While the COVID-19 pandemic has dramatically affected the lives of people around the world, select populations (e.g., elderly, immune-compromised, and incarcerated individuals) are among the most likely to contract the virus and among the least likely to overcome the illness and regain full health.
View Article and Find Full Text PDFObjective: Adjuvant endocrine therapy (AET) significantly reduces risk of breast cancer recurrence in those patients whose tumor tests hormone (estrogen and/or progesterone) receptor positive. Many who are prescribed AET do not adhere adequately. Studies have sought to examine the effects of interventions to enhance patients' AET adherence, with strikingly mixed results.
View Article and Find Full Text PDFRunoff from concentrated animal feeding operations and croplands in the Upper Devils Lake Basin (Towner and Ramsey Counties), North Dakota, has the potential to impact the water quality and wildlife of the Lake Alice National Wildlife Refuge. Water samples were collected at eight locations upstream and downstream of the refuge, beginning in June 2007 through March 2011, to identify the spatial distribution of water quality parameters and assess the potential impacts from the upstream land use practices. Geographic Information Systems, statistical analysis, and regulatory standards were used to differentiate between sample locations, and identify potential impacts to water quality for the refuge based on 20 chemical constituents.
View Article and Find Full Text PDFEvidence Based Medicine (EBM) is a growing concept in Japan as it is elsewhere. Central to improving the use of EBM is generation of data through well conducted controlled clinical studies. There are many problems associated with conduct of clinical studies after launch in Japan, and many initiatives are ongoing to improve the situation.
View Article and Find Full Text PDFA survey of cancer treatment in a sample of hospitals > 100 beds conducted in 1998 compared with experience in the US showed that good progress has been achieved in Japan in the screening and early treatment of gastric cancer, and that the prognosis for breast cancer is better than in the West. Although in the past, the cytotoxic therapies available to physicians in Japan vs the West have been different, recent acceleration of regulatory review will result in a convergence of treatment paradigms and some improvement in acute response in many tumour types. However, world wide there is a need for new improved therapies in all cancers evaluated.
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