Assessment of the Need for Provider Education on Screening for Depression in Patients with Select Dermatologic Problems

PURPOSE: The purpose of this project is to evaluate the knowledge, attitudes, perceptions, skills, and self-efficacy of dermatology providers’ assessment of depression in patients with chronic skin disease to determine the need for continuing education programs. METHODS: This is a single practice, multi site, quantitative correlational design study to assess provider use, comfort, and proficiency of screening and discussion of depression in patients suffering from plaque psoriasis and atopic dermatitis. Data was collected through the use of a questionnaire dispensed in January of 2018. The sample consisted of 23 dermatology providers in a dermatology practice with clinics in Louisville, Lebanon, Leitchfield, and Shelbyville, Kentucky as well as New Albany, Indiana. RESULTS: No statistical differences were seen in demographics, attitudes, perceived behavioral control, confidence, and barriers between providers who screen and those who do not screen. However, the 12 providers in the screening group and the 5 providers in the non-screening group showed significant difference in intention (p=.02) as well as subjective norms (p=.04) scores in the assessment of the theory of planned behavior. In addition, all 17 providers who participated in the study indicated the lack of training in the screening for and discussion of depression in the dermatology setting CONCLUSION: Insight into the factors that influence the practice of screening for depression in patients with skin disease can lead to understanding the educational needs of the dermatology provider. In the future, additional research needs to be completed to better understand what topics should be included in educational programs. The primary goal of this research is to increase the number of dermatology patients who benefit from a more holistic method of care

Application of deep learning general-purpose neural architectures based on vision transformers for ISIC melanoma classification

The field of computer vision has for years been dominated by Convolutional Neural Networks (CNNs) in the medical field. However, there are various other Deep Learning (DL) techniques that have become very popular in this space. Vision Transformers (ViTs) are an example of a deep learning technique that has been gaining in popularity in recent years. In this work, we study the performance of ViTs and CNNs on skin lesions classification tasks, specifically melanoma diagnosis. We compare the performance of ViTs to that of CNNs and show that regardless of the performance of both architectures, an ensemble of the two can improve generalization. We also present an adaptation to the Gram-OOD* method (detecting Out-of-distribution (OOD) using Gram matrices) for skin lesion images. A rescaling method was also used to address the imbalanced dataset problem, which is generally inherent in medical images. The phenomenon of super-convergence was critical to our success in building models with computing and training time constraints. Finally, we train and evaluate an ensemble of ViTs and CNNs, demonstrating that generalization is enhanced by placing first in the 2019 and third in the 2022 ISIC Challenge Live. Leaderboard (available at \href{https://challenge.isic-archive.com/leaderboards/live/}{https://challenge.isic-archive.com/leaderboards/live/})

Elements that influence knowledge sharing in the university-industry-government collaboration Case studies in Brazil

Purpose – The purpose of this paper is to determine the factors for an academic research project in electrical engineering to become relevant. Design/methodology/approach – As a conceptual basis, a few theories of entrepreneurial university and triple helix were correlated, seeking to determine the main critical factors and the successful criteria of an academic research project. The research was conducted through four cases of electric engineering that succeed in generating social and economic impact. Findings – When analyzing the available bibliography, it is clear that the connection among the companies, the market and the research that happens at the university is very important. Not only that, but also, according to the results, this is the key to generating revenue and impact on society. In addition, operational policies and competent leaders promoting this impact inside the universities are extremely important. Originality/value – The topic was selected because of the reduced number of articles related to the identification and analyses of the main aspects that make an academic research project relevant to the society. Furthermore, the paper is significant because it analyzes the main factors that help develop a better society and country through academic research

2013 Whalen Symposium Program

https://digitalcommons.ithaca.edu/whalen_programs/1016/thumbnail.jp

Psychosocial health and psychological adjustment in adolescents and young adults with congenital melanocytic nevi: Analysis of self-reports

This study assessed self-reported health-related quality of life and psychological adjustment in 43 adolescents and young adults (ages in years: 14–24, M = 17.6, SD = 2.2) with congenital melanocytic nevi (CMN) and examined associations with sociodemographic variables, characteristics of the CMN, perceived social reactions, and cognitive emotion regulation strategies. Outcome measures included the Pediatric Quality of Life Inventory$^{™}$ 4.0 and the Strengths and Difficulties Questionnaire. Findings suggest impaired psychosocial health and psychological adjustment in youth with CMN compared to community norms. Impairments were associated with higher age of participants, lower socioeconomic status, visibility of the skin lesion, perceived stigmatization, poorer perceived social support, and maladaptive cognitive emotion regulation strategies (self-blame, rumination, and catastrophizing), but not with sex of participants, extent of the skin lesion, and surgical removal of the nevus. Implications for clinical practice and future research are discussed

Towards an epistemology of medical imaging

Tese de doutoramento (co-tutela), História e Filosofia das Ciências (Filosofia), Faculdade de Ciências da Universidade de Lisboa, Università degli Studi di Milano, 201

Bibliopégie anthropodermique : une étude extensive et un ré-examen du phénomène

During the 19th and 20th centuries, the practice of binding books with human skin widespreaded. Although anthropodermic bibliopegy has often been mentioned, no comprehensive overview has previously been undertaken. This study provides the most extensive survey of books bound in human skin conducted to date. Curation and study of human remains is a major concern for museums. In the search of the most appropriate physicochemical identification method to carry for the authentification of the leather, I discusse the advantages and disadvantages of each archaeometric test. Protein signature, immunochemistry and DNA tests were assessed. In order to highlight the importance of a reflexion around the exhibition of these artefacts, sociological processes involved in their making and selling were discussed. Human bindings were associated with the judiciary system in Great Britain, France and U.S.A. as material witnesses to justice in action and part of post-mortem rites performed around criminal bodies. The skin were often retrieved from the bodies of the poor. A sociological overview of the phenomenon is here proposed.Le monde académique jeta ponctuellement un oeil curieux sur la pratique de la bibliopégie anthropodermique. Cependant, aucune synthèse sur ce sujet n'a été entreprise. Les publications récentes se concentrent sur des cas particuliers (Harrisson 2017) ou bien se contentent de relayer les mêmes informations depuis les références anciennes les plus prolixes (Blumenthal [1955] (1969), Thompson 1946, 1969). Cette frilosité des chercheurs est évidemment induite par le caractère sensible de ces objets patrimoniaux qui suscitent des débats éthiques. Cependant, des obstacles méthodologiques sont également en cause dans la sous-exploitation de ces objets dans la recherche en archéologie historique. Dans cet article, nous proposerons une évaluation des méthodes physico-chimiques permettant leur analyse dans le but d'établir un protocole adapté.Nous avons également entrepris de mener à bien un catalogage exhaustif des livres en peau humaine connus à travers une revue de la littérature et une consultation des sources archivistiques des grands hôtels de ventes aux enchères français, britanniques et américains. Après avoir compilé les données en un catalogue extensif, nous avons vérifié l'existence de chaque ouvrage auprès de l'institution supposée le conserver, puis rassemblé des données inédites sur les artefacts en question grâce à un dialogue avec les conservateurs et les libraires. Nous présenterons ici une synthèse de ce catalogue qui constitue le tout premier inventaire raisonné autour du phénomène de bibliopégie anthropodermique. Enfin, l'analyse de notre corpus nous mènera à des réflexions sur les fonctions sociales que ces livres spéciaux ont pu revêtir