Purpose
Cancer patients have to overcome various barriers to obtain diagnostics and treatment at head and neck cancer centers. Travel distance to a specialized hospital may result in psychosocial and ...financial distress, thus interfering with diagnostics, treatment, and follow-up care. In this study, we have aimed to analyze the association of travel distance with cTNM status, UICC stage at primary diagnosis, and survival outcomes of head and neck cancer (HNC) patients.
Methods
We have analyzed data of 1921 consecutive HNC patients diagnosed between 2014 and 2019 at the head and neck cancer center of the Comprehensive Cancer Center Ulm (CCCU), Germany. Postal code-based travel distance calculation in kilometers, TNM status, and UICC stage were recorded at initial diagnosis. The assembly of travel distance-related groups (short, intermediate, long-distance) has been investigated. Moreover, group-related survival and recurrence analysis have been performed.
Results
In contrast to observations from overseas, no association of travel distance and higher cTNM status or UICC stage at primary diagnosis has been observed. Furthermore, no significant differences for recurrence-free survival and overall survival by travel distance were detected.
Conclusion
In southern Germany, travel distance to head and neck cancer centers seems to be tolerable. Travel burden is not synonymous with travel distance alone but also involves sociodemographic, monetary, and disease-specific aspects as well as accessibility to proper infrastructure of transport and health care system.
These are the proceedings of the LHCSki 2016 workshop "A First Discussion of 13 TeV Results" that has been held at the Obergurgl Universit\"atszentrum, Tirol, Austria, April 10 - 15, 2016. In this ...workshop the consequences of the most recent results from the LHC have been discussed, with a focus also on the interplay with dark matter physics, flavor physics, and precision measurements. Contributions from the workshop speakers have been compiled into this document.
This article describes the perceived benefits of a quality improvement program, briefly discusses the steps involved in the establishment of such a program, and describes the implementation of a ...computer database for data collection and retrieval. The outcome of 4,500 anesthesia cases, representing 30 months of casework, is included. This article concludes with a discussion of the strengths and weaknesses of the program as well as a suggestion for future quality improvement endeavors.
...the American Taxpayer Relief Act of 2012 (12) gave providers the option of satisfying the requirements of the Physician Quality Reporting System (PQRS) (13) by participating in qualifying ...registries.\n Physio-Control Inc., ZOLL Inc.), 2012-2015; PIlow * Hypothermia Duration After Resuscitation Trial (HART) Pilot Study (Submitted to NHLBI, CR Bard Medical Division Inc., Cincinnati Sub-Zero Inc., EMCOOLS AG, Gaymar/Stryker Inc. ZOLL Circulation Inc.; 2013-2015low * Mild hypothermia for resuscitated out-of-hospital cardiac arrest patients (R01-HL089554-01), 2007-2013; Co-I Randomized Trial of Hemofiltration After Resuscitation from Cardiac Arrest (NHLBI R21 HL093641-01A1), 2009-2011; PI Resuscitation Outcomes Consortium (National Institutes of Health U01 HL077863-05), 2004-2010; Co-PIdagger Sotera Wireless, San Diego, California Velocity Pilot Study of Ultrafast Hypothermia in Patients with ST-elevation Myocardial Infarction (Velomedix Inc.), 2012-2014; PI (waived personal compensation) Washington Study of Ultrasound in Resuscitation (Philips Healthcare Inc.), 2013-2014; PIlow * Medic One Foundationlow * Novel method of tracking location of monitor/defibrillators in time and spacelow * None Randal J. Thomas Content AHA GWTG Steering Committee None None None None None None Martha Radford Content NCDR Management Board None None None None None None Debra Ness Content: National Partnership for Women and Families None None None None None None Frederic Resnic Content: NCDR Science and Quality Oversight Committee St. Jude Medical None None None FDAdagger National Institutes of Healthdagger None * This table represents the relationships of reviewers with industry and other entities that were disclosed at the time of peer review and determined to be relevant.
In this report we describe the results of an experiment in which we demonstrated that a powerful and compelling stereoscopic experience is elicited with very brief (< 1 msec) stimulus durations. The ...observers were highly successful in recognizing briefly flashed, stereoscopic, random-dot surfaces in the absence of monocular contours. The results are shown to be closely related to the range of depths for any stimulus form; however, the recognition thresholds were nonmonotonic as a function of disparity. Previous investigators have disagreed about the existence of a temporal threshold for stereopsis. We believe that prior findings suggesting that stereopsis cannot occur at short exposure durations are probably due to inadequate control of fixation disparity. Therefore, there is poor dichoptic image registration when a stereoscopic stimulus is presented. The present results also raise difficulties for any theory of stereopsis that requires eye movements.