Prevention and Research最新文献

{"title":"Abstract C80: Implementing a mailed colorectal cancer screening program: A safety-net clinic case study","authors":"J. Schneider, M. Fuoco, Jennifer S Rivelli, Jennifer K Coury, B. Green, Amanda F. Petrik, Anne M. Turner, Tanya Kapka","doi":"10.1158/1538-7755.disp17-c80","DOIUrl":"https://doi.org/10.1158/1538-7755.disp17-c80","url":null,"abstract":"Introduction: Screening for colorectal cancer (CRC) may reduce incidence and mortality, but screening rates are low, particularly in the community health center setting that often serves patients experiencing the greatest health disparities. Lack of time during office visits for providers to engage in CRC screening discussions, insufficient access to colonoscopy resources, and patients9 fears regarding the colonoscopy preparation and procedure are some of the challenges community health centers face when promoting CRC screening. Methods: We conducted a qualitative case study to document the acceptability and reactions to a pilot direct-mail CRC screening program using fecal immunochemical testing (FIT). The pilot was implemented in a Latino-serving safety-net clinic that provides primary care to diverse and low-income populations. After the implementation of the direct-mail CRC screening program, we conducted 29 semistructured telephone interviews: nine with clinic staff and leaders involved in implementing the screening program, and twenty with patients who had received the CRC outreach via a mailed FIT test. Patient interviews were conducted with both English (10) and Spanish (10) language participants. To analyze our case study, we used a qualitative content analysis approach, guided by grounded theory coding techniques, to identify themes from the interviews. Two coding dictionaries (one patient and one staff/leader) were developed by having each member of the analysis team (JLS, JSR, GC) read several patient and staff transcripts and mark passages of text with codes indicating their content. The team compared coding notes, discussed areas of disagreement, and from this process developed a coding scheme for use with subsequent transcripts. Transcripts were coded by trained coders (JLS, JSR, GC); Spanish-language transcripts were coded and reviewed by bilingual coders (JSR, GC). All coded transcripts were entered into Atlas.ti 5.0, a qualitative analysis software program used to electronically code and manage data and to generate reports of coded text for ongoing thematic analysis. The analysis team reviewed coded text using an iterative process to develop and refine themes. Results: Our content analysis revealed that staff valued the program and found it could be integrated into their workflow and electronic medical record. Organizational facilitators to program implementation included having skilled staff, a culture that supported change, engaged leaders, and an overall desire to improve CRC screening rates. Access to colonoscopy was sufficient, because only the few percent of individuals with positive fecal tests needed colonoscopy. Health center barriers included managing the complexity of program components (e.g., ordering, packaging, and mailing kits; documentation in the medical record; reminders; coordination following a positive result, etc.) and limited staffing resources to deliver the intervention. The majority of patients, both Sp","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125641466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract 5275: Comparing self-reported cognitive function among Caucasian and African American breast cancer survivors","authors":"Kayla A Lewis, J. Vo, Kendra J. Royston, Silvia Gisiger-Camata, K. Meneses","doi":"10.1158/1538-7445.am2018-5275","DOIUrl":"https://doi.org/10.1158/1538-7445.am2018-5275","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127885978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational exposure to home risk factors: analysis of physical and mental health condition of a group of Sicilian housewives.","authors":"M. G. Verso, D. Picciotto","doi":"10.11138/PER/2015.5.1.040","DOIUrl":"https://doi.org/10.11138/PER/2015.5.1.040","url":null,"abstract":"Introduction: the work of housewives, in many ways, still lacks professional respect; particularly with respect to the neglect of exposure to risk factors such as: chemical, physical, biological, psychological and accidents. The purpose of this study is to analyze the possible impact of environmental risk factors on the physical and mental health of a group of Sicilian housewives. Methods: we enrolled housewives living in Palermo and Catania and administered an anonymous questionnaire to obtain knowledge of three factors: (1) the habits of the respondents, (2) the type of house in which they lived and worked, (3) the diseases they suffered. We also administered them a hospital anxiety and depression scale questionnaire. A statistical analysis was performed calculating the p value and a Yates chi square test to compare the percentages of diseases that emerged in three different groups: (1) the sample, (2) an ISTAT report on women of the same average age performing various work tasks ‘other than housework’ and (3) an ISTAT nationwide report on the housewives of the same average age. Finally, we evaluated the average questionnaire scores measuring anxiety and depression, and correlated those scores with age. Results: the sample group consisting of 468 housewives showed high percentage of allergic disorders (35.6%), which is statistically significant when compared to the ISTAT national data on women generally and housewives particularly of the same average age. The evaluation of data on anxiety and depression showed an average score indicating borderline pathology for both (anxiety and depression) and increasing proportionally with increasing age. Discussion: it is considered appropriate to inform society and the scientific community about the issues concerning these housewife workers, who must be regarded as and recognized as workers.","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"2010 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114207663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract 2098: The effect of in utero folic acid supplementation on colorectal cancer risk in the offspring in a chemical carcinogen rodent model","authors":"Karen K Y Sie, A. Medline, K. Sohn, R. Croxford, Young-In Kim","doi":"10.1158/1538-7445.AM2008-2098","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2008-2098","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126955141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract 1604: Dietary energy balance modulates multistage epithelial carcinogenesis in mouse skin","authors":"Tricia Moore, S. Carbajal, Anna Jiang, L. Beltrán, S. Hursting, J. DiGiovanni","doi":"10.1158/1538-7445.AM2008-1604","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2008-1604","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126798255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract 2099: Apo-10’-lycopenoic acid functions as a peroxisome proliferator-activated receptor gamma activator and inhibits cell growth both in vitro and in vivo ob/ob mice treated with diethylnitrosamine","authors":"K. Hu, Yan Wang, Donald E. Smith, R. Russell, Xiang‐Dong Wang","doi":"10.1158/1538-7445.AM2008-2099","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2008-2099","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131839203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract 2102: Nanochemoprevention: Introducing a novel concept in cancer chemoprevention with a proof of principle for superior activity of green tea polyphenol epigallocatechin-3-gallate encapsulated in PLGA/PVA nanoparticles","authors":"I. Siddiqui, V. Adhami, Bilal B Hafeez, M. Asim, S. I. Khwaja, D. Bharali, S. Mousa, H. Mukhtar","doi":"10.1158/1538-7445.AM2008-2102","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2008-2102","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133679185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract 2097: Gemini vitamin D analogs inhibit estrogen receptor positive and estrogen receptor negative mammary tumorigenesis without hypercalcemic toxicity","authors":"HongJin Lee, Shiby Paul, Yan Ji, N. Atalla, P. Thomas, H. Maehr, M. Uskoković, N. Suh","doi":"10.1158/1538-7445.AM2008-2097","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2008-2097","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129592163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract 1599: Oral epithelium as a surrogate tissue for assessing smoking-induced molecular alterations in lungs","authors":"M. Bhutani, A. Pathak, Youhong Fan, Diane D. Liu, J. Lee, Hongli Tang, J. Kurie, R. Morice, Edward S. Kim, W. Hong, L. Mao","doi":"10.1158/1538-7445.AM2008-1599","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2008-1599","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115988374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout and its components: a comparison of critical care unit nursing and ward nursing","authors":"Burla Franco","doi":"10.11138/PR/2013.2.2.053","DOIUrl":"https://doi.org/10.11138/PR/2013.2.2.053","url":null,"abstract":"Background: burnout discomfort affects especially the health care workers so-called “helping professions”, professions that require special skills and a strong propensity to human relation and empathy, in which take over, moreover, a high level of emotional burden. The comparison to the base of this study concerns the nursing sphere, in particular the two large groups in which care is divided: general ward nurses and nurses working in the critical care unit. Objectives: the aim of this study was to estimate the burnout level with its components and work-related stress factors, in the critical care unit nurses; later on to compare the condition of the critical care unit nurses with that of general ward nurses (surgical, medical and paediatric areas), analyzed in a previous study. Methods: the sample consisted of 100 case-nurses selected from DEA (Department of Emergency and Acceptance), resuscitation service, intensive care, 100 controlnurses selected from surgical, medical and paediatric wards, extracted from a total of 155 matched on the age, sex, total years of employment and work commitment. The questionnaires were given to the two groups in order to assess the variables of the burnout level, its components and work-related stress factors. The results were subjected to statistical analysis using Chi-square test and the Mann-Whitney U using the software SPSS ver 17.0. Results: the results showed that the percentage of presence of burnout in critical care nurses is 0%, while for colleagues in wards turns out to be 12%. The relevant data is shown by the results obtained from the MBI questionnaire: in fact, in equal proportion of personal accomplishment (PA), the critical unit nurses have a greater percentage of emotional exhaustion (EE) than these from ward, but the depersonalization component (DC) is much lower in the critical care unit nurses than in their ward colleagues. It is just that identification factor with the role and the patient seems to preserve this category from burnout. Discussion: the critical care unit nurses are apparently one of the hospital areas at highest risk of burnout, as here are gathered many of precipitating factors such as work overload, organizational issues, ethical and emotional conflicts, exacerbated by the unpredictability of situations that must be daily worked out. In fact, we should not underestimate the key of personal satisfaction and role identification: these nurses feel gratified and despite the weight of responsibility, know they have back control and this makes them feel social outcasts. Conclusions: the results of this study, which upsets all our expectations, has to make reflect the institutions: the latter should be concerned over the plan implementation to reduce the work-related stress factors, even to give right value to the professional figure of the nursery, for too long underestimated. We found, in fact, the findings from our study that it is the depersonalization, the factor which brings hea","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124867457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}