scholarly journals Epidemiological Analysis of 1234 Cases of Laryngeal Cancer in Shanxi Province, China

2021 ◽  
Vol 28 ◽  
pp. 107327482110412
Author(s):  
Hui Qi ◽  
Wenjie Chen ◽  
Chunming Zhang ◽  
Xiwang Zheng ◽  
Chen Peng ◽  
...  

Background Laryngeal cancer is a common malignancy of the head and neck, especially in northern China, including Shanxi province. This study intends to describe the epidemiological characteristics of laryngeal cancer in Shanxi Province, China, in order to support prevention and treatment efforts. Methods Retrospective analysis of the medical records of patients diagnosed with laryngeal cancer in hospitals in Shanxi Province from 2008 to 2012. Results The average annual incidence rate of laryngeal cancer in Shanxi province from 2008 to 2012 was 0.70/105, the Chinese population standardized incidence rate was 0.57/105 and the world population standardized incidence rate was 0.60/105. The city with the highest incidence of laryngeal cancer in Shanxi Province is Taiyuan, followed by Yangquan, and the lowest incidence are Yuncheng and Jincheng. The cases included 723 farmers (58.6%), 338 workers (27.4%), 95 government cadres (7.7%), 35 unemployed individuals (2.8%), 30 teachers (2.4%) and 13 individuals with other occupations (1.1%). The incidence of laryngeal cancer in rural areas was 0.78/105, while urban areas was 0.60/105. Of 1006 patients with smoking and drinking status reported, there were 238 both smoking and drinking (23.7%), 491 only smoking but not drinking (48.8%), 4 only drinking but not smoking (0.4%), 273 both not smoking and not drinking (27.1%) (P<0.001), and there were 695 males smoking (95.3%), 34 females smoking (4.7%) (P<0.001). Of 879 patients for whom the primary cancer location was known, 406 cases (46.2%) were supraglottic and 428 cases (48.7%) were glottic. Among 1009 patients with known pathological classification, the vast majority had squamous cell carcinoma (992 cases, 98.3%). Conclusions To sum up, the incidence of laryngeal cancer in Shanxi Province exhibited a relatively stable trend from 2008 to 2012, and the incidence is higher in men than in women in all years. The high percentage of smokers in this study underscores the importance of smoking as a risk factor for laryngeal cancer, whereas rates of drinking did not appear to be linked. Incidence of laryngeal cancer was higher in rural areas than in urban areas, a pattern that differs from other regions of China and internationally.

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Małgorzata Lesińska-Sawicka

Abstract Introduction Cervical cancer and its etiopathogenesis, the age of women in whom it is diagnosed, average life expectancy, and prognosis are information widely covered in scientific reports. However, there is no coherent information regarding which regions—urban or rural—it may occur more often. This is important because the literature on the subject reports that people living in rural areas have a worse prognosis when it comes to detection, treatment, and life expectancy than city dwellers. Material and methods The subjects of the study were women and their knowledge about cervical cancer. The research was carried out using a survey directly distributed among respondents and via the Internet, portals, and discussion groups for women from Poland. Three hundred twenty-nine women took part in the study, including 164 from rural and 165 from urban areas. The collected data enabled the following: (1) an analysis of the studied groups, (2) assessment of the respondents’ knowledge about cervical cancer, and (3) comparison of women’s knowledge depending on where they live. Results The average assessment of all respondents’ knowledge was 3.59, with women living in rural areas scoring 3.18 and respondents from the city—4.01. Statistical significance (p < 0.001) between the level of knowledge and place of residence was determined. The results indicate that an increase in the level of education in the subjects significantly increases the chance of getting the correct answer. In the case of age analysis, the coefficients indicate a decrease in the chance of obtaining the correct answer in older subjects despite the fact that a statistically significant level was reached in individual questions. Conclusions Women living in rural areas have less knowledge of cervical cancer than female respondents from the city. There is a need for more awareness campaigns to provide comprehensive information about cervical cancer to women in rural areas. A holistic approach to the presented issue can solve existing difficulties and barriers to maintaining health regardless of the place of life and residence. Implication for cancer survivors They need intensive care for women’s groups most burdened with risk factors.


2016 ◽  
Vol 9 (2) ◽  
pp. 614 ◽  
Author(s):  
Elânia Daniele Silva Araújo

A intensa urbanização causa diversos problemas de natureza ambiental, climática e social. O crescimento não planejado da população urbana e a remoção da vegetação são fatores que intensificam estes problemas. As temperaturas na cidade são significativamente mais quentes do que as suas zonas rurais circundantes devido às atividades humanas. As intensas mudanças espaciais em áreas urbanas, promovem significativo aumento na temperatura, causando o chamado efeito de Ilha de Calor Urbano (ICU). Campina Grande é uma cidade de tamanho médio que experimentou um crescimento desordenado, desde o tempo do comércio de algodão e, como qualquer cidade de grande ou médio porte, sofre alterações em seu espaço. Dessa forma, este estudo teve por objetivo analisar a variabilidade espaço-temporal da temperatura da superfície (Ts) e detectar ICU, através de técnicas de sensoriamento remoto. Para o efeito, foram utilizadas imagens dos satélites Landsat 5 e 8, dos anos de 1995, 2007 e 2014. Aumentos da Ts foram bem evidentes e foram detectadas duas ICU. Campina Grande mostra um padrão de tendência: o crescimento urbano não planejado é responsável por mudanças no ambiente físico e na forma e estrutura espacial da cidade, o que se reflete sobre o microclima e, em última análise, na qualidade de vida das pessoas.   ABSTRACT The intense urbanization causes several problems of environmental, climate and social nature. The unplanned growth of urban population and the vegetation removal are factors that deepen these problems. Temperatures in the city are significantly warmer than its surrounding rural areas due to human activities. Large spatial changes in urban areas promote significant increase in temperature, causing the so-called Urban Heat Island effect (UHI). Campina Grande is a medium-sized town that experienced an uncontrolled growth since the time of the cotton trade and like any large or medium-sized city, undergoes changes in its space. Therefore, this study aimed to analyze surface temperature spatial and temporal variability and to detect potential UHI, through remote sensing techniques. Spectral images from Landsat 5 and 8 satellites were used. Using images from years 1995, 2007 and 2014, considerable increases in temperature were identified and two UHI were recognize. Campina Grande shows a trend pattern: the urban unplanned growth is responsible for changes in the physical environment and in the form and spatial structure of the city, reflecting on people quality of life. Keywords: change detection, surface temperature, heat islands, urbanization.   


2009 ◽  
Vol 11 (2) ◽  
pp. 9
Author(s):  
Andrés Rodríguez-Pose ◽  
Riccardo Crescenzi

Thomas Friedman (2005) argumenta que a expansão do comércio, a internacionalização das firmas, o crescimento acelerado do processo de outsourcing e a possibilidade de conexão em redes a custos cada vez mais baixos estão criando um “mundo plano”: um campo competitivo de condições homogêneas de concorrência no qual os indivíduos têm maior poder e melhores condições de vida. Este artigo desafia essa visão do mundo, argumentando que embora a globalização traga mudanças, oportunidades e desafios, nem todos os territórios têm a mesma capacidade de maximizar os benefícios e as oportunidades e de minimizaras ameaças circundantes. Numerosas forças estão se fundindo no sentido de provocar a emergência de “montanhas” urbanas, onde a riqueza, a atividade econômica e a capacidade de inovação se aglomeram. Estas forças “tectônicas” incluem fatores como a inovação, os transbordamentos, os encadeamentos para trás e para frente nas cadeias produtivas, a dinâmica de especialização versus diversificação, o capital social e comunitário e, por último, mas não menos importante, o “buzz” da cidade. As interações destas forças na proximidade geográfica das grandes áreas urbanas dão forma a uma geografia muito mais complexa da economia mundial e permitem a ascensão de novos players econômicos. Mas esta geografia, ao contrário de ser plana, é repleta de montanhas, em que as grandes aglomerações urbanas representam os picos mais altos. A maioria da população mundial, ao contrário de ter maior poder, permanece mal preparada para encarar estes desafios. Palavras-chave: progresso tecnológico; nova geografia econômica; vantagem competitiva. Abstract: Thomas Friedman (2005) argues that the expansion of trade, the internationalization of firms, the galloping process of outsourcing, and the possibility of networking at increasingly low prices is creating a ‘flat world’: a level playing field where individuals are empowered and better off. This paper challenges this view of the world by arguing that although globalization implies changes, opportunities, and threats, not all territories have the same capacity to maximize the benefits and opportunities and minimize the threats at hand. Numerous forces are coalescing in order to provoke the emergence of urban “mountains” where wealth, economic activity, and innovative capacity agglomerate. These “tectonic” forces include factors such as innovation, spill overs, backward and forward linkages, specialisation vs. diversification dynamics, community and social capital, and, last but not least, the buzz of the city. The interactions of these forces in the close geographical proximity of large urban areas give shape to a much more complex geography of the world economy and allows for new economic players to emerge. But this geography, rather than flat, is full of mountains, with large urban agglomerations representing the highest peaks. The majority of the world population, far from being empowered, remains ill-prepared to face these challenges. Keywords: technological progress; new economic geography; competitive advantage.


1970 ◽  
Vol 17 (2) ◽  
pp. 104-105
Author(s):  
W Wasim Hussain ◽  
M Azizul Haque ◽  
Laila Shamima Sharmin ◽  
ARM Saifuddin Ekram ◽  
M Fazlur Rahman

This study was designed to know the case finding of sputum smear positive tuberculosis in Rajshahi district and also to see whether case finding was different in urban and rural settings. Our study reveals that case finding rate of smear positive tuberculosis cases in the city corporation area and rural areas of Rajshahi district are 52% and 28% respectively. Case detection rate of total Rajshahi district was 33%. Stronger efforts are needed to reach the national target of detecting 70% new smear positive TB cases by the end of 2005.   doi: 10.3329/taj.v17i2.3456   TAJ 2004; 17(2): 104-105


Finisterra ◽  
2012 ◽  
Vol 40 (79) ◽  
Author(s):  
Manuel Mendes Araújo

The city of Nampula, located in the Northern hinterland of Mozambique, has always been considered the «capital of the North». Founded with the aim of ensuring military control over the colonial penetration of the hinterland, it is an important crossroads where the litoral-hinterland and centre-North axes intersect. Just like Mozambique’sother urban areas, the city of Nampula underwent considerable demographic growth in the period that followed the independence of the country, including the period of civil war and the peace that ensued from 1992 onwards. This demographic growth was the result of a significant migration inflow originating in the rural areas. As the city’s infrastructure and economic activity was unable to keep apace with this growth, the idea of migrating to the city with the aim of improving the livelihood of the migrant population was nothing but a mirage, which eventually resulted in the proliferation of the informal economy as a means of livelihood. The «city of concrete» still exhibits a series of urban and demographic haracteristics that differ substantially from those of the surrounding urban administrative units.


2020 ◽  
Vol 12 (24) ◽  
pp. 10637
Author(s):  
Theresia Oedl-Wieser ◽  
Kerstin Hausegger-Nestelberger ◽  
Thomas Dax ◽  
Lisa Bauchinger

In the past, the contrasts between rural and urban regions were the primary feature of analysis, while today, spatial dynamics are realized by the interactions between spaces and focus on the dependencies of rural-urban areas. This implies that boundaries are not anymore perceived as fixed but as flexible and fluid. With rising spatial interrelations, the concept of the “city-region” has been increasingly regarded as a meaningful concept for the implementation of development policies. Governance arrangements working at the rural-urban interface are often highly complex. They are characterized by horizontal and vertical coordination of numerous institutional public and private actors. In general, they provide opportunities to reap benefits and try to ameliorate negative outcomes but, due to asymmetric power relations, rural areas are often challenged to make their voice heard within city-region governance structures which can too easily become focused on the needs of the urban areas. This paper addresses these issues of rural-urban partnerships through the case of the Metropolitan Area of Styria. It presents analyses on the core issue of how to recognize the structure and driving challenges for regional co-operation and inter-communal collaboration in this city-region. Data were collected through workshops with regional stakeholders and interviews with mayors. Although the Metropolitan Area of Styria occupies an increased reference in policy discourses, the city-region has not grown to a uniform region and there are still major differences in terms of economic performance, the distribution of decision-making power, accessibility and development opportunities. If there should be established a stronger material and imagined cohesion in the city-region, it requires enhanced assistance for municipalities with less financial and personal resources, and tangible good practices of inter-municipal co-operation. The ability to act at a city-regional level depends highly on the commitment for co-operation in the formal and informal governance arrangement, and on the willingness for political compromises as well as on the formulation of common future goals.


2020 ◽  
Vol 11 (2) ◽  
pp. 183-194
Author(s):  
Dinabandhu Mondal ◽  
Sucharita Sen

In the past few decades, due to urbanization and spatial expansion of cities beyond their municipal boundaries, complex interactions between the city and its surrounding rural areas have occurred, resulting in the formation of peri-urban spaces or zones of transition. There is a plurality of definitions for these peri-urban spaces, due to their diverse character in terms of land and water use, livelihood shifts, demographic and social transitions. Most peri-urban areas, specifically those around large metropolitan cities, are increasingly assuming complex characters, which call for governance structures beyond rural–urban binaries. For any administrative intervention of a serious nature in peri-urban areas, a standard methodology for demarcation of these spaces is required. This article is an attempt to develop and apply such a methodology beyond the existing ones, using government sources of data, in the case of Kolkata Metropolis. This article uses socio-economic and land-use characteristics to achieve this objective. It finds that peri-urban spaces do not necessarily develop uniformly around the city; instead, they are fragmented and could be located both near or relatively far from urban areas.


Author(s):  
Anik Saha

Rural–urban linkages play a fundamental role in the generation of service, development, health treatment and wealth. Yet, for various reasons the importance of such linkages is not recognized and thus unnoticed in rural economic and trade policies. The present paper investigates infrastructure problem, institutional constraints and dependency rural area on near rural service trade barriers that tend to discourage linkages between rural and urban areas and thus prevent a process of rural empowerment and economic development. The findings of our review indicate that clustering rural and urban areas into regional planning units may create the necessary enabling environment for extensive trade networks and knowledge switch over between the city and the neighbor rural-side. As such, stronger rural–urban linkages could also play a crucial role in fulfill rural areas demand in developing countries.


2017 ◽  
Vol 35 (35) ◽  
pp. 65-80
Author(s):  
Radosław Linkowski

Abstract The purpose of the paper is to describe changes in support for the four principal political options (‘right’, ‘left’, ‘liberal’, ‘peasant’) available in the Kraków Metropolitan Area (KMA) in parliamentary elections in the period 1993–2011. The electoral behaviour of the residents of the various KMA zones became increasingly similar in the study period. The political ‘distance’ between the northern commuter zone of the KMA (part of the Russian partition in the 19th c.) and the rest of the KMA, decreased significantly. The suburban zone of Kraków also changed over the course of the study period by becoming significantly similar to the city in terms of voting behaviour. This political change was largely due to substantial social and economic changes in the rural parts of the metropolitan area. Urban areas in the KMA were much more stable in their voting patterns and tended to politically resemble one another much more than rural areas. The city of Kraków and the southern part of its commuter zone – part of the Austrian partition in the 19th c. – were characterized by fewer fluctuations in voting behaviour than the two remaining parts of the KMA.


2021 ◽  
Vol 37 (7) ◽  
Author(s):  
Júlia Moreira Pescarini ◽  
Camila Silveira Silva Teixeira ◽  
Nívea Bispo da Silva ◽  
Mauro Niskier Sanchez ◽  
Marcio Santos da Natividade ◽  
...  

Abstract: Our study aims to describe trends in new case detection rate (NCDR) of leprosy in Brazil from 2006 to 2017 overall and in subgroups, and to analyze the evolution of clinical and treatment characteristics of patients, with emphasis on cases diagnosed with grade 2 physical disabilities. We conducted a descriptive study to analyze new cases of leprosy registered in the Brazilian Information System for Notificable Diseases (SINAN), from 2006-2017. We calculated the leprosy NCDR per 100,000 inhabitants (overall and for individuals aged < 15 and ≥ 15 years) by sex, age, race/ethnicity, urban/rural areas, and Brazilian regions, and estimated the trends using the Mann-Kendall non-parametric test. We analyzed the distributions of cases according to relevant clinical characteristics over time. In Brazil, there was a sharp decrease in the overall NCDR from 23.4/100,000 in 2006 to 10.3/100,000 in 2017; among children < 15 years, from 6.94 to 3.20/100,000. The decline was consistent in all Brazilian regions and race/ethnicity categories. By 2017, 70.2% of the cases were multibacillary, 30.5% had grade 1 (G1D) or 2 (G2D) physical disabilities at diagnosis and 42.8% were not evaluated at treatment completion/discharge; cases with G2D at diagnosis were mostly detected in urban areas (80%) and 5% of cases died during the treatment (leprosy or other causes). Although the frequency of leprosy NCDR decreased in Brazil from 2006 to 2017 across all evaluated population groups, the large number of cases with multibacillary leprosy, physical disabilities or without adequate evaluation, and among children suggest the need to reinforce timely diagnosis and treatment to control leprosy in Brazil.


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