Seminars in cutaneous medicine and surgery最新文献

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Information technologies in health care delivery and policy: giant steps and missteps. 卫生保健服务和政策中的信息技术:巨大的进步和失误。
Seminars in cutaneous medicine and surgery Pub Date : 2019-03-01 DOI: 10.12788/j.sder.2019.005
Andrew J Park, Mario K Maruther, Robert A Swerlick
{"title":"Information technologies in health care delivery and policy: giant steps and missteps.","authors":"Andrew J Park,&nbsp;Mario K Maruther,&nbsp;Robert A Swerlick","doi":"10.12788/j.sder.2019.005","DOIUrl":"https://doi.org/10.12788/j.sder.2019.005","url":null,"abstract":"<p><p>The influences of information technology have touched almost all aspects of our lives, and health care delivery has been no exception. Law, policy, and regulation have driven the adoption of electronic medical records, particularly over the past decade, driving fundamental changes to the practice of medicine in general and dermatology in particular. This article reviews the history of these changes, the regulations that drove these changes, the intended and unintended consequences of these initiatives, and our insights into the appropriate roles for policy and regulation to drive positive change.</p>","PeriodicalId":21714,"journal":{"name":"Seminars in cutaneous medicine and surgery","volume":"38 1","pages":"E25-E30"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37206473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Emerging technologies for health information in dermatology: opportunities and drawbacks of web-based searches, social media, mobile applications, and direct-to-consumer genetic testing in patient care. 皮肤科健康信息的新兴技术:基于网络的搜索、社交媒体、移动应用程序和直接面向消费者的患者护理基因检测的机遇和缺点。
Seminars in cutaneous medicine and surgery Pub Date : 2019-03-01 DOI: 10.12788/j.sder.2019.002
Justin L Jia, Danielle J Polin, Kavita Y Sarin
{"title":"Emerging technologies for health information in dermatology: opportunities and drawbacks of web-based searches, social media, mobile applications, and direct-to-consumer genetic testing in patient care.","authors":"Justin L Jia,&nbsp;Danielle J Polin,&nbsp;Kavita Y Sarin","doi":"10.12788/j.sder.2019.002","DOIUrl":"https://doi.org/10.12788/j.sder.2019.002","url":null,"abstract":"<p><p>Emerging technology is fundamentally changing how individuals interact with the health care system. Web-based searches, mobile applications, social media, and directto- consumer genetic testing companies are facilitating information exchange at a higher rate than ever before, creating a macroscopic shift in the mechanisms by which individuals seek health information. The visual nature of skin disease enables individuals to browse, share, and search based on images, adding another dimension to how dermatological information is transferred. These trends carry important implications on user health care behavior, and so it is vital for health care professionals to stay attuned to the morphing characteristics of their patients' health management in order to continue to provide high-quality, patient-centered care.</p>","PeriodicalId":21714,"journal":{"name":"Seminars in cutaneous medicine and surgery","volume":"38 1","pages":"E57-E53"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37206421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Artificial intelligence and dermatology: opportunities, challenges, and future directions. 人工智能与皮肤病学:机遇、挑战和未来方向。
Seminars in cutaneous medicine and surgery Pub Date : 2019-03-01 DOI: 10.12788/j.sder.2019.
Daniel I Schlessinger, Guillaume Chhor, Olivier Gevaert, Susan M Swetter, Justin Ko, Roberto A Novoa
{"title":"Artificial intelligence and dermatology: opportunities, challenges, and future directions.","authors":"Daniel I Schlessinger,&nbsp;Guillaume Chhor,&nbsp;Olivier Gevaert,&nbsp;Susan M Swetter,&nbsp;Justin Ko,&nbsp;Roberto A Novoa","doi":"10.12788/j.sder.2019.","DOIUrl":"https://doi.org/10.12788/j.sder.2019.","url":null,"abstract":"<p><p>The application of artificial intelligence (AI) to medicine has considerable potential within dermatology, where the majority of diagnoses are based on visual pattern recognition. Opportunities for AI in dermatology include the potential to automate repetitive tasks; optimize time-consuming tasks; extend limited medical resources; improve interobserver reliability issues; and expand the diagnostic toolbox of dermatologists. To achieve the full potential of AI, however, developers must aim to create algorithms representing diverse patient populations; ensure algorithm output is ultimately interpretable; validate algorithm performance prospectively; preserve human-patient interaction when necessary; and demonstrate validity in the eyes of regulatory bodies.</p>","PeriodicalId":21714,"journal":{"name":"Seminars in cutaneous medicine and surgery","volume":"38 1","pages":"E31-37"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37206474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systemic therapy for advanced cutaneous squamous cell carcinoma. 晚期皮肤鳞状细胞癌的全身治疗。
Seminars in cutaneous medicine and surgery Pub Date : 2019-03-01 DOI: 10.12788/j.sder.2019.010
Kelly Fitzgerald, Katy K Tsai
{"title":"Systemic therapy for advanced cutaneous squamous cell carcinoma.","authors":"Kelly Fitzgerald,&nbsp;Katy K Tsai","doi":"10.12788/j.sder.2019.010","DOIUrl":"https://doi.org/10.12788/j.sder.2019.010","url":null,"abstract":"<p><p>The incidence of advanced cutaneous squamous cell carcinoma (cSCC) is increasing; of the 1.3 million nonmelanoma skin cancers that arise each year, approximately 20% are cSCC, and between 2-5% of these cases ultimately metastasize. However, there is no established consensus on first-line systemic treatment for those patients who have locally advanced or metastatic disease. Major classes of systemic agents include chemotherapy, epidermal growth factor receptor (EGFR)-targeted therapy, and immunotherapy; each is associated with a distinct set of adverse effects, and availability of data from randomized controlled trials (RCTs) to definitively guide treatment are limited. While several chemotherapeutic agents have been described in case studies or small patient cohorts, only one RCT has been conducted, demonstrating a 34% overall response rate for a cisplatin-based regimen. EGFR-inhibitors evaluated for use in cSCC by RCT include cetuximab, panitumumab, and gefitinib; response rates ranged from 15-31% for these agents. Inhibitors of the immune checkpoint programmed death-1 (PD-1) have yielded promising outcomes in advanced cSCC; indeed, the PD-1 inhibitor cemiplimab recently received FDA approval for use in advanced cSCC. Despite these advances, the preferred regimen for systemic treatment of cSCC remains unclear, particularly in immunocompromised populations. Herein we provide a review of the literature supporting the use of these modalities and a discussion of their clinical utility.</p>","PeriodicalId":21714,"journal":{"name":"Seminars in cutaneous medicine and surgery","volume":"38 1","pages":"E67-E74"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37206900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Vaginal wellness: whose turf is it? 阴道健康:这是谁的地盘?
Seminars in cutaneous medicine and surgery Pub Date : 2018-12-01 DOI: 10.12788/j.sder.2018.060
Min-Wei Christine Lee
{"title":"Vaginal wellness: whose turf is it?","authors":"Min-Wei Christine Lee","doi":"10.12788/j.sder.2018.060","DOIUrl":"https://doi.org/10.12788/j.sder.2018.060","url":null,"abstract":"<p><p>Dermatologists were the pioneers in the development of laser technology and have the most experience using these lasers to treat the external genitalia for many cutaneous disorders. Dermatologists who have experience and expertise using lasers and devices, are already using them to treat the external genitalia, and are comfortable performing female gynecologic exams may want to explore the wide range of options that are available to treat the functional and aesthetic needs of the female population. Dermatologists should work with obstetricians and gynecologists to ensure that patients are proper candidates for the procedures.</p>","PeriodicalId":21714,"journal":{"name":"Seminars in cutaneous medicine and surgery","volume":"37 4","pages":"238-241"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36717180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Melasma: update on management. 黄褐斑:最新的管理情况。
Seminars in cutaneous medicine and surgery Pub Date : 2018-12-01 DOI: 10.12788/j.sder.2018.049
Amanda K Suggs, Selina S Hamill, Paul M Friedman
{"title":"Melasma: update on management.","authors":"Amanda K Suggs,&nbsp;Selina S Hamill,&nbsp;Paul M Friedman","doi":"10.12788/j.sder.2018.049","DOIUrl":"https://doi.org/10.12788/j.sder.2018.049","url":null,"abstract":"<p><p>Melasma is a common, acquired, chronic cutaneous pigment disorder that is often difficult to treat and has a high recurrence rate. The goal of a melasma treatment regimen is to decrease pigment production and increase elimination. Topical tyrosinase inhibitors block melanin synthesis and thereby reduce pigment production. Peels and laserand light-based devices increase melanin elimination. A multimodality treatment approach targeting both pigment production and elimination is necessary to achieve equilibrium and disease remission. Maintenance treatments are often necessary due to the high recurrence rate. Strict photoprotection is critical to prevent melanogenesis and rebound. Targeting the vasculature via pulsed dye laser or tranexamic acid is another approach to treatment.</p>","PeriodicalId":21714,"journal":{"name":"Seminars in cutaneous medicine and surgery","volume":"37 4","pages":"217-225"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36717186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Device-based treatment for vaginal wellness. 基于器械的阴道健康治疗。
Seminars in cutaneous medicine and surgery Pub Date : 2018-12-01 DOI: 10.12788/j.sder.2018.052
Macrene Alexiades
{"title":"Device-based treatment for vaginal wellness.","authors":"Macrene Alexiades","doi":"10.12788/j.sder.2018.052","DOIUrl":"https://doi.org/10.12788/j.sder.2018.052","url":null,"abstract":"<p><p>Genitourinary syndrome of menopause (GSM), encompassing the disorders of atrophic vaginitis, urinary incontinence, and pelvic prolapse, affects the majority of postmenopausal women, as well as patients who are undergoing breast cancer treatement, post-ovarectomy, post-radiation, and breast-feeding. There is a need for better treatment options for these common conditions that adversely affect physical function and quality of life and that are often underserved by existing options. Lasers have been used to treat genitourinary tissue for over 40 years, and over the past decade, several lasers and radiofrequency devices have been developed and clinically tested for the treatment of GSM, with an accumulating body of evidence demonstrating their safety and efficacy. Fractional lasers, including carbon dioxide, erbium: YAG and hybrid technologies, as well as monopolar radiofrequency devices, work by resurfacing and/or stimulating via heat the vaginal lining resulting in a re-epithelialization, neovascularization, and remodeling of the vaginal tissue from an atrophic postmenopausal state to a thickened, glycogen-rich and well-vascularized state similar to premenopausal vaginal lining. These changes are correlated clinically with improved function on a variety of validated vaginal health scales and urinary incontinence tests. Currently cleared for general application to genitourinary tissue, clinical trials are underway for FDA clearance or approval for specific GSM indications.</p>","PeriodicalId":21714,"journal":{"name":"Seminars in cutaneous medicine and surgery","volume":"37 4","pages":"226-232"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36764946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Treatment of female pattern hair loss with combination therapy. 综合疗法治疗女性型脱发。
Seminars in cutaneous medicine and surgery Pub Date : 2018-12-01 DOI: 10.12788/j.sder.2018.043
Rosalynn R Conic, Shilpi Khetarpal, Wilma Bergfeld
{"title":"Treatment of female pattern hair loss with combination therapy.","authors":"Rosalynn R Conic,&nbsp;Shilpi Khetarpal,&nbsp;Wilma Bergfeld","doi":"10.12788/j.sder.2018.043","DOIUrl":"https://doi.org/10.12788/j.sder.2018.043","url":null,"abstract":"<p><p>Female pattern hair loss (FPHL) is a common nonscarring alopecia characterized by progressive loss of terminal hairs. FPHL is a major concern for women and has a high impact on quality of life. Therapeutic regimen is often challenging and requires multiple combinations of topical, systemic, and interventional therapies to control hair loss and produce satisfactory hair regrowth. This article reviews common treatments of FPHL and their efficacy.</p>","PeriodicalId":21714,"journal":{"name":"Seminars in cutaneous medicine and surgery","volume":"37 4","pages":"247-253"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36764948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Aesthetic considerations in female skin of color: what you need to know. 有色人种女性皮肤的美学考虑:你需要知道的事。
Seminars in cutaneous medicine and surgery Pub Date : 2018-12-01 DOI: 10.12788/j.sder.2018.053
Michelle Henry, Neil Sadick
{"title":"Aesthetic considerations in female skin of color: what you need to know.","authors":"Michelle Henry, Neil Sadick","doi":"10.12788/j.sder.2018.053","DOIUrl":"10.12788/j.sder.2018.053","url":null,"abstract":"<p><p>The world is flat when it comes to aesthetic treatments, meaning women and men from all walks of life, regardless of culture and ethnicity or even socioeconomic status, are seeking ways to improve their appearance, prevent aging, and rejuvenate their skin. Year after year, statistics show a steady increase in people of color undergoing aesthetic treatments, with neurotoxins, fillers, laser resurfacing, and body contouring being the most sought-after procedures. When treating this cohort of patients, however, dermatologists need to be sensitized to how a patient's ethnicity affects facial structure, the tissue reaction to treatments, and patient's specific expectations for recommended therapies. A balance between tolerability and efficacy needs to be struck to minimize risk for adverse effects such as postinflammatory hyperpigmentation, which can negatively impact a patient's experience and quality of life.</p>","PeriodicalId":21714,"journal":{"name":"Seminars in cutaneous medicine and surgery","volume":"37 4","pages":"210-216"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36717176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vaginal rejuvenation: whose turf? 阴道再生:谁的地盘?
Seminars in cutaneous medicine and surgery Pub Date : 2018-12-01 DOI: 10.12788/j.sder.2018.059
Laura Schilling, Nazanin Saedi
{"title":"Vaginal rejuvenation: whose turf?","authors":"Laura Schilling,&nbsp;Nazanin Saedi","doi":"10.12788/j.sder.2018.059","DOIUrl":"https://doi.org/10.12788/j.sder.2018.059","url":null,"abstract":"<p><p>Many medical conditions can cross over the territories of various specialties. These conditions may benefit from, or even require, a multidisciplinary approach. While ideally this leads to a collaborative and coveted patient-centered care model, it can also give rise to competitive turf wars. A popular topic that has entered the turf wars is vaginal rejuvenation. Vaginal rejuvenation through light- and energy-based devices is a rapidly expanding field, quickly gaining the attention of dermatologists and gynecologists alike. Dermatology has the most experience and expertise with lasers and energy-based devices for rejuvenation, whereas gynecology has the advanced knowledge of the vaginal anatomy, tissue structure, and function. We herein argue that a collaborative effort between dermatology and gynecology is most appropriate for proper care of our patients and for the advancement of this growing niche.</p>","PeriodicalId":21714,"journal":{"name":"Seminars in cutaneous medicine and surgery","volume":"37 4","pages":"236-237"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36717184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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