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Background and Objective: Infantile haemangioma (IH) is the most common benign tumor in children. At present, pulsed dye laser (PDL) has made great progress in the treatment of superficial IH, showing good safety and effectiveness. But some doctors think that superficial IH should choose to wait-and-see. However, studies have reported that most of the IH after resolution still has residual disease, and thickness seems to be an important factor. Therefore, the purpose of this study is to investigate the relationship between Sequelae and thickness after superficial IH involution. In addition, compare the Sequelae difference between 595-nm pulsed laser combined with 755-nm long-pulse alexandrite laser treatment and wait-and-see. Materials and Methods: This retrospective observational study included patients with superficial IH evaluated in the past 6 years and divided them into a laser group and an observation group. Results: The incidence of sequelae in the laser group was 44.6%, and the incidence of sequelae in the observation group was 69.5%. The incidence of Sequelae of superficial IH in the laser group was significantly lower than that in the observation group (χ2-test, χ2=10.790, P < 0.001). In the observation group, the average A scores of the three thickness subgroups (< 2mm, 2– 5mm, and > 5mm) were 4.38, 3.39, and 1.80, and there were significant differences in the A scores between the three groups (Kruskal–Wallis, p< 0.05). There is a significant difference in the A score between the laser group and the observation group in the superficial IH with a thickness of 2– 5 mm and> 5mm (Wilcoxon rank sum test, P< 0.05). Conclusion: This retrospective study showed that the degree of Sequelae of superficial IH after involution is related to its thickness. In addition, the early intervention of 595-nm pulsed laser combined with 755-nm long-pulse alexandrite laser can reduce the incidence and extent of sequelae. [ABSTRACT FROM AUTHOR]

Purpose: Shared decision making promotes patient participation in medical decisions. This study aims to explore the decision-making situation and influencing factors in patients with cancer. Patients and methods: A cross-sectional descriptive study was conducted for patient with cancers in regional teaching hospitals in northern Taiwan using short-form Mandarin Health Literacy Scale (s-MHLS) and Shared Decision Making Questionnaire (SDM-Q-9), with total 120 cases collected from January 15 to April 30, 2018. Results: Overall health literacy in patients with cancer is 86.52%, and degree of shared decision making is 89.63%; higher education level indicated better health literacy (p<0.001); health literacy is significantly correlated with Shared decision making (r=0.258, p=0.004). Increasing education level by one grade elevated health literacy by 0.623. Expanding health knowledge by one source increased health literacy by 0.307 points, one point increase in health literacy enhanced shared decision making by 0.128 points. Using path analysis, we found education level affects health literacy, which in turn influences shared decision making. Conclusion: Improving health literacy is indispensable to promote patient participation in shared decision making in the highly professional medical field. Education level directly affects health literacy; therefore, in the future, providing disease-matching health education is crucial for patients with lower education levels to enhance their health literacy. Health literacy directly affects shared decision making; therefore, more active assistance in achieving patient health literacy is crucial to implement shared decision making. [ABSTRACT FROM AUTHOR]