Combined fractional carbon dioxide laser with long pulsed Nd:YAG laser for treatment of immature hypertrophic scar
Bibliographic record
Abstract
Background Immature hypertrophic scar complicated with contracture, disability, disfigurement, social embarrassment, pain, itching, residual scar, and prolonged maturation period. Various treatments for immature hypertrophic scar are used with limitations for each treatment. Objective To evaluate the efficacy and safety of combined fractional carbon dioxide (CO 2 ) and Neodymium-doped Yttrium Aluminum Garnet (Nd:YAG) lasers for the treatment of immature hypertrophic scar both clinically and histopathologically. Patients and methods Total of 30 patients with single or multiple immature hypertrophic scars. The single scar was not less than 14 cm in length. In the same patient, single or multiple scars were divided randomly into treated areas and control areas. The treated areas were submitted to 5 sessions of fractional CO 2 laser combined with long pulsed Nd:YAG laser, one month in between sessions, the control areas did not receive any treatment. Vancouver Scar Scale (VSS) and patient and observer scar assessment scale (POSAS) were used for clinical evaluation before, 3, and 6 months after treatment. Collagen area percent, elastin area percent, and epidermal thickness were assessed histopathologically before and 3 months after treatment. Results The scar areas treated with combined fractional CO 2 laser and long pulsed Nd:YAG laser showed superior significant clinical improvement with VSS and POSAS than areas did not receive any treatment (except for the pigmentation parameter of both VSS and POSAS), especially 6 months after last treatment without significant side effects for laser therapy. Opinions of the patients showed superior significant improvement in laser treated areas than areas did not receive any treatment. Epidermal thickness, collagen area percent and elastin area percent showed superior significant improvement in laser treated areas than areas did not receive any treatments three months after last laser session. Conclusion Combined treatment of immature hypertrophic scar with fractional CO 2 and Nd:YAG lasers is effective, tolerable, and safe.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".