ABSTRACT
Introduction: Vitiligo patients resistant to medical therapy pose a therapeutic problem to physicians. There are various surgical procedures for correcting stable vitiligo
Aim of work: To evaluate the efficacy of small [2-mm] punches minigraft therapy in relation to the patient age, disease site, subtype and the duration of stability of vitiligo
Patients and Methods: We used disposable 2.0-mm punch apparatus to perform minigraft therapy in 50 patients with different age range groups. Patients had either geheralized, segmental or local vitiligo, at variable sites. The duration of stability of vitiligo was different among studied patients
Results: Grading of repigmentation was assessed in relation to the age range with better results obtained in younger population [<20 years]. As regards the site of lesion, the face showed the statistically significant higher percentage of excellent response [88.89%] [P<0.05]. Segmental type of vitiligo was found to yield the best results. A significant positive correlation was detected between repigmentation score and the duration of stability of vitiligo [r=0.234, P<0. 05]
Conclusion: Age <20 years old, site of vitiligo patches, segmental subtype and longer duration of stability have positive influence on results of minigraft in patients with long standing vitiligo
Subject(s)
Humans , Male , Female , Transplants/abnormalities , Risk Factors , Age FactorsABSTRACT
The aim of the present study was to identify the differences in burn wound sepsis both qualitatively and quantitatively before and after an educational training program for the nursing staff. 90 burned children admitted to the burn unit of Assiut General Hospital [El-Shamla] and nurses working in this Unit [13 nurses] were included in the study. Nurses Knowledge and performance were assessed before and after the educational training program. The program was conducted for one month. Biopsy specimens were obtained from areas of wounds that appeared most involved in infection on 5[th] to 7[th] days after admission of the child for bacteriological study. Findings of the study revealed that highly significant differences in burn wound bacterial counts were found between the pre and the post training program. Significant improvements in nurses knowledge and practices were also found. The present study supported the benefits of educational training program for nurses. Recommendation were given including that in-service regular and periodic training programs for nurses in the burn units to reduce the degree of burn wound sepsis and enhance smooth, fast and non complicated healing