Abstract TP178: The Decline of the Age-Adjusted Mortality Rate of Subarachnoid Hemorrhage in Shimane Prefecture, Japan

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Shingo Matsuda ◽  
Fusao Ikawa ◽  
Iori Ohzono ◽  
Michitsura Yoshiyama ◽  
Toshikazu Hidaka ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Subarachnoid Hemorrhage ◽  
Mortality Rate ◽  
Smoking Prevalence ◽  
Information Service ◽  
Cancer Center ◽  
Cancer Information ◽  
Cancer Information Service ◽  
Standard Population ◽  
Government Statistics

Object: This study aimed to assess the relationships between trend of mortality rate from subarachnoid hemorrhage (SAH) and blood pressure and smoking prevalence among about 700,000 residents of Shimane prefecture, Japan. Methods: A retrospective review was performed to identify the age-adjusted mortality rate from SAH calculated using the standard population of Japan in 2010 and changes in population of Shimane prefecture used the date based on government statistics during 1999 through 2017. Blood pressure dates were extracted from Ministry of Health, Labour and Welfare during 2008 through 2015, and smoking prevalence from Cancer Registry and Statistics. Cancer Information Service, National Cancer Center, Japan every 3 years since 2001. Result: Age-adjusted mortality rate from SAH in Shimane prefecture tended to decline by 3.6% between 1999 through 2017 regardless of gender, as 14.86 (95%CI:14.65-15.07) per 100,000 person-year in 1999 to 7.96 (95%CI:7.81-8.11) in 2017. The Population of Shimane prefecture, where one of the most aging region in Japan, was decreased by 10.4% since 764,291 in 1999 to 684,668 in 2017. Blood pressure was invariable during 2008 through 2015, while smoking prevalence decreased since 2001 to 2016, as 25.0% to 18.0%. Conclusion: Age-adjusted mortality rate from SAH in Shimane prefecture have declined since 1999 to 2017, regardless of decrease of population and advancement of aging region. The factor of decline might be not only development of treatment and management, but decrease of incidence of SAH in Japan accompanied by improvement of smoking prevalence or lifestyle habitation.

Influences of eHealth literacy on obtaining knowledge about colorectal cancer among Internet users accessing a reputable cancer website (Preprint)

2019 ◽  
Author(s):  
Seigo Mitsutake ◽  
Ai Shibata ◽  
Kaori Ishii ◽  
Rina Miyawaki ◽  
Koichiro Oka
Keyword(s):  
Colorectal Cancer ◽  
Risk Factor ◽  
Health Knowledge ◽  
Information Service ◽  
Internet Survey ◽  
Cancer Center ◽  
Cancer Information ◽  
The Internet ◽  
Ehealth Literacy ◽  
Internet Users

BACKGROUND To develop websites that enhance Internet users’ health knowledge, it is important to identify relevant factors associated with obtaining health knowledge via the Internet. Although an association between eHealth literacy (eHL) and knowledge of colorectal cancer (CRC) has been reported, little is known whether eHL is associated with obtaining knowledge of CRC via the Internet. OBJECTIVE This study aimed to compare the results obtained from Internet users with high or low eHL in searching and using a reputable cancer website to gain CRC knowledge. METHODS This study used respondents to Internet based pre-and post-surveys conducted in 2012. Potential respondents (n = 3,307) were identified from registered individuals aged 40–59 years (n = 461,160) in a Japanese Internet survey company. A total of 1,069 participants responded (response rate: 32.3%), and these pre-survey responders were then divided into high or low eHL groups using the Japanese eHealth Literacy Scale median score (23.5 points). From each group, 130 randomly selected individuals were invited to review the contents of a reputable CRC website, the Cancer Information Service managed by the National Cancer Center, and to respond to a post-survey via e-mail; responses were obtained from 107 individuals from each group. Twenty responses to knowledge statements regarding the definition, risk factors, screening prevention and symptoms of CRC were obtained at pre- and post-surveys, and differences in the correct responses between high and low eHL groups compared using the McNemar test. RESULTS The mean age of the participants was 49.1 (5.5) years. Four statements showed a significant increase in correct responses in both eHL groups pre- and post-survey: “S4. The risk of CRC is greater as a person gets older” (high eHL: P = 0.039, low eHL: P = 0.012), “S8. Cigarette smoking is a risk factor for CRC” (high eHL: P < 0.001, low eHL: P = 0.020), “S11. Obesity is a risk factor for CRC” (high eHL: P = 0.030, low eHL: P = 0.047), and “S12. Excess alcohol consumption is a risk factor for CRC” (high eHL: P = 0.002, low eHL: P = 0.003). Three statements showed a statistically significant increase in correct responses in the high eHL group only: “S1. CRC is cancer of the colon or rectum” (P = 0.003), “S5. The risk of CRC is the same between men and women” (P = 0.041), and “S9. Red meat intake is a risk factor for CRC” (P = 0.002), whereas only one response did in the low eHL group: “S17. Bloody stools are a symptom of CRC” (P = 0.004). CONCLUSIONS Low eHL Internet users appeared less capable of obtaining knowledge of CRC through searching and understanding information from a reputable cancer website than high eHL Internet users.

A Case Study in Dissemination: Lessons Learned From a Pilot Study Involving the National Cancer Institute's Cancer Information Service

2005 ◽  
Vol 10 (sup1) ◽  
pp. 219-233 ◽  
Author(s):  
Alfred C. Marcus ◽  
Jerianne Heimendinger ◽  
Ellen Berman ◽  
Victor Strecher ◽  
Mary Anne Bright ◽  
...  
Keyword(s):  
Pilot Study ◽  
Information Service ◽  
Lessons Learned ◽  
Cancer Information ◽  
Cancer Information Service

Surgical experiences with giant intracranial aneurysms

1984 ◽  
Vol 61 (6) ◽  
pp. 1009-1028 ◽  
Author(s):  
Lindsay Symon ◽  
Janos Vajda
Keyword(s):  
Blood Pressure ◽  
Subarachnoid Hemorrhage ◽  
Mortality Rate ◽  
Intracranial Aneurysms ◽  
Visual Loss ◽  
Considerable Improvement ◽  
Brain Circulation ◽  
Content Type ◽  
Space Occupying Lesion ◽  
Fine Print

✓ A series of 35 patients with 36 giant aneurysms is presented. Thirteen patients presented following subarachnoid hemorrhage (SAH) and 22 with evidence of a space-occupying lesion without recent SAH. The preferred technique of temporary trapping of the aneurysm, evacuation of the contained thrombus, and occlusion of the neck by a suitable clip is described. The danger of attempted ligation in atheromatous vessels is stressed. Intraoperatively, blood pressure was adjusted to keep the general brain circulation within autoregulatory limits. Direct occlusion of the aneurysm was possible in over 80% of the cases. The mortality rate was 8% in 36 operations. Six percent of patients had a poor result. Considerable improvement in visual loss was evident in six of seven patients in whom this was a presenting feature, and in four of seven with disturbed eye movements.

Organizing for Knowledge Management

2011 ◽  
pp. 2261-2275
Author(s):  
J. David Johnson
Keyword(s):  
Knowledge Management ◽  
Clinical Practice ◽  
Health Professionals ◽  
Information Service ◽  
Third Party ◽  
Cancer Information ◽  
Cancer Information Service ◽  
Clinical Practices ◽  
The Public ◽  
Critical Knowledge

The Cancer Information Service is a knowledge management organization, charged with delivering information to the public concerning cancer. This chapter describes how societal trends in consumer/client information behavior impact clinical knowledge management. It then details how the CIS is organized to serve clients and how it can interface with clinical practice by providing referral, by enhancing health literacy, by providing a second opinion, and by giving crucial background, assurance to clients from neutral third party. The CIS serves as a critical knowledge broker, synthesizing and translating information for clients before, during, and after their interactions with clinical practices; thus enabling health professionals to focus on their unique functions.

Patient-Centered Communication in Cancer Care: The Role of the NCI’s Cancer Information Service

2010 ◽  
Vol 26 (1) ◽  
pp. 36-43 ◽  
Author(s):  
Rosemarie Slevin Perocchia ◽  
Julie Keany Hodorowski ◽  
Laurie A. Williams ◽  
Julie Kornfeld ◽  
Nydia Lassalle Davis ◽  
...  
Keyword(s):  
Cancer Care ◽  
Information Service ◽  
Cancer Information ◽  
Cancer Information Service ◽  
Patient Centered
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