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the recent introduction of new inks and new colors, complete removal of modern tattoos is becoming more and more difficult Cosmetic tattoos are usually a blend of several different inks, rendering them extremely challenging to remove with laser Professional tattoos typically place ink in the mid-dermis, requiring a device that can penetrate to this depth in order to achieve adequate treatment Amateur tattoos typically use less ink and placement is more superficial, making them easier to remove Just as in removal of melanosomes from the skin, removal of tattoo ink must be achieved with a very short pulse-width system, in the nanosecond range These systems are the Q-switched laser devices, of which three are currently available on the market: the Q-switched ruby, the Q-switched alexandrite, and the Q-switched Nd:YAG The ruby was the first Q-switched system available, and at a wavelength of 694 nm, it is good for removing blue and black pigments3 The alexandrite (755 nm) is also very effective at removing blue and black tattoo pigments4 In addition, it has the unique ability to remove green, which is historically one of the most difficult colors to eliminate The alexandrite is the gold standard for removal of green tattoos, in fact, as the other two Q-switched lasers tend to perform inadequately in this area5 The Nd:YAG (1064 nm) is the workhorse for professional tattoo removal because of its capacity for deep penetration It is used for the basic black ink seen in both amateur and professional tattoos The frequency-doubled Nd:YAG (532 nm) can be used for red pigments Generally a combination of these lasers is needed for successful removal of a tattoo Even then, residual ink or a shadow of the tattoo may persist despite numerous treatment sessions The most important aspect of tattoo removal is setting realistic expectations for the patient from the beginning Laser tattoo removal is not an eraser, as many tattoos will not be completely removed no matter how many treatments are performed In addition, there are reports of some tattoo inks actually darkening because of oxidation of the tattoo particles This may result in an ink that is unremovable Test spots are important especially in cosmetic tattoos For the removal of professional tattoos, six to ten treatments, spaced at least 6 weeks apart, may be required For amateur tattoos, three to five treatments are generally effective6 In patients with darker skin types, tattoo removal may result in scarring or dyspigmentation Many authors.



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$i = [System.Int32] "123"

It would be useful to try something more sophisticated. If we wanted to make this into an array of integers, we would do

Let g be another complex function depending on a single real variable such that g(t ) = r (t ) + is(t ) The integral of the sum or difference f g is

$i = [int[]][object[]] "123"





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In this example, we re not just casting the base type, we re also changing it from a scalar object to an array. Notice that we had to do this in two steps. In the first step, we converted it into a collection but without changing the element type. In the second step, we convert the types of the individual elements. This follows the general type converter rule that no more than one conversion will be performed in a single step. This rule makes it much easier to predict what any given conversion will do. Type name aliases Obviously, the shorter type name (or type alias as it s known) is more convenient. Table 3.4 lists all of the type aliases defined in PowerShell and the .NET types they correspond to. Anything in the System.Management.Automation namespace is specific to PowerShell and will be covered in later chapters in this book. The other types are core .NET types and are covered in the Microsoft Developers Network documentation.

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advocate the use of topical bleaching agents prior to sunscreen to reduce the competing chromophores (skin melanosomes) With every patient, regular use of sunscreen in the treatment area is essential Any patient with a tan in the area of treatment should not be treated Wound healing and postoperative care are also essential parts of laser tattoo removal Moist wound healing via topical emollient creams and a dressing are recommended for all patients for 1 to 2 weeks after laser treatment Straying from this regimen will increase the risk of postinflammatory changes and scarring, and delay additional treatments The future of tattoo removal may be represented by Q-switched devices that emit picosecond pulses, which would be even shorter than the currently used nanosecond devices In addition, the introduction of dissolvable inks or more easily removed inks may improve the treatment of tattoos

Table 3.4 PowerShell type aliases and their corresponding .NET types Corresponding .NET Type System.Int32 System.Int32[] System.Int64 System.Int64[] System.String System.String[] System.Char System.Char[] System.Boolean System.Boolean[] System.Byte System.Byte[] System.Double System.Double[] System.Decimal System.Decimal[] System.Single continued on next page

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PowerShell Type Alias [int] [int[]] [long] [long[]] [string] [string[]] [char] [char[]] [bool] [bool[]] [byte] [byte[]] [double] [double[]] [decimal] [decimal[] [float]

PowerShell type aliases and their corresponding .NET types (continued) Corresponding .NET Type System.Single System.Text.RegularExpressions.Regex System.Array System.Xml.XmlDocument System.Management.Automation.ScriptBlock System.Management.Automation.SwitchParameter System.Collections.Hashtable System.Management.Automation.PSObject System.Type System.Type[]

Of course, we can also add the real and imaginary parts of the two functions:

PowerShell Type Alias [single] [regex] [array] [xml] [scriptblock] [switch] [hashtable] [psobject] [type] [type[]]

Light emitting diodes (LEDs) have garnered recent attention because of their ease of use and popularity as activation sources for aminolevulinic acid (ie, photodynamic therapy) These devices emit noncoherent light of either one primary wavelength or of a short range of wavelengths Unlike the previously mentioned instruments, LEDs do not operate by the theory of selective photothermolysis LEDs operate on the

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