scholarly journals Clinical characteristics of Demodex-associated recurrent hordeola: an observational, comparative study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sung Yeon Jun ◽  
Yeon Jung Choi ◽  
Bo Ram Lee ◽  
Sang Un Lee ◽  
Sung Chul Kim

AbstractOur study evaluated the association between Demodex infestation and recurrent hordeola and examined the clinical features associated with these eyelid lesions. This was an observational, comparative study. We reviewed 250 patients and divided them into the recurrent hordeolum (n = 153) and control (n = 97) groups. Demodex infestation was detected by epilating eyelashes around the lesion/s and viewing them under a light microscope. Patient medical records and photographs were retrospectively analyzed to identify the clinical characteristics of Demodex-associated recurrent hordeola. Demodex was detected in 91 (59.5%) and 17 (17.5%) patients in the recurrent hordeolum and control groups (p < 0.001), respectively. In the recurrent hordeolum group, Demodex mites were found in 74 (68.5%) and 17 (37.8%) of the adult and pediatric patients (p < 0.001), respectively. Among patients with recurrent hordeola, patients in their 20s were most likely to have concomitant Demodex infestation. Patients with Demodex infestations were also more likely to develop recurrent lesions within a shorter period of time from the primary incision and curettage. The most common presentation of Demodex-associated recurrent lesions was external hordeola (67%) (p = 0.002). Demodex infestation may cause recurrent hordeola in adults and children. These mites may play a greater role in the development of lesions in adult patients. The strongest association between Demodex infestation and recurrent lesions was seen in patients in their 20s. Our results suggest that if the hordeola recur within a short period of time with the clinical characteristics of external location of eyelid, multiple numbers of lesions, or anterior blepharitis, eyelash epilation should be performed to identify the presence of Demodex mites.

2012 ◽  
Vol 60 (4) ◽  
pp. 363-374 ◽  
Author(s):  
Steven J. Morrison ◽  
Steven M. Demorest ◽  
Patricia Shehan Campbell ◽  
Sarah J. Bartolome ◽  
J. Christopher Roberts

Previous researchers have found that both adults and children demonstrate better memory for novel music from their own music culture than from an unfamiliar music culture. It was the purpose of this study to determine whether this “enculturation effect” could be mediated through an extended intensive instructional unit in another culture’s music. Fifth-grade students in four intact general music classrooms (two each at two elementary schools in a large U.S. city) took part in an 8-week curriculum exclusively concentrated on Turkish music. Two additional fifth-grade classes at the same schools served as controls and did not receive the Turkish curriculum. Prior to and following the 8-week unit, all classes completed a music memory test that included Western and Turkish music examples. Comparison of pretest and posttest scores revealed that all participants ( N = 110) were significantly more successful overall on the second test administration. Consistent with previous findings, participants were significantly less successful remembering items from the unfamiliar music culture, a result that was consistent across test administrations and between instruction and control groups. It appears that the effect of enculturation on music memory is well established early in life and resistant to modification even through extended instructional approaches.


2019 ◽  
Vol 32 (2) ◽  
pp. 366-374 ◽  
Author(s):  
Emad Al-Mohammadi

Purpose The purpose of this paper is to identify the reasons for discharges against medical advice (DAMA) and the possible outcomes among pediatric patients. Design/methodology/approach A retrospective cohort study was conducted on all children admitted and then discharged against medical advice in two maternity and children’s hospitals in Jeddah, 2014. Phone interviews were conducted, and medical records were reviewed for DAMA and control groups; a semi-structured questionnaire was used to collect this information. Findings The top three reasons identified for DAMA were parent’s false assumption that their child’s condition had improved (43.8 percent), dissatisfaction with treating/managing team (16.2 percent) and difficulties arranging care for patient’s siblings at home (7.7 percent). The readmission rate was significantly higher among DAMA pediatric patients compared to the control group (28.5 percent vs 11.5 percent) at 30-day follow-up, which highlights the importance for developing interventions aimed at reducing DAMA. Originality/value This study helps us to better understand DAMA reasons and outcomes. Understanding these factors can encourage appropriate interventions and policies for reducing DAMA rates. In this way, pediatric patients can be protected from inappropriate discharge consequences.


1976 ◽  
Vol 39 (1) ◽  
pp. 123-129 ◽  
Author(s):  
Michael P. Quirk

The study was designed to determine whether resident assistants could develop the human relations skill of affective sensitivity within a short period through a teaching program integrating didactic and experiential techniques. Two groups of 16 randomly assigned resident assistants were placed in experimental and control groups. The trained group participated in a 4-hr. workshop composed of exercises structured to enhance accurate identification of expressed affect, while the control group received no training. Posttest data demonstrated significant improvement by the group who received training. The value of teaching affective sensitivity for informal counseling and the application of integrated training programs for other populations were discussed.


2019 ◽  
Vol 6 (4) ◽  
pp. 203-208
Author(s):  
Delyara R. Novruzova ◽  
E. A Sosnova ◽  
L. V Tumbinskaya ◽  
E. V Kirakosyan

Introduction. One of the most common drugs for maintaining pregnancy is exogenous progesterone. With the expansion of the indications for its use during pregnancy, the number of complications associated with it may increase. Material and methods. The article presents the results of a prospective study of medical records of pregnant women, which were observed in the V.F. Snegirev Obstetrics and Gynecology Clinic in 2017 and received exogenous progesterone therapy. Results. The dynamics of changes in the studied biochemical parameters was multidirectional in the main and control groups. According to pregnancy outcomes, statistically significant differences between the groups were not found. Conclusions. Critical abnormalities of the main biochemical parameters in pregnant women of the main group were not detected. Preparations of the gestagen series in appropriate dosages do not significantly affect the main indicators of the hepatobiliary system and pregnancy outcomes, so their use is permissible under the control of laboratory parameters.


2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Nguyen Tran Minh Thang ◽  
Nguyen Thy Ngoc ◽  
Nguyen Thanh Nga ◽  
Nong Van Hai ◽  
Nguyen Thuy Duong

Gout is a common form of inflammatory arthritis caused by crystallization of acid uric in the joints. The development of gout is not only triggered by environmental factors but also by genetic variation of individuals. In this study, the association between the variation SLC2A9 rs16890979 and gout was investigated. Total DNA was extracted from 410 blood samples of 163 gout patients and 247 age-matched healthy controls. Genotypes of SLC2A9 rs16890979 were obtained using PCR-RFLP. Chi-Square test was used to test whether allele distribution of rs16890979 followed Hardy-Weinberg Equilibrium (HWE). Associations of the clinical characteristics between gout patient and control groups were assessed using Mann-Whitney U. Chi-Square test or Fisher’s exact test was used to check four models (additive, recessive, dominant, co-dominant) for association of rs16890979 with gout. The obtained results showed that the allele distribution of SLC2A9 rs16890979 was in accordance with HWE (p > 0.05). Clinical characteristics such as triglyceride and creatinine were significantly different between gout patient and control groups. However, there was no association of rs16890979 with the risk of gout in Vietnamese population. Further study with a larger sample size should be implemented to confirm our results regarding the association of SLC2A9 rs16890979 with gout in the Vietnamese population. This study would help enrich the knowledge about the effects of hereditary factors on gout disease in the Vietnamese population.  


1977 ◽  
Vol 11 (6) ◽  
pp. 332-335 ◽  
Author(s):  
M. Peter Pevonka ◽  
Richard L. Yost ◽  
Ronald G. Marks ◽  
William S. Howell ◽  
Ronald B. Stewart

Untoward reactions were recently reported in six patients following the concomitant administration of chloral hydrate orally and furosemide intravenously. A retrospective epidemiologic study was initiated to evaluate this report. Medication records of adult medical and pediatric patients who received care at Shand's Teaching Hospital from July, 1969 to May, 1975 were scanned by computer to identify patients exposed to either chloral hydrate or flurazepam and furosemide. Five thousand two hundred and sixty-two patients were found to have received furosemide alone or in combination with either chloral hydrate or flurazepam. Computer records of these patients were reviewed to identify patients who received either chloral hydrate or flurazepam and then, in the twenty-four hours following the administration of the sedative-hypnotic, received furosemide. This procedure resulted in a final study population consisting of 43 patients who received both chloral hydrate and furosemide. Medical records of the study group and three control groups were then reviewed to determine if untoward symptoms similar to those reported previously were evident. One patient in the study group exhibited symptoms of the reaction and two patients were identified as having possible reactions. No patient in any of the control groups exhibited manifestations of the reaction.


1987 ◽  
Vol 6 (6) ◽  
pp. 459-474 ◽  
Author(s):  
M.J. Quinn ◽  
H.T. Delves

The Department of the Environment (DOE) has undertaken an extensive programme to monitor blood lead concentrations annually over the period 1984 to 1987 in the context of the reduction in the maximum permissible lead content of petrol from 0.4 to 0.15 g/l from 1st January 1986. The study includes adults living in heavily trafficked urban areas and in occupational groups particularly exposed to petrol lead; children aged 6—7 years attending schools in heavily trafficked urban areas; and control groups of adults and children in rural areas. The surveys are planned to cover about 1500 adults and 1000 children in total each year. Cohorts of adults are being followed, with replacement where necessary owing to moving, etc. For ethical reasons, no child will be sampled more than once, although the schools concerned will be revisited each year; children's blood is also being examined for antibodies to measles and poliomyelitis. Blood samples are being analysed for lead by atomic absorption spectrophotometry (AAS); considerable efforts are being made to ensure the validity of the analytical results during the period of the study. Results for 1984 indicated that average blood lead concentrations in both adults and children were generally low and were in line with levels expected on the basis of earlier surveys; only a very small proportion of individuals had raised levels. A detailed statistical analysis has confirmed the results of the EEC Blood Lead Surveys (carried out in 1979—1981) that blood lead concentrations were related to a range of personal, social and environmental factors including age, sex and smoking and drinking habits. Comparisons of any trends during the survey period in blood level concentrations in the exposed and control groups, together with results from the monitoring of sources of environmental lead should enable a broad assessment to be made of the effect of the reduction in petrol lead.


2021 ◽  
Vol 14 (02) ◽  
pp. e49-e54
Author(s):  
Cláudia de Cássia Ramos ◽  
Priscila Maximino ◽  
Rachel Helena Vieira Machado ◽  
Luana Romão Nogueira ◽  
Raquel Ricci ◽  
...  

Abstract Introduction Feeding skills (FS) are important to child development, as the delay in their presence could suggest feeding difficulties (FD) symptoms. The aim of the present study was to compare the development of three types of FS (autonomy to eat, posture at meals, and adequate use of cutleries) among children with FD and without FD. Methods This was a case-control retrospective observational study. The sample consisted of 316 children from case and control groups in accordance with the presence (or not) of FD. The control group was recruited by convenience (verbal approaching at the emergency care unit), and the case group was based on the medical records collected at the reference center. A same-structured questionnaire was used for both groups. Results Children with FD (63.2%) used baby-bottles in an inadequate way with a higher frequency after 24 months of age. Inadequate posture at meals was observed with higher frequency in children with FD (78.1%). Children without FD (89.1%) had more autonomy to eat. In children > 18 months old, this frequency was higher (90.6%). Conclusion Children with FD showed changes on the development of FS. Inadequate posture at meals was associated with a 36-fold higher risk of having FD. Not eating alone after the age of 18 months was associated with a 6-fold higher risk of having FD, while not using baby bottles was associated with a lower risk (52%) of FD complaints. Delays in FS can be predictors of FD during childhood.


Sign in / Sign up

Export Citation Format

Share Document