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https://www.readbyqxmd.com/read/29032999/a-prospective-phase-i-comparison-of-toxicity-and-cosmesis-outcomes-of-single-fraction-iort-and-hypofractionated-radiotherapy-with-iort-boost-in-early-stage-breast-cancer
#1
Tanuja Bhandari, Wesley Babaran, Afshin Forouzannia, Venita Williams, Jay Harness, Michele Carpenter, Maher Gobran, Rajesh Khanijou, Brittany Wagman, Robert Ash, Lawrence D Wagman
PURPOSE: Radiation therapy is proven to reduce local recurrence in patients with early-stage breast cancer. To reduce toxicity, treatment time, and improve accuracy, intraoperative radiation therapy was used as definitive treatment or as a boost. The study's objective was to compare the short-term toxicity and cosmesis of single-fraction (SF) IORT and hypofractionated radiotherapy with IORT boost (HfB) given as definitive treatment. METHODS AND MATERIALS: Between March 2011 and December 2013, 57 patients aged 45-91 years and 24 patients aged 43-83 years (total n = 81) with Stage 0-II were treated with SF or HfB (Mobetron, IntraOp Medical, Sunnyvale, CA)...
October 9, 2017: Brachytherapy
https://www.readbyqxmd.com/read/28961588/development-of-an-assessment-method-for-building-materials-under-euratom-scope
#2
Govert de With
In 2013, the European Commission published its basic safety standards for protection against the dangers arising from exposure to ionizing radiation (Council Directive 2013/59/Euratom)-also known as EU-BSS. As a result, the use of raw materials with potentially elevated activity concentrations such as fly ash, phosphogypsum, and slags will now fall under EU-BSS scope when applied in building materials. In light of this new policy, a variety of tools are available to assess compliance with the 1-mSv y reference level for building materials...
November 2017: Health Physics
https://www.readbyqxmd.com/read/28936988/reducing-radiation-exposure-with-iterative-reconstruction-an-inter-and-intra-scanner-analysis
#3
Aaron Rohr, Jo Wick, Jacqueline Hill, Carissa Walter, Neville Irani, Shaun Best, Kirk Miller, Ryan Ash
Our purpose in this study was to compare delivered radiation exposure via Computed Tomography Dose Index Volume (CTDIvol) and Dose Length Production (DLP) measurements from computed tomography (CT) examinations performed on scanners with and without image-quality enhancing iterative reconstruction (IR) software. A retrospective analysis was conducted on randomly selected chest, abdomen, and/or pelvis CT examinations from three different scanners from January 1, 2013 to December 31, 2013. CTDIvol and DLP measurements were obtained from two CT scanners with and one CT scanner without IR software...
September 22, 2017: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
https://www.readbyqxmd.com/read/28804748/health-of-children-living-near-coal-ash
#4
Clara G Sears, Kristina M Zierold
Coal ash, generated from coal combustion, is composed of small particles containing metals and other elements, such as metalloids. Coal ash is stored in open-air impoundments, frequently near communities. The objective of this study was to evaluate the prevalence of health and sleep problems in children living near coal ash and compare these prevalences to children not living near coal ash. In 2013 to 2014, we conducted a cross-sectional survey in a community adjacent to coal ash storage sites and a community not exposed to coal ash...
2017: Global Pediatric Health
https://www.readbyqxmd.com/read/28783811/social-determinants-of-health-in-managed-care-payment-formulas
#5
Arlene S Ash, Eric O Mick, Randall P Ellis, Catarina I Kiefe, Jeroan J Allison, Melissa A Clark
Importance: Managed care payment formulas commonly allocate more money for medically complex populations, but ignore most social determinants of health (SDH). Objective: To add SDH variables to a diagnosis-based payment formula that allocates funds to managed care plans and accountable care organizations. Design, Setting, and Participants: Using data from MassHealth, the Massachusetts Medicaid and Children's Health Insurance Program, we estimated regression models predicting Medicaid spending using a diagnosis-based and SDH-expanded model, and compared the accuracy of their cost predictions overall and for vulnerable populations...
October 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28665744/if-we-don-t-ask-our-patients-might-never-tell-the-impact-of-the-routine-use-of-a-patient-values-assessment
#6
J Russell Hoverman, Cynthia Taniguchi, Kathryn Eagye, Sabrina Mikan, Angela Kalisiak, Susan Ash-Lee, Rhonda Henschel
PURPOSE: Good communication can be associated with better end-of-life outcomes. The US Oncology Network developed and tested a Values Assessment (VA) for facilitating advance care planning (ACP). The results of the first 1,268 patients are reported. METHODS: The VA consists of 10 questions of the format "How valuable is it to me to…" (eg, "...know that I am not a burden to my family, friends, or helpers?"). Responses were on a four-point scale from unsure to very valuable...
October 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28619532/major-physical-health-conditions-and-risk-of-suicide
#7
Brian K Ahmedani, Edward L Peterson, Yong Hu, Rebecca C Rossom, Frances Lynch, Christine Y Lu, Beth E Waitzfelder, Ashli A Owen-Smith, Samuel Hubley, Deepak Prabhakar, L Keoki Williams, Nicole Zeld, Elizabeth Mutter, Arne Beck, Dennis Tolsma, Gregory E Simon
INTRODUCTION: Most individuals make healthcare visits before suicide, but many do not have a diagnosed mental health condition. This study seeks to investigate suicide risk among patients with a range of physical health conditions in a U.S. general population sample and whether risk persists after adjustment for mental health and substance use diagnoses. METHODS: This study included 2,674 individuals who died by suicide between 2000 and 2013 along with 267,400 controls matched on year and location in a case-control study conducted in 2016 across eight Mental Health Research Network healthcare systems...
September 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28521386/remobilisation-of-industrial-lead-depositions-in-ash-during-australian-wildfires
#8
Liqin Wu, Mark Patrick Taylor, Heather K Handley
This study examined the recycling of lead (Pb) in ash from wildfires, its source and potential contribution to environmental contamination. Ash from wildfires was collected from four Australian sites following uncontrolled fires during 2012 to 2013 close to major urban populations in Sydney (New South Wales), Hobart (Tasmania) and Adelaide (South Australia). The samples were analysed for their total Pb concentration and Pb isotopic composition to determine the sources of Pb and the extent, if any, of industrial contamination and its recycling into the ecosystem...
December 1, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28438027/attitudes-towards-homosexuals-in-seven-caribbean-countries-implications-for-an-effective-hiv-response
#9
Eduard J Beck, Kenika Espinosa, Tanisha Ash, Peter Wickham, Christine Barrow, Ernest Massiah, Ben Alli, Cesar Nunez
Between 2000 and 2015, the number of people newly infected with HIV in the Caribbean decreased by 76% and HIV-related deaths by 42%. The number of people living with HIV (PLHIV) on anti-retroviral therapy (ART) increased from near zero to 50% (44% to 57%) in 2015. In many Caribbean countries communities of men-who-have-sex-with-other-men (MSM) have higher incidence and prevalence of HIV. They are often stigmatized and subjected to both social and institutional discrimination. This study compared attitudes of the general public obtained through public opinion polls 2013-2014 towards homosexuals and willingness to socialize with them in seven Caribbean countries...
December 2017: AIDS Care
https://www.readbyqxmd.com/read/28432865/assessment-of-radiological-efficiency-of-countermeasures-on-peat-bog-soils-of-ukrainian-polissya
#10
Igor Maloshtan, Sergiy Polishchuk, Valery Kashparov, Vasyl Yoschenko
In the field conditions, the long-term (2013-2015) small-plots experiment was carried out for evaluation of radiological efficiency of application of ameliorants as the countermeasures for reduction of the (137)Cs uptake to herbage at the Peat-boggy (Histosols) soils of Ukrainian Polissya. At the late stage after the Chernobyl accident, the average radiological efficiencies of application of sand (175-200 ton ha(-1)) and ferrocyn (0.2 ton ha(-1)) as the ameliorants were rather low ranging from 0.8 to 1.6...
September 2017: Journal of Environmental Radioactivity
https://www.readbyqxmd.com/read/28345328/esophageal-cancer-and-associated-factors-among-uzbek-turkmen-and-other-ethnic-groups-in-the-northern-part-of-afghanistan
#11
Mohammad Hassan Hamrah, Mohammad Shoaib Hamrah, Mitsuro Kanda, Junichi Sakamoto, Mohammad Hussain Hamrah, Asif Hami, Ahmad Edris Hamrah, Ahmad Elias Dahi, Mohammad Hashem Hamrah
Background: A high incidence rate of esophageal cancer has been observed in the Northern part of Afghanistan, particularly among those of Uzbek-Turkmen ethnicity. However, there is a paucity of published data from which to compare the prevalence of environmental risk factors for esophageal cancer between Uzbek-Turkmen and other ethnic groups. Thus, we investigated the prevalence of environmental risk factors associated with esophageal cancer in the Northern part of Afghanistan, focusing on ethnicity differences...
February 1, 2017: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/28337036/trends-in-genital-warts-diagnoses-in-new-zealand-five-years-following-the-quadrivalent-human-papillomavirus-vaccine-introduction
#12
Jeannie Oliphant, Joanna Stewart, Peter Saxton, Min Lo, Nicky Perkins, Daniel Ward
AIM: To investigate whether changes in rates of genital warts diagnosis at Auckland Sexual Health Service (ASHS), pre and post the quadrivalent human papillomavirus (4vHPV) vaccine introduction in late 2008, differed between clients vaccine-eligible and not eligible. METHOD: All new clients attending ASHS from 2007 to 2013 were categorised as having genital warts or not. Generalised linear mixed models were used to compare differences in rates of change in diagnoses...
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28179049/promoting-hand-hygiene-compliance
#13
Thomas von Lengerke, Bettina Lutze, Christian Krauth, Karin Lange, Jona Theodor Stahmeyer, Iris Freya Chaberny
BACKGROUND: The German "Clean Hands Campaign" (an adaptation of the WHO "Clean Care is Safer Care" programme) to promote hand hygiene among hospital personnel at Hannover Medical School (MHH, Medizinische Hochschule Hannover), known as Aktion Saubere Hände (ASH), met with initial success. By 2013, however, compliance rates with hygienic hand disinfection in the hospital's ten intensive care units (ICUs) and two hematopoietic stem cell transplantation units (HSCTUs) had relapsed to their initial levels (physicians: 48%; nurses: 56%)...
January 20, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/28156575/using-a-values-assessment-as-a-bridge-to-advance-care-planning-results-of-1286-patient-reports
#14
Cynthia Taniguchi, Kathryn J Eagye, Susan Ash-Lee, Angela Kalisiak, Sabrina Q Mikan, Nicole Hartung
12 Background: Recent studies have shown that formal Palliative Care (PC) improves care at the end of life for cancer patients. The role of communication in PC is not defined. Other studies have shown that communication alone can be associated with better end of life outcomes. The US Oncology Network developed and tested a Values Assessment (VA) instrument for routinely broaching difficult topics to facilitate more formal advance care planning (ACP). The results of the first 28 months of the program on over 1200 patients are reported here...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152926/cancer-care-decision-support-for-wbc-growth-factors-gf-geographic-differences-in-utilization-and-provider-malleability
#15
Kenneth Sherman Wurtz, Anna DiMarco, Lourdes Feliciano, Dinah Faith Q Huff, Kevin B Knopf, William J Hrushesky, Michael Baum
128 Background: Growth factor use is the largest single category of drug expenditure for US cancer patients. Oncology Analytics is a decision support company that assists physicians in determining the appropriate use of GF based on the NCCN, ASCO, and ASH guidelines and the level one data that underlies these guidelines. We hypothesized that there would be geographic variation among GF preference and in the malleability of those practice patterns after OA entered a market. We determined the proportion of initial pegfilgrastim requests for preauthorization over other types of GF as well as the review outcomes and final drug of choice after OA intervention of inappropriate GF requests across three specific jurisdictions: Florida, Puerto Rico, Georgia and Texas...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28030505/ultrasound-assessment-of-volume-responsiveness-in-critically-ill-surgical-patients-two-measurements-are-better-than-one
#16
Sarah B Murthi, Syeda Fatima, Ashely R Menne, Jacob J Glaser, Samuel M Galvagno, Stephen Biederman, Raymond Fang, Hegang Chen, Thomas M Scalea
BACKGROUND: The intended physiologic response to a fluid bolus is an increase in stroke volume (SV). Several ultrasound (US) measures have been shown to be predictive. The best measure(s) in critically ill surgical patients remains unclear. METHODS: This is a prospective observational study in critically ill surgical patients receiving a bolus of crystalloid, colloid or blood. A transthoracic echocardiogram was performed before (pre-transthoracic echocardiogram) and after...
March 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27887694/reprint-of-assessing-the-impact-of-a-joint-human-porcine-intervention-package-for-taenia-solium-control-results-of-a-pilot-study-from-northern-lao-pdr
#17
Anna L Okello, Lian Thomas, Phouth Inthavong, Amanda Ash, Boualam Khamlome, Chattouphone Keokamphet, Kim Newberry, Charles G Gauci, Sarah Gabriël, Pierre Dorny, Rc Andrew Thompson, Marshall W Lightowlers, John Allen
Following confirmation that a remote village of approximately 300 inhabitants in northern Lao PDR was hyperendemic for the Neglected Tropical Disease Taenia solium, a pilot human-porcine therapeutic control intervention was implemented between October 2013 and November 2014. Mass drug administration with a three day albendazole 400mg protocol was offered to all eligible humans in October 2013 and March 2014. At these times, and again in October 2014, eligible village pigs received the anti-cysticercosis TSOL18 vaccination and an oral dose of oxfendazole anthelmintic at 30mg/kg, both repeated one month later...
January 2017: Acta Tropica
https://www.readbyqxmd.com/read/27791475/behavior-of-radioactive-materials-and-safety-stock-of-contaminated-sludge
#18
Ikuo Tsushima
The radioactive fallout from the Fukushima Dai-ichi nuclear power plant disaster in 2011 has flowed into and accumulated in many wastewater treatment plants (WWTPs) via sewer systems; this has had a negative impact on WWTPs in eastern Japan. The behavior of radioactive materials was analyzed at four WWTPs in the Tohoku and Kanto regions to elucidate the mechanism by which radioactive materials are concentrated during the sludge treatment process from July 2011 to March 2013. Furthermore, numerical simulations were conducted to study the safe handling of contaminated sewage sludge stocked temporally in WWTPs...
January 28, 2017: Journal of Environmental Science and Health. Part A, Toxic/hazardous Substances & Environmental Engineering
https://www.readbyqxmd.com/read/27723861/high-frequency-of-gba-gene-mutations-in-dementia-with-lewy-bodies-among-ashkenazi-jews
#19
Tamara Shiner, Anat Mirelman, Mali Gana Weisz, Anat Bar-Shira, Elissa Ash, Ron Cialic, Naomi Nevler, Tanya Gurevich, Noa Bregman, Avi Orr-Urtreger, Nir Giladi
Importance: Mutations in the glucocerebrosidase (GBA) gene are a risk factor for the development of dementia with Lewy bodies (DLB). These mutations are common among Ashkenazi Jews (AJ) and appear to have an effect on the natural history of the disease. Objectives: To evaluate the clinical and genetic characteristics of an AJ cohort of patients diagnosed with DLB, assess the association of phenotype of DLB with GBA mutations, and explore the effects of these mutations on the clinical course of the disease...
December 1, 2016: JAMA Neurology
https://www.readbyqxmd.com/read/27689139/determinants-of-and-barriers-to-hormonal-and-surgical-treatment-receipt-among-transgender-people
#20
R Craig Sineath, Cory Woodyatt, Travis Sanchez, Shawn Giammattei, Theresa Gillespie, Enid Hunkeler, Ashli Owen-Smith, Virginia P Quinn, Douglas Roblin, Robert Stephenson, Patrick S Sullivan, Vin Tangpricha, Michael Goodman
Purpose: Medical gender confirmation therapy (GCT) plays an important role in transgender health; however, its prevalence and determinants constitute an area of uncertainty. Methods: Data for this cross-sectional study were obtained from an online survey distributed from October 2012 through the end of 2013 among persons who visited the social media sites of a transgender education and social networking meeting. Eligible respondents (n=280) were persons whose gender identity was different from their sex assigned at birth and who responded to questions about previously received or planned hormonal therapy (HT), chest reconstruction, or genital surgery...
2016: Transgender Health
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