Background Spanish-speaking Latina breast cancer survivors experience disparities in knowledge of breast cancer survivorship care, psychosocial health, lifestyle risk factors, and symptoms compared with their white counterparts. Survivorship care planning programs (SCPPs) could help these women receive optimal follow-up care and manage their condition. Objective This study aimed to evaluate the feasibility, acceptability, and preliminary efficacy of a culturally and linguistically suitable SCPP called the Nuevo Amanecer (New Dawn) Survivorship Care Planning Program for Spanish-speaking breast cancer patients in public hospital settings, approaching the end of active treatment. Methods The 2-month intervention was delivered via a written bilingual survivorship care plan and booklet, Spanish-language mobile phone app with integrated activity tracker, and telephone coaching. This single-arm feasibility study used mixed methods to evaluate the intervention. Acceptability and feasibility were examined via tracking of implementation processes, debriefing interviews, and postintervention satisfaction surveys. Preliminary efficacy was assessed via baseline and 2-month interviews using structured surveys and pre- and postintervention average daily steps count based on activity tracker data. Primary outcomes were self-reported fatigue, health distress, knowledge of cancer survivorship care, and self-efficacy for managing cancer follow-up health care and self-care. Secondary outcomes were emotional well-being, depressive and somatic symptoms, and average daily steps. Results All women (n=23) were foreign-born with limited English proficiency; 13 (57%) had an elementary school education or less, 16 (70%) were of Mexican origin, and all had public health insurance. Coaching calls lasted on average 15 min each (SD 3.4). A total of 19 of 23 participants (83%) completed all 5 coaching calls. The majority (n=17; 81%) rated the overall quality of the app as “very good” or “excellent” (all rated it as at least “good”). Women checked their daily steps graph on the app between 4.2 to 5.9 times per week. Compared with baseline, postintervention fatigue (B=–.26; P= .02; Cohen d =0.4) and health distress levels (B=–.36; P= .01; Cohen d =0.3) were significantly lower and knowledge of recommended follow-up care and resources (B=.41; P= .03; Cohen d =0.5) and emotional well-being improved significantly (B=1.42; P= .02; Cohen d =0.3); self-efficacy for managing cancer follow-up care did not change. Average daily steps increased significantly from 6157 to 7469 (B=1311.8; P= .02; Cohen d =0.5). Conclusions We found preliminary evidence of program ...

Spondylospinal thoracic dysostosis can be considered a type of spondylocostal dysostosis because of the occurrence of vertebral defects (hemivertebrae and vertebral body fusion) and thoracic anomalies (short thorax and pulmonary hypoplasia). This syndrome was described by Johnson et al. (1997) in two siblings with dwarfism, short thorax, curved spine, fusion of the vertebrae and spinal process, multiple pterygium, and arthrogryposis. We describe the case of a 16-year-old Mexican girl with the longest survival recorded (the previous oldest patient was 7 years old) and analyze the natural history and describe some new features of this rare entity.

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Focal dermal hypoplasia (FDH) is an uncommon X-linked dominant entity associated with mutations on the PORCN gene. FDH is characterized by cutaneous, skeletal, dental, ocular, and soft tissue defects. Here we report a female patient with an illustrative clinical case of FDH as well as renal malformations and a novel deleterious mutation on PORCN gene.

Background: Latina breast cancer survivors (LBCS) suffer worse psychosocial health than their white counterparts. Rural cancer patients have limited access to cancer supportive services due to distance, lack of transportation, low income, and low literacy. There is a need for effective interventions tailored for rural LBCS to address disparities in rural settings. Aims: Describe a cognitive-behavioral stress management program, Nuevo Amanecer-Rural. Describe methods for conducting a RCT among rural communities for Spanishspeaking LBCS. Describe baseline levels of breast cancerspecific quality of life (QoL) in rural LBCS.