Knowledge and attitudes toward brain death and organ donation in Bojnurd

دانش و نگرش مردم شهر بجنورد (خراسان شمالی) در باره مرگ مغزی و اهدای عض

A comparison of stage-specific all-cause mortality between testicular sex cord stromal tumors and germ cell tumors: results from the National Cancer Database.

BackgroundTesticular sex cord stromal tumors (SCSTs) are managed similarly to germ cell tumors (GCTs); however, few studies have directly compared outcomes between these tumor types. Using the National Cancer Database (NCDB), we sought to compare overall and stage-specific all-cause mortality (ACM) between SCSTs versus GCTs.MethodsNCDB was queried for patients diagnosed with SCSTs and GCTs between 2004 and 2013. Descriptive statistics were used to compare sociodemographic and clinical characteristics between groups. Univariable and multivariable Cox proportional hazards regression analyses were used to assess associations with ACM.ResultsWe identified 42,192 patients diagnosed with testicular cancer between 2004 and 2013, with 280 having SCSTs and 41,912 patients having GCTs. Median age for SCSTs and GCTs was 45 (interquartile range [IQR] 34-59) and 34 (IQR 27-43), respectively (p < 0.001). Median follow-up was 39 and 52 months, respectively. Overall, patients with SCSTs had greater risk of ACM compared to those with GCTs (HR 1.69, 95% CI 1.14-2.50). Private insurance, greater education, and fewer comorbidities were associated with reduced risk of ACM (p < 0.05 for all). Among those with stage I disease, tumor type was not associated with ACM on multivariable analysis. Among those with stage II/III disease, patients with SCSTs had increased risk of ACM compared to patients with GCTs (HR 3.29, 95% CI 1.89-5.72).ConclusionsPatients with advanced SCSTs had worse survival outcomes compared to those with advanced GCTs. These data suggest a need for further investigation to ascertain effective management recommendations for SCSTs

Occupational Disruption and Natural Disaster: Finding a ‘New Normal’ in a Changed Context

Individuals affected by natural disasters can undergo critical life changes throughout the recovery process. With a forecast increase in frequency and impact of natural disasters, it is important to consider the occupational recovery process that individuals experience post-disaster. This qualitative descriptive study explored the experience of occupational disruption and occupational recovery of individuals after Cyclone Yasi struck a small, regional town in Northern Queensland, Australia. Nine semi-structured interviews from long-term residents of the town affected by Cyclone Yasi were conducted 2 years after the event. Interviews were recorded, transcribed verbatim and independently coded using thematic analysis by three researchers. Five interrelated themes were identified: Recovery occupations; Interruption to leisure and productive occupations; Reconstruction: A second disaster; Occupational liminality and A new normal. These themes point to a phased process of occupational recovery through which disaster survivors encounter numerous personal and contextual barriers, encumbering their return to re-engagement in meaningful occupational routines. The findings from this research offer insights into the support needs of both individuals and communities as they endeavour to overcome challenges associated with the recovery process

Análise econômico-financeira da produção de carvão vegetal no Rio Grande do Sul.

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Primary care physician perceptions of adult survivors of childhood cancer

Increasing cure rates for childhood cancers have resulted in a population of adult childhood cancer survivors (CCS) that are at risk for late effects of cancer-directed therapy. Our objective was to identify facilitators and barriers to primary care physicians (PCPs) providing late effects screening and evaluate information tools PCPs perceive as useful. We analyzed surveys from 351 practicing internal medicine and family practice physicians nationwide. A minority of PCPs perceived that their medical training was adequate to recognize late effects of chemotherapy (27.6%), cancer surgery (36.6%), and radiation therapy (38.1%). Most PCPs (93%) had never used Children's Oncology Group guidelines, but 86% would follow their recommendations. Most (84% to 86%) PCPs stated that they had never received a cancer treatment summary or survivorship care plan but (>90%) thought these documents would be useful. PCPs have a low level of awareness and receive inadequate training to recognize late effects. Overall, PCPs infrequently utilize guidelines, cancer treatment summaries, and survivorship care plans, although they perceive such tools as useful. We have identified gaps to address when providing care for CCS in routine general medical practice

Advanced Computing and Related Applications Leveraging Brain-inspired Spiking Neural Networks

In the rapid evolution of next-generation brain-inspired artificial intelligence and increasingly sophisticated electromagnetic environment, the most bionic characteristics and anti-interference performance of spiking neural networks show great potential in terms of computational speed, real-time information processing, and spatio-temporal information processing. Data processing. Spiking neural network is one of the cores of brain-like artificial intelligence, which realizes brain-like computing by simulating the structure and information transfer mode of biological neural networks. This paper summarizes the strengths, weaknesses and applicability of five neuronal models and analyzes the characteristics of five network topologies; then reviews the spiking neural network algorithms and summarizes the unsupervised learning algorithms based on synaptic plasticity rules and four types of supervised learning algorithms from the perspectives of unsupervised learning and supervised learning; finally focuses on the review of brain-like neuromorphic chips under research at home and abroad. This paper is intended to provide learning concepts and research orientations for the peers who are new to the research field of spiking neural networks through systematic summaries

Economia da produção de pimenta vermelha no município de Turuçu-RS.

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OncoLog Volume 45, Number 11, November 2000

Program Addresses Medical, Psychosocial Needs of Young People with Cancer DiaLog: Coming of Age ... with Cancer, by Sima Jeha, MD, Medical Director, Adolescent and Young Adult Program House Call: Cancer Screening: Early Detection Does Make a Difference Endostatin: Phase I Trial Yields Promising Preliminary Results Molecular Radiosensitizers Target Proliferation and Apoptosis Pathways in Tumor Cellshttps://openworks.mdanderson.org/oncolog/1090/thumbnail.jp

Avaliação por multicritérios de apoio à decisão da inovação no arranjo produtivo local de pêssego indústria.

Projeto/Plano de Ação: 11.11.11.111