Validation and application of the Dermatology Life Quality Index score, a modification of the DLQI score, in psoriasis patients.

BACKGROUND: All the scoring methods for the DLQI miss the moderate impact of the disease on patients, which may underestimate the impact of psoriasis on patients' quality of life. To improve the accuracy of the assessment of the Dermatology Life Quality Index score (DLQI) for patients with psoriasis, this study proposed and validated a new scoring method, the DLQI-NS, which includes the moderate impact option in the self-assessment of each item in psoriasis patients. METHODS: A cross-sectional study was conducted in which patients with psoriasis were enrolled. A total of 425 participants completed the DLQI, DLQI-NS and Skindex-16 questionnaires. Reliability, validity, ceiling and floor effects were evaluated of both DLQI and DLQI-NS questionnaires. RESULTS: About 14.4-32.5% of the patients reported a moderate impact on quality of life. The DLQI-NS allowed 17 more patients (4.0%) to achieve severe disease. The Cronbach's alpha coefficient of the DLQI-NS was 0.90, and that of the DLQI was 0.89. The KMO test results for the DLQI-NS and DLQI were 0.927 and 0.916, respectively. One factor was identified for each questionnaire. The items of the DLQI-NS showed an item-total correlation from 0.52 to 0.82, and the DLQI questionnaire's item-total correlation ranged from 0.47 to 0.83. The DLQI-NS, DLQI total score and Skindex-16 had Spearman's rank correlation coefficients of 0.89 and 0.84, respectively. Both the DLQI-NS and DLQI showed significant moderate correlations with the BSA (0.51 vs. 0.50) and PASI (0.47 vs. 0.46). No ceiling effects were observed for any of the items of both questionnaires. CONCLUSION: The validity and reliability of the DLQI-NS and DLQI were good, but the DLQI-NS was superior to the DLQI. The DLQI-NS is an effective self-assessment tool for assessing quality of life in psoriasis patients.

Chitosan modified graphene oxide with MnO2 deposition for high energy density flexible supercapacitors.

To obtain a flexible composite electrode material with excellent electrochemical performance, chitosan (CS)/graphene oxide (GO) composite pretreated from microwave hydrothermal is adopted as the carbon substrate, and MnO2 active material is uniformly deposited on their surface through anodic electrodeposition. In this composite system, CS penetrates into graphene sheets as small molecule units, forming NH-C=O groups with GO via dehydration condensation, which effectively inhibits the stacking of GO and improves the specific surface area, conductivity, as well as the wettability of the carbon support. MnO2 bonding with heteroatom N from CS enables high active material loadings and forms stable three-dimensional network structure, facilitating the enhanced electrochemical performance. Results indicate that increasing depositing MnO2 amount leads to more defective structures of the composite, which promotes their electrochemical performance when used as electrode material. The area specific capacitance of the optimal composite reaches 3553.74 mF/cm2 at 5 mA/cm2 in 1 M Na2SO4 electrolyte. Kinetic analysis shows the energy storage process is capacitance-dominated, with the redox reactions of MnO2 being the main contributor. The prepared asymmetric solid supercapacitor delivers an energy density high up to 0.585 mWh/cm2 at power density of 3000 mW/cm2, and their excellent flexibility makes them promising candidates as flexible sensor.