Comparison of the effect of topical triamcinolone 0.1% cream with sulfur 2.0% cream in the treatment of patients with hand eczema: A randomized controlled trial

BACKGROUND

Hand eczema (HE) is a common and heterogeneous condition. It has a wide range of etiologies and clinical manifestations. In this study the efficacy of triamcinolone 0.1% cream and sulfur 2% creams was compared in treating patients with HE.

METHODS

This randomized, triple-blind clinical trial was performed on 70 patients with HE (including 70 right and 70 left hands). In this study, two creams were used including triamcinolone 0.1% and sulfur 2.0%. Patients were treated with these creams twice a day (once in every 12 h) for 4 weeks. Follow-up was 4 weeks after treatment. Hand Eczema Severity Index (HECSI), itching, dryness, burning sensation, and erythema scores were collected three times during the study and compared between treatment regimens.

RESULTS

Findings showed that both triamcinolone (0.1%) and sulfur (2.0%) creams could significantly reduce the scores of HECSI, itching, dryness, burning sensation, and erythema, and the therapeutic effects lasted for at least 4 weeks after cessation of topical treatment.

CONCLUSION

Topical sulfur cream (2.0%) is as effective as triamcinolone (0.1%) cream in treatment of HE without any prominent adverse reactions.

Trends in outpatient cataract surgery in the Islamic Republic of Iran, 2006-2010

This study aimed to determine the trends in outpatient cataract surgery and its determinants in the Islamic Republic of Iran between 2006 and 2010. In this cross-sectional study, 106 cataract surgery centres were selected in all provinces by multistage randomized cluster sampling. The number of centres in each province was determined from the number of cataract operations and the number of patient charts examined in each centre was proportionate to the number of cataract operations in that centre. The prevalence of outpatient surgery increased from 46.0% (95% CI, 35.3-56.8) in 2006 to 51.4% (95% CI, 40.2-62.7) in 2010 (P = 0.549). Patients stayed in hospital for more than one night after 10.5% (95% CI, 6.9-14.1) of operations. Use of phacoemulsification and topical anaesthesia increased the prevalence of outpatient surgery and decreased intraoperative complications. Although outpatient cataract surgery increased by 11.7%, use of methods such as phacoemulsification is not widespread, and more attention should be paid to the barriers to outpatient cataract surgery in the Islamic Republic of Iran.

Temperature dependence of electrocommunication signals and their underlying neural rhythms in the weakly electric fish, Apteronotus leptorhynchus

Weakly electric fish emit an electric communication signal that is controlled by a highly specialized neural circuit. In Apteronotus, the continuous electric organ discharge (EOD) is generated by electrotonically coupled neurons in the hindbrain pacemaker nucleus, and transient EOD modulations involve chemical synapses from descending midbrain and thalamic prepacemaker nuclei. We characterized the effects of temperature change (18-32 degrees C) on both the continuous EOD and EOD modulations, chirps, in A. leptorhynchus. EOD frequency was linearly related to temperature (Q(10)=1.62). By contrast, the temperature dependence of EOD amplitude changed with temperature. Amplitude increased steeply with temperature below 25 degrees C (Q(10)=2.0), but increased only gradually above 25 degrees C (Q(10)=1.15). EOD waveform, and consequently harmonic content, was also affected by temperature. The amplitude of the second harmonic was relatively high at both low and high temperature and relatively low at intermediate temperatures. The amplitude of the third harmonic increased monotonically with temperature. Thus, temperature has qualitative as well as quantitative effects on the production of the EOD. Chirp rate (Q(1)0=3.2) had a higher temperature dependence than that of the continuous EOD, which likely reflects its reliance on chemical rather than electrotonic synapses. In vitro pacemaker firing frequency had a similar, but slightly higher Q(10) (1.82) than that of the EOD frequency.