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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.

      • 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

        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.

      • SSCISCOPUSKCI등재

        Middle-class Taiwanese Immigrant Women Adapt to Life in Australasia : Case Studies from Transnational Households

        CHIANG, Lan-hung Nora Asian Center for Women's Study ; Ewha Womans Unive 2004 Asian Journal of Women's Studies(AJWS) Vol.10 No.4

        Most women have joined the stream of immigrants from Taiwan to Australasia as associational movers and supporters rather than as autonomous migrants, as part of the Business and Skills Migration Programs. Previous research on Taiwanese immigrants to Australasia has not included a gender-sensitive dimension and this study seeks to understand the immigrant experience and types of problems faced by women in particular. The term "tan chi ma md." was coined for lone mothers who stay in Australasia with their children during their education, while the men moved back to Taiwan or to other countries to make a living. In spite of their middle-class background and work experiences, the former were excluded from the labor market, and often became full-time homemakers. In this preliminary investigation, four case studies from Australia and New Zealand are presented to illustrate the types of adaptations made by women as "tan chi ma ma." In spite of struggling to balance the needs of husbands and children and suffering a number of disadvantages in their new environment, they frequently enjoyed an autonomy and freedom from responsibilities they had to fulfill toward their extended families in Taiwan, under the control of their in-laws. Apart from the mutual support and bonds amongst other migrant women, these women benefited considerably from Taiwanese associations of various kinds, which provided practical care upon arrival, friendship, and Chinese educational resources for their children. They were also able to contribute as volunteers in the host society and gain in terms of personal growth and self-esteem, despite facing several difficulties in adapting to the new environment. In this paper, the voices of Taiwanese women are represented through a qualitative study to gain an empathetic understanding of their situation.

      • SCOPUSKCI등재
      • 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.

      • KCI등재

        The Effects of Virtual Upper Extremity Training Using the RAPAEL Smart Glove on Physical and Cognitive Function in Stroke Survivors - A Single Group Study -

        Chiang-Soon Song,Jae-Heon Lim,Byeong-Hyeon Jeon,Hye-Sun Lee 대한고유수용성신경근촉진법학회 2019 PNF and Movement Vol.17 No.2

        Purpose: The purpose of this study was to evaluate the effects of a virtual upper extremity training program using the RAPAEL Smart Glove on upper extremity function in stroke survivors with chronic hemiparesis and to focus the training program development using the Smart Glove as a feasibility study. Methods: This study was conducted using a single group and pre-post test research design in the outpatient departments of local rehabilitation units. Ten chronic hemiparetic stroke survivors with a diagnosis of first stroke received therapeutic rehabilitation at the rehabilitation units. All the participants used a virtual reality program with the RAPAEL Smart Glove for 30 minutes per session 3 days a week over 8 weeks. They also received conventional occupational therapy with functional electrical stimulation for 40 minutes per session 3 days a week for 8 weeks as an additional therapy. To analyze the effects of this therapeutic intervention, four clinical measures, including the box-block test (BBT), the Wolf motor function test (WMFT), the trail-making score, the Jebsen Taylor hand function test (JTHFT), and grip strength, were used. Results: Upon completion of the intervention in week 8, all the participants demonstrated significant WMFT, JTT, BBT, grip strength, and trail-making score gains compared to the respective baselines at week 0. Conclusion: This study suggests that virtual upper extremity training using the RAPAEL Smart Glove has a reasonable and beneficial effects on upper extremity function in chronic hemiparetic stroke survivors.

      • KCI등재

        The Corrosion Behavior of Cold-Rolled 304 Stainless Steel In Salt Spray Environments

        Chiang, M.F.,Young, M.C.,Huang, J.Y. Korean Radioactive Waste Society 2011 방사성폐기물학회지 Vol.9 No.2

        염분분위기에서의 부식은 사용후핵연료의 중간저장 기간동안 304 스테인레스 강재 건식저장용기의 주 열화기구들 중 하나다. 본 연구에서는 감소정도가 서로 다른 냉연 304 스테인레스 강 시편들에 0.5wt.%의 염화나트륨 연무를 분사시키면서 느린 변형속도시험(SSRT)과 중성염 분사시험(NSS)을 $85^{\circ}C$와 $200^{\circ}C$ 에서 수행하였다. $85^{\circ}C$에서 2000 시간 동안 시험한 NSS시편의 무게 변화는 $200^{\circ}C$에서 시험한 시편의 무게 변화와 크게 달랐다. NSS 시편의 $85^{\circ}C$에서 무게 감량은 미미하였지만, 냉연 감소율이 증가함에 따라서 무게 변화는 점진적으로 감소하였다. $85^{\circ}C$와 $200^{\circ}C$에서 그리고 염분분사 환경에서 가볍게 냉연 가공된 시편의 SSRT 시험으로부터 얻은 항복강도와 극한 인장응력의 값은 공기 중의 값보다 약간 낮았다. 그러나 염분 분위기에서 부식으로 인한 20% 감소 냉연시편의 강도는 더 이상 변화하지 않았다. 예비결과는 냉연 304 스테인레스 강의 질과 성능이 건식저장용기의 제작을 위한 조건에 맞는다는 것을 증명하였다. 그러나 냉연 스테인레스 강의 장기적인 성능을 더 잘 이해하기 위해서는 염분분위기에서 이 재질의 부식거동에 관한 더 많은 연구가 필요하다. Saline corrosion is one of the major degradation mechanisms for stainless steel type 304 (SS304) dry storage cask during the spent fuel interim storage period. Slow strain rate test (SSRT) and neutral salt spray test (NSS) were performed at $85^{\circ}C$ and $200^{\circ}C$ with 0.5 wt% sodium chloride mist sprayed on the cold-rolled SS304 specimens of different degrees of reduction in this study. The weight changes of the NSS specimens tested at $85^{\circ}C$ for 2000 hours differed greatly from those at $200^{\circ}C$. The weight loss of NSS specimens was not significant at $85^{\circ}C$ but the weight gain decreased gradually with increasing the cold-rolled reduction. The yield strength (YS) and ultimate tensile stress (UTS) values obtained from the SSRT tests for lightly cold-rolled specimens in the salt spray environment at $85^{\circ}C$ and $200^{\circ}C$ are slightly lower than in air. But for those with 20% reductions, the specimen strengths were no longer changed by the saline corrosion. The preliminary results demonstrated that the quality and performance of cold-rolled SS304 is acceptable for fabrication of dry storage casks. However, more work on the corrosion behavior of cold-rolled stainless steel in the saline atmosphere is needed to better understand its long-term performance.

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