BACKGROUNDAcne scars are a permanent disfiguring sequel of acne.OBJECTIVETo compare the efficacy of microneedling with 15% trichloroacetic acid (TCA) peel versus microneedling with 25% pyruvic acid peel in the management of postacne scars.MATERIAL AND METHODSThirty patients with atrophic acne scars were randomized into 2 groups receiving microneedling on both sides of the face at 0,6, and 12 weeks and 15% TCA on one side and 25% pyruvic acid on other side at 3,9, and 15 weeks. Acne scar scoring performed using the Echelle D'Evaluation Clinique des Cicatrices D'Acne (ECCA) and visual analogue scales by patient and physician were used to grade improvement at all visits and at 21 weeks.RESULTSThe mean ECCA score on the TCA side declined from 151.17 ± 26.90 to 138.83 ± 30.56 and on the pyruvic side declined from 151.83 ± 27.53 to 141.33 ± 28.92 after 21 weeks (statistically significant: p-value <.05). Comparing the ECCA on the TCA and pyruvic sides at 21 weeks was not significant. VAS showed moderate-to-marked improvement after 3 months in both groups.CONCLUSIONIn our study, the combination modality showed early reduction in rolling and boxcar compared with icepick scars. These peels led to improvement in overall texture of the skin, hence more patient satisfaction. On comparing ECCA, a significant difference was not observed.
Bladder exstrophy-epispadias complex is a rare congenital anomaly. A higher occurrence in males compared to females is observed. It occurs due to failure of the abdominal wall closure during fetal development and results in protrusion of the posterior bladder wall through the lower abdominal wall. It involves a spectrum of anomalies of the lower abdominal wall, bladder, anterior bony pelvis and external genitalia. Here, we report a case of antenatal diagnosis of bladder exostrophy -epispadias complex in a seven months pregnant patient who came to us for routine antenatal sonography. On fetal MRI, our findings were confirmed. Patient was followed and normal vaginal delivery was done.
Social Media Platforms are the platforms that give individuals the opportunity to interact, using two way communication. It means that anyone who has got an online account can share their opinions with other social media users. Every other person is now using the Social Media; no matter what their age or gender is. So, it becomes extremely important to understand how it influence the scholastic development and performance of the students. The young generation is the one that is caught in the rapid technological advancements and developments. This study is focussed to find out whether Social Media like Facebook affects the performance of students academically. The findings shows that there is no relationship between social media and scholastic performance as it is clearly projected in their overall grade average which doesn’t change with the number of hours spent on social media. Neither does it affect the amount of time they invest in studying.
Observation and Results:
The therapy provided marked improvement in the pain and tenderness. Pain from visual analog scale (VAS) of 8 came to 2, tenderness grading soft tissue scale from 5 came to 2.5, and PF pain/disability scale from 77 came to 2. It is the need of the hour to focus on such therapies which are result-oriented and less expensive. From this study, it can be inferred that this treatment can be effectively adopted in patients of PF.
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