Localized skin infections caused by the pigmented fungi of the genus Alternari a are being increasingly observed. In the past, primarily patients receiving lon g-term glucocorticoid therapy were likely to have this my...
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Localized skin infections caused by the pigmented fungi of the genus Alternari a are being increasingly observed. In the past, primarily patients receiving lon g-term glucocorticoid therapy were likely to have this mycosis, which is common ly traumatic, but now it is frequently encountered in organtran splantation pati ents. Possible therapeutic options and differential diagnosis are discussed by m eans of two case reports-a female renal transplant patient infected by A. alter nata and a patient with iatrogenic Cushing syndrome infected by A. infectoria. H istopathological differentiation from otherf ungal in fections may be difficult but is of therapeutic and prognostic significance. Finding short hyphae in tissu e sections is an important clue. Since A. infectoria shows little conidial growt h in culture, rDNA ITS sequencing offers another diagnostic possibility. Therapy has not yet been standardized. Along with surgical intervention, systemic itrac onazole is the usual choice.
Precision health refers to personalized healthcare based on a person's unique genetic,genomic,or omic composition within the context of lifestyle,social,economic,cultural and environmental influences to help individua...
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Precision health refers to personalized healthcare based on a person's unique genetic,genomic,or omic composition within the context of lifestyle,social,economic,cultural and environmental influences to help individuals achieve well-being and optimal *** health utilizes big data sets that combine omics(*** sequence,protein,metabolite,and microbiome information)with clinical information and health outcomes to optimize disease diagnosis,treatment and prevention specific to each *** implementation of precision health requires interprofessional collaboration,community outreach efforts,and coordination of care,a mission that nurses are well-positioned to *** the surge of interest and attention to precision health,most nurses are not well-versed in precision health or its implications for the nursing *** on a critical analysis of literature and expert opinions,this paper provides an overview of precision health and the importance of engaging the nursing profession for its *** topics reviewed in this paper include big data and omics,information science,integration of family health history in precision health,and nursing omics research in symptom *** paper concludes with recommendations for nurse leaders in research,education,clinical practice,nursing administration and policy settings for which to develop strategic plans to implement precision health.
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