scholarly journals The state of oncology care in Russia. Kidney cancer (morbidity, mortality, index of accuracy, one-year and year-by-year mortality, histological structure). Part 1

2021 ◽  
Vol 17 (2) ◽  
pp. 182-194
Author(s):  
V. M. Merabishvili ◽  
A. N. Poltorackiy ◽  
A. K. Nosov ◽  
A. S. Artem'eva ◽  
E. N. Merabishvili
Keyword(s):  
Kidney Cancer ◽  
Objective Assessment ◽  
Federal District ◽  
The United States ◽  
Histological Structure ◽  
Annual Growth Rate ◽  
Cancer Register ◽  
Oncology Research ◽  
Oncology Care ◽  
One Year

Background. About 25,000 (2018 - 24,291) new cases of kidney cancer (KC) are registered in Russia annually, in the Northwestern Federal District of Russia in 2018 - 2504.Kidney cancer refers to localizations with a relatively low mortality rate. Mortality in the first year of observation is about 20 %. At the same time, an unfavorable trend in the dynamics of morbidity should be noted. Over the past 10 years, the annual growth rate for both sexes was 3.18%, mortality practically did not change, which indicates certain success in the treatment of patients.Materials and methods. The materials of the research were the monographs of IARC “Cancer on five continents”, reference books of the P.A. Herzen Moscow Oncology Research Institute and the database of the population cancer register of the Northwestern Federal District of the Russia own materials. Standard methods of statistical analysis were used.Results. The study revealed positive trends in the quality of registration of patients with kidney cancer, dynamics of mortality and survival of patients.Conclusion. The positive dynamics of the incidence rate of the population of Russia with kidney cancer has been established, and its place in the world community has been determined. Age-specific levels are close to those in the United States.Particular attention is paid to the need to use the Russian population cancer register database to obtain reliable data for an objective assessment of the activities of the oncological service in relation to kidney cancer.

scholarly journals Stages of the objective assessment system development for the activities of the oncological service in Russia and the Northwestern Federal District of the Russian Federation (morbidity, mortality, index accuracy, annual mortality, median survival, observed and relative survival of patients with malignant tumors). Part II

2021 ◽  
Author(s):  
Vakhtang Merabishvili ◽  
Alexey M. Belyaev
Keyword(s):  
Russian Federation ◽  
Malignant Tumors ◽  
Objective Assessment ◽  
Relative Survival ◽  
Federal District ◽  
Assessment System ◽  
Annual Reports ◽  
Positive Trend ◽  
Oncology Research ◽  
The Russian Federation

To plan anti-cancer measures and to correctly manage its condition, it is necessary to use only reliable sources of its formation. For this purpose, a system of Population-based or territorial Cancer Registries (PCR) has been created in Russia. The first Registry was the St. Petersburg PCR, created by us in 1993, which became the school of methodological preparation of the system in the administrative territories of Russia. The corresponding Order No. 420 of April, 19, 1996 issued by the Ministry of Public Health of the Russian Federation has legitimized a new organizational structure and entrusted it with the supervision of the P. Hertsen Moscow Oncology Research Institute. Unfortunately, to date, the PCR databases are not used, when creating state reports, analytical developments on the PCR database are either not conducted, or are used extremely rarely. The only exception was the St. Petersburg PCR, and now the entire Northwestern Federal District of the Russian Federation (NWFD RF) and 6 more administrative territories operating under our programs. The materials of the real state of the oncological service, prepared on the basis of the St. Petersburg PCR database, have been published by us in more than 20 monographs in St. Petersburg and the Northwestern Federal District of Russia. In this paper, we present the dynamics of analytical indicators calculated according to the PCR database, which sharply differ from the data of the Form No. 7 Annual Reports. The calculated indicators are close to the European average and have a positive trend.

METHODICAL APPROACHES TO THE ANALYSIS OF THE ACTIVITIES OF THE CANCER SERVICE ON THE BASIS OF THE FORMS OF STATE REPORTING AND THE DATABASE OF THE POPULATION CANCER REGISTER OF THE NORTHWESTERN FEDERAL DISTRICT. PART II

2019 ◽  
Vol 65 (6) ◽  
pp. 807-815
Author(s):  
Vakhtang Merabishvili ◽  
Aleksey Belyaev
Keyword(s):  
Malignant Tumors ◽  
Objective Assessment ◽  
Survival Rates ◽  
Federal District ◽  
International Standards ◽  
First Year ◽  
Female Population ◽  
Cancer Register ◽  
The Russian Federation ◽  
Dynamic Series

On the second part of the article the main attention is paid to the analysis of survival of patients with malignant tumors calculated on the base of the database of the population cancer register of the northwestern Federal district. The main criterion for assessing the state of oncological service is 1 and 5-years observed and relative survivals of patients with malignant tumors. Unfortunately, the number of cancer registers calculating survival rates of patients with malignant tumors according to international standards is limited in Russia. We present calculations of the dynamic series of the survival median. Defects of its objective assessment are revealed. Positive dynamics of 5-year observed survival of patients with malignant tumors in the Russian Federation is shown. Dynamics of 1 and 5 year survival of cancer patients is considered in pairs taking into account sex, age and stage of disease. There has been some improvement, especially among the female population. As can be seen from the data presented at the first year of observation, about 35 percent of patients die in the region, as in the most European countries.

The impact of simulated folivory on juveniles of Metrodorea pubescens (Rutaceae) in a gallery forest near Brasília, Federal District, Brazil

1994 ◽  
Vol 10 (4) ◽  
pp. 611-620 ◽  
Author(s):  
M. T. Nascimento ◽  
J. D. Hay
Keyword(s):  
Growth Rate ◽  
Federal District ◽  
Production Plant ◽  
Annual Growth Rate ◽  
Gallery Forest ◽  
Leaf Production ◽  
Central Brazil ◽  
Number Of Leaves ◽  
One Year ◽  
The Impact

ABSTRACTA field experiment was conducted to test the effects of simulated folivory on leaf production, plant growth rate and mortality of small individuals of Metrodorea pubescens in an evergreen gallery forest in central Brazil. Although complete defoliation decreased annual growth rate, both in absolute and relative values, it also stimulated leaf production. Mortality was observed only in individuals in the smallest size class, but was not statistically related to percentage defoliation. Recovery of completely defoliated individuals was rapid and after one year over 70% of their initial number of leaves was present. It is probable that insect folivory is not a direct cause of mortality of juveniles of this species.

scholarly journals Structure of Oncological Pathology and Survival of Patients with Malignant Tumors of the Eye and Adnexa (C69) Taking into Account Sex, Age and Histological Characteristics (Population Study)

2021 ◽  
Vol 18 (3) ◽  
pp. 578-583
Author(s):  
V. M. Merabishvili ◽  
E. N. Merabishvili
Keyword(s):  
Survival Rate ◽  
Russian Federation ◽  
Malignant Tumors ◽  
Federal District ◽  
Histological Structure ◽  
Cancer Register ◽  
The North ◽  
Anti Cancer ◽  
The Russian Federation ◽  
North Western

Objective. In February 2019, we completed work on creating a unified database of the population cancer registry of the NorthWestern Federal district of the Russian Federation. The development of data on the material of a large area significantly increases the reliability of the material under study, especially for RARE localities of malignant tumors, which include tumors of the eye and and adnexa.For the first time in Russia to present an analysis of the effectiveness of anti-cancer activities in relation to malignant tumors of the eye and adnexa (C69) at the Federal district level with calculations of 5-year survival rates of patients taking into account sex, age and histological structure of tumors.Methods. The development of the 5-year survival rate of patients with malignant tumors of the eye (C69) included information from the database created by us Population cancer register of all administrative territories of the North-Western Federal district of Russia for the period from 1999 to 2013, more than 1000 observations (1022).Results. The study revealed a positive dynamics of survival in patients of the North-Western Federal district of Russia with malignant tumors of the eye. The 5-year survival rate increased among males from 58.8 to 63.1 %, and among females from 64.7 to 69.6 %. A significant overestimation of the proportion of early stages among primary patients with malignant tumors of the eye and adnexa (C69) was found, which may be due to medical errors. Calculations of patient survival (with careful tracking of the deceased) allow us to get a more objective picture.Conclusion. Excellent achievements in the treatment of patients of advanced research centers and institutes can be welcomed only if similar successes are recorded at the population level and are available to all patients. Our in-depth development of population data in the Federal district confirmed the success in the treatment of patients with the malignant tumors of the eye and adnexa (C69), and the patterns we found first in the database of the Population cancer register of St. Petersburg, and now in the North-Western Federal district of the Russian Federation. Similar studies in other Federal districts could be an important component in the planning, monitoring and evaluation of anti-cancer measures in relation to the malignant tumors of the eye and adnexa (C69).

Quality Control of Data in a Large-Scale Cancer Register Program

1966 ◽  
Vol 05 (02) ◽  
pp. 67-74 ◽  
Author(s):  
W. I. Lourie ◽  
W. Haenszeland
Keyword(s):  
United States ◽  
Quality Control ◽  
Cancer Patients ◽  
Large Scale ◽  
The United States ◽  
Newly Diagnosed ◽  
Related Data ◽  
Cancer Register ◽  
Independent Review ◽  
End Results

Quality control of data collected in the United States by the Cancer End Results Program utilizing punchcards prepared by participating registries in accordance with a Uniform Punchcard Code is discussed. Existing arrangements decentralize responsibility for editing and related data processing to the local registries with centralization of tabulating and statistical services in the End Results Section, National Cancer Institute. The most recent deck of punchcards represented over 600,000 cancer patients; approximately 50,000 newly diagnosed cases are added annually.Mechanical editing and inspection of punchcards and field audits are the principal tools for quality control. Mechanical editing of the punchcards includes testing for blank entries and detection of in-admissable or inconsistent codes. Highly improbable codes are subjected to special scrutiny. Field audits include the drawing of a 1-10 percent random sample of punchcards submitted by a registry; the charts are .then reabstracted and recoded by a NCI staff member and differences between the punchcard and the results of independent review are noted.

Towards an interdisciplinary knowledge exchange model

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Santiago DE FRANCISCO ◽  
Diego MAZO
Keyword(s):  
Design Research ◽  
Knowledge Exchange ◽  
Academic Research ◽  
Innovation Process ◽  
The United States ◽  
Design Environment ◽  
Interdisciplinary Knowledge ◽  
One Year ◽  
The University ◽  
Common Situation

Universities and corporates, in Europe and the United States, have come to a win-win relationship to accomplish goals that serve research and industry. However, this is not a common situation in Latin America. Knowledge exchange and the co-creation of new projects by applying academic research to solve company problems does not happen naturally.To bridge this gap, the Design School of Universidad de los Andes, together with Avianca, are exploring new formats to understand the knowledge transfer impact in an open innovation network aiming to create fluid channels between different stakeholders. The primary goal was to help Avianca to strengthen their innovation department by apply design methodologies. First, allowing design students to proposed novel solutions for the traveller experience. Then, engaging Avianca employees to learn the design process. These explorations gave the opportunity to the university to apply design research and academic findings in a professional and commercial environment.After one year of collaboration and ten prototypes tested at the airport, we can say that Avianca’s innovation mindset has evolved by implementing a user-centric perspective in the customer experience touch points, building prototypes and quickly iterate. Furthermore, this partnership helped Avianca’s employees to experience a design environment in which they were actively interacting in the innovation process.

Estimation of Competitiveness of Single-Industry Towns of the Samara Region

2020 ◽  
pp. 67-81
Author(s):  
Julia Rishatovna Kuzhanbaeva ◽  
Rustam Taufihovich Kuzhanbaev ◽  
Maria S. Guseva
Keyword(s):  
Social Services ◽  
System Analysis ◽  
Objective Assessment ◽  
Practical Interest ◽  
Federal District ◽  
Social Consequences ◽  
Statistical Parameters ◽  
Structural Dynamic ◽  
Single Industry ◽  
Integral Indicator

In order to prevent negative socio-economic trends, to predict the social consequences of decisions on the implementation of state policy in the development of single-industry territories, public authorities monitor the socio-economic situation in single-industry towns based on an assessment of a number of statistical indicators. Such a differentiated assessment of statistical parameters does not allow a comprehensive assessment of the level of development and competitiveness of a single-industry town by territory, which is of particular relevance in modern conditions of glocalization. Of particular scientific and practical interest is a comparative analysis of the level of development of single-industry towns on the basis of an integral indicator that takes into account aspects of various spheres of life of the population and allows an objective assessment of the competitive positions of single-industry territories, which is currently not used by state authorities for monitoring. The purpose of the work is to assess and justify the conditions and development trends of single-industry towns of the Samara region on the basis of calculating the integral indicator of competitiveness, taking into account the level of development of the economy, finance, employment, social security and demography, as well as the mono-profile level of territories. In this study, we used the methods of system analysis, the method of comparisons and analogies, the method of generalization, the methods of dialectic and statistical analysis, the method of expert estimates, the method of retrospective estimates and structural-dynamic analysis. The paper provides an overview of the single-industry towns of the regions of the Volga Federal District; the results of testing the methodology for assessing the competitiveness of single-industry towns of the Samara region on the basis of an integral indicator are presented and trends in its change in the period 2013–2017 are identified. The study involved four single-industry towns of the Samara region: Oktyabrsk, Pohvistnevo, Tolyatti, Chapaevsk. The calculations showed that For five years Oktyabrsk was an outsider in four of the six areas under study (economics, labor, social services, demography), which led to the lowest competitiveness index and allowed us to identify the competitiveness of a single-industry town as “below average”. In relatively equal socio-economic conditions, there were Pohvistnevo, Togliatti and Chapaevsk, the level of competitiveness of which is “above average”.

From Scarcity to Abundance: Achieving Quality-Assured Mass Higher Education

2011 ◽  
Vol 15 (2) ◽  
Author(s):  
Peter P. Smith
Keyword(s):  
Higher Education ◽  
Knowledge Economy ◽  
Good Practice ◽  
The United States ◽  
The Other ◽  
Secondary System ◽  
Mass Higher Education ◽  
Post Secondary ◽  
One Year ◽  
The One

The United States is in a bind. On the one hand, we need millions of additional citizens with at least one year of successful post-secondary experience to adapt to the knowledge economy. Both the Gates and Lumina Foundations, and our President, have championed this goal in different ways. On the other hand, we have a post-secondary system that is trapped between rising costs and stagnant effectiveness, seemingly unable to respond effectively to this challenge. This paper analyzes several aspects of this problem, describes changes in the society that create the basis for solutions, and offers several examples from Kaplan University of emerging practice that suggests what good practice might look like in a world where quality-assured mass higher education is the norm.

The Development of an Online Tobacco Tracker Tool to Crowdsource Campus Environmental Reports for Smoke and Tobacco Free College Policies: A Mixed Methods Study (Preprint)

2020 ◽  
Author(s):  
Sabrina F. Loureiro ◽  
Kim M. Pulvers ◽  
Melissa M. Gosdin ◽  
Keavagh R. Clift ◽  
Myra J. Rice ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Groups ◽  
Positive Reinforcement ◽  
The United States ◽  
College Campuses ◽  
Policy Enforcement ◽  
Sequential Mixed Methods ◽  
Effective Policy ◽  
Online Tracking ◽  
One Year

BACKGROUND College campuses in the United States have begun implementing Smoke and Tobacco-Free policies to discourage the use of tobacco. Smoke and Tobacco-Free policies, however, are contingent upon effective policy enforcement. OBJECTIVE To develop an empirically-derived online tracking tool (Tracker) for crowdsourcing campus environmental reports of tobacco use and waste to support smoke and tobacco-free college policies. METHODS An exploratory sequential mixed methods approach was utilized to inform the development and evaluation of the Tracker. In October 2018, three focus groups across two California universities were conducted and themes were analyzed, guiding Tracker development. After one year of implementation, users were asked in April 2020 to complete a survey about their experience. RESULTS In the focus groups, two major themes emerged: barriers and facilitators to tool utilization. Further Tracker development was guided by focus group input to address these barriers (e.g. information, policing, and logistical concerns) and facilitators (e.g. environmental motivators, positive reinforcement). Amongst 1,163 Tracker reports, those who completed the user survey (n=316) reported the top motivations to using the tool were having a cleaner environment (79%) and health concerns (69%). CONCLUSIONS Environmental concerns, a motivator which emerged in focus groups, shaped the Tracker’s development and was cited by the majority of users surveyed as a top motivator for utilization.

scholarly journals Racial Differences in Incident Genitourinary Cancer Cases Captured in the National Cancer Database

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 671
Author(s):  
Dylan T. Wolff ◽  
Thomas F. Monaghan ◽  
Danielle J. Gordon ◽  
Kyle P. Michelson ◽  
Tashzna Jones ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
United States ◽  
Bladder Cancer ◽  
Kidney Cancer ◽  
The United States ◽  
Coverage Rate ◽  
National Cancer Database ◽  
Genitourinary Cancer ◽  
Coverage Rates ◽  
Capture Rates

Background and Objectives: The National Cancer Database (NCDB) captures nearly 70% of all new cancer diagnoses in the United States, but there exists significant variation in this capture rate based on primary tumor location and other patient demographic factors. Prostate cancer has the lowest coverage rate of all major cancers, and other genitourinary malignancies likewise fall below the average NCDB case coverage rate. We aimed to explore NCDB coverage rates for patients with genitourinary cancers as a function of race. Materials and Methods: We compared the incidence of cancer cases in the NCDB with contemporary United States Cancer Statistics data. Results: Across all malignancies, American Indian/Alaskan Natives subjects demonstrated the lowest capture rates, and Asian/Pacific Islander subjects exhibited the second-lowest capture rates. Between White and Black subjects, capture rates were significantly higher for White subjects overall and for prostate cancer and kidney cancer in White males, but significantly higher for bladder cancer in Black versus White females. No significant differences were observed in coverage rates for kidney cancer in females, bladder cancer in males, penile cancer, or testicular cancer in White versus Black patients. Conclusions: Differential access to Commission on Cancer-accredited treatment facilities for racial minorities with genitourinary cancer constitutes a unique avenue for health equity research.

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