{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:42Z","timestamp":1783509282652,"version":"3.55.0"},"reference-count":15,"publisher":"MDPI AG","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Discolored toenails is a common complaint presented to podiatric physicians, dermatologists, and primary-care physicians. Although various local and systemic conditions influence changes in nails, nearly 50% is due to fungal infections. We surveyed the health professions student population to gain insight into how future medical professionals may approach this condition and to explore perceptions of onychomycosis, treatments, and effects on quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The primary outcome measure was a self-reported online Google Forms survey developed by the authors and sent to podiatric, allopathic, and osteopathic medical students and nursing students in Philadelphia, Pennsylvania.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 245 respondents, 92% agreed that toenail fungus is both a health and a cosmetic concern. Seventy-seven percent of respondents said \u201cyes\u201d when asked if they would seek treatment, and 67% would wait 1 month to 1 year to see a medical professional. When seeking treatment, 57% reported that they would see a primary-care physician initially, and 27% and 5% would seek care from a podiatric physician or dermatologist, respectively. A total of 91% would spend up to $300 annually for treatment, with only 4% willing to spend more than $500 per year. Respondents' greatest concern would be physical appearance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although agreement exists among the health professions students surveyed that toenail fungus presents both a cosmetic and a health concern, inconsistencies regarding time to treatment, treating professional, and effects on quality of life persist. It is not reasonable for all medical professionals to effectively recognize and treat nail disease, but it is paramount that patients are directed to medical professionals who can accurately exclude other conditions to alleviate social and financial burdens patients may face due to onychomycosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.7547\/18-071","type":"journal-article","created":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T18:11:02Z","timestamp":1605118262000},"source":"Crossref","is-referenced-by-count":0,"title":["Perceptions Surrounding Onychomycosis in the Health Professions Student Population: The Disease, Treatments, and Quality of Life"],"prefix":"10.3390","volume":"110","author":[{"given":"John","family":"Martucci","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey C.","family":"Vlahovic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"i8750-7315-110-5-Article_9-b01","series-title":"J Cutan Med Surg","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1177\/1203475417716362","article-title":"Onychomycosis in the 21st century: an update on diagnosis, epidemiology, and treatment","volume":"21","author":"Gupta","year":"2017","unstructured":"Gupta\n              AK\n            \n            \n              Versteeg\n              SG\n            \n            \n              Shear\n              NH:\n            \n          \n          Onychomycosis in the 21st century: an update on diagnosis, epidemiology, and treatment.\n\t\t\t\t\tJ Cutan Med Surg21: 525,\n\t\t\t\t\t2017.\n\t\t\t\t2863946210.1177\/1203475417716362http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000414906400006&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-110-5-Article_9-b02","series-title":"Onychomycosis: An Illustrated Guide to Diagnosis and Treatment,","author":"Tosti","year":"2017","unstructured":"Tosti\n              A\n            \n            \n              Vlahovic\n              TC\n            \n            \n              Arenas\n              R:\n            \n          \n          \n            Onychomycosis: An Illustrated Guide to Diagnosis and Treatment,\n          \n          edited by\n          \n            \n              Tosti,\n              A\n            \n            \n              Vlahovic,\n              TC\n            \n            \n              Arenas,\n              R\n            \n          \n          Springer International Publishing,\n\t\t\t\t\tCham, Switzerland,\n\t\t\t\t\t2017."},{"key":"i8750-7315-110-5-Article_9-b03","series-title":"PLoS Pathog","doi-asserted-by":"publisher","first-page":"e1004105","DOI":"10.1371\/journal.ppat.1004105","article-title":"Fungal nail infections (onychomycosis): a never-ending story?","volume":"10","author":"Ghannoum","year":"2014","unstructured":"Ghannoum\n              M\n            \n            \n              Isham\n              N:\n            \n          \n          Fungal nail infections (onychomycosis): a never-ending story?\n          PLoS Pathog\n          10\n          : \n          e1004105,\n\t\t\t\t\t2014.\n\t\t\t\t10.1371\/journal.ppat.100410524901242http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000338197400003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-110-5-Article_9-b04","series-title":"Int J Dermatol","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1111\/ijd.13690","article-title":"Examining the importance of laboratory and diagnostic testing when treating and diagnosing onychomycosis","volume":"57","author":"Ghannoum","year":"2018","unstructured":"Ghannoum\n              M\n            \n            \n              Mukherjee\n              P\n            \n            \n              Isham\n              N\n            \n            :\n\t\t\t\t\t\n          Examining the importance of laboratory and diagnostic testing when treating and diagnosing onychomycosis.\n\t\t\t\t\tInt J Dermatol57: 131,\n\t\t\t\t\t2018.\n\t\t\t\t2865376910.1111\/ijd.13690http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000427297500011&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-110-5-Article_9-b05","series-title":"JAPMA","first-page":"280","article-title":"Onychomycosis infections: do polymerase chain reaction and culture reports agree?","volume":"107","author":"Gupta","year":"2017","unstructured":"Gupta\n              AK\n            \n            \n              Nakrieko\n              K-A:\n            \n          \n          Onychomycosis infections: do polymerase chain reaction and culture reports agree?\n          JAPMA\n          107\n          : \n          280,\n\t\t\t\t\t2017."},{"key":"i8750-7315-110-5-Article_9-b06","series-title":"Dermatol Pract Concept","first-page":"39","article-title":"Dermoscopic patterns in patients with a clinical diagnosis of onychomycosis: results of a prospective study including data of potassium hydroxide (KOH) and culture examination","volume":"5","author":"Jesus-Silva","year":"2015","unstructured":"Jesus-Silva\n              MA\n            \n            \n              Fernandez-Martinez\n              R\n            \n            \n              Roldan-Marin\n              R\n            \n            :\n\t\t\t\t\t\n          Dermoscopic patterns in patients with a clinical diagnosis of onychomycosis: results of a prospective study including data of potassium hydroxide (KOH) and culture examination.\n\t\t\t\t\tDermatol Pract Concept5: 39,\n\t\t\t\t\t2015.\n\t\t\t\t26114050"},{"key":"i8750-7315-110-5-Article_9-b07","series-title":"JAPMA","first-page":"413","article-title":"Point-of-care diagnosis of onychomycosis by dermoscopy","volume":"107","author":"Bodman","year":"2017","unstructured":"Bodman\n              MA:\n            \n          \n          Point-of-care diagnosis of onychomycosis by dermoscopy.\n\t\t\t\t\tJAPMA107: 413,\n\t\t\t\t\t2017."},{"key":"i8750-7315-110-5-Article_9-b08","series-title":"J Cutan Med Surg","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1177\/1203475417733461","article-title":"Confirmatory testing prior to initiating onychomycosis therapy is cost-effective","volume":"22","author":"Gupta","year":"2018","unstructured":"Gupta\n              AK\n            \n            \n              Versteeg\n              SG\n            \n            \n              Shear\n              NH:\n            \n          \n          Confirmatory testing prior to initiating onychomycosis therapy is cost-effective.\n\t\t\t\t\tJ Cutan Med Surg22: 129,\n\t\t\t\t\t2018.\n\t\t\t\t10.1177\/1203475417733461http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000429867600002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f328954534"},{"key":"i8750-7315-110-5-Article_9-b09","series-title":"JAMA","first-page":"276","article-title":"Cost-effectiveness of confirmatory testing prior to treatment of onychomycosis","volume":"152","author":"Mikailov","year":"2016","unstructured":"Mikailov\n              A\n            \n            \n              Cohen\n              J\n            \n            \n              Joyce\n              C\n            \n            :\n\t\t\t\t\t\n          Cost-effectiveness of confirmatory testing prior to treatment of onychomycosis.\n\t\t\t\t\tJAMA152: 276,\n\t\t\t\t\t2016."},{"key":"i8750-7315-110-5-Article_9-b10","series-title":"Drug Saf","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1007\/s40264-017-0614-2","article-title":"Risk of psoriasis following terbinafine or itraconazole treatment for onychomycosis: a population-based case-control comparative study","volume":"41","author":"Chiu","year":"2018","unstructured":"Chiu\n              H-Y\n            \n            \n              Chang\n              W-L\n            \n            \n              Tsai\n              T-F\n            \n            :\n\t\t\t\t\t\n          Risk of psoriasis following terbinafine or itraconazole treatment for onychomycosis: a population-based case-control comparative study.\n\t\t\t\t\tDrug Saf41: 285,\n\t\t\t\t\t2018.\n\t\t\t\t2911025210.1007\/s40264-017-0614-2http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000426076900005&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-110-5-Article_9-b11","series-title":"Cochrane Database Syst Rev","first-page":"CD010031","article-title":"Oral antifungal medication for toenail onychomycosis","volume":"7","author":"Kreijkamp-Kaspers","year":"2017","unstructured":"Kreijkamp-Kaspers\n              S\n            \n            \n              Hawke\n              K\n            \n            \n              Guo\n              L\n            \n            :\n\t\t\t\t\t\n          Oral antifungal medication for toenail onychomycosis.\n\t\t\t\t\tCochrane Database Syst Rev7: CD010031,\n\t\t\t\t\t2017.\n\t\t\t\t28707751http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000406831100020&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-110-5-Article_9-b12","series-title":"J Am Acad Dermatol","doi-asserted-by":"publisher","first-page":"475","DOI":"10.1016\/j.jaad.2010.05.044","article-title":"Procedural dermatology training during dermatology residency: a survey of third-year dermatology residents","volume":"64","author":"Lee","year":"2011","unstructured":"Lee\n              EH\n            \n            \n              Nehal\n              KS\n            \n            \n              Dusza\n              SW\n            \n            :\n\t\t\t\t\t\n          Procedural dermatology training during dermatology residency: a survey of third-year dermatology residents.\n\t\t\t\t\tJ Am Acad Dermatol64: 475,\n\t\t\t\t\t2011.\n\t\t\t\t10.1016\/j.jaad.2010.05.044http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000287778000002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f320888668"},{"key":"i8750-7315-110-5-Article_9-b13","series-title":"Dermatol Clin","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1016\/j.det.2016.02.002","article-title":"Clinical and education gaps in diagnosis of nail disorders","volume":"34","author":"Hare","year":"2016","unstructured":"Hare\n              AQ\n            \n            \n              Rich\n              P:\n            \n          \n          Clinical and education gaps in diagnosis of nail disorders.\n\t\t\t\t\tDermatol Clin34: 269,\n\t\t\t\t\t2016.\n\t\t\t\t2736388310.1016\/j.det.2016.02.002"},{"key":"i8750-7315-110-5-Article_9-b14","series-title":"J Clin Nurs","doi-asserted-by":"publisher","first-page":"2916","DOI":"10.1111\/jocn.12922","article-title":"Nurses' knowledge of foot care in the context of home care: a cross-sectional correlational survey study","volume":"24","author":"Stolt","year":"2015","unstructured":"Stolt\n              M\n            \n            \n              Suhonen\n              R\n            \n            \n              Puukka\n              P\n            \n            :\n\t\t\t\t\t\n          Nurses' knowledge of foot care in the context of home care: a cross-sectional correlational survey study.\n\t\t\t\t\tJ Clin Nurs24: 2916,\n\t\t\t\t\t2015.\n\t\t\t\thttp:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000362908200023&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f310.1111\/jocn.1292226179162"},{"key":"i8750-7315-110-5-Article_9-b15","series-title":"Int J Dermatol","doi-asserted-by":"publisher","first-page":"1300","DOI":"10.1111\/ijd.12122","article-title":"Psychosocial impact of onychomycosis: a review","volume":"52","author":"Chacon","year":"2013","unstructured":"Chacon\n              A\n            \n            \n              Franca\n              K\n            \n            \n              Fernandez\n              A\n            \n            :\n\t\t\t\t\t\n          Psychosocial impact of onychomycosis: a review.\n\t\t\t\t\tInt J Dermatol52: 1300,\n\t\t\t\t\t2013.\n\t\t\t\t10.1111\/ijd.1212224164152"}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/110\/5\/i8750-7315-110-5-article_9.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/japma\/article-pdf\/doi\/10.7547\/18-071\/2644613\/i8750-7315-110-5-article_9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/110\/5\/i8750-7315-110-5-article_9.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/110\/5\/i8750-7315-110-5-article_9.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:18:00Z","timestamp":1783505880000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/110\/5\/18071"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":15,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.7547\/18-071","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}