A mysterious black streak in the sky has baffled Black Country residents with many sharing their photographs online to find out more.
This black streak across the sky has inspired many theories across the Black Country online. Photo: Lauren Garratt
The spectacle was photographed in the sky over Gornal on Wednesday, with others snapping pictures of it in Wombourne, Kingswinford and over the Birmingham New Road."Harry Kane's penalty finally coming back down"
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Racial and Ethnic Disparities in Opioid Access and Urine Drug Screening Among Older Patients With Poor-Prognosis Cancer Near the End of Life | Journal of Clinical OncologyPURPOSE To characterize racial and ethnic disparities and trends in opioid access and urine drug screening (UDS) among patients dying of cancer, and to explore potential mechanisms. METHODS Among 318,549 non-Hispanic White (White), Black, and Hispanic Medicare decedents older than 65 years with poor-prognosis cancers, we examined 2007-2019 trends in opioid prescription fills and potency (morphine milligram equivalents [MMEs] per day [MMEDs]) near the end of life (EOL), defined as 30 days before death or hospice enrollment. We estimated the effects of race and ethnicity on opioid access, controlling for demographic and clinical factors. Models were further adjusted for socioeconomic factors including dual-eligibility status, community-level deprivation, and rurality. We similarly explored disparities in UDS. RESULTS Between 2007 and 2019, White, Black, and Hispanic decedents experienced steady declines in EOL opioid access and rapid expansion of UDS. Compared with White patients, Black and Hispanic patients were less likely to receive any opioid (Black, –4.3 percentage points, 95% CI, –4.8 to –3.6; Hispanic, –3.6 percentage points, 95% CI, –4.4 to –2.9) and long-acting opioids (Black, –3.1 percentage points, 95% CI, –3.6 to –2.8; Hispanic, –2.2 percentage points, 95% CI, –2.7 to –1.7). They also received lower daily doses (Black, –10.5 MMED, 95% CI, –12.8 to –8.2; Hispanic, –9.1 MMED, 95% CI, –12.1 to –6.1) and lower total doses (Black, –210 MMEs, 95% CI, –293 to –207; Hispanic, –179 MMEs, 95% CI, –217 to –142); Black patients were also more likely to undergo UDS (0.5 percentage points; 95% CI, 0.3 to 0.8). Disparities in EOL opioid access and UDS disproportionately affected Black men. Adjustment for socioeconomic factors did not attenuate the EOL opioid access disparities. CONCLUSION There are substantial and persistent racial and ethnic inequities in opioid access among older patients dying of cancer, which are not mediated by socioeconomic variables.
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Alibaba/Ryan Cohen: China is no country for bold activists\n\t\t\tExpert insights, analysis and smart data help you cut through the noise to spot trends,\n\t\t\trisks and opportunities.\n\t\t\n\t\tJoin over 300,000 Finance professionals who already subscribe to the FT.
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India Might Now Be the World's Most Populous CountryThe National Bureau of Statistics of China reported Tuesday the country's first population decline in decades.
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Snow & ice warnings cover length of country as conditions spark travel delaysSNOW and ice warnings cover the length of the UK today amid bitterly cold temperatures. The chilly snap has brought a blanket of the white stuff to southern England, Wales, Scotland and Northern Ir…
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Black Myth: WuKong launches summer 2024Black Myth: WuKong is set to launch in summer 2024. The game, from Chinese developer Game Science, is a Soulslike adapt…
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Watch: First look at Liam Neeson in new crime thrillerThe film is based on the 2014 novel 'The Black-Eyed Blonde' by John Banville
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