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      • Mitigation the Impact and Survive from Extreme Drought of Climate Change and Global Warming

        Chien-Hsing Chu,Ching-yuan Lu,Chung-Yan Li,Fang-Lin Liao,Yu-Chi Lee 한국방재학회 2016 Journal of Disaster Management Vol.1 No.2

        Tap Water is the lifeline of human existence. Due to the effect of the Climate Change, the world has experienced an uneven distribution of rainfall in recent years, cause of floods or droughts. A series drought broke out in Taipei city gave chance to protect our county and test our reliabilities to citizen. This developments but has also realize the agricultural water should cooperate effectively shift dial [2], active water conservation ordinance relaxed, provide valuable water resources. Water utilities in response to the challenges of extreme drought, should face the New thinking that the difference between the price of water upon request, considering distinguish the dry season and the rainy season in different water, and the water does not hike the basic livelihood of the people; to consider the idea of building “Our sponge cities sponge Taiwan”; avoid low tariff wasted water, or the use of reasonable price adjustments after yearly, water problems can be solved in Taipei area; contributed to the dry season to strengthen water conservation and carbon reduction to achieve the effect or open consumptive water use of large household[2] and strengthen told: the key to sustainable development of water resources, “NO WATER NO FUTURE”.

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        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.

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