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Biomedical subjects

E Brann

Publications and source records attributed to E Brann.

3 recordsLinked to original sources

Self-reported infectious mononucleosis and 6 cancers: a population-based, case-control study.

A study was undertaken to estimate the magnitude of association between self-reported infectious mononucleosis (IM) and 6 types of cancer, including Hodgkin's disease, non-Hodgkin's lymphoma, nasopharyngeal cancer, nasal cancer, primary liver cancer, and sarcoma. Cases were male, aged 15-39 y in 1968, who lived in 8 cancer registry areas. Controls were men selected by random-digit telephone dialing. Cases included 1511 persons with non-Hodgkin's lymphoma, 343 with Hodgkin's disease, 386 with sarcoma and 168, 113 and 70 with primary liver, nasopharyngeal and nasal cancers, respectively. There were 1910 controls. For the 6 cancers combined, the overall odds ratio for IM occurring < 5 and > or = 5 y of the reference date were 5.40 [95% (Confidence Interval (CI) = 1.61, 18.09] and 1.08 (0.84, 1.40), respectively. Analogous values were 4.59 (1.25, 16.85) and 1.07 (0.78, 1.48) for non-Hodgkin's lymphoma and 7.49 (1.52, 36.92) and 1.35 (0.87, 2.09) for Hodgkin's disease. There was the suggestion of a protective association with IM occurring > or = 5 y before cancer onset for the 4 non-lymphomatous cancers. Strongly positive associations between self-reported IM and 6 types of cancer were observed for IM occurring < 5 y before the onset of cancer. There was a suggestion, which is noted with extreme caution, that IM earlier in life might have had a protective association with the 4 non-lymphomatous cancers.

Adolescent↗

The expanding physician supply and health policy: the clouded outlook.

Our conclusions about consensus and policy follow: -The interested parties from the citizenry to the leaders of specialty societies are definitely not of one mind whether the increasing number of physicians is to be viewed as boon or bane. -If over the next few years the much enlarged supply of physicians is seen as creating more problems than it is solving, the step from consensus to policy will still prove difficult. -The absence of early consensus or specific action does not imply that the future supply of physicians is not being influences. The cutbacks in federal support for medical students are certain to have a dampening effect sooner or later on the numbers that will seek admission to medical school. -The marker signals that physicians' incomes are lagging behind other professionals and that government is increasing its control over medical practice will also have an effect on many premedical students, some of whom will choose other careers. -The changes in payment mechanisms and the delivery of heath care will have important long-term consequences for the effective demand for physician services, which in turn will influence future medical school enrollments.

Economics, Medical↗