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Objectives: To inform the development and evaluation of new blood-based colorectal cancer (CRC) screening tests satisfying minimum United States (US) coverage criteria, we estimated the impact of the different test performance characteristics on long-term testing benefits and burdens. Methods: A novel CRC-Microsimulation of Adenoma Progression and Screening (CRC-MAPS) model was developed, validated, then used to assess different screening tests for CRC. We compared multiple, hypothetical blood-based CRC screening tests satisfying minimum coverage criteria of 74% CRC sensitivity and 90% specificity, to measure how changes in a test's CRC sensitivity, specificity, and adenoma sensitivity (sizes 1–5 mm, 6–9 mm, ≥10 mm) affect total number of colonoscopies (COL), CRC incidence reduction (IR), CRC mortality reduction (MR), and burden-to-benefit ratios (incremental COLs per percentage-point increase in IR or MR). Results: A blood test meeting minimum US coverage criteria for performance characteristics resulted in 1576 lifetime COLs per 1000 individuals, 46.7% IR and 59.2% MR compared to no screening. Tests with increased CRC sensitivity of 99% (+ 25%) vs. increased ≥10 mm adenoma sensitivity of 13.6% (+ 3.6%) both yielded the same MR, 62.7%. Test benefits improved the most with increases in all-size adenoma sensitivity, then size-specific adenoma sensitivities, then specificity and CRC sensitivity, while increases in specificity or ≥10 mm adenoma sensitivity resulted in the most favorable burden-to-benefit tradeoffs (ratios <11.5). Conclusions: Burden-to-benefit ratios for blood-based CRC screening tests differ by performance characteristic, with the most favorable tradeoffs resulting from improvements in specificity and ≥10 mm adenoma sensitivity. [ABSTRACT FROM AUTHOR]

Immigrant women who have lived longer in a destination often have relatively low levels of fertility, which is sometimes taken as evidence of the adaptation of behavior. This evidence is almost exclusively based on studies of immigrants from high-fertility settings, while the fertility of immigrants from low-fertility settings has been largely overlooked. Research has also rarely studied the fertility of immigrants who migrated as children, despite the methodological advantages of applying such an approach. This study focuses on women who grew up in Sweden with a migration background from low-fertility origins. We expect that Sweden's welfare regime makes it easier for women to combine childbearing and working life, regardless of migration background, thereby facilitating an adaptation of fertility behavior toward that prevailing in Sweden. We find evidence of adaptation in terms of birth timing for at least half of the country-origin groups that we study, but very little evidence of adaptation in terms of completed fertility. Further, we find that, in comparison with ancestral Swedes, completed fertility differentials are larger for second-generation individuals than for immigrants who arrived during childhood. This is evidence against the notion of "straight-line" adaptation for immigrants and the children of immigrants who are born in Sweden. [ABSTRACT FROM AUTHOR]

We conducted a mark-recapture survey of bottlenose dolphins Tursiops truncatus in the bays, sounds, and estuaries of North Carolina during July 2000, using photographic identification techniques. During this survey we took 7,682 photographs of dolphins and, of these, 3,457 images were of sufficient quality for analysis. We identified 306 dolphins from distinctive nicks and notches on their dorsal fins. Eighty-six dolphins were photographed on more than one occasion during the course of the survey; one dolphin was photographed on four separate days. We then applied the results of our photographic analyses to several mark-recapture models and examined potential violations of the assumptions of these models, including an unexpected correlation between photo quality and mark distinctiveness. Our analysis suggests that our results are robust to possible violations of these assumptions. The resulting estimates were then scaled to account for the proportion (0.46) of unmarked dolphins in the population. Our best estimate of the number of dolphins present in the inshore waters of North Carolina during July 2000 is 1,033 with a 95% Confidence Interval of 860-1,266 (CV = 0.099). Most dolphins were found in the northern part of the study area, which includes the second largest estuarine system in the United States. [ABSTRACT FROM AUTHOR]

Discusses the need for ongoing inservice training programs for teachers for cultural sensitivity. Implication of the growing influx of minorities in the school systems on the creation of a multiphasic sociological configuration on campuses and schools; Integration of multicultural education in the schools' curriculum; Considerations for inservice training programs.