Nursing Review Issue 1 | Jan-Feb 2018 | Page 7

news Eye on cancer Freckles and moles on the iris could predict melanoma, researchers say. W hen it comes to indicating melanoma risk, the eyes have it. University of Queensland researchers have found that freckles and moles appearing on the iris were an effective predictor of the risk of melanoma and complemented traditional factors. The Dermatology Research Centre’s Associate Professor Rick Sturm said the presence of three or more iris pigmented lesions was associated with a 45 per cent increased risk of melanoma. The association was particularly strong in people under 40, Sturm said. “The presence of iris freckling and naevi [moles], provides additional information about an individual’s melanoma risk over and above factors like blue eyes, red hair, Bladder leakage in teens Go Against The Flow campaign material. Photo: VCRC Many young girls deal with the problem alone, feeling stressed and ashamed. U rinary incontinence is not something teen girls talk about because no one really tells them it’s something they should be thinking about.” Because of this silence, Swinburne University of Technology associate professor Nicole Wragg says, many young girls are likely to deal with the problem alone, feeling embarrassed, stressed and ashamed. Wragg, who is also executive officer of the Victorian Continence Resource Centre (VCRC), and fellow VCRC researchers conducted a literature review that confirmed the lack of age-appropriate and engaging material available to raise awareness of fair skin and the number of moles on the skin.” The study involved 1117 participants of European background living in south-east Queensland. Study co-author Dr Antonia Laino said the results showed that participants with pigmented lesions were 1.45 times more likely to develop melanoma. She also said the fact that younger patients are 1.8 times more at risk suggested a genetic susceptibility. Laino added that these lesions should be used as markers for melanoma risk in younger patients. “Melanoma is the most common cancer in Australians aged 15–39. Despite many new advances in treatments, long-term prognosis remains poor, therefore early detection is still key in reducing the burden of the disease. “It’s very easy to look for iris pigmented lesions, and we hope that these findings will help doctors identify those people who may be at increased risk of melanoma and need a skin check,” she said. ■ bladder leakage in teenage girls. This is at odds with prevalence in the cohort, with one in eight teenage girls experiencing bladder leakage. Wragg said the revelation was the catalyst behind the Go Against The Flow campaign, which aims to spread awareness about bladder leakage in girls aged 15–19. “It is imperative to reach this audience before the health issue arises,” Wragg said. Over the course of several years, a collaborative team comprising VCRC and Swinburne staff, led by chief investigator Associate Professor Carolyn Barnes, held a series of co-design workshops with teen girls to find the best ways to connect with them. “The girls gave us critical feedback about what mattered to them,” Barnes said. “The workshop findings were then translated into design concepts by an all- female team of Swinburne communication design students.” The team landed on a website that features blogs, information and a forum. The team hoped it would help make teenage girls who may be experiencing bladder leakage feel supported, informed and respected. The project was funded by the Victorian Department of Health and Human Services, Swinburne and VCRC. ■ nursingreview.com.au | 5