Assessing the Potential for Patient-led Surveillance After Treatment of Localized Melanoma (MEL-SELF): A Pilot Randomized Clinical Trial.

Importance: Patient-led surveillance is a promising new model of follow-up care following excision of localized melanoma.

Objective: To determine whether patient-led surveillance in patients with prior localized primary cutaneous melanoma is as safe, feasible, and acceptable as clinician-led surveillance.

Design, Setting, And Participants: This was a pilot for a randomized clinical trial at 2 specialist-led clinics in metropolitan Sydney, Australia, and a primary care skin cancer clinic managed by general practitioners in metropolitan Newcastle, Australia.

Use of shared care and routine tests in follow-up after treatment for localised cutaneous melanoma.

Background: Patients may decide to undertake shared care with a general practitioner (GP) during follow-up after treatment for localised melanoma. Routine imaging tests for surveillance may be commonly used despite no evidence of clinical utility. This study describes the frequency of shared care and routine tests during follow-up after treatment for localised melanoma.

Patient Preferences for Follow-up After Recent Excision of a Localized Melanoma.

Importance: The standard model of follow-up posttreatment of localized melanoma relies on clinician detection of recurrent or new melanoma, through routinely scheduled clinics (clinician-led surveillance). An alternative model is to increase reliance on patient detection of melanoma, with fewer scheduled visits and increased support for patients' skin self-examination (SSE) (eg, using smartphone apps to instruct, prompt and record SSE, and facilitate teledermatology; patient-led surveillance).

Objective: To determine the proportion of adults treated for localized melanoma who prefer the standard scheduled visit frequency (as per Australian guideline recommendations) or fewer scheduled visits (adapted from the Melanoma Follow-up [MELFO] study of reduced follow-up).

Self-care and Its Predictors in Patients With Chronic Heart Failure in Western Iran.

Background: Chronic heart failure (CHF) is an increasing and costly health problem worldwide. Effective self-care behaviors reduce the cost and improve CHF outcomes. Interventions targeting improvement of self-care need to identify the baseline status of patients and factors associated with self-care to tailor the programs to patients' needs.

Combination versus sequential single agent chemotherapy for metastatic breast cancer.

Background: Combination chemotherapy can cause greater tumour cell kill if the drug dose is not compromised, while sequential single agent chemotherapy may allow for greater dose intensity and treatment time, potentially meaning greater benefit from each single agent. In addition, sequentially using single agents might cause less toxicity and impairment of quality of life, but it is not known whether this might compromise survival time.

Objectives: To assess the effect of combination chemotherapy compared to the same drugs given sequentially in women with metastatic breast cancer.

Detecting insider threats through language change.

The act of conducting an insider attack carries with it cognitive and social challenges that may affect an offender's day-to-day work behavior. We test this hypothesis by examining the language used in e-mails that were sent as part of a 6-hr workplace simulation. The simulation involved participants (N = 54) examining databases and exchanging information as part of a four-stage organized crime investigation.