• 제목/요약/키워드: alarming

검색결과 216건 처리시간 0.032초

Association Assessment among Risk Factors and Breast Cancer in a Low Income Country: Bangladesh

  • Ahmed, Kawsar;Asaduzzaman, Sayed;Bashar, Mamun Ibn;Hossain, Goljar;Bhuiyan, Touhid
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권17호
    • /
    • pp.7507-7512
    • /
    • 2015
  • Background: In the low incoming country Bangladesh, breast cancer is second most common neoplasm and is increasing at an alarming rate among females. Lack of awareness and illiteracy are contributory factors for late presentation and therefore mortality. Purpose: To examine associations of different factors with breast cancer mortality and to raise awareness among the women of society in Bangladesh. Materials and Methods: This descriptive case-control study was conducted on 160 participants from April 2011 till July 2014. Through a valid questionnaire covering personal and family history, data were collected by face to face interview. For analyzing correlations among factors with breast cancer data, binary logistic regression, Pearson's ${\chi}^2$-value, odd ratios and p-value tests were conducted with SPSS version 20. Results: The mean age of the patients was 43.0 ($SD={\pm}11.12$). In ascending order the leading significant factors were hormone therapy (p<0.0000, OR=4.897), abortion (p<0.0001, OR=3.452), early start menarche (p<0.0002, OR=3.500), family history (p<0.0022, OR=3.235), and late menopause (p<0.0093, OR=3.674) with both ${\chi}^2$ test and logistic regression analyses. Non-significant factors were cancer experience, fatty food habits, marital status and taking alcohol. Conclusions: Regarding the investigation of this study, significant and insignificant factor's correlation visualization with breast cancer will be helpful to increase awareness among Bangladeshi women as well as all over the world.

Olfactory Dysfunction in Nasal Bone Fracture

  • Kim, Sug Won;Park, Beom;Lee, Tae Geun;Kim, Ji Ye
    • 대한두개안면성형외과학회지
    • /
    • 제18권2호
    • /
    • pp.92-96
    • /
    • 2017
  • Background: All nasal bone fractures have the potential for worsening of olfactory function. However, few studies have studied the olfactory outcomes following reduction of nasal bone fractures. This study evaluates posttraumatic olfactory dysfunction in patients with nasal bone fracture before and after closed reduction. Methods: A prospective study was conducted for all patients presenting with nasal bone fracture (n=97). Each patient consenting to the study underwent the Korean version of Sniffin' Sticks test (KVSS II) before operation and at 6 month after closed reduction. The nasal fractures were divided according to the nasal bone fracture classification by Haug and Prather (Types I-IV). The olfactory scores were compared across fracture types and between preoperative and postoperative settings. Results: Olfactory dysfunction was frequent after nasal fracture (45/97, 46.4%). Our olfactory assessment using the KVSS II test revealed that fracture reduction was not associated with improvements in the mean test score in Type I or Type II fractures. More specifically, the mean posttraumatic Threshold, discrimination and identification score decreased from 28.8 points prior to operation to 23.1 point at 6 months for Type II fracture with septal fracture. Conclusion: Our study has revealed two alarming trends regarding post-nasal fracture olfactory dysfunction. First, our study demonstrated that almost half (46.4%) of nasal fracture patients experience posttraumatic olfactory dysfunction. Second, closed reduction of these fractures does not lead to improvements olfaction at 6 months, which suggest that olfactory dysfunction is probably due to factors other than the fracture itself. The association should be further explored between injuries that lead to nasal fracture and the mechanism behind posttraumatic olfactory dysfunction.

Patterns of Cancer: A Study of 500 Punjabi Patients

  • Bal, Manjit Singh;Bodal, Vijay Kumar;Kaur, Jaspreet;Kaur, Mohanvir;Sharma, Swati
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권12호
    • /
    • pp.5107-5110
    • /
    • 2015
  • The State of Punjab has been in focus because of aperceived increasing rate of cancer. Both print and electronic media have created an impression that Punjab, especially the cotton belt of Malwa Region, has become a high incidence cancer region. Actually the increased number of cancer patients might be at least partly because of increasing population and heightened health awareness and reporting. The purpose of this study is to find out the pattern of cancer amongst patients registered in Mukh Mantri Punjab Cancer Rahat Kosh Scheme (MMPCRKS), under cancer registry at Rajindra Hospital Patiala from the various districts of Punjab. The study covers 500 cancer patients registered under MMPCRKS at Rajindra Hospital Patiala, for free cancer treatment. Information regarding age, gender, religion, method of diagnosis and affected sites was obtained. Results were analyzed statistically. Of the 500 patients, 65% were females and 35% were males. The most affected female age groups were 50-54 and 60-64; while males in the age groups of 65-69 and 60-64 had the highest risk. The leading cancers in females were breast followed by cervix and ovary where as in males they were were colon followed by esophagus and tongue. The commonest histological type was adenocarcinoma followed by squamous cell carcinoma. The increasing trend of cancer in Punjab is alarming. Since this study is a preliminary investigation, it could provide a leading role in prevention, treatment and future planning regarding cancer in Punjab.

Level and Evaluation of Tumor Marker CA-125 in Ovarian Cancer Patients in Khyber Pakhtunkhwa, Pakistan

  • Ahmad, Bashir;Nawaz, Seema;Ali, Sajid;Bashir, Shumaila;Mahmood, Nourin;Gul, Bushra
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권1호
    • /
    • pp.185-189
    • /
    • 2015
  • Background: Due to the increase in morbidity and mortality rate, cancer has become an alarming threat to the human population worldwide. Since cancer is a progressive disorder, timely diagnosis is necessary to prevent/stop cancer from progressing to a severe stage. In Khyber Paktunkhwa, Pakistan, many tumors are diagnosed with endoscopy and biopsy; rare studies exist regarding the diagnosis and evaluation of ovarian cancer, based on tumor markers like CA-125. Objectives: The objectives of this study were to investigate and evaluate levels of CA-125 in hospitalized ovarian cancer patients. Materials and Methods: In this study, a total of 63 admitted patients having ovarian cancer by biopsy were included. The level of CA-125 was determined in the blood of these patients using ELISA technique. Results: Out of 63 patients, the level of CA-125 was high in 52%. The affected individuals were more in the group of 40-60 and the level of CA-125 was comparatively higher in patients having moderately differentiated histology than those having well differentiated and poorly differentiated tumor histology. Moreover, the highest level of CA-125 was present among the patients having serous subtype of carcinoma and the common stage of carcinoma was stage II followed by stage III, I and IV. Conclusions: CA-125 level was high in more than 50% of the total patients. Moreover, CA-125 elevation was more common in serous subtype and stage II cancer patients.

Urinary Bladder Cancer Risk Factors: A Lebanese Case-Control Study

  • Kobeissi, Loulou Hassan;Yassine, Ibrahim Adnan;Jabbour, Michel Elias;Moussa, Mohamad Ahmad;Dhaini, Hassan Rida
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제14권5호
    • /
    • pp.3205-3211
    • /
    • 2013
  • Background: Bladder cancer is the second most incident malignancy among Lebanese men. The purpose of this study was to investigate potential risk factors associated with this observed high incidence. Methods: A case-control study (54 cases and 105 hospital-based controls) was conducted in two major hospitals in Beirut. Cases were randomly selected from patients diagnosed in the period of 2002-2008. Controls were conveniently selected from the same settings. Data were collected using interview questionnaire and blood analysis. Exposure data were collected using a structured face-to-face interview questionnaire. Blood samples were collected to determine N-acetyltransferase1 (NAT1) genotype by PCR-RFLP. Analyses revolved around univariate, bivariate and multivariate logistic regression, along with checks for effect modification. Results: The odds of having bladder cancer among smokers was 1.02 times significantly higher in cases vs. controls. The odds of exposure to occupational diesel or fuel combustion fumes were 4.1 times significantly higher in cases vs controls. The odds of prostate-related morbidity were 5.6 times significantly higher in cases vs controls. Cases and controls showed different clustering patterns of NAT1 alleles. No significant differences between cases and controls were found for consumption of alcohol, coffee, tea, or artificial sweeteners. Conclusions: This is the first case-control study investigating bladder cancer risk factors in the Lebanese context. Results confirmed established risk factors in the literature, particularly smoking and occupational exposure to diesel. The herein observed associations should be used to develop appropriate prevention policies and intervention strategies, in order to control this alarming disease in Lebanon.

목표 시나리오를 이용한 비즈니스 프로세스 외부상황 평가 모델 (Evaluation Model of Business process Contextual Situations using goal-scenario)

  • 백수진;고종원;송영재
    • 한국콘텐츠학회논문지
    • /
    • 제11권8호
    • /
    • pp.43-50
    • /
    • 2011
  • 초기에 예측하지 못한 환경에 대응하기 위한 핵심 요소로 비즈니스 활동 모니터링이 주목받고 있다. 그러나 기존의 이벤트 처리 기반 모니터링 시스템과 실시간 조기 경보 비즈니스 활동 모니터링은 고정된 환경을 가정하여 설계 시 룰 기반으로 표현하여 경보 여부를 결정하거나, 이벤트 속성값이 입력되는 매시점마다 측정하여 경보를 내리게 된다. 따라서, 복잡한 환경에서의 새로운 외부 상황 문제에 대한 발생 범위와 심각한 정도 등을 판별하는데 한계가 있으며, 추상화하지 못한다. 본 논문에서는 외부에서 발생하는 새로운 시나리오의 서비스 요구를 기존의 실행중인 모니터링을 통해 지속적인 서비스 제공을 보장하도록 목표 시나리오를 이용한 비즈니스 프로세스 외부상황 평가 모델을 제안하였다. 외부 상황에 따른 새로운 요구사항을 목표 시나리오 기반으로 분석을 하고, 유사 프로세스 모델을 찾아 유사도와 연관도를 합하여 파악한 뒤 프로세스를 사전에 중단 시키거나 원하는 방향으로 변경하도록 한다.

Negative Trends in Transport-related Mortality Rates in Broiler Chickens

  • Vecerek, Vladimir;Voslarova, Eva;Conte, Francesca;Vecerkova, Lenka;Bedanova, Iveta
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제29권12호
    • /
    • pp.1796-1804
    • /
    • 2016
  • The high incidence of deaths during transport for slaughter is associated with poor welfare and represents a considerable loss to the poultry industry. In the period from 2009 to 2014, all shipments of broiler chickens to poultry processing plants were monitored in the Czech Republic and the numbers of chickens transported and those dying as a result of their transport were recorded and analysed. Overall transport-related mortality of broiler chickens transported for slaughter in the Czech Republic was 0.37%. It ranged from 0.31% to 0.72%, the increase approximately corresponding to the increasing transport distance. Statistically highly significant (p<0.001) differences were found when comparing transport-related mortality rates in individual seasons of the year. The greatest mortality (0.55%) was associated with transports carried out in winter months whereas the lowest death losses (0.30%) were found in chickens transported for slaughter in summer months. Our study revealed greater transport-related mortality rates in broiler chickens transported for slaughter in the Czech Republic than expected when considering earlier studies. The most pronounced increases were found in transports for shorter distances and in winter months. However, an increase was found at all transport distances monitored except for distances exceeding 300 km and all seasons except for summer. Furthermore, a general increasing tendency in chicken losses during the monitored period was found. The particularly alarming finding is that the mortality of broiler chickens being transported to processing plants has been showing a long-term increasing tendency over the last two decades. Further research should focus on the identification of specific factors leading to such high and growing mortality rates and developing practical guidelines to improve the welfare of the birds in transit accordingly.

Integration of Tobacco Control in Masters of Public Health Curricula of India

  • Yadav, Aman;Goel, Sonu;Sharma, Vijay Lakshmi
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제15권14호
    • /
    • pp.5611-5615
    • /
    • 2014
  • Context: Tobacco is the single largest cause of preventable death among adults globally, as it is in India. Despite this alarming situation, there is very minimal inclusion of tobacco in formal education systems, including the medical discipline, in India. Aims: The present study analyzed the extent of integration of tobacco control related content in Masters of Public Health (MPH) curricula of various institutes in India. Materials and Methods: This cross-sectional study was conducted during January 2011 to May 2011 in all colleges of the country offering a MPH course. The colleges were enlisted using various internet search engines (Google Scholar, Pubmed, Medline), other published literature and snowball technique. A 50 items semi-structured questionnaire was designed, posted and e-mailed (followed by hard copy) to the Person-In-Charge of the MPH program. Statistical Analysis: Descriptive statistics were used to profile the tobacco control content in respective institutions. All data entry and analysis was conducted using SPSS (version 16) for windows. Results: The duration of the MPH course was two years in all institutes and had accreditation with some affiliated body. Tobacco related diseases were covered under 'non communicable diseases' section by every institute. However, a mere 41.4% of institute's had faculty who had received specialized training in tobacco control. More coverage was given to health risks and effects of smoking as compared to cessation interventions (5 A's), symptoms of withdrawal and pharmacological treatments. Only 25% of institutes were in process of introducing tobacco courses into their curricula. Lack of expertise and administrative barriers were cited as perceived major problems in inclusion of tobacco control in MPH curricula. Conclusions: It can be concluded that tobacco control is not receiving adequate attention in public health curricula in India. There is a need for coordinated efforts in the area of tobacco control so as to reduce morbidity and mortality from tobacco induced diseases.

고지방 식이 비만 모델 마우스의 체중 및 혈장 지질 대사에 미치는 한방보조식품의 영향 (Effects of Natural Dietary Supplement on Body Weight and Lipid Metabolism in High Fat Diet-induced Obese Mice)

  • 최혜민;석장미;양재하;김상찬;김미려
    • 대한한의학방제학회지
    • /
    • 제17권2호
    • /
    • pp.133-142
    • /
    • 2009
  • Objective : Recently, obesity has increased at an alarming rate and is now a worldwide health problem. Natural dietary supplement, $CharmSlim^{(R)}$(C), is mixed pills, which consists of beans, black sesames, kelps, onions, adlay seeds, anchovies, pyogo mushrooms, green tea. Our study was performed to determine the weight-loss effects of natural dietary supplement, based on natural ingredients, in mice fed high-fat diet with an abundance of carbohydrates. Methods : Four groups of male ICR mice were fed different diets during 6 weeks: normal diet(NOR), high-fat (15%, w/w) diet(HF), high-fat supplemented with natural dietary supplement powdered 5%(C5) and 10%(C10) groups. We measured the changes of food intake, body weight and adipose tissues weights. Also we examined levels of lipid profiles in serum. Results : Body weight, liver weight and food efficiency ratio were significantly higher in the HF group than in NOR group. After 6 weeks of treatment, body weight, liver weight and adipose tissues weights (epididymal, perinephric, visceral and BAT) were significantly decreased in the C10 group when compared to the control HF group. The C10 group had markedly lower serum levels of total cholesterol and triglyceride when compared with HF group. Conclusion : These results demonstrate that this dietary supplement can suppress the increased lipid profiles, body weight and fat gains, thus could be considered as an effective adjunct in the treatment of obesity.

  • PDF

국내 온라인 쇼핑몰의 글로벌화를 위한 디자인 개선방안 연구 (A Study of the Design Improvement Measure for the Globalization of Domestic Online Shopping Malls)

  • 최윤희;조성환
    • 한국콘텐츠학회논문지
    • /
    • 제15권12호
    • /
    • pp.73-80
    • /
    • 2015
  • 1996년 중국으로 수출된 한국 드라마의 인기를 시작으로 세계 시장에서는 이른바 한류 열풍이 시작되었다. 이후 드라마뿐만 아니라 한국의 문화 자체가 한류 시장의 콘텐츠로 급부상하며 한국 제품을 온라인에서 직접 구매하고자 하는 해외 직판 소비자가 큰 폭으로 증가하고 있다. 본 연구는 국내 온라인 쇼핑몰이 해외 시장의 소비자 환경에 적절히 부응하고 있는가를 파악하기 위해 현재 글로벌 마케팅을 진행하고 있는 국내 쇼핑몰 네 곳과 해외의 유명 쇼핑몰 네 곳을 각각 선정하여 디자인 측면을 비교 연구하였다. 그 결과 글로벌 마케팅을 진행하고 있는 국내 온라인 쇼핑몰들이 국가별 인터넷 환경에 대한 이해가 부족하고 문자 정보전달의 한계를 겪고 있으며 의미 전달에 용이한 시각 기호를 적극적으로 활용하지 못하고 있는 실정임이 드러났다. 이에 본 논문은 그러한 문제점에 대한 개선 방안으로 다양한 화면을 배려하는 가변 요소를 디자인에 활용하는 방안, 세계 각국마다 다른 언어의 문제를 해결하기 위해 텍스트를 직관적인 요소로 디자인하는 방안, 발전하는 IT기술을 적극 활용하여 디자인하는 방안 등을 제시하였다.