A team led by Kathryn J. Ruddy, MD, MPH, and Dr. Ann H. Partridge, MD, MPH, surveyed 585 women recently diagnosed with breast cancer at or under the age of 40 years. This work was conducted at the Dana-Farber Cancer Institute in Boston, MA, where Dr. Partridge works. Dr. Ruddy is currently working at the Mayo Clinic in Rochester, MN.
The investigators found that 80 percent of the women detected their own breast abnormalities. Among women with self-detected breast cancers, 17 percent experienced a delay of at least 90 days before they visited a health care provider for an evaluation, and 12 percent reported a delay of at least 90 days between that visit and their diagnosis. Women with poorer financial status were more likely to experience a delay between detecting an abnormality and visiting a health care provider.
"Because we discovered that women who are less financially comfortable are more likely to delay seeking medical attention for breast abnormalities that later are diagnosed as breast cancer, it appears that economic disparity may be an important consideration in future development of interventions to reduce delays," said Dr. Ruddy. "The findings may lead to research focusing on whether reducing copays and 'hidden' costs of seeking medical care—such as parking charges, child-care expenses, and lost wages—may improve the timeliness of diagnosis in this population."
The authors also noted a non-significant trend toward more advanced disease in women who experienced a delay between seeing a health care provider and receiving a diagnosis. But because substantial delays only impacted a minority of women who detected their own breast abnormalities, they concluded that factors besides delays—such as tumor biology—are likely more influential on breast cancer outcomes in most cases.
Amy Molnar | EurekAlert!
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For the first time ever, scientists have determined the cosmic origin of highest-energy neutrinos. A research group led by IceCube scientist Elisa Resconi, spokesperson of the Collaborative Research Center SFB1258 at the Technical University of Munich (TUM), provides an important piece of evidence that the particles detected by the IceCube neutrino telescope at the South Pole originate from a galaxy four billion light-years away from Earth.
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For the first time a team of researchers have discovered two different phases of magnetic skyrmions in a single material. Physicists of the Technical Universities of Munich and Dresden and the University of Cologne can now better study and understand the properties of these magnetic structures, which are important for both basic research and applications.
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Physicists working with Roland Wester at the University of Innsbruck have investigated if and how chemical reactions can be influenced by targeted vibrational excitation of the reactants. They were able to demonstrate that excitation with a laser beam does not affect the efficiency of a chemical exchange reaction and that the excited molecular group acts only as a spectator in the reaction.
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Optical spectroscopy allows investigating the energy structure and dynamic properties of complex quantum systems. Researchers from the University of Würzburg present two new approaches of coherent two-dimensional spectroscopy.
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Ultra-short, high-intensity X-ray flashes open the door to the foundations of chemical reactions. Free-electron lasers generate these kinds of pulses, but there is a catch: the pulses vary in duration and energy. An international research team has now presented a solution: Using a ring of 16 detectors and a circularly polarized laser beam, they can determine both factors with attosecond accuracy.
Free-electron lasers (FELs) generate extremely short and intense X-ray flashes. Researchers can use these flashes to resolve structures with diameters on the...
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