Women’s responses to changes in U.S. preventive task force’s mammography screening guidelines: results of focus groups with ethnically diverse women

Background: The 2009 U.S. Preventive Services Task Force (USPSTF) changed mammography guidelines to recommend routine biennial screening starting at age 50. This study describes women’s awareness of, attitudes toward, and intention to comply with these new guidelines. Methods: Women ages 40–50 years old were recruited from the Boston area to participate in focus groups (k = 8; n = 77). Groups were segmented by race/ethnicity (Caucasian = 39%; African American = 35%; Latina = 26%), audio-taped, and transcribed. Thematic content analysis was used. Results: Participants were largely unaware of the revised guidelines and suspicious that it was a cost-savings measure by insurers and/or providers. Most did not intend to comply with the change, viewing screening as obligatory. Few felt prepared to participate in shared decision-making or advocate for their preferences with respect to screening. Conclusions: Communication about the rationale for mammography guideline changes has left many women unconvinced about potential disadvantages or limitations of screening. Since further guideline changes are likely to occur with advances in technology and science, it is important to help women become informed consumers of health information and active participants in shared decision-making with providers. Additional research is needed to determine the impact of the USPSTF change on women’s screening behaviors and on breast cancer outcomes

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

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Hot atmospheres of galaxies, groups, and clusters of galaxies

Most of the ordinary matter in the local Universe has not been converted into stars but resides in a largely unexplored diffuse, hot, X-ray emitting plasma. It pervades the gravitational potentials of massive galaxies, groups and clusters of galaxies, as well as the filaments of the cosmic web. The physics of this hot medium, such as its dynamics, thermodynamics and chemical composition can be studied using X-ray spectroscopy in great detail. Here, we present an overview of the basic properties and discuss the self similarity of the hot "atmospheres" permeating the gravitational halos from the scale of galaxies, through groups, to massive clusters. Hot atmospheres are stabilised by the activity of supermassive black holes and, in many ways, they are of key importance for the evolution of their host galaxies. The hot plasma has been significantly enriched in heavy elements by supernovae during the period of maximum star formation activity, probably more than 10 billion years ago. High resolution X-ray spectroscopy just started to be able to probe the dynamics of atmospheric gas and future space observatories will determine the properties of the currently unseen hot diffuse medium throughout the cosmic web.Comment: Accepted for publication in the book "Reviews in Frontiers of Modern Astrophysics: From Space Debris to Cosmology" (eds Kabath, Jones and Skarka; publisher Springer Nature) funded by the European Union Erasmus+ Strategic Partnership grant "Per Aspera Ad Astra Simul" 2017-1-CZ01-KA203-03556