Exploring knowledge gaps in the understanding of peripheral and deep en face margin assessment.

In 2022, National Comprehensive Cancer Network updated the phrase of "complete circumferential peripheral and deep margin assessment (CCPDMA)" to "peripheral and deep en face margin assessment (PDEMA)," which was meant to create more consistency across all treatment modalities and provide clarity to the meaning of total margin evaluation. The aim of this project was to investigate the interpretation of PDEMA across pertinent specialties and to identify any existing knowledge gaps in hopes of improving clinical performance of institutional practice. An electronic survey was administered to medical professionals within the divisions of dermatology and otolaryngology retrieving demographic data and assessing respondents' knowledge on tissue processing techniques and PDEMA. Of the four knowledge-based assessment questions administered, dermatology respondents answered three questions with > 80% accuracy and one question with < 65% accuracy. Otolaryngology respondents answered one question with > 80% accuracy and three with < 65% accuracy. Both groups answered the knowledge-based question evaluating the concept of "what must be true for Mohs or PDEMA to have value" with under 65% accuracy. When comparing dermatology and otolaryngology respondents, only one question which evaluated the proper methods to "achieve processing of the epidermal edge and the base of the tumor along a single plane in the lab" significantly differed between groups, with a percentage correct of 96% for dermatologists compared to 54% for otolaryngologists (p < 0.001). Results were found to be similar when resident physicians were removed from analysis. The overall percent correct for knowledge-based questions was shifted higher for dermatologists compared to otolaryngologists (p = 0.014). This trend was also redemonstrated when analyzing the data excluding residents (p = 0.053).

Reliability of Three Timing Systems Used to Time Short on Ice-Skating Sprints in Ice Hockey Players.

Bond, CW, Willaert, EM, Rudningen, KE, and Noonan, BC. Reliability of three timing systems used to time short on ice-skating sprints in ice hockey players. J Strength Cond Res 31(12): 3279-3286, 2017-Speed and acceleration are highly valued in ice hockey and frequently assessed using timing systems. Coaches must use reliable timing systems to assess these attributes, but many systems have not been thoroughly evaluated and the required number of sprint repetitions to obtain the coach's desired degree of reliability for a system may be impractical. This study aimed to compare the reliability of a single photocell (PC), a single laser with a microprocessor (LA), and a digital video camera (VC); and in doing so, evaluate the influence of completing additional sprint repetitions on each systems' reliability. We hypothesized that PC and LA would yield different times, have inferior reliability, and require a larger number of sprint repetitions to obtain the same degree of reliability compared with VC. Seventeen male ice hockey players completed 5 repetitions of a 9.15 m on ice-skating sprint timed simultaneously by PC, LA, and VC. The times obtained from VC were narrowly distributed around the mean compared with PC and LA and resulted in a mean sprint time approximately 0.05 and 0.07 second faster than PC and LA, respectively {PC: 1.74 second (95% confidence interval [1.72-1.76]); LA: 1.76 second [1.74-1.78]; VC: 1.69 second [1.67-1.70]}. When 2 sprint repetitions were completed, PC and LA typical error (TE) and smallest worthwhile difference (SWD) were 2.8- and 4.3-fold greater than VC, respectively. As more repetitions were completed, TE and SWD for PC and LA improved but remained approximately 2-fold greater than VC even when 5 repetitions were completed. With a smaller TE and SWD, VC was able to detect smaller "real" changes in a player's sprint performance over time compared with PC and LA.

Global skin diseases on Instagram hashtags.

Recently named one of the most influential phone applications, Instagram continues to grow in popularity [1]. Instagram consists of images and video posts, making it ideal for education and communication within the visual field of dermatology. In this study, we seek to determine the presence of dermatology-related content with regard to the most common cutaneous diseases of the world. We searched the account types and hashtags associated with the eight most common skin diseases globally as identified by the Global Burden of Disease (GBD) study by Hollenstein et al.: eczema, psoriasis, acne,pruritus, alopecia, decubitus ulcer, urticaria, andscabies [9]. The majority of Instagram accounts included patient experiences (n=73), private accounts(n=52), and disease advocacy and awareness groups(n=20), (total n=221). We further investigated over 2 million skin disease hashtags. The greatest numbersof hashtags were the following: #acne (n = 1,622,626),#alopecia (n = 317,566), and #eczema (n = 196,115). Our results demonstrate that patients interact withone another through Instagram. As social networking platforms become more frequently used as a source of information for patients and patient support, medical professionals must gain awareness of content available through Instagram and consider it as a means to educate the public.