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Construction and Implementation Path of Tripartite Linkage School Sports Insurance Pattern
Lian Xiao-gang,Cao Jing-chuan 아시아건강운동학회 2021 Journal of Asian Society for Health & Exercise Vol.3 No.2
The construction of appropriate pattern is an important measure to promote the development of school sports insurance. The expert interview method and case study method and other research methods are adopted to explore the construction and implementation path of the tripartite linkage school sports insurance pattern. Research believes that tripartite linkage school sports insurance pattern is based on the modernization of national governance and the establishment of the concept of the assumption risk. Collaborative governance theory and welfare pluralism theory is the theoretical basis. The tripartite linkage pattern is an operation style of government-led, school-supported and family-based. It advocates the government, school and families jointly contribute in proportion to provide school sports insurance for students. The implementation of the tripartite linkage school sports insurance pattern can be promoted from government guidance, legal construction, pilot exploration and other ways.
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Si-Qi Dong,Tong-Min Wang,Jiang-Bo Zhang,Yong-Qiao He,Wen-Qiong Xue,Zi-Yi Wu,Da-Wei Yang,Lian-Jing Cao,Jing-Wen Huang,Xi-Zhao Li,Pei-Fen Zhang,Xiao-Hui Zheng,Wei-Hua Jia 대한암학회 2021 Cancer Research and Treatment Vol.53 No.3
Purpose Capecitabine is an extensively used oral prodrug of 5-fluorouracil in treatment of colon cancer and is known to cause hand-foot syndrome (HFS). As the target enzyme for capecitabine, thymidylate synthase (TYMS) plays a key role for 5-fluorouracil metabolism and has been associated with some side effects caused by capecitabine. The aim of our study is to identify the possible genetic predictors of capecitabine-induced HFS (CAP-HFS) in Chinese colorectal cancer patients.Materials and Methods Whole exons of TYMS were sequenced for 288 extreme phenotype HFS patients, including 144 severe or early-onset (first 2 cycles) moderate HFS extreme cases and 144 extreme controls with no reported HFS. The associations between polymorphisms and CAP-HFS were analyzed using logistic regression under an additive model.Results We identified a novel risk mutation (c.1A>G, chr18:657743), was associated with severe HFS in an extreme case who was affected during the first cycle of treatment. Moreover, we identified three new variants, rs3786362, rs699517, rs2790, and two previously reported variants, 5’VNTR 2R/3R and 3′-untranslated region 6-bp ins-del, which were significantly associated with CAP-HFS (p < 0.05). In silico analysis revealed that the effect of these polymorphisms in the TYMS region on the development of HFS might not be restricted solely to the regulation of TYMS expression, but also the TYMS catalytic activity through the indirect effect on ENOSF1 expression.Conclusion This study identified new polymorphisms in TYMS gene significantly associated with CAP-HFS, which may serve as useful genetic predictors for CAP-HFS and help to elucidate the underlying mechanism of HFS.
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