Highlight:Dermoscopy is a practical, non-invasive and accurate method for reducing the number of unnecessary excision of benign skin neoplasms.Knowledge about vascular pattern and description setting can lead to a prompt benign skin neoplasm diagnosis.Abstract:Benign skin neoplasms are commonly found in the population. It has a well-differentiated and slow growth nature. The patients often come seeking treatment when the tumor has developed into malignancy. This usual delay in diagnosis and therapy frequently happens because early-stage mass has not generated any complaints by the patients. Detection and monitoring of benign skin neoplasms can be carried out earlier and more effectively if the clinician or dermatologist has the knowledge of distinguishing benign from malignant lesions. The histopathological examination can help to establish the diagnosis, but this method is invasive and requires an extended amount of time. Dermoscopy is a practical, non-invasive and accurate method for early detection of skin disorder which reduces the number of unnecessary excisions of benign skin neoplasms. Knowledge of the vascular pattern and arrangement description, combined with the additional dermoscopic feature can lead to the prompt diagnosis of benign skin neoplasms.
Highlights: Customers expectations at Dr. Soetomo General Academic Hospital has a higher quality of service. The handling of complaints has a low performance on the quality of services at Dr. Dr. Soetomo General Academic Hospital. Improving service quality requires improvements in efficient complaint handling. Abstract: Service quality is essential in health institutions that can affect patient satisfaction and loyalty. The growth in the number of patients at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, triggered the diversification of services that require periodic quality control. This study aimed to investigate the performance of 31 departments/units in the hospital, the level of customer satisfaction with services provided, and factors that could influence satisfaction. A survey about service performance, perception, and expectation of services was carried out in 31 departments/units using questionnaires from August to October 2021. Convenient respondents consisted of 2121 patients and their families aged >15. Questionnaire items assessed performance, perceptions, and expectations of health services using the SERVQUAL method. Statistical Package for the Social Sciences (SPSS) software was used to perform an analysis of the results of the measurement and the difference in responses between demographic groups of respondents (p<0.05 was significant). The mean performance score was 92.86, and the gap between their perception and expectation averaged -0.23. Customers' expectations of the provider's competence were met, and its performance was perceived to be the best. Meanwhile, handling complaints was perceived as having the lowest performance, while customers’ satisfaction over it had not been met. The results showed that the hospital could still not fully meet some of the customer expectations, with immediate improvements needed in handling complaints.
Highlights: The importance of having a strong suspicion for syphilis and maintaining close contact between dermatologists and pathologists cannot be understated. Understanding the clinical relationship and histological features of syphilis is crucial for accurate diagnosis and distinction from its histologic mimickers. Abstract: Settings Syphilis, also known as "the great imitator," is a sexually transmitted infection with a variety of clinical symptoms and histopathological similarities to other infectious diseases. Public health concerns about syphilis have grown significantly. Since 2000, there has been an increase in syphilis prevalence in the United States, with a 17.6% increase from 2015 to 2016. From 2000 to 2019, the number of syphilis cases throughout Asia increased from 0.9% to 30.9%, whilst the number of cases in Indonesia decreased from 22.5% to 14.4%. Specific serological tests for syphilis can usually detect and confirm the diagnosis and offer follow-up care in most cases. However, in certain instances, the clinical characteristics discovered during testing can be identical to those of other diseases, which may lead to inconsistent diagnosis. Considering that the diagnostic pathology is pertinent to the clinical circumstances, a histopathological investigation may be useful for differentiating syphilis mimickers. Pathology is essential for identifying potential syphilis patients with ambiguous clinical symptoms. This study’s purpose was to assist dermatologists and pathologists in identifying "mimickers" that require a biopsy and in determining the correct diagnosis and treatment coutsed based on etiology.
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