The Matilda effect: Under-representation of women in hematology and oncology awards.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. 11012-11012
Author(s):  
Shruti R Patel ◽  
Frederique St-Pierre ◽  
Ana I. Velazquez Manana ◽  
Snegha Ananth ◽  
Urshila Durani ◽  
...  

11012 Background: The proportion of women in the field of hematology and oncology (H&O) has increased over recent decades, but representation by women in leadership positions remains a challenge. Our aim was to examine representation of winners of recognition awards by gender and race from the major international hematology and oncology societies. Methods: Published award recipients from the seven major H&O societies were reviewed, with 26 years of data included (1994-2019). Awardee demographics and academic rank were collected and included in the analysis. Gender was determined based on awardee full name and verified by public data. Chi-square and Cochran-Armitage tests were used to analyze the data. Results: Over the past 26 years, 942 awards were presented at the 7 major H&O societies. We excluded 27 gender specific awards from the analysis. Of the 915 awardees included in analysis, award recipients were overwhelmingly men (77.9%) and non-Hispanic white (84.7%). Gender breakdown by society is described in table. ESMO and ASTRO represented the lowest distribution of women at 9.1% and 11.1%, respectively. Women awardees received 30.3% of the awards categorized as humanistic and education-related, while only receiving 16.0% of awards in the basic sciences category (p<0.01). The Cochran-Armitage test demonstrated an upward trend in the number of women awardees, from 10% between 1994-1998 to 25.6% between 2014-2019 (p=0.0004). Over the past five years, the average proportion of women medical oncologists was 35.6% per the AAMC. In this time period, women oncologists have received only 24.0% of all awards, suggesting the awardees included in the study period do not represent the proportion women in the field (p=0.00424). Black, Hispanic, and Asian awardees represented 3.7%, 3.3%, and 6.8% of the total awardees, respectively. Of the 64 Black and Hispanic awardees, 60.9% of the awards were for investigating healthcare disparities and only 4.6% were given for basic science research. Conclusions: During our study period, women physicians and investigators were less likely to receive recognition awards from the seven major H&O societies compared to men. We also observed a considerable low proportion of minority awardees in all oncology subspecialties. While the proportion of women awardees has increased over time, significant underrepresentation remains. [Table: see text]

2020 ◽  
Vol 33 (04) ◽  
pp. 238-242
Author(s):  
Katerina Wells ◽  
James W. Fleshman

AbstractThe role of a surgeon is inherently that of a leader and as women become a larger minority in surgical specialties, the next step becomes greater representation of women in positions of surgical leadership. Leadership is a relationship of granting and claiming wherein society must accept that women are deserving of leadership and women must realize their rightfulness to lead. Implicit gender bias undermines this relationship by perpetuating traditional gender norms of women as followers and not as leaders. Though female representation in academia and leadership has increased over the past few decades, this process is unacceptably slow, in part due to manifestations of implicit bias including discrimination within academia, pay inequality, and lack of societal support for childbearing and childcare. The women who have achieved leadership roles are testament to woman's rightfulness to lead and their presence serves to encourage other young professional women that success is possible despite these challenges.


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Pamela J Zelnick ◽  
Lauren E Fournier ◽  
Liang Zhu ◽  
Sean I Savitz ◽  
Anjail Z Sharrief

Introduction: Women and minorities are underrepresented in academic medicine. There is little in the literature about gender and racial disparities among neurology or vascular neurology trainees. At the International Stroke Conference, women overall and women physicians have been underrepresented as invited speakers and abstract first authors, and there is recent momentum for improvement. Methods: Data were collected from the Accreditation Council for Graduate Medical Education public website. Dataset included neurology resident and vascular neurology fellow gender data from 2007 to 2017 and race data from 2011 to 2017. Data were analyzed by chi-square test and one-sample proportion test. Results: From 2007-2017, women represented 45% of all neurology trainees and only 33% of all vascular neurology fellows, both significantly lower than 50% (p<0.0001). There was no trend in the proportion of gender by year for vascular fellows (p=0.11) or neurology trainees (p=0.39). However, each year, except for 2012-2013 and 2015-2016 for vascular fellows, varied significantly by gender where men represented the largest proportion. Race varied by year for vascular fellows (p=0.03) and neurology trainees (p=0.017). Blacks and Hispanics represented the lowest proportions and Whites represented the highest proportion of both vascular and neurology trainees. When comparing Whites vs Non-Whites for both fellows (43% vs 57%; p=0.76) and residents (50% vs 50%; p=0.14), there was no trend in the proportions by year. Conclusions: Women, Black and Hispanic physicians remain underrepresented as vascular neurology trainees. The low representation of women and underrepresented minorities has not changed in the last decade. Addressing gender and racial disparities among trainees should be a high national priority for future medical and scientific contributions from these groups.


2005 ◽  
Vol 8 (8) ◽  
Author(s):  
G. M. Freedman

Radiation therapy is an important part of the modern multimodality treatment of breast cancer, and in the past decade has had an increasing role in the treatment of patients at intermediate to high risk for local-regional recurrence after mastectomy. During the same time period, a less radical surgical approach to mastectomy has developed that is more compatible with reconstruction, and a greater number of young patients diagnosed due to screening who are more motivated and candidates for the procedure. This has led to an increased need to consider the special implications of combining radiation with breast reconstruction. This review will focus on reconstruction by tissue expander and breast implants. A multidisciplinary approach to management is needed that includes a team of a plastic surgeon, and radiation, surgical and medical oncologists. Experience with implant reconstruction and radiation in the past decade has been associated with relatively high rates of complications and/or implant loss compared with unirradiated patients. However, newer techniques of radiation, and improved patient selection and coordination between the multidisciplinary team offer the promise of low complication rates and good or excellent cosmetic results for most patients in the future.


2012 ◽  
pp. 61-83 ◽  
Author(s):  
M. Ershov

According to the latest forecasts, it will take 10 years for the world economy to get back to “decent shape”. Some more critical estimates suggest that the whole western world will have a “colossal mess” within the next 5–10 years. Regulators of some major countries significantly and over a short time‑period changed their forecasts for the worse which means that uncertainty in the outlook for the future persists. Indeed, the intensive anti‑crisis measures have reduced the severity of the past problems, however the problems themselves have not disappeared. Moreover, some of them have become more intense — the eurocrisis, excessive debts, global liquidity glut against the backdrop of its deficit in some of market segments. As was the case prior to the crisis, derivatives and high‑risk operations with “junk” bonds grow; budget problems — “fiscal cliff” in the US — and other problems worsen. All of the above forces the regulators to take unprecedented (in their scope and nature) steps. Will they be able to tackle the problems which emerge?


Author(s):  
Iván Area ◽  
Henrique Lorenzo ◽  
Pedro J. Marcos ◽  
Juan J. Nieto

In this work we look at the past in order to analyze four key variables after one year of the COVID-19 pandemic in Galicia (NW Spain): new infected, hospital admissions, intensive care unit admissions and deceased. The analysis is presented by age group, comparing at each stage the percentage of the corresponding group with its representation in the society. The time period analyzed covers 1 March 2020 to 1 April 2021, and includes the influence of the B.1.1.7 lineage of COVID-19 which in April 2021 was behind 90% of new cases in Galicia. It is numerically shown how the pandemic affects the age groups 80+, 70+ and 60+, and therefore we give information about how the vaccination process could be scheduled and hints at why the pandemic had different effects in different territories.


2021 ◽  
pp. 095792652199215
Author(s):  
Charlotte Taylor

This paper aims to cast light on contemporary migration rhetoric by integrating historical discourse analysis. I focus on continuity and change in conventionalised metaphorical framings of emigration and immigration in the UK-based Times newspaper from 1800 to 2018. The findings show that some metaphors persist throughout the 200-year time period (liquid, object), some are more recent in conventionalised form (animals, invader, weight) while others dropped out of conventionalised use before returning (commodity, guest). Furthermore, we see that the spread of metaphor use goes beyond correlation with migrant naming choices with both emigrants and immigrants occupying similar metaphorical frames historically. However, the analysis also shows that continuity in metaphor use cannot be assumed to correspond to stasis in framing and evaluation as the liquid metaphor is shown to have been more favourable in the past. A dominant frame throughout the period is migrants as an economic resource and the evaluation is determined by the speaker’s perception of control of this resource.


2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S17-S17
Author(s):  
Taylor Landay ◽  
Julie A Clennon ◽  
José A Ferreira ◽  
Lucia A Fraga ◽  
Maria Aparecida F Grossi ◽  
...  

Abstract Background Leprosy in children under 15 years of age, and in particular, the presence of leprosy grade 2 disability (G2D) in children, signifies ongoing transmission and the need for improved surveillance. Our objective was to describe the epidemiology of pediatric leprosy in Minas Gerais, Brazil and to explore associations with access to medical facilities. Methods A cross-sectional study was conducted using data from the Brazilian Notifiable Diseases Surveillance System (SINAN) from 2002–2017. Incident cases were included if they resided in a municipality with both adult and pediatric cases. Municipalities were divided by the number of medical facilities per municipality: &lt; 5, 5–17, and 18 or higher. Analyses compared pediatric cases across two time periods (2002–2009 and 2010–2017) and number of medical facilities / municipality using chi-square, t-tests, and logistic regression. Results A total of 27,725 cases were reported with 1,611 under 15 years of age. Overall incidence declined from 34.8 per 100,000 to 13.6 per 100,000 during the study period with pediatric incidence declining from 2.6 per 100,000 to 0.8 per 100,000. Time period 2 (TP2) showed an increase in the proportion of pediatric G2D (2.58% vs 1.91%, p &lt; 0.0001) when compared to time period 1 (TP1). Mean age of diagnosis in children was younger in TP2 then in TP1 (10.06 vs 10.43, p=0.02). In 2017, the pediatric incidence in municipalities with the fewest medical facilities was 0.95 per 100,000 compared to 0.23 per 100,000 in municipalities with &gt; 5 facilities (p=0.009). There was significantly higher odds of disability at diagnosis (grades 1 and 2) in pediatric cases residing in municipalities with &lt; 5 medical facilities (aOR 1.88; 95% CI 1.37–2.59), adjusted for age and sex. See map (Fig 1). Figure 1. Cases of Pediatric Disability By Number of Municipality Medical Facilities from 2002–2017 (White areas without reported pediatric leprosy) Conclusion The increasing proportion of G2D in children in the second half of the study period despite declining incidence suggest occult infections among children and adults alike in Minas Gerais. Furthermore, the average age of diagnosis in children should increase, not decrease, if M. leprae transmission was truly declining. Lastly, the association between fewer municipality health facilities and increased disability suggest barriers to timely diagnosis and a critical area of focus for research into access to healthcare and leprosy risk. Disclosures All Authors: No reported disclosures


2021 ◽  
pp. 002204262110004
Author(s):  
Alejandro Azofeifa ◽  
Rosalie L. Pacula ◽  
Margaret E. Mattson

Given the rapidly changing U.S. cannabis legislation landscape, the aim of this article is to describe individuals who self-reported growing cannabis in the past year by selected characteristics and geographical location. Using data from 2010 to 2014 National Survey on Drug Use and Health, we conducted bivariate chi-square tests and ran a multivariable logistic regression model to examine the indicators associated with growing cannabis. Approximately, 484,000 individuals aged 12+ self-reported growing cannabis in the past year (1.6% of marijuana users). Predictors of growing cannabis included being male and self-reported reporting using cannabis for a greater number of days. Data showed differences in the proportion of cannabis growers by the state of residence. Obtaining a baseline estimate of cannabis growing practices prior to recreational cannabis markets emerging (2014) is important because such practices may undermine efforts to discourage diversion to youth. Tracking these acquisition patterns will better inform content for public health messaging and prevention education, particularly those targeting youth.


2011 ◽  
Vol 4 (4) ◽  
pp. 4753-4800
Author(s):  
R. Bauer ◽  
A. Rozanov ◽  
C. A. McLinden ◽  
L. L. Gordley ◽  
W. Lotz ◽  
...  

Abstract. The increasing amounts of reactive nitrogen in the stratosphere necessitates accurate global measurements of stratospheric nitrogen dioxide (NO2). Over the past decade, the SCIAMACHY (SCanning Imaging Absorption spectroMeter for Atmospheric CHartographY) instrument on ENVISAT (European Environmental Satellite) has been providing global coverage of stratospheric NO2 every 6 days, which is otherwise difficult to achieve with other systems (e.g. balloon measurements, solar occultation). In this study, the vertical distributions of NO2 retrieved from limb measurements of the scattered solar light from the SCIAMACHY instrument are validated using NO2 products from three different satellite instruments (SAGE II, HALOE and ACE-FTS). The retrieval approach, as well as the sensitivity of the SCIAMACHY NO2 limb data product are discussed, and the photochemical corrections needed to make this validation feasible, as well as the chosen collocation criteria are described. For each instrument, a time period of two years is analyzed with several hundreds of collocation pairs for each year and instrument. The agreement between SCIAMACHY and each instrument is found to be better than 10 % between 22–24 km and 40 km. Additionally, NO2 amounts in three different latitude regions are validated individually, with considerably better agreements in high and middle latitudes compared to tropics. Differences with SAGE II and ACE-FTS below 20 km are consistent with those expected from the diurnal effect.


2004 ◽  
Vol 1 (1) ◽  
pp. 1-2 ◽  
Author(s):  
Henry Louis Gates

In 1903, William Edward Burghardt Du Bois famously predicted that the problem of the twentieth century would be the problem of the color line. Indeed, during the past century, matters of race were frequently the cause of intense conflict and the stimulus for public policy decisions not only in the United States, but throughout the world. The founding of the Du Bois Review: Social Science Research on Race at the beginning of the twenty-first century acknowledges the continuing impact of Du Bois's prophecy, his pioneering role as one of the founders of the discipline of sociology in the American academy, and the considerable work that remains to be done as we confront the “problem” that Du Bois identified over a century ago.


Sign in / Sign up

Export Citation Format

Share Document