New Mexico

新墨西哥州
  • 文章类型: Journal Article
    随着野火的强度和频率迅速增加,研究这些野火的生态影响的需求也在增长。火灾生态学的一个未被研究的方面是火灾对寄生虫-宿主相互作用的影响,包括可能是病原体载体的外寄生虫。尽管一些研究已经检查了火灾对蜱的影响,对其他外寄生虫的研究,包括病原体载体,是罕见的。为了帮助解决这个知识差距,我们研究了非生物和生物因素,这些因素可以预测在未燃烧和恢复燃烧(>9年后)混合针叶林的景观中跳蚤对鹿鼠(Peromyscusmaniculatus)的寄生可能性和程度。2022年,我们在新墨西哥州北部Jemez山脉的27个地点采样了227只小鹿,并量化了跳蚤(主要是Aethecawagneri)的寄生措施。这些地点分布在未燃烧区域(n=15)和恢复燃烧区域(n=12),后者来自两次大火,LasConchas火灾(2011年)和ThompsonRidge火灾(2013年)。利用这些数据,我们测试了患病率的差异,意味着丰富,和鹿老鼠身上跳蚤的平均强度,关注宿主性和火灾史的预测重要性。我们还创建了广义线性混合效应模型,以研究跳蚤寄生的最佳宿主和环境预测因素。火灾后大约十年,我们发现很少的证据表明火史影响了鹿老鼠跳蚤的存在或强度。相反,在当前的森林再生阶段,跳蚤寄生的程度最好通过宿主性别的测量来预测,身体状况,和横线的蓄水能力,通过地形测量。随着宿主身体状况的增加,雄性被寄生的概率增加了,而女性则相反。雄性小鼠的跳蚤负荷也明显更大。在潜在的非生物预测因子中,地形湿度指数或复合地形指数(土壤水分的代表)与跳蚤强度呈正相关,表明相对湿度较高的洞穴中的跳蚤种群较大。总之,尽管火灾可能会对跳蚤寄生宿主的可能性和程度产生短期影响,在这个恢复学习系统中,寄主特征和地形湿度指数是跳蚤寄生的主要预测因素。
    With the intensity and frequency of wildfires increasing rapidly, the need to study the ecological effects of these wildfires is also growing. An understudied aspect of fire ecology is the effect fires have on parasite-host interactions, including ectoparasites that might be pathogen vectors. Although some studies have examined the impacts of fire on ticks, studies on other ectoparasites, including pathogen vectors, are rare. To help address this knowledge gap, we examined the abiotic and biotic factors that predict the likelihood and extent of parasitism of deer mice (Peromyscus maniculatus) by fleas within a landscape of unburned and recovering burned (>9 yr postfire) mixed conifer forests. We sampled 227 individual deer mice across 27 sites within the Jemez Mountains of northern New Mexico in 2022 and quantified measures of parasitism by fleas (primarily Aetheca wagneri). These sites were distributed in both unburned areas (n = 15) and recovering burned areas (n = 12), with the latter derived from 2 large fires, the Las Conchas fire (2011) and the Thompson Ridge fire (2013). Using these data, we tested for differences in prevalence, mean abundance, and mean intensity of fleas on deer mice, focusing on the predictive importance of host sex and fire history. We also created generalized linear mixed-effects models to investigate the best host and environmental predictors of parasitism by fleas. Approximately a decade postfire, we found minimal evidence to suggest that fire history influenced either the presence or intensity of fleas on deer mice. Rather, at the current forest-regeneration stage, the extent of parasitism by fleas was best predicted by measures of host sex, body condition, and the trapline\'s ability to accumulate water, as measured through topography. As host body condition increased, the probability of males being parasitized increased, whereas the opposite pattern was seen for females. Male mice also had significantly greater flea loads. Among potential abiotic predictors, the topographic wetness index or compound topographic index (a proxy for soil moisture) was positively related to flea intensity, suggesting larger flea populations in burrows with higher relative humidity. In summary, although fire may potentially have short-term impacts on the likelihood and extent of host parasitism by fleas, in this recovering study system, host characteristics and topographic wetness index are the primary predictors of parasitism by fleas.
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  • 文章类型: Journal Article
    至关重要的是在ceral环境中解决丙型肝炎病毒(HCV),以实现在全球范围内消除该病毒。我们描述了新墨西哥州(NM)在州监狱中扩大HCV治疗的经验,辅以ECHO项目(ECHO;通过指导实践进行虚拟指导)和NM同伴教育计划(NMPEP)。我们描述了如何使用这些程序可能是在全球范围内扩大监狱治疗的模型。ECHO,NM惩教部门(NMCD)和韦克斯福德卫生服务(WHS)合作治疗州监狱中的HCV,并使用NMPEP增加被监禁者的HCV知识。每个到达监狱的人都接受HCV测试,那些感染活跃的人接受基线实验室,正在审查。不符合简化治疗标准的患者被提交给ECHO以获得专家指导。否则,患者在没有咨询的情况下接受WHS治疗。NMPEP在监狱中提供患者对患者的教育,解决HCV神话并探索拒绝治疗。从2020年12月到2023年6月,3603人患有HCV病毒血症。在这项研究中,1685人开始治疗:1280人使用简化算法治疗,405人提交给ECHO。在完成治疗并具有持续病毒学应答(SVR)实验室的988人中,实现了89.2%的SVR(即,治愈)。没有达到SVR的107人中,大多数人都认为是再感染。NMPEP培训了148名同伴教育者,他们对3832名同伴进行了HCV预防和治疗方面的教育。监狱中的HCV治疗可以通过实施简化的治疗算法来扩展,对晚期疾病患者使用ECHO模式和同伴教育。
    It is critical to address hepatitis C virus (HCV) in carceral settings to achieve worldwide elimination of the virus. We describe New Mexico\'s (NM) experience expanding HCV treatment in state prisons, supplemented with Project ECHO (ECHO; virtual mentorship through guided practice) and the NM Peer Education Program (NMPEP). We describe how using these programs may be a model for expanding treatment in prisons globally. ECHO, NM Corrections Department (NMCD) and Wexford Health Services (WHS) collaborate to treat HCV in state prisons and increase HCV knowledge among incarcerated persons using NMPEP. Each person arriving in prison is tested for HCV and those with active infection receive baseline labs, which are reviewed. Patients not meeting criteria for simplified treatment are presented to ECHO for expert guidance. Otherwise, patients are treated by WHS without consultation. NMPEP provides patient-to-patient education in prisons, addressing HCV myths and exploring treatment refusals. From December 2020 to June 2023, 3603 people had HCV viremia. In this study, 1685 people started treatment: 1280 were treated using the simplified algorithm and 405 were presented to ECHO. Of the 988 people who completed treatment and had sustained virologic response (SVR) labs drawn, 89.2% achieved SVR (i.e., cure). Most of the 107 people who did not achieve SVR had presumed reinfection. NMPEP trained 148 peer educators who educated 3832 peers about HCV prevention and treatment. HCV treatment in prisons can be expanded by implementing simplified treatment algorithms, use of the ECHO model for patients with advanced disease and peer education.
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  • 文章类型: Journal Article
    减少木本生物量以减少野火风险已成为整个山区西部的常见森林管理处方。将得到的斜线转化为生物炭,富含碳的土壤改良剂,可以帮助减轻其他燃料处理的一些缺点,但是美国西部的土地管理者还没有广泛采用生物炭,尽管它有潜在的好处和新的政府激励措施。因此,我们调查了经常被研究不足的社会文化,经济,以及生物炭生产的生物物理障碍,并确定了重要因素,以告知未来的外展工作,这将有助于从新墨西哥州北部的稀薄斜线扩大生物炭生产。我们分发了调查,并采访了新墨西哥州北部与土地管理者一起工作的土地管理者和环境保护组织中的人员。我们发现65%的参与者(n=60)熟悉生物炭,13%已经生产了生物炭。与会者认为改善土壤和减少森林燃料负荷是生物炭的主要好处。采用生物炭最普遍的障碍是对生物炭生产及其应用的知识不足以及对生产成本的担忧。鉴于土地经理的偏好,鼓励采用生物炭的外展工作应侧重于实践信息活动。障碍和首选的外展方法因参与者的种族和对生物炭的熟悉程度而异。通过适当的培训,赋予土地管理者权力,生物炭可以通过将森林残留物可持续转化为土壤强化产品来提供环境和社区利益,这将有利于新墨西哥州北部的干旱,高野火风险背景。
    Thinning woody biomass to reduce wildfire risk has become a common forest management prescription throughout the Intermountain West. Converting the resulting slash into biochar, a carbon-rich soil amendment, could help mitigate some of the shortcomings of other fuel treatments, but land managers in the western United States have not widely adopted biochar, despite its potential benefits and new government incentives. Thus, we investigated the often under-studied sociocultural, economic, and biophysical barriers to biochar production and identified important factors to inform future outreach efforts that will help to expand biochar production from thinning slash in northern New Mexico. We distributed surveys and conducted interviews with land managers and personnel working in environment conservation organizations who work with land managers throughout northern New Mexico. We found that 65% of participants (n = 60) were familiar with biochar, and 13% already produced biochar. Participants identified improving soil and reducing forest fuel loads as the main benefits of biochar. The most prevalent barriers to adopting biochar were insufficient knowledge about biochar production and its application and concerns about production costs. Given land manager preferences, outreach efforts to encourage biochar adoption should focus on hands-on informational activities. Barriers and preferred outreach methods varied by participant race and familiarity with biochar. With appropriate training to empower land managers, biochar can provide environmental and community benefits by the sustainable conversion of forest residues into a soil enhancement product that would be beneficial to northern New Mexico\'s dry, high wildfire risk context.
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  • 文章类型: Journal Article
    在古老的松树林地中,栖息地专家在很大程度上被忽视了,尽管专家对人为栖息地的丧失表现出更高的敏感性。此外,pinyon-juniper林地内的小型哺乳动物关系最常见的是通过物种丰度或栖息地利用进行调查,而不是栖息地的选择,从而提供有限的管理指标。我们使用OscuraMountainsColoradoChipmunk(Neotamiasquadrivittatusoscuraensis)作为模型生物,以评估旧的生长条件是否驱动与pinyon-juniper林地相关的小型哺乳动物进行资源选择。我们研究的目的是确定对花栗鼠重要的资源,以告知管理决策。我们通过测试基于花栗鼠和林地的自然历史特征的先验预测来评估微生境选择。我们将预测分为与旧生长相关或不相关的栖息地特征。我们使用广义线性混合模型在多阶段建模框架下测试了预测,该模型具有使用与可用性的二项式响应变量。花栗鼠选择的可能性随着平均杜松直径的增加和松树直径变化的增加而增加,随着与岩石逃生地形的距离的增加和平均草覆盖率的增加而减少。我们的发现支持将OscuraMountainsColorado花栗鼠分类为一种古老的松树杜松专家,因为花栗鼠对旧的微生境条件表现出不成比例的偏好。我们建议采取管理政策,以保护松树和杜松的旧生长多年龄林分。露头附近的旧生长条件,escarpments,巨石特别受保护。Further,变薄导致草覆盖率增加可能对这位老松树松柏专家有害。
    Habitat specialists have been largely overlooked in old-growth pinyon-juniper woodlands, despite specialists exhibiting heightened sensitivity to anthropogenic habitat loss. Furthermore, small mammal relationships within pinyon-juniper woodlands have most commonly been investigated via species abundance or habitat use, rather than habitat selection, thereby providing limited management metrics. We used the Oscura Mountains Colorado Chipmunk (Neotamias quadrivittatus oscuraensis) as a model organism to evaluate whether old-growth conditions drive resource selection by small mammals associated with pinyon-juniper woodlands. The goal of our study was to determine resources important to the chipmunk to inform management decisions. We evaluated microhabitat selection by testing a priori predictions based on natural history characteristics of the chipmunk and the woodlands. We grouped predictions into habitat characteristics affiliated with or not affiliated with old growth. We tested predictions under a multistage modeling framework using generalized linear mixed models with a binomial response variable of use versus availability. Probability of selection by chipmunks increased with increasing mean juniper diameter and increasing variation of pinyon diameter and decreased with increased distance to rocky escape terrain and increased mean percent grass cover. Our findings support the classification of the Oscura Mountains Colorado chipmunk as an old-growth pinyon-juniper specialist, as the chipmunk displayed disproportionate preference for old-growth microhabitat conditions. We recommend management policies that conserve old-growth multiage stands of pinyons and junipers. Old-growth conditions near outcroppings, escarpments, and large boulders are of particular conservation concern. Further, thinning resulting in increased grass cover may be detrimental to this old-growth pinyon-juniper specialist.
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  • 文章类型: Journal Article
    身高估计是法医人类学案例中生物学概况的核心组成部分。在这里,我们提供了用于估计当代美洲印第安人(AI)身高的数学方程,这是目前法医人类学所缺乏的。利用来自新墨西哥州死者图像数据库的死后计算机断层扫描数据,我们根据胫骨的四个长骨长度度量对尸体长度进行了回归,股骨,和肱骨产生11种组合模型。对整个合并样本计算了单独的回归模型,按性别,广泛的人工智能语言群体,和年龄+性别子样本并进行比较。性别特异性模型在统计学上优于一般模型,比语言组和年龄+性别模型更准确。为一般和性别特定模型创建了方程。将其应用于独立的测试样本表明,该方程式对于身高估计是准确的,高估小于1厘米。这些方程提供了与身高估计程序类似的精度水平,例如文献中的FORDISC3.0模块和其他身高方程。根据我们的结果,我们为案例工作中的方程式使用提供建议。这些方程是当代人工智能中第一个估计身高的方程。本文演示了这些新创建的身高方程在新墨西哥州及周边地区使用的适当性。
    Stature estimation is a core component to the biological profile in forensic anthropology casework. Here we provide mathematical equations for estimating stature for contemporary American Indians (AI), which currently are lacking in forensic anthropology. Drawing on postmortem computed tomography data from the New Mexico Decedent Image Database we regressed cadaveric length on four long bone length measures of the tibia, femur, and humerus to produce 11 combinations of models. Separate regression models were calculated for the entire pooled sample, by sex, broad AI language groups, and age + sex subsamples and compared. Sex-specific models were statistically better than general models, which were more accurate than language group and age + sex models. Equations were created for general and sex-specific models. Application to an independent test sample demonstrates the equations are accurate for stature estimation with overestimates of less than 1 cm. The equations provide similar levels of precision to stature estimation programs like the FORDISC 3.0 module and other stature equations in the literature. We provide recommendations for equation use in casework based on our results. These equations are the first for estimating stature in contemporary AI. This paper demonstrates the appropriateness of these newly created stature equations for use in New Mexico and the surrounding region.
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  • 文章类型: Journal Article
    目的:野生植物的驯化可以从土著居民采集和运输繁殖体开始。对基因组组成的影响,尤其是在克隆中,自相矛盾的多年生植物对新植物来说是瞬时和激烈的,随后建立了人为种群。遗传多样性和交配能力的降低将是症状,独特等位基因和遗传序列的存在将揭示与考古遗址相关的种群的起源和祖先。目前四角土豆的分布,SolanumJamesiiTorr.在美国西南部,因此,可能反映了从块茎运输开始的驯化过程的早期阶段。
    方法:在此,通过对25个考古和非考古种群进行采样,使用遗传测序(GBS)数据进一步检查了这种具有文化意义的物种的驯化假设。
    结果:来自犹他州的考古人口,科罗拉多州和亚利桑那州北部的多态位点水平较低,独特的等位基因,和杂合性比来自亚利桑那州中部和新墨西哥州Mogollon地区的非考古人口。主成分分析,Fst值,和结构分析显示,考古种群之间的遗传关系与地理接近度不对应。埃斯卡兰特的人口,犹他州与MogollonRim(向南400公里)上的人有关,并且与熊耳中的那些人口有多种起源和明显的分离,查科峡谷,和梅萨维地。
    结论:在过去,来自Mogollon地区的块茎运动可能发生过多次,并且在多个方向上,导致在四角地区的种群中看到复杂的遗传模式。
    OBJECTIVE: The domestication of wild plant species can begin with gathering and transport of propagules by Indigenous peoples. The effect on genomic composition, especially in clonal, self-incompatible perennials would be instantaneous and drastic with respect to new, anthropogenic populations subsequently established. Reductions in genetic diversity and mating capability would be symptomatic and the presence of unique alleles and genetic sequences would reveal the origins and ancestry of populations associated with archaeological sites. The current distribution of the Four Corners potato, Solanum jamesii Torr. in the Southwestern USA, may thus reflect the early stages of a domestication process that began with tuber transport.
    METHODS: Herein genetic sequencing (GBS) data are used to further examine the hypothesis of domestication in this culturally significant species by sampling 25 archaeological and non-archaeological populations.
    RESULTS: Archaeological populations from Utah, Colorado and northern Arizona have lower levels of polymorphic loci, unique alleles, and heterozygosity than non-archaeological populations from the Mogollon region of central Arizona and New Mexico. Principle components analysis, Fst values, and structure analysis revealed that genetic relationships among archaeological populations did not correspond to geographic proximity. Populations in Escalante, Utah were related to those on the Mogollon Rim (400 km south) and had multiple origins and significant disjunctions with those populations in Bears Ears, Chaco Canyon, and Mesa Verde sites.
    CONCLUSIONS: Movement of tubers from the Mogollon region may have occurred many times and in multiple directions during the past, resulting in the complex genetic patterns seen in populations from across the Four Corners region.
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  • 文章类型: Journal Article
    2022年新墨西哥州的野火美国,在规模和强度上与该州过去的野火相比都是无与伦比的,导致空气质量差和栖息地和生计的灾难性损失。在2022年新墨西哥州的所有野火中,根据燃烧面积的大小及其与人口稠密地区的距离,我们选择了六场野火进行研究。这些火灾约占2022年新墨西哥州总燃烧面积的90%。我们使用区域化学传输模型和数据融合技术来量化这六个野火(4月6日至8月22日)对颗粒物(PM2.5:直径≤2.5μm)和臭氧(O3)浓度的贡献,以及短期暴露对健康的相关影响。我们估计,这六场野火向大气排放了15.2万吨PM2.5和28.7万吨挥发性有机化合物。我们估计,新墨西哥州的平均每日野火烟雾PM2.5为0.3μg/m3,尽管圣达菲附近1小时的最大值超过120μg/m3。在新墨西哥州的研究期间,平均野火烟雾的最大日平均8小时O3(MDA8-O3)贡献为0.2ppb。然而,在该州1小时内,圣达菲附近的某些地方的最大烟雾O3超过60ppb。估计这六场野火的短期暴露于野火PM2.5和MDA8-O3的全因超额死亡率为18(95%置信区间(CI),15-21)和4(95%CI:3-6)例死亡。此外,我们估计野火PM2.5是导致171例(95%:124-217)哮喘急诊就诊过量病例的原因.我们的发现强调了野火对空气质量和人类健康风险的影响,预计会随着全球变暖而加剧,即使当地人为排放量下降。
    The 2022 wildfires in New Mexico, United States, were unparalleled compared to past wildfires in the state in both their scale and intensity, resulting in poor air quality and a catastrophic loss of habitat and livelihood. Among all wildfires in New Mexico in 2022, six wildfires were selected for our study based on the size of the burn area and their proximity to populated areas. These fires accounted for approximately 90 % of the total burn area in New Mexico in 2022. We used a regional chemical transport model and data-fusion technique to quantify the contribution of these six wildfires (April 6 to August 22) on particulate matter (PM2.5: diameter ≤ 2.5 μm) and ozone (O3) concentrations, as well as the associated health impacts from short-term exposure. We estimated that these six wildfires emitted 152 thousand tons of PM2.5 and 287 thousand tons of volatile organic compounds to the atmosphere. We estimated that the average daily wildfire smoke PM2.5 across New Mexico was 0.3 μg/m3, though 1 h maximum exceeded 120 μg/m3 near Santa Fe. Average wildfire smoke maximum daily average 8-h O3 (MDA8-O3) contribution was 0.2 ppb during the study period over New Mexico. However, over the state 1 h maximum smoke O3 exceeded 60 ppb in some locations near Santa Fe. Estimated all-cause excess mortality attributable to short term exposure to wildfire PM2.5 and MDA8-O3 from these six wildfires were 18 (95 % Confidence Interval (CI), 15-21) and 4 (95 % CI: 3-6) deaths. Additionally, we estimate that wildfire PM2.5 was responsible for 171 (95 %: 124-217) excess cases of asthma emergency department visits. Our findings underscore the impact of wildfires on air quality and human health risks, which are anticipated to intensify with global warming, even as local anthropogenic emissions decline.
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  • 文章类型: Journal Article
    自20世纪70年代以来,美国甲状腺癌的发病率急剧上升,由小肿瘤的诊断增加驱动。关于甲状腺癌的新墨西哥州(NM)具体数据很少。我们假设,由于新墨西哥州独特的地理和文化构成,在本州诊断时甲状腺癌的发病率和肿瘤大小与在全国范围内显示的不同.
    新墨西哥州肿瘤登记处(NMTR)被要求包括1992年至2019年期间诊断为甲状腺癌的所有NM居民。2010年至2019年,以2000年美国人口为调整标准,通过直接法计算年龄调整后的发病率。根据种族/民族和居住地(大都市与非大都市)评估发病率和肿瘤大小的差异,并通过组间的比率进行评估。1992年至2019年,NM主要种族/族裔群体的年龄调整发病率的时间趋势[非西班牙裔白人(NHW),西班牙裔,和美洲印第安人(AI)]使用国家癌症研究所软件通过连接点回归进行评估。
    我们的研究包括2010年至2019年期间的3,161名患者,包括NHW(1518),西班牙裔(1425),AI(218)案件。NMAI的总体发病率低于西班牙裔和NHW,因为非常小的肿瘤(<1.1cm)的发病率降低。大肿瘤(>5.1cm)的发生率在组间相当。在2000年代初期,与NHW相比,西班牙裔人的小肿瘤发生率也较低,但随着时间的推移,这种趋势消失了。
    新墨西哥州的AI已被排除在全国范围内对甲状腺小肿瘤的偶然诊断增加之外。在2000年代初期,西班牙裔美国人也注意到了同样的模式,但随着时间的推移,NHW的发病率也随之变化。这些数据说明了新墨西哥州人口中存在的医疗保健差异,以及这些差异如何随着时间的推移而变化。
    UNASSIGNED: The incidence of thyroid cancer in the United States has risen dramatically since the 1970s, driven by an increase in the diagnosis of small tumors. There is a paucity of published New Mexico (NM) specific data regarding thyroid cancer. We hypothesized that due to New Mexico\'s unique geographic and cultural makeup, the incidence of thyroid cancer and tumor size at diagnosis in this state would differ from that demonstrated on a national level.
    UNASSIGNED: The New Mexico Tumor Registry (NMTR) was queried to include all NM residents diagnosed with thyroid cancer between 1992 and 2019. For 2010 to 2019, age-adjusted incidence rates were calculated via direct method using the 2000 United States population as the adjustment standard. Differences in incidence rate and tumor size by race/ethnicity and residence (metropolitan vs non-metropolitan) were assessed with rate ratios between groups. For 1992 to 2019, temporal trends in age-adjusted incidence rates for major race/ethnic groups in NM [Non-Hispanic White (NHW), Hispanic, and American Indian (AI)] were assessed by joinpoint regression using National Cancer Institute software.
    UNASSIGNED: Our study included 3,161 patients for the time period 2010 to 2019, including NHW (1518), Hispanic (1425), and AI (218) cases. The overall incidence rates for NM AIs were lower than those for Hispanics and NHWs because of a decreased incidence of very small tumors (<1.1 cm). The incidence rates for large tumors (>5.1 cm) was equivalent among groups. In the early 2000s, Hispanics also had lower rates of small tumors when compared to NHWs but this trend disappeared over time.
    UNASSIGNED: AIs in New Mexico have been left out of the nationwide increase in incidental diagnosis of small thyroid tumors. This same pattern was noted for Hispanics in the early 2000s but changed over time to mirror incidence rates for NHWs. These data are illustrative of the health care disparities that exist among New Mexico\'s population and how these disparities have changed over time.
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  • 文章类型: Journal Article
    背景虽然西班牙裔白人女性(HW)的乳腺癌(BC)发病率低于非西班牙裔白人女性(NHW),良性乳腺疾病(BBD)后HW女性的BC风险尚不清楚。方法我们使用基于人群的良性乳腺活检(1996-2007)比较了新墨西哥州HW和NHW女性的BBD特征和随后的BC风险。BBD被归类为非增殖性疾病(NPD),无异型增生性疾病(PDWA),或不典型增生(AH)。通过比较BBD与非BBD中BC事件的数量,使用累积发生率和相对风险(RR)将BC风险评估为绝对风险(AR)。结果本研究包括3,684名HW和6,587名患有BBD的NHW女性。HW女性的NPD比例相似(58.6%对54.3%),PDWA(21.4%对23.5%),和AH(3.6%vs.3.3%)为NHW。所有BBD女性的BC风险高于基于人群的预期率(RR=1.87),HW和NHW亚组的BC风险相似(RR=1.99vs.1.84)。不出所料,BC风险随着BBD严重程度的增加而增加,两者总体[RR=1.81(NPD),1.85(PDWA)和3.10(AH)]以及HW和NHW亚组。5年时BC的调整AR也随着BBD的严重程度而增加(HW与NHW;NPD:1.4vs.2.1%;PDWA:1.5vs.2.7%;AH:6vs.4.8%)。结论我们在HW和NHW中发现了相似的BCRR和AR。风险咨询应确保HW女性接受类似绝对风险所保证的乳腺癌临床管理。影响目前基于人群的研究为患有BBD的HW女性预防BC的临床管理提供了证据。
    UNASSIGNED: Although Hispanic White (HW) females have a lower incidence of breast cancer than non-Hispanic White (NHW) females, breast cancer risk is unclear for HW females after benign breast disease (BBD).
    UNASSIGNED: We compared BBD characteristics and subsequent breast cancer risk among HW and NHW females in New Mexico using a population-based collection of benign breast biopsies (1996-2007). BBD was categorized as nonproliferative disease (NPD), proliferative disease without atypia (PDWA), or atypical hyperplasia (AH). Breast cancer risk was assessed as absolute risk (AR) using cumulative incidence and RR by comparing the number of breast cancer events in BBDs to non-BBD.
    UNASSIGNED: This study included 3,684 HW and 6,587 NHW females with BBD. HW females had similar proportions of NPD (58.6% vs. 54.3%), PDWA (21.4% vs. 23.5%), and AH (3.6% vs. 3.3%) as NHW females. Breast cancer risk among all females with BBD was higher than population-based expected rates (RR, 1.87) and was similar for HW and NHW subgroups (RR = 1.99 vs. 1.84). As expected, breast cancer risk increased with increasing BBD severity, both overall [RR, 1.81 (NPD), 1.85 (PDWA), and 3.10 (AH)] and in the HW and NHW subgroups. Adjusted AR of breast cancer at 5 years also increased with the severity of BBD (HW vs. NHW; NPD: 1.4% vs. 2.1%; PDWA: 1.5% vs. 2.7%; AH: 6% vs. 4.8%).
    UNASSIGNED: We found similar breast cancer RRs and ARs in HW and NHW. Risk counseling should ensure that HW females receive breast cancer clinical management warranted by their similar absolute risks.
    UNASSIGNED: The present population-based provides evidence for the clinical management of HW females with BBD for the prevention of breast cancer.
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  • 文章类型: Journal Article
    目标分析流行病学,人口统计学,临床,实验室,新墨西哥州非美国出生的结核病患者的影像学和治疗结局趋势。DESIGNS我们回顾性分析了新墨西哥州结核病监测系统(1993-2021)的结核病数据,比较非美国出生和美国出生个体之间的变量。结果1,512TB876(56.5%)是非美国出生的,653(43.3%)是美国出生的。非美国出生患者的发病率从15.3/100,000(1993)下降到7.8/100,000(2021)(减少54.6%),而在美国出生的患者中,它从3.3/100,000(1993)下降到0.5/100,000(2021)(减少84.8%)。大多数非美国出生的人来自墨西哥(n=482,73.5%)。非美国出生的人通常是年轻的成年人(平均年龄:54岁vs.61),以男性为主(64.8%vs.59.4%),摄入过量酒精和肺外结核的可能性较小。然而,他们更有可能对标准结核药物表现出耐药性(P<0.01)。非美国出生的个体死亡的可能性较小(7.8%与15.4%),但更有可能失去随访(P<0.007)。卫生部以外的提供者的治疗与未完成相关(OR0.18,95%CI0.09-0.35;P<0.001)。结论这些研究结果突出表明,需要详细了解迁移对结核病流行病学的影响,并开发量身定制的干预措施以改善治疗结果。。
    OBJECTIVESTo analyze the epidemiological, demographic, clinical, laboratory, radiographic and treatment outcome trends in non-US-born individuals with TB in New Mexico.DESIGNSWe retrospectively analyzed TB data from New Mexico TB surveillance system from (1993-2021), comparing variables between non-US-born and US-born individuals.RESULTSOf the 1,512 TB cases, 876 (56.5%) were non-US-born and 653 (43.3%) were US-born. The incidence rate among non-US-born patients declined from 15.3/100,000 (1993) to 7.8/100,000 (2021) (54.6% reduction), while among US-born patients it declined from 3.3/100,000 (1993) to 0.5/100,000 (2021) (84.8% reduction). The majority of non-US-born individuals were from Mexico (n = 482, 73.5%). Non-US-born were typically younger adults (median age: 54 vs. 61), predominantly male (64.8% vs. 59.4%), less likely to consume excess alcohol and have extrapulmonary TB. However, they were more likely to exhibit resistance to standard TB drugs (P < 0.01). Non-US-born individuals were less likely to die (7.8% vs. 15.4%), but more likely to be lost to follow-up (P < 0.007). Treatment by providers outside the Department of Health was associated with noncompletion (OR 0.18, 95% CI 0.09-0.35; P < 0.001).CONCLUSIONThese results highlight the need for a detailed understanding of the impact of migration on TB epidemiology and the development of tailored interventions to improve treatment outcomes..
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