Fertility preservation cost and use: Results from the LIVESTRONG survey.

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 59-59 ◽  
Author(s):  
Ruth Rechis ◽  
Stephanie Nutt ◽  
Carla Bann

59 Background: Each year nearly 70,000 adolescents and young adults (AYAs) are diagnosed with cancer. Recently, steps have been taken to address infertility, which is an important issue experienced by AYAs. For example, ASCO QOPI includes fertility standards and Walgreens and the LIVESTRONG Foundation provide financial assistance for fertility preservation medications. To better understand the current state of fertility preservation, eight questions on this topic were included on the LIVESTRONG Survey. Methods: From June to December 2012, LIVESTRONG conducted an online survey (N = 6,313). Analysis here includes the 1,333 AYA respondents who were diagnosed since 2002. Results: Only 24% of respondents (42% of males, 12% of females) indicated they took steps to preserve their fertility before beginning treatment. Top reasons for not preserving their fertility were not receiving information about options (19%) and/or information about the risks to their fertility (14%). For the AYAs who did preserve their fertility, the median amount spent on fertility expenses was between $1,000 and $2,499 (Table) with males spending significantly less than females (p < 0.001). Mostly commonly, males used sperm banking (97%) while females used egg and embryo banking (each 35%). The majority all who attempted to become pregnant were successful (58% and 68% respectively). Conclusions: Results from this analysis indicate that few survivors took steps to preserve their fertility before starting treatment. Yet for those who were interested in preserving their fertility and starting a family, the majority of individuals were successful. Many individuals reported not preserving their fertility due to a lack of information or resources. While a relatively small number of survivors will have fertility concerns, this is an important quality of life issue for those who do. [Table: see text]

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 69-69
Author(s):  
Ruth Rechis ◽  
Emily Eargle ◽  
Sarah R. Arvey ◽  
Stephanie Nutt ◽  
Ashley Koenings ◽  
...  

69 Background: Each year about 70,000 individuals aged 15-39 are diagnosed with cancer. Unfortunately, essential cancer treatments often negatively impact an individual’s fertility. The average cost of fertility preservation ranges upwards of $12,000 for women and $1,500 for men and most insurance companies typically do not cover pre-treatment fertility preservation. Not only do these individuals experience a life-threatening cancer diagnosis, they are also faced with the possibility of not having children of their own in the future. The LIVESTRONG Foundation’s Fertile Hope Program provides educational information and timely pre-treatment financial assistance to cancer survivors whose medical treatments present the risk of infertility. Female participants receive the medication at no cost through the Foundation’s partnership with EMD Serono, and all survivors can receive at least a 25% discount, on preservation services at the more than 350 partnering fertility clinics. Methods: LIVESTRONG Navigators implementing this program track all interactions on an ongoing basis. Additionally, in 2012, clients who had been approved for the program within the last 12 months and those who had been approved two or more years ago received an online survey (N=200 and 105 respondents respectively). Results: In 2012, 3,353 individuals (1,537 men and 1,816 women) saved a total of $12,542,114 through this program. Survey respondents indicated that they value the speed of the process and the opportunity to preserve their fertility. Interestingly, respondents noted that they learned about the program through a reproductive doctor, but they learned about fertility-related issues through an oncologist. Finally, respondents indicated that 14 babies have been born as a result of this program. Conclusions: This program has made a unique and measurable change to improve the quality of life of survivors. By providing information and support as well as reducing costs, survivors have the potential to fulfill their aspirations to bear a biological child. Ensuring that providers who share information about fertility-related issues are informed about these types of programs could help to ensure all interested survivors have access to discounted, timely fertility preservation.


Author(s):  
K. Van den Heede ◽  
D. Castanares-Zapatero ◽  
L. Kohn ◽  
M. Dauvrin ◽  
J. Detollenaere ◽  
...  

Long Covid: what is already known about this new condition? Long COVID affects people who have experienced a severe form of COVID-19, as well as patients who suffered a mild form. Six months after infection with the coronavirus, at least 1 out of 7 patients still have symptoms. These symptoms are very diverse and are probably related to a combination of different mechanisms: direct organ damage due to the viral infection, abnormal immune and inflammatory responses that can lead to dysfunctions on several levels (microcirculation, coagulation, fibrosis, autoimmunity, metabolism), consequences of the hospitalisation (muscle atrophy, post-intensive care syndrome) or worsening of existing comorbidities. The Belgian Healthcare Knowledge Centre (KCE) surveyed the experience of Belgian patients by means of an extensive online survey of 1,320 people, followed by an online forum and in-depth interviews. It showed that the perception of the symptoms was very diverse, with a clear reduction in the quality of life, some loss of autonomy and difficulties when returning to work. The psychological consequences could be severe. Based on the current state of science, it is not known which treatments are effective for long COVID. A symptom-oriented approach, focused on gradual multidisciplinary rehabilitation, seems appropriate. Therefore, the main recommendation of the KCE is to investigate the possibility of introducing an ‘interdisciplinary bilan’ for patients with different and interrelated complaints.


Author(s):  
Ludmila Dömeová ◽  
Andrea Jindrová

The Czech Republic does not have any central registry of rural tourism facilities; there is no information about the availability and quality of services or about their economic results. The goal of this contribution is to describe the current state of rural tourism in the Czech Republic, and to find the bottlenecks, problems and potential risks. The lack of information about this sector was the motivation for a survey which produced a great deal of information about the situation in the rural tourism business in the Czech Republic. We apply one-dimensional and multiple-dimensional statistical analyses to data from the completed questionnaires. The multiple-dimensional analysis is based on dependency tests and calculations of the intensity of the dependency between variables in contingency tables.The description and findings arise from the quantification and analysis of the information from the questionnaire survey. We find that most firms in the sector are small (so called micro firms) and usually have no links to the agricultural production. The income from tourism frequently represents only a supplementary part of the businesses’ whole revenues and the profitability is to a certain extent dependent on the services offered and how they are promoted. In general, the subjects providing special offers such as horse riding, local foods, firm tourism, etc., are more successful.


CCIT Journal ◽  
2014 ◽  
Vol 7 (3) ◽  
pp. 335-354
Author(s):  
Untung Rahardja ◽  
Muhamad Yusup ◽  
Ana Nurmaliana

The accuracy and reliability is the quality of the information. The more accurate and reliable, the more information it’s good quality. Similarly, a survey, the better the survey, the more accurate the information provided. Implementation of student satisfaction measurement to the process of teaching and learning activities on the quality of the implementation of important lectures in order to get feedback on the assessed variables and for future repair. Likewise in Higher Education Prog has undertaken the process of measuring student satisfaction through a distributed questioner finally disemester each class lecture. However, the deployment process questioner is identified there are 7 (seven) problems. However, the problem can be resolved by the 3 (three) ways of solving problems one of which is a system of iLearning Survey (Isur), that is by providing an online survey to students that can be accessed anywhere and anytime. In the implementation shown a prototype of Isur itself. It can be concluded that the contribution Isur system can maximize the decision taken by the Higher Education Prog. By using this Isur system with questions and evaluation forms are submitted and given to the students and the other colleges. To assess the extent to which the campus has grown and how faculty performance in teaching students class, and can be used as a media Isur valid information for an assessment of activities throughout college.


2017 ◽  
Vol 13 ◽  
pp. 244-261
Author(s):  
Mariola Tracz ◽  
Małgorzata Bajgier-Kowalska ◽  
Radosław Uliszak

Podkarpackie Voivodeship is one of the regions of Poland in which the number of agritourism entities is very high. Therefore tourism plays a significant role in its development strategy. The aim of the paper is to identify the current state of agritourism and the changes that have occurred in the region in the years 2000–2016. Specific objectives are to determine the distribution of agritourism farms and their offer, together with a comprehensive analysis of the environmental and socio-economic factors, as well as the impact of the Slovak-Ukrainian border. The report was developed on the statistical materials from the Polish Central Statistical Office, Podkarpackie Agricultural Advisory Centre in Boguchwała and data collected from municipalities and district offices that is published on their websites, as well as through interviews with 100 owners of agritourism farms in the Podkarpackie Voivodeship. The research has shown, on the one hand, the decline in the number of farms in the region and, on the other hand, the increase in the diversity of the tourist offer of these entities. Distribution of agritourism farms is closely linked to the attractiveness of natural environment and quality of secondary tourism resources. Traditional agritourism has not yet fully used its countryside, as well as cross-border advantages of its location.


2007 ◽  
Vol 30 (4) ◽  
pp. 66
Author(s):  
N. Tenn-Lyn ◽  
S. Verma ◽  
R. Zulla

We developed and implemented an annual online survey to administer to residents exiting residency training in order to (1) assess the quality of the residency experience and (2) identify areas of strength and areas requiring improvement. Long-term goals include program planning, policy-making and maintenance of quality control. Survey content was developed from an environmental scan, pre-existing survey instruments, examination of training criteria established by the CFPC and the CanMEDS criteria established by the RCPSC. The survey included evaluation benchmarks and satisfaction ratings of program director and faculty, preparation for certification and practice, quality of life, quality of education, and work environment. The response rate was 28%. Seventy-five percent of respondents were exiting from Royal College training programs. Results of descriptive statistics determined that the overall educational experience was rated highly, with 98.9% of respondents satisfied or very satisfied with their overall patient care experience. Ninety-six percent of respondents were satisfied or very satisfied with the overall quality of teaching. Preparation for practice was identified as needing improvement, with 26% and 34% of respondents giving an unsatisfactory rating to career guidance and assistance with finding employment, respectively. Although 80% of respondents reported receiving ongoing feedback and 84% discussed their evaluations with their supervisors, only 38% of evaluations were completed by the end of the rotation. The results indicate that residents are generally satisfied with their experiences during residency training, especially with their overall educational experience. Areas of improvement include preparation for practice and timeliness of evaluations. Further iterations of this survey are needed to refine the instrument, identify data trends and maintain quality control in residency training programs. Frank JR (ed.). The CanMEDS competency framework: better standards, better physicians, better care. Ottawa: The Royal College of Physicians and Surgeons of Canada, 2005. Merritt, Hawkins and Associates. Summary Report: 2003 Survey of final-year medical residents. http://www.merritthawkins.com/pdf/MHA2003residentsurv.pdf. Accessed May 1, 2006. Regnier K, Kopelow M, Lane D, Alden A. Accreditation for learning and change: Quality and improvement as the outcome. The Journal of Continuing Education in the Health Professions 2005; 25:174-182.


Author(s):  
Dan Xin

The effective construction of safety monitoring system at construction site depends on perfect management system and advanced technical support. And the lack of information technology platform, resulting in reduced management efficiency, information is not accurate and other issues. Based on the construction site safety monitoring system to achieve the goal, to do a good job in advance prevention, to take the latest information collection technology RFID and BIM integrated comprehensive and effective monitoring of the construction site, constitute the main technology in the monitoring system, thus ensuring the construction site safety monitoring efficiency , Comprehensive, real-time, etc., on the management and technical two points to achieve the construction site safety monitoring, improve the quality of safety management.


Author(s):  
Olha Pavlenko

The article discusses the current state of professional training of engineers, in particular, electronics engineers in Ukrainian higher education institutions (HEIs) and explores best practices from US HEIs. The research outlines the features of professional training of electronics engineers and recent changes in Ukrainian HEIs. Such challenges for Ukrainian HEIs as lack of collaboration between higher education and science with industry, R&D cost reduction for HEIs, and downsizing the research and academic staff, the disparity between the available quality of human capital training and the demanded are addressed. The study attempts to identify successful practices of US HEIs professional training of engineers in order to suggest potential improvements in education, research, and innovation for training electronics engineers in Ukraine.


Author(s):  
Shalini S ◽  
Ravichandran V ◽  
Saraswathi R ◽  
BK Mohanty ◽  
Dhanaraj S K

 Aspire of the Drug Utilization Studies (DUS) is to appraise factors related to the prescribing, dispensing, administering and taking of medication, and it’s associated. Since the middle of twentieth century, interest in DUS has been escalating, first for market-only purposes, then for appraising the quality of medical prescription and comparing patterns of use of specific drugs. The scope of DUS is to evaluate the current state and future trends of drug usage, to estimate roughly disease pervasiveness, drug expenditures, aptness of prescriptions and adherence to evidence-based recommendations. The increasing magnitude of DUS as a valuable investigation resource in pharmacoepidemiology has been bridging it with other health allied areas, such as public health, rational use of drug, evidence based drug use, pharmacovigilance, pharmacoeconomics, eco-pharmacovigilance and pharmacogenetics.


Author(s):  
Nadezhda Gryazeva

В статье изложен обзор современного состояния теории и практики предупреждения мошенничеств, совершаемых осужденными с помощью средств мобильной связи из учреждений уголовно-исполнительной системы России. Исследованы и оценены изменения законодательства, регулирующего рассматриваемую сферу правоотношений, предложения ученых относительно повышения эффективности борьбы с указанным видом мошенничеств, практические материалы. Обозначена проблема, связанная с отсутствием в данных официальной статистики о состоянии преступности в России сведений о количестве мошенничеств, совершаемых осужденными с помощью средств мобильной связи, что бывает необходимо для проведения научных и прикладных исследований, выработки мер по предупреждению и оценки их эффективности в борьбе с анализируемым противоправным деянием. Сформулированы рекомендации, направленные на повышение эффективности предупреждения «телефонных» мошенничеств, совершаемых осужденными в период отбывания наказания в исправительных учреждениях, в частности предложение правового характера, регулирующее сферу индивидуальной профилактики правонарушений, совершаемых осужденными, и предложение в области статистического учета преступлений и отчетности.The article presents an overview of the current state of the theory and practice of fraud prevention committed by convicts using mobile communications from institutions of the criminal Executive system of Russia. The changes in the legislation regulating the sphere of legal relations, the proposals of scientists on improving the effectiveness of combating this type of fraud, practical materials are studied and evaluated. There is a problem related to the lack of information in the official statistics on the state of crime in Russia on the number of frauds committed by convicts by means of mobile communication, which is necessary for scientific and applied research, the development of measures to prevent and assess their effectiveness in combating the illegal act in question. Recommendations have been made to improve the prevention of «telephone» fraud committed by convicted persons while serving their sentences in correctional institutions, in particular a legal proposal regulating the scope of individual prevention of offences committed by convicted persons and a proposal in the field of crime statistics and reporting.


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