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Incidence, Prevalence, and Mortality Rate of Gastrointestinal Cancer in Isfahan, Iran: Application of the MIAMOD Method

  • Moradpour, Farhad;Gholami, Ali;Salehi, Mohammad;Mansori, Kamiar;Maracy, Mohammad Reza;Javanmardi, Setareh;Rajabi, Abdolhalim;Moradi, Yousef;Khodadost, Mahmod
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup3호
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    • pp.11-15
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    • 2016
  • Gastrointestinal cancers remain the most prevalent cancers in many developing countries such as Iran. The aim of this study was to estimate incidence, prevalence and mortality, as well as time trends for gastrointestinal cancers in Isfahan province of Iran for the period 2001 to 2010 and to project these estimates to the year 2020. Estimates were driven by applying the MIAMOD method (a backward calculation approach using mortality and relative survival rates). Mortality data were obtained from the Ministry of Health and the relative survival rate for all gastrointestinal cancers combined was derived from the Eurocare 3 study. Results indicated that there were clear upward trends in age adjusted incidence (males 22.9 to 74.2 and females 14.9 to 44.2), prevalence (males 52.6 to 177.7 and females 38.3 to 111.03), and mortality (males 14.6 to 47.2 and females 9.6 to 28.2) rates per 100,000 for the period of 2001 to 2010 and this upward state would persist for the projected period. For the entire period, the male to female ratio increased slightly for all parameters (incidence rate increased from 1.5 to 1.7, prevalence from 1.4 to 1.6, and mortality from 1.5 to 1.7). In males, totals of 2,179 incident cases, 5,097 prevalent cases and 1,398 mortality cases were predicated to occur during the study period. For females the predicted figures were 1,379, 3,190 and 891, respectively. It was concluded that the upward trend of incidence alongside increase in survival rates would induce a high burden on the health care infrastructure in the province of Isfahan in the future.

유비쿼터스 컴퓨팅 환경에서의 DICOM 설계에 대한 연구 (A Study on the Design of DICOM Integration Engine in the Ubiquitous Computing Environments)

  • 임인철;하안례;김창수;황인철;옥치상
    • 대한방사선기술학회지:방사선기술과학
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    • 제28권4호
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    • pp.307-315
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    • 2005
  • 유비쿼터스 컴퓨팅 환경에서의 최근 ICT의 급속한 발전으로 관련 산업은 놀라운 성장을 하고 있다. 따라서 의료 정보산업 관련 디지털 병원 시스템에서도 진료서비스 환경도 여러 형태의 모바일 장비 및 유선의 디바이스를 통한 시간, 장소에 관계없이 차별화된 진료 서비스가 가능하다. 그러므로 정보통신과 접목한 의료 정보 관련 솔루션의 도입은 병원 네트워크의 통합시스템이 주류를 형성하며 시너지 효과를 나타내고 있다. 현재 병원의 PACS 솔루션은 의료영상저장전송시스템으로 많은 병원들이 디지털 환경의 정보화를 위한 시스템으로 채택하고 있으며, 기존의 시스템을 무선통신, 인터넷 등의 영역으로 통합하여 유비쿼터스 컴퓨팅 환경의 개념이 형성되고 있다. 이런 시스템의 통합은 모바일 병원의 빠른 성장을 주도하고 있으며, 각각의 네트워크 및 원격 네트워크에 있는 진료 지원파트 및 임상의들은 획기적인 진료의 업무 프로세스를 요구하고 있다. 따라서 본 논문에서 설계하는 DICOM 엔진은 기존의 PACS DB 서버의 구조를 변경하지 않고 상호운용이 가능하며, 각각의 사용자의 요구에 응답하는 유 무선 통합의 진료지원 시스템이다.

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Conclusions and Suggestions on Low-Dose and Low-Dose Rate Radiation Risk Estimation Methodology

  • Sakai, Kazuo;Yamada, Yutaka;Yoshida, Kazuo;Yoshinaga, Shinji;Sato, Kaoru;Ogata, Hiromitsu;Iwasaki, Toshiyasu;Kudo, Shin'ichi;Asada, Yasuki;Kawaguchi, Isao;Haeno, Hiroshi;Sasaki, Michiya
    • Journal of Radiation Protection and Research
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    • 제46권1호
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    • pp.14-23
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    • 2021
  • Background: For radiological protection and control, the International Commission on Radiological Protection (ICRP) provides the nominal risk coefficients related to radiation exposure, which can be extrapolated using the excess relative risk and excess absolute risk obtained from the Life Span Study of atomic bomb survivors in Hiroshima and Nagasaki with the dose and dose-rate effectiveness factor (DDREF). Materials and Methods: Since it is impossible to directly estimate the radiation risk at doses less than approximately 100 mSv only from epidemiological knowledge and data, support from radiation biology is absolutely imperative, and thus, several national and international bodies have advocated the importance of bridging knowledge between biology and epidemiology. Because of the accident at the Tokyo Electric Power Company (TEPCO)'s Fukushima Daiichi Nuclear Power Station in 2011, the exposure of the public to radiation has become a major concern and it was considered that the estimation of radiation risk should be more realistic to cope with the prevailing radiation exposure situation. Results and Discussion: To discuss the issues from wide aspects related to radiological protection, and to realize bridging knowledge between biology and epidemiology, we have established a research group to develop low-dose and low-dose-rate radiation risk estimation methodology, with the permission of the Japan Health Physics Society. Conclusion: The aim of the research group was to clarify the current situation and issues related to the risk estimation of low-dose and low-dose-rate radiation exposure from the viewpoints of different research fields, such as epidemiology, biology, modeling, and dosimetry, to identify a future strategy and roadmap to elucidate a more realistic estimation of risk against low-dose and low-dose-rate radiation exposure.

하수오 침출술이 흰쥐의 기억력 손상에 미치는 영향 (Effects of Polygoni multiflori radix Liquors on the Memory Impairment of Rat)

  • 공현주;신승렬;황수정;이경은;장정현;양경미
    • 한국조리학회지
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    • 제22권4호
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    • pp.128-142
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    • 2016
  • 본 연구는 하수오 침출약용주의 만성 섭취에 의한 뇌의 기억력 감퇴에 미치는 영향을 알아보고자 전체 섭취 열량의 12%를 설탕으로 공급한 정상 액체식이군, 담금 소주 액체식이군, 백하수오 침출약용주 액체식이군 및 적하수오 침출약용주 액체식이군으로 나누어 6주 동안 액체식이를 공급시킨 다음 시료를 채취하여 생화학 분석을 실시하였다. 혈청과 뇌 조직을 이용한 생화학 분석으로 알코올의 분해 능력을 알아보기 위하여 ADH와 ALDH 활성 및 acetaldehyde 농도, 그리고 뇌의 기억력 측정하기 위하여 총 choline 및 acethycholine 농도와 AChE 활성을 측정하였다. 뇌 조직에서 ADH는 정상식이군에 비해 담금 소주 알코올 섭취군에서 유의적으로 활성이 낮았으나, 담금 소주 대신에 백하수오 및 적하수오 침출 약용주를 섭취했을 때 p<0.05 수준에서 높은 활성을 보였다. ADLH 활성은 모든 군 중에서 백하수오 침출약용주를 섭취한 군에서 가장 높았으며, 알코올의 대사산물로 독성이 강한 acetaldehyde는 담금 소주 섭취군에서 높은 농도를 보였다(p<0.05). 그러나 백하수오 침출약용주를 섭취한 군에서는 낮은 acetaldehyde 농도를 보임으로써 담금 소주에 비해 백하수오 침출약용주에서 알코올 분해능력은 높고, 독성은 낮은 것으로 나타났다. 기억력 감퇴와 상관성이 높은 acetylcholine 농도는 모든 실험군 중에서 담금 소주 섭취군에서 유의적으로 가장 낮았으며(p<0.05), 이러한 결과는 담금 소주군에서 기억력의 손상을 가장 많이 받은 것으로 해석된다. 그러나 담금 소주 대신에 백하수오와 적하수오 침출약용주를 섭취한 군에서의 acetylcholine 농도는 정상식이 섭취군보다 유의적으로 더 높은 함량을 보였다(p<0.05). Acetylcholine 가수분해 효소인 혈청과 뇌 조직에서의 AChE는 정상식이군과 하수오 침출약용주에 비해 p<0.05 수분에서 높은 활성을 보였다.

Lifestyle intervention might easily improve blood pressure in hypertensive men with the C genotype of angiotensin II type 2 receptor gene

  • Kitaoka, Kaori;Kitade, Azusa;Nagaoka, Junko;Tsuzaki, Kokoro;Harada, Kiyomi;Aoi, Wataru;Wada, Sayori;Asano, Hiroaki;Sakane, Naoki;Higashi, Akane
    • Nutrition Research and Practice
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    • 제9권4호
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    • pp.385-392
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    • 2015
  • BACKGROUND/OBJECTIVES: Recent studies have reported an association of the angiotensin II type 2 receptor (AT2R) 3123Cytosine/Adenine (3123C/A) polymorphism with essential hypertension and cardiovascular diseases. The purpose of the study was to investigate whether the AT2R 3123C/A polymorphism affects blood pressure for free-living hypertensive men during a 5-month intervention period. SUBJECTS/METHODS: The subjects were free-living hypertensive Japanese men aged 40 to 75 years who agreed to intervention in the period from 2004 to 2011. Detection of the AT2R 3123C/A polymorphism was determined by polymerase chain reaction. The dietary intervention was designed to decrease salt level and to increase potassium level through cooking instructions and self-monitoring of the diet. The exercise session consisted of activities such as stretching, resistance training, and walking. Blood pressure, urinary sodium and potassium excretion, dietary and lifestyle data, and non-fasting venous blood sample were collected at baseline and after the intervention period. RESULTS: Thirty nine subjects were eligible for participation and the follow-up rate was 97.4%. The C allele proportion was 57.9%. AT2R 3123C/A polymorphism was X-chromosome-linked, therefore we analyzed the C and A genotypes. At baseline, no significant differences were observed between the genotype groups. After the intervention, there were no significant differences in lifestyle habit between the groups. Nevertheless, the estimated salt excretion (g/day) was significantly decreased only in the C genotype (13.0-10.3, P = 0.031). No significant change was observed in systolic blood pressure (SBP) (mmHg) in the A genotype, but a significant decrease was observed in the C genotype (150.0-141.5, P = 0.024). CONCLUSTIONS: In the C genotype, it might be easy to improve SBP through lifestyle intervention in free-living hypertensive Japanese men, however generalization could not be achieved by the small sample size.

Breast Cancer Trend in Iran from 2000 to 2009 and Prediction till 2020 using a Trend Analysis Method

  • Zahmatkesh, Bibihajar;Keramat, Afsaneh;Alavi, Nasrinossadat;Khosravi, Ahmad;Kousha, Ahmad;Motlagh, Ali Ghanbari;Darman, Mahboobeh;Partovipour, Elham;Chaman, Reza
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.1493-1498
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    • 2016
  • Background: Breast cancer is the most common cancer in women worldwide with a rising incidence rate in most countries. Considering the increase in life expectancy and change in lifestyle of Iranian women, this study investigated the age-adjusted trend of breast cancer incidence during 2000-2009 and predicted its incidence to 2020. Materials and Methods: The 1997 and 2006 census results were used for the projection of female population by age through the cohort-component method over the studied years. Data from the Iranian cancer registration system were used to calculate the annual incidence rate of breast cancer. The age-adjusted incidence rate was then calculated using the WHO standard population distribution. The five-year-age-specific incidence rates were also obtained for each year and future incidence was determined using the trend analysis method. Annual percentage change (APC) was calculated through the joinpoint regression method. Results: The bias adjusted incidence rate of breast cancer increased from 16.7 per 100,000 women in 2000 to 33.6 per 100,000 women in 2009. The incidence of breast cancer had a growing trend in almost all age groups above 30 years over the studied years. In this period, the age groups of 45-65 years had the highest incidence. Investigation into the joinpoint curve showed that the curve had a steep slope with an APC of 23.4% before the first joinpoint, but became milder after this. From 2005 to 2009, the APC was calculated as 2.7%, through which the incidence of breast cancer in 2020 was predicted as 63.0 per 100,000 women. Conclusions: The age-adjusted incidence rate of breast cancer continues to increas in Iranian women. It is predicted that this trend will continue until 2020. Therefore, it seems necessary to prioritize the prevention, control and care for breast cancer in Iran.

The Japan Health Physics Society Guideline on Dose Monitoring for the Lens of the Eye

  • Yokoyama, Sumi;Tsujimura, Norio;Hashimoto, Makoto;Yoshitomi, Hiroshi;Kato, Masahiro;Kurosawa, Tadahiro;Tatsuzaki, Hideo;Sekiguchi, Hiroshi;Koguchi, Yasuhiro;Ono, Koji;Akiyoshi, Masahumi;Kunugita, Naoki;Natsuhori, Masahiro;Natsume, Yoshinori;Nabatame, Kuniaki;Kawashima, Tsunenori;Takagi, Shunji;Ohno, Kazuko;Iwai, Satoshi
    • Journal of Radiation Protection and Research
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    • 제47권1호
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    • pp.1-7
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    • 2022
  • Background: In Japan, new regulations that revise the dose limit for the lens of the eye (hereafter the lens), operational quantities, and measurement positions for the lens dose were enforced in April 2021. Based on the international safety standards, national guidelines, the results of the Radiation Safety Research Promotion Fund of the Nuclear Regulation Authority, and other studies, the Working Group of Radiation Protection Standardization Committee, the Japan Health Physics Society (JHPS) developed a guideline for radiation dose monitoring for the lens. Materials and Methods: The Working Group of the JHPS discussed the criteria of non-uniform exposure and the management criteria set not to exceed the dose limit for the lens. Results and Discussion: In July 2020, the JHPS guideline was published. The guideline consists of three parts: main text, explanations, and 26 examples. In the questions, the corresponding answers were prepared, and specific examples were provided to enable similar cases to be addressed. Conclusion: With the development of the guideline on radiation dose monitoring of the lens, radiation managers and workers will be able to smoothly comply with revised regulations and optimize radiation protection.

Eating Frequency of Rice vs. Bread at Breakfast and Nutrient and Food-Group Intake among Japanese Female College Students

  • Sasaki, Satoshi;Shimoda, Taeko;Katagiri, Akane;Tsuji, Tomiko;Amano, Keiko
    • Journal of Community Nutrition
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    • 제4권2호
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    • pp.83-89
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    • 2002
  • We examined the association between eating frequency of rice vs. bread at breakfast and nutrient and food-group intake among 1771 female college students aged 18-20 years. The frequency of main staples at breakfast and the nutrient and food group intake for the previous month were assessed with a validated self-administered diet history questionnaire. We divided main staples into rice, bread, and noodles. As the eating frequency for noodles was almost negligible, we computed the difference of eating frequency of rice minus that of bread(mean = 0.7 times/week). Among 16 nutrients examined, the difference of eating frequency correlated significantly and negatively only with fat intake, especially saturated fatty acid (SFA) (r=-0.31, p<0.001), and significantly and positively with the intake of n-3 poly-unsaturated fatty acid, iron, sodium, protein, carotene, potassium, dietary fiber, and vitamin C (r=0.08-0.15, p<0.001) after adjusting for the energy intake, the residential area, the population size, and the living status with their families. In conclusion, the more frequent intake of rice compared to bread at breakfast correlated with the higher intake of the several vitamins and minerals, and the lower intake of fat, especially SFA. The only unfavorable aspect of the rice group was the higher sodium intake.

Perspectives of Women during Reproductive Years for Cervical Cancer Scans and Influencing Factors

  • Acar, Gokce Banu;Pinar, Gul
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권16호
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    • pp.7171-7178
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    • 2015
  • Background: This descriptive study was performed in order to assess health perspectives of women, who applied to Yildirim Beyazit University Ataturk Education and Research Hospital, Outpatient Clinic of Obstetrics and Gynecology for cervical cancer scans and were in the reproductive years. Factors influencing their perspectives were also assessed. Materials and Methods: In this study, a simple random sampling formula was adopted to calculate the volume (300) of the targeted sample. Results of the research were obtained through individual diagnosis form and cervical cancer and the Pap smear test health belief model scale (HBMS). Results: It was found that 75.0% of the women heard of the Pap smear test before, and 48.7% had undertaken one. Some 51.4% of the women who had Pap smear test expressed that they had the test at irregular periods. Most of the women stated that they heard about the smear test from the health staff (51.7%). Lack of any health complaints (28.3%) and not having adequate information about the test (21.0%) were among the reasons for not undergoing a Pap smear test. It was found that lower dimension average scores of the women obtained from the cervical cancer and Pap smear test HBMS varied from $7.7{\pm}2.3$ to $33.5{\pm}9.3$. When the lower dimension average scores of women from the HBMS were examined, the perception of usefulness was high but the susceptibility and health motivations were low. Conclusions: In this study, it was determined that the awareness of women about cervical cancer and the Pap smear test was insufficient, and susceptibility and motivation perception towards having a Pap smear test were low.

Relationships between Social Support and Social Image Concerns in Turkish Women with Breast Cancer

  • Ozkaraman, Ayse;Culha, Ilkay;Fadiloglu, Zehra Cicek;Kosgeroglu, Nedime;Gokce, Serap;Alparslan, Guler Balci
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권5호
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    • pp.1795-1802
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    • 2015
  • Background: Breast cancer is one of the most common cancer types in women and is amongst the most devastating and stressful events in the life of women. The external appearance of breast cancer patients usually changes due to the surgical and/or medical therapies used. An association may be found between social support perception and social appearance anxiety in patients with breast cancer in the period after mastectomy. Therefore, this study investigated the social appearance anxiety and social support status in women with breast cancer in our country. Materials and Methods: A descriptive cross-sectional study was conducted in breast cancer patients undergoing treatment or follow-up in Medical Oncology and General Surgery departments. Results: The mean age of the participants was $51.13{\pm}8.48$ years (range, 24-74 years) with nearly half of the patients (40.6%) aged 40-50 years. Of the patients, 39.1% had stage 3 breast cancer. The mean score on Cancer Patient's Social Support Scale (CPSSS) was $134.85{\pm}9.35$, and there was a significant difference in CPSSS total scores betweena the age groups, educational levels, self-reported income levels and stage of disease (p<0.05). The mean Social Image Anxiety Scale (SIAS) score was found to be $34.30{\pm}9.35$ (min:16, max:66) in women participating in this study. The CPSSS and SIAS scores of the participants were inversely correlated, and the SIAS score was found to decrease with the increasing CPSSS score but with no statistically significant difference (r=-0.110, p=0.217). Conclusions: Social appearance anxiety is higher in the patients with poor social support.