scholarly journals Vitiligo: What’s old, what’s new

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Mariabeatrice Bertolani ◽  
Eleonora Rodighiero ◽  
Maria Beatrice De Felici del Giudice ◽  
Torello Lotti ◽  
Claudio Feliciani ◽  
...  

Vitiligo is an acquired pigmentary disorder afflicting 0.5-2% of the world population for both sexes and all races with a capricious and unpredictable course. It has a complex etiology and varies in its manifestation, progression and response to treatment. Even if the precise aetiology and pathobiology of the disease are complex and still debated, recent evidence supports that vitiligo is a T CD8+ cell-mediated autoimmune disease triggered by oxidative stress. To date no clinical, biological and histological criteria allow us to establish the prognosis with certainty. The choice of the best therapy for adult and childhood vitiligo is based on various factors, such as the patient’s age, psychological condition and expectations, distribution and extension of skin lesions, type of vitiligo (stable or not) and availability and cost of therapeutic options. Since vitiligo has a deep psychological impact on patients and their quality of life, treating the disease is very important. As dermatologists, we have important goals in the treatment of vitiligo patients: stabilization of the disease progression, repigmentation of the lesions and especially the persistence of the aforementioned repigmentation. Although several medical and surgical therapeutic options have been proposed, no definite cure has yet been developed and the long-term persistence of repigmentation is unpredictable. We review the different therapeutic options with particular attention on the recurrence rate.

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Ana Cláudia Guimarães Abreu ◽  
Gabriela Guy Duarte ◽  
Juliana Yasmin Pains Miranda ◽  
Daniel Gontijo Ramos ◽  
Camila Gontijo Ramos ◽  
...  

Vitiligo, a depigmentary disorder, caused by the loss of melanocytes, affects approximately 1% of the world population, irrespective of skin type, with a serious psychological impact on the patient quality of life. So far, the origin of vitiligo has not been traced and the pathogenesis is complex, involving the interplay of a multitude of variables. Although there is no treatment that ensures the complete cure of the disorder, there are some pharmacological, phototherapy, and surgical therapies available. A series of variables can affect treatment outcome, such as individual characteristics, emotional issues, type of vitiligo, stability of the lesions, and immunological status. The present literature review identified the main immunological parameters associated with treatments for vitiligo. Cytotoxic CD8+ T lymphocytes are the main cell type involved in treatment success, as fewer cells in skin lesions are associated with better results. Other parameters such as cytokines and regulatory T cells may also be involved. Further clinical scientific studies are needed to elucidate the complex mechanisms underlying vitiligo and its treatments, in order to expand the range of therapeutic approaches for each individual case.


Author(s):  
Dong Lin ◽  
Jianqiang Cui

The world population is ageing, and many countries in the world are confronted by significant challenges in adapting their health and social systems to meet the requirements of this demographic change. It is well-accepted that mobility is often closely linked to a person’s independence, wellbeing and quality of life. Interest has increased across the world with regard to how the mobility needs of an ageing society can be addressed, since an ageing population is confronting nations across the globe and poses long-term challenges on a nation’s many aspects, including transport. Questions of how future policies can better respond to the mobility needs of an ageing population and how these policies can be delivered have emerged as major concerns for transport planners, operators and decision-makers. This review explores the way in which implemented policies have addressed the mobility needs of an ageing society, focusing on the provision of accessible, safe and affordable transport. More specifically, the paper reviews legislative and institutional approaches of addressing the mobility needs of an ageing population. The paper discusses the outcomes of these approaches and the remaining challenges in this policy area that relate to elderly people’s mobility and provides future research directions. Based on the discussion, clear conclusions about the effectiveness of particular policies are difficult to make. Alternative approaches (e.g., technological innovations) need to be considered in addressing older people’s mobility needs.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yi-chang Chen ◽  
Keh-chung Lin ◽  
Chen-Jung Chen ◽  
Shu-Hui Yeh ◽  
Ay-Woan Pan ◽  
...  

Abstract Background Joint contractures, which affect activity, participation, and quality of life, are common complications of neurological conditions among elderly residents in long-term care facilities. This study examined the reliability and validity of the Chinese version of the PaArticular Scales in a population with joint contractures. Methods A cross-sectional study design was used. The sample included elderly residents older than 64 years with joint contractures in an important joint who had lived at one of 12 long-term care facilities in Taiwan for more than 6 months (N = 243). The Chinese version of the PaArticular Scales for joint contractures was generated from the English version through five stages: translation, review, back-translation, review by a panel of specialists, and a pretest. Test-retest reliability, internal consistency reliability, construct validity, and criterion validity were evaluated, and the results were compared with those for the World Health Organization Quality of Life scale and the World Health Organization Disability Assessment Schedule. Results The Chinese version of the PaArticular Scales had excellent reliability, with a Cronbach α coefficient of 0.975 (mean score, 28.98; standard deviation, 17.34). An exploratory factor analysis showed three factors and one factor with an eigenvalue > 1 that explained 75.176 and 62.83 % of the total variance in the Activity subscale and Participation subscale, respectively. The subscale-to-total scale correlation analysis showed Pearson correlation coefficients of 0.881 for the Activity subscale and 0.843 for the Participation subscale. Pearson’s product-moment correlation revealed that the correlation coefficient (r) between the Chinese version of the PaArticular Scales and the World Health Organization Disability Assessment Schedule was 0.770, whereas that for the World Health Organization Quality of Life scale was − 0.553; these values were interpreted as large coefficients. Conclusions The underlying theoretical model of the Chinese version of the PaArticular Scales functions well in Taiwan and has acceptable levels of reliability and validity. However, the Chinese version must be further tested for applicability and generalizability in future studies, preferably with a larger sample and in different clinical domains.


2021 ◽  
Vol 10 (2) ◽  
pp. e30510212535
Author(s):  
Gabriel Kiaro Leite Nunes ◽  
Karinne Alice Santos de Araújo ◽  
Thais Ranielle Souza de Oliveira ◽  
Marcelina da Conceição Botelho Teixeira ◽  
Ieler Ferreira Ribeiro ◽  
...  

The COVID-19 pandemic brought about major changes in the lifestyle of the world population. Due to the lack of vaccines or a definitive treatment for disease, governments around the world have adopted social isolation and quarantine as methods to control the spread of the virus. Objective: Thus, the objective of this study was to discuss how social isolation and quarantine periods affected people's mental health and quality of life during the COVID-19 pandemic. Methods: An integrative literature review was carried out during the COVID-19 pandemic between March and September 2020, establishing the following guiding question: How did social isolation and quarantine affect the mental health and quality of life of the population in the COVID-19 pandemic? Results: The final sample consisted of nineteen (19) articles, two (2) addressed depression during the pandemic period, three (3) presented the pandemic and the relationship with sociodemographic aspects, five (5) analyzed mental health in the pandemic, four (4) reported the impact of COVID-19 on the population's style and quality of life and the last five (5) demonstrated the quality of human relationships and emotional aspects in the face of the pandemic. Conclusion: It was demonstrated that isolation and the quarantine period had a negative impact on the population's quality of life and long-term mental health.


2019 ◽  
Author(s):  
Nur Afni Syaputri ◽  
Rusdinal ◽  
Hade Afriansyah

The aim of quality management is to ensure that all parts of the organization work together to improve the processes, products, services and corporate culture to achieve long-term success that comes from customer satisfaction. This article was prepared by the author using the system referring to the literature review. The implementation of integrated quality management in education goes through several processes from the preparation, planning, and implementation of the quality of educational services that are expected by education customers. Meeting the expectations of customer education is a quality management paradigm that must be fulfilled, so that those who drop out of school and unemployment can be minimized in the world of our education.


2021 ◽  
Vol 0 (15) ◽  
pp. 0-0
Author(s):  
Hatice ÖĞÜTCÜ

With the increase in the world population every year, the need for plant and animal foods has increased. In order to meet these needs, the amount of fertilizers (with chemical content) used to increase productivity in agriculture has increased and has become a threat to the soil and the environment. In order to minimize the harms of chemical fertilizers and to preserve the fertility of the soil, new environmentally friendly applications have been researched. In this context, studies on "Plant Probiotics", which are one of the effective applications both in protecting the quality of the soil and increasing the yield in plant production, especially on local isolates and formulations to be prepared from them, have gained momentum. Plant probiotics are a group of microorganisms or microorganisms that can improve soil health, plant growth, and plant tolerance or immunity to various abiotic and biotic stresses, thanks to their potential role in enhanced nutrient acquisition and/or biocontrol activities by colonizing the root zone of plants, called the rhizosphere. As a result of inoculation of plants with strains of these bacteria, which have very different properties (nitrogen binding, phosphate solubilizing, biocontrol agent, stress resistance, phytohormone synthesis), it directly affects the growth and development of the roots and shoots of the plant, increasing the biomass, as well as contributing to the increase of the yield and quality of the product. In this context, the preparation and use of biofertilizer formulations of local plant probiotic bacteria, which will be obtained from their natural areas, has become very important in rational agricultural practices in recent years and intensive researches are carried out. With the use of the aforementioned plant probiotic formulations, environmentally friendly green production will be made by contributing to the production of both foodstuffs and feed raw materials in order to ensure the continuity of the world population. As a result, the protection of the ecosystem will be ensured by preventing environmental pollution, which is the problem of the whole world.


2021 ◽  
pp. 1-6
Author(s):  
Shivani Saini ◽  
◽  
Agarwal Shail ◽  
Jain Manish ◽  
Yadav Devendra ◽  
...  

Background: Dermatophytosis is a common fungal infection affecting 20-25% of the world population. Aims: Our study was aimed to assess its impact on health-related quality of life(QoL), mental health, and various variables. Materials and Methods: A cross-sectional study was done from April 2019 to September 2019 on 174 patients of dermatophytosis of aged more than 16 years with their informed consent. The impact of infection on the quality of life was assessed by using the Dermatology life quality index questionnaire and General health questionnaire-12 was used to assess psychological impact. A visual analogue scale was used to assess the severity of pruritus. Appropriate statistical tests were applied. Results: Males to females ratio was 1.4:1. The age group of 21-30 was having the highest number of patients with the mean age of 27.8±9.97. Most patients had BSA under 10%. The mean value of DLQI and GHQ-12 were found 15.989±7.407 and 2.8563±2.8964, respectively. We found that dermatophytosis had a very large effect on the quality of life as the maximum number of patients(39%) were within this category. The “work and school” part in the questionnaire gained maximum importance(52.8%). The mean VAS score was 6±2.733 with most patients(32.7%) had moderate itching. We found a positive correlation between VAS and DLQI, VAS and GHQ-12, DLQI, and GHQ-12 with the statistical significance. Conclusion: In our study dermatophytosis affected the quality of life as well as the psychological health of patients. Therefore proper treatment of superficial dermatophtytosis is essential to prevent it from further complications


Author(s):  
Giovanni Andrea Cornia

This chapter reviews population trends over the last two hundred years and population projections to the end of this century. In 2100 the world population will have stabilized but its geographical distribution will have substantially changed compared to 2015. The chapter then discusses the five stages of the demographic transition, and different neo-Malthusian and non-Malthusian theories of the relation between population growth and economic development. It emphasizes in particular the effects of rapid population growth on land and resource availability, human capital formation, population quality, the accumulation of physical capital, employment, wages, and income inequality. The effects of rapid population growth rate over a given period were found to change in line with the population size and density at the beginning of the period considered.


2021 ◽  
Vol 2 ◽  
pp. 10
Author(s):  
Namrata Thapa ◽  
Sonali Verma ◽  
Gresh Chander ◽  
Amrita Bhat ◽  
Deepika Bushan Raina ◽  
...  

Infertility is an inability to get pregnant after 1 year of trying. Infertility is a serious condition which not only affects the physical health of a woman but also influences a woman psychologically. Infertility in females is growing rapidly throughout the world. It is the fifth most serious disability in the world. The woman’s inability to get pregnant leads to many psychological problems such as sadness, anger, depression, anxiety, loss of social status, lack of self-esteem, and poor quality of life. There is a tremendous increase in infertility and its treatment which actually highlights the psychological aspect of infertility. It is the growing problem affecting 10–15% of couples of reproductive ages from all the cultures and societies in the world. Patients with infertility reports elevated levels of anxiety and depression, so it is very clear that infertility causes psychological problems. It is a common problem affecting one in four. About 48.5 million couples experience infertility worldwide. According to the Indian Society of Assisted Reproduction, infertility affects about 10–14% of the Indian population. Approximately 27.5 million couples who are actually trying to conceive suffer from infertility in India. The prevalence of infertility is 15% in the state of Jammu and Kashmir and 15.7% alone in Kashmir region. The knowledge and understanding of infertility are also very low. To the best of my knowledge, this is the first documented study from Jammu and Kashmir correlating psychological stress and infertility among women. The main aim of the current review is to check the correlation of infertility and its psychological impact, that is, stress, depression, anxiety, and low self-esteem on women.


2016 ◽  
Vol 10 (3) ◽  
Author(s):  
Øjvind Larsen

Piketty’s Capital in Twenty-First Century has posed a totally new platform for the discussion of the economy and capitalism. Piketty has reinvented the classical political economy founded by Adam Smith in his 1776 Wealth of Nations. Piketty has shown via massive historical research how growth and inequality have developed since 1793. Piketty’s conclusion is that the French Revolution did not change the existing inequality either in the medium or in the long term. Piketty’s prediction is that a new form of global capitalism will arise, patrimonial capitalism, in which inequality will develop further and the 1% of the World population will control 95% of all wealth in the World.


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