IntroductionCancer is the leading cause of death among Alaska Native people. The objective of this study was to examine cancer incidence data for 2007–2011, age-specific rates for a 15-year period, incidence trends for 1970–2011, and mortality trends for 1990–2011.MethodsUS data were from the Surveillance, Epidemiology, and End Results (SEER) Program SEER*Stat database and from the SEER Alaska Native Tumor Registry. Age-adjusted cancer incidence rates among Alaska Native people and US whites were compared using rate ratios. Trend analyses were performed using the Joinpoint Regression Program. Mortality data were from National Center for Health Statistics.ResultsDuring 2007–2011 the cancer incidence rate among Alaska Native women was 16% higher than the rate among US white women and was similar among Alaska Native men and US white men. Incidence rates among Alaska Native people exceeded rates among US whites for nasopharyngeal, stomach, colorectal, lung, and kidney cancer. A downward trend in colorectal cancer incidence among Alaska Native people occurred from 1999 to 2011. Significant declines in rates were not observed for other frequently diagnosed cancers or for all sites combined. Cancer mortality rates among Alaska Native people during 2 periods, 1990–2000 and 2001–2011, did not decline. Cancer mortality rates among Alaska Native people exceeded rates among US whites for all cancers combined; for cancers of the lung, stomach, pancreas, kidney, and cervix; and for colorectal cancer.ConclusionIncreases in colorectal screening among Alaska Native people may be responsible for current declines in colorectal cancer incidence; however; improvements in treatment of colon and rectal cancers may also be contributing factors.
The use of 3D scanning systems for the capture and measurement of human body dimensions is becoming commonplace. While the ability of available scanning systems to record the surface anatomy of the human body is generally regarded as acceptable for most applications, effective use of the images to obtain anthropometric data requires specially developed data extraction software. However, for large data sets, extraction of useful information can be quite time consuming. A major benefit therefore is to possess an automated software program that quickly facilitates the extraction of reliable anthropometric data from 3D scanned images. In this paper the accuracy and variability of two fully automated data extraction systems (Cyberware WB-4 scanner with Natick-Scan software and Hamamatsu BL Scanner with accompanying software) are examined and compared with measurements obtained from traditional anthropometry. In order to remove many confounding variables that living humans introduce during the scanning process, a set of clothing dressforms was chosen as the focus of study. An analysis of the measurement data generally indicates that automated data extraction compares favorably with standard anthropometry for some measurements but requires additional refinement for others.
reviewed retrospectively. Complications were the primary outcome and were divided into major (i.e., bleeding requiring transfusion or sutures) and minor (bleeding requiring pressure or local hemostatic agents). RESULTS: From January 2012 to December 2014 a total of 1071 medical records were reviewed. Gomco was the more common technique used [55.84% (598/1071)]. The overall complication rate was 3.83% (41/1071), all involving bleeding. Only 3 [7.32% (3/41)] major complications were encounter, requiring suture placement. No transfusions required. The rest were minor bleeding complications, controlled either by pressure [58.54% (24/41)], silver nitrate [26.83% (11/41) or thrombin [7.32% (3/41)]. Use of the Gomco clamp was more likely to result in bleeding than was the Mogen clamp, 5.69% (34/598) vs 2.96% (14/473), P5.03. Statistical significant difference was noted between pediatricians complication rate (11.49%), compared to OB/GYN physicians (3.08%) (P5.0002).CONCLUSION: Neonatal circumcision is a fairly safe procedure when performed in a hospital setting by attendings or proper supervised physicians in training. The most common complication found in our cohort, was bleeding and the majority resolved with either suture or pressure. No significant major complications were found. In our hands, the Mogen clamp was associated with less bleeding than was the Gomco clamp.INTRODUCTION: Hartford Healthcare, a five hospital system in Connecticut, integrated simulation with risk management training into a single educational curriculum to both improve patient safety and mitigate malpractice risk for the specialty of obstetrics. The first year of the curriculum focused on shoulder dystocia and documentation, and will be expanded to other high risk areas in subsequent years. METHODS:A Work Group, comprised of simulation experts, medical malpractice defense attorneys, risk management consultants, and clinicians, was commissioned to construct the program. Both clinical and risk management learning objectives were identified, and an integrated curriculum was developed using an evidence-based approach. This Group was responsible for implementing the program to 350 participants across five sites. RESULTS:The Group developed customized evaluation and assessment tools that were administered to each participant. These tools aimed to measure participant receptivity and overall buy-in of the program. For the simulation session, 100% of participants stated it was worth their time, and 99% indicated the program would change their practice. For the risk management presentation, 97% of participants said it was worth their time, and 93% of participants indicated the program would change their practice.CONCLUSION: This integrated simulation and risk management training was found to be a worthwhile use of participants' time and have an impact on participants' practice. Simulation training offers a safe and controlled environment in which to train obstetrical emergencies. By integrating risk management with simulation, we can impact both patien...
On the basis of previous and recent research on college life and school education it is hypothesized that both individual or personal identity (i.e., individual self-esteem) and ethnic or social identity (i.e., group/collective self-esteem) play a very important role in life satisfaction of college students. A total of 186 college students completed different inventories containing items concerning life satisfaction. The results revealed that individual or personal identity, ethnic or social identity, and perceived stress largely accounted for the variance of college students' life satisfaction. In addition, the differences between White or Euro-American, Hispanic/Latino/a, African, Asian, and other students were also found to be significant in terms of their college life satisfaction, personal identity, social identity, locus of control, residence or living conditions, and pessimistic attitudes toward racial problems.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.