Background Cow’s milk has been shown to contribute to flare-up of atopic dermatitis, whereas breastfeeding was thought to help reduce the severity of the flare-ups of the condition. Aim To investigate whether breastfeeding or cow’s milk (bottle formula) has an influence on the course of and onset of atopic dermatitis symptoms. Three feeding modalities were evaluated. These are ‘breastfed,’ ‘bottle-fed,’ or ‘breast and bottle-fed.’ Patients and methods Medical records from general practice of patients aged 2 years or less with diagnosis of eczema, atopic dermatitis, atopic eczema, and infantile eczema were reviewed. A cohort of 131 patients was divided into three categories: (a) breastfed, (b) bottle-fed, and (c) breast and bottle-fed. These data were studied according to the data recorded at the 6-week infant health checkup. The age of the child at their first eczematous diagnosis was then calculated in accordance with their date of birth. Result New eczema diagnosis showed a similar trend in ‘breast-fed’ babies; however, onset of eczema was significantly delayed in the ‘breast and bottle-fed’ group when compared with bottle-fed alone. Most bottle-fed babies (58% of patients) were diagnosed at 31–60 days, whereas most ‘breast and bottle-fed’ babies (56%) were diagnosed at 91–120 days (P≥0.0001). Conclusion Babies from the two groups (‘breast’ and ‘breast and bottle-fed’) experienced a delayed onset of their eczema compare with ‘bottle-fed’ infant group. Breastfeeding can delay the onset of atopic dermatitis.
Research Article AJODRR (2020) 3:22 Does the site of a Malignant melanoma predict the likelihood of distant metastases Introduction: Malignant melanoma is a lethal skin cancer which is on the rise despite increasing education on sun awareness. It is most common in young Caucasian individuals however any age or ethnicity can be affected. Discussion: There are four main types of malignant melanoma which include superficial spreading MM (most common), Nodular (most lethal), Acral lentignous melanoma and Lentigo maligna melanoma. Once it has metastasized the prognosis is poor but new treatments are giving us much better outcomes. Aim: The main aim of this study is to identify which MMs are most likely to metastasize based on the location with the two main groups being above neck and below neck. Methods and results: forty-five patients were included in the study, 37 were below neck and 8 were above neck. Out of the 37 below neck MM patients, none had distant metastases , but 25% of the above neck MM patients had distant metastases. Conclusion: This small study has demonstrated that above neck malignant melanoma is more likely to metastasize than below neck malignant melanoma despite advanced Tumor scores in the below neck subgroup.
Objective: To evaluate the impact of stigma around childhood vitiligo on self-esteem and quality of life of the patients in adulthood.
Objectives: A rich plant diversity is being supported by Himalayan mountain ecosystems including many endemic and endangered species that which has been used by the indigenous populations for traditional health care remedies for many years. These communities also depend on mountain resources for their livelihood in terms of collection and sale of medicinal plants and other basic requirements. A study on the important plant communities of scrub ecosystems was carried out with special aim of phytosociological evaluation, preparation of ethnobotanical, ethnomedicinal, ethnoveterinay and ethnocosmetic inventory and evaluation of conservation status of important medicinal plants. Materials and methods:Data was collected by semi structured, structured interviews and questionnaire methods coupled with group meetings, field discussions on different topics with the people especially local vaids, households, herbal healers and pastoralists.Results and discussion: Data collected from the present investigation indicate that 80 plants belonging to 38 families with Rosaceae the dominant family were exclusively used in traditional healthcare system. The knowledge on medicinal plant distribution, habitat, uses, part used and mode of preparation for use is like a prized ancient wisdom preserved within elders and women folk of the ethnic groups. Different degrees of threats were observed to different valuable medicinal plants during the period of investigation. Conclusion:The people of the area are exclusively dependent on medicinal plants using traditional knowledge that provide them the best therapeutic and economic benefits. Such traditional knowledge could be valuable for developing local and regional conservation strategies for these fragile ecosystems. There is an urgent need to thoroughly analyze the secondary metabolite properties of such plants in order to validate their authenticity in the local health care systems. Recommendations are also given for monitoring and sustainable collection of medicinal plant resources so as to avoid their overexploitation and to preserve such dwindling plant wealth along with unique ecosystems.
Psychosocial impact of Rosacea in men has generally been a topic that in understudied in literature. We conducted a cross-sectional paper-based survey was conducted with male patients who have experienced rosacea for at least five years at the dermatology outpatient department at New Cross Hospital in Wolverhampton, England to determine the psychosocial impact of Rosacea on Men Quality of life and self-esteem. 52 % of the male population were noted to be “often” mentally pre-occupied by rosacea and frustrated due to rosacea. 85 % of the male population “never” used cosmetic camouflage. Mean function score is noted to be 6.81. This indicates that men are less in favour of coping mechanisms. Results from this study highlight that despite the emotional impact rosacea has on the male population, they do not frequently use coping mechanisms. This emphasises the psychosocial impact of rosacea on male population and the need for dermatologists to address the emotional impact on men as part of management as well as to raise awareness around this topic.
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