Publications by authors named "E Gillespie"
Background: Extreme and inequitable heat exposures cause weather-related deaths. Associations between maximum daily temperature and individual-level healthcare utilization have been inadequately characterized.
Objective: To evaluate and compare demographic and clinical associations for an individual's healthcare utilization between high- and low-temperature periods.
The field of radiation oncology has achieved significant technological and scientific advancements in the 21 century. Yet uptake of new evidence-based practices has been heterogeneous, even in the presence of national and international guidelines. Addressing barriers to practice change requires a deliberate focus on developing and testing strategies tailored to improving care delivery and quality, especially for vulnerable patient populations.
View Article and Find Full Text PDFPurpose: Regional nodal irradiation (RNI) for breast cancer yields improvements in disease outcomes, yet comprehensive target coverage often increases cardiac radiation therapy (RT) dose. Volumetric modulated arc therapy (VMAT) may mitigate high-dose cardiac exposure, although it often increases the volume of low-dose exposure. The cardiac implications of this dosimetric configuration (in contrast to historic 3D conformal techniques) remain uncertain.
View Article and Find Full Text PDFArticle Synopsis
- Family planning for female physicians is hindered by factors like high infertility risks, challenging workloads, inadequate family leave policies, and gender discrimination, leading to feelings of workplace un support.
- A thematic analysis of open-ended survey comments from 162 physicians identified three key barriers: institutional (like the lack of parental leave), departmental (including discrimination and issues with childcare), and personal (such as challenges in family planning and reproductive health).
- Recommendations to address these barriers include enhancing institutional support, expanding parental leave, and fostering cultural changes to better balance family and career for female physicians.
Purpose: The quality of radiotherapy auto-segmentation training data, primarily derived from clinician observers, is of utmost importance. However, the factors influencing the quality of clinician-derived segmentations are poorly understood; our study aims to quantify these factors.
Methods: Organ at risk (OAR) and tumor-related segmentations provided by radiation oncologists from the Contouring Collaborative for Consensus in Radiation Oncology data set were used.