Estadísticas

 array:23 [
  "pii" => "S1578219010708350"
  "issn" => "15782190"
  "doi" => "10.1016/S1578-2190(10)70835-0"
  "estado" => "S300"
  "fechaPublicacion" => "2010-08-01"
  "aid" => "70835"
  "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L."
  "copyrightAnyo" => "2010"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Actas Dermosifiliogr. 2010;101:506-16"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1783
    "formatos" => array:3 [
      "EPUB" => 43
      "HTML" => 1067
      "PDF" => 673
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1578219010708362"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(10)70836-2"
    "estado" => "S300"
    "fechaPublicacion" => "2010-08-01"
    "aid" => "70836"
    "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L."
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Actas Dermosifiliogr. 2010;101:517-23"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2092
      "formatos" => array:3 [
        "EPUB" => 46
        "HTML" => 1100
        "PDF" => 946
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Solar Elastosis in Cutaneous Squamous Cell Carcinoma"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "517"
          "paginaFinal" => "523"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Elastosis solar en carcinomas espinocelulares cutáneos"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "R. Corbalán-Vélez, J.A. Ruiz-Macia, C. Brufau, I. Oviedo-Ramírez, E. Martínez-Barba, J.M. López-Lozano, F.J. Carapeto"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "R."
              "apellidos" => "Corbalán-Vélez"
            ]
            1 => array:2 [
              "nombre" => "J.A."
              "apellidos" => "Ruiz-Macia"
            ]
            2 => array:2 [
              "nombre" => "C."
              "apellidos" => "Brufau"
            ]
            3 => array:2 [
              "nombre" => "I."
              "apellidos" => "Oviedo-Ramírez"
            ]
            4 => array:2 [
              "nombre" => "E."
              "apellidos" => "Martínez-Barba"
            ]
            5 => array:2 [
              "nombre" => "J.M."
              "apellidos" => "López-Lozano"
            ]
            6 => array:2 [
              "nombre" => "F.J."
              "apellidos" => "Carapeto"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219010708362?idApp=UINPBA000044"
    "url" => "/15782190/0000010100000006/v1_201304241615/S1578219010708362/v1_201304241615/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1578219010708349"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(10)70834-9"
    "estado" => "S300"
    "fechaPublicacion" => "2010-08-01"
    "aid" => "70834"
    "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L."
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Actas Dermosifiliogr. 2010;101:495-505"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2574
      "formatos" => array:3 [
        "EPUB" => 38
        "HTML" => 1208
        "PDF" => 1328
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Inherited Epidermolysis Bullosa: From Diagnosis to Reality"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "495"
          "paginaFinal" => "505"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Epidermólisis ampollosas hereditarias: del diagnóstico a la realidad"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A. Hernández-Martín, A. Torrelo"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "A."
              "apellidos" => "Hernández-Martín"
            ]
            1 => array:2 [
              "nombre" => "A."
              "apellidos" => "Torrelo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219010708349?idApp=UINPBA000044"
    "url" => "/15782190/0000010100000006/v1_201304241615/S1578219010708349/v1_201304241615/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "Impact of Melanoma Diagnosis on Sun Protection"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "506"
        "paginaFinal" => "516"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "E. Gómez-Moyano, E. de Ramón, S. Martínez-García, R. Gómez, V. Crespo-Erchiga, A. Crespo, A. Ojeda"
        "autores" => array:7 [
          0 => array:4 [
            "nombre" => "E."
            "apellidos" => "Gómez-Moyano"
            "email" => array:1 [
              0 => "eligm80@hotmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "de Ram&#243;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "S&#46;"
            "apellidos" => "Mart&#237;nez-Garc&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "R&#46;"
            "apellidos" => "G&#243;mez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "V&#46;"
            "apellidos" => "Crespo-Erchiga"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Crespo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Ojeda"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Complejo Hospitalario Carlos Haya&#44; M&#225;laga&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Medicina Interna&#44; Complejo Hospitalario Carlos Haya&#44; M&#225;laga&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Psicolog&#237;a&#44; Complejo Hospitalario Carlos Haya&#44; M&#225;laga&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">c</span>"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#42;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Impacto del diagn&#243;stico de melanoma sobre la fotoprotecci&#243;n"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2009-08-04"
    "fechaAceptado" => "2009-12-17"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec84999"
          "palabras" => array:4 [
            0 => "Sun protection"
            1 => "Knowledge"
            2 => "Behavior"
            3 => "Melanoma"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec84998"
          "palabras" => array:4 [
            0 => "Fotoprotecci&#243;n"
            1 => "Conocimiento"
            2 => "Comportamiento"
            3 => "Melanoma"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Knowledge of the dangers of sun exposure does not always lead to changes in behavior&#46; Failure to make behavioral adjustments is of particular concern in high-risk patients&#46;</p> <span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">a&#41; To assess the impact of melanoma diagnosis on knowledge&#44; attitudes&#44; and behaviors relating to sun protection&#44; and b&#41; to identify factors that could influence sun protection behaviors&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A coded&#44; anonymous questionnaire was given to 195 patients with a recent diagnosis of melanoma&#46; Data were collected on clinical and demographic variables and on knowledge&#44; attitudes&#44; and behaviors relating to sun protection before and after diagnosis&#46; The questionnaire also addressed patients&#8217; sense of distress and guilt following diagnosis&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Sun protection behaviors improved following diagnosis in 66&#37; of patients&#46; Although 98&#37; of patients reported having received advice on sun protection following diagnosis&#44; 15&#37; continued to take inadequate sun protection measures&#46; The probability of behavioral improvement following diagnosis was 4 times greater in women than in men&#46; The subgroup of patients whose behavior improved had worse behaviors prior to diagnosis than did those who showed no improvement&#46; Patients who expressed distress and feelings of guilt following diagnosis were more likely to improve their sun protection behavior&#46; Age&#44; tumor site&#44; intensiveness of treatment&#44; and belief that a suntan is healthy had no significant influence on behavioral change&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Melanoma diagnosis is associated with increased knowledge of sun protection measures and improvement in behaviors&#46; Nevertheless&#44; patients continue to use inadequate sun protection measures&#46; Identification of barriers to optimal sun protection behavior may be instrumental in designing targeted educational campaigns&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">El conocimiento sobre los peligros de la exposici&#243;n solar no siempre se traduce en cambios en el comportamiento&#46; Esto es particularmente alarmante en pacientes de alto riesgo&#46;</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">a&#41; Evaluar el impacto del diagn&#243;stico de melanoma en los conocimientos&#44; actitudes y h&#225;bitos sobre fotoprotecci&#243;n&#44; y b&#41; analizar qu&#233; factores pueden influir en el cambio de h&#225;bitos de fotoprotecci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Usando un cuestionario an&#243;nimo y codificado que recog&#237;a datos clinicodemogr&#225;ficos&#44; 195 pacientes con reciente diagn&#243;stico de melanoma fueron interrogados sobre los conocimientos&#44; h&#225;bitos y actitudes sobre fotoprotecci&#243;n antes y despu&#233;s del diagn&#243;stico y sobre los sentimientos de angustia y culpabilidad tras el mismo&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">El 66&#37; de los pacientes optimiz&#243; su conducta tras el diagn&#243;stico&#46; Un 15&#37; mantuvo conductas deficientes&#44; a pesar de que el 98&#37; de los sujetos refer&#237;a haber recibido consejos de fotoprotecci&#243;n tras el diagn&#243;stico&#46; Las mujeres optimizaron su conducta 4 veces m&#225;s que los hombres&#46; El subgrupo de pacientes que mejor&#243; presentaba conductas m&#225;s deficientes que el subgrupo que no mejor&#243;&#46; Aquellos que experimentaron sentimientos de angustia y culpa tras el diagn&#243;stico presentaron mayor probabilidad de optimizar su conducta&#46; La edad&#44; la localizaci&#243;n tumoral&#44; la agresividad terap&#233;utica y la creencia de que el bronceado es saludable no tuvieron influencia significativa en la modificaci&#243;n de la conducta&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">El diagn&#243;stico de melanoma lleva consigo un aumento en los conocimientos y un cambio favorable en los h&#225;bitos de fotoprotecci&#243;n&#46; A pesar de ello&#44; las medidas de fotoprotecci&#243;n no son lo suficientemente adecuadas&#46; La evaluaci&#243;n de las barreras hacia la fotoprotecci&#243;n &#243;ptima puede ser la clave para dise&#241;ar programas educacionales espec&#237;ficos&#46;</p>"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010100000006/v1_201304241615/S1578219010708350/v1_201304241615/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6256"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Original article"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010100000006/v1_201304241615/S1578219010708350/v1_201304241615/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219010708350?idApp=UINPBA000044"
]