• Title/Summary/Keyword: Secondary Prevention

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Review of the Burden of Esophageal Cancer in Malaysia

  • Siti-Azrin, Ab Hamid;Wan-Nor-Asyikeen, Wan Adnan;Norsa'adah, Bachok
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.3705-3709
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    • 2016
  • Esophageal cancer is one of the top leading causes of cancer-related deaths in Malaysia. To date, neither the prevalence nor incidence of esophageal cancer nationally have been recorded. Esophageal cancer remains a major and lethal health problem even if it is not common in Malaysia. The late presentation of esophageal cancer makes it a difficult and challenging medical problem. Therefore, more governmental and non-governmental organizations of Malaysia should emphasize primary and secondary prevention strategies.

A Study on Prevention of Secondary Collision considering Failure of Brake Actuator (제동 액츄에이터 손상을 고려한 2차 충돌 예방에 관한 연구)

  • Yang, Heecheol;Kim, Dooyong;Kang, Taewan;Soh, Minwoo;Kwon, Jaejoon;Park, Kihong
    • Transactions of the Korean Society of Automotive Engineers
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    • v.23 no.5
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    • pp.553-563
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    • 2015
  • Reportedly the fatality rate from secondary collision is six times higher than the average fatality rate from all traffic accidents. So prevention of the secondary collision is attracting significant attention from automotive industries. However, the secondary collision prevention systems that have been developed are not considering possibility of brake actuator failure that can occur by the impact during the initial collision. In this paper, a new system has been developed that could prevent secondary collision even in case of brake actuator failure by taking advantage of still operating actuators. In this system, a steering control is performed for maintaining a lane by using linear quadratic regulator. Additionally, the system attempts differential brake control with the remaining braking capability to stop the vehicle in the shortest distance. Through simulation in various collision scenarios, the system has demonstrated significant potential of preventing secondary collision that could otherwise have resulted in severe fatality.

Current Evidence for a Paradigm Shift in Gastric Cancer Prevention From Endoscopic Screening to Helicobacter pylori Eradication in Korea

  • Kim, Young-Il;Choi, Il Ju
    • Journal of Gastric Cancer
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    • v.22 no.3
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    • pp.169-183
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    • 2022
  • Gastric cancer is prevalent in Korea and ranked as the third most common cancer in 2019, followed by lung and thyroid cancers. The National Cancer Screening Program (NCSP) for gastric cancer has been implemented in adults aged ≥ 40 since 1999 and involves endoscopic screening every 2 years. The beneficial effects of the current NCSP on early cancer detection, cost-effectiveness, and mortality reduction are evident. However, the screening program results in a large socioeconomic burden and the consumption of medical resources, as it focuses solely on secondary prevention (early detection) rather than primary prevention of cancer. Helicobacter pylori is defined as a group I carcinogen by the International Agency for Research on Cancer. Hence, its eradication has been suggested as an important primary gastric cancer prevention strategy. Well-designed randomized controlled trials involving high-risk groups (post-endoscopic resection of early gastric cancer and family history of gastric cancer) and long-term follow-up studies in the general population have provided high-quality evidence regarding the effects of H. pylori eradication on gastric cancer prevention. In this review, we discussed the evidences for a possible modification of the current gastric cancer secondary prevention strategy by introducing primary prevention through H. pylori eradication. Areas for future research to optimize primary prevention strategies were also suggested.

Prevalence of Dokha Use among Secondary School Students in Ajman, United Arab Emirates

  • Shemmari, Noora Al;Shaikh, Rizwana Burhanuddin;Sreedharan, Jayadevan
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.427-430
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    • 2015
  • Background: Dokha is a novel form of smoking in United Arab Emirates (UAE) on which there is very little published literature, especially among adolescents, and this form of smoking has been not been addressed adequately in the smoking cessation strategies in the UAE. Objectives: To assess the prevalence of dokha smoking among male secondary school students in Ajman UAE. Materials and Methods: A cross sectional survey was conducted among male secondary school students in Ajman, UAE. A total of 560 participants filled in self-administered questionnaires. Results: The prevalence of ever smokers was 39%; ever dokha smokers was 36% and current dokha smokers was 24%. The prevalence is very high when compared to other forms of smoking in the region and globally. Prevalence increased with increasing age and grade of students, prevalence of ever smokers, ever dokha smokers and current dokha smokers was lower in students in the science stream. 40% of the smokers used dokha, cigarettes and shisha, 30% used dokha and cigarettes, and 21% used dokha alone. 30% of the students smoked dokha on all days of the month. Conclusions: The prevalence of ever smokers, ever dokha smokers and current dokha smokers is very high. There is an urgent need for specific health promotion programs tailored to this age group on prevention of dokha smoking and policies restricting the availability of dokha to this age group.

Lung Cancer in Malabar Cancer Center in Kerala - A Descriptive Analysis

  • Bhaskarapillai, Binukumar;Kumar, Saina Sunil;Balasubramanian, Satheesan
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4639-4643
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    • 2012
  • The burden of lung cancer in terms of mortality is the highest among all types of cancers globally. The present study aimed to evaluate lifestyle related habits, clinico-pathological profile and treatment details of lung cancer patients who were registered at Malabar Cancer Centre (MCC), Kerala, during the calendar year 2010. A retrospective evaluation was made from medical records to gather data from 281 registered lung cancer cases in 241 males and 40 females, with a male to female ratio of 6.03: 1. Approximately 89% of the cases were above 50 years of age. Among males about 91% of the cases were smokers and 62% of them had a chronic smoking habit. Adenocarcinomas, squamous cell carcinomas, non-small cell carcinomas and small cell cancers accounted for 10.7, 13.9, 17.0 and 5.7% respectively. Out of 281 cases around 67% were diagnosed with distant metastasis and the remainder had regional lymph node involvement. However, no statistically significant difference was observed for secondary site of tumor according to gender. As majority of the cases reported at MCC were in an advanced stage of the disease, histology of the secondary site from supraclavicular lymph nodes or liver was taken for diagnosis. Initiation of population based screening for early detection of cancer, and primary and secondary prevention strategies for reducing the prevalence of tobacco consumption are high priorities to reduce the lung cancer burden in Kerala.

A Study of Health Promotion Activity in Community Health Nursine Areas (지역사회 간호분야에서의 건강증진행위분석)

  • Kim, Young-Im
    • Research in Community and Public Health Nursing
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    • v.4 no.2
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    • pp.158-169
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    • 1993
  • Health promotions have been identified as foundamental concepts for nursing practice, especially in community health nursing. Nurses have been regarded as having important role's in health promotion activities. According to a review of literature, the concepts of health promotion consist of prevention services, health protection. Health prevention services have three levels : Primary secondary and tertiary. The objectives of this study are (1) to analyze the health promotion activities in school nursing. (2) to analyze health promotion activities in community health nursing posts. (3) to analyze the health promotion activities in industrial nursing while suggesting future direction for health promotion in community health nursing areas. The major results are first, Prevention services are most actively performed rather than health protection, and health education in three areas: School, industries, and community. Health nursing, secondary prevention services follow emergency care, and ordinary diseases control are especially active. Health promotion can ultimately from changing life be accomplished styles, and health behavior. As a consequence, future directions promoting health in community health nursing are desirable areas. Focusing on health protection, and health education that is not activated presently.

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Randomized-Control Screening Trials to Lower Gall Bladder Cancer Mortality in High Risk Populations

  • Krishnatreya, Manigreeva;Kataki, Amal Chandra
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2325-2327
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    • 2016
  • Gall bladder cancer is generally fatal. The high morbidity and mortality due to gall bladder cancer exerts a significant impact on efforts towards cancer control in high risk populations of the World and a rationale program for control of gall bladder cancer mortality has remained as an unmet need in these populations. Currently there are no effective strategies for controlling gall bladder cancer mortality. This mini review is to highlight the need and feasibility for secondary prevention of gall bladder cancer by screening in high risk populations. A way forward is to assess the role of secondary prevention of gall bladder cancers by conducting randomized-controlled screening trials in high risk populations.

Satisfaction Realization of Apartment House Inhabitants for CPTED Design Element: To with Group by CPTED Application Level, Reciprocal Action Effect of Crime Prevention Effort (CPTED 설계요소에 대한 공동주택주민의 만족도 인식: CPTED 적용수준별 집단과 거주기간, 범죄예방노력의 교호작용효과)

  • Choi, Hyun-Sick;Park, Hyeon-Ho
    • Korean Security Journal
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    • no.22
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    • pp.231-258
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    • 2010
  • A study apartment house inhabitants of to, crime prevention effort is done satisfaction analysis and that deduce design plan of CPTED that can overcome safe life space embodiment and criminal fear from crime in Juminin viewpoint through atomize group's interaction by background fantast. Is positive because factor analysis wave and satisfaction index of deduce universe (Total group) 8 factor are presented more than all 0, and quite was expose by level that is worth accommodating. Satisfaction index of The secondary design group (Group1) 8 factor is positive because is presented more than all 0, and mechanical access control, mechanical surveillance is level that is worth accommodating quite, and level that is proper in remainder 6 dimension appear. Can know that 1 The secondary design group(Group2) is expose by level that satisfaction characteristic of 8 factor can be presented more than all 0 and appeared positively, and accommodate quite in all dimensions. Result that analyze Two-way ANOVA satisfaction difference of environment design of group by satisfaction of the primary and the secondary design group is high in 8 all dimensions of CPTED, and satisfaction by appeared satisfaction high in group less than natural access control, 2 years of natural surveillance, and reciprocal action effect that go with group is high satisfaction in 2 years low in The secondary design group more than the primary and the secondary design group of systematic access control and natural access control, and the primary and the secondary design group appeared high in subgroup of 2 remainders. Satisfaction difference by group by crime prevention effort satisfaction of the primary and the secondary design group is high in 8 all dimensions of CPTED, and satisfaction difference by crime prevention effort appeared satisfaction high in 'A prize' group to The secondary design group, and reciprocal action efficiency is high in 'A prize' group in The secondary design group more than the primary and the secondary design group in mechanical access control, systematic access control, natural access control, territoriality reinforcement, and satisfaction of 'Between' and 'Very' group appeared high in the primary and the secondary design group.

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The Lifestyle Modification Coaching Program for Secondary Stroke Prevention (뇌졸중 재발예방을 위한 생활양식조절 코칭 프로그램의 효과)

  • Kim, Heejeong;Kim, Oksoo
    • Journal of Korean Academy of Nursing
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    • v.43 no.3
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    • pp.331-340
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    • 2013
  • Purpose: The purpose of this study was to investigate the effects of the lifestyle modification coaching program on self efficacy, lifestyle and physiologic indexes related to the recurrence of stroke in patients with stroke. Methods: Sixty-one patients with stroke registered with a stroke center participated in this study. Of the participants, 32 were assigned to the experimental group and 29 to the control group. Self efficacy, alcohol drinking, smoking, physical activity, BMI (body mass index), WHR (waist-hip ratio), blood lipid level, and blood pressure were measured both for the baseline, as well as after intervention. The lifestyle modification coaching program consisted of an 8-week telecoaching session following face-to-face education. The control group received only the face-to-face education. Results: There were significant differences in physical activities, WHR, blood pressure within and between groups after intervention. The lifestyle modification coaching program had significant influences on blood pressure even after gender, age, and physical activity had been adjusted. Conclusion: The results of the study indicate that lifestyle modification coaching program is effective for physical activity, abdominal obesity and blood pressure. Therefore it can be used by nurses in hospitals and communities as one of the secondary stroke prevention programs for patients with stroke.

Secondary Analysis on Ventilator-Associated Pneumonia and Pressure Injury

  • Hyun, Sookyung;Moffatt-Bruce, Susan;Newton, Cheryl;Kaewprag, Pacharmon
    • International Journal of Advanced Culture Technology
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    • v.6 no.3
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    • pp.211-215
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    • 2018
  • Ventilator-associated pneumonia (VAP) is a lung infection that develops in patients receiving mechanical ventilation. VAP contributes to about 50% of hospital-acquired pneumonia in ICU settings. One of the recommendation of the Institute of for Healthcare Improvement ventilator bundle is HOB elevation. HOB elevation affects shearing forces and makes higher risk for pressure injury development. Pressure injury (PI) is localized damage to the skin over a bony prominence. PI prevention guidelines recommend that HOB positioning should be lower to reduce risk for PI development which contradicts VAP prevention guidelines for the HOB between 30 and 45 degrees for ICU patients. This presents a care dilemma and tension. The purpose of this study was to perform a secondary data analysis using cumulative electronic health record data in order to determine the association of HOB elevation with VAP and PI in ICU patients. A secondary data analysis was conducted to determine whether HOB elevation is associated with VAP and PI. HOB elevation was not likely to be associated with VAP prevention whereas it was likely to be related to PI development. This is somewhat contrary to popular data and publications. Prospective cohort study is desired to inform us in an evidence-based fashion what actually is optimal HOB elevation for ventilated patients in ICU settings.