geography

地理学
  • 文章类型: Journal Article
    重要药用植物的保护和管理是全世界的必要任务之一。Dracocephalum属(唇形科)包含约186种多年生植物,或一年生草本植物在世界不同地区作为抗高脂血症的药用价值,镇痛药,抗菌,抗氧化剂,以及抗癌药物。产生有关这些物种的遗传结构及其对气候变化和人类景观操纵的反应的详细数据对于保护目的非常重要。因此,本研究是在Dracocephalum属的两个物种的六个地理种群上进行的,即,德拉头虫,和寡头龙,以及它们的种间杂交种群。我们执行了,群体遗传研究,景观遗传学,物种建模,和对这些植物的遗传分析。我们在这里介绍,关于这些种群遗传结构的新发现,并提供有关地理和遗传序列的数据,以及形态学。我们还确定了可能适应地理空间特征和种族灭绝条件的遗传基因座。不同的物种分布建模(SDM)方法,这项工作中使用的生物气候变量与温度和湿度有关,发挥重要作用,在天头鱼群的地理分布在伊朗,由于存在一些潜在的适应性遗传基因座在研究的植物,他们可以在2050年和气候变化下生存得足够好。该发现可用于保护这些重要的药用植物。
    Conservation and management of medicinally important plants are among the necessary tasks all over the world. The genus Dracocephalum (Lamiaceae) contains about 186 perennials, or annual herb species that have been used for their medicinal values in different parts of the world as an antihyperlipidemic, analgesic, antimicrobial, antioxidant, as well as anticancer medicine. Producing detailed data on the genetic structure of these species and their response against climate change and human landscape manipulation can be very important for conservation purposes. Therefore, the present study was performed on six geographical populations of two species in the Dracocephalum genus, namely, Dracocephalum kotschyi, and Dracocephalum oligadenium, as well as their inter-specific hybrid population. We carried out, population genetic study, landscape genetics, species modeling, and genetic cline analyses on these plants. We present here, new findings on the genetic structure of these populations, and provide data on both geographical and genetic clines, as well as morphological clines. We also identified genetic loci that are potentially adaptive to the geographical spatial features and genocide conditions. Different species distribution modeling (SDM) methods, used in this work revealed that bioclimatic variables related to the temperature and moisture, play an important role in Dracocephalum population\'s geographical distribution within IRAN and that due to the presence of some potentially adaptive genetic loci in the studied plants, they can survive well enough by the year 2050 and under climate change. The findings can be used for the protection of these medicinally important plant.
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  • 文章类型: Journal Article
    对传统村落改造特征规律的考察代表了文化遗产保护和乡土文化传播的重要纽带。历史事件点被用来增加村庄发展信息,促进村庄历史格局的恢复。地理分析方法,包括标准偏差椭圆分析(SDSEA),最近邻分析(NNA)和源-目的地分析(SDA),被用来探索村庄地理重心的特征,浓度和分散的变化,和功能转移。研究了村庄进化的逐步进展,以及演变过程中居民行为的机制。结果表明:1)沉降空间演化呈现集聚趋势。随着时间的流逝,每个功能空间的重心逐渐收敛,元素之间的平均距离减小,导致从分散到集群分布的转变。2)由于村民的行为,村庄空间从简单变为复杂。居住行为促进了居住空间的建立以及公共和商业空间的发展。用法,放弃,和空间内部发生的功能转换导致功能区域相互嵌套,导致更复杂的空间结构。3)村庄功能空间的变化程度和保留程度均呈增加趋势,表明对建成空间的保护和未建成空间的扩张同时发生。这代表了与社会环境和村民野心相一致的发展趋势。
    The examination of the characteristic law of traditional village transformation over time represents a vital nexus in cultural heritage preservation and the transmission of vernacular culture. Historical event points were used to augment village development information, facilitating the restoration of the village\'s historical pattern. Geographical analysis methods, including Standard Deviation Ellipse Analysis (SDSEA), Nearest Neighbor Analysis (NNA), and Source-Destination Analysis (SDA), were employed to explore the characteristics of the village\'s geographical center of gravity, changes in concentration and dispersion, and functional transfer. The stepwise progression of the village\'s evolution was investigated, as well as the mechanism of residents\' behavior during the evolution process. The results reveal: 1) The spatial evolution of the settlement shows a trend of agglomeration. As time passes, the center of gravity of each functional space gradually converges, and the average distance between elements decreases, resulting in a shift from a dispersed to a clustered distribution. 2) The village space changes from simple to complex due to the conduct of the villagers. Residential behaviors promote the establishment of residential space and the development of public and commercial space. The usage, abandonment, and functional transitions that occur inside the space cause functional zones to nest with each other, resulting in a more intricate spatial structure. 3) Both the degree of change and the preservation of the village\'s functional space show an increasing trend, indicating that the protection of the built space and the expansion of the unbuilt space occur simultaneously. This represents a developmental trend that is consistent with the social surroundings and the villagers\' ambitions.
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  • 文章类型: Journal Article
    本文以《全歌诗》(全松诗)为基础,分析了宋代中国诗人的地理分布,其中包括9000多位诗人的诗歌,其中6056个有明确的故乡。可视化策略用于呈现这6056位诗人的地理分布,并分析了其形成因素。结果表明,大多数诗人来自浙江,河南省和四川省,尽管地处偏远,广东省也有超过百位诗人。在宁波的中心区,洛阳和眉山,诗人的分布也很大。随着时间的推移,南方诗人的密度增加,而北方诗人的密度减少,随着时间的推移,这种模式变得更加明显。通过采用可视化策略,我们的目的是更全面地了解宋代诗歌全集诗人的地理分布,经济,以及宋代中国的政治发展。
    This article analyzes the geographical distribution of poets in Song China based on Complete Song Poetry (Quansongshi), which includes poems from over 9000 poets, with 6056 of them having clear native place. Visualization strategy is used to present the geographical distribution of these 6056 poets, and its formation factors are also analyzed. The results reveal that majority of the poets come from Zhejiang, Henan and Sichuan provinces, with Guangdong province also exceeding a hundred poets despite its remote location. In the central area of Ningbo, Luoyang and Meishan, there are also large distribution of the poets. Over time, the density of poets in the south increases while it decreases in the north, and this pattern becomes more pronounced as time progresses. By employing visualization strategy, we aim to provide a more comprehensive understanding of the geographical distribution of poets of Complete Song Poetry in Song Dynasty to reflect the cultural, economic, and political development of Song China.
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  • 文章类型: Journal Article
    背景:基本新生儿保健(ENC)是世界卫生组织设计的高质量的全民新生儿保健,旨在为产后新生儿提供及时的干预措施。尽管进行全面的研究可以提供一种数据驱动的方法来解决服务采用的障碍,在埃塞俄比亚,缺乏评估ENC缺失的地理变异和预测因素的研究.因此,这项研究旨在确定地理,个人,以及在国家一级缺少ENC信息的社区级预测因素。
    方法:这项研究使用了2016年埃塞俄比亚人口与健康调查,通过使用调查前两年内分娩的7,590名妇女的加权样本。使用Arc-GIS10.7版和SaTScan9.6版统计软件进行空间分析。检查了空间自相关(Moran\'sI),以确定埃塞俄比亚缺失ENC的空间变化的非随机性。用于构建ENC摄取的复合指标的六项护理是脐带检查,温度测量,关于危险迹象的咨询,母乳喂养咨询,观察母乳喂养,和测量出生体重。为了评估ENC项目的平均数量在协变量之间存在显著差异,进行独立t检验和单因素方差分析.最后,使用STATA16版进行多水平多变量混合效应负二项回归.调整后的发病率比率(aIRR)及其相应的95%CI用作相关性的量度,并且p值<0.05的变量被确定为ENC的重要预测因子。
    结果:缺失ENC的总体患病率为4,675(61.6%)(95%CI:60.5,62.7),各地区之间存在显着的空间差异。大多数索马里人,Afar,Amhara南部,SNNPR区域对缺失ENC有统计学意义的热点。收到的ENC项目的平均(±SD)数为1.23(±1.74),方差为3.02,表明过度分散。生活在最贫穷的财富五分之一(aIRR=0.67,95CI:0.51,0.87),缺乏产前保健(aIRR=0.52,95CI:0.49,0.71),在家出生(aIRR=0.27,95%CI:0.17,0.34),生活在农村地区(aIRR=0.39,95%CI:0.24,0.57)是ENC摄取的显著预测因子。
    结论:发现埃塞俄比亚的ENC缺失水平很高,各地区之间存在显著的空间差异。因此,政府和政策制定者应该为热点地区制定战略,以提高妇女的经济能力,受教育的机会,产前护理和熟练分娩服务的寻求健康行为,以提高ENC的使用率。
    BACKGROUND: Essential Newborn care (ENC) is a High-quality universal newborn health care devised by the World Health Organization for the provision of prompt interventions rendered to newborns during the postpartum period. Even though conducting comprehensive studies could provide a data-driven approach to tackling barriers to service adoption, there was a dearth of studies in Ethiopia that assess the geographical variation and predictors of missing ENC. Hence, this study aimed to identify geographical, individual, and community-level predictors of missing ENC messages at the national level.
    METHODS: This study used the 2016 Ethiopian Demographic and Health Survey, by using a weighted sample of 7,590 women who gave birth within two years prior to the survey. The spatial analysis was carried out using Arc-GIS version 10.7 and SaTScan version 9.6 statistical software. Spatial autocorrelation (Moran\'s I) was checked to figure out the non-randomness of the spatial variation of missing ENC in Ethiopia. Six items of care used to construct a composite index.0of ENC uptake were cord examination, temperature measurement, counselling on danger signs, counselling on breastfeeding, observation of breastfeeding, and measurement of birth weight. To assess the presence of significant differences in the mean number of ENC items across covariates, independent t-tests and one-way ANOVA were performed. Finally, a multilevel multivariable mixed-effect negative binomial regression was done by using STATA version 16. The adjusted incidence rate ratio (aIRR) with its corresponding 95% CI was used as a measure of association and variables with a p-value<0.05 were identified as significant predictors of ENC.
    RESULTS: The overall prevalence of missing ENC was 4,675 (61.6%) (95% CI: 60.5, 62.7) with a significant spatial variation across regions. The majority of Somali, Afar, south Amhara, and SNNPR regions had statistically significant hotspots for missing ENC. The mean (±SD) number of ENC items received was 1.23(±1.74) with a variance of 3.02 indicating over-dispersion. Living in the poorest wealth quintile (aIRR = 0.67, 95%CI: 0.51, 0.87), lack of Antenatal care (aIRR = 0.52, 95%CI: 0.49, 0.71), birth at home (aIRR = 0.27, 95% CI: 0.17, 0.34), living in rural area (aIRR = 0.39, 95% CI: 0.24, 0.57) were significant predictors of ENC uptake.
    CONCLUSIONS: The level of missing ENC was found to be high in Ethiopia with a significant spatial variation across regions. Hence, the government and policymakers should devise strategies for hotspot areas to improve women\'s economic capabilities, access to education, and health-seeking behaviours for prenatal care and skilled delivery services to improve ENC uptake.
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  • 文章类型: Journal Article
    虽然尼安德特人(以下简称尼安德特人)和解剖学现代人(AMH)的杂交已得到证实,由于化石的短缺和缺乏适当的DNA,他们杂交的时间和地理尚不清楚。在这项研究中,我们应用生态位模型(最大熵方法)和GIS重建了西南亚和东南欧的尼安德特人和AMH的古分布,并确定了它们在海洋同位素第5阶段(MIS5)期间的接触和潜在的杂交区,当第二波杂交发生时。我们使用气候变量来表征MIS5ca的环境条件。120至80kyr(平均值)以及尼安德特人和现代人类考古遗址的地形和坐标,以表征每种物种的古分布。将模型重叠显示,Zagros山脉是这两个人类物种的接触区和潜在的杂交区。我们认为扎格罗斯山脉是连接古北/非洲区域的走廊,在MIS5期间,促进AMHs向北扩散和尼安德特人向南扩散。我们的分析与近几十年来收集的考古和遗传证据相当。
    While the interbreeding of Homo neanderthalensis (hereafter Neanderthal) and Anatomically modern human (AMH) has been proven, owing to the shortage of fossils and absence of appropriate DNA, the timing and geography of their interbreeding are not clearly known. In this study, we applied ecological niche modelling (maximum entropy approach) and GIS to reconstruct the palaeodistribution of Neanderthals and AMHs in Southwest Asia and Southeast Europe and identify their contact and potential interbreeding zone during marine isotope stage 5 (MIS 5), when the second wave of interbreeding occurred. We used climatic variables characterizing the environmental conditions of MIS 5 ca. 120 to 80 kyr (averaged value) along with the topography and coordinates of Neanderthal and modern human archaeological sites to characterize the palaeodistribution of each species. Overlapping the models revealed that the Zagros Mountains were a contact and potential interbreeding zone for the two human species. We believe that the Zagros Mountains acted as a corridor connecting the Palearctic/Afrotropical realms, facilitating northwards dispersal of AMHs and southwards dispersal of Neanderthals during MIS 5. Our analyses are comparable with archaeological and genetic evidence collected during recent decades.
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  • 文章类型: Journal Article
    确定在不同的地理和生态情景下驱动种群差异的机制可以为我们提供对进化和物种形成的理解。特别是,通过对已知殖民时间表的岛屿种群的遗传数据进行分析,我们可以确定不同岛屿亚种的潜在来源种群以及种群之间的当前关系。Silvereyes(Zosteropslateralis)是一种小型雀形目,已成为研究大小地理尺度上的进化模式的有价值的研究系统。我们检查了两个银子亚种的遗传相关性和多样性,大陆Z.l.康沃利岛和Z.l.绿头鱼,并使用了18077个单核苷酸多态性(SNPs),比较昆士兰州东南部的位置,澳大利亚。尽管silvereyes是多产的岛屿殖民者,但我们的发现表明,在相对较小的空间尺度上,人口差异受到水屏障介导的地理隔离的强烈影响。大陆站点之间显示出强大的遗传连通性,但是,尽管采样距离相当,但仍显示出最小的岛间连通性。遗传多样性分析表明,海岛和大陆种群之间的杂合度差异不大,但岛上人口的近亲繁殖得分较低。我们的研究证实了Z的范围。l。整个大堡礁南部的氯头孢亚种。我们的结果表明,水屏障而不是地理距离本身对于推动岛屿人口的初期差异很重要。这有助于解释相对高数量的表型分化,但通常在地理上接近,与表型上定义较少的澳大利亚大陆亚种相比,岛屿银眼亚种的数量较少。
    Identifying mechanisms that drive population divergence under varying geographic and ecological scenarios can inform our understanding of evolution and speciation. In particular, analysis of genetic data from island populations with known colonisation timelines allows us to identify potential source populations of diverging island subspecies and current relationships among populations. Silvereyes (Zosterops lateralis) are a small passerine that have served as a valuable study system to investigate evolutionary patterns on both large and small geographic scales. We examined genetic relatedness and diversity of two silvereye subspecies, the mainland Z. l. cornwalli and island Z. l. chlorocephalus, and used 18 077 single nucleotide polymorphisms (SNPs), to compare locations across southeast Queensland, Australia. Although silvereyes are prolific island colonisers our findings revealed population divergence over relatively small spatial scales was strongly influenced by geographic isolation mediated by water barriers. Strong genetic connectivity was displayed between mainland sites, but minimal inter-island connectivity was shown despite comparable sampling distances. Genetic diversity analysis showed little difference in heterozygosity between island and mainland populations, but lower inbreeding scores among the island populations. Our study confirmed the range of the Z. l. chlorocephalus subspecies throughout the southern Great Barrier Reef. Our results show that water barriers and not geographic distance per se are important in driving incipient divergence in island populations. This helps to explain the relatively high number of phenotypically differentiated, but often geographically proximate, island silvereye subspecies compared to a lower number of phenotypically less well-defined Australian continental subspecies.
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  • 文章类型: Journal Article
    由假性伯克霍尔德氏菌(Bp)引起的类lioidosis是一种公共卫生威胁。关于这种致命疾病的基因组流行病学研究很少。我们调查了Bp分离株的全基因组序列与环境来源和药物敏感性的关系。总的来说,在2004-2021年期间,从泰国东北部11个省收集了563个Bp分离株。患者(n=530个分离株),感染动物(n=8),和环境来源(n=25)提供样品。系统发育分析揭示了Bp分离株之间的遗传多样性,包括许多大小不同的支持良好的集群。通过对38个单系进化枝(MC)的深入分析,我们发现了11个与原产地相关的省份(p值<0.001)。MC中密切相关的簇(CRC)类似于MLST识别的“序列类型”(ST)。我们发现了102个已知的和52个新的STs。ST-70在该地区最普遍(n=78;13.85%)。样本类型(人类/环境)和采样时间间隔与克隆Bp分离株之间的遗传距离无关。12个CRC的一些成员获得了对复方新诺明的抗性,一个对阿莫西林-克拉维酸的抗性。在泰国东北部,Bp基因型与地理来源之间存在关联。
    Melioidosis caused by Burkholderia pseudomallei (Bp) is a public health threat. Genomic-epidemiology research on this deadly disease is scarce. We investigated whole-genome sequences of Bp isolates in relation to environmental source and drug susceptibility. In total, 563 Bp isolates were collected from 11 Northeast Thai provinces during the period 2004-2021. Patients (n = 530 isolates), infected animals (n = 8), and environmental sources (n = 25) provided samples. Phylogenetic analysis revealed genetic diversity among the Bp isolates, including numerous well-supported clusters of varying sizes. Through in-depth analysis of 38 monophyletic clades (MCs), we found eleven associated with province of origin (p-value < 0.001). Closely related clusters (CRCs) within MCs resembled MLST-identified \"sequence types\" (STs). We found 102 known and 52 novel STs. ST-70 was the most prevalent in this area (n = 78; 13.85%). Sample type (human/environmental) and sampling time intervals were not correlated with genetic distance among clonal Bp isolates. Some members of 12 CRCs had acquired resistance to co-trimoxazole and one against amoxicillin-clavulanic acid. Within Northeast Thailand, there is an association between Bp genotype and geographical origin.
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  • 文章类型: Journal Article
    气候变化影响物种的地理分布。预测未来适合某些物种的潜在区域对于了解其分布特征并发挥其价值具有重要意义。基于276个头花虎杖有效分布点和20个生态因子的数据,最大熵(MaxEnt)模型和ArcGIS软件被用来预测适合P.capitatum生长的区域,探讨了影响该物种地理分布的主要环境因子。在目前的气候条件下,高适生地区主要分布在中国西南地区,沿海地区的站点数量较少,贵州省的站点大部分。在不同的气候情景下,适宜面积有不同程度的减少。影响头花分布的主要环境变量是最干旱月份的降水,年降水量,和海拔,累计贡献率为84.1%。在气候变化的背景下,中国的资本适宜区将广泛分布在西南地区,以贵州省和云南省为主要分布区;部分遗址还将分布在西藏自治区西南部,四川省南部,广西自治区北部,和福建省沿海地区。P.capetatum的最佳条件包括13.4至207.3毫米的干月降水范围,海拔从460.3米到7214.3米,年降水量在810至1575毫米之间。鉴于这些见解,我们建议在当前的主要栖息地加强保护工作,并在新确定的合适区域探索潜在的种植,以确保物种的保护和可持续利用。
    Climate change affects the geographical distribution of species. Predicting the future potential areas suitable for certain species is of great significance for understanding their distribution characteristics and exerting their value. Based on the data of 276 effective distribution points of Polygonum capitatum and 20 ecological factors, the maximum entropy (MaxEnt) model and the ArcGIS software were employed to predict the areas suitable for P. capitatum growth, and the main environmental factors affecting the geographical distribution of this species were explored. Under the current climatic conditions, the areas highly suitable for P. capitatum are mainly distributed in southwestern China, with a small number of sites in coastal areas and most sites in Guizhou Province. Under different climate scenarios, the suitable areas were reduced to varying degrees. The dominant environmental variables affecting the distribution of P. capitatum were precipitation in the driest month, annual precipitation, and elevation, with a cumulative contribution rate of 84.1%. Against the background of a changing climate, the areas suitable for P. capitatum in China will be widely distributed in the southwestern region, with Guizhou Province and Yunnan Province as the main distribution areas; some sites will also be distributed throughout the southwest of Tibet Autonomous Region, the south of Sichuan Province, the north of Guangxi Autonomous Region, and the coastal area of Fujian Province. Optimal conditions for P. capitatum include a dry month precipitation range of 13.4 to 207.3 mm, elevations from 460.3 to 7214.3 m, and annual precipitation between 810 and 1575 mm. Given these insights, we recommend enhanced conservation efforts in current prime habitats and exploring potential cultivation in newly identified suitable regions to ensure the species\' preservation and sustainable use.
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  • 文章类型: Journal Article
    近几十年来,美国各地区经济和社会成果的不平等现象有所增加。犯罪的经济理论预测,这种增加的可变性将增加暴力犯罪的地理差异。相反,我发现凶杀率的地理差异有所下降。此外,这几十年来,警务的地理差异有所减少,监禁,以及非洲裔美国人的人口比例。因此,警察的变化,监禁,种族构成可能导致凶杀率不平等的减少。此外,地方联合执法,state,和联邦当局可能已经减少了经济困境对暴力犯罪的影响。
    Inequality in economic and social outcomes across U.S. regions has grown in recent decades. The economic theory of crime predicts that this increased variability would raise geographic disparities in violent crime. Instead, I find that geographic disparities in homicide rates decreased. Moreover, these same decades saw decreases in the geographic disparities in policing, incarceration, and the share of the population that is African American. Thus, changes in policing, incarcerations, and racial composition could have led to a decrease in inequality in homicide rates. Moreover, the joint provision of law enforcement by local, state, and federal authorities may have reduced the impact of economic distress on violent crime.
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  • 文章类型: Journal Article
    尽管有共识的指导方针,大多数早期三阴性(TN)和HER2阳性(HER2+)乳腺癌患者在手术前没有就医,也没有接受新辅助化疗(NAC).要了解护理的障碍,我们旨在表征TN和HER2+乳腺癌患者的地理位置(居住地和癌症中心附近)与接受治疗前肿瘤内科咨询和NAC之间的关系.使用安大略省的链接管理数据集,加拿大,我们对2012-2020年诊断为I-III期TN或HER2+乳腺癌的女性进行了基于人群的回顾性分析.结果是治疗前医学肿瘤学咨询和NAC的开始。我们创建了Choropleth地图,以评估人口普查部门的结果和癌症中心的分布。为了评估到最近的癌症中心的距离和结果之间的关系,我们进行了相关因素调整后的多元回归分析,包括肿瘤范围和淋巴结状态。14647名患者中,29.9%接受了治疗前的内科肿瘤学咨询,77.7%接受了NAC。作图显示出高度的区域间变异性,在人口普查部门中,医学肿瘤学咨询的比例从12.5%到64.3%,NAC的比例从8.8%到64.3%。在整个队列中,与距离最近的癌症中心≤5公里的距离相比,仅10~25km与较低的NAC几率显著相关(OR0.83,95%CI0.70~0.99).更大的距离与治疗前医学肿瘤学咨询无关。TN和HER2乳腺癌患者的肿瘤医学咨询和NAC的区域间差异表明,区域和/或提供者的实践模式在转诊和接收NAC方面存在差异。这些发现可以为干预措施提供信息,以改善符合条件的患者公平获得NAC的机会。
    Despite consensus guidelines, most patients with early-stage triple-negative (TN) and HER2-positive (HER2+) breast cancer do not see a medical oncologist prior to surgery and do not receive neoadjuvant chemotherapy (NAC). To understand barriers to care, we aimed to characterize the relationship between geography (region of residence and cancer centre proximity) and receipt of a pre-treatment medical oncology consultation and NAC for patients with TN and HER2+ breast cancer. Using linked administrative datasets in Ontario, Canada, we performed a retrospective population-based analysis of women diagnosed with stage I-III TN or HER2+ breast cancer from 2012 to 2020. The outcomes were a pre-treatment medical oncology consultation and the initiation of NAC. We created choropleth maps to assess the distribution of the outcomes and cancer centres across census divisions. To assess the relationship between distance to the nearest cancer centre and outcomes, we performed multivariable regression analyses adjusted for relevant factors, including tumour extent and nodal status. Of 14,647 patients, 29.9% received a pre-treatment medical oncology consultation and 77.7% received NAC. Mapping demonstrated high interregional variability, ranging across census divisions from 12.5% to 64.3% for medical oncology consultation and from 8.8% to 64.3% for NAC. In the full cohort, compared to a distance of ≤5 km from the nearest cancer centre, only 10-25 km was significantly associated with lower odds of NAC (OR 0.83, 95% CI 0.70-0.99). Greater distances were not associated with pre-treatment medical oncology consultation. The interregional variability in medical oncology consultation and NAC for patients with TN and HER2+ breast cancer suggests that regional and/or provider practice patterns underlie discrepancies in the referral for and receipt of NAC. These findings can inform interventions to improve equitable access to NAC for eligible patients.
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