• Title/Summary/Keyword: ascertainment

Search Result 18, Processing Time 0.028 seconds

Can We Rely on GLOBOCAN and GBD Cancer Estimates? Case Study of Lung Cancer Incidence and Mortality Rates and Trends in Iran

  • Vardanjani, Hossein Molavi;Heidari, Mohammad;Hadipour, Maryam
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.17 no.7
    • /
    • pp.3265-3269
    • /
    • 2016
  • Background: Around half of input data in the global burden of disease cancer collaboration (GBD-CC) and GLOBOCAN projects come from low quality sources, mainly from developing countries. This may lead to loss of precision in estimates. Our question was: Are the absolute values and trends of the GBD-CC and GLOBOCAN estimates for lung cancer (LC) in Iran consistent with available statistics?. Materials and Methods: Incidence and mortality statistics were extracted from national reports (N.IRs & N.MRs) and GBD-CC (GBD-incidence & mortality) and GLOBOCAN databases for 1990-2013 where available. Trends were analyzed and absolute values and annual percentage changes (APCs) were estimated and compared. Incompleteness of case ascertainment at the Iranian national cancer registry and Iranian national civil registration was assessed for better understanding. Results: Trends of N.IRs were significantly rising for males (APC: 19.4; 95% CI: 12.5-26.7) and females (23.2; 16.0-30.8). Trends of GBD-incidence were stable for males (-0.2; -1.5-1.1) and females (-1.0; -2.3-0.4). Absolute N.IRs were less than GBD-incidence steadily except for 2009. Trend of N.MRs was increasing up to 2004, but stable thereafter. Trends of GBD-mortality were also stable. Absolute N.MRs were less than GBD-mortality for years up to 2003 and more than GBD-mortality since 2005. The estimates of GLOBOCAN were more than N.IRs and N.MRs. Conclusions: The GBD-CC and GLOBOCAN values for LC in Iran are underestimates. Generation of data quality indices to present along with country specific estimates is highly recommended.

Determination of Dosing Weight on Aminoglycosides (Aminoglycosides계 약물의 투약 체중 결정)

  • Lee, Rae Young;Kim, Ho Soon;Shin, Wan Gyoon;Cho, Nam Chun
    • Korean Journal of Clinical Pharmacy
    • /
    • v.9 no.1
    • /
    • pp.15-18
    • /
    • 1999
  • Ascertainment of accurate pharmacokinetic parameters for aminoglycoside dosing remains critical, as the serum drug concentration relates directly to both the therapeutic response and toxic effect. In the initial dosing of aminoglycosides, the volume of distribution is especially important because the dosage is calculated by multiplying the volume of distribution by the desired serum concentration. Aminoglycosides distribute into mainly the extracellular fluid and it has been reported that the volume of distribution is 0.25 L/kg. Penetration of polar aminoglycosides into adipose tissue occurs to some extent, but varies according to the degree of obesity. Therefore, dosages may be overestimated or underestimated according to the type of the dosing weight in overweight or underweight patients. Prior investigations have suggested various dosing weights which are multiplied by the popular volume of distribution to calculate the total volume of distribution. Based on other investigations, we calculated a new dosing weight which was applicable to all patients regardless of obesity in order to use the popular volume of distribution. We estimated IBW+$0.414^{\ast}$(TBW-IBW) as a new dosing weight with the SAS program. A new dosing weight is similar to those of other studies which examined in morbidly obese patients. Consequently we suggests that the dosing weight reported in morbidly obese patients can be extended to a broader patients population. But we found that the volume of distribution per kilogram from our patients was significantly larger than that for foreign patients(0.343L/kg vs 0.25 L/kg)(Kor. J. Clin. Pharm. 1999; 9(1): 15-18)

  • PDF

Macroscopic, Histological, and Microbiological Characterization of Contact Lesions at the Tibiotarsal Region of Broilers

  • Cavani, Ricardo;Rubio, Marcela da Silva;Alves, Khauston Augusto Pereira;Pizauro, Lucas Jose Luduverio;Cardozo, Marita Vedovelli;Silva, Paulo Lourenco;Silva, Iran Jose Oliveira;Avila, Fernando Antonio
    • Food Science of Animal Resources
    • /
    • v.42 no.2
    • /
    • pp.313-320
    • /
    • 2022
  • Brazil is considered as a great broiler feet exporter, especially for the Chinese trade. Contact lesions at the tibiotarsal region are responsible for economic losses and there is no model for its classification, thereby this study presents a fast and practical grade system to be used in the poultry industry and proposes these lesion characterizations into three different grades. For this, correlation was made between macroscopic, histological findings and microbiological quantification (Escherichia coli, Staphylococcus spp., Streptococcus spp. and sulphite-reducing clostridia) from contact lesions in the tibiotarsal region of 112 broiler carcasses, divided in four groups (n=28), accordingly to the lesion's intensity. There were no significant differences in microbiological quantification among the groups (p>0.05) except for the grade 3 group, as grade 1 and 2 lesions were in the early stages and histopathological changes such as ulceration were not observed. In grade 3 lesion group, it was observed bacterial cocci grume and ulceration at the articular region and significantly higher microbiological count (p<0.05) for E. coli and Staphylococcus spp. In conclusion, the visual standard proposed in this work, correlated and confirmed by the histopathologic, and microbiologic characterization, allows to precise and fast ascertainment of the contact lesion grade in the tibiotarsal regions of broiler carcasses. Moreover, it should be highlighted that grades 1 and 2 alterations are not caused by an inflammatory process caused by pathogenic agents and should not be considered a public health risk.

Newly-Diagnosed, Histologically-Confirmed Central Nervous System Tumours in a Regional Hospital in Hong Kong : An Epidemiological Study of a 21-Year Period

  • He, Zhexi;Wong, Sui-To;Yam, Kwong-Yui
    • Journal of Korean Neurosurgical Society
    • /
    • v.63 no.1
    • /
    • pp.119-135
    • /
    • 2020
  • Objective : To investigate the epidemiology of newly-diagnosed, histologically-confirmed (NDHC) central nervous system (CNS) tumours and its changes over a 21-year period in a regional hospital in Hong Kong. Methods : This is a single-institute retrospective descriptive study of patients undergoing surgery for CNS tumours in a regional hospital of Hong Kong in the period from January 1996 to December 2016. The histological definition of CNS tumours was according to the World Health Organization classification, while the site definition for case ascertainment of CNS tumours was as set out by the Central Brain Tumour Registry of the United States. Patients of any age, who had NDHC CNS tumours, either primary or secondary, were included. The following parameters of the patients were retrieved : age at diagnosis, gender, tumour location, and histological diagnosis. Population data were obtained from sources provided by the Government of Hong Kong. The incident rate, estimated by the annual number of cases per 100000 population, for each histology grouping was calculated. Statistical analyses, both including and excluding brain metastases, were performed. Statistical analysis was performed with Microsoft Excel, 2016 (Microsoft, Redmond, WA, USA). Results : Among the 2134 cases of NDHC CNS tumours, there were 1936 cases of intracranial tumours and 198 cases of spinal tumours. The annual number of cases per 100000 population of combined primary intracranial and spinal CNS tumours was 3.6 in 1996, and 11.1 in 2016. Comparing the 5-year average annual number of cases per 100000 population of primary CNS tumours from the period 1996-2000 to 2011-2015, there was an 88% increase, which represent an increase in the absolute number of cases by 4.52 cases/100000 population. This increase was mainly contributed by benign histologies. In the aforementioned periods, meningiomas increased by 1.45 cases/100000 population; schwannomas by 1.05 cases/100000 population, and pituitary adenomas by 0.91 cases/100000 population. While gliomas had a fluctuating 5-year average annual number of cases per 100000 population, it only had an absolute increase of 0.51 cases/100000 population between the 2 periods, which was mainly accounted for by the change in glioblastomas. Conclusion : This retrospective study of CNS tumour epidemiology revealed increasing trends in the incidences of several common CNS tumour histologies in Hong Kong, which agrees with the findings in large-scale studies in Korea and the United States. It is important for different geographic locations to establish their own CNS tumour registry with well-defined and structured data collection and analysis system to meet the international standards.

Plan Research to Overcome Regionality of 5·18 Democratization Movement: Focusing on biased distribution of academic paper writers and journals (5·18 민주화운동의 지역성 극복을 위한 방안연구 -학술논문 저자와 학술지 편중분포를 중심으로 -)

  • Jung, Geun-Ha
    • Korea and Global Affairs
    • /
    • v.1 no.2
    • /
    • pp.5-32
    • /
    • 2017
  • 5.18 Gwangju Democratization Movement was approved as a legal democratization movement by president Kim Young Sam in May 1993 and was approved as a global recording inheritance by UNESCO in May 2011 for the honor of Gwangju citizens to be restored. However, assessment on this until today after 35 years of occurrence is not nationally unified and the mind of Gwangju maybe only remembered as pride by Gwangju. There are several factors of this continuing situation but this researcher thinks the biggest factor is that professionals reanalyzing the truth ascertainment fitting spirit of the times who are in charge of citizen education are intensively distributed in Jeolla-do and Seoul. Moreover, the journal unlikely assessing 5.18 have enemies in the assailant area during activity that unity is not taking place with divided assessments and trapped in Honam. This study judges that the reason the meaning of 5.18 is trapped in Honam and not nationally unified is because of the limit of "adversary system." Especially researchers who should analyze and explain this incident in a objective views are bias distributed (Gwangju Jeolla-do> Seoul>Gyeongnam) in hometown areas that the possibility of 5.18 meaning not being unified was focused. Academic research studies, journal writers, and publication locations are divided in this study to reveal they are bias distributed and reveal that there is possibility that this biased distribution of researches are becoming obstacles in overcoming regionality.

Geology and Ore Deposits in the Haman-Kunbuk Copper District (함안군북지구(咸安郡北地區)의 지질(地質)과 동광상(銅鑛床))

  • Moon, Chung Uk;Kim, Myung Whan;Lee, Ji Hern;Choi, Chung Jung
    • Economic and Environmental Geology
    • /
    • v.3 no.2
    • /
    • pp.55-73
    • /
    • 1970
  • The district investigated covers the central and southern portions of the Uiryong Quadrangle amounting to $40km^2$ in area and is bounded approximately by geographical coordinates of $128^{\circ}$ 28' $40^{{\prime}{\prime}}{\sim}128^{\circ}$ 24' 25"E in longitude and $35^{\circ}10{\prime}{\sim}35^{\circ}14^{\prime}06^{{\prime}{\prime}}N$ in latitude. The purpose of this investigation was to provide basic information in drawing up a comprehensive development plan of the copper ore deposits known to exist in the HamanKumbuk district with special emphasis given to the ascertainment of geological and paragenetic characteristics. The area consists chiefly of shale, sandy shale and chert, all belong to Kyongsang System of Cretaceous age. Intruded into these rocks are andesite, granodiorite, basic dikes, and acidic dikes. The mineralization which took place in the area, consists of mostly fissure-filling vein deposits, numbering several tens, with varying magnitudes. The fissures and shear zones created in rocks, such as chert and granodiorite, hosted the deposition of mineralizing vapors and/or hydrothermal solutions along their openings. The strike lengths of these veins vary from 50 to 600 meters in extension and 0.1 to 3 meters in width. Although the degree of fluctuation in width is great, it averages 0.3m. The stuctural patterns, which apparently affected the deposition of veins, are fissure patterns, trend NS to $N30^{\circ}W$, and steep-pitching tension fractures as well as normal fault pattern. Ore minerals associated with vein matters are primarily chalcopyrite and small amounts of scheelite, cobaltiferous arsenopyrite, and gold and silver intimately associated with sulphide minerals. Associated with these ore mineral are pyrite, pyrrhotite, magnetite, specularite and arsenopyrite. Gangue minerals noted are quartz, calcite, chlorite, tourmaline and hornblende. In terms of the compositions of associated minerals, the vein deposits in the district could be grouped under the following four categories: 1. Pyrrhoitite, Arsenopyrite, Gold and Silver Bearing Copper Vein (Type I) 2. Calcite-Scheelite-Copper Vein (Type II) 3. Magnetite-Pyrite-Copper Vein (Type III) 4. Tourmaline Copper Vein (Type IV) Of the four types, the first and the fourth are presently yielding relatively higher grades: of copper ores and concentrates. The estimated ore reserves total some 222,000 metric tons with the following breakdown in terms of metal contents: Name of Mines Au(g/t) Ag(g/t) Cu(%) Reserves(M/T) Kunbuk 15.92 78.69 6,074 60.498 Cheil Kunbuk - - 1.040 60,847 Haman - - 2.688 101,204 222,549 As rehabilitation of old workings and/or exploration of veins at depth proceed, additional estimation of ore reserves may become apparent and necessary. With regard to the problem of beneficiation and upgrading of low-grade ores in the district, it would be advisable to make decisions on location, treating capacity and mill flowsheet after sufficient amount of exploration is completed as suggested in the report.

  • PDF

Completeness Estimation of the Korean Medical Insurance Data in Childhood Asthma : Using Capture-Recapture Method (소아 천식을 통해서 본 의료보험 상병 자료의 완전성 추정 : Capture-Recapture 분석방법의 적용)

  • Ha, M.N.;Kwon, H.J.;Kang, D.H.;Cho, S.H.;Yoo, K.Y.;Joo, Y.S.;Sung, J.H.;Kang, J.W.;Kim, D.S.;Lee, S.I.
    • Journal of Preventive Medicine and Public Health
    • /
    • v.30 no.2 s.57
    • /
    • pp.428-436
    • /
    • 1997
  • Objectives : The purpose of this paper is to estimate the completeness of the Korean Medical Insurance Data in childhood asthma. Methods : Capture-recapture method was used to estimate the prevalence of childhood asthma and case ascertainment rate(completeness) of Korean Medical Insurance Data using two source model, 'Korean Medical Insurance Committee Data (KMICD)' and 'Nationwide Study of Asthma and Allergies in Korean Children'. The asthma cases were restricted to those who were born from 1981 to 1989 and were identified by their Resident Register Number. Asthma cases in Korean Medical Insurance Data were defined as cases coded by ICD-9 493 and ICD-10 J45. In 'Nationwide Study of Asthma and Allergies in Korean Children', asthma cases were defined as the children who had been diagnosed asthma and had experienced symptoms of asthma during the past 12 months. The defined cases in two data sources were matched by 13 digits Resident Register Number. The numbers of matched patients in two data sources were 245 of 32,825 eligible total subjects. Chapman and Wittes' nearly unbiased estimation was used for capture-recapture analysis of two data sources. Results : Observed prevalence rate of childhood asthma was 5.3% and estimated prevalence rate by capture-recapture analysis was 11.6%. The highest prevalence rate was observed in 6-7 age group and the older the rate decreased. The completeness (the proportion of cases ascertained by KMICD to the total observed cases by two data sources) was 20.6%, and ranged form 10.8% to 28.8% by area. Conclusions : Invalid diagnosis of cases might overestimate the prevalence of child-hood asthma and might underestimate the completeness of Korean Medical Insurance Committee Data in this study.

  • PDF

A Study of the Garden Remains in Mountain Bukak in Dohwadong, Seoul (서울 북악산 도화동 원림유적에 대한 고찰)

  • Kim, Hong-Gon;Kim, Young-Mo
    • Journal of the Korean Institute of Traditional Landscape Architecture
    • /
    • v.28 no.1
    • /
    • pp.66-80
    • /
    • 2010
  • In this thesis, the garden remains in Dohwadong which is located in Seoul Buk-ak Mountain was examined, together with reference discovery and historical research, and onsite academic research conducted, for the purpose of studying the location of the garden remains in Dohwadong, its historical transitions and original landscape. As a result of the study, the location of the garden remains in Dohwadong was found; through the research of relevant historical sources, its historical transitions, its original landscape, and the value it has as a garden remains were examined. The following is the summary of the original form of the garden remains in Dohwadong and the value it has as a garden remains derived from this study. First, the garden remains in Dohwadong had earlier known as a remains related to the housing site of Namgon or Daeunahm. However, it has been verified that is it Dohwadong which is an original word of a royal family formed by King Kojong's order in 1889 since the characters carved on rocks which is recorded in the book of "Chong Sweh Rok" perfectly conform to those within the garden remains in Dohwadong. Second, it was learned that Dohwadong was the greatest renowned place for entertaining next to Pilundae; according to the book of "Hankyung Jiryak", the name, Dohwadong, is known to have come from the fact that there are a large number of peach trees in the area; the records of those books, "Ahjungyugoh", "Yonahmjip", etc., also state that literary men gathered in Dohwadong and held ceremonies and entertained. Third, it was learned that the garden remains in Dohwadong had been used as a place for holding ceremonies by the Ahndong Kims including Myonggongsukhyon; after Heungsundaewongun's governance, it was removed and neglected as the Ahndong Kims were purged and changed into a place for the royal family by the command of King Kojong in 1889. Fourth, Dohwadong followed the geographical features of nature, embraced the elegant surrounding scenery naturally, and gave significance to the sceneries of the season and its element and, in this way, it, as an ideal landscape model, is a valuable garden remains which realized the symbolic Dohwa landscape and presents its original scenery of the traditional garden. As mentioned above, this study, based on historical sources, has made progress in understanding the truth of the garden remains in Dohwadong and its value as a garden remains through the onsite research and academic historical investigation. However, since it is located within a military region, research was limitedly made. And also the range and structure of the garden remains was difficult to examine. Overall excavation is needed to figure out the remains and original terrain. Accordingly, in order to find out the truth of the garden remains in Dohwadong and for further preservation and application, it needs to be designated as a historical site and additional academic excavation research needs to be conducted; maintenance and preservation policies including removal of the cement and embankment, which disturb the original terrain within the remains, also need to be carried out.