We report a rare case of large facial hyperpigmentation in a 25-year-old female. Starting one month after birth, the patient developed a blue-brown patch on the right side of her face, interspersed with black macules and papules. As she aged, the lesion progressively enlarged and darkened, eventually covering the entire right side of her face. Dermoscopic and reflectance confocal microscopy examinations indicated nevus spilus in some areas and nevus of Ota in others, leading to a definitive diagnosis of overlapping nevus spilus and nevus of Ota. With no signs of malignant transformation on clinical or imaging examination, successful treatment was achieved using Q-switched alexandrite laser without any adverse effects. Our case underscores the critical value of dermoscopy and reflectance confocal microscopy in diagnosing rare facial pigmentary conditions, as we compare the imaging characteristics of nevus spilus, nevus of Ota, and similar conditions, alongside their clinical and histopathological correlations. Furthermore, our findings highlight the significant role of imaging examinations in monitoring malignancy and guiding treatment decisions.

Adverse nursing events occur suddenly, unpredictably, or unexpectedly during course of clinical diagnosis and treatment processes in the hospitals. These events adversely affect the patient's diagnosis and treatment results and even increase the patient's pain and burden. Additionally, It is high likely to cause accidents and disputes and affect normal medical work and personnel safety and is not conducive to the development of the health system. Due to the rapid development of modern medicine, health and safety of patients have become the most concerned issue in society and patient safety is an important part of medical care management. Research and events have shown that classified management of adverse nursing events, event analysis, and improvement measures are beneficial, specifically to the health system, to continuously improve the quality of medical care and reduce the occurrence of adverse nursing events. In the management of adverse nursing events, it is very important to categorize the text reports of adverse nursing events and divide these into different categories and levels. Traditional reports of adverse nursing events are mostly unstructured and simple data, often relying on manual classification, which is difficult to analyze. Furthermore, data is relatively inaccurate and practical reference significance is not obvious. In this paper, we have extensively evaluated various deep learning-based classification methods which are specifically designed for the healthcare systems. It becomes possible with the development of science and technology; text classification methods based on deep learning are gradually entering people's field of vision. Additionally, we have proposed a text classification model for adverse nursing events in the health system. Experiments and data comparison test of both the proposed deep learning-based method and existing methods in the text classification of nursing adverse events effect are performed. These results show the exceptional performance of the proposed mechanism in terms of various evaluation metrics.

Jiang, Wei MM; Yang, Qingqi MM; Cai, Hong PhD*; Xu, Qiaoyu MM; Ju, Anqi MM; Li, Tao MM; Sun, Shujuan MM; Zhang, Lei MM Author Information

Objective To investigate the efficacy and the nursing experience of vacuum sealing drainage (VSD) combined with topical oxygen therapy on healing of pressure ulcers in intensive care unit. Methods Totally 44 cases of patients in intensive care unit with pressure ulcers on stage Ⅲ and Ⅳbedsore, from May 2015 to October 2017, were divided into 2 groups according to the random number table.22 cases, as the control group, were treated with routine methods and VSD.22 cases, as the test group, were treated with topical oxygen therapy on basis of the treatment of control group, 10 days for a cycle. The effects of the two methods were compared according to the wound healing rate, the bacterial quantitative, the cell apoptosis rate and the capillary density after a treatment cycle. Results The average wound healing rates of the control group and the test group were (16.5±6.7)% and (26.2±5.6)% respectively, between which there was a significant difference (t=5.09, P＜0.01). Before treatment, the bacterial quantitative, cell apoptosis rate and capillary density in the control group were (2.7 ± 0.8) × 107CFU/g, (9.3±1.5)%, 13.43±3.21 respectively, and in the test group were (2.9±1.1)×107CFU/g, (10.1± 1.1)% , 11.51 ± 2.75, there was no significant difference between the two groups (all P>0.05). After treatment, the bacterial quantitative, cell apoptosis rate and capillary density in the control group were (4.9±1.4)×104CFU/g, (5.5±0.8)%, 38.64±10.14, and in the test group were (2.5±0.7)×104CFU/g, (2.9± 0.9)% , 41.09 ± 9.28. The differences before and after treatment in the control group were statistically significant (q=1 967.75, 3.51, 6.12, all P<0.01 or 0.05), and the differences before and after treatment in the test group were statistically significant (q=3 912.32, 5.22, 8.07, all P<0.01). There were significant differences in the bacterial quantitative and cell apoptosis rate between the two groups after treatment (q=3.85, 3.78, all P<0.01), however, there was no significant difference in vascular density (P>0.05). Conclusion The vacuum sealing drainage combined with topical oxygen therapy can enhance wound healing and control infection significantly, is a safe and effective therapeutic method.