scholarly journals Change in medical practice over time? A register based study of regional trends in hysterectomy in Finland in 2001–2018

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tiina Vikstedt ◽  
Martti Arffman ◽  
Satu Heliövaara-Peippo ◽  
Kristiina Manderbacka ◽  
Eeva Reissell ◽  
...  
Keyword(s):  
Multilevel Models ◽  
Medical Decision ◽  
Hospital Discharges ◽  
Female Population ◽  
Medical Practices ◽  
Hospital District ◽  
Regional Trends ◽  
Region Of Residence ◽  
Total Female ◽  
Over Time

Abstract Background A persistent research finding in Finland and elsewhere has been variation in medical practices both between and within countries. Variation seems to exist especially if medical decision making involves discretion and the best treatment cannot be identified unambiguously. This is true for hysterectomy when performed for benign causes. The aim of the current study was to investigate regional trends in hysterectomy in Finland and the potential convergence of rates over time. Methods We used hospital discharge register data on hysterectomies performed, diagnoses, age, and region of residence to examine hospital discharges for women undergoing hysterectomy in 2001–2018 among total female population aged 25 years or older in Finland. We examined hysterectomy rates among biannual cohorts by indication, calculated age-standardised rates and used multilevel models to analyse potential convergence over time. Results Altogether 131,695 hysterectomies were performed in Finland 2001–2018. We found a decreasing trend, with the age-adjusted overall hysterectomy rate decreasing from 553/100,000 person years in 2001–2002 to 289/100,000 py in 2017–2018. Large but converging regional differences were found. The correlations between hospital district intercepts and slopes in time ranged from − 0.71 to − 0.97 (p < 0.001) suggesting diminishing variation. Conclusions Our findings demonstrate that change in hysterectomy practices and more uniformity across regions are achievable goals. Regional variation still exists suggesting differences in medical practices.

A survey of 100 female senile admissions to a mental hospital

1962 ◽  
Vol 108 (457) ◽  
pp. 801-803 ◽  
Author(s):  
P. A. Morris
Keyword(s):  
Catchment Area ◽  
Mental Hospital ◽  
Admission Rate ◽  
Urban District ◽  
Female Population ◽  
Industrial Areas ◽  
Industrial Town ◽  
Total Female

An investigation was undertaken to determine the fate of 100 consecutive female admissions over 65 to a mental hospital. The patients were admitted to Kingsway Hospital, Derby, between October 1958 and December 1959 and were each followed up for a year or until death. These 100 patients formed 24% of the total female admissions for the period. The catchment area from which they came includes the County Borough of Derby (a heavy-industrial town) with a total of over-65 female population of 8,724; Shardlow Urban District (a rather rambling and mainly country area) with 5,633; and Long Eaton Urban District (a light-engineering town) with 1,934. Thus the total over-65 female population was 16,311. Working from these figures the expected admissions from these areas would be (in %): 53: 35: 12, whereas the actual figures were (in %): 62: 30: 8. This shows, as one would expect, a proportionately higher admission rate from the industrial areas.

scholarly journals Analisis Pengaruh Jumlah Penduduk Perempuan Terhadap Indeks Pembangunan Manusia

2020 ◽  
Vol 2 (2) ◽  
pp. 257-270
Author(s):  
Faraniena Yunaeni Risdiana
Keyword(s):  
Human Development ◽  
Human Development Index ◽  
Quantitative Methods ◽  
Health Sector ◽  
Secondary Data ◽  
Economic Sector ◽  
Female Population ◽  
Development Index ◽  
Total Female

This study aims to determine the effect of the female population on the human development index in the province of East Java in 2017. This study uses quantitative methods with data collection techniques used are secondary data from the East Java Central Statistics Agency. From the research results it can be concluded that the total female population has almost no influence on the Human Development index. The human development index can be increased by improving the health sector, the economic sector and the education sector through the role of women, because the number of women population is almost the same as the number of men.

MASS SCREENING OF THE TOTAL FEMALE POPULATION OF A COUNTY FOR CERVICAL CARCINOMA

1958 ◽  
Vol 13 ◽  
pp. 703-704
Author(s):  
Herbert E. Nieburgs ◽  
Ingrid Stergus ◽  
Evelyn M. Stephenson ◽  
B Lester Harbin
Keyword(s):  
Mass Screening ◽  
Cervical Carcinoma ◽  
Female Population ◽  
Total Female

scholarly journals UTERINE ADENOMATA IN THE RABBIT

1941 ◽  
Vol 73 (2) ◽  
pp. 273-292 ◽  
Author(s):  
Harry S. N. Greene
Keyword(s):  
Liver Damage ◽  
Squamous Epithelium ◽  
Physiological Activity ◽  
Blood Stream ◽  
Genetic Constitution ◽  
Female Population ◽  
Tumor Bearing ◽  
Determining Factors ◽  
Total Female ◽  
Breeding History

An investigation of uterine adenomata in the rabbit revealed an incidence of 16.7 per cent in the total female population over 2 years of age. However, the incidence varied widely in relation to age, breed, and genetic constitution and closely paralleled that of toxemia of pregnancy with reference to the same constitutional factors. In addition, all of the tumor bearing animals suffered attacks of this disease during their earlier breeding history. The facts suggest that the association of the two disorders occurred as a result of the liver damage incident to toxemia which impaired the function of this organ in relation to estrin inactivation and the concentration of this substance in the blood stream subsequently rose to a carcinogenic level. A consideration of the disparity in the distribution of uterine growths in rabbits and women indicated that the absence of squamous epithelium in the cervix of the rabbit and the greater physiological activity of the endometrium of the fundus in this species were the determining factors.

scholarly journals Estimating the breeding population of an elephant seal colony from a single census

2020 ◽  
Author(s):  
Richard Condit ◽  
Sarah G. Allen ◽  
Daniel P. Costa ◽  
Sarah Codde ◽  
P. Dawn Goley ◽  
...  
Keyword(s):  
Population Size ◽  
Breeding Population ◽  
Elephant Seal ◽  
Annual Number ◽  
Correction Factors ◽  
Female Population ◽  
Calculated Correction ◽  
Point Reyes ◽  
Total Female ◽  
Departure Behavior

AbstractOur aim was to develop a method for estimating the annual number of female elephant seals pupping in a colony from a single count. This is difficult because breeding females are not synchronous so there is no time when the entire population is present. We applied models that describe arrival and departure behavior to account for those missed in any one count and calculated correction factors that yield total population from any single count throughout a season. At seven colonies in California for which we had multiple female counts per year, we found consistent timing in arrival and departure both within and between sites for as long as 50 years. This meant that the optimal correction factor, the date when the maximum number of females was onshore, was consistent. At Point Reyes, a female count on 27 or 28 Jan can be multiplied by 1.15 to yield the total female population; at Año Nuevo Island, the correction was 1.17 on 25-26 Jan; and at Año Nuevo Mainland, 1.13 on 28-30 Jan. Correction factors at Channel Island colonies and King Range were also 1.13. Across the colonies studied, the factor 1.15 multiplied by a female count between 26 and 30 Jan was close to optimal, and this provides a method for estimating the female population size at colonies not yet studied. Our method can produce population estimates with minimum expenditure of time and resources and will facilitate monitoring of the elephant seal population size over its entire range.

MASS SCREENING OF THE TOTAL FEMALE POPULATION OF A COUNTY FOR CERVICAL CARCINOMA

1958 ◽  
Vol 13 (5) ◽  
pp. 703-704
Author(s):  
Herbert E. Nieburgs ◽  
Ingrid Stergus ◽  
Evelyn M. Stephenson ◽  
B Lester Harbin
Keyword(s):  
Mass Screening ◽  
Cervical Carcinoma ◽  
Female Population ◽  
Total Female

scholarly journals Inflammatory cytokine profile of VEGF and IL-6 from the endometrium of women with and without endometriosis

2021 ◽  
Vol 10 (3) ◽  
pp. 965
Author(s):  
Ashish Ashish ◽  
Kusum Kusum ◽  
Sangeeta Rai ◽  
Kulsoom Zahra ◽  
Surendra Pratap Mishra ◽  
...  
Keyword(s):  
Serum Level ◽  
Inflammatory Marker ◽  
Serum Levels ◽  
Enzyme Linked Immunosorbent Assay ◽  
Female Population ◽  
Normal Healthy Control ◽  
Total Female ◽  
Reproductive Life ◽  
Healthy Control ◽  
The Mean

Background: Endometriosis affects an estimated 176 million women worldwide, which constitutes 10% of the total female population causing debilitating symptoms of pelvic pain and infertility, which limits the quality of reproductive life of affected women. The present study aimed to assess the serum level of VEGF and pro-inflammatory marker IL-6 in cases and normal healthy control groups.Methods: VEGF and IL-6 serum levels were measured by competitive sandwich enzyme-linked immunosorbent assay (ELISA) from 34 subjects with surgically confirmed endometriosis, 16 subjects with adenomyosis and 18 similar  age matched healthy controls with no clinical evidence of the disease or detectable endometriotic lesions at the time of surgical examination. Patients were characterized in terms of their socio-demographic and clinically diagnosed characteristics, including the validated infertility and chronic disease registries.Results: The mean serum level of VEGF was significantly (p<0.0001) higher in case of endometriosis (3887 ng/l) followed by adenomyosis (2588 ng/l) group and lower in case of normal healthy control (665 ng/l) group. The mean serum IL-6 was found to be highly significant (p<0.0001) in case of endometriosis (90.49 pg/ml) followed by adenomyosis (70.37 pg/ml) group and lower in case of normal healthy control (22.97 pg/ml) group.Conclusions: VEGF and IL-6 seems to play a crucial role in the implantation and development of endometriotic lesions, and the disease is associated with significant modulations in the serum levels of VEGF. IL-6 can be a reliable non-invasive diagnostic marker for endometriosis.

scholarly journals Application of the Leslie Matrix to Predict the Number and Growth Rate of Women in West Java 2021

2021 ◽  
Vol 2 (1) ◽  
pp. 11-23
Author(s):  
Ati Maryati ◽  
Sudrajat Supian ◽  
Subiyanto Subiyanto
Keyword(s):  
Growth Rate ◽  
Population Growth ◽  
Leslie Matrix ◽  
Male Population ◽  
West Java ◽  
Female Population ◽  
Total Female ◽  
Role Of Women ◽  
The Government

Data from the Central Statistics Agency 2019 collected that the total population of women in Indonesia is less than male, which is 131.48 million people if compared to the total male population, which is 132.68 million population. This matter is directly relation to the total female population in West Java which is also less than the male population around 24031252.0 female and 24652609.0 male population(Badan Pusat Statistika, 2019).This should be the focus of the government to balance the population growth of women and men in West Java because of the role of women being central in the population growth of the people of West Java. The targets of the development plan contained in the RPJM 2005-2025 is to improve the quality of human resources, including the role of women in development.  The growth of the female population is an important thing that must be observed, considering the role of women is determining the development of the human population in the future, because without the role of women the population will not be able to develop. This encourages researchers to predict the number and rate of female population growth in West Java in 2021.  The Leslie matrix is a matrix used to predict the number and growth rate of a population. By applying the Leslie matrix to predict the number and growth rate of women in West Java in 2021, it can be concluded that the number of female populations in West Java is around tends to increase.

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