scholarly journals Primary bandages for people with pemphigus vulgaris lesions: an integrative literature review

2020 ◽  
Vol 41 ◽  
Author(s):  
Hayana Pereira Leal Soares ◽  
Euzeli da Silva Brandão ◽  
Renato Tonole
Keyword(s):  
Vitamin E ◽  
Literature Review ◽  
Nursing Care ◽  
Skin Diseases ◽  
Pemphigus Vulgaris ◽  
Inclusion Criteria ◽  
Level Of Evidence ◽  
Level 3 ◽  
Care Nursing ◽  
Sterile Gauze

ABSTRACT Objective: To identify the primary bandages recommended in the literature to dress the wounds of people with pemphigus vulgaris and to describe the positive or negative repercussions related to these bandages. Method: Integrative literature review, using the descriptors "dressing", "nursing care", "nursing", "skin diseases / vesiculobollous" and "pemphigus"; inclusion criteria: articles that address primary bandages for pemphigus vulgaris skin lesion dressing; published between 2010 and 2017; in Portuguese, English or Spanish; indexed in BDENF, LILACS, PubMed, and/or Scopus. Results: eight articles were selected, seven had evidence levels 4 and 5 and one had evidence level 3. The primary bandages covered were: silver gel, hydrocolloid, hydrogel, silver-containing hydrofiber, antibiotics, sterilized vaseline, corticoid, and vitamin E ointment Conclusion: Sterile gauze with vaseline, prepared according to protocol, was the bandage presented in the study with the most significant level of evidence.

scholarly journals Communication and leadership in emergency situations: Systematic literature review and recommendations for practice

2017 ◽  
Vol 6 (2) ◽  
pp. 55 ◽  
Author(s):  
José Carlos Amado Martins ◽  
Ana Catarina Vaz De Sousa ◽  
Ana Rita Diogo Abrantes ◽  
Catarina Sofia Da Silva Pinto ◽  
Cristiana Isabel De Almeida Gomes ◽  
...  
Keyword(s):  
Literature Review ◽  
Best Practices ◽  
Systematic Literature Review ◽  
Three Dimensions ◽  
Inclusion Criteria ◽  
Level Of Evidence ◽  
Emergency Situations ◽  
Leadership Process ◽  
Recommendations For Practice ◽  
Team Interventions

Background: Communication and leadership are two interconnected concepts that are essential to achieving successful and high-quality team interventions in emergency situations.Objective: To identify communication and leadership best practices in emergency situations.Methods: A systematic literature review with meta-synthesis was conducted using the Joanna Briggs Institute (JBI) Reviewers’ Manual (JBI, 2014). A search was conducted to identify studies published between January 2006 and July 2016 using the terms communication, leadership, and emergency. Studies in the areas of pediatrics or simulated practice environments were excluded.Results: Nineteen of the 447 studies found in the search met the inclusion criteria. During synthesis, data were divided into three dimensions: leader’s characteristics, initial and lifelong training, and leadership process. Communication and leadership training were considered essential for developing skills required in emergency situations.Conclusions: Despite the low level of evidence of the included studies, this study puts forward recommendations for communication and leadership best practices in emergency situations.

scholarly journals Methylene Blue Effectiveness as Local Analgesic after Anorectal Surgery: A Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Dewi Fransiska ◽  
Wifanto Saditya Jeo ◽  
Yefta Moenadjat ◽  
Dewi Friska
Keyword(s):  
Methylene Blue ◽  
Literature Review ◽  
Critical Appraisal ◽  
Sensory Nerve ◽  
Prospective Clinical Study ◽  
Inclusion Criteria ◽  
Anorectal Surgery ◽  
Level Of Evidence ◽  
Anal Abscess ◽  
Anal Pruritus

Background. Methylene blue (MB) has been found to have unique analgesic property through temporary disruption of sensory nerve conduction. In anorectal surgery, MB is widely used as a biologic stain but the analgesic effect has never been studied. Thus, a literature review completed with critical appraisal is required to find out its efficacy. Methods. A review has been run to find out its efficacy. Literature search proceeded in database sites, namely, PubMed, EBSCO, Cochrane, Wiley, and ProQuest using the following keywords: “anorectal” OR “hemorrhoid” OR “anal fistula” OR “anal fissure” OR “anal abscess” OR “anal pruritus” AND “methylene blue” AND “analgesic”; then the critical appraisal and its implication were discussed. Result. There were 491 articles in full text found, and four studies met the inclusion criteria. Two studies were focused on the evaluation of VAS in hemorrhoid surgery whereas the rest were focused on the evaluation of symptom score in anal pruritus. Conclusions. A study with level of evidence 2 on VAS showed the efficacy. The rest showed insufficient evidence due to variations of anorectal surgery and the methods and techniques of MB application. A further prospective clinical study is required.

scholarly journals Modelos Assistenciais na Enfermagem - Revisão de Literatura

2013 ◽  
Vol 4 (1) ◽  
pp. 37-40
Author(s):  
Fátima Silvana Furtado Gerolin ◽  
Isabel Cristina Kowal Olm Cunha
Keyword(s):  
Literature Review ◽  
Nursing Care ◽  
Web Of Science ◽  
Care Patient ◽  
Evidence Based ◽  
Care Models ◽  
On Line ◽  
The Subject ◽  
Number Of Publications ◽  
Care Nursing

Com o objetivo de realizar uma revisão da literatura norteada pelas questões: quais as contribuições de trabalhos disponíveis on-line na base de dados PUBMED, SciELO e Web of Science com temas relacionados a modelos assistenciais na área de enfermagem, no recorte temporal de 2004 a 2011, e quais os modelos assistenciais encontrados com maior frequência, foram selecionados 60 artigos diretamente vinculados ao objeto da pesquisa. Foram classificados segundo país de origem, nomenclatura do modelo e características dos dois modelos com mais publicações. Dos 11 modelos identificados, predominam: Prática Baseada em Evidência e Modelo Assistencial Centrado no Paciente.Descritores: Assistência de Enfermagem, Assistência Centrada no Paciente, Enfermagem, Prática Clínica Baseada em Evidências.Nursing Care Models - Literature ReviewWith the purpose of carrying out a literature review guided by the following questions: What are the inputs of works available online in the database of PUBMED, Scielo, and Web of Science in the themes related to nursing care models, from 2004 to 2011, and what are the care models most frequently found? 60 articles directly related to the subject of the research were selected. They were sorted by country of origin, nomenclature of the model, and characteristics of the two models with the highest number of publications. From the 11 models identified, the prevailing ones are: Evidence-Based Practice and Patient-Oriented Care ModelDescriptors: Nursing Care, Patient-Oriented Care, Nursing, Evidence-Based Clinical Practice.Modelos Asistenciales en la Enfermería - Revisión de LiteraturaCon el objetivo de realizar una revisión de la literatura norteada por las cuestiones: cuáles son las contribuciones de trabajos disponibles online en la base de datos PUBMED, Scielo y Web of Science con temas relacionados a modelos asistenciales en el área de enfermería, en el recorte temporal del 2004 al 2011, y cuáles son los modelos asistenciales encontrados con mayor frecuencia, se seleccionaron 60 artículos directamente vinculados al objeto de la investigación. Se clasificaron según el país de origen, nomenclatura del modelo y características de los dos modelos con más publicaciones. De los 11 modelos identificados, predominan: Práctica Basada en Evidencia y Modelo Asistencial Centralizado en el Paciente.Descriptores: Asistencia de Enfermería, Asistencia Centralizada en el Paciente, Enfermería, Práctica Clínica Basada en Evidencias.

scholarly journals Complicações relacionadas à oxigenação por membrana extracorpórea

2018 ◽  
Vol 12 (6) ◽  
pp. 1727 ◽  
Author(s):  
Gislaine Rodrigues Nakasato ◽  
Juliana Lima Lopes ◽  
Camila Takao Lopes
Keyword(s):  
Critical Care ◽  
Extracorporeal Membrane Oxygenation ◽  
Nursing Care ◽  
Critical Care Nursing ◽  
Eligibility Criteria ◽  
Level Of Evidence ◽  
Membrane Oxygenation ◽  
Renal Vascular ◽  
Care Nursing ◽  
Length Of Hospitalization

RESUMOObjetivo: identificar na literatura as complicações associadas à oxigenação por membrana extracorpórea (ECMO) em adultos. Método: estudo bibliográfico, tipo revisão integrativa de artigos publicados de 2011 a 2016 em português, inglês ou espanhol, nas bases de dados Medline e CINAHL utilizando-se termos padronizados (MeSH e títulos CINAHL). Os títulos, resumos e textos na íntegra dos artigos encontrados foram lidos para aplicação dos critérios de elegibilidade e classificação do nível de evidência. As complicações da ECMO foram agrupadas em hemorrágicas, infecciosas, renais, vasculares, mecânicas, neurológicas e outras. Resultados: foram encontrados 666 estudos, dos quais 45 foram incluídos. As principais complicações identificadas foram: as hemorrágicas, encontradas em 747 indivíduos (21,23%), seguidas das infecciosas (10,85%), renais (9,18%), vasculares (5,99%), mecânicas (4,15%) e neurológicas (3,8%) Conclusão: identificaram-se as principais complicações da ECMO em pacientes adultos. Conhecê-las subsidia o planejamento do cuidado prestado, podendo evitá-las ou diagnosticá-las precocemente, diminuindo assim, a morbimortalidade, custos e tempo de internação. Descritores: Adulto; Cardiologia; Cuidados Críticos; Cuidados de Enfermagem; Oxigenação por Membrana Extracorpórea; Pneumologia.ABSTRACTObjective: to identify the complications associated with extracorporeal membrane oxygenation (ECMO) in adults, as described in the literature. Methods: An integrative review including articles published from 2011 to 2016, in Portuguese, English or Spanish, using standardized terms (MeSH and CINAHL titles) in the Medline and CINAHL databases. The complete titles, abstracts and texts of the articles meeting eligibility criteria were read and classified, based on the level of evidence. The complications of ECMO were grouped into: hemorrhagic, infectious, renal, vascular, mechanical, neurological, and other. Results: Six hundred sixty-six studies were found, of which 45 were included. The main complications identified were: hemorrhagic, in 747 individuals (21.23%), followed by infectious (10.85%), renal (9.18%), vascular (5.99%), mechanical (15%), and neurological (3.8%). Conclusion: The main complications of ECMO in adult patients were identified. The knowledge about them supports planning of care, avoiding complications and, thus, reducing morbidity and mortality, costs, and length of hospitalization. Descriptors: Adult; Cardiology; Critical Care; Nursing care; Extracorporeal membrane oxygenation; Pneumology.RESUMENObjetivo: identificar en la literatura las complicaciones de la oxigenación de membrana extracorpórea (ECMO) en adultos. Método: estudio bibliográfico de revisión integradora con artículos publicados desde 2011 hasta 2016 en portugués, inglés o español, en MEDLINE y CINAHL utilizando términos estandarizados (MeSH y CINAHL). Se leyeron Los títulos, resúmenes y textos en su totalidad de los artículos encontrados para aplicación de los criterios de elegibilidad y clasificación del nivel de evidencia. Se agruparon las complicaciones de la ECMO en hemorrágicas, infecciosas, renales, vasculares, mecánicas, neurológicas y otras. Resultados: se encontraron 666 estudios, de los cuales se incluyeron 45. Las principales complicaciones identificadas fueron: las hemorrágicas, encontradas en 747 individuos (21,23%), seguidas de las infecciosas (10,85%), renales (9,18%), vasculares (5,99%), mecánicas (4, 15%) y neurológicas (3,8%). Conclusión: se identificaron las principales complicaciones de la ECMO en pacientes adultos. Conocerlas subsidia la planificación del cuidado prestado, pudiendo evitarlas o diagnosticarlas precozmente, disminuyendo así, la morbimortalidad, costos y tiempo de internación. Descriptores: Adulto; Cardiología; Cuidados Críticos; Atención de Enfermería; Oxigenación por Membrana Extracorpórea; Neumología.

scholarly journals Comunicação dos enfermeiros e paciente hospitalizado em um hospital militar

2019 ◽  
Vol 13 ◽  
Author(s):  
Vinicius Rodrigues de Souza ◽  
Amanda Maurício Miranda de Lima ◽  
Bruna Rodrigues Braga ◽  
Vera Lúcia Freitas ◽  
Andreia Jorge Da Costa
Keyword(s):  
Nursing Care ◽  
Structured Interview ◽  
Communication Process ◽  
Military Hospital ◽  
Inclusion Criteria ◽  
Nursing Team ◽  
Qualitative Descriptive ◽  
Study Population ◽  
Care Nursing ◽  
Surgical Clinic

Objetivo: analisar o processo de comunicação entre a equipe de enfermagem e o cliente hospitalizado em clínica médica e cirúrgica cujo cenário será um hospital militar de grande porte. Método: trata-se de um estudo qualitativo, descritivo. Compor-se-á a população do estudo pelos profissionais da equipe de enfermagem de um setor de internação de clínica médica e cirúrgica e pelos clientes que estiverem hospitalizados no dia da entrevista dentro dos critérios de inclusão. Obter-se-ão os dados por meio de uma entrevista semiestruturada, analisando-os por meio da técnica de Análise de Conteúdo. Resultados esperados: Espera-se que o estudo contribua para a viabilização de um diagnóstico situacional a fim de propiciar a construção e implementação de um instrumento que auxilie no subsídio do planejamento das ações de saúde em prol da melhoria da assistência de Enfermagem prestada ao cliente hospitalizado. Ressalta-se também a necessidade de novos estudos que tratem sobre a temática proposta, assim valorizando a pesquisa na área da Enfermagem, a fim de reforçar o fortalecimento do vínculo profissional-cliente. Descritores: Assistência de Enfermagem; Equipe de Enfermagem; Comunicação; Hospitalização; Pacientes Internados; Hospitais Militares.AbstractObjective: to analyze the communication process between the nursing staff and the hospitalized client in a medical and surgical clinic whose scenario will be a large military hospital. Method: this is a qualitative, descriptive study. The study population will be composed of nursing team professionals from an inpatient sector of medical and surgical clinic and by clients who are hospitalized on the day of the interview within the inclusion criteria. The data will be obtained through a semi-structured interview, analyzing them through the technique of Content Analysis. Expected Results: the study is expected to contribute to the feasibility of a situational diagnosis in order to provide the construction and implementation of an instrument that assists in the planning of health actions for the improvement of nursing care provided to hospitalized clients. It is also emphasized the need for new studies that deal with the proposed theme, thus valuing research in the area of Nursing, in order to strengthen the strengthening of the professional-client bond. Descriptors: Nursing Care; Nursing Team; Communication; Hospitalization; Inpatients; Military Hospitals.ResumenObjetivo: analizar el proceso de comunicación entre el personal de enfermería y el cliente hospitalizado en una clínica médica y quirúrgica cuyo escenario será un gran hospital militar. Método: este es un estudio cualitativo, descriptivo. La población de estudio estará compuesta por profesionales del equipo de enfermería de un sector hospitalario de clínica médica y quirúrgica y por clientes hospitalizados el día de la entrevista dentro de los criterios de inclusión. Los datos se obtendrán a través de una entrevista semiestructurada, analizándolos a través de la técnica de Análisis de Contenido. Resultados esperados: Se espera que el estudio contribuya a la viabilidad de un diagnóstico situacional para proporcionar la construcción e implementación de un instrumento que ayude en la planificación de acciones de salud para la mejora de la atención de Enfermería brindada a clientes hospitalizados.También se enfatiza la necesidad de más estudios que aborden el tema propuesto, valorando así la investigación en el área de Enfermería, con el fin de reforzar el fortalecimiento del vínculo profesional-cliente. Descriptores: Atención de Enferméria; Grupo de Enfermería; Comunicación; Hospitalización; Pacientes Internos; Hospitales Militares.

scholarly journals The Effect of Nursing Round on Patient Satisfaction in Nursing Services

2021 ◽  
Vol 4 (1) ◽  
pp. 12
Author(s):  
Indah Azhari ◽  
Tintin Sukartini
Keyword(s):  
Patient Satisfaction ◽  
Literature Review ◽  
Nursing Care ◽  
Positive Impact ◽  
Nursing Intervention ◽  
Evidence Based ◽  
Inclusion Criteria ◽  
Nursing Services ◽  
Quality Of Nursing

Introduction: Implementing a nursing round has a positive impact on patient satisfaction. This method increase patient-nurse interaction and improve the quality of nursing care and patient satisfaction. The aimed of this study to conduct a literature review discusses the effect of nursing rounds on patient satisfaction in nursing services to enhance application knowledge (evidence-based) and optimal implementation.Method: This study used a literature review design, review articles or journals searched in three electronic databases (Scopus, ScienceDirect, and ProQuest). The Joanna Briggs Institute Critical Appraisal tools and Webb (2019) were used to assess the quality and Prism checklist as a review guide. Journal articles prospecting using the PICOS framework with inclusion criteria, the population is hospitalized patient who receive nursing services at the hospital and nurses who apply the nursing round, nursing intervention rounds, the outcome is patient satisfaction with nursing services, in English with a publication year between 2011-2020. The results of the search obtained 10 studies that match the inclusion criteria to be reviewed. Data tabulation and narrative analysis were performed on the articles or journals found.Results:  The results of this study show that the nursing round has advantages that affect patient satisfaction, some of the advantages provided are the resolved patients problems, the patient's needs can be fulfilled, raise up a professional nursing community, the establishment of cooperation between health workers, and nurses able to carry out apropriate and precise nursing care model.Conclusion: The implementation of the nursing round influences in  improving the quality of nursing care through the application of theoretical concepts to evidence-based nursing practice. 

scholarly journals Consulta de Enfermagem na Atenção Primária à Saúde: Revisão Integrativa

2021 ◽  
Vol 24 (5-esp.) ◽  
pp. 693-702
Author(s):  
Stella Godoy Silva e Lima ◽  
Regina Stella Spagnolo ◽  
Carmen Maria Casquel Monti Juliani ◽  
Lucía Silva ◽  
Violeta Campolina Fernandes ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nursing Care ◽  
Web Of Science ◽  
Scientific Evidence ◽  
Life Cycles ◽  
Nursing Process ◽  
Inclusion Criteria ◽  
Primary Health ◽  
Care Nursing

Na Atenção Primária em Saúde, a consulta de enfermagem é apresentada como importante estratégia tecnológica de cuidado utilizada pelos enfermeiros, também considerada de caráter resolutivo na promoção de saúde. Este trabalho tem por objetivo analisar as evidências científicas, nacionais e internacionais, sobre a consulta de enfermagem na Atenção Primária à Saúde. Trata-se de revisão integrativa a partir das bases de dados: Lilacs, Scopus, Web of Science, Medline, IBECS e Cinahl, sendo incluídos artigos publicados no período de 2013 a 2018. Os critérios de inclusão foram artigos completos, nos idiomas português, inglês e espanhol, originados de periódicos nacionais e internacionais, excluindo artigos repetidos, do tipo revisão e comentários, bem como estudos, cujo objeto principal não se relacionava com a pergunta do estudo. Foram selecionados 14 artigos que desvelaram quatro categorias analíticas: 1) consulta de enfermagem para o fortalecimento da Atenção Primária em Saúde; 2) sistematização da assistência de enfermagem como instrumento de sustentação da consulta de enfermagem; 3) práticas da consulta de enfermagem e o uso de protocolos; e 4) desafios para implementação da consulta de enfermagem. Os enfermeiros podem utilizar estes resultados para melhoria da Consulta de Enfermagem, em todos os ciclos da vida, em um cenário de práticas dinâmicas, e em constante transformação como a Atenção Primária.   Palavras-chave: Processo de Enfermagem. Enfermagem no Consultório. Atenção Primária à Saúde.   Abstract In primary health care, nursing consultation is presented as an important technological care strategy used by nurses, also considered to be decisive in health promotion. This work aims to analyze the scientific evidence, national and international, on nursing consultation in primary health care. This is an integrative review based on the databases: LILACS, Scopus, Web of Science, Medline, IBECS and CINAHL, including articles published from 2013 to 2018. Inclusion criteria were full articles, in Portuguese, English and Spanish, originating from national and international journals, excluding repeated articles, such as review and comments, as well as studies whose main object was not related to the study question. 14 articles were selected that unveiled four analytical categories: 1) Nursing consultation to strengthen primary health care; 2) Systematization of nursing care as an instrument to support nursing consultation; 3) Nursing consultation practices and the use of protocols; and 4) Challenges for implementing the nursing consultation. Nurses can use these results to improve the Nursing Consultation, in all life cycles in a scenario of dynamic practices and in constant transformation such as Primary Care.   Keywords: Nursing Process. Office Nursing. Primary Health Care.

scholarly journals IMPORTÂNCIA DO PROCEDIMENTO BANHO NO LEITO PARA ATENDIMENTO EM ENFERMAGEM

2017 ◽  
Vol 7 (20) ◽  
pp. 82
Author(s):  
Clariane Ramos Lôbo ◽  
Tatiane Lopes de Almeida Saraiva
Keyword(s):  
Literature Review ◽  
Nursing Care ◽  
Health Professionals ◽  
Limited Mobility ◽  
The Subject ◽  
Perception Of Health ◽  
Care Nursing

Banho no leito é o procedimento realizado em qualquer paciente que tenha dificuldade de locomoção, processo esse que retira toda a sujeira acumulada pelo paciente acamado. O objetivo do presente estudo foi avaliar a importância da técnica do banho no leito na percepção dos profissionais de saúde nos achados literários. Métodos: Trata-se de uma revisão da literatura que buscou avaliar a importância da técnica do banho no leito na percepção dos profissionais de saúde. Resultados: Estudos lidos e relatados demonstram que pode haver alguma resistência na realização do cuidado por parte dos pacientes e dos enfermeiros e que esse momento auxilia no processo de humanização. Conclusão: Ainda é mistificado o assunto do banho no leito, embora seja parte dos cuidados de Enfermagem, é preciso que o tema seja abordado mais amplamente e com mais naturalidade pelos enfermeiros que o supervisionam, coordenam e participam.Descritores: Banho no Leito, Técnica, Cuidados, Enfermagem. Importance of procedure bed bath for care in nursingAbstract: Bed bath is the procedure performed in any patient who has limited mobility, a process that removes all the dirt accumulated by bedridden patients. The aim of this study was to evaluate the importance of the bath technique in bed in the perception of health professionals in the literary findings. Methods: This is a literature review that aimed to evaluate the importance of the bath technique in bed in the perception of health professionals. Results: read and reported studies show that there may be some resistance in the realization of care by patients and nurses and that this moment assists in the process of humanization. Conclusion: It is still mystified the subject of the bed bath, although it is part of the nursing care, it is necessary that the subject be addressed more broadly and more naturally by nurses that supervise, coordinate and participate.Descriptors: Bath in Bed, Technical, Care, Nursing. Importancia del procedimiento en la cama para baño de servicio en enfermeríaResumen: Baño de lecho es el procedimiento que se realiza en paciente que tiene dificultad de movilidad, y que tengan reposo por restricción médica, es un procedimiento que elimina toda la suciedad acumulada por los enfermos postrados y limitados a la cama. El objetivo de este estudio fue evaluar la importancia de la técnica del baño en el lecho identificado por la percepción de los profesionales de salud en los estudios de busca científica. Se trata de una revisión de la literatura, que tuvo como objetivo evaluar la importancia de la técnica del  baño en el lecho según la percepción de los profesionales de la salud. Los resultados muestran que puede haber alguna resistencia en la realización de este procedimiento por parte de los pacientes, siendo que en este momento es importante la ayuda del proceso de humanización. Concluimos que todavía existe la mitificación del procedimiento del baño en el lecho, mismo que todavía aja parte de los cuidados de asistencia de enfermería. Es necesario que el tema sea abordado mas ampliamente y con naturalidad por los enfermeros que participan, coordinan, súper visionan.Descriptores: Baño en Lecho, Técnico, Cuidado de Enfermería.

AI-Provided Instant Differential Diagnosis of Pemphigus Vulgaris and Bullous Pemphigoid: Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Xiaoyu He ◽  
Juan Su ◽  
Guangyu Wang ◽  
Kang Zhang ◽  
Navarini Alexander ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Early Diagnosis ◽  
Image Classification ◽  
Bullous Pemphigoid ◽  
Skin Diseases ◽  
Pemphigus Vulgaris ◽  
Classification Model ◽  
Clinical Image ◽  
Clinical Images ◽  
Multimodal Classification

BACKGROUND Pemphigus vulgaris (PV) and bullous pemphigoid (BP) are two rare but severe inflammatory dermatoses. Due to the regional lack of trained dermatologists, many patients with these two diseases are misdiagnosed and therefore incorrectly treated. An artificial intelligence diagnosis framework would be highly adaptable for the early diagnosis of these two diseases. OBJECTIVE Design and evaluate an artificial intelligence diagnosis framework for PV and BP. METHODS The work was conducted on a dermatological dataset consisting of 17,735 clinical images and 346 patient metadata of bullous dermatoses. A two-stage diagnosis framework was designed, where the first stage trained a clinical image classification model to classify bullous dermatoses from five common skin diseases and normal skin and the second stage developed a multimodal classification model of clinical images and patient metadata to further differentiate PV and BP. RESULTS The clinical image classification model and the multimodal classification model achieved an area under the receiver operating characteristic curve (AUROC) of 0.998 and 0.942, respectively. On the independent test set of 20 PV and 20 BP cases, our multimodal classification model (sensitivity: 0.85, specificity: 0.95) performed better than the average of 27 junior dermatologists (sensitivity: 0.68, specificity: 0.78) and comparable to the average of 69 senior dermatologists (sensitivity: 0.80, specificity: 0.87). CONCLUSIONS Our diagnosis framework based on clinical images and patient metadata achieved expert-level identification of PV and BP, and is potential to be an effective tool for dermatologists in remote areas in the early diagnosis of these two diseases.

scholarly journals Systematic Review of Alexithymia in the Population of Hemodialysis Patients

2021 ◽  
Vol 10 (13) ◽  
pp. 2862
Author(s):  
Đorđe Pojatić ◽  
Ivana Tolj ◽  
Davorin Pezerović ◽  
Dunja Degmečić
Keyword(s):  
Mental Health ◽  
Literature Review ◽  
Web Of Science ◽  
Major Effect ◽  
Hemodialysis Patients ◽  
Bibliographic Databases ◽  
Inclusion Criteria ◽  
The Matrix ◽  
Negative Effect ◽  
Bodily Sensations

Alexithymia is a construct defined as the inability to differentiate between emotional experiences and bodily sensations. According to existing knowledge, alexithymia may have a major effect on the process of treatment and the outcome of the hemodialysis disease. The objective of this literature review was to determine the significance that alexithymia has for compliance and variables of clinical and mental health in the population of hemodialysis patients. For the above purpose, bibliographic databases “MEDLINE” and “Web of Science” were searched. The matrix method was used in analysis of articles. Searching both databases resulted in 248 articles. After applying exclusion and inclusion criteria, we included results of 13 articles in the literature review. The results of the search are findings regarding the prevalence and correlation of alexithymia with variables of clinical and mental health in hemodialysis patients. Alexithymia is significantly more common in the population of hemodialysis patients, and it has a negative effect on their mental and somatic health. Alexithymia levels in hemodialysis patients are more pronounced in cases where there is a greater number of comorbidities. Alexithymia is the predictor of high mortality rate in the population of hemodialysis patients, independent of other comorbidities.

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