• Title/Summary/Keyword: Medical statistics

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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
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    • v.17 no.7
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    • pp.3265-3269
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    • 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.

Effects of an Empowering Program on Health Quality of Life, Decision Making Self-efficacy, Self-care Competency, and Reasonable Medical Care Utilization among Low Income Women Households (일 지역 저소득층 여성가구주를 위한 임파워링 프로그램이 건강 삶의 질, 의사결정 자기효능, 자가관리 능력 및 합리적 의료이용에 미치는 효과)

  • Ahn, Yang-Heui;Kim, Ki-Kyong;Kim, Gi-Yon;Song, Hee-Young
    • Journal of Korean Public Health Nursing
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    • v.24 no.2
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    • pp.237-248
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    • 2010
  • Purpose: The study assessed the effects of a 12-session empowering program to promote health quality of life, decision making self-efficacy, self-care competency, and reasonable medical care utilization among low income women households in one rural area. Methods: A quasi-experimental, one-group pre-posttest design was employed. A total of 28 women enrolled as medicaid recipients in the Public Health Center of W city agreed to participate. The empowering program consisted of 12 sessions addressing health education for self-care of disease, medication management, and counseling for psycho-social support. The intervention was delivered by five nurses and one social worker. Women completed a structured questionnaire measuring the study variables with demographic characteristic before and after the intervention. Data were analyzed by PAWS Statistics 17 utilizing descriptive statistics and paired t-test. Results: After the intervention, significant increases were evident in participant health quality of life (t=-5.83, p<.001), decision making self-efficacy (t=-4.86, p<.001), self-care competency (t=-8.16, p<.001), and reasonable medical care utilization (t=-3.97, p<.001). Conclusion: The 12-session empowering program on health quality of life as well as self-care competency was effective when delivered to low income women households. Further studies with larger numbers of participants and a control group are necessary to validate the results.

Past Trends and Future Estimation of Annual Breast Cancer Incidence in Osaka, Japan

  • Toyoda, Yasuhiro;Tabuchi, Takahiro;Nakayama, Tomio;Hojo, Shigeyuki;Yoshioka, Setsuko;Maeura, Yoshiichi
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.6
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    • pp.2847-2852
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    • 2016
  • Background: Although the breast cancer incidence rate in Japan is lower than in western countries, the age-specific rates have markedly increased in recent years, along with the problems of declining birth rate and an aging population. Materials and Methods: We examined past trends of age-specific breast cancer incidence using data from the Osaka Cancer Registry from 1976 to 2010, and estimated future trends until 2025 based on the changes observed and population dynamics using a log linear regression model. Results: The age-specific breast cancer incidence rate has increased consistently from the 1970s, and the rates have caught up with those of Japanese-Americans in the US. Assuming the increasing tendency of age-specific breast cancer incidence to be constant, the average annual incidence of breast cancer will increase 1.7-fold from 2006-2010 to 2021-2025. Furthermore, the number of patients aged 80 years should increase 3.4-fold. Conclusions: The medical demand for breast cancer care in Japan may increase explosively in the future, particularly among the elderly. We need to prepare for such a future increase in demand for care, although careful monitoring is needed to confirm these results.

Analysis of Unstructured Data on Detecting of New Drug Indication of Atorvastatin (아토바스타틴의 새로운 약물 적응증 탐색을 위한 비정형 데이터 분석)

  • Jeong, Hwee-Soo;Kang, Gil-Won;Choi, Woong;Park, Jong-Hyock;Shin, Kwang-Soo;Suh, Young-Sung
    • Journal of health informatics and statistics
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    • v.43 no.4
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    • pp.329-335
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    • 2018
  • Objectives: In recent years, there has been an increased need for a way to extract desired information from multiple medical literatures at once. This study was conducted to confirm the usefulness of unstructured data analysis using previously published medical literatures to search for new indications. Methods: The new indications were searched through text mining, network analysis, and topic modeling analysis using 5,057 articles of atorvastatin, a treatment for hyperlipidemia, from 1990 to 2017. Results: The extracted keywords was 273. In the frequency of text mining and network analysis, the existing indications of atorvastatin were extracted in top level. The novel indications by Term Frequency-Inverse Document Frequency (TF-IDF) were atrial fibrillation, heart failure, breast cancer, rheumatoid arthritis, combined hyperlipidemia, arrhythmias, multiple sclerosis, non-alcoholic fatty liver disease, contrast-induced acute kidney injury and prostate cancer. Conclusions: Unstructured data analysis for discovering new indications from massive medical literature is expected to be used in drug repositioning industries.

Associations with Job Stress and Depression among Emergency Medical Technicians - Focusing on the Mediating Effect of Self-Esteem and Social Support- (응급구조사의 업무스트레스와 우울과의 관계 - 자아존중감과 사회적지지의 매개효과를 중심으로 -)

  • Lee, Sang-Hee;Lee, Jong-Ryol
    • The Journal of Korean Society for School & Community Health Education
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    • v.17 no.1
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    • pp.35-47
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    • 2016
  • Objectives: The purpose of this study was to examine the mediating effect of self-esteem or social support on job-related stress and depression among emergency medical technicians (EMTs). Methods: Data were collected from EMTs at emergency medical institutions and fire stations (n=257). The data were analyzed using descriptive statistics, t-test, Pearson correlation coefficient, and stepwise multiple regression with SPSS WIN 21.0. Results: Self-esteem and social support of EMTs were found to be at moderate levels (Self-esteem: M=3.04, SD=0.43; Social support: M=3.65, SD=0.43) Job-related stress was positively correlated with depression: the higher the job-related stress score, the higher the depression score. Moreover, self-esteem score or social support score was negatively associated with job-related stress and depression: the higher the self-esteem score or the higher the social support score, the lower the job related stress score and the depression score. Conclusions: Future research should address how social support and networks interact and together affect self-esteem for job-related stress and depression.

A Case Study of Six Sigma Project for Improving Measurement Method of Skin Elasticity (피부탄성 측정 문제점 개선을 위한 6시그마 프로젝트)

  • Lee, Hae-Jung;Kang, Nam-Sik;Jeon, Young-Ju;Kim, Keun-Ho;Kim, Hong-Gie;Kim, Jong-Yeol
    • Korean Journal of Oriental Medicine
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    • v.16 no.3
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    • pp.135-140
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    • 2010
  • The usefulness of constitutional diagnoses based on skin measurements has been established in oriental medicine. According to Sasang constitutional medicine, humans can be distinguished based on properties of skin's friction, thickness and elasticity. To quantify and standardize skin diagnosis, the present study designed an equipment for measuring skin elasticity of hand. But there were some noises in measuring skin elasticity such as measurement method, environment, operator and conditions of patient. So we considered a six sigma project for reducing the measurement errors. The project was followed to discipline process of five macro phases: Define, Measure, Analyze, Improve and Control(DMAIC). So, we could find the major factors which should be controled for stabilizing measurement system and we revised the SOP(Standard Operating Procedure) of the skin elasticity measurement.

Analysis of Chung-Buk Regional Industry Trends -Focused on Machinery Part Industry and Medial Instrument Industry (충북지역 특화산업 현황 분석 -기계부품(자동차), 의료기기산업을 중심으로)

  • Lee, Hyoung-wook;Seo, JunHyeok;Park, Sung-jun;Bae, Sungmin
    • Journal of Institute of Convergence Technology
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    • v.6 no.2
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    • pp.41-46
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    • 2016
  • Based on Regional Industry Development Plan in 2014, machinery part industry and medical instrument industry has been designated as core industries of Chung-buk area. Machinery part industry plays an important role in economic growth of chung-buk area and it has been faced with signigicant changes - such as SMART factory and IoT(Internet of things). Also, medical instrument industry with 3D printing technology grows rapidly in Chung-buk area. It is believed that medical instrument could be next cash-cow items for Chung-buk area. In this paper, we survey, analyze and summarize the current machinery part industry and medical instrument industry focused on Chunk-buk Area.

Analysis on prehospital care of emergency labor pain, vaginal bleeding and sexual assault patients by 119 emergency medical technicians (진통 분만, 질출혈과 성폭행 환자에 대한 119구급대원의 병원전 응급처치 분석)

  • Baek, Mi-Lye
    • The Korean Journal of Emergency Medical Services
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    • v.17 no.2
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    • pp.9-20
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    • 2013
  • Purpose: The purpose of this study is to provide basic data to improve prehospital emergency care for patients with labor pain, vaginal bleeding and rape experience by analyzing the reports of 119 emergency medical technicians. Methods: Data were prehospital reports of 190 patients having chief complaints of labor pain, vaginal bleeding and rape in Chungcheongnam-do from January 1, 2012 to December 31, 2012. Data were analyzed using SPSS 21.0 descriptive statistics and $x^2$-test. Results: From the 190 cases of labor pain, vaginal bleeding and rape, labor pain accounted for 57.9% including 75.5% of normal delivery; vaginal bleeding accounted for 35.8% including 26.5% of postpartum hemorrhage; and rape victims accounted for 6.3%. Cases with more than one vital sign accounted for 94.2%, but cases without primary assessment of the obstetrics and gynaecology accounted for 38.4% from gestation weeks, 78.0% from parity, and 87.4% from history taking relating to event. Patient care including emotional support was the first priority care accounted for 78.4% and 60% of care was keeping the patients warm. Conclusion : In order to handle various emergency situations properly, the records must be supplemented by obstetrical and gynaecological rape checklist and rape victims supporting system should be established.

Effects of the Mother-Medical Staff Partnership on Mothers' Condition Management Ability for Children with Chronic Allergic Diseases (만성 알레르기 질환 아동의 어머니-의료진 간 파트너십이 어머니의 아동 상태 관리능력에 미치는 영향)

  • Son, Hae Kyoung;Song, Hyo Bin;Kim, Dong Hee
    • Child Health Nursing Research
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    • v.24 no.1
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    • pp.101-108
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    • 2018
  • Purpose: This study aimed to identify the effects of the mother-medical staff partnership on mothers' condition management ability for children with chronic allergic diseases. Methods: A total of 109 Korean mothers caring for a child with a chronic allergic diseases, identified according to the allergic march, such as food allergy, atopic dermatitis, allergic rhinitis, and allergic asthma, were recruited from the pediatric department of a general hospital in Seoul through convenience sampling. Data were collected using structured self-reported questionnaires from August 1, 2017 to October 31, 2017. and analyzed by descriptive statistics and multiple regression using SPSS version 22.0. Results: The Mother-medical staff partnership had a statistically significant effect on mothers' condition management ability for children with chronic allergic diseases (p<.05). Among the general characteristics, satisfaction with nursing services had a statistically significant effect on mothers' condition management ability (p<.05). Conclusion: In conclusion, strategies to support children with chronic allergic diseases, as well as their caregivers, should consider the mother-medical staff partnership as part of a family-centered approach.

Job satisfaction and organizational commitment among emergency medical technicians (응급구조사의 직무만족도와 조직몰입도에 관한 연구 - 광주·전남 응급구조사를 중심으로 -)

  • Hwang, Hee-Jin;Kim, Jin-Sun;Chong, Ji-Yon
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.5-17
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    • 2004
  • A descriptive-correlational study was conducted to examine the job satisfaction and organizational commitment of emergency medical technicians(EMTs) and to identify the relationship between job satisfaction and organizational commitment. Subjects of this study werw 85 EMTs who passed first grade qualification examination and work at hospitals or fire stations in Gwangju and Chonnam province. Data were collected using a structured questionnaire by a postal survey from Sept. 10 to Oct. 20, 2003. For data analysis, descriptive statistics, ANOVA. t-test, and Pearson Correlation were used. The mean score of subjects' job satisfaction was 3.04 and the mean score of organizational commitment was 3.33. There was no significant differences on job satisfaction and organizational commitment by general characteristics of subjects. Job satisfaction was significantly differed by their careers as a EMT, current working place, and types of duty. Organizational commitment was significantly differed by their current working place, types of duty, and level of mean allowance. There was statistically significant positive correlation between job satisfaction and organizational commitment. These findings provide implications to improve job satisfaction and organizational commitment for EMTs. Further studies are recommended.

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