Assessment of factors related to treatment failure and recurrence of superficial dermatophytosis

Background: Superficial dermatophytosis, commonly known as ringworm, is a fungal infection of the skin, hair, or nails caused by dermatophytes, primarily belonging to the genera Trichophyton, Microsporum, and Epidermophyton. Despite being a superficial infection, the rising incidence of treatment failure and recurrence has become a matter of concern in recent years. Methods: This prospective observational study, conducted at the department of dermatology and venereology of Chittagong Medical College Hospital, aimed to investigate the epidemiological factors associated with treatment failure and recurrent cases of superficial dermatophytosis. The study spanned from March 2022 to February 2023, involving 249 participants diagnosed with Tinea corporis, Tinea cruris, Tinea facies, or Tinea pedis. Factors such as excessive sweating, use of warm water, clothing habits, sharing practices, and topical corticosteroid application were analyzed. Results: The most common age group affected was 21-30 years, with a male preponderance (1.6:1). Excessive sweating, wearing water-soaked garments, and sharing towels were prevalent among participants. After 4 weeks of treatment, 81.5% achieved complete cure, but 52.7% of these cases experienced a recurrence within the subsequent 4 weeks. Multivariate analysis identified sharing towels, family history of dermatophytosis, and past topical steroid use as significant risk factors for treatment failure/recurrence. Conclusions: The study emphasizes the importance of linen (sharing towels) in the transmission of dermatophytosis and highlights the increased risk associated with a family history of the condition. Additionally, the injudicious use of topical steroids emerged as a significant factor contributing to treatment failure and recurrence

Kaizen in Improving the Productivity of Garment Sewing

One of the most crucial strategies for managing continuous improvement is kaizen. Because lowering cycle times and manufacturing costs is our goal. One of the first steps in that direction is the elimination of bottlenecks in the production line. In order to go toward our goal, a meeting was first scheduled with the production and IE teams to explore potential areas for improvement. Then, using a time study and a capacity graph, we determined the workable area. By videotaping the bottleneck process, analyzing the arrangement of the workstations, and managing the machines, we were able to assess the micro-movements. Then, in order to improve the procedure, we shared the motion economy and point kaizen concepts with the relevant department and scheduled a training session for the staff. We implemented the improved method on the selected workstations. At last, the follow-up responsibility was handed over to the responsible authority

Kaizen in Improving the Productivity of Garment Sewing

One of the most crucial strategies for managing continuous improvement is kaizen. Because lowering cycle times and manufacturing costs is our goal. One of the first steps in that direction is the elimination of bottlenecks in the production line. In order to go toward our goal, a meeting was first scheduled with the production and IE teams to explore potential areas for improvement. Then, using a time study and a capacity graph, we determined the workable area. By videotaping the bottleneck process, analyzing the arrangement of the workstations, and managing the machines, we were able to assess the micro-movements. Then, in order to improve the procedure, we shared the motion economy and point kaizen concepts with the relevant department and scheduled a training session for the staff. We implemented the improved method on the selected workstations. At last, the follow-up responsibility was handed over to the responsible authority