Endoscopic variceal obturation of gastric varices with tissue glue is considered the first choice for management of gastric varices, and is usually safe and effective. However, there is still a low ...incidence of complications and some are even fatal. Here, we present a case in which endoscopic variceal ligation caused laceration of the esophageal varicose vein with tissue glue emboli and massive bleeding after 3 mo. Cessation of bleeding was achieved via variceal sclerotherapy using a cap-fitted gastroscope. Methods of recognizing an esophageal varicose vein with tissue glue plug are discussed.
AIM: To evaluate the associations of serum folate levelwith development, invasiveness and patient survival of gastric cancer. METHODS: In this nested case-control study, patients with newly diagnosed ...gastric cancer undergoing gastrectomy were enrolled, and patients receiving chemotherapy prior to surgery, with other concurrent malignancy, or of the aboriginal and alien populations were excluded. In total, 155 gastric cancer patients and 149 healthy controls were enrolled for determination of serum folate levels and their correlation with gastric cancer. Using the median value of serum folate computed among the overall population as the cutoff value, the associations between serum folate and gastric cancer in all cases and different age and gender subgroups were analyzed by multivariate logistic regression analysis. In the patient cohort of gastric cancer, receiver-operating characteristic analyses were performed to calculate the best cutoff values of serum folate, and the associations between serum folate levels and clinicopathological features were further analyzed by multivariate regression analysis. Survival analyses were conducted using the Cox proportional hazards model.RESULTS: The mean serum folate level was significantly lower in gastric cancer patients than that in controls(3.71 ± 0.30 ng/mL vs 8.00 ± 0.54 ng/mL, P < 0.01), and folate levels were consistently lower in gastric cancer patients regardless of age and gender(all P < 0.01). Using the median serum folate value as the cutoff value, low serum folate was significantly associated with gastric cancer risk in the whole population(OR = 19.77, 95%CI: 10.54-37.06, P < 0.001) and all strata(age < 60 years OR = 17.39, 95%CI: 7.28-41.54, age ≥ 60 years(OR = 21.67, 95%CI: 8.27-56.80), males(OR = 17.95, 95%CI: 7.93-40.62), and females(OR = 20.95, 95%CI: 7.66-57.31); all P < 0.001. In the patient cohort of gastric cancer, the respective cutoff values showed that low serum folate levels were significantly associated with serosal invasion(OR = 2.54, 95%CI: 1.23-5.23), lymphatic invasion(OR = 2.23, 95%CI: 1.17-4.26), and liver metastasis(OR =6.67, 95%CI: 1.28-34.91) of gastric cancer(all P < 0.05). Serum folate level below 1.90 ng/mL was associated with poor patient survival(HR = 1.84, 95%CI: 1.04-3.27, P < 0.05) in univariate analysis.CONCLUSION: Lower serum folate levels were significantly associated with gastric cancer development and invasive phenotypes. The role of folate depletion in gastric cancer invasion warrants further study.
碩士
淡江大學
國際商學碩士在職專班
95
In order to face the highly competitive environment of Taiwan financial market,
banks are needed to understand the consumer characteristics to upgrade the customer
service ...quality of its target market. According to the needs of consumers of target
market, banks can provide the most suitable financial products to create the
competitive advantage. The purpose of this research is to use the lifestyle variables as
segmentation bases. A total of 398 questionnaires are collected from the Taipei
branches of Ta Chong Bank.
The research findings are as follows:
1. On 34 questions of lifestyle (AIO) questionnaires by using the Factor analysis to
format eight factors, namely, “ Fashion brand”, “Socialization Active”, “Generic
Practical”, “Disciplinary life”, “Family Warmth”, “Feeling Emotion”, “Creativity
Active”, and “Future Brighten”.
2. By using Cluster and Discriminated analysis, respondent samples can be segmented into three market segments, namely. “Fashion Socialization”, “External – Control
一個新興事業創建的初期，除了對外有營運上的挑戰，在內部還要面對資源分配、人員聘用以及財務上周轉等的基本營運問題，由於其缺少同產業上可仿效或是追隨的目標對象，使得創建時期潛藏的不確定因子往往比具有某種程度規模的組織來的更多。本研究以本研究者和其團隊在2006年年底所創立之公司為研究對象，從綠色光電產業市場中的初級資料和次級資料，以質性研究方法，探討下面三面向之問題 ...(機會、團隊與資源)：L公司在綠色光電的產業中之未來營運機會為何？在L公司發展過程中，團隊的核心能力為何？L公司如何在外界的環境中善用現有資源？如何找到他們？ 結合的方式為何？
本研究是藉由夏恩博士於2005年所著「科技創業聖經」，原名為「尋找肥沃田地 – 為新事業辨視絕佳的機會」(Finding Fertile Ground – Identifying Extraordinary Opportunities for New Ventures) 書中的十個章節與L公司發展過程做一檢視，在機會的面向：選擇正確的產業、找出有價值的機會、管理科技演變、鎖定市場的真正需求、及了解顧客採用行為；團隊的面向: 管理智慧財產權與選擇正確的組織結構；資源的面向：利用既有公司的弱點、將報酬導向創新與管理風險和不確定性，以這十個面向為經，並利用Jeffry A.Timmons和 Stephen Spinelli在2003年所著的New Venture Creation – Entrepreneurship for 21st Century創業三構面 (機會、團隊與資源)為緯，將研究與實務做一比較，找出L公司下一步的方向與策略。
本研究發現，L公司在經由上述的檢討與行動修正後，能找到適當的利基點，正確掌握公司的核心能力，並隨著動態環境的改變適時作出調整，降低營運的風險。
A new intention venture who builds up in the early stage faces the challengues not only the outsides operation, but how to solve the resources allocation, employee recruitment and finance issues…etc. Because this kind of new intention ventures are lack of t
碩士
國立政治大學
經營管理碩士學程(EMBA)
96
A new intention venture who builds up in the early stage faces the challengues not only the outsides operation, but how to solve the resources allocation, employee ...recruitment and finance issues…etc. Because this kind of new intention ventures are lack of the benchmark in the same industry, which make much more uncertain factors than in large scale companies. This research adopts researcher herself company, L Company, which is founded in the end of 2006 as the case study. We want to explore the following 3 dimention questions (Opportunities, Team and Resources) in green lighting industry with initial data and second level data, and use inductive research method.
The three questions are:
1. What’s the future opportunity for L Company in the green lighting industry?
2. What’s the core competency from L company’s team in its developing process?
3. How to utilize the current resources in outsides environment for L Company? And how to find them and what are the methods to leverage them?
AIM:To compare the results of non-mydriatic ultra-wide field imaging system,mydriatic slit-lamp lens(Volk+90 D) and mydriatic Goldmann three-mirror contact lens examinations in screening fundus ...lesions among patients after cataract surgery.METHODS:Non-mydriatic images were obtained with an Optomap panoramic 200Tx(Optomap 200Tx) 3d after surgery and graded by a blinded ophthalmologist.A mydriatic slit-lamp lens examination was performed by another blinded retinal specialist on the same day.A third blinded retinal specialist examined patients two weeks after surgery using a Goldmann three-mirror contact lens.RESULTS:In total,160 patients(184 eyes) were examined,and 66,69,and 75 cases of retinal lesion(s)were identified using the Optomap 200 Tx,slit-lamp lens,and Goldmann three-mirror contact lens,respectively.In13 cases,fundus changes were sight-threatening.The results obtained by Optomap 200 Tx examination and by mydriatic slit-lamp lens examination have good consistency(P =0.375,Kappa =0.942).The mydriatic Goldmann three-mirror lens examination revealed more fundus lesions but are consistent with Optomap 200Tx(P=0.004,Kappa =0.897) and mydriatic slit-lamp lens examination(P=0.031,Kappa=0.932).CONCLUSION:Early post-operative fundus screening in cataract patients is extremely important and necessary to prevent further vision loss.Wide-field imaging is a feasible and convenient tool for fundus examination that can be used as a primary screening method among patients after cataract surgery.
AIM：To compare the results of non-mydriatic ultra-wide field imaging system,mydriatic slit-lamp lens（Volk＋90 D） and mydriatic Goldmann three-mirror contact lens examinations in screening fundus ...lesions among patients after cataract surgery.METHODS：Non-mydriatic images were obtained with an Optomap panoramic 200Tx（Optomap 200Tx） 3d after surgery and graded by a blinded ophthalmologist.A mydriatic slit-lamp lens examination was performed by another blinded retinal specialist on the same day.A third blinded retinal specialist examined patients two weeks after surgery using a Goldmann three-mirror contact lens.RESULTS：In total,160 patients（184 eyes） were examined,and 66,69,and 75 cases of retinal lesion（s）were identified using the Optomap 200 Tx,slit-lamp lens,and Goldmann three-mirror contact lens,respectively.In13 cases,fundus changes were sight-threatening.The results obtained by Optomap 200 Tx examination and by mydriatic slit-lamp lens examination have good consistency（P =0.375,Kappa =0.942）.The mydriatic Goldmann three-mirror lens examination revealed more fundus lesions but are consistent with Optomap 200Tx（P=0.004,Kappa =0.897） and mydriatic slit-lamp lens examination（P=0.031,Kappa=0.932）.CONCLUSION：Early post-operative fundus screening in cataract patients is extremely important and necessary to prevent further vision loss.Wide-field imaging is a feasible and convenient tool for fundus examination that can be used as a primary screening method among patients after cataract surgery.
Because of the growth of Internet commerce, individual online transactions will grow rapidly. So in this paper we propose an interactive negotiation agent system on the Internet to help buyers make ...decisions. We use multi-attribute utility theory as the basic decision making strategy and the theorem is useful for the multicriteria decision. We stated the user goal that can be divided into several independent goals and the sub goals can be negotiated with sellers in parallel. On the other hand the user cannot handle the complex process individually; we take advantage of the agent technology as the major system developed.
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