ODM Tools Python: Open Source Software For Managing Continuous Sensor Data

Hydrologic and water quality data is being collected at high frequencies, for extended durations, and with spatial distributions that require infrastructure for data storage and management. The Observations Data Model (ODM), which is part of the Consortium of Universities for the Advancement of Hydrologic Science, Inc. (CUAHSI) Hydrologic Information System (HIS), was developed as a framework in which to organize, store, and describe point observations data. In this paper we describe ODM Tools Python, which is an open source software application that allows ODM users to query and export, visualize, and edit data stored in an ODM database. Previous versions of ODM Tools included functionality to export data series and associated metadata, plot and summarize single data series, generate derivative data series, and edit data series using a set of simple tools. We have developed a new version of ODM Tools in Python that adds a modernized graphical user interface, multiple platform support (Windows, Linux, and Mac), multiple database support (Microsoft SQL Server and MySQL), and support for automated scripting of quality control edits performed on data series through an integrated Python script editor and console. Scripting records the corrections and adjustments made to data series in the quality control process, ensuring that the steps are traceable and reproducible. Additional improvements to ODM Tools Python include customizable queries for data selection and export, the ability to plot multiple data series simultaneously with various plot types, and user-defined functions for data series editing and derivation

ODM Tools Python: Open Source Software For Managing Continuous Sensor Data

Hydrologic and water quality data is being collected at high frequencies, for extended durations, and with spatial distributions that require infrastructure for data storage and management. The Observations Data Model (ODM), which is part of the Consortium of Universities for the Advancement of Hydrologic Science, Inc. (CUAHSI) Hydrologic Information System (HIS), was developed as a framework in which to organize, store, and describe point observations data. In this paper we describe ODM Tools Python, which is an open source software application that allows ODM users to query and export, visualize, and edit data stored in an ODM database. Previous versions of ODM Tools included functionality to export data series and associated metadata, plot and summarize single data series, generate derivative data series, and edit data series using a set of simple tools. We have developed a new version of ODM Tools in Python that adds a modernized graphical user interface, multiple platform support (Windows, Linux, and Mac), multiple database support (Microsoft SQL Server and MySQL), and support for automated scripting of quality control edits performed on data series through an integrated Python script editor and console. Scripting records the corrections and adjustments made to data series in the quality control process, ensuring that the steps are traceable and reproducible. Additional improvements to ODM Tools Python include customizable queries for data selection and export, the ability to plot multiple data series simultaneously with various plot types, and user-defined functions for data series editing and derivation

Racial/Ethnic and Socioeconomic Disparities in Endocrine Therapy Adherence in Breast Cancer: A Systematic Review

We examined the current literature to understand factors that influence endocrine therapy (ET) adherence among racial/ethnic and socioeconomic subpopulations of breast cancer patients. We searched PubMed and PsycINFO databases for studies from January 1, 1978, to June 20, 2014, and January 1, 1991, to June 20, 2014, respectively, and hand-searched articles from relevant literature reviews. We abstracted and synthesized results within a social ecological framework

Understanding racial differences in health-related quality of life in a population-based cohort of breast cancer survivors

Although racial disparities in health-related quality of life (HRQOL) among women with breast cancer (BC) are well documented, less is known about HRQOL changes over time among women of different races. Our objective was to assess racial differences in HRQOL during active treatment and survivorship phases of BC care

Health Disparities Across the Breast Cancer Continuum

To provide a brief overview of disparities across the spectrum of breast cancer incidence, treatment, and long-term care during the survivorship period

Patient-Centered Communication for Discussing Oncotype DX Testing

Oncotype DX testing (ODX), a tumor gene expression test, may improve breast cancer care, however communicating results remains challenging. We identified patient-centered communication strategies/gaps for discussing ODX results. We applied a patient-centered communication framework to analyze qualitative interviews with oncologists about how they communicate about ODX with patients, using template analysis in Atlas.ti. Overall, providers discussed four patient-centered communication domains: exchanging information, assessing uncertainty, making decisions and cross-cutting themes. Providers did not report discussing emotional aspects of managing uncertainty, assessing decision-making preferences, and evaluating decisions. A patient-centered approach may be a model for communicating about tumor gene expression tests

Oncology providers' perspectives on endocrine therapy prescribing and management.

Adjuvant endocrine therapy (ET) can reduce the risk of recurrence among females with hormone receptor-positive breast cancer. Overall, initiation and adherence to ET are suboptimal, though reasons are not well described. The study's objective was to better understand ET decision making, prescribing, and patient management from oncology providers' perspectives. Using purposive sampling, we recruited oncology providers who saw five or more breast cancer patients per week (n=20). We conducted 30-45-minute telephone interviews, using a semistructured guide to elicit perspectives on ET use. We used thematic content analysis to systematically identify categories of meaning and double-coded transcripts using Atlas.ti. Providers recommend ET to all eligible patients except those with contraindications or other risk factors. Providers base their ET prescribing decisions on the patient's menopausal status, side effects, and comorbidities. ET is typically discussed multiple times: at the onset of breast cancer treatment and in more detail after other treatment completion. Providers felt that the associated recurrence risk reduction is the most compelling argument for patients during ET decision making. While providers rarely perceived noninitiation as a problem, nonadherence was prevalent, often due to unresolvable side effects. From the clinicians' perspectives, side effects from ET are the dominant factor in nonadherence. Efforts to improve adherence should focus on strategies to minimize side effects and ensure clinicians and patients are well informed regarding optimal side effect management. This finding has important implications for novel endocrine regimens that offer improved outcomes through longer duration or more intensive therapy

Racial Variation in the Uptake of Onco type DX Testing for Early-Stage Breast Cancer

Oncotype DX (ODX) is a tumor gene-profiling test that aids in adjuvant chemotherapy decision-making. ODX has the potential to improve quality of care; however, if not equally accessible across racial groups, disparities in cancer care quality may persist or worsen. We examined racial disparities in ODX testing uptake

To be young, Black, and living with breast cancer: a systematic review of health-related quality of life in young Black breast cancer survivors

Compared with young White women, young Black women are more likely to present with aggressive breast cancer (BC) subtypes that are potentially linked to worse health-related quality of life (HRQOL); however, there is limited consensus regarding HRQOL needs among young Black BC survivors. Employing Ferrell's framework on QOL in BC (i.e., physical, psychological, social, and spiritual well-being), we conducted a systematic review on HRQOL among Black BC survivors aged <50 years and proposed recommendations for advancing HRQOL research and care for this population

Insurance-Based Differences in Time to Diagnostic Follow-up after Positive Screening Mammography

Insurance may lengthen or inhibit time to follow-up after positive screening mammography. We assessed the association between insurance status and time to initial diagnostic follow-up after a positive screening mammogram