Introduction: Upper aero-digestive tract cancer is a multidimensional problem, international trends showing complex rises and falls in incidence and mortality across the globe, with variation across different cultural and socio-economic groups. This paper seeks some explanations and identifies some research and policy needs. Methodological Approach: The literature illustrates the multifactorial nature of carcinogenesis. At the cellular level, it is viewed as a multistep process involving multiple mutations and selection for cells with progressively increasing capacity for proliferation, survival, invasion, and metastasis. Established and emerging risk factors, in addition to changes in incidence and prevalence of cancers of the upper aero-digestive tract, were identified. Risk Factors: Exposure to tobacco and alcohol, as well as diets inadequate in fresh fruits and vegetables, remain the major risk factors, with persistent infection by particular so-called "high risk" genotypes of human papillomavirus increasingly recognised as also playing an important role in a subset of cases, particularly for the oropharynx. Chronic trauma to oral mucosa from poor restorations and prostheses, in addition to poor oral hygiene with a consequent heavy microbial load in the mouth, are also emerging as significant risk factors. Conclusions: Understanding and quantifying the impact of individual risk factors for these cancers is vital for health decision-making, planning and prevention. National policies and programmes should be designed and implemented to control exposure to environmental risks, by legislation if necessary, and to raise awareness so that people are provided with the information and support they need to adopt healthy lifestyles.
Many risk factors exist for chemotherapy-induced nausea and vomiting (CINV). This study utilized a multivariate projection technique to identify which risk factors were predictive of CINV in clinical practice. A single-centre, prospective, observational study was conducted from January 2007~July 2010 in Singapore. Patients were on highly (HECs) and moderately emetogenic chemotherapies with/without radiotherapy. Patient demographics and CINV risk factors were documented. Daily recording of CINV events was done using a standardized diary. Principal component (PC) analysis was performed to identify which risk factors could differentiate patients with and without CINV. A total of 710 patients were recruited. Majority were females (67%) and Chinese (84%). Five risk factors were potential CINV predictors: histories of alcohol drinking, chemotherapy-induced nausea, chemotherapy-induced vomiting, fatigue and gender. Period (ex-/current drinkers) and frequency of drinking (social/chronic drinkers) differentiated the CINV endpoints in patients on HECs and anthracycline-based, and XELOX regimens, respectively. Fatigue interference and severity were predictive of CINV in anthracycline-based populations, while the former was predictive in HEC and XELOX populations. PC analysis is a potential technique in analyzing clinical population data, and can provide clinicians with an insight as to what predictors to look out for in the clinical assessment of CINV. We hope that our results will increase the awareness among clinician-scientists regarding the usefulness of this technique in the analysis of clinical data, so that appropriate preventive measures can be taken to improve patients' quality of life.
The study was conducted with statical analysis of data (828 data in 2010, 752 data in 2012, 648 data in 2014) in order to evaluate laboratory awareness difference of research employees working in different types of universities. Results of the study were as follows: First, university institutes in the order of polytechnic colleges, university, and junior college showed the highest laboratory safety awareness in 'awareness and education of laboratorial safety regulation' and 'awareness in laboratory risk factors'. Second, the difference in safety awareness of universities by year(years that conducted current status survey) was the highest in year 2014, then in 2010, and in 2008. Third, the difference of research employees working for laboratory safety management by year(years that conducted current status) showed that university had the highest laboratory safety awareness in year 2010, but it changed to polytechnic colleges in year 2012 and 2014. Through this study, we could recognize the difference in safety awareness of research employees working in university institutes.
The objective of this study was to conduct research and analysis using Group Focus Interview to survey the between construction site workers and managers implementing for the Severe Accident Punishment Act. Focused on measures to improve safety management effectiveness for the effectiveness of establishing a safety management system. A plan to improve the efficient safety management system was presented to 50 construction industrial managers and workers. In order to ensure the industrial accident prevention policies appropriately, it is necessary to be aware of safety obligations for workers as well as business operators. In addition, despite the existence of a commentary on the Serious Accident Punishment Act, confusion in the field still persists, so in the event of a major accidents, the obligation to take safety and health education is strengthened, and effective case education is proposed by teaching actual accident cases suitable for actual working sites. It is necessary to make all training mandatory, and it is necessary to reconsider awareness through writing a daily safety log, awareness of risk factors, etc., and writing down risk information. Above all, at the construction ordering stage, it is necessary to keep the construction safety, request corrections and supplements for problems issues that arise, and consult between the orderer and the construction company about the problems issues. Rather than having only the construction company correct or supplement the safety management plan, the contents should be shared with supervisors and workers to establish a more practical solution. Results of this study will contribute to improving the effectiveness of the serious accident and construction safety management system.
The purpose of this study was to measure safety-awareness among elementary students, identify their safety-practices and actual status of accidents. The study was also done to acquire basic information on safety education to help students be more aware of safety, and more active in accident-prevention activities. A random sample was taken of 763 5th and 6th grade students in 4 different elementary schools in Seoul. Of the 735 questionnaires collected, 684 were complete and were used in the analysis. SPSS was used to analyze the questionnaires. The results are summarized as follows. First, the overall safety-awareness score was relatively high at 139.06 of a maximum of 164. and respondents were most conscious of the section on Home Safety. Second, the safety-practices of the respondents was at the middle level with a mean score of 56.01 of a maximum of 80. The factors affecting the safety-practice of the respondents were education of their parents, recognized learning proficiency, awareness of need for safety education, and level of safety-education conducted by parents. Third, $53.4\%$ of the respondents had experienced one or more accidents during the past year. Most of the accidents occurred during play and recreation and home accidents were the most frequently reported accidents. The risk factors related to the occurrence of accidents were gender, relationship with friends, recognized learning proficiency, and awareness of traffic safety. Forth, higher safety-awareness was found to be directly related to higher safety-practices. Respondents with lower safety-awareness reported higher rate of accidents. In view of the results so far achieved, habituation and formation of safety-oriented actions among students are highly required to prevent accidents. In order to do that, development of safety-awareness and in-life enforcement of safety-practice need to come first.
Background: Breast and cervical cancers are the most common causes of cancer mortality among women in India, but actually they are largely preventable diseases. Although early detection is the only way to reduce morbidity and mortality, there are limited data on breast and cervical cancer knowledge, safe practices and attitudes of teachers in India. The purpose of this study is to assess the level of awareness and impact of awareness programs in adoption of safe practices in prevention and early detection. Materials and Methods: This assessment was part of a pink chain campaign on cancer awareness. During cancer awareness events in 2011 at various women colleges in different parts in India, a pre-test related to cervical cancer and breast cancer was followed by an awareness program. Post-tests using the same questionnaire were conducted at the end of the interactive session, at 6 months and 1 year. Results: A total of 156 out of 182 teachers participated in the study (overall response rate was 85.7 %). Mean age of the study population was 42.4 years (range- 28-59 yrs). There was a significant increase in level of knowledge regarding cervical and breast cancer at 6 months and this was sustained at 1 year. Adoption of breast self examination (BSE) was significantly more frequent in comparison to CBE, mammography and the Pap test. Magazines and newspapers were sources for knowledge regarding screening tests for breast cancer in more than 60% of teachers where as more than 75% were educated by doctors regarding the Pap test. Post awareness at 6 months and 1 year, there was a significant change in alcohol and smoking habits. Major reasons for not doing screening test were found to be ignorance (50%), lethargic attitude (44.8%) and lack of time (34.6%). Conclusions: Level of knowledge of breast cancer risk factors, symptoms and screening methods was high as compared to cervical cancer. There was a significant increase in level of knowledge regarding cervical and breast cancer at 6 months and this was sustained at 1 year. Adoption of BSE was significantly greater in comparison to CBE, mammography and the Pap test. To inculcate safe practices in lifestyle of people, awareness programmes such as pink chain campaign should be conducted more widely and frequently.
Purpose: The purpose of the study was to investigate the factors affecting on smartphone addiction according to the classification of addiction-risk groups among college students, focusing on self-control. Methods: A sample of 242 college students at K University in Seoul was recruited to participate in the study. A structured questionnaire composed of items for the self-rated smartphone addiction scale and self-control scale was used to collect data. Results: The number of students in smartphone addiction-risk group was 66 (27.3%). This study had 17.5% of the explanatory power, including perceived smartphone necessity (${\beta}=.330$, p=.007), and instant self-control (${\beta}=-.281$, p=.028) in addiction-risk group. Whereas, in non-risk group, the affecting factors included gender (${\beta}=.194$, p=.004), self-awareness of addiction (${\beta}=-.290$, p<.001), and instant self-control (${\beta}=-.281$, p<.001) with 31.3% of the explanatory power. Conclusion: There is a need to develop an intervention program to prevent the addiction of smartphones and to improve self-control among college students.
Background: This study explored the knowledge and awareness about colorectal cancer (CRC) among undergraduate students of one of the leading universities in Saudi Arabia, along with the mode of information access. Materials and Methods: The present cross-sectional study was conducted at the King Abdulaziz University, Jeddah, Saudi Arabia, among students of different faculties. The study questionnaire, containing 28 items, was adapted from surveys identified in the relevant literature. The CRC awareness questionnaire consisted of an awareness section (early CRC signs and symptoms, and risk factors) and a knowledge section. The data were analyzed using the SPSS version 21.0. Results: A total of 525 undergraduate students participated in the study. The majority were females (63.0%) and approximately half (56.8%) were medical students. The majority of the students (82.3%) were aware of CRC, and 68% thought that CRC is a preventable disease. Regarding colorectal cancer screening tests, only one-third of students (33%) had actual knowledge, while the majority of the students (77.0%) thought that there are tests which help in early detection. Only 4% of the participants had a family history of CRC. The majority of the participants (84%) thought that CRC is a disease that can be cured. Almost 50-60% participants had good awareness level regarding risk factors, and signs and symptoms. Regarding knowledge, participant responses varied for family history (52%), age (59%), chronic infection of the colon (72%), obesity and lack of exercise (66%). More than one-third of the students had received information material regarding CRC from their curriculum followed by social media (20.4%), and nearly 40% from other sources such as TV, hospital and mass media. Female participants had significantly better awareness in a few questions regarding CRC awareness as compared to their male counterparts. There was a significant difference observed between medical and non-medical students (p<0.001) in overall score of awareness and knowledge about CRC while no significant difference found in gender-wise comparison. Conclusions: Knowledge and awareness of students about CRC were not up to the mark. Medical students and female students had better knowledge in a few areas, but the overall situation is dismal.
The risk assessment carried out on the construction site at the beginning of the implementation depends on the subjective judgment of risk of general contractor and subcontractors, whose opinion about frequency and intensity of risk is different. In this paper, research the awareness of general contractors and subcontractors about process of risk assessment at the construction site and its effectiveness. Researching of the main factors "frequency", "intensity" which determines the degree of risk gives the opportunity to find an option for improving the effective implementation of risk assessment.
This study is to reveal the significant value of astrology as a counseling tool beyond its unscientific means in prophecy and counseling effects on changes in adolescents' self-awareness with astrology. In astrology, personal self-awareness is related to the nature of the sun and the public self-awareness is associated with ascendants, or the persona. In addition, the location of the moon that governs emotion and basic and peripheral aspects of polarity, quality, and elements are analyzed to be applied to the scene of consultation in relation of social unrest. For this study, 24 subjects were selected randomly at the Youth Support Center in Gyeongsangnam-do city C who referred to be showing social maladjustment, problematic behaviors and so under probation. The subjects were divided into the experimental group (12) and control group (12). To measure the affects of astrology-utilized consultation and to assess changes of self-awareness and its sub-factors, analysis of variance was conducted repeatedly and statistically validated with the difference between the group (experimental, control) and test(pre, post). As the results, it was proven that the consultation using astrology is affective on increasing adolescents' self-awareness and it can be understood that astrology has a meaningful value as a consultation tool in the aspects of social science.
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