scholarly journals Registry-based assessment of the status of cervical screening in Sweden

2016 ◽  
Vol 23 (4) ◽  
pp. 217-226 ◽  
Author(s):  
K Miriam Elfström ◽  
Pär Sparén ◽  
Peter Olausson ◽  
Pouran Almstedt ◽  
Björn Strander ◽  
...  
Keyword(s):  
Quality Indicators ◽  
Cervical Screening ◽  
Monitoring And Evaluation ◽  
Population Based ◽  
Test Coverage ◽  
Cervical Lesions ◽  
Previous Decade ◽  
The Status ◽  
One Year ◽  
Key Indicators

Objectives Comprehensive nationwide monitoring and evaluation of screening through registry-based review of key indicators is necessary for programme optimization, especially as new tests and strategies are introduced. We aimed to investigate and report on the use of these key indicators in the Swedish programme. Setting and methods Organized population-based cervical screening targeting women aged 23–50 and 51–60 every three and five years, respectively, is regionally implemented in Sweden. All cytological and histopathological test results and invitations are exported to the National Cervical Screening Registry. We describe the methods to obtain registry-based quality indicators by age, region, and calendar period. Results In 2013, there were 633,592 cervical smears in Sweden, of which 69% were organized smears resulting from an invitation. Screening test coverage for women aged 23–60 was 80% and similar for the previous decade, but varied greatly between and within counties over-time. Among women aged 23–25, test coverage increased dramatically during the previous six years, reaching 87% in 2013. The proportion of women with cytological high-grade cervical lesions found in cytology that had been followed-up with biopsy within one year was 97%. Major variations in cervical cancer incidence between counties were observed. Conclusions Registry-based analyses of key quality indicators provided the basis for prioritizing improvements of the organized cervical screening programme.

Prevalence, clinical characteristics and disability of migraine and probable migraine: A nationwide population-based survey in Korea

Cephalalgia ◽  
2013 ◽  
Vol 33 (13) ◽  
pp. 1106-1116 ◽  
Author(s):  
Byung-Kun Kim ◽  
Yun Kyung Chung ◽  
Jae-Moon Kim ◽  
Kwang-Soo Lee ◽  
Min Kyung Chu
Keyword(s):  
Clinical Characteristics ◽  
Headache Disorder ◽  
Epidemiological Data ◽  
Population Based ◽  
The Status ◽  
Interview Survey ◽  
Multivariable Regression ◽  
Probable Migraine ◽  
One Year ◽  
The One

Background Epidemiological data on probable migraine (PM) in Asia have rarely been reported. This study aimed to assess the prevalence, clinical characteristics, and disability of PM in comparison with strict migraine (SM) in Korea. Methods The Korean Headache Survey (KHS) is a nationwide interview survey that investigates the status of headache disorders among adults aged 19–69. We used data from the KHS. Results In a representative sample of 1507 individuals, the one-year prevalence of SM was 6.0%, and that of PM was 11.5%. Most PM sufferers missed the criterion of typical headache duration (82.0%). Multivariable regression analyses revealed that PM sufferers had an increased odds ratio (OR) for mild headache intensity (OR = 2.08; 95% confidence interval (CI): 1.11–3.90) and decreased ORs for living in a small city (OR = 0.50; 95% CI: 0.26–0.94), living in a rural area (OR = 0.36; 95% CI: 0.14–0.92) and headache frequency five to nine days per month (OR = 0.29; 95% CI: 0.11–0.78) compared to SM sufferers. Some SM and PM sufferers experienced decreased activity (26.4% in SM vs. 18.0% in PM) and missed activity (12.1% in SM vs. 14.4% in PM) due to headache. Conclusions PM is a prevalent headache disorder in Korea. Some sociodemographic and clinical characteristics of PM are different from those of SM.

Analyzing the accuracy of bank reliability assessment based on official reporting

2020 ◽  
Vol 26 (2) ◽  
pp. 327-348
Author(s):  
O.I. Razumova
Keyword(s):  
Financial Reporting ◽  
Financial Stability ◽  
Systems Approach ◽  
Reliability Assessment ◽  
Financial Statements ◽  
Rating Agencies ◽  
Short Term Forecasting ◽  
One Year ◽  
Key Indicators ◽  
Correct Forecast

Subject. The article considers ratings of banks' reliability. Objectives. The aim is to evaluate the accuracy of existing methodology for bank reliability assessment based on official reporting, to identify patterns between indicators and factors that can affect the financial sustainability of a bank. Methods. The study draws on the comparative analysis of key indicators of bank's financial statements one year prior to the introduction of provisional administration, and evaluates the results of existing methods for analyzing the financial standing of banks. Results. The findings show that those methods that use only official reporting to assess the reliability of banks are not sufficient for short-term forecasting of financial stability. Ratings of the majority of agencies that rest on official reporting have a high percentage of erroneous results, therefore, rating agencies are not able to predict the regulator's decisions regarding a credit institution. Conclusions. Currently, there are no universal methods to determine reliability, which would provide a correct forecast of deteriorated financial position of the bank. It is important to use a systems approach, where financial reporting is not a key component.

MALIGNANT MELANOMA. EPIDEMIOLOGY, ANALYTICAL INDICATORS OF THE EFFECTIVENESS OF ONCOLOGICAL SERVICES (POPULATION-BASED STUDY)

2017 ◽  
Vol 63 (2) ◽  
pp. 221-233
Author(s):  
Vakhtang Merabishvili
Keyword(s):  
Malignant Melanoma ◽  
Malignant Tumors ◽  
The Elderly ◽  
Population Based ◽  
Special Treatment ◽  
Detailed Structure ◽  
Population Based Study ◽  
Early Stages ◽  
One Year ◽  
Melanoma Epidemiology

Malignant melanoma of the skin (MMS) is less than 2% (1.74%) among all malignant tumors in Russia but this is more than 10,000 (10236-2015) of new cases. It is important to monitor the trend in dynamics of morbidity and mortality from this cause. From 1995 to 2015 a number of MMS primary cases was more than doubled in absolute numbers and “crude” rates. A slightly smaller increase is indicated by standardized indicators - 62.5% for men and 70.2% for women. Annually in Russia 3670 people die from MMS (2015), which is 1.2% of all cancer deaths. In recent years the previously revealed regularities have been largely preserved: lower rates of specific gravity detected in the early stages among people in the elderly and senile and in a smaller proportion in this group who received special treatment. At the same time a change in the detailed structure of the incidence of women has been revealed where currently the leading localization of MMS was not the lower extremities but the back. The index accuracy improved however the official statistics of the distribution of patients by stages of a disease was significantly distorted (weight of the early stages was increased from the real values). The index of one-year lethality and survival was significantly improved.

scholarly journals Effects of Soil and Water Conservation Measures on Soil Quality Indicators: The Case of Geshy Subcatchment, Gojeb River Catchment, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-16 ◽  
Author(s):  
Melku Dagnachew ◽  
Awdenegest Moges ◽  
Asfaw Kebede ◽  
Adane Abebe
Keyword(s):  
Soil Quality ◽  
Quality Indicators ◽  
Water Conservation ◽  
Soil And Water Conservation ◽  
Land Resources ◽  
Soil Quality Indicators ◽  
Volumetric Soil Water Content ◽  
River Catchment ◽  
The Status ◽  
Soil And Water

Land degradation is a global negative environmental process that causes the decline in the productivity of land resources’ capacity to perform their functions. Though soil and water conservation (SWC) technologies have been adopted in Geshy subcatchment, their effects on soil quality were limitedly studied. The study was conducted to evaluate the effects SWC measures on soil quality indicators in Geshy subcatchment, Gojeb River Catchment, Ethiopia. A total of 54 soil samples (two treatments–farmlands with and without SWC measures ∗ three slope classes ∗ three terrace positions ∗ three replications) were collected at a depth of 20 cm. Statistical differences in soil quality indicators were analyzed using multivariate analysis of variance (ANOVA) following the general linear model procedure of SPSS Version 20.0 for Windows. Means that exhibited significant differences were compared using Tukey’s honest significance difference at 5% probability level. The studied soils are characterized by low bulk density, slightly acidic with clay and clay loam texture. The results revealed that farmlands with SWC measures had significantly improved soil physical (silt and clay fractions, and volumetric soil water content (VSWC)) and chemical (pH, SOC, TN, C : N ratio, and Av. phosphorus) quality indicators as compared with farmlands without SWC measures. The significantly higher VSWC, clay, SOC, TN, C : N ratio, and Av. P at the bottom slope classes and terrace positions could be attributed to the erosion reduction and deposition effects of SWC measures. Generally, the status of the studied soils is low in SOC contents, TN, C : N ratio, and Av. P (deficient). Thus, integral use of both physical and biological SWC options and agronomic interventions would have paramount importance in improving soil quality for better agricultural production and productivity.

scholarly journals Medication Prescribed Within 1 Year Preceding Fall-Related Injuries in Older Adults in Ontario, Canada

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 236-236
Author(s):  
Yu Ming ◽  
Aleksandra Zecevic ◽  
Richard Booth ◽  
Susan Hunter ◽  
Andrew Johnson ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Risk ◽  
Anatomical Therapeutic Chemical ◽  
Group Discussion ◽  
Head Injuries ◽  
Prescription Medication ◽  
Population Based ◽  
Age Group ◽  
Secondary Health Care ◽  
One Year

Abstract Background: The consequences of fall-related injuries are becoming more significant due to ageing societies worldwide. This study aims to provide information on medications prescribed to older adults within one year before they experienced fall-related injury in Ontario, Canada. Methods: A population-based descriptive study of older adults (66 years and older) who experienced fall-related injury was conducted using administrative secondary health care data of Ontario. The percentages of patients prescribed each Anatomical Therapeutic Chemical 4th level medication class and fall-risk increasing drugs one year before their fall-related injuries was summarized. Results: From 2010 to 2014, 288,251 older adults (63.2% females) were admitted to Emergency Department due to fall-related injury, 39.9% were fall-related fractures, 12.6% were head injuries. One year prior to their injury, 48.46% of older adults were prescribed with statins; 35.23% were prescribed with diuretics; 26.84% were prescribed with antidepressants; 25.90% were prescribed with opioids and 16.61% were prescribed with anxiolytics. A higher percentage of females were prescribed with diuretics, antidepressants, and anxiolytics than males. 85 years and older people had higher percentage of prescription of diuretics, antidepressants and antipsychotics than other age group. Discussion: In general, older adults diagnosed with fall-related injuries were prescribed with more opioids, benzodiazepines and antidepressants than other general older adults. There were distinct patterns of prescription medication within each sex and age group (66-74 group, 75-84 group and 85 years and older group). Further association between medications and fall-related injuries need to be established using well-defined cohort studies.

scholarly journals Smartphone-Enhanced Training, QA, Monitoring, and Evaluation of a Platform for Secondary Prevention of Cervical Cancer: Opportunities and Challenges to Implementation in Tanzania

2020 ◽  
pp. 1114-1123
Author(s):  
Karen Yeates ◽  
Erica Erwin ◽  
Zac Mtema ◽  
Frank Magoti ◽  
Simoni Nkumbugwa ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Visual Inspection ◽  
Screening Program ◽  
Cervical Screening ◽  
Monitoring And Evaluation ◽  
Visual Assessment ◽  
Cervical Cancer Prevention ◽  
Supportive Supervision ◽  
Health Providers

PURPOSE Until human papillomavirus (HPV)–based cervical screening is more affordable and widely available, visual inspection with acetic acid (VIA) is recommended by the WHO for screening in lower-resource settings. Visual inspection will still be required to assess the cervix for women whose screening is positive for high-risk HPV. However, the quality of VIA can vary widely, and it is difficult to maintain a well-trained cadre of providers. We developed a smartphone-enhanced VIA platform (SEVIA) for real-time secure sharing of cervical images for remote supportive supervision, data monitoring, and evaluation. METHODS We assessed programmatic outcomes so that findings could be translated into routine care in the Tanzania National Cervical Cancer Prevention Program. We compared VIA positivity rates (for HIV-positive and HIV-negative women) before and after implementation. We collected demographic, diagnostic, treatment, and loss-to-follow-up data. RESULTS From July 2016 to June 2017, 10,545 women were screened using SEVIA at 24 health facilities across 5 regions of Tanzania. In the first 6 months of implementation, screening quality increased significantly from the baseline rate in the prior year, with a well-trained cadre of more than 50 health providers who “graduated” from the supportive-supervision training model. However, losses to follow-up for women referred for further evaluation or to a higher level of care were considerable. CONCLUSION The SEVIA platform is a feasible, quality improvement, mobile health intervention that can be integrated into a national cervical screening program. Our model demonstrates potential for scalability. As HPV screening becomes more affordable, the platform can be used for visual assessment of the cervix to determine amenability for same-day ablative therapy and/or as a secondary triage step, if needed.

Participation by Women in Annual Meetings, 1970-78

1979 ◽  
Vol 12 (03) ◽  
pp. 318-324 ◽  
Author(s):  
Martin Gruberg ◽  
Virginia Sapiro
Keyword(s):  
Political Science ◽  
The United States ◽  
Moderate Increase ◽  
Full Time ◽  
Part Time Faculty ◽  
Faculty Teaching ◽  
Previous Decade ◽  
The Status ◽  
Part Time ◽  
Time Faculty

In the late sixties, women in the United States became sensitized to their second-class status and organized to raise their consciousness and change their conditions. At the same time women in academia began to organize within their disciplines to address the problems they faced there. Political science was no exception; in 1969, when women constituted 5 percent of the membership of the APSA and 8 percent of all political science faculty teaching in colleges and universities, the APSA Committee on the Status of Women in the Profession and the Women's Caucus for Political Science formed. Numerous reports have revealed a moderate increase in the presence of women in the profession in recent years. As Table 1 shows, the percentage of degrees in political science awarded to women has increased since 1970. By the academic year 1976–77 women constituted 11 percent of full-time faculty and 18 percent of part-time faculty. Twenty-three percent of the students entering Ph.D. programs in 1977 were women, a downturn of 3 percent from the previous year, although an overall rise from the previous decade.

Sign in / Sign up

Export Citation Format

Share Document