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      • KCI등재

        Malignant transformation of ovarian mature cystic teratoma into squamous cell carcinoma: a Taiwanese Gynecologic Oncology Group (TGOG) study

        An Jen Chiang,Min-Yu Chen,Chia-Sui Weng,Hao Lin,Chien-Hsing Lu,Peng-Hui Wang,Yu-Fang Huang,Ying-Cheng Chiang,Mu-Hsien Yu,Chih-Long Chang 대한부인종양학회 2017 Journal of Gynecologic Oncology Vol.28 No.5

        Objective: The malignant transformation (MT) of ovarian mature cystic teratoma (MCT)to squamous cell carcinoma (SCC) is very rare. This study analyzed cases from multiplemedical centers in Taiwan to investigate the clinicopathologic characteristics, treatment, andprognostic factors of this disease and reviewed related literature. Methods: Pathological reports of 16,001 patients with primary ovarian cancer who weretreated at Taiwan medical centers from 1990 to 2011 were reviewed. In total, 52 patients withMT of MCT to SCC were identified. Results: Among all ovarian MCTs, the incidence of MT to SCC is 0.2%. The median age ofpatients was 52 years (range, 29–89 years), and the mean tumor size was 10.5 cm (range, 1–40cm). We analyzed the patients in our study and those in the literature and determined thatearly identification and complete surgical resection of the tumor are essential for long-termsurvival. In addition, adjuvant chemotherapy or concurrent chemoradiotherapy can be usedto treat this malignancy. Old age, large tumor size (≥15.0 cm), and solid components in MCTsare suitable indicators predicting the risk of MT of MCT to SCC. Conclusion: Similar to general epithelial ovarian cancers, the early detection of MT of MCTto SCC is critical to long-term survival. Therefore, older patients with a large tumor or those with a tumor containing a solid component in a clinically diagnosed MCT should beevaluated to exclude potential MT to SCC.

      • KCI등재

        Trends in incidence and survival outcome of epithelial ovarian cancer: 30-year national population-based registry in Taiwan

        Ying-Cheng Chiang,Chi-An Chen,Chun-Ju Chiang,Tsui-Hsia Hsu,Ming-Chieh Lin,San-Lin You,Wen-Fang Cheng,Mei-Shu Lai 대한부인종양학회 2013 Journal of Gynecologic Oncology Vol.24 No.4

        Objective: To investigate the changes of incidence and prognosis of epithelial ovarian cancer in thirty years in Taiwan. Methods: The databases of women with epithelial ovarian cancer during the period from 1979 to 2008 were retrieved from the National Cancer Registration System of Taiwan. The incidence and prognosis of these patients were analyzed. Results: Totally 9,491 patients were included in the study. The age-adjusted incidences of epithelial ovarian cancer were 1.01, 1.37, 2.37, 3.24, 4.18, and 6.33 per 100,000 person-years, respectively, in every 5-year period from 1979 to 2008. The age-specific incidence rates increased especially in serous, endometrioid and clear cell carcinoma, and the age of diagnosis decreased from sixty to fifty years old in the three decades. Patients with mucinous, endometrioid, or clear cell carcinoma had better long-term survival than patients with serous carcinoma (log rank test, p<0.001). Patients with undifferentiated carcinoma or carcinosarcoma had poorer survival than those with serous carcinoma (log rank test, p<0.001). The mortality risk of age at diagnosis of 30-39 was significantly higher than that of age of 70 years or more (test for trend, p<0.001). The mortality risk decreased from the period of 1996-1999 (hazard ratio [HR], 0.90; p=0.054) to the period after 2000 (HR, 0.74; p<0.001) as compared with that from the period of 1991-1995. Conclusion: An increasing incidence and decreasing age of diagnosis in epithelial ovarian cancer patients were noted. Histological type, age of diagnosis, and treatment period were important prognostic factors for epithelial ovarian carcinoma.

      • A Cross-Cultural Comparative Study of Cultural Characteristics and Informa tion Search Behaviours of Business Travellers

        Che-Chao Chiang,Min-chi Chang,Po-Tsang Chen,Fu-Ming Chiang 세계문화관광학회 2010 Conference Proceedings Vol.11 No.0

        This study examines the information searching of business travelers and their behavior based on the cultural differences. Despite growing academic interest in business travel i n recent years, there has been little investigation of the information search behaviors of business travelers in a cross-culture context. The above themes are rational assumed that information search behaviour are necessary to understand. To address the identified gap s in the literature, the proposed relationships are examined and presented through using chi-square method with a survey sample. The research sample included Japanese, English and Chinese business travellers. A self-administrated questionnaire was distributed to 211 business travelers attending international conventions in Taipei. The research findings reveal that information preferences of business travelers are significantly differed from the three recognized groups in the case of Taiwan. Some significant differences in information search behaviors were recognized amongst the three recognized respondent groups. Marketing implications were also proposed and presented.

      • KCI등재

        Contesting patriarchy: Employment and gender roles of East Asian middle-class marriage migrants in Taiwan

        CHIANG Lan-Hung Nora 이화여자대학교 아시아여성학센터 2023 Asian Journal of Women's Studies(AJWS) Vol.29 No.2

        Studies of trans-local marriages in Taiwan focused on Mainland Chinese and Southeast Asian women married to Taiwanese men, documenting how they had joined the lower rungs of the work force, and shouldered a major amount of family responsibilities that included reproductive roles. They were projected in literature and the media as subjugated women and objects of commodified marriages and exploitation. In contrast, marriage migration of middle-class women was seldom studied. This paper explores East Asian middle-class marriage migrants’ embodied experiences in their work and family roles, exposing them to the patriarchal structures and unequal power relations that exist in Taiwan. Twenty in-depth interviews were conducted from 2019 to 2021 on participants from Greater China (Mainland China, Hong Kong, and Macau), Korea, Japan, and Singapore. Advanced education, professional performance, and feminist consciousness have empowered these women to become agents of change in the family and the workplace and shall benefit Taiwan’s economy in the long run as highly skilled human resources.

      • SCIESCOPUS

        The Poisson effect on the curved beam analysis

        Chiang, Yih-Cherng Techno-Press 2005 Structural Engineering and Mechanics, An Int'l Jou Vol.19 No.6

        The bending stress formula that taking into account the transverse deformation is developed for plane-curved, untwisted isotropic beams subjected to loadings that result in deformations in the plane of curvature. In order to account the transverse Poisson contraction effect, a new constitutive relation between force resultants, moment resultants, mid-plane strains and deformed curvatures for a curved plate is derived in a $6{\times}6$ matrix form. This constitutive relation will provide the fundamental basis to the analyses of curved structures composing of isotropic or anisotropic materials. Then, the bending stress formula of a curved isotropic beam can be deduced from this newly developed curved plate theory. The stress predictions by the present analysis are compared to those by the analysis that neglected the Poisson contraction effect. The results show that the Poisson effect becomes more significant as the Poisson ratio and the curvature are getting larger.

      • KCI등재후보

        Pull-Through Buddy Wire Technique for Endovascular Thrombectomy in Patients with Acute Ischemic Stroke: Technical Note

        Chiang Pin-Yi,Lin Yen-Heng,Huang Yu-Cheng,Lee Chung-Wei 대한신경중재치료의학회 2021 Neurointervention Vol.16 No.1

        Excessive tortuosity is a notable cause of failed endovascular thrombectomy for acute large-vessel occlusion stroke. Transcervical access (TCA) is a commonly proposed solution for overcoming this difficulty. However, the large-bore catheter usually used in TCA increases the risk of serious local complications. This paper presents a modified technique for TCA that uses a pull-through buddy wire (PTBW) to track a large-bore femoral guiding sheath (GS) into the carotid artery via a small carotid puncture site. The carotid puncture site can be easily managed through gentle manual compression. Two illustrative cases using this technique to deal with a large aortic arch and tortuous left common carotid artery are reported. In both cases, recanalization was achieved after successful GS placement. Using a PTBW is feasible in TCA.

      • SCIESCOPUSKCI등재

        Optimizing Production of Two Potential Probiotic Lactobacilli Strains Isolated from Piglet Feces as Feed Additives for Weaned Piglets

        Chiang, Ming-Lun,Chen, Hsi-Chia,Chen, Kun-Nan,Lin, Yu-Chun,Lin, Ya-Ting,Chen, Ming-Ju Asian Australasian Association of Animal Productio 2015 Animal Bioscience Vol.28 No.8

        Two probiotic strains, Lactobacillus johnsonii x-1d-2 and Lactobacillus mucosae x-4w-1, originally isolated from piglet feces, have been demonstrated to possess antimicrobial activities, antibiotic resistances and interleukin-6 induction ability in RAW 267.4 macrophages in our previous study. These characteristics make L. johnsonii x-1d-2 and L. mucosae x-4w-1 good candidates for application in feed probiotics. In this study, soybeal meal, molasses and sodium acetate were selected to optimize the growth medium for cultivation of L. johnsonii x-1d-2 and L. mucosae x-4w-1. These two strains were then freeze-dried and mixed into the basal diet to feed the weaned piglets. The effects of L. johnsonii x-1d-2 and L. mucosae x-4w-1 on the growth performance and fecal microflora of weaned piglets were investigated. The results showed that the bacterial numbers of L. johnsonii x-1d-2 and L. mucosae x-4w-1 reached a maximum of 8.90 and 9.30 log CFU/mL, respectively, when growing in optimal medium consisting of 5.5% (wt/vol) soybean meal, 1.0% (wt/vol) molasses and 1.0% (wt/vol) sodium acetate. The medium cost was 96% lower than the commercial de Man, Rogosa and Sharpe medium. In a further feeding study, the weaned piglets fed basal diet supplemented with freeze-dried probiotic cultures exhibited higher (p<0.05) body weight gain, feed intake, and gain/feed ratio than weaned piglets fed basal diet. Probiotic feeding also increased the numbers of lactobacilli and decreased the numbers of E. coli in the feces of weaned piglets. This study demonstrates that L. johnsonii x-1d-2 and L. mucosae x-4w-1 have high potential to be used as feed additives in the pig industry.

      • SCISCIESCOPUS

        On gauge dependence of gravitational waves from a first-order phase transition in classical scale-invariant <i>U</i>(1)<sup>′</sup> models

        Chiang, Cheng-Wei,Senaha, Eibun North-Holland Pub. Co 2017 Physics letters. Section B Vol.774 No.-

        <P><B>Abstract</B></P> <P>We study gauge dependence of gravitational waves produced from a first-order phase transition in classical scale-invariant U <SUP> ( 1 ) ′ </SUP> models. Accidental gauge independence of the one-loop effective potential in this class of models is spoiled by including thermal resummation. The gauge artifact in the resummed effective potential propagates to the gravitational wave spectrum and results in one order of magnitude uncertainties in the prediction under a specific gauge choice.</P>

      • KCI등재

        近十年來台灣民事程序法之新開展 -以證據法為中心

        Chiang Shyh Ming(姜世明) 충북대학교 법학연구소 2014 法學硏究 Vol.25 No.2

        For over a decade of years, the most significant issues regarding the Code of Civil Procedure in Taiwan , no matter legislatively, theoretically or practically, include: legal theory debates on burden of proof, the integrated legislation of procedure law for family cases, the new formulation of revocation action by a third party, the protection of right to hearing, the emphasis on litigation efficiency as well as one-offs dispute resolution, the enhancement of the concentrated trial system and the revolutions towards both second instance and third instance, etc. There is also material controversy between such mentioned revolutions and the general principles of the Code of Civil Procedure, especially in terms of adversarial principle and doctrine of disposition, when applying different system arrangements to various types of case. Besides, the Family Matters Law of R.O.C, released on January 11, 2012, has already been enforced on June 1of the same year. It combines contentious cases and non-contentious cases into one single law, which were previously regulated in the Code of Civil Procedure and the Non-litigious Matters Law. In the academic community, there are still some arguments remained highly divergent, among others, as to the segment of case types, the combination of procedures and the procedural switch mechanism. Due to limitations on space, this article is started with Taiwan's recent developments in evidence law and aimed to briefly introduce important topics for reference, which have drawn attention most recently from Taiwan academic community in the Code of Civil Procedure. For example, fishing expedition, the obligation of truth and completeness, etc. 近十餘年來,台灣民事程序法在立法及學說、實務上的重大議題包括:舉證責任法理爭議、家事事件程序的獨立立法、第三人撤銷之訴的增訂、合法聽審權的保障、訴訟經濟及紛爭解決一次性的強調、集中審理制度的強化及第二審與第三審的制度變革等。而此等變革與民事訴訟法的基本審理原則,尤其係處分權主義與辯論主義,究竟在不同事件類型應有如何不同制度之設計,在學理上存在重大爭議。 另台灣於2012年1月11日公布家事事件法,於同年6月1日施行。此部法律係將原規定在民事訴訟法中人事編之人事訴訟規定及非訟事件法中家事非訟事件加以整併,而成獨立之法。其中,關於事件類型區分、合併程序及程序換軌機制等,在學界有重大爭議。 基於篇幅有限,本文擬自證據法在台灣的新近發展出發,約略說明台灣民事程序法學界的最近關心的重點所在,例如具體化義務、摸索證明、真實義務及完全義務、事案解明義務、證據契約等問題,用供參考。

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