Background and objectives: Atopic dermatitis is the most common chronic dermatologic disorder in childhood affecting 10-30% of children. Allergen avoidance in combination to skin hydration and topical steroids are considered as major parts of treatment. As these allergen may be different in various cultures, recognition of them has importance In management of disease. The aim of this study was to recognize common allergens in children with atopic dermatitis in Mashhad by skin prick test. Method and materials: Skin prick test with common food allergens and aeroallergens in addition to positive control(histamine) and negative control (saline) was performed on 207 children with atopic dermatitis. Results: 207 children with atopic dermatitis (116 boy and 91 girls) aged 3 months to 14 years participated in this study. The most common allergensrespectively included egg white, egg yolk, cow' ' s milk, weeds(Russian thistle), pepper, mites(D. Farinqe and D. ptteronysinus), curry and walnut.Food allergens were more prevalent in the young age and aeroallergens were more prevalent in the older age. Conclusion: Prevalence of allergens in each region is different depending on environmental conditions, food habits, ethical diversities and life style. Recognition and avoidance of allergens in combination to medical therapy has an important role in management of atopic dermatitis.
Purpose: The first step to manage motor impairment of upper limb in patients with subacute stroke is having an accurate assessment tool. The Fugl-Meyer assessment of upper extremity and 9-hole pegboard test are used to evaluate motor function and hand dexterity in stroke survivals. The present study aimed to investigate the test-retest reliability and minimal detectable change (MDC) in these two tests. Methods:A total of 15 patients with subacute stroke (54-76 years old) participated in this study. They were selected non-randomly from rehabilitation clinics and hospitals of Tehran, Iran, based on inclusive and exclusive criteria. Intraclass correlation coefficient (ICC), standard error measurement (SEM), and MDC were used for investigating intraday and interday reliability for 1 hour and 3 days.Results: Intraday reliabilities of Fugl-Meyer and 9-hole pegboard were excellent with ICC of 0.98 and 0.98, also MDC of 1.96 and 8.59, respectively. The interday reliabilities of these tests were also excellent with ICC of 0.99 and 0.96, as well as MDC of 1.52 and 12.69, respectively. The absolute reliability (SEM) was less than 10% of maximum acquired scores indicating acceptable errors of measurement. Conclusion:Results show that the Fugl-Meyer assessment and 9-hole pegboard test have excellent test-retest reliability. Therefore these tests can be used for appropriate treatment planning and clinical decision making in patients with subacute stroke.
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