Alexander C Irwin

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BACKGROUND In 30 years of experience in responding to the HIV epidemic, critical decisions and program characteristics for successful scale-up have been studied. Now leaders face a new challenge: sustaining large-scale HIV prevention programs. Implementers, funders, and the communities served need to assess what strategies and practices of scaling up are(More)
According to a recent study the rates of death from lung cancer for white men in the United States began to level off in the late 1970s and decreased between 1982 and 1983. The author reviewed data on death from lung cancer among Canadian men and found that there was an increase of 34% in the adjusted rates between 1971 and 1984. While there was some(More)
The value of prophylactic node dissection was studied in 147 patients with nonsuperficial malignant melanoma of cutaneous origin; all had clinical stage I disease. Seventy-three patients had prophylactic node dissection and 74 did not. Survival rates were calculated by the actuarial method and were age and sex adjusted. Five-year crude survival rates for(More)