• Title/Summary/Keyword: Current incidence

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Gender and Social Disparities in Esophagus Cancer Incidence in Iran, 2003-2009: A Time Trend Province-level Study

  • Kiadaliri, Aliasghar Ahmad
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.2
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    • pp.623-627
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    • 2014
  • Background: Esophagus cancer (EC) is among the five most common cancers in both sexes in Iran, with an incidence rate well above world average. Social rank (SR) of individuals and regions are well-known independent predictors of EC incidence. The aim of current study was to assess gender and social disparities in EC incidence across Iran's provinces through 2003-2009. Materials and Methods: Data on distribution of population at province level were obtained from the Statistical Centre of Iran. Age-standardized incidence rates of EC were gathered from the National Cancer Registry. The Human Development Index (HDI) was used to assess the province social rank. Rate ratios and Kunst and Mackenbach relative indices of inequality ($RII_{KM}$) were used to assess gender and social inequalities, respectively. Annual percentage change (APC) was calculated using joinpoint regression. Results: EC incidence rate increased 4.6% and 6.5% per year among females and males, respectively. There were no gender disparities in EC incidence over the study period. There were substantial social disparities in favor of better-off provinces in Iran. These social disparities were generally the same between males and females and were stable over the study period. Conclusions: The results showed an inverse association between the provinces' social rank and EC incidence rate in Iran. In addition, I found that, in contrast with international trends, women are at the same risk of EC as men in Iran. Further investigations are needed to explain these disparities in EC incidence across the provinces.

Effect of Incidence Angle of Current on the Hydraulic Resistance Capacity of Clayey Soil (흐름의 입사각이 점성토 지반의 수리저항성능에 미치는 영향)

  • Kim, Young-Sang;Han, Byung-Duck;Kang, Gyeong-O
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.24 no.1
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    • pp.26-35
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    • 2012
  • Until now, study on the hydraulic resistance characteristics of the ground at the river and the ocean current has been focused on the behavior under uni-directional flow without the direction change of flow. However, recent research result shows that scour rate which were measured under the bi-directional flow was much higher than those measured under uni-directional flow for both fine grained and coarse soil. Since the direction of inflow and return flow at the shore, where the structure will be constructed, is not always $180^{\circ}$, effect of the incidence angle on the hydraulic resistance capacity of the ground should be examined. Using the improved EFA which can consider the direction change of flow, hydraulic resistance capacities of the artificially composed clayey fine grained soil and clayey sandy soil under $0^{\circ}$, $90^{\circ}$, $135^{\circ}$, $180^{\circ}$ flow angle of incidence were assessed. Test result shows that hydraulic resistance capacity decreases and scour rate increase with the increase of the incidence angle between inflow and return flow. For the low consolidation pressure condition, hydraulic resistance capacity of the fine grained soil decreases rapidly. While the hydraulic resistance capacity of the coarse grained soil decreases more rapidly than fine grained soil under high consolidation pressure. Eventually since the larger the incidence angle between inflow and return flow, the larger the scour rate. Hydraulic resistance capacity under bi-directional flow($0^{\circ}{\longleftrightarrow}180^{\circ}$) should be examined for the design purpose.

Epidemiology of Breast Cancer among Females in Basrah

  • Habib, Omran S;Hameed, Lamis A;Ajeel, Narjis A;Al-Hawaz, Mazin H;Al-Faddagh, Zaki A;Nasr, Ghalib N;Al-Sodani, Ali H;Khalaf, Asaad A;Hasson, Hasson M;Abdul-Samad, Aida A
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.191-195
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    • 2016
  • Breast cancer is the most frequent cancer in females. Its incidence is higher in developed countries than in developing ones partly due to variation in risk exposure and partly due to better detection methods. Scattered evidence in Basrah, Iraq, suggests that breast cancer has been increasing at a significant pace in recent years. This study aimed to measure the current level of risk of breast cancer among females in Basrah and to describe the time trend over almost a decade of years. Data on breast cancer cases from all sources of cancer registration in Basrah governorate were compiled for the years 2005-2012. The data for each year were first checked separately for duplicate reporting of cases among various sources. Then the eight files were pooled together and checked again for any duplicate cases among years of registration. The final set of data contained 2,284 cases of breast cancer (2,213 female cases and 71 male cases). All patients were inhabitants of Basrah governorate at the time of diagnosis. Figures on the Basrah population were obtained from various sources including the Ministry of Health, Ministry of Planning and Developmental Collaboration and local household surveys. It was possible to have total population estimates for each year and by age and sex. The data were imported into SPSS (version 17) software. Age specific and year specific incidence rates were calculated. The age standardized incidence rate was also calculated using world population as the standard population to be 34.9 per 100,000 females. Age-wise, no case was reported among children aged less than 15 years and the incidence increased with advancing age reaching a peak of 123.8/100,000 females at the age range of 50-54 years. The time trend of the crude incidence rate showed only modest increased risk with passage of years and no age shift could be documented in this study. Breast cancer in females in Basrah is a significant health problem. The current incidence rate (crude, 23.7/100,000, age-standardized, 34.9/100,000) is high and justifies intensive efforts to improve early detection of cases, provide better treatment amenities and introduce long term preventive measures. Using the age standardized incidence rate as reported in this paper, it is possible to put the risk in Basrah within a regional and international context.

Projection of Cancer Incidence and Mortality From 2020 to 2035 in the Korean Population Aged 20 Years and Older

  • Youjin, Hong;Sangjun, Lee;Sungji, Moon;Soseul, Sung;Woojin, Lim;Kyungsik, Kim;Seokyung, An;Jeoungbin, Choi;Kwang-Pil, Ko;Inah, Kim;Jung Eun, Lee;Sue K., Park
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.6
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    • pp.529-538
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    • 2022
  • Objectives: This study aimed to identify the current patterns of cancer incidence and estimate the projected cancer incidence and mortality between 2020 and 2035 in Korea. Methods: Data on cancer incidence cases were extracted from the Korean Statistical Information Service from 2000 to 2017, and data on cancer-related deaths were extracted from the National Cancer Center from 2000 to 2018. Cancer cases and deaths were classified according to the International Classification of Diseases, 10th edition. For the current patterns of cancer incidence, age-standardized incidence rates (ASIRs) and age-standardized mortality rates were investigated using the 2000 mid-year estimated population aged over 20 years and older. A joinpoint regression model was used to determine the 2020 to 2035 trends in cancer. Results: Overall, cancer cases were predicted to increase from 265 299 in 2020 to 474 085 in 2035 (growth rate: 1.8%). The greatest increase in the ASIR was projected for prostate cancer among male (7.84 vs. 189.53 per 100 000 people) and breast cancer among female (34.17 vs. 238.45 per 100 000 people) from 2000 to 2035. Overall cancer deaths were projected to increase from 81 717 in 2020 to 95 845 in 2035 (average annual growth rate: 1.2%). Although most cancer mortality rates were projected to decrease, those of breast, pancreatic, and ovarian cancer among female were projected to increase until 2035. Conclusions: These up-to-date projections of cancer incidence and mortality in the Korean population may be a significant resource for implementing cancer-related regulations or developing cancer treatments.

Effects of the Incidence Angle and Temperature on the Performance of a Thin-Film CIGS Solar Cell for Solar Powered UAVs (태양광무인기를 위한 박막형 태양전지의 입사각 및 온도에 따른 성능분석)

  • Shin, Donghun;Kim, Tae Ho
    • 한국신재생에너지학회:학술대회논문집
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    • 2011.11a
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    • pp.55.2-55.2
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    • 2011
  • This research aims to study the effects of the incidence angle and surface temperature on the power generation performance of a thin-film CIGS solar cell for solar powered unmanned aerial vehicles (UAVs). The test rig consists of a unit CIGS solar cell is installed on a table whose angle is controlled manually. A K-type thermocouple is attached to the solar cell surface for temperature measurements. A solar module analyzer measures the voltage and current generated from the test solar cell. The solar module analyzer also calculates the maximum solar power and efficiency of the solar cell. All test data are acquired in a PC. Test results show that the solar cell efficiency decreases significantly with increasing incidence angle and increasing surface temperature in general. As the incidence angle increases from 0 degree to 90 degree, the solar cell efficiency decreases by 60%. The solar cell efficiency decreases by 10% with increasing solar cell surface temperature from $20^{\circ}C$ to $30^{\circ}C$, for exmaple. The direct cooling method of the solar cell using dry ice decreases dramatically the solar cell surface temperature, thus increasing the solar cell efficiency by 15%.

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Increased breast cancer incidence among nurses in a tertiary university hospital in South Korea

  • Juho Choi;Dong-Wook Lee;Baek-Yong Choi;Seung-Woo Ryoo;Taeshik Kim;Yun-Chul Hong
    • Annals of Occupational and Environmental Medicine
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    • v.35
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    • pp.44.1-44.11
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    • 2023
  • Background: A series of breast cancer cases were recently reported in a tertiary university hospital in South Korea. Nurses are generally exposed to risk factors for breast cancer such as night shift work, antineoplastic agents, and job strain. However, the epidemiological evidence of excess incidence among nurses remains lacking. This study aims to investigate the excess incidence of breast cancer among nurses in a tertiary university hospital and provide epidemiological evidence of occupational risk factors. Methods: A retrospective cohort was developed using personnel records of female workers in the nursing department who worked from January 2011 to June 2021 in a tertiary university hospital in South Korea. Sick leave records were used to identify cases of breast cancer. The standardized incidence ratio of breast cancer among nurses was compared to the general population. Results: A total of 5,509 nurses were followed up for 30,404 person-years, and 26 breast cancer cases were identified. This study revealed a significantly increased breast cancer incidence among all included nurses, with a standardized incidence ratio of 1.65 (95% confidence interval [CI]: 1.08-2.41), compared to the general population. Workers, who handle antineoplastic agents in their representative department and current and/or former department, had significantly elevated breast cancer standardized incidence ratios of 2.73 (95% CI: 1.008-5.94) and 3.39 (95% CI: 1.46-6.68), respectively. Conclusions: This study provides significant evidence of increased breast cancer risk among nursing staff in a hospital setting, particularly those who handle antineoplastic drugs. Measures that reduce exposure to risk factors should be implemented, especially anticancer drugs, to protect healthcare professionals. Further research at a national level that focuses on healthcare workers is necessary to validate breast cancer incidence and its contributing factors.

A new method to predict the critical incidence angle for buildings under near-fault motions

  • Sebastiani, Paolo E.;Liberatore, Laura;Lucchini, Andrea;Mollaioli, Fabrizio
    • Structural Engineering and Mechanics
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    • v.68 no.5
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    • pp.575-589
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    • 2018
  • It is well known that the incidence angle of seismic excitation has an influence on the structural response of buildings, and this effect can be more significant in the case of near-fault signals. However, current seismic codes do not include detailed requirements regarding the direction of application of the seismic action and they have only recently introduced specific provisions about near-fault earthquakes. Thus, engineers have the task of evaluating all the relevant directions or the most critical conditions case by case, in order to avoid underestimating structural demand. To facilitate the identification of the most critical incidence angle, this paper presents a procedure which makes use of a two-degree of freedom model for representing a building. The proposed procedure makes it possible to avoid the extensive computational effort of multiple dynamic analyses with varying angles of incidence of ground motion excitation, which is required if a spatial multi-degree of freedom model is used for representing a building. The procedure is validated through the analysis of two case studies consisting of an eight- and a six-storey reinforced concrete frame building, selected as representative of existing structures located in Italy. A set of 124 near-fault ground motion records oriented along 8 incidence angles, varying from 0 to 180 degrees, with increments of 22.5 degrees, is used to excite the structures. Comparisons between the results obtained with detailed models of the two structures and the proposed procedure are used to show the accuracy of the latter in the prediction of the most critical angle of seismic incidence.

Changing Trends of Adult Lymphoma in the Kingdom of Saudi Arabia - Comparison of Data Sources

  • Rauf, Muhammad Shahzad;Akhtar, Saad;Maghfoor, Irfan
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.5
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    • pp.2069-2072
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    • 2015
  • Background: Lymphoma is one of the most common malignancies affecting the young Saudi population. This disease has diversified pathologies and clinical stages that necessitate well optimized clinical management. Regular updates of epidemiological behavior of lymphoma from various parts of the world are available but studies from the Kingdom of Saudi Arabia (KSA) in this field are not consistent. Objectives: The aim of this study was to investigate the current trends in presentation and distribution of lymphoma with special reference to incidence and mortality, gender, age, histopathological subtypes, and clinical stages at King Faisal Specialist Hospital and Research Centre (KFSH&RC). Materials and Methods: Our study included lymphoma data from Saudi Cancer Registry, and relative comparison against KFSH&RC tumor registry data, Gulf country data and International Agency for Research on Cancer data. Results: Common tumors in the West (lung, colon, and prostate) were found to be much less frequent in KSA while leukemia, lymphoma and thyroid cancers were more common. Non-Hodgkin Lymphoma (NHL) ranked 3rd most common cancer with age-adjusted incidence of 6/100,000. Estimated age adjusted mortality was 4/100,000 in KSA. There was a peak rise in incidence of lymphoma in 1997-2007. Most common NHL was diffuse large B cell lymphoma at KFSH&RC. A total of 434 cases were diagnosed in 5 years with 55% of them at advanced stage and 35% demonstrating bulky disease and high risk. KFSH&RC registered 35% of Hodgkins and 21% of total NHL identified in entire Saudi Cancer Registry, 2009. Conclusions: Results of this study are very unique, and reveal diverse trends. The findings provide valuable insights in the understanding of current epidemiological features of lymphoma in this part of the world.

Retethering : A Neurosurgical Viewpoint

  • Lee, Ji Yeoun;Kim, Kyung Hyun;Park, Kwanjin;Wang, Kyu-Chang
    • Journal of Korean Neurosurgical Society
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    • v.63 no.3
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    • pp.346-357
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    • 2020
  • During the follow-up period after surgery for spinal dysraphism, a certain portion of patients show neurological deterioration and its secondary phenomena, such as motor, sensory or sphincter changes, foot and spinal deformities, pain, and spasticity. These clinical manifestations are caused by tethering effects on the neural structures at the site of previous operation. The widespread recognition of retethering drew the attention of medical professionals of various specialties because of its incidence, which is not low when surveillance is adequate, and its progressive nature. This article reviews the literature on the incidence and timing of deterioration, predisposing factors for retethering, clinical manifestations, diagnosis, surgical treatment and its complications, clinical outcomes, prognostic factors after retethering surgery and preventive measures of retethering. Current practice and opinions of Seoul National University Children's Hospital team were added in some parts. The literature shows a wide range of data regarding the incidence, rate and degree of surgical complications and long-term outcomes. The method of prevention is still one of the main topics of this entity. Although alternatives such as spinal column shortening were introduced, re-untethering by conventional surgical methods remains the current main management tool. Re-untethering surgery is a much more difficult task than primary untethering surgery. Updated publications include strong skepticism on re-untethering surgery in a certain group of patients, though it is from a minority of research groups. For all of the abovementioned reasons, new information and ideas on the early diagnosis, treatment and prevention of retethering are critically necessary in this era.

Incidence Risk of Cardiocerebrovascular Disease, Preventive Knowledge, Stage of Change and Health Behavior among Male Bus Drivers (일 지역 남성 운전직 근로자들의 심뇌혈관질환 발병위험도, 예방 관련 지식, 변화단계 및 건강행위)

  • Kim, Eun-Young;Hwang, Seon-Young
    • Korean Journal of Adult Nursing
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    • v.23 no.4
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    • pp.321-331
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    • 2011
  • Purpose: This study was designed to identify the incidence risk of cardicerebrovascular disease (CVD) among male bus drivers, and to examine and compare the predictors of their health behavior according to the level of CVD incidence risk. Methods: The convenience sample of 222 male bus drivers were recruited from a bus company located in Jeonnam province. Data were collected from self-reported questionnaires and annual medical examination records from 2010. The CVD incidence risk was calculated based on the risk criteria for industrial workers. Results: The 26.6% and 26.1% of the participants were in the moderate and high risk group, respectively. The 72% of the participants were in the precontemplation stage and reported no intention to change their unhealthy lifestyles. Stepwise multiple regression analyses showed that current smoking, excessive alcohol drinking, physical inactivity and lack of knowledge were negative predictors of good health behavior in the normal/low risk group (Adj $R^2$=.443). Heavy alcohol drinking, current smoking, physical inactivity and dyslipidemia were reported by the moderate/high risk group (Adj $R^2$=.427). Conclusion: This study suggested that targeted education and counseling are needed to modify unhealthy lifestyles such as alcohol consumption, smoking and exercise among middle aged male drivers. Especially, dyslipidemia should be managed among those who are at risk for CVD.