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Presenting patterns of dermatology conditions to an Australian emergency department

World Journal of Emergency Medicine 2020年第2期11卷 74-78页

作者： Emily Shao Chantelle Judge Erin McMeniman Tina Bazianas Rob Eley Emergency Department Princess Alexandra HospitalBrisbaneAustralia Faculty of Medicine University of QueenslandBrisbaneAustralia dermatology Department Princess Alexandra HospitalBrisbaneAustralia

BACKGROUND: Approximately 5%–8% of emergency department(ED) presentations are due to a dermatological *** study aimed to identify and characterise patients with skin conditions presenting to a busy ***: A 5-year retrospective study on patients with dermatological conditions presenting to the Princess Alexandra Hospital ED in Brisbane, Australia was *** medical records were used to compare demographics and admission status of the dermatology group and the total ED group presentations.A prospective survey was conducted on low priority triage(triage 4 and 5) patients identifying reasons presenting to the ***: Of a total 281,718 ED presentations, 11,748 dermatology presentations were identified between January 2012 to December *** the dermatology presentations, 41.5% were female and had an average age of *** most common dermatology presentations were cellulitis, abscess, rash unspecified, and *** those admitted, 36% were female, average age was 53, mean length of stay of 294 minutes and 83.1% had an infectious *** triage 4 and 5 presentations, 66% patients we approached had been seen by a health practitioner prior to coming to the ***: Within the population presenting with a skin related condition to the Princess Alexandra Hospital ED, characteristics associated with admission include male sex, older age, and an infectious *** data may help ED clinicians decide on the discharge disposition of these *** may be a role for streamlined admissions for skin related infections, or improved hospital in the home services to support this group.

关键词： Pcellulitis Skin dermatology Emergency department

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dermatology recorded in oracle bone inscriptions

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Chinese Medical Journal 2014年第10期127卷 1992-1993页

作者： Xu Xuegang Ma Huiqun Ma Zhenyou Zhang Rong Zhao Shilin Wei Huachen Lebwhol Mark Zhang Jianzhong Gao Xinghua Chen Hongduo Department of dermatology No.1 Hospital of China Medical University Shenyang Liaoning 110001 China Department of dermatology Second Affiliated Hospital of Xi'anJiaotong University Xi'an Shaanxi 710004 China Ma Zhen-you Institute of dermatology Meihekou Jilin 135000China 不详 Shaanxi Academy of Traditional Chinese Medicine Xi'an Shaanxi710003 China Mount Sinai Medical Center New York USA Department of dermatology Peking University People's HospitalBeijing 100044 China

Oracle bone inscriptions,the earliestform of Chinese writings,were used from the Shang dynasty to the Western Zhou dynasty （1 600 BC 1 000 BC）.These inscriptions were carved on turtle shells and animal bones,which were primarily used for divination at that *** over 150 000 oracle bone pieces excavated,41 956pieces were collected in the book named Jia Gu Wen He Ji in Chinese （Collection and Analyses of Oracle Bone Inscriptions）.So far about 4 500 oracle bone inscriptions have been interpreted and about 2 600 have been *** those,about 1 056 oracle bone inscriptions have been widely accepted by authorities in China and abroad.1 Here we scrutinized the well-interpreted oracle bone inscriptions and selected 95 characters related to medicine and dermatology for discussion.

关键词： dermatology recorded oracle bone inscriptions

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dermatology Procedural and Surgical Skills Workshop for Medical and Physician Assistant Students

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Journal of Cosmetics, Dermatological Sciences and Applications 2013年第3期3卷 44-48页

作者： Julie Martin Sheila Z. Jalalat Richard F. Wagner The University of Texas Medical Branch Galveston USA

Background: Evidence indicating the limited amount of hands-on experience in the current era of medical training has raised concern regarding students’ development and potential deficiencies in the performance of basic procedural skills. Studies have demonstrated the value of surgical workshops for medical students;however evaluation of improved student performance during future clerkships or residencies has yet to be assessed. We initiated and evaluated a resident-led surgical skills workshop for students through the Department of dermatology. Methods: Participants received instructions on surgical tools/techniques followed by hands-on practice. Anonymous surveys administered to 24 medical and physician assistant students assessed their skill level, confidence level, and likelihood of using surgical skills in future practice preand post-workshop using a 1 - 5 Likert scale. Overall experience was also assessed. Non-parametric bivariate tests were used for analysis to account for non-normal distribution of the data. Results: There was a statistically significant change in skill (p = 0.0001) and confidence (p = 0.0001) level post workshop. There was no significant difference in utility. There were also no statistically significant differences based on the year of medical student training, medical student versus physician assistant student responses, or number of procedures performed prior to the workshop. Estimated cost per participant was $5.65. Conclusions: Research supports our finding that workshop learning experiences increase students’ ability to perform common procedural skills, their confidence, and desire to practice such skills. Further studies are necessary to determine the impact of these skills workshops on long-term clinical performance in future clerkships and residencies.

关键词： Procedural Skills Workshop dermatology Residents Medical Students

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dermatology Resident Generated Textbook Questions as a Resident-Centered Educational Strategy

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Journal of Cosmetics, Dermatological Sciences and Applications 2013年第3期3卷 11-15页

作者： Nathan A. Davis Kimberly Cooper Erica B. Kelly Sharon S. Raimer Richard F. Wagner The University of Texas Medical Branch Galveston USA

Background: Textbook conferences are widely used by dermatology residency programs in the United States to provide educational exposure to the specialty. Typically an entire textbook is reviewed each academic year. However, residents may be uncertain about mastery of the assigned readings. Since most dermatology textbooks do not provide questions about the material presented at the end of each chapter, an innovative senior resident from our program wrote questions about each chapter and offered them to the other residents prior to scheduled discussions of the assigned materials. Methods: A pilot study for resident generated quizzes about assigned textbook reading in general dermatology was developed, implemented, and assessed by anonymous completion of a Likert Scale by participants. Results: Participants indicated that quizzes better prepared them for the annual dermatology in-service examination and they thought that the additional creation of quiz materials in the subspecialty areas of dermatopathology and dermatologic surgery would be useful. Conclusion: Resident generated quizzes are a novel approach to the learning environment during dermatology residency for residency programs and may be useful for other residency programs that utilize textbook conferences. Additional research is needed.

关键词： dermatology Residency Accreditation Self-Assessment Textbook Quiz

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dermatology in the military field: What physicians should know?

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World Journal of Clinical Cases 2013年第7期1卷 208-211页

作者： Wei-Sheng Chong Department of dermatology National Skin Center

In the civilian dermatological setting, the top 5 skin diseases usually seen are eczema/dermatitis, acne, benign skin tumors, viral infections and pigmentary disorders. In comparison, the top 5 skin conditions encountered in the military sector are usually fungal infections, eczema/dermatitis, insect bite reactions, bacterial infections and acne. This is not surprising as military personnel, due to the special environment and vocations they are in, are prone to getting eczema as heat, sweating and wearing of the military uniform aggravate the condition. Fungal infections are common in those who wear the army boots. Insect bite reactions are not an uncommon sight among those who have to go to the jungle regularly for outfield training. Grass allergy or intolerance, contact dermatitis or acneiform eruption due to the application of military camouflage cream on the face, contact dermatitis to insect repellents, and military uniform allergy and intolerance are amongst the commonest dermatological problems encountered in the military field, and physicians should recognize them, investigate and manage these problems accordingly. Lastly, a diagnosis not to be missed in the military field is cutaneous melioidosis, especially when a military personnel presents with a non-healing ulcer.

关键词： dermatology Skin diseases Military

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Construction of an artificial intelligence system in dermatology: effectiveness and consideration of Chinese Skin Image Database (CSID)

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Intelligent Medicine 2021年第2期1卷 56-60页

作者： Chengxu Li Wenmin Fei Yang Han Xiaoli Ning Ziyi Wang Keke Li Ke Xue Jingkai Xu Ruixing Yu Rusong Meng Feng Xu Weimin Ma Yong Cui Department of dermatology China-Japan Friendship HospitalBeijing 100029China Graduate School Peking Union Medical College and Chinese Academy of Medical SciencesBeijing 100730China Department of dermatology Specialty Medical Center of the Air ForceChinese People’s Liberation ArmyBeijing 100142China Department of dermatology Huashan Hospital of Fudan UniversityShanghai 200040China Shanghai Wheat Color Intelligent Technology Company LTD Shanghai 200051China

After more than 60 years of development,artificial intelligence(AI)has been widely used in various *** in recent years,with the development of deep learning,AI has made many remarkable achievements in the medical ***,as a clinical discipline with morphology as its main feature,is particularly suitable for the development of *** rapid development of skin imaging technology has helped dermatologists to assist in the diagnosis of diseases and has greatly improved the accuracy of *** imaging data have natural big data attributes,which is important for AI *** establishment of the Chinese Skin Image Database(CSID)has solved many problems such as isolated data islands and inconsistent data *** on the CSID,many pioneering achievements have been made in the research and development of AI-assisted decision-making software,the establishment of expert organizations,personnel training,scientific research,and so *** present,there are still many problems with AI in the field of dermatology,such as clinical validation,medical device licensing,interdisciplinary,and standard formulation,which urgently need to be solved by joint efforts of all parties.

关键词： Artificial intelligence dermatology Skin image Chinese Skin Image Database

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Nursing Care of Stevens Johnson Syndrome and Toxic Epidermal Necrolysis: Case Study of dermatology Unit of Referral Hospital, Kenya

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Open Journal of Nursing 2019年第7期9卷 742-756页

作者： Lilian A. Okoth Harriet M. Mirieri dermatology Unit Kenyatta National Hospital Nairobi Kenya

Introduction: Stevens Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are adverse reaction to drugs whose manifestation affect the skin and mucous membranes whose outcomes may be life threatening and fatal. Supportive management has been proven to be the mainstay with well executed nursing care resulting in quality clinical outcomes. The aim was to evaluate the nursing care interventions in management of patients with SJS/TEN in the dermatology unit. Methods: Qualitative design was used, data were collected through observation of nursing care activities, informant interviews and focus group discussion with the nurses. Qualitative data were recorded in audio tapes and transcribed. Qualitative content analysis was used for the analysis of the transcribed texts. Study was approved by KNH/ERC and informed written consent from participants. Funding was obtained from KNH through the Research and Programs department. Findings: 20 nurses participated in the study. The commonest nursing care interventions were described as routine tasks initiated at clinical diagnosis and routinely performed. They include aggressive skin care, wound care, mucosal and eye care, infection surveillance and prevention practices and general patient monitoring for complications. Skin and wound care were most challenging part of nursing care due to severe erosion or exfoliation. Nurses do not use any specific guidelines of care but consider their role a key in quality outcomes for patients with SJS/TEN in this hospital.

关键词： Nursing Care Stevens Johnson Syndrome Toxic Epidermal Necrolysis dermatology

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Epidemiological Profile of Autoimmune Diseases in Thiès, Senegal: About a Descriptive Observational Study over 11 Years in 2 Internal Medicine Departments and a dermatology Department

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Open Journal of Internal Medicine 2023年第3期13卷 162-172页

作者： Faye Fulgence Abdou Bammo Mariama Guèye Amina Dia Elame Hugues Diallo Bachir Berthé Adama Dioussé Pauline Touré Papa Souleymane Diop Madoky Magate Diop Bernard Marcel Ka Mamadou Mourtala Training and Research Unit of Health Sciences Alioune Diop University of Bambey Bambey Senegal Training and Research Unit of Health Sciences Iba Der Thiam University Thiès Senegal Department of Internal Medicine Regional Hospital Thiès Senegal Department of dermatology Regional and University Hospital Thiès Senegal Department of Internal Medicine Abdou Aziz SyDabakh Hospital Tivaouane Senegal Department of Internal Medicine Saint Jean de Dieu of Thiès Hospital Thiès Senegal

Introduction: Autoimmune diseases are characterized by a very large clinical polymorphism that can lead to a diagnostic wandering. So, we aimed to determine their epidemiological profile outside the context of Dakar (capital of Senegal) where the technical plateau is more elevated. Methodology: We conducted a retrospective descriptive and observational study from January 1, 2007 to December 31, 2017. All patients admitted or followed in outpatient in the Internal Medicine departments of the Saint Jean de Dieu and Regional Hospitals of Thiès as well as in the dermatology department of the CHRT (Regional Hospital Center of Thiès), and who met the MAI criteria (autoimmune diseases) have been included. The data were collected on a standardised sheet and analysed by EPI INFO version 7.2. Results: A total of 121 patients were included out of 25951 records i.e a prevalence of 0.46% in internal medicine departments. In dermatology, out of 31973 patients, 95 had MAIS (systemic autoimmune diseases): 0.29% as hospital prevalence. The average age was 40.7 years in internal medicine departments compared to 37.66 years 14.8 years in the dermatology department. Patients aged 30 to 59 years represented 57.89% of the study population. The sex ratio (H/F) was 0.3 in the internal medicine departments compared to 0.17 in the dermatology department. Circumstances of discovery were incidental in 16.52% and clinical in 3.30%. Biermer disease accounted for 29.75% of organ-specific MAI. Concerning systemic presentations, rheumatoid arthritis (RA) was present in 23.14%. Lupus was more representative in dermatology (65.2%) as well as systemic scleroderma (21%), dermatomyositis (6.3%). Cytopenia was found in 105 patients, showing in detail anemia (42.9%);leukopenia (14.8%);thrombocytopenia (2.4%). Autoantibodies were tested in 58 patients (47.9%). Skin histology was contributory in all cases of systemic scleroderma and in 5 cases of lupus. The main therapy prescribed was corticosteroid therapy

关键词： Systemic Autoimmune Diseases Internal Medicine dermatology Senegal

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Integrated Business Intelligent System for E-Health: A Case for dermatology Diseases

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Journal of Cosmetics, Dermatological Sciences and Applications 2014年第1期4卷 53-59页

作者： Faiza Abdulghani Al-Tajem Al-Ghamdi Abdullah S. Al-Malaise Al-Ghamdi Chairman Information Systems Department Faculty of Computing and Information Technology King Abdulaziz University Jeddah KSA dermatology Consultant King Abdulaziz Medical City Jeddah KSA

In the current era, information technology has boosted every field of life either business industry or healthcare to integrate the internal processes of it. Due to the demand of managing huge data related to these fields numerous information systems play different roles in making the organizational processes robust and up to date. This paper discusses the integrated business intelligence implication specifically for healthcare to provide the fast and precise information on time. Therefore, this paper discusses the idea of building intelligent system based on Enterprise Resource Planning (ERP) databases using exclusively for dermatology diseases by applying data mining techniques. Firstly, classification mining has been applied for categorization data based on patient’s record. Then rules and patterns generated from the categorized data related to dermatology diseases, symptoms and treatments. The proposed system will retrieve the corresponding information related to the given symptoms along with medication and complete treatment. This research aims to integrate different ERP processes with centralized ERP database to provide business intelligence effectively for the dermatologists. The paper has provided with the comprehensive conceptual framework and each step has been discussed in detail.

关键词： dermatology Alopecia Business Intelligence Data Mining

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Clinical Application of Platelet-Rich Fibrin in dermatology

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International Journal of dermatology and Venereology 2022年第3期5卷 160-165页

作者： Qing-Yun Wu Qian Zhang Fang Fang Wen-Bo Bu Hospital for Skin Diseases(Institute of dermatology) Chinese Academy of Medical Sciences and Peking Union Medical CollegeNanjingJiangsu 210042China Department of Dermatologic Surgery Hospital for Skin Diseases(Institute of Dermatology)Chinese Academy of Medical Sciences and Peking Union Medical CollegeNanjingJiangsu 210042China.

Platelet-rich fibrin(PRF)is a second-generation platelet concentrate obtained from autologous *** is composed of abundant platelets,leucocytes,and a high concentration of various growth factors and *** composition and three-dimensional structure of PRF enable it to effectively make cells migrate and proliferate,playing an important role in tissue ***,the easy preparation and low cost of PRF make it a good treatment *** articles have been published about the application of PRF in clinical practice,however,the application of PRF in dermatology has not been comprehensively *** objective of this review article was to discuss various applications of PRF in dermatology,including healing chronic wounds,treating androgenic alopecia,skin rejuvenation,autologous fat transplantation,and treating *** is a promising dermatologic treatment,but lacks a standardized protocol regarding its methods of attainment and use,which needs more investigations.

关键词： androgenic alopecia autologous fat transplantation chronic wounds dermatology platelet-rich fibrin skin rejuvenation vitiligo

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