Epidemiology and cost analysis for patients with oral cancer in a university hospital in China

<p>Abstract</p> <p>Background</p> <p>Although several studies have reported the direct cost of oral cancer (OC), little research has invested the factors that could influence the costs of OC patient. This study analyzes the epidemiological characteristics and the direct cost of OC. More specifically, the study examines the relationship between patients' medical costs and influencing factors of epidemiology.</p> <p>Methods</p> <p>All patients encountered from January 2007 to December 2007 at the School of Stomatology of the Fourth Military Medical University (FMMU) in China with diagnosis of oral cancer have been selected. Medical hospitalization days (MHD) and cost per patient (CPP) of the samples have been calculated for different patient groups, and the results have been compared using statistical methods.</p> <p>Results</p> <p>A total of 456 oral cancer patients have been selected in this study. The epidemical characteristics are as follows: female/male 176/280; squamous cell carcinoma (SCC)/adenocarcinoma/sarcoma/lymphoma/other types 246/127/40/27/16; stage I/II/III/IV 90/148/103/115; smoker/non-smoker 136/320; rural/urban patients 82/374. Of all the patients, 82.24% were over 40 years of age. Rural patients were significantly younger than urban patients. SCC was the majority histology in older patients, while sarcoma was more common in younger patients. 372 of the patients received treatment and 84 gave up any treatment after diagnosis. Treatment cost accounted for majority of the payment. The CPP and MHD of patients in late clinical stage were higher than that of patient in early stage.</p> <p>Conclusion</p> <p>Gender, smoking habit and age older than 40 years are the epidemiological risk factors for oral cancer. Lack of medicare, smoking habit, late clinical stage and SCC are the high economic factors for patient medical cost.</p

Appraising the intention of other people: Ecological validity and procedures for investigating effects of lighting for pedestrians

One of the aims of outdoor lighting public spaces such as pathways and subsidiary roads is to help pedestrians to evaluate the intentions of other people. This paper discusses how a pedestrians’ appraisal of another persons’ intentions in artificially lit outdoor environments can be studied. We review the visual cues that might be used, and the experimental design with which effects of changes in lighting could be investigated to best resemble the pedestrian experience in artificially lit urban environments. Proposals are made to establish appropriate operationalisation of the identified visual cues, choice of methods and measurements representing critical situations. It is concluded that the intentions of other people should be evaluated using facial emotion recognition; eye tracking data suggest a tendency to make these observations at an interpersonal distance of 15 m and for a duration of 500 ms. Photographs are considered suitable for evaluating the effect of changes in light level and spectral power distribution. To support investigation of changes in spatial distribution further investigation is needed with 3D targets. Further data are also required to examine the influence of glare

Cultural measurement on whose terms? Critical friends as an experiment in participant-led evaluation

Critical Friends is an enquiry into the commissioning, planning and delivery of participatory art carried out by the people that such projects claim to empower. Participants become interviewers, researchers and evaluators, acting as ‘productive parasites’ to a process of socially-engaged art. Aims of social cohesion and active citizenship underpinned a series of publicly-funded art commissions in North Greenwich, London (2008-2011). The group of Critical Friends were residents of North Greenwich who came together to investigate what, why and how these socially engaged art projects were happening in their area. Did the projects reflect the ambitious aims to ‘stimulate debate to generate action and change’ and ‘develop connections and relations between people’? Facilitated by myself and Rebecca Maguire over three years, Critical Friends developed their own questions and methods for finding out. While participation and engagement is usually measured for such projects in terms of numbers of people who attend workshops, Critical Friends was a space for enacting a different kind of cultural measurement. The group focused on trying to find out the qualitative experiences of other participants and interrogated the underlying motives, targets and politics behind the commissions. They did this by acting as participant observers in the projects themselves and by interviewing artists, commissioners, board members, their neighbours and friends (http://criticalfriends.sophiehope.org.uk/)

Search for Lepton-Universality Violation in B^{+}→K^{+}ℓ^{+}ℓ^{-} Decays.

A measurement of the ratio of branching fractions of the decays B^{+}→K^{+}μ^{+}μ^{-} and B^{+}→K^{+}e^{+}e^{-} is presented. The proton-proton collision data used correspond to an integrated luminosity of 5.0  fb^{-1} recorded with the LHCb experiment at center-of-mass energies of 7, 8, and 13 TeV. For the dilepton mass-squared range 1.1<q^{2}<6.0  GeV^{2}/c^{4} the ratio of branching fractions is measured to be R_{K}=0.846_{-0.054}^{+0.060}_{-0.014}^{+0.016}, where the first uncertainty is statistical and the second systematic. This is the most precise measurement of R_{K} to date and is compatible with the standard model at the level of 2.5 standard deviations

Using obstacle detection to identify appropriate illuminances for lighting in residential roads

This paper uses data regarding detection of pavement obstacles to explore two approaches to establishing an appropriate illuminance for road lighting designed to meet the needs of pedestrians. A previous obstacle detection experiment was repeated using young observers under high pressure sodium (HPS) lighting. One approach was to identify whether there is a plateau-escarpment relationship between obstacle detection ability and illuminance – better detection with increasing light level until further increases bring little improvement: This suggested an appropriate illuminance of 5.7 lux. The second approach was to identify the size of an obstacle that a pedestrian should expect to be able to detect and the associated probability of detection: An obstacle of height 25 mm located 6 m ahead may require 1.8 lux to be detected with 95% probability

How the Quaternary climatic change affects present hydrogeological system on the Chinese Loess Plateau: A case study into vertical variation of permeability of the loess-palaeosol sequence

This article systematically investigated permeability, porosity, carbonate mass percentage, and magnetic susceptibility of representative loess-palaeosol layers (from L-1 to S-4) on the Chinese Loess Plateau, based on analysing a sequence on the Luochuan Yuan (tableland) as a case study. The results of in situ permeability measurements illustrate that average infiltration rate of loess layers is higher than that of palaeosol layers, and that average time for the loess layers to reach quasi-steady infiltration is longer than that of palaeosol layers. In addition, loess layers have higher porosity than palaeosols on average, and it is suggested as a major reason why the loess layers have a higher permeability on average, despite complex nature of different types of the interspaces. Higher porosity (i.e. more interspaces for storing moisture/water) of the loess layers is largely determined by lower intensity of pedogenesis of loess, which is in turn ascribed to the colder/drier palaeoclimatic conditions. The difference of permeability between loess and palaeosol layers facilitates the loess units more likely to be aquifers. In this regard, the Quaternary climatic change theory can make a contribution to hydrogeology of the Chinese Loess Plateau, and the regional climatostratigraphy can be regarded as a baseline for local water resource positioning and revegetation in such a semi-arid area.</p