A Rare Case of Cutaneous Metastasis of Renal Cell Carcinoma to the Lateral Thigh.

Renal cell carcinoma (RCC) is a common cancer type in the United States, and at the time of diagnosis, many patients already have metastatic disease. RCC typically metastasizes to the lungs, liver, and bones, with few cases manifesting cutaneous metastasis. Most incidences of RCC metastases reported in the literature have been on the face and scalp.

Leveling the playing field: can psychological coping resources reduce the influence of physical and technical skills on athletic performance?

Background And Objectives: The present study assessed the extent to which individual differences in psychological coping resources are related to athletic performance; whether they can attenuate the amount of performance variance accounted for by physical/technical skills; and whether coping resources remain significant predictors of performance when physical/technical skill level is statistically controlled.

Methods: Twenty college golf coaches rated the physical/technical skills of 189 men and women varsity golfers on their teams. Athletes completed the Athletic Coping Skills Inventory (ACSI-28), with the total (Personal Coping Resources) score serving as a global measure of sport-relevant psychological coping resources.

The interdependence of behavioral and somatic health: implications for conceptualizing health and measuring treatment outcomes.

Purpose: The interdependence of behavioral and somatic aspects of various health conditions warrants greater emphasis on an integrated care approach.

Theory: We propose that integrated approaches to health and wellness require comprehensive and empirically-valid outcome measures to assess quality of care.

Method: We discuss the transition from independent to integrated treatment approaches and provide examples of new systems for integrated assessment of treatment outcome.

Implementation of a consumer-directed approach in behavioral health care: problems and prospects.

Consumer-directed care, a payment system designed to make patients aware of the costs of care, requires treatment seekers to be active participants in their health care. Core components of consumer-directed care, such as higher deductibles and increased decision-making responsibilities, might preclude its easy translation from medical to behavioral health care. Aspects of behavioral disorders will force providers, insurers, and patients to compensate for unique barriers to increasing self-care, such as stigma, neuropsychological complications, and poor self-efficacy.