Development and Validation of a Scale for Acne Scar Severity (SCAR-S) of the Face and Trunk

2010 ◽  
Vol 14 (4) ◽  
pp. 156-160 ◽  
Author(s):  
Jerry K.L. Tan ◽  
Jing Tang ◽  
Karen Fung ◽  
Aditya K. Gupta ◽  
D. Richard Thomas ◽  
...  
Keyword(s):  
Global Scale ◽  
Severity Scale ◽  
Acne Scar ◽  
Self Assessment ◽  
Global System ◽  
Patient Reported ◽  
The Face ◽  
Severity Grading ◽  
Acne Scarring ◽  
Development And Validation

Background: Scarring is an important component of overall acne severity, but there are no global scales for its evaluation inclusive of the face and trunk. Objective: Our objective was to develop a global scale for acne scar severity inclusive of the trunk and the face. Methods: A six-category global severity scale (SCAR-S) was developed for assessment of acne scarring at each of the face, chest, and back. We evaluated SCAR-S against acne severity and patient-reported scar severity. Results: Of 973 subjects, 73% reported acne scarring. Self-assessment of scarring was associated with facial SCAR-S and overall SCAR-S scores ( p < .001, r = .31 and .30, respectively). Acne scarring was observed at the face in 87%, the back in 51%, and the chest in 38%. Clinically relevant scarring (mild or greater) at each of these regions was 55%, 24%, and 14%, respectively. Acne severity correlated with SCAR-S ( p < .001) for the back ( r = .612), the chest ( r = .548), and the face ( r = .514). Acne duration correlated with patient-reported severity of scarring ( r = .244) and overall SCAR-S scores ( r = .152). Clinically relevant scarring increased with acne duration. Conclusion: SCAR-S is a practical, validated, global system for acne scar evaluation and is clinically relevant in overall severity grading of acne.

Safety and Effectiveness of VYC-17.5L for Long-Term Correction of Nasolabial Folds

2019 ◽  
Vol 40 (7) ◽  
pp. 767-777 ◽  
Author(s):  
Steven Dayan ◽  
Corey S Maas ◽  
Pearl E Grimes ◽  
Kenneth Beer ◽  
Gary Monheit ◽  
...  
Keyword(s):  
Randomized Study ◽  
Severity Scale ◽  
Level Of Evidence ◽  
Repeat Treatment ◽  
Patient Reported ◽  
Median Volume ◽  
The Face ◽  
Nasolabial Folds ◽  
And Control

Abstract Background Juvéderm Vollure XC (VYC-17.5L; Allergan plc, Dublin, Ireland) belongs to a family of hyaluronic acid gels based on the Vycross technology platform. Objectives The authors sought to evaluate the safety and effectiveness of Vollure for correction of moderate to severe nasolabial folds (NLFs) over 18 months and after repeat treatment. Methods In this prospective, randomized study, patients (N = 123) received initial/touch-up treatment with Vollure in 1 NLF and control filler in the contralateral NLF. Patients received optional repeat treatment with Vollure after month 12, 15, or 18. Assessments included investigator-rated NLF Severity Scale responder rates (≥1-point improvement vs baseline), patient-assessed Appraisal of Nasolabial Folds scale of the FACE-Q questionnaire, and patient satisfaction (11-point scale). Results Median volume of Vollure injected was 1.7 mL for initial/touch-up treatment combined and 0.6 mL for repeat treatment. The NLF Severity Scale responder rates were 93%, 85%, and 59% at months 6, 9, and 18 after initial/touch-up treatment and increased to 94% at 1 month after repeat treatment. Mean patient-reported FACE-Q scores significantly improved from baseline at all timepoints. Most patients were very satisfied with treatment at all timepoints from day 3 (75%) through month 18 (68%) and at 1 month after repeat treatment (94%). Common injection site responses after initial/touch-up and repeat treatment were firmness, swelling, and tenderness to touch; most were mild/moderate. Conclusions Vollure was safe and effective for correction of moderate to severe NLFs, with results lasting 18 months in 59% of NLFs. Repeat treatment required one-third of the injection volume to achieve similar improvement in NLF severity as initial/touch-up treatment. Level of Evidence: 2

Development and Validation of a Comprehensive Acne Severity Scale

2007 ◽  
Vol 11 (6) ◽  
pp. 211-216 ◽  
Author(s):  
Jerry K.L. Tan ◽  
Jing Tang ◽  
Karen Fung ◽  
Aditya K. Gupta ◽  
D. Richard Thomas ◽  
...  
Keyword(s):  
Gold Standard ◽  
Concurrent Validity ◽  
Global Assessment ◽  
Severity Scale ◽  
Grading Systems ◽  
The Face ◽  
Acne Treatment ◽  
Development And Validation ◽  
Investigator Global Assessment ◽  
Facial Acne

Background: Although more than 25 acne grading systems exist, only 2 are inclusive of truncal acne. There is neither a gold standard nor a consistently used standardized system. Purpose: Our purpose was to develop and validate an acne grading system incorporating severity at the face, chest, and back. Methods: We developed a comprehensive acne severity scale (CASS) by modifying a preexisting facial acne scale, the Investigator Global Assessment, to include truncal acne. The validity and responsiveness of CASS grades were correlated with Leeds scores at baseline and after 6 months of standard acne treatment. Results: Spearman correlations were significant between Leeds and CASS grades for the face (0.823), chest (0.854), and back (0.872), respectively ( p < .001). After 6 months of therapy, changes in these scores were also significantly correlated ( p < .001) at all three sites. Conclusion: Concurrent validity of CASS is demonstrated by a very strong correlation with Leeds grading. CASS is simpler to use than the Leeds system and more appropriate for translation of research trial results to clinical practice.

Functional/Aesthetic Measures of Patient Satisfaction After Rhinoplasty: A Review

2019 ◽  
Vol 39 (10) ◽  
pp. 1057-1062 ◽  
Author(s):  
Hong Xiao ◽  
Yanan Zhao ◽  
Liu Liu ◽  
Minqin Xiao ◽  
Wei Qiu ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Ease Of Use ◽  
Self Assessment ◽  
Outcomes Evaluation ◽  
Assess Patient Satisfaction ◽  
Patient Reported ◽  
The Face ◽  
Pubmed Search

Abstract Multiple patient-reported outcome measures (PROMs) are available to assess patient satisfaction after rhinoplasty. These self-assessment measures can be divided into 3 categories: measures for functional outcomes, aesthetic outcomes, and both. Although Barone et al have discussed this classification, a recently developed scale was not featured. We performed a PubMed search for publications in English that described patient satisfaction post-rhinoplasty, utilizing PROMs that facilitate both functional and aesthetic self-assessment. PROMs, including the Rhinoplasty Outcomes Evaluation, the Functional Rhinoplasty Outcome Inventory 17, the Rhinoplasty Health Inventory and Nasal Outcomes scale, the FACE-Q Rhinoplasty module, and the Standardized Cosmesis and Health Nasal Outcomes Survey, were reviewed and critically appraised in terms of their content, ease of use, and analysis parameters. This review highlights the benefit of using multi-functional PROMs after rhinoplasty instead of single-purpose PROMs and enables surgeons and researchers to choose the most appropriate measure for their purpose.

Development and validation of a patient-reported outcome measure in vitiligo: The Self Assessment Vitiligo Extent Score (SA-VES)

2017 ◽  
Vol 76 (3) ◽  
pp. 464-471 ◽  
Author(s):  
Nanja van Geel ◽  
Janny E. Lommerts ◽  
Marcel W. Bekkenk ◽  
Cecilia A.C. Prinsen ◽  
Viktoria Eleftheriadou ◽  
...  
Keyword(s):  
Outcome Measure ◽  
Patient Reported Outcome ◽  
The Self ◽  
Self Assessment ◽  
Patient Reported Outcome Measure ◽  
Patient Reported ◽  
Extent Score ◽  
Development And Validation

Development and Validation of a Self- Assessment of Learning Agility

2011 ◽  
Author(s):  
Kenneth P. De Meuse ◽  
Guangrong Dai ◽  
Selamawit Zewdie ◽  
Ronald C. Page ◽  
Larry Clark ◽  
...  
Keyword(s):  
Self Assessment ◽  
Learning Agility ◽  
Assessment Of Learning ◽  
Development And Validation

Student Perceptions of Face-to-Face and Online Discussions: The Advantage Goes To . . .

2008 ◽  
Vol 11 (4) ◽  
Author(s):  
Katrina A. Meyer
Keyword(s):  
Higher Education ◽  
Affirmative Action ◽  
Student Perceptions ◽  
Online Discussions ◽  
Political Tolerance ◽  
Self Assessment ◽  
Face To Face ◽  
The Face ◽  
Online Setting ◽  
And Gender

Thirteen students in a graduate-level course on Historical and Policy Perspectives in Higher Education held face-to-face and online discussions on five controversial topics: Diversity, Academic Freedom, Political Tolerance, Affirmative Action, and Gender. Students read materials on each topic and generated questions for discussion that were categorized by Bloom’s taxonomy so that the level of questions in the two discussion settings would be closely parallel. Upon completion of each discussion, they answered questions that addressed depth and length of the discussion, ability to remember, and a self-assessment of how the student learned. Students’ assessments show a consistent preference for the face-to-face discussion but a small number of students preferred the online setting. However, what is perhaps more interesting is a minority of approximately one-third of the students who perceived no difference between the settings, or that the two settings were perhaps complementary.

scholarly journals Maintaining paediatric cardiac services during the COVID-19 pandemic in a developing country in sub-Saharan Africa: guidelines for a “scale up” in the face of a global “scale down”

2020 ◽  
Vol 30 (11) ◽  
pp. 1588-1594
Author(s):  
Ogochukwu J. Sokunbi ◽  
Ogadinma Mgbajah ◽  
Augustine Olugbemi ◽  
Bassey O. Udom ◽  
Ariyo Idowu ◽  
...  
Keyword(s):  
Scale Up ◽  
Global Scale ◽  
International Travel ◽  
Sub Saharan Africa ◽  
African Continent ◽  
Tertiary Centre ◽  
The Face ◽  
Scale Down ◽  
Sub Saharan ◽  
International Experts

AbstractThe COVID-19 pandemic is currently ravaging the globe and the African continent is not left out. While the direct effects of the pandemic in regard to morbidity and mortality appear to be more significant in the developed world, the indirect harmful effects on already insufficient healthcare infrastructure on the African continent would in the long term be more detrimental to the populace. Women and children form a significant vulnerable population in underserved areas such as the sub-Saharan region, and expectedly will experience the disadvantages of limited healthcare coverage which is a major fall out of the pandemic. Paediatric cardiac services that are already sparse in various sub-Saharan countries are not left out of this downsizing. Restrictions on international travel for patients out of the continent to seek medical care and for international experts into the continent for regular mission programmes leave few options for children with cardiac defects to get the much-needed care.There is a need for a region-adapted guideline to scale-up services to cater for more children with congenital heart disease (CHD) while providing a safe environment for healthcare workers, patients, and their caregivers. This article outlines measures adapted to maintain paediatric cardiac care in a sub-Saharan tertiary centre in Nigeria during the COVID-19 pandemic and will serve as a guide for other institutions in the region who will inadvertently need to provide these services as the demand increases.

Development and validation of a high school STEM self‐assessment inventory

2020 ◽  
Vol 120 (8) ◽  
pp. 477-490
Author(s):  
Erin Peters Burton ◽  
Tara S. Behrend ◽  
Shari Matray ◽  
Clarissa Hudson ◽  
Michael Ford
Keyword(s):  
High School ◽  
Self Assessment ◽  
Development And Validation
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