scholarly journals The changing patterns of liver cancer in Saudi Arabia over a 22-year period

Author(s):  
Bandar M. Alshehri

Background: Liver cancer is a major public health problem in the developing world. It is the sixth most common cancer in the developed world and the second leading cause of death among cancer patients, globally. This study evaluated the trends and geographical distributions of liver cancer in the Saudi Arabian population.Methods: A secondary data analysis was performed on liver cancer cases registered in the Saudi Cancer registry for the period 1994 to 2015. In all, 8,785 liver cancer cases were included in the analysis, all of them Saudi nationals.Results: There were significant decreases in the mean age-standardised rates of liver cancer over the study period. The incidence of liver cancer varied by region. A strong positive correlation was observed between liver cancer incidence and age. Hepatocellular carcinoma-NOS is the most common histopathology subtype among the Saudi population.Conclusions: The overall trend of the liver cancer age-standardised rate for males and females decreased among the Saudi population. This rate varies by region. Studying this variation in more detail will help improve public health policy, optimise distribution of resources and allocation of funding for research on prevention and diagnosis and direct awareness programs to the regions that are most in need. 

2017 ◽  
Vol 13 (2) ◽  
pp. 115-126
Author(s):  
Dwi Murtono

ENGLISHTuberculosis is one of the long-known diseases and still becomes the leading cause of death in the world. The TB incidence needs a serious attention because it is a major public health problem. The objective of the study was to describe the TB incidence in Pati Regency in the period 2014-2016. It used quantitative and descriptive approaches. Secondary data sourced from Integrated Tuberculosis Information System (SITT) period 2014-2016 at Health Service of Pati Regency. Data were classified based on sex, TB classification, and age. Data were tested using descriptive analysis. The results of the study were: (1) The TB incidence showed an increase, (2) The increase of TB incidence was found both in men and women, but the number of TB cases was higher in men compared to the counterparts. (3) The number of TB cases increased in all TB classification groups, which the highest was found in positive smear pulmonary group. (4) The number of TB cases rose along with the increase of age, which the majority cases occurred in the productive age group. INDONESIATuberkulosis (TB) merupakan salah satu penyakit yang telah lama dikenal dan sampai saat ini masih menjadi penyebab utama kematian di dunia. Kejadian TB perlu mendapat perhatian serius karena TB merupakan masalah kesehatan publik mayor. Tujuan penelitian ini adalah untuk memberikan gambaran kejadian TB di Kabupaten Pati dalam kurun waktu tahun 2014-2016. Penelitian ini menggunakan pendekatan deskriptif kuantitatif. Data sekunder berasal dari Sistem Informasi Tuberculosis Terpadu (SITT) Kabupaten Pati tahun 2014-2016 dari Dinas Kesehatan Kabupaten Pati. Data diolah berdasarkan jenis kelamin, klasifikasi TB dan umur penderita TB. Analisis data dilakukan secara deskriptif. Hasil penelitian adalah (1) angka kejadian TB menunjukkan adanya peningkatan; (2) angka kejadian TB berdasarkan klasifikasi jenis kelamin lebih banyak ditemukan pada jenis kelamin laki-laki dan menunjukkan terjadi peningkatan kejadian TB baik untuk laki-laki maupun perempuan; (3) angka kejadian TB berdasarkan klasifikasi TB secara umum menunjukkan terjadi peningkatan dan mayoritas kejadian adalah TB paru BTA positif; (4) kejadian TB mengalami peningkatan seiring dengan bertambahnya umur. Secara umum, kejadian TB paling besar terjadi pada usia produktif.


1996 ◽  
Vol 11 (1) ◽  
pp. 2-10 ◽  
Author(s):  
Faiz Kakar ◽  
Fabrizio Bassani ◽  
C.J. Romer ◽  
S.W.A. Gunn

AbstractAn estimated 110 million land mines scattered in 64 countries continue to terrorize people and destroy human lives long after wars and fighting have ceased. Despite efforts to clear these devices, their numbers continue to increase and their presence, constitutes a substantial threat to public health in the affected countries. Direct consequences include both the physical and emotional injuries from the impact, flying debris, and structural collapse associated with their detonation. Indirect consequences include increases in the incidence of waterborne diseases, diarrhea, malnutrition, infectious diseases, and spread of the human immunodeficiency virus associated with the increased use of blood. Those at highest risk of these latter consequences are mostly the disadvantaged poor, especially children. Psychiatric disorders, such as post-traumatic stress disorder, occur in those not directly injured as well as those physically wounded by the explosion.Besides efforts to ban production, stockpiling and export of land mines, a comprehensive and integrated health program aimed at the prevention, treatment, and rehabilitation of those injured directly or indirectly by land mines is needed urgently. Strategies should include mine-awareness programs, enhanced transport of those directly injured, training the villagers in first aid, augmenting the capacity and quality of treatment facilities, improving the psychological support and treatment capabilities, development of rehabilitation programs, and the institution and enhancement of public-health programs directed at the indirect consequences associated with the presence of land mines.Land mines constitute a major public-health problem in the world that must be addressed.


Crisis ◽  
1999 ◽  
Vol 20 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Annie Mino ◽  
Arnaud Bousquet ◽  
Barbara Broers

The high mortality rate among drug users, which is partly due to the HIV epidemic and partly due to drug-related accidental deaths and suicides, presents a major public health problem. Knowing more about prevalence, incidence, and risk factors is important for the development of rational preventive and therapeutic programs. This article attempts to give an overview of studies of the relations between substance abuse, suicidal ideation, suicide, and drug-related death. Research in this field is hampered by the absence of clear definitions, and results of studies are rarely comparable. There is, however, consensus about suicidal ideation being a risk factor for suicide attempts and suicide. Suicidal ideation is also a predictor of suicide, especially among drug users. It is correlated with an absence of family support, with the severity of the psychosocial dysfunctioning, and with multi-drug abuse, but also with requests for treatment. Every clinical examination of a drug user, not only of those who are depressed, should address the possible presence of suicidal ideation, as well as its intensity and duration.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 967-971
Author(s):  
Poonam Thakre ◽  
Waqar M. Naqvi ◽  
Trupti Deshmukh ◽  
Nikhil Ingole ◽  
Sourabh Deshmukh

The emergence in China of 2019 of severe acute respiratory syndrome coronavirus2 (SARS-CoV-2) previously provisionally names 2019-nCoV disease (COVID19) caused major global outbreak and is a major public health problem. On 30 January 2020, the WHO declared COVID19 to be the sixth international public health emergency. This present pandemic has engrossed the globe with a high rate of mortality. As a front line practitioner, physiotherapists are expected to be getting in direct contact with patients infected with the virus. That’s why it is necessary for understanding the many aspects of their role in the identification, contains, reduces and treats the symptoms of this disease. The main presentation is the involvement of respiratory system with symptoms like fever, cough, sore throat, sneezing and characteristics of pneumonia leads to ARDS(Acute respiratory distress syndrome) also land up in multiorgan dysfunction syndrome. This text describes and suggests physiotherapy management of acute COVID-19 patients. It also includes recommendations and guidelines for physiotherapy planning and management. It also covers the guidelines regarding personal care and equipment used for treatment which can be used in the treatment of acute adult patients with suspected or confirmed COVID-19.


2000 ◽  
Vol 6 (5-6) ◽  
pp. 1017-1025
Author(s):  
F. El Sahn ◽  
S. Sallam ◽  
A. Mandif ◽  
O. Galal

We aimed to estimate the nationwide prevalence of anaemia among adolescents in Egypt and to study possible risk factors. A cross-sectional approach was used. Blood samples were collected from 1980 adolescents for haemoglobin estimation. The overall prevalence of anaemia was 46.6%, most of which was mild or moderate, with severe cases in less than 1.0% of the sample. Gender difference was almost nonexistent. A significant inverse relationship was observed between the level of anaemia and age [especially among boys], socioeconomic level and educational level. Anaemia was more prevalent in rural areas and in Upper [southern] Egypt. Anaemia is a major public health problem among Egyptian adolescents and wide-scale public health education is warranted.


2011 ◽  
Vol 5 (05) ◽  
pp. 324-337 ◽  
Author(s):  
Syed Ahmed Zaki ◽  
Sunil Karande

Introduction: Multidrug-resistant typhoid fever (MDRTF) is defined as typhoid fever caused by Salmonella enterica serovar Typhi strains (S. Typhi), which are resistant to the first-line recommended drugs for treatment such as chloramphenicol, ampicillin and trimethoprim-sulfamethoxazole. Since the mid-1980s, MDRTF has caused outbreaks in several countries in the developing world, resulting in increased morbidity and mortality, especially in affected children below five years of age and those who are malnourished. Methodology: Two methods were used to gather the information presented in this article. First PubMed was searched for English language references to published relevant articles. Secondly, chapters on typhoid fever in standard textbooks of paediatric infectious diseases and preventive and social medicine were reviewed. Results: Although there are no pathognomonic clinical features of MDRTF at the onset of the illness, high fever ( > 104°F), toxaemia, abdominal distension, abdominal tenderness, hepatomegaly and splenomegaly are often reported. The gold standard for the diagnosis of MDRTF is bacterial isolation of the organism in blood cultures. Ciprofloxacin and ceftriaxone are the drugs most commonly used for treatment of MDRTF and produce good clinical results. Conclusion: MDRTF remains a major public health problem, particularly in developing countries. Mass immunization in endemic areas with either the oral live attenuated Typhi 21a or the injectable unconjugated Vi typhoid vaccine, rational use of antibiotics, improvement in public sanitation facilities, availability of clean drinking water, promotion of safe food handling practices and public health education are vital in the prevention of MDRTF. 


2017 ◽  
Vol 22 (2) ◽  
pp. 106-112
Author(s):  
A. M Bronshteyn ◽  
N. G Kochergin ◽  
N. A Malyshev ◽  
V. Ya Lashin ◽  
S. V Burova ◽  
...  

Two cases of New World cutaneous leishmaniasis acquired by Russian tourists in Peru and possibly in Bolivia are presented. L. viannia ( L.braziliensis complex) was identified in Liverpool School of Tropical medicine in the patient travelled to Bolivia. The present study aimed to investigate Balsamum peruvianum one of the product of folk medicine of Indians of Amazon region against local species of Leishmania resulted in healing the ulcers. Leishmaniasis is a major public health problem, and the alarming spread of parasite resistance has increased the importance of discovering new therapeutic products.


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