Publications by authors named "N A Fromer"
Article Synopsis
- Multiple primary malignant tumors (MPMTs) involve the diagnosis of two or more distinct cancers within a 6-month period, presenting challenges in distinguishing them from metastatic growths.
- A case of a 41-year-old woman is presented, where she was diagnosed with three separate primary tumors: invasive ductal carcinoma of the breast, invasive mucinous pulmonary adenocarcinoma, and neuroendocrine carcinoma of the lung.
- Effective management of MPMTs requires a collaborative approach among various specialists, highlighting the need for thorough diagnostic processes and high clinical suspicion.
Urban activities have profound and lasting effects on the global carbon balance. Here we develop a consistent metabolic approach that combines two complementary carbon accounts, the physical carbon balance and the fossil fuel-derived gaseous carbon footprint, to track carbon coming into, being added to urban stocks, and eventually leaving the city. We find that over 88% of the physical carbon in 16 global cities is imported from outside their urban boundaries, and this outsourcing of carbon is notably amplified by virtual emissions from upstream activities that contribute 33-68% to their total carbon inflows.
View Article and Find Full Text PDFAs national efforts to reduce CO emissions intensify, policy-makers need increasingly specific, subnational information about the sources of CO and the potential reductions and economic implications of different possible policies. This is particularly true in China, a large and economically diverse country that has rapidly industrialized and urbanized and that has pledged under the Paris Agreement that its emissions will peak by 2030. We present new, city-level estimates of CO emissions for 182 Chinese cities, decomposed into 17 different fossil fuels, 46 socioeconomic sectors, and 7 industrial processes.
View Article and Find Full Text PDFContext: Assessment and response to patients' spiritual concerns are crucial components of high-quality supportive care. Better measures of spiritual needs across the cultural spectrum may help direct necessary interventions.
Objectives: The objective of this study was to assess spiritual needs in a racially/ethnically and religiously mixed sample of hematology and oncology outpatients and examine the association between spiritual needs and perception of quality of care and satisfaction with care.