Digitalcommons@DMU (Des Moines University)
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Exterior of Former St. Joseph\u27s Academy Building
A photo of the front exterior of the former St. Joseph\u27s Academy building at 3200 Grand Avenue.https://digitalcommons.dmu.edu/archive_images/2071/thumbnail.jp
Dr. Milton Dakovich Close-up
A close-up of Dr. Milton Dakovich in a white coat and glasses.https://digitalcommons.dmu.edu/archive_images/2034/thumbnail.jp
College Hospital on Sixth Avenue Campus
Street view of the College Hospital building on Sixth Avenue.https://digitalcommons.dmu.edu/archive_images/2062/thumbnail.jp
Paretest Tincture Iodine
A small, empty, clear bottle with a twist lid. The label states Paretest Tincture Iodine .https://digitalcommons.dmu.edu/artifacts_medical/1024/thumbnail.jp
Castle Sterilizer Tablets
A brown, glass bottle filled with Castle Sterilizer Tablets that would have been used to clean and sterilize medical instruments.https://digitalcommons.dmu.edu/artifacts_medical/1004/thumbnail.jp
UOMHS PA Patch
A purple patch with yellow lettering that says University of Osteopathic Medicine and Health Sciences Physician Assistant . In the center of the patch is an upside down triangle with PA and the Aesculapius symbol.https://digitalcommons.dmu.edu/artifacts_dmu/1016/thumbnail.jp
Nitrate and Brain/CNS Cancer Diagnoses in the First Year of Life
Nitrates in drinking water, common in agricultural states like Iowa, pose health risks to young infants. This brief first reviews the plausible biological mechanisms linking nitrate exposure to brain and central nervous system (BCNS) cancers in the first year of life. We then linked historic water quality and cancer registry data at the county level to construct linear and quantile regression models estimating the association between a BCNS diagnosis and nitrate measures. We found significantly higher nitrate levels preceding pediatric zero-year-old BCNS cancer diagnoses. These findings support investigating early-life nitrate exposure as a potential risk factor for infant BCNS tumors
President Dr. C. W. Johnson Portrait
A portrait of President Dr. C. W. Johnson, Professor of Neurology and Gynecology and President 1926-1935, framed by poster board.https://digitalcommons.dmu.edu/archive_images/2027/thumbnail.jp
Evaluating intersectional variation of HPV-associated cancers in rural America
Purpose: For decades, incidence of human papillomavirus (HPV)-associated cancers has been increasing in rural communities across the United States. Although emerging evidence shows a widening rural-urban disparity, rural intersectionality has been understudied. Our study examined the incidence of HPV-associated cancers within rural communities to identify differences by race/ethnicity for males and females, and explore how these differences varied by cancer type, socioeconomic, and geographic factors.
Methods: We accessed age-adjusted cancer incidence rates (2010–2019) from the North American Association of Central Cancer Registries (NAACCR) for HPV-associated cancers (cervical, vaginal, vulvar, penile, anal, oropharyngeal) in rural counties. Stratifying by sex, we calculated incidence rate ratios by race/ethnicity. Subgroup analyses included age, site, census-tract poverty, census tract socioeconomics, and region.
Results: Between 2010 and 2019, rural HPV-associated cancer was 11.8 cases per 100,000 population. We found significant heterogeneity within male (10.5) and female (13.2) rates. For males, the lowest rate was found in non-Hispanic Asian-American/Pacific-Islander populations (3.7) and Hispanic populations (4.8), and the highest rate was found in non-Hispanic White populations (11.2). For females, the lowest rate was also found in Hispanic Asian-American/Pacific-Islander populations (8.8) and the highest rates were found in non-Hispanic Black (13.8) and non-Hispanic American Indian/Alaska Native populations (14.5). However, these racial/ethnic differences varied across rural subpopulations, geography, and poverty.
Conclusions: Appreciating the diversity of the rural cancer burden can be used to effectively develop and implement public health interventions to address HPV-related cancer disparities in rural communities. Actions are needed to prioritize reducing the burden of HPV-associated cancer in AIAN populations in high-poverty rural communities
The inclusion of tribes and American Indian and Alaska Native People in State comprehensive cancer control plans
Purpose
State and District Comprehensive Cancer Control (CCC) plans often do not include priorities for all individuals within their state or district borders. In particular, American Indian and Alaska Native (AI/AN) people experience persistent cancer disparities, yet their inclusion in CCC plans has not been examined. Our study systematically reviewed state and district CCC plans for the inclusion of Tribal-specific cancer control strategies and priorities. Methods
A collaborative team of researchers from Tribal serving organizations, cancer centers, and academic institutions conducted a content analysis of state CCC plans to assess terms, concepts, context, and goals related to Tribal populations across twelve domains. Results
Seventy-three percent (n = 37) of state CCC plans addressed at least one of twelve domain criteria, while 14 states (27%) did not mention Tribal data or priorities. Specifically, the terms “Indigenous or Native” (n = 29) or “American Indian, Indian Country, Reservations, or Indian Health Service” (n = 27) were referenced most often. Three states met the highest domain criteria (New Mexico, California, Montana). Six states with federally recognized tribes within their borders did not meet any domains (Alabama, Florida, Massachusetts, Missouri, Texas, Virginia). Conclusion
By highlighting state and Tribal CCC plans’ best practices and incorporating Tribal priorities within state and district CCC plans and programs, we underscore the importance of addressing cancer in Tribal populations across the U.S. and offer examples of inclusive CCC plan development and implementation