Despite efforts to increase melanoma awareness in the general public, research is scant regarding effective methods of education delivery. The purpose of this study was to evaluate the effectiveness of online, video-based education to increase melanoma awareness and knowledge. In this randomized controlled trial, 78 subjects received either an online, video-based education or written educational material (in the form of a pamphlet) on the description and detection of melanoma. Questionnaires were developed that assessed subjects' understanding of melanoma at baseline and at 1 month after receiving the educational intervention. Subjects in the online video group demonstrated significantly increased melanoma knowledge compared to those in the written education group, as measured by improvement from baseline on a 10-item questionnaire (2.03 and 0.72 improvement, respectively, p = 0.03). Furthermore, compared to those in the written education group, video group subjects rated their intervention significantly higher in terms of usefulness and appeal. The use of online videos may represent an effective method to raise melanoma awareness.
Lymphadenopathy is one of the commonest and significant manifestations of local as well as systemic ailments, especially malignancies. Fine needle aspiration cytology (FNAC) helps in diagnosing the disease itself, in general, but more importantly ruling out malignancy, in particular. Hence it saves much of the cost and use of resources incurred with excision biopsy of such lymph nodes. This prompted us to study the cytologic patterns of lymphadenopathy in our setting and the diagnostic utility of FNAC in the evaluation of lymphadenopathy. In this retrospective observational study, 1,579 patients (953 males and 626 females) with lymphadenopathy who were subjected to FNAC over a period of three years (January 2009 to December 2011) were studied. The cervical region was involved in most of the cases (76%) followed by the axillary region (17.5%). Metastatic malignancy (38.2%) was the commonest cause of lymphadenopathy followed by reactive lymphoid hyperplasia (36.9%), tuberculosis (9.1%) and lymphomas (8.6%). Squamous cell carcinoma (32.2%) followed by adenocarcinoma (21.9%) were the most frequent metastatic tumors. FNAC is a useful diagnostic tool in the management of patients presenting with lymphadenopathy and should be considered before more invasive and costly procedures are performed, particularly in developing countries.
AIm: To study the clinicopathologic characteristics of chordomas from a single institution.
results:The overall mean age of the patients was 46.72 years. Males outnumbered females. Sacrum was the commonest site involved. Histopathologically, the majority of cases were conventional chordoma with four cases of chondroid variety. There was a single case of dedifferentiated chordoma that presented with bone metastasis. Most patients did well after surgery and radiotherapy. One patient had a local recurrence and one patient with dedifferentiated variant died on follow-up. BulGulAr: Hastaların ortalama yaşı 46,72 yıldı. Erkeklerin sayısı kadınlardan fazlaydı. En sık tutulan bölge sakrumdu. Histopatolojik olarak olguların çoğu konvansiyonel kordomayken kondroid tipte dört olgu vardı. Kemik metastazıyla gelen tek bir dediferansiye kordoma olgusu görüldü. Çoğu hasta cerrahi ve radyoterapiye iyi sonuç verdi. Bir hastada yerel nüks oldu ve dediferansiye varyantın bulunduğu bir hasta da takip sırasında öldü. sOnuÇ: Lokal olarak agresif olmalarına rağmen kordomalar rejeksiyon ve postoperatif radyoterapiyle etkin bir şekilde tedavi edilebilir.
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