performing 3D nipple tattoos as an office procedure. Itself created by 3D printing, the simple device consists of removeable stencil layers with customizable holes to provide a guide for well-controlled and precise tattooing.

\”The device allows a more facile and efficient approach by allowing those not skilled in the freehand artistic techniques of light and shadow to create a 3D recreation of the NAC,\” Dr. Azouz and coauthors write. The stencil includes openings to guide placement of highlights and shadows to create the illusion of a projecting nipple, and even the tiny Montgomery glands surrounding the nipple. In patients whose reconstruction includes a raised nipple, the device can also be used to create \”4D\” tattoos.

Women have the natural appearance of their nipple restored based on preoperative photographs, or choose from a catalog of NAC designs. The authors note that the Nipple By Number device not only provides a guide for performing tattoos, but may also shorten the learning curve for surgeons or other professionals to gain the technical and artistic skills needed to provide high-quality results with 3D nipple tattooing.

Dr. Azouz and colleagues hope their tool will help make the option of 3D nipple tattooing more widely available to women who have undergone breast reconstruction. The authors conclude: \”The Nipple By Number device will decrease the number of patients who are left to independently find a safe and skilled tattoo artist to complete their breast reconstruction and aid more plastic and reconstructive surgery practices in providing this important service.\”

Click here to read \”A Nipple-Areola Stencil for Three-Dimensional Tattooing: Nipple by Number\”

DOI: 10.1097/PRS.0000000000006398

# # #

Plastic and Reconstructive Surgery®

is published in the Lippincott portfolio by

Wolters Kluwer

.

About

Plastic and Reconstructive Surgery

For more than 70 years,

Plastic and Reconstructive Surgery®

(

http://www.prsjournal.com/

) has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. The official journal of the American Society of Plastic Surgeons,

Plastic and Reconstructive Surgery®

brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair and cosmetic surgery, as well as news on medico-legal issues.

About ASPS

The

American Society of Plastic Surgeons

is the largest organization of board-certified plastic surgeons in the world. Representing more than 7,000 physician members, the society is recognized as a leading authority and information source on cosmetic and reconstructive plastic surgery. ASPS comprises more than 94 percent of all board-certified plastic surgeons in the United States. Founded in 1931, the society represents physicians certified by The American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada.

About Wolters Kluwer

Wolters Kluwer (WKL) is a global leader in professional information, software solutions, and services for the clinicians, nurses, accountants, lawyers, and tax, finance, audit, risk, compliance, and regulatory sectors. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with advanced technology and services.

Wolters Kluwer reported 2018 annual revenues of €4.3 billion. The group serves customers in over 180 countries, maintains operations in over 40 countries, and employs approximately 18,600 people worldwide. The company is headquartered in Alphen aan den Rijn, the Netherlands.

Wolters Kluwer provides trusted clinical technology and evidence-based solutions that engage clinicians, patients, researchers and students with advanced clinical decision support, learning and research and clinical intelligence. For more information about our solutions, visit

http://healthclarity.wolterskluwer.com

and follow us on

LinkedIn

and Twitter

@WKHealth

.

DNREC’s Division of Parks & Recreation hosts First Day Hikes across Delaware

DOVER (Dec. 27, 2019) – New Year’s Day is a great time to kick the 2020s off on the right foot with one of 18 First Day Hikes hosted by DNREC’s Division of Parks and Recreation. First Day Hikes is a national movement sponsored by America’s State Parks to encourage the celebration of fitness in the nation’s great outdoors.

There’s no need to register for any of the hikes listed below; just show up prepared to walk! Items hikers may want to bring along include comfortable hiking/walking shoes, a camera, a bottle of water, appropriate layers for the weather, a hat, sunglasses, a backpack, and snacks. Some hikes may require water-resistant shoes, or have age or pet restrictions. Not all hikes are suitable for strollers.

Check out one of the following hikes to celebrate the New Year at a Delaware State Park.

10 a.m. – Alapocas Run State Park, Wilmington – 2 to 3 miles – Easy/Moderate

Meet at Blue Ball Barn. Leashed, well-behaved dogs welcome.

10 a.m. – Fort Dupont State Park, Delaware City – 1.1 miles – Easy

Meet at the parking lot closest to the river, at the end of Wilmington Avenue/Old Battery Lane.

10 a.m. – Trap Pond State Park, Laurel – 2 miles – Easy

Meet at Baldcypress Nature Center.

11 a.m. – Cape Henlopen State Park, Lewes – 1.5 miles – Moderate

Park in the Point Comfort Station Parking lot and walk north to the Point parking lot. Minimum age: 7 years old with an adult.

12:30 p.m. – Brandywine Zoo, Wilmington – 1/4 mile – Easy

Meet at the gift shop.

12:30 p.m. – Fort Miles Museum and Historical Area, Lewes – 1.7 miles – Easy

Meet at Fort Miles Parking Lot. Minimum age: 7 years old with an adult

1 p.m. – Bellevue State Park, Wilmington – 1.5 to 3 miles – Easy

Meet at Bellevue Arts Center. This hike is for all ages and is stroller friendly.

1 p.m.

First State Heritage Park, Dover – 1/4 mile – Easy

Meet at the John Bell House.

1 p.m. – Holts Landing State Park, Bethany Beach – 1.7 miles – Easy

Meet at Holts Landing Picnic Pavilion

1 p.m. – Killens Pond State Park, Felton – 1 to 3 miles – Varying Difficulty

Meet at the Nature Center.

1 p.m. – Lums Pond State Park, Bear– 2.5 miles – Easy/Moderate

Meet at Area 1 Pavilion/. Pets are permitted but must be on a 6-foot leash.

1 p.m. – Auburn Valley State Park, Yorklyn – 1.1 miles – Moderate

Meet at 1516 Snuff Mill Road Trail lot.

1 p.m. – Brandywine Creek State Park, Wilmington – 2-2.5 miles – Moderate

Meet at the Nature Center.

1 p.m. – White Clay Creek State Park, Newark – 1 to 2.5 miles – Multiple Difficulties

1.3 miles – Moderate – Millstone Pond Trail. Meet at Carpenter Recreation Area.

2 miles – Moderate/Difficult – Arc Corner Monument Loop. Meet at Nature Center.

2 miles – Moderate – PennDel/Pomeroy Trail. Meet at Nature Center

2.5 miles – Moderate/Difficult – Twin Valley Trail. Meet at Carpenter Recreation Area.

3:30 p.m. – Auburn Valley State Park – Easy – 1 mile

Meet at the Paper Mill Parking Lot on Benge Road.

For more information about the Delaware State Parks First Day Hikes and to see maps of the park trails beforehand, go to

https://destateparks.com/firstday

or call 302-739-9220.

Public Comment Period Extended on Cleanup Plan for the Sherwin-Williams/Hilliards Creek Superfund Site

Gibbsboro

, N.J.

– The U.S. Environmental Protection Agency (EPA) has extended the public comment period for its proposed cleanup plan that includes a combination of technologies and methods to address the former paint manufacturing plant and adjoining areas of the Sherwin-Williams/Hilliards Creek Superfund Site in Gibbsboro to

January 29, 2020

. EPA’s study of these areas shows that soil and sediment are contaminated with arsenic and lead, and soil in other areas are contaminated with paint solvents.

EPA’s cleanup plan addresses a nearly 20-acre area where the former manufacturing plant operated, the headwaters of Hilliards Creek and adjoining areas, which include approximately six residential properties. At the former manufacturing plant area, the plan includes removing and disposing of approximately 67,000 cubic yards of contaminated soil from the site and backfilling with clean soil, groundwater monitoring, and institutional controls in the form of deed notices.

Floodplain soil and sediment within Upper Hilliards Creek would be excavated and disposed of off-site. Surface water will be monitored. The wetland areas will be restored with vegetation and soil similar in nature to previously existing wetlands.

In areas where paint solvents are present, the EPA is calling for the treatment of harmful chemicals through subsurface treatment. Certain areas containing soil contaminated with paint solvents may also be treated at the site by injecting non-hazardous additives to the subsurface soil to promote the biological breakdown of contaminants. The specific types of additives to be used will be determined by the EPA as part of the design of the cleanup. Soil gas collection systems will also be installed to collect and treat any harmful vapors.

Throughout the cleanup, EPA will monitor and further study the cleanup progress to ensure the effectiveness of the remedy. EPA will conduct a review of the cleanup every 5 years to ensure its effectiveness. Under the proposed plan, the estimated cost of cleanup is approximately $36 million.

Written comments on the proposed plan, postmarked no later than close of business January 29, 2020, may be mailed or emailed to: Ray Klimcsak, Remedial Project Manager, U.S. Environmental Protection Agency, 290 Broadway – 19

th

Floor, New York, NY 10007, Email:

klimcsak.raymond@epa.gov

To view the EPA’s proposed plan for the site, please visit

www.epa.gov/superfund/sherwin-williams

New Apprenticeship Funding in Philadelphia

December 27, 2019

HARRISBURG PA–Governor Tom Wolf announced the approval of new funding for the International Association of Heat and Frost Insulators and Allied Workers JAC Local Unit 14. (IAHFIAW), whose training center is dedicated to building professionals with expertise,

character, and a sense of teamwork. The funding will support the governor’s commitment to expanding job training related opportunities throughout Pennsylvania.

“It is critical that we invest in the future of Pennsylvania’s workforce by helping industries and organizations bring on, train, and grow new talent,” said Gov. Wolf. “Since taking office, my administration has been committed to supporting the training and development opportunities that will shape the future of workplaces across the commonwealth.”

The $49,500 grant will support recruitment methods, including job fairs in the community and local schools, as well as open house job fairs at the IAHFIAW JAC (LU14) Training Center. The program will recruit and train apprentices in mechanical insulation, firestopping, and asbestos abatement. The center has trained registered apprentices since 1969 with 85 percent of apprentices completing the program and 100 percent being placed in careers. The training center is overseen by a joint committee consisting of representatives from the Contractors Association and the Local Union 14.

“The International Association of Heat and Frost Insulators and Allied Workers JAC (LU14) is very excited to be awarded the commonwealth,” said Ed Krawczyk, Administrator, IAHFIAW JAC (LU14) Training Center. “This grant will help us further utilize the funding for opportunities for training our future apprentices in the Insulation Industry.”

Apprenticeship programs provide key access to career pathways and enable apprentices to develop the knowledge, skills, and abilities necessary to compete in today’s economy. Classroom training is a required component of registered apprenticeship programs across Pennsylvania and complements traditional on-the-job training. The technical materials taught in a classroom environment enables apprentices to learn fundamental concepts, terminology, procedures, safety requirements, and basic tools and instruments.

Apprenticeships are a key component of Governor Wolf’s

PAsmart

initiative, an innovative way to improve coordination between state agencies, cut red tape, and invest in people and businesses to expand innovative job training in apprenticeships and other programs so workers get the skills they need to compete in the global economy.

The Pre-Apprentice and Apprenticeship Grant Program

is a statewide program that offers assistance to registered apprenticeship programs. The program’s goal is to increase apprenticeship availability to Pennsylvania employers to assist them with their talent recruitment and development.

For more information about the Wolf Administration’s commitment to workforce training, visit the

Department of Community and Economic Development website

,

Veterinarians Offer Tips to Keep Your Pets Safe in Winter

As parts of the U.S. gear up for a powerful post-Christmas

winter

storm–packed with strong winds, heavy snow, and freezing rain—veterinarians at

BluePearl Specialty and Emergency Pet Hospital

are offering a few tips to help keep pets safe.

\”Many people think that dogs and cats’ fur make them more resistant to cold weather, but that is not necessarily true. Cold tolerance can vary based on a pets’ size, coat, body fat percentage, activity level, age and overall health,” remarked Harry Weatherson, BVetMed, MRCVS, ER Service Head and emergency veterinarian at

BluePearl in New York City

. “While huskies and other dogs bred for colder climates are more tolerant of cold weather, all dogs and cats are susceptible to frostbite and hypothermia. As a general rule, if it’s too cold for you, it’s too cold for your pet.”

While prolonged exposure to cold air, rain, sleet and snow can cause paws to become chapped and irritate your pet’s skin, there are other common winter-related issues pet owners should look out for.

Protect your pet from weather-related health dangers by remembering these eight winter safety tips.

Be mindful of your pet’s tolerance to cold.

Consider shortening walks, especially if your dog is sick, small, short-haired, very young or old. Pets who fall into these categories tend to feel cold faster, and seniors, who may be arthritic, are more prone to falls. Pets with diabetes, heart disease, kidney disease or hormonal imbalances are also more susceptible to developing issues from cold weather due to the inability to regulate body temperature as effectively. If you are unsure of pet’s temperature limits, consult your veterinarian.

Check the paws.

During a winter walk, salt, ice, antifreeze, and coolants can irritate pets’ footpads and/or accumulate between toes. If chemicals from ice-melting agents are licked off paws, this can cause GI upset or a potentially more

harmful effect

. After walks, check your dog’s paws for signs of cold-weather injury or damage, such as cracked or bleeding paw pads. When possible, avoid salt and ice and immediately wash paws with warm water when you are back inside.

Keep an eye out for frostbite.

Sensitive tissues like ears, nose, and paw pads are susceptible to frostbite, so regularly check these areas for signs of cold weather related injuries or damage.

ID, leash, and chip.

It is easy for pets to become lost in winter because snow masks familiar scents that can help them return home. Leash your pet during winter walks—especially during a snow storm—and make sure their ID tags are up-to-date. Consider microchipping to ensure a safe return home if your pet becomes lost.

Honk for sleeping animals.

In cold conditions, animals (especially cats) like to seek shelter and warmth under cars. Honk, open the car hood or loudly slap it to wake up any animal sleeping there. Lastly, visually check beneath the car to ensure that it is clear of all animals.

Never leave your pet in an unattended car.

Car temperatures can drop quickly in colder months. Animals kept in cold cars can develop hypothermia or even freeze to death. Be sure to never leave your pet unattended in a vehicle and always keep the car at a comfortable temperature—both extreme cold and extreme heat can negatively impact your pet’s health.

Consider adjusting diets.

With walks cut short and less time spent outdoors in general, indoor pets can experience unhealthy weight gain. Ask your veterinarian for specific feeding recommendations and supplement the lost time outdoors with indoor playtime. Hide-and-seek with treats is one good way to keep your dog active indoors.

Be prepared.

Like humans, your pet will need food and water if power goes out during a cold front or winter storm. Be sure to keep an ample supply of water, food, and medication (plan for five days), and store emergency numbers and addresses in a safe, easily accessible place. Keep copies of these emergency numbers in both your home and car for good measure.

The best way to monitor your pets’ comfort level in the cold is to watch their behavior. If you notice that your pet is shivering/shaking/trembling, whining, acting lethargic or anxious, searching out warmth or shelter, or holding up one or more paws, that is a sign that it is time to head inside.

YOUNG CATHOLICS TO RING IN THE NEW YEAR WITH MIDNIGHT MASS

PHILADELPHIA PA–Faithful throughout the Archdiocese are invited to gather at the Cathedral Basilica of Saints Peter and Paul for a prayerful, holy, and unique way to ring in the New Year. It will be hosted by members of the Cathedral’s Young Adult Group and the Catholic Center for Young Adults.

Tuesday, December 31, 2019 – Wednesday, January 1, 2020

11:00 p.m. Holy Hour

12:00 a.m. Midnight Mass

1:00 a.m. – 2:30 a.m. Celebration

Cathedral Basilica of Saints Peter and Paul

18th Street and Benjamin Franklin Parkway

Philadelphia, PA 19103

Reverend G. Dennis Gill,

Rector of the Cathedral Basilica of Saints Peter and Paul and Director of the Archdiocesan Office for Divine Worship,

will be the principal celebrant and Father Shaun Mahoney will be the homilist at the Midnight Mass for the Solemnity of Mary, Mother of God. Following the Mass, there will be a celebration in Drexel Hall.  The theme is Art Deco and 1920s period attire is welcomed. Refreshments and music will be provided at no cost and all are welcome to attend.

You can find information about the event through the Facebook event page

https://www.facebook.com/events/453854045322662/

or CCYA’s Facebook Page

https://www.facebook.com/CatholicCenterForYoungAdults

.

Malcom Wilfong, age 28, of Allentown, Pa Sentenced to Prison for Drug Trafficking

SCRANTON—The United States Attorney’s Office for the Middle District of Pennsylvania announced that on December 19, 2019, Malcom Wilfong, age 28, of Allentown, Pennsylvania, was sentenced by U.S. District Court Judge Robert D. Mariani to 55 months’ imprisonment for participating in a methamphetamine trafficking conspiracy that operated in Schuylkill and Berks Counties.

According to United States Attorney David J. Freed, Wilfong previously pleaded guilty to conspiracy to distribute more than 500 grams of methamphetamine between July 2016 and May 2017.

Wilfong is the fourth defendant connected to the methamphetamine ring to be sentenced in federal court. Anibal Rodriguez, the leader of the drug conspiracy, was previously sentenced to 20 years’ imprisonment. Ernest Schaeffer received a 15-year prison sentence. David Castro was sentenced to 57 months’ imprisonment.

The matter was investigated by the Federal Bureau of Investigation, the Pennsylvania State Police, and the Shenandoah Police Department. Assistant U.S. Attorney Francis P. Sempa prosecuted the case.

This case is part of

Project Safe Neighborhoods (PSN)

, a program bringing together all levels of law enforcement and the communities they serve to reduce violent crime and make our neighborhoods safer for everyone. The Department of Justice reinvigorated PSN in 2017 as part of the Department’s renewed focus on targeting violent criminals, directing all U.S. Attorney’s Offices to work in partnership with federal, state, local, and tribal law enforcement and the local community to develop effective, locally-based strategies to reduce violent crime.

Pick-6 Rolls to $5.2 Million for Dec. 30 Drawing

TRENTON (Dec. 27, 2019)

– The Pick-6 drawing on December 26 produced

four

winners of

$6,041

for matching five out of six white balls drawn. The $5.2 million drawing will be held Monday, December 30, 2019.

The

winning numbers

for the

Thursday, December 26

, drawing were:

13, 16, 26, 30, 35 and 37

. The XTRA

Multiplier

was:

03

. By adding XTRA for an additional $1.00 per play, winners are able to multiply their non-jackpot prizes by the XTRA number drawn.

Acting Executive Director James Carey announced that there were 483,331 tickets purchased for the drawing and of those sold, thousands were prizewinners! For correctly matching four numbers, 323 ticketholders won $72 each and 45 others won $216 each with the addition of XTRA. Moreover, for correctly matching three numbers 6,773 ticketholders won $3.00 each and 997 others won $9 each with the addition of XTRA. Lastly 7,941 ticketholders each won $2.00 for correctly matching two numbers with the addition of XTRA on their purchase.

Kristi Lee Smith, age 46, of West Deptford

WEST DEPTFORD NJ–On December 21, 2019.

Age 46, of West Deptford. Born in Woodbury, she was the daughter of the late Roy L. and Patricia L. (Daugherty) Rogers. Kristi is survived by her beloved sons, Daryn Reed Smith (Karen) and Levi Mason Sparks; her brothers, Anthony J.

Monahon, Charles E. Monahon, Jimmy M. Monahan; sisters, Cheryl Ginipro (Mike), Patty Monahan and her step-father, Edward Tilton. Kristi also was predeceased by her sister, Robin Monahan.

Celebration of Life and Sharing of Memories will be held on Saturday, December 28

th

from 4 to 8 pm at the Elks Lodge, 57 West Main Street, Penns Grove.

In lieu of flowers, contributions may be made in memory of Kristi to the Robins Nest, 42 South Delsea Drive, Glassboro, NJ 08028. Please write: Kristi L. Smith in memo.

Condolences and Memories may be shared at

www.mccannhealey.com

under the obituary of Kristi Lee Smith. Funeral Arrangements and Inquiries through:

McCANN-HEALEY FUNERAL HOME

:

Ph: 856-456-1142

Christmas tree recycling – a Delaware post-holiday tradition – carries on statewide for 2019/2020

Take your tree to a yard waste site or contact your waste collector

DOVER (Dec. 26, 2019) – The Department of Natural Resources and Environmental Control encourages Delawareans to recycle your Christmas tree at one of many yard waste recycling facilities located throughout the state, or to place your tree curbside for recycling. Whatever route you and your Christmas tree may take toward recycling, it’s always a good post-holiday destination that benefits the state environmentally.

“Recycling Christmas trees has been an environmentally-friendly tradition in the state for many years, and we hope that more Delawareans will continue that tradition this holiday season,” said DNREC Secretary Shawn M. Garvin. “We also welcome residents who might be newcomers to recycling their Christmas trees – and thank them for helping to make our environment better.”

A list of yard waste sites

accepting Christmas trees for recycling can be found on the DNREC website. Trees may be dropped off as soon as the day after Christmas, but each facility has a different schedule for accepting them, so you are advised to call ahead. Also, before loading your Christmas tree in your vehicle and traveling to a drop-off site, check with your regular trash hauler to see if they are collecting trees and what their schedule and requirements are. DNREC also reminds Delawareans Christmas trees are no longer accepted for recycling at any Delaware State Parks locations. Whether dropping off your Christmas tree or having it collected, the tree should always be stripped of all decorations and lights, have any flocking (fake snow) removed, and be detached from a tree stand.

For more information on Christmas tree recycling, visit

www.de.gov/yardwaste

, and click on “yard waste drop-off sites,” or call DNREC’s Recycling Program at 302-739-9403.