Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “CONNECTICUT”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 73 records · Page 4Linked to original sources
PubMed1989

The Connecticut survey of public attitudes toward chiropractic.

This paper reports the results of a public opinion survey of attitudes toward chiropractic, commissioned by the Connecticut Chiropractic Association and carried out by the Institute for Social Inquiry at the University of Connecticut. Telephone interviews with 500 randomly selected households elicited responses from a representative sample of Connecticut residents. While 28% of the respondents stated they were not at all familiar with chiropractic, 21% (that is, 104 of the 500) had visited a chiropractor at least once. A total of 40% of the respondents or a member of their family had gone to a chiropractor. Of the respondents who went, 78% rated their treatment as effective, 89% were satisfied with the amount of personal attention they received, 72% were satisfied with the cost of their treatment, and 72% said they would go again for the same or similar problem. When those who are familiar with chiropractic were asked their overall opinion of it, 78% of those who expressed a definite opinion were favorable; however, only 61% of this group thought "most people in Connecticut" have a favorable opinion of chiropractic. When those familiar with chiropractors but who had never been to one were asked if they would go to one for a problem chiropractors treat, 59% said they would go and 68% of those who were familiar said they would encourage a friend to go. Respondents' factual information and attitudes about what chiropractors do were probed in depth.(ABSTRACT TRUNCATED AT 250 WORDS)

Attitude to Health↗
PubMedDate not supplied

Multiple primary cancers in Connecticut, 1935-82.

Recently, the National Cancer Institute published a comprehensive monograph on multiple primary cancers in Connecticut and Denmark. This paper summarizes some of the observations made on the Connecticut population. Data compiled by the Connecticut Tumor Registry have extended our knowledge about the patterns of multiple primary cancers, especially among long-term survivors of cancer and among patients with relatively rare tumors about which little information currently exists. When compared with the general Connecticut population, cancer patients had a 31 percent (RR = 1.31) increased risk of developing a second cancer and a 23 percent (RR = 1.23) elevated risk of second cancer at a different site from the first. Common environmental exposures seemed responsible for the excess occurrence of many second cancers, particularly those related to cigarette smoking, alcohol consumption, or both. For example, persons with epithelial cancers of the lung, larynx, esophagus, buccal cavity, and pharynx were particularly prone to develop new cancers in the same or contiguous tissue throughout their lifetimes. Cancers of the colon, uterine corpus, breast, and ovary frequently occurred together, suggesting underlying hormonal or dietary influences. Only patients with prostate cancer were at significantly low risk for second cancer development; this might be an artifact of case finding, since advanced age at initial diagnosis was generally associated with an underascertainment of second cancers. Radiotherapy may have caused rectal and other cancer among patients with cancers of the female genital tract, and leukemia among patients with uterine corpus cancer. Chemotherapy with alkylating agents probably contributed to the excess of acute nonlymphocytic leukemia following multiple myeloma or cancers of the breast and ovary. Genetic susceptibility seemed to explain some tumor complexes, such as the multiple occurrences of cutaneous melanoma and the excess of bone cancer following retinoblastoma. Research into multiple cancer syndromes should enhance our understanding of carcinogenic factors and mechanisms and the development of strategies for cancer prevention and control.

Alcohol Drinking↗
PubMed1985

Cancer registration in Connecticut and the study of multiple primary cancers, 1935-82.

The Connecticut Tumor Registry (CTR) was established in 1941 and is the oldest population-based cancer registry in the world. Since 1935, all malignant tumors have been registered, and cancer patients are followed annually for vital status. Reporting by hospitals of all cancers diagnosed in Connecticut residents became mandatory in 1971. The reporting physician or hospital makes the initial determination as to whether a tumor is an independent primary cancer, recurrent tumor, or metastatic lesion. In addition, the Registry maintains stringent quality control procedures to avoid duplication of cancer reports. The Registry reviews reports of new cancers developing in patients with a previous primary cancer to rule out the possibility of misdiagnosed metastases. Microscopic confirmation of the diagnosis has improved from 49% in 1935-39 to 94% in 1980-82. Cancers reported only from death certificates currently account for only 1% of all registrations. Between 1935 and 1979, cancer rates in Connecticut almost doubled among males and increased by more than one-third among females; notable increases were seen for cancers of the lung and prostate in males and cancers of the lung and breast in females. In recent years, rates for malignant melanoma of the skin have increased dramatically among both sexes. Stomach cancer has decreased over time in both sexes, as has cervical cancer in females. Although the CTR has used several revisions of the International Classification of Diseases to code the primary site of cancers, rules for the coding of multiple primary cancers have remained essentially the same. Among 253,536 individuals diagnosed between 1935 and 1982 with an invasive cancer, 16,727 (6.6%) nonsimultaneous second cancers were evaluated and are discussed in subsequent chapters of this monograph. Simultaneous cancers were diagnosed in 4,107 individuals and accounted for approximately 20% of all multiple cancers reported in Connecticut. The most frequent simultaneous tumors were cancers of the colon, rectum, prostate, lung, breast, and bladder. Some simultaneous cancers (chronic lymphocytic leukemia, testis, prostate, rectum, uterine corpus, and liver and biliary tract) occurred almost as frequently as the number of subsequent nonsimultaneous tumors, which suggests that the patterns of risk over time for certain sites may be distorted when diagnoses are advanced in time and removed from analysis.(ABSTRACT TRUNCATED AT 400 WORDS)

Age Factors↗
PubMed1969

Planning for a library system: Connecticut Regional Medical Program.

A formal medical library system is developing nationally to improve library service, but not all users or even all librarians are alert to the need. The main stimulus seems to come from federal money and from leaders at the top, rather than from the small local library and its user, yet progress depends on participation at all levels. Planning for a state-wide medical library system as part of the Connecticut Regional Medical Program began with a survey of the state's medical library resources, which led to a grant request for operating funds to strengthen reference and inter-library loan service in Connecticut and to begin a training and consultation program for medical librarians in the state. These activities are intended to expand and intensify in Connecticut those back-up services provided for all of New England by the New England regional medical library service at the Countway Library in Boston and also are related to the other Regional Medical Program activities planned for Connecticut.

Connecticut↗
PubMed1995

Unintentional carbon monoxide poisonings in residential settings--Connecticut, November 1993-March 1994.

Carbon monoxide (CO) gas is an environmental hazard, and unintentional CO poisonings have occurred in multiple settings, including residences, motor vehicles, and workplaces. In 1993, exposure to CO produced by a malfunctioning natural gas furnace in a Suffield, Connecticut, home resulted in the deaths of three children and hospitalization of four other family members. Publicity resulting from this and other CO poisoning incidents prompted concern that gas furnaces have been a primary cause of residential CO poisonings in Connecticut. To determine the sources of residential CO poisonings in Connecticut, the Connecticut Department of Public Health (CDPH) surveyed persons with cases of CO poisoning during November 1993-March 1994. This report presents the survey findings.

Adolescent↗
PubMed1995

Impact of increased legal access to needles and syringes on community pharmacies' needle and syringe sales--Connecticut, 1992-1993.

In May 1992, the Connecticut legislature passed new laws aimed at increasing injecting drug users' (IDUs) access to sterile needles and syringes (syringes); as of July 1992, pharmacists were permitted to sell and individuals were permitted to possess up to 10 syringes without medical prescriptions (nonprescription syringes). We evaluated the impact of the new laws by conducting (1) prospective surveillance of syringe sales and policies at selected community pharmacies (pharmacies) and (2) a telephone survey of pharmacy managers' reports of syringe sales and policies at a statewide stratified random sample of pharmacies. Our data provide direct evidence that most, but not all, Connecticut pharmacies sold nonprescription syringes when permitted to do so by the new laws. For example, using the telephone survey data, we estimate that during November, 1993, 83% [95% CI: 77-89%] of all Connecticut pharmacies sold nonprescription syringes and 56,000 [95% CI: 44,000-68,000] nonprescription syringes were sold, during November 1993. Our data provide indirect evidence that IDUs were purchasing nonprescription syringes at pharmacies. For example, in five Hartford pharmacies located in neighborhoods where injection drug use was prevalent, the total number of nonprescription syringes sold per month increased significantly from 460 in July 1992 to 2,482 in June 1993 (p = 0.0001). The data suggest that the new laws increased IDUs' access to sterile syringes in Connecticut.

Centers for Disease Control and Prevention, U.S.↗
PubMedDate not supplied

Geographic distribution of white-tailed deer with ticks and antibodies to Borrelia burgdorferi in Connecticut.

Ticks and blood specimens were collected from white-tailed deer (Odocoileus virginianus) in Connecticut and analyzed to identify foci for Lyme borreliosis. Males and females of Ixodes scapularis, the chief vector of Borrelia burgdorferi, were collected from deer in five of eight counties during 1989-1991. Analysis by indirect fluorescent antibody (IFA) staining of midgut tissues showed that prevalence of infection was highest (9.5% of 367 ticks) in south central and southeastern Connecticut. Infected I. scapularis also were collected from southwestern regions of the state (12.1% of 99 ticks), but prevalence of infection in northern counties was considerably lower (0.8% of 124 ticks). Deer sera, obtained in 1980 and 1989-1991, were analyzed by an enzyme-linked immunosorbent assay or by IFA staining methods. Antibodies to B. burgdorferi were detected in sera collected from all eight counties in Connecticut. Deer had been infected by this spirochete in at least 50 towns, 17 (34%) of which are in south central and southeastern parts of the state. Borrelia burgdorferi is widely distributed in I. scapularis populations in Connecticut.

Animals↗
PubMed1993

Comments of Connecticut State Medical Society concerning proposed practitioner fee schedule regulations before the Workers' Compensation Commission 23 September 1993.

The Connecticut General Assembly passed legislation last session reforming the workers' compensation system. One provision of that legislation mandated the establishment of a medical fee schedule for the workers' compensation system by 1 October 1993. In response to that mandate, Workers' Compensation Commission Chairman Jesse Frankl relied upon the work and advice of his Medical Fee Advisory Group, of which the Connecticut State Medical Society was a member, and published proposed regulations for a medical fee schedule in the 31 August 1993 Connecticut Law Journal. A public hearing on those regulations was held on 23 September 1993. The following is testimony submitted by the Connecticut State Medical Society at that public hearing in support of those regulations.

Connecticut↗
PubMed1996

A post-Chernobyl rise in thyroid cancer in Connecticut, USA.

Recent analyses of children in Belarus and the Ukraine are the first to document large numbers of excess thyroid cancer cases only 4 years after exposure to radiation. In Connecticut (USA), a thyroid cancer increase of a much smaller magnitude occurred in 1990-93, 4-7 years after the Chernobyl accident, for both children and adults. Similar changes also occurred in the states of Iowa and Utah, which like Connecticut were exposed to low levels of radionuclides from Chernobyl fallout during May and June of 1986. Historical data from Connecticut also reveal substantial increases in thyroid cancer incidence about 5 years after large releases of iodine-131 from distant US nuclear weapons plants, after the largest atmospheric US atomic weapons tests in Nevada, and after substantial releases of iodine-131 from the Millstone nuclear power plant in Connecticut. Further analysis of this apparent 5-year latency period will enhance understanding of ionizing radiation's effects on thyroid function and on human health in general.

Adolescent↗
PubMed1997

Total clinical laboratory test volume in Connecticut, 1994-1995.

OBJECTIVE: To measure the volume of clinical laboratory testing in Connecticut during a one-year period. To explore the potential value of such data. DESIGN: Summary and analysis of federal and state clinical laboratory registration/licensure/inspection forms. SETTING: 2,333 clinical laboratory test facilities registered in Connecticut. MAIN OUTCOME MEASURES: The total clinical laboratory output for Connecticut by type of facility and category of technology over a 12-month period. RESULTS: During 1995, 2,333 registered clinical laboratory test facilities performed approximately 65,427,103 analyses in Connecticut. This represents approximately 20 tests per person per year. Thirty-five acute care hospitals performed 59.4%, nine large commercial laboratories 33.2%, 30 small commercial laboratories 1.7%, 1,491 physicians' offices 3.9%, and a miscellaneous group 1% of the tests. Test volumes are further segregated into eight major categories of technology: chemistry 59%, hematology 23.3%, microbiology 5.6%, blood banking 2.9%, coagulation 2.8%, waived tests 2.7%, urine analysis 1.8%, cytology 0.9%, and histology 0.8%. CONCLUSION: For the first time mechanisms are in place to measure essentially all clinical testing for a given area. With minor changes the data collection system could be greatly improved. The possible uses for such a data bank are discussed.

Clinical Laboratory Techniques↗
PubMed2000

Kawasaki syndrome hospitalizations among children in Hawaii and Connecticut.

OBJECTIVES: To estimate the incidence and describe recent trends of Kawasaki syndrome (KS) in 2 different areas of the United States. METHODS: Retrospective analysis of Hawaii and Connecticut State KS hospital discharge records for children younger than 5 years. RESULTS: In Hawaii, 175 KS hospitalizations for children younger than 5 years were reported during 1994 through 1997; the annual hospitalization rate per 100,000 children was 47.7. The rate for Hawaiian children younger than 1 year (83.2) was greater than that for 1- to 4-year-old children (39.0), and most hospitalizations occurred prior to age 2 years (median age, 17 months). In Connecticut, 171 KS hospitalizations for children younger than 5 years were reported during 1993 through 1996; the annual hospitalization rate per 100,000 children was 18.8, and the median age at hospitalization was 28 months. For both states, most hospitalizations were for boys. Although no clear seasonality was apparent, monthly peaks occurred in some of the years from December through March. CONCLUSIONS: Kawasaki syndrome seems to remain an endemic disease in the United States. A high KS annual hospitalization rate was seen in Hawaii, especially in children younger than 1 year, whereas in Connecticut, the KS rate was more consistent with those previously reported in the continental United States. Arch Pediatr Adolesc Med. 2000;154:804-808

Child, Preschool↗
PubMed1993

Laparoscopic cholecystectomy. A statewide experience. The Connecticut Laparoscopic Cholecystectomy Registry.

The explosion in laparoscopic cholecystectomy has posed many questions about its safety compared with the "gold standard" of open cholecystectomy. A statewide database was established in Connecticut to study these issues. Thirty-three (97%) of 34 hospitals in Connecticut participated in the study, which began at the inception of the laparoscopic procedure. Four thousand six hundred forty laparoscopic cholecystectomies were performed between May 1, 1990, and September 30, 1991. The overall conversion rate to open cholecystectomy was 6.9%. Conversions were more frequent with acute cholecystitis, in the elderly, and early in a surgeon's experience. The overall technical complication rate was 4.7%; common bile duct injuries occurred in 15 patients (0.3%). Complications decreased with increasing experience, to 0.98% after a surgeon's 75th procedure. Six patients (0.13%) died following laparoscopic cholecystectomy. The overall mortality rate associated with cholecystectomy fell during the study period. The frequency of cholecystectomy in Connecticut increased 29% with the advent of the laparoscopic procedure. The introduction of laparoscopic cholecystectomy has resulted in an increased frequency of surgery without an increase in surgical mortality. The incidence of common bile duct injuries was low. The decreasing incidence of technical complications demonstrates the learning curve for the procedure.

Adult↗
PubMed1996

Time trend and age-period-cohort effect on incidence of thyroid cancer in Connecticut, 1935-1992.

Recent studies from Europe suggest a continuing increase in thyroid cancer, but it is unclear whether this trend also applies to the United States. The current study examined the long-term trend of thyroid cancer in Connecticut. Our results show that the overall age-adjusted incidence rate of thyroid cancer has been increasing in Connecticut, from 1.30/100,000 in 1935-1939 to 5.78/100,000 in 1990-1992 in females, and from 0.30/100,000 in 1935-1939 to 2.77/100,000 in 1990-1992 in males. The increase mainly comes from papillary carcinoma of the thyroid. The birth cohort analyses indicate that the increase in thyroid cancer occurred among cohorts born between 1915 and 1945, which experienced an increase of 31.4% every 5 years in males and 17.3% in females over the period 1960-1979. For those born since the 1945 cohort, the incidence has been decreasing, at rates of 9.3% and 8.3% every 5 years over the period 1975-1992 in males and females, respectively. Age-period-cohort modeling results also suggest a strong birth cohort effect on the observed time trend in both sexes, which closely follows the introduction of radiation treatment of benign childhood conditions in the head and neck between 1920 and the 1950s in the United States. Our results are consistent with the suggested radiation hypothesis, indicating that radiation treatment of benign childhood conditions in the head and neck is largely responsible for the observed increase of thyroid cancer in Connecticut.

Adenocarcinoma, Follicular↗
PubMed1984

Secular and age distribution of scrotal cancer in Connecticut and a review of United States literature.

In contrast with the expectations of the authors and with reports suggesting a decline in risk for scrotal cancer, Connecticut Tumor Registry data neither showed detectable decrease in risk over the 45-year-period for all 95 scrotal malignancies nor for the 71 epithelial cancers. The age distribution of scrotal cancer in Connecticut was similar to that of the more common tumors thought to be caused by exogenous agents. The risk increased up to age 75 in a geometric fashion, followed by a plateau and decline in risk among the very elderly. United States literature on scrotal cancer points to a change in occupational risks; this literature and recent occupational data from Connecticut suggest that metalworking may have been associated with a high proportion of cases in recent decades. Evidence is lacking that scrotal cancer and its most recent marker of carcinogenic risk have been fully eliminated.

Adolescent↗
PubMed1992

Epidemiology of non-Hodgkin lymphoma in Connecticut. 1935-1988.

BACKGROUND: During the past decades, there have been reports of increases in the incidence and mortality rates due to non-Hodgkin lymphoma (NHL) in many parts of the world. The risk factors responsible for the increasing incidence are largely unknown. This study provided an overview of the incidence pattern of NHL in Connecticut and generated hypotheses for additional investigation. METHODS: This study was based on all the NHL cases reported to the Connecticut Tumor Registry (CTR) between 1935 and 1988. Crude, age-adjusted, and age-specific incidence rates of NHL were calculated for each sex. Age-adjusted incidence rates were calculated by the direct method standardized to the 1970 United States standard million population. The data are presented by calendar year and cohort year of birth to examine the secular trends and birth cohort effects. Racial information was not coded before 1957 and is of uncertain validity until the early 1970s; therefore, racial analysis was restricted to 1970-1988. Analyses by histologic subtypes and by anatomic sites were restricted to the last 3 decades (1960-1988) because more accurate classification systems were used during this time. RESULTS: A total of 11,326 newly diagnosed cases of NHL were included in the study. Of them, 5866 (52%) were diagnosed in men and 5460 (48%) were diagnosed in women. The study results indicated that the incidence rate of NHL has been increasing during the past decades for men and women, whites and blacks, nodular NHL and diffuse NHL, disease originating from lymph nodes and disease originating from other sites, and in all age groups, especially the older age groups. Birth cohort examination did not show any indication of a decline or levelling off in incidence rates among recent birth cohorts. Age-specific incidence rates in both sexes suggested that the rates increase with age, with a sharp increase beginning at 50 years of age and peaking at 80 years of age. Men had a 30% higher incidence rate than women, and whites had approximately 1.5 times the age-adjusted incidence rate of blacks. CONCLUSIONS: The results indicated that the incidence rate of NHL has been increasing in Connecticut during the past decades and is likely to continue to rise in the coming years. Analytical epidemiologic studies are needed to examine the risk factors that might account for the increase in NHL.

Adult↗
PubMed1992

Cancer incidence in the Puerto Rican-born population of Connecticut.

There are few published reports on cancer incidence in the Puerto Rican-born populations of the northeastern United States. In Connecticut, in the Puerto Rican-born population, which was of low socioeconomic status (i.e., 42% below the poverty level in the 1980 Census), the standardized incidence ratio (SIR) for all invasive cancers diagnosed in 1980-1986 was significantly reduced for female patients (SIR = 0.77) but not for male patients (SIR = 1.16), on the basis of expected numbers derived from incidence rates for the entire state of Connecticut. For female patients, only the SIR for cancers of the stomach, esophagus, and cervix were elevated significantly, whereas those for colorectal, lung, breast, and ovarian cancer were significantly reduced. For male patients, SIR were elevated significantly for cancer of the oral cavity, esophagus, and stomach and for leukemia, whereas none of the sites (including lung) had significantly reduced SIR. When incidence rates for Puerto Rico were used, the SIR for all sites combined was 1.99 (95% confidence interval = 1.78-2.22) for male patients but only 1.39 (95% confidence interval = 1.24-1.56) for female patients. These findings suggest sex differences in acculturation and lifestyle changes relevant to cancer risks in immigrants from Puerto Rico residing in Connecticut. Comparisons were made with cancer incidence and mortality data from other Puerto Rican immigrant populations.

Adolescent↗
PubMed1992

Lip cancer. Incidence trends in Connecticut, 1935-1985.

Suspicions have recently arisen that cancer of the lip may exert an undue influence on overall oral cancer statistics and, therefore, possibly distort the true image of intraoral cancer. The authors investigated this question through epidemiologic analysis. A total of 2291 cases of lip cancer accessioned by the Connecticut Tumor Registry (CTR) from 1935 to 1985 (23.6% of all oral cancer) were analyzed. Occurrence trends for males and females had different patterns: for men, the age-adjusted incidence rates showed a fivefold decrease during the 51-year study; for women, the rates were relatively low and constant during the same period. Analysis for age-specific rates revealed that the older the age group, the higher the incidence rates for both sexes. Squamous cell carcinoma accounted for at least 87.4% of all lip cancers (96.2% if nonspecified epithelial neoplasms are assumed to be squamous cell carcinoma). The vermilion border of lower lip was the most common site. Moderately differentiated tumors were most common (48.5%), closely followed by well-differentiated tumors (44.2%). Analysis by county showed that the crude incidence rates for males in New London and Windham counties exceeded the average Connecticut statewide rates. The authors concluded that the epidemiology of Connecticut lip cancer differs significantly from that of intraoral squamous cell carcinoma in the same population studied within the same period of time. Epidemiologic studies involving "oral cancer" should direct attention to anatomic subsite to consider differences in disease trends according to specific location.

Adenocarcinoma↗
PubMed1994

Time trend and the age-period-cohort effect on the incidence of histologic types of lung cancer in Connecticut, 1960-1989.

BACKGROUND: Recent epidemiologic studies have suggested changing patterns of lung cancer incidence by histologic type. The observed time trends have been attributed to a change in the rate of cigarette smoking, changes in exposure to new environmental carcinogens, and changes in the criteria for the histopathologic diagnosis of lung cancer. The current study was designed to examine the incidence patterns of lung cancer by histologic type in Connecticut and to use this information to project the future trend of the disease in this population. METHODS: This study was based on all the lung cancer cases reported to the Connecticut Tumor Registry between 1960 and 1989. On the basis of this data set, crude and age-adjusted incidence rates of lung cancer were calculated by histologic type for each sex. The age-specific incidence rates are presented by calendar year and cohort year of birth. A regression model was used to identify birth cohort, period, and age as determinants of the observed time trends. RESULTS: For the overall age-adjusted incidence rates, squamous cell carcinoma and small cell carcinoma have stabilized in men, whereas they are still increasing in women. The incidence of adenocarcinoma has been increasing in both men and women, but there has been a much sharper incidence among females since the mid-1970s. An examination of age-specific incidence rates by birth cohort and the results from age-period-cohort modeling indicate that incidences of all three major histologic types of lung cancer in the recent birth cohorts either have started decreasing (squamous cell carcinoma) or shown a clear reduction in the rate of increase (adenocarcinoma and small cell carcinoma). This study, however, did not indicate an increase of bronchoalveolar lung carcinoma, which was reported by other clinically based studies. CONCLUSION: While the overall age-adjusted incidence rates showed different incidence patterns for different histologic types of lung cancer, a decreasing or stabilized rate for all three major histologic types of lung cancer was observed in recent birth cohorts in both males and females. The observed incidence pattern is consistent with smoking trends over time including changes in smoking prevalence and the consumption of low tar and filter cigarettes. It is expected that if the current trend in tobacco smoking continues and if there are no major changes in other risk factors for lung cancer, a forthcoming stabilization or decrease in the rate of lung cancer incidence for all major histologic types (including adenocarcinoma) in both sexes in Connecticut could be anticipated.

Adenocarcinoma↗