Purpose
Demodex mites infestation, typically asymptomatic, is a problem for patients with weakened immune systems because it often takes the form of symptomatic, massive infection. The Demodex mites play an important role in the occurrence of a range of eye surface diseases such as Demodex blepharitis, Meibomian gland dysfunctions, conjunctivitis and corneal changes. The ocular infection is closely related to the systemic invasion. Our goal was to minimize infestation and alleviate the symptoms of massive demodicosis so as to prevent further damage to the cornea.
Methods
Our research note involves a 61-year old woman diagnosed with secondary Sjögren syndrome due to rheumatoid arthritis. On the background of the autoimmune disease, corneal perforation of the left eye occurred that was cured by surgery. Then during the follow-up visit the patient was found (microscopically) massively infected with Demodex mites and the developed symptoms were particularly severe.
Results
Adequate dry eye syndrome and massive demodicosis therapy significantly reduced the number of Demodex mites and improved the patient’s condition.
Conclusion
We would like to draw the attention of the physicians of different specialties that special care should be taken with respect to the therapy of dry eye syndrome and ocular demodicosis in patients with immunological disorders to achieve therapeutic success and avoid particularly dangerous consequences of these diseases.
This paper aims to expand the current debate concerning the implementation of health-related innovations by employing the rights-based approach. Specifically, we address the challenges related to the implementation of technological and Nature-Based Solutions (NBS) from the right to the city perspective. As a result, we present a comprehensive Civil City Framework that involves the synergic use of ICT tools and participation models to mobilize grassroots potential for building healthier cities, while ensuring equity and respect for diverse needs. We explain the participatory and technological aspects of implementing and monitoring innovative NBS, involving data gathering through environmental sensors, personal wristbands, and smartphone apps. Finally, we highlight opportunities and challenges stemming from the use of health- and environment-monitoring technologies. To build such a vision one needs to reconceive the city as commons, enabling collective action of city residents and cooperation between different local stakeholders. This can be achieved by embedding a pentahelix approach of multi-governance in urban planning, based on a close interaction between five key stakeholders, including public authorities, industry and business sector, academia, civil society organizations, and individual citizens.
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