• Title/Summary/Keyword: Declining trend

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Declining Incidence of Nasopharyngeal Carcinoma in Brunei Darussalam: a Three Decade Study (1986-2014)

  • Chong, Vui Heng;Telisinghe, Pemsari Upali;LIM, Edwin;Abdullah, Muhammad Syafiq;Idris, Fidah;Chong, Chee Fui
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.16
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    • pp.7097-7101
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    • 2015
  • Background: Nasopharyngeal carcinoma (NPC) is linked to Epstein Barr virus infection and is particularly common in the Far East, particularly among some Chinese groups. Certain ethnicities have been reported to have low incidence of NPC. This study looked at NPC in Brunei Darussalam over a three decade period. Materials and Methods: The cancer registry from 1986 to 2014 maintained by the State Laboratory was retrospectively reviewed. The age standardized rates (ASR) and the age specific incidence rates (ASIR) were calculated. Non NPC tumors were excluded from the study. Results: Altogether, there were a total of 450 NPC cases diagnosed accounting for 4.4% of all total cancer cases over the study period, declining from 10.3% in 1986-1990 to 2.3% in 2011-2014. The most common tumor type was the undifferentiated carcinoma (96.4%). The case characteristics were mean age $50.4{\pm}14.4$ years old, male 69%, and predominately Malays 74.4%, followed by Chinese 16.7%. The mean age of diagnosis increased over the study period from $45.6{\pm}17.1$ years (1986-1989) to $54.1{\pm}12.5$ years (ANOVA, p<0.01 for trend). There were no differences in the mean age of diagnosis between the ethnic groups or genders. The ASR showed a declining trend from 11.1 per 100,000 in 1986-1990 to 5.95 per 100,000 in 2011-2014, similar trends been observedfor both genders. Among the age groups, declining trends were seen in all the other age groups apart from the >70 years group. The overall ASRs for the Malays and Chinese were 7.92/100,000 and 8.83/100,000 respectively, both showing declining trends. Conclusions: The incidence of NPC in Brunei Darussalam is comparable to rates reported from Singapore and Malaysia, but higher than rates reported from the other Southeast Asian nations. Unlike higher rates reported for Chinese compared to the Malays in other countries, the rates between the Malays and Chinese in our study was comparable. Importantly, the ASR is declining overall and for both genders and ethnic groups.

Esophageal Cancer in Brunei Darussalam over a three Decade Period: an Epidemiologic Study of Trends and Differences between Genders and Racial Groups

  • Chong, Vui Heng;Telisinghe, Pemasari Upali;Chong, Chee Fui
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.9
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    • pp.4123-4126
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    • 2015
  • Background: Carcinoma of the esophagus is associated with significant morbidity and mortality. The most common subtype is squamous cell carcinoma (SCC). In the past three decades, the incidence of SCC has been reported to be decreasing whereas esophageal adenocarcinoma (AC) is increasing. This study assessed the trend of esophageal cancer in Brunei Darussalam over a three decades period. Materials and Methods: The National Cancer registry was searched for esophageal cancers from 1986 to 2012. Data on age, gender, racial groups (Malays, Chinese, Indigenous and foreign nationals) and histology type were collected. The rate (ASR) and Age Specific Incidence rate (ASIR) were calculated. Results: The predominant tumor type was SCC which accounted for 89% of all esophageal cancer. The gender ratio was 2.25: 1 (male: female) and the mean age at diagnosis was $66.9{\pm}12.9$ years, significantly younger for esophageal AC ($57.2{\pm}16.0$) compared to SCC ($68.1{\pm}12.0$, p<0.05), and among the foreign nationals (p<0.05 for trend). The proportions of SCC among all esophageal cancers in the various racial groups were: Malays (87.8%), Chinese (100%), Indigenous (100%) and foreign nationals (20%). None of the Chinese and Indigenous groups were diagnosed with esophageal AC. The overall ASR for esophageal cancer was 2.1/100,000; 2.0/100,000 for SCC with a declining trend and 0.17/100,000 for esophageal AC, without any trend observed. Among the two major racial groups; the Chinese has higher ASR (3.42/100,000) compared to the Malays (ASR 0.95/100,000). Conclusions: SCC is the predominant tumor type of esophageal cancer in Brunei Darussalam and more common among the Chinese. There was a declining trend in the incidence of SCC but not for esophageal AC.

A Korean nationwide investigation of the national trend of complex regional pain syndrome vis-à-vis age-structural transformations

  • Lee, Joon-Ho;Park, Suyeon;Kim, Jae Heon
    • The Korean Journal of Pain
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    • v.34 no.3
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    • pp.322-331
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    • 2021
  • Background: The present study employed National Health Insurance Data to explore complex regional pain syndrome (CRPS) updated epidemiology in a Korean context. Methods: A CRPS cohort for the period 2009-2016 was created based on Korean Standard Classification of Diseases codes alongside the national registry. The general CRPS incidence rate and the yearly incidence rate trend for every CRPS type were respectively the primary and secondary outcomes. Among the analyzed risk factors were age, sex, region, and hospital level for the yearly trend of the incidence rate for every CRPS. Statistical analysis was performed via the chi-square test and the linear and logistic linear regression tests. Results: Over the research period, the number of registered patients was 122,210. The general CRPS incidence rate was 15.83 per 100,000, with 19.5 for type 1 and 12.1 for type 2. The condition exhibited a declining trend according to its overall occurrence, particularly in the case of type 2 (P < 0.001). On the other hand, registration was more pervasive among type 1 compared to type 2 patients (61.7% vs. 38.3%), while both types affected female individuals to a greater extent. Regarding age, individuals older than 60 years of age were associated with the highest prevalence in both types, regardless of sex (P < 0.001). Conclusions: CRPS displayed an overall incidence of 15.83 per 100,000 in Korea and a declining trend for every age group which showed a negative association with the aging shift phenomenon.

Impact of future climate change on UK building performance

  • Amoako-Attah, Joseph;B-Jahromi, Ali
    • Advances in environmental research
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    • v.2 no.3
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    • pp.203-227
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    • 2013
  • Global demand for dwelling energy and implications of changing climatic conditions on buildings confront the built environment to build sustainable dwellings. This study investigates the variability of future climatic conditions on newly built detached dwellings in the UK. Series of energy modelling and simulations are performed on ten detached houses to evaluate and predict the impact of varying future climatic patterns on five building performance indicators. The study identifies and quantifies a consistent declining trend of building performance which is in consonance with current scientific knowledge of annual temperature change prediction in relations to long term climatic variation. The average percentage decrease for the annual energy consumption was predicted to be 2.80, 6.60 and 10.56 for 2020s, 2050s and 2080s time lines respectively. A similar declining trend in the case of annual natural gas consumption was 4.24, 9.98 and 16.1, and that for building emission rate and heating demand were 2.27, 5.49 and 8.72 and 7.82, 18.43 and 29.46 respectively. The study further analyse future heating and cooling demands of the three warmest months of the year and ascertain future variance in relative humidity and indoor temperature which might necessitate the use of room cooling systems to provide thermal comfort.

Advanced Depreciation Cost Analysis for a Commercial Pyroprocess Facility in Korea

  • Kim, Sungki;Ko, Wonil;Youn, Saerom;Gao, Ruxing;Chung, Yanghon;Bang, Sungsig
    • Nuclear Engineering and Technology
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    • v.48 no.3
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    • pp.733-743
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    • 2016
  • The purpose of this study is to present a rational depreciation method for a pyroprocess cost calculation. Toward this end, the so-called advanced decelerated depreciation method (ADDM) was developed that complements the limitations of the existing depreciation methods such as the straight-line method and fixed percentage of declining-balance method. ADDM was used to show the trend of the direct material cost and direct labor cost compared to the straight-line or fixed percentage of the declining-balance methods that are often used today. As a result, it was demonstrated that the depreciation cost of the ADDM, which assumed a pyroprocess facility's life period to be 40 years with a deceleration rate of 5%, takes up 4.14% and 27.74% of the pyroprocess unit cost ($781/kg heavy metal) in the $1^{st}$ and final years, respectively. In other words, it was found that the ADDM can cost the pyroprocess facility's capital investment rationally every year. Finally, ADDM's validity was verified by confirming that the sum of the depreciation cost by year, and the sum of the purchasing cost of the building and equipment, are the same.

Changing Trends of Types of Skin Cancer in Iran

  • Razi, Saeid;Rafiemanesh, Hosein;Ghoncheh, Mahshid;Khani, Yousef;Salehiniya, Hamid
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.12
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    • pp.4955-4958
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    • 2015
  • Background: Skin cancer is the most common type of cancer worldwide. It has an increasing trend. This study investigated the epidemiological trend and morphological changes in skin cancer in Iran. Materials and Methods: This study was done using existing data, extracted from the National Cancer Registry System and the Disease Management Center of Iranian Ministry of Health between 2003 and 2008. Data on epidemiologic trend was analyzed using Joinpoint software package. Results: The incidence of skin cancer is increasing in Iran, and more in men than women. There was a declining trend for basal cell carcinoma. Basal squamous cell carcinoma and melanoma had an increasing trend. The increase of skin cancer was related to squamous cell carcinoma. Conclusions: Our findings indicated that the increase of skin cancer was attributed to squamous cell carcinoma. It is necessary to be planning for the control and prevention of this disease as a priority for health policy makers.

Analysis of drought in Northwestern Bangladesh using standardized precipitation index and its relation to Southern oscillation index

  • Nury, Ahmad Hasan;Hasan, Khairul
    • Environmental Engineering Research
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    • v.21 no.1
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    • pp.58-68
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    • 2016
  • The study explored droughts using the Standardized Precipitation Index (SPI) in the northwestern region of Bangladesh, which is the drought prone area. In order to assess the trend and variability of monthly rainfall, as well as 3-month scale SPI, non-parametric Mann-Kendall (MK) tests and continuous wavelet transform were used respectively. The effect of climatic parameters on the drought in this region was also evaluated using SPI, with the Southern Oscilation Index (SOI) by means of the wavelet coherence technique, a relatively new and powerful tool for describing processes. The MK test showed no statistically significant monthly rainfall trends in the selected stations, whereas the seasonal MK test showed a declining rainfall trend in Bogra, Ishurdi, Rangpur and Sayedpur stations respectively. Sen's slope of six stations also provided a decreasing rainfall trend. The trend of the SPI, as well as Sen's slope indicated an increasing dryness trend in this area. Dominant periodicity of 3-month scale SPI at 8 to 16 months, 16 to 32 months, and 32 to 64 months were observed in the study area. The outcomes from this study contribute to hydrologists to establish strategies, priorities and proper use of water resources.

A Study on the Actual Condition of Import for a Japanese Fresh and Live Fish (일본산 활어ㆍ신선냉장어의 수입 실태에 관한 고찰)

  • 송정헌
    • The Journal of Fisheries Business Administration
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    • v.33 no.2
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    • pp.153-168
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    • 2002
  • Korea's marine products trade is taking for phase that income exceeds export after 2000. According to external environment change of Korea and Japan fishery agreement and an import liberalization of marine products, import of live fish and fresh fish is increasing rapidly. This study investigates import view of Japan live fish and fresh fish. Live fish which is imported from Japan has red seabream and seabass, but it is in declining tendency because of the increase in import of cheaper croaker from the China. If see importer's trend, entry to import business of fresh fish is eased a little. If a circulation trend is seen, However, it is thought that a future import trend is influenced by economic trends of Japan and the grade of place-of-production development of a domestic trader. Circulation market outside is common and the district wholesale store has played the important role. The import view of Japanese live fish and a fresh fish will increase against the background of maintenance of domestic circulation organization, and upgrading of marine product consumption However, it is thought that a future import trend is influenced by economic trends of Japan and the grade of place-of-production development of a domestic trader.

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Pacific Sea Level Variability associated with Climate Variability from Altimetry and Sea Level Reconstruction Data (위성 고도계와 해수면 재구성 자료를 이용한 기후변동성에 따른 태평양 해수면 변화)

  • Cha, Sang-Chul;Moon, Jae-Hong
    • Ocean and Polar Research
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    • v.40 no.1
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    • pp.1-13
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    • 2018
  • Previous studies have indicated a great regional difference in Sea Level Rise (SLR) in the Pacific and it has been suggested that this is linked to climate variability over the past two decades. In this study, we seek to identify the possible linkage between regional sea level and Pacific climate variability from altimetry-based sea level data (1993-2012) and further investigate how the Pacific sea level has changed spatially and temporally over the past 60 years from long-term sea level reconstruction data (1953-2008). Based on the same method as Zhang and Church (2012), the Inter-annual Climate Index (ICI) associated with the El $Ni{\tilde{n}}o-Southern$ Oscillation (ENSO) and the Decadal Climate Index (DCI) associated with Pacific Decadal Oscillation (PDO) are defined and then the multiple variable linear regression is used to analyze quantitatively the impact of inter-annual and decadal climate variability on the regional sea levels in the Pacific. During the altimeter period, the ICI that represents ENSO influence on inter-annual time scales strongly impacts in a striking east-west "see-saw mode" on sea levels across the tropical Pacific. On the other hand, the decadal sea level pattern that is linked to the DCI has a broad meridional structure that is roughly symmetric in the equator with its North Pacific expression being similar to the PDO, which largely contributes to a positive SLR trend in the western Pacific and a negative trend in the eastern Pacific over the two most recent decades. Using long-term sea level reconstruction data, we found that the Pacific sea levels have fluctuated in the past over inter-annual and decadal time scales and that strong regional differences are presented. Of particular interest is that the SLR reveals a decadal shift and presents an opposite trend before and after the mid-1980s; i.e., a declining (rising) trend in the western (eastern) Pacific before the mid-1980s, followed by a rising (declining) trend from the mid-1980s onward in the western (eastern) Pacific. This result indicates that the recent SLR patterns revealed from the altimeters have been persistent at least since the mid-1980s.

Mechanical Properties of Corn Husk Flour/PP Bio-composites

  • Jagadeesh, Dani.;Sudhakara, P.;Lee, D.W.;Kim, H.S.;Kim, B.S.;Song, J.I.
    • Composites Research
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    • v.26 no.4
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    • pp.213-217
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    • 2013
  • The focus in the present work is to study the agro-waste corn husk bio-filler as reinforcement for polypropylene. These materials have been created by extrusion and injection molding. The effect of filler content by 10, 20, 30 and 40 wt. % and mesh sizes of 50~100, 100 and 300 on the mechanical properties was studied. For the un-notched specimens, the results of flexural strength showed a declining trend with increase the filler loading and the results of impact strength showed an increasing trend with increase the mesh size. In contrast, enhanced flexural modulus was observed with increasing filler loading and size.