• Title/Summary/Keyword: Parity

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Clinical Presentation and Frequency of Risk Factors in Patients with Breast Carcinoma in Pakistan

  • Memon, Zahid Ali;Qurrat-ul-Ain, Qurrat-ul-Ain;Khan, Ruba;Raza, Natasha;Noor, Tooba
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.17
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    • pp.7467-7472
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    • 2015
  • Background: Breast cancer is known to be one of the most prevalent cancers among women in both developing and developed countries. The incidence of breast cancer in Pakistan has increased dramatically within the last few years and is the second country after Israel in Asia to have highest proportional cases of breast cancer. However, there are limited data for breast cancer available in the literature from Pakistan. Objectives: The study was conducted to bring to light the common clinical presentation of breast cancer and to evaluate the frequency of established risk factors in breast carcinoma patients and furthermore to compare the findings between premenopausal and postmenopausal women in Pakistan. Materials and Methods: A 6 months (from July 2012 to Dec 2012) cross sectional survey was conducted in Surgical and Oncology Units of Civil Hospital, Karachi. Data were collected though a well developed questionnaire from 105 female patients diagnosed with carcinoma of breast and analyzed using SPSS version 17. Institutional ethical approval was obtained prior to data collection. Results: Out of 105 patients, 43 were premenopausal and 62 were postmenopausal, 99 being married. Mean age at diagnosis was $47.8{\pm}12.4years$. A painless lump was the most frequent symptom, notived by 77.1%(n=81). Some 55.2% (n=58) patients had a lump in the right breast and 44.8%(n=47) in the left breast. In the majority of cases, the lump was present in upper outer quadrant 41.9% (n=44). Mean period of delay from appearance of symptoms to consulting a doctor was $5.13{\pm}4.8months$, from the shortest 1 month to the longest 36 months. Long delay (> 3 months) was the most frequent figure 41.9%. Considering overall risk factors most frequent were first pregnancy after 20 years of age (41%), physical breast trauma (28.6%), lack of breast feeding(21.9%), and early menarche <11 years (19%), followed by null parity (16.2%), consumption of high fat diet (15.2%), family history of breast cancer or any other cancer in first degree relatives (9.5% and 13.3%, respectively). Some of the less common factors were late menopause >54 years (8.6%), use of oral contraceptive pills (10.5%), use of hormone replacement therapy (4.7%),smoking (4.7%) and radiation (0.96%). Significant differences (p<0.005) were observed between pre and post menopausal women regarding history of physical breast trauma, practice of breast feeding and parity. Conclusions: A painless lump was the most frequent clinical presentation noted. Overall age at first child > 20 years, physical breast trauma, lack of breast feeding, early menarche <11 were the most frequent risk factors. Physical breast trauma, lower parity, a trend for less breast feeding had more significant associations with pre-menopausal than post-menopausal onset. Increase opportunity of disease prevention can be obtained through better understanding of clinical presentation and risk factors important in the etiology of breast cancer.

Variance Components and Genetic Parameters for Milk Production and Lactation Pattern in an Ethiopian Multibreed Dairy Cattle Population

  • Gebreyohannes, Gebregziabher;Koonawootrittriron, Skorn;Elzo, Mauricio A.;Suwanasopee, Thanathip
    • Asian-Australasian Journal of Animal Sciences
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    • v.26 no.9
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    • pp.1237-1246
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    • 2013
  • The objective of this study was to estimate variance components and genetic parameters for lactation milk yield (LY), lactation length (LL), average milk yield per day (YD), initial milk yield (IY), peak milk yield (PY), days to peak (DP) and parameters (ln(a) and c) of the modified incomplete gamma function (MIG) in an Ethiopian multibreed dairy cattle population. The dataset was composed of 5,507 lactation records collected from 1,639 cows in three locations (Bako, Debre Zeit and Holetta) in Ethiopia from 1977 to 2010. Parameters for MIG were obtained from regression analysis of monthly test-day milk data on days in milk. The cows were purebred (Bos indicus) Boran (B) and Horro (H) and their crosses with different fractions of Friesian (F), Jersey (J) and Simmental (S). There were 23 breed groups (B, H, and their crossbreds with F, J, and S) in the population. Fixed and mixed models were used to analyse the data. The fixed model considered herd-year-season, parity and breed group as fixed effects, and residual as random. The single and two-traits mixed animal repeatability models, considered the fixed effects of herd-year-season and parity subclasses, breed as a function of cow H, F, J, and S breed fractions and general heterosis as a function of heterozygosity, and the random additive animal, permanent environment, and residual effects. For the analysis of LY, LL was added as a fixed covariate to all models. Variance components and genetic parameters were estimated using average information restricted maximum likelihood procedures. The results indicated that all traits were affected (p<0.001) by the considered fixed effects. High grade $B{\times}F$ cows (3/16B 13/16F) had the highest least squares means (LSM) for LY ($2,490{\pm}178.9kg$), IY ($10.5{\pm}0.8kg$), PY ($12.7{\pm}0.9kg$), YD ($7.6{\pm}0.55kg$) and LL ($361.4{\pm}31.2d$), while B cows had the lowest LSM values for these traits. The LSM of LY, IY, YD, and PY tended to increase from the first to the fifth parity. Single-trait analyses yielded low heritability ($0.03{\pm}0.03$ and $0.08{\pm}0.02$) and repeatability ($0.14{\pm}0.01$ to $0.24{\pm}0.02$) estimates for LL, DP and parameter c. Medium heritability ($0.21{\pm}0.03$ to $0.33{\pm}0.04$) and repeatability ($0.27{\pm}0.02$ to $0.53{\pm}0.01$) estimates were obtained for LY, IY, PY, YD and ln(a). Genetic correlations between LY, IY, PY, YD, ln(a), and LL ranged from 0.59 to 0.99. Spearman's rank correlations between sire estimated breeding values for LY, LL, IY, PY, YD, ln(a) and c were positive (0.67 to 0.99, p<0.001). These results suggested that selection for IY, PY, YD, or LY would genetically improve lactation milk yield in this Ethiopian dairy cattle population.

Can Reproductive Characteristics Predict Bladder Cancer in Women with Haematuria?

  • Yavuzcan, Ali;Caglar, Mete;Kayikci, Muhammet Ali;Basaran, Ekrem;Tekin, Ali;Ozdemir, Enver;Dilbaz, Serdar;Ustun, Yusuf;Cam, Haydar Kamil
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.5107-5110
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    • 2013
  • Background: Among women with haematuria, defining individuals under high risk for bladder cancer based on reproductive factors prior to cystoscopy would be of great benefit in the management of this condition. The aim of this study was to compare age and reproductive factors such as menopausal status, parity, age at first delivery and age at the last delivery between women who have haematuria with or without bladder cancer. Materials and Methods: A total of 463 patients underwent diagnostic cystoscopy in D$\ddot{u}$zce University Faculty of Medicine between 1 June 2008 and 1 June 2013. Female patients who presented with persistent microscopic or macroscopic haematuria and underwent standard evaluation for haematuria including urinalysis, urine culture, urine cytology, urinary tract imaging with excretory urography or computerized tomography with contrast enhancement and endoscopic evaluation of the urethra and bladder were included in this study. Exclusion criteria were tobacco use and high risk occupations for bladder cancer such as textile, dry cleaning, painting and etc. Forteen women had hematuria due to benign conditions, and 18 due to bladder cancer. Data were retrospectively retrieved from the medical records of Duzce University Hospital. Results: Patients with haematuria due to benign reasons did not significantly differ from patients who were found to have bladder cancer in terms of age (p=0.28), menopausal status (p=0.29), mean parity (p=0.38), being nulliparous (p=0.57), parity ${\geq}3$ (p=0.22), age ${\leq}18$ years at first delivery (p=1.00), age ${\geq}30$ years at last delivery (p=0.26), age ${\geq}35$ years at last delivery (p=0.23) and percentage of the patients with advanced age (${\geq}65$ years) (p=0.18). Conclusions: It is difficult to predict a high risk for developing bladder cancer in women with haematuria based solely on reproductive factors.

A Study on Estimation of Factors Affecting Duration of Milk Flow and Milk Flow Rate and Their Relationships with Milk Yields of Dairy Cattle (유우의 착유 지속시간과 유속에 미치는 요인 및 산유량과의 상관관계 추정에 관한 연구)

  • Cho, Y.M.;Park, B.H.;Ahn, B.S.
    • Journal of Animal Science and Technology
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    • v.46 no.4
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    • pp.517-524
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    • 2004
  • The objective of this study was to investigate the environmental effects on duration time of milk flow, peak milk flow, and average milk flow in teats, and to estimate their relationships with milk yields in morning and evening milking, and to provide fimdamental information for the further study on their relationships with clinical mastitis and somatic cell in milk. A total of 6,768 milking records were studied in 72 Holstein cows. The influences of season, parity, lactation month, and milking interval on characteristics of milk flow considering in linear model were significant(p<.05). Duration of milk flow was longest at milking in fall, past first parity and second month of lactation, and with milking interval over than 13.5hrs. Average milk flow rate and peak milk flow rate were highest at milking in summer, past first parity and 8${\sim}$10 months of lactation, and with milking interval over than 13.5hrs. Milk flow rate was positively correlated to milk yield, and negatively correlated to the duration of milk flow. However duration milk flow was positively correlated to the milk yield with high level of correlation coefficient(+.60). For the establishment of optimum selection criteria on these traits, other aspects such as the udder health, disease and respective economic weights of milk flow characteristics in this study must be considered to develop the indices.

A Consideration on the Lactation Persistency Evaluation in Korean Holstein Dairy Cattle (국내 홀스타인 젖소의 비유지속성 평가에 대한 고찰)

  • Cho, Kwang-Hyun;Yoon, Ho-Baek;Cho, Chung-Il;Min, Hong-Ryp;Lee, Joon-Ho;Kong, Hong-Sik;Lee, Hak-Kyo;Park, Kyung-Do
    • Journal of Animal Science and Technology
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    • v.55 no.3
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    • pp.173-178
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    • 2013
  • The characteristics of lactation persistency was investigated for new evaluation trait using 4,366,900 milk yield records from 436,690 heads of Korean Holstein dairy cattle. The average lactation persistencies of first parity, second parity and over third parity were 97.5%, 95.1% and 94.6%, respectively and there was a trend that after the peak yield, lactation persistency decreased collectively. The average days of peak milk yields after calving was about 50 days, but only 33.2% of cows reached peak yields at 36~66 days (second test day). Also, there was a difference between the milk yield of cows which reached peak yields at first test day by lactation days and that of cows which reached peak yields at second to fourth test day. The estimates of heritabilty and repeatability for mean lactation persistency were 0.16 and 0.35, respectively. The genetic correlation between cumulative lactation persistency from third to tenth test day and that from third to seventh test day was 0.91 and while it increased in later test day, it decreased sharply in earlier test day. The breeding value correlations of Data II and III for Data I were 0.80 and 0.72, respectively, while the rank correlations were 0.78 and 0.71, respectively. Based on the results, the breeding value and rank correlations decreased when more data were added.

Selection of Early Cleaved Embryos and Optimal Recipients to Improve Efficiency of Pig Cloning

  • Koo, Ok-Jae;Lee, Dong-Won;Kang, Jung-Taek;Kwon, Dae-Kee;Park, Hee-Jung;Park, Sol-Ji;Kim, Su-Jin;Jang, Goo;Lee, Byeong-Chun
    • Journal of Embryo Transfer
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    • v.25 no.4
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    • pp.221-227
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    • 2010
  • Early cleavage is a reliable prognostic tool for successful embryo transfer in assisted reproduction because early cleaved embryo show better pregnancy rate after transfer. There for, preparation of good embryo recipient is important factor to optimize efficiency of pig cloning. The present study was performed to evaluate the effect of early cleavage on the in vivo development of cloned embryos and to analyze breed, parity and estrous synchrony to optimize recipient for pig cloning. In vitro matured porcine oocytes derived from local slaughterhouse and fibroblasts derived from miniature pig fetuses were used for somatic cell nuclear transfer (SCNT). Reconstructed embryos were transferred to recipient pigs on the same day of SCNT or after 1~2 days of in vitro culture for selecting early cleaved embryos. Breed, parity and date of standing estrous of recipients were recorded for analysis. After 25~35 days after embryo transfer pregnancy was diagnosed using ultrasonography, and pregnant recipients were monitored till delivery. Between purebred and crossbred, no significant difference was founded in both pregnancy and delivery rates. However, early cleaved embryos showed significantly higher pregnancy (46.2%) and delivery (12.8%) rates compared to non-selectively transferred group (24.8% and 4.5%, respectively). The results also showed that the recipients showing standing estrous on the same day of SCNT and less than 4 parities were most suitable for pig cloning.

Recent Changes in Sex Ratio at Birth and Simulations on Sex-Selective Reproductive Behavior: With a Special Focus on Youngnam Region (출생성비의 최근 변화와 시뮬레이션을 통한 성선별 출산행위의 추정: 영남 지역을 중심으로)

  • Kim, Doo-Sub
    • Korea journal of population studies
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    • v.34 no.1
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    • pp.159-178
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    • 2011
  • Korea has been widely recognized as the most successful country for reversal of the rise in sex ratio at birth (from the mid-1980s to the mid-1990s) in a short period of time. However, unusually high sex ratios at birth are still observed in most regions as parity increases. Given that imbalanced sex ratios at high birth orders are mostly due to son-selective abortion, it still remains questionable whether son-selective reproductive behavior has vanished in Korea. The main purpose of this study is to analyze the pattern of changing trends and socioeconomic differentials in sex ratio at birth. Micro-data from birth registration for 2009 are utilized. Attention is focused on analyzing sex ratios at birth in Youngnam region according to age of mother, parity, educational attainment of parents, and occupation of parents. A series of simulations are also conducted in this paper to show how prenatal sex screening and son-selective abortion have affected the level of sex ratio at birth for years 1994, 2005 and 2009.

An analysis of optimal design conditions of LDPC decoder for IEEE 802.11n Wireless LAN Standard (IEEE 802.11n 무선랜 표준용 LDPC 복호기의 최적 설계조건 분석)

  • Jung, Sang-Hyeok;Na, Young-Heon;Shin, Kyung-Wook
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.4
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    • pp.939-947
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    • 2010
  • The LDPC(Low-Density Parity-Check) code, which is one of the channel encoding methods in IEEE 802.11n wireless LAN standard, has superior error-correcting capabilities. Since the hardware complexity of LDPC decoder is high, it is very important to take into account the trade-offs between hardware complexity and decoding performance. In this paper, the effects of LLR(Log-Likelihood Ratio) approximation on the performance of MSA(Min-Sum Algorithm)-based LDPC decoder are analyzed, and some optimal design conditions are derived. The parity check matrix with block length of 1,944 bits and code rate of 1/2 in IEEE 802.11n WLAN standard is used. In the case of $BER=10^{-3}$, the $E_b/N_o$ difference between LLR bit-widths (6,4) and (7,5) is 0.62 dB, and $E_b/N_o$ difference for iteration cycles 6 and 7 is 0.3 dB. The simulation results show that optimal BER performance can be achieved by LLR bit-width of (7,5) and iteration cycle of 7.

Analysis of environmental effects affecting reproductive traits of primiparous and multiparous Hanwoo

  • Eum, Seung-Hoon;Park, Hu-Rak;Seo, Jakyeom;Cho, Seong-Keun;Kim, Byeong-Woo
    • Korean Journal of Agricultural Science
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    • v.43 no.3
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    • pp.369-378
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    • 2016
  • Improving the reproductive traits of Hanwoo might decrease their production cost. Therefore, this study was conducted to investigate the effects of environmental factors [registration grade (basic, pedigree or advanced), birth year, birth season, parity, delivery year, and delivery season] on various reproductive traits (age at 1st service, age at 1st conception, age for 1st calving, days at 1st service postpartum, non-pregnant condition period, calving interval, gestation length, and number of services for conception) in Hanwoo (primiparous 12,219 heads, multiparous 10,471 heads). All data was acquired from Gyeongnam province areas which were surveyed from 2007 to 2015. All environmental factors significantly influenced (p < 0.01) reproductive traits of primiparous cows but, but not all environmental factors influenced multiparous cows. Primiparous cows registered as advanced grade showed significantly lower age at 1st service (by 15.36 days), age at 1st conception (by 8.66 days), and age for 1st calving (by 8.77 days) (p < 0.01) than those registered as basic grades. Age at 1st service, age at 1st conception and age for 1st calving were not significantly related to birth year in primiparous cows. As delivery years advanced from 2005 to 2012, all durations associated to reproductive traits tended to be shorter. Days at 1st service postpartum, non-pregnant condition period, and calving interval tended to be shortened as parity increased. Days at 1st service postpartum, days open, calving interval, and gestation in multiparous cows calved in winter were shorter than those in summer. The registration grade was not a effected with reproductive traits in Hanwoo.

Analysis on Recent Changes in the Covered Interest Rate Parity Condition (글로벌 금융위기 전후 무위험 이자율 평형조건의 동태성 변화 분석)

  • Kim, Jung Sung;Kang, Kyu Ho
    • KDI Journal of Economic Policy
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    • v.36 no.2
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    • pp.103-136
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    • 2014
  • The covered interest rate parity condition (CIRP) has been widely used in open macroeconomic analysis, risk management, exchange rate forecasts, and so forth. Due to the recent global financial crises, there have been remarkable changes in the financial markets of the emerging markets. These changes possibly influenced the dynamics of the covered interest rate parity condition. In this paper, we investigate whether the CIRP dynamics has changed, and what is the nature of the regime changes. To do this, we propose and estimate multiple-state Markov regime switching models using a Bayesian MCMC method. Our estimation results indicate that the default risk or the deviation from the CIRP has been decreased after the crisis. It seems to be associated with the more active interaction between the short-term bond market and the short-term foreign exchange market than before. The tightened relation of these two financial markets is caused by the arbitrage transaction of foreign investors.

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