Evaluation of 50 Donor Scars Undergoing Hair Restoration Using a New Cosmetic Surgery Scar Assessment Scale

2017 ◽  
Vol 35 (3) ◽  
pp. 124-129 ◽  
Author(s):  
Muhammad Ahmad
Keyword(s):  
Cosmetic Surgery ◽  
Single Layer ◽  
Assessment Scale ◽  
Average Score ◽  
Scar Assessment ◽  
Donor Area ◽  
Minimum Score ◽  
The Mean ◽  
Scar Score

The donor area scar is of utmost importance in strip-harvest hair restoration procedure. The proper assessment of the scar is important for the subsequent sessions. This study was undertaken to evaluate the quality of scar using a new Cosmetic Surgery Scar Assessment Scale (CSSAS). The study was conducted at a private hair restoration clinic. The patients undergoing first session were included. The width of the strip ranged from 15 to 20 mm. The donor wound was closed primarily using single-layer nonabsorbable 3-0 polypropylene suture and incorporating trichophytic closure. The stitches were removed on 11th postoperative day. The scars were assessed in daylight. The patients’ scars were assessed at 12th month using a self-developed scar scale which is comprised of 10 characteristics, each subdivided into 4 points (1-4), with a minimum score of 10 and maximum of 40. The higher scores represented poor scar, whereas the low scores represented good quality scar. A total of 50 patients were included. The mean age was 27.8 years. Most of the patients (56%) aged 31 years or more. The baldness pattern varied from Norwood type III to VII. The scars were assessed using the daylight. The average scar score was 14.3 out of 40. Majority of the patients (78%) had average score which was 15 or less. The maximum scar score achieved by the patients was 23 (4%). The newly developed CSSAS is very simple. It incorporates key features including the width and mobility of scar as well.

scholarly journals EVALUATION OF THE LEARNING PROCESS OF ISLAMIC EDUCATION IN THE IMPLEMENTATION OF CURRICULUM 2013 IN MALUKU TENGAH

2019 ◽  
Vol 4 (1) ◽  
pp. 199
Author(s):  
St. Jumaeda
Keyword(s):  
High School ◽  
Learning Process ◽  
Evaluation Studies ◽  
Islamic Education ◽  
Average Score ◽  
Learning Program ◽  
Maximum Score ◽  
The Mean ◽  
Method Of Evaluation

This research was conducted to obtain information about the learning process of Islamic education at the high school in Maluku Tengah. In this study applied a method of evaluation studies Program, collection of data obtained through the study of documents, interviews, questionnaires and observation. The data is then classified into the category of excellent, good, sufficient, less, and very less, based on standards that have been set. The findings in the evaluation of the learning program at Islamic Education for high school in Maluku Tengah district, shows that the quality of the learning process, including both categories. The learning process is determined by the element or the following aspects; (1) the Teacher's performance is judged by category, with the acquisition of average score 4.14 or 82.79% of the maximum score, (2) Learning Facilities are assessed either by obtaining the average score of 3.71 or 74.17% of the maximum score, (3) Climate class is rated good with the acquisition of the mean score of 3.61 or 72.04% of the maximum score. (4) the attitude of the learners are assessed either by obtaining the average score 4.01 or 80.09% of the maximum score. (5) the learning motivation of learners assessed either by obtaining the average score or 77.71 3.88% of the maximum score. So based on the results of the assesment and the categorisation then determined that the quality of the learning process the Islamic education judged included on the category either, with the acquisition of the average score or 3.88 77.50% of the maximum score.

scholarly journals Keystone-design perforator island flaps for the management of complicated epidermoid cysts on the back

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Chi Sun Yoon ◽  
Hyo Bong Kim ◽  
Young Keun Kim ◽  
Hoon Kim ◽  
Kyu Nam Kim
Keyword(s):  
Postoperative Complications ◽  
Medical Records ◽  
Summary Score ◽  
Assessment Scale ◽  
Complete Excision ◽  
Epidermoid Cysts ◽  
Scar Assessment ◽  
Tension Change ◽  
The Mean ◽  
Surgical Modality

Abstract Complicated epidermoid cysts (ECs) occur commonly on the back, but few reports have described their management. We present our experience in managing patients with ECs on the back using a keystone-design perforator island flap (KDPIF) reconstruction, thereby focusing on reduction and redistribution of wound tension. Altogether, 15 patients (average age, 48.067 ± 14.868 years) underwent KDPIF reconstructions after complete excision of complicated ECs on the back. We retrospectively reviewed the medical records and clinical photographs of all patients. Final scar appearance was evaluated using the Patient and Observer Scar Assessment Scale (POSAS). All patients had ruptured ECs, while 6 patients also had cellulitis of the surrounding tissues. All defects, after complete excision of ECs and debridement of surrounding unhealthy tissues, were successfully covered with KDPIF. The mean ‘tension-change’ at the defect and donor sites was −4.73 ± 0.21 N and −4.88 ± 0.25 N, respectively (p < 0.001). The mean ‘rate of tension-change’ at the defect and donor sites was −69.48 ± 1.7% and −71.16 ± 1.33%, respectively (p < 0.001). All flaps survived with no postoperative complications. The mean observer scar assessment scale (OSAS) summary score and patient scar assessment scale (PSAS) total score were 14.467 ± 5.069 and 15.6 ± 6.512, respectively. Overall, we suggest that KDPIF reconstruction is a good surgical modality for the management of complicated ECs on the back.

scholarly journals Improving Mathematics Problem Solving Ability through Team Assisted Individualization Learning Model

2020 ◽  
Vol 2 (2) ◽  
pp. 120-132
Author(s):  
Arrahim Arrahim ◽  
Rini Endah Sugiharti ◽  
Desinta Damayanti
Keyword(s):  
Elementary School ◽  
Problem Solving ◽  
Descriptive Analysis ◽  
Study Data ◽  
Average Score ◽  
Research Approach ◽  
Mathematics Problem Solving ◽  
Action Research Approach ◽  
Minimum Score ◽  
The Mean

The purpose of this study was to improve students' problem-solving abilities using the Team Assisted Individualization (TAI) model in students grade IV of Bekasi Jaya II State Elementary School. This study was carried out because of the students' low problem-solving ability in Mathematics.This study employed the Classroom Action Research approach, which was conducted in two cycles. Each cycle has four stages, namely, planning, implementation, assessment, and reflection stage. About 27 students from grade IV has participated in this study. Data collection was carried out through written tests and observation sheets. Data were analyzed with descriptive analysis. The criterion for success in this study is if 80% of students achieve a minimum score of 75.Based on the results, the students' problem-solving ability in cycle I with classical completeness was 59%, and got an average score of 72. In cycle II with 89% classical completeness, and the mean score of students' problem-solving abilities increased to 88. Thus, it can be concluded that the Team Assisted Individualization model can improve the conceptual understanding of grade IV students of Bekasi Jaya II State Elementary School.

Quality of Life—Changes after Rhinoplasty

2017 ◽  
Vol 33 (05) ◽  
pp. 530-536 ◽  
Author(s):  
Richard Niehaus ◽  
Lazlo Kovacs ◽  
Hans-Günther Machens ◽  
Peter Herschbach ◽  
Nikolaos Papadopulos
Keyword(s):  
Quality Of Life ◽  
Cosmetic Surgery ◽  
Aesthetic Surgery ◽  
Well Being ◽  
Average Score ◽  
Psychological Benefits ◽  
Self Assessment ◽  
Self Confidence ◽  
Glasgow Benefit Inventory

AbstractOur study group has researched for >10 years in the field of Quality of Life after plastic, aesthetic, and reconstructive surgery, asking the following questions: “Does aesthetic surgery improve the Quality of Life?” and “Can a higher Quality of Life offset the risk of surgical procedures.” As part of our series of studies examining the correlation of cosmetic surgery and the postoperative well-being, this study examines the influence of rhinoplasty, as a single indication, specifically on the Quality of Life (QoL) of patients. The data of 90 patients who underwent rhinoplasty between 1997 and 2007 were prospectively collected and were retrospectively analyzed. For a competitive analysis, our evaluation was divided into the following five parts: a self-developed indication-specific questionnaire and the standardized instruments Glasgow Benefit Inventory (GBI), Questions on Life SatisfactionModules (FLZM), Freiburg Personality Inventory (FPI-R), and Rosenberg Self-Esteem Questionnaire (RSES). Numerous improvements in patients' QoL were observed. The result of the GBI (17.19) based on a scale –100 to 100 indicates an improved QoL after rhinoplasty. Significant improvements in the item relationship/sexuality were shown in the general part of the FLZM (p = 0.042). The average score (6.32) on a scale of 0 to 14 in the FPI-R questionnaire resulted in a common emotionality and self-assessment, while the RSES (33.64) on a scale 10 to 40 indicated a high self-confidence and a statistically significant improvement (p = 0.0001) compared with German norm data. The knowledge of positive social and psychological benefits and an improved sexuality in the partnership support the meaningfulness of rhinoplasty.

Scar Quality of Skin Graft Borders: A Prospective, Randomized, Double-Blinded Evaluation

2019 ◽  
Vol 40 (5) ◽  
pp. 529-534
Author(s):  
Kevin J Zuo ◽  
Nisha Umraw ◽  
Robert Cartotto
Keyword(s):  
Skin Graft ◽  
Normal Skin ◽  
Burn Patients ◽  
Female Age ◽  
Scar Assessment ◽  
Wound Margin ◽  
Scar Quality ◽  
The Mean ◽  
Double Blinded

Abstract Prominent scars may remain around the border of a mature skin graft (SG) at the interface of the SG with normal skin. The border of a SG may be constructed by either exactly approximating (A) or slightly overlapping (O) the edge of the SG on the wound margin. The purpose of this study was to evaluate whether A or O affects the quality of the border scar of SGs applied to burn patients. This prospective study was a within-border design in which adult burn patients requiring SGs served as their own control. Half of each study border was fashioned using O and the immediately adjacent other half was made using A. We randomly assigned O or A to the proximal or distal halves of vertical borders and the medial and lateral halves of horizontal borders. Both halves of the study border were identically fixated with staples or sutures and were managed in the same fashion postoperatively. Blinded evaluations at 3, 6, and 12 months of O and A borders were performed using the Vancouver Scar Scale (VSS), the observer component of the Patient and Observer Scar Assessment Scale (POSAS), and a global binary assessment of which half of the study border “looked better.” Blinded patients also rated each half of the study border with a 10-point Likert scale. Values are reported as the mean ± SD or median (interquartile range), as appropriate. There were 34 borders studied in 15 subjects (46.7% female, age 29 [22,57], % TBSA burn 9.7 ± 5.3, and no inhalation injuries). Study borders were constructed at 7 (5,11) days postburn, had a total length of 12 (9.3,14.5) cm, and all involved split thickness SGs of thickness 13 (12,14)/1000th of an inch. Sheet grafts were applied in 27% and meshed grafts in 73%. SGs were applied immediately after excision in 75% or after allografting in 25%. Border scars matured between 3 and 12 months with reductions in total VSS from 8 (7,8) to 4 (3,6) for O borders (P < .001) and from 8 (7,9) to 4 (1,6) for A borders (P < .001). However, there were no significant differences between O and A borders in total VSS at 3 months (P = .165), 6 months (P = .602), and 12 months (P = .358) or in total OSAS at 3 months (P = .681), 6 months (P = .890), or 12 months (P = .601). At 12 months, 60% of O borders and 40% of A borders were globally rated as “better” (P = .258). There were no significant differences in the patients’ subjective ratings of the O and A borders at 3 months (P = .920), 6 months (P = .960), and 12 months (P = .66). The scar quality at the border of a skin graft does not appear to be affected by the surgical technique used to construct the border at the time of grafting.

scholarly journals AN ANALYSIS OF SECOND-YEAR ENGLISH DEPARTMENT STUDENTS' ABILITY IN USING CORRELATIVE CONJUNCTIONS

2020 ◽  
Vol 9 (1) ◽  
pp. 129
Author(s):  
Pipin Rahayu ◽  
Witri Oktavia
Keyword(s):  
Data Analysis ◽  
Key Words ◽  
Quantitative Research ◽  
Average Score ◽  
Cluster Sampling ◽  
English Department ◽  
Good Ability ◽  
The Mean ◽  
Second Year

This research aimed to know the students’ ability and their problems in using correlative conjunctions. This research is descriptive quantitative research. The population in this research is the second year, fourth semester of 2018 English Department students of Universitas Negeri Padang. The sample of this research is 31 students selected using cluster sampling. The instruments used in this research was grammar test. The test consisted of three parts which 24 questions in total. The data were scored in general and every part of the question to check the quality of the students’ ability in using correlative conjunctions. The data collected and analyzed were categorized.Then, the researcher calculated the mean score of the students to determine the students' ability in using correlative conjunctions for overall and each part.To knowing the students’ problems, the data were analyzed based on the lowest score of the students in answering all the questions. Based on data analysis, it was found that the students’ ability in using correlative conjunctions was fair because the average score of the students was 60,00. The students have very good ability in answering question part 1. It was also found that the students have some difficulties in answering the question in part 3. Furthermore, it was hard for the students to combine sentences using correlative conjunctions.   Key words: Correlative Conjunctions, Students’ Ability, Students’ Problems.

Effect of melatonin on taxane-induced neuropathy in breast cancer patients

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 19640-19640
Author(s):  
S. Sweany ◽  
J. Lafollette ◽  
J. Pruemer ◽  
M. Swango ◽  
M. Clark ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Neuroprotective Effect ◽  
Hot Flashes ◽  
Average Score ◽  
Average Dose ◽  
Breast Cancer Patients ◽  
Night Time ◽  
The Mean

19640 Background: Neurotoxicity caused by taxane chemotherapies(CT) can be dose limiting and can cause a decrease in quality of life. Melatonin has been evaluated for its use in decreasing adverse reactions of CT. Preclinical data suggests that melatonin has neuroprotective capability. The objective of this study is to determine if melatonin will decrease the incidence and severity of taxane-related neuropathy. Methods: Fifty patients beginning CT for any stage of breast cancer with paclitaxel, albumin-bound paclitaxel, or docetaxel will be enrolled. Patients should have no underlying neuropathy. Melatonin is given at 21 mg at bedtime on Day 1 and continued for 28 days after the last taxane dose. Every 28 days, neuropathy is assessed using the NCI-CTC 3.0 scale and possible side effects of melatonin are evaluated. Quality of life (QOL) is analyzed using the FACT-Taxane QOL assessment. Outcomes analyzed included the incidence and severity of neuropathy, and changes in QOL. Results: Currently 17 patients have been enrolled with 12 having completed taxaneCT and melatonin. Five have withdrawn due to non-medical reasons and were evaluated for toxicities. The mean age is 49 years (range 36–67 years). The end of study FACT-Taxane score was available for 11 of the 12 patients, with an average score of 135 (range 106–168). The average baseline QOL score was 131 (range 99–148). The average change in QOL score was +4. Eleven have completed paclitaxel with an average dose of 862 mg/m2 (range 525–1620 mg/m2). One patient received docetaxel t 450 mg/m2. Five patients self- reported adverse effects including night-time sedation (2), hot flashes (1), headache (1), constipation (1), nail darkening (1), and fatigue (1). Neuropathy distribution was as follows : 50 % (6) of patients had grade 0, 33% (4) grade 1, and 16% (2) grade 2 neuropathy. The mean change in neuropathy score was +0.67. Conclusion: Melatonin appears promising as a neuroprotective agent in patients receiving taxane-based chemotherapy. No patient developed grade 3 or 4 neuropathy compared to historical controls of 22–33%. Fifty percent of patients treated with melatonin while on taxane CT developed no neuropathy, and those who did, had grade 1 or 2 neuropathy.QOL was maintained. Melatonin's neuroprotective effect should be further evaluated. No significant financial relationships to disclose.

scholarly journals Keystone design perforator island flaps for coverage of non-oncological periarticular defects surrounded by the zone of injury

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052093015
Author(s):  
Hyun Gun Lee ◽  
Soo Yeon Lim ◽  
Young Keun Kim ◽  
Chi Sun Yoon ◽  
Kyu Nam Kim
Keyword(s):  
Medical Records ◽  
Summary Score ◽  
Assessment Scale ◽  
Period Range ◽  
Joint Range Of Motion ◽  
Scar Assessment ◽  
Scale Total Score ◽  
The Mean ◽  
Joint Range

Objective Periarticular defect coverage remains challenging because multi-vector tension forces affect wound tensile strength. This study presents our experience with keystone design perforator island flap (KDPIF) reconstruction of non-oncological periarticular defects surrounded by the zone of injury and describes the expanding versatility of KDPIF reconstruction for periarticular defects. Methods From June 2017 to July 2019, 12 patients aged 8 to 84 years underwent KDPIF reconstruction to cover periarticular defects. All defects resulted from non-oncological causes and were surrounded by the zone of injury. We reviewed the patients’ medical records and clinical photographs to collect and analyze clinical and operative data. Results The defect size ranged from 0.8 × 1.2 to 7 × 10 cm2. The flap size ranged from 1.5 × 3 to 15 × 18 cm2. All flaps survived completely. All patients showed favorable functional outcomes without significant limitation in joint range of motion during the follow-up period (range, 4–12 months). The mean observer scar assessment scale summary score and patient scar assessment scale total score were 17.667 ± 5.921 and 20.167 ± 6.478, respectively. Conclusion KDPIF reconstruction is a simple and effective surgical option for coverage of non-oncological periarticular defects surrounded by the zone of injury.

scholarly journals Quality of Life in Patients with Acne: A Questionnaire Study

2018 ◽  
Vol 16 (1) ◽  
pp. 45-48
Author(s):  
Niraj Parajuli ◽  
Bhasker Mohan Meher Kayastha
Keyword(s):  
Quality Of Life ◽  
Acne Vulgaris ◽  
Life Quality ◽  
Skin Condition ◽  
Average Score ◽  
Age Group ◽  
Maximum Score ◽  
Minimum Score ◽  
Common Skin

Introduction: Acne vulgaris is a self-limited disorder of the pilosebaceous unit. It is primarily seen in adolescent age group. Acne can present with pleomorphic lesions consisting of comedones, papules, pustules and nodules. Both inflammatory and non-inflammatory acne can produce scarring. It has been found that acne significantly affects self-image and quality of life. Effective treatment results in improvement of quality of life.Objective: The objective of this study was to find the impairment of quality of life in patients with acne.Materials and Methods: A total of 140 randomly selected patients coming to Dermatology OPD of Bir Hospital with complaints of acne were enrolled. A standard Dermatology Life Quality Index (DLQI) and Cardiff Acne Disability Index (CADI) questionnaires were used.Results: The average score of DLQI in my study was 9.5±5.6 with a minimum score of 0 and maximum score of 25. Similarly, the mean CADI score was 5.9±2.88 with minimum score of 0 and maximum score of 12. This study found acne to be more common in females as compared to males. Most common age group for acne was 16-20 years. Almost half of the patients (46%) complained of flare-ups during summer season. Similarly, majority (60%) of patients could relate to some aggravating factors. Most common aggravating factors were topical medications, fatty foods and stress.Conclusion: Acne is a common skin condition among the adolescents. This study conducted in Dermatology and Venereology Department of Bir Hospital showed that there is invariably some impairment in quality of life in acne patient.

scholarly journals PENERAPAN PEMBELAJARAN KONTEKSTUAL DENGAN TUTOR SEBAYA BERBANTUAN MEDIA AUDIOVISUAL UNTUK MENINGKATKAN HASIL BELAJAR PKn SISWA KELAS IVA

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
I Putu Adhi Wibawa
Keyword(s):  
Contextual Learning ◽  
Choice Test ◽  
Average Score ◽  
Audiovisual Media ◽  
High Category ◽  
Peer Tutor ◽  
Minimum Score ◽  
Improve Result ◽  
Academic Year

AbstrakPenelitian ini dilatarbelakangi untuk meningkatkan kualitas pembelajaran di kelas IVA SD Laboratorium Undiksha, Singaraja. Semua siswa kelas IVA sudah memiliki nilai diatas KKM namun nilai siswa kelas IVA masih berada pada kreteria sedang pada Penilaian Acuan Patokan (PAP). Tujuan dari penelitian ini adalah untuk meningkatkan hasil belajar PKn siswa kelas IVA SD Laboratorium Undiksha dengan penerapan pembelajaran kontekstual. Jenis penelitian ini adalah Penelitian Tindakan Kelas (PTK) dengan tahapan perencanaan, pelaksanaan, pengamatan, dan refleksi untuk setiap siklus dan penelitian ini diselesaikan dalam dua siklus. Pengumpulan data hasil belajar PKn dalam penelitian ini dilakukan dengan menggunakan metode tes berbentuk pilihan ganda.Selanjutnya data tersebut dianalisis dengan teknik deskriptif-kualitatif dan deskriptif-kuantitatif.Data hasil penelitian menunjukan pada siklus I data nilai rata-rata hasil belajar PKn 72,26 dengan ketuntasan klasikal 26,3% siswa berada pada kategori tinggi dan pada siklus II 83,5 dengan ketuntasan klasikal 81,5% siswa berada kategori tinggi. Dengan demikian, peningkatan hasil belajar PKn sebesar 11,24. Hasil penelitian ini menunjukkan bahwa penerapan pembelajaran kontekstual dengan tutor sebayaberbantuan media audio-visual dapat meningkatkan hasil belajar PKn pada siswa kelas IVA tahun ajaran 2017/2018 di SD Laboratorium Undiksha.Kata kunci: Pembelajaran Kontekstual, Hasil Belajar PKnAbstractThis study was made to improve the quality of learning in IVA class Laboratorium School Undiksha, Singaraja. All of the students already reach the minimum score but they are only stay on average criteria. The purpose of this study is to improve result in learning Civic on IVA cstudents of Laboratorium School Undiksha through contextual learning application. This study is classroom action research (PTK) which have four phases: planning, implementation, observation, and reflection in every cycle and finished in only two cycles. Data collected by using multiple choice test. The data analyzed by descriptive-qualitative and descriptive quantitative techniques.The data of this study showed that in first cycle, student’s average score of civic was only 72,26 with classical completeness 26,3% students already reach the high category. In the second cycle, average score of civic was 83,5 with classical completeness 81,5% students already reach the high category. So that there is improvement of result in learning by 11,24. Result of this study shows that application of contextual learning with peer tutor assisted by audiovisual media can improve result in learning civic of IVA class students in Laboratorium School Undiksha in academic year 2017/2018. Keywords: contextual learning, result in learning Civic

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