Cancer patients: Assessing awareness, attitudes and claimed behavior around key decision points upon being diagnosed.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e23052-e23052
Author(s):  
Kerri Lehrhaupt ◽  
Lori Tauber Marcus ◽  
Anne Quinn Young ◽  
Jenny Isaacson ◽  
Marc Hurlbert ◽  
...  
Keyword(s):  
Precision Medicine ◽  
Online Survey ◽  
Inclusion Criteria ◽  
Genomic Information ◽  
The Past ◽  
Decision Points ◽  
The Us ◽  
Specific Cancer ◽  
The Right ◽  
And Behavior

e23052 Background: As precision medicine becomes increasingly important in oncology, patients need to be educated on making decisions at diagnosis to optimize their outcomes. The HBS Kraft Precision Medicine Accelerator is working with national cancer organizations to understand and address gaps in knowledge and action. Informed by prior patient and physician research, the Accelerator developed the Right Track framework, which addresses the unmet educational needs of patients as they navigate their journey. Methods: Participants with newly diagnosed cancer were recruited by the 5 participating foundations from their databases of affiliated patients (MMRF: n = 63, PanCAN: n = 202, LUNGevity: n = 51, PCF: n = 71, MBC Alliance: n = 66). Inclusion criteria included currently living in the US, 25 years or older, diagnosed with a qualifying cancer in the past 12 months (past 18 months for LUNGevity), self-reported as being at least somewhat knowledgeable in their disease, and self-reported as having some input in treatment decisions. The study was conducted by Kantar Health and sponsored by the HBS Kraft Precision Medicine Accelerator. The fielding was conducted in October 2018. Potential respondents were e-mailed an invitation to complete a 20-minute online survey. Potential respondents were also exposed to an invitation via social media from the participating study sponsors. The respondents were asked a series of customized questions that assessed their awareness and behavior on items within each of the four pillars of the Right Track framework. Results: Descriptive analyses were conducted on each of the four pillars (Right Team, Right Tests, Right Treatment, Sharing at Every Step) and it was found that educational gaps exist across all five cancers. Patients require guidance on selecting a knowledgeable team and facility, understanding their specific cancer sub-type and genomic information, participation in clinical trials and the importance of sharing their data. Conclusions: There is a strong need for patient advocacy foundations to work as unbiased, patient-focused organizations, such that they are well-positioned to help close these knowledge gaps.

Reading the (identity politics) market: Articulating the forest past the trees post-Trump

2017 ◽  
Vol 41 (3) ◽  
pp. 411-422
Author(s):  
James J Brittain
Keyword(s):  
Identity Politics ◽  
Profit Maximization ◽  
The United States ◽  
Political Climate ◽  
Real Potential ◽  
The Past ◽  
The Us ◽  
Economic Trends ◽  
President Elect ◽  
The Right

Prior to becoming the President-elect, Donald Trump long engaged in the practice of exploiting economic trends that displayed a potential for increased rates of profit maximization. Like those engaged in speculative investment, he looked for exploitable opportunities where a modest outlay could be directed toward a precise stream of the market with the sole intent of receiving an exacerbated rate of return compared to the allotment initially invested. Over the past decade, the United States has witnessed a unique political climate of a disorganized, yet growing, movement of frustrated citizens inarticulately moving to the Right. It could be argued that Trump saw a prospective market ripe for exploitation herein, which showed a very real potential for significant returns. Without a centralized focus or guide, these under-formed sociopolitical blocs traversing the country were thus read as a vulnerable venture. It was amidst this climate that a capitalist with a speculative eye looked at a prospective rising market that could provide one chance investor an impressive yield: the US Presidency. By adopting a unique performativity, Trump invested in 2015.

scholarly journals Evaluasi Penggunaan Antibiotik pada Balita Penderita Pneumonia Rawat Inap di RSUD “Y” di Kota “X” Tahun 2016

2020 ◽  
Vol 17 (1) ◽  
pp. 45-53
Author(s):  
Panji 'Utsman ◽  
Hidayah Karuniawati
Keyword(s):  
Lung Disease ◽  
Precision Medicine ◽  
Sampling Method ◽  
Drug Dose ◽  
Research Data ◽  
Inclusion Criteria ◽  
Medical Report ◽  
Purposive Sampling ◽  
Dose Accuracy ◽  
The Right

Pneumonia was pulmonary lung disease called parenchyma caused by microorganism, Pneumonia can be cured byantibiotic to prevent the resistantof bacteria and to improve the effective of the treatment, the right antibiotic must be determining. This research purpose is to determine the accuracy of using antibiotic in toddler patients suffering pneumonia who hospitalized in RSUD “Y” “X” City, in 2016. This is nonexperimental research. Data collected retrospectively and was analized descriptively. Samplestaken by purposive sampling method which searched the medical report of toddler patient suffer pneumonia hospitalized in RSUD “Y”X City, in 2016 which met the inclusion criteria. Reseach accuracy was analized used “Pedoman Pelayanan Medis Ikatan Dokter Anak Indonesia year 2009” and “British National Formularium for Children 2011-2012”, Such as indication accuracy, precision medicine accuracy, patient accuracy and drug dose accuracy. The result of the research was found that in 49 toddler patient suffering pneumonia, the kind of antibiotic used was cefotaxime (89,80%), Ampicillin (4,08%), combination of cefotaxime + gentamicin (4,08%) and ampicillin + gentamicin (2,04%). Evaluation of accuracy of the use antibiotic 100% right in indication, precision medicine by 93,87%,100% patient accuracy, and 10,20% drug dose accuracy.

scholarly journals Influence of Habitat Conditions and Predation Risk on Productivity and Behavior of a Partially-Migratory Elk Herd in the Absaroka Range

2009 ◽  
Vol 32 ◽  
pp. 3-11
Author(s):  
Arthur Middleton ◽  
Matthew Kauffman
Keyword(s):  
Antipredator Behavior ◽  
High Elevation ◽  
The Body ◽  
Habitat Conditions ◽  
Private Lands ◽  
The Past ◽  
The Us ◽  
Antipredator Behaviors ◽  
Federal Management ◽  
And Behavior

Ungulate migration is an important but increasingly rare ecological process. Although Yellowstone National Park (YNP) retains a rich assemblage of migratory ungulates, changing ecological conditions across its boundaries are posing new and complex challenges to our understanding of migratory populations. This study is focused on the Clarks Fork elk herd, a partially-migratory population whose migratory subpopulation spends it summers in high-elevation alpine and subalpine habitats inside YNP’s northeastern boundary. In the past decade, productivity of migratory elk has declined sharply while the non-migratory herd segment has remained stable or grown on private lands east of YNP. Early findings have revealed that pregnancy of migratory elk is exceptionally low, suggesting that YNP migrants are nutritionally stressed. Although fat gain in temperate ungulates is conventionally thought to be limited by summer forage quality, and the park has lately experienced prolonged drought, some have suggested that physiologically-costly, wolf-induced antipredator behaviors are reducing elk condition and reproductive performance. We are investigating the relative influence of habitat conditions versus antipredator behavior on the body-fat levels and reproduction of Clarks Fork elk. Our results will help YNP, the Wyoming Game and Fish Department (WGFD), the US Fish and Wildlife Service (USFWS), and other state and federal management agencies understand and manage elk populations and their migrations in the post-wolf reintroduction era.

scholarly journals Collaboration for success: the value of strategic col-laborations for precision medicine and biomarker discovery

2016 ◽  
Vol 1 (1) ◽  
pp. 25
Author(s):  
Lilla Landeck ◽  
Monika Lessl ◽  
Joachim Reischl ◽  
Andreas Busch ◽  
Patricia Carrigan ◽  
...  
Keyword(s):  
Precision Medicine ◽  
Biomarker Discovery ◽  
Public Funding ◽  
Strategic Partnerships ◽  
The Past ◽  
High Resource ◽  
Different Types ◽  
Increase Productivity ◽  
Prediction Of Prognosis ◽  
The Right

Precision medicine aims to provide the precise treatment for the patient with the right dose at the right point of time. Biomarkers (BM) are vital for the identification of patients who would benefit the most from individualized treatment. In addition, they help to enable the prediction of prognosis, the detection of early therapeutic and adverse effects, and may serve as surrogate endpoints in clinical trials. BM are becoming essential tools to increase productivity in drug discovery and impressively enhance the way medicine is practiced. However, the identification, sufficient validation and implementation of such BM are challenging. This process requires expertise from different areas and high resource investments. Collaborations of different partners may be helpful to overcome these challenges. In the past decade, collaborations between diagnostics and pharmaceutical companies as well as industrial–academic collaborations have been increasingly pursued. Moreover, public funding may offer support and open new opportunities to form such consortia. Herein we give an overview of the different types of collaborations, their opportunities and challenges, and describe experiences in forming strategic partnerships with other companies.

Consumer-based brand equity of a destination for sport tourists versus non-sport tourists

2016 ◽  
Vol 24 (1) ◽  
pp. 62-78 ◽  
Author(s):  
Asli DA Tasci ◽  
Jeeyeon (Jeannie) Hahm ◽  
Deborah Breiter-Terry
Keyword(s):  
Brand Equity ◽  
Online Survey ◽  
Destination Image ◽  
Brand Value ◽  
The Past ◽  
Consumer Value ◽  
The Us ◽  
Quality Image ◽  
Sport Events ◽  
Sport Venues

Destination authorities invest in sport venues and related infrastructure to attract sport events due to their influence on destination image and visitation. Several studies have revealed a significant influence of image on behavioral intentions of sport or event tourists; however, a comprehensive assessment of consumer-based brand equity (CBBE) inclusive of image, consumer value, brand value, quality, and loyalty by comparing sport and non-sport tourists is lacking. The current study conducted an online survey with a sample of the US population and compared Orlando’s CBBE from the perspectives of sport and non-sport tourists in general and those sport and non-sport tourists who have visited Orlando in the past. Results revealed some differences between sport and non-sport tourists, both in the general sample and in the past visitor group. Although both groups revealed a strong CBBE in general, sport tourists have a better perception of Orlando in some image and loyalty dimensions. General sport tourists’ overall quality, image, and consumer value influence their loyalty, while only image and quality influence loyalty for those sport tourists who visited Orlando before.

Advances In Asthma Care

2003 ◽  
Vol 1 (1) ◽  
pp. 87-90 ◽  
Author(s):  
Chris Garvey
Keyword(s):  
Healthcare Costs ◽  
Professional Organizations ◽  
Current Status ◽  
Asthma Care ◽  
Advanced Level ◽  
Clinical Criteria ◽  
Asthma Knowledge ◽  
The Past ◽  
The Us ◽  
Examination Process

Asthma rates in the US have risen during the past 25 years, as have asthma-related morbidity and healthcare costs. Professional organizations involved in asthma care have identified the need to assure that an advanced level of asthma knowledge and skill is available to patients with asthma, their families, and insurers. This need led to development of the certification for asthma educators. The Certified Asthma Educator (AE-C) must meet specific clinical criteria and pass a standardized examination designed to evaluate knowledge and skill for providing competent asthma education and coordination. The development and current status of the Certified Asthma Educator examination process and content are discussed, as are goals of the certification

BP Global Energy Outlook 2030

2013 ◽  
pp. 109-128 ◽  
Author(s):  
C. Rühl
Keyword(s):  
Emerging Economies ◽  
Energy Demand ◽  
Fossil Fuels ◽  
Net Energy ◽  
Global Energy ◽  
The Past ◽  
Market Shares ◽  
The Us ◽  
Almost All ◽  
Oil Gas

This paper presents the highlights of the third annual edition of the BP Energy Outlook, which sets out BP’s view of the most likely developments in global energy markets to 2030, based on up-to-date analysis and taking into account developments of the past year. The Outlook’s overall expectation for growth in global energy demand is to be 36% higher in 2030 than in 2011 and almost all the growth coming from emerging economies. It also reflects shifting expectations of the pattern of supply, with unconventional sources — shale gas and tight oil together with heavy oil and biofuels — playing an increasingly important role and, in particular, transforming the energy balance of the US. While the fuel mix is evolving, fossil fuels will continue to be dominant. Oil, gas and coal are expected to converge on market shares of around 26—28% each by 2030, and non-fossil fuels — nuclear, hydro and renewables — on a share of around 6—7% each. By 2030, increasing production and moderating demand will result in the US being 99% self-sufficient in net energy. Meanwhile, with continuing steep economic growth, major emerging economies such as China and India will become increasingly reliant on energy imports. These shifts will have major impacts on trade balances.

World Economy: Prospects and Barriers for Recovery

2012 ◽  
pp. 61-83 ◽  
Author(s):  
M. Ershov
Keyword(s):  
World Economy ◽  
Western World ◽  
Short Time Period ◽  
Market Segments ◽  
Junk Bonds ◽  
The Past ◽  
Time Period ◽  
The Us ◽  
Global Liquidity ◽  
Short Time

According to the latest forecasts, it will take 10 years for the world economy to get back to “decent shape”. Some more critical estimates suggest that the whole western world will have a “colossal mess” within the next 5–10 years. Regulators of some major countries significantly and over a short time‑period changed their forecasts for the worse which means that uncertainty in the outlook for the future persists. Indeed, the intensive anti‑crisis measures have reduced the severity of the past problems, however the problems themselves have not disappeared. Moreover, some of them have become more intense — the eurocrisis, excessive debts, global liquidity glut against the backdrop of its deficit in some of market segments. As was the case prior to the crisis, derivatives and high‑risk operations with “junk” bonds grow; budget problems — “fiscal cliff” in the US — and other problems worsen. All of the above forces the regulators to take unprecedented (in their scope and nature) steps. Will they be able to tackle the problems which emerge?

Holism, Chinese Medicine and Systems Ideologies: Rewriting the Past to Imagine the Future

2018 ◽  
Author(s):  
Volker Scheid
Keyword(s):  
Eighteenth Century ◽  
Chinese Medicine ◽  
Medical Humanities ◽  
Science And Technology Studies ◽  
Human Beings ◽  
The Past ◽  
Starting Point ◽  
The Us ◽  
Shared Objective ◽  
Definition Of

This chapter explores the articulations that have emerged over the last half century between various types of holism, Chinese medicine and systems biology. Given the discipline’s historical attachments to a definition of ‘medicine’ that rather narrowly refers to biomedicine as developed in Europe and the US from the eighteenth century onwards, the medical humanities are not the most obvious starting point for such an inquiry. At the same time, they do offer one advantage over neighbouring disciplines like medical history, anthropology or science and technology studies for someone like myself, a clinician as well as a historian and anthropologist: their strong commitment to the objective of facilitating better medical practice. This promise furthermore links to the wider project of critique, which, in Max Horkheimer’s definition of the term, aims at change and emancipation in order ‘to liberate human beings from the circumstances that enslave them’. If we take the critical medical humanities as explicitly affirming this shared objective and responsibility, extending the discipline’s traditional gaze is not a burden but becomes, in fact, an obligation.

COMMONWEALTH Forum: The Politics of Science or the Science of Politics

Commonwealth ◽  
2017 ◽  
Vol 19 (1) ◽  
Author(s):  
John Arway
Keyword(s):  
Public Policy ◽  
Natural Resource ◽  
Factual Information ◽  
The Past ◽  
Difference Of Opinion ◽  
History Of ◽  
The Right ◽  
Scientific Facts ◽  
Environmental Agency ◽  
Laws And Regulations

The challenges of including factual information in public policy and political discussions are many. The difficulties of including scientific facts in these debates can often be frustrating for scientists, politicians and policymakers alike. At times it seems that discussions involve different languages or dialects such that it becomes a challenge to even understand one another’s position. Oftentimes difference of opinion leads to laws and regulations that are tilted to the left or the right. The collaborative balancing to insure public and natural resource interests are protected ends up being accomplished through extensive litigation in the courts. In this article, the author discusses the history of environmental balancing during the past three decades from the perspective of a field biologist who has used the strength of our policies, laws and regulations to fight for the protection of our Commonwealth’s aquatic resources. For the past 7 years, the author has taken over the reins of “the most powerful environmental agency in Pennsylvania” and charted a course using science to properly represent natural resource interests in public policy and political deliberations.

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