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The ADCT gives a measure of how controlled the eczema is. Answer these 6 simple questions with your patient to find the ADCT score. It will indicate proper course of action.

Atopic dermatitis, a type of eczema, may be affecting your Patient's life in more ways than you know.

Take the Atopic Dermatitis Control Test (ADCT)

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Cause And Symptoms

Complications

Diagnosis And Treatment

Overview

Prevention

References

Scientific Content

<h2>Mortality can be more than three times higher in patients with bullous pemphigoid compared with the age-matched general population1</h2>

<h3>The mortality of bullous pemphigoid</h3>
<h4>The 1-year mortality rate ranges from&nbsp;20 to 40%&nbsp;in patients with bullous pemphigoid1–5</h4>
<h4>In a systematic review and meta-analysis of observational studies, a 3.4-fold increased mortality was observed among patients with bullous pemphigoid compared with the age-matched general population1</h4>
A Kaplan-Meier curve depicting survival in patients with bullous pemphigoid vs general population. Patients with bullous pemphigoid have a 3.4-fold increased mortality (N=287)a 1

Figure adapted from Kridin K, et al. Acta Derm Venereol. 2019
aRetrospective cohort study comparing mortality in patients with bullous pemphigoid (N=287) diagnosed between 2000 and 2015 in Israel versus age- and sex-matched controls.1

<h3>Prognostic factors associated with mortality in bullous pemphigoid6–11</h3>
Various factors are associated with poor disease outcomes in bullous pemphigoid:

Prognostic variables for&nbsp;mortality in bullous pemphigoid&nbsp;can include:
<ul>
 <li>Higher dosage of systemic corticosteroids/immunosuppressive drugs6</li>
 <li>Older age at onset and poor performance scale (Karnofsky)&nbsp;6–9</li>
 <li>Low serum albumin levels6</li>
 <li>Multimorbidity and certain comorbidities (e.g. neurological, cardiac, and renal comorbidities)8,10,11</li>
</ul>

High serum anti-BP180 IgG levels are&nbsp;associated with increased 1-year mortality rates&nbsp;in bullous pemphigoid12,13
Additionally,&nbsp;autoantibody profiles may help predict bullous pemphigoid disease course and occurrence of relapse12,14,15

<h3>The impact of bullous pemphigoid on patients’ lives</h3>
<h4>Bullous pemphigoid often leads to substantial physical discomfort and limitations from severe itch and painful eczematous lesions, blisters, and erosions.16–21 This can result in mental, emotional, and socioeconomic burdens and severely impair patients’ quality of life.19, 22–24</h4>

Learn about bullous pemphigoid and its clinical characteristics

What is bullous pemphigoid?

Learn about the key challenges to consider when treating bullous pemphigoid

The challenges of managing bullous pemphigoid

Learn about autoimmunity and the role of type 2 inflammation in the pathophysiology of bullous pemphigoid

What are the contributing factors in bullous pemphigoid?

Learn more about bullous pemphigoid treatment approaches and the current unmet needs

Current treatment approaches and unmet needs in bullous pemphigoid

Many factors, including older age and multimorbidity, are associated with mortality in bullous pemphigoid. Read this article to find out more

Patient morbidity and mortality in BP

BULLOUS-PEMPHIGOID

DERMATOLOGY

<table border="1" cellpadding="10" cellspacing="1">
 <tbody>
 <tr>
 <td colspan="3" style="background-color: rgb(244, 242, 246);">Additional&nbsp;Signals</td>
 </tr>
 <tr>
 <td style="background-color: rgb(244, 242, 246);">Physiological&nbsp;Signals</td>
 <td style="background-color: rgb(244, 242, 246);">Advantages</td>
 <td style="background-color: rgb(244, 242, 246);">Limitations</td>
 </tr>
 <tr>
 <td>Continuous ketone and lactate sensors</td>
 <td>Lactate increase with exercise and can differentiate moderate-intensity exercise and high-intensity exercise. 
 Ketone responds to different types of exercises. These levels ensure safety during exercise.</td>
 <td>Very limited ability to differentiate between the type of exercise, and mixed levels show a slow increase with exercise</td>
 </tr>
 <tr>
 <td>Accelerometers and heart-rate sensors coupled with lactate sensing</td>
 <td>Might have potential to inform CL on both exercise type (E.g., running, swimming or weights) and intensity (low, moderate, high or interval)</td>
 <td>Non-specificity to exercise with stress, illness, medications, dehydration, and all potential modulators</td>
 </tr>
 </tbody>
</table>

<ul>
 <li>
 Information from&nbsp;physiological signals&nbsp;like lactate, ketones, counterregulatory hormones, accelerometry, heart rate, galvaic skin response, skin temperature, and blood volume pulse could be used as potential adjunct for developing an algorithm about onset, offset and intensity of physical activity.</li>
 <li>
 Counterregulatory hormones&nbsp;can differentiate exercise intensity, however a lot of technical challenges were involved in measurement of them in real world.</li>
 <li>
 Other wearable&nbsp;sensors combining galvanic skin response, accelerometry, blood volume pulse, heart and skin temperature&nbsp;are able to classify the physical states and exercise type and could potentially differentiate exercise and physiological stress.</li>
</ul>

Additional signals

OTHER-DIABETES-TOPICS

DIABETES

<table border="1" cellpadding="1" cellspacing="1" style="width:100%;">
 <tbody>
 <tr>
 <td colspan="3" style="background-color: rgb(244, 242, 246);">
 Bi-hormonal CL systems 
 (Systems delivering both Insulin and glucagon)</td>
 </tr>
 <tr>
 <td style="background-color: rgb(244, 242, 246);">Strategies</td>
 <td style="background-color: rgb(244, 242, 246);">Advantages</td>
 <td style="background-color: rgb(244, 242, 246);">Limitations</td>
 </tr>
 <tr>
 <td>Glucagon helps in minimizing the impact of the delayed onset in insulin action by counteracting the persisting glucose-lowering effects of insulin</td>
 <td>
 <ul>
 <li>
 Bypass limitations of SC route</li>
 <li>
 Improved time-in-range</li>
 <li>
 Less hypoglycemia during excercise</li>
 </ul></td>
 <td>
 <ul>
 <li>
 Stability and cost</li>
 <li>
 Long-term safety of glucagon</li>
 <li>
 Increased complexity of the system</li>
 </ul></td>
 </tr>
 </tbody>
</table>

BI hormonal CL systems

World Epilepsy Day Podcast Ep. 3

Dr. Taoufik discusses about the burden and epidemiology of epilepsy in the Middle East.

EPILEPSY

NEUROLOGY

World Epilepsy Day Podcast Ep. 2

Dr. Taoufik talks about how epilepsy is diagnosed and how it can be managed.

World Epilepsy Day Podcast Ep. 1

Dr. Taoufik discusses what is epilepsy, its etiologies and its causes.

<h2>Act Now for your ACS Patients:</h2>
A series of videos that shows Prof Kausik Ray, Cardiologist and Professor of Public Health, Imperial College London, presenting the ACS Story narrative in a visually engaging way.
Please explore the 4 mini videos below to learn more on how to implement the guidelines recommendations and achieve higher clinical benefits for your patient

The first chapter talks about how to identify patients at very high CV risk.

Patient Identification

The second chapter talks through how to manage patients in alignment to the guidelines.

Treat Aggressively, Combine and Treat Early

The third chapter talks through how to optimise the ACS pathway.

Optimise Your ACS Pathway

Summary on the ACS patient journey and ESC guidelines recommendation for physician on how to manage patients efficiently.

Summary

Act Now for your ACS Patients

DYSLIPIDEMIA

CARDIOLOGY

<h2>Patient Guide</h2>
<h3>Watch video guides to help your patients set up and use My Dose Coach App.</h3>
Arabic videos can be available upon request. Please email: <a href="mailto:mydosecoach@mmscarabia.net">mydosecoach@mmscarabia.net</a>

<h2>How do patients set up the My Dose Coach App</h2>

My Dose Coach - Patient Guide

<h2>How do patients use the My Dose Coach App every day&nbsp;</h2>

<h2>How do patients enter a low blood sugar in the My Dose Coach App</h2>

<h2>Download My Dose Coach App for Patients</h2>
Scan the QR code or click on the App Store Links or share the links with your patients to download My Dose Coach App.

<h2>Get Started With My Dose Coach For HCPs</h2>
&nbsp;Register in My Dose Coach Program through:
<ul>
 <li>Email:&nbsp;<a href="mailto:mydosecoach@mmscarabia.net">mydosecoach@mmscarabia.net</a></li>
 <li>What’s App:&nbsp;<a href="tel:+966554673579">+966554673579</a></li>
</ul>

For Technical Support, please contact call-center:
<ul>
 <li>Saudi Arabia - Toll Free Number 800 124 0226</li>
 <li>Kuwait - Phone Number +96 522 068960</li>
</ul>
My Dose Coach is not intended to replace the care or advice of a healthcare team 
 My Dose Coach is approved in Saudi Arabia under authorization number: GHTF-2020-2084

INTEGRATED-DIABETES-CARE

<h2>About My Dose Coach (MDC)</h2>
<h3>Empower Your Patients Taking Once Daily Long-Acting Basal Insulin To Self-Adjust Their Insulin Doses In Between Visits, With</h3>

<h2>How My Dose Coach Would Help You?</h2>

My Dose Coach web portal allows you to easily prescribe and send a custom dose plan for your patients taking basal insulin.

Prescribe a Dose Plan

black

Your patient needs to record their daily fasting blood glucose readings and insulin dose administered in the My Dose Coach app to start getting insulin dose recommendations based on your prescribed dose plan.

Help Your Patient Stay On Track With Their Insulin Dose Plan

You can review your patient’s blood glucose and insulin dose data in the My Dose Coach web portal to follow your patient’s progress.
My Dose Coach May Enhance Communication Between You and Your Patients

Manage and Monitor Your Patient’s Dose Plan

<h2>How My Dose Coach Would Help Your Patients?</h2>

1. Patients check and record their fasting blood glucose as often as directed by you.

2. Patients check the app at the time of injection to receive insulin dose recommendations.

<h2>With My Dose Coach App, Patients Can:</h2>

1. Track their blood glucose levels and insulin doses in the “History” section; or consult their dose plan in the “Summary of instructions”.

2. Find helpful resources on how to manage basal insulin therapy and use My Dose Coach app successfully.

Scientific Content

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