• Title/Summary/Keyword: Armstrong

Search Result 63, Processing Time 0.031 seconds

Impact of Age on Clinicopathological Features and Survival of Patients with Noncardia Gastric Adenocarcinoma

  • Bautista, Marita C.;Jiang, Sheng-Fang;Armstrong, Mary Anne;Postlethwaite, Debbie;Li, Dan
    • Journal of Gastric Cancer
    • /
    • v.14 no.4
    • /
    • pp.238-245
    • /
    • 2014
  • Purpose: Gastric cancer often occurs in the elderly but is uncommon in young individuals. Whether young patients have different clinical behaviors and outcomes from those of older patients remain unclear. Materials and Methods: We identified 1,366 cases of newly diagnosed noncardia gastric adenocarcinoma from the Kaiser Permanente Northern California Cancer Registry between 2000 and 2010. We then compared the clinicopathological features and survival among the different age groups. Results: The male : female ratio differed significantly between the younger and older patient groups (0.84 in age <50 years vs. 1.52>60 years, P<0.01). More younger patients were Hispanic (54% patients <40 years vs. 19% patients ${\geq}70$ years, P<0.0001), while more older patients were Caucasian (49% patients ${\geq}70$ years vs. 15% patients <40 years; P<0.0001). The diffuse/mixed histological type was more prevalent in younger patients (70% patients <40 years vs. 27% patients ${\geq}70$ years; P<0.0001), whereas the intestinal type was more frequent in older patients (71% in patients ${\geq}70$ years vs. 30% in patients <40 years; P<0.0001). Poorly differentiated adenocarcinoma was more common in the younger patients (80% in patients <40 years vs. 60% in patients ${\geq}70$ years; P=0.016). Survival rates at 1, 2, and 5 years gradually declined with increasing age (overall P=0.0002). Conclusions: Young patients with gastric cancer had more aggressive disease but higher overall survival rates than older patients. Younger Hispanic patients and older Caucasian patients were more likely to be diagnosed with gastric cancer. These differences may be due to biological predisposition and/or environmental exposure.

Analysis on Productivity of Logistics Providers - Focusing on the Warehouses Industry - (글로벌 물류기업의 경영 생산성 분석 -물류창고를 중심으로-)

  • Ohh, Won-Gewn
    • Journal of Korea Port Economic Association
    • /
    • v.28 no.2
    • /
    • pp.113-128
    • /
    • 2012
  • By strengthening the market control and expanding the networks, providers of global logistics are expanding their service scope. Warehouses connects networks to between internal and external warehouses worldwide by using employees. The paper focuses on analyzing the efficiency of the top forty Global Logistics Providers. Therefore, the study classifies the factors which specify the efficiency of a total logistics industry and verified its firmness. Furthermore, the most recent published reports by Logistics Quarterly and Armstrong Association in 2012 was used in order to guarantee credibility of the study. For scope period for analysis, this study utilizes three years of materials, from 2007 to 2010. By applying the DEA Window model and Malmquist, the trend in efficiency and stableness was analyzed. Consequently, the main purpose of the paper is evaluating the efficiency. Also, analyzing its determinants and illustrating a long-term relationship between the annual turnover and the number of Industry Focus/Key Customers was used as output measures. In addition, the number of warehouses worldwide and employees worldwide, of Logistics Providers were used as input measures.

THE EFFECT OF DIFFERENT CARBOHYDRATE AND NITROGEN SOURCES ON THE UTILIZATION OF AMINO ACIDS IN THE SMALL INTESTINE OF SHEEP

  • Lee, N.H.;Armstrong, D.G.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • v.3 no.3
    • /
    • pp.165-175
    • /
    • 1990
  • This experiment was conducted to examine the effects of different carbohydrate and nitrogen source upon the utilization of amino acids in the small intestine of sheep. The results obtained are as follows: 1) For the quantities of total amino acid-N(TAA-N), essential amino acid-N(EAA-N) and nonessential amino acid-N(NEAA-N) passing at the duodenum and ileum except NEAA-N passing at the ileum were no significant differences (p>0.05) between diets. The quantities of NEAA-N passing at the ileum for the diets containing meat and bone meal were significantly higher (p>0.05) than the diets containing soybean meal. The mean values for the proportionate disappearance apparently digested TAA-N, EAA-N and NEAA-N within the small intestine for four diets were $0.692{\pm}0.0449$, $0.702{\pm}0.0132$ and $0.682{\pm}0.726$, respectively. 2) There were no significant differences (p>0.05) in duodenal individual amino acid flow between diets with the exception of aspartic acid and glycine. The amounts of each amino acid in duodenal digesta, expressed as a proportion of the amounts ingested for the four diets, were shown that there were net gains of EAA with the exception of arginine and NEAA with the exception of glutamic acid, glycine and praline prior to the small intestine. 3) Within the small intestine, there were no significant losses of each EAA (p>0.05) but significant losses of aspartic acid and glycine of NEAA between diets (p<0.01). The mean values of the proportionate losses of methionine, alanine and lysine within the small intestine were $0.816{\pm}0.04$, $0.767{\pm}0.04$ and $0.732{\pm}0.01$, respectively.

Roles of Illness Attributions and Cultural Views of Cancer in Determining Participation in Cancer-Smart Lifestyle among Chinese and Western Youth in Australia

  • Wei, Celine;Wilson, Carlene;Knott, Vikki
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.14 no.5
    • /
    • pp.3293-3298
    • /
    • 2013
  • Background: The study investigated the influence of culturally-based health beliefs on engagement in healthy lifestyle behaviour. Specifically, the study compared levels of engagement between Western and Chinese youth in Australia and assessed the extent to which culture-specific attributions about the causes of illness, and health beliefs, predict engagement in healthy lifestyle behaviour. Materials and Methods: Ninety-four Western and 95 Chinese (N=189; Mean Age=20.8 years, SD=3 years) young adults completed an online questionnaire. Predictor variables were cultural health beliefs measured by the Chinese Cultural Views on Health and Illness scale (CCVH, Liang et al., 2008), and illness attributions beliefs measured by the Cause of Illness Questionnaire (CIQ, Armstrong and Swartzman, 1999). Outcomes variables were levels of engagement in healthy lifestyle behaviour. Results: Results indicated that Chinese participants have a significantly lower exercising rate and healthy dietary habits compared to the Western sample. Moreover, Chinese participants were found to believe more strongly than Westerners that cancer was associated with factors measured by the Traditional-Chinese-Model (TCM). Finally, the observed relationship between cultural health beliefs and physical inactivity was mediated by attributions of illness, in particular to the supernatural subscale, with the Sobel Test showing a significant mediation (z=-2.63, p=0.004). Conclusions: Mainstream approaches to encourage healthy lifestyles are unlikely to be effective when educating Chinese youth. Instead, health promotion programs should attempt to address the illness attribution beliefs and educate Chinese youth about the role of diet and exercise in prevention of diseases such as cancer.

Assessment of Tobacco Habits, Attitudes, and Education Among Medical Students in the United States and Italy: A Cross-sectional Survey

  • Armstrong, Grayson W.;Veronese, Giacomo;George, Paul F.;Montroni, Isacco;Ugolini, Giampaolo
    • Journal of Preventive Medicine and Public Health
    • /
    • v.50 no.3
    • /
    • pp.177-187
    • /
    • 2017
  • Objectives: Medical students represent a primary target for tobacco cessation training. This study assessed the prevalence of medical students' tobacco use, attitudes, clinical skills, and tobacco-related curricula in two countries, the US and Italy, with known baseline disparities in hopes of identifying potential corrective interventions. Methods: From September to December 2013, medical students enrolled at the University of Bologna and at Brown University were recruited via email to answer survey questions assessing the prevalence of medical students' tobacco use, attitudes and clinical skills related to patients' smoking, and elements of medical school curricula related to tobacco use. Results: Of the 449 medical students enrolled at Brown and the 1426 enrolled at Bologna, 174 Brown students (38.7%) and 527 Bologna students (36.9%) participated in this study. Italian students were more likely to smoke (29.5% vs. 6.1%; p<0.001) and less likely to receive smoking cessation training (9.4% vs. 80.3%; p<0.001) than their American counterparts, even though the majority of students in both countries desired smoking cessation training (98.6% at Brown, 85.4% at Bologna; p<0.001). Additionally, negative beliefs regarding tobacco usage, the absence of formal training in smoking cessation counseling, and a negative interest in receiving specific training on smoking cessation were associated with a higher risk of not investigating a patient's smoking status during a routine history and not offering tobacco cessation treatment to patients. Conclusions: Medical curricula on tobacco-related health hazards and on smoking cessation should be mandatory in order to reduce smoking among medical students, physicians, and patients, thereby improving tobacco-related global health.

A Semi-Implicit Integration for Rate-Dependent Plasticity with Nonlinear Kinematic Hardening (비선형 이동경화를 고려한 점소성 모델의 내연적 적분)

  • Yoon, Sam-Son;Lee, Soon-Bok
    • Transactions of the Korean Society of Mechanical Engineers A
    • /
    • v.27 no.9
    • /
    • pp.1562-1570
    • /
    • 2003
  • The prediction of the inelastic behavior of the structure is an essential part of reliability assessment procedure, because most of the failures are induced by the inelastic deformation, such as creep and plastic deformation. During decades, there has been much progress in understanding of the inelastic behavior of the materials and a lot of inelastic constitutive equations have been developed. The complexity of these constitutive equations generally requires a stable and accurate numerical method. The radial return mapping is one of the most robust integration scheme currently used. Nonlinear kinematic hardening model of Armstrong-Fredrick type has recovery term and the direction of kinematic hardening increment is not parallel to that of plastic strain increment. In this case, The conventional radial return mapping method cannot be applied directly. In this investigation, we expanded the radial return mapping method to consider the nonlinear kinematic hardening model and implemented this integration scheme into ABAQUS by means of UMAT subroutine. The solution of the non-linear system of algebraic equations arising from time discretization with the generalized midpoint rule is determined using Newton method and bisection method. Using dynamic yield condition derived from linearization of flow rule, the integration scheme for elastoplastic and viscoplastic constitutive model was unified. Several numerical examples are considered to demonstrate the efficiency and applicability of the present method.

SHRIMP U-Pb Geochronology of Detrital Zircons from Iron-bearing Quartzite of the Seosan Group: Constraints on Age and Stratigraphy (서산층군 함철규암의 쇄설성 저어콘에 대한 SHRIMP U-Pb 연대: 시대와 층서의 제한)

  • Cho, Deung-Lyong;Kim, Yong-Jun;Armstrong, Richard
    • The Journal of the Petrological Society of Korea
    • /
    • v.15 no.3 s.45
    • /
    • pp.119-127
    • /
    • 2006
  • Detrital zircons in iron-bearing quartzite of the Seosan Croup from southeastern part of the Cyeonggi Hassif were analysed for SHRIHP U-Pb ages. Among 42 analyses, 38 data yield concordant ages (less tan 10 % discordancy), and they concentrated at 1781~1898 Ma (n=19), $1781{\sim}1898\;Ma(n=19),\;1935{\sim}1941\;Ma(n=4),\;1996\;Ma,\;2120\;Ma\;2403{\sim}2459\;Ma(n=5)$, 2661 Ma and 3198 Ma. The data indicate that sedimentation of iron-bearing quartzite should be after ca 1.78 Ga (the youngest detrital zircon age), and argue against some of conventional idea that iron-bearing quartzite of the Seosan Group might be correlated with the Archean iron-bearing quartzite in the North China Craton.

The Epistolary Novel and Samuel Richardson's Heroines: Female Writers and Readers of Letters

  • Chung, Ewha
    • Journal of English Language & Literature
    • /
    • v.56 no.6
    • /
    • pp.1067-1090
    • /
    • 2010
  • The epistolary novel, as developed and refined by Samuel Richardson (1689-1761), is concerned with distinctly private experience and the morality of individuals-Richardson's heroine writers. In contrast to nineteenth-century novels, which explore their subjects through the overview of a narrator with a singular moral outlook, the epistolary narrative allows Richardson to examine the various different ways in which individuals/heroines interpret, mold, and respond to their experiences in writing. In this paper, I argue that the authorial voice of Richardson does not control the narrative but rather is present in the prefaces, character sketches, notes and occasional interjections between letters. Although there is little doubt as to whether Richardson intended to make a particular moral point or attempted to control the effect of his novels on his readers, the heroines and their letters dominate the novels so that they put the authorial suggestions in a different light, reducing the author's to one voice among several. Thus, Pamela's letters are exemplary for the vigor and intelligence with which they appear to be written, rather than for the imposed morality of their ghost writer-Richardson. Although Clarissa is of a different social class from Pamela, both heroines are united in their oppression as victims of a patriarchal society. In Clarissa's letters, the heroine's situation and experience are seen through her own writing in dialogue with that of her confidante Anna Howe, and in contrast to the writing of her oppressors. Clarissa, then, becomes a struggle between different discourses in which their genesis and effect, and the societies and individuals from which they come are implicitly suggested in Richardson's text. While Richardson may or may not be guilty of taking the writing of women and using it for his own ends, his epistolary novels represent a deliberate and bold attempt to shape the novel in a way conducive to his heroines and to women writers.

A study of requirements of the public library for life-long education : centering around the facilities (평생교육을 위한 공공도서관의 조건조성에 관한 연구)

  • 김남석
    • Journal of Korean Library and Information Science Society
    • /
    • v.14
    • /
    • pp.1-37
    • /
    • 1987
  • The purpose of this research is to expand much more the facilities and collections of public libraries in Korea for performance of its function, for the life-long education institution. In order to accomplish the purpose of this study, I looked in to the present conditions of the facilities, collections, service facilities in public libraries and suggested a tentative plan on the basis of every kinds of statistics. The result of this thesis can be summarized as follows : 1. Now, 227, 110 populations of the effective service per library are so many that 181 public libraries in Korea have largely deficient state. To solve, a n.0, pplied for Armstrong's standards (5, 000 populations of the effective service per library, and the number of an elementary school 5, 412 elementary schools in Korea). In the former case should be establish 8, 221 public libraries, in the latter case should be established at least 5, 412 public libraries. 2. The public library in Korea is possessed of building areas of 82, 267 pyong (468 pyong per library). They are very poor state comparing with population. Therefore, the building area should be expand according to population by region. Also, the reading facilities of 88, 455 seats, 465 population of the effective service per seat, are largely insufficient of situation. And consequently they should be secured at least 205, 535 seats with standards of five seats per 1, 000 population. 3. The public libraries in Korea keep collection of 4, 517, 280 volumes. As there are 11 volumes per 100 persons, they are very deficient state in figures. Therefore, in this study, suggested Schenk's standard (1 volume per a person) and IFLA standard (2 volumes per a person). Under the circumstances of our country, however, they should be secure at least 41, 106, 993 volumes with a Schenk's standard of one volume per a person. To meet this kind of necessary conditions, there must not only be a national policy but also be a facility for every residents to utilize for educational place, and to every librarians of public libraries, they have to do their best to open their library to every citizens, when needed, with their self-conceit. Cooperating with policy-makers, users, and librarians, making every endeavors to develope Korean libraries, we can promise the hope that our public library will be progressed towards future.

  • PDF

Effect of Copper Source (Cupric Citrate vs Cupric Sulfate) and Level on Growth Performance and Copper Metabolism in Pigs

  • Armstrong, T.A.;Spears, J.W.;van Heugten, E.;Engle, T.E.;Wright, C.L.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • v.13 no.8
    • /
    • pp.1154-1161
    • /
    • 2000
  • Two experiments were conducted to evaluate the efficacy of cupric citrate (Cu-citrate) relative to cupric sulfate $(CuSO_4)$ as a Cu source for weanling and grow-finish pigs. In addition, the use of liver and bile Cu concentrations as indices of the bioavailability of Cu sources was investigated. Experiment one consisted of a nursery phase (35 d; initial BW=6.4 kg, final BW=21.4 kg) followed by a grow-finish phase (103 d; initial BW=21.5 kg, final BW=111.7 kg). Experiment two only consisted of a nursery phase (35 d; initial BW=6.3 kg, final BW=18.6 kg). Dietary treatments were identical for both experiments and consisted of: control (10 ppm $CuSO_4$); control+66 or 225 ppm $CuSO_4$; control+33, 66, or 100 ppm Cu-citrate. An antibiotic was included in diets for Exp. 1 but not Exp. 2. In both experiments, growth performance variables were similar for pigs receiving Cu-citrate and $CuSO_4$; however, growth performance was not improved by high concentrations of $CuSO_4$. Liver and bile Cu were increased (p<0.05) by 225 ppm $CuSO_4$; however, lower dietary concentrations of Cu from either $CuSO_4$ or Cu-citrate did not affect the Cu concentration of liver or bile relative to that observed in the control pigs. Irrespective of Cu source, there was no linear (p>0.10) increase in plasma Cu with increasing Cu concentrations in the diet for both experiments. However, the plasma Cu concentrations were highest (p<0.10) in pigs receiving diets supplemented with 225 ppm $CuSO_4$. Sixteen randomly chosen pigs per treatment in Exp. 1 were continued through the grow-finish phase. Body weight gain and feed intake were improved (p<0.10) by 66 ppm $CuSO_4$, but other dietary Cu treatments did not alter pig performance compared to the control diet. Plasma Cu concentrations were increased (p<0.10) by 225 ppm $CuSO_4$ in the growing phase and by 225 ppm $CuSO_4$ and 100 ppm Cu-citrate in the finishing phase. These data reveal no consistent effect of $CuSO_4$ on performance; therefore, it is difficult to assess the efficacy of these two Cu sources. In addition, these studies demonstrate that liver and bile Cu are not good indicators of Cu bioavailability in pigs fed adequate to pharmacological concentrations of Cu.