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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of the American Academy of Nurse Practitioners 16 (2004), S. 0 
    ISSN: 1745-7599
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: To determine nurse practitioners’ (NPs’) knowledge and reported practices regarding breast cancer screening in a climate of conflicting guidelines.〈section xml:id="abs1-2"〉〈title type="main"〉Data SourceA descriptive, cross-sectional survey design was used to examine approaches to cancer screening among NPs in western New York.〈section xml:id="abs1-3"〉〈title type="main"〉ConclusionsAmong the 175 NP respondents, agreement with the accepted answer for the individual breast cancer—screening items ranged from 51% to 80%; responses did not vary by age group or gender. Overall, 54% demonstrated agreement with three or more of four breast cancer—screening items.〈section xml:id="abs1-4"〉〈title type="main"〉Implications for PracticeThese findings suggest the need to implement educational interventions as one means of decreasing variation in breast cancer screening among NPs. Also, the development and endorsement of a single set of evidence-based breast cancer—screening guidelines would promote adoption of a single screening recommendation.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of the American Academy of Nurse Practitioners 15 (2003), S. 0 
    ISSN: 1745-7599
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: To determine nurse practitioners' (NPs') knowledge, practice, and attitudes about tobacco cessation counseling and lung cancer early detection.〈section xml:id="abs1-2"〉〈title type="main"〉Data SourceA descriptive, cross-sectional survey design was used to examine NPs' approaches to primary and secondary prevention of tobacco use among patients in western New York.〈section xml:id="abs1-3"〉〈title type="main"〉ConclusionsAmong the 175 respondents, NPs appropriately counseled tobacco users on tobacco cessation. However, there was limited understanding of first-line pharmacological agents used for tobacco cessation and of how to manage treatment for a patient at high risk for lung cancer.〈section xml:id="abs1-4"〉〈title type="main"〉Implications for PracticeThese findings suggest the need to implement professional educational programs aimed at conveying not only the importance of tobacco cessation counseling but also information on the most effective first-line pharmacological agents and appropriate management options for patients at increased risk of developing lung cancer.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1573-7225
    Keywords: Breast cancer ; caffeine ; case-control study ; methylxanthine ; United States
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Cancer causes & control 3 (1992), S. 7-15 
    ISSN: 1573-7225
    Keywords: Incidence ; neoplasms ; rural population ; urban population ; United States
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Patterns of cancer incidence within five population density quintiles in New York State, exclusive of New York City, were investigated between 1978 and 1982. Sex-specific, standardized incidence ratios were calculated within each population density quintile for all cancer cases combined and for site-specific cancers based on cancer incidence patterns exhibited by the general population of New York State, exclusive of New York City. Areas with the highest population density demonstrated a 13 percent excess of cancer cases among males and a seven percent excess among females. In contrast, areas with the lowest population density exhibited lower cancer incidence, among both males (12 percent less) and females (12 percent less). Males demonstrated a significant, direct linear relationship between increasing population density and all cancer sites combined, and for cancers of the oral cavity and pharynx, esophagus, stomach, colon, rectum, liver, pancreas, larynx, lung, bladder, brain, and nervous system, and for Hodgkin's disease and multiple myelomas. Among females, a significant, direct linear relationship was observed between increasing population density and all cancer sites combined, and for cancers of the buccal cavity and pharynx, esophagus, stomach, lung, breast, and kidney. Malignant melanomas of the skin, and in situ and invasive cancers of the cervix exhibited unusual incidence patterns across the population density quintiles. These data are most useful in generating hypotheses for further studies to define specific etiologic factors operating within population density groupings. Population density, as measured in this investigation, may represent a surrogate measure for other factors which are related to cancer morbidity.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1573-7225
    Keywords: case–control ; neuroblastoma ; parental occupational exposure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: A case–control study was conducted with 183 histologically confirmed neuroblastoma cases aged 0–14 years diagnosed among residents of New York State, excluding New York City, between 1976 and 1987. Three hundred seventy-two controls were selected from the New York State live birth certificate registry and were matched to cases on year of birth. Methods: Parental occupational exposures at the time of each child's birth were obtained from maternal telephone interviews, successfully completed for 85% of cases and 87% of controls. Results: Odds ratios were significantly elevated for maternal occupation in the service (OR = 2.0, 95% CI = 1.0–4.1) and retail (OR = 2.0, 95% CI = 1.1–3.7) industries and paternal occupation in materials handling (OR = 3.8, 95% CI = 1.1–14.6). Odds ratios were also significantly elevated for maternal report of occupational exposure to acetone (OR = 3.1, 95% CI = 1.7–5.6), insecticides (OR = 2.3, 95% CI = 1.4–3.7), lead (OR = 4.7, 95% CI = 1.3–18.2) and petroleum (OR = 3.0, 95% CI = 1.5–6.1) and paternal exposure to creosote (OR = 2.1, 95% CI = 1.1–4.3), dioxin (OR = 6.9, 95% CI = 1.3–68.4), lead (OR = 2.4, 95% CI = 1.2–4.8), and petroleum (OR = 1.8, 95% CI = 1.1–2.8). Conclusions: Due to the uncertainty of the biologic plausibility of these associations and the possibility of alternative explanations, these results should be interpreted cautiously.
    Type of Medium: Electronic Resource
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