scholarly journals Trends in mortality rates of cutaneous melanoma in East Asian populations

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e2809 ◽  
Author(s):  
Ling Chen ◽  
Shaofei Jin

The incidence of cutaneous melanoma (CM) has rapidly increased over the past four decades. CM is often overlooked in East Asian populations due to its low incidence, despite East Asia making up 22% of the world’s population. Since the 1990s, Caucasian populations have seen a plateau in CM mortality rates; however, there is little data investigating the mortality rates of CM in East Asian populations. In this study, the World Health Organization Mortality Database with the joinpoint regression method, and a generalized additive model were used to investigate trends in age standardized mortality rates (ASMRs) of CM in four East Asia regions (Japan, Republic of Korea (Korea), China: Hong Kong (Hong Kong), and Singapore) over the past six decades. In addition, mortality rate ratios by different variables (i.e., sex, age group, and region) were analyzed. Our results showed ASMRs of CM in East Asia significantly increased non-linearly over the past six decades. The joinpoint regression method indicated women had greater annual percentage changes than men in Japan, Korea, and Hong Kong. Men had significantly greater mortality rate ratio (1.51, 95% CI [1.48–1.54]) than women. Mortality rate ratios in 30−59 and 60+ years were significant greater than in the 0−29 years. Compared to Hong Kong, mortality rate ratio was 0.72 (95% CI [0.70–0.74]) times, 0.73 (95% CI [0.70–0.75]) times, and 1.02 (95% CI [1.00–1.05]) times greater in Japan, Korea, and Singapore, respectively. Although there is limited research investigating CM mortality rates in East Asia, results from the present study indicate that there is a significant growth in the ASMRs of CM in East Asian populations, highlighting a need to raise awareness of CM in the general population.

2022 ◽  
Vol 12 ◽  
Author(s):  
Binbin Su ◽  
Yiran Wang ◽  
Yanhui Dong ◽  
Gang Hu ◽  
Yike Xu ◽  
...  

PurposeDiabetes mellitus is emerging as an epidemic worldwide, and the incidence and prevalence of diabetes have drastically changed in China over the past 30 years, but data on its mortality rate are scarce. This study aimed to analyze the time trends of mortality rates among patients with diabetes in the rural and urban population in China between 1987 and 2019.MethodsThe research data come from China’s annual report on national health statistics and the Chinese Health Statistics Yearbook. Age-standardized mortality rates were calculated by using the direct method based on the World Standard Population from the WHO. Joinpoint regression analysis was employed to estimate the annual percent change and average annual percentage changes of mortality rates of diabetes mellitus.ResultsAn overall trend for increment in diabetes mortality was observed. The crude mortality rates and age-standardized mortality rates of diabetes for urban and rural residents in China showed a significant increasing trend between 1987 and 2019. Mortality due to diabetes in urban areas has been higher than in rural areas for 30 years. However, due to the rapid increase of rural diabetes mortality in the past decade, the gap between the two gradually narrowed. The age-standardized mortality rates of diabetes increased by about 38.5% in urban areas and 254.9% in rural areas over the whole study period. In addition, the age-standardized mortality rate of females with diabetes was higher than that of males, but this pattern began to change in urban areas in 2012. Finally, the age-standardized mortality rates in the elderly population in China are higher with a faster growth rate, especially in rural areas.ConclusionThe mortality rate of diabetes is on the rise in China. The rapid growth of the mortality rate of diabetes in rural areas leads to the reduction of the urban–rural gap. Male mortality rates in urban areas have surpassed those of women. At the same time, the mortality rate of diabetes showed obvious elder-group orientation. As China’s population ages, the burden of death and disability caused by diabetes and its complications will continue to increase. These results indicate that diabetes has become a significant public health problem in China. Such an effect increases the demand for strategies aimed at the prevention and treatment of diabetes mellitus. In addition to the prevention and intervention of diabetes in high-risk groups, it is also necessary to establish diabetes screening networks to identify patients with mild symptoms. Early detection and timely intervention can effectively reduce the incidence and mortality of diabetes.


Author(s):  
Rui Yang

Over the past few decades East Asia has made remarkable progress in highereducation development in both quantity and quality. Yet, an assessment regarding itsfuture development is less certain. Adopting a cultural perspective, this article reportssome findings from a recent research project financed by the Hong Kong ResearchGrants Council. It argues that the gap between Western and East Asian ideas of auniversity is narrowing. East Asian premier universities are making a cultural experimentto achieve an integration of both. Their efforts have global significance.


Lupus ◽  
2021 ◽  
pp. 096120332198893
Author(s):  
Qianyu Guo ◽  
Meie Liang ◽  
Jiaoniu Duan ◽  
Liyun Zhang ◽  
Ichiro Kawachi ◽  
...  

Objective To examine the age differences in secular trends in black–white disparities in mortality from systemic lupus erythematosus (SLE) among women in the United States from 1988 to 2017. Methods We used mortality data to calculate age-specific SLE and all-causes (as reference) mortality rates and black/white mortality rates ratios among women from 1988 to 2017. Annual percent change was estimated using joinpoint regression analysis. Results We identified 10,793 and 4,165,613 black women and 19,455 and 31,129,528 white women who died between 1988 and 2017 from SLE and all-causes, respectively. The black/white SLE mortality rate ratio according joinpoint regression model was 6.6, 7.2, 4.4, and 1.4 for decedents aged 0–24, 25–44, 45–64, and 65+ years in 1988 and was 7.2, 5.9, 4.1, and 1.9, respectively in 2017. No significant decline trend was noted and the annual percent change was 0.3%, –0.7%, –0.2%, and 1.0%, respectively. On the contrast, the black/white all-causes mortality rate ratio was 2.0, 2.5, 1.8, and 1.0, respectively in 1988 and was 1.7, 1.3, 1.5, and 0.9, respectively in 2017, a significant decline trend was noted in each age group. Conclusions Black adults, youths and adolescents had four to seven times higher SLE mortality rates than their white counterparts and the black–white disparities persisted during the past three decades. On the contrast, black women had less than two times higher all-causes mortality rates than their white counterparts and black–white disparities significantly diminish during the past three decades.


2017 ◽  
pp. 29-30 ◽  
Author(s):  
Rui Yang

Over the past few decades East Asia has made remarkable progress in highereducation development in both quantity and quality. Yet, an assessment regarding itsfuture development is less certain. Adopting a cultural perspective, this article reportssome findings from a recent research project financed by the Hong Kong ResearchGrants Council. It argues that the gap between Western and East Asian ideas of auniversity is narrowing. East Asian premier universities are making a cultural experimentto achieve an integration of both. Their efforts have global significance.


2017 ◽  
Vol 35 (6_suppl) ◽  
pp. 270-270
Author(s):  
John Clark Henegan

270 Background: The racial disparity in outcomes for prostate cancer, gastric cancer, and multiple myeloma is demonstrated by these malignancies having the highest age-adjusted mortality rate ratio for black Americans versus white Americans. A variety of factors have been identified as contributing to this disparity, leading to our hypothesis that there would not be concordance, in respect to the mean, when the county-level age-adjusted black: white mortality rate ratio for a malignancy was compared to the other two malignancies. Methods: Publically available information from cancerrates.gov was used to obtain county-level data in regards to race-specific age-adjusted mortality rates for prostate cancer, gastric cancer, and multiple myeloma. Counties with potentially unstable age-adjusted mortality rates were excluded. A malignancy’s age-adjusted mortality rate for blacks was divided by the complementary rate for whites to determine the black: white mortality rate ratio. Across a county, malignancies were compared for concordance in mortality rate ratios relative to the mean ratio for that malignancy. After a preliminary inspection noted that all New Jersey counties had a markedly lower black: white mortality ratio for gastric cancer than other counties in the data set, the New Jersey counties were excluded from analysis and odds ratios for concordance were calculated. Results: All counties (n = 68) had a black: white age-adjusted mortality ratio of > 1 for each malignancy. In the analyzed counties (n = 52), there was a statistically significant concordance in black: white mortality rate ratios for prostate cancer and gastric cancer (OR = 3.26, p = 0.046). The black: white mortality rate ratios for neither prostate cancer (OR = 1.17, p = 0.78) nor gastric cancer (OR = 1.17, p = 0.78) demonstrated a statistically significant concordance with multiple myeloma. Conclusions: The concordance in the black: white mortality rate ratios for prostate cancer and gastric cancer in this dataset indicate that these two malignancies may share common clinical, environmental, or genetic factors in African-Americans. Future research is needed into what common factors may contribute to disparities in these two malignancies.


2020 ◽  
pp. 1-16
Author(s):  
LEIGH K. JENCO ◽  
JONATHAN CHAPPELL

Abstract This article argues for a ‘history from between’ as the best lens through which to understand the construction of historical knowledge between East Asia and Europe. ‘Between’ refers to the space framed by East Asia and Europe, but also to the global circulations of ideas in that space, and to the subjective feeling of embeddedness in larger-than-local contexts that being in such a space makes possible. Our contention is that the outcomes of such entanglements are not merely reactive forms of knowledge, of the kind implied by older studies of translation and reception in global intellectual history. Instead they are themselves ‘co-productions’: they are the shared and mutually interactive inputs to enduring modes of uses of the past, across both East Asian and European traditions. Taking seriously the possibility that interpretations of the past were not transferred, but rather were co-produced between East Asia and Europe, we reconstruct the braided histories of historical narratives that continue to shape constructions of identity throughout Eurasia.


2019 ◽  
Vol 41 (3) ◽  
pp. 16-19
Author(s):  
Yoshiyuki Kikuchi

Abstract East Asia occupies a substantial position in IUPAC today. The incumbent president for 2018-2019, Qi-Feng Zhou, is from China/Beijing, and three out of ten elected members of the Bureau are from East Asia: Mei-Hung Chiu from China/Taipei, Kew-Ho Lee from Korea, and Ken Sakai from Japan. This region is thus well-represented in the IUPAC leadership. However, this is not how this now global institution looked in the past. Its first president from East Asia was Saburo Nagakura (b. 1920) from Japan who assumed this office from 1981-1982, more than 60 years after the IUPAC was established in 1919. He was followed by Jung-Il Jing from Korea (2008-2009), Kazuyuki Tatsumi (2012-2013) from Japan, and Zhou. In terms of national adhering organizations (NAOs), Japan was the first East Asian nation admitted to IUPAC in 1921, but we had to wait until the late 1970s for all other national chemical communities in East Asia to be officially admitted to the IUPAC: The Chemical Society Located in Taipei in 1959, the Korean Chemical Society in 1963, and the Chinese Chemical Society in 1979. East Asia’s position in the IUPAC is the outcome of a rather long historical process.


2018 ◽  
Vol 4 (4) ◽  
pp. 598-611 ◽  
Author(s):  
Joseph MacKay

Abstract International relations (IR) has seen a proliferation of recent research on both international hierarchies as such and on historical IR in (often hierarchical) East Asia. This article takes stock of insights from East Asian hierarchies for the study of international hierarchy as such. I argue for and defend an explanatory approach emphasizing repertoires or toolkits of hierarchical super- and subordination. Historical hierarchies surrounding China took multiple dynastic forms. I emphasize two dimensions of variation. First, hierarchy-building occurs in dialogue between cores and peripheries. Variation in these relationships proliferated multiple arrangements for hierarchical influence and rule. Second, Sinocentric hierarchies varied widely over time, in ways that suggest learning. Successive Chinese dynasties both emulated the successes and avoided the pitfalls of the past, adapting their ideologies and strategies for rule to varying circumstances by recombining past political repertoires to build new ones. Taken together, these phenomena suggest new lines of inquiry for research on hierarchies in IR.


Subject Crowdfunding in South-east Asia. Significance Regulatory reforms have made possible a range of alternative financing initiatives that raised almost 84 million dollars for small businesses in the past three years from South-east Asian platforms alone. Crowdfunding is the fastest-growing segment, though amounts are still small. Impacts Further industry-specific regulatory reforms will be required to support South-east Asian crowdfunding. Facing competition, more banks will be forced to offer online crowdfunding-related products. However, low product returns could be a disincentive to large investor interest in crowdfunding.


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