4,425 research outputs found
Evaluating cultural competency and patient satisfaction in an urban dermatology clinic.
Cultural competency continues to gain increased attention in medicine. Not only does it play a significant role in the delivery of health care and patient outcomes, but it also remains a major determinant of patient satisfaction. This study investigated how patients in an urban dermatology clinic rated their satisfaction with cultural competency. Compared to White patients, satisfaction scores were greater for Hispanic or Latino patients and less for Asian patients, while there was no significant difference for Black or African American patients. There were clear differences in patient satisfaction rates of various dimensions of cultural competency. A follow-up study with a larger sample size is needed for closer examination into the conclusions
Challenges to smartphone applications for melanoma detection
This commentary addresses the emerging market for health-related smartphone applications. Specific to dermatology, there has been a significant increase not only in applications that promote skin cancer awareness and education but also in those meant for detection. With evidence showing that 365 dermatology-related applications were available in 2014--up from 230 in 2012--and that 1 in 5 patients under the age of 50 have used a smartphone to help diagnose a skin problem, there is clearly a large subset of patients participating in this growing trend. Therefore, we are obligated to take a closer look into this phenomenon. Studies have shown that applications are inferior to in-person consultations with one study showing that 3 out of 4 applications incorrectly classified 30% or more melanomas as low-risk lesions. Although the FDA gained regulatory oversight over mobile health applications in 2012 and recently released their statement in 2015, their reach only extends to cover a selected portion of these applications, leaving many unregulated as they continue to be marketed toward our patients. Dermatologists should be updated on our current situation in order to properly counsel patients on the risks and benefits of these applications and whether they are acceptable for use. © 2016 by the article author(s)
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Cadaveric simulation for improving surgical training in dermatology.
Simulation models are rapidly changing medical education, especially the training of dermatology residents. Various models are available, including cadaveric simulations. Our study evaluates the impact of a cadaveric simulation on the training of dermatology residents. Over a period of three years, cadaveric simulation was shown to increase the surgical knowledge of residents. Residents were more confident in their knowledge of surgical anatomy and also surgical skills. Cadaveric simulation may offer a positive impact on resident training in dermatology
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Optimizing visiting clerkships in dermatology: a dual perspective approach.
Matching into a dermatology residency program has become increasingly more challenging for medical students. As students continue to explore various methods to help them standout to programs, recent medical literature has continued to show evidence of the important role that visiting clerkships play. Visiting clerkships offer several benefits to both students and programs. In order to optimize visiting clerkships, the perspectives of both students and programs are each examined with recommendations provided to help maximize its benefits
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Gel manicures and ultraviolet A light: A call for patient education.
Gel manicures have become a popular beauty trend in recent years. The specially formulated nail polish must undergo curing under light-based units. The majority of these curing lamps emit high-intensity ultraviolet A, which can cause skin damage and increase the risk for skin cancers. Incorporating relevant information in patient education endeavors can help them practice avoidance, apply broad-spectrum sunscreen prior, or use nitrile exam gloves in order to prevent photoaging and skin cancer resulting from these procedures
Multiplex giant magnetoresistive biosensor microarrays identify interferon-associated autoantibodies in systemic lupus erythematosus.
High titer, class-switched autoantibodies are a hallmark of systemic lupus erythematosus (SLE). Dysregulation of the interferon (IFN) pathway is observed in individuals with active SLE, although the association of specific autoantibodies with chemokine score, a combined measurement of three IFN-regulated chemokines, is not known. To identify autoantibodies associated with chemokine score, we developed giant magnetoresistive (GMR) biosensor microarrays, which allow the parallel measurement of multiple serum antibodies to autoantigens and peptides. We used the microarrays to analyze serum samples from SLE patients and found individuals with high chemokine scores had significantly greater reactivity to 13 autoantigens than individuals with low chemokine scores. Our findings demonstrate that multiple autoantibodies, including antibodies to U1-70K and modified histone H2B tails, are associated with IFN dysregulation in SLE. Further, they show the microarrays are capable of identifying autoantibodies associated with relevant clinical manifestations of SLE, with potential for use as biomarkers in clinical practice
Thermal entanglement in three-qubit Heisenberg models
We study pairwise thermal entanglement in three-qubit Heisenberg models and
obtain analytic expressions for the concurrence. We find that thermal
entanglement is absent from both the antiferromagnetic model, and the
ferromagnetic model with anisotropy parameter . Conditions
for the existence of thermal entanglement are discussed in detail, as is the
role of degeneracy and the effects of magnetic fields on thermal entanglement
and the quantum phase transition. Specifically, we find that the magnetic field
can induce entanglement in the antiferromagnetic model, but cannot induce
entanglement in the ferromagnetic model.Comment: 9 pages, 6 figures, minor revisions, resubmitted to J. Phys.
Entanglement in the Quantum Heisenberg XY model
We study the entanglement in the quantum Heisenberg XY model in which the
so-called W entangled states can be generated for 3 or 4 qubits. By the concept
of concurrence, we study the entanglement in the time evolution of the XY
model. We investigate the thermal entanglement in the two-qubit isotropic XY
model with a magnetic field and in the anisotropic XY model, and find that the
thermal entanglement exists for both ferromagnetic and antiferromagnetic cases.
Some evidences of the quantum phase transition also appear in these simple
models.Comment: 7 pages, 6 figs, revised version submitted to Phys. Rev.
Time evolution, cyclic solutions and geometric phases for the generalized time-dependent harmonic oscillator
The generalized time-dependent harmonic oscillator is studied. Though several
approaches to the solution of this model have been available, yet a new
approach is presented here, which is very suitable for the study of cyclic
solutions and geometric phases. In this approach, finding the time evolution
operator for the Schr\"odinger equation is reduced to solving an ordinary
differential equation for a c-number vector which moves on a hyperboloid in a
three-dimensional space. Cyclic solutions do not exist for all time intervals.
A necessary and sufficient condition for the existence of cyclic solutions is
given. There may exist some particular time interval in which all solutions
with definite parity, or even all solutions, are cyclic. Criterions for the
appearance of such cases are given. The known relation that the nonadiabatic
geometric phase for a cyclic solution is proportional to the classical Hannay
angle is reestablished. However, this is valid only for special cyclic
solutions. For more general ones, the nonadiabatic geometric phase may contain
an extra term. Several cases with relatively simple Hamiltonians are solved and
discussed in detail. Cyclic solutions exist in most cases. The pattern of the
motion, say, finite or infinite, can not be simply determined by the nature of
the Hamiltonian (elliptic or hyperbolic, etc.). For a Hamiltonian with a
definite nature, the motion can changes from one pattern to another, that is,
some kind of phase transition may occur, if some parameter in the Hamiltonian
goes through some critical value.Comment: revtex4, 28 pages, no figur
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