DERMATOLOGY PROCEDURES MANUAL

1 National Health and Nutrition Examination Survey DERMATOLOGY PROCEDURES MANUAL (Revised January 2004) 2 TABLE OF CONTENTS Chapter Page 1 OVERVIEW OF THE NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY .. 1-1 History of the National Health and Nutrition Examination Programs .. 1-1 Overview of the Current NHANES .. 1-3 Data 1-4 Sample 1-6 Field Organization for NHANES.

2 1-7 Exams and Interviews in the Mobile Examination Center (MEC) .. 1-10 Exam 1-10 Exam Team 1-12 Examination Components .. 1-13 Sample Person Remuneration .. 1-17 Report of Exam Findings .. 1-17 Dry Run Day .. 1-19 Integrated Survey Information System (ISIS) .. 1-19 Confidentiality and professional 1-19 2 DERMATOLOGY OVERVIEW .. 2-1 Overview of DERMATOLOGY Exam Component.

3 2-1 General Overview of Skin .. 2-2 General Overview of NHANES DERMATOLOGY Examination .. 2-4 3 DERMATOLOGY 3-1 3-1 Pre-examination 3-1 Examination 3-2 Instruction for Image Capture and Quality Review .. 3-9 Image Retake and Exam 3-10 4 EQUIPMENT .. 4-1 DERMATOLOGY Equipment and Supplies .. 4-1 Equipment Set-Up and Operating PROCEDURES .

4 4-3 iii (Revised January 2004) TABLE OF CONTENTS (continued) Chapter Page General Items .. 4-3 Consumables .. 4-5 Light-Related 4-6 Camera-Related Items.

5 4-10 Securing the 4-19 Camera Settings for Photography .. 4-20 Using the 4-22 Image Transfer from Camera to Computer .. 4-24 Equipment Maintenance .. 4-24 Camera .. 4-24 IR Transmitter .. 4-25 Laser Pointer .. 4-25 Camera Stand .. 4-25 Malfunctions and Troubleshooting .. 4-25 DERMATOLOGY Equipment Pack-Up PROCEDURES .

6 4-28 5 ISIS DATA ENTRY .. 5-1 General Screen 5-1 Vision Status/Jewelry Removal Screen .. 5-2 Capture Images Screen .. 5-4 DERMATOLOGY Exam Status Screen .. 5-7 6 QUALITY CONTROL .. 6-1 Quality Control Checklist .. 6-1 6-2 Light Heads .. 6-2 Quality Control 6-3 Review of Images During the 6-9 Review of Images During Analysis.

7 6-9 Observation .. 6-10 Review of Exam 6-10 iv TABLE OF CONTENTS (continued) List of Appendixes Appendix A Summary of DERMATOLOGY Equipment Set-up PROCEDURES .. A-1 List of Figures Figure 2-1 The 2-3 List of Exhibits Exhibit 1-1 Floor plan of the MEC.

8 1-11 1-2 MEC exams and rooms .. 1-11 1-3 Examination 1-14 3-1 Image 1: BACK WITH ELBOWS .. 3-3 3-2 Image 2: INNER ARM .. 3-5 3-3 Image 3: FRONT OF LEGS WITH HANDS .. 3-6 3-4 Image 4: BACK OF LEGS WITH PALMS .. 3-8 4-1 DERMATOLOGY /Anthropometry room .. 4-1 4-2 Light head .. 4-7 4-3 Positioning the light head .. 4-8 4-4 Light 4-8 4-5 Light power pack.

9 4-10 v (Revised January 2004) TABLE OF CONTENTS (continued) List of Exhibits (continued) Exhibit Page 4-6 Nikon DCS 760 digital camera .. 4-11 4-7 Camera AC power cable.

10 4-12 4-8 Firewire cable .. 4-13 4-9 Remote shutter release 4-14 4-10 Connecting the IR cable to the camera .. 4-15 4-11 IR transmitter .. 4-16 4-12 LCD 4-17 4-13 Securing the cables .. 4-19 4-14 Camera menu panel .. 4-21 6-1 Background Screen QC 6-4 6-2 Color Card QC Image.