Publications by authors named "Karina Paci"

Background: Mohs surgery (MS) is the gold standard for treating nonmelanoma skin cancers in cosmetically sensitive areas.

Objective: To investigate MS costs over time when adjusting for medical inflation while considering the perspective of patients, payers, and health care systems.

Methods: A retrospective claim analysis using data from the International Business Machines MarketScan Commercial Claims and Encounters Database from 2007 through 2019 was performed.

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Article Synopsis
  • Lichen amyloidosis is linked to damage from chronic scratching and may be associated with autoimmune diseases like thyroid issues.
  • Dermatological symptoms from uncontrolled thyroid diseases, such as hypothyroidism and hyperthyroidism, are well-documented.
  • A unique case is presented of a 63-year-old patient experiencing both myxedema and lichen amyloidosis due to uncontrolled hypothyroidism following treatment for Graves disease.
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Importance: Skin cancer is the most common cancer in the United States, and men experience higher rates of skin cancer than women. Despite publicized preventative measures, men are less likely than women to use sunscreen.

Objective: To assess men's motivations, behaviors, and preferred product characteristics towards daily sunscreen use.

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Importance: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease with a predilection for the genital region. Genital HS requires medical and surgical management as well as close collaboration among a multidisciplinary team.

Observations: Hidradenitis suppurativa is a disease of the hair follicles that results in recurrent nodules, abscesses, and tunneling sinus tracts.

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Drug reaction with eosinophilia and systemic symptoms (DRESS) is a severe cutaneous adverse reaction characterized by a morbilliform cutaneous eruption, fever, lymphadenopathy, and multiorgan involvement. Alopecia universalis is a variant of alopecia areata characterized by complete loss of hair on the entire body. Herein, we report a case of alopecia universalis that presented after DRESS.

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Background: Health care providers routinely undertreat tobacco dependence, indicating a need for innovative ways to increase delivery of evidence-based care. Lean, a set of quality improvement (QI) tools used increasingly in health care, can help streamline processes, create buy-in for use of evidence-based practices, and lead to the identification of solutions on the basis of a problem's root causes. To date, no published research has examined the use of Lean tools in tobacco dependence.

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Article Synopsis
  • Smoke and tobacco-free policies are increasingly common on hospital campuses in the U.S. and Europe, helping to reduce smoking and secondhand smoke exposure.
  • A study in North Carolina found that 62% of surveyed hospitals have e-cigarette policies in place, with over 80% of hospitals reporting regulations against their use on campus.
  • While most hospitals agree on the necessity of prohibiting e-cigarette use, there are communication gaps regarding these policies that need to be addressed for effective implementation.
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