Comparison of mental burden across different types of cancer patients in Nepal: a special focus on cervical cancer patients

PurposeThe purpose of the study is to assess the differential impact of gender and cancer sites on mental burden across different types of cancer and control patients.Design/methodology/approachThe paper is based on a primary survey undertaken in 2015–2016 of 600 cancer and 200 control patients across five hospitals of Nepal. The data was analyzed using propensity score matching methods and treatment effect weighting estimators.FindingsThe authors find that of all the types of patients covered under this study, cervical cancer patients suffered from a greater intensity of anxiety and lack of functional wellbeing. On an average, all other female, male cancer patients, and control patients experience significantly lower intensity of mental burden in the range of 1.83, 2.63 and 3.31, respectively when compared to patients of cervical cancer. The results are robust across all the four treatment effect estimators and through all the measures of mental burden. The implications of suffering from cervical cancer, as a unique gynecological cancer was studied in-depth. An effect size analysis pointed out to the dysfunctional familial relationship as additional causes of concern for cervical cancer patients.Originality/valueAn important finding that emerged is that female cancer patients especially those who have cervical cancer should be given special attention because they appear to be the most vulnerable group. Further work is needed to delineate the reasons behind a cervical cancer patient facing higher amount of stress.

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Fas gene promoter –670 polymorphism in gynecological cancer

International Journal of Gynecological Cancer ◽

10.1136/ijgc-00009577-200602001-00028 ◽

2006 ◽

Vol 16 (Suppl 1) ◽

pp. 179-182 ◽

Cited By ~ 2

Author(s):

M. Ueda ◽

Y. Terai ◽

K. Kanda ◽

M. Kanemura ◽

M. Takehara ◽

...

Keyword(s):

Ovarian Cancer ◽

Cervical Cancer ◽

Cancer Patients ◽

Germ Line ◽

Gynecological Cancer ◽

Gene Promoter ◽

Single Nucleotide ◽

Increased Risk ◽

Significant Difference ◽

Germ Line Polymorphism

Single-nucleotide polymorphism at −670 of Fas gene promoter (A/G) was examined in a total of 354 blood samples from normal healthy women and gynecological cancer patients. They consisted of 95 normal, 83 cervical, 108 endometrial, and 68 ovarian cancer cases. Eighty-three patients with cervical cancer had statistically higher frequency of GG genotype and G allele than 95 controls (P= 0.0353 and 0.0278, respectively). There was no significant difference in the genotype or allele prevalence between control subjects and endometrial or ovarian cancer patients. The Fas −670 GG genotype was associated with an increased risk for the development of cervical cancer (OR = 2.56, 95% CI = 1.08–6.10) compared with the AA genotype. The G allele also increased the risk of cervical cancer (OR = 1.60, 95% CI = 1.05–2.43) compared with the A allele. Germ-line polymorphism of Fas gene promoter −670 may be associated with the risk of cervical cancer in a Japanese population.

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Special Focus on Stage IV Cervical Cancer Patients: A Decade Experience

Oncology ◽

10.1159/000500025 ◽

2019 ◽

Vol 97 (3) ◽

pp. 125-134

Author(s):

Sophie Espenel ◽

Max Adrien Garcia ◽

Julien Langrand-Escure ◽

Alexis Vallard ◽

Jane Chloé Trone ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Patients ◽

Stage Iv ◽

Special Focus

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Risk and risk management practices

Journal of Islamic Accounting and Business Research ◽

10.1108/jiabr-06-2018-0080 ◽

2020 ◽

Vol 11 (8) ◽

pp. 1555-1581 ◽

Cited By ~ 1

Author(s):

Adel Elgharbawy

Keyword(s):

Risk Management ◽

Credit Risk ◽

Management Practices ◽

Archival Data ◽

Islamic Banks ◽

Monitoring And Control ◽

Content Type ◽

Different Types ◽

Conventional Banks ◽

And Control

Purpose This study aims to compare types and levels of risk and risk management practices (RMPs) including the recognition, identification, assessment, analysis, monitoring and control of risk in both Islamic and conventional banks. Design/methodology/approach A questionnaire survey was conducted among the Islamic and conventional banks in Qatar, together with an analysis of archival data extracted from the Thomson Reuters Eikon database for the period 2009-2018. Data were analysed using descriptive statistics, ANOVA and regression analysis. Findings Islamic banks encounter unique types and levels of risk that are not encountered by conventional banks. In Islamic banks, risks such as those of operation and Sharia non-compliance are perceived to be higher, while in conventional banks other risks such as those of credit and insolvency are higher; other risks, for example, liquidity risk, are faced by both. RMPs are determined by understanding risk and risk management, risk identification, risk monitoring and control and credit risk analysis, but not by risk assessment and analysis. However, the RMPs of the two types of bank are not significantly different, except in the analysis of credit risk. Research limitations/implications The study contributes to the debate in the literature by developing a better understanding of the dynamism of risk management in Qatari banks, which can be extended to similar contexts in the region. However, the relatively small sample size in only one country limits the possibility of generalizing the findings. The survey methodology is based on the perception of bankers rather than their actual actions and does not provide in-depth analysis for each type of risk, especially credit risk. However, using archival data, in addition to those from the survey, minimises the bias that would result from depending on one source of data. Practical implications The study provides valuable insights into the different types and levels of risk, as well as the RMPs in Islamic and conventional banks, which can help in guiding the future development and regulation of risk management in the banking sector of Qatar and its region. Originality/value The study helps to explain the mixed results of previous studies that compare types and levels of risk and RMPs in Islamic and conventional banks. Using different types of data and analysis, it provides evidence from one of the fastest growing economies in the world. It also addresses the concerns over RMPs in banks since the global financial crisis.

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Impact of the production of underutilized vegetables on the livelihood of farmers in Southwestern Nigeria

International Journal of Social Economics ◽

10.1108/ijse-03-2016-0081 ◽

2017 ◽

Vol 44 (12) ◽

pp. 1669-1682

Author(s):

Oluwatosin Adejoke Oyedele ◽

Kemisola O. Adenegan

Keyword(s):

Treatment Effect ◽

Nutritive Value ◽

Average Treatment Effect ◽

Current Status ◽

Special Focus ◽

Vegetable Production ◽

Southwestern Nigeria ◽

Content Type ◽

Average Treatment ◽

The Impact

Purpose African indigenous vegetables have high nutritive value which contains high levels of minerals. The current status of indigenous vegetable production in developing countries shows that these crops are “under-recognized” and “underutilized” with respect to nutritional value and opportunities for food security. The purpose of this paper is to examine the impact of the production of underutilized vegetables on the livelihood of farmers in South Western Nigeria. Design/methodology/approach The population for the study includes all the vegetable farmers in South Western Nigeria with a special focus on farmers’ groups formed by the NICANVEG project in Osun, Oyo, Ondo and Ekiti states. Descriptive statistics and propensity score matching (PSM) was used to analyze the objective. Findings Perceptions on individual household income reveal that the majority of participating respondents perceived higher production and harvesting density. This is due to the fact that harvesting is done by cutting the stems of the vegetables. The probability score shows that the dependent variables have an average effect of 44.6 percent on the probability of farmers participating in NICANVEG project. The PSM results reveal that average treatment effect on the treated is ₦269,254.87. Average treatment on the untreated is ₦11,990.63 while average treatment effect is ₦139,336.43. The total income of the participants from all the various livelihood strategies is increased by 29.73 percent because of their participation in the NICANVEG project. Originality/value This work has not been carried out by any other person before. This work will add to the existing knowledge on the impact of evaluation in agricultural economics.

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REGIONAL HYPERTHERMIA AND CHEMORADIATION IN ADVANCED CERVICAL CANCER PATIENTS WITH DIFFERENT TYPES OF PARAMETRIAL INVASION

10.26226/morressier.597eedbed462b80296ca0a0b ◽

2017 ◽

Author(s):

Kreynina Julya

Keyword(s):

Cervical Cancer ◽

Cancer Patients ◽

Advanced Cervical Cancer ◽

Regional Hyperthermia ◽

Parametrial Invasion ◽

Different Types

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Patient characteristics associated with treatment of cervical cancer in the United States.

Journal of Clinical Oncology ◽

10.1200/jco.2019.37.15_suppl.e17020 ◽

2019 ◽

Vol 37 (15_suppl) ◽

pp. e17020-e17020

Author(s):

Shelby Corman ◽

Chizoba Nwankwo ◽

Youngmin Kwon ◽

Ruchit Shah

Keyword(s):

Cervical Cancer ◽

Radiation Therapy ◽

Cancer Patients ◽

Real World ◽

Patient Characteristics ◽

The United States ◽

Medical Expenditure ◽

Disease Stage ◽

Cervical Cancer Patient ◽

Comorbidity Burden

e17020 Background: Treatment options for cervical cancer include surgery, radiation therapy, chemotherapy, and immunotherapy depending upon the disease stage. There is limited real-world evidence providing us with a clinical profile for a treated cervical cancer patient. The objective of this study was to compare cervical cancer patients who were currently receiving treatment versus those not receiving treatment. Methods: This was a retrospective, cross-sectional analysis of Medical Expenditure Panel Survey (MEPS) data (2006-2015). Cervical cancer cases were identified using ICD-9 CM code 180 or clinical classification software code 26. Patients receiving only chemotherapy, radiation therapy, undergoing surgery, or a combination of these treatments in a given year were regarded as “currently receiving treatment”. The comparator cohort included patients “not currently receiving treatment”. The two cohorts were compared in terms of patient clinical characteristics using bivariate analyses. Results: The analytic cohort consisted of 275,246 cervical cancer cases (mean age: 42 years, Caucasian: 88.0%, having private insurance: 55.3%) of which 115,639 (42.01%) were “currently receiving treatment”. The most common treatment option was undergoing surgery only (88.21%), followed by combination therapy (6.82%), chemotherapy only (3.84%), and radiation therapy only (1.12%). The “currently receiving treatment” cohort had a significantly higher proportion of patients having a history of myocardial infarction (4.21% vs 3.50%), congestive heart failure (2.73% vs 1.42%), chronic obstructive pulmonary disorder (29.5% vs 23.2%), connective tissue disease (20.5% vs 11.6%), renal disease (2.49% vs 0.48%), and diabetes (17.7% vs 11.7%) compared to those “not currently receiving treatment”. The latter cohort had a higher proportion of patients with moderate/severe liver disease (0.46% vs 5.32%). Conclusions: The observed real-world patient characteristics and treatment patterns were indicative of a cohort of largely early stage cervical cancer patients. Patients receiving treatment appeared to have a higher comorbidity burden which may subsequently result in poorer quality of life and activity limitations.

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Study of Side Effects of Patients Receiving Cisplatin in the Treatment of Cervical Cancer by Age Group

Ramathibodi Medical Journal ◽

10.33165/rmj.2020.43.4.200444 ◽

2020 ◽

Vol 43 (4) ◽

pp. 28-38

Author(s):

Rachadapan Chaitosa ◽

Worathida Maskasame

Keyword(s):

Cervical Cancer ◽

Side Effects ◽

Cancer Patients ◽

Older Patients ◽

Concurrent Chemoradiotherapy ◽

Combined Therapy ◽

Age Groups ◽

Cervical Cancer Patient ◽

Younger Patients ◽

Life Threatening

Background: Cisplatin is one of the options of chemotherapy used to treat cervical cancer. Patient can experience side effects from drugs frequently with many factors as a catalyst including the age of the patient. Objective: To compare the side effects of cervical cancer patients receiving concurrent chemoradiotherapy (Cisplatin) 2 rounds between patients ≤ 60 years and > 60 years. Methods: A retrospective study, 70 cervical cancer patients undergoing concurrent chemoradiotherapy at Ramathibodi Hospital were investigated. Questionnaires about adverse effects were completed by patients at home 7 days after 1st and 2nd courses of combined therapy. The side effects of cervical cancer patients between groups was analyzed. Results: Of 70 patients, there were 47 patients ≤ 60 years and 23 patients > 60 years. After the 1st course, life-threatening side effects occurred in 9 patient’s ≤ 60 years but none occurred in patients > 60 years. Younger patients also had significant more nausea than older patients (P < .05). After the 2nd course, younger patients also had significant more vomiting than older patients (P < .05). The most common side effects for both age groups were fatigue and anorexia respectively. Conclusions: Patients younger than 60 year would experience significantly more symptoms of nausea and vomiting after the 1st and 2nd courses of concurrent chemoradiotherapy.

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Effect of Physical Exercise on Fatigue in Cervical Cancer Patients

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2019.7(1).41-46 ◽

2019 ◽

Vol 7 (1) ◽

pp. 41

Author(s):

Fatwa Imelda ◽

Nur Afi Darti ◽

Farida Linda Sari Siregar

Keyword(s):

Cervical Cancer ◽

Physical Exercise ◽

Cancer Patients ◽

T Test ◽

Control Group ◽

P Value ◽

Control Group Design ◽

Group Design ◽

And Control ◽

Post Therapy

<p><em>Cervical cancer is the first female health problem in Indonesia with a high mortality rate. Fatigue is a common problem in patients with cervical cancer, fatigue due to cancer is different from fatigue of normal people. One of the self-empowerment recommended for managing post-therapy fatigue is physical exercise. Objective: to examine the effect of physical exercise on fatigue in cervical cancer patients. Metods: a quasy-experimental research with pretest-posttest with control group design was used. Thirty-four respondents were selected using purposive sampling in this study, which 17 respondents were randomly assigned in the experiment and control group. The Piper Fatigue Scale (PFS) was used to measure fatigue level. Paired t-test and Independent t-test were used for data analysis. Results: there was a significant effect of physical exercise on the decrease of fatigue levels in cervical cancer patients with p-value 0.000 (p<0.05), t= -5.794. Conclusion: physical exercise can be recommended in reducing fatigue levels in patients with cervical cancer.</em></p>

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The capital constraint paradox in micro and small family and nonfamily firms

Journal of Entrepreneurship and Public Policy ◽

10.1108/jepp-10-2015-0033 ◽

2016 ◽

Vol 5 (1) ◽

pp. 38-62 ◽

Cited By ~ 6

Author(s):

Anders Bornhäll ◽

Dan Johansson ◽

Johanna Palmberg

Keyword(s):

Small Firms ◽

Firm Growth ◽

Family Firms ◽

Equity Capital ◽

Special Focus ◽

Firm Level ◽

Content Type ◽

Section Data ◽

External Capital ◽

And Control

Purpose – The purpose of this paper is to investigate the importance of the entrepreneur’s quest for independence and control over the firm for governance and financing strategies with a special focus on family firms and how they differ from nonfamily firms. Design/methodology/approach – The analysis is based on 1,000 telephone interviews with Swedish micro and small firms. The survey data are matched with firm-level data from the Bureau van Dijks database ORBIS. Findings – The analysis shows that independence is a prime motive for enterprises, statistically significantly more so for family owners. Family owners are more prone to use either their own savings or loans from family and are more reluctant to resort to external equity capital. Our results indicate a potential “capital constraint paradox”; there might be an abundance of external capital while firm growth is simultaneously constrained by a lack of internal funds. Research limitations/implications – The main limitation is that the study is based on cross-section data. Future studies could thus be based on longitudinal data. Practical implications – The authors argue that policy makers must recognize independence and control aversion as strong norms that guide entrepreneurial action and that micro- and small-firm growth would profit more from lower personal and corporate income taxes compared to policy schemes intended to increase the supply of external capital. Originality/value – The paper offers new insights regarding the value of independence and how it affects strategic decisions within the firm.

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