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Evaluation of quality of life in patients with psoriasis
Soodabeh Zandi, Simin Shamsi Meymandi, Sadegh Hasheminasab Gorji, Fatemeh Sabouri Shahrebabak,
Volume 2, Issue 3 (9-2011)
Abstract

Background and Aim: Psoriasis is a chronic, relapsing disease of the skin with psychological and somatic impacts that leads to substantial effects on the quality of life. The aim of this study was to determine the quality of life in psoriatic patients.

Methods: This cross-sectional study was conducted on 97 psoriatic patients in dermatology and PUVA clinic in Afzalipour hospital in Kerman from March 2009 to March 2010. Quality of life and disease severity were Dermatology Life Quality Index (DLQI) and Psoriasis Area Severity Index (PASI). Data analysis was done through conducting, chi-square and one-way AVONA tests and P<0.05 was considered as significant. 

Results: 55.7% of patients were male and mean age of them was 35.3 years (range: 16-75 years). Psoriasis vulgaris was the most common type (76.3%), and arthropathy was seen in 3.1% of patients. The mean duration of the disease was 21 months (range: 11 months-30 years).The mean of DLQI score was 14.1(range: 1-29) and mean PASI score was 18.6 (range: 0.6-66.6). DLOI score correlated with severity of disease (PASI), marital status, and type of the disease (P<0.05).

Conclusion: Psoriasis has a severe negative impact on the quality of life of the patients. Therefore, supportive social and spiritual efforts are necessary to decrease these effects.


Viewpoints of Iran Dermatology Board Examination committee members on improving its validity
Alireza Khatami, Alireza Firooz, Fathieh Mortazavi, Ramin Homayouni Zand, Yahya Dowlati,
Volume 5, Issue 4 (Volume 5, Number 4 2015)
Abstract

Background and Aim: Board certification in any specialty is associated with a better professional reputation as well as some other advantagessuch as the opportunity of working as an academician. Accuracy of any test in the assessment of its participant performance is of paramount importance. One of the main factors regarding test accuracy is its validity.The aim of this study was to investigate the views of the Iranian Board of Dermatology Examination Committee (IBDEC) Members onimproving its validity.

Methods: This study was a cross sectional survey. In order to extract the items for development of the instrument for the survey, unstructured individual interviews were conducted with two members of the IBDEC, two faculty members who were not members of the IBDEC, and two resident dermatologists. Afterperforming a content analysis, writing the items, and making revisions in accordance with the expert panel suggestions, the face and content validities of the developed instrument were confirmed by the panel. The instrument was distributed among the members of the IBDEC in September 2013. The collected data were entered into a data set.

Results: Fifteen of 16 present members of the IBDEC answered and returned the instrument to the distributer. Ten (%66.7) of participants were male. Mean (standard deviation [SD]) of age and membership duration in IBDEC of the participants were 56.1 (7.8) and 9.6 (6.2) years, respectively. The most difficult and easiest items for being agreed upon were: "Inclusion of key feature problems (KFP) in the written examination may result in better assessment of the residents' clinical decision making" and: "In the board examination, attitudes of the residents towards ethical issues are assessed properly".Cronbach's α was calculated for assessment of the internal consistency of the instrument and was equaled to 0.76.
Conclusion: While 53% of the IBDEC members were disagree with that the written board examination can assess residents' different levels of knowledgeproperly, the majority of them were also disagree with the implementation of suggested approved methods for improving the validity of the written board examination. Most of them were also disagree with implementation of evaluation methods for improving oral examination validity.
Laser assisted skin healing
Nasrin Zand, Afshan Shirkavand,
Volume 6, Issue 4 (Volume 6, Number 4 2016)
Abstract

Postsurgical scars are of significant concern to both the patients and surgeons. Different laser systems have been used to accelerate and improve the healing process in surgical scars. Some studies have demonstrated the benefits of prophylactic laser application on pre-scars. It seems that using laser energy in the early phase of the healing process may produce changes in the physiology of wound healing toward a more fetal-like tissue regeneration and healing. Laser-Assisted Skin Healing (LASH) is a new approach in which laser irradiation is applied immediately after surgery in order to improve the resulting surgical scars. LASH produces controlled homogenous heating throughout the full thickness of the skin around the wound which accelerates wound healing without thermal damage to the tissue.

The purpose of this paper is to provide an overview of the available peer-reviewed research literature on the application of LASH, the in-vitro, animal and human studies and the suggested mechanisms of action. Further studies are necessary to optimize the best laser parameters especially according to different skin phototypes and  better understanding of the mechanisms of action.


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