Search

Your search keyword '"Shi, Vivian Y."' showing total 38 results
Start Over Author "Shi, Vivian Y." Publisher wiley
38 results on '"Shi, Vivian Y."'

22. Topography of lesion progression in hidradenitis suppurativa

Author

Fernandez, Jennifer M., primary, Rizvi, Omar H., additional, Marr, Kendra D., additional, Hendricks, Aleksi J., additional, Maarouf, Melody, additional, Price, Kyla N., additional, Ludwig, Catherine M., additional, Hsiao, Jennifer L., additional, and Shi, Vivian Y., additional

Published
2020
Full Text
View/download PDF

36. Treatment Adherence in Pediatric Atopic Dermatitis: A Systematic Review.

Author

Dagenet CB, Gawey L, Davoudi S, Ma E, Jeong C, Atluri S, Kincannon JM, Hsiao JL, Feldman SR, and Shi VY

Abstract

Introduction: Adherence to pediatric atopic dermatitis (AD) treatment regimens can be complex and a major challenge to optimizing treatment outcome. We aimed to review factors associated with nonadherence in pediatric AD and propose interventions to improve adherence., Methods: PubMed and EMBASE databases were systematically searched for articles from 2000 to February 2023 related to AD and adherence, with an additional update in December 2023. Non-human studies, reviews, commentaries, and meta-analyses were excluded. Articles were sorted into pediatric versus adult study population based on volume. Herein, we examine the results of papers discussing adherence factors related to pediatric patients., Results: A total of 62 studies met inclusion criteria. Thirty-six studies surveyed patients and caregivers (N = 10,268) to identify barriers to treatment adherence. None of the included studies were specific to systemic medications. Barriers included poor caregiver quality of life, inadequate AD-related education, topical corticosteroid (TCS) phobia, unclear therapy-related instructions, and dissatisfaction with physician interaction. Five studies solely measured adherence using medication electronic monitoring systems, Morisky medication adherence scale, or self-reported adherence to measure adherence to topical medications. Twenty-one studies described interventions involving nurse-led or web-based education programs, text message or email reminders, and TCS education. Adherence was improved with caregiver education programs, daily text-message reminders, eczema action plans, TCS potency "traffic light" color system, and frequent follow-up visits., Conclusion: Adherence to pediatric AD treatment poses a multifactorial challenge for caregivers and patients. This study provides an index of strategies to optimize adherence, as it is essential for prevention of long-term sequela associated with AD in children. As the AD treatment landscape rapidly expands, further studies are vital to assess pediatric adherence to new topical, oral, and injectable medications., Trial Registration: PROSPERO: CRD42023488557., (© 2024 Wiley Periodicals LLC.)

Published
2024
Full Text
View/download PDF

37. A comparison of international management guidelines for atopic dermatitis.

Author

LePoidevin LM, Lee DE, and Shi VY

Subjects
Administration, Topical, Anti-Infective Agents administration & dosage, Antipruritics administration & dosage, Calcineurin Inhibitors administration & dosage, Glucocorticoids administration & dosage, Histamine Antagonists administration & dosage, Humans, Immunologic Factors therapeutic use, Practice Guidelines as Topic, Skin physiopathology, Dermatitis, Atopic therapy, Skin Care methods
Abstract

Background/objectives: Atopic dermatitis (AD) is a chronic condition that is predominantly found in pediatric patients and commonly presents therapeutic challenges. The management of AD encompasses a variety of factors, and the pillars of optimal management revolve around skin barrier repair and antiinflammatory, antimicrobial, and antipruritic treatment. AD management guidelines exist in various geographic regions globally. The purpose of this review was to compare international guidelines to highlight the similarities and variances among populations and skin types. Comparisons were made for recommendations regarding moisturization, bathing, wet wrap therapy, topical corticosteroids, topical calcineurin inhibitors, antihistamines, antipruritics, antibiotics, systemic immunosuppressants, and biologics., Methods: A literature search of the PubMed, EMBASE, and MEDLINE databases was performed for published guidelines in each geographic region. Inclusion criteria included publications available in English that were established by a dermatological association or group including dermatologists, pertained to the treatment of AD in humans, were the most recent guidelines available that were published between 2007 and 2018, and included comprehensive treatment recommendations., Results: Publications from Europe, North America, Asia, the Asia-Pacific region, Australia, and Africa were reviewed, encompassing 14 guidelines. Notable diversity exists across these guidelines regarding recommendations for moisturization and bathing, as well as topical and systemic therapies for AD., Conclusions: Due to the heterogeneity of the disease and regional treatment accessibility, complete standardization of AD management guidelines may be difficult. Nevertheless, more consensus on management guidelines is needed, and recommendations should be updated as new treatment modalities become available., (© 2018 Wiley Periodicals, Inc.)

Published
2019
Full Text
View/download PDF

38. Circadian rhythm in atopic dermatitis-Pathophysiology and implications for chronotherapy.

Author

Vaughn AR, Clark AK, Sivamani RK, and Shi VY

Subjects
Animals, Dermatitis, Atopic therapy, Humans, Skin Physiological Phenomena, Chronotherapy methods, Circadian Rhythm physiology, Dermatitis, Atopic physiopathology, Skin physiopathology
Abstract

Circadian rhythm is a biological clock that controls a wide range of physiological functions throughout the body, including various skin functions. A 24-h diurnal cycle, governed by an endogenous clock in the brain, largely controls cutaneous diurnal rhythm, which external factors, including temperature, humidity, diet, and stress, also modulate locally. Circadian rhythm influences cutaneous blood flow and properties of skin barrier function, such as transepidermal water loss and capacitance, and has important implications in atopic dermatitis (AD). This review explores how aberrations in circadian rhythm may play a role in the pathogenesis of AD and proposes implementation of chronotherapy to improve treatment outcomes in patients with AD., (© 2017 Wiley Periodicals, Inc.)

Published
2018
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results