Screening for distress in routine oncological care-a survey in 520 melanoma patients.

Introduction Despite the increasing incidence of melanoma little is known about patients' emotional distress associated with this disease. Supplemented by the problem list (PL), the distress thermometer (DT) is a recommended screening instrument to measure psychosocial distress in cancer patients. Our objective was to explore the acceptance and the feasibility of the DT and PL as a concise screening tool in an ambulatory setting for routine care and to elucidate determinants of distress in melanoma patients with regard to sociodemographic and clinical variables. Methods Consecutive melanoma outpatients were asked to complete the DT with the PL prior to their scheduled consultation. Demograp…

Interfaces in immiscible polymer blends: A Monte Carlo simulation approach on the CRAY T3E

Polymeric materials pose a challenge for Monte Carlo simulations because of the widely spread length and time scales involved. Using large scale computer simulations we investigate the interfacial structure in a partially compatible polymer mixture. The problem is studied in the framework of a coarse grained lattice model - the bond fluctuation model on the simple cubic lattice, choosing N = 32 and lattice linear dimensions L × L × D up to 512 × 512 × 64. We employ a two dimensional geometric decomposition scheme to implement this algorithm on the CRAY T3E. The algorithm scales very well with the number of processors. The structure of polymer coils near interfaces between coexisting phases …

S3-Leitlinie "Diagnostik, Therapie und Nachsorge des Melanoms" - Kurzfassung

Interfaces between coexisting phases in polymer mixtures: What can we learn from Monte Carlo simulations?

Symmetric binary polymer mixtures are studied by Monte Carlo simulation of the bond fluctuation model, considering both interfaces between coexisting bulk phases and interfaces confined in thin films. It is found that the critical behavior of interfacial tension and width is compatible with that of the Ising model, as expected from the universality principle. In the strong segregation limit, only qualitative but not quantitative agreement with the self-consistent field (SCF) theory is found. It is argued that the SCF theory requires √ 6 X √D for short-range forces, in agreement with experiment.

Anomalous size-dependence of interfacial profiles between coexisting phases of polymer mixtures in thin-film geometry: A Monte Carlo simulation

The interfacial profile between coexisting phases of a binary mixture (A,B) in a thin film of thickness D and lateral linear dimensions L depends sensitively on both linear dimensions and on the nature of boundary conditions and statistical ensembles applied. These phenomena generic for systems in confined geometry are demonstrated by Monte-Carlo simulations of the bond fluctuation model of symmetric polymer mixtures. Both the canonical and semi-grand-canonical ensemble are studied. In the canonical ensemble, the interfacial width w increases (from small values which are of the same order as the intrinsic profile) like sqrt{D}, before a crossover to a saturation value w_max (w_max^2 proport…

Malignant Melanoma S3-Guideline “Diagnosis, Therapy and Follow-up of Melanoma”

This first German evidence-based guideline for cutaneous melanoma was developed under the auspices of the German Dermatological Society (DDG) and the Dermatologic Cooperative Oncology Group (DeCOG) and funded by the German Guideline Program in Oncology. The recommendations are based on a systematic literature search, and on the consensus of 32 medical societies, working groups and patient representatives. This guideline contains recommendations concerning diagnosis, therapy and follow-up of melanoma. The diagnosis of primary melanoma based on clinical features and dermoscopic criteria. It is confirmed by histopathologic examination after complete excision with a small margin. For the stagin…

‘Intrinsic’ profiles and capillary waves at interfaces between coexisting phases in polymer blends

Abstract Lateral fluctuations in the local position of the center of the interface between coexisting phases in unmixed polymer blends lead to a broadening of interfacial widths; comparing self-consistent field predictions for the ‘intrinsic’ profile to simulations (or experiments), this ‘capillary wave’ broadening needs consideration. This problem has been studied by extensive Monte Carlo simulations of the bond fluctuation model for symmetrical polymer mixtures, both for free interfaces (between bulk phases) and for confined interfaces (in thin films between parallel walls). While the capillary wave predictions at large length scales are confirmed, the extraction of the ‘intrinsic’ profil…

Characterizing psychosocial distress in melanoma patients using the expert rating instrument PO-Bado SF

Background Although psychosocial distress has been evaluated well in cancer entities like breast or prostate cancer, its impact on melanoma patients still needs to be characterized. The objectives of this study were to (i) evaluate psychosocial distress in melanoma patients using an expert rating instrument [basic documentation for psycho-oncology short version (PO-Bado SF)]; (ii) determine associated demographic and clinical variables; and (iii) assess the acceptance of using PO-Bado SF as a routine procedure in a skin cancer unit. Methods A cross-sectional group of 696 melanoma patients was recruited. During the routine contact, doctors assessed the patients subjective distress using PO-B…