Research and Standard Care: Lung Cancer in China

Author(s):  
Tony S. Mok ◽  
Qing Zhou ◽  
Yi-Long Wu

Overview: China has an enormous burden from rising tobacco consumption and lung cancer incidence. Governmental intervention on lung cancer prevention is insufficient, and both incidence and mortality related to lung cancer are still on the rise. Treatment guidelines are available, but heterogeneity in the quality of care between centers, especially the disparity between urban and rural areas, have resulted in inconsistent care to patients with lung cancer. Despite knowledge on molecular-targeted therapy, only a small fraction of patients have access to routine EGFR mutation analysis. Platinum-based doublet chemotherapy remains the most commonly used regimen irrespective of mutation status. On a positive note, both clinical and translational research on lung cancer are in rapid progress. The Chinese Thoracic Oncology Group (CTONG) has already contributed substantially to the care of patients with lung cancer and is expected to continue in the trend.

2015 ◽  
Vol 43 (1) ◽  
pp. 101-119 ◽  
Author(s):  
Michalina Krzyżak ◽  
Katarzyna Piotrowska ◽  
Dominik Maślach ◽  
Paweł Sowa ◽  
Bartosz Pędziński ◽  
...  

Abstract The purpose of the study was a comparative analysis of the burden of lung cancer in urban and rural areas in the Świętokrzyskie Province in the years 1999–2010. The material for the study accounted for information about the number of new cases of lung cancer obtained from the Świętokrzyskie Cancer Registration Office in Kielce and data from the Central Statistical Office concerning the number of deaths due to lung cancer in the years 1999–2010. Crude and age-standardized incidence, mortality, and potential years of life lost rates were calculated separately for groups of men and women in urban and rural areas. A comparative analysis of coefficients in urban and rural areas based on Rate Ratio (RR) and Rate Difference (RD) was performed by using the Health Disparities Calculator. The average annual incidence of lung cancer among men was 18% lower in the urban population than in the rural, while the mortality rate was 16% lower. For women, the incidence and mortality rates were higher in urban areas as opposed to rural areas – by 48% and 54% respectively. The comparative analysis of the burden of lung cancer showed great diversity between urban and rural populations in the Świętokrzyskie Province.


2004 ◽  
Vol 6 (1) ◽  
pp. 1-36 ◽  
Author(s):  
HEIDRUN MOLLENKOPF ◽  
ROMAN KASPAR ◽  
FIORELLA MARCELLINI ◽  
ISTO RUOPPILA ◽  
ZSUZSA SZÉMAN ◽  
...  

2021 ◽  
Vol 10 (11) ◽  
pp. 2314
Author(s):  
Mikolaj Przydacz ◽  
Marcin Chlosta ◽  
Piotr Chlosta

Objectives: Population-level data are lacking for urinary incontinence (UI) in Central and Eastern European countries. Therefore, the objective of this study was to estimate the prevalence, bother, and behavior regarding treatment for UI in a population-representative group of Polish adults aged ≥ 40 years. Methods: Data for this epidemiological study were derived from the larger LUTS POLAND project, in which a group of adults that typified the Polish population were surveyed, by telephone, about lower urinary tract symptoms. Respondents were classified by age, sex, and place of residence. UI was assessed with a standard protocol and established International Continence Society definitions. Results: The LUTS POLAND survey included 6005 completed interviews. The prevalence of UI was 14.6–25.4%; women reported a greater occurrence compared with men (p < 0.001). For both sexes, UI prevalence increased with age. Stress UI was the most common type of UI in women, and urgency UI was the most prevalent in men. We did not find a difference in prevalence between urban and rural areas. Individuals were greatly bothered by UI. For women, mixed UI was the most bothersome, whereas for men, leak for no reason was most annoying. More than half of respondents (51.4–62.3%) who reported UI expressed anxiety about the effect of UI on their quality of life. Nevertheless, only around one third (29.2–38.1%) of respondents with UI sought treatment, most of whom received treatment. Persons from urban and rural areas did not differ in the degrees of treatment seeking and treatment receiving. Conclusion: Urinary incontinence was prevalent and greatly bothersome among Polish adults aged ≥ 40 years. Consequently, UI had detrimental effects on quality of life. Nonetheless, most affected persons did not seek treatment. Therefore, we need to increase population awareness in Poland about UI and available treatment methods, and we need to ensure adequate allocation of government and healthcare system resources.


2017 ◽  
Vol 25 (3) ◽  
pp. 22-32 ◽  
Author(s):  
Myung-Bae Park ◽  
Chun-Bae Kim ◽  
Chhabi Ranabhat ◽  
Chang-Soo Kim ◽  
Sei-Jin Chang ◽  
...  

Happiness is a subjective indicator of overall living conditions and quality of life. Recently, community- and national-level investigations connecting happiness and community satisfaction were conducted. This study investigated the effects of community satisfaction on happiness in Nepal. A factor analysis was employed to examine 24 items that are used to measure community satisfaction, and a multiple regression analysis was conducted to investigate the effects of these factors on happiness. In semi-urban areas, sanitation showed a positive relationship with happiness. In rural areas, edu-medical services were negatively related to happiness, while agriculture was positively related. Gender and perceived health were closely associated with happiness in rural areas. Both happiness and satisfaction are subjective concepts, and are perceived differently depending on the socio-physical environment and personal needs. Sanitation, agriculture (food) and edu-medical services were critical factors that affected happiness; however, the results of this study cannot be generalized to high-income countries.


2020 ◽  
pp. 167-176
Author(s):  
Ahmad El-Atrash

The urban development and rapid urbanization that the West Bank, including occupied East Jerusalem and Gaza Strip have recently encountered have adversely affected the quality and availability of open spaces inside the Palestinian urban and rural areas. Public spaces are fundamental in the lives of any community striving to achieve a sustainable and inclusive environment and improve the quality of life of its inhabitants. In that respect, the prevailing planning practices fall short in terms of adequately addressing the provision of public spaces. Laws and regulations are designed to focus on limited physical properties of buildings (e.g. building design, elevation, heights, setbacks, parking, etc.,) with little or no attention to the residual space, inevitably, created between those blocks. Lands are chiefly privately owned, and considered of a very high value due to the artificial land scarcity phenomenon resulted from the geo-political classification of the West Bank Existing public spaces are not welcoming to the general public. Spaces are misplaced and scattered, they offer pre-defined activities and an inflexible environment. Many parts of the society feel alienated to such public spaces, created by a top-down process with minimal integration of their needs and aspirations.


2014 ◽  
Vol 32 (3) ◽  
pp. 401-413 ◽  
Author(s):  
Darlene Mara dos Santos Tavares ◽  
◽  
Alisson Fernandes Bolina ◽  
Flavia Aparecida Dias ◽  
Pollyana Cristina dos Santos Ferreira ◽  
...  

2021 ◽  
Vol 6 (11) ◽  
pp. 427-441
Author(s):  
Nur Adibah Farhanah Binti Ismail ◽  
Nur Alya Imani Binti Ismail ◽  
Nur Intan Faaiqah Binti Mohd Faizal ◽  
Nur Rabiatul Adawiyah Atiqah Binti Ijama ◽  
Nuramira Adiyana Binti Suzeli ◽  
...  

Public transportation brings more convenience to customer in urban and rural areas. In Malaysia, awareness of using the PJ City bus by passengers in Petaling Jaya is still limited. Many passengers are still unsatisfied with the services provided because the shuttle bus is zero-priced services, so the quality of services are always questioned by access users. Therefore, this current study is to investigate the influences of value, quality and reputation of free shuttle (PJ City) bus services towards customer satisfaction. Understanding what customers expect is very important as it will help to improve the services. Data were collected from users of PJ City bus using a survey questionnaire. The finding further revealed that, value positively influenced the satisfaction of customers. So, it is important for the service provider to enhance its value to the customer.


2016 ◽  
Vol 43 (3) ◽  
pp. 222-228 ◽  
Author(s):  
Leonardo Chavane ◽  
Martinho Dgedge ◽  
Patricia Bailey ◽  
Osvaldo Loquiha ◽  
Marc Aerts ◽  
...  

BackgroundThe contraceptive prevalence rate in Mozambique was estimated as 11.3% in the last Demographic and Health Survey. The impact of family planning (FP) on women's health and on the reduction of maternal mortality is well known.MethodsAcknowledging the importance of user satisfaction in the utilisation of health services, exit interviews were used to assess women's satisfaction with FP services in Mozambique. The survey, conducted in 174 health facilities, was representative at the national level, covered all provinces, and both urban and rural areas.ResultsOverall, 86% of respondents were satisfied with FP services, but issues such as insufficient supplies of oral contraceptives and the low quality of healthcare provider/client interactions were given as reasons for women's dissatisfaction.ConclusionDefined actions at the level of health service provision are needed to tackle the identified issues and ensure improved satisfaction with, and better utilisation of, FP services in Mozambique.


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