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""Generations of clinicians, skin biologists, residents, and educators have acclaimed Fitzpatrick's as the most authoritative and complete guide to dermatologic basic sciences, histopathology, diagnosis, and treatment. Edition after edition, it reflects the latest insights into skin diseases and skin biology--and their practical relevance to general internal medicine--while covering the scientific foundations of the specialty. This classic yet cutting-edge text is supported by the expert insights of more than 500 internationally respected contributors, and it covers everything dermatologists need to know about skin, dermatologic signs of underlying disease, and the management of all skin diseases, including acne, skin cancer, and psoriasis. Features: More than 3000 full-color photographs ; DVD with image bank includes downloadable figures from the text ; New illustration style makes difficult concepts easier to understand ; Therapeutic ladders with first, second, and third line therapies ; New or thoroughly revised chapters on Psoriasis; Skin disease in immunosuppressed patients; Epidermal stem cells; Hair growth disorders; Neonatal, pediatric, and adolescent dermatology; Radiotherapy; Immunobiologicals and cytokines; Lasers for rejuvenation ; Expanded medical and surgical therapeutics sections guide you through all treatment options."--Publisher's website."

"Posterior Sagittal Anorectoplasty (PSARP) merupakan salah satu prosedur pembedahan yang sering dilakukan pada pasien anak dengan malformasi anorectal. Seringkali nyeri menjadi salah satu manifestasi klinis yang ditimbulkan akibat insisi pembedahan. Masalah keperawatan nyeri akut pada umumnya terjadi pada anak pasca operasi PSARP. Salah satu cara yang dapat dilakukan untuk meminimalisir nyeri yang dirasakan adalah dengan melakukan manajemen nyeri non farmakologis. Pemberian intervensi manajemen non farmakologis dengan metode skin-to-skin dapat menurunkan nyeri yang dirasakan pada pasien bayi dibawah 1 tahun. Hasil intervensi yang diberikan pada pasien kelolaan utama paska pembedahan PSARP dengan nyeri akut mampu menurunkan rasa nyeri yang dirasakan FLACC scale 7/10 menjadi 0/10. Pemberian terapi non farmakologis perlu diikuti dengan terapi farmakologis untuk meningkatkan efektifitas intervensi yang dilakukan. Penggunaan terapi non farmakologis dengan metode skin-to-skin disarankan untuk mengurangi nyeri pada anak pasca pembedahan PSARP.

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The Posterior Sagittal Anorectoplasty (PSARP) is one of the most frequent surgical procedures in child patients with anorectal malformations. Often pain is one of the clinical manifestations caused by surgical incisions. The problem of acute pain treatment in general occurs in children postoperative PSARP. One way to minimize the pain that is felt is to do non-pharmacological pain management. Administration of non-pharmacological management with skin-to-skin method can reduce the pain felt inbayis under 1 year.

The results of the intervention given to the primary management patients after the PSARP surgery with acute pain are able to lower the pain felt by FLACC scale 7/10 to 0/10. The provision of non-pharmacological therapy should be followed by pharmacological therapy to improve the effectiveness of the intervention. The use of non-pharmacological therapy with skin-to-skin methods is advised to reduce pain in children postoperative PSARP."

"Kelahiran merupakan suatu kondisi yang terjadi pada manusia setelah melalui proses hamil, perkembangan dan pertumbuhan janin di dalam kandungan ibu yang dapat menimbulkan perubahan secara signifikan baik pada ibu maupun pada bayi. Kelahoran yang dilakukan baik secara Sectio Caesarea (SC) ataupun normal. Kelahiran yang dilakukan secara SC dapat berpotensi menghambat proses bonding yang dilakukan oleh Ibu dan bayinya. Akan tetapi bonding tetap dapat dilakukan dengan ayah bayi. Salah satu intervensi yang dapat diberikan adalah Skin to Skin Contact Ayah-Bayi. Melalui karya ilmiah ini, telah dilaporkan hasil pelaksanaan asuhan keperawatan pada ayah ibu post partum. Metode yang digunakan adalah Case study pada suami denga ibu post partum yang melahirkan secara SC dengan status obstetrik G1P1A0 dengan usia kehamilan 41 minggu. Intervensi dilakukan selama dua hari berturut-turut pada tiga hari pertama post partum dan dievaluasi menggunakan Attachment between parents and newborn children pada Ayah dan pengukuran tanda-tanda vital pada bayi yang meliputi; suhu, saturasi dan nadi. Hasil Intervensi menunjukkan adanya peningktan skor kelekatan dari 66 menjadi 89, pada bayi hasil pengukuran tanda vital meningkat. Oleh karena itu, penulis merekomendasikan penerapan skin to skin contact ayah bayi untuk meningkatkan kelekatan antara orang tua dan bayi.

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Birth is a condition that occurs in humans after going through the process of pregnancy, development and growth of the fetus in the mother's womb which can cause significant changes in both the mother and the baby. Births are carried out either by Sectio Caesarea (SC) or normally. SC births can potentially hinder the bonding process carried out by the mother and her baby. However, bonding can still be done with the baby's father. One of the interventions that can be given is Father-Baby Skin to Skin Contact. Through this scientific work, it has been reported the results of implementing nursing care for post partum mothers and fathers. The method used was a case study of husbands and post partum mothers who gave birth via SC with G1P1A0 obstetrical status at 41 weeks' gestation. The intervention was carried out for two consecutive days on the first three days postpartum and was evaluated using Attachment between parents and newborn children for fathers and measurements of vital signs for babies which included; temperature, saturation and pulse. Intervention results showed an increase in the attachment score from 66 to 89, in infants the results of measuring vital signs increased. Therefore, the authors recommend applying skin to skin contact with the baby's father to increase the attachment between parents and babies."

"Gangguan integritas kulit merupakan masalah yang umum ditemukan pada lansia sebagai akibat dari proses penuaan yang menurunkan fungsi fisiologis. Salah satu masalah kulit yang banyak dialami lansia adalah xerosis atau kulit kering. Faktor risiko yang berpengaruh terjadinya xerosis pada lansia, di antaranya faktor usia, jenis kelamin perempuan, asupan cairan, dan faktor lingkungan seperti suhu, kelembapan, dan paparan sinar matahari. Lansia dengan keluhan xerosis perlu mendapatkan intervensi perawatan kulit untuk mengatasai kulit kering dan mencegah perburukan lebih lanjut. Skin cleansing dan emollient therapy adalah penerapan dari intervensi keperawatan perawatan kulit menggunakan agen topikal. Studi kasus ini bertujuan untuk menggambarkan penerapan intervensi skin cleansing dan emollient therapy dalam mengatasi masalah gangguan integritas kulit pada lansia dengan xerosis. Hasil analisis menunjukkan setelah dilakukan intervensi selama 10 hari terdapat penurunan skala Overall Dry Skin Score (ODSS) dari 3 (parah) menjadi 1 (ringan). Kesimpulannya, intervensi skin cleansing dan emollient therapy dapat menjadi salah satu perawatan dasar untuk gangguan integritas kulit terutama dalam mengatasi masalah xerosis pada lansia. Intervensi ini akan lebih optimal apabila diterapkan dengan konsisten setiap hari berturut-turut dengan didampingi asupan cairan yang adekuat, menghindari paparan sinar matahari, menggunakan tabir surya, dan modifikasi lingkungan.

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Impaired skin integrity is a common problem among the elderly caused by the aging process that leads to the declines of physiological functions. One of the common skin problems experienced by the elderly is xerosis or dry skin. The risk factors associated with xerosis in the elderly are age, female gender, fluid intake, and environmental factors, such as temperature, humidity, and sun damage. Elderly with xerosis symptoms need to get skin care interventions to overcome dry skin and prevent further worsening. Skin cleansing and emollient therapy are the implementation of nursing interventions for skin care using topical treatments. This case study aims to explain the implementation of skin cleansing and emollient therapy interventions to overcome the problem of impaired skin integrity among the elderly with xerosis. The result of the analysis shows that after the intervention for 10 days there was a decrease in the Overall Dry Skin Score (ODSS) from 3 (severe) to 1 (mild). In conclusion, the intervention of skin cleansing and emollient therapy can be one of the basic treatments for impaired skin integrity, especially in overcoming xerosis in the elderly. This intervention can be better optimized if implemented consistently for every consecutive day and done along with adequate fluid intake, avoiding sun exposure, using sunscreen, and environmental modification."

"This book focuses on the use and significance of in vivo reflectance confocal microscopy (RCM) for non-invasive high-resolution imaging of the skin. All of the chapters in this hands-on guide are generously illustrated with numerous confocal images and structured in a reader-friendly way. The contents include detailed information on the most relevant and up-to-date aspects of RCM, schematic drawings summarizing and explaining the most important RCM criteria, and a chapter specifically devoted to bridging the gap between dermoscopy, RCM, and histopathology. At the end of each chapter, core messages recapitulate the most pertinent aspects. Reflectance confocal microscopy for skin diseases will be a valuable resource for all physicians involved in the diagnosis and treatment of neoplastic and inflammatory skin diseases."

"ABSTRAKSkin to skin contact merupakan salah satu bagian yang penting selama prosespelaksanaan manajemen kala III. Hormon oksitosin maternal yang diproduksiselama proses skin to skin contact mempercepat pengeluaran plasenta,meningkatkan kontraksi uterus, memberikan rasa nyaman, dan mencegahperdarahan setelah persalinan. Penelitian ini bertujuan untuk mengetahui gambaranlamanya skin to skin contact dan waktu pengeluaran plasenta pada ibu partuspervaginam. Desain penelitian ini adalah deskriptif sederhana dengan jumlahsampel sebanyak 102 responden. Pengumpulan data menggunakan lembarobservasi dan kuesioner karakteristik responden. Analisa data menggunakan ujicross tabs. Hasil penelitian menunjukkan, skin to skin contact yang dilakukanselama kurang dari 30 menit, 66.7% waktu pengeluaran plasenta yang terjadi adalah5 menit. Hasil penelitian ini, turut dipengaruhi oleh pemberian oksitosin injeksi.Sehingga penelitian selanjutnya diharapkan untuk meneliti lamanya skin to skincontact pada ibu partus pervaginam yang tidak diberikan oksitosin injeksi.

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ABSTRACTSkin to skin contact is one important part during the implementation process of themanagement of the third stage. Maternal oxytocin hormone which is producedduring the process of skin to skin contact can accelerate the expulsion of theplacenta, increasing the strength of uterine contractions, giving a sense of comfort,and prevent bleeding after childbirth. This study aimed to describe the length ofskin to skin contact and the time of removal of placenta in vaginal birtth. The studydesign used in this study is a simple descriptive with a total sample of 102respondents. Collected data use observation sheets and questionnairescharacteristics of respondents. Analysis of data used cross-tabulations. The resultsshowed that the length of skin to skin contact for less than 30 minutes, 66.7% of thetime removal of placenta was 5 minutes. Time expulsion of the placenta were moredominated by oxytocin injection. So for the further research expected to examinethe duration of skin to skin contact on the vaginal partum was not given oxytocininjections, to determined the effectiveness of maternal oxytocin in time of removalplacenta."

"Keyakinan ibu menyusui dikaitkan secara positif dengan peningkatan durasi menyusui pada berbagai budaya dan kelompok usia. Penelitian ini bertujuan untuk mengetahui pengaruh kontak kulit ke kulit segera terhadap keyakinan ibu menyusui paska bedah sesar. Desain penelitian quasi eksperiment posttest only design with control groups yang melibatkan 52 ibu dengan consecutive sampling di kota Langsa-Aceh. Pengambilan data menggunakan instrumen Breastfeeding Self-Efficacy Scale-Short Form. Hasil uji statistik Indenpendent t test menunjukkan adanya perbedaan nilai rerata keyakinan ibu menyusui pada kelompok intervensi dan kelompok kontrol (59,00±6,54; 49,62±7,78 p=0,001). Kontak kulit ke kulit terbukti dapat mempengaruhi keyakinan ibu menyusui paska bedah sesar.

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Maternal breastfeeding self-efficacy is positively associated with increased duration of breastfeeding in different cultures and age groups. This study aims to determine the effect of skin-to-skin contact immediately after cesarean section on maternal breastfeeding self efficacy. The research design is Posttest quasiexperimental research design only with control groups involving 52 women with consecutive sampling in Langsa-Aceh. The data collected through breastfeeding Self-Efficacy Scale-Short Form. The results of Independent t test showed a significant difference in the mean values of maternal breastfeeding self efficacy in the intervention group and the control group (59.00 ± 6.54; 49.62 ± 7.78 p= 0.001). Skin to skin contact is proven to affect the maternal breastfeeding self efficacy after cesarean section significantly."

"The updated second edition of Cutaneous manifestations of infection in the immunocompromised host is an invaluable reference for physicians and ancillary medical professionals involved in the care of patients with impaired immune systems due to cancer, chemotherapy, systemic steroids and other immunosuppressive drugs, HIV/AIDS or organ transplantation. This volume will help you recognize skin lesions and diagnose their infectious cause. Textbook features include, over 350 color images demonstrating pathognomonic, atypical, rare and routine skin lesions. Tables for differential diagnosis of different skin lesions in the immunocompromised host. Complete coverage of infectious pathogens with the patterns of infection and the likely causes in different clinical settings (HIV/AIDS versus solid organ transplantation versus neutropenia post-chemotherapy versus bone marrow recovery post hematopoietic stem cell transplantation. New chapter discussing the role of viruses causing malignancies with cutaneous signs in the immunocompromised patient. "