Brian Sandoval - Academia.edu (original) (raw)
Papers by Brian Sandoval
These dates correspond to milestones that affected CNS tumor reporting to the Nevada Central Canc... more These dates correspond to milestones that affected CNS tumor reporting to the Nevada Central Cancer Registry (NCCR): when the NCCR began collecting CNS tumor data (1974); Brain Tumor Working Group (BTWG) recommendation to report non-malignant CNS tumors (1989); and Public Law 107-260 required the reporting of non-malignant brain and CNS tumors (2004). Brain tumors are the most frequent type of malignant CNS tumors (>60%). Brain tumors have a stable incidence trend from 1978 to 2011 with a cumulative age-adjusted rate of 5.6 cases per 100,000 standard population. In terms of age, older populations, aged 24-74, were more affected by malignant brain tumors than younger populations, aged 0-24. Cumulative age-adjusted rates for older and younger populations were 6.8 and 1.6 cases per 100,000 standard population, respectively. All other malignant CNS tumors were infrequent with age-adjusted annual rates of zero or unreliable and a cumulative age-adjusted rate from 1995 to 2011 of 0.8 cases per 100,000 standard population. As expected, non-malignant CNS tumors were only largely reported since 2004 with the implementation of the Benign Brain Tumor Cancer Registries Amendment Act (Public Law 107-260). From 2004 to 2011, non-malignant CNS tumors accounted for 59.7% of all reported CNS tumors and had a cumulative age-adjusted rate of 16.3 cases per 100,000 standard population. In Nevada, the cumulative age-adjusted rate of malignant CNS tumors from 1974 to 2011 was 6.4 cases per 100,000 standard population. Understandably, due to the relatively large proportion of the state population in Clark County and Washoe County, their CNS tumor cumulative age-adjusted rates are similar to those found in Nevada, 6.3 and 6.7 cases per 100,000 standard population. Most rural and frontier counties had unreliable or no incidence of CNS tumors during the observed period. For the years not suppressed, the small peaks of reported cancers do not fulfill the definition of cancer clusters 1. After adjustment, some uncertainty in computed cancer rates may persists because many factors contribute to the incidence rate in a given year or location, and some factors exhibit random behavior. Chance plays a role in determining if and when cancer develops in an individual and whether that cancer is detected. For these reasons, the reported rates are expected to vary from year to year within a state or county even in the absence of a general trend. Thus, caution is warranted when examining cancer rates for a single year and more so when rates are based on relatively few cases.
IV. First Public Comment Session ................................................................... more IV. First Public Comment Session ................................................................... Randi Hunewill, Chair Members of the public will be invited to speak before; however, no action may be taken on a matter during public comment until the matter itself has been included on an agenda as an item for possible action. Public comment may be limited to three (3) minutes per person at the discretion of the chairperson.
The Public Employees’ Benefits Program, 901 S. Stewart Street, Suite 1001, Carson City Nevada 897... more The Public Employees’ Benefits Program, 901 S. Stewart Street, Suite 1001, Carson City Nevada 89701, (775) 684-7000 or (800) 326-5496, is proposing the amendment of a regulation pertaining to chapter 287 of the Nevada Administrative Code. A workshop has been set for 2:00 p.m., on August 15, 2013, at The Richard Bryan Building at 901 S. Stewart Street, Suite 1002, Carson City, Nevada. The purpose of the workshop is to solicit comments from interested persons on revisions to NAC 287.312.
IV. First Public Comment Session ................................................................... more IV. First Public Comment Session ................................................................... Randi Hunewill, Chair Members of the public will be invited to speak before; however, no action may be taken on a matter during public comment until the matter itself has been included on an agenda as an item for possible action. Public comment may be limited to three (3) minutes per person at the discretion of the chairperson.
Please Note: 1) Items may be taken out of order. The Council chair may combine two or more agenda... more Please Note: 1) Items may be taken out of order. The Council chair may combine two or more agenda items for consideration. The council chair may remove an item from the agenda or delay discussion relating to an item on the agenda at any time. 2) Public Comment is limited to three (3) minutes per person and cannot be acted upon at this meeting. 3) Meetings are audio-recorded as part of the public record. 4) To request backup materials, please contact Sulin Jones, 775-684-3340. 5) Asterisk (*) denotes possible action item for the Council.
These dates correspond to milestones that affected CNS tumor reporting to the Nevada Central Canc... more These dates correspond to milestones that affected CNS tumor reporting to the Nevada Central Cancer Registry (NCCR): when the NCCR began collecting CNS tumor data (1974); Brain Tumor Working Group (BTWG) recommendation to report non-malignant CNS tumors (1989); and Public Law 107-260 required the reporting of non-malignant brain and CNS tumors (2004). Brain tumors are the most frequent type of malignant CNS tumors (>60%). Brain tumors have a stable incidence trend from 1978 to 2011 with a cumulative age-adjusted rate of 5.6 cases per 100,000 standard population. In terms of age, older populations, aged 24-74, were more affected by malignant brain tumors than younger populations, aged 0-24. Cumulative age-adjusted rates for older and younger populations were 6.8 and 1.6 cases per 100,000 standard population, respectively. All other malignant CNS tumors were infrequent with age-adjusted annual rates of zero or unreliable and a cumulative age-adjusted rate from 1995 to 2011 of 0.8 cases per 100,000 standard population. As expected, non-malignant CNS tumors were only largely reported since 2004 with the implementation of the Benign Brain Tumor Cancer Registries Amendment Act (Public Law 107-260). From 2004 to 2011, non-malignant CNS tumors accounted for 59.7% of all reported CNS tumors and had a cumulative age-adjusted rate of 16.3 cases per 100,000 standard population. In Nevada, the cumulative age-adjusted rate of malignant CNS tumors from 1974 to 2011 was 6.4 cases per 100,000 standard population. Understandably, due to the relatively large proportion of the state population in Clark County and Washoe County, their CNS tumor cumulative age-adjusted rates are similar to those found in Nevada, 6.3 and 6.7 cases per 100,000 standard population. Most rural and frontier counties had unreliable or no incidence of CNS tumors during the observed period. For the years not suppressed, the small peaks of reported cancers do not fulfill the definition of cancer clusters 1. After adjustment, some uncertainty in computed cancer rates may persists because many factors contribute to the incidence rate in a given year or location, and some factors exhibit random behavior. Chance plays a role in determining if and when cancer develops in an individual and whether that cancer is detected. For these reasons, the reported rates are expected to vary from year to year within a state or county even in the absence of a general trend. Thus, caution is warranted when examining cancer rates for a single year and more so when rates are based on relatively few cases.
IV. First Public Comment Session ................................................................... more IV. First Public Comment Session ................................................................... Randi Hunewill, Chair Members of the public will be invited to speak before; however, no action may be taken on a matter during public comment until the matter itself has been included on an agenda as an item for possible action. Public comment may be limited to three (3) minutes per person at the discretion of the chairperson.
The Public Employees’ Benefits Program, 901 S. Stewart Street, Suite 1001, Carson City Nevada 897... more The Public Employees’ Benefits Program, 901 S. Stewart Street, Suite 1001, Carson City Nevada 89701, (775) 684-7000 or (800) 326-5496, is proposing the amendment of a regulation pertaining to chapter 287 of the Nevada Administrative Code. A workshop has been set for 2:00 p.m., on August 15, 2013, at The Richard Bryan Building at 901 S. Stewart Street, Suite 1002, Carson City, Nevada. The purpose of the workshop is to solicit comments from interested persons on revisions to NAC 287.312.
IV. First Public Comment Session ................................................................... more IV. First Public Comment Session ................................................................... Randi Hunewill, Chair Members of the public will be invited to speak before; however, no action may be taken on a matter during public comment until the matter itself has been included on an agenda as an item for possible action. Public comment may be limited to three (3) minutes per person at the discretion of the chairperson.
Please Note: 1) Items may be taken out of order. The Council chair may combine two or more agenda... more Please Note: 1) Items may be taken out of order. The Council chair may combine two or more agenda items for consideration. The council chair may remove an item from the agenda or delay discussion relating to an item on the agenda at any time. 2) Public Comment is limited to three (3) minutes per person and cannot be acted upon at this meeting. 3) Meetings are audio-recorded as part of the public record. 4) To request backup materials, please contact Sulin Jones, 775-684-3340. 5) Asterisk (*) denotes possible action item for the Council.