Analysis of Physical Therapy in Psoriasis

Introduction: Psoriasis is one of the most common skin diseases. It is a chronic and recurrent disorder that constitutes both a clinical and a social problem. Psoriasis can be effectively treated with comprehensive balneophysiotherapy (sulphide/hydrogen sulphide baths, PUVA therapy, cryotherapy). Aim: To analyse physical therapy in patients with psoriasis treated at a thermal resort. Material and Methods: The study was conducted at the “Jasna” thermal resort in Solec-Zdrój. The patients underwent balneophysiotherapy in the form of sulphide/hydrogen sulphide baths, PUVA therapy, and cryotherapy. The study group consisted of 40 subjects (28 females and 12 males) with psoriasis. The mean age was 43 years (range: 21 to 65 years). Subjective (a 21-item questionnaire) and objective assessment of the patients’ status was performed both before and after a series of physical therapy procedures. Results: After 3 weeks of treatment, the patients’ physical status was remarkably improved; skin lesions, pain, and burning resolved. The mental status of the subjects was improved as well. The results confirm that physical therapy is highly effective in psoriatic patients. Conclusions: The procedures performed at the thermal resort had a beneficial influence on the subjects’ health. Remarkable improvements were found using both subjective and objective methods of assessment. Thermal hospital treatment is an optimal form of management in psoriatic patients.

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Efficacy and Safety of Oral Ivermectin and Topical Permethrin in the Treatment of Scabies

TAJ Journal of Teachers Association ◽

10.3329/taj.v33i1.49824 ◽

2020 ◽

Vol 33 (1) ◽

pp. 41-47

Author(s):

Mohsena Akhter ◽

Ishrat Bhuiyan ◽

Zulfiqer Hossain Khan ◽

Mahfuza Akhter ◽

Gulam Kazem Ali Ahmad ◽

...

Keyword(s):

Skin Diseases ◽

Close Contact ◽

Randomized Study ◽

Sarcoptes Scabiei ◽

Efficacy And Safety ◽

Common Skin ◽

Group A ◽

The Mean ◽

The Difference ◽

Group B

Background: Scabies is one of the most common skin diseases in our country. It is caused by the mite Sarcoptes scabiei var hominis, which is an ecto-parasite infesting the epidermis. Scabies is highly contagious. Prevalence is high in congested or densely populated areas. Individuals with close contact with an affected person should be treated with scabicidal which is available in both oral and topical formulations. The only oral but highly effective scabicidal known to date is Ivermectin. Amongst topical preparations, Permethrin 5 % cream is the treatment of choice. Objective: To evaluate the efficacy & safety of oral Ivermectin compared to topical Permethrin in the treatment of scabies. Methodology: This prospective, non-randomized study was conducted at the out-patient department of Dermatology and Venereology of Shaheed Suhrawardy Medical College & Hospital over a period of 6 months, from August 2016 to January 2017. The study population consisted of one hundred patients having scabies, enrolled according to inclusion criteria. They were divided into two groups. group A was subjected to oral Ivermectin and the group B to Permethrin 5% cream. Patients were followed up on day 7 and 14 for assessment of efficacy and safety. Result: The mean scoring with SD in group A (Ivermectin) and group B (Permethrin) were 8.26 ± 2.22 and 7.59 ± 2.01 respectively at the time of observation. The difference between the mean score of the two group is not significant (p=0.117) the mean scoring with SD in group A and group B were 4.54 ± 2.05 and 1.64 ± 1.84 respectively at 7thdays. The difference between the mean score of the two group is significant (p<0.001). The mean scoring with SD in group A and group B were 2.68± 2.35 and .36± 1.10 respectively at 14th day difference between the mean score of the group is significant (p<0.001). Conclusion: Topical application of permethrin 5% cream is more effective and safer than oral Ivermectin in the treatment of scabies. TAJ 2020; 33(1): 41-47

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Quality of life in Montenegrin pupils with acne

PLoS ONE ◽

10.1371/journal.pone.0250155 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0250155

Author(s):

Milena Ražnatović Đurović ◽

Milica Đurović ◽

Janko Janković ◽

Slavenka Janković

Keyword(s):

Quality Of Life ◽

Skin Disease ◽

Skin Diseases ◽

Life Quality ◽

Total Sample ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Common Skin ◽

The Mean

Background Acne is a common skin disease that can affect a person’s quality of life (QoL), self-esteem, and mood in an adverse manner. The aim of the current study was to assess QoL among Montenegrin pupils with acne. Methods This cross-sectional survey was conducted over October and November 2020 in four randomly selected secondary schools in Podgorica, Montenegro. All 500 pupils were asked to fill in a short questionnaire which included questions on age, sex, presence of acne, and for those with acne their duration and location, visits to doctors, presence of any other coexisting skin disease, and family history of acne. Only pupils who self-reported acne were asked to complete the Children’s Dermatology Life Quality Index (CDLQI) and the Cardiff Acne Disability Index (CADI). Results Self reported acne were presented in 49.8% (249/500) of all pupils. The mean CDLQI score of the total sample was 4.27 ± 5.13. Overall, the CDLQI domains that were most affected by acne were symptoms and feelings (mean score 1.49 ± 1.43), leisure (mean score 0.94 ± 1.72), and treatment (0.66 ± 0.79). The mean total CADI score was 3.53 ± 3.11 which was higher in girls (4.07 ± 3.11) than in boys (2.90 ± 3.00). There was good correlation between the two questionnaires (Rho = 0.76; P < 0.01). According to multiple linear regressions, higher overall CDLQI score was found in pupils with acne who reported other skin diseases, while girls, pupils who reported both acne on face and back, and who had any concomitant skin disease had higher CADI total score. Conclusions Acne affects QoL of young adolescents in Montenegro with greater impact in girls. Our findings should point out the importance of timely diagnosis, treatment, and education of adolescents with acne.

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EFFICIENCY OF BREATHING EXERCISES USED IN PHYSICAL THERAPY FOR 6–12-YEAR-OLD ASTHMATIC CHILDREN’S RESPIRATORY FUNCTION

Baltic Journal of Sport and Health Sciences ◽

10.33607/bjshs.v4i103.68 ◽

2016 ◽

Vol 4 (103) ◽

pp. 19-23

Author(s):

Vytautas Karuža ◽

Eglė Lendraitienė

Keyword(s):

Physical Therapy ◽

Respiratory Function ◽

Respiratory Arrest ◽

Abdominal Muscle ◽

Muscle Endurance ◽

Exhaled Breath ◽

Test Results ◽

Breathing Exercises ◽

Before And After ◽

The Mean

Background. The aim of the study was to assess the efficiency of breathing exercises for 6–12- year-old asthmatic children’s respiratory function. Methods. The study involved 15 children, 9 boys (60%) and 6 girls (40%). The average age of all subjects was 9.07 ± 1.94 years. Boys’ average age was 8.89 ± 1.90 years, and that of the girls – 8.33 ± 2.16 years. All subjects participated in physical therapy were breathing exercises were applied for four weeks, 30–45 minutes per day. Moreover, before and after treatment with breathing exercises they had Stange and Henci tests (samples of breathing); breathing muscle strength test with pneumotonometer and abdominal muscle endurance test. Results. After four weeks of physical therapy, the mean respiratory arrest inhalation statistically significantly increased by 11.16%, (p < .05). Exhaled breath with hold was 19.17% of the average change, but this change was not statistically significant (p > .05); inspiration pressure changed by 27.30% on average (p < .05); static abdominal muscle endurance significantly increased from 26.33 to 36.13%; right side muscle static endurance significantly increased by 31.78% and left side static muscle endurance changed by 19.43%. Conclusion. Breathing exercises applied for four weeks for children aged 6–12 years, suffering from bronchial asthma, are useful for increasing respiratory arrest aspiration, inspiration and expiratory pressure, and the abdomen, trunk muscle endurance, but they do not result in any changes in respiratory arrest exhaled.

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Physical Therapy for Gait, Balance, and Cognition in Individuals with Cognitive Impairment: A Retrospective Analysis

Rehabilitation Research and Practice ◽

10.1155/2020/8861004 ◽

2020 ◽

Vol 2020 ◽

pp. 1-12

Author(s):

Jason Longhurst ◽

Jason Phan ◽

Elbert Chen ◽

Steven Jackson ◽

Merrill R. Landers

Keyword(s):

Cognitive Impairment ◽

Physical Therapy ◽

Retrospective Analysis ◽

Treatment Strategy ◽

Lewy Bodies ◽

Primary Treatment ◽

Balance Performance ◽

Group Methods ◽

Before And After ◽

The Mean

Objectives. The purpose of this study was to determine if a pragmatic physical therapy (PT) program was associated with improved cognition, gait, and balance in individuals with cognitive impairment. This study investigated these associations for individuals with Alzheimer disease (AD), vascular dementia (VaD), dementia with Lewy bodies (DLB), and mild cognitive impairment (MCI) in order to better characterize outcomes to PT for each diagnostic group. Methods. Data before and after one month of physical therapy were extracted from patient records (67 with AD, 34 with VaD, 35 with DLB, and 37 with MCI). The mean number of PT sessions over a month was 3.4 (±1.8). Outcomes covered the domains of gait, balance, and cognition with multiple outcomes used to measure different constructs within the balance and gait domains. Results. All groups showed improvements in balance and at least one gait outcome measure. Those with MCI improved in every measure of gait and balance performance. Lastly, cognition as measured by Montreal Cognitive Assessment improved in individuals in the AD, VaD, and MCI groups. Conclusion. While this retrospective analysis is not appropriate for causal inference, results of one month of physical therapy were associated with decreases in gait, balance, and cognitive impairment in individuals with AD, VaD, DLB<, and MCI. Clinical Implications. While physical therapy is not typically a primary treatment strategy for individuals with cognitive impairment, the results of this study are consistent with the literature that demonstrates improvement from physical therapy for other neurodegenerative diseases. Further clinical and research exploration for physical therapy as a primary treatment strategy in these populations is warranted.

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Efficacy & Safety of Oral Ivermectin and Topical Permethrin in the Treatment of Scabies

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v11i2.48956 ◽

2020 ◽

Vol 11 (2) ◽

pp. 91-95

Author(s):

Mohsena Akhter ◽

Ishrat Bhuiyan ◽

Md Shahadat Hossain ◽

Zulfiqer Hossain Khan ◽

Mahfuza Akhter ◽

...

Keyword(s):

Skin Diseases ◽

Close Contact ◽

Randomized Study ◽

Sarcoptes Scabiei ◽

Medical College ◽

Common Skin ◽

Group A ◽

The Mean ◽

The Difference ◽

Group B

Background: Scabies is one of the most common skin diseases in our country. It is caused by the mite Sarcoptes scabiei var hominis, which is an ecto-parasite infesting the epidermis. Scabies is highly contagious. Prevalence is high in congested or densely populated areas. Individuals with close contact with an affected person should be treated with scabicidal which is available in both oral and topical formulations. The only oral but highly effective scabicidal known to date is Ivermectin. Amongst topical preparations, Permethrin 5 % cream is the treatment of choice. Objective: To evaluate the efficacy & safety of oral Ivermectin compared to topical Permethrin in the treatment of scabies. Methodology: This prospective, non-randomized study was conducted at the out-patient department of Dermatology and Venereology of Shaheed Suhrawardy Medical College & Hospital over a period of 6 months, from August 2016 to January 2017. The study population consisted of one hundred patients having scabies, enrolled according to inclusion criteria. They were divided into two groups. Group A was subjected to oral Ivermectin and the Group B to Permethrin 5% cream. Patient were followed up on day 7, 14 and assessed for the efficacy and safety. Result: The mean scoring with SD in Group A and Group B were 8.26 ± 2.22 and 7.59 ± 2.01respectively at the time of observation. The difference between the mean score of the two group is not significant (p=0.117) The mean scoring with SD in group A and group B were 4.54 ± 2.05 and 1.64 ± 1.84 respectively at 7th days. The difference between the mean score of the two group is significant (p<0.001). The mean scoring with SD in group A and group B were 2.68± 2.35 and .36± 1.10 respectively at 14th day difference between the mean score of the group is significant (p<0.001). Conclusion: Topical application of Permethrin 5% cream is more effective and safer than oral Ivermectin in the treatment of scabies. J Shaheed Suhrawardy Med Coll, December 2019, Vol.11(2); 91-95

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Effectiveness of modified cutting and suture technique for endonasal caudal septoplasty in correcting nasal obstruction and preventing nasal tip projection loss

Journal of Otolaryngology - Head and Neck Surgery ◽

10.1186/s40463-021-00516-y ◽

2021 ◽

Vol 50 (1) ◽

Author(s):

Yu Hosokawa ◽

Takeshi Miyawaki ◽

Taisuke Akutsu ◽

Kazuhiro Omura ◽

Shinya Tsumiyama ◽

...

Keyword(s):

Nasal Obstruction ◽

Objective Assessment ◽

Suture Technique ◽

Nasal Deformity ◽

Nasal Tip ◽

Tip Projection ◽

Before And After ◽

The Mean ◽

Nasal Tip Projection ◽

External Nasal Deformity

Abstract Purpose Caudal septoplasty is a difficult procedure. The cutting and suture technique is suitable for caudal septoplasty, but a batten graft is always necessary and bears the risk of nasal tip projection loss. We established a modified cutting and suture technique (MCAST), without using a batten graft, and investigated its effectiveness in correcting nasal obstruction and preventing nasal tip projection loss. Methods We retrospectively reviewed the medical records of 22 patients who underwent caudal septoplasty using MCAST. Subjective assessment by Nasal Obstruction Symptom Evaluation (NOSE) score and objective assessment by computed tomography (CT) were performed before and after the surgery. For evaluating nasal tip projection, we asked patients about their awareness of external nasal deformity. Additionally, the nasal tip projection was measured by CT and compared before and after surgery. Results The median preoperative NOSE score reduced significantly after MCAST (P < 0.001). On CT, the ratio of the area of the convex side to that of the concave side in the anterior portion of the nasal cavity increased significantly after MCAST (P < 0.001). All patients were unaware of external nasal deformity. There were no significant differences in the mean preoperative and postoperative nasal tip height and nasolabial angle. The mean supra tip height was significantly greater postoperatively than preoperatively (P = 0.02). Conclusions The MCAST was useful for correcting nasal obstruction with caudal septal deviation. There was no postoperative loss of nasal tip projection. The MCAST can be suitable for correcting C-shaped caudal deviations without dislocating the caudal septum from the anterior nasal septum.

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Immunologic evaluation in mycosis fungoides. Before and after PUVA therapy

Archives of Dermatology ◽

10.1001/archderm.116.2.178 ◽

1980 ◽

Vol 116 (2) ◽

pp. 178-181 ◽

Cited By ~ 1

Author(s):

R. Kubba

Keyword(s):

Mycosis Fungoides ◽

Puva Therapy ◽

Before And After

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Perbedaan Pengetahuan Siswa Tentang Penyakit Hepatitis A Sebelum Dan Sesudah Penyuluhan Di MTsN 02 Bondowoso Tahun 2015

Jurnal Ilmu Kesehatan ◽

10.32831/jik.v4i2.85 ◽

2017 ◽

Vol 4 (2) ◽

pp. 14

Author(s):

Putri Megasari

Keyword(s):

Hepatitis A ◽

Hepatitis Virus ◽

Sampling Technique ◽

Mean Value ◽

Test Design ◽

The World ◽

Before And After ◽

Post Test ◽

The Mean ◽

Paired T Test

Hepatitis has become a health problem in the world. The hepatitis virus infected many people. According to the teacher of MTsN 02 Bondowoso more than 20 students have hepatitis A viral infection. The purpose of this research was to know the differences of students' knowledge about hepatitis A before and after counseling in MTsN 02 Bondowoso 2015. This study used pre-experimental (pre-post test design). This study used stratified random sampling technique, 127 students from 270 sample involved this research,and 143 students was excluded. We used questionnaires to collect data. The results showed that the mean value of the students 'knowledge about hepatitis A before counseling in MTsN 02 Bondowoso 2015 was 83.96 with the lowest value of 37.5 and the highest value was 100. The mean value of the students' knowledge about hepatitis A after counseling in MTsN 02 Bondowoso 2015 was 93.21 with the lowest value waf 62.5 and the highest value was 100. Paired t test showed that t (-9.07) > t table (1.98), the null hypothesis (H0) was rejected. There was a difference between students' knowledge about hepatitis A before and after counseling in MTsN 02 Bondowoso 2015. This study showed that routine counseling by healthcare provider was important to prevent hepatitis A infection.; Keywords: counseling, knowledge of students, hepatitis

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