WCIM 2014 SEOUL KOREA 139
Poster Session
The Korean Journal of Internal Medicine Vol. 29, No. 5 (Suppl. 1)
PS 0347 Epidemiology and Public Health Consumption of Packed Soups and Non Hodgkin Lym- phoma: Multinational Analysis
Oscar GUTIERREZ-AGUIRRE1, Angelica GUTIERREZ-AGUIRRE2
American College of Epidemiology, Mexican Social Security Institute, Mexico1, Universidad Panameri- cana, Guadalajara Campus, Mexico2
Background: According to the American Cancer Society, the Non Hodgkin lymphoma (NHL) is one of the most common cancers in the United States of America (EUA), representing 4% of all the cases diagnosed of cancer. The objective of this study is to determine if the number of tons of packed soups consumed in every country has rela- tion with the rate of incidence of NHL.
Methods: We use a methodological ecological design. We obtained the rate of inci- dent fi tted by age for country of the data base Globocan of 2012 and the data base of food consumed by country of Euromonitor. The countries included for the analysis are the ones that were found on both data bases. It was analyzed by means, linear regres- sion, coeffi cient of correlation, ANOVA and graphical representation.
Results: In total 68 countries fulfi lled the criteria of incorporation. We fi nd a coef- fi cient of correlation of 0.30, in the analysis of variance we fi nd a critical value of F of 7.00 (p <0.01). The country with the major consumption of packed soup was E.U.A with 1.7 million tons, whereas the country with NHL’s with the most incidence was Denmark with rate fi tted by age of 9.8 cases by every 100,000 inhabitants.
Conclusions: The results suggest that a relation can exist between NHL and the consumption of packed soup. What draws attention are bigger rates of incidence in developed countries than in the developing countries. Nevertheless a limitation of the methodological used design is that it is not possible to determine to individual level the relation between these 2 factors, there will be needed other methodological designs more specifi c to the above mentioned measurement, as cases and controls or cohorts design.
PS 0348 Epidemiology and Public Health Comparison of Health Related Quality of Life Between Two Groups of Veteran and Non-Veteran Spinal Cord Injured Patients
Payman SALAMATI1, Reza ROSTAMI2, Soheil SAADAT1, Taher TAHERI3, Maryam TAJABADI4, Ghazale RANJBARI5, Zohrehsadat NAJI6, Saba JAFARPOUR1, Vafa RAHIMI-MOVAGHAR1
Tehran University of Medical Sciences, Iran1, University of Tehran, Iran2, Khatam_ol_Anbia Hospital, Iran3, Allameh Tabatabaii University, Iran4, Shahid Beheshti University of Medical Sciences, Iran5, Quran and Hadith University, Iran6
Background: Patients with spinal cord injury (SCI) have a lower health related quality of life (HRQOL) in comparison with both healthy controls and the normal population. The aim of this study was to compare HRQOL between two groups of veteran and non-vet- eran SCI patients.
Methods: Male paraplegic non-veterans who had sustained complete SCI before the year 1988 and were residents of Tehran province, Iran, and a similar group of SCI veter- ans were enrolled in this study. The participants were interviewed based on the Iranian version of SF-36 questionnaire by two psychologists. Eight sub-scales and two physical and mental component summaries of the instrument were assessed. We used chi-square, odds ratio, Mann-Whitney U, independent t-test, and linear regression for analysis.
Results: Overall, 25 veterans and 22 non-veterans were enrolled in the study. The mean age, time since injury, and presence of comorbid illnesses were not signifi cantly different between veterans and non-veterans. A greater number of veterans were married (P=0.003) and employed (P=0.047). On average, veterans had more years of formal education than non-veterans (P=0.001). The mean (SD) bodily pain sub-scale was 72.73(31.253) for non-veterans and 49.7(28.287) for veterans (P=0.011). Absence of comorbid illnesses was associated with a better physical component summary (P<0.001).
Employment was associated with a better mental component summary (P=0.022).
Conclusions: We did not fi nd any difference in HRQOL between the two groups except for the bodily pain sub-scale. Further studies with larger sample sizes are recommended.
PS 0349 Epidemiology and Public Health Brucellosis Related Knowledge and Practices among Animal Breeding People in Turkey
Dilek KUSASLAN1, Huseyin Avni SAHIN2, Gulnihal GUVENDI2, Zuhal CAKMAK2 Health Sciences School of Yuzuncu Yil University, Turkey1, Medical Faculty of Yuzuncu Yil University, Turkey2
Background: Infection with Brucella is a common problem in Eastern region of Turkey.
For this reason the aim of study was to determine the Brucellosis related knowledge and practices among animal breeding people.
Methods: Cross-sectional descriptive study was performed, between April and June 2014. The data were gathered by using a structured questionnaire that was filled during face to face interview to determine the knowledge and practices related to brucellosis. Data were evaluated by using SPSS computer software version 21.
Results: All the people dealing with animals were included in this descriptive study. Of the 66 participants 53 (80.3%) were women 13 (19.7%) were men. 31 (%47) of the respondents were not able to read and write. Even though 65 (98.5%) of the respond- ents had previous knowledge of brucellosis, 12 (18.8%) of them knew the infection route properly and only 5 (7.6%) of them were previously informed about brucellosis.
27 (40.9%) of the respondents and 48 (72.7%) of the respondent’s family members were infected with Brucella previously. 63 of the (95.5%) respondents were making fresh cheese from raw milk and none of them were wearing gloves while milking, 16 of them were wearing gloves while handling animals. Information sources regarding the disease was; 28 health professionals, 27 neighbours, 23 relatives, 1 religious leader, none of them were teachers or veterinarians. The average time in the job was 21,5 years among respondents.
Conclusions: Brucellosis is a growing public health concern in developing countries like Turkey and is not a well-known disease among animal breeding people in Van region. So Brucella infection is still a public health problem in the region. In order to prevent and eradicate the disease, generalized education programs particularly aiming to prevent the disease spread are necessary.
PS 0350 Epidemiology and Public Health The Association of Early-Stage Chronic Kidney Disease with Health-Related Quality of Life in Korean Adults:
The Korea National Health and Nutrition Examination Survey (KNHANES) 2012
Hyaejin YUN1, Hojung KIM1, Joohark YI1, Sang-Woong HAN1 Hanyang University Guri Hospital, Korea1
Background: There were a few articles that health-related quality of life (HRQoL) was lower in advanced chronic kidney disease (CKD) and end-stage renal disease. The aim of this study was to fi gure out the association between HRQoL and the indicators of CKD including increased albuminuria in a representative sample of Korean adults.
Methods: Using data of KNHANES 2012, we analyzed the relationship between CKD and HRQoL determined by the EuroQol 5 Dimensions (EQ-5D)-3 levels in adults (age
= 19). CKD was defi ned as: low estimated glomerular fi ltration rate (eGFR < 60 mL/
min/1.73 m2); elevated urinary albumin to creatinine ratio (ACR = 30 mg/g); or either CKD indicator. The individual weighted samples were used and complex sampling design of the survey was considered to obtain the variances. General linear analyses were used to comparing the mean EQ-5D index and EQ-visual analogue scale (VAS) score in non-CKD and CKD. Logistic regression analyses were applied to examine the relationships between the lowest quartile of EQ-5D index with CKD and its indicators (GFR, ACR). Multivariate odds ratios were calculated after adjusting for demographic factors (age group, gender, BMI), socioeconomic factors (marital status, income, occu- pation, education, residence), health related behaviors (smoking, physical activity) and comorbidities (hypertension, diabetes, stroke, ischemic heart disease, depression).
Results: Total 4980 samples were enrolled, and the prevalence of CKD was 8.4%. The mean EQ-5D index and EQ-VAS was lower in CKD (EQ-5D 0.90±0.008, EQ-5D VAS 69.49±1.04) than non-CKD (EQ-5D 0.95±0.002, EQ-5D VAS 74.77±0.35).(p<0.0001) The results are presented in tabular form.
Conclusions: Early-stage CKD was associated with lower HRQoL. However, the low eGFR was stronger indicator of HRQoL than albuminuria.