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Human Papillomavirus Awareness, Vaccine Status, and Risk Factors in Female Emergency Patients
Introduction: A vaccine targeting high-risk human papillomavirus (HPV) strains can effectively prevent HPV-associated cervical cancer risk. However, many girls and women do not receive the vaccine, more often those impacted by health disparities associated with race and/or socioeconomic status. This same disparate population has also been shown to be at higher risk for cervical cancer. Many of these women also rely on the emergency department (ED) as a safety net for their healthcare. This study sought to gather information pertaining to HPV and cervical cancer risk factors, awareness of HPV and the vaccine, as well as HPV vaccine uptake in female patients presenting to an ED.Methods: We obtained 81 surveys completed by female ED patients. Demographics included age, race, income, insurance status, primary care provider status, and known cervical-cancer risk factors. Subsequent survey questions explored respondents’ knowledge, familiarity, and attitudes regarding HPV, cervical cancer, and the HPV vaccine, including vaccination uptake rates. We analyzed data using descriptive statistics and Fisher’s exact test.Results: Approximately one in seven respondents (14.8%) had never previously heard of HPV and 32.1% were unaware of the existence of a HPV vaccine. Minority patients, including those who were Black and Hispanic patients, low income patients, and uninsured and publicly insured patients were less likely to be aware of HPV and the vaccine and likewise were less likely to be offered and receive the vaccine. More than 60% of all respondents (61.3%) had never previously been offered the vaccine, and only 24.7% of all respondents had completed the vaccine series.Conclusion: Female ED patients may represent an at-risk cohort with relatively low HPV awareness and low HPV vaccine uptake. The ED could represent a novel opportunity to access and engage high-risk HPV populations
Long term measurement network for FIFE
The objectives were: to obtain selected instruments which were not standard equipment on the Portable Automated Mesometeorological (PAM) and Data Control Platform (DCP) stations; to assist in incorporation of these instruments onto the PAM and DCP stations; to help provide routine maintenance of the instruments; to conduct periodic instrument calibrations; and to repair or replace malfunctioning instruments when possible. All of the objectives were or will be met soon. All instruments and the necessary instrument stands were purchased or made and were available for inclusion on the PAM and DCP stations before the beginning of the IFC-1. Due to problems beyond control, the DCP stations experienced considerable difficulty in becoming operational. To fill some of the gaps caused by the DCP problems, Campbell CR21-X data loggers were installed and the data collected on cassette tapes. Periodic checks of all instruments were made, to maintain data quality, to make necessary adjustments in certain instruments, to replace malfunctioning instruments, and to provide instrument calibration. All instruments will be calibrated before the beginning of the 1988 growing season as soon as the weather permits access to all stations and provides conditions that are not too harsh to work in for extended periods of time
Measurement of surface physical properties and radiation balance for KUREX-91 study
Biophysical properties and radiation balance components were measured at the Streletskaya Steppe Reserve of the Russian Republic in July 1991. Steppe vegetation parameters characterized include leaf area index (LAI), leaf angle distribution, mean tilt angle, canopy height, leaf spectral properties, leaf water potential, fraction of absorbed photosynthetically active radiation (APAR), and incoming and outgoing shortwave and longwave radiation. Research results, biophysical parameters, radiation balance estimates, and sun-view geometry effects on estimating APAR are discussed. Incoming and outgoing radiation streams are estimated using bidirectional spectral reflectances and bidirectional thermal emittances. Good agreement between measured and modeled estimates of the radiation balance were obtained
Calibration of field reference panel and radiometers used in FIFE 1989
Remote sensing of the earth's surface features involves the measurement of reflected solar radiation and the interpretation of the data in biophysical terms. Reflected radiation is a function of the surface properties and incident solar irradiance. The amount of radiation reflected from a surface is compared to the amount of solar radiation received at the surface as a means of comparing information from different times of day as well as for different days of the year. Thus, it is imperative to calibrate the instruments used to measure the incoming and reflected radiation
Southeastern U.S. Vegetation Response to ENSO Events (1989–1999)
El Niño/Southern Oscillation (ENSO) is considered one of the most powerful forces driving anomalous global weather patterns. Large-scale seasonal precipitation and temperature changes influenced by ENSO have been examined in many areas of the world. The southeastern United States is one of the regions affected by ENSO events. In this study, remote sensing detection of vegetation response to ENSO phases is demonstrated with one-kilometer biweekly Normalized Difference Vegetation Index (NDVI) data (1989–1999) derived from the Advanced Very High Resolution Radiometer (AVHRR). The impacts of three ENSO phases, cold, warm and neutral, on vegetation were analyzed with a focus on two vegetation cover types, two seasons and two geographic regions within the southeastern U.S. Significant ENSO effects on vegetation were found in cropland and forest vegetation cover types based on image and statistical analysis of the NDVI data. The results indicate that vegetation condition was optimal during the ENSO neutral phase for both agricultural and natural vegetatio
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