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Technical note: a double L intestinal cannula for cattle. 1991 Streeter, M.N., Oklahoma State University, Stillwater 74078-0425.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of animal science
Periodical, Abbrev.
J.Anim.Sci.
Pub Date Free Form
/
Volume
69
Issue
6
Start Page
2601
Other Pages
2607
Notes
Place of Publication
ISSN/ISBN
0021-8812
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
A double L-shaped intestinal cannula was developed in an attempt to overcome problems observed previously with simple T-type cannulas. The cannula was constructed from cyclopolyvinyl chloride water pipe fittings. Construction materials were fairly rigid, but by connecting the split cannula pieces with elastic castration bands the cannula had some flexibility. Placing a short cone over the exposed cannula barrel reduced mechanical damage to the intestine. The double L cannula required a much smaller incision in the intestine during surgical insertion than a T-type cannula; it also simplified replacement. Construction is described; use and performance of the cannula has been satisfactory.
Descriptors
animal, animal disease, article, catheterization, bovine, digestion, duodenum, eating, female, ileum, intestine, laboratory diagnosis, male, physiology, weight gain
Links
Book Title
Database
MEDLINE
Publisher
Data Source
Embase
Authors
Streeter,M. N., Barron,S. J., Wagner,D. G., Hibberd,C. A., Owens,F. N., McCollum,F. T.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Technoeconomic and environmental assessment of industrial organotin compounds 1984 Midwest Research Institute, Kansas City, MO 64110
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Neurotoxicology
Periodical, Abbrev.
Neurotoxicology
Pub Date Free Form
1984/
Volume
5
Issue
2
Start Page
141
Other Pages
158
Notes
Place of Publication
ISSN/ISBN
0161-813X
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Current uses of organotins include heat stabilizers for polyvinyl chloride (PVC), catalysts for polyurethane foam and silicone rubber, biocides, and animal health products. Domestic production consumption in 1982 is about 28 million pounds, and overall growth is estimated at 7 percent per year. Physical properties of organotins, including solubility in water, octanol-water partition coefficients, and Freundlich adsorption isotherm constants, are not well characterized. Analytical methods for tin in environmental and biological matrices involve concentration, separation, and identification by chromatography, spectrometry, and spectroscopy. Environmental fate and effects of organotins are not well understood. Degradation reactions may yield a complex set of products, including inorganic tin oxide. The effects of exposure of workers and release of organotins to the environment at point sources have been documented. Nonpoint sources of environmental exposure include discard and sanitary landfill disposal of plastics and direct release of biocides to aquatic or marine environments. Other dissipative uses of organotins which pose potential human risk include PVC food wrapping and bottles and rigid potable water pipe. The long term health effects of low level exposure to organotins are not known. Toxic metal cycling in the environment, including biomethylation of inorganic tin by naturally occurring bacteria, is of rising concern.
Descriptors
drinking water, organotin compound, plastic, rubber, economic aspect, food packaging, health hazard, human, intoxication, occupational exposure, toxin analysis
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Wilkinson,R. R.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Teen use of flavored tobacco products in new york city 2014 Bureau of Chronic Disease Prevention and Tobacco Control, New York City Department of Health and Mental Hygiene, Queens, NY sfarley@health.nyc.gov.; Bureau of Chronic Disease Prevention and Tobacco Control, New York City Department of Health and Mental Hy
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Nov
Volume
16
Issue
11
Start Page
1518
Other Pages
1521
Notes
CI: Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco 2014; JID: 9815751; 0 (Flavoring Agents); 1490-04-6 (Menthol); 2014/07/31 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 25082831
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/ntr/ntu126 [doi]
Output Language
Unknown(0)
PMID
25082831
Abstract
INTRODUCTION: Teen use of flavored tobacco products is a concern. Menthol cigarettes have been found to influence teen smoking; however, less is known about the association between teen use of other flavored tobacco products, such as cigars and dip, and cigarette smoking. METHODS: The New York City 2010 Special Communities Putting Prevention to Work Youth Risk Behavior Survey data (N = 1,800 aged 13-17 years) were analyzed to examine the association between ever trying flavored tobacco products and current smoking, after we adjusted for demographics and ever-use of menthol cigarettes. RESULTS: Twenty percent of teens reported ever trying flavored tobacco products; youth who were current smokers (58%) were more likely to have tried flavored tobacco products than youth who were not current smokers (16%). Controlling for menthol cigarette use, teens who had ever tried flavored tobacco products were nearly 3 times more likely to be current smokers than those who had never tried flavored tobacco products (odds ratio = 2.70, 95% confidence interval = 1.47-4.98). CONCLUSIONS: Ever trying flavored tobacco products was strongly associated with current smoking among teens. The findings from this study suggest that regulations prohibiting sales of flavored tobacco products could decrease youth smoking.
Descriptors
Links
Book Title
Database
Publisher
. This work is written by (a) US Government employee(s) and is in the public domain in the US
Data Source
Authors
Farley,S.M., Seoh,H., Sacks,R., Johns,M.
Original/Translated Title
URL
Date of Electronic
20140731
PMCID
Editors
Telephone counselling for smoking cessation 2013 Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, UK, OX2 6GG.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Cochrane database of systematic reviews
Periodical, Abbrev.
Cochrane Database Syst.Rev.
Pub Date Free Form
12-Aug
Volume
(8):CD002850. doi
Issue
8
Start Page
CD002850
Other Pages
Notes
LR: 20160602; JID: 100909747; epublish
Place of Publication
England
ISSN/ISBN
1469-493X; 1361-6137
Accession Number
PMID: 23934971
Language
eng
SubFile
Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review; IM
DOI
10.1002/14651858.CD002850.pub3 [doi]
Output Language
Unknown(0)
PMID
23934971
Abstract
BACKGROUND: Telephone services can provide information and support for smokers. Counselling may be provided proactively or offered reactively to callers to smoking cessation helplines. OBJECTIVES: To evaluate the effect of proactive and reactive telephone support via helplines and in other settings to help smokers quit. SEARCH METHODS: We searched the Cochrane Tobacco Addiction Group Specialised Register for studies of telephone counselling, using search terms including 'hotlines' or 'quitline' or 'helpline'. Date of the most recent search: May 2013. SELECTION CRITERIA: randomized or quasi-randomised controlled trials in which proactive or reactive telephone counselling to assist smoking cessation was offered to smokers or recent quitters. DATA COLLECTION AND ANALYSIS: One author identified and data extracted trials, and a second author checked them. The main outcome measure was the risk ratio for abstinence from smoking after at least six months follow-up. We selected the strictest measure of abstinence, using biochemically validated rates where available. We considered participants lost to follow-up to be continuing smokers. Where trials had more than one arm with a less intensive intervention we used only the most similar intervention without the telephone component as the control group in the primary analysis. We assessed statistical heterogeneity amongst subgroups of clinically comparable studies using the I(2) statistic. We considered trials recruiting callers to quitlines separately from studies recruiting in other settings. Where appropriate, we pooled studies using a fixed-effect model. We used a meta-regression to investigate the effect of differences in planned number of calls, selection for motivation, and the nature of the control condition (self help only, minimal intervention, pharmacotherapy) in the group of studies recruiting in non-quitline settings. MAIN RESULTS: Seventy-seven trials met the inclusion criteria. Some trials were judged to be at risk of bias in some domains but overall we did not judge the results to be at high risk of bias. Among smokers who contacted helplines, quit rates were higher for groups randomized to receive multiple sessions of proactive counselling (nine studies, > 24,000 participants, risk ratio (RR) for cessation at longest follow-up 1.37, 95% confidence interval (CI) 1.26 to 1.50). There was mixed evidence about whether increasing the number of calls altered quit rates but most trials used more than two calls. Three studies comparing different counselling approaches during a single quitline contact did not detect significant differences. Of three studies that tested the provision of access to a hotline two detected a significant benefit and one did not.Telephone counselling not initiated by calls to helplines also increased quitting (51 studies, > 30,000 participants, RR 1.27; 95% CI 1.20 to 1.36). In a meta-regression controlling for other factors the effect was estimated to be slightly larger if more calls were offered, and in trials that specifically recruited smokers motivated to try to quit. The relative extra benefit of counselling was smaller when it was provided in addition to pharmacotherapy (usually nicotine replacement therapy) than when the control group only received self-help material or a brief intervention.A further eight studies were too diverse to contribute to meta-analyses and are discussed separately. Two compared different intensities of counselling, both of which detected a dose response; one of these detected a benefit of multiple counselling sessions over a single call for people prescribed bupropion. The others tested a variety of interventions largely involving offering telephone counselling as part of a referral or systems change and none detected evidence of effect. AUTHORS' CONCLUSIONS: Proactive telephone counselling aids smokers who seek help from quitlines. Telephone quitlines provide an important route of access to support for smokers, and call-
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Stead,L.F., Hartmann-Boyce,J., Perera,R., Lancaster,T.
Original/Translated Title
URL
Date of Electronic
20130812
PMCID
Editors
Temperature effects on nitrogen form uptake by seedling roots of three contrasting conifers 2014 Centre for Forest Biology, University of Victoria, PO Box 3020, STN CSC, Victoria, BC, Canada V8W 3N5.; Centre for Forest Biology, University of Victoria, PO Box 3020, STN CSC, Victoria, BC, Canada V8W 3N5 bhawkins@uvic.ca.; Centre for Forest Biology, Uni
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tree physiology
Periodical, Abbrev.
Tree Physiol.
Pub Date Free Form
May
Volume
34
Issue
5
Start Page
513
Other Pages
523
Notes
LR: 20151119; CI: (c) The Author 2014; JID: 100955338; 0 (Soil); N762921K75 (Nitrogen); OTO: NOTNLM; 2014/05/14 [aheadofprint]; ppublish
Place of Publication
Canada
ISSN/ISBN
1758-4469; 0829-318X
Accession Number
PMID: 24831958
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/treephys/tpu028 [doi]
Output Language
Unknown(0)
PMID
24831958
Abstract
Plant species may show a preference for uptake of particular nitrogen (N) forms, but little is known about how N form preference is influenced by soil temperature. Potential future changes in soil N form availability and plant N form preference in warmer soils might shift competitive interactions among forest tree species. We compared the N uptake and growth of three conifer species from contrasting environments grown at rhizosphere temperatures of 10, 16 or 20 degrees C and supplied with ammonium (NH4 (+)) or nitrate (NO3 (-)) or a mix of arginine and alanine. Short-term N uptake was assessed using ion-selective microelectrodes and application of (15)N, and long-term uptake was assessed by plant N status. Species exhibited preferences for particular N forms, and these preferences related to the N form most available in native soils. Specifically, Douglas-fir (Pseudotsuga menziesii (Mirb.) Franco) showed a preference for nitrate (a N form commonly found in warmer areas), Sitka spruce (Picea sitchensis (Bong.) Carr.) preferred ammonium (a N form abundant in cold soils) and Engelmann spruce (Picea engelmannii Parry ex Engelm.) showed a preference for ammonium and organic N (organic N is often abundant in cold soils). Relative N form preference, as indicated by plant growth, changed with temperature in some species, indicating that these species could acclimate to changing rhizosphere temperatures. Understanding how conifers utilize available soil nutrients at different temperatures can help to predict species' future performance as soil temperatures rise.
Descriptors
Links
Book Title
Database
Publisher
. Published by Oxford University Press
Data Source
Authors
Boczulak,S.A., Hawkins,B.J., Roy,R.
Original/Translated Title
URL
Date of Electronic
20140514
PMCID
Editors
Temporal and spatial distribution of BTEX pollutants in the atmosphere of metropolitan areas and neighbouring towns 2009 Department of Environmental Sciences, Second University of Naples, Caserta, Italy.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Environmental monitoring and assessment
Periodical, Abbrev.
Environ.Monit.Assess.
Pub Date Free Form
Mar
Volume
150
Issue
4-Jan
Start Page
437
Other Pages
444
Notes
LR: 20131121; JID: 8508350; 0 (Air Pollutants); 0 (Benzene Derivatives); 0 (Xylenes); 3FPU23BG52 (Toluene); J64922108F (Benzene); L5I45M5G0O (ethylbenzene); 2007/07/12 [received]; 2008/02/27 [accepted]; 2008/04/25 [aheadofprint]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1573-2959; 0167-6369
Accession Number
PMID: 18437518
Language
eng
SubFile
Journal Article; IM
DOI
10.1007/s10661-008-0242-5 [doi]
Output Language
Unknown(0)
PMID
18437518
Abstract
Atmospheric BTEX [benzene, toluene, ethylbenzene, o-xylene and (m + p)-xylene] concentrations have been determined in the Naples metropolitan area (NMA) and in two suburban areas located on the north within about 25 km, during 2006. The pollutants were collected by passive samplers (24-h samplings), and analysed by GC-MS. In all the areas analysed the average atmospheric benzene concentrations were higher than the limit value fixed by the European Union for 2010 and in NMA the average concentration (9.8 microg m(-3)) also exceeded the limit fixed for 2006. High linear correlation coefficients between the average daily concentrations of the different BTEX are indicative of a single major source, most likely the vehicular traffic. The temporal and spatial distribution of BTEX relative concentrations suggest that massive emissions in NMA negatively affect the quality of the air in northern suburban areas, prevalently during the hottest months of the year, probably due to transport by local seasonal winds. The ratios between BTEX daily concentrations showed a clear dependence on the intensity of solar actinic flow, indicating a major role of photochemical processes in the air cleaning from these volatile organic pollutants.
Descriptors
Air Pollutants/analysis, Atmosphere, Benzene/analysis, Benzene Derivatives/analysis, Cities, Environmental Monitoring, Humans, Italy, Toluene/analysis, Urban Health, Wind, Xylenes/analysis
Links
Book Title
Database
Publisher
Data Source
Authors
Iovino,P., Polverino,R., Salvestrini,S., Capasso,S.
Original/Translated Title
URL
Date of Electronic
20080425
PMCID
Editors
Temporal Change of Alcian Blue-Stained Primo Vascular System in Lymph Vessels of Rats 2016 Nano Primo Research Center, Advanced Institute of Convergence Technology, Seoul National University, Suwon, 443-270, South Korea.; Nano Primo Research Center, Advanced Institute of Convergence Technology, Seoul National University, Suwon, 443-270, South K
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Advances in Experimental Medicine and Biology
Periodical, Abbrev.
Adv.Exp.Med.Biol.
Pub Date Free Form
Volume
923
Issue
Start Page
311
Other Pages
317
Notes
JID: 0121103; OTO: NOTNLM; ppublish
Place of Publication
United States
ISSN/ISBN
0065-2598; 0065-2598
Accession Number
PMID: 27526158
Language
eng
SubFile
Journal Article; IM
DOI
10.1007/978-3-319-38810-6_41 [doi]
Output Language
Unknown(0)
PMID
27526158
Abstract
This study aims to investigate the temporal change of a vascular system now known as the primo vascular system (PVS). We used Alcian blue (AB) dye for imaging the distribution of the PVS in lymphatic vessels. The target lymph vessels were chosen as they are easily accessible from the skin, and long-term observation is possible with intact physiological conditions due to a minimal surgical procedure. AB solution was injected into the inguinal lymph node and the target lymph vessels were located along the superficial epigastric vessels. The imaging system allowed processing for extraction of images showing changes in the AB intensity of the visualized PVS components. This newly developed procedure can be used for further study on various dynamic processes of PVS in lymph vessels.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Kim,J., Kim,D.H., Jung,S.J., Soh,K.S.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Temporal distribution, behaviour and reactivities of BTEX compounds in a suburban Atlantic area during a year 2009 Department of Analytical Chemistry, University of A Coruna, Campus da Zapateira s/n, E-15071 A Coruna, Spain.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of environmental monitoring : JEM
Periodical, Abbrev.
J.Environ.Monit.
Pub Date Free Form
Jun
Volume
11
Issue
6
Start Page
1216
Other Pages
1225
Notes
LR: 20131121; JID: 100968688; 0 (Air Pollutants); 0 (Benzene Derivatives); 0 (Vehicle Emissions); 0 (Xylenes); 3FPU23BG52 (Toluene); J64922108F (Benzene); L5I45M5G0O (ethylbenzene); 2009/04/02 [aheadofprint]; 2009/06/01 [epublish]; ppublish
Place of Publication
England
ISSN/ISBN
1464-0333; 1464-0325
Accession Number
PMID: 19513453
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1039/b819370c [doi]
Output Language
Unknown(0)
PMID
19513453
Abstract
The temporal distribution of BTEX compounds (benzene, toluene, ethylbenzene and xylene isomers) in ambient air was studied in a suburban Atlantic area in the northwest of Spain. These compounds mean serious risks for public and occupational health and for biological and physical environments. A total of 1200 samples were analysed during a year, and in most of the samples toluene was the most abundant VOC followed by benzene or m+p-xylene. The average concentrations were 1.62, 2.15, 0.60, 0.94 and 0.47 microg m(-3) for benzene, toluene, ethylbenzene, m+p-xylenes and o-xylene respectively, although they reached values as high as 50.53, 28.57, 21.33, 46.13 and 22.74 microg m(-3) for the compounds in the same order. An exhaustive study was carried out to establish how both emission sources and the climatic conditions affected the BTEX levels measured in the outskirts of a small city. Wind directions and speeds, daily and seasonal BTEX profiles, ratios among the concentrations measured in the sampling site, in the city centre and in the fuels commonly used by the cars in the city were studied. The pollution roses revealed the presence of diffuse BTEX sources affecting the sampling point, although all the compounds reached their highest levels when the wind blew from an industrial area in the SW of the city. The daily BTEX profiles were well-correlated with the traffic pattern in the accesses to the city and the seasonal profile showed that the highest concentrations were reported in summertime. The ratios T/B, m+p-X/B and o-X/B were 1.32, 0.58 and 0.29 respectively; these values were lower than the ones reported in previous studies carried out in the centre of the same city. This could be caused by the major distance from the sampling point to the city centre and by the changes in the fuels and in the kind of vehicles used in the city. The correlation coefficients among the TEX fraction were always higher than 0.72 but benzene only showed a good correlation with these compounds in winter. The correlations between BTEX concentrations and their contributions to the photochemistry in the sampling area were used in order to evaluate the distance from the road traffic source and to estimate the presence of fresh or old air masses in the sampling point. This study provides data which can be useful to establish the BTEX levels in suburban areas from the coastal Atlantic region and improves the knowledge of the BTEX presence in this kind of area.
Descriptors
Air Pollutants/analysis, Atmosphere, Benzene/analysis, Benzene Derivatives/analysis, Cities, Environmental Monitoring, Humans, Seasons, Spain, Suburban Health, Temperature, Toluene/analysis, Vehicle Emissions/analysis, Volatilization, Wind, Xylenes/analysis
Links
Book Title
Database
Publisher
Data Source
Authors
Perez-Rial,D., Lopez-Mahia,P., Muniategui-Lorenzo,S., Prada-Rodriguez,D.
Original/Translated Title
URL
Date of Electronic
20090402
PMCID
Editors
Temporal trends in the relative prevalence of dysphagia etiologies from 1999-2009 2012 Division of Gastroenterology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
World journal of gastroenterology
Periodical, Abbrev.
World J.Gastroenterol.
Pub Date Free Form
28-Aug
Volume
18
Issue
32
Start Page
4335
Other Pages
4341
Notes
LR: 20151022; JID: 100883448; 0 (Proton Pump Inhibitors); OID: NLM: PMC3436048; OTO: NOTNLM; 2012/06/06 [received]; 2012/07/30 [revised]; 2012/08/03 [accepted]; ppublish
Place of Publication
China
ISSN/ISBN
2219-2840; 1007-9327
Accession Number
PMID: 22969196
Language
eng
SubFile
Comparative Study; Journal Article; IM
DOI
10.3748/wjg.v18.i32.4335 [doi]
Output Language
Unknown(0)
PMID
22969196
Abstract
AIM: To examine the relative prevalence and temporal variation of dysphagia etiologies in patients undergoing upper endoscopy (EGD) over the past decade. METHODS: EGDs with the indication of dysphagia at an urban, university medical center in 1999, 2004 and 2009 were retrospectively identified from the electronic medical record. The entire patient chart, including EGD, pathology, manometry, radiographic and clinician reports, was reviewed for demographic and clinical data and to determine the etiology of dysphagia. The number of EGDs in which an esophageal biopsy was performed was also noted. Gastroesophageal reflux disease (GERD) as a cause of dysphagia independent of peptic stricture was defined by symptoms with erosive esophagitis or symptom response to proton pump inhibition (PPI). Cases of eosinophilic esophagitis (EoE) were defined by an appropriate clinical history and histological criteria of >/= 15 eosinophils per high powered field. PPI-responsive esophageal eosinophilia was not routinely reported prior to 2008. Statistical analysis was performed using one-way analysis of variance to analyze for trends between 1999, 2004 and 2009 and a post-hoc Tukey analysis was performed following a significant main effect. RESULTS: A total of 1371 cases (mean age 54 years, 43% male) met pre-specified inclusion criteria with 191, 504 and 675 cases in 1999, 2004 and 2009, respectively. Patients were older in 2004 compared to 2009 (mean +/- SD, 54.0 +/- 15.7 years vs 52.3 +/- 16.8 years, P = 0.02) and there were more males in 1999 compared to 2004 (57.5% vs 40.8%, P = 0.005). Overall, GERD (27.6%) and EoE (7.7%) were the most common identifiable causes of dysphagia. An unspecified diagnosis accounted for 21% of overall cases. There were no significant differences in the relative prevalence of achalasia or other motility disorders, peptic stricture, Schatzki's ring, esophageal cancer or unspecified diagnoses over the 10-year time period. There was, however, a decrease in the relative prevalence of GERD (39.3% vs 24.1%, P
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Kidambi,T., Toto,E., Ho,N., Taft,T., Hirano,I.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC3436048
Editors
Temporal trends of esophageal disorders by age in the Cerner Health Facts database 2016 Hormonal and Reproductive Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD. Electronic address: jessica.petrick@nih.gov.; Division of Gastroenterology, Department of Medicine, Hepatology and Nutrit
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Annals of Epidemiology
Periodical, Abbrev.
Ann.Epidemiol.
Pub Date Free Form
Feb
Volume
26
Issue
2
Start Page
151
Other Pages
4.e1-4
Notes
LR: 20160426; CI: Published by Elsevier Inc.; GR: T32 DK007150/DK/NIDDK NIH HHS/United States; GR: T32DK007150/DK/NIDDK NIH HHS/United States; GR: UL1 TR000050/TR/NCATS NIH HHS/United States; GR: UL1TR00005/TR/NCATS NIH HHS/United States; GR: ZIA CP010220
Place of Publication
United States
ISSN/ISBN
1873-2585; 1047-2797
Accession Number
PMID: 26762962
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, N.I.H., Intramural; IM
DOI
10.1016/j.annepidem.2015.11.004 [doi]
Output Language
Unknown(0)
PMID
26762962
Abstract
PURPOSE: Esophageal adenocarcinoma incidence has increased approximately 600% over the last 4 decades in the United States. Little research has been conducted on the temporal trends of gastroesophageal reflux disease (GERD) and Barrett's esophagus (BE), yet it is important to establish whether these conditions have also increased with time or differ by age. METHODS: The Cerner Health Facts((R)) database contains information on 35 million patients between 2001 and 2010. GERD, BE, and esophageal cancer (EC) cases were defined using International Classification of Diseases, ninth edition codes. We calculated age-adjusted rates and 95% confidence intervals for GERD, BE, and EC. RESULTS: In this population, the overall, all-age rate per 100,000 encounters for GERD was 711.9, BE was 21.6, and EC was 6.1. During 2001-2010, GERD rates increased by approximately 50% and EC rates more than doubled, but BE rates declined by approximately 40%. Trends were similar by age, and all rates were higher in Caucasians and males. CONCLUSIONS: These data indirectly support the idea that increased incidence of EC may be partially due to GERD and raise the provocative hypothesis that BE rates may be decreasing possibly as a forerunner of continued stabilization of esophageal adenocarcinoma rates and a possible subsequent decline.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Petrick,J.L., Nguyen,T., Cook,M.B.
Original/Translated Title
URL
Date of Electronic
20151211
PMCID
PMC4844025
Editors