Comparison of Compliance with Cervical Cancer Screening among Women aged 18 and above in Arkansas and the United States

Introduction: Cervical cancer preys on women without access to preventative screening. Any woman who has developed an invasive case of cervical cancer should be regarded as a failure of screening. Disparities in access to screening, triage, and treatment fuel an uneven distribution in the burden of cervical cancer within the United States; weighing unusually heavy on the Southern States like Arkansas. The purpose of this study was to evaluate demographic and behavioral risk factors for cervical cancer and identify potential barriers which may influence the likelihood of complying with current Pap test recommendations on a state level, in Arkansas, and also a national scale, in the United States. Materials and Methods: National data from the 2014 Behavioral Risk Factor Survey System (BRFSS) was used to collect demographic characteristics and behavioral risk factors among females aged 18 and above in Arkansas and the United States. BFRSS data included a total of 1,587 women in Arkansas and 162,222 in the United States who were aged 18 and above and eligible to receive Pap tests. Women with a medical history of hysterectomy that included the removal of the cervix were excluded from analysis because they are not considered to be medically eligible to receive Pap tests. Results: Socioeconomic status, age, race, and health insurance were significantly associated with likelihood to comply with current screening recommendations among women in both Arkansas and the United States. Arkansan women who had less than a 12-year education (Odds Ratio (OR) = 1.41, 95% Confidence Interval (CI) = 1.04, 1.64) and were without health insurance (OR = 3.56, 95% CI = 1.66, 7.66) were more likely to be non-compliant with Pap testing, which is similar to the finding on the national level. The prevalence of Pap test compliance was significantly lower among women in Arkansas when compared to US average in every sociodemographic sector. Discussion: According to US Census data collected in 2013, Arkansas had the highest cervical cancer incidence of 10.6 per 100,000 person-years, while the national average was 7.7 per 100,000 person-years. Therefore, future population-based cervical cancer interventions in Arkansas should target the promotion of Pap test compliance among the most vulnerable subpopulations (i.e., low socioeconomic status, minority, medically under or uninsured). Organized screening interventions might include offering free or reduced cost Pap testing in both urban and rural locations

Monitoring Mechanisms, Managerial Incentives, Investment Distortion Costs, and Derivatives Usage

We relate derivatives usage to the level of corporate governance/monitoring mechanisms, managerial incentives and investment decisions of UK firms. We find evidence to suggest that the monitoring environment, e.g., board size, influences the use of both currency and interest rate derivatives usage. Managerial compensation also influences derivatives usage. Investment decisions are affected by the governance and managerial compensation of firms, which in turn impact on derivatives usage. We find a strong tendency for UK firms to reduce derivatives usage in situations where derivatives usage should be increased. There is limited evidence that firms use hedging substitutes to avoid monitoring from external capital markets

Tea consumption and the reduced risk of colon cancer – results from a national prospective cohort study

OBJECTIVE: This study examines the relationship between tea consumption and colon cancer risk in the US population. DESIGN: Data from the NHANES I Epidemiologic Follow-up study (NHEFS) were used to examine the hypothesis. Cox proportional hazard models were used to examine the hypothesis of a protective effect of frequent tea consumption on colon cancer occurrence. SETTING: Due to differences in the precision of the exposure data, we analysed two cohort periods based on the NHEFS. Cohort I was based on the survey conducted at the NHEFS baseline and Cohort II began at the first follow-up. SUBJECTS: After excluding non-incidence cases and cases lost to follow-ups, there were 2359 tea users and 6498 non-tea users at baseline and 7656 tea users and 4514 non-tea users at the first follow-up. RESULTS: : After adjusting for confounders, the relative risks of colon cancer are 0.57 (95% confidence interval (CI) 0.42, 0.78) and 0.59 (95% 1.00) for subjects who consumed 1.5 cups per day, respectively, compared with non-tea users in Cohort II. Although more women consumed tea and the mean intake was higher, the preventive effect of tea consumption on colon cancer was found predominantly in men. The relative risks of colon cancer are 0.41 (95% 0.66) for men who consumed 1.5 cups day-1 of tea consumption (P-value for trend <0.01). No significant results were found in Cohort I. CONCLUSIONS: This study suggests an inverse association between colon cancer risk and habitual tea consumption

Epigenetic Contributions to the Relationship between Cancer and Dietary Intake of Nutrients, Bioactive Food Components, and Environmental Toxicants

Epigenetics is the study of heritable changes in gene expression that occur without a change in DNA sequence. Cancer is a multistep process derived from combinational crosstalk between genetic alterations and epigenetic influences through various environmental factors. The observation that epigenetic changes are reversible makes them an attractive target for cancer prevention. Until recently, there have been difficulties studying epigenetic mechanisms in interactions between dietary factors and environmental toxicants. The development of the field of cancer epigenetics during the past decade has been advanced rapidly by genome-wide technologies – which initially employed microarrays but increasingly are using high-throughput sequencing – which helped to improve the quality of the analysis, increase the capacity of sample throughput, and reduce the cost of assays. It is particularly true for applications of cancer epigenetics in epidemiologic studies that examine the relationship among diet, epigenetics, and cancer because of the issues of tissue heterogeneity, the often limiting amount of DNA samples, and the significant cost of the analyses. This review offers an overview of the state of the science in nutrition, environmental toxicants, epigenetics, and cancer to stimulate further exploration of this important and developing area of science. Additional epidemiologic research is needed to clarify the relationship between these complex epigenetic mechanisms and cancer

Spitzer 24 um Images of Planetary Nebulae

Spitzer MIPS 24 um images were obtained for 36 Galactic planetary nebulae (PNe) whose central stars are hot white dwarfs (WDs) or pre-WDs with effective temperatures of ~100,000 K or higher. Diffuse 24 um emission is detected in 28 of these PNe. The eight non-detections are angularly large PNe with very low H-alpha surface brightnesses. We find three types of correspondence between the 24 um emission and H-alpha line emission of these PNe: six show 24 um emission more extended than H-alpha emission, nine have a similar extent at 24 um and H-alpha, and 13 show diffuse 24 um emission near the center of the H-alpha shell. The sizes and surface brightnesses of these three groups of PNe and the non-detections suggest an evolutionary sequence, with the youngest ones being brightest and the most evolved ones undetected. The 24 um band emission from these PNe is attributed to [O IV] 25.9 um and [Ne V] 24.3 um line emission and dust continuum emission, but the relative contributions of these three components depend on the temperature of the central star and the distribution of gas and dust in the nebula.Comment: 24 pages, 8 figures, to appear in the Astronomical Journal, September issue. Relace previous file; two references are added and typos are correcte

Environmental Exposure to Emissions from Petrochemical Sites and Lung Cancer: The Lower Mississippi Interagency Cancer Study

To investigate potential links between environmental exposure to petrochemical plant emissions and lung cancer, a population-based case-control study (LMRICS) was conducted in eleven Louisiana parishes bordering the Mississippi River. Cases and age, gender, and race-matched controls were interviewed regarding potential risk factors. Residential history was geocoded to provide indices of long-term proximity to industrial sites. Cases were more likely to have lived near a petrochemical site. Models adjusted for other risk factors, however, showed small or no association with lung cancer (odds ratio for residence within a half-mile of a site = 1.10, 95% confidence interval 0.58–2.08). While associations were strongest for exposures exceeding 15 years, none approached statistical significance and there was no clear dose-response across exposure duration, distance categories, or when sites were grouped according to carcinogenicity rating of chemical releases. Residential proximity to petrochemical plants along the lower Mississippi thus showed no significant association with lung cancer

Unit Nonresponse in a Population-Based Study of Prostate Cancer

Low unit response rates can increase bias and compromise study validity. Response rates have continued to fall over the past decade despite all efforts to increase participation. Many factors have been linked to reduced response, yet relatively few studies have employed multivariate approaches to identify characteristics that differentiate respondents from nonrespondents since it is hard to collect information on the latter. We aimed to assess factors contributing to enrollment of prostate cancer (PCa) patients. We combined data from the North Carolina-Louisiana (LA) PCa Project’s LA cohort, with additional sources such as US census tract and LA tumor registry data. We included specific analyses focusing on blacks, a group often identified as hard to enroll in health-related research. The ability to study the effect of Hurricane Katrina, which occurred amidst enrollment, as a potential determinant of nonresponse makes our study unique. Older age (≥ 70) for blacks (OR 0.65) and study phase with respect to Hurricane Katrina for both races (OR 0.59 for blacks, OR 0.48 for whites) were significant predictors of participation with lower odds. Neighborhood poverty for whites (OR 1.53) also was a significant predictor of participation, but with higher odds. Among blacks, residence in Orleans parish was associated with lower odds of participation (OR 0.33) before Katrina. The opposite occurred in whites, with lower odds (OR 0.43) after Katrina. Our results overall underscore the importance of tailoring enrollment approaches to specific target population characteristics to confront the challenges posed by nonresponse. Our results also show that recruitment-related factors may change when outside forces bring major alterations to a population's environment and demographics

Theory of Second Order Optical Processes from A Luttinger Liquid

We develop a theory for the total optical secondary emission from a 1D interacting electron system modelled as a Tomonaga-Luttinger liquid. We separate the emission into two parts which may originate in {\em hot luminescence} (HL) and {\em Raman Scattering} (RS) respectively when we neglect the {\em interference} effect. We find a peak around $\Delta \omega = v_f |q|$ in the RS part which does not come from a structure factor peak. In general the total emission cannot be separated into HL and RS. However at resonance, and taking into account the $k$ dependence of the optical matrix element, a part of the RS is proportional to the structure factor $S(q_1-q_2, \omega_1-\omega_2)$.Comment: 13 pages (REVTEX 3.0), CCNY-CMT-94-901, (to be published in Solid State Communication

Urinary bisphenol A and age at menarche among adolescent girls: Evidence from NHANES 2003–2010

Bisphenol A (BPA) is an environmental estrogen used in the manufacture of polycarbonate plastics and epoxy resins used to make food and beverage packaging. Increasing evidence suggests that BPA mimics estrogens in the body and may be associated with putative markers of breast cancer risk

Dietary Total Antioxidant Capacity is Inversely Associated with Prostate Cancer Aggressiveness in a Population-Based Study

The purpose of this study was to determine the relationship between total antioxidant capacity (TAC) from diet and supplements and prostate cancer aggressiveness among 855 African Americans (AA) and 945 European Americans (EA) in the North Carolina-Louisiana Prostate Cancer Project (PCaP). Cases were classified as either high aggressive, low aggressive, or intermediate aggressive. TAC was calculated from the vitamin C equivalent antioxidant capacity of 42 antioxidants measured via food frequency questionnaire. EA reported greater dietary TAC from diet and supplements combined (P 1500 vs. < 500 mg VCE/d): 0.31 (95% CI: 0.15, 0.67; P-trend < 0.01), 0.28 (95% CI: 0.08, 0.96; P-trend < 0.001), and 0.36 (95% CI: 0.15, 0.86; P-trend = 0.58), respectively. These associations did not appear to differ between AA and EA. These data suggest that greater intake of antioxidants is associated with less aggressive prostate cancer. Additional research is needed to confirm these results and determine the underlying mechanisms