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Background Objectives Search Methods Selection Criteria Data Collection and Analysis Main Results Conclusions The increasing number of immigrants in the United States (U.S.) has resulted in more patients with limited English proficiency (LEP). LEP contributes to patient‐provider language discordance, which may impact oncologic health outcomes.To assess the effects of LEP compared to English proficiency (EP) for oncological outcomes in adult cancer patients in the United States.We searched MEDLINE (Ovid), the Cochrane Library (Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials), PsycINFO, CINAHL and Scopus from data inception to 26 January 2023. We also searched the reference lists and cited lists of included studies. Studies were limited to the United States and the English language.We included retrospective and cross‐sectional studies that analyzed one or more clinical outcomes (survival, readmission, length of stay, complications and discharge disposition) in LEP and EP cancer patients. Studies were eligible if they assessed cancer patients in the United States who were 18 years and older.Using a piloted, standardized data collection form, two non‐blinded, independent reviewers extracted data in duplicate from studies meeting our inclusion criteria. Reviewers resolved discrepancies through discussion. We then performed a qualitative assessment of the findings.We retrieved 2425 records from the database searches. We screened 1496 records by title and abstract and reviewed the full text of eight records. We retrieved 347 records from additional search methods and reviewed the full text of six records. We included 14 papers in total for analysis. The studies included 55,141 total patients and assessed outcomes in brain, oesophageal, head and neck, pancreatic and skin cancer. Our qualitative assessment demonstrated limited information on whether LEP impacted survival, complications and discharge disposition. We found no significant association between LEP and readmission or length of stay.Studies assessing the impact of LEP and EP on the health outcomes of cancer patients are sparse and inconsistent in the measurements of outcomes and data reporting. The inconclusiveness of our study indicates that further standardized research is needed to assess the impact of LEP on the outcomes of cancer patients in the United States. [ABSTRACT FROM AUTHOR]

A common problem encountered when teaching database courses is that few large illustrative databases exist to support teaching and learning. Most database textbooks have small "toy" databases that are chapter objective specific, and thus do not support application over the complete domain of design, implementation and management concepts across a single database. The Northwind Traders sample database is available by Microsoft for download and use in Microsoft Access, and illustrates transactional processing for a fictitious company that imports (purchases) and exports (sells) specialty foods from around the world. The database contains sample tables, queries, forms, reports, Macros, VBA Class Objects, functions and modules, and other database features. Although the primary purpose for the database is to serve as an illustrative design template for students and practitioners, unfortunately the database and business processes are largely undocumented. This paper attempts to more completely document the business processes, including establishing business rules, describing relationships and participations, and discusses some problems with the existing design. Following understanding of the database and associated business processes, this paper can be used as both a teaching tool and a guide for practitioners using the Northwind Traders sample database as a design template. Additionally, it has been used successfully to introduce the concept of business processes and mapping them in an underlying database in introductory ERP courses.