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2015

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Domestic Violence: I Am Not A Victim I Am Accountable, Modupe M. Ogunyemi Nov 2015

Domestic Violence: I Am Not A Victim I Am Accountable, Modupe M. Ogunyemi

Honors Theses

Domestic violence has a standard script of men harming women. With the guidance of The Women's Center's domestic violence training packet and Tracy Lett's play, August Osage County, this thesis will prove how art can reflect life and educate individuals on domestic abuse. August Osage County disrupts the standard description of the abuser and victim, provides examples of the six different types of abuse, and calls for individuals to take control of their domestic violent situation. In conclusion this thesis is requesting acountability from the perpetrators and the victims in domestic violent situations as a solution to reducing the …


The Moderating Role Of Chronological Age On The Relationship Between Psychological Age And Facets Of Health: A Longitudinal Analysis, Gretchen A. Petery Nov 2015

The Moderating Role Of Chronological Age On The Relationship Between Psychological Age And Facets Of Health: A Longitudinal Analysis, Gretchen A. Petery

Master's Theses

Past research has consistently found a negative relationship between psychological age and health. Nearly all of that research, however, has been cross-sectional, and the few panel studies that exist include only a single aspect of health and measured with older adults. The present study sought to replicate and expand on a recent 2-wave cross-lagged panel investigation that explored the causal interplay between several dimensions of health and psychological age in middle age and older adults. In the current study employees (N = 409), ranging in age from 22 to 70, from six manufacturing organizations participated in three surveys approximately …


2015-November-13-Research Team Studying Link Between Genetics, Drug Side Effects, University Marketing And Communications, East Tennessee State University Nov 2015

2015-November-13-Research Team Studying Link Between Genetics, Drug Side Effects, University Marketing And Communications, East Tennessee State University

ETSU News

No abstract provided.


Intrinsic Challenges In Ancient Microbiome Reconstruction Using 16s Rrna Gene Amplification, Kirsten Ziesemer, Allison Mann, Krithivasan Sankaranarayanan, Hannes Schroeder, Andrew T. Ozga, Bernd W. Brandt, Egija Zaura, Andrea Waters-Rist, Menno Hoogland, Domingo C. Salazar-Garcia, Mark Aldenderfer, Camilla Speller, Jessica Hendy, Darlene A. Weston, Sandy J. Macdonald, Gavin H. Thomas, Matthew J. Collins, Cecil M. Lewis Jr., Corinne Hofman, Christina Warinner Nov 2015

Intrinsic Challenges In Ancient Microbiome Reconstruction Using 16s Rrna Gene Amplification, Kirsten Ziesemer, Allison Mann, Krithivasan Sankaranarayanan, Hannes Schroeder, Andrew T. Ozga, Bernd W. Brandt, Egija Zaura, Andrea Waters-Rist, Menno Hoogland, Domingo C. Salazar-Garcia, Mark Aldenderfer, Camilla Speller, Jessica Hendy, Darlene A. Weston, Sandy J. Macdonald, Gavin H. Thomas, Matthew J. Collins, Cecil M. Lewis Jr., Corinne Hofman, Christina Warinner

Biology Faculty Articles

To date, characterization of ancient oral (dental calculus) and gut (coprolite) microbiota has been primarily accomplished through a metataxonomic approach involving targeted amplification of one or more variable regions in the 16S rRNA gene. Specifically, the V3 region (E. coli341–534) of this gene has been suggested as an excellent candidate for ancient DNA amplification and microbial community reconstruction. However, in practice this metataxonomic approach often produces highly skewed taxonomic frequency data. In this study, we use non-targeted (shotgun metagenomics) sequencing methods to better understand skewed microbial profiles observed in four ancient dental calculus specimens previously analyzed by amplicon …


The Genome Russia Project: Closing The Largest Remaining Omission On The World Genome Map, T. K. Oleksyk, Vladimir Brukhin, Stephen J. O'Brien Nov 2015

The Genome Russia Project: Closing The Largest Remaining Omission On The World Genome Map, T. K. Oleksyk, Vladimir Brukhin, Stephen J. O'Brien

Biology Faculty Articles

We are witnessing the great era of genome exploration of the world, as genetic variation in people is being detailed across multiple varied world populations in an effort unprecedented since the first human genome sequence appeared in 2001. However, these efforts have yet to produce a comprehensive mapping of humankind, because important regions of modern human civilization remain unexplored. The Genome Russia Project promises to fill one of the largest gaps, the expansive regions across the Russian Federation, informing not just medical genomics of the territories, but also the migration settlements of historic and pre-historic Eurasian peoples.


Mice Deficient In Endothelial Α5 Integrin Are Profoundly Resistant To Experimental Ischemic Stroke, Jill Roberts, Leon De Hoog, Gregory J. Bix Nov 2015

Mice Deficient In Endothelial Α5 Integrin Are Profoundly Resistant To Experimental Ischemic Stroke, Jill Roberts, Leon De Hoog, Gregory J. Bix

Sanders-Brown Center on Aging Faculty Publications

Stroke is a disease in dire need of better therapies. We have previously shown that a fragment of the extracellular matrix proteoglycan, perlecan, has beneficial effects following cerebral ischemia via the α5β1 integrin receptor. We now report that endothelial cell selective α5 integrin deficient mice (α5 KO) are profoundly resistant to ischemic infarct after transient middle cerebral artery occlusion. Specifically, α5 KOs had little to no infarct 2–3 days post-stroke, whereas controls had an increase in mean infarct volume over the same time period as expected. Functional outcome is also improved in the α5 KOs compared with controls. Importantly, no …


What’S The Evidence For Involving Parents In Intervention For Speech Sound Disorders?, Eleanor Sugden, Elise Baker, Natalie Munro, A. Lynn Williams Nov 2015

What’S The Evidence For Involving Parents In Intervention For Speech Sound Disorders?, Eleanor Sugden, Elise Baker, Natalie Munro, A. Lynn Williams

ETSU Faculty Works

This systematic overview examines the evidence base for parent involvement in intervention for phonology-based speech sound disorders. Of the 175 identified papers, 61 reported including parents and/or home-based tasks in intervention. However, insufficient detail reported within these papers limits replication and implementation. The clinical and research implications are discussed.


Evidence Of Field-Evolved Resistance To Bifenthrin In Western Corn Rootworm (Diabrotica Virgifera Virgifera Leconte) Populations In Western Nebraska And Kansas, Adriano E. Pereira, Haichuan Wang, Sarah N. Zukoff, Lance Meinke, B. Wade French, Blair Siegfried Nov 2015

Evidence Of Field-Evolved Resistance To Bifenthrin In Western Corn Rootworm (Diabrotica Virgifera Virgifera Leconte) Populations In Western Nebraska And Kansas, Adriano E. Pereira, Haichuan Wang, Sarah N. Zukoff, Lance Meinke, B. Wade French, Blair Siegfried

Department of Entomology: Faculty Publications

Pyrethroid insecticides have been used to control larvae or adults of the western corn rootworm (WCR), Diabrotica virgifera virgifera LeConte, a key pest of field corn in the United States. In response to reports of reduced efficacy of pyrethroids in WCR management programs in southwestern areas of Nebraska and Kansas the present research was designed to establish a baseline of susceptibility to the pyrethroid insecticide, bifenthrin, using susceptible laboratory populations and to compare this baseline with susceptibility of field populations. Concentration-response bioassays were performed to estimate the baseline susceptibility. From the baseline data, a diagnostic concentration (LC99) was determined and …


2015 Northeastern Illinois University Sixth Annual Faculty Research Symposium - Program, Symposium Steering Committee Nov 2015

2015 Northeastern Illinois University Sixth Annual Faculty Research Symposium - Program, Symposium Steering Committee

Faculty Research and Creative Activities Symposium 2010-2017

No abstract provided.


Effectiveness Of A Single Individual Diabetes Education Session Versus Completion Of A Program Of Group Classes On Hemoglobin A1c (Hba1c) And Lipids In Type 2 Diabetes Mellitus, Devon Marie Hoster Nov 2015

Effectiveness Of A Single Individual Diabetes Education Session Versus Completion Of A Program Of Group Classes On Hemoglobin A1c (Hba1c) And Lipids In Type 2 Diabetes Mellitus, Devon Marie Hoster

Master's Theses and Doctoral Dissertations

Background: Diabetes self-management education/training (DSME/DSMT) is a tool for managing diabetes mellitus; however, a research gap exists regarding the clinical effectiveness of completing versus failing to complete a DSME/DSMT program.

Objective: This study determined the difference in effectiveness between a single initial individual DSMT session and completion of the full DSMT program via group classes by people with type 2 diabetes.

Methods: A retrospective study compared HbA1c and lipid values between the “individual education” and “group education” groups from pre- to post-program from the Presence St. Joseph Medical Center’s DSMT program.

Results: Statistically significant differences were not found between …


The Wooster Voice (Wooster, Oh), 2015-11-13, Wooster Voice Editors Nov 2015

The Wooster Voice (Wooster, Oh), 2015-11-13, Wooster Voice Editors

The Voice: 2012-Present

The Story of the Week in this issue of the Voice is "Dr. Sarah Bolton to be Wooster's next president," reporting on her move from positions at Williams College. Other news articles include "Controversial posters removed" due to Title IX violations and triggering content, "Brush Hall focus groups curently in progress" to outline the uses of the new space, and "Students participate in a fast to show solidarity with Mizzou," due to racial harrasment of the University of Missouri's president. In Features, the Voice looks at Senior I.S.'s devoted to female reproduction, a living wage on campus, and a playground …


Mr. Tyler Tyrone Scott Nov 2015

Mr. Tyler Tyrone Scott

African American Funeral Programs

Mr_Tyler_-Tyrone-_Scott.pdf - Funeral program for Mr. Tyler Tyrone Scott


Takhsilov V. State Respondent's Brief Dckt. 42780 Nov 2015

Takhsilov V. State Respondent's Brief Dckt. 42780

Not Reported

No abstract provided.


Effect Of Self-Interruption And External Interruption On Error Detection, Sze Yuen Yau Nov 2015

Effect Of Self-Interruption And External Interruption On Error Detection, Sze Yuen Yau

Lingnan Theses

Knowledge workers are frequently bombarded with interruption and are required to constant multitask. Previous observational studies found that frequent interrupted activities cause more errors and induce feelings of stress and frustration. Therefore, the aim of the current research is to investigate how interruption affects error detection performance. Current error detection research focused on the effectiveness of different checking methods. In this thesis, we concentrate on the psychological mechanism of error detection. A series of experiments was carried out to examine the effects of self-interruption (i.e. the pilot study and Study I) and external interruption (Study II) on error detection performance …


Dignitary And Speaker Biographies, Virginia Coastal Policy Center, William & Mary Law School Nov 2015

Dignitary And Speaker Biographies, Virginia Coastal Policy Center, William & Mary Law School

2015, Show Me the Money: The Economic Realities of Responding to Coastal Change and Adaptation in Virginia

No abstract provided.


Using Ecclesiastical Narrative Sources For The Research On The History Of Peasant Emigration At The Turn Of The 19th And 20th Centuries, Tomasz Jacek Lis Nov 2015

Using Ecclesiastical Narrative Sources For The Research On The History Of Peasant Emigration At The Turn Of The 19th And 20th Centuries, Tomasz Jacek Lis

Chicago Catholic Immigrants Conference

No abstract provided.


Knowledge, Attitudes And Practices (Kap) On Rift Valley Fever Among Pastoralist Communities Of Ijara District, North Eastern Kenya, Ismail H. Abdi, Hippolyte D. Affognon, Anthony K. Wanjoya, Washington Onyango-Ouma, Rosemary Sang Nov 2015

Knowledge, Attitudes And Practices (Kap) On Rift Valley Fever Among Pastoralist Communities Of Ijara District, North Eastern Kenya, Ismail H. Abdi, Hippolyte D. Affognon, Anthony K. Wanjoya, Washington Onyango-Ouma, Rosemary Sang

All Peer-Reviewed Publications

Outbreaks of Rift Valley fever (RVF), a mosquito-borne viral zoonosis, have previously been associated with unusually heavy rainfall and extensive flooding. The disease is a serious public health problem in Africa and the Middle East, and is a potential global health threat. In Kenya, outbreaks of the disease have disproportionately affected impoverished pastoralist communities. This study sought to assess the knowledge, attitudes and practices (KAP) regarding RVF among the pastoralists of North Eastern Kenya, and to establish the determinants of KAP on RVF. A cross-sectional study involving 392 pastoralists living in Ijara district (Masalani and Ijara wards) was carried out …


Efficacy Of Parental Use Of A Tagging Procedure To Enhance Their Child's Sports Performance Training, Lisa R. Hunsperger Nov 2015

Efficacy Of Parental Use Of A Tagging Procedure To Enhance Their Child's Sports Performance Training, Lisa R. Hunsperger

Research Papers

Youth sports have become increasingly popular and competitive, resulting in parents seeking out coaching and training facilities that can improve their children’s sports performance. Tagging offers a promising way to enhance sports training by incorporating immediate audible feedback successfully used in the field of Behavior Analysis that was once reserved only for professional athletes. However, it is unclear whether parents can effectively use a tagging procedure when provided with a breakdown of the specific steps to skills needed (e.g. task analysis) to enhance their child’s training received at a paid training facility. The purpose of this study was to test …


The Lived Experience Of Observant Jewish Nursing Students: A Phenomenological Study, Toby Bressler Nov 2015

The Lived Experience Of Observant Jewish Nursing Students: A Phenomenological Study, Toby Bressler

Theses & Dissertations

Background: With expanding cultural diversity in the United States (U.S. Department of Health and Human Services, 2009), it is essential to increase the diversity of the nursing profession to match the patients who are being cared for in our healthcare system (IOM, 2003; Sullivan Commission, 2004). Despite improvements to the demographic composition of the nursing workforce in recent decades, the nursing workforce has remained predominantly homogeneous and to meet the current and future health needs of the public while providing culturally relevant care, the nursing workforce needs to increase its diversity (IOM, 2010). This demographic shift creates a social imperative …


Analyzing Mediation Models With Multiple Informants: A New Approach And Its Application In Clinical Psychology, Christian Geiser, Lesther A. Papa, Kaylee Litson, Ginger Lockhart, Laurie Chassin Nov 2015

Analyzing Mediation Models With Multiple Informants: A New Approach And Its Application In Clinical Psychology, Christian Geiser, Lesther A. Papa, Kaylee Litson, Ginger Lockhart, Laurie Chassin

Psychology Faculty Publications

Testing mediation models is critical for identifying potential variables that need to be targeted to effectively change one or more outcome variables. In addition, it is now common practice for clinicians to use multiple informant (MI) data in studies of statistical mediation. By coupling the use of MI data with statistical mediation analysis, clinical researchers can combine the benefits of both techniques. Integrating the information from MIs into a statistical mediation model creates various methodological and practical challenges. The authors review prior methodological approaches to MI mediation analysis in clinical research and propose a new latent variable approach that overcomes …


Science Undergraduate Research Conference 2015 Booklet, Dublin Institute Of Technology, Institute Of Technology, Tallaght, Institute Of Technology, Blanchardstown Nov 2015

Science Undergraduate Research Conference 2015 Booklet, Dublin Institute Of Technology, Institute Of Technology, Tallaght, Institute Of Technology, Blanchardstown

Group Reports

Dublin Institute of Technology (DIT), IT Tallaght and IT Blanchardstown hosted the Science Undergraduate Research Conference (SURC 2015) on 13th November 2015 in DIT's Grangegorman Campus. 25 students from DIT, IT Tallaght and IT Blanchardstown who completed an undergraduate research project in a Scientific discipline in the academic year 2014-15 presented at this conference.

The aims of the conference were to:

  1. Provide current students with an opportunity to gain an understanding of the work which has been undertaken by recent graduates, and the career opportunities that exist for graduates in Scientific disciplines.
  2. Provide recent graduates with an opportunity to gain …


Research Brief: "Impact Of Parents' Wartime Military Deployment And Injury On Young Children's Safety And Mental Health", Institute For Veterans And Military Families At Syracuse University Nov 2015

Research Brief: "Impact Of Parents' Wartime Military Deployment And Injury On Young Children's Safety And Mental Health", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relationship between the mental health of military children and parental deployment. In policy and practice, healthcare providers and teachers should understand the risks during the post-deployment period and the DoD should implement programs to help military families during the post-deployment period. Suggestions for future research include conducting a study over time on this topic, as well as expanding the sample to include longer and multiple deployments and various age groups of children within military families.


Chimes: November 13, 2015, Calvin College Nov 2015

Chimes: November 13, 2015, Calvin College

Chimes

Dialogue celebrates record participation by Jon Gorter & Josiah Kinney

Students rally in vigil for Mizzou by Jon Gorter

New urban studies minor to be offered by Alicia De Jong

SAPT tackles myths about sexual assault in first lecture in month-long series by Juliana Ludema

Eastown's Kava House to close its doors by Saraphina Sefcik

Women's volleyball captures MIAA title by sweeping Hope by Anna Gernant

Chameleon color achieved by embedded crystals by Natasha Strydhorst

International Worship Night at LOFT by Eckhart Chan


A Forward Genetic Screen Reveals Novel Independent Regulators Of Ulbp1, An Activating Ligand For Natural Killer Cells, Benjamin G Gowen, Bryan Chim, Caleb D. Marceau, Trever T Greene, Patrick Burr, Jeanmarie R. Gonzalez, Charles Hesser, Peter A. Dietzen, Teal Russell, Alexandre Iannello, Laurent Coscoy, Charles L. Sentman Nov 2015

A Forward Genetic Screen Reveals Novel Independent Regulators Of Ulbp1, An Activating Ligand For Natural Killer Cells, Benjamin G Gowen, Bryan Chim, Caleb D. Marceau, Trever T Greene, Patrick Burr, Jeanmarie R. Gonzalez, Charles Hesser, Peter A. Dietzen, Teal Russell, Alexandre Iannello, Laurent Coscoy, Charles L. Sentman

Dartmouth Scholarship

Recognition and elimination of tumor cells by the immune system is crucial for limiting tumor growth. Natural killer (NK) cells become activated when the receptor NKG2D is engaged by ligands that are frequently upregulated in primary tumors and on cancer cell lines. However, the molecular mechanisms driving NKG2D ligand expression on tumor cells are not well defined. Using a forward genetic screen in a tumor-derived human cell line, we identified several novel factors supporting expression of the NKG2D ligand ULBP1. Our results show stepwise contributions of independent pathways working at multiple stages of ULBP1 biogenesis. Deeper investigation of selected hits …


Vision, Mission, And Values: From Concept To Execution At Mayo Clinic, Sandhya Pruthi, Dawn Marie R. Davis, Dawn L. Hucke, Francesca B. Ripple, Barbara S. Tatzel, James A. Dilling, Paula J. Santrach, Jeffrey W. Bolton, John H. Noseworthy Nov 2015

Vision, Mission, And Values: From Concept To Execution At Mayo Clinic, Sandhya Pruthi, Dawn Marie R. Davis, Dawn L. Hucke, Francesca B. Ripple, Barbara S. Tatzel, James A. Dilling, Paula J. Santrach, Jeffrey W. Bolton, John H. Noseworthy

Patient Experience Journal

Mayo Clinic displays steadfast commitment to patient care, referral relations, and health care quality through institutional examples of unique, value-add endeavors that are under way with the Mayo Clinic Patient Experience Subcommittee and the Referring Physician Office. In this article, we share the Mayo Model of Care and patient stories that embody the 8 Mayo Clinic values of respect, compassion, integrity, healing, teamwork, excellence, innovation, and stewardship. The Mayo founders imparted to their staff the passion for patient care by encouraging a fair and just culture for its employees. This culture allows the creation, maintenance, and improvement of clinical care, …


A Single, Complete Touch: Population Health, The Health Contact Center, And The Patient Experience, Fran Horner, Susan Marks Nov 2015

A Single, Complete Touch: Population Health, The Health Contact Center, And The Patient Experience, Fran Horner, Susan Marks

Patient Experience Journal

As healthcare organizations turn to population health in order to more effectively manage the health and well-being of their patients, many need to ensure that these new strategies include a directive to improve the patient experience. Fortunately, healthcare systems can turn to an existing entity within its ranks, the health contact center, in order to execute a successful strategy and ensure that the individual patient never feels lost amongst the population crowd. Fran Horner from Singola Consulting and Susan Marks from Amati Health explore the ways in which population health and the health contact center work collaboratively to keep patient …


Randomized Clinical Trial Comparing Perioperative Care For Breast Cancer Patients At A Patient Hotel Versus A General Surgical Ward, Madleen Anna Camilla Huzell, Johan Frisack, Kristina Dalberg Nov 2015

Randomized Clinical Trial Comparing Perioperative Care For Breast Cancer Patients At A Patient Hotel Versus A General Surgical Ward, Madleen Anna Camilla Huzell, Johan Frisack, Kristina Dalberg

Patient Experience Journal

Breast cancer is the most frequent cancer among women in Europe and the US. The aim of this study was to assess whether perioperative care, for breast cancer patients, provided at a patient hotel could be an alternative to the conventional care in an ordinary surgical ward. The study focuses solely on the patients’ experience of the provided care with a primary outcome that perioperative care at the patient hotel would be valued better than care in a general ward. Prospective, randomized single centre study. Between 2010 and 2012 a total of 151 patients < 80 years and without severe comorbidities were included in the trial, whereof 76 patients were randomised to the ward group and 75 patients to the hotel group. Five patients were excluded from each group. The validated IN2005-E questionnaire was used to evaluate the patients’ experiences of the care. The response rate was high with 65 patients answering the IN2005-E in each group. No difference could be found between the two groups regarding patient characteristics, type of surgery or tumour characteristics. The patients generally perceived the quality of the provided care as high. However, in the hotel group there was a better experience of care regarding issues such as coordination, privacy, some aspects of medical information, availability and the courtesy of the nurses. For selected patients, perioperative care at a patient hotel is an appreciated alternative to care at a surgical ward.


Patient Needs In Advanced Renal Cell Carcinoma: What Are Patients’ Priorities And How Well Are We Meeting Them?, Rick Harris, Kate Oake, Robert E. Hawkins, Robert J. Jones, Thomas Powles, David A. Montgomery Nov 2015

Patient Needs In Advanced Renal Cell Carcinoma: What Are Patients’ Priorities And How Well Are We Meeting Them?, Rick Harris, Kate Oake, Robert E. Hawkins, Robert J. Jones, Thomas Powles, David A. Montgomery

Patient Experience Journal

Treatment options and duration of therapy for patients with metastatic renal cell carcinoma (mRCC) have increased. Many patients now spend in excess of 2 years on active therapy. These patients’ needs, and the ability of health services to respond to them, are poorly understood. Ten patients living with mRCC for more than 2 years and treated with at least one targeted agent were selected at random from three hospitals in the United Kingdom (UK). One interviewer who was not involved in their care conducted in-depth interviews. Interview transcripts were analysed using Interpretative Phenomenological Analysis (IPA) to identify issues of greatest …


The Comparative Impact Of Different Patient-Centered Medical Home Domains On Satisfaction Among Individuals Living With Type Ii Diabetes, Jon Mills, Allyson Hall, Rebecca Tanner, Jeffrey Harman, David L. Wood, Charles Lorbeer Nov 2015

The Comparative Impact Of Different Patient-Centered Medical Home Domains On Satisfaction Among Individuals Living With Type Ii Diabetes, Jon Mills, Allyson Hall, Rebecca Tanner, Jeffrey Harman, David L. Wood, Charles Lorbeer

Patient Experience Journal

Chronic illnesses like type 2 diabetes are costly and difficult to treat. Patient-centered medical homes (PCMH) have the potential to improve patient satisfaction in this population. However, which domains have the most impact on patient satisfaction has not been established. The aim of this study was to assess the relative strength of association between seven PCMH domains and two measures of satisfaction. Cross-sectional data were used in this observational study collected from a random sample of adults aged 18-89 with type 2 diabetes (n=1301) seen at 4 PCMHs. The Ambulatory Care Experiences Survey instrument was used to assess all measures. …


A Vision For Using Online Portals For Surveillance Of Patient-Centered Communication In Cancer Care, Hardeep Singh, Neeraj K. Arora, Kathleen M. Mazor, Richard L. Street Jr Nov 2015

A Vision For Using Online Portals For Surveillance Of Patient-Centered Communication In Cancer Care, Hardeep Singh, Neeraj K. Arora, Kathleen M. Mazor, Richard L. Street Jr

Patient Experience Journal

The Veterans Health Administration (VHA) is charged with providing high-quality health care, not only in terms of technical competence but also with regard to patient-centered care experiences. Patient-centered coordination of care and communication are especially important in cancer care, as deficiencies in these areas have been implicated in many cases of delayed cancer diagnosis and treatment. Additionally, because cancer care facilities are concentrated within the VHA system, geographical and system-level barriers may present prominent obstacles to quality care. Systematic assessment of patient-centered communication (PCC) may help identify both individual veterans who are at risk of suboptimal care and opportunities for …