Assessing of the Risk Factor & Determine Epidemiology of Acne Vulgaris in Tertiary Care Teaching Hospital

Background: Acne vulgaris remains one of the commonest diseases to afflict humanity, with over 90% of males and 80% of females affected by the age of 21 years. Objectives: The aim of this study was to assessing the specific risk factors, determine the epidemiology and etiology of Acne Vulgaris. Methodology: It is a cross-sectional observational study conducted for a period of six month in the department of dermatology, Dhiraj General Hospital, Vadodara. Patients who were diagnosed with acne vulgaris and fulfilled the inclusion criteria were enrolled in the study. Data was collected by filling the patient medical record sheet. Result: Total 300 patients were included in the study. Out of which 38.67% males and 61.33% females were found affected by Acne Vulgaris. The mean age group affected were found to be 21.77±4.06 years. When compared their social habits, patients consumed more caffeine (49.67%) than alcohol (24.67%), smoking (15.33%) and tobacco (5.67%). 32.33% patients also had history of seborrheic dermatitis. Using GAGS scale, we found 94% patients suffered from moderate Acne condition while 6% suffered from severe Acne condition. Conclusion: Acne Vulgaris was predominantly found in females in adolescence and in males in adulthood. The severity was found more in males than females. The common site for Acne Vulgaris was found to be face while comedones and papules were the common types of lesions. Stress was found to be one of the major aggravating factors for severity of Acne Vulgaris.

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“A CLINICOEPIDEMIOLOGICAL STUDY OF FACIAL DERMATOSES IN ADOLESCENT GIRLS ATTENDING A TERTIARY CARE CENTRE ”

10.36106/ijsr/4326097 ◽

2021 ◽

pp. 22-23

Author(s):

Amulya Y S ◽

Rajashekar T S

Keyword(s):

Acne Vulgaris ◽

Seborrheic Dermatitis ◽

Tertiary Care ◽

Psychological Impact ◽

Age Group ◽

Care Centre ◽

School Dropouts ◽

Tertiary Care Centre ◽

Cross Sectional ◽

Education Of Patients

Background: The obsession of getting a awless skin is more for adolescents girls than in any other age group. But these problems are seldom given enough importance. Very common problem like acne vulgaris can cause serious psychological impact in them. Methods: One hundred and nine adolescent female (10-19 years) patients with facial dermatoses presenting to skin department, of a tertiary care centre in Kolar,were selected for the study. Study design was descriptional and cross sectional, conducted from February 2020 to December 2020. Results: Eighty seven percentage of the study population was students and the rest were school dropouts. Acne vulgaris was the diagnosis in 83 (76%) of cases. Second most common condition was seborrheic dermatitis accounting for 7 (6%) of cases. Conclusions: Facial dermatoses are common among the adolescents girls. These dermatoses are of a major cosmetic concern in this age group. Early diagnosis and proper management with education of patients is important to prevent late disguring complications and psychological sequelae.

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A clinico-epidemiological study of polymorphic light eruption in a tertiary care centre in Salem: a region of South India

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20170798 ◽

2017 ◽

Vol 3 (1) ◽

pp. 113

Author(s):

Eby Chacko ◽

Seethalakshmi Ganga Vellaisamy ◽

Kannan Gopalan ◽

Govindarajan Nanjappachetty

Keyword(s):

Tertiary Care ◽

Positive Family History ◽

Study Data ◽

Tertiary Care Centre ◽

Cross Sectional ◽

Polymorphic Light Eruption ◽

Plaque Type ◽

History Of ◽

Study Population ◽

Symptoms And Signs

Introduction: Polymorphic light eruption (PMLE) is an acquired photodermatosis characterized by a polymorphic eruption ranging from papulovesicular lesions to large plaques. The prevalence of PMLE varies from 5% to 15% in various studies across the world and in India it is 0.56%.Objective: The present study was conducted to study the clinical pattern and to assess the epidemiological aspects of polymorphic light eruption.Material and Method: A cross sectional prospective study was conducted in Dermatology OPD between April 2015 and June 2016. A total of 100 patients with symptoms and signs of PMLE were included in the study. Data were coded and analyzed.Results: Majority of the cases in our study were in the age group of 21 - 30 years (36%). It was more common in females (82%) when compared with males (18%). Occupation of most of the patients (29%) was farmers in our study population. Positive family history of PMLE was seen in 11% of the study population. The commonest form was the papular type (46%) and the second most common type was plaque type (17%). Regarding the distribution of lesions, about 51% of our study subjects had polymorphic lesions confined to only one area of their body mostly forearm (25%) followed by face (12%).Conclusion: The prevalence of PMLE was 1.34% in our study population. Pruritus was the presenting complaint in most of the cases and the rash was mainly seen in areas exposed to sunlight.

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Impact of acne on quality of life in young Pakistani adults and its relationship with severity: A multicenter study

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.3.2819 ◽

2021 ◽

Vol 37 (3) ◽

Author(s):

Shaheen Naveed ◽

Sadia Masood ◽

Atiya Rahman ◽

Safia Awan ◽

Saadia Tabassum

Keyword(s):

Quality Of Life ◽

Young Adults ◽

Multicenter Study ◽

Acne Vulgaris ◽

Tertiary Care ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Severe Acne

Objectives: The current study aimed to determine the effect of acne vulgaris on quality of life of young adults and to assess the correlation between acne severity and impairment of quality of life (QOLI). Methods: In this multi-center cross-sectional study, 163 young adults with acne vulgaris were assessed for severity and quality of life impairment between December 2016 and May 2017 at three tertiary care hospitals. Cardiff Acne Disability Index (CADI) was used to assess the quality of life while the severity of acne measured by Global Acne Grading System (GAGS). Data were collected on standardized forms, with CADI, GAGS scores, and sociodemographic data and analyzed using SPSS version 9. The quantitative variables were presented as means, median and qualitative variables expressed as frequency and percentages. P-value ≤0.05 was considered as statistically significant. Results: Out of 163 patients enrolled in this study, the mean age was 21.6 ± 4.9 years and 124 were females and 39 males. In mild QOLI, 56 (87.5%) cases were affected with mild, 11 (13.4%) with moderate and 1 (1.5%) case had severe acne. While, in moderate QOLI, 8(12.5%) cases were of mild, 60 (73.2%) were moderate and 6 (35.3%) cases affected with severe acne. The severe impairment of QOL noted in 11 (13.4%) moderate and 10 (58.8%) severe acne cases. The relationship between sex was statistically significant, (P<0.001). The result showed significant correlation between severity of acne vulgaris and the quality of life impairment of these patients (P<0.001). Conclusion: This study showed significant correlation between acne vulgaris and quality of life impairment. Cardiff acne disability index has proven to be a reliable tool to assess the quality of life. It is recommended to be used routinely in dermatology clinics to provide tailored treatment to individuals because mild disease may be disproportionately distressing for patients. doi: https://doi.org/10.12669/pjms.37.3.2819 How to cite this:Naveed S, Masood S, Rahman A, Awan S, Tabassum S. Impact of acne on quality of life in young Pakistani adults and its relationship with severity: A multicenter study. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.2819 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Clinico-epidemiological study of mask induced acne due to increased mask use among health care workers during COVID pandemic in a tertiary care institute

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20205594 ◽

2020 ◽

Vol 7 (1) ◽

pp. 48

Author(s):

Ramesh Aravamuthan ◽

Shabari Arumugam

Keyword(s):

General Hospital ◽

Acne Vulgaris ◽

Tertiary Care ◽

Female Gender ◽

Cross Sectional ◽

Web Based ◽

Medical College ◽

The Common ◽

Madras Medical College ◽

Study Participants

Background: Acne vulgaris is a self-limiting, multifactorial disorder affecting the sebaceous glands and pilosebaceous follicles. Regular wearing of mask during this COVID-19 pandemic has resulted in increased incidence of acne flare. The objective is to study the incidence and the clinic-epidemiological factors associated with mask induced acne.Methods: This is a cross sectional web-based survey conducted at Madras medical college and Rajiv Gandhi government general hospital during August 2020. The clinic-epidemiological details were collected from the 215 post-graduates of Madras medical college and Rajiv Gandhi government general hospital in a pre-set questionnaire.Results: Among 215 study participants, 134 (62.3%) reported mask induced acne. Female gender has a statistically significant association. Itching was the most common complaint. Cheeks, chin and bridge of the nose were the common site of lesions. Comedone and papules were the common presenting lesions. Premenstrual flare and psychological stress had a statistically significant association.Conclusion: Mask induced acne has various factors like micro-climate theory, hydration of keratin, mechanical occlusion of pilosebaceous unit pores, seborrhoea, ambient high humidity due to sweating involved in its pathogenesis. Although wearing a mask is extremely important to our fight against COVID-19, the general public should be aware of proper and rational mask wearing.

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Determining the Prevalence and Types of Nail Involvement in Patients with Severe Acne Vulgaris Who Referred to Clinic of Dermatology of Rasoul-e-akram Hospital During 2010-2011

Internal Medicine And Medical Investigation Journal ◽

10.24200/imminv.v2i2.56 ◽

2017 ◽

Vol 2 (2) ◽

pp. 57

Author(s):

Mohammadreza Ghasemi ◽

Gholamhossein Ghafarpour ◽

Elham Behrangi ◽

Gelareh Ghaffarpour ◽

Zahra Azizian

Keyword(s):

Skin Diseases ◽

Acne Vulgaris ◽

Cross Sectional Study ◽

Blood Type ◽

Sectional Study ◽

Cross Sectional ◽

Severe Acne ◽

High Prevalence ◽

History Of ◽

Nail Involvement

Introduction: Various skin diseases such as psoriasis, lichen planus, and alopecia areata can be associated with structural nail lesions. However nail lesions prevalence in patients with severe acne vulgaris is not determined. This study aimed to determine the frequency and types of nail lesions in patients with severe acne vulgaris.Methods: In this cross-sectional study, 235 patients with severe acne vulgaris were included from the clinic of dermatology of RasoulAkram Hospital during the years 2010 and 2011. The patients had no history of treatment for acne vulgaris. Patients initially underwent clinical examination, and severity of acne was determined among them. Demographic characteristics such as gender, age, and blood type, and Nail disorders including brittleness, Onycholysis, and Leukonychia were investigated in these patients. Data were analyzed using SPSS 18 software.Results:In this study79 patients with severe acne vulgaris (33.6%) had nail involvement and the frequency of nail lesions in this study was as follows: brittle nails 26.8% (63 cases); Leukonychia 18.2% (43 cases); Parrot beaked nails 3.4% (8 cases) and Onycholysis 1.3% (3 cases). Nail disorders in patients with severe acne vulgaris was not associated with sex, blood group, and the severity and distribution of acne lesions. But the lower age of the patients was associated with the incidence of nail disorders.Conclusion: According to high prevalence of nail involvement, especially brittle nails in patients with severe acne vulgaris, investigation and treatment of nail disorders in these patients have a great importance.

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Side Effects of Chemotherapy and Cancer Treatment in Tertiary Care Teaching Hospital

Research in Pharmacy and Health Sciences ◽

10.32463/rphs.2016.v02i01.13 ◽

2016 ◽

Vol 2 (1) ◽

pp. 62-78

Author(s):

. Hemraj ◽

Raj Kumar ◽

Sourabh Kosey ◽

Amit Sharma ◽

Nalini Negi

Keyword(s):

Side Effects ◽

Tertiary Care ◽

Cross Sectional Study ◽

Informational Needs ◽

Cross Sectional ◽

Clinical Pharmacists ◽

Medical College ◽

Related Information ◽

The Common ◽

Chemotherapy Patients

To determine the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. This was a single center, observational cross-sectional study conducted at department of General Surgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. A face to face interview was conducted. Information collected included chemotherapy related side effects after last chemotherapy experience, the most worrisome side effects, overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. In this study, hundred patients were enrolled out of them 48 were male and 52 were female. When differential calculations was done, common side effects or adverse effects of chemotherapy in the patients of breast, lung cancer, Ovarian Cancer, Colon cancer, Prostate cancer, Lymphoma Cancer, Cervix cancer where there is much irregular medicine intake 57.4% may be due to common problem of joint pain reported by all the patients under study, with the consecutive problem of nausea and vomiting. The high prevalence of chemotherapy related side effects among local patients is a major concern and findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists and physicians to help in side effect management. This study shows the common problems reported by the patients when they are suffering from cancer condition, according to their incidence perceptions as experienced by the patient, this will allow the physician and clinical pharmacist to effectively counsel and manage the common symptoms as reported prior to its occurrence in the patient, so that withdrawal can be checked.

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Efficacy and safety of oral dapsone in acne vulgaris – experience of a tertiary care teaching hospital in central Lahore

Journal of Fatima Jinnah Medical University ◽

10.37018/xqbw1463 ◽

2020 ◽

Vol 14 (2) ◽

pp. 87-90

Author(s):

Sadaf Amin Chaudhry ◽

Nadia Ali Zafar ◽

Rabia Hayat ◽

Ayesha Noreen ◽

Gulnaz Ali ◽

...

Keyword(s):

Side Effects ◽

Therapeutic Option ◽

Acne Vulgaris ◽

Treatment Options ◽

Tertiary Care ◽

Poor Response ◽

Global Assessment Scale ◽

Severe Acne ◽

Hematologic Profile

Background: Acne is the eighth most prevalent disease affecting 9.4% of the population worldwide and its prevalence in our country is estimated to be around 5%. Severe inflammatory acne is most likely to leave scars and in order to prevent facial disfigurement due to acne scarring, early treatment is desirable. Various treatment options have been formulated for acne, and are tailored according to the severity of the disease. Numerous clinical trials have been conducted till now, to determine the usefulness and side effect profile of such therapies, making acne treatment a highly studied area in dermatology. Objective of this study is to highlight the fact that oral Dapsone could be used as a cheaper alternate to isotretinoin in recalcitrant severe acne, especially in females where retinoids are sometimes contraindicated. Patients and methods: 51 patients, suffering from severe nodulocystic acne, fulfilling the criteria, were enrolled from the Department of Dermatology, Sir Ganga Ram Hospital, Lahore. All the study patients were given oral Dapsone 50mg for initial two weeks and then 100mg daily for the next 10 weeks along with oral cimetidine and topical clindamycin application twice daily. Investigator Global Assessment Scale (IGAS) was employed to measure effectiveness. The treatment was considered ʽeffectiveʹ if the patient achieves 2 or more than 2-grade improvement or almost clear or clear skin at the end of 12 weeks according to IGAS scale. The lesion counts were also done before the start of therapy (day 1) and at every two weeks follow up for 12 weeks. The change in lesion count observed between the baseline number and that seen at follow up visits was also used to evaluate the effectiveness of oral Dapsone. Safety was analyzed by fortnightly visits of the patients to look for any undesirable side effects and monitoring of the hematologic profile of the patients. Final follow up was done at the end of 16 weeks. Results: The study was conducted on 51 patients, with a ratio of 1:3 for males and females and a mean age of 25.2 years (SD ±5.81). At 12th week, patients had significant reduction in their acne lesions; with 7 patients (13.7%) showing completely clear skin, 17 patients (33.3%) had almost clear skin, 5 patients (9.8%) had 3-grade improvement. Twelve patients (23.5%) had 2-grade improvement from baseline score and only 2 patients (3.9%) had 1-grade improvement from baseline. Based on percentage reduction of lesions, excellent response was seen in 32 patients (62.7%), good response in 9 patients (17.6%), moderate response in 2 patients (3.9%), while no patient showed poor response. Dapsone was discontinued in 8 patients due to derangement of hematologic profile. Conclusion: Oral Dapsone, when given carefully, is a very effective therapeutic option in severe recalcitrant acne, with limited side effects.

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PREVALENCE OF NAFLD AMONG HEALTHY LIVER DONORS

10.36106/ijsr/8024686 ◽

2021 ◽

pp. 46-48

Author(s):

Muzaffer Rashid Shawl ◽

Fahad ul Islam Mir ◽

Saad Abdul Rahman ◽

Anil C Anand ◽

Manav Wadhawan ◽

...

Keyword(s):

Fatty Liver ◽

Tertiary Care ◽

Cross Sectional Study ◽

Western World ◽

Care Hospital ◽

Cross Sectional ◽

Obstructive Sleep ◽

History Of ◽

Healthy Liver ◽

Liver Donors

NAFLD is hepatic pandemic of the twenty rst century, being leading cause of chronic hepatic disease in western world. We did a cross sectional study to nd out prevalence of NAFLD among prospective healthy liver donors at a tertiary care hospital at New Delhi, India over a period from June 2014 to March 2016. 124 apparently healthy prospective liver donors were selected. Exclusion criteria were set to exclude all those who had signicant history of alcohol intake (dened as greater than 30g/day for men and greater than 20g/day for women over last two years), Hepatitis B or C infection, severe surgical weight loss or emaciation, Obstructive Sleep Apnea, Celiac disease, history of drug intake known to cause hepatic steatosis. Out of 124 prospective liver donors included in this study, 29 (23%) donors were found to have fatty liver on USG abdomen; 38 (31%) donors had fatty liver on unenhanced CTof the abdomen (LAI of ≤ 5 HU); 61 (49%) donors had fatty liver on magnetic resonance.

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The factors associated with the length of the third stage of labour: A descriptive-analytical study

Current Women s Health Reviews ◽

10.2174/1573404817666210406154510 ◽

2021 ◽

Vol 17 ◽

Author(s):

Mansoureh Refaei ◽

Soodabeh Aghababaei ◽

Mansoureh Yazdkhasti ◽

Farideh Kazemi ◽

Fatemeh Farahmandpour

Keyword(s):

Cross Sectional Study ◽

Study Data ◽

Cross Sectional ◽

Factors Associated ◽

The Third ◽

Third Stage ◽

History Of ◽

Mother’S Age ◽

And Gender ◽

The Relationship

Background: Several risk factors have been identified for postpartum hemorrhage, one of which being the duration of the third stage of labour. This stage refers to the interval between the expulsion of the fetus to the expulsion of the placenta. Some bleeding occurs in this stage due to the separation of the placenta Objective: This study aimed to identify the factors associated with the length of the third stage of labour. Methods: In this cross-sectional study, 300 women hospitalized for vaginal birth were selected via convenience sampling. The study data were collected using a researcher-made questionnaire. Then, the data were analyzed using univariate and multivariate linear regression analyses. Results: The mean (SD) age of the participants was 26.41 (6.26) years. Investigation of the relationship between the study variables and the time of placental separation indicated that a minute increase in the length of membranes rupture caused a 0.003minute decrease in the time of placental separation. However, this time increased by 2.75, 6.68, and 2.86 minutes in the individuals without the history of abortion, those with the history of stillbirth, and those who had not received hyoscine, respectively. The results of multivariate analysis indicated that suffering from preeclampsia or hypertension, history of stillbirth, not receiving hyoscine, and not receiving misoprostol increased the length of the third stage by 4.40, 8.55, 2.38, and 6.04 minutes, respectively. Conclusion: Suffering from preeclampsia and having the history of stillbirth increased and using hyoscine and misoprostol decreased the length of the third stage of labour. However, no significant relationship was found between the length of the third stage of labour and mother’s age, gestational age, parity, mother’s body mass index, mother’s chronic disorders, history of manual placenta removal, length of the first and second stages, membranes rupture, induction, amount of oxytocin after delivery, and infant’s weight and gender.

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Knowledge in palliative care of nursing professionals at a Spanish hospital

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.1610.2847 ◽

2017 ◽

Vol 25 (0) ◽

Cited By ~ 8

Author(s):

Elena Chover-Sierra ◽

Antonio Martínez-Sabater ◽

Yolanda Lapeña-Moñux

Keyword(s):

Palliative Care ◽

Basic Education ◽

Statistical Significance ◽

Descriptive Analysis ◽

Tertiary Care ◽

Educational Background ◽

Cross Sectional Study ◽

Study Data ◽

Care Hospital ◽

Cross Sectional

Resume Objective: to determine the level of knowledge in palliative care of nursing staff at a Spanish tertiary care hospital. Method: descriptive, cross-sectional study. Data were collected about the results of the Spanish version of the Palliative Care Quiz for Nurses (PCQN), sociodemographic aspects, education level and experience in the field of palliative care. Univariate and bivariate descriptive analysis was applied. Statistical significance was set at p < 0.05 in all cases. Results: 159 professionals participated (mean age 39.51 years ± 10.25, with 13.96 years ± 10.79 of professional experience) 54.7% possessed experience in palliative care and 64.2% educational background (mainly basic education). The mean percentage of hits on the quiz was 54%, with statistically significant differences in function of the participants’ education and experience in palliative care. Conclusions: although the participants show sufficient knowledge on palliative care, they would benefit from a specific training program, in function of the mistaken concepts identified through the quiz, which showed to be a useful tool to diagnose professionals’ educational needs in palliative care.

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