Дисертації з теми "Longitudinal population study"
Оформте джерело за APA, MLA, Chicago, Harvard та іншими стилями
Ознайомтеся з топ-38 дисертацій для дослідження на тему "Longitudinal population study".
Біля кожної праці в переліку літератури доступна кнопка «Додати до бібліографії». Скористайтеся нею – і ми автоматично оформимо бібліографічне посилання на обрану працю в потрібному вам стилі цитування: APA, MLA, «Гарвард», «Чикаго», «Ванкувер» тощо.
Також ви можете завантажити повний текст наукової публікації у форматі «.pdf» та прочитати онлайн анотацію до роботи, якщо відповідні параметри наявні в метаданих.
Переглядайте дисертації для різних дисциплін та оформлюйте правильно вашу бібліографію.
Gierisch, Jennifer Marie Rimer Barbara K. "Mammography maintenance a longitudinal, population-based study of insured women /." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2008. http://dc.lib.unc.edu/u?/etd,1993.
Повний текст джерелаTitle from electronic title page (viewed Feb. 17, 2009). "... in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Gillings School of Global Public Health Department of Health Behavior and Health Education." Discipline: Health Behavior and Health Education; Department/School: Public Health.
Murray, G. (Graham). "Early development and adult cognitive function in schizophrenia and the general population—a longitudinal perspective." Doctoral thesis, University of Oulu, 2005. http://urn.fi/urn:isbn:9514278925.
Повний текст джерелаTiivistelmä Skitsofreniaa sairastavilla aikuisilla on kognitiivisten toimintojen puutoksia. Kognitiivisia (tiedon prosessoinnin) toimintoja ovat esimerkiksi tarkkaavaisuus, huomiokyky, oppiminen, muisti, asioiden suunnittelu ja ongelmanratkaisu. Monilla lapsilla, jotka sairastuvat aikuisiällä skitsofreniaan, on vähäisiä, kliinisesti merkityksettömiä varhaisen kehityksen poikkeamia tai hitautta. Varhaisen kehityksen ja myöhemmän kognition yhteys on toistaiseksi epäselvä. Tämä tutkimus selvittää varhaisen hermostonkehityksen, nuoruusiän koulunkäynnin ja aikuisiän kognition yhteyttä Pohjois-Suomen 1966 syntymäkohortissa (N = 12 058). Tiedot hermoston tietotoimintoja kuvaavista muuttujista (varhainen kehitys ja koulumenestys) kerättiin prospektiivisesti, samoin tieto skitsofreniaan sairastumisesta. Opettajat arvioivat tutkittavien (n = 100) koulumenestystä ennen sairastumista. Skitsofreniaa sairastavien kognitiivinen suorituskyky arvioitiin 33–35 vuoden iässä (n = 61). Vertailuryhmänä käytettiin edustavaa otosta yleisväestöstä (koulumenestys n = 9351; kognitiivinen suorituskyky n = 104). Skitsofreniaryhmä saavutti motoriset kehityskynnykset (kuten seisomaan ja kävelemään oppiminen) keskimäärin merkittävästi myöhemmin ja suoriutui huonommin kuin kontrolliryhmä kaikissa kognitiivisen suorituskyvyn mittauksissa. Lisäksi varhaisen motorisen kehityksen ja aikuisiän kognitiivisen suorituskyvyn välillä havaittiin yhteys. Erityisesti varhainen motorinen kehitys ennusti hyvää toiminnanohjausta, verbaalista oppimista ja visuospatiaalista työmuistia. Vastaavaa yhteyttä ei havaittu visuaalisen oppimisen alueella. Varhaisen kehityksen ja aikuisiän kognitiivisten toimintojen yhteys oli samantyyppinen sekä skitsofreniassa että yleisväestössä, kun taas varhaisen kehityksen ja nuoruusiän koulumenetyksen yhteys oli vahvempi skitsofreniaan sairastuneilla kuin verrokkihenkilöillä. Yhtenä osatyönä esitetään tapausselostus, jossa kaksi kroonista skitsofreniaa sairastavaa henkilöä toipui spontaanisti sekä kliinisesti ja kognitiivisesti. Tapausselostus osoittaa, että skitsofreniaan liittyvä kognitiivisen tason lasku ei välttämättä heijasta pysyvää aivojen toiminnantason laskua, vaan tila voi huomattavasti korjaantua. Tutkimuksen osana on myös katsaus siitä, missä määrin on mahdollista ennustaa skitsofreniaa sairautta edeltävien piirteiden ja koulussa tehtyjen havaintojen perusteella. Katsauksen valossa on ilmeistä, että on edelleen hyvin vaikea hyödyntää sairautta edeltäviä piirteitä tulevan sairauden ennustamisessa ja etenkin ehkäisyssä. Yhteenvetona voidaan todeta tämän tutkimuksen keskeisten tulosten tukevan hypoteesia, jonka mukaan skitsofreniaan myöhemmin sairastuneilla havaittu lievä varhaisen motorisen kehityksen viive, heikko nuoruusiän koulumenestys ja kognitiivisen tason lasku heijastanevat ikäsidonnaista keskushermoston kehitysprosessia ja voivat olla osa samasta pitkittäisestä oirekokonaisuudesta
Weber, Daniela. "Differences in physical aging measured by walking speed: evidence from the English Longitudinal Study of Ageing." Springer, 2016. http://dx.doi.org/10.1186/s12877-016-0201-x.
Повний текст джерелаLithner, Ellinor. "Association between work-time control and sickness absence : A longitudinal study among the Swedish working population." Thesis, Stockholms universitet, Institutionen för folkhälsovetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-157581.
Повний текст джерелаÖsterlind, Per Olov. "Medical and social conditions in the elderly gender and age differences : the Umeå longitudinal study." Doctoral thesis, Umeå universitet, Geriatrik, 1993. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-102560.
Повний текст джерелаS. 1-112: sammanfattning, s. 115-177: 5 uppsatser
digitalisering@umu.se
Nordstrom, Goran. "Oral health and dietary habits in an elderly city population a report from the Umeå longitudinal study /." Umeå, Sweden : Dept. of Prosthetic Dentistry and Geriatric Medicine, 1995. http://catalog.hathitrust.org/api/volumes/oclc/35846862.html.
Повний текст джерелаBorg-Longhurst, Eugenia. "Social, psychological and functional outcomes after meningococcal disease in adolescents : a longitudinal population-based case-control study." Thesis, University College London (University of London), 2008. http://discovery.ucl.ac.uk/1444117/.
Повний текст джерелаNordström, Göran. "Oral health and dietary habits in an elderly city population : a report from the Umeå longitudinal study." Doctoral thesis, Umeå universitet, Protetik, 1995. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-96914.
Повний текст джерелаGräsbeck, Anne. "The epidemiology of anxiety and depressive syndromes a prospective, longitudinal study of a geographically defined, total population : the Lundby study /." Lund : Dept. of Psychiatry, Lund University Hospital, 1996. http://books.google.com/books?id=sw9sAAAAMAAJ.
Повний текст джерелаLoucoubar, Cheikh. "Statistical genetic analysis of infectious disease (malaria) phenotypes from a longitudinal study in a population with significant familial relationships." Phd thesis, Université René Descartes - Paris V, 2012. http://tel.archives-ouvertes.fr/tel-00685104.
Повний текст джерелаSaraceno, Luca. "Temporal association between childhood depressive symptoms and alcohol problem use in early adolescence : findings from a large longitudinal population-based study." Thesis, Cardiff University, 2011. http://orca.cf.ac.uk/54221/.
Повний текст джерелаCosta, Hugo Câmara. "Cognitive, behavioral and familial associations of reading acquisition and academic achievement : a population-based longitudinal study from kindergarten to middle school." Thesis, Paris 5, 2014. http://www.theses.fr/2014PA05H115.
Повний текст джерелаLongitudinal studies starting during kindergarten provide an appropriate method to investigate the child- and environmental-level factors that account for children's reading and academic achievement later in their educational trajectories. In France, studies designed to follow-up children longitudinally from kindergarten onwards remain scarce. An epidemiological study started in 2001 in the Urban Community of Creusot Montceau (Saône-et-Loire, France) sought initially to identify the factors associated with children's reading acquisition and academic achievement from preschool (3-6 years) to the middle of elementary school (Grade 3, 8-9 years). The PhD project reported here aimed to extend the original design of data collection to the end of middle school (Grade 9, 14-15 years) spanning a 10-year follow-up period in the general population. This work aimed to investigate the specific contributions of child-level factors (cognitive-academic skills, behavior problems) and environment-level factors (sociodemographic and family characteristics) for children's subsequent reading acquisition at the end of elementary school (Grade 5), as well as academic achievement at the end of middle school (Grade 9). The samples of analysis comprised 829 kindergarteners in the 2001-2002 school year (Cohort 1, 90% of the initial sample) followed through the end of middle school (Cohort 1, 2010-2011 school year) and 812 kindergarteners in the 2003-2004 school year (Cohort 3), from which a sub-sample of 154 participants was followed through the end of elementary school (2008-2009 school year). At kindergarten, assessment included measures of children's cognitive-academic and behavioral skills, as well as family background characteristics. Outcome measures were composed of children's results in the national evaluations performed at the end of middle school for Cohort 1 ("Diplôme National du Brevet") and of children's scores in standardized measures of word reading achievement at the end of elementary school for Cohort 3 (ODEDYS, Jacquier-Roux, Valdois & Zorman, 2002). The results indicated that children's phonological processing skills, letter knowledge and attentive behavior were the most robust predictors of word reading achievement at Grade 5. In addition, parental reports of familial antecedents of reading difficulties also contributed to predict word reading at Grade 5 and were specifically associated with both reading difficulties and inattention behavior at this grade level. At Grade 9, children's oral language skills, letter knowledge, short-term verbal memory, perceptual reasoning (non-verbal cognitive ability) and attentive behavior at kindergarten predicted significantly the outcome measure of general academic achievement at Grade 9, together with parental educational level and family structure. Moreover, results indicated the influence of several family characteristics referring to father's nationality, type of early childcare, language-based bedtime routines and familial antecedents of reading difficulties as risk factors for children's subsequent academic underachievement. The present work contributes to the extant literature regarding the child- and family-level factors associated with subsequent reading acquisition and academic achievement from kindergarten to elementary and middle school. Importantly, these results allowed the identification of novel familial risk factors that influence negatively children's subsequent academic trajectories. These findings have important implications regarding the child and family factors that should be targeted during kindergarten in order to prevent children's subsequent reading and academic difficulties and to promote adequate intervention strategies early in children's educational trajectories
Chi, Lin-Yang. "Health and hospital service use in the population aged 75 and over : a longitudinal study of a community sample in Cambridge city." Thesis, University of Cambridge, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.266234.
Повний текст джерелаMaund, David. "Moving-on from a rural parish : a multidisciplinary longitudinal study of population trends and migration in an area of the English-Welsh borderland." Thesis, Coventry University, 2008. http://eprints.worc.ac.uk/469/.
Повний текст джерелаButler, Anthony Gordon. "Dystonia : a comprehensive and longitudinal study of the epidemiological, social, economic and psychological implications of dystonia within the population of the North East of England." Thesis, University of Newcastle Upon Tyne, 2000. http://hdl.handle.net/10443/502.
Повний текст джерелаNatanzon, Yanina. "METABOLIC SYNDROME IN AN IMMUNOSUPPRESSED POPULATION: GENETIC CONTRIBUTION TO METABOLIC SYNDROME TRAITS IN THE WOMEN'S INTERAGENCY HIV STUDY." Case Western Reserve University School of Graduate Studies / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=case1449252475.
Повний текст джерелаFekadu, Abebaw. "Studies on affective disorders in rural Ethiopia." Doctoral thesis, Umeå universitet, Psykiatri, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-37813.
Повний текст джерелаHalford, Christina, Thorne Wallman, Lennart Welin, Annika Rosengren, Annika Bardel, Saga Johansson, Henry Eriksson, Ed Palmer, Lars Wilhelmsen, and Kurt Svärdsudd. "Effects of self-rated health on sick leave, disability pension, hospital admissions and mortality : A population-based longitudinal study of nearly 15,000 observations among Swedish women and men." Uppsala universitet, Allmänmedicin och preventivmedicin, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-189468.
Повний текст джерелаPontabry, Julien. "Construction d'atlas en IRM de diffusion : application à l'étude de la maturation cérébrale." Thesis, Strasbourg, 2013. http://www.theses.fr/2013STRAD039/document.
Повний текст джерелаDiffusion weighted MRI (dMRI) is an in vivo imaging modality which raises a great interest in the neuro-imaging community. The intra-structural information of cerebral tissues is provided in addition to the morphological information from structural MRI (sMRI). These imaging modalities bring a new path for population studies, especially for the study in utero of the normal humanbrain maturation. The modeling and the characterization of rapid changes in the brain maturation is an actual challenge. For these purposes, this thesis memoir present a complete processing pipeline from the spatio-temporal modeling of the population to the changes analyze against the time. The contributions are about three points. First, the use of high order diffusion models within a particle filtering framework allows to extract more relevant descriptors of the fetal brain, which are then used for image registration. Then, a non-parametric regression technique was used to model the temporal mean evolution of the fetal brain without enforce a prior knowledge. Finally, the shape changes are highlighted using features extraction and selection methods
Degen, Christina [Verfasser], and Johannes [Akademischer Betreuer] Schröder. "Given and acquired risk factors in cognitive decline, the development of Mild Cognitive Impairment, and Alzheimer’s Disease: results of a prospective, population-based, longitudinal study / Christina Degen ; Betreuer: Johannes Schröder." Heidelberg : Universitätsbibliothek Heidelberg, 2016. http://d-nb.info/1180736265/34.
Повний текст джерелаPark, Seung-Min. "An ageing population in a family and welfare state : the dynamics of family support and public pension systems, and their impact on late-life happiness in contemporary South Korea." Thesis, University of Oxford, 2012. http://ora.ox.ac.uk/objects/uuid:041dae1e-8b4b-4ca6-9743-2a42b655e5bc.
Повний текст джерелаOkeyo, Mercy Akinyi [Verfasser], and Reinhard [Akademischer Betreuer] Straubinger. "Longitudinal study regarding Borrelia burgdorferi sensu lato populations in defined habitats in Latvia / Mercy Akinyi Okeyo ; Betreuer: Reinhard Straubinger." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2020. http://d-nb.info/1219852376/34.
Повний текст джерелаCoughlin, Chris D. "Family influences on adolescent drug relapse : follow-up study of a treatment population." Thesis, 1990. http://hdl.handle.net/1957/38055.
Повний текст джерелаGraduation date: 1991
Lee, Cheng Yun, and 李承芸. "A population-based longitudinal study on the combination of multimorbidity in Taiwan." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/37nzu6.
Повний текст джерела長庚大學
醫務管理學系
104
The prevalence of multimorbidity in general population is increasing due to the population aging. Therefore, the issues of disease burden and health policy changes became more important nowadays. This study aims to explore the combinations and temporality of multimorbidities while examining the differences of prognoses and medical consumptions among difference morbidity combinations. The study used retrospective national health insurance claim database to perform prospective analysis. A total of 131,144 subjects aged 30 years and beyond was collected during 1997-2012. Factor analysis was applied to explore combinations of multicomorbidities while structural equation modeling was used to perform path analysis. Cox proportional hazard model was used to analyze hazard ratio of mortality among multicomorbidity combinations whereas general linear model was used to compare the differences of medical consumptions. The results demonstrated that 87.78% and 74.95% of the study population were with 2 or more and 3 or more multicomorbidities, respectively. Five comorbidity combinations were identified from the analyses. Taking bone and joint degeneration diseases as the reference group, the hazard ratio of dying during study period was 1.684(95% CI: 1.559-1.820), 1.795(95% CI: 1.644-1.960), 1.509(95% CI: 1.392-1.635), and 1.394(95% CI: 1.278-1.520) in disease combinations of metabolic syndrome-derived diseases, neurodegenerative diseases, respiratory diseases, and malignant tumor and mental illness, respectively. Taking metabolic syndrome-derived diseases as the reference group, the total medical expenses were 1.822(95% CI: 0.579-0.621), 1.072(95% CI: 0.054-0.085), 1.060(95% CI: 0.042-0.074), and 1.436(95% CI: 0.345-0.378); the length of hospitalization stay was 1.361(95% CI: 0.297-0.320), 1.033(95% CI: 0.024-0.041), 1.124(95% CI: 0.108-0.125), and 1.225(95% CI: 0.194-0.212, in neurodegenerative diseases, bone and joint degeneration diseases, respiratory diseases, and malignant tumor and mental illness, respectively. This study proposed the major multicomorbidity combinations and their prognoses and medical consumptions among Taiwanese population. The findings are valuable for future health policy and interventions designs. The study also suggests that the integrations of different specialties are necessary based on the nature disease causality in general population.
Ku, chia-ping, and 古家萍. "Longitudinal study on multi-dimensional interrelationships betweenliving-arrangement changes and medical service utilization amongolder population." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/23629258476280926164.
Повний текст джерела國立臺北護理健康大學
健康事業管理研究所
102
Background and objectives According to the definition of World Health Organization, the proportion of people aged over 65 years accounting for more than 7% of the entire population is referred to as an aging country. In addition to Korea (11.4%) and Japan (23.3%), Taiwan is the third country that fulfills this criterion of aging country since 1993. With the changes in the proportion of the population, the increase in the education for women, and the changes in the generation structures, the organization of the family also changes. It is estimated that the proportion of elderly population “who lives with spouse only” and “who lives alone” will continue to rise. There are several studies which focused on the factors to explore the use of health care services for the elderly, as well as quite a lot of changes in living arrangements related research on the use of medical services. However, the results of these studies varied according to the differences in the study design, the statistical methods and the enrolling subjects. In addition, studies which focused on the changes of the living arrangements and the temporal association with the use of dynamic changes of medical services are still relatively lacking. Therefore, we aimed to fill this knowledge gap in the present study. Research methods The serial databases of “Survey of Health and Living Status of the Elderly in Taiwan “ in the Academia Sinica from 1989 to 2003 were used for analysis in the present study. The latent growth curve model, the changes in the state for the use of medical services, and the relative risk trends affecting the elderly population living arrangements were analyzed. Research results We found that low levels of education, more comorbidities, and poor self-reported health status had higher odds to use the resources of outpatient and emergency department. There is a trend of increased use of the resources of emergency department with increasing age. Male gender, more comorbidities, old age, and poor self-rated health status have higher odds of hospitalization. at times higher odds of hospitalization . Male and poor self-rated health statuses are also at higher risk of longer hospitalization days. After controlling the baseline impact factors, cumulative transform living arrangements contents (time invariant) relative risk of various medical services use, only the increased relative risk of hospitalization days has a significant impact. But in the time change angle (time varying) analysis, older persons in long-term tracking process, changes in living arrangements if the content is living alone, which will be reflected in reduced medical outpatient and emergency use. But it will greatly increase the relative risk of hospitalization and number of days of hospitalization. Second, older persons in long-term tracking process, content remain with spouses living arrangement, which has significantly reduced use of emergency medical services and hospitalization risk reduction trends. Conclusions and recommendations Gender, age, number of diseases, level of education and self-rated health status, to some extent, these aging baseline background data, trends change will affect the utilization of medical services for the elderly. However, in the face of our country elderly population structures will inevitably tend to live alone and live with spouse only set contents, through the empirical findings of this study, elderly in long-term tracking process, changes in living arrangements if the content is living alone, which will be reflected in reduced medical outpatient and emergency use, but it will greatly increase the relative risk of hospitalization and number of days of hospitalization. Second, older persons in long-term tracking process, if the arrangement contents remain at has a spouse living, which have significantly reduced use of emergency medical services and hospitalization risk reduction trends.
Escott, Benjamin. "Childhood Fracture Begets Childhood Fracture: A Population-based Study of Longitudinal Fracture Patterns in Ontario Children." Thesis, 2012. http://hdl.handle.net/1807/33411.
Повний текст джерелаLee, Hui-Lan, and 李惠蘭. "Community-based longitudinal study on the changes of self-rated health among older population in Taiwan." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/95677696231692180067.
Повний текст джерела國立臺北護理健康大學
護理研究所
103
ABSTRACT Background and Purpose Older population self-rated health(SRH) reflects the multifaceted individual health status, is an important health forecasting and related indicators. The life course of individuals perceived health status, may show a different trend in the interaction of changes related factors. So far, domestic and foreign researchers focus on the older population less self-investigate the longitudinal health evaluation of dynamic change, our practice, in addition to continuing the development and changes longitudinal comparison of different health measure, but also the transverse link self-rated health in terms of gender, and age-period-cohort effect results. Expect from the life course perspective to clarify self-rated health community older population definition and meaning of long-term development framework in Taiwan, as well as for the quality of life of the predictive power; hope to enlarge our vision of successful aging older age groups, older age groups to provide further an important foundation for health promotion and preventive care. Methodology This study used a large national community tracking survey- Taiwan longitudinal study on aging (referred TLSA), the first stage using latent class growth analysis to discuss potential sub-groups of the overall health of the older population distribution formation evaluation, and then analyzed in the course of the life of older generations, socio-demographic, physiological, and psychological factors for the potential impact of sub-groups of classification. Then long-depth discussion with the passage of time, groups of individuals lurking beneath the trajectory of development, as well as track changes in physical and mental health is affected by those factors. The second stage through the age-period-cohort effect and three generations of cross-analysis perspective, an overview of the overall evolution of old population. And further based on self-rated health for three different measurements of self-rated health - global health, self-comparative health, age-comparative health, long-term trends in three different measurement methods compare. Result and conclusion Based on the results and found that pooled the following argument: 1. An overall self-assessment of health of older age groups there are differences in the base line rather produce high, medium and low cluster self-rated health. Factors causing differences in baseline factors covered socio-demographic characteristics, physiological factors, and psychological factors. 2. Differences in baseline health level, in the passage of time, hidden in the change between individuals will begin to emerge, making the cluster can be classified into five similar or dissimilar「classes」,we will be defined as: (1) Class 1 (n = 842, 21.4% of the total sample) represented “persistently poor,” subjects with the lowest SRH scores and with scores remaining persistently low; (2) Class 2 (n = 1160, 29.5%) represented “declined from moderate to poor,” subjects whose SRH scores declined year-by-year from moderate to successively lower; (3) Class 3 (n = 674, 17.1%) represented “steadily moderate,” subjects with persistently moderate SRH scores; (4) Class 4 (n= 802, 20.4%) represented “declined abruptly from good to poor,” subjects with the greatest magnitude of change in SRH, and whose final scores were low; and (5) Class 5 (n = 459, 11.6%) represented “persistently good,” subjects with the highest SRH scores, which remained persistently high. 3. Health "flat track" stable protective factors: more years of education, regular exercise tendencies, as well as the more satisfied with life. Health "track down" the risk factors are: age, ordinary economic conditions or poor, racial minorities, the more we feel the difficulties of daily activities of life, as well as suffering from chronic diseases more. 4. Self-rated health measure of self-comparison type is the most obvious intuitive feelings, prone to "ceiling effect," the results, and has alarm the role of the obvious warning, may decline as a pioneer in health assessment index. However, the overall health of the questions of self-assessment for the older population in the evaluation of the overall health of change has most clearly represented. Three different self-rated health measurement methods have the effects of age and cohort, indicating that changes in self-rated health is subject to birth cohort in effect. 5. Use different measurements had to be self-rated health to gender variables of three common characteristics: health assessment: (a) women are less than men; (2) the rate of decline between male and female health assessment changes are similar, women and magnitude and rate of decline is not greater than men; (3) men and women have very clear on health is good or bad, or change is “incommensurability" between the gender is a healthy feeling of "spatial distance" parallel lines, there is no intersection or overlap, Therefore, the health differences between the gender must be careful to verify the inference. 6. This study proposes: "On the whole self-rated health" measure to track trajectory in the health of the elderly population to grasp, it is important to a comprehensive index. Secondly, the other two comparative questions of self-comparison, peers compare the results of the self-assessment of health must be used with caution. The elderly population is divided generations can 3-5 years away from a level better. Finally, in practice the face, self-rated health for different research groups presented the long-term development and related influencing factors, should care strategy planning three sections of five different generations and ages. Keyword: older population, self-rated health, latent class growth analysis, age-period-cohort effect
Ziegler, Lucy, M. Mulvey, Alison Blenkinsopp, Duncan R. Petty, and M. I. Bennett. "Opioid prescribing for cancer patients in the last year of life: a longitudinal population cohort study." 2015. http://hdl.handle.net/10454/10495.
Повний текст джерелаWe linked UK cancer registry data with the corresponding electronic primary care medical records of 6080 patients who died of cancer over a 7-year period in a large United Kingdom city. We extracted all prescriptions for analgesics issued to each patient in the linked cohort during the 12 months before death and analysed the extent and duration of strong opioid treatment with clinical and patient characteristics. Strong opioids were prescribed for 48% of patients in the last year of life. Median interval between first prescription of a strong opioid and death was 9 weeks (interquartile range 3-23). Strong opioid prescribing was not influenced by cancer type, duration of illness, or gender but was adversely influenced by older age. Compared with patients who died in a hospice, those who died in a hospital were 60% less likely to receive a strong opioid in primary care before admission (relative risk ratio 0.4, CI 0.3-0.5, P < 0.01). The study provides the first detailed analysis of the relatively late onset and short duration of strong opioid treatment in patients with cancer before death in a representative UK cohort. This pattern of prescribing does not match epidemiological data which point to earlier onset of pain. Although persistent undertreatment of cancer pain is well documented, this study suggests that strategies for earlier pain assessment and initiation of strong opioid treatment in community-based patients with cancer could help to improve pain outcomes.
National Institute for Health Research (NIHR) (RP-PG-0610-10114)
Zhang, Bo. "Does Duration of Nicotine Replacement Therapy Use Matter in Quitting Smoking? A Longitudinal Study of Smokers in the General Population." Thesis, 2013. http://hdl.handle.net/1807/36077.
Повний текст джерелаChen, Men-Chun, and 陳孟春. "A Cohort Longitudinal Study of Long-term Survival and Resource Utilization for Patients with Cholangiocarcinoma Underwent Multimodality therapy–- A Population Base Study." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/71009887200350676596.
Повний текст джерела高雄醫學大學
醫務管理學研究所碩士在職專班
100
Introduction Cholangiocarcinoma is a malignant tumor ,the annual incidence has been rising worldwide over the past decades. Cholangiocarcinoma is highly lethal,the therapeutic intentions are predicted on the location of tumor as well as the resectability of disease . The purpose of this study is to evaluate survival difference and utilization of medical resource between cholangiocarcinoma patients treated with multimodality therapy . Method The study analyzed administrative claims date obtained from the Taiwan Bureau of National Health Insurance (BNHI).The date were collected from 1996 to 2009 with the diagnosis of cholangiocarcinoma (ICD-9-CM code 155.1,156.1,156.8 and 156.9). The statistic analysis was performed by X2-test、Kaplan-Meier analysis with log-rank test and cox-regression multivariate analysis and multiple linear regression test. Results Only 3153(37.3%) of 8458 patients with cholangiocarcinoma underwent cancer direct surgery . Men were accounted for 55.1% in this study group, most of them were older than 65 years, 53.9%. The annual incidence has been increased from 4.33 per 100000 in 1996 to 9.44 per 100000 in 2009(X2 -MH=531.7,P<0.001). The over-all mortality rate is 81.8% in the study period of 14 years. Parametric estimated median survival for patients receiving surgical resection was 16.72 months; bypass operaion 6.67 months; chemotherapy(C) 5.06 months;stent replacement(S)3.38 months;radiotherapy(R) 2.53 months,the difference is statistitally significant (P<0.001).Combination therapy, however, improved the treatment effect,data showed median survival for S+C,7.56 months;for S+R,4.83 months(P<0.001). Using multivariate analysis,surgery alone showed evidence of improved survival compared to non surgical treatment, radiotherapy alone was associated with survival decrement. Intrahepatic tumor ,age older then 65,cci>2,all with poor risk for survival (P<0.001). Regarding resource utilization ,the multiple linear rgression analysis showed surgery,intrahepatic + hilar tumor,cci>2,recent decade were associated with higher resource utilization ,while the elderly and regional hospital consumed lessly (P<0.001). Conclussion The annual incidence of cholangiocarcinoma has been increased,surgical resection carried the most feasible curative outcome by medion OS and cox regression analysis; combination therapy could improved the longterm survival. Medical resource ulilization could afford the data for policy making in BNHI.
Sung, Ya-Li, and 宋雅俐. "Disability trends in the elderly population in Taiwan -“Longitudinal Study on Health and Living Status of Elderly in Taiwan”." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/u3h95a.
Повний текст джерела國立臺北護理健康大學
長期照護研究所
102
Abstract This study was aimed to investigate the key factors in the health functional status, health care, associate factors and trend of disability among the elders in Taiwan. The study was retrospective, derived from the “Longitudinal Study on Health and Living Status of Elderly in Taiwan”; the database included the sociodemography, health function, health seeking & behavior and the relationship between them and Basic Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). There are 3,216 elders enrolled in the study, average age of 70.8(±6.5), slightly more in male than female, low level of education in general. Disability status had been remarkable in elderly, female, lower education leveler, single. Rather, CI-Q & habitual exercising affecting ADL, CI-Q score higher and those without habitual exercise resulted in more severity of disability, the same trend in self-perceiving healthy & with falling record within one year affecting IADL also. As for any decline trend in daily living had been observed in this study; in 1999, IADL limitation observed in 43.7% of sample subjects in total; up-rose to 75.5% and 81.8% in 2003 and 2007, respectively; with regard to ADL in counterpart, ADL limitation observed in 12.1%, up-rose to 20.7% and 39.7% in 2003 and 2007, respectively. This reflected, just within short years, the significant downshift by the time passing in ADL & IADL. The decline curve could be well-depicted. Aging decay of living functioning could occur in all age strata, however the disabled representing in non-elderly subpopulation. It’s easier to gain access in elderly rather than in the disabled. Based on the associated factors and trends in the functioning decline, might facilitate coping & handling of intervention care positioning and designing, i.e. catching the disability, maintaining the functional level rather than morbidity detection, just following the long-term care policy making in advanced countries.
Kang, Pei-Jen, and 康珮瑱. "The Natural History of Dual Infection with Hepatitis B Virus and Hepatitis C Virus: A Population-Based Longitudinal Study." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/73427970086475787152.
Повний текст джерела臺灣大學
流行病學研究所
95
Background and Aims: Taiwan is an endemic area of hepatitis B. Dual infection of hepatitis B virus (HBV) and hepatitis C virus (HCV) is not unusual. However, the natural history of dual infection in the population remained unknown. We sought to determine the liver-related morbidity and mortality and the long-term viremia profiles of HBV for dual infection in a population-based longitudinal cohort study. Materials and Methods: The cohort consisted of 5189 men (2643 HBsAg (+) alone, 176 anti-HCV (+) alone, 161 HBsAg (+) and anti-HCV (+), and 2209 HBsAg (−) and anti-HCV (−)) aged 30 years or older who were enrolled between 1989 and 1992, and followed through December 31, 2005. HBV genotype and DNA levels were measured using polymerase chain reaction-based assays. Plasma HBV DNA levels were assessed for multiple samples consecutively collected from each man with dual infection of HBV and HCV. All statistical tests were two-sided. Results: The incidence of hepatocellular carcinoma and liver-related mortality (per 100000 persons) were 296.8 and 202.9, 202.0 and 39.9, 221.9 and 176.4, and 12.6 and 9.5, respectively, in those who were positive for HBsAg alone, those who were positive for anti-HCV alone, those who were positive for HBsAg and anti-HCV, and those who were negative for both markers. During follow-up, 35 men with dual infection developed chronic liver disease (i.e., hepatocellular carcinoma, liver cirrhosis, or longitudinal alanine aminotransferase [ALT] elevation defined as abnormality detected in >=50% of the visits), and 6 had hepatic flare (ALT>5×upper limit of the normal levels). Initial viral load was positively associated with the persistence of high viral load (>=10^4.45 copies/mL). High tracking for viral load, as evidenced by the high predictability of initial viral load, was observed within 6 years. Longitudinal high HBV viral load detected in >=50% of the visits (adjusted odds ratio [OR]=2.71, 95% confidence interval [CI]=1.15~6.36) and anti-HCV optical density (adjusted OR=1.25, 95% CI=1.01~1.55) were significantly associated with the development of chronic liver disease. An extremely high viral load (defined as >=10^5.81 copies/mL) (OR=13.36, 95% CI=1.49~120.0) was the only predictor for hepatic flare. Conclusions: The incidence of HCC and liver-related mortality among men with dual infection were similar to those among men with HBV monoinfection. HBV viral load was fairly stable, as evidenced by long-term persistence of high viral load. Persistently high viral load and anti-HCV optical density were associated with the development of chronic liver disease.
Yang, Ling-Chun, and 楊玲珺. "A Cohort Longitudinal Study of Long-term Survival and Resource Utilization for Patients with Unresectable Cholangiocarcinoma Undergoing Biliary Tract Stenting- A Nation-wide Population Based Study." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/15135048790499304572.
Повний текст джерела高雄醫學大學
醫務管理暨醫療資訊學系碩士在職專班
101
Introdution There is only about 15-20% cases of cholangiocarcinoma being resectable when diagnosed. Palliative therapy of biliary drainage became a mainstay for those unresectable cholangiocarcinoma. Percutaneous biliary drainage (PTBD) and endoscopic biliary drainage (ERBD) are two important procedures for biliary drainage to improve cholestasis caused by tumor mass. The purpose of this study is to evaluate survival difference and utilization of medical resource between unresectable cholangiocarcinoma under going biliary stents of ERBD and PTBD. Methods The study analyzed claim date obtained from Tawain Bureau of National Health Insurance. The date were collected from 1996-2009 with the diagnosis of cholangiocarcinomas. Among them, those with unresectable cancers, under went biliary stents were included in this study (ICD-9-CM code 155.1;156.1;156.8 and 156.9) The statistic analysis was performed by X2 –test, Kaplan Meier analysis with log rank test; and multistep Cox hazard regression analysis; multivariate linear regression analysis. Result There are total 2700 cases of unresectable cholangiocarcinomas undergoing biliary stents, 2199 of 2700 case(81.4%) undergoing PTBD, while 501 of 2700 case(18.6%) undergoing ERBD. Clinical outcomes The elderly, old than 75 years, carried poor outcome, HR=1.68, p<0.001; patients undergoing ERBD got better outcome, than those undergoing PTBD, HR=0.82, p=0.001; patients with extrahepatic cholangiocarcinoma, HR=0.75, p=0.001; biliary stent combined with chemotherapy or radiotheraphy had better outcomes, HR=0.77, p=0.001. Residents in Southern or Eastern Taiwan had better outcomes than those in other districts in Taiwan HR=0.88, and HR=1.51, p<0.005. Resource utilization Patients undergoing ERBD expensed less hospital charges and then that of PTBD, also have short hospital study.Patients with extrahepatic cholangiocarcinoma also expensed less hospital charges and short hospital stay than those with intrahepatic cholangiocarcinoma (p<0.005). Combined with chemotherapy, however, expensed more hospital charges and longer in hospital. P<0.004 and p<0.001. Conclusion The patients undergoing ERBD demonstrated better clinical outcome and expsensed less medical resource utilization. On the other hand, patients with extrahepatic cholangiocarcinoma got better clinical outcome and expense less medical resource utilization. Patients with combined therapy of chemotherapy or radiotheraphy expensed more medical resource utilization. While they got better clinical outcomes.
Pryor, Laura E. "Developmental trajectories of body mass index in early childhood : an 8-year longitudinal study." Thèse, 2010. http://hdl.handle.net/1866/3917.
Повний текст джерелаDevelopmental Trajectories of Body Mass Index in Early Childhood: An 8-Year Longitudinal Study. Introduction: Childhood obesity has become one of the greatest Public Health challenges this century, affecting not only developed nations, but increasingly low- and middle-income countries as well. Estimating developmental trajectories of Body Mass Index (BMI) during early childhood represents an innovative approach towards a better understanding of the development of this health problem. Objective: To identify groups of children with distinct developmental trajectories of Body Mass Index (BMI) between the ages of five months and eight years, and to identify early-life risk factors that distinguish children in an atypically elevated BMI trajectory group. Methods: Group-based developmental trajectories of BMI were estimated from annual maternal assessments (5 months to 8 years) in a large population sample (n=1957). Measures of height and weight, as well as family and child characteristics were obtained yearly from mothers. Multivariate logistic regression was used to distinguish children with elevated BMI from other children, using pre and early post-natal risk factors. Results: Three trajectories of BMI were identified: low-stable BMI (54.5%), moderate BMI (41.0%) and high-rising BMI (4.5%). The high-rising group included children whose BMI, at eight years of age, exceeded the cut-off value for obesity. Multinomial logit regression analyses revealed that two maternal risk factors were significantly associated with the high-rising BMI trajectory group as compared to both the low and moderate groups: smoking during pregnancy and maternal overweight. Conclusions: Antecedents of childhood obesity can be identified during pregnancy. Intervention studies are needed in order to test the possibility that targeting maternal smoking and maternal obesity during pregnancy would reduce the risk of childhood obesity in the offspring. Keywords: Body Mass Index (BMI), child obesity, Group-based developmental trajectories, early life predictors, population-based study, maternal smoking, maternal obesity.
Cadieux, Nathalie. "Professions réglementées et détresse psychologique : regards croisés avec la population en emploi au Canada." Thèse, 2012. http://hdl.handle.net/1866/9063.
Повний текст джерелаThis doctoral thesis aims to understand the role played by the regulated occupations as a determinant of psychological distress of the working population in Quebec and Canada. This, in a context where several professional organizations, representing regulated occupations, are concerned about the mental health of their members and the pressure exerted on them in an economy characterized by important shortages of labor. This thesis was also inspired by the many limitations observed after a literature review on work and mental health, whereas the differentiated risks which would be subjected to these professionals, compared to the total working population, remains largely undocumented. Is there a direct link between the regulated occupation and the experience of psychological distress? What working conditions contribute to the development or accentuate psychological distress for these regulated occupations? In order to better understand the role played by the regulated occupations in psychological distress, this thesis proposes a multidimensional theoretical model which postulates that the constraints and resources are generated by a set of social structures including the regulated occupation, the working conditions, family, social network outside of work and personal characteristics. This model stems from the micro and macro theories in sociology (Alexander et al., 1987; Ritzer, 1996), the agent-structure approach (Archer, 1995; Giddens, 1987) as well as the social stress theory (Pearlin, 1999). Three hypotheses are subject to analysis through the model. The first hypothesis assumes that regulated occupations, work conditions, family, social network outside the workplace, and individual characteristics contribute directly and jointly to explaining the level of psychological distress. The second hypothesis induced by the proposed model postulates that the workplace mediates the relationship between regulated occupations and psychological distress levels. The third and final research hypothesis postulates that the relationship between the workplace and psychological distress levels is moderated by individual characteristics, as well as by family and the social network outside the workplace.These hypotheses have been validated using longitudinal data from the National population health survey (NPHS) (cycles 1 to 7). The results of these analyses are presented in three articles submitted for publication, which are the chapters 5-7 of this thesis. Overall, the theoretical model gets an important empirical support and suggests that the regulated occupations directly influence the chances of living psychological distress over time as well as the level of psychological distress itself. The results also suggest that the regulated occupations are exposed to differentiated risks in terms of working conditions likely to generate psychological distress. The contribution of the workplace and regulated occupations is exercised independently of other dimensions of the model (family, social network outside of work, personal characteristics). The results also corroborate the importance in considering many dimensions of the life of an individual in the psychological distress and to put on the agenda the importance of developing new theoretical models, better suited to the realities characterizing today’s working environments in which knowledge workers work. This thesis concludes on the implications of these findings for research, and the benefits it brings to the labor market and for the future development of the professional system in Quebec and Canada.
Sabirova, Alina. "The association between childhood attention-deficit/hyperactivity disorder medication use and symptoms of mental health problems in adolescence : A 15-year longitudinal population-based study." Thèse, 2017. http://hdl.handle.net/1866/20561.
Повний текст джерелаMatshipi, Moloko. "The relationship between physical activity and the risk of type 2 diabetes mellitus in Ellisras rural young adults aged 22 to 20 years : Ellisras longitudinal study." Thesis, 2019. http://hdl.handle.net/10386/2935.
Повний текст джерелаBackground Type 2 diabetes mellitus (T2DM) is an increasing challenge globally, and is estimated to affect 439 million adults by 2030. This estimate is linked to an unhealthy lifestyle with characteristics such as low physical activity (PA) and high plasma glucose levels (PGLs). Studies associating PA with insulin resistance and diabetes among adults and adolescents have been conducted widely in developed countries. Such studies are scanty among rural populations, especially in Africa. Assessment of the burden of diabetes and associated lifestyle risk factors in developing countries is essential in order to encourage appropriate intervention strategies to counter the increasing prevalence. Aim and objectives The aim of this study was to investigate the relationship between PA and T2DM among rural young adults aged 22 to 30 years in Ellisras area in Limpopo Province, South Africa Methods A total of 713 young adults (349 males and 364 females) who have been part of the Ellisras Longitudinal Study participated in the current study. Physical activity data was collected using a validated questionnaire. After an overnight fast, participants provided fasting venous blood samples for determination of plasma glucose and insulin. Insulin resistance was estimated using the homeostasis model assessment of insulin resistance. Anthropometric measurements (waist circumference and height) were performed using standard procedures. Linear and logistic regressions were used to assess the relationship between PA, pre-diabetes, insulin resistance and T2DM; and the odds of having T2DM with low PA levels. Results The prevalence of physical inactivity was 67.3 and 71.0% for males and females, respectively. That of pre-diabetes was between 45.7% and 50.2%. The prevalence of diabetes was 9.6% for males and 10.1% for females while for insulin resistance was 22.9% for males and 29.3% for females. Linear regression found a significant relationship (p<0.05) between physical activity and blood glucose (ß =5.715; 95% CI 4.545; 6.885), waist circumference (ß = 37.572; 95% CI 25.970; 49.174) and waist-toheight ratio (ß = 0.192; 95% CI 0.087; 0.296). Logistic regression found a significant (p<0.05) relationship between low physical activity and T2DM (Odds ratio = 2.890; 95% CI 1.715; 4.870) and insulin resistance (Odds ratio = 1.819; 95% CI 1.266; 2.614). Conclusion Physical activity is low in this population, and is independently associated with T2DM and insulin resistance. KEY WORDS Type 2 diabetes mellitus; pre-diabetes; insulin resistance; physical activity; young adults; rural South African population.
Vrije University, Amsterdam, The Netherlands, and the University of Limpopo
CHENG, SU MIN, and 鄭素敏. "Evaluation of Bone Mineral Density in healthy examination populations: A Three- Year longitudinal study." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/3h8xr4.
Повний текст джерела元培醫事科技大學
醫學影像暨放射技術系碩士在職專班
104
Evaluation of Bone Mineral Density in healthy examination populations: A Three- Year longitudinal study Student:Su-Min Cheng Advisor:Chiung-Wen Kuo, Ph. D. Institute of Medical Imaging and Radiological Technology Yuanpei University of Medical Technology Abstract The purpose of this study was to investigate the effect of serum biomarkers on bone mineral density (BMD) in three years longitudinal study. A total of 290 subjects (232 males and 58 females), aged 26 to 46 years were enrolled from 2012 to 2015. Measurements of BMD were performed using dual- energy X-ray absorptiometry at L2- L4. Serum was collected including cholesterol, triglyceride (TG), high density lipoprotein (HDL-C), low density lipoprotein (LDL-C), glucose, aspartate aminotransferase (AST), and alanine aminotransferase (ALT). In stepwise regression analysis analyses, the body weight was positively associated with BMD (β = 0.002, p < 0.05) and ALT was negatively associated with BMD (β = -0.001, p < 0.05).This retrospective study still had some limitations. The study showed that the longitudinal tracking study in those measurements of bone mineral density is necessary for further changes. Further experimentation is necessary in order to understand the exact mechanisms involved. Our results suggested low body weight and high ALT were deleterious factor on BMD. Keywords: bone mineral density (BMD), alanine aminotransferase (ALT), dual- energy x-ray absorptiometry