Scarring Alopecia: The Attitudes, Knowledge and Referral Patterns of Hair Stylists and Barbers

Disorders of hair loss are commonly encountered by hair stylists, who are in a unique position to identify early signs and symptoms. The goals of this study were to assess hair stylists’ knowledge of and propensity to refer patients with scarring alopecias. One-hundred-eighteen stylists completed surveys to this effect. The majority of respondents (66.1%) stated that they had been asked by clients to evaluate for hair loss, whereas approximately half reported routinely referring clients with hair loss to a dermatologist. Although knowledge of alopecia varied, the vast majority indicated they would be willing to undergo further training in identifying hair loss disorders and would be willing to discuss this information with clients. These results demonstrate that hairdressers frequently interact with patients suffering from hair loss and that many are receptive to receiving additional training to ensure proper identification and prompt referral.

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Upashaya and Anupashaya - A Bird’s Eye View

Journal of Ayurveda and Integrated Medical Sciences (JAIMS) ◽

10.21760/jaims.v2i4.9366 ◽

2017 ◽

Vol 2 (4) ◽

Author(s):

Sreeharsha N. ◽

Gurubasavaraj Yalagachin ◽

Kavita M. V. ◽

Divyasree C. H.

Keyword(s):

Signs And Symptoms ◽

Symptomatic Treatment ◽

Diagnostic Tools ◽

Detailed Knowledge ◽

Early Signs ◽

Therapy Result

The approach of the treatment in any disease begins with Roga Pareeksha and Rogi Pareeksha. Once these two concepts are clear, Vyadhi Vinishchaya will be perfect. This enables the Vaidya to choose appropriate Chikitsa. The five entities of Roga Pareeksha are Nidana (aetiology), Purvaroopa (early signs and symptoms), Roopa (cardinal features), Upashaya (symptomatic treatment) and Samprapti (pathogenesis). When Vaidya has doubtful diagnosis of a disease after thorough examination, he will carry out symptomatic first hand simple therapy, result of which will clarify his ambiguity in diagnosis. For example the pain in the Janu Sandhi may raise the doubt in the physician regarding its diagnosis as Amavata or Sandhivata. The Sthanika Taila Prayoga as Upashaya will result in clarity of diagnosis. Hence Upashaya (Pathya) and Anupashaya (Apathya) are the diagnostic tools in Vyadhi Vinishchaya. This creates a pavement for the path of thinking that Ahara, Vihara and Oushadha which relieve the Lakshanas of any Vyadhi are considered as Upashaya and those which aggravate or worsen are called as Anupashaya. This concept can be practically utilised to advice the Rogi regarding Pathya and Apathya in the specific disesase and it also helps to diagnose the disease without confusion. Hence a detailed knowledge of Upashaya (Pathya) and Anupashaya (Apathya) is essential in Chikitsa.

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451 Spironolactone for treatment of concomitant female pattern hair loss in scarring alopecia patients

Journal of Investigative Dermatology ◽

10.1016/j.jid.2021.02.474 ◽

2021 ◽

Vol 141 (5) ◽

pp. S78

Author(s):

K.E. Flanagan ◽

J.T. Pathoulas ◽

C.J. Walker ◽

I. M. Pupo Wiss ◽

M.M. Senna

Keyword(s):

Hair Loss ◽

Scarring Alopecia ◽

Female Pattern Hair Loss

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Anagen Effluvium after Therapeutic Scalp Surgery: Unreported Phenomenon

Skin Appendage Disorders ◽

10.1159/000513087 ◽

2021 ◽

Vol 7 (4) ◽

pp. 311-314

Author(s):

Leticia Arsie Contin ◽

Leopoldo Duailibe Nogueira Santos ◽

Ivan José Netto Pereira ◽

Vanessa Barreto Rocha

Keyword(s):

Hair Loss ◽

Spontaneous Recovery ◽

Case Reports ◽

Practical Importance ◽

Transient Ischemia ◽

Melanocytic Nevi ◽

Scarring Alopecia ◽

Anagen Hair ◽

Time Required

Introduction: Many procedures are performed on the scalp, such as excision of pilar and sebaceous cysts, melanocytic nevi, and reduction surgery for scarring alopecia, among others. In hair transplants, telogen effluvium is often reported 3 months after surgery; however, hair loss usually happens much earlier, around second week after the procedure, not compatible with the time required for hair to enter telogen and exogenous phases in normal conditions. Case Reports: We report 3 cases of anagen hair loss 4 weeks after surgeries, with perilesional trichoscopy suggesting anagen effluvium, with typical signs such as black dots and exclamation hairs. Discussion: There are only a few reports about hair loss around operated areas. The cause of this postoperative anagen effluvium is probably a transient ischemia. Conclusion: The practical importance of this phenomenon is to properly orient patients because most of the hair will be lost, since 85% of them are anagens, and also will have spontaneous recovery in the next 3 months.

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THE ACADEMY AND PEDIATRIC OPPORTUNITIES IN UNDEVELOPED COUNTRIES

PEDIATRICS ◽

10.1542/peds.29.5.687 ◽

1962 ◽

Vol 29 (5) ◽

pp. 687-688

Author(s):

Louis K. Diamond

Keyword(s):

Typhoid Fever ◽

American Academy ◽

Signs And Symptoms ◽

Tropical Countries ◽

Nutritional Anemia ◽

Early Signs ◽

Epidemic Diseases

Last october, in a talk before the American Academy of Pedatrics, on Nutritional Anemia in Tropical Countries, I mentioned several important reasons why American physicians, especially pediatricians, should seriously consider working for a year or more in some of the underprivileged countries abroad. Three points deserve special emphasis. First, it can constitute a period of most valuable training and experience.1 In our own country, it is not unusual these days for a man to complete his internship and still have failed to see important and formerly epidemic diseases in all their manifestations. How many Residents now can recognize the early signs and symptoms of measles, smallpox, diphtheria, tetanus, tuberculosis, and typhoid fever, to mention just a few.

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Male Breast Cancer- Report of Two Cases

TAJ Journal of Teachers Association ◽

10.3329/taj.v21i1.3226 ◽

1970 ◽

Vol 21 (1) ◽

pp. 80-82

Author(s):

M Dayem Uddin ◽

ABM Abdul Hannan

Keyword(s):

Breast Cancer ◽

Clinical Manifestation ◽

Male Breast Cancer ◽

Signs And Symptoms ◽

Male Breast ◽

Breast Cancers ◽

Early Signs ◽

Bangladeshi Population

Male breast cancer is rare. It accounts for 0.2% of all cancers, and 1% all breast cancers. Most patients present late for several reasons, including the absence of early signs and symptoms, and reduced awareness of the existence of such pathology among patients and physicians, Reporting these cases from among the Bangladeshi population, we tried to observe any differences in clinical manifestation from those reported in the literature, and aimed to increase the value assigned to male breast as a source of pathology among patients and physicians as well. doi: 10.3329/taj.v21i1.3226 TAJ 2008; 21(1): 80-82

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Androgenic alopecia in post-menopausal female: a clinical presentation

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20201824 ◽

2020 ◽

Vol 9 (5) ◽

pp. 2157

Author(s):

Kirty Nahar ◽

Usha Bohra ◽

Vivek Arya

Keyword(s):

Hair Loss ◽

Histopathological Examination ◽

Clinical Signs ◽

Signs And Symptoms ◽

Abdominal Hysterectomy ◽

Androgenic Alopecia ◽

Clinical Signs And Symptoms ◽

Significant Regression ◽

Post Menopausal ◽

Work Up

Androgenic alopecia is a patterned hair loss occurring due to systemic androgens and genetic factors. It is the most common cause of hair loss in both genders. The appearance of this condition is the cause of significant stress and psychological problems, making appropriate management important. A 68-year-old postmenopausal female presented with complaints of increased hair loss from scalp, excessive hair growth at undesired sites and hirsutism not corrected with medications. On thorough investigations, CT scan whole abdomen and endocrinological workup, a clinical diagnosis of alopecia and hirsutism due to hyperandrogenemia secondary to ovarian tumor made. Abdominal hysterectomy with B/L salpingo-oophorectomy was done. Histopathological examination revealed an encapsulated tumor in right ovary-sex cord stromal tumor consistent with Leydig cell tumor in right ovary, no evidence of malignancy. Left ovary was normal. Patient showed significant regression of clinical signs and symptoms on follow up after 1 month. All women with severe hirsutism or androgenic alopecia needs further work up to locate the source of androgen over production.

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Signs and symptoms in the pre-psychotic phase: description and implications for diagnostic trajectories

Psychological Medicine ◽

10.1017/s0033291708003152 ◽

2008 ◽

Vol 38 (8) ◽

pp. 1147-1156 ◽

Cited By ~ 40

Author(s):

S. N. Iyer ◽

L. Boekestyn ◽

C. M. Cassidy ◽

S. King ◽

R. Joober ◽

...

Keyword(s):

Drug Abuse ◽

Negative Symptoms ◽

Social Withdrawal ◽

Signs And Symptoms ◽

First Episode ◽

Psychotic Episode ◽

Related Factors ◽

Affective Psychosis ◽

Duration Of Untreated Illness ◽

Early Signs

BackgroundFew studies have examined the underlying factor structure of signs and symptoms occurring before the first psychotic episode. Our objective was to determine whether factors derived from early signs and symptoms are differentially associated with non-affective versus affective psychosis.MethodA principal components factor analysis was performed on early signs and symptoms reported by 128 individuals with first-episode psychosis. Factor scores were examined for their associations with duration of untreated illness, drug abuse prior to onset of psychosis, and diagnosis (schizophrenia versus affective psychosis).ResultsOf the 27 early signs and symptoms reported by patients, depression and anxiety were the most frequent. Five factors were identified based on these early signs and symptoms: depression, disorganization/mania, positive symptoms, negative symptoms and social withdrawal. Longer duration of untreated illness was associated with higher levels of depression and social withdrawal. Individuals with a history of drug abuse prior to the onset of psychosis scored higher on pre-psychotic depression and negative symptoms. The two mood-related factors, depression and disorganization/mania, distinguished the eventual first-episode diagnosis of affective psychosis from schizophrenia. Individuals with affective psychosis were also more likely to have a ‘mood-related’ sign and symptom as their first psychiatric change than individuals later diagnosed with schizophrenia.ConclusionsFactors derived from early signs and symptoms reported by a full diagnostic spectrum sample of psychosis can have implications for future diagnostic trajectories. The findings are a step forward in the process of understanding and characterizing clinically important phenomena to be observed prior to the onset of psychosis.

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Efficacy and tolerability of Arnophyte cream for herpes infection, in subjects with early signs and symptoms of recurrent HSV-2

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20194670 ◽

2019 ◽

Vol 5 (4) ◽

pp. 792

Author(s):

Kavita S. Salkar ◽

Chetna S. Chotalia ◽

Rajiv Y. Salvi ◽

Nimesh D. Mehta ◽

Anirudh T. Tripathi

Keyword(s):

Therapeutic Option ◽

Signs And Symptoms ◽

Visual Analogue Score ◽

Target Lesion ◽

Viral Agent ◽

Serious Adverse Events ◽

Herpes Infection ◽

Early Signs ◽

Recurrent Herpes ◽

Quality Of Life Index

Background: Arnophyte® cream developed from Ficus arnottiana plant extract showed strong potential as an Anti-viral agent. The objective of the study was to evaluate the efficacy and tolerability of Arnophyte® cream in subjects with early signs and symptoms of recurrent HSV-2.Methods: The treatment was given for a period of 14 days. The study outcomes measured were assessment of reduction in pain using the visual analogue score (VAS), the changes in the quality of life index for recurrent genital herpes (GHQoLr); physician’s and patient’s global assessment of the therapy, signs and symptoms associated with HSV-2 and healing of the target lesion on baseline, day 2, day 4, day 7 and day 15.Results: Arnophyte® cream showed significant reduction in the signs and symptoms of herpes infection. The cream was well tolerated with no serious adverse events observed.Conclusions: Arnophyte® cream can be considered as a possible therapeutic option for the treatment of recurrent herpes infections in both HSV-1 and HSV-2.

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MentalPlus® as a Tool for Early Detection of Dementias

10.5327/1516-3180.355 ◽

2021 ◽

Author(s):

Priscila Santos ◽

Daniel Godoy Pinto ◽

Jussara Alves Celestino ◽

Marina Cisoto

Keyword(s):

Executive Function ◽

Cognitive Rehabilitation ◽

Short Term Memory ◽

Signs And Symptoms ◽

The Elderly ◽

Control Group ◽

Long Term Memory ◽

Term Memory ◽

Surgical Interventions ◽

Early Signs

Introduction: The research’s objective is to identify early signs and symptoms of dementia through the MentalPlus® game. Dementias is a Neurocognitive Major Disorder, and as a diagnostic criterion, it is impaired in the areas of intricate attention, executive function, learning, memory, language, perceptomotor or social cognition. Method: MentalPlus® was created for timely evaluation and cognitive rehabilitation, considering the various diseases that cause cognitive dysfunction, such as dementia, heart problems, organic disorders, among others, in addition to surgical interventions and external factors. This instrument used to evaluate postoperative cognitive dysfunctions, which often affect elderly patients, confirms the validity and accessibility of the MentalPlus application. Results: Table 1 shows that the elderly in the group tested had statistically lower education than the control group (p < 0.001). Table 2 shows that for all domains of MentalPlus , on the hits part, the tested elderly group showed statistically lower values than the control group (p < 0.05), except only in the executive function (p = 0.231) and selective attention (p = 0.057), errors were also statistically higher in the elderly tested for almost all domains (p < 0.05), except in short-term memory (p = 0.206) and long-term memory (p = 0.179). At the same time, omissions were statistically higher in the elderly tested for all MP domains (p < 0.05). Conclusion: MentalPlus® identifies early signs of dementia in older people and is useful for the evaluator and the target audience, as it provides reliable data in a considerably short time.

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