scholarly journals Skin writometer: A novel instrument for assessing provocation threshold in patients with symptomatic dermographism

2021 ◽  
Vol 7 (2) ◽  
pp. 178-180
Author(s):  
Kiran Godse ◽  
Gauri Godse ◽  
Anant Patil

Symptomatic dermographism, a type of physical urticaria is a common condition affecting patient’s quality of life. For its diagnosis, clinicians in India currently use tip of the ball point pen for estimating the provocation threshold. However, because of single tip of fixed length, ball point pen can-not differentiate between different grades of symptomatic dermographism. With variations in the intensity of stroke, there is a possibility of even missing the diagnosis. Hence, there is a need of a better method to diagnose symptomatic dermographism and determine the provocation threshold. Skin writometer, a plastic instrument with three arms of varying length can be novel in this regards. This instrument is simple, user friendly, easy to use and inexpensive. It can be used for diagnosis as well as assessment of treatment response in patients with symptomatic dermographism.

Author(s):  
Romina Nemecek ◽  
Patrick Huber ◽  
Sophie Schur ◽  
Eva Masel ◽  
Stefanie Porkert ◽  
...  

Patients with advanced cancer have a substantial symptom burden, which deteriorates their quality of life. Palliative care improves well-being of patients and their family caregivers. Within the scope of a controlled pilot study, a user-friendly telepresence system is developed, which enables patients and family caregivers to send a direct request to a palliative care team. Additionally, a specially tailored database is developed, which contains up to date patient information. Twenty patients with advanced non-small cell lung cancer are consecutively assigned in a control and an intervention group. The intervention group receives the telemedically augmented care, whereas the control group receives standard care. The primary goal of this chapter is to determine the usability and feasibility; the secondary goal is the assessment of the intervention's impact on quality of life and the number of unscheduled hospital admissions. To sum up, telemedically supported ambulatory palliative care may synergistically help to improve safety and quality of life.


Thyroid ◽  
2015 ◽  
Vol 25 (3) ◽  
pp. 284-291 ◽  
Author(s):  
Per Cramon ◽  
Steen Joop Bonnema ◽  
Jakob Bue Bjorner ◽  
Ola Ekholm ◽  
Ulla Feldt-Rasmussen ◽  
...  

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Amnon A. Berger ◽  
Yao Liu ◽  
HarLee Possoit ◽  
Anna C. Rogers ◽  
Warner Moore ◽  
...  

Context: Chronic neuropathic pain is a common condition, and up to 11.9% of the population have been reported to suffer from uncontrolled neuropathic pain. Chronic pain leads to significant morbidity, lowered quality of life, and loss of workdays, and thus carries a significant price tag in healthcare costs and lost productivity. dorsal root ganglia (DRG) stimulation has been recently increasingly reported and shows promising results in the alleviation of chronic pain. This paper reviews the background of DRG stimulation, anatomical, and clinical consideration and reviews the clinical evidence to support its use. Evidence Acquisition: The DRG span the length of the spinal cord and house the neurons responsible for sensation from the periphery. They may become irritated by direct compression or local inflammation. Glial cells in the DRG respond to nerve injury, producing inflammatory markers and contribute to the development of chronic pain, even after the resolution of the original insult. While the underlying mechanism is still being explored, recent studies explored the efficacy of DRG stimulation and neuromodulation for chronic pain treatment. Results: Several reported cases and a small number of randomized trials were published in recent years, describing different methods of DRG stimulation and neuromodulation with promising results. Though evidence quality is mostly low, these results provide evidence to support the utilization of this technique. Conclusions: Chronic neuropathic pain is a common condition and carries significant morbidity and impact on the quality of life. Recent evidence supports the use of DRG neuromodulation as an effective technique to control chronic pain. Though studies are still emerging, the evidence appears to support this technique. Further studies, including large randomized trials evaluating DRG modulation versus other interventional and non-interventional techniques, are needed to further elucidate the efficacy of this method. These studies are also likely to inform the patient selection and the course of treatment.


2020 ◽  
Vol 19 (4) ◽  
pp. 271-276
Author(s):  
LARA GUERCIO DOS SANTOS ◽  
GUILHERME YUKIO KAJYA AMUKA ◽  
LUCAS CIARAVOLO GASPAR ◽  
THIAGO KOLACHINSKI BRANDÂO ◽  
LUCIANO MILLER REIS RODRIGUES ◽  
...  

ABSTRACT Objective Low back pain is an extremely common condition that can affect up to 84% of people at some point in life. It affects patients of both sexes, mainly between 30 and 50 years of age, and has a great impact on the quality of life, in addition to placing a significant demand on health services. Obesity is considered as an important risk factor for the development of low back pain since the change in body fat distribution causes changes in the locomotor system and especially in the spine. Methods The study makes a comparative, retrospective analysis of patients who underwent bariatric surgery through questionnaires to assess the improvement in their quality of life and low back pain. The data were submitted to a statistical analysis and the results compared to the literature data. Results As a result, there was a statistically significant improvement in quality of life in relation to weight loss; the greater the weight reduction, the better the quality of life and the younger the patient, the better their quality of life. Conclusions When asked about low back pain, 70.7% of patients classified it as moderate to severe. Level of evidence III; Comparative retrospective.


2021 ◽  
Vol 9 (10) ◽  
pp. 120
Author(s):  
Atik Ramadhani ◽  
Zenobia Zettira ◽  
Yuanita Lely Rachmawati ◽  
Ninuk Hariyani ◽  
Diah Ayu Maharani

Halitosis is a common condition that adversely affects quality of life. Through YouTube, people access oral health information. This study aimed to analyze the quality and comprehensiveness of the content, and reliability of halitosis videos hosted on YouTube. In total, 300 videos were collected based on three search keywords, and the number of likes, dislikes, views, duration, interaction index, viewing rate, and source category. Subsequently, the video score, which represents the content quality and comprehensiveness was used to categorize videos as poor, good, and excellent. DISCERN score was used to assess video reliability. Of the 105 videos analyzed, 68 (64.8%) were uploaded by personal users. In general, videos were categorized as poor and have low reliability. Videos sourced from healthcare professionals showed the highest quality, comprehensiveness of the content, and reliability (p < 0.05). There was no difference in the number of viewers for video duration less than or more than 4 min (p > 0.05). YouTube users prefer low-quality videos over high-quality ones, indicating that viewers cannot differentiate between reliable and potentially biased content. It is critical to enable viewers to critically assimilate information hosted on YouTube to make effective oral healthcare decisions.


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