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Self Assessments of the Quality of Own Life during a Viral Pandemic and War 在病毒大流行和战争期间对自己生活质量的自我评估
Pub Date : 1900-01-01 DOI: 10.23880/cdoaj-16000291
K. Kolyadenko
This publication is the result of a study of the dynamics of self-assessment of quality of life indicators by young medical workers (students) against the background of the negative impact of the infodemic due to the chronic stress situation during the covid 19 pandemic, quarantine restrictions and professional communication with various patients, and the full-scale war of complete destruction that began on 24.02.22 all citizens of Ukraine. General clinical methods were used as research methods - to assess the condition of the mucous membranes, skin and somatic organs, as well as psychodiagnostic questionnaire SF36 for anonymous self-determination of the quality of one's life. The analysis of the obtained results of two hundred young medical students during 2021-2022 revealed a number of correlational dependencies from the amount of time during which they are forced to study and work against the background of the mostly negative impact of the infodemic, initially caused only by the situation of the viral pandemic and the need daily contact with various patients, and after 02.24.22 and in conditions real large-scale war and martial law. That is, already in conditions of real danger of being injured or killed during another missile attack in the rear and being infected with another viral strain of coronavirus infection due to forced daily professional contact with various somatic patients. The awareness of the presence of these two factors directly reduces their self-esteem of the quality of their own life and is, in certain situations, a sufficient factor that contributes to the formation of psychosomatic disorders as a manifestation of the initial clinical signs of somatic-emotional professional pathology, which, in particular, manifests itself in the appearance of various rashes on the skin
本出版物是对年轻医务工作者(学生)生活质量指标自我评估动态的研究结果,背景是由于covid - 19大流行期间的慢性压力情况、隔离限制和与各种患者的专业沟通造成的信息流行的负面影响,以及始于22年2月24日乌克兰所有公民的全面彻底破坏战争。研究方法采用一般临床方法-评估粘膜、皮肤和躯体器官的状况,以及心理诊断问卷SF36,以匿名方式自决自己的生活质量。对200名年轻医学生在2021-2022年期间获得的结果进行的分析显示,在信息大流行的主要负面影响的背景下,他们被迫学习和工作的时间长短存在一些相关性,最初只是由于病毒大流行的情况和需要每天接触各种病人,22年2月24日之后,在真正的大规模战争和戒严的条件下。也就是说,在后方的另一次导弹袭击中已经处于受伤或死亡的真正危险之中,并且由于每天被迫与各种身体患者进行专业接触而感染另一种冠状病毒感染。意识到这两个因素的存在直接降低了他们对自己生活质量的自尊,在某些情况下,这是一个充分的因素,有助于心身疾病的形成,作为身体-情感专业病理的最初临床症状的表现,特别是表现在皮肤上出现各种皮疹
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引用次数: 0
Technique of Nail Photography in Neonates 新生儿指甲摄影技术
Pub Date : 1900-01-01 DOI: 10.23880/cdoaj-16000275
A. Inamadar
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引用次数: 0
Consider Zinc Deficiency in Infants with Periorificial Lesions 考虑围周病变婴儿缺锌
Pub Date : 1900-01-01 DOI: 10.23880/cdoaj-16000303
El-ammari Sara
Background: Zinc is an essential trace element required for proper bodily function. Its deficiency can lead to various manifestations, including dermatological issues. There are two forms of zinc deficiency: hereditary and acquired. Case Report: We present two cases. The first case involved a child with a family history of two brothers who passed away at the age of 1 year, exhibiting a similar symptomatology. The second case involved a patient with hereditary epidermolysis bullosa and malnutrition. Both cases presented with erosive erythematous lesions around the mouth and extremities, which were unresponsive to symptomatic treatments. Additionally, they experienced diarrhea. A definitive diagnosis was made by measuring the levels of zinc in their blood, which were found to be low. Treatment with oral zinc sulfate was prescribed. The first patient showed rapid improvement with the treatment, but experienced recurrence when it was discontinued and subsequently improved again upon reinstatement. Unfortunately, the second infant passed away due to complications from an infection. Conclusion: The presence of periorificial and extremity lesions in infants should raise suspicion of zinc deficiency. Measuring zinc levels in the blood can help confirm the diagnosis and guide appropriate treatment
背景:锌是人体正常功能所必需的微量元素。它的缺乏会导致各种各样的表现,包括皮肤问题。缺锌有两种形式:遗传性和后天缺锌。病例报告:我们报告两个病例。第一个病例涉及一名有两兄弟家族史的儿童,他在1岁时去世,表现出类似的症状。第二个病例涉及遗传性大疱性表皮松解症和营养不良的患者。两例患者均出现口腔及四肢周围糜烂性红斑病变,对症治疗无反应。此外,他们还出现了腹泻。通过测量他们血液中的锌含量得出了明确的诊断,结果发现锌含量很低。给予口服硫酸锌治疗。第一位患者在治疗后表现出快速改善,但在停药后复发,随后在恢复治疗后再次改善。不幸的是,第二个婴儿因感染并发症而死亡。结论:婴儿围周和四肢病变应引起缺锌的怀疑。测量血液中的锌含量可以帮助确诊并指导适当的治疗
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引用次数: 0
A Large Erosion of the Scalp 头皮的严重侵蚀
Pub Date : 1900-01-01 DOI: 10.23880/cdoaj-16000269
Carole Neuville
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引用次数: 0
Non-ablative Fractional Laser as an Emerging Treatment for Alopecia Areata 非烧蚀分形激光治疗斑秃的新方法
Pub Date : 1900-01-01 DOI: 10.23880/cdoaj-16000196
J. La
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引用次数: 0
Vegetative Pemphigus - Challenge for Diagnosis and Treatment 植物性天疱疮-诊断和治疗的挑战
Pub Date : 1900-01-01 DOI: 10.23880/cdoaj-16000279
L. Verbytska
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引用次数: 0
Generalized Eczematous Eruption after Secukinumab Treatment Successfully Treated with Dupilumab and Guselkum 舒金单抗治疗后全身性湿疹疹用杜匹单抗和Guselkum成功治疗
Pub Date : 1900-01-01 DOI: 10.23880/cdoaj-16000307
C. Paganini
A 68-year-old woman with chronic plaque psoriasis for 37 years was seen in June 2021. The patient was under secukinumab treatment and showed generalized exfoliative dermatitis with severe itch. Many authors reports that some biological drugs can induce chronic inflammatory diseases such as psoriasis and atopic dermatitis, especially anti-IL17 drugs. Consequently, we decided to stop secukinumab treatment and to start dupilumab. After six weeks of dupilumab treatment, guselkumab was added to manage the psoriatic disease. At one month of combinate therapy, the patient reported significant improvement of various parameters such as PASI, EASI, NRS itch, NRS sleep, and DLQI. Currently, the patient is receiving only treated with guselkumab 100 mg every 8 weeks, maintaining complete recovery from the disease.
一名68岁女性慢性斑块型银屑病37年,于2021年6月被发现。患者正在接受secukinumab治疗,并表现出全身剥脱性皮炎伴严重瘙痒。许多作者报道了一些生物药物可诱发银屑病、特应性皮炎等慢性炎症性疾病,尤其是抗il - 17药物。因此,我们决定停止secukinumab治疗,开始使用dupilumab。在dupilumab治疗6周后,加用guselkumab治疗银屑病。在一个月的联合治疗中,患者报告了各种参数的显着改善,如PASI, EASI, NRS瘙痒,NRS睡眠和DLQI。目前,患者仅接受每8周100 mg的guselkumab治疗,保持疾病完全康复。
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引用次数: 0
Ecthyma Gangrenosum in 5-Month-Old Long-Term Ventilated Infant: A Case Report 5月龄长期通气婴儿坏疽性湿疹1例
Pub Date : 1900-01-01 DOI: 10.23880/cdoaj-16000246
Itani J
Rationale: Ecthyma gangrenosum (EG) is an aggressive cutaneous disease caused by local or systemic infection with Pseudomonas aeruginosa. EG is characterized by cutaneous manifestations ranging from nodule and papule to necrotic ulceration with surrounding erythema, especially with black eschar or central crust. EG presents with characteristic skin lesions which is important to establish diagnosis of sepsis caused by P aeruginosa, a serious condition that can be treated efficiently if diagnosed early. Patient concerns: A 5-month-old male infant, case of Severe HIE, Ventilatory dependent with Tracheostomy, NGT feeding, Epilepsy and dystonia admitted to Cambridge Medical and rehabilitation Center (CMRC)–AUH -UAE. Developed characteristic skin lesions of EG and developed sepsis. Diagnoses: Ecthyma gangrenosum and sepsis caused by Pseudomonas aeruginosa. Interventions: Meropenem was used in combination with Vancomycin at first and then continued only with Meropenem. Outcomes: Cure. Lessons: Early recognition of EG plays an important role in providing appropriate empiric antibiotic treatment at early stage and improves the prognosis. Close clinical follow up on skin lesion evolution is an alternative to possible invasive management.
理由:坏疽性湿疹(EG)是由铜绿假单胞菌局部或全身感染引起的一种侵袭性皮肤病。EG的特征是皮肤表现,从结节和丘疹到周围有红斑的坏死性溃疡,特别是黑色焦痂或中心结痂。EG表现为特征性的皮肤病变,这对铜绿假单胞菌引起的脓毒症的诊断很重要,这是一种严重的疾病,如果早期诊断可以有效治疗。患者关注:剑桥医疗和康复中心(CMRC) -AUH -UAE收治了一名5个月大的男婴,患有严重HIE,呼吸依赖伴气管切开术,NGT喂养,癫痫和肌张力障碍。出现EG特征性皮肤病变,并发败血症。诊断:由铜绿假单胞菌引起的坏疽性湿疹和败血症。干预措施:最初美罗培南与万古霉素联合使用,然后继续仅使用美罗培南。结果:治疗。结论:早期识别EG对早期给予适当的经验性抗生素治疗和改善预后具有重要作用。密切的临床随访皮肤病变演变是可能的侵入性治疗的替代方案。
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引用次数: 0
A Case of Tinea pseudoimbricata Caused by Microsporum Audouinii 由奥氏小孢子虫引起的假翅癣1例
Pub Date : 1900-01-01 DOI: 10.23880/cdoaj-16000295
F. Shabaka
Tinea pseudoimbricata has morphological similarity to Tinea imbricata which is characterized by multiple concentric rings, but it is caused by dermatophytes other than Trichophyton Concentricum. We report a case of tinea pseudoimbricata caused by Microsporum Audounii that presented with multiple concentric scaly annular erythema. The most common clinical presentation of pseudoimbricata was tinea corporis followed by Tinea cruris. However, tinea imbricate-like lesions are very rare. Tinea pseudoimbricata is considered a unique sub-type of Tinea incognito which caused by inappropriate use of topical steroid. Both Fungal culture and microscopic findings confirmed Microsporum Audouinii infection in this case. The patient was treated with oral terbinafine according to culture and antifungal sensitivity testing at a dose of 250 mg/day for 8 weeks.
伪卷毛癣与卷毛癣形态相似,具有多个同心圆环的特征,但它不是由毛癣引起的。我们报告一例由奥杜尼小孢子虫引起的假毛癣,表现为多个同心鳞状环状红斑。最常见的临床表现是体癣,其次是股癣。然而,迭瓦状癣样病变是非常罕见的。假性鸡毛癣被认为是一种独特的隐性癣亚型,它是由不适当使用局部类固醇引起的。真菌培养和显微镜检查均证实该病例感染了奥杜氏小孢子菌。根据培养和抗真菌敏感性试验,患者口服特比萘芬,剂量为250 mg/天,连续8周。
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引用次数: 0
Self-perceptions of Smile and Facial Attractiveness among Dentistry Students 牙科学生对微笑和面部吸引力的自我认知
Pub Date : 1900-01-01 DOI: 10.23880/cdoaj-16000247
Zardawi F
Background: Many factors are known to influence individuals’ understanding and awareness about their orofacial beauty, including age, sex, social and educational level. This manuscript attempts to identify perceptions of dental students about their own smile and their understanding about ideals of facial beauty as they are going to perform part of facial esthetic procedures after graduation. Methods: A convenience sampling method was used to recruit a sample of dental students at different stages of their study in college of dentistry. A printed questionnaire form was dispersed among the students containing demographic data and two sets of questions regarding characteristics of their own smile and their understanding about general ideals of facial beauty. Results: No significant differences emerged regarding age or sex in the students’ responses to questions related to their smile’s attractiveness. Whereas significant differences were found in the majority of responses to the other set of questions related to esthetic ideals of facial beauty between males and females but not between the two age groups. Conclusion: The outcome of the current study indicates similar awareness among male and female students about their own smiles. However, male and female students reported different outlooks toward facial beauty and attractiveness.
背景:已知许多因素会影响个人对其面部美的理解和意识,包括年龄、性别、社会和教育水平。本文试图确定牙科学生对自己的微笑的看法,以及他们对面部美的理想的理解,因为他们将在毕业后进行部分面部美容手术。方法:采用方便抽样的方法,对牙科学院不同学习阶段的牙科学生进行抽样调查。在学生中分发了一份印刷的问卷,其中包含人口统计数据和两组关于他们自己的微笑特征和他们对面部美的一般理想的理解的问题。结果:在回答与微笑吸引力有关的问题时,学生的年龄和性别没有显著差异。然而,在另一组与面部美的审美理想有关的问题上,男性和女性的大多数回答存在显著差异,但在两个年龄组之间没有显著差异。结论:目前的研究结果表明,男女学生对自己的微笑有着相似的认识。然而,男性和女性学生报告了对面部美丽和吸引力的不同看法。
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Clinical Dermatology Open Access Journal
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