Trends in authorship in the Journal of Cutaneous Pathology, 1981-2020.

BACKGROUND: The increase in authors per scientific article in many different medical and scientific disciplines has raised concerns over ethical authorship. Trends in authorship in dermatopathology are unknown. METHODS: Cross-sectional study of a random sample of 200 articles from the Journal of Cutaneous Pathology (1981-2020). RESULTS: The number of authors per article increased by an estimated 96% between 1981 and 2020 (2.7-5.3), while the relative citation ratio decreased by an estimated 56% during the same period (1.19-0.52). Higher author counts were not associated with higher relative citation ratios (p = 0.2349) or analytic study designs (p = 0.2987). Higher relative citation ratios were associated with analytic study designs (p = 0.0374). CONCLUSIONS: There has been significant growth in authorship credit at the journal without a corresponding increase in research impact or study rigor. Remedial measures to stem authorship inflation and promote more impactful studies may be necessary.

[Artificial intelligence for pathology-how, where, and why?] / Künstliche Intelligenz in der Pathologie ­ wie, wo und warum?

Artificial intelligence promises many innovations and simplifications in pathology, but also raises just as many questions and uncertainties. In this article, we provide a brief overview of the current status, the goals already achieved by existing algorithms, and the remaining challenges.

The digital revolution in pathology: Towards a smarter approach to research and treatment.

Artificial intelligence (AI) applications in oncology are at the forefront of transforming healthcare during the Fourth Industrial Revolution, driven by the digital data explosion. This review provides an accessible introduction to the field of AI, presenting a concise yet structured overview of the foundations of AI, including expert systems, classical machine learning, and deep learning, along with their contextual application in clinical research and healthcare. We delve into the current applications of AI in oncology, with a particular focus on diagnostic imaging and pathology. Numerous AI tools have already received regulatory approval, and more are under active development, bringing clear benefits but not without challenges. We discuss the importance of data security, the need for transparent and interpretable models, and the ethical considerations that must guide AI development in healthcare. By providing a perspective on the opportunities and challenges, this review aims to inform and guide researchers, clinicians, and policymakers in the adoption of AI in oncology.

[Introduction to renal pathology]. / Einführung in die Nierenpathologie.

In recent decades, nephropathology has developed worldwide as a subspeciality of pathology, which requires special methodological and technical equipment to process the material and specific clinical and pathological expertise to interpret the findings. These special requirements mean that nephropathology is not available at all pathology institutes, but is carried out on a large scale in a few highly specialised centres. The history of nephropathology, or in a narrower sense the specialised histopathological examination of kidney biopsies, began in 1958 with the first use or performance of a kidney biopsy [1]. It thus replaced the practice of urinalysis, which had been common since the Middle Ages, as a diagnostic tool for kidney diseases. Specialised techniques such as immunofluorescence or immunohistology but also electron microscopy are required to assess specific renal changes, for which the examination of renal biopsies is one of the few remaining routine applications today. In Germany and German-speaking countries, the discipline developed thanks to the work of outstanding people in the field of pathology who were primarily involved in this discipline and had the necessary technical and human resources in their laboratories to ensure that these biopsies could be analysed.

Transformación de una Unidad de Cuidados Paliativos Pediátricos en Unidad de Atención Domiciliaria a raíz de la pandemia COVID-19. ¿Llegó para quedarse? / The Paediatric Palliative Care Unit has been transformed into Home Care Unit during the COVID-19 pandemic. Is this transformation for the foreseeable future?

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Descripción de la concordancia clinicopatológica y satisfacción del paciente en la cirugía menor en un centro de atención primaria / Description of clinical pathological concordance and patient satisfaction in minor surgery in a Primary Care centre

OBJETIVO: Describir las características de la cirugía menor (CM) en un centro de atención primaria (AP) evaluando la concordancia anatomopatológica y clínica, así como la satisfacción del paciente. DISEÑO: Estudio descriptivo y retrospectivo. EMPLAZAMIENTO: Atención primaria, Centro de Salud (CS) urbano en Almería. PARTICIPANTES: La población fueron los usuarios pertenecientes al CS urbano derivados por sus médicos de familia o pediatras para realización de CM a la consulta durante el año 2013 que consintieron la intervención. Se obtuvo una muestra de 223 pacientes. MEDICIONES PRINCIPALES. Las variables analizadas fueron: sexo, edad, localización de las lesiones, tipo de intervención realizada, diagnóstico clínico, diagnóstico anatomopatológico, complicaciones y satisfacción del paciente. Los datos fueron extraídos de la historia clínica, de los informes de anatomía patológica y mediante encuesta de satisfacción realizada vía correo y telefónica a los pacientes. RESULTADOS: En nuestra población la mayoría fue del sexo masculino 53,8%, la edad media fue de 51,12 años con desviación típica de 19,02, la localización de las lesiones que más se intervinieron fue en la cabeza (35,4%). El procedimiento más utilizado fue la electrocirugía (62,8%), biopsiándose solo el 16,9% de las lesiones, de las cuales las más frecuentes fueron los fibromas (32,3%), obteniéndose una correlación clinicopatológica >80% con un índice Kappa de 0,783 (p < 0,001). El número de complicaciones fue bajo. La satisfacción del paciente fue alta. CONCLUSIONES: Aunque se han generalizado técnicas sencillas de CM, como la electrocoagulación, en AP la CM sigue siendo segura y satisfactoria para el usuario

AIM: To describe the minor surgery (MS) characteristics in a Primary Care (PC) centre, and to evaluate the clinical pathological concordance and patient satisfaction. DESIGN: Descriptive and retrospective study. SETTING: Primary Care, urban health care centre, Almería, Spain. PARTICIPANTS: The population were the patients belonging to urban Primary Health Care centre, referred by their family physicians or paediatricians for the performing of MS during year 2013, and who consented to the intervention. A sample of 223 patients was obtained. MAIN MEASUREMENTS: Variables analysed were: sex, age, locations of the lesions, type of intervention, clinical diagnosis, histopathology diagnosis, complications, and patient satisfaction. The data were extracted from the medical history, the histopathology reports, and by using a satisfaction questionnaire completed by post or telephone by the patients. RESULTS: The population consisted of 53.8% males, and had a mean age of 51.12 years (SD 19.02). The location of the most intervened lesions was in the head (35.4%). Electro-surgery was the most used procedure (62.8%), with only 16.9% of the lesions being biopsied, of which the most frequent was fibroids (32.3%). The clinical pathological concordance was > 80% and the Kappa index was 0.783 (P <.001). The complications presented were low. The patient's satisfaction was high. CONCLUSIONS: Although a simple MS technique like electro-surgery has become more extensive, MS in PC remains safe and satisfactory for the user

Pathological anatomy and self-portraiture

Why should an artist look to anatomical or pathological specimens as a reservoir of images with which to facilitate an articulation of his or her own artistic or personal identity? This is the starting point of a reflection on the disappearance of the artist and his/her transformation into a passive object. As a result, it is also a reflection on the blurring lines between subject and object. Based on the work of the artist Lisa Temple-Cox and the critical view and comments of the observer Harcourt, this paper is a first-hand attempt to understand the configuration of the self and the influence of artistic intervention in the generation and representation of anatomical knowledge, resulting in an exploration into the intertwined processes that create both historical subjects and historical objects (AU)

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Juan Rosai: la pasión por el diagnóstico y nuestro encuentro en España / Juan Rosai: the passion for diagnosis and our meeting in Spain

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Anatomical pathology (human structural biopathology) in the era of "Big Data", digitalization, 5G and artificial intelligence: Evolution or Revolution? / Anatomía patológica (biopatología estructural humana)

A proposal of an updated system of the Organization of Scientific Biomedical Kowledge is presented, integrating the historical achievements in pathology from the 15th to the 21st century. Scientific understanding of disease (Human Biopathology) is actually acquired at consecutive levels: 1) Etiopathogenic, 2) Structural, 3) Physiopathological, and 4) Clinical. A complete spectrum of etiological factors is presented. A new organization of the structural basis of disease processes (Human Structural Biopathology) is presented. Two unique polar types of cellular pathology are proposed: cellular injury and cellular change. Translation of these two types of cellular pathology into the integrative structural cytotissular levels, gives rise to only ten basic structural processes, that can be organized in three main cytotissular (CT) structural complexes: 1) CT maldevelopment that includes: congenital malformation(1), tumoral maldevelopment (2), hereditary non malformative congenital organopathy (3). 2) Complex of CT injury or non-hereditary organopathies (4), associating: CT necrosis-inflammatory reaction- repair. 3. complex of CT change: atrophy (5), hypertrophy (6), hyperplasia (7), metaplasia (8), dysplasia (9) and neoplasia (10). This system provides a precise basis for the organization of Human Biopathology, which could be applied to: 1) the development of a Universal Medical Curriculum, 2) Departamental Organization of a Faculty of Medicine, 3) the development of a New Global System for Disease Control. As we enter the era of Big Data, 5G, digitalization and artificial intelligence, a rational, scientific and efficient organization of biomedical information will be crucial in determining the success or failure of its applications to the health system

Propuesta actualizada de un sistema de Organización del Conocimiento Científico Biomédico. Integra los avances históricos de la Anatomía patológica desde los siglos xv a XXI. El conocimiento científico de los procesos de enfermedad (Biopatología Humana), se adquiere por 4 niveles secuenciales: 1) Etiopatogénico, 2) Estructural, 3) Fisiopatológico y 4) Clínico. Se completa el espectro de los factores etiológicos. Se desarrolla una nueva organización de las «bases estructurales existentes en los procesos de enfermedad». Se definen 2 únicos tipos polares de patología celular: Lesión y Cambio celular. El traslado de la patología celular al «nivel de integración estructural citotisular» da origen a solo 10 «procesos estructurales básicos», organizados en 3 principales «complejos de biopatología estructural citotisular» (CT): 1) Complejo del Maldesarrollo CT: Malformación Congénita (1), Maldesarrollo Tumoral (2), Organopatía Congénita No Malformativa Hereditaria (3). 2) Complejo de Lesión CT. Organopatía No hereditaria. Asociación secuencial a: Necrosis CT - Reacción Inflamatoria - Reparación CT.3) Complejo del Cambio CT: Atrofia (5), Hipertrofia (6), Hiperplasia (7), Metaplasia (8), Displasia (9), Neoplasia (10). Este sistema aporta las bases precisas para la organización de la Biopatología Humana. El desarrollo completo del sistema propuesto podría aplicarse a: 1. desarrollo de un Currículum Médico Universal, 2.Organización Departamental de las Facultades de Medicina, 3. desarrollo de un Nuevo Sistema Global de Control de los Procesos de Enfermedad. Entrando en la «era del big data, G5, digitalización e inteligencia artificial», una organización científica, racional y eficiente del conocimiento biomédico determinará el éxito o el fracaso de su aplicación a los Sistemas de Salud

Imagem do corpo e bulimia / Body image and bulimia

Analisa-se o conceito de imagem do corpo e sua alteração na bulimia sustentado no aporte psicanalítico. A partir do estudo da constituição da imagem do corpo e sua perturbação na bulimia, identificou-se uma importante articulação entre ambas, que se dá em pontos fundamentais do psiquismo, destacando-se o narcisismo, as relações objetais e a identificação. Assim, os fatores que participam da construção da imagem do corpo e estão comprometidos quando há uma patologia da mesma coincidem com os que estão implicados na bulimia. Portanto, esses fatores psíquicos podem ser pensados como perspectivas relevantes na clínica da bulimia(AU)

Body image and bulimia. This article analyzes the concept of body image and its change in bulimia and it is supported by the psychoanalytical approach. From the study of the constitution of body image and its disturbance on bulimia, an important articulation was identified between both, and it takes place in fundamental aspects of the psyche, with emphasis on narcissism, object relations and identification. Thus, those factors that are part of the construction of the body image and that are compromised when there is some kind of pathology, coincide with the factors implied in bulimia. Therefore, these psychic factors can be thought of as relevant perspectives in the clinic of bulimia(AU)

Imagem do corpo e bulimia / Body image and bulimia

Analisa-se o conceito de imagem do corpo e sua alteração na bulimia sustentado no aporte psicanalítico. A partir do estudo da constituição da imagem do corpo e sua perturbação na bulimia, identificou-se uma importante articulação entre ambas, que se dá em pontos fundamentais do psiquismo, destacando-se o narcisismo, as relações objetais e a identificação. Assim, os fatores que participam da construção da imagem do corpo e estão comprometidos quando há uma patologia da mesma coincidem com os que estão implicados na bulimia. Portanto, esses fatores psíquicos podem ser pensados como perspectivas relevantes na clínica da bulimia.

Body image and bulimia. This article analyzes the concept of body image and its change in bulimia and it is supported by the psychoanalytical approach. From the study of the constitution of body image and its disturbance on bulimia, an important articulation was identified between both, and it takes place in fundamental aspects of the psyche, with emphasis on narcissism, object relations and identification. Thus, those factors that are part of the construction of the body image and that are compromised when there is some kind of pathology, coincide with the factors implied in bulimia. Therefore, these psychic factors can be thought of as relevant perspectives in the clinic of bulimia.

Radiología y patología: de viejas amigas a aliadas estratégicas / Radiology and pathology: from old friends to strategic partners

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Inteligencia artificial en Anatomía Patológica / Artificial intelligence in Pathological Anatomy

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La medicina del cáncer: ¿están los remedios en nuestro propio jardín? / The medicine of cancer: can the solutions be found in our own back yard?

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Citología: seguimos adelante / Cytology: we’re moving on

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