Describing and Assessing Leadership for Person-Centered Care: Final Project Report

This report provides brief highlights from a study of leadership in nursing homes with a person-centered or traditional approach to care

River Otter in Arkansas III. Characteristics of Otter Latrines and Their Distribution Along Beaver-Inhabited Watercourses in Southwest Arkansas

Forty-one river otter (Lutra canadensis) fecal deposit (latrine) sites were located during April 1983 through March 1984 along beaver (Castor canadensis) inhabited watercourses in Clark, Nevada, and Ouachita counties, Arkansas. Latrine sizes ranged from 64 cm² to 5.01 m² (x-bar=0.30 m²; S.D. =0.88), and contained 2 to 78 scats per latrine (x-bar=9.2; S.D. = 13.8). The most common sites for latrines included elevated leaf or moss covered banks (51.2%), beaver lodges or bank dens (17.1 %), and beaver scent mounds (12.2%). Other latrine sites included felled logs over open water, bare soil along elevated banks, and exposed sandbars. Otter presence fluctuated seasonally in beaver areas, with the periods of greatest occurrence being early summer and late winter

Vaginal cuff recurrence after radical cystectomy: an under - studied site of bladder cancer relapse

Vaginal cuff recurrence of tumor following radical cystectomy is a rare site of disease recurrence, however it has never been specifically studied. The aim of the study is to evaluate incidence, risk factors, and long-term oncologic outcomes of vaginal cuff recurrence in a cohort of female patients treated with radical cystectomy for invasive urothelial carcinoma of the bladder

Architectural/Environmental Handbook for Extraterrestrial Design

Handbook on environmental and space utilization criteria for design of extraterrestrial manned spacecraft and shelter

River Otter in Arkansas: II. Indications of a Beaver-Facilitated Commensal Relationship

Dam building activities of beaver (Castor canadensis) create ponds that apparently augment habitat available to otter (Lutra canadensis). This paper considers possible effects of beaver activity and pond formation on distribution and populations of otter in Arkansas. Literature synthesis and analysis of harvest records were used to investigate the suspected relationship

Lymph node dissection in urological cancers: one topic, many controversies

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Age and Prostate-Specific Antigen Level Prior to Diagnosis Predict Risk of Death from Prostate Cancer.

A single early prostate-specific antigen (PSA) level has been correlated with a higher likelihood of prostate cancer diagnosis and death in younger men. PSA testing in older men has been considered of limited utility. We evaluated prostate cancer death in relation to age and PSA level immediately prior to prostate cancer diagnosis. Using the Veterans Affairs database, we identified 230,081 men aged 50-89 years diagnosed with prostate cancer and at least one prior PSA test between 1999 and 2009. Prostate cancer-specific death over time was calculated for patients stratified by age group (e.g., 50-59 years, through 80-89 years) and PSA range at diagnosis (10 ranges) using Kaplan-Meier methods. Risk of 10-year prostate cancer mortality across age and PSA was compared using log-rank tests with a Bonferroni adjustment for multiple testing. 10.5% of men diagnosed with prostate cancer died of cancer during the 10-year study period (mean follow-up = 3.7 years). Higher PSA values prior to diagnosis predict a higher risk of death in all age groups (p < 0.0001). Within the same PSA range, older age groups are at increased risk for death from prostate cancer (p < 0.0001). For PSA of 7-10 ng/mL, cancer-specific death, 10 years after diagnosis, increased from 7% for age 50-59 years to 51% for age 80-89 years. Men older than 70 years are more likely to die of prostate cancer at any PSA level than younger men, suggesting prostate cancer remains a significant problem among older men (even those aged 80+) and deserves additional study