Ethnic differences in cancer symptom awareness and barriers to seeking medical help in England

Background: Ethnic differences in cancer symptom awareness and barriers to seeking medical help in the English population are not fully understood. We aimed to quantify these differences, to help develop more effective health campaigns, tailored to the needs of different ethnic groups. Methods: Using a large national data set (n=38492) of cross-sectional surveys that used the Cancer Research UK Cancer Awareness Measure, we examined how cancer symptom awareness and barriers varied by ethnicity, controlling for socio-economic position, age and gender. Data were analysed using multivariable logistic regression. Results: Awareness of cancer symptoms was lower in minority ethnic groups than White participants, with the lowest awareness observed among Bangladeshis and Black Africans. Ethnic minorities were more likely than White British to report barriers to helpseeking. South Asians reported the highest emotional barriers, such as lack of confidence to talk to the doctor, and practical barriers, such as worry about many other things. The Irish were more likely than the White British to report practical barriers, such as being too busy to visit a doctor. White British participants were more likely than any other ethnic group to report that they would feel worried about wasting the doctor’s time. Overall, Black Africans had the lowest barriers. All differences were statistically significant (P<0.01 level), after controlling for confounders. Conclusions: Our findings suggest the need for culturally sensitive and targeted health campaigns, focused on improving recognition of cancer symptoms among ethnic minorities. Campaigns should tackle the specific barriers prevalent in each ethnic group

Surface modification of natural vein graphite for the anode application in Li-ion rechargeable batteries

Natural vein graphite with high purity and crystallinity is seldom used as anode material in lithium-ion rechargeable batteries (LIB) due to impurities and inherent surface structure. This study focuses on improving the surface properties of purified natural vein graphite surface by employing mild chemical oxidation. Needle-platy graphite sample with initial average carbon percentage of 99.83% was improved to 99.98% after treatment with 5 vol.% HCl. Surface modification of purified graphite was done by chemical oxidation with (NH4)(2)S2O8 and HNO3. Fourier-transform infrared spectra of graphite after chemical indicating surface oxidation of graphite surface. X-ray diffraction and scanning electron microscopic studies show the improvement of graphite structure without modification of crystalline structure. Electrochemical performance of lithium-ion cell assembled with developed anode material shows noticeable improvement of the reversible capacity and coulombic efficiency in the first cycle and cycling behavior after surface modification

A note on determining the number of outliers in an exponential sample by least squares procedure

Least squares procedure, Upper outlier, Exponential distribution, Mean squared error, Order statistic, Pareto distribution,