The recently released the $8^{th}$ edition of the American Joint Committee on Cancer (AJCC) Staging Manual introduces significant modifications from the prior $7^{th}$ edition. In this paper, the contents of the new changes in the decision of cancer of the head and neck is summarized except changes in staging of skin and thyroid cancer. In addition to the 8th edition, 1) Addition of extracapsular involvement in metastatic lymph nodes (N category) 2) Oral cancer T classification change, 3) Staging of the pharyngeal cancer was divided into 3 chapters: high-risk human papilloma virus (HR-HPV) associated oropharyngeal cancer (OPC), non HR-HPV associated OPC and hypopharynx cancer (HPC), and nasopharynx cancer (NPC) 4) Changes in T and N classification in NPC, 5) In the case of cancer of unknown primary, P16-positive case is defined as HR-HPV related OPC, and EBV-positive case is defined as NPC. The process that led to these changes highlights the need to collect high-fidelity cancer registry-level data that can be used to confirm prognostic observations identified in institutional data sets. Clinicians will continue to use the latest information for patient care, including scientific content of the 8th Edition Manual. All newly diagnosed cases through December $31^{st}$ 2017 should be staged with the 7th edition. The time extension will allow all partners to develop and update protocols and guidelines and for software vendors to develop, test, and deploy their products in time for the data collection and implementation of the 8th edition in 2018. The 8th edition strikes a balance between a personalized, complex system and a more general, simpler one that maintains the user-friendliness and worldwide acceptability of the traditional TNM staging paradigm.
Purpose: This study was aimed to revise Personal Power of Health Care (PPHC) scale which was developed to measure the personal power and competence for health care. Methods: Research phases designed for this study were literature review, scale development, and discussion with experts and pre-test for content validity, and survey for construct validity and reliability. The scale was composed of 25 items with 7 dimensions and tested to 592 adults ranged from 20 to 59 aged living in S and W city. Results: From factor analysis, 7 dimensions were identified and named as follows: Health-perception, Health problem identifying and solving, Socio-economical involvement, Sociocultural relationship, Self-regulation, Spiritual wellbeing, and Health policy participation. The total explained variance was 54.69%. The reliability was .817 of Cronbach's alpha. The PCHC scale was significantly different from gender, religion, education level, monthly income, and presence of family disease, but not different from age and job. Also, there were significant correlations among Health Promotion Lifestyles Profile II, WHO QOL-BREF and self-efficacy. Conclusion: This PCHC scale is reliable and valid to measure personal competence of health care.
Objectives : First, to restore reliability of oriental prescriptions that are effective against incurable diseases, Second, in the short term, to secure the validity of traditional remedies with the help of accumulated data and in the long term, develop new therapeutic methods and prescriptions in order to broaden its aspect in the field of medicine. Third, to maintain predominance on oriental therapeutic methods and put it into practical use based upon the results obtained by this paper. Methods : In the primary sub-thesis(herbalogical analytic methods applied on unknown oriental prescriptions), models of analytic method and in gathering information that could be put into practice are being revised In the secondary sub-thesis(method in gathering and analysing in dealing with oriental prescription), several statistical approaches and analysis on data that has been gathered are being revised. In the tertiary sub-thesis(research on legal guarantee of the offerer rights), an alternative scheme that covers the limitations of the legislative content in dealing with offerer rights is being revised Results : This research has revealed several problems, including those which were foreseen, in proceeding with the project. The prospect of the involvement of the medical personnel engaging in the field of oriental medicine was remarkably bright. Given the condition that the project will proceed as it follows, unknown oriental prescriptions and remedies which have been particularly ignored will eventually play an important role in clinical practice. Conclusions : It is clear to everyone that these oriental remedies will remain ignored by the public unless they gain popularity. Strict verifications on these oriental remedies are definitely needed in order to overcome this limitation. Finally, it should provide a momentum in the field of medicine in gaining popularity to the public.
Journal of Fisheries and Marine Sciences Education
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v.25
no.4
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pp.801-818
/
2013
This paper focuses on a differentiation strategy to improve educational competitiveness of education department. The reason is that education department stand now on the brink of a precipice because of low employment rate. For this, I researched on 'employment rate' and 'curriculum nature' of educational technology department of YW university and A university, lifelong education department of S university and D university, educational psychology department of SW university which are all related to pedagogy relation department recording relatively high-employment rate. Through the date, I'd like to emphasize that competitiveness of education department depends on a differentiation strategy and that strategy must be based on the influence of education with the consideration of obligation and characterization. And we find that a influence of education can be demonstrated in two aspects : a rational scheme's side and lively culture's side. In the rational scheme aspects, diversification and specialization of curriculum content considering department characteristics and curriculum management including mentoring and sense of realism are emphasized. On the side of culture scheme, positive involvement of members, outlook on the world defined by the concepts like challenge and passion to the future, a sense of community. These discussions will be a guide role on the future researches which focuses on improving competitiveness of education department.
Proceedings of the Korean Society of Plant Biotechnology Conference
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2005.11a
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pp.9-21
/
2005
To study the biochemical and physiological role of the plastidic glucose transporter (pGlcT) in carbohydrate metabolism, we characterized transgenic plants with mutations in the pGlcT gene (GT), gt-1 and gt-2, as well double mutants of GT and the maltose transporter (MEX1) and GT and the triose phosphate/phosphate translocator (TPT), GT and the cytosolic fructose-1,6-bisphosphatase gene (cFBP), and MEX1 and TPT, gt-1/mex2, gt-1/tpt-2, gt-1/cfbp-1, mex1-1/tpt-2, respectively. Compared to the wild type, all mutants except the gt-1/cfbp-1 mutant lines displayed higher starch accumulation and higher levels of maltose. Starch accumulation is due to a decrease in starch turnover, leading to an imbalance between the rates of synthesis and degradation. Sucrose levels of gt alleles were higher than those in wild-type plants during the light period, suggesting possible nightly supplementation via the maltose transport pathway to maintain proper carbohydrate partitioning in the plant leaves. The gt plants displayed less growth retardation than mex1-1 mutant and gt-1/mex2 double mutant displayed accumulativesevere growth retardation as compared to individual gt-1 and mex1-1 mutants, implying that the maltose transporter-mediated pathway is a major route for carbohydrate partitioning at night. The gt-1/tpt-2, mex1-1/tpt-2 and gt-1/cfbp-1 double mutants had retarded growth and low chlorophyll content to differing degrees, indicating that photosynthetic capacity had diminished. Interestingly, the gt-1/tpt-2 line displayed a glucose-insensitive phenotype and higher germination rates than wild type, suggesting its involvement not only in carbon partitioning, but also in the sugar signaling network of the pGlcT and TPT.
Lee, Eun-Hee;Lee, Kyung-Sook;So, Ae-Young;Smith-Stoner, Marilyn
The Journal of Korean Academic Society of Nursing Education
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v.16
no.1
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pp.129-139
/
2010
Purpose: A new scale was developed to measure personal power and ability for health care and promotion including health determinants. Method: Research phases designed for this study were a literature review, scale development, discussion with experts, pre-test for content validity, and survey for construct validity and reliability. The scale was composed of 20 items on 4 point Likert scale and was tested on middle aged Korean-Americans (110) and Koreans (105) living in a community. Result: As the result of factor analysis, 7 dimensions were identified that were similar yet different from the original dimensions. They included health literacy, socialbelonging and gender role, self-perception, health policy participation, socio-cultural interpersonal relationships, spiritual comfort, and socioeconomic involvement. The total variances explained 59.73%. The reliability was .736 of Cronbach's alpha. The mean PPHC was not different in age, gender, economic status and disease presence, but significantly different in country where living, religion, education level, job presence, and emigration period. The increased power group perceived more wellbeing and less depression, high internal locus of control and increased power with others. In addition, they had a greater health promotion lifestyle profile. Conclusion: This scale was statistically reliable and valid to measure personal power of health care.
Tahlil, Teuku;Coveney, John;Woodman, Richard J.;Ward, Paul R.
Asian Pacific Journal of Cancer Prevention
/
v.14
no.2
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pp.865-871
/
2013
Background: The present qualitative study assessed the need, acceptability and appropriateness for implementing effective and culturally appropriate smoking prevention programs for adolescents in schools in Indonesia. Methods: Snowball sampling was used to recruit participants. The study sample comprised a mixture of staff in the education department, junior high school teachers and individuals who had taught junior high school students in Aceh Province, Indonesia. Data were collected through one hour in-depth face to face or telephone interviews and analyzed using a descriptive content analysis procedure. Results: School teachers and policy makers in education firmly supported the implementation of a school-based smoking prevention program in Aceh. An appropriate intervention for smoking prevention program in schools in Aceh should involve both health and Islamic based approaches, and be provided by teachers and external providers. Potential barriers to the program included smoker teachers and parents, time constraints of students and/or teachers, lack of teachers' ability, increase in students' load, the availability of tobacco advertising and sales, and lack of tobacco regulation and support from community and related departments. To increase program effectiveness, involvement of and coordination with other relevant parties are needed. Conclusions: The important stakeholders in Indonesian childhood education agreed that school-based smoking prevention program would be appropriate for junior high school students. An appropriate intervention for smoking prevention program for adolescents in schools in Indonesia should be appropriate to participants' background and involve all relevant parties.
Journal of the Korean Society for Library and Information Science
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v.29
/
pp.205-230
/
1995
The publication of books on modern agriculture started under the influence of Silhak Thought developed from the late Chosun Dynasty. The common intention found in these publications is the objective to enrich the country through increased agricultural productivity and thus to secure national independence from the surrounding powers. The study reviews three different categories in this area; five general books on agriculture, three on agriculture related legal regulations, and ten books introducing techniques of commercial agriculture. The first category is comprehensive treatment of general agricultural content and the second is legal regulations which affected the contemporary agriculture. The third category is introductory books on commercial techniques aimed at accumulating wealth through agriculture. Silkworm cultivation occupies an important place in these publications owing to the active encouragement given by the Section of Silkworm Cultivation in the Ministry of Agriculture, Commerce and Industry. We can recognise the extensive involvement of Suh Pyung Sook, who served as the Section Chief of Silkworm Cultivation in 1904, by examining introductions and prefaces of many books in this category. The examples of general books on agriculture are 'New Agricultural Administration' (농정신편), 'General Introduction on Agiculture' (농업대요), 'New Textbook on Agricuture' (신찬농업교과서), 'Pragmatic Agriculture' (실리농방신편), Of these, 'New Agricultural Administration' (농정신편) is evaluated as the first publication on modern agriculture. It was written in 1881, and the first edition was published was published in 1901 with the second edition following in 1905. Examples of the second category are; 'The regulation on utilizing uncultivated state owned land' (국유미간지리용법) legislated and declared with the intention of expanding cultivated area, 'Mining and Forestry Regulation' (광임법규), 'Forest Land Regulation' (임야법령) to administer mining and forestry. Books on commercial agriculture take up the highest proportion in the agricultural publication of this period. These cover silkworm cultivation, chicken farming, vegetables and fruits. The books introduce Western techniques with more scientific and rational approach especially on Silkworm cultivation and chichen farming which had become increasingly significant as commercial agriculture from the late Chosun Dynasty.
This study was done to find a way to resolve a problem in a periodical situation. Recently, the youth unemployment problem became a major factor in social issues. Regarding this issue and employment with high involvement, a new employee's OJT fee acts as a burden. This research will focus on concrete solutions needed to resolve this problem. In terms of content for research, we will firstly analyze representative institutions(NCS) which is responsible for qualifications needed to collect information required to extract major license that carry an easy access to business matters. With a base on this, we will use AHP analysis technique and proposal of research format and extract major license that carry an easy access to business matters. This is considered to be a significant regulation for reducing OJT fee and selecting licenses necessary for getting a job; therefore, the objective of this research is providing a basic structure for sorting licenses with easy access to business matters out and proving grounds for decision in acquiring certifications.
We previously demonstrated that root colonization of the rhizobacterium, Pseudomonas chlororaphis O6, induced expression of a galactinol synthase gene (CsGolS1), and resulting galactinol conferred induced systemic resistance (ISR) against fungal and bacterial pathogens in cucumber leaves. To examine the role of galactinol on ISR, drought or high salt stress, we obtained T-DNA insertion Arabidopsis mutants at the AtGolS1 gene, an ortholog of the CsGolS1 gene. The T-DNA insertion mutant compromised resistance induced by the O6 colonization against Erwinia carotovora. Pharmaceutical application of 0.5 - 5 mM galactinol on roots was sufficient to elicit ISR in wild-type Arabidopsis against infection with E. carotovora. The involvement of jasmonic acid (JA) signaling on the ISR was validated to detect increased expression of the indicator gene PDF1.2. The T-DNA insertion mutant also compromised tolerance by increasing galactinol content in the O6-colonized plant against drought or high salt stresses. Taken together, our results indicate that primed expression of the galactinol synthase gene AtGolS1in the O6-colonized plants can play a critical role in the ISR against infection with E. carotovora, and in the tolerance to drought or high salt stresses.
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