Demographic and socioeconomic disparities in pediatric cancer in the United States: Current knowledge, deepening understanding, and expanding intervention

2022 ◽  
Vol 76 ◽  
pp. 102082
Author(s):  
Alina Beltrami ◽  
Alexandra Hilliard ◽  
Adam L. Green
Keyword(s):  
United States ◽  
Pediatric Cancer ◽  
Current Knowledge ◽  
The United States ◽  
Socioeconomic Disparities

scholarly journals Current knowledge of Chagas-related heart disease among pediatric cardiologists in the United States

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sanchi Malhotra ◽  
Imran Masood ◽  
Noberto Giglio ◽  
Jay D. Pruetz ◽  
Pia S. Pannaraj
Keyword(s):  
United States ◽  
Differential Diagnosis ◽  
Heart Disease ◽  
Chagas Disease ◽  
Latin American ◽  
Current Knowledge ◽  
Parasitic Infection ◽  
The United States ◽  
Cardiac Complications ◽  
The U.S

Abstract Background Chagas disease is a pathogenic parasitic infection with approximately 8 million cases worldwide and greater than 300,000 cases in the United States (U.S.). Chagas disease can lead to chronic cardiomyopathy and cardiac complications, with variable cardiac presentations in pediatrics making it difficult to recognize. The purpose of our study is to better understand current knowledge and experience with Chagas related heart disease among pediatric cardiologists in the U.S. Methods We prospectively disseminated a 19-question survey to pediatric cardiologists via 3 pediatric cardiology listservs. The survey included questions about demographics, Chagas disease presentation and experience. Results Of 139 responses, 119 cardiologists treat pediatric patients in the U.S. and were included. Most providers (87%) had not seen a case of Chagas disease in their practice; however, 72% also had never tested for it. The majority of knowledge-based questions about Chagas disease cardiac presentations were answered incorrectly, and 85% of providers expressed discomfort with recognizing cardiac presentations in children. Most respondents selected that they would not include Chagas disease on their differential diagnosis for presentations such as conduction anomalies, myocarditis and/or apical aneurysms, but would be more likely to include it if found in a Latin American immigrant. Of respondents, 87% agreed that they would be likely to attend a Chagas disease-related lecture. Conclusions Pediatric cardiologists in the U.S. have seen very few cases of Chagas disease, albeit most have not sent testing or included it in their differential diagnosis. Most individuals agreed that education on Chagas disease would be worth-while.

Disparities in Pediatric Oncology: The 21st Century Opportunity to Improve Outcomes for Children and Adolescents With Cancer

2021 ◽  
pp. e315-e326
Author(s):  
Paula Aristizabal ◽  
Lena E. Winestone ◽  
Puja Umaretiya ◽  
Kira Bona
Keyword(s):  
United States ◽  
Health Care ◽  
Children And Adolescents ◽  
Health Care Providers ◽  
21St Century ◽  
Low Socioeconomic Status ◽  
Pediatric Cancer ◽  
The United States ◽  
Cancer Disparities ◽  
Care Providers

Adult cancer disparities have been documented for decades and continue to persist despite clinical advancements in cancer prevention, detection, and treatment. Pediatric cancer survival has improved significantly in the United States for the past 5 decades to over 80%; however, disparate outcomes among children and adolescents with cancer still affect many populations in the United States and globally, including racial and ethnic minorities, populations with low socioeconomic status, and residents of underserved areas. To achieve equitable outcomes for all children and adolescents with cancer, it is imperative that concerted multilevel approaches be carried out to understand and address health disparities and to ensure access to high-quality cancer care. Addressing social determinants of health, such as removing barriers to health care access and ensuring access to social supports, can reduce pediatric cancer disparities. Nevertheless, public health policy, health system interventions, and innovative delivery of evidence-based services are critically needed. Partnerships among patients, caregivers, and health care providers, and among health care, academic, and governmental institutions, have a pivotal role in reducing cancer disparities and improving outcomes in the 21st century.

On the synthesis of shear-coupled PL waves

1968 ◽  
Vol 58 (6) ◽  
pp. 1849-1877 ◽  
Author(s):  
Ramesh Chander ◽  
L. E. Alsop ◽  
Jack Oliver
Keyword(s):  
United States ◽  
Phase Velocity ◽  
Travel Time ◽  
Current Knowledge ◽  
Shear Waves ◽  
The United States ◽  
Synthetic Seismograms ◽  
Travel Times ◽  
Precise Knowledge ◽  
S Curve

ABSTRACT Using the shear-coupled PL wave hypothesis of Oliver as a basis, a method is developed for computing synthetic long-period seismograms between the onset of the initial S-type body phase and the beginning of surface waves. Comparison of observed and synthetic siesmograms shows that this hypothesis can explain, in considerable detail, most of the waves with periods greater than about 20 sec recorded during this interval. The synthetic seismograms are computed easily on a small digital computer; they resemble the observed seismograms much more closely than the synthetic seismograms obtained through the superposition of normal modes of the Earth that have been reported in the literature. The synthesis of shear-coupled PL waves depends on a precise knowledge of the phase-velocity curve of the PL wave and travel-time curves of shear waves. Hence, in principle, if one of these quantities is well-known the other can be determined by this method. Phase-velocity curves of the PL wave are determined for the Baltic shield, the Russian platform, the Canadian shield, the United States, and the western North-Atlantic ocean, on the assumption that J-B travel-time curves of shear waves apply to these areas. These dispersion curves show the type of variations to be expected on the basis of the current knowledge of the crustal structures in these areas. Examples are presented to show that J-B travel-times of shear waves along paths between Kenai Peninsula, Alaska and Palisades, equatorial mid-Atlantic ridge and Palisades, and Kurile Islands and Uppsala need to be revised. Shear-wave travel-time curves that are not unique for reasons explained in the study but that give synthetic seismograms in agreement with the observed seismograms were obtained. The new S curves are compared with the J-B travel-time curves for S; and they all predict S waves to arrive later than the time given by J-B tables for epicentral distances smaller than about 30°. The new S curve for the Alaska to Palisades path appears to agree with one of the branches of a multi-branched S curve proposed recently by Ibrahim and Nuttli for the ‘average United States’ insofar as travel-times are concerned, but there are some differences in the slopes of the two curves.

scholarly journals Public perceptions of a rip current hazard education program: “Break the Grip of the Rip!”

2017 ◽  
Vol 17 (7) ◽  
pp. 1003-1024 ◽  
Author(s):  
Chris Houser ◽  
Sarah Trimble ◽  
Robert Brander ◽  
B. Chris Brewster ◽  
Greg Dusek ◽  
...  
Keyword(s):  
United States ◽  
Online Survey ◽  
Social Research ◽  
Current Knowledge ◽  
The United States ◽  
Rip Current ◽  
Rip Currents ◽  
Safety Education ◽  
Large Area ◽  
Education Material

Abstract. Rip currents pose a major global beach hazard; estimates of annual rip-current-related deaths in the United States alone range from 35 to 100 per year. Despite increased social research into beach-goer experience, little is known about levels of rip current knowledge within the general population. This study describes the results of an online survey to determine the extent of rip current knowledge across the United States, with the aim of improving and enhancing existing beach safety education material. Results suggest that the US-based Break the Grip of the Rip!® campaign has been successful in educating the public about rip current safety directly or indirectly, with the majority of respondents able to provide an accurate description of how to escape a rip current. However, the success of the campaign is limited by discrepancies between personal observations at the beach and rip forecasts that are broadcasted for a large area and time. It was the infrequent beach user that identified the largest discrepancies between the forecast and their observations. Since infrequent beach users also do not seek out lifeguards or take the same precautions as frequent beach users, it is argued that they are also at greatest risk of being caught in a dangerous situation. Results of this study suggest a need for the national campaign to provide greater focus on locally specific and verified rip forecasts and signage in coordination with lifeguards, but not at the expense of the successful national awareness program.

A synthesis of current knowledge on forests and carbon storage in the United States

2011 ◽  
Vol 21 (6) ◽  
pp. 1902-1924 ◽  
Author(s):  
Duncan C. McKinley ◽  
Michael G. Ryan ◽  
Richard A. Birdsey ◽  
Christian P. Giardina ◽  
Mark E. Harmon ◽  
...  
Keyword(s):  
United States ◽  
Carbon Storage ◽  
Current Knowledge ◽  
The United States

scholarly journals Regional socioeconomic disparities in outcomes for workers with low back pain in the United States

2017 ◽  
Vol 60 (5) ◽  
pp. 472-483 ◽  
Author(s):  
Mujahed Shraim ◽  
Manuel Cifuentes ◽  
Joanna L. Willetts ◽  
Helen R. Marucci-Wellman ◽  
Glenn Pransky
Keyword(s):  
United States ◽  
Low Back Pain ◽  
Back Pain ◽  
The United States ◽  
Socioeconomic Disparities ◽  
Low Back
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