1000 resultados para 71-17


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Kirje

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Business news from the Iowa Department of Economic Development

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Motor Vehicle Crash Fatalities

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Business Development news from the Iowa Department of Economic Development

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BACKGROUND: Since the advent of combined antiretroviral therapy (ART), the incidence of non-AIDS-defining cancers (non-ADCs) among HIV-positive patients is rising. We previously described HIV testing rates of <5% in our oncology centre, against a local HIV prevalence of 0.4% (1). We have since worked with the Service of Oncology to identify, how HIV testing can be optimized, we have conducted a study on investigating barriers in HIV-testing oncology patients (IBITOP) among treating oncologists and their patients. METHODS: After an initial two-month pilot study to examine feasibility (2), we conducted the first phase of the IBITOP study between 1st July and 31st October 2013. Patients of unknown HIV status, newly diagnosed with solid-organ non-AIDS-defining cancer, and treated at Lausanne University Hospital were invited to participate. Patients were offered HIV testing as a part of their initial oncology work-up. Oncologist testing proposals and patient acceptance were the primary endpoints. RESULTS: Of 235 patients with a new oncology diagnosis, 10 were excluded (7 with ADCs and 3 of known HIV-positive status). Mean age was 62 years; 48% were men and 71% were Swiss. Of 225 patients, 75 (33%) were offered HIV testing. Of these, 56 (75%) accepted, of whom 52 (93%) were tested. A further ten patients were tested (without documentation of being offered a test), which gave a total testing rate of 28% (62/225). Among the 19 patients who declined testing, reasons cited included self-perceived absence of HIV risk, previous testing and palliative care. Of the 140 patients not offered HIV testing and not tested, reasons were documented for 35 (25%), the most common being previous testing and follow-up elsewhere. None of the 62 patients HIV tested had a reactive test. CONCLUSIONS: In this study, one third of patients seen were offered testing and the HIV testing rate was fivefold higher than that of previously observed in this service. Most patients accepted testing when offered. As HIV-positive status impacts on the medical management of cancer patients, we recommend that HIV screening should be performed in settings, where HIV prevalence is >0.1%. Phase II of the IBITOP study is now underway to explore barriers to HIV screening among oncologists and patients following the updated national HIV testing guidelines which recommend testing in non-ADC patients undergoing chemotherapy.

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Kirje 17.11.1931

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Kirje 17.6.1925

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Las tallas de anchoveta consumida por el piquero Sula variegata fueron comparadas con aquéllas capturadas por la pesquería industrial, tanto a partir de datos generales como son los desembarques en los puertos, como a partir de datos precisos como son la captura en embarcaciones que trabajan en áreas cercanas a las islas de estudio. El presente trabajo busca demostrar que la información que se obtiene por intermedio de la dieta de los piqueros puede suplir la carencia de datos provenientes de la pesquería. No se encontraron diferencias significativas al comparar las tallas de anchoveta consumida por piqueros y la capturada por la pesquería en la mayoría de los casos (92,86% con puertos y el 85,71 % con embarcaciones). Los índices de similitud fueron elevados (>0,60) en el 78,57% de las comparaciones con puertos (n=28) y el 85,71 % con embarcaciones (n=7). Correlaciones superiores a 0,70 resultaron del 75% de las relaciones con puer­tos y del 71,43% con embarcaciones; valores de 0,70 equivalen a coeficientes de determinación de 0,50, que indican un 50% de variaciones debido a factores inherentes al piquero o la pesquería. Hay que considerar que existe un rango de profundidades en el cual la pesquería puede capturar parte del recurso no disponible para los piqueros y que los piqueros pueden alimentarse de cardúmenes de anchoveta de menor tamaño que podrían no ser de interés para la pesquería, estos serían en todo caso los factores responsables. Los resultados obtenidos muestran que los estudios sobre la dieta de piqueros pueden ser útiles en el monitoreo de la estructura por tallas del stock de anchoveta, sobre todo en períodos de veda, ante la ausencia de información oportuna proveniente de los desembarques.

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This report summaries the work of the committee over the last year and its vision for the future. The committee is followed with interest the work of the Department of Corrections and the Department of Veterans Affairs in evaluating the needs of their facilities and recommends similar evaluations of facilities around the state by other agencies. The committee members are ready to offer advice on the needs of the state's again infrastructure and steps that could be taken to evaluate vacant and underutilized buildings and reduce operational and maintenance costs.

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Business Development news from the Iowa Department of Economic Development

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Kirje