Abstract：
Buruli ulcer (BU) is a skin infection caused by Mycobacterium ulcerans and a neglected tropical disease of the skin (skin NTD). Antibiotic treatments are available but, to be effective in the absence of surgery, BU must be detected at its earliest stages (an innocuous-looking lump under the skin) and adherence to prescribed drugs must be high. This study aimed to develop multisensory medical illustrations of BU to support communication with at-risk communities. We used a Think Aloud method to explore community health workers\' (n = 6) experiences of BU with a focus on the role of their five senses, since these non-medical disease experts are familiar with the day-to-day challenges presented by BU. Thematic analysis of the transcripts identified three key themes relating to \'Detection,\' \'Help Seeking,\' and \'Adherence\' with a transcending theme \'Senses as key facilitators of health care\'. New medical illustrations, for which we coin the phrase \"5D illustrations\" (signifying the contribution of the five senses) were then developed to reflect these themes. The senses therefore facilitated an enriched narrative enabling the production of relevant and useful visuals for health communication. The medical artist community could utilise sensory experiences to create dynamic medical illustrations for use in practice.
摘要：
布鲁里溃疡（BU）是由溃疡分枝杆菌引起的皮肤感染和被忽视的皮肤热带病（皮肤NTD）。抗生素治疗是可用的，但是，在没有手术的情况下有效，必须在其最早阶段检测到BU（皮肤下看起来无害的肿块），并且对处方药的依从性必须很高。这项研究旨在开发BU的多感官医学插图，以支持与风险社区的沟通。我们使用ThinkAloud方法来探索社区卫生工作者（n=6）对BU的经验，重点关注他们的五种感官的作用，因为这些非医学疾病专家熟悉BU提出的日常挑战。对成绩单的主题分析确定了与检测有关的三个关键主题，\'\'寻求帮助,\'和\'坚持\'具有超越主题\'作为医疗保健的主要促进者的感觉'。新的医学插图,为此，我们创造了短语“5D插图”（表示五种感官的贡献）来反映这些主题。因此，感官促进了丰富的叙事，从而为健康交流提供了相关和有用的视觉效果。医学艺术家社区可以利用感官体验来创建用于实践的动态医学插图。
