Digitalcommons@DMU (Des Moines University)
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3309 research outputs found
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Circa 1927 Sigma Sigma Phi Beta Chapter
No full textCompilation photo of the circa 1927 Sigma Sigma Phi Beta Chapter of Still College of Osteopathy.https://digitalcommons.dmu.edu/archive_images/1943/thumbnail.jp
Des Moines General Hospital Training School Class Photo
No full textA class photo of the Des Moines General Hospital Training School class taken on May 26, 1919.https://digitalcommons.dmu.edu/archive_images/1942/thumbnail.jp
Nurses Training Class Photo
No full textA class photo of the Nurses Training class taken around 1913.https://digitalcommons.dmu.edu/archive_images/1941/thumbnail.jp
President Hugh Clark Portrait
No full textA portrait of former DMU President Hugh D. Clark.https://digitalcommons.dmu.edu/archive_images/2017/thumbnail.jp
Des Moines General Hospital Exterior
No full textAn exterior street view of the Des Moines General Hospital.https://digitalcommons.dmu.edu/archive_images/2013/thumbnail.jp
President Dr. J. P. Schwartz Portrait
No full textA portrait of President Dr. J. P. Schwartz, Professor of Urology, Proctology, and Surgery and President 1941-1944, framed by poster board.https://digitalcommons.dmu.edu/archive_images/2028/thumbnail.jp
Poster Board of Buildings on Sixth Avenue Campus
No full textTwo photographs glued on poster board of the front of the College and Clinic buildings on Sixth Avenue to compare the changes over the years.https://digitalcommons.dmu.edu/archive_images/2065/thumbnail.jp
Hospital Accreditation and Geographic Disparities in Timely Cancer Care
No full textObjective
To evaluate whether the association between receiving care at an accredited hospital and timely treatment initiation varies by county income level. Study Setting and Design
This cross-sectional study compared days from diagnosis to treatment initiation among patients receiving care at CoC-accredited hospitals with patients receiving care at non-accredited hospitals. We estimated distributional effects with a quantile regression model. We stratified patients into low (median household-income \u3c 80k) and high-income (median household-income ≥ 80k) counties. Data Sources and Analytic Sample
We analyzed population-based Surveillance, Epidemiological, and End Results case data (2018–2021). We excluded cancer cases that did not receive treatment. All analyses were adjusted for tumor and patient characteristics, treatment received, and geographic factors. Principal Findings
Among 2,107,188 patients receiving cancer treatment, 73.65% received care at an accredited hospital. Median time-to-treatment was 27 days (interquartile range = 1–52). Care at an accredited hospital was associated with longer median time-to-treatment (+2.6 days) in low-income counties but not high-income counties. Similarly, care at an accredited hospital was associated with widening the time-to-treatment interquartile range (+1.8 days) in low-income but not high-income counties. The magnitude of these associations was highest in patients aged 65+, unmarried, diagnosed at an early stage, and in less common cancers. Only among patients diagnosed with distant-stage cancer was accreditation associated with reduced median time-to-treatment in both low and high-income counties. Conclusions
Treatment at an accredited hospital appeared to increase time-to-treatment differences between high-and low-income counties and low-income counties. This heterogeneity may reflect access challenges facing low-income cancer patients. Health systems seeking to provide high quality, timely care must overcome these access challenges as they navigate patients through the cancer care continuum. While a 2.6-day delay in treatment may not impact outcomes, future research should understand why patients from lower-resource communities wait longer than patients in affluent communities
Wooden Contraption For Syringes
No full textAn unknown, white, wooden contraption that holds a size 20cc glass syringe with a plastic tube connected to it. Also on the contraption is a metal rod with ridges that can be screwed in and pushes on the plunger of the syringe.https://digitalcommons.dmu.edu/artifacts_medical/1002/thumbnail.jp
St. Joseph\u27s Academy Doorbell Plaque
No full textThe St. Joseph\u27s Academy doorbell on a wooden plaque. Also on the plaque, St. Joseph\u27s Academy 1884-1972 is engraved.https://digitalcommons.dmu.edu/artifacts_dmu/1008/thumbnail.jp