Primary anorectal melanoma: an update.

The anorectum is a rare anatomic location for primary melanoma. Mucosal melanoma is a distinct biological and clinical entity from the more common cutaneous melanoma. It portrays worse prognosis than cutaneous melanoma, with distant metastases being the overwhelming cause of morbidity and mortality. Surgery is the treatment of choice, but significant controversy exists over the extent of surgical resection. We present an update on the state of the art of anorectal mucosal melanoma. To illustrate the multimodality approach to anorectal melanoma, we present a typical patient.

Children's literature in the school health education program.

Children's literature covers a wide range of topics, themes and issues that can help children in the elementary school health education program develop an awareness of personal and public health. A model for selecting and evaluating fictional stories and informational books that deal with topics included in the health education curriculum, giving particular attention to book selections that treat nutrition and environmental issues, is presented in this paper.