Breast Cancer in Hong Kong, Southern China: The First Population-Based Analysis of Epidemiological Characteristics, Stage-Specific, Cancer-Specific, and Disease-Free Survival in Breast Cancer Patients: 1997–2001

Background: Cancer registries have been set up worldwide to provide information for cancer health planning. There are known variations in breast cancer incidence and mortality worldwide. However, breast cancer incidence, pathological characteristics, and survival data is still underreported in Asian countries. This is the first comprehensive population-based breast cancer study performed using population database of the Hong Kong Cancer Registry. Methods: A retrospective review of medical records of 8,961 subjects who were diagnosed with breast cancer between January 1, 1997 to December 31, 2001 and followed up to December 31, 2007. Descriptive statistics were employed to analyze the epidemiological and clinical data. Estimates of overall, disease-free, and cancer-specific survival at 5 years were estimated by the Kaplan-Meier method and stage-specific relative survival rates were calculated. Results: A total of 7,630 breast cancer patients' medical records and dataset were available during this period, and 7,449 subjects were eligible for the final analysis. Median follow-up was 84 months. A total of 47.4% were diagnosed with breast cancer at age 49 years and younger;22.2%, 46.9%, 10.8%, and 4.1% presented at stages I, II, III, and IV, respectively. A total of 53.5% had ER-positive cancer, and 20.3% had HER2-positive cancers;13.4% had triplenegative cancers. The relative, cancer-specific, and diseasefree survival rates at 5 years were 84%, 85.2%, and 81.2%, respectively. Discussion. We performed the first comprehensive population-based breast cancer epidemiology study in Southern China using the Hong Kong Cancer Registry database. This provides a baseline study cohort for comparative studies with other Asian countries and Chinese who have migrated to the West. © The Author(s) 2011. This article is published with open access at Springerlink.com.published_or_final_versionSpringer Open Choice, 21 Feb 201

Use of ecstasy and other psychoactive substances among school-attending adolescents in Taiwan: national surveys 2004–2006

<p>Abstract</p> <p>Background</p> <p>With the backdrop of a global ecstasy epidemic, this study sought to examine the trend, correlates, and onset sequence of ecstasy use among adolescents in Taiwan, where a well-established gateway drug such as marijuana is much less popular.</p> <p>Methods</p> <p>A multistage probability survey of school-attending adolescents in grades 7, 9, 10, and 12, aged 11–19 years, was conducted in 2004, 2005, and 2006. A self-administered anonymous questionnaire elicited response rates ranging from 94.3% to 96.6%. The sample sizes were 18232 respondents in 2004, 17986 in 2005, and 17864 in 2006.</p> <p>Results</p> <p>In terms of lifetime prevalence and incidence, ecstasy and ketamine by and large appeared as the first and second commonly used illegal drugs, respectively, among middle (grades 7 and 9) and high school students (grades 10 and 12) during the 3-year survey period; however, this order was reversed in the middle school-aged students starting in 2006. Having sexual experience, tobacco use, and betel nut use were factors consistently associated with the onset of ecstasy use across years. The majority of ecstasy users had been involved in polydrug use, such as the use of ketamine (41.4%–53.5%), marijuana (12.7%–18.7%), and methamphetamine (4.2%–9.5%).</p> <p>Conclusion</p> <p>From 2004 to 2006, a decline was noted in the prevalence and incidence rate of ecstasy, a leading illegal drug used by school-attending adolescents in Taiwan since the early 2000s. The emerging ketamine use trend may warrant more attention in the future.</p

Regression Analyses between Recent Air Quality and Visibility Changes in Megacities at Four Haze Regions in China

The Chinese government has put forward a series of aggressive control measures to tackle environmental problems, such as poor visibility, since the first year of its 11th five-year plan (2006-2010). Recently recorded visibility, air quality and meteorological data in four major megacities (Beijing, Shanghai, Guangzhou and Chengdu) in different haze regions (and climatic zones) of China were analyzed with the aim of evaluating the extent to which the control actions have affected these measures. The ambient concentrations of three major air pollutants (SO2, NO2 and PM10) in these cities all decreased in the years 2005-2009. However, improved visibility was observed only in Beijing and Guangzhou; it remained steady in Shanghai, and showed a decreasing trend in Chengdu. The results highlight the fact that the correlation between air quality and visibility is complex. Optimal empirical regression models were developed, based on measured air quality and meteorological parameter data, to better isolate possible causal correlations between visibility and air quality, as well as meteorological conditions. Our results show that the improvement in visibility in both Beijing and Guangzhou was mainly due to the reduced PM10 concentration. In Guangzhou, improved atmospheric visibility was also helped by a reduction in SO2 concentration in winter. In contrast, lower wind speed, together with possible changes in fine particle concentration and composition, could explain why no improvement in visibility trend was found in Shanghai or Chengdu.</p

Characterization of fine particulate black carbon in Guangzhou, a megacity of South China

Continuous measurement of fine particulate black carbon (BC) was conducted at an urban site of Guangzhou in South China from December 2007 to December 2008. The daily average BC concentrations ranged from 0.6 to 20.5 mu g m(-3), with an average value of 4.7 mu g m(-3), which was substantially higher than those observed in the urban areas of other developed countries. Diurnal fluctuations of BC were marked with two peaks, one in the morning rush hour (08:00 LT) and the other in the late evening hour (21:00-22:00 LT), while the lowest BC concentrations were observed in the afternoon. Ambient BC concentrations displayed significant seasonal and diurnal variations with higher values in winter and spring, followed by lower concentrations during autumn and summer. Wind speed, wind direction and temperature were important meteorological factors that affected BC concentrations. A clearly negative correlation (r=-0.50, p&lt;0.01) between BC concentrations and wind speed was found during the study period. A specific investigation was conducted to determine the relationship between optical BC and thermal-optical-reflectance elemental carbon (TOR EC) in distinct seasons. Although significant correlations between BC and EC were obtained (r&gt;0.92, p&lt;0.01), the regression slopes (Delta BC/Delta EC) slightly deviated from each other with values of 0.79, 1.18, and 0.81 in winter, spring and summer, respectively, possibly due to the distinct mixing states and source variations in different seasons. The calculated experimental attenuation coefficient showed a higher value (19.3 m(2) g(-1)) in Guangzhou than the one recommended for typical Aethalometer measurements.</p