Background: Experts’opinions about old and new psoriasis therapies are well documented. Objectives: To document the views and opinions of a large, diverse group of dermatologists about psoriasis treatment. Participan...Background: Experts’opinions about old and new psoriasis therapies are well documented. Objectives: To document the views and opinions of a large, diverse group of dermatologists about psoriasis treatment. Participants/Methods: A survey was conducted among Belgian dermatologists. In addition to demographic and professional characteristics, the questionnaire assessed the self-rated level of experience, frequency of use, preference and considerations regarding UVB, PUVA, methotrexate (MTX), cyclosporin (CsA) and acitretin. Multivariate logistic regression analyses were performed to investigate predictors of these dermatologist-based outcomes. Results: Of the 628 contacted dermatologists, 310 responded (response rate of 49.3%). The dermatologists were significantly more experienced with photo(chemo)therapy than with systemic agents (p ≤0.02); about half reported none or little experience with MTX and CsA. Also, photo(chemo)therapies were significantly more frequently used than systemic drugs (p ≤0.01). In the last year, almost 40%had not used and less than 10%had used MTX or CsA more than 10 times. Despite the limitations of PUVA, it was preferred to UVB, followed by acitretin (±phototherapy), and MTX and CsA were considered final options by most dermatologists. After adjusting for confounding variables, age, years in practice, seeing and treating more patients, residency programme and/or access to UV therapy were significantly associated with limited experience, regular use and/or preference of studied therapies. Conclusion: Either a substantial proportion of the dermatologists does not need or wish to use conventional systemic psoriasis therapies or they may need better and more uniformtraining during and after their residency. This may improve patient care and patient selection for other treatments.展开更多
Objectives. To describe and compare practices and complications of induced abortions (IA) between 12 and 14 gestational weeks (GW) with those performed at lower terms (8-10 and 1012 GW). Patients and methods. Cohort s...Objectives. To describe and compare practices and complications of induced abortions (IA) between 12 and 14 gestational weeks (GW) with those performed at lower terms (8-10 and 1012 GW). Patients and methods. Cohort study enrolled in two IA centers 411 women, 147 of them with 12-14 weeks gestation. Comparisons were made according to pregnancy term (8-10, 10-12 and 12-14 GW). Results. Pregnancy term influenced the technical conditions of IA. Number and diameter of dilators and suction cannula as well as surgery time increase with gestational age -whether priming agents were used or not. Pain felt during surgery and early complications (within 15 days post IA) did not increase with gestational age. Conclusion. Results of this study show that IA between 12 and 14 GW are as feasible as with lower terms.展开更多
文摘Background: Experts’opinions about old and new psoriasis therapies are well documented. Objectives: To document the views and opinions of a large, diverse group of dermatologists about psoriasis treatment. Participants/Methods: A survey was conducted among Belgian dermatologists. In addition to demographic and professional characteristics, the questionnaire assessed the self-rated level of experience, frequency of use, preference and considerations regarding UVB, PUVA, methotrexate (MTX), cyclosporin (CsA) and acitretin. Multivariate logistic regression analyses were performed to investigate predictors of these dermatologist-based outcomes. Results: Of the 628 contacted dermatologists, 310 responded (response rate of 49.3%). The dermatologists were significantly more experienced with photo(chemo)therapy than with systemic agents (p ≤0.02); about half reported none or little experience with MTX and CsA. Also, photo(chemo)therapies were significantly more frequently used than systemic drugs (p ≤0.01). In the last year, almost 40%had not used and less than 10%had used MTX or CsA more than 10 times. Despite the limitations of PUVA, it was preferred to UVB, followed by acitretin (±phototherapy), and MTX and CsA were considered final options by most dermatologists. After adjusting for confounding variables, age, years in practice, seeing and treating more patients, residency programme and/or access to UV therapy were significantly associated with limited experience, regular use and/or preference of studied therapies. Conclusion: Either a substantial proportion of the dermatologists does not need or wish to use conventional systemic psoriasis therapies or they may need better and more uniformtraining during and after their residency. This may improve patient care and patient selection for other treatments.
文摘Objectives. To describe and compare practices and complications of induced abortions (IA) between 12 and 14 gestational weeks (GW) with those performed at lower terms (8-10 and 1012 GW). Patients and methods. Cohort study enrolled in two IA centers 411 women, 147 of them with 12-14 weeks gestation. Comparisons were made according to pregnancy term (8-10, 10-12 and 12-14 GW). Results. Pregnancy term influenced the technical conditions of IA. Number and diameter of dilators and suction cannula as well as surgery time increase with gestational age -whether priming agents were used or not. Pain felt during surgery and early complications (within 15 days post IA) did not increase with gestational age. Conclusion. Results of this study show that IA between 12 and 14 GW are as feasible as with lower terms.
