Publications by authors named "R V Rawson"

Article Synopsis
  • - Tumoral melanosis (TM) is characterized by clusters of melanin-filled macrophages in tissues, commonly linked to regressed melanoma, and is increasingly recognized due to advancements in melanoma treatments.
  • - A study from 2006 to 2018 examined TM cases at a single institution, finding 79 patients with TM, predominantly in older males and often localized to the skin or lower limb, highlighting a strong correlation with melanoma cases.
  • - Results indicated that patients with TM showed improved melanoma-specific survival compared to non-TM cases, particularly those without prior treatment, although no significant differences were found in recurrence-free survival.
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Introduction: Overdose deaths from high-potency synthetic opioids, including fentanyl and its analogs, continue to rise along with emergency department (ED) visits for complications of opioid use disorder (OUD). Fentanyl accumulates in adipose tissue; although rare, this increases the risk of precipitated withdrawal in patients upon buprenorphine initiation. Many EDs have implemented medication for opioid use disorder (MOUD) programs using buprenorphine.

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Article Synopsis
  • The increasing issue of stimulant use disorder (StimUD) in the US, particularly related to psychostimulants, has prompted California to implement a large-scale treatment initiative called the Recovery Incentives Program, utilizing contingency management (CM).
  • The program employs the Science to Service Lab (SSL) approach, which includes training, feedback, and facilitation, enhanced with additional readiness assessments and ongoing monitoring of implementation fidelity.
  • Initial findings suggest that the program is well-received by both treatment staff and participants, with plans for further evaluations to assess member progress and the ongoing effectiveness of the training and implementation strategies.
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Article Synopsis
  • In a study comparing neoadjuvant (before surgery) and adjuvant (after surgery) immunotherapy for stage III melanoma, neoadjuvant treatment showed greater effectiveness.
  • The trial involved random assignment of 423 patients to receive either two cycles of neoadjuvant ipilimumab plus nivolumab followed by surgery, or surgery followed by 12 cycles of adjuvant nivolumab.
  • Results indicated a significantly higher 12-month event-free survival rate in the neoadjuvant group (83.7%) compared to the adjuvant group (57.2%), with neoadjuvant therapy leading to better patient outcomes and more major pathological responses despite a higher incidence of severe adverse events.
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