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Mammography Screening Outreach Through Non-Primary Care-Based Services.

J Am Coll Radiol

October 2023

Chief of Breast Imaging; Associate Director of Radiology for Research, Denver Health Medical Center, Denver, Colorado. Electronic address:

Objective: To estimate the proportion of patients visiting urgent care centers or emergency departments or being hospitalized who were not up to date with recommended mammography screening to assess the potential impact of non-primary care-based cancer screening interventions.

Methods: Adult participants from the 2019 National Health Interview Survey were included. Among participants not up to date with breast cancer screening guidelines based on ACR recommendations, the proportion of patients reporting an urgent care, emergency department visit, or hospitalization within the last year was estimated accounting for complex survey sampling design features.

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Objective: While the American College of Radiology recommends annual screening mammography starting at age 40 years, the US Preventive Services Task Force (USPSTF) recommends that screening mammography in women younger than age 50 years should involve shared- decision making (SDM) between clinicians and patients, considering benefits and potential harms in younger women. Using a nationally representative cross-sectional survey, we aimed to evaluate patient-reported reasons and predictors of screening mammography utilization in this age group.

Methods: Respondents aged 40-49 years from the 2018 National Health Interview Survey (NHIS) without a history of breast cancer were included (response rate 64%).

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Purpose: Health care-related cost concerns and financial toxicity are increasingly recognized barriers along the breast cancer care continuum. The purpose of this study was to evaluate the association between patient-reported cost concerns and screening mammography utilization.

Methods: Survey participants aged 40 to 74 years from the 2018 National Health Interview Survey without personal history of breast cancer were included (response rate: 64%).

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The science of hope: an interview with Randy Jirtle.

Epigenomics

March 2022

Department of Biological Sciences, Center for Human Health and the Environment, North Carolina State University, Raleigh, NC 27695, USA.

Article Synopsis
  • Professor Randy L. Jirtle, a leading researcher in epigenetics and genomic imprinting, has significantly contributed to our understanding of how environmental factors during early life can influence adult disease outcomes.
  • He has published over 200 peer-reviewed articles and received numerous accolades for his work, including the Distinguished Achievement Award and the Epigenetic Medicine Award.
  • Jirtle is known for his role as a public educator on epigenetics, featuring in documentaries and programs that highlight the impact of maternal diet on genetic expression in offspring.
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Background: The study explores how residents and faculty assess the ACGME's 16-h limit on intern shifts.

Methods: Questionnaire response rates were 76% for residents (N = 291) and 71% for faculty (N = 279) in 13 general surgery residency programs. Results include means, percentage in agreement, and statistical tests for 15 questionnaire items.

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