scholarly journals Total body skin examination adherence among young adults with an increased risk for skin cancer

2017 ◽  
Vol 23 (6) ◽  
Author(s):  
Julie Williams Merten ◽  
Jessica L King ◽  
Erin Largo-Wight
Keyword(s):  
Young Adults ◽  
Skin Cancer ◽  
Skin Examination ◽  
Increased Risk ◽  
Total Body

scholarly journals Total Body Skin Examination Practices: A Survey Study Amongst Dermatologists at High-Risk Skin Cancer Clinics

2019 ◽  
pp. 132-138 ◽  
Author(s):  
Shirin Bajaj ◽  
Zachary J. Wolner ◽  
Stephen W. Dusza ◽  
Ralph P. Braun ◽  
Ashfaq A. Marghoob ◽  
...  
Keyword(s):  
High Risk ◽  
Skin Cancer ◽  
Survey Study ◽  
Skin Examination ◽  
Patient Discomfort ◽  
Routine Surveillance ◽  
Cancer Specialists ◽  
Total Body ◽  
Low Prevalence

Background/Objectives: Although total body skin examination (TBSE) is the primary screening mechanism for melanoma, there is no consensus on which anatomic sites a screening TBSE should include. We sought to establish which anatomic sites are examined during routine (>90%) TBSEs of patients at high risk for skin cancer. Methods: A Google survey was emailed to 173 international dermatologist skin cancer specialists. Results: More than 75% of participants reported routinely examining the scalp, ears, face and neck, trunk, breasts, inframammary areas, axillae, extremities, palms and soles, nails, interdigital spaces, and buttocks. The least frequently inspected anatomic sites included genitalia, with male genitalia more frequently examined than female (penis n = 39; 52%; labia majora n = 21; 28%; P = 0.003), the perianal region (n = 26; 34.7%), and the ocular conjunctiva and oral mucosa (n = 35; 46.7%). Participants cited not screening these areas because of perceived patient discomfort, low prevalence of malignancy, and the expectation that other specialists examine the area. Conclusions: The role of routine surveillance of neglected anatomic sites is unclear and warrants further discussion weighing potential mortality benefit against the incidence of melanoma in obscure sites, morbidity of intervention in sensitive sites, cost-effectiveness, and potential for patient discomfort.

scholarly journals Diagnostic accuracy of basal cell carcinoma in dermatology setting in Serbia - single center study

2021 ◽  
pp. 12-12
Author(s):  
Milana Ivkov-Simic ◽  
Branislava Gajic ◽  
Dejan Ogorelica ◽  
Zorica Gajinov
Keyword(s):  
Skin Cancer ◽  
Basal Cell Carcinoma ◽  
Positive Predictive Value ◽  
Diagnostic Accuracy ◽  
Cell Carcinoma ◽  
Predictive Value ◽  
Visual Inspection ◽  
Skin Examination ◽  
Total Body

Background/Aim. Growing incidence of skin tumors require their accurate diagnosis. Dermoscopy, especially in-vivo, enhances diagnosis of basal cell carcinoma (BCC). Total body skin examination (TBSE), a visual inspection of the patient?s total body surface, is considered basic step in dermatological exam, especially in skin cancer screening. However, TBSE is still a matter of debate of its expediency in real clinical setting. Aim of this study is to analyze diagnostic accuracy of BCC detected and treated by referred dermatologists in Skin Cancer Unit of a Dermatology and Venereology Clinic. Methods. Retrospective analysis of the BCC detection during total body skin examination with visual inspection and dermoscopy. We calculated sensitivity and specificity and positive predictive value for BCC using histopathological results as correct diagnosis. Results. Out of 3346 biopsied skin tumors 49.58% were malignant and 50.42% benign. The most common malignant tumor was BCC, accounting for 84.09%. Localization of BCCs was mainly on the trunk 38.92% and on H-zone of the face 37.63%. Other localizations were face (non-H-zone) 6.67%, neck 3.01%, scalp 3.37%, arms 6.88% and limbs 3.51%. Of all BCCs, 0.83% were recurrent BCC. The sensitivity for diagnosis BCC was 97.71%, and positive predictive value 95.08%. Conclusion. In dermatology setting, total body skin examination (TBSE) and visual inspection with in-vivo dermoscopy results with very good diagnostic performance of BCC.

Total body skin examination for skin cancer screening in patients with focused symptoms

2012 ◽  
Vol 66 (2) ◽  
pp. 212-219 ◽  
Author(s):  
Giuseppe Argenziano ◽  
Iris Zalaudek ◽  
Rainer Hofmann-Wellenhof ◽  
Renato Marchiori Bakos ◽  
Wilma Bergman ◽  
...  
Keyword(s):  
Cancer Screening ◽  
Skin Cancer ◽  
Skin Cancer Screening ◽  
Skin Examination ◽  
Total Body

scholarly journals Total body skin examination for skin cancer screening among U.S. adults from 2000 to 2010

2014 ◽  
Vol 61 ◽  
pp. 75-80 ◽  
Author(s):  
Naheed A. Lakhani ◽  
Mona Saraiya ◽  
Trevor D. Thompson ◽  
Sallyann Coleman King ◽  
Gery P. Guy
Keyword(s):  
Cancer Screening ◽  
Skin Cancer ◽  
Skin Cancer Screening ◽  
Skin Examination ◽  
Total Body

Epidemiological Trends in Attempted Suicide in Adolescents and Young Adults Between 1996 and 2004

Crisis ◽  
2009 ◽  
Vol 30 (3) ◽  
pp. 115-119 ◽  
Author(s):  
Stephanie De Munck ◽  
Gwendolyn Portzky ◽  
Kees Van Heeringen
Keyword(s):  
Young Adults ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Epidemiological Studies ◽  
Adolescents And Young Adults ◽  
University Hospital ◽  
International Studies ◽  
Suicide Attempters ◽  
Increased Risk ◽  
Epidemiological Trends

Background: Notwithstanding the epidemiological studies indicating an increased risk of attempted suicide among adolescents and young adults, there is a scarcity of international studies that examine long-term epidemiological trends in rates and characteristics of this vulnerable group. Aims: This article describes the results of a 9-year monitoring study of suicide attempts in adolescents and young adults referred to the Accident and Emergency Department of the Gent University Hospital (Belgium). Methods: Between January 1996 and December 2004, trends, sociodemographic, and methodrelated characteristics of suicide attempts were assessed by a psychiatrist on data sheets. Results: Attempted suicide rates declined from 1996 to 2001 and then rose until 2004, but did not exceed previous rates. During the 9 years of monitoring, there was a preponderance of female suicide attempters, except for 1997. Rates of attempts and of fatal suicide were negatively correlated. Significantly more males than females deliberately injured themselves. Younger attempters, especially females, significantly more often poisoned themselves with analgesics. In nearly one in five attempts, alcohol was used in combination with other methods, and alcohol intake was more commonly observed in older suicide attempters. Nearly half of the adolescents were identified as repeaters. Conclusions: The results of this study warrant further monitoring of trends and characteristics of young suicide attempters.

Family Type Predicts Mental Health Problems in Young Adults: A Survey of Students at a University in Botswana

2020 ◽  
Vol 32 (2) ◽  
Author(s):  
Kennedy Amone-P'Olak ◽  
Boniface Kealeboga Ramotuana
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Mental Health Problems ◽  
Single Mother ◽  
Health Problems ◽  
Family Type ◽  
Cross Sectional ◽  
Intact Family ◽  
Increased Risk ◽  
Family Types

In Africa, the structure of the family is changing rapidly. The effects of this change on mental health remain unknown. This study investigated the extent to which different family types (intact, single-mother, and multiple) predict mental health problems in young adults in Botswana (N = 264, mean age = 21.31, SD = 2.40). In a cross-sectional design, the study sampled students registered at various faculties at the University of Botswana. The revised symptoms checklist (SCL-90-R) was used to assess symptoms of mental health problems (depression, anxiety and hostility). Binary logistic regression analyses were performed to obtain odds ratios (ORs) and 95 per cent confidence intervals (CIs) of mental health problems for mother-only and multiple family types relative to the intact family type. Compared to the intact family type, single-mother (OR = 2.34; 95% CI: 1.21, 4.51) and multiple family types (OR = 1.56; CI: 0.88, 2.78) were associated with an increased risk of depression. For anxiety, the ORs were 2.27 (CI: 1.18, 4.38) and 1.10 (CI: 0.56, 1.82) for single-mother and multiple family types respectively. For hostility, the ORs were 2.60 (CI: 1.34, 5.04), and 0.79 (CI: 0.44, 1.42) for single-mother and multiple family types, respectively. Family types predict mental health problems in young adults and therefore the interventions to mitigate the effects should consider family backgrounds and the ramifications of family types for treatment and care.

scholarly journals Coeliac disease is associated with depression in children and young adults with type 1 diabetes: results from a multicentre diabetes registry

2021 ◽  
Author(s):  
Sascha René Tittel ◽  
◽  
Désirée Dunstheimer ◽  
Dörte Hilgard ◽  
Burkhild Knauth ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Coeliac Disease ◽  
Diabetes Patient ◽  
Routine Care ◽  
Diabetes Registry ◽  
Increased Risk ◽  
Treatment Data ◽  
Children And Young Adults

Abstract Aims To analyse the association between coeliac disease (CD) and depression in children, adolescents, and young adults with type 1 diabetes (T1D). Methods We included 79,067 T1D patients aged 6–20 years, with at least six months of diabetes duration, and treatment data between 1995 and 2019 were documented in the diabetes patient follow-up registry. We categorized patients into four groups: T1D only (n = 73,699), T1 + CD (n = 3379), T1D + depression (n = 1877), or T1D + CD + depression (n = 112). Results CD and depression were significantly associated (adjusted OR: 1.25 [1.03–1.53]). Females were more frequent in both the depression and the CD group compared with the T1D only group. Insulin pumps were used more frequently in T1D + CD and T1D + depression compared with T1D only (both p < .001). HbA1c was higher in T1D + depression (9.0% [8.9–9.0]), T1D + CD + depression (8.9% [8.6–9.2]), both compared with T1D only (8.2% [8.2–8.2], all p < .001). We found comorbid autism, attention deficit hyperactivity disorder, anxiety, schizophrenia, and eating disorders more frequently in the T1D + CD + depression group compared with T1D only (all p < .001). Conclusions CD and depression are associated in young T1D patients. The double load of T1D and CD may lead to an increased risk for depression. Depression was associated with additional psychological and neurological comorbidities. Aside from imperative CD screening after T1D diagnosis and regular intervals, depression screening might be helpful in routine care, especially in patients with diagnosed CD.

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