The state of the organised mammography screening in Hungary in 2006

2007 ◽  
Vol 148 (19) ◽  
pp. 879-885 ◽  
Author(s):  
Attila Kovács ◽  
Lajos Döbrőssy ◽  
András Budai ◽  
Imre Boncz ◽  
Ágnes Cornides

Magyarországon az emlőrák jelentős népegészségügyi probléma. A halálozás mérséklésére a tünetmentes asszonyok szervezett, azaz személyes behíváson, visszahíváson és utánkövetésen alapuló szűrővizsgálata a legígéretesebb módszer. A tapintásos emlővizsgálattal kiegészített mammográfiás szűrés az 50–65 éves korcsoportban bizonyítottan hatásos; praemenopausalis asszonyok esetében a hatásosság még nem bizonyított, ennek ellenére a közvélemény és a szakmai döntéshozókra nehezedő nyomás miatt a perimenopausalis korban levő (45 év feletti) asszonyokat nem rekesztik ki a szűrőprogramból. Magyarországon a Nemzeti Népegészségügyi Program megteremtette a szervezett emlőszűrés szervezeti, adminisztratív, jogszabályi és pénzügyi feltételeit, így a szűrőprogram 2002 óta működik. A két szűrési ciklus adatai szerint a szervezett szűrésen a meghívottak mintegy 40%-a vesz részt. Az Országos Egészségbiztosítási Pénztár észrevételei szerint a meghívásos szűrés hatására jelentősen megemelkedett a diagnosztikus mammográfiás vizsgálatok száma; ez arra utal, hogy számosan a szervezett szűrés keretein kívül keresik a szűrés lehetőségét. A szűrővizsgálattal felfedezett emlőrákok száma, ezen belül a kis rákok aránya a nemzetközi standard értékeknek megfelelő. Az ún. intervallumrákok gyakoriságának megállapítására a szűrési nyilvántartással együttműködő patológiai adatbank létesítése folyamatban van. A szervezett emlőszűrés egészség-gazdaságtani elemzés szerint elfogadható a finanszírozó számára.

2016 ◽  
Vol 49 (5) ◽  
pp. 305-310 ◽  
Author(s):  
Ruffo Freitas-Junior ◽  
Danielle Cristina Netto Rodrigues ◽  
Rosangela da Silveira Corrêa ◽  
João Emílio Peixoto ◽  
Humberto Vinícius Carrijo Guimarães de Oliveira ◽  
...  

Abstract Objective: To estimate the coverage of opportunistic mammography screening performed via the Brazilian Sistema Único de Saúde (SUS, Unified Health Care System), at the state and regional level, in 2013. Materials and Methods: This was an ecological study in which coverage was estimated by determining the ratio between the number of mammograms performed and the expected number of mammograms among the population of females between 50 and 69 years of age. The number of mammograms performed in the target population was obtained from the Outpatient Database of the Information Technology Department of the SUS. To calculate the expected number of mammograms, we considered 58.9% of the target population, the proportion that would be expected on the basis of the recommendations of the Brazilian National Cancer Institute. Results: In 2013, the estimated national coverage of mammography screening via the SUS was 24.8%. The mammography rate ranged from 12.0% in the northern region to 31.3% in the southern region. When stratified by state, coverage was lowest in the state of Pará and highest in the state of Santa Catarina (7.5% and 35.7%, respectively). Conclusion: The coverage of mammography screening performed via the SUS is low. There is a significant disparity among the Brazilian states (including the Federal District of Brasília) and among regions, being higher in the south/southeast and lower in the north/northeast.


Author(s):  
R Freitas-Junior ◽  
RS Correa ◽  
J-E Peixoto ◽  
DCN Rodrigues ◽  
RMS Rahal

Author(s):  
T. A. Welton

Various authors have emphasized the spatial information resident in an electron micrograph taken with adequately coherent radiation. In view of the completion of at least one such instrument, this opportunity is taken to summarize the state of the art of processing such micrographs. We use the usual symbols for the aberration coefficients, and supplement these with £ and 6 for the transverse coherence length and the fractional energy spread respectively. He also assume a weak, biologically interesting sample, with principal interest lying in the molecular skeleton remaining after obvious hydrogen loss and other radiation damage has occurred.


1980 ◽  
Vol 11 (2) ◽  
pp. 85-94 ◽  
Author(s):  
Jack Damico ◽  
John W. Oller

Two methods of identifying language disordered children are examined. Traditional approaches require attention to relatively superficial morphological and surface syntactic criteria, such as, noun-verb agreement, tense marking, pluralization. More recently, however, language testers and others have turned to pragmatic criteria focussing on deeper aspects of meaning and communicative effectiveness, such as, general fluency, topic maintenance, specificity of referring terms. In this study, 54 regular K-5 teachers in two Albuquerque schools serving 1212 children were assigned on a roughly matched basis to one of two groups. Group S received in-service training using traditional surface criteria for referrals, while Group P received similar in-service training with pragmatic criteria. All referrals from both groups were reevaluated by a panel of judges following the state determined procedures for assignment to remedial programs. Teachers who were taught to use pragmatic criteria in identifying language disordered children identified significantly more children and were more often correct in their identification than teachers taught to use syntactic criteria. Both groups identified significantly fewer children as the grade level increased.


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