Transcription of 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 .. 1-7 Exams and Interviews in the Mobile Examination Center (MEC).
2 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 .. 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 3-9 Image Retake and Exam 3-10 4 EQUIPMENT .. 4-1 DERMATOLOGY Equipment and Supplies .. 4-1 Equipment Set-Up and Operating PROCEDURES .. 4-3 iii (Revised January 2004) TABLE OF CONTENTS (continued) Chapter Page General Items.
4 4-3 Consumables .. 4-5 Light-Related 4-6 Camera-Related Items .. 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.
5 4-25 DERMATOLOGY Equipment Pack-Up PROCEDURES .. 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.
6 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 .. 1-11 1-2 MEC exams and rooms.
7 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 .. 4-10 v (Revised January 2004) TABLE OF CONTENTS (continued) List of Exhibits (continued) Exhibit Page 4-6 Nikon DCS 760 digital camera.
8 4-11 4-7 Camera AC power cable .. 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.
9 6-5 1-vi (Revised January 2004) 1. OVERVIEW OF THE NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY This chapter provides a general description of the health examination surveys conducted by the National Center for Health Statistics (NCHS) and the current National Health and Nutrition Examination Survey (NHANES).
10 It also provides an overview of the tasks that staff perform during the survey. History of the National Health and Nutrition Examination Programs This NHANES is the eighth in a series of national examination studies conducted in the United States since 1960. The National Health Survey Act, passed in 1956, gave the legislative authorization for a continuing survey to provide current statistical data on the amount, distribution, and effects of illness and disability in the United States. In order to fulfill the purposes of this act, it was recognized that data collection would involve at least three sources: (1) the people themselves by direct interview; (2) clinical tests, measurements, and physical examinations on sample persons; and (3) places where persons received medical care such as hospitals, clinics, and doctors offices.
