• 제목/요약/키워드: high risk population

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Risk Factors for Rectal Cancer and Methylenetetrahydrofolate Reductase Polymorphisms in a Population in Northeast Thailand

  • Promthet, Supannee;Pientong, Chamsai;Ekalaksananan, Tipaya;Songserm, Nopparat;Poomphakwaen, Kirati;Chopjitt, Peechanika;Wiangnon, Surapon;Tokudome, Shinkan
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권8호
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    • pp.4017-4023
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    • 2012
  • Background and Aim: Polymorphisms in methylenetetrahydrofolate reductase (MTHFR) are known to be associated with predisposition for certain cancers. This study aimed to evaluate the effects of lifestyle factors, family history and genetic polymorphisms in MTHFR C677T and A1298C on rectal cancer risk and possible interactions with lifestyle factors in Northeast Thailand. Methods: A hospital-based case-control study was conducted during 2002-2006 with recruitment of 112 rectal cancer cases and 242 non-rectal cancer patient controls. Information was collected using a structured-questionnaire. Blood samples were obtained for assay of MTHFR C677T and A1298C genotypes by polymerase chain reaction with restriction fragment length polymorphism (PCR-RFLP) techniques. Associations between lifestyle factors, family history and genetic polymorphisms v.s. rectal cancer risk were assessed using logistic regression analysis. Results: Subjects with frequent and occasional constipation had a higher risk ($OR_{adj.}$=14.64; 95%CI=4.28-50.04 and $OR_{adj.}$=2.15; 95%CI=1.14-4.06), along with those who reported ever having hemorrhoids ($OR_{adj.}$=2.82; 95%CI=1.36-5.84) or a family history of cancer ($OR_{adj.}$=1.90; 95%CI=1.06-3.39). Consumption of a high level of pork was also associated with risk ($OR_{adj.}$=1.82; 95%CI=1.05-3.15). Interactions were not observed between MTHFR and other risk factors. Conclusions: This study suggested that the risk factors for rectal cancer in the Thai population are bowel habits, having had hemorrhoids, a family history of cancer and pork consumption.

여고생의 문제행동에 따른 성태도 유형 및 성관련 경험에 대한 연구 (Study on the Sexual Attitudes Type and Sexual Experiences as Regards Risk Behaviors in Girls High School Students)

  • 손정남
    • 여성건강간호학회지
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    • 제9권2호
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    • pp.113-127
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    • 2003
  • The purpose of this study is to identify the relationship between sexual attitude and risk behaviors, between risk behavior and sexual experiences in Korean girls high school students. The subjects for this study were 522 girls, who were samples from a target population of 63,375 11th grade students from 200 regular high schools and 70 vocational high schools in Seoul. The data were collected from June 22 to July 18, 2002. A structured questionnaire was used that included measurement of general characteristics, sexual attitudes, risk behaviors and sexual experiences. The data were processed with the SAS program, which uses descriptive statistics, t-test, and ANOVA in its an alyses. The results of this study are as follows : 1. The frequency of sexual experience is as follows ; 'holding hands' had the highest percentage, 57.4 7%, followed in order by 'arms around' 50.19%, 'act of embracing' 50.19%, 'kiss' 37.74%, 'french kiss' 30.84%, 'touch breasts' 8.62%, 'touch sexual organs' 3.26%, 'coitus' 2.30%, 'contraception' 0.77%, 'pregnancy' 0.19%, 'abortion' 0.19%, and 'prostitution' 0.19%. 2. The score of conservatives types was significantly different depending upon exposure to pornographic material and drinking. In comparison, the score of permissiveness types was significantly different depending upon exposure to pornographic material, drinking, and running away from home. But the score of pleasure seeking types was not significantly different than that of the risk behaviors types. 3. There was statistically significant difference in the sexual experience depending upon exposure to pornographic material, drinking, smoking, and running away from home. 4. In the relationship between sexual attitude types and sexual experience, there was a negative correlation between the conservatives types and sexual experiences such as 'holding hands', 'arms around', 'act of embracing', 'kiss', 'french kiss', 'touch breasts', 'touch sexual organs', and 'coitus'. There was a positive correlation between the permissiveness types and sexual experiences such as 'holding hands', 'arms around', 'act of embracing', 'kiss', 'french kiss', 'touch breasts', 'touch sexual organs', and 'coitus'. There was also a positive correlation between the pleasure-seeking types and sexual experiences such as 'touch sexual organ', 'contraceptions', 'pregnancy', and 'prostitution'. Based on the finding of this study, this society should develop a integrated program to prevent risk behaviors and sexual experiences in girls high school students.

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Impact of Irrigation Extension on Malaria Transmission in Simret, Tigray, Ethiopia

  • Chung, Bonhee
    • Parasites, Hosts and Diseases
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    • 제54권4호
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    • pp.399-405
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    • 2016
  • Poor subsistence farmers who live in a semi-arid area of northern Ethiopia build irrigation systems to overcome water shortages. However, there is a high risk of malaria transmission when increased standing water provides more favorable habitats for mosquito breeding. This is a serious problem because there are many barriers to malaria control measures and health care systems in the area. Using a causal loop diagram and computer simulations, the author attempted to visually illustrate positive and negative feedbacks between mosquito and human populations in the context of Simret, which is a small village located in northern Ethiopia and is generally considered a malaria-free area. The simulation results show that the number of infectious mosquitos increases to 17,215 at its peak, accounting for 3.5% of potentially dangerous mosquitos. At the same time, the number of sick people increases to 574 at its peak, accounting for 15% of local population. The malaria outbreak is controlled largely because of a fixed number of vulnerable people or local population that acts as an intermediate host.

Protective Effect of Antler in Experimental Colon Carcinogenesis

  • Kim, Dong-Hyun;Park, Hae-Young;Kim, Nam-Jae;Kim, Jae-Kun;Won, Do-Hee;Hong, Nam-Doo
    • Natural Product Sciences
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    • 제5권1호
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    • pp.48-53
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    • 1999
  • There are epidemiological evidences that the population with high fecal ${\beta}-glucuronidase$ activity has greater risk of colon cancer than the population with low fecal ${\beta}-glucuronidase$. This relationship was investigated by using the mouse-dimethylhydrazine colon carcinogenesis model and the extract of antler which was a ${\beta}-glucuronidase$ inhibitor. Mice with low fecal ${\beta}-glucuronidase$ activity induced by administration of water and Folch's fraction of antler had significantly fewer aberrant crypts after injections of 1,2-dimethylhydrazine (DMH) than mice treated with DMH alone. The result supports the hypothesis that the inhibitor of ${\beta}-glucuronidase$ such as antler extract can protect an animal against the induction of colon cancer.

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소아, 청소년 비만 약물 치료의 올바른 이해 (Recommendations of Pharmacological Treatment in Childhood and Adolescents Obesity)

  • 정수진
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제12권sup1호
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    • pp.118-126
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    • 2009
  • The incidence of childhood obesity has increased dramatically. Childhood obesity is an increasing health problem because of its strong associations with chronic health problems in children and adults. These health problems significantly contribute to the development of common chronic diseases in later life, including hypertension, type2 diabetes, hyperinsulinemia, coronary heart disease, and other psychological disorders. So it is an important issue to prevent and treat obesity during childhood and adolescent. Diet and exercise are the cornerstones of treatment for obesity and related complications. For obese children, some clinical trials have shown improvement with diet, exercise, and /or behavioral interventions. Promising interventions for high-risk individuals, such as bariatric surgery and novel pharmacological agents, also require rigorous assessment with attention to long-term patient important outcomes. There are various pharmacological approaches to the treatment of obesity in the adolescent population some of which have FDA approval. In the article we discuss pharmacological approaches to guide the treatment of obesity in the pediatric population, including risks of treatment, monitoring of potential side effects.

Diet and Nutrition among Asian Americans: Challenges and Opportunities

  • Lee Soo-Kyung
    • Journal of Community Nutrition
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    • 제8권2호
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    • pp.90-95
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    • 2006
  • Asian Americans is a minority population contributing approximately 4% to the total population of the United States, however it is one of the fastest growing populations. Although Asian Americans as a group have socioeconomic profiles that are similar to white Americans, significant variations exists within and across Asian ethnic groups. The top ten leading causes of death for Asian Americans includes cancer, heart diseases, stroke, unintentional injuries, diabetes, influenza and pneumonia, chronic lower respiratory disease, suicide, nephritis, and septicemia. The prevalence of obesity is lower among Asian Americans, however this should be taken with considerations specific to Asians. High salt and low calcium consumption seem to be dietary risk factors for Asian Americans, although dietary patterns are changing with acculturation. Factors affecting dietary patterns are discussed in this paper. A proactive nutrition education approach for Asian Americans should be promoting maintaining 'healthy' aspects of ethnic diets and adopting 'healthy' American diets. Collaboration with nutrition educators in Asian countries would be helpful to overcome limited resources available for researching and developing nutrition education messages and materials for Asian Americans. (J Community Nutrition 8(2): 90-95, 2006)

Diabetes and depression

  • Jeon, Eon-Ju
    • Journal of Yeungnam Medical Science
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    • 제35권1호
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    • pp.27-35
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    • 2018
  • Diabetes and depression are serious chronic conditions. As a result of their increasing prevalence, diabetes and depression, together with population growth and aging, are public health issues. The rate of depression in adults with either type 1 diabetes or type 2 diabetes is high relative to the general population. The coexistence of diabetes and depression has attracted much interest. Although it is unclear whether diabetes and depression are causally linked, most studies have shown that the association between diabetes and depression might be bidirectional. Currently, emotional well-being is becoming an increasingly important aspect of diabetes care and self-management. Psychiatric disorders and diabetic distress among people with diabetes may increase the risk of diabetes complication and mortality. Thus, assessment and appropriate management of depression in people with diabetes should be considered to achieve psychological well-being and optimize medical outcomes.

Protective Roles of Mushrooms in Experimental Colon Carcinogenesis

  • Kim, Dong-Hyun;Jang, Il-Sung;Park, Jong-Baek;Lee, Seung-Won
    • Archives of Pharmacal Research
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    • 제18권2호
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    • pp.79-83
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    • 1995
  • There is epidemilogical evidence that the population with high fecal ${\beta}-glucuronidase$activity has greater risk of colon cancer than the population with low facal ${\beta}-glucuronidase$. This relationship was investigated by using the mouse-dimethylhydrazine colon carcinogenesis model and the fraction of Glucidum which is a .${\beta}-glucuronidase$inhibitor. Mice with low facal ${\beta}-glucuronidase$activity induced by consumption of the ether fraction of G lucidum had significantly fewer aberrant crypts(AC) after injections of 1, 2-dimethylhydeazine (DMH) than mice treated with DMH alone. The result supports the hypothesis that the inhibitor such as the ether fraction of G lucidum can protect an animal against the induction of colon cancer.

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Dietary Patterns in Relation to Prostate Cancer in Iranian Men: A Case-Control Study

  • Askari, Faezeh;Parizi, Mehdi Kardoust;Jessri, Mahsa;Rashidkhani, Bahram
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권5호
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    • pp.2159-2163
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    • 2014
  • Background: Prostate cancer is the most frequently occurring cancer among males in economically developed countries. Among the several risk factors that have been suggested, only age, ethnicity, diabetes, and family history of prostate cancer are well-established and primary prevention of this disease is limited. Prior studies had shown that dietary intake could be modified to reduce cancer risk. We conducted a hospital-based, casecontrol study to examine the association between dietary patterns and prostate cancer risk in Iran. Materials and Methods: A total of fifty patients with prostate cancer and a hundred controls underwent face-to-face interviews. Factor analysis was used to determine the dietary patterns. Multivariate logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs). Results: We defined two major dietary patterns in this population: 'western diet'(high in sweets and desserts, organ meat, snacks, tea and coffee, French fries, salt, carbonated drinks, red or processed meat) and 'healthy diet' (high in legumes, fish, dairy products, fruits and fruit juice, vegetables, boiled potatoes, whole cereal and egg). Both Healthy and western pattern scores were divided into two categories (based on medians). Higher scores on Healthy pattern was marginally significantly related to decreased risk of prostate cancer (above median vs below median, OR =0.4, 95%CI=0.2-1.0). An increased risk of prostate cancer was observed with the higher scores on the Western pattern (above median vs below median, OR=4.0, 95%CI=1.5-11.0). Conclusions: The results of this study suggested that diet might be associated with prostate cancer among Iranian males.

High-risk Human Papillomavirus Genotypes in Cervical Lesions and Vaccination Challenges in China

  • Xu, Qiu-Xiang;Zhang, Zhen-Yu
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권6호
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    • pp.2193-2197
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    • 2015
  • Cervical cancer, mostly progressing from cervical intraepithelial neoplasia, is a major cause of morbidity and mortality in Chinese women. This is largely due to high prevalence of high-risk human papillomaviruses (hr-HPVs) in the population. The prevalence of hr-HPV DNA in women and in cervical lesions women ranged from 9.9% to 17.% and from 50.5% to 70.9% in different regions of China, respectively. The most common genotypes somewhat differ between regions throughout the country and from those in many other countries. This may be a challenge to cervical cancer screening and prevention in China. Combined detection of particular HPV genotypes should be recommended in all geographical regions in China and greater attention must be paid to specific hr-HPV types during cervical cancer screening and follow-up of cervical lesions. Besides, vaccination for prevention of cervical cancer by particular HPV genotypes, has not been introduced to China so far. Updated knowledge on prevalent HPV genotypes should be provided to public health organizations to help with the development of more effective HPV vaccines, which can protect Chinese women against HPV types prevalent in local China and thus have a substantial impact on the cervical cancer burden.