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PubMed2000

Dermatology practice management enhancement: implications for dermatology in the age of managed care.

Health care delivery in the United States has changed dramatically during the past 10 years. Dermatologists are faced with challenging changes in the way they learn new skills, practice, and provide dermatologic care. Dermatologists can survive and flourish in this environment if they learn proper management and enhancement skills. These skills include proper coding and documentation, regulatory compliance, and new levels of practice effectiveness and efficiency. Dermatologists can offer also the benefit of cosmetic procedures and ethical office-based dispensing to their patients. Greater future unification of this specialty will allow dermatology to flourish and show its need, efficiency, and cost-effectiveness.

Cosmetics↗
PubMed2002

A discrete speech recognition system for dermatology: 8 years of daily experience in a medical dermatology office.

A discrete speech recognition system was customized to recognize approximately 9,000 phrases and terms commonly used in dermatology, and has been used on a daily basis since 1984 to produce as many as 65 consult and follow up letters daily. The systems and procedures necessary for the practical use of this system are described, together with a discussion of the advantages and disadvantages of using this system to automate the transcription of dermatological dictation.

Artificial Intelligence↗
PubMed2000

Interactive medicine: resources in dermatology and dermatologic surgery.

The Internet has proved to be a useful resource in various fields of medicine. Within the field of Dermatology, Internet sites appeal to specialists in dermatology, non-specialist physicians, medical students, and the lay public. In the past 2 years, United States physicians' regular Internet use has increased 300%, according to an ongoing study conducted by the Santa Clara-based Healtheon Corporation. The phenomenon of increased Internet usage is explainable. Patients have access to the Internet and often consult net sources before they see their physician; therefore, it is very important that physicians are likewise "connected" to enhance patient communication. Careful study of approximately 300 Internet sites has yielded a reader-friendly presentation of only the sites that should be most useful to practitioners, medical students, and the lay public. The objective is to promote public health through doctor-patient communication and through the use of valuable interactive medical resources.

Dermatology↗
PubMed2002

[Notoriety of the French dermatology: analysis through dermatological publications].

INTRODUCTION: The aim of this study was to evaluate the publications of French dermatologists in medical journals. METHODS: All papers published in 1998 and indexed in PubMed were searched under the names of all dermatologists listed in a French registry of hospital dermatologists and analyzed. A sample of 8 departments of dermatology in University hospitals was selected at random and the publications from these departments were compared to those from the departments of rheumatology in the same hospitals. In addition the publications of French, German and Italian dermatologists were compared for the years 1989, 1994 and 1999. RESULTS AND CONCLUSION: In 1998, 452 papers were published by French dermatologists. This was more than for rheumatologists in the selected sample (133 vs 82). The impact factor was rather low (1.8 +/- 3), in part because many papers (43 p. 100) were written in French. In addition original studies and research papers accounted for only 20 p. 100 of all papers. The numbers of papers devoted to clinical research had increased in the last 10 years and compared favorably with German and Italian dermatology. In contrast, the number of research papers had decreased in the last 10 years in strong contrast with the dramatic increase of research papers originating from Germany.

Dermatology↗
PubMed1994

Women in academic dermatology. Results of survey from the professors of dermatology.

BACKGROUND: A survey of the professors of dermatology addressed questions of recruitment and retainment of women in academic dermatology. One hundred thirteen questionnaires were distributed and tabulated anonymously. RESULTS: Most programs selected residents independent of gender. No gender-specific residency problems were identified other than clinical coverage and completion of training related to pregnancy and maternity leave. Less than 50% of departments have faculty development programs in place, though there was considerable support for faculty development programs and modification of tenure track. The number of women faculty was determined for all departmental faculty. Of the total faculty members, 28.1% were women. Of the paid faculty members, 30.7% were women compared with 24.8% of unpaid faculty members. For paid faculty, 10.7% of full professors were women, compared with 34.1% of associate professors and 38.1% of assistant professors. Only two department chairs were identified as women, though five additional women headed divisions. CONCLUSIONS: With regard to residency training, any problems appear to be reflections of anecdotal experience. With regard to faculty, this datum argues for barriers to advancement to positions with administrative responsibility. Strategies for increasing the number of women in senior positions will depend on recognition and encouragement of current women faculty and require a concerted effort to further professional growth and development, to reward academic success, to provide role models and mentors, and to recognize inherent conflicts of professional women.

Dermatology↗
PubMed1994

[Cell and tissue culture models in dermatology. The Frankfurt Center of Dermatology establishes models].

In the course of the Third Frankfurt Talks, for the first time a congress in dermatology was dedicated exclusively to cell and tissue culture models. The complexity of a whole organ, in this case the skin, could be reduced to single aspects without losing the holistic context. Ways of managing this were discussed on an interdisciplinary level by dermatologists, physiologists, pharmacologists and biologists. The results are also expected to be useful to the clinician. Focus points of in vitro investigations for dermatology are wound closure models and the use of in vitro skin for transplantation in the therapy of non-healing ulcers and vitiligo. As an alternative to animal experiments, cultures of human cells are gaining increasing influence in drug testing. The effect of glucocorticosteroids on normal skin fibroblasts, keratinocytes and permanent cell lines is discussed as an example, and in vitro models of diseases such as psoriasis are established. Additionally, basic events such as differentiation and ageing have been modelled in cell cultures of melanocytes and keratinocytes. Mechanical stress, UV radiation and nicotine are discussed as inductors.

Cell Differentiation↗
PubMed1977

Studies on cold insoluble globulin in dermatological patients. II. Its immunochemical quantitation in citrated plasma in a group of unselected dermatological inpatients.

Cold insoluble globulin (CIG) is the main non-clottable protein of heparin precipitable fraction from dermatological patients. CIG is a glycoprotein with a molecular weight of about 440 000. It is found on cell membranes on fibroblasts and is a normal protein of human plasma and serum. Levels of CIG in citrated plasma are sex- and age-dependent, but the origin and its physiological significance is unknown. In plasma of 294 dermatological patients, levels of CIG were elevated in eczema contactum allergicum (males and females 30-49 years), psoriatic arthritis (females 50 years and above) and were depressed in dermatitis herpetiformis (males 30-49 years).

Adult↗
PubMed1994

The first chairs and professors of dermatology, particularly of 'German' dermatology.

A short outline is given of the establishment of the first chairs in dermatology/venerology in Central Europe, starting with the award of the Fothergillian Gold Medal to Robert Willan in 1790 and ending past mid-century with the establishment of the professorial chairs in Munich in 1863 and of Military Dermatology at the Vienna Surgical Academy in 1870.

Awards and Prizes↗
PubMedDate not supplied

Changing paradigms in dermatology: confocal microscopy in clinical and surgical dermatology.

The current practice of pathology and dermatopathology depends upon the evaluation of tissue in some manner extirpated from the patient and then processed and stained. While high resolution of detail can be accomplished by this method, there are certain risks and disadvantages. Recent imaging techniques now allow for a potential of achieving noninvasive high-resolution analysis of lesions in situ in the patient. Of these, Reflectance mode confocal microscopy offers the highest resolution imaging comparable to routine histology. Being entirely non invasive, skin can be observed in its native, dynamic state. This chapter will review the fundamentals of in vivo confocal imaging and the clinical applications in general and surgical dermatology.

Dermatology↗
PubMed2000

Inexpensive digital photography in clinical dermatology and dermatologic surgery.

Digital photography can be used to follow clinical improvement in a variety of dermatoses, document pre and postoperative results, and document histologic findings from skin biopsies. Images may be printed as part of text documents and can be filed in conventional medical charts. Images can be transmitted via electronic mail rapidly and to any location. We have found digital photography to be relatively inexpensive and a powerful tool to enhance dermatologic practice.

Dermatologic Surgical Procedures↗
PubMed1992

Dermatologic aspects of HIV in dermatology nursing.

Dermatology nurses are playing an increasing role in the assessment and care of HIV-infected patients. Recognition and proper care of the cutaneous manifestations of HIV disease are vital for improving the patient's health and comfort.

Female↗
PubMed1989

[The significance of dermatologic management in computer-assisted occupational dermatology consultation].

At our occupational outpatient clinic, 230 patients were treated for about 15 months. With the help of a standardized questionary, we registered all the data regarding the relevant substances the patients contacted during their work as well as their various jobs since they left school. The patients were repeatedly seen and trained in procedures of skin care and skin protection. If required, we took steps to find new jobs for them within their employing company; this was done in cooperation with the trade cooperative association according to the dermatological insurance consultanship. If these proceedings did not work out, the patient had to change his profession altogether. All data were computerized. As an example for this computer-based documentation we present the data of barbers.

Adult↗