Sultan, Sadia;Irfan, Syed Mohammed;Parveen, Saira;Ali, Hamza;Basharat, Maria
Asian Pacific Journal of Cancer Prevention
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v.17
no.4
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pp.1833-1835
/
2016
Background: Multiple myeloma (MM) is an acquired clonal B-cell malignancy which primarily affects elderly individuals with an annual incidence of approximately 1% of all malignancies. Our aim is to study demographic and clinicopathological features of adult Pakistani MM patients at presentation. Materials and Methods: This single centre retrospective study extended from January 2010 to December 2014. Data were retrieved from the patients' maintained records on predetermined performa. Results: Overall, 61 patients were diagnosed at our institution with MM during the study period. There were 43 males and 18 females. Age ranged between 34 and 81 years with a mean of $56.1{\pm}12.8$ and a median of 57 years. The male to female ratio was ~2:1. Common presenting complaints included fatigue (81.9%), backache (80.3%) and bone pain (67.2%). Physical findings revealed pallor (44.2%) as a presenting clinical feature. The mean hemoglobin value was $8.9{\pm}1.7g/dl$ with a mean MCV of $85.3{\pm}11.0fl$. Severe anemia with hemoglobin <8.5 gm/dl was seen in 40.9%. The mean total leukocyte count was $8.9{\pm}8.2{\times}10^9/l$, the ANC was $5.0{\pm}3.1{\times}10^9/l$ and the mean platelet count was $188.4{\pm}150.6{\times}10^9/l$. Conclusions: MM in Pakistani patients is seen in a relatively young population with male preponderance. The majority of patients present with symptomatic anemia and backache to seek medical attention. However, clinico-pathological features appear comparable to the published literature.
Background: Bladder cancer is one the most common malignancies of the genitourinary tract. The present study aimed to assess the epidemiology, of bladder cancer in Mazandaran, a large province in northern Iran as high-incidence cancer area, during a 2-year period. Methods: The data for this study were obtained from the population-based cancer registry of the Vice-Chancellory for Health Affairs of Mazandaran University of Medical Sciences and Mazandaran hospitals between March 1, 2010 and March 1, 2011. Demographic data, including sex, age, residency and symptoms were investigated through careful review of medical records. Using a questionnaire protocol, several variables were assessed for these cases such as smoking, history of opium, vegetable consumption habits, and history of other cancers. Results: A total of 112 cases were analyzed, 98 (87.5%) in men and 14 (12.5%) in women (mean age of $68.0{\pm}14.6$ years). Urban and rural residence were 60.7% and 39.3%. Tobacco and opium use were found in 45.5% and 21.4% of patients, respectively. Approximately 60% consumed vegetables an average of fewer than one time per day. Hematuria was the first symptom in these cases which were mainly diagnosed as having bladder cancer by ultrasonography. Conclusion: The results showed that bladder cancer tends to be found in the elderly and the male to female ratio is high. Macroscopic hematuria is a very important symptom for indicating probably urothelial tumor that should be followed up patients with transabdominal ultrasonography as a routine modality.
This study was conducted to investigate the changes diseases of physical therapy patient. Through the analysis, of total 2,902 cases in one university hospital and one general hospital in Taegu, of which 1,619 cases for 1989 and 1,283 cases for 1981. The physical records were analyzed in terms of sex, age, pattern in PT diseases, fee, and medical department of PT. The international classification of Diseases, 9th revision was used fer the study. Major results are as follows : 1. The ratio of male me female nae 1.51 to 1 in 1989, 1.53 to 1 in 1991. The proportion of the elderly over 60 was $15.6\%$ in 1989, $22.0\%$ in 1989. And the age groups of 50-59 years ranked the first an years. 2. As to the PT patients of medical department, Orthopaedics$(50.3\%)$, Neurosurgery$(28.1\%)$. Neuromedicine$(8.0\%)$. Plastic surgery$(4.4\%)$, and Dentry$(3.2\%)$ in that order in 1989. On the other hand, Orthopaedics$(51.2\%)$, Neurosurgery$(22.1\%)$, Neuromedicine$(9.6\%)$, Plastic surgery$(6.5\%)$, and Internal medicine$(6.5\%)$ in that order in 1991. 3. No significant difference was observed by season of PT patients, but winter (December, January and February) ranked the first all years. 4. No significant difference was observed changes in diseases as for the 56 international classification of diseases of PT patients, Diseases of the musculoskeletal system and connective tissue occupied the largest proportion all years. Fractures increased from $21.4\%$ in 1989, $24.5\%$ in 1991. On the other hand, Diseases of the nervous system remarkably increased from $8.9\%$ in 1989, $19.7\%$ in 1991.
The purpose of the study was to investigate brand images and fashion leaderships of women's wear manufacturers targeting middle-aged women or older women. Thus, this study was to be an exploratory study to investigate clothing behavior of elderly female consumers and search apprel niche-market for them. The questionnaire consists of questions on brand images, fashion leadership, and merchandise assortment. The subjects were to evaluate their brand images and rated on 5 point Likert-type scales of 29 adjectives. The fashion leadership of these brands was evaluated by the degree of fashion trends adopted on 7 aspects including fashion images, silhouettes, fabrics, colors, design details, accessories, and item-coordinations. For the survey, both interview and the subjects were 66 manufacturers which have national brands or designer brands. Among 44 respondents, 30 respondents were designers and the rest of them were merchandiser or shop managers. The SPSS PC+ package was used to calculate frequency, T-test, and cluster analysis. The results from survey of manufacturers targeting middle-aged women or older women are as follow: 1) The brand imges which they pursue are prestigious, practical, and elegance. 2) There were significant differences in brand images, and national brand manufacturers pursue stronger images in prestigious, chic, intelligent, competency, than designer brand manufacturers. 3) 40 brands were divided into two clusters. 36 brands were included in one cluster, and only 4 brand were belong to the other cluster. In this market, the image of feminity was grouped with the image of prestigious, chic, intelligent, competency. 4) In product planning, the adption level of fashion trends in 7 aspects was generally at medium level, but fashion trends were more adopted in fabric, color, and item-coordination.
Journal of the Korean Society of Physical Medicine
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v.2
no.2
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pp.205-212
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2007
Purpose : Herpes zoster is a common dermatologic disorder and is caused by reactivation of varicella zoster virus lying dormant in the ganglion of the dorsal root Methods : The aim of this study is to elucidate the clinical characteristics of herpes zoster and it's nature of pain, and is to review the method of physical therapy for pain control. Results : Herpes zoster is characterized by segmental rash, pain, and sensory symptoms, For most patients skin healing and pain resolution occur within 3-4 weeks, However, pain can continue after the rash has healed. Pain and paresthesia often the eruption of herpes zoster and vary from itching to stabbing. The preeruptive pain may simulate other diseases and may lead to misdiagnosis and misdirected interventions. Motor symptomatology is less well known and is most often related to central nervous system disease, although true lower motor neuron application is also thought to exist Subclinical motor involvement is relatively more common than clinical motor weakness and is easily detected by using electromyography. Higher incidences of herpes zoster were observed in female and in the elderly. Conclusion : The nature of pain associated with herpes zoster varied from a superficial itching to server stabbing or bursting, and paresthesia occurred most frequently. Therefore, the study of herpes zoster will be more research and comprehend, and the approach of physical therapy should be need positively.
This study explores a changing social expenditure structure of welfare states on new social risks, using logistic regression analysis with Panel Corrected Standard Errors Model on panel data of 1997-2007 years from 27 OECD nations. The result of this study presents that social expenditure structures have been adjusted with new social risk structure due to trade openness, female employment rates, and child population rates. Greater trade openness, higher women's employment rates, and lower child population rates are, more social investment expenditures are than income security expenditures. Rates of employment in service industries and elderly population rates are not statistically significant on the change of social expenditure structure. This result does not imply a complete switch from demand-based to supply-based social policy, but somewhat reflects transitions of a social welfare system for changing economic and social environments in order to sustain welfare state economically.
Hong, Jin Hyuk;Yoo, Ki Bong;Kim, Sun Ho;Kim, Chung Woo;Noh, Jin Won
Korea Journal of Hospital Management
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v.21
no.4
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pp.55-62
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2016
Purposes: The industry has specialized and fragmented than in the past. As a factor of economic growth and industrialization, the number of people employed in primary industry decreased and the number of people employed in secondary and third industry continuously increased. In modern times, incidence of chronic disease is increasing according to industrial development. So, the purpose of this study was to analyze the chronic disease according to Clark's industrial classification. Methodology: Data were derived from the 2012 Korea Health Panel. The sample was made up of 7,132 adult participants aged 20 or over selected Korea Health Panel by probability sampling from Korea. Binary logistic regression analysis was conducted to examine the main factors associated with chronic disease. Findings: The significant factors associated with chronic disease were gender, age, marital status, household member, education level, insurance type, disability, BMI, and industrial classification. Female, elderly, divorced(including bereavement, missing and separation), one-person households, less than high school graduation, medical aid, disability, obese and primary industry were confirmed chronic disease increases. Practical Implications: The study finds that primary industry's prevalence of chronic disease was higher than secondary and third industry. Therefore, this study aims to management and effort of the worker who engaged in the primary industry. Policy development is required to address inequality or popularization of the differences in these factors by conducting a study to define the working conditions and socio-economic factors between industry.
The purpose of this study was to evaluate the legibility of one-syllable Korean characters with the participation of sixteen subjects. The experiment considered nine factors including age (young and old), gender (male and female), illuminance (150lx and 600lx), viewing distance (50cm and 200cm), material type (paper and LCD), typeface (Ming and Gothic), thickness (plain and bold), color contrast (black letter/white background and white letter/black background), and complexity (simple, complex, and number) to examine main effects with a $2^{6-3}\times3$ fractional factorial design. The dependent variables were minimum character size of 100% correctness, maximum character size of 0% correctness, and minimum character size of comfortable reading preference. The results of analysis of variance (ANOVA) revealed that age, illuminance, viewing distance and complexity were significant for all dependent variables, except gender which was significant only for the minimum character size of comfortable reading preference. In general, the young could see twofold smaller size letters than the elderly. The subjects could see smaller sized letters with the illuminance of 600lx and viewing distance of 50cm than 150lx and 200cm, respectively and also with numbers, simple characters, and complex characters in that order. The findings of this study could be characterized about the legibility of Korean characters and be good resources for developing its standard.
Objectives: This study was performed to investigate the associations of food security with socio-demographic characteristics, nutrient intakes and mental health status among older Korean adults. Methods: This study was conducted using data from the 2008-2010 Korea National Health and Nutrition Examination Survey (KNHANES). Subjects were 4,451 adults aged 65~98 years. Food security was measured using a self-reported question on food sufficiency of subjects' household. Based on the answers, study subjects were classified into secure, mildly insecure, moderately insecure, and severely insecure groups. Dietary intake was estimated by 24-hour dietary recall. Nutrient intake was assessed by dietary reference intakes (DRI). As for mental health status, the data on mental stress, depression, and suicide ideation were used. Results: Rate of food insecurity in older adults was 14.3%. Old age, being female, low education, low income level, living alone, and discomfort in daily living were more related to food insecurity. Means of nutrient intakes were significantly different according to food security status. Intakes of calcium, potassium, and vitamin $B_2$ were lower than recommended intakes in all groups. Consumption amounts of soy and soybean products, vegetables, mushrooms, fruits, vegetable oils, meats, eggs, seafood, and dairy products were lower in food insecure groups. Mental stress, depression, and suicide ideation were higher in food insecure groups independent of the gender and income level. Conclusions: These present findings suggested that food security is related to mental health as well as nutrition status in older Korean adults. A national system that include food and psychosocial support programs for the elderly should be considered in order to improve the overall health of older Korean adults.
This study was attempted to identify the domestic research related to depression and stress. The subjects of the analysis were 1,875 college degree theses thrown in the National Assembly Library searched by the depression and stress keyword as of November 30, 2016. The analysis method visualizes atypical data with Word Cloud, which is one of the text mining techniques. We also used the R'LDA package and LDA to classify treatment and subjects. As a result of the analysis, 233(12.4%) of the total papers with therapeutic keywords were found. Application of treatment methods was art therapy, music therapy, horticultural therapy, cognitive behavior therapy, clinical art therapy, cognitive therapy, psychological therapy, depression treatment, group therapy, laughter treatment sequence. The study subjects were adolescents, elderly, patient, mother, child, female, parents, and college students in order. The results of LDA topic analysis for adolescents were classified into four topics: self-support, treatment program, relationship effect, and variable study.
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