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IntroductionThe COVID-19 pandemic affected the ski industry globally, including limiting access to ski resorts and prompting more skiers and snowboarders to explore the backcountry. In this study, we quantified the willingness to take risks (risk propensity) and self-perceived ability to assess hazards in the backcountry and to explore correlations between these factors.MethodsWe based our study on a previously reported data set gathered under the supervision of our senior author, who collected anonymous responses to a 29-question online survey completed by 4792 self-identified backcountry skiers and snowboarders (aged ≥18 yr) in the United States and Canada. The survey was distributed primarily through regional avalanche centers, education providers, and skiing organizations. Pearson correlation coefficients and multivariable linear regression models were used to analyze associations among variables. More specifically, we examined the relationships among confidence in assessing avalanche terrain and willingness to take risks, level of avalanche training, years of experience, and days per season of backcountry skiing.ResultsWe identified a positive correlation between confidence in assessing avalanche terrain and willingness to take risks, level of avalanche training, years of experience, and days per season of backcountry skiing. Female respondents demonstrated lower risk willingness and self-reported ability to assess avalanche risk compared to males. Over 30% of individuals lacking level 1 avalanche training expressed confidence in appraising complex terrain. Our findings demonstrated a positive correlation between greater risk propensity, formal avalanche education, and increasing confidence in assessing avalanche terrain. However, we also observed concerningly high confidence levels among skiers with minimal or no training.ConclusionsAvalanche education should focus on aligning skiers' confidence with their actual abilities to reduce overconfidence and enhance safety. We recommend that future research aim to include a more diverse sample, especially those less engaged in formal avalanche education.
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http://dx.doi.org/10.1177/10806032251368754 | DOI Listing |
Eur J Gastroenterol Hepatol
September 2025
Department of General Medicine, Affiliated Anqing First People's Hospital of Anhui Medical University, Anqing, Anhui, China.
Hepatocellular carcinoma (HCC) is one of the leading causes of cancer-associated death globally. Second-line therapies are crucial for improving survival and quality of life among individuals suffering from advanced HCC who have not responded to first-line therapies. This study sought to evaluate the safety and efficacy of different second-line therapies for advanced HCC by network meta-analysis.
View Article and Find Full Text PDFEur J Gastroenterol Hepatol
August 2025
Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California.
Aims: We investigated the independent association between dietary vitamin E intake among individuals with metabolic dysfunction-associated steatotic liver disease (MASLD) and all-cause and cause-specific mortality in a representative sample of the USA.
Methods: We used the 2007-2014 US National Health and Nutrition Examination Survey with mortality follow-up through 2019 (median: 8.6 years).
Eur J Gastroenterol Hepatol
September 2025
Background: Prior studies have implicated diabetes as a risk factor for pancreatic cancer, yet the impact of diabetes progression on pancreatic cancer incidence remains unclear. We aim to assess pancreatic cancer risk across different stages of diabetes.
Methods: Employing a predefined search strategy, we conducted a literature review of electronic databases up to 29 February 2024.
J Cataract Refract Surg
July 2025
Department of Ophthalmology, Saarland University Medical Center, Homburg/Saar, Germany.
Topic: The aim of this study was to assess the meta-analysis of the studies comparing transepithelial photorefractive keratectomy (TransPRK) to classical photorefractive keratectomy (PRK) (mechanical or alcohol-assisted).
Clinical Relevance: While PRK is a well-established procedure, TransPRK, a newer, minimally invasive technique may reduce surgery time and improve patient outcomes. Comparing these techniques helps optimize surgical choices.
Epidemiol Serv Saude
September 2025
Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
Objectives: To assess the time taken to diagnose cervical cancer in Brazil and identify associated sociodemographic and clinical factors in the period 2016-2020.
Methods: This was a cross-sectional study of cervical neoplasms diagnosed between 2016 and 2020, using data collected from the Hospital Cancer Registry. The logistic regression model was applied to calculate odds ratios (OR) and 95% confidence intervals (95%CI).