scholarly journals Analysis of the Treatment Costs of Malignant Tumor Diseases in China’s Hunan Province Based on“System of Health Account 2011”

2021 ◽  
Author(s):  
Jiale Li ◽  
Zhaojie Wang ◽  
Yu Zhang ◽  
Ying Du ◽  
Donghua Cai
Keyword(s):  
Malignant Tumor ◽  
Health Expenditure ◽  
Malignant Tumors ◽  
Family Health ◽  
Health Resources ◽  
Health Department ◽  
Treatment Costs ◽  
Hunan Province ◽  
Genital Organ ◽  
Economic Burden Of Disease

Abstract Objective: To calculate and analyze the treatment costs of malignant tumors in Hunan Province in 2019, and to provide data support for the formulation and implementation of policies by the health department. Methods: Refer to the "2019 Hunan Province Health Finance Annual Report" and "2019 Hunan Province Health Statistics Summary", based on the “System of Health Account 2011”, calculate and analyze the disease types, beneficiaries, institutional distribution and financing status of malignant tumors diseases. Results: In 2019, the total cost of malignant tumor treatment in Hunan Province was 440,596,800 yuan. The top five were malignant tumors of digestive organs (40.10%), malignant tumors of respiratory and intrathoracic organs (17.62%), and malignant tumors of breast (12.24%), female genital organ malignant tumors (9.88%) and lip, oral cavity and pharynx malignant tumors (6.87%). The 35 to 79-year-old age group has higher treatment costs. The costs are concentrated in general hospitals. Funding sources mainly come from government financing and family health expenditure. The main influencing factors of malignant tumor hospitalization expenses are gender, length of stay, age, drug proportion, institution level and medical institution type.Conclusions: The disease burden of malignant tumors is relatively serious; primary medical and health institutions lack health resources; and household health expenditure accounts for a relatively high proportion. Therefore, hierarchical diagnosis and treatment should be promoted reasonably, focused on key diseases and populations, and medical security policies should be improved to ensure that patients with malignant tumors and their families’ economic burden of disease can be reduced.

Hepatocyte ultrastructural alterations in perimetastatic areas

1996 ◽  
Vol 54 ◽  
pp. 768-769
Author(s):  
H. J. Finol ◽  
M. E. Correa ◽  
L.A. Sosa ◽  
A. Márquez ◽  
N.L. Díaz
Keyword(s):  
Malignant Tumor ◽  
Malignant Tumors ◽  
Surrounding Tissue ◽  
Ultrastructural Changes ◽  
Pancreas Carcinoma ◽  
Duct Carcinoma ◽  
Tissue Samples ◽  
Primary Malignant Tumor ◽  
Transmission Electron ◽  
Remote Sites

In classical oncological literature two mechanisms for tissue aggression in patients with cancer have been described. The first is the progressive invasion, infiltration and destruction of tissues surrounding primary malignant tumor or their metastases; the other includes alterations produced in remote sites that are not directly affected by any focus of disease, the so called paraneoplastic phenomenon. The non-invaded tissue which surrounds a primary malignant tumor or its metastases has been usually considered a normal tissue . In this work we describe the ultrastructural changes observed in hepatocytes located next to metastases from diverse malignant tumors.Hepatic biopsies were obtained surgically in patients with different malignant tumors which metatastized in liver. Biopsies included tumor mass, the zone of macroscopic contact between the tumor and the surrounding tissue, and the tissue adjacent to the tumor but outside the macroscopic area of infiltration. The patients (n = 5), 36–75 years old, presented different tumors including rhabdomyosarcoma, leiomyosarcoma, pancreas carcinoma, biliar duct carcinoma and colon carcinoma. Tissue samples were processed with routine techniques for transmission electron microscopy and observed in a Hitachi H-500 electron microscope.

THE PROGNOSTIC VALUE OF PD-L1 EXPRESSION IN TUMOR AND IMMUNE CELLS IN SQUAMOUS CELL CARCINOMA OF THE ORAL MUCOSA

2017 ◽  
Vol 63 (5) ◽  
pp. 759-765
Author(s):  
Svetlana Kutukova ◽  
Natalya Belyak ◽  
Grigoriy Raskin ◽  
Marina Mukhina ◽  
Georgiy Manikhas ◽  
...  
Keyword(s):  
Oral Mucosa ◽  
Malignant Tumor ◽  
Immune Cells ◽  
Prognostic Value ◽  
Hard Palate ◽  
Malignant Tumors ◽  
Small Cell ◽  
Alveolar Process ◽  
Small Cell Lung ◽  
Lower Jaw

The most frequent of malignant tumor cites of the oral mucosa are tongue - 55 %, mucosa of the cheek - 12 %, the fundus of the oral cavity - 10 %, the alveolar process of the upper jaw and the hard palate - 9 %, the alveolar process of the lower jaw - 6 %, the soft palate - 2 %. Malignant tumor cells carry PD-L1 ligands on their surface and its expression level is often correlated with an unfavorable prognosis in particular for such tumors as melanoma, kidney cancer and non-small cell lung cancer. It is relevant to evaluate the correlation between overexpression of PD-L1 and overall survival in patients with malignant tumors of the oral mucosa.

scholarly journals Case study of the beneficiary group distribution of curative care expenditure based on SHA 2011 in Xinjiang autonomous region, China

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e043155
Author(s):  
Honghong Feng ◽  
Kai Pan ◽  
Xiaoju Li ◽  
Liwen Zhang ◽  
Lu Mao ◽  
...  
Keyword(s):  
Health Expenditure ◽  
Age Groups ◽  
Family Health ◽  
Curative Care ◽  
Medical Institutions ◽  
Health Policy Analysis ◽  
Health Accounts ◽  
System Of Health Accounts ◽  
Xinjiang Autonomous Region

BackgroundThe System of Health Accounts 2011 (SHA 2011) assists in health policy analysis and health expenditure comparison at the international level. Based on SHA 2011, this study analysed the distribution of beneficiary groups of curative care expenditure (CCE) in Xinjiang, to present suggestions for developing health policies.MethodsA total of 160 health institutions were selected using the multistage stratified random sampling method. An analysis of the agewise CCE distribution, institutional flow, and disease distribution was then performed based on the SHA 2011 accounting framework.ResultsIn 2016, the CCE in Xinjiang was ¥50.05 billion, accounting for 70.18% of current health expenditure and 6.66% of the gross domestic product. The per capita CCE was ¥2366.56. The CCE was distributed differently across age groups, with the highest spending on people over the age of 65 years. The CCE was highest for diseases of the circulatory, respiratory and digestive systems. Most of the expenditure was incurred in hospitals and, to a lesser extent, in primary healthcare institutions. Family health expenditure, especially on children aged 14 years and below, accounted for a relatively high proportion of the CCE.ConclusionSHA 2011 was used to capture data, which was then analysed according to the newly added beneficiary dimension. The findings revealed that the use of medical resources is low, the scale of primary medical institutions needs to be significantly expanded and there is a need to optimise the CCE financing scheme. Therefore, the health policymaking department should optimise the relevant policies and improve the efficiency of health services.

scholarly journals Influence of the primary malignant tumor site on the incidence and features of metastatic ovarian tumors

2007 ◽  
Vol 64 (10) ◽  
pp. 691-696 ◽  
Author(s):  
Zorica Stanojevic ◽  
Biljana Djordjevic ◽  
Danijela Zivanovic
Keyword(s):  
Malignant Tumor ◽  
Malignant Tumors ◽  
Statistical Significance ◽  
Menopausal Status ◽  
Ovarian Tumors ◽  
Metastatic Tumors ◽  
Primary Tumors ◽  
Primary Malignant Tumor ◽  
Group A ◽  
Group B

Background/Aim. Ovary is the organ of the female reproductive system most commonly affected by metastases. The aim of the study was to determine the frequency and features of metastatic ovarian tumors (MOT) depending on the site of the primary malignant tumor. Methods. The study group consisted of 488 patients with histopathologically confirmed ovarian cancers treated at the Clinic of Oncology, Clinical Center Nis, in the period from 1 January 1998 to 31 December 2005. MOT were found in 41 patients. Regarding the site of the primary malignant tumor, those with secondary ovarian tumor were divided into two groups: group A - primary malignant tumor involving the genital organs (n = 30) and group B - primary malignant tumor of extragenital origin (n = 11). Results. MOT were confirmed in 8.40% (41/488) of the patients. Secondary ovarian malignancies were the consequence of endometrial carcinoma spreading in 73.17%, breast carcinoma in 19.51%, stomach carcinoma in 4.88% and colon carcinoma in 2.44% of the cases. No significant differences were found between the group A and group B by the factors of age, body mass index, parity and menopausal status. Contrary to the group A, metastatic tumors in the group B patients were more commonly asymptomatic (p < 0.001), bilateral (p < 0.05), with larger ovarian diameter (p < 0.05), associated with ascites (p < 0.001) and abdominal metastases (p < 0.01), all of statistical significance. Conclusions. Metastatic tumors made up 8.40% of ovarian neoplasmas. With non-genital primary tumors, secondary ovarian deposits were frequently asymptomatic, bilateral, associated with larger ovarian diameter, ascites and abdominal metastatic deposits, compared to malignant tumors of genital origin.

scholarly journals Underreporting of communicable diseases in the prefecture of Achaia, western Greece, 1999-2004 – missed opportunities for early intervention

2010 ◽  
Vol 15 (21) ◽  
Author(s):  
E Jelastopulu ◽  
G Merekoulias ◽  
E C Alexopoulos
Keyword(s):  
Infectious Diseases ◽  
Control Strategies ◽  
Health Centre ◽  
Health Resources ◽  
Health Department ◽  
Public Health Department ◽  
Missed Opportunities ◽  
Notification System ◽  
And Control ◽  
Western Greece

This study investigates the completeness of the reporting of infectious diseases in the prefecture of Achaia, western Greece in the period of 1999-2004. We collected hospital records relating to infectious diseases retrospectively from three major hospitals in the region and compared the records to corresponding records at the prefectural public health department (PHD). After record-linkage and cross-validation a total of 1,143 notifiable cases were identified in the three hospitals, of which 707 were reported to the PHD of Achaia, resulting in an observed underreporting of infectious diseases of 38% during the study period. At prefecture level, a further 259 cases were notified by other sources, mainly by the fourth hospital of the region not included in our study, resulting in a total of 966 cases reported to the PHD; 73% of these were reported from the three hospitals included in our study, 27% were notified by the fourth hospital not included in our study and less then 0,3% by physicians working in a private practice or health centre. Meningitis (51%), tuberculosis (12%) and salmonellosis (8%) were the most frequently reported diseases followed by hospitalised cases of varicella (7%), brucellosis (6%) and hepatitis (6%). During the study period, clustering of specific diseases like brucellosis, meningitis, mumps, and salmonellosis was observed, indicating possible outbreaks. Our results show that notification system needs to be improved, in order to ensure proper health resources allocation and implementation of focused prevention and control strategies.

scholarly journals A Multicenter Epidemiological Study on Second Malignancy in Non-Syndromic Pheochromocytoma/Paraganglioma Patients in Italy

Cancers ◽  
2021 ◽  
Vol 13 (22) ◽  
pp. 5831
Author(s):  
Letizia Canu ◽  
Soraya Puglisi ◽  
Paola Berchialla ◽  
Giuseppina De Filpo ◽  
Francesca Brignardello ◽  
...  
Keyword(s):  
Malignant Tumor ◽  
Differentiated Thyroid Cancer ◽  
Genetic Test ◽  
Malignant Tumors ◽  
Multivariable Analysis ◽  
Second Malignancy ◽  
Standardized Incidence Ratio ◽  
Surveillance Strategy ◽  
Extensive Analysis ◽  
Second Tumor

No studies have carried out an extensive analysis of the possible association between non-syndromic pheochromocytomas and paragangliomas (PPGLs) and other malignancies. To assess the risk of additional malignancy in PPGL, we retrospectively evaluated 741 patients with PPGLs followed-up in twelve referral centers in Italy. Incidence of second malignant tumors was compared between this cohort and Italian patients with two subsequent malignancies. Among our patients, 95 (12.8%) developed a second malignant tumor, which were mainly prostate, colorectal and lung/bronchial cancers in males, breast cancer, differentiated thyroid cancer and melanoma in females. The standardized incidence ratio was 9.59 (95% CI 5.46–15.71) in males and 13.21 (95% CI 7.52–21.63) in females. At multivariable analysis, the risk of developing a second malignant tumor increased with age at diagnosis (HR 2.50, 95% CI 1.15–5.44, p = 0.021 for 50–59 vs. <50-year category; HR 3.46, 95% CI 1.67–7.15, p < 0.001 for >60- vs. <50-year). In patients with available genetic evaluation, a positive genetic test was inversely associated with the risk of developing a second tumor (HR 0.25, 95% CI 0.10–0.63, p = 0.003). In conclusion, PPGLs patients have higher incidence of additional malignant tumors compared to the general population who had a first malignancy, which could have an impact on the surveillance strategy.

Metastasis of missed cholangiocarcinoma in the left lobethrough abdominal wall laparoscopic port-site and umbilicus after laparoscopic cholecystectomy: case report and literature review

2020 ◽  
Author(s):  
Lesheng Huang ◽  
Hongyi Li ◽  
Jun Chen ◽  
Jinghua Jiang ◽  
Wanchun Zhang ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Wall ◽  
Malignant Tumor ◽  
Malignant Tumors ◽  
Abdominal Cavity ◽  
Left Lobe ◽  
Port Site ◽  
Laparoscopic Port ◽  
Missed Diagnosis ◽  
Upper Abdominal

Abstract Introduction: Laparoscopic cholecystectomy (LC) has been widely used by surgeons. However, a serious but rare condition may be happened, which is the missed diagnosis of intraperitoneal malignant tumor. If the malignancy exists, the changes of the abdominal environment or the laparoscopic operation might brought the cancer cells to the abdominal cavity or the abdominal wall. The missed laparoscopic malignant tumors are prone to metastasis, especially at the laparoscopic port-site. More extreme condition will be located in the navel, which is known as Sister Mary Joseph’s nodule(SMJN).Case presentation: A 63-year-old female who had undergone cholecystectomy and choledocholithotomy ten months ago was hospitalized for upper abdominal pain. Laboratory examination indicated that the most of tumor markers were increased. CT scan revealed that there was a diffused irregular and progressively enhanced mass around the left lobe bile duct, multiple enlarged lymph nodes in the abdominal cavity and multiple nodular lesions were found under the costal margin of the right upper abdominal wall, right lower abdominal wall and the umbilicus. Biopsy of the nodules under the original surgical scar showed an infiltrative or metastatic middle differentiated adenocarcinoma. So the diagnosis was left lobe cholangiocarcinoma of the liver, multiple lymph nodes metastasis in the abdominal cavity and multiple implant metastasis in abdominal wall laparoscopic port-site and umbilical.Conclusion: In laparoscopic cholecystectomy, surgeons should not only focus on the local lesions, like gallstone in biliary system, but also look around other the tissues and organs to avoid missing the abdominal malignant tumor or other lesions. When atypical symptoms or abnormalities have been found pre-operation, all abdominal organs should be evaluated in detail to avoid missed diagnosis of potential malignant tumors. On the other hand, when there is a nodule in the umbilicus, all the organs and tissues in abdomen should be examined to find the potential malignant tumor. Finally, multiple cholelithiasis in the left lobe of the liver should be regarded as a high risk factor for cholangiocarcinoma.

scholarly journals Local implementation of the Family Health Program in Brazil

2006 ◽  
Vol 22 (12) ◽  
pp. 2549-2559 ◽  
Author(s):  
Rosana Magalhães ◽  
Mônica de Castro Maia Senna
Keyword(s):  
Health Program ◽  
Family Health ◽  
Federal District ◽  
Management Training ◽  
Health Department ◽  
Local Health ◽  
Levels Of Care ◽  
Family Health Program ◽  
The Family ◽  
Political Traditions

This article discusses the implementation of the Family Health Program in the municipalities of Camaragibe, Aracaju, São Gonçalo, and the Federal District of Brazil, aiming to identify possible interfaces between the program's shaping and different incentives structures, the local health system's case-resolving capacity, experiences with social participation, and accountability mechanisms. The article shows that aspects related to the constitution of local health systems in terms of the quantitative and qualitative supply of services, technical and management training within the Municipal Health Department, investment in other levels of care, and local political traditions are crucial variables for understanding the diversity of experiences in the implementation of the Family Health Program.

scholarly journals Third Ventricle Choroid Plexus Carcinoma

1984 ◽  
Vol 11 (4) ◽  
pp. 461-465 ◽  
Author(s):  
R.W. Broad ◽  
P.B.R. Allen
Keyword(s):  
Choroid Plexus ◽  
Malignant Tumor ◽  
Malignant Tumors ◽  
Third Ventricle ◽  
Literature Survey ◽  
Choroid Plexus Carcinoma ◽  
Diagnosis And Management

ABSTRACTBenign and malignant tumors of the choroid plexus in infancy are extremely uncommon. Diagnosis and management of a malignant tumor is described and the literature survey of the problem is presented.

Analysis of practices conducted by professional teams of family health

2011 ◽  
Vol 5 (2) ◽  
pp. 185
Author(s):  
Leila Alcina Correia Vaz Bustorff ◽  
Maria Do Carmo Moura ◽  
Cláudia Maria Ramos Medeiros Souto ◽  
Thatielle Vaz Carvalho Rigão ◽  
Verbena Santos Araújo
Keyword(s):  
Health Education ◽  
Health Workers ◽  
Family Health ◽  
Health Department ◽  
Ethics Committee ◽  
Health Staff ◽  
Educational Activities ◽  
Support Materials ◽  
Primary Health ◽  
La Red

ABSTRACTObjective: to verify the design of health workers of primary health education on health, in order to understand how educational practices are developed in these units, as well as the difficulties encountered and suggested strategies. Methodology: this is about an exploratory and descriptive study from qualitative approach, carried out in units of Family Health in the community of Mandacaru in João Pessoa city, the sample consisted of 20 professional Team Family Health, data were collected through interviews and analyzed from the Collective Subject Discourse approved by the Ethics Committee of Health Department of the state of Paraíba protocol number 2012/2006. Results: we found that in the daily educational activities are conducted with the cooperation of health staff and the professional is aware of its responsibility in this process to promote health, but health education is understood narrowly focused on prevention diseases, and even bar in difficulties such as lack of support materials, training of health professionals, involvement of users, among others. Conclusion: The results highlight the need for changes in educational activities to become an instrument of emancipation of the subjects. Descriptors: health promotion; health education; health care.RESUMOObjetivo: verificar a concepção dos profissionais de saúde da rede básica municipal sobre educação em saúde, com vistas a compreender como as práticas educativas são desenvolvidas nessas unidades, assim como as dificuldades encontradas e estratégias sugeridas. Metodologia: estudo de campo do tipo exploratório descritivo com abordagem qualitativa, realizado em Unidades de Saúde da Família na comunidade de Mandacaru no município de João Pessoa- PB, a amostra foi constituída por 20 profissionais da Equipe de Saúde da Família, os dados foram coletados através de entrevistas e analisados a partir do Discurso do Sujeito Coletivo, aprovado pelo Comitê de Ética da Secretaria de Saúde do Estado da Paraíba protocolo de número 2012/2006 . Resultados: identificou-se que no cotidiano as ações educativas são realizadas com a cooperação da equipe de saúde e que o profissional é consciente da sua responsabilidade neste processo de promover saúde, porém a educação em saúde é compreendida de forma restrita com enfoque na prevenção de doenças, e ainda barra em dificuldades como falta de material de apoio, de capacitação dos profissionais, de participação dos usuários, entre outras. Conclusão: os resultados apontam a necessidade de transformações nas ações educativas para que se tornem um dos instrumentos de emancipação dos sujeitos. Descritores: promoção de saúde; educação em saúde; profissional da saúde. RESÚMENObjetivo: verificar la concepción de los profesionales de salud de la red primaria de atención municipal, sobre la educación en salud, con vistas a comprender cómo las prácticas educativas se desarrollan en esas unidades, así como las dificultades encontradas y las estrategias sugeridas. Metodología: Estudio de campo de tipo exploratorio descriptivo con abordaje cualitativo, realizado en Unidades de Salud de la Familia en la comunidad de Mandacaru, municipio de João Pessoa, Paraíba. La muestra estuvo formada por 20 profesionales del Equipo de Salud de la Familia; los datos fueron levantados a través de entrevistas, y analizados a partir del Discurso del Sujeto Colectivo. Aprobado por el Comité de Ética de la Secretaría de Salud del Estado da Paraíba, protocolo n. 2012/2006. Resultados: Se identificó que en lo cotidiano, las acciones educativas se realizan con la cooperación del equipo de salud, y que el profesional está conciente de su responsabilidad en el proceso de promoción de la salud. Sin embargo, la educación en salud es comprendida de manera restringida con enfoque en la prevención de enfermedades, y aún tropieza en dificultades como la falta de materiales de apoyo, la formación de profesionales de la salud, la participación de los usuarios, entre otros. Conclusión: Los resultados señalan la necesidad de cambios en las acciones educativas para que se transformen en uno de los instrumentos de emancipación de los sujetos. Descriptores: promoción de la salud; educación en salud; profesional de la salud. 

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