We conducted a cross-sectional survey about dermatology nursing among doctors (n=168) and nurses (n=280) who worked at hospitals and clinics. This survey aimed to obtain basic information for improving education plans for dermatology nurse specialists. We listed 25 items of knowledge and skills needed for dermatology nursing, and asked both groups which items were important for nurses to acquire. The nurses ranked the necessity for the following items significantly higher than the doctors did: medical knowledge and patient instruction skills (4 items), disease specific knowledge and skills (10 items), and skills on educating patients about topical and oral administration drugs (3 items). In order to convey necessary information to patients and provide team-based care, it is important to fill the gaps between nurses and doctors.
Café-au-lait macules (CALM, termed "nevus spilus" in Japan) can be treated using a Q-switched ruby laser (QSRL). However, recurrence is a common problem.
The present retrospective study was undertaken to determine the efficacy of QSRL in 78 patients with CALM. Outcomes were assessed in terms of pigmentation reduction using a subjective grading score that included gender, age at onset, anatomical region of the nevus, and shape of the nevus. Our results suggested that it was possible to predict the response of CALM to QSRL treatment.
A high therapeutic effect of QSRL was obtained for flat nevi with an irregular shape, but CALM with smooth and well-defined borders tended to show a poor response.