Objective： This study aims to explore the clinicopathologic characteristics and prognostic factors of gastric cancer patients with metachronous ovarian metastasis. Methods： Clinicopathologic data were collected from...Objective： This study aims to explore the clinicopathologic characteristics and prognostic factors of gastric cancer patients with metachronous ovarian metastasis. Methods： Clinicopathologic data were collected from 63 post-operative gastric cancer patients with metachronous ovarian metastasis. The patients were admitted to the Cancer Institute and Hospital, Chinese Academy of Medical Science and Peking Union Medical College between January 1999 and December 2011. A log-rank test was conducted for survival analysis. Possible prognostic factors that affect survival were examined by univariate analysis. A Cox regression model was used for multivariate analysis. Results： The incidence of ovarian metastasis was 3.4% with a mean age of 45 years. Up to 65.1% of the patients were pre- menopausal. The mean interval between ovarian metastasis and primary cancer was 16 months. Lowly differentiated carcinoma ranked first in the primary gastric cancers. The majority of lesions occurred in the serous membrane （87.3%）. The metastatic sites included Nz.3 lymph nodes （68.3%）, bilateral ovaries （85.7%）, and peritoneal membrane （73%）. Total resection of metastatic sites was performed （31.7%）. The overall median survival was 13.6 months, whereas the overall 1-, 2-, and 3-year survival rates were 52.5%, 22.0%, and 9.8%, respectively. The 5-year survival rate was zero. Univariate analysis showed that the patient prognosis was correlated with metastatic peritoneal seeding, vascular tumor embolus, range of lesion excision, and mode of comprehensive treatment with adjuvant chemotherapy （P〈0.05）. Multivariate analysis indicated that metastatic peritoneal seeding was an independent prognostic factor for gastric cancer patients with ovarian metastasis （P〈0.01）. Conclusion： Effective control of peritoneal seeding--induced metastasis is important for improving the prognosis of gastric cancer patients with ovarian metastasis.展开更多
The current work presents a support tutoring program on the Japanese language applied to 12 newly arrived Brazilian students who moved to Japan after their parents migrated in order to work in electronic factories. Al...The current work presents a support tutoring program on the Japanese language applied to 12 newly arrived Brazilian students who moved to Japan after their parents migrated in order to work in electronic factories. All of them were not able to speak Japanese, even the greetings; during lunch time they also had to eat some types of food they had never had before. Certainly, it was a daily battle against the unknown as they interfaced between two very different cultures. This support tutoring program was implemented in a Japanese public school in Taiwa Town, Miyagi Prefecture, and it aimed to create an adequate environment that could provide a teaching-learning process in the cognitive, emotional, and social aspects to prepare the students to live in Japan, as well as to prepare them for their return to Brazil in the future.展开更多
The System Resource Constraint Theory intends to research growth of economy under different classes of system resource constraint. By analogy between ecology system and economic system, from the angle of total nature ...The System Resource Constraint Theory intends to research growth of economy under different classes of system resource constraint. By analogy between ecology system and economic system, from the angle of total nature resource, total supply ability and total market volume, the theory focuses on the constraint condition and development characteristic of economy as well as the various game characteristics among economies such as independence, competition, and joint competition. According to the math deduction, the author finds that Logistic model is relative with Marthus＇s model and Zero-growth model.展开更多
While over two thousand years apart, Western postmodernism and ancient Chinese philosophy share some extraordinary similarities, especially epistemology wise. For example, they both recognize the role of language in c...While over two thousand years apart, Western postmodernism and ancient Chinese philosophy share some extraordinary similarities, especially epistemology wise. For example, they both recognize the role of language in constructing, and limiting, knowledge and reality. This is because thinkers of different cultures and geographical regions, and of different historical periods, can possibly come up with similar philosophical conclusions when addressing what is commonly known as the ＂human condition＂. The paper will discuss, in general terms, some of the philosophical similarities between postmodemism and classical Chinese philosophy; it will also take a close look at three concepts in Chinese philosophy that register strong affinity with Western postmodernism： namely, change, dialectic, and relativism.展开更多
Objective： The correlation between the fasting blood-glucose （FBG） in early pregnancy and the gestational diabetes mellitus （GDM） was studied. Methods： The clinical data of 300 pregnant women receiving a treatme...Objective： The correlation between the fasting blood-glucose （FBG） in early pregnancy and the gestational diabetes mellitus （GDM） was studied. Methods： The clinical data of 300 pregnant women receiving a treatment from Yongqing Hospital of Traditional Chinese Medicine and Langfang Health Vocational College from September 2012 to September 2013 was chosen; these cases were divided into group 6.9-6.0 mmol/L （35 cases）, group 5.9~5.0 mmol/L （58 cases）, group 4.9~4.5 mmol/L （120 cases）, and group 4.4~4.0mmol/L （108 cases） according to the range of the normal FBG. The proportional differences among the pregnant women diagnosed with GDM in different groups during the late pregnancy as well as the maternal and fetal prognosis were compared. Results： The proportion of the pregnant women diagnosed with GDM in group 6.9-6.0 mmol/L and group 5.9-5.0 mmol/L during the middle-late pregnancy was significantly higher than that of group 4.9-4.5 mmol/L and group 4.4-4.0mmol/L; there was no significant proportional difference among the pregnant women diagnosed with GDM in group 6.9~6.0 mmol/L and group 5.9-5.0 mmol/L during the middle-late pregnancy; there was no significant proportional difference among the pregnant women diagnosed with GDM in group 4.9-4.5 mmol/L and group 4.4-4.0mmol/L during the middle-late pregnancy. Conclusion： The risk of the pregnant women with FBG is higher than that of the normal pregnant women in suffering GDM during the early pregnancy, so attention should be paid to early blood glucose test and the blood glucose level should be positively controlled once they are defmitely diagnosed with GDM, and then the perinatal and maternal survival quality can be improved.展开更多
文摘Objective： This study aims to explore the clinicopathologic characteristics and prognostic factors of gastric cancer patients with metachronous ovarian metastasis. Methods： Clinicopathologic data were collected from 63 post-operative gastric cancer patients with metachronous ovarian metastasis. The patients were admitted to the Cancer Institute and Hospital, Chinese Academy of Medical Science and Peking Union Medical College between January 1999 and December 2011. A log-rank test was conducted for survival analysis. Possible prognostic factors that affect survival were examined by univariate analysis. A Cox regression model was used for multivariate analysis. Results： The incidence of ovarian metastasis was 3.4% with a mean age of 45 years. Up to 65.1% of the patients were pre- menopausal. The mean interval between ovarian metastasis and primary cancer was 16 months. Lowly differentiated carcinoma ranked first in the primary gastric cancers. The majority of lesions occurred in the serous membrane （87.3%）. The metastatic sites included Nz.3 lymph nodes （68.3%）, bilateral ovaries （85.7%）, and peritoneal membrane （73%）. Total resection of metastatic sites was performed （31.7%）. The overall median survival was 13.6 months, whereas the overall 1-, 2-, and 3-year survival rates were 52.5%, 22.0%, and 9.8%, respectively. The 5-year survival rate was zero. Univariate analysis showed that the patient prognosis was correlated with metastatic peritoneal seeding, vascular tumor embolus, range of lesion excision, and mode of comprehensive treatment with adjuvant chemotherapy （P〈0.05）. Multivariate analysis indicated that metastatic peritoneal seeding was an independent prognostic factor for gastric cancer patients with ovarian metastasis （P〈0.01）. Conclusion： Effective control of peritoneal seeding--induced metastasis is important for improving the prognosis of gastric cancer patients with ovarian metastasis.
文摘The current work presents a support tutoring program on the Japanese language applied to 12 newly arrived Brazilian students who moved to Japan after their parents migrated in order to work in electronic factories. All of them were not able to speak Japanese, even the greetings; during lunch time they also had to eat some types of food they had never had before. Certainly, it was a daily battle against the unknown as they interfaced between two very different cultures. This support tutoring program was implemented in a Japanese public school in Taiwa Town, Miyagi Prefecture, and it aimed to create an adequate environment that could provide a teaching-learning process in the cognitive, emotional, and social aspects to prepare the students to live in Japan, as well as to prepare them for their return to Brazil in the future.
文摘The System Resource Constraint Theory intends to research growth of economy under different classes of system resource constraint. By analogy between ecology system and economic system, from the angle of total nature resource, total supply ability and total market volume, the theory focuses on the constraint condition and development characteristic of economy as well as the various game characteristics among economies such as independence, competition, and joint competition. According to the math deduction, the author finds that Logistic model is relative with Marthus＇s model and Zero-growth model.
文摘While over two thousand years apart, Western postmodernism and ancient Chinese philosophy share some extraordinary similarities, especially epistemology wise. For example, they both recognize the role of language in constructing, and limiting, knowledge and reality. This is because thinkers of different cultures and geographical regions, and of different historical periods, can possibly come up with similar philosophical conclusions when addressing what is commonly known as the ＂human condition＂. The paper will discuss, in general terms, some of the philosophical similarities between postmodemism and classical Chinese philosophy; it will also take a close look at three concepts in Chinese philosophy that register strong affinity with Western postmodernism： namely, change, dialectic, and relativism.
文摘Objective： The correlation between the fasting blood-glucose （FBG） in early pregnancy and the gestational diabetes mellitus （GDM） was studied. Methods： The clinical data of 300 pregnant women receiving a treatment from Yongqing Hospital of Traditional Chinese Medicine and Langfang Health Vocational College from September 2012 to September 2013 was chosen; these cases were divided into group 6.9-6.0 mmol/L （35 cases）, group 5.9~5.0 mmol/L （58 cases）, group 4.9~4.5 mmol/L （120 cases）, and group 4.4~4.0mmol/L （108 cases） according to the range of the normal FBG. The proportional differences among the pregnant women diagnosed with GDM in different groups during the late pregnancy as well as the maternal and fetal prognosis were compared. Results： The proportion of the pregnant women diagnosed with GDM in group 6.9-6.0 mmol/L and group 5.9-5.0 mmol/L during the middle-late pregnancy was significantly higher than that of group 4.9-4.5 mmol/L and group 4.4-4.0mmol/L; there was no significant proportional difference among the pregnant women diagnosed with GDM in group 6.9~6.0 mmol/L and group 5.9-5.0 mmol/L during the middle-late pregnancy; there was no significant proportional difference among the pregnant women diagnosed with GDM in group 4.9-4.5 mmol/L and group 4.4-4.0mmol/L during the middle-late pregnancy. Conclusion： The risk of the pregnant women with FBG is higher than that of the normal pregnant women in suffering GDM during the early pregnancy, so attention should be paid to early blood glucose test and the blood glucose level should be positively controlled once they are defmitely diagnosed with GDM, and then the perinatal and maternal survival quality can be improved.
