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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Melanoma it is the most aggressive skin cancer&#44; with a high mortality rate&#46; Delayed diagnosis contributes to the poor prognosis&#46; Early detection is the best approach to improve the outcome in melanoma patients&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Approximately 50&#37; of melanomas go undetected at self-inspection&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> To avoid the consequences of delayed diagnosis&#44; all medical and non-medical professionals who have direct contact with the patients&#8217; skin can play a pivotal role in correctly referring patients to a dermatologist in case of suspicious lesions&#46; Beauticians observe a great extent of the skin of their clients&#44; and therefore have remarkable access for detecting melanocytic lesions&#46; Moreover&#44; beauticians are used to be in contact with their clients&#44; especially women&#44; more often than dermatologists or family physicians&#46; This study aimed to investigate melanoma knowledge&#44; surveillance practices&#44; and attitudes among beauticians in the metropolitan Rome area&#44; and to raise awareness to the potential role of beauticians in early detection and referral of cutaneous melanoma&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Data were obtained through self-administered questionnaires completed by 30 certified beauticians working at salons in Rome&#44; Italy&#44; during a one-day symposium conducted by a dermatologist &#40;L&#46;V&#46;&#41;&#44; designed to illustrate the basic clinical parameters for melanoma detection and raise awareness about melanoma screening&#46; The questionnaire was inspired by that used in the study by Roosta et al&#46;&#44; who first investigated head and neck melanoma surveillance practices and attitude among hairdressers&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> It consisted of two different parts&#58; part 1 was administered before the symposium&#44; in order to investigate current knowledge and behavior of the participants&#59; part 2 was administered after the symposium&#44; in order to investigate the extent of knowledge acquired during the lecture&#44; the expected future behavior&#44; and the willingness to learn more about melanoma screening and to refer to dermatologists&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">A 100&#37; response rate was obtained&#46; All beauticians were female&#44; with a mean age of 37 years&#46; The majority of them were unclear about the correct signs of melanoma&#46; Nevertheless&#44; an overwhelming majority of beauticians &#40;96&#46;7&#37;&#41; desired to learn more about melanoma detection &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; The most preferred educational modalities were live symposiums &#40;50&#37;&#41; and videos &#40;40&#37;&#41;&#46; Many beauticians already examined their clients&#8217; skin&#44; regardless of being asked to do so&#46; When a suspicious lesion was detected&#44; most beauticians &#40;90&#37;&#41; referred their client to seek attention from a physician&#46; A significant proportion of referrals resulted in some form of medical diagnosis &#40;90&#37;&#41;&#46; Of note&#44; almost all beauticians &#40;96&#46;7&#37;&#41; reported that they would be willing to inform clients about an observed lesion after being properly trained in melanoma detection&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">To the best of the authors&#8217; knowledge&#44; this is the first study to investigate the potential role of beauticians in the detection of cutaneous melanomas in the general population&#46; It follows a current research line that aims to identify new professional figures that may act as a bridge between dermatologists and the general population&#44; improving melanoma&#8217;s secondary prevention&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Indeed&#44; similarly to hairdressers&#44; beauticians are at a unique position to detect skin cancers&#44; given their routine contact with a significant portion of the public and their close observation of body sites that patients are not normally able to observe&#44; such as genitals or the back&#46; However&#44; this survey did not take into account the anatomical distribution of lesions&#46; Another limitation of the present study is the small sample of beauticians included&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">European law&#44; in addition to defining beautician rules&#44; establishes the parameters necessary for professional qualification&#44; with specific training courses for the professionals&#46; With this letter&#44; the authors would like to raise awareness about the potential usefulness of properly trained beauticians in melanoma screening in the general community&#44; and propose that dermatological modules should be mandatory in their training&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financial support</span><p id="par0035" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Authors&#39; contributions</span><p id="par0040" class="elsevierStylePara elsevierViewall">Laura Vollono&#58; Approval of the final version of the manuscript&#59; design and planning of the study&#59; drafting and editing of the manuscript&#59; collection&#44; analysis&#44; and interpretation of data&#59; effective participation in research orientation&#59; critical review of the literature&#59; critical review of the manuscript&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Giovanni Paolino&#58; Approval of the final version of the manuscript&#59; effective participation in research orientation&#59; intellectual participation in the propaedeutic and&#47;or therapeutic conduct of the studied cases&#59; critical review of the literature&#59; critical review of the manuscript&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Anna Buonocore&#58; Approval of the final version of the manuscript&#59; design and planning of the study&#59; drafting and editing of the manuscript&#59; collection&#44; analysis&#44; and interpretation of data&#59; effective participation in research orientation&#59; intellectual participation in the propaedeutic and&#47;or therapeutic conduct of the studied cases&#59; critical review of the literature&#59; critical review of the manuscript&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Michele Donati&#58; Approval of the final version of the manuscript&#59; design and planning of the study&#59; drafting and editing of the manuscript&#59; intellectual participation in the propaedeutic and&#47;or therapeutic conduct of the studied cases&#59; critical review of the literature&#59; critical review of the manuscript&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0060" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span></span>"
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Research Letter
Assessing beauticians’ knowledge of cutaneous melanoma and willingness to contribute to melanoma surveillance practices on the general population
Laura Vollonoa,
Autor para correspondência
laura.vollono@gmail.com

Corresponding author.
, Giovanni Paolinob,c, Anna Buonocored, Michele Donatie
a Dermatology Unit, Tor Vergata University, Rome, Italy
b Dermatology Clinic, La Sapienza University, Rome, Italy
c Dermatology Unit, Scientific Institute San Raffaele, Milan, Italy
d Department of Pharmacy and Cosmetology, University of Siena, Siena, Italy
e Surgical Pathology, Campus Biomedico University, Rome, Italy
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Percentage of beauticians who received training about skin cancer at beauty school &#40;A&#41;&#44; beauticians who are willing to learn more about melanoma detection &#40;B&#41;&#44; and percentage of beauticians who are willing to inform and refer clients to dermatologists for suspected lesions after receiving proper training &#40;C&#41;&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Melanoma it is the most aggressive skin cancer&#44; with a high mortality rate&#46; Delayed diagnosis contributes to the poor prognosis&#46; Early detection is the best approach to improve the outcome in melanoma patients&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Approximately 50&#37; of melanomas go undetected at self-inspection&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> To avoid the consequences of delayed diagnosis&#44; all medical and non-medical professionals who have direct contact with the patients&#8217; skin can play a pivotal role in correctly referring patients to a dermatologist in case of suspicious lesions&#46; Beauticians observe a great extent of the skin of their clients&#44; and therefore have remarkable access for detecting melanocytic lesions&#46; Moreover&#44; beauticians are used to be in contact with their clients&#44; especially women&#44; more often than dermatologists or family physicians&#46; This study aimed to investigate melanoma knowledge&#44; surveillance practices&#44; and attitudes among beauticians in the metropolitan Rome area&#44; and to raise awareness to the potential role of beauticians in early detection and referral of cutaneous melanoma&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Data were obtained through self-administered questionnaires completed by 30 certified beauticians working at salons in Rome&#44; Italy&#44; during a one-day symposium conducted by a dermatologist &#40;L&#46;V&#46;&#41;&#44; designed to illustrate the basic clinical parameters for melanoma detection and raise awareness about melanoma screening&#46; The questionnaire was inspired by that used in the study by Roosta et al&#46;&#44; who first investigated head and neck melanoma surveillance practices and attitude among hairdressers&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> It consisted of two different parts&#58; part 1 was administered before the symposium&#44; in order to investigate current knowledge and behavior of the participants&#59; part 2 was administered after the symposium&#44; in order to investigate the extent of knowledge acquired during the lecture&#44; the expected future behavior&#44; and the willingness to learn more about melanoma screening and to refer to dermatologists&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">A 100&#37; response rate was obtained&#46; All beauticians were female&#44; with a mean age of 37 years&#46; The majority of them were unclear about the correct signs of melanoma&#46; Nevertheless&#44; an overwhelming majority of beauticians &#40;96&#46;7&#37;&#41; desired to learn more about melanoma detection &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; The most preferred educational modalities were live symposiums &#40;50&#37;&#41; and videos &#40;40&#37;&#41;&#46; Many beauticians already examined their clients&#8217; skin&#44; regardless of being asked to do so&#46; When a suspicious lesion was detected&#44; most beauticians &#40;90&#37;&#41; referred their client to seek attention from a physician&#46; A significant proportion of referrals resulted in some form of medical diagnosis &#40;90&#37;&#41;&#46; Of note&#44; almost all beauticians &#40;96&#46;7&#37;&#41; reported that they would be willing to inform clients about an observed lesion after being properly trained in melanoma detection&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">To the best of the authors&#8217; knowledge&#44; this is the first study to investigate the potential role of beauticians in the detection of cutaneous melanomas in the general population&#46; It follows a current research line that aims to identify new professional figures that may act as a bridge between dermatologists and the general population&#44; improving melanoma&#8217;s secondary prevention&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Indeed&#44; similarly to hairdressers&#44; beauticians are at a unique position to detect skin cancers&#44; given their routine contact with a significant portion of the public and their close observation of body sites that patients are not normally able to observe&#44; such as genitals or the back&#46; However&#44; this survey did not take into account the anatomical distribution of lesions&#46; Another limitation of the present study is the small sample of beauticians included&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">European law&#44; in addition to defining beautician rules&#44; establishes the parameters necessary for professional qualification&#44; with specific training courses for the professionals&#46; With this letter&#44; the authors would like to raise awareness about the potential usefulness of properly trained beauticians in melanoma screening in the general community&#44; and propose that dermatological modules should be mandatory in their training&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financial support</span><p id="par0035" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Authors&#39; contributions</span><p id="par0040" class="elsevierStylePara elsevierViewall">Laura Vollono&#58; Approval of the final version of the manuscript&#59; design and planning of the study&#59; drafting and editing of the manuscript&#59; collection&#44; analysis&#44; and interpretation of data&#59; effective participation in research orientation&#59; critical review of the literature&#59; critical review of the manuscript&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Giovanni Paolino&#58; Approval of the final version of the manuscript&#59; effective participation in research orientation&#59; intellectual participation in the propaedeutic and&#47;or therapeutic conduct of the studied cases&#59; critical review of the literature&#59; critical review of the manuscript&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Anna Buonocore&#58; Approval of the final version of the manuscript&#59; design and planning of the study&#59; drafting and editing of the manuscript&#59; collection&#44; analysis&#44; and interpretation of data&#59; effective participation in research orientation&#59; intellectual participation in the propaedeutic and&#47;or therapeutic conduct of the studied cases&#59; critical review of the literature&#59; critical review of the manuscript&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Michele Donati&#58; Approval of the final version of the manuscript&#59; design and planning of the study&#59; drafting and editing of the manuscript&#59; intellectual participation in the propaedeutic and&#47;or therapeutic conduct of the studied cases&#59; critical review of the literature&#59; critical review of the manuscript&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0060" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span></span>"
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