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11.
Tonya Martin-Dunlap Terence M. Myckatyn Julie A. Margenthaler 《Current breast cancer reports》2012,4(2):132-138
Breast-conserving therapy, which includes wide local excision of the tumor followed by irradiation, has become a standard
treatment option for women with early-stage invasive breast cancer. The potential advantages of conservative breast surgery
include the minor outpatient nature of the procedures, lower incidence of post-operative pain and complications, preservation
of the breast and nipple areolar complex, and shorter delay to adjuvant therapy. However, not all patients are optimal candidates
for breast-conserving procedures. Oncoplastic techniques combine the removal of breast cancer tumors in combination with either
local volume replacement techniques to correct small defects, or by immediate reconstruction of larger defects using techniques
of plastic surgery with or without contralateral breast procedures for symmetry. Therefore, oncoplastic techniques offer the
potential to perform a wider excision of the tumor with an improved cosmetic result, thus potentially increasing the eligible
pool for breast conservation. 相似文献
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Denise C. Carty Daniel J. Kruger Tonya M. Turner Bettina Campbell E. Hill DeLoney E. Yvonne Lewis 《Journal of urban health》2011,88(1):84-97
Many community-based participatory research (CBPR) partnerships address social determinants of health as a central consideration.
However, research studies that explicitly address racism are scarce in the CBPR literature, and there is a dearth of available
community-generated data to empirically examine how racism influences health disparities at the local level. In this paper,
we provide results of a cross-sectional, population-based health survey conducted in the urban areas of Genesee and Saginaw
Counties in Michigan to assess how a sustained community intervention to reduce racism and infant mortality influenced knowledge,
beliefs, and experiences of racism and to explore how perceived racism is associated with self-rated health and birth outcomes.
We used ANOVA and regression models to compare the responses of intervention participants and non-participants as well as
African Americans and European Americans (N = 629). We found that intervention participants reported greater acknowledgment of the enduring and differential impact of
racism in comparison to the non-intervention participants. Moreover, survey analyses revealed that racism was associated with
health in the following ways: (1) experiences of racial discrimination predicted self-rated physical health, mental health,
and smoking status; (2) perceived racism against one’s racial group predicted lower self-rated physical health; and (3) emotional
responses to racism-related experiences were marginally associated with lower birth-weight births in the study sample. Our
study bolsters the published findings on perceived racism and health outcomes and highlights the usefulness of CBPR and community
surveys to empirically investigate racism as a social determinant of health. 相似文献
15.
Cupp EW Zhang D Yue X Cupp MS Guyer C Sprenger TR Unnasch TR 《The American journal of tropical medicine and hygiene》2004,71(3):272-276
Uranotaenia sapphirina, Culex erraticus, and Cx. peccator were collected in an enzootic eastern equine encephalomyelitis (EEE) virus focus in central Alabama (Tuskegee National Forest) from 2001 to 2003 and analyzed for virus as well as host selection. EEE virus was detected in each species every year except 2003, when pools of Cx. peccator were negative. Most (97%) of the 130 Cx. peccator blood meals identified were from ectothermic hosts; 3% were from birds. Among blood meals from reptiles (approximately 75% of the total), 81% were from Agkistrodon piscivorus (cottonmouth); all amphibian blood meals (approximately 25%) were from Rana spp. with > 50% taken from the bullfrog R. catesbeiana. Host identifications were made from 131 of 197 Cx. erraticus, but only 3 (2%) were derived from ectothermic species. Identification of Ur. sapphirina blood meals proved difficult and only 2 of 35 hosts were determined. Both were from R. catesbeiana. Ectothermic species are possible EEE virus reservoirs in the southeastern United States where species such as Cx. peccator and Ur. sapphirina occur with large, diverse reptilian, amphibian, and avian populations such as those at the Tuskegee site. 相似文献
16.
Melanie Noel Jillian Vinall Lianne Tomfohr-Madsen Amy Lewandowski Holley Anna C. Wilson Tonya M. Palermo 《The journal of pain》2018,19(1):67-75
Symptoms of post-traumatic stress disorder (PTSS) and chronic pain have been shown to co-occur at high rates in adolescents and this co-occurrence is linked to worse pain and quality of life. Sleep disturbance has been posited as a mechanism underlying this co-occurrence in conceptual models of mutual maintenance. This study examined the mediating role of sleep in the relationship between PTSS and pain in youth (aged 10–17 years) with chronic pain. Ninety-seven participants completed measures of PTSS, pain (intensity and interference), anxiety symptoms, and sleep quality, in addition to demographic characteristics. Mediation models were conducted. Findings revealed that, over and above the influence of associated demographic characteristics (age, race) and anxiety symptoms, sleep quality partially mediated the relationships between PTSS and pain intensity and interference for youth with chronic pain. Specifically, higher levels of PTSS was linked to higher levels of pain intensity and pain interference, and these relationships were partially explained by poor sleep quality. Findings highlight the potential mechanistic role of sleep in explaining the co-occurrence of chronic pain and PTSS and suggest sleep might be an important target in future interventions.
Perspective
Consistent with the pediatric model of mutual maintenance in PTSS and chronic pain, poor sleep quality was found to underlie this co-occurrence in youth. 相似文献17.
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Budhwani Henna Gakumo C. Ann Yigit Ibrahim Rice Whitney S. Fletcher Faith E. Whitfield Samantha Ross Shericia Konkle-Parker Deborah J. Cohen Mardge H. Wingood Gina M. Metsch Lisa R. Adimora Adaora A. Taylor Tonya N. Wilson Tracey E. Weiser Sheri D. Sosanya Oluwakemi Goparaju Lakshmi Gange Stephen Kempf Mirjam-Colette Turan Bulent Turan Janet M. 《AIDS and behavior》2022,26(5):1422-1430
AIDS and Behavior - In this mixed-methods study, we examine the relationship between provider communication and patient health literacy on HIV continuum of care outcomes among women living with HIV... 相似文献
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Slonimsky Einat Upham Kent Pepley Sarah Ouyang Tao King Tonya Fiorelli Marco Thamburaj Krishnamoorthy 《Emergency radiology》2022,29(3):427-435
Emergency Radiology - In subarachnoid hemorrhage, noncontrast CT features are used to guide the localization of ruptured aneurysms on CT angiography and DSA. Multiplanar CT may improve the... 相似文献