-
Impact of patient navigation in eliminating economic disparities in cancer care.
PubMed
Rodday, Angie Mae; Parsons, Susan K; Snyder, Frederick; Simon, Melissa A; Llanos, Adana A M; Warren-Mears, Victoria; Dudley, Donald; Lee, Ji-Hyun; Patierno, Steven R; Markossian, Talar W; Sanders, Mechelle; Whitley, Elizabeth M; Freund, Karen M
2015-11-15
Patient navigation may reduce cancer disparities associated with socioeconomic status (SES) and household factors. This study examined whether these factors were associated with delays in diagnostic resolution among patients with cancer screening abnormalities and whether patient navigation ameliorated these delays. This study analyzed data from 5 of 10 centers of the National Cancer Institute's Patient Navigation Research Program, which collected SES and household data on employment, income, education, housing, marital status, and household composition. The primary outcome was the time to diagnostic resolution after a cancer screening abnormality. Separate adjusted Cox proportional hazard models were fit for each SES and household factor, and an interaction between that factor and the intervention status was included. Among the 3777 participants (1968 in the control arm and 1809 in the navigation intervention arm), 91% were women, and the mean age was 44 years; 43% were Hispanic, 28% were white, and 27% were African American. Within the control arm, the unemployed experienced a longer time to resolution than those employed full-time (hazard ratio [HR], 0.85; P = .02). Renters (HR, 0.81; P = .02) and those with other (ie, unstable) housing (HR, 0.60; P < .001) had delays in comparison with homeowners. Never married (HR, 0.70; P < .001) and previously married participants (HR, 0.85; P = .03) had a longer time to care than married participants. There were no differences in the time to diagnostic resolution with any of these variables within the navigation intervention arm. Delays in diagnostic resolution exist by employment, housing type, and marital status. Patient navigation eliminated these disparities in the study sample. These findings demonstrate the value of providing patient navigation to patients at high risk for delays in cancer care. © 2015 American Cancer Society.
-
The impact of patient navigation in eliminating economic disparities in cancer care
PubMed Central
Rodday, Angie Mae; Parsons, Susan K.; Snyder, Frederick; Simon, Melissa A.; Llanos, Adana A.M.; Warren-Mears, Victoria; Dudley, Donald; Lee, Ji-Hyun; Patierno, Steve R.; Markossian, Talar W.; Sanders, Mechelle; Whitley, Elizabeth; Freund, Karen M.
2015-01-01
Background Patient navigation may reduce cancer disparities associated with socioeconomic status (SES) and household factors. We examined whether these factors were associated with delays in diagnostic resolution among patients with cancer screening abnormalities and whether patient navigation ameliorated these delays. Methods We analyzed data from five of ten centers from the NCI Patient Navigation Research Program that collected SES and household data on employment, income, education, housing, marital status, and household composition. The primary outcome was time to diagnostic resolution following a cancer screening abnormality. We fit separate adjusted Cox proportional hazard models for each SES and household factor and included an interaction between that factor and intervention status. Results Among 3777 participants (n=1968 control, n=1809 navigation intervention), 91% were women, with a mean age of 44 years, and 43% were Hispanic, 28% White, and 27% African American. Within the control arm, the unemployed experienced longer time to resolution than the full-time employed (HR=0.85, p=0.02). Renters (HR=0.81, p=0.02) and those with other (i.e., unstable) housing (HR=0.60, p<0.001) had delays compared to homeowners. Never married (HR=0.70, p<0.001) and previously married participants (HR=0.85, p=0.03) had longer time to care than married participants. There were no differences in time to diagnostic resolution by any of these variables within the navigation intervention arm. Conclusions Delays in diagnostic resolution exist by employment, housing type, and marital status. Patient navigation eliminated these disparities in our study sample. Our findings demonstrate the value of providing patient navigation to patients at high risk for delays in cancer care. PMID:26348120
-
Advantages and difficulties of implementation of the international GNA standards in sustainable mining development. (Invited)
NASA Astrophysics Data System (ADS)
Masaitis, A.
2013-12-01
Conflicts in the development of mining projects are now common between the mining proponents, NGO's and communities. These conflicts can sometimes be alleviated by early development of modes of communication, and a formal discussion format that allows airing of concerns and potential resolution of problems. One of the methods that can formalize this process is to establish a Good Neighbor Agreement (GNA), which deals specifically with challenges in relationships between mining operations and the local communities. It is a new practice related to mining operations that are oriented toward social needs and concerns of local communities that arise during the normal life of a mine, which can achieve sustainable mining practices in both developing and developed countries. The GNA project being currently developed at the University of Nevada, Reno in cooperation with the Newmont Mining Corporation has a goal to create an open company/community dialog that is based on the international standards and that will help identify and address sociological and environmental concerns associated with mining, as well as find methods for communication and conflict resolution. GNA standards should be based on trust doctrine, open information access, and community involvement in the decision making process. It should include the following components: emergency response and community communications; environmental issues, including air and water quality standards; reclamation and recultivation; socio-economic issues: transportation, safety, training, and local hiring; and financial issues, particularly related to mitigation offsets and community needs. The GNA standards help identify and evaluate conflict criteria in mining/community relationships; determine the status of concerns; focus on the local political and government systems; separate the acute and the chronic concerns; determine the role and responsibilities of stakeholders; analyze problem resolution feasibility; maintain the community involvement and support through economic benefits and environmental safeguards; develop options for the concerns resolution; develop and manage short and long-term plans. Difficulties in establishing the GNA standards include identification of the full list of stakeholders, lack of responsible environmental protection practices, dependence on the government and political system, lack of will to disclose full information to the public. It is further complicated by the lack of insurance/bonding policies, and by the lack of audit and monitoring that could determine the level of exposure of the local community and the environment to the contaminants released at the mine sites. Since many problems of mines can occur during closure and post-closure, GNA's should address those issues also. Determined the process for the GNA implementation as a conflict prevention/resolution tool, analyzed conflict/concerns criteria associated with mining operations, determined the role of the stakeholders, worked out the process of stakeholders monitoring, carried out the sociological survey of the stakeholders and the community. Frequent conflicts between mining companies and surrounding communities that lead to work disruptions or even mine closures show the necessity of a less confrontational approach to environmental and social justice. Establishment of GNA standards for use in both developed and developing nations can decrease these conflicts.
-
20 CFR 627.481 - Audit resolution.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Audit resolution. 627.481 Section 627.481... PROGRAMS UNDER TITLES I, II, AND III OF THE ACT Administrative Standards § 627.481 Audit resolution. (a) Federal audit resolution. When the OIG issues an audit report to the Employment and Training...
-
Enhancing resolution in coherent x-ray diffraction imaging.
PubMed
Noh, Do Young; Kim, Chan; Kim, Yoonhee; Song, Changyong
2016-12-14
Achieving a resolution near 1 nm is a critical issue in coherent x-ray diffraction imaging (CDI) for applications in materials and biology. Albeit with various advantages of CDI based on synchrotrons and newly developed x-ray free electron lasers, its applications would be limited without improving resolution well below 10 nm. Here, we review the issues and efforts in improving CDI resolution including various methods for resolution determination. Enhancing diffraction signal at large diffraction angles, with the aid of interference between neighboring strong scatterers or templates, is reviewed and discussed in terms of increasing signal-to-noise ratio. In addition, we discuss errors in image reconstruction algorithms-caused by the discreteness of the Fourier transformations involved-which degrade the spatial resolution, and suggest ways to correct them. We expect this review to be useful for applications of CDI in imaging weakly scattering soft matters using coherent x-ray sources including x-ray free electron lasers.
-
SWIFTS: on-chip very high spectral resolution spectrometer
NASA Astrophysics Data System (ADS)
le Coarer, E.; Venancio, L. G.; Kern, P.; Ferrand, J.; Puget, P.; Ayraud, M.; Bonneville, C.; Demonte, B.; Morand, A.; Boussey, J.; Barbier, D.; Blaize, S.; Gonthiez, T.
2017-11-01
The size and the weight of state of the art spectrometers is a serious issue regarding space applications. SWIFTS (Stationary Wave Integrated Fourier Transform Spectrometer) is a new FTS family without any moving part. This very promising technology is an original way to fully sample the Fourier interferogram obtained in a waveguide by either a reflection (SWIFTS Lippmann) or counter-propagative (SWIFTS Gabor) interference phenomenon. The sampling is simultaneously performed the optical path thanks to "nano-detectors" located in the evanescent field of the waveguide. For instance a 1.7cm long waveguide properly associated to the detector achieves directly a resolution of 0.13cm-1 on a few centimetre long instruments. Here, firstly we present the development status of this new kind of spectrometers and the first results obtained with on going development of spectrometer covering simultaneously the visible domain from 400 to 1000 nm like an Echelle spectrometer. Valuable technologies allows one to extend the concept to various wavelength domains. Secondly, we present the results obtained in the frame of an activity funded by the European Space Agency where several potential applications in space missions have been identified and studied.
-
A resolution commemorating and supporting the goals of World AIDS day.
THOMAS, 113th Congress
Sen. Coons, Christopher A. [D-DE
2014-12-10
Senate - 12/11/2014 Placed on Senate Legislative Calendar under General Orders. Calendar No. 649. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
-
Immediate Establishment of Syrian War Crimes Tribunal Resolution
THOMAS, 113th Congress
Rep. Smith, Christopher H. [R-NJ-4
2013-09-09
House - 04/30/2014 Ordered to be Reported in the Nature of a Substitute (Amended) by Unanimous Consent. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
-
A resolution honoring the life and legacy of Laura Pollan.
THOMAS, 112th Congress
Sen. Rubio, Marco [R-FL
2011-12-01
Senate - 02/14/2012 Placed on Senate Legislative Calendar under General Orders. Calendar No. 321. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
-
A resolution supporting the goals and ideals of World Malaria Day.
THOMAS, 113th Congress
Sen. Coons, Christopher A. [D-DE
2014-04-29
Senate - 05/20/2014 Placed on Senate Legislative Calendar under General Orders. Calendar No. 382. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
-
A resolution supporting the goals and ideals of World Water Day.
THOMAS, 111th Congress
Sen. Collins, Susan M. [R-ME
2009-03-23
Senate - 07/28/2009 Placed on Senate Legislative Calendar under General Orders. Calendar No. 131. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
-
Head Start Continuing Appropriations Resolution, 2014
THOMAS, 113th Congress
Rep. Rogers, Harold [R-KY-5
2013-10-03
Senate - 10/10/2013 Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 213. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:
-
Veterans Benefits Continuing Appropriations Resolution, 2014
THOMAS, 113th Congress
Rep. Culberson, John Abney [R-TX-7
2013-10-01
Senate - 10/05/2013 Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 207. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:
-
Advanced spacecraft fire safety: Proposed projects and program plan
NASA Technical Reports Server (NTRS)
Youngblood, Wallace W.; Vedha-Nayagam, M.
1989-01-01
A detailed review identifies spacecraft fire safety issues and the efforts for their resolution, particularly for the threats posed by the increased on-orbit duration, size, and complexity of the Space Station Freedom. Suggestions provided by a survey of Wyle consultants and outside fire safety experts were combined into 30 research and engineering projects. The projects were then prioritized with respect to urgency to meet Freedom design goals, status of enabling technology, cost, and so on, to yield 14 highest priority projects, described in terms of background, work breakdown structure, and schedule. These highest priority projects can be grouped into the thematic areas of fire detection, fire extinguishment, risk assessment, toxicology and human effects, and ground based testing. Recommendations for overall program management stress the need for NASA Headquarters and field center coordination, with information exchange through spacecraft fire safety oversight committees.
-
A program for advancing the technology of space concentrators
NASA Technical Reports Server (NTRS)
Naujokas, Gerald J.; Savino, Joseph M.
1989-01-01
In 1985, the NASA Lewis Research Center formed a project, the Advanced Solar Dynamics Power Systems Project, for the purpose of advancing the technology of Solar Dynamic Power Systems for space applications beyond 2000. Since then, technology development activities have been initiated for the major components and subsystems such as the concentrator, heat receiver and engine, and radiator. Described here is a program for developing long lived (10 years or more), lighter weight, and more reflective space solar concentrators than is presently possible. The program is progressing along two parallel paths: one is concentrator concept development and the other is the resolution of those critical technology issues that will lead to durable, highly specular, and lightweight reflector elements. Outlined are the specific objectives, long-term goals, approach, planned accomplishments for the future, and the present status of the various program elements.
-
A program for advancing the technology of space concentrators
NASA Technical Reports Server (NTRS)
Naujokas, Gerald J.; Savino, Joseph M.
1989-01-01
In 1985, the NASA Lewis Research Center formed a project, the Advanced Solar Dynamics Power Systems Project, for the purpose of advancing the technology of Solar Dynamic Power Systems for space applications beyond 2000. Since then, technology development activities have been initiated for the major components and subsystems such as the concentrator, heat receiver and engine, and radiator. Described here is a program for developing long lived (10 years or more), lighter weight, and more reflective space solar concentrators than is presently possible. The program is progressing along two parallel paths: one is concentrator concept development and the other is the resolution of those critical technology issues that will lead to durable, highly specular, and lightweight reflector elements. Outlined are the specific objectives, long term goals, approach, planned accomplishments for the future, and the present status of the various program elements.
-
Resource Allocation in Healthcare: Implications of Models of Medicine as a Profession
PubMed Central
Kluge, Eike-Henner W.
2007-01-01
For decades, the problem of how to allocate healthcare resources in a just and equitable fashion has been the subject of concerted discussion and analysis, yet the issue has stubbornly resisted resolution. This article suggests that a major reason for this is that the discussion has focused exclusively on the nature and status of the material resources, and that the nature and role of the medical profession have been entirely ignored. Because physicians are gatekeepers to healthcare resources, their role in allocation is central from a process perspective. This article identifies 3 distinct interpretations of the nature of medicine, shows how each mandates a different method of allocation, and argues that unless an appropriate model of medicine is developed that acknowledges the valid points contained in each of the 3 approaches, the allocation problem will remain unsolvable. PMID:17435657
-
See Also:physica status solidi (a)physica status solidi (c)Copyright © 2004 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim- Get Sample Copy
- Recommend to Your Librarian
- Save Title to My Profile
- Set E-Mail Alert
| | < Previous Issue | Next Issue > |
Volume 241, Issue15 (December 2004)
Articles in the Current Issue:
Cover Picture
Quasi-localized low-frequency vibrational modes of disordered solids: Study by single-molecule spectroscopy
NASA Astrophysics Data System (ADS)
Naumov, A. V.; Vainer, Yu. G.; Bauer, M.; Kador, L.
2004-12-01
Editor's Choice of this issue of physica status solidi (b) is the article [1] by Andrei V. Naumov et al. This paper is Part II (Part I see [2]) of a study on elementary excitations in glasses, presented at the 11th International Conference on Phonon Scattering in Condensed Matter, St. Petersburg, 25-30 July 2004. For his outstanding talk, Naumov received the new physica status solidi Young Researcher Award which was bestowed for the first time at this conference.The cover picture is a sketch of a glass with a single impurity molecule and one hypothetical quasi-localized vibrational mode. The broadening and shift of the chromophore spectral line are caused by the interaction with this mode.Andrei V. Naumov is senior scientific researcher and deputy head of the Molecular Spectroscopy Department of the Institute of Spectroscopy, Troitsk. His main research interests are experimental and theoretical studies of low-temperature dynamics of amorphous solids (glasses, polymers etc.) via high resolution laser selective spectroscopy techniques.The second Editor's Choice is an article by E. A. Eliseev and M. D. Glinchuk [3]. Eugene A. Eliseev is scientific researcher at the Frantsevich Institute for Problems of Materials Science of the Ukrainian National Academy of Sciences, Kiev. His research areas are the theory of size and correlation effects in ferroelectric materials as well as modelling of disordered ferroelectrics properties.
-
Mental Retardation and the Law: A Report on Status of Current Court Cases.
ERIC Educational Resources Information Center
Levine, Jan Martin, Ed.
Brief reports on the status of approximately 75 ongoing or recently decided court cases in states of relevance to the mentally retarded are provided. Cases cover the following issues: commitment, community living and services, criminal law, discrimination, guardianship, institutions and deinstitutionalization, medical/legal issues, parental rights…
-
The Diversity Education Dilemma: Exposing Status Hierarchies without Reinforcing Them
ERIC Educational Resources Information Center
Amoroso, Lisa M.; Loyd, Denise Lewin; Hoobler, Jenny M.
2010-01-01
A "diversity education dilemma" occurs when exposure to information concerning status hierarchies, related to demographic and other socially salient identity groups, reinforces those hierarchies in the classroom. Discussions of diversity-related issues in a variety of management courses (e.g., immigrant issues in labor relations, the composition…