Colon cancer: Aggressive follow-up not needed after low-risk polyp removal

first_imgPeople who have had colonoscopy or sigmoidoscopy to remove low-risk colorectal polyps may have no greater risk of dying from colon cancer than the general public and likely do not need frequent follow-up colonoscopies, according to new findings by Harvard School of Public Health (HSPH) researchers and colleagues.The researchers, including Mette Kalager, visiting scientist in HSPH’s Department of Epidemiology, followed nearly 41,000 patients in Norway who had colorectal polyps removed between 1993 and 2007, and tracked how many died from colon cancer through 2011. Those who had a single polyp smaller than a centimeter removed had a 25 percent reduced chance of death from colon cancer, compared to the general population. On the other hand, patients with more than one polyp or larger polyps had a 16 percent higher chance of dying from colon cancer.The study, the largest and longest-running of its kind, was published August 28, 2014 in the New England Journal of Medicine. Read Full Storylast_img read more

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Five essentials of strategic planning

first_imgHere’s a bonus tip!Now more than ever, understand that flexibility is critical. As you learned in 2020, things change every day. Your strategic plan is a guidebook, but it is also a fluid and adaptive document. Out of the hundreds of tasks you outlined to accomplish over the 12 months in 2020, many changed and evolved, just like circumstances changed due to economic fluxes and shifting priorities caused by the COVID-19 pandemic. As you close out this year, your strategic plan helped by keeping track of where you are. Now, you can refer to the plan for guidance, and look forward.If you’ve gotten this far, you clearly recognize the need for a partner when working through your financial institution’s strategic plan. As you work through the above steps, your leadership team will be ready to embark on creating your organization’s strategic journey. Fill out this form to receive our strategic planning guide to get the ball rolling for your 2021 plan.For free strategic planning analysis and recommendations, email [email protected] 3SHARESShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblr,Hilary Reed Hilary Reed, founder of EmpowerFi, is an innovative thought-leader who has been involved in various aspects of strategic sales and marketing for 15 years. Her career began in 2000 when … Web: www.empowerfi.org Details Strategic planning is so much more than just a weekend exercise. Potentially, it could mean the difference between being run-of-the-mill or being an innovative organization forging a new path within your community.Developing a leadership team that believes in planning is critical not only in surviving a project but thriving long after all of the dashboard gauges register 100% and your credit union is reaping the rewards of a new initiative. Strategic planning leaps from the pages of a static plan and takes ideas, inspiration, and hard work to transform words into action by being free and flexible using solid direction and guidance.While the spreadsheets and charts are critical for your planning process, it’s important for credit unions to use their untapped potential through leadership initiative and ownership, which provides the external facilitator with a means to develop a framework for aligning priorities, making decisions, allocating resources, and measuring impact. Once your plan is in place, you will see results that include purpose, direction, value-driven goals, a thorough master plan, and increased collaboration among staff.Here are the five essentials of strategic planning that financial institutions of any size can use to transform their organization.Take inventory. If you haven’t actually looked at the plan you made for 2020 in a while, let’s start there. So many teams make a plan only to lose sight of it throughout the year; however, this being 2020, you probably want to take a match and burn it! With strategic planning for 2021 in your sights, maybe that original plan should be brushed off and brought back to the table, then, enroll your team in a collective pulse-check.  Identify your biggest achievable goals. You have less than 60 days in the calendar year to make these happen. Call an audible, run your 2-minute offense, hit a grand slam … whatever your sports analogy might be, kick hard to close the gap on these goals like it’s the last 1/10th of a mile to the finish line. These are the opportunities you have the resources ready to close the space around the quickest. This is where you leverage your collective strengths to get from wherever you are now, to the place you want to be by the end of the year.  Then, identify your areas of opportunity (pain points). As if you didn’t have enough pain during 2020, now is the time to get real and be honest about the things you’re not best at and what you’re struggling with. What work needs to be done to lean into these opportunities? Shoot straight with yourselves and focus on the stuff that you know you can do really well in the time you’ve got left this year.  Make a 60-day plan for the final quarter push. Use all of the information you glean from the evaluation of your end-of-the year 60-day plan to create a strategy to bring it home for the year.Review and Recap: How did your organization perform in 2020?Exercise:Where can we improve?Which successes can we expand upon?Is there anything that we left on the table in 2020 that should be addressed in 2021?last_img read more

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Metric Gaming – Pricing up the World Cup

first_img FDJ’s ParionsSport launches sponsorship programme for French amateur football August 24, 2020 StumbleUpon Submit Related Articles Chris Taylor, Head of Football at Metric Gaming, looks at the challenges sportsbook traders face during major tournaments, such as the World Cup.The World Cup has delivered a run of surprise results to date; Argentina, Spain, Portugal and reigning champions Germany have all been eliminated. And perhaps the biggest shock of all – England beat Colombia in a 4-3 penalty shoot-out win to progress to the quarter Finals.The explosive start to the tournament has captivated football fans all over the world, but it is causing chaos for bookmakers and their trading teams as they struggle to keep pace and strike the right balance between risk and reward.Take, for example, the odds of England winning the World Cup. They began the tournament at a realistic 16/1. However as soon as the tournament kicked off events have created a perfect maelstrom for the Three Lions and their hibernating supporters.“Fluctuating odds and markets are only part of the huge challenge”The odds have changedOn the 17th of June, Germany’s loss to Mexico combined with Argentina’s draw the previous day with Iceland shortened England to 14/1.On the 18th after the last gasp winner against Tunisia they shortened to 12/1.Four days later Argentina lost to Croatia and England shortened to 10/1.On the 24th after beating Panama they dropped to a single figure price of 9/1.Despite losing to a superior Belgian outfit, their position in the benign side of the draw shortened them to 8/1 on the 28th.By the time Spain lost to Russia, England dropped to a low of 11/2.They drifted back to 6/1 and 13/2 as the markets saw a flood of bets for Colombia before their encounter with England, with odds on Colombia progressing to the quarter-finals shortening by as much as 4.5/5%.On Tuesday, England beat Colombia on penalties to go 4/1 making them the joint second favourites with France.As of Tuesday, England are the shortest of the four favourites to qualify for the semi-finals at 2/5, and the shortest to win their match in 90 minutes at 19/20. MoneyMatrix boosts wire transfer options by integrating Klarna’s Sofort August 24, 2020center_img Share Share Premier League looks to broadcast every behind-closed-door fixture August 28, 2020 Traders under pressure to keep paceThese fluctuating odds and markets are only part of the huge challenge operators and traders face during major tournaments. Additional pain points include:A bad run of results can do untold damage to bottom lineThe World Cup consists of just 64 games – the Premier League and Serie A are made up of 380 games – so variance can have a huge impact on such a small data set. Bookmakers can have a horrendous run of results across just 64 games, which would invariably even out over the course of a nine-month season.During the 64 games the entire focus of the business bears down on the football desk, and when pricing strategies are driven by an ultra-competitive landscape where all that matters are turnover and acquisition numbers, there’s nowhere to hide when variance is unkind.“Reacting to events in tournaments like the World Cup is crucial”Long-term prices take up valuable resourceIt is also the one time of the year that football desks release and update hundreds of long-term prices daily (tournament winners, top goal scorer, etc).Some of these are not linked to the match prices, which means they have a lot of mutually inclusive prices that are not algorithmically linked.These prices therefore take up a huge amount of physical resource which often amounts to little genuine turnover. These markets will attract the savvy mathematical punters disproportionately, whilst the recreational customer has little interest in the top Costa Rican goal scorer.Less games, more painThe truncated format of the tournament means there can be up to four games a day, funnelling customers’ activity into fewer betting opportunities than they would have during the regular football season. Customers who place multiple bets generally display very similar betting patterns and invariably, if all the favourites win the bookmakers take a big hit.Unexpected events and statistical blipsReacting to events in tournaments like the World Cup is crucial; some books got wise to the unusual number of penalties being awarded in the opening games, others just moved their lines up 3-5% and got caught as they didn’t respond to the tournament events.Own goals have also been a statistical blip. Interpreting the data and the trends is vital for any trading department but is also one of the hardest areas to understand; 64 games is not really an adequate data set to work with.“The industry and the market often overreact based on one or two results”Tips for tradersTraders need to constantly re-evaluate teams that have out-performed their odds. However, in such a short format, variance and luck can play a huge part in who qualifies and who doesn’t. The more matches that are played, the more the best team will triumph, but cup competitions will always produce anomalies.The industry and the market often overreact based on one or two results when the reality is probably somewhere closer to the initial expectations for that match a day before the tournament started. The skill is to quickly fit the revised expectations into the model before someone else has fit them into their model.I’d always recommend running a model based on the expectations the day the tournament started to reference against current market prices. This will help you rationalise the weight the market is attributing to the circumstances that unfold once the tournament starts.Traders should fit the current expectations into a model and continually run the model to remain within the market. Metric are currently developing football products that will automate some of these issues, and that will prevent a company from internally arbitraging with themselves between match prices and long-term pricing.There is still a long way to go in the 2018 World Cup, with plenty more surprises in store. This will undoubtedly keep traders on their toes, but by following the above advice they stand a much better chance of coming out on top.last_img read more

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