Browsing by Subject "Observation"

Now showing 1 - 2 of 2
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    Creating a Conversation
    (2016) Jacob, Andrew; Hull, Greg
    Living with a hearing disability, as well as being shy, has always been a challenge for me and has affected my ability to communicate with others. With a difficulty in initiating conversation, I would instead stand back and observe how people around me acted and communicated with each other in hopes of learning how to converse like them. From this understanding, I began to devise ways that would allow initiating a conversation with my sculptures rather than becoming the conversation starter directly through voice. When I began my BFA studies in Fine Arts, I continued to look for ways to initiate conversations with those around me, attempting to bring others my way by sparking their interests in my artwork, rather than approaching them with words.
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    Trends in the Management Paradigms of Intracranial Meningioma
    (Thieme, 2021) Aljuboori, Zaid; Alhourani, Ahmad; Woo, Shiao; Hattab, Eyas; Yusuf, Mehran; Nelson, Megan; Andaluz, Norberto; Ding, Dale; Savage, Jesse; Williams, Brian; Neurological Surgery, School of Medicine
    Objective: Intracranial meningiomas are the most common primary brain tumor. Treatment paradigms have evolved over time. There are limited number of population-based studies that examine this modern evolution. Here, we describe the trends of management of intracranial meningiomas using a national database. Methods: The data were obtained from the National Cancer Database for the years 2004 to 2015, the collected variables included: patients' age, gender, insurance type, income, comorbidity score, the tumor size and grade, and treatment modality (observation, surgery, radiotherapy, or combination therapy). We performed statistical analyses to detect association between unique variables and outcomes. In addition, we performed mortality analyses for various treatment modalities. Results: A total of 199,096 patients with a diagnosis of intracranial meningioma were included, the majority of patients were white females, mean age of 61 years, and half of the tumors were ≤ 3 cm. Observation was the most commonly used management modality followed by surgical resection, radiotherapy, and combination therapy. For the entire time period, there was an increased use of observation as a primary management method. Predictors of mortality included increased age, larger tumor size, higher tumor grade, treatment at a community hospital, and higher comorbidity scores. Conclusion: Population-based studies of intracranial meningiomas are uncommon; our study is one of the few reports that examine the changes in the modern management paradigms of meningioma in the United States over time. Additionally, we shed light on the factors that affected survival of patients with this condition.