Nasal mucosal melanosis may act as a harbinger of melanoma: A case report

Background: The progression from a benign pigmented lesion on the skin to cutaneous melanoma is better understood, and it could be presumed that a similar progression occurs with mucosal lesions. However, to our knowledge, there has never been documentation of melanosis transforming into melanoma over time. Objective: To describe a transformation of a mucosal melanosis into melanoma. Methods: A 53-year-old man with diffuse melanosis of the nasal cavity underwent surgical resection. Results: Pathology revealed melanocytic hyperplasia without evidence of melanoma. The patient was serially examined, with excisions for new areas of melanosis. The pathology progressed to severely atypical melanocytic proliferation and melanoma in situ over a 4-year period. Conclusion: Nasal melanosis may be a precancerous lesion and may transform into melanoma. All melanosis should be biopsied with close endoscopic observation. Lesions with dysplasia or atypia should be excised due to potential transformation to melanoma

Assessing Needs for Gerontological Education in Urban and Rural Areas of Ohio

Purpose of the Study: This project surveyed health care professionals from both urban and rural care settings in Ohio and examined differences in professionals’ needs and interests in continuing gerontological education. Design and Methods: The survey data were analyzed for 766 health care professionals descriptively, using cross-tabulations and c2 tests. Results: The key findings were that professionals are willing to drive a maximum time of one-hour per week to travel one way to attend classes/workshops to earn gerontology certificate among both urban and rural drivers [(4,N=514)=11.65,p=.020]. Distance learning was the most preferred method for furthering gerontological education for both urban (39%) and rural (49%) participants. One quarter or fewer of the professionals were interested in obtaining a master’s degree. Of slightly greater interest was pursuit of a graduate gerontology certificate (25% urban and 28% rural). It is concluded that there is a need and desire for professionals working with aging populations in Ohio to pursue additional education. Preferences for obtaining education inform us of the ways in which education can best be delivered. Implications: Youngstown State University can apply to increase gerontological education access in both urban and rural areas. Such educational opportunities will be a great service to the urban and rural areas of the aging population in the state of Ohio

Nasal Mucosal Melanosis may act as a Harbinger of Melanoma: A Case Report

Background The progression from a benign pigmented lesion on the skin to cutaneous melanoma is better understood, and it could be presumed that a similar progression occurs with mucosal lesions. However, to our knowledge, there has never been documentation of melanosis transforming into melanoma over time. Objective To describe a transformation of a mucosal melanosis into melanoma. Methods A 53-year-old man with diffuse melanosis of the nasal cavity underwent surgical resection. Results Pathology revealed melanocytic hyperplasia without evidence of melanoma. The patient was serially examined, with excisions for new areas of melanosis. The pathology progressed to severely atypical melanocytic proliferation and melanoma in situ over a 4-year period. Conclusion Nasal melanosis may be a precancerous lesion and may transform into melanoma. All melanosis should be biopsied with close endoscopic observation. Lesions with dysplasia or atypia should be excised due to potential transformation to melanoma

Preparing for Disaster: Social Media Use for Household, Organizational, and Community Preparedness

Social media applications provide conduits for government agencies to promote disaster preparedness. This article illustrates the messaging strategies used by state‐level emergency management agencies in the United States and addresses a range of social units (e.g., households, organizations, and communities). While agencies frequently disseminate guidance on how to prepare for emergencies, strategies generally align with traditional government‐to‐citizen, one‐to‐many communication modes characterized by little to no interaction with the public. This practice denies citizens deliberative conversation with government agencies and short circuits information from citizens and other organizations that might inform an agency\u27s decision‐making. Some interactive tactics observed, however, provide a roadmap to facilitate future dialogue and collaboration