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Self Skin Exam

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41. Skin Examination Behavior: The Role of Melanoma History, Skin Type, Psychosocial Factors, and Region of Residence in Determining Clinical and Self-conducted Skin Examination. Full Text available with Trip Pro

Skin Examination Behavior: The Role of Melanoma History, Skin Type, Psychosocial Factors, and Region of Residence in Determining Clinical and Self-conducted Skin Examination. To examine the frequency and correlates of skin examination behaviors in an international sample of individuals at varying risk of developing melanoma.A cross-sectional, web-based survey.Data were collected from the general population over a 20-month period on behalf of the Melanoma Genetics Consortium (GenoMEL).A total (...) of 8178 adults from Northern (32%), Central (33%), and Southern (14%) Europe, Australia (13%), and the United States (8%).Self-reported frequency of skin self-examination (SSE) and clinical skin examination (CSE).After adjustment for age and sex, frequency of skin examination was higher in both Australia (odds ratio [OR]SSE=1.80 [99% CI, 1.49-2.18]; ORCSE=2.68 [99% CI, 2.23-3.23]) and the United States (ORSSE=2.28 [99% CI, 1.76-2.94]; ORCSE=3.39 [99% CI, 2.60-4.18]) than in the 3 European regions

2012 Archives of Dermatology

42. Enhanced fidelity of an educational intervention on skin self-examination through surveillance and standardization Full Text available with Trip Pro

Enhanced fidelity of an educational intervention on skin self-examination through surveillance and standardization Melanoma can metastasize but is often successfully treated when discovered in an early stage. Melanoma patients and their skin check partners can learn skin self-examination (SSE) skills and these skills can be improved by practice. The purpose of this study is to determine the degree of fidelity with which educational in-person SSE intervention can be delivered by trained research (...) coordinators to patients at risk of developing another melanoma and their skin check partners.The in-person intervention was performed in two iterations. In phase 1 (2006-2008), the research coordinators were trained to perform the intervention using a written script. In phase 2 (2011-2013), the research coordinators were trained to perform the intervention with a PowerPoint aid. Each research coordinator was individually counseled by one of the authors (KM) to insure standardization and enhance fidelity

2014 Journal of nursing education and practice

43. Skin self-examination education for early detection of melanoma: a randomized controlled trial of internet, workbook, and in-person interventions. Full Text available with Trip Pro

Skin self-examination education for early detection of melanoma: a randomized controlled trial of internet, workbook, and in-person interventions. Early detection of melanoma improves survival. Since many melanoma patients and their spouses seek the care of a physician after discovering their melanoma, an ongoing study will determine the efficacy of teaching at-risk melanoma patients and their skin check partner how to conduct skin self-examinations (SSEs). Internet-based health behavior (...) using one of the following three methods: (1) in-person through a facilitator, (2) with a paper workbook, or (3) with a tablet device used in the clinical office. Differences related to method of delivery were elucidated by having the melanoma patient and their skin check partner provide a self-report of their confidence in performing SSE and take a knowledge-based test immediately after receiving the intervention.The three interventions used 9 of the 26 behavioral change techniques defined

2014 Journal of medical Internet research Controlled trial quality: uncertain

44. Comparison of Two Strategies for Counseling Skin Examination and Sun Protection in First-degree Relatives of Patients With Melanoma

topics: related topics: resources: Arms and Interventions Go to Arm Intervention/treatment Control Education and counseling as commonly delivered to the patients in clinical practice. Brief oral counseling to the patient focusing on sun protection, self-skin examination, medical skin examination, increased risk of melanoma for their first-degree relatives, who should be informed orally by the patients to protect themselves from UV radiation, perform self-skin examination and ask their GP (...) or dermatologist to perform annual skin examination Behavioral: In-person counseling In-person counseling Sun protection Behavioral: Medical skin screening Medical skin screening Experimental: Intervention group Education and counseling as commonly delivered to the patients in clinical practice and written advice for their first-degree relatives. In addition to oral counseling to the patient, written advice will be provided to patients for their relatives focusing on sun protection, self-skin examination

2016 Clinical Trials

45. A Novel, Disease-Specific Self-Report Instrument to Measure Body Image Concerns in Patients With Head and Neck Skin Cancer. (Abstract)

A Novel, Disease-Specific Self-Report Instrument to Measure Body Image Concerns in Patients With Head and Neck Skin Cancer. Skin cancer commonly occurs on areas that are salient to body image perception (i.e., head and neck). Patients with head and neck skin cancer (HNSC) may experience negative body image perceptions related to their disease, which is concerning, given the numerous negative sequelae of poor body image. However, there are no existing disease-specific measures of body image (...) concerns in HNSC.To develop and examine the psychometric properties of a brief self-report, disease-specific measure of body image concerns in patients with HNSC-the Body Image Questionnaire (BIQ).Patients with HNSC completed the BIQ before (n = 239) and 6 months after (n = 80) treatment with Mohs micrographic surgery. Analyses examined the internal consistency, convergent validity, and factor structure of the BIQ.Internal consistency reliability was acceptable, and the measure demonstrated convergent

2017 Dermatologic Surgery

46. Self-identified race, socially assigned skin tone, and adult physiological dysregulation: Assessing multiple dimensions of “race” in health disparities research Full Text available with Trip Pro

Self-identified race, socially assigned skin tone, and adult physiological dysregulation: Assessing multiple dimensions of “race” in health disparities research Despite a general acceptance of "race" as a social, rather than biological construct in the social sciences, racial health disparities research has given less consideration to the dimensions of race that may be most important for shaping persistent disparities in adult physical health status. In this study, we incorporate the social (...) constructionist view that race is multidimensional to evaluate the health significance of two measures of race, racial self-identification and the socially perceived skin tone of black Americans, in a sample of black and white adults in the Nashville Stress and Health Study (N=1186). First, we use the approach most common in disparities research-comparing group differences in an outcome-to consider self-identified racial differences in allostatic load (AL), a cumulative biological indicator of physical

2016 SSM - population health

47. Interactive Tailored Website to Promote Sun Protection and Skin Self-Check Behaviors in Patients With Stage 0-III Melanoma

: Questionnaire Administration Other: Survey Administration Not Applicable Detailed Description: PRIMARY OBJECTIVES: I. To evaluate the impact of the interactive tailored website (ITW) versus usual care on skin self-examination (SSE) and sun protection behaviors among individuals diagnosed with melanoma. SECONDARY OBJECTIVES: I. To examine mediators of the impact of the intervention. The effects of the intervention on SSE and sun protection behaviors will be mediated by melanoma knowledge, self-efficacy (...) care and are then offered ITW. All patients in Phase II complete surveys over 20-40 minutes at 8, 24, and 48 weeks. Other: Questionnaire Administration Ancillary studies Other: Survey Administration Ancillary studies Outcome Measures Go to Primary Outcome Measures : Performance of thorough skin-self-examination (SSE) in the past 2 months [ Time Frame: At 24 weeks ] defined as thoroughly examining each area of the body during the most recent skin self-check in the past 2 months Sun Protection

2017 Clinical Trials

48. Assessment of thyroid cancer risk associated with radiation dose from personal diagnostic examinations in a cohort study of US radiologic technologists, followed 1983-2014. Full Text available with Trip Pro

survey completed during 1983-1989 to the earliest date of self-reported diagnosis of thyroid cancer or of any other cancer than non-melanoma skin cancer (NMSC) in any of three subsequent questionnaires up to the last in 2012-2014.US nationwide, occupational cohort.US radiologic technologists with exclusion of: those who reported a previous cancer apart from NMSC on the first questionnaire; those who reported a cancer with an unknown date of diagnosis on any of the questionnaires; and those who did (...) Assessment of thyroid cancer risk associated with radiation dose from personal diagnostic examinations in a cohort study of US radiologic technologists, followed 1983-2014. To assess whether personal medical diagnostic procedures over life, but particularly those associated with exposure in adulthood, were associated with increased thyroid cancer risk.Participants from the US Radiologic Technologists Study, a large, prospective cohort, were followed from the date of first mailed questionnaire

2018 BMJ open

49. Gait Examination in Patients With Hemophilia in Austria

used is a 10 camera T40S Vicon system with two floor-mounted AMTI OR6/7-2000 force plates. For assessing gait the Plug-in-Gait Lower Body Model with 14 mm retroreflective skin-mounted markers is implemented in the capturing software Vicon Nexus 2.2. The specific parameters will be extracted from the reporting software Vicon Polygon 4.2. Markers will be placed by one experienced examiner. Subjects will be instructed to walk barefoot on a 10 meters walkway at self-paced walking speed until five right (...) patients with hemophilia (16-45y) not applicable (no intervention administered) Diagnostic Test: 3-d gait examination (level walking) Instrumented 3d-gait-analysis will be carried out in the movement lab of the FH (Fachhochschule; University of Applied Sciences) Campus Wien - University of Applied Sciences. The system used is a 10 camera T40S Vicon system with two floor-mounted AMTI OR6/7-2000 force plates. For assessing gait the Plug-in-Gait Lower Body Model with 14 mm retroreflective skin-mounted

2018 Clinical Trials

50. Skin involvement in systemic sclerosis: rituximab

disease activity and severity indices to help assess scleroderma in clinical practice and in clinical trials. The EScSG disease activity index is a 10-item index with a maximum score of 10, indicating greater disease activity. There are 3 indices: 1 for systemic sclerosis as a whole, 1 for diffuse systemic sclerosis and for limited systemic sclerosis. Items include skin scores, scleroderma, digital necrosis and arthritis on examination; patient-reported deterioration in various symptoms; and several (...) Disability Index x The Health Assessment Questionnaire Disability Index (HAQ-DI) is a validated, self-reported questionnaire with 8 categories (dressing and grooming, arising, eating, walking, hygiene, reach, grip, and activity). Each category includes 2 or 3 questions, which are scored from 0 (without difficulty) to 3 (unable to do). Points may also be added if help and aids or devices are required for Skin involvement in systemic sclerosis: rituximab (ES7) © NICE 2018. All rights reserved. Subject

2017 National Institute for Health and Clinical Excellence - Advice

51. Concerns regarding results of a randomized controlled trial to promote skin self-examination and sun protection behaviors. (Abstract)

Concerns regarding results of a randomized controlled trial to promote skin self-examination and sun protection behaviors. 23864093 2013 10 21 2016 12 23 2168-6084 149 7 2013 Jul JAMA dermatology JAMA Dermatol Concerns regarding results of a randomized controlled trial to promote skin self-examination and sun protection behaviors. 883-4 10.1001/jamadermatol.2013.718 Coups Elliot J EJ Stapleton Jerod L JL Ohman-Strickland Pamela A PA eng P30 CA072720 CA NCI NIH HHS United States Comment Letter

2013 JAMA dermatology Controlled trial quality: uncertain

52. Barriers and facilitators of adherence to medical advice on skin self-examination during melanoma follow-up care. Full Text available with Trip Pro

study examines key psychosocial variables related to the acquisition and to the long-term maintenance of skin self-examination in 200 patients with melanoma. Practice of self-exam behaviors is assessed at 3 and 12 months after receiving an educational intervention designed based on best-practice standards. Examined predictors of skin self-exam behaviors include biological sex, perceived self-exam efficacy, distress, partner and physician support, and coping strategies. Qualitative analyses of semi (...) Barriers and facilitators of adherence to medical advice on skin self-examination during melanoma follow-up care. Melanoma is the fastest growing tumor of the skin, which disproportionately affects younger and middle-aged adults. As melanomas are visible, recognizable, and highly curable while in early stages, early diagnosis is one of the most effective measures to decrease melanoma-related mortality. Skin self-examination results in earlier detection and removal of the melanoma. Due

2013 BMC Dermatology

53. Influence of Quality of Relationship Between Patient With Melanoma and Partner on Partner-Assisted Skin Examination Education: A Randomized Clinical Trial. Full Text available with Trip Pro

Influence of Quality of Relationship Between Patient With Melanoma and Partner on Partner-Assisted Skin Examination Education: A Randomized Clinical Trial. Melanoma has a high survival rate if it is detected early. Training patients with early-stage melanoma who are at risk of developing new melanomas to perform skin self-examination (SSE) may improve survival.To examine for whom the intervention works best in a sample composed of dyads of patients with melanoma and skin-check partners who (...) received an SSE intervention vs customary care.For 494 patients with stage 0 to IIB melanoma (mean age, 55 years; 253 [51.2%] females) and their skin-check partners (mean age, 55 years; 280 [56.7%] females), a randomized clinical trial was conducted in ambulatory care dermatologic offices from June 6, 2011, to April 14, 2014. Follow-up assessments were performed at 12 months. Analysis was performed between March 23 and June 25, 2015.Dyads of 494 patients and their partners were randomly assigned

2015 JAMA dermatology Controlled trial quality: uncertain

54. Comparison of Efficacy of Differing Partner-Assisted Skin Examination Interventions for Melanoma Patients: A Randomized Clinical Trial. Full Text available with Trip Pro

Comparison of Efficacy of Differing Partner-Assisted Skin Examination Interventions for Melanoma Patients: A Randomized Clinical Trial. Early detection of melanoma may improve survival. The present study continued research establishing that in-person training on skin self-examinations (SSEs) was significantly enhanced when delivered to patients with their partners present instead of to patients alone.To examine 3 alternative SSE training approaches that included partners compared (...) with a treatment-as-usual control condition.A randomized clinical trial with 4- and 12-month follow-up visits was conducted at the clinical offices in the ambulatory care area of a hospital. The evaluable population included 494 patients with stage 0 to IIB melanoma and their skin check partners drawn from an electronic medical record melanoma registry and advertisements in large regional newspapers. The study was conducted from June 6, 2011, to April 14, 2014, and analysis was performed between December 4

2015 JAMA dermatology Controlled trial quality: uncertain

55. Sun Protection and Skin Examination Practices in a Setting of High Ambient Solar Radiation: A Population-Based Cohort Study. Full Text available with Trip Pro

through 69 years from Queensland, Australia, recruited in 2011. We obtained data on all melanoma diagnoses through 2009 via record linkage with the Queensland Cancer Registry (notifications have been mandatory since 1982).We calculated prevalence proportion ratios to compare prevalence of sun protection and skin examination practices in 3 separate groups: those with a history of melanoma (group 1), those with a self-reported history of treated actinic lesions (group 2), and those without either (group (...) -body skin examination by a physician in the past 3 years (93.7%, 83.4%, and 52.1%, respectively). Within all 3 groups, the strongest association with sun protection practices was with sun-sensitive skin type. Within group 3 (no history of treated skin lesions), the strongest factor associated with clinical skin examinations was self-reported nevus density at 21 years of age, whereas a family history of melanoma was a significant factor in groups 2 and 3.In this large sample exposed to high levels

2015 JAMA dermatology (Chicago, Ill.)

56. Prevalence and predictors of recent skin examination in a population-based twin cohort. Full Text available with Trip Pro

Prevalence and predictors of recent skin examination in a population-based twin cohort. The incidence of melanoma is increasing worldwide. Guidelines for clinical skin exam for improving early diagnosis of melanoma remain inconsistent, and current data on factors associated with regular skin screening on a population basis are limited.We used self-reported data from 50,044 members of the California Twin Program, a population-based cohort of twins born in California between 1908 and 1982 (...) , to identify prevalence and determinants of recent clinical screening for skin cancer.Prevalence of skin examination was higher than national estimates, with 32% of respondents of all ages reporting ever having skin examination. Sociodemographic and constitutional risk factors including white race, educational attainment, marital status, and number of large moles were strongly associated with recent screening, as were individual and family history of skin cancer. Lower socioeconomic status, racial/ethnic

2015 Cancer Epidemiology & Biomarkers and Prevention

57. Respiratory tract infections (self-limiting) – reducing antibiotic prescribing

with a history suggestive of the following conditions should be offered a clinical assessment: • acute otitis media • acute sore throat/acute pharyngitis/acute tonsillitis • common cold acute rhinosinusitis acute cough/acute bronchitis. The clinical assessment should include a history (presenting symptoms, use of over-the-counter or self medication, previous medical history, relevant risk factors, relevant comorbidities) and, if indicated, an examination to identify relevant clinical signs. 1.1 At the first (...) Respiratory tract infections (self-limiting) – reducing antibiotic prescribing Respiratory tract infections (self-limiting) – reducing antibiotic prescribing Management of self-limiting respiratory tract infections in adults and children in primary care bpac nz guidelines www.bpac.org.nz/guidelines November 20152 RESPIRATORY TRACT INFECTIONS (SELF-LIMITING) – REDUCING ANTIBIOTIC PRESCRIBING WWW.BPAC.ORG.NZ/GUIDELINES This is a bpac nz contextualisation of NICE Clinical Guideline 69 © NICE 2008

2019 Best Practice Advocacy Centre New Zealand

58. Screening Pelvic Examination in Adult Women

. This guideline does not address women who are due for cervical cancer screening. However, the recommended cervical cancer screening examination should be limited to visual inspection of the cervix and cervical swabs for cancer and human papillomavirus and should not entail a full pelvic examination. High-Value Care Although screening for chlamydia and gonorrhea traditionally required a speculum examination, nucleic acid amplification tests on self-collected vaginal swabs or urine have been shown to be highly (...) , Beydoun HA . Evaluation of the usefulness of the ‘hormones with optional pelvic exam' programme offered at a family planning clinic. Eur J Contracept Reprod Health Care 2012 17 307 13 Osofsky HJ . Women's reactions to pelvic examination. Obstet Gynecol 1967 30 146 51 Hoyo C , Yarnall KS , Skinner CS , Moorman PG , Sellers D , Reid L . Pain predicts non-adherence to pap smear screening among middle-aged African American women. Prev Med 2005 41 439 45 Taylor VM , Yasui Y , Burke N , Nguyen T , Acorda E

2014 American College of Physicians

59. Systemic Antibiotics for the Treatment of Skin and Soft Tissue Abscesses: A Systematic Review and Meta-Analysis

Systemic Antibiotics for the Treatment of Skin and Soft Tissue Abscesses: A Systematic Review and Meta-Analysis Systemic Antibiotics for the Treatment of Skin and Soft Tissue Abscesses: A Systematic Review and Meta-Analysis Michael Gottlieb, MD*; Joshua M. DeMott, PharmD, MSc; Marilyn Hallock, MD, MS; Gary D. Peksa, PharmD *Corresponding Author. E-mail: michaelgottliebmd@gmail.com, Twitter: @MGottliebMD. Study objective: The addition of antibiotics to standard incision and drainage (...) ). Conclusion:Theuseofsystemicantibioticsforskinandsofttissueabscessesafterincisionanddrainageresultedinan increased rate of clinical cure. Providers should consider the use of antibiotics while balancing the risk of adverse events. [Ann Emerg Med. 2019;73:8-16.] Please see page 9 for the Editor’s Capsule Summary of this article. A podcast for this article is available at www.annemergmed.com. Continuing Medical Education exam for this article is available at http://www.acep.org/ACEPeCME/. 0196-0644/$-see front matter Copyright © 2018 by the American College of Emergency Physicians. https://doi.org

2018 Annals of Emergency Medicine Systematic Review Snapshots

60. A systematic review of interventions for the secondary prevention of skin cancer by self-examination (protocol)

A systematic review of interventions for the secondary prevention of skin cancer by self-examination (protocol) Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence (...) the number of studies per subgroup required for analysis should be specified. For further guidance please refer to the and to pre-clinical meta-analysis. Example: The following study characteristics will be examined as potential source of heterogeneity: species (stratified per species); sex (stratified per sex); duration of index ischemia (linear); stem cell dose (linear); blinding of outcome assessment reported (stratified yes vs no). For stratified analyses, a minimum number of 8 studies per subgroup

2015 PROSPERO

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