Questions/Answers

Skin disease (fungal) is a prevalent issue among individuals in southern Thailand. An average of 7,230 cases (28.31 percent) of the 25,537 patients at the hospital every year were fungus patients. On average, clinicians used the potassium hydroxide preparation (KOH) technique 2,989 times per year to treat dermatitis. Media for fungus cultivation (347 times per year). The use of Wood lamp (WL) (120 times per year) ran into a problem with the machine being damaged and unable to be repaired, necessitating the importation of the machine from another country, which harmed doctors and patients who had to rely on laboratory results for diagnosis and treatment planning. As a result, a countertop UV LED lamp with a wavelength of (365 nm), which is the same value that has the features of light purple light, was developed and produced. It is simple to use and handy. Presently manufactures Blacklight Blue (BLB) devices, which are purplish-blue glass tubes with dark blue glaze, in collaboration with the industrial department of the Industrial and Community Education College, Trang provice. There is no need to block off blue-white light waves or undesirable wavelengths with a wavelength of 365 nm. It's readily available and inexpensive. Using a 0.3 megapixel USB snake camera, it can be used with computers and mobile phones to take photographs and show the results via an application camera-Fi, as well as submit images to the OPD Card program and the hospital's online photo gallery. The WL, on the other hand, is a 365 nm UV light generator based on a glass filter made of barium silicate (Ba2O4Si) and 9% nickel oxide (NiO). The WL, on the other hand, is a 365 nm UV light generator based on a Ba2O4Si and 9 percent NiO glass filter. Other wavelengths of light are blocked, leaving just blue-white light, as seen in desk-type UV LED bulbs. According to the qualities of each material of the disease, such as golden yellow for tinea versicolor, erythrasma that glows orange-red, etc., the BLB machine has a fluorescence efficiency of lesions similar to or equivalent to that of WL.

For skin disease care, consistency with field 1 is essential. Tinea capitis, which is fluorescent green-yellow and tinea versicolor rash, which is white or brown with a golden yellow glow, and erythrasma disease are among the conditions to be examined for. Browning is caused by a superficial bacterial infection. This allows patients to receive test findings fast, correctly, and consistently, allowing for timely treatment. As a consequence, people can handle difficulties in a long-term manner.

The innovations are in accordance with Agenda 9's goal of sustainable development. In order to compare the efficacy of LED UV fluorescent lamps, WL machines, and KOH tests to fungal cultures in patients with tinea capitis, WL replacement materials were developed. The sensitivity was 99.40 %, 99.40 %, and 100 percent, respectively, the specificity was 88.89 %, 88.89 %, and 100 percent, and the accuracy was 98.86 %, 98.86 %, and 100 percent, respectively. The sensitivity, specificity, and accuracy of both methods for differentiating tinea capitis and erythrasma disease were shown to be 82.05 %, 97.62 %, and 90.12 percent, respectively. Then to see how effective the fluorescence is for two other diseases: acne vulgaris, which is caused by P. acnes and glows orange, and vitiligo, which glows blue. In the laboratory, a UVC lamp with a lifetime of 18,000 hours was added for sterilization. In addition, the technology is utilized in tam-bon health promoting hospital to screen for skin diseases.

Social: Promote innovative thoughts in the hospital's outpatient department, and Hat Samran Chaloem Phrakiat hospital aims to apply it in the sub-district health-promoting hospital to make it easier for people to get treatment and equitable access to skin disease screening, such as by seeing a specialist. Economic: Developed a prototype of the Blacklight Blue (BLB) machine and applied for a petty patent 1903002609, entitled "Fluorescent Lamp for tinea versicolor, tinea capitis, and erythrasma" to lower the expense of importing equipment from other countries. Environmental: Reduce medical waste by modifying or developing a reusable replacement device.

A new type of therapy will be the introduction of innovations in the diagnosis of skin diseases. To aid in the reduction of the problem of treatment access by allowing patients to promptly get diagnosis and treatment outcomes. Patients had to be treated in a primary care or tertiary care center previously. A sample of the specimen is taken by the doctor. Patients' culture and visits to hear the findings of a dermatologist's or a medical technologist's examination for screening, preliminary diagnosis only takes around 29 days, wasting time and equipment. Employed in the preliminary investigation. Using early disease screening technologies to change the treatment model Patients receive findings in as little as 5 minutes, minimizing the amount of time they have to wait. Purchase tools at a lower cost. When medical materials and reagents are linked to plans to distribute innovations to primary care hospital for community nurse practitioners, they will be able to diagnose early disease and treat patients in the area just as effectively as they would be treated in a primary care or tertiary care centre.

When the innovation was used to screen 256 cases of skin disease; 153 males and 103 females, 13 cases of golden yellow fluorescent tinea versicolor, yellowish-green fluorescent tinea capitis of pteridine in the area, 178 cases of M.canis infection, 3 erythrasma fluorescent orange-red, and 62 other skin diseases, the curing rates of tinea versicolor, tinea capitis, and erythrasma were 28.12, which represents a 100% recovery rates, where patients are treated equally by genders.

Patients with skin diseases in Thailand's 14 southern provinces are the target population. The breakthrough will have a good influence, as doctors will be able to identify the condition in less than 5 minutes, allowing patients to avoid waiting for the findings of the diagnostic and obtain treatment sooner, reducing disease concern. As a result of the treatment of 178 patients with tinea, it was discovered that when the patients came to the hospital for treatment, their quality of life improved. They will be treated right away if they receive the results of the diagnostic in a timely manner. Reduce the time it takes to receive the results of a study, and the disease will cure faster, as well as the expense of going to treat it. In terms of innovative development, the target group includes 14 southern provinces. The study team has filed for a minor patent and wants to transfer further discoveries to the sub-district health-promoting hospital, which will utilize the technology to screen patients with skin diseases in the region. There is no need for the patient to travel to a tertiary care treatment facility. This is the primary line of health service in the public health system, and it is the foundation for taking care of people's health.

Phase 1: Problems and circumstances are analyzed. Wood lamp has a 17-year lifetime, however it is broken and unable to be utilized. September 2017, I was looking for replacement lamps but they weren't on the market. It must be imported from another country. It takes 45 days to arrive and must be ordered in advance. There are at least 12 tubes, which is more than enough, so look into the qualities of different types of lamps to replace them. Phase 2: Developing cutting-edge fluorescent lamps for skin disease screening. First, a modified fluorescent light (UV LED 365) was developed; second, a Blacklight Blue machine was developed in collaboration with Industrial and Community Education College, Trang Province. Phase 3: Trial and Evaluations In tinea capitis patients, the effectiveness of UV LED lamp, WL, and KOH tests compared to fungal culture revealed sensitivity of 99.40 %, 99.40 %, and 100 percent, respectively, and specificity of 88.89 %, 88.89 %, and 100 percent, respectively. The sequence and accuracy of 98.86 %, 98.86 %, and 100 % respectively, and the results of a study comparing the WL and BLB for tinea capitis, tinea versicolor, and erythrasma. The sensitivity, specificity, and accuracy of both techniques were 82.05 %, 97.62 %, and 90.12%, respectively, according to the findings. Good level 82.43 % (61 people), very good level 13.51 % (10 people), and Fair level 4.10 % are the three levels (3 persons).

When the agency is unable to obtain replacement bulbs, it research the properties of lamps available on the market to replace the WL machine. As a result, fluorescent lamps (UV LED 365) for use in the examination room are generated, which are simple to use, convenient, but unable to transmit data and images through the hospital's information system. As a result, the prototype Blacklight Blue manufacturing was maintained, although there was still a budget and production model shortage. As a result, industrial department, industrial and community education college, Trang province are collaborating to create unique prototypes with a price tag of 5,000 baht. It may be used with computers and mobile phones to take images with a 0.3-megapixel snake camera and display the results using the CameraFi app.

The goal of this project is to create innovative Blacklight Blue prototypes to contribute in the early diagnosis of skin diseases. Because of the tropical monsoon environment in the southern area, it rains all year. One of the reasons of skin disease is one's physical appearance. The innovation must be in line with the illness in the area and assist patients in receiving the quickest and most effective treatment possible.

The concept that has been established continues to look for substitute materials for Wood lamp that must be purchased from outside, which is costly and takes a long time to get. The first source of inspiration came from the research team's desire to create a material that could be purchased readily. It is also helpful in identifying disorders comparable to WL, which helps to decrease the time patients wait for treatment. The WL is also pricey, at 20,000 baht a unit, but the prototype is just 5,000 baht, or four times less than the original.

The inclusion of a USB WIFI snake camera with a resolution of 2 million pixels to improve imaging and presentation of lesions using the Application CameraFi, as well as transferring photos to the OPD CARD program and the hospital's online skin clinic project. Using the Matlab software to compute lesion size and assess fluorescence effectiveness for two other disorders, acne vulgaris and vitiligo, the researchers want to create future advancements. A UVC lamp with an 18,000-hour lifetime was added for laboratory sterilization.

The exhibition was presented during the HA Nation Forum 2018 and knowledge was transmitted. The innovative BLB was ordered by physicians from Lerdsin Hospital because it can record the appearance of lesions. This is very useful in monitoring treatment and in the process of writing a research outline on a comparative study of the efficacy of Rhinacanthus species (Thong Panchang) shampoo versus selenium sulfite fungicide shampoo in treating tinea spp., as well as technology assessment (TA) for the manufacture of a fungal dermatoscopy to expand commercially with the Department of Medical Services as a consultant. Hat Samran Chaloem Phrakiat hospital, School of Allied Health Sciences, Walailak University led the research on "Innovative BLB in the diagnosis of tinea versicolor, tinea capitis, and erythrasma disease" as a form of media for teaching undergraduate students and graduate students, Faculty of Veterinary Medicine, Chiang Mai University would like to apply the knowledge of BLB to use in DNA testing.

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The hospital provided 230 baht in support for the purchase of Blacklight Blue and transparent plastic sheets, 1,670 baht for LED UV 365 nm lamps, and financial support from the industrial department. Trang province's Industrial and Community Education College produced a prototype BLB for 5,000 baht. Dermatologist, Medical Technologist, Medical Science Officer, Industrial Department Lecturer Industrial and Community Education College, Trang province, and professors from Walailak University's, School of Allied Health Sciences share knowledge in the invention of renewable materials, evaluate results, and encourage workers to create innovations for the benefit of patients with skin diseases.

Department of Medical Services, in collaboration with health network partners and educational institutions in the region, will create creative models and design a strategy to encourage a form of invention or modification from what is or exists in order to improve the operation. Join the Yothi Medical Innovation policy consulting clinic and a science park to develop prototype solutions for detecting skin disorders in hospitals, resulting in patients obtaining prompt, accurate, and timely treatment, thereby increasing their quality of life, and minimize the cost of medical equipment purchases, as well as transfer knowledge about how to use innovations to hospitals, in order to solve the problem of skin disorders national and commercial expansion enabling individuals to obtain care using medical breakthroughs produced in the country, have fair access, and save money if the technology used must be purchased from elsewhere; it may also earn cash for the government in high-value specialty medicine.

Yes

1. Internal evaluation of the instrument utilizing user satisfaction questionnaires and determining its use, which was conducted by doctors, medical technologists, and medical science officials from the Southern Regional Hospital of Tropical Dermatology in Trang Province. 2. External evaluation by academic application, which was evaluated by the department of research at Walailak University, school of Allied Health Sciences.

1st; Assessment of the satisfaction with questions in 3 parts; 1.1 General personal data such as age, sex, underlying, history of using antifungal drugs 1.2 Diagnosis of skin diseases, including diagnosis, area of the disease 1.3 Laboratory examination. Secondly, the Kappa Statistics of the BLB, LED UV lamp, and Wood lamp trials were used to determine inter-interval confidence, and 3rd; Conduct an analysis utilizing descriptive statistics such as percentages, sensitivity, and specificity, as well as calculating sensitivity and specificity. At a 95% confidence level, both techniques were examined.

As a result, dermatologists prefer fluorescence detection using a Wood lamp, a Blacklight blue machine, or UV LED lamps as a rapid and easy method. Performance, sensitivity, specificity, and accuracy are the highest. The fungus of the skin has an embarrassing effect on the patient's quality of life. Lack of confidence in socialization impacts on development work can reduce material procurement costs, and medical staff and treatment regimens have been changed. Previously, this necessitated the employment of dermatologists, skilled medical technologist, and consumable medical supplies. The diagnosis of disease has become a new approach thanks to the instruments, which eliminates the need for dermatologists and qualified medical technologist. In this case, the screening results may be obtained quickly, reducing expenditures, medical materials, and chemical reagents.

The award-winning work contributes to the exchange of design knowledge. The multidisciplinary team of the Southern regional hospital of tropical dermatology-Trang province satisfaction assessment and experiment to determine the sensitivity, specificity, and accuracy of the machine, and the industrial and community education college and Walailak University assess the use of academic utilization, and the multidisciplinary team of the Southern regional hospital of tropical dermatology-Trang province satisfaction assessment and experiment to determine the sensitivity, specificity, and accuracy of the machine. The service receivers in this sector are volunteers, which aligns with the hospital's mission. Key operational guidelines to drive the formation of a collaboration between the executives of the Southern regional hospital of tropical dermatology in Trang province and the industrial and community education college to formulate policies to promote innovation production, establish a mechanism for sharing knowledge, and establish a mechanism for involving the public sector in the production of innovative prototypes in order to meet the 2030 Sustainable Development Agenda's goals.

The hospital has a policy encouraging the creation of prototype inventions, as well as creating learning exchange systems and involving government agencies. To solve the problem of dermatology services in the south and create an organizational culture of working as a team by surveying the opinions of service recipients and volunteers found satisfaction, which is consistent with the agency's vision of "To be the academic leader and service in dermatology in the south". Because the screening outcomes are as accurate as equipment imported from overseas that cost up to four times as much, and the users, which include doctors and medical technologists, are happy with the tools' efficacy and efficiency. It is small, compact, and effective of calculating the surface area size of the lesion in order to observe the lesion before and after treatment in order to evaluate the treatment. As a result, an innovative development plan was created using the Matlab program to calculate lesion size and to transfer knowledge in reading results, interpreting results, and using tools for medical nurses to be able to correctly screen and diagnose preliminary diseases, and it was piloted in primary care hospitals with a one-year follow-up and evaluation.

The problems that were encountered led to the search for materials that could be substituted by studying the properties of BLB lamps to replace Ultraviolet light lamps that were originally used in Wood lamp and comparing them with the production of prototypes with the Industrial and Community Education College, Trang province as a joint integration between departments to benefit patients and jointly plan to lead to solutions that met their needs. However, no matter what field of employment a person is in, learning and analyzing issues can help them develop innovative problem-solving abilities that will assist patients obtain the most effective treatment. The goal of the innovation development strategy is to expand the possibilities of utilizing the Matlab software to compute lesion size and measure fluorescence efficiency for two more diseases, Acne vulgaris and vitiligo, with an aim to transfer knowledge of reading, interpretation, and instruments to medical practitioners to screen and accurate early diagnosis and pilot in primary care hospitals, has included a UVC lamp for sterilizing in the laboratory with a lifespan of 18,000 hours.