The Association of Frontal Alopecia with a History of Facial and Scalp Surgical Procedures

2021 ◽  
pp. 1-7
Author(s):  
Christine T. Pham ◽  
Margit Juhasz ◽  
Chloe Ekelem ◽  
Rosalynn R.Z. Conic ◽  
Kiana Hashemi ◽  
...  

<b><i>Introduction:</i></b> The prevalence of frontal fibrosing alopecia (FFA) is increasing worldwide, though the pathogenesis remains unknown. Anecdotal reports describe alopecia occurring in an FFA pattern following facial surgical procedures, but this potential link remains unexplored. <b><i>Objective:</i></b> The objective of this study is to determine if a significant association exists between the diagnosis of FFA and a history of facial and scalp surgical procedures. <b><i>Methods:</i></b> This retrospective study comparing data from frontal alopecia patients to controls was conducted at a tertiary medical center. Additionally, a literature review was conducted on scarring alopecias occurring from scalp procedures. <b><i>Results:</i></b> Fifty percent of frontal alopecia patients (<i>n</i> = 54) reported a history of facial surgical procedures compared to 9.8% of controls (<i>n</i> = 51) (OR: 7.8 [95% CI: 2.77–25.98, <i>p</i> &#x3c; 0.001]). Although no significant differences were observed in current daily facial sunscreen use, sunscreen use prior to alopecia onset was significantly higher in frontal alopecia (<i>p</i> = 0.295; <i>p</i> = 0.021). Sunscreen use was not a significant modifier in the association between frontal alopecia and facial surgical procedures (<i>p</i> = 0.89). <b><i>Conclusions:</i></b> A significant association exists between frontal alopecia clinically consistent with FFA and a history of facial surgery, the nature of which is unclear. The role of sunscreen use and frontal alopecia development in this setting needs to be better elucidated.

2021 ◽  
pp. 019459982098745
Author(s):  
Mirko Aldè ◽  
Federica Di Berardino ◽  
Paola Marchisio ◽  
Giovanna Cantarella ◽  
Umberto Ambrosetti ◽  
...  

Objective To evaluate the role of social isolation during the lockdown due to the SARS-CoV-2 outbreak (severe acute respiratory syndrome coronavirus 2) in modifying the prevalence of otitis media with effusion (OME) and the natural history of chronic OME. Study Design Retrospective study. Setting Tertiary level referral audiologic center. Methods We assessed the prevalence of OME among children aged 6 months to 12 years who attended the outpatient clinic for hearing or vestibular disorders during 2 periods before the lockdown, May-June 2019 (n = 350) and January-February 2020 (n = 366), and the period immediately after the lockdown, May-June 2020 (n = 216). We also compared the disease resolution rates between a subgroup of children with chronic OME (n = 30) who were diagnosed in summer 2019 and reevaluated in May-June 2020 and a similar subgroup (n = 29) assessed in 2018-2019. Results The prevalence of OME in this clinic population was 40.6% in May-June 2019, 52.2% in January-February 2020, and 2.3% in May-June 2020. Children with chronic OME had a higher rate of disease resolution in May-June 2020 (93.3%) than those examined in May-June 2019 (20.7%, P < .001). Conclusion Closure of schools and the physical distancing rules were correlated with a reduction in the prevalence of OME and favored the resolution of its chronic forms among children who attended the outpatient clinic. These data could suggest that in the presence of chronic OME, keeping young children out of group care settings for a period might be beneficial to allow for OME resolution.


2011 ◽  
Vol 18 (04) ◽  
pp. 562-565
Author(s):  
ABID HUSSAIN ◽  
KISHWAR NAHEED

Objective: To determine the role of chemical syphincterotomy as non surgical management of chronic anal fissure. Study Design: Descriptive. Setting: This study was conducted at Margalla teaching Hospital and United Medical center .Rawalpndi. Period: 1½ years. Patients & Methods: This study included 70 patients of either sex. A personal bio data and detailed history of dietary and bowel habits were registered. Topical 0.2% GTN (Gylciryltrinitrate) was applied to anal verge 2 times per day for the period of two months and its effects were noted. Result: 58 patients (83%) got symptomatic relief and 12 patients (17%) did not get improvement. Conclusions: Chemical syphincterotomy heals majority of the fissure . Topical 0.2% GNT ointment is widely used as a first line treatment in U.K . It is generally accepted as an effective treatment for chronic fissure .


Author(s):  
Josiline Phiri Chigwada ◽  
Blessing Chiparausha

This chapter documents the role played by culture centres and houses in the acquisition, preservation and dissemination of indigenous knowledge (IK) in a digital era in Zimbabwe. It states the ethical issues involved when acquiring, preserving and disseminating IK in the digital era. A history of culture houses and centres was studied and a literature review of the role of culture centres was done. In Zimbabwe, it was noted that culture houses and centres do not have a web presence. However, there are challenges that are met by information specialists working in these culture houses and centres in the process of managing IK. These challenges are part of the ethical issues that should be considered in the production, access and use of IK. Recommendations have been put forward that would help culture houses and centres in their bid to manage IK in the digital era.


Author(s):  
Iroda Tosheva ◽  
◽  
N. Ashurova ◽  
Gulchekhra Ikhtiyarova

This article presents the results of the retrospective study of the childbirth history of 106 pregnant women in whom labor was complicated by premature rupture of the membranes, delivery in the Bukhara regional perinatal center for the period 2017-2019 years. The results show the significant role of premature rupture of the membranes in the development of obstetrics and perinatal complications, especially in women with a history of somatic and gynecological anamnesis


2013 ◽  
pp. 93-98
Author(s):  
Lucio Brugioni ◽  
Paola Magnani ◽  
Eleonora Berti ◽  
Cristina Gozzi ◽  
Francesca De Niederhausern ◽  
...  

AIM OF THE STUDY The aim of this work was to evaluate the epidemiology of suicidal attempts by ingestion of drugs in our area. MATERIALS AND METHODS This is a retrospective study considering all patients admitted to the hospital between January 2004 and December 2006 for suicidal attempts using drugs. RESULTS A total of 111 patients were seen in our Department in the evaluated period. The large majority of patients were women (75%). Suicidal attempt was more common in individuals aged 31 to 40 years. The more common drugs used were: BDZ (28%), anti-depressive (21%), anti-psychotics (10%) and anti-epileptics (8%). A gastric washout was performed in 65.8% of all patients admitted to the hospital. The most used antidote was flumazenil. Alterations of laboratory exams were seen only in a small percentage of the cases. In the majority of cases, suicide was at the first attempt. 71% of patients were followed by psychiatrist and were taking daily psychiatric pharmacologic therapy; 5% had a history of previous admission to the hospital in a psychiatric ward; only 24% had no a history of a prior mental illness. 43% of patients were admitted to a psychiatric ward after intensive treatment in our department. Self-discharging was not usual (10%), and only few patients were restrained against their will (3%). CONCLUSIONS Our study has identified some risk factors for a suicidal attempt. Family doctors should have a stronger control of their patients with mental illness especially during the first period of treatment. In future it should be very helpful to create an informatic network connecting all departments involved in the care of these patients. Moreover, it is crucial to increase the role of family doctors in the care of psychiatric patients after their hospitalization.


1997 ◽  
Vol 33 (2) ◽  
pp. 161-165 ◽  
Author(s):  
SH Schoofs

A seven-month-old, intact female Jack Russell terrier was presented with a history of recurrent hemorrhage originating in the oral cavity. The puppy had a severe anemia and a lingual hemangioma. Several blood transfusions and two separate surgical procedures were necessary to control the problem. The first surgery was a resection of almost 50% of the tongue lengthwise. A similar intervention was performed two months later. A literary review of lingual tumors in animals and in humans is presented.


1988 ◽  
Vol 102 (11) ◽  
pp. 1000-1002 ◽  
Author(s):  
R. Herdman ◽  
J. L. W. Wright

Cholesteatoma in children may be a sequel to chronic exudative otitis media with tympanic membrane retraction but he the role of grommets in the possible facilitation of squamous epithelial invasion into the middle ear is not yet clear. A retrospective study was made of the history and prior treatment in 25 children who underwent mastoidectomy for cholesteatoma at St. Mary's Hospital between 1975 and 1986. Thirteen patients had undergone previous middle ear aeration procedures which included myringotomy, cortical mastoidectomy and grommets. There was no difference in the site or severity of cholesteatoma in the operated and non-operated cases. Of the seven patients with a history of multiple grommets three had primarily attic, and three had primarily mesotympanic disease. The latter had greater ossicular erosion. One patient with an intact tympanic membrane had grommet insertion subsequently developed a cholesteatoma. While cholesteatoma due directly to the presence of grommets is rare, it appears that children who require multiple grommet insertions constitute a high risk group and should be very closely monitored.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Nai-Lun Chang ◽  
Priyank Shah ◽  
Sharad Bajaj ◽  
Hartaj Virk ◽  
Mahesh Bikkina ◽  
...  

Aim. This study aimed to assess the role of echocardiography as a diagnostic tool in evaluating syncope patients with normal versus abnormal electrocardiogram.Methods. We conducted a retrospective study of 468 patients who were admitted with syncope in 2011 at St. Joseph’s Regional Medical Center, Paterson, NJ. Hospital records and patient charts, including initial emergency room history and physical, were carefully reviewed. Patients were separated into normal versus abnormal electrocardiogram groups and then further divided as normal versus abnormal echocardiogram groups. Causes of syncope were extrapolated after reviewing all test results and records of consultations.Results. Three hundred twelve of the total patients (68.6%) had normal ECG. Two-thirds of those patients had echocardiograms; 11 patients (5.7%) had abnormal echo results. Of the aforementioned patients, three patients had previous documented history of severe aortic stenosis on prior echocardiograms. The remaining eight had abnormal but nondiagnostic echocardiographic findings. Echocardiography was done in 93 of 147 patients with abnormal ECG (63.2%). Echo was abnormal in 27 patients (29%), and the findings were diagnostic in 6.5% patients.Conclusions. This study demonstrates that echocardiogram was not helpful in establishing a diagnosis of syncope in patients with normal ECG and normal physical examination.


2020 ◽  
pp. 498-518
Author(s):  
Josiline Phiri Chigwada ◽  
Blessing Chiparausha

This chapter documents the role played by culture centres and houses in the acquisition, preservation and dissemination of indigenous knowledge (IK) in a digital era in Zimbabwe. It states the ethical issues involved when acquiring, preserving and disseminating IK in the digital era. A history of culture houses and centres was studied and a literature review of the role of culture centres was done. In Zimbabwe, it was noted that culture houses and centres do not have a web presence. However, there are challenges that are met by information specialists working in these culture houses and centres in the process of managing IK. These challenges are part of the ethical issues that should be considered in the production, access and use of IK. Recommendations have been put forward that would help culture houses and centres in their bid to manage IK in the digital era.


Author(s):  
Anbarasu Sasivannan ◽  
Shanthi Ponnusamy ◽  
Iyanar Kannan

Background: Abdominal pain was the third most common complaint of individuals often recurrent and needs immediate care. The ability of the method to access and inspect the entire abdominal cavity and retro-peritoneum without harming the structures of it places laparoscopy as the procedure of choice in the diagnosis of abdominal pain.Methods: The study is a retrospective study conducted in Tagore Medical College and Hospital, Chennai during the period of 1st January 2013 to 31st December 2017. Patients of age above 18 years with history of abdominal pain for 6 months or more were included in the study. Basic investigations were also done for the patient. Based on the clinical examinations, patients were subjected to diagnostic laparoscopy. All cases were done as elective surgeries.Results: A total of 48 patients were found in the record, in which the diagnosis remained uncertain despite of all important investigations. The majority of the patients 19 (40%) were in the age group of 21-40 years followed by 17 (36%) in 41-65 years. The duration of pain ranged between 6 months to 1 years. On laparoscopic examination, majority of patients (46%) were diagnosed with chronic appendicitis.Conclusions: Laparoscopy is not only safe, but also quick and effective investigation tool for chronic abdominal pain.


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