“WE DON’T HAVE A SKIN PROBLEM, WE HAVE A SIN PROBLEM”

Unreconciled ◽  
2019 ◽  
pp. 53-89
Keyword(s):  
2020 ◽  
Vol 5 (01) ◽  
pp. 63-67
Author(s):  
Gangadhar S. Jondhale ◽  
P. D. Londhe

Background: Skin is the largest organ of human body. Its size and external location makes it susceptible to a wide variety of disorders. In recent years there has been increase in incidence of skin problem due to various reasons like Poverty, Poor sanitation, Unhygienic condition, Pollution etc. Dadru is one among Kushta Roga affecting all the age of population. It is Kapha-Pitta Pradhan Vyadhi and presents clinically with the features of Kandu, Raga, Pidika, Daha, Rookshata, Udgata Mandala etc. and can be correlated with Tinea infection. Management of Dadru includes Shodhana, Shaman and Bahiparimarjan Chikitsa. Chakramarda is a wild crop grows in most part of India and it is known as Ringworm plant. So here in this study Chakramadadi Pralepa was used to evaluate the efficacy in Dadru.


2019 ◽  
Vol 107 (2) ◽  
Author(s):  
Marianne Burke ◽  
Benjamin Littenberg

Objective: Providers’ use of clinical evidence technologies (CETs) improves their diagnosis and treatment decisions. Despite these benefits, few studies have evaluated the impact of CETs on patient outcomes. The investigators evaluated the effect of one CET, VisualDx, on skin problem outcomes in primary care.Methods: A cluster-randomized controlled pragmatic trial was conducted in outpatient clinics at an academic medical center in the northeastern United States. Participants were primary care providers (PCPs), and their adult patients were seen for skin problems. The intervention was VisualDx, as used by PCPs. Outcomes were patient-reported time from index clinic visit to problem resolution, and the number of follow-up visits to any provider for the same problem. PCPs who were randomly assigned to the intervention agreed to use VisualDx as their primary evidence source for skin problems. Control group PCPs agreed not to use VisualDx. Investigators collected outcome data from patients by phone at thirty-day intervals. Cox proportional hazards models assessed time to resolution. Wilcoxon-rank sum tests and logistic regression compared the need for return appointments.Results: Thirty-two PCPs and 433 patients participated. In proportional hazards modelling adjusted for provider clusters, the time from index visit to skin problem resolution was similar in both groups (hazard ratio=0.92; 95% confidence interval [CI]=0.70, 1.21; p=0.54). Patient follow-up appointments did not differ significantly between groups (odds ratio=1.26; CI=0.94, 1.70; p=0.29).Conclusion: This pragmatic trial tested the effectiveness of VisualDx on patient-reported skin disease outcomes in a generalizable clinical setting. There was no difference in skin problem resolution or number of follow-up visits when PCPs used VisualDx.


2015 ◽  
Vol 5 (2) ◽  
pp. 336-338 ◽  
Author(s):  
Shila Rani Das ◽  
Nasreen Begum ◽  
Chinmay Biswas ◽  
Md Nazmul Hoq ◽  
Jahangir Hossain

Background: Taking protective equipment is important for poultry workers as they are at risk of poultry hazard. Use of personal protective equipment (PPE) is essential for preventing & controlling diseases experienced by poultry processing workers.Aims and Objectives: To assess the awareness about personal protective equipments and health problems among poultry workers.Method and materials: Descriptive cross-sectional study was conducted under the guidance of the Department of Community Medicine, National Institute of Preventive and Social Medicine (NIPSOM), Dhaka, from March to June 2006 on 100 poultry workers who were selected purposively from six poultry farms from the area of Gazipur districts. Informed consent was obtained and structured questionnaire was used to collect data through face to face interview. Data was edited, processed and analyzed both manually and used of SPSS version 10.Result: Mean age was 27.49% with SD ± 9.84 years, highest age range 59% was 20-30 years. Regarding level of education & economic status revealed that 43% were illiterate and 72% earned 2000-3000 taka monthly. 20% had highest work experience of 6-8 years. 82% of the respondents thought that personal protection is necessary during working in poultry. 79% of the respondents knew the name of PPE. But only 42% use PPE and 58% of the respondents did not use it. Among the user 16% use PPE regularly and 26% use PPE irregularly. Result showed significant association between education and knowledge of diseases of transmission (p<0.004). Observing health hazard 34.71% had respiratory problem 27.27% skin problem 23.14% eye problem. Significant association found between itching (skin problem) and use of PPE (p<0.004).Conclusion : Literate person had more knowledge about disease transmissions. The respondents who used PPE suffered less from health problems. For the safety of poultry workers advocacy arrangements of training program and formulation of guideline and regulations are important points to be considered.Northern International Medical College Journal Vol.5(2) 2014: 336-338


2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
D. Linn Holness

Workers with occupational contact dermatitis may have poor outcomes that impact their health, work, and quality of life. While there is information available on overall return to work, little is known about the actual return to work process. The objectives of the study were to describe the return to work experience and work outcome in workers with contact dermatitis following diagnosis. 78 workers with occupational contact dermatitis were followed for 6 months after assessment. Information collected included clinical presentation and status, the return to work process and work outcomes. Six months after assessment, 38% were not working, almost all because of their skin problem. Of the 62% working 32% had changed job, most because of their skin problem. Limited advice to enable return to work and communication were reported. These findings suggest that there are gaps in return to work programs for occupational contact dermatitis and further research is needed.


2018 ◽  
Vol 80 (1) ◽  
pp. 63
Author(s):  
S. G. Radenska-lopovok ◽  
P. Volkova

2007 ◽  
Vol 2 (6) ◽  
pp. 681-683
Author(s):  
Christopher Packham
Keyword(s):  

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Eppy Setiyowati

Abstract: Ulcus decubitus is a serious dermal (skin) problem, especially for the unconscious patients with the lack of mobilization hospitalized in the ICU. It appears in the area which is localizedwith the necrotic tissues; it also usually appears on the surface of protruding bones, resulted fromthe long term pressure which increases the capillary pressure. This study was purposed to analyzethe effectiveness of the use of VCO to the patient with the risk of having ulcus decubitus in thecentral ICU of Rumkital Dr. Ramelan Surabaya (Surabaya Navy Hospital). The design used in thisstudy was case study done by investigating a problem through one case comprising of a single unit.The variable used in this study was the use of VCO to the patient with the risk of ulcus decubitus.The data were analyzed descriptively done by using inductive approach. The result of this studyconcludes that the use of VCO to Mr. M who has the risk of impaired skin integrity is effective toprevent decubitus.


Author(s):  
Kaori Yonezawa ◽  
Megumi Haruna

Abstract Background This study examined whether infants aged 0–3 months exhibited long-term effects of using a moisturizer skincare intervention and whether a short-term skin problem resulted in the subsequent development of food allergies or atopic dermatitis (AD) until the age of 2 years. Methods This study was a follow-up of a completed randomized control trial (RCT) of moisturizer skincare for infants aged 0–3 months. A self-reported questionnaire was mailed to the parents of children aged 1–2 years who had participated in the RCT. Data were analyzed using a Chi square test, by intention to treat analysis, and by multiple logistic regression. Results Of 155 infants, 22 (14.2%) and 28 (18.1%) had food allergies and AD/eczema until 2 years of age, respectively. No significant difference was seen in food allergies or AD between the group that received moisturizer skincare intervention and the control group. On the contrary, food allergies until 2 years of age were significantly associated with short-term (4–7 days) and long-term (more than 7 days) body skin problems occurring in the first 3 months of life, a family history of AD, and the time of starting complementary food. High value of face transepidermal water loss at 3 months of age was also associated with food allergies. Moreover, a short duration of severe diaper dermatitis during the first 3 months, a family history of AD, and being male were significantly associated with AD/eczema until the age of 2 years. Conclusions After adjusting for family history of AD, a short-term skin problem in the first 3 months of life was significantly associated with the development of food allergies or AD/eczema until the age of 2 years. Prevention or prompt treatment of skin problems in newborns is essential for preventing future allergic diseases. Trial registration This was a follow-up study conducted 2 years after the completed RCT of a moisturizer skincare intervention for early infants, which was registered in the University Hospital Medical Information Network Clinical Trials Registry (UMIN000013260)


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