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shift in the holder of the bundle of rights and changes in livelihood, income, forest condition and equity (referred to as LIFE indicators) based on four case studies ...
Oct 3, 2012 - 1,3,4 trimethyladamantane isomers ( cis/trans = 1.98).4. A high structural selectivity of the GTC is observed when the TCA of structural isomers ...
Aug 6, 2010 - Pilon fractures, or fractures of the tibial plafond, range from low- to high-energy axial-loading injuries. This rel- atively rare injury (\ 10% of lower ...
Statistics on migration flows year by year within the UK are produced by the Office for. National Statistics, the General Register Office for Scotland and the ...
Aug 26, 2010 - Despite the patella's small size, patellar fractures can lead to profound pain and impairment owing to their articulation with the distal femur and ...
Mar 29, 2014 - ment of small drug formulations for the diagnosis and treatment of degenerative ... diction therapy, and development of novel sustained re- ... Ravi Bellamkonda PhD, Georgia Institute of Technology and ... Cancer Center and Sulie Chang
prepared by Hans Jansen and Nihal Fernando, Dhaka. Authors. Quazi Shahabuddin is former Director-General, Bangladesh. Institute of Development Studies ...
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around the world, inequalities in child development are stark. ..... American Indians, Indian tribes, and Alaska Natives living on reservations. In Poland,.
Sep 28, 2012 - Does High-flexion Total Knee Arthroplasty Allow Deep Flexion Safely in Asian Patients? Hyuk-Soo Han MD, PhD, Seung-Baik Kang MD, PhD.
Jul 23, 2015 - IN SUPPORT OF BRAZIL'S INDC PROCESS. POLICY BRIEF. RESEARCH AND FINANCIAL INNOVATIONS. IN SUPPORT OF BRAZIL'S INDC ...
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people in the lowest income quartile, accounting for more than a quarter of the ..... rural employment scheme. (MGNREGS) and Kisan Credit Cards, popular loan ...
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pharmacotherapy counseling for cancer survivors. BOTTOM LINE. This study demonstrates that translation of evidence-based guidelines for smoking cessation ...
POLICY BRIEF A disconnect between guidelines and practice: provider pharmacotherapy counseling for cancer survivors Translational Behavioral Medicine
By Amy A Eyler, PhD, CHES, Washington University in St. Louis POLICY IMPLICATIONS 1. Policies within healthcare systems can incentivize providers to follow guideline recommendations on smoking cessation to cancer survivors. 2. Policies that facilitate record keeping and follow-up may increase adherence to recommended guidelines.
RESEARCH IMPLICATIONS 1. More research is needed on the most effective ways to increase guideline recommended smoking cessation interventions among providers. 2. More research is needed to identify the most effective ways to increase awareness of the benefits and perceived risks of pharmacotherapy to cancer survivors who smoke.
Citation: Emmons K, Sprunk-Harrild K, Puelo E, and J de Moor. 2013. Provider advice about pharmacotherapy among cancer survivors who smoke: practice guidelines aren’t translating. Translational Behavioral Medicine. 3(2).
Background—Significant progress has been made in improving treatment for long-term survival of childhood and young adult cancer. However, these survivors face an increased risk for secondary cancers. The current smoking rate for adult cancer survivors is estimated at 15– 20 %, putting them at even a greater risk for cancer and other chronic conditions. The Agency for Healthcare Research specifies that smoking status should be assessed and cessation discussed at every visit. Healthcare provider input and advice is an effective tool in facilitating cessation, yet only about 1/3 of all patients receive advice to quit and only 2 % receive information on pharmacotherapy, an evidence-based cessation intervention. Purpose—The purpose of this study was to report on the prevalence of provider-delivered cessation advice and discussion of pharmacotherapy between childhood/young adult cancer survivors and their healthcare providers.
Who was studied? Participants were between the ages of 18–55 who were diagnosed with cancer before age 35 and also reporting that they were current smokers. The 329 participants were part of a larger study on comparison of cessation methods and were eligible for free pharmacotherapy with healthcare provider approval.
What did follow-up show? & Results from a 15-month follow-up survey showed that only about half of the participants reported having a discussion with their provider about smoking and less than 40 % had discussions about pharmacotherapy. & About half of those who did not have these discussions did not want to quit. & Women and heavier smokers were more likely to report receiving advice to quit and heavier smokers plus those who had previous cessation advice were more likely to discuss pharmacotherapy.
BOTTOM LINE This study demonstrates that translation of evidence-based guidelines for smoking cessation to survivorship care is suboptimal, even when the vast majority of healthcare providers know the smoking status of their patients.
