Regenerative Biotechnologies in Plastic Surgery: A Multicentric, Retrospective, Case-Series Study on the Use of Micro-Needling with Low-Level Light/Laser Therapy as a Hair Growth Boost in Patients Affected by Androgenetic Alopecia

A new biotechnology based on micro-needling (MND) with low-level light/laser therapy (LLLT) that is used for hair re-growth (HR-G) needs to be standardized. The study aims to report the clinical outcomes resulting from a multicentric, retrospective, observational, case-series study in which MND with LLLT was used on patients affected by androgenic alopecia (AGA). Twenty-six patients were initially enrolled of which 15 males were classified as stages I–III of vertex by the Norwood–Hamilton scale, and 11 females was classified in stages I–II by the Ludwig scale. Twenty patients (10 females and 10 males) were analyzed after their screening (the exclusion and inclusion criteria evaluation). The HR-G assessment was evaluated with photography, as well as the physician’s and patient’s global assessment scales, in addition to standardized phototrichograms, during a short follow-up at T0-baseline, T1-16 weeks. Encouraging results represented by a hair density increase of 12 ± 2 hairs/cm2 at T1 after 16 weeks (16 weeks vs. 0 weeks) in the targeted area, compared with the baseline results (59 ± 2 hairs/cm2 at T1 versus 47 ± 2 hairs/cm2 at baseline), were observed using computerized trichograms with a statistically significant difference in hair re-growth (p = 0.0238). The effectiveness of MND with LLLT use has been demonstrated in mild to moderate AGA patients.

An Instrumented Assessment of Cerebral Palsy: A Systematic Review

Cerebral palsy is a neurological problem which mainly affects the children and is a frequent reason of physical inability. It affects both motor as well as sensory system. Due to physical disability quality treatment is required for CP children. For an effective treatment proper assessment and selection of correct assessment tool is necessary. This review was aimed to recognize the various assessment scales which are available to assess different domains in person of cerebral palsy patient along with their psychometric properties. We had done a review of literature through Cochrane library, Ovid MEDLINE and GOOGLE SCHOLAR, CINAHL till March 2020. The studies in English‐language related to the assessment scales for the cerebral palsy were reviewed. Many scales were evaluated for different symptoms and good psychometric properties in CP child. We reviewed many research and review article related to assessment for CP. Various titles, abstracts, and references were checked for the relevancy.eview was done for the assessment of alteration in muscle tone, impaired voluntary movement, pain, gross motor function, balance, cognition and gait. Cerebral palsy was the primary goal of findings in 198 studies. Out of these, 58 studies were not proved the definition of cerebral palsy. 96 studies reported assessment of cerebral palsy for different domain, 25 studies used etiology and incidence and 19 studies for other domain which are related to CP. Many cerebral palsy scales are available, but only a very small number of scales were thoroughly validated for use in clinical practice in India. This review will help therapist in selection of appropriate tool and study of various symptoms in CP child before starting the treatment.

Refinement of the methodology for assessing the resistance of hazel (hazelnuts) to stress factors

The aim of the research is to clarify the methodology for assessing the resistance of hazel (hazelnuts) to stress factors on the basis of uniform approaches adopted in walnut farming. The assessment of resistance to biotic and abiotic factors has been carried out according to the methods recommended for the walnut, and the state of the vegetative and generative organs of hazel (hazelnuts) has been correlated with the program requirements. The result has been the development of 7 point assessment scales and the numerical values of the degree of damage correlated with them. Score 0 corresponds to the absence of lesions, 1 – lesions up to 5%, 2 – lesions up to 6–10%, 3 – lesions up to 11–25%, 4 – lesions up to 26–50%, 5 – lesions up to 51–75%, 6 – lesions more than 75% or death of the whole plant (depending on the studied indicator). The assessment scale for the winter hardiness of vegetative organs takes into account the degree of damage to the apical buds, annual shoots, branches of two years and older, the stem and the whole plant. Damage to male inflorescences is determined by the length of their dead part, to the female flowers – by the number of damaged ones, expressed as a percentage. The degree of drought resistance is revealed on the basis of studying the state of the entire plant, the percentage of damaged and fallen leaves. The influence of drought on the loss of food part is established by the degree of shrinkage of the kernel. Susceptibility to diseases and pests is estimated in percentage points separately for leaves by area, shoots in length, nuts by the ratio of damaged and undamaged ones. We have distinguished 6 groups of resistance, depending on the degree of vulnerability of varieties and forms of hazel (hazelnuts). It has been proposed to draw conclusions on the basis of at least three years of observations, and the final conclusion should be focused on specific breeding goals.

THE CURRENT SITUATION OF ASSURANCE CONDITIONS FOR EDUCATION AND TRAINING IN KE SACH, SOC TRANG PROVINCE, VIETNAM

The objective of the paper is to provide scientific information accurately and comprehensively on the assurance conditions for education and training in Ke Sach district, Soc Trang province. By carrying out the methods of sociological investigation and a survey, the paper highlights the current situation of assurance conditions for education and training, including: network, assessment scales, education quality, facilities, and teaching staff.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0953/a.php" alt="Hit counter" /></p>

Comparison of different scales for the evaluation of anxiety and compliance with anesthetic induction in children undergoing scheduled major outpatient surgery

Introduction Anxiety in children triggered by a scheduled surgical intervention is a major issue due to its frequency and consequences. Preoperative anxiety is associated with increased patient fear and agitation on anesthetic induction. The aim of this study is to compare three preoperative anxiety scales for children undergoing elective outpatient surgery, and to correlate each of these tools with the degree of patient compliance on induction, as assessed by the Induction Compliance Checklist (ICC). Methods An observational prospective study was performed on a cohort of children with ages between 2 and 16 years old, scheduled for outpatient surgery. Anxiety was assessed upon arrival to the hospital (M0), during transfer to the surgical unit (M1), and in the operating room during anesthetic induction (M2). Anxiety in the parents (measured with the State-Trait Anxiety Inventory, STAI) and in the children (measured with the Spence Anxiety Scale-Pediatric, SCAS-P, the State-Trait Anxiety Inventory Children, STAIC, and Modified Yale Preoperative Anxiety Scale, m-YPAS) was assessed. Compliance with anesthetic induction was assessed with ICC. Results The study included 76 patients (72.4% male, median age 7.9 years). Anxiety scores (m-YPAS) increased as the moment of surgery approached, being greater at the entrance to the surgical unit (M0 = 26.1 ± 9.5; M1 = 31.8 ± 18.1; M2 = 33.5 ± 21.1). A strong correlation was found between ICC scale and m-YPAS at M1 (0.738) and M2 timepoints (0.794), but not with the rest of scales at M0. Conclusions Standard anxiety assessment scales do not predict the quality of anesthetic induction. m-YPAS scale can detect increasing anxiety in children as they approach the surgical procedure and this correlates strongly with a worse anesthetic induction, defined by higher score on ICC scale.

The Utility of Multi-dimensional Symptom Assessment Scales for Children Treated in a Tertiary Paediatric Oncology Unit: a Prospective Survey-based Study

Background: Children undergoing cancer-directed treatment experience distressing symptoms. Multi-dimensional patient-reported symptom assessment scales have been validated in children with cancer, but are not routinely used in clinical practice.Aim: To describe the symptom prevalence and burden for children receiving treatment in a paediatric oncology unit, as described by both children where possible, and their parents.Methods: Prospective survey-based study during which the Memorial Symptom Assessment Scale was administered to children and parents. Participants were offered the opportunity to complete the survey on multiple occasions. Demographic and clinical data were obtained from electronic medical records. Institutional ethics approval was granted (HREC37022A).Results: Forty-one children were recruited, aged 8 months to 18 years and 54% were female. In total, 54 parent surveys and 29 child surveys were completed. The vast majority of surveys (81%) were completed in the inpatient setting, and more than half within 10 days of chemotherapy. Haematological malignancies predominated. There was a median of 4.8 months between diagnosis and recruitment. Eleven children died after the study closed; no patients died during the study period. Children aged 10 – 18 reported an average of 15 symptoms. Symptom prevalence did not always correlate with distress.Conclusions: Exploration of the impact of a symptom, and not just its presence, is vital for patient-centred care and can be achieved using multi-dimensional symptom scales. Both the child and caregiver’s voices should be obtained where possible. Further studies are needed to explore how these scales can be used to identify distress and guide supportive care delivery.

538 - Approach to Understanding the ‘Meaning’ of Behaviors in NCD: Beyond PIECES and GPA. Luthra’s Behavioral Assessment and Intervention Response Paradigm (LuBAIR™ Paradigm). Dr.

ABSTRACTBackground:With the incidence, prevalence, and cost of dementia care expected to rise, it has become crucial to develop a practical approach for managing behaviors in dementia. Presently non-pharmacological interventions, both interpersonal and environmental, are the gold standard for managing Behavioral and Psychological Symptoms of Dementia (BPSD). The purpose of the presentation is to reveal the reasons for paucity in developing effective pharmacological treatments for BPSD in moderate to advanced dementia and propose a new theoretical framework for labeling and classifying behaviors in moderate to advanced dementia. The LuBAIR paradigm will be less labor-intensive, more comprehensive, and improve the categorization of behaviors into clinically meaningful categories. It was also found that the LuBAIR Inventory has comparable inter-and intra-rater reliability and Construct and Criteria validity in comparison to BEHAV-AD and Cohen-Mansfield Agitation Inventory (CMAI).Methods:The literature on BPSD reviewed, focusing on terminology, models of behaviors, and identified deficiencies in both.Results:Terminology to describe moderate to advanced dementia behaviors lacks consistency, accuracy, and reliability in both research and clinical settings. Standardized scales currently utilized to diagnose clinical conditions also lack validity and reliability in moderate to advanced dementia. Models for understanding the occurrence of behaviors in dementia are dichotomized along the biological versus psychosocial paradigm. The reliability and validity of the LuBAIR Inventory were established in an earlier study and workshops, where it found that the LuBAIR was less labor-intensive, more comprehensive, and offered improved categorization of behaviors into clinically meaningful categories. It was also found that the LuBAIR Inventory has comparable inter-and intra-rater reliability and Construct and Criteria validity in comparison to BEHAV-AD and Cohen-Mansfield Agitation Inventory (CMAI).Conclusions:Deficiencies in existing terminology, assessment scales, and models are acknowledged. There are twelve newly formed behavioral categories to classify behaviors in moderate to advanced Dementia. These categories were used to develop a new behavioral assessment inventory titled LuBAIR (Luthra’s Behavioral Assessment and Intervention Response). The LuBAIR model will help clinical staff to understand the 'meaning’ of behaviors in persons with Dementia (PwD).