简介：Braintumorsincidenceinpediatricagehasbeenestimatedbetween1.3to5%witharelativeincidenceof1.4to11%duringthefirstyearoflife;theimprovementininstrumentaldeviceshasleadtoarelativeincreaseinprecociousdiag-nosis.Thechoicetostudybraintumorsofthefirstyearoflifeasaseparatetopicfrompediatricageonesdependsontheobservationthatthesele-sionshavepeculiarclinical,topographicandtis-sularcharacteristics.Thesurvivalrateofthesepatientsisverypoorifcomparedwiththatfound

简介：Objective:Lungcancerisoneoftheleadingcancersandmajorcausesofcancermortalityworldwide.Theeconomicburdenassociatedwiththehighmortalityoflungcancerishigh,whichaccountsfornearly$180billiononaglobalscalein2008.Thispaperaimstounderstandtheeconomicburdenoflungcancerintermsofdisabilityadjustedlifeyears(DALY)inAustralia,thePhilippines,andSingapore.Methods:Theyearsoflifelost(YLL)andyearslostduetodisability(YLD)werecalculatedusingtheformuladevelopedbyMurrayandLopezin1996aspartofacomprehensiveassessmentofmortalityanddisabilityfordiseases,injuriesandriskfactorsin1990andprojectedto2020.ThesameformulaisrepresentedintheGlobalBurdenofDiseasetemplateprovidedbytheWorldHealthOrganization.Appropriateassumptionsweremadewhendatawereunavailableandprojectionswereperformedusingregressionanalysistoobtaindatafor2015.Results:ThetotalDALYsduetolungcancerinAustralia,thePhilippines,andSingaporewere91,695,38,584,and12,435,respectively,andthecorrespondingDALYratesperapopulationof1,000were4.0,0.4,and2.2,respectively,withadiscountrateof3%.WhenresearcherscalculatedDALYswithoutthediscountrate,theburdenofdiseaseincreasedsubstantially;theDALYswere117,438inAustralia,50,977inthePhilippines,and16,379inSingapore.Overall,YLLorprematuredeathaccountedformorethan95%ofDALYsinthesecountries.Conclusions:Strategiesforprevention,earlydiagnosis,andprompttreatmentmustbedevisedfordiseaseswherethemajorburdenisduetomortality.

简介：Objective:Theaimsofthiscross-sectionaldescriptivestudyweretoevaluatethequalityoflife(QoL)ofthelungcancerpatientsandtoinvestigatedifferencesinQoLwithrespecttogeneralandmedicalcharacteristics.Methods:Structuredquestionnaires(EORTCQLQ-C30andQLQ-LC13)wereusedamong106consecutivelungcancerpatientsfordatacollectionduring1Jan2002to31Dec2002.Thet-testandone-wayanalysisofvariance(ANOVA)wereusedtocomparedifferencesofQoLbetweenthefactorsata5%levelofsignificance.Results:Thestudyrevealedthatthequalityoflifeofthelungcancerpatientswereworsethanreferencevalue.Theyoung,maleandmarriedpatientgroupshadbetterQoL.PatientswithlowereducationorincomehadworseQoL.SmallcelllungcancerpatientsreportedpoorerQoLthannon-smallcelllungcancerpatients.ThequalityoflifeinpatientsatlatestageorwithmetastasishadworseQoL.Thetreatmentscouldworsenthequalityoflife.Whentheoutcomesofthefourtreatmentswerecompared,thesurgerygroupdisplayedthebestqualityoflifeandthecombinedtreatmentgroupdisplayedtheworstqualityoflife.Conclusion:Theresultsofthepresentstudyshowedimportantramificationsforclinicians,researchersandpolicy-makers.