PurposeThis study evaluated the benefits of adjuvant chemotherapy on elderly patients with advanced gastric cancer (AGC) using meta-analysis of well-designed randomized controlled clinical studies.Materials and MethodsPubMed, Embase, and Cochrane were searched to retrieve clinical studies evaluating the benefits of adjuvant chemotherapy in the elderly with AGC. Hazards ratios (HRs) with 95% confidence intervals (CIs) were pooled across studies using a fixed-effects model.ResultsTwo studies were included in this meta-analysis to estimate HR for the overall survival (OS), and relapse-free survival (RFS) between adjuvant chemotherapy and surgery in elderly and non-elderly patients. HR for OS in the elderly and non-elderly was 0.745 (95% CI, 0.552 to 1.006, p=0.055) and 0.636 (95% CI, 0.522 to 0.776; p < 0.001), respectively, which showed no heterogeneity regarding HR between the two groups (pinteraction=0.389). HR for RFS in the elderly and non-elderly was 0.613 (95% CI, 0.466 to 0.806; p < 0.001) and 0.633 (95% CI, 0.533 to 0.753; p < 0.001), respectively (pinteraction=0.846).ConclusionMeta-analysis suggests that the benefit of adjuvant chemotherapy to the elderly is not big enough to reach statistical significance while the HR for OS is less than 1 (0.745) and no heterogeneity are observed regarding the HR between the elderly and non-elderly patients.
The total area of a reclaimed tidal soil distributed on the south-west coast is approximately 156,600 ha, and the soil contains high contents of sand and silt as well as highly saline. Most of the reclaimed tidal soils are used as a paddy due to bad permeability and high groundwater table, resulting in easy accumulation of salts on the soil surface by capillary rise. Therefore, resalinization may occur because of rise of groundwater table after desalinization. The researches related to the reclaimed tidal soil mainly focused on desalinazation while most of the researches completed were limited to yields of crop based on desalinazation. pH of old reclaimed tidal soil is neutral or less than 7 while that of newly developed reclaimed tidal soils is greater than 7, that cause N-fertilizer to be volatile as ammonia. Thus, the physical and chemical properties should be investigated to be used as an arable upland instead of a paddy soil due to change in government policy. We need to develop measures to make soils grow crops normally by identifying problems related to reclaimed tidal soils.
It is imperative to study the hydrolysis of urea in high saline-sodic condition of a newly reclaimed tidal land in order to overcome the problems associated with use of urea fertilizer. The methodology adopted in this study tried to get a convenient way of estimating rate for N transformation needed in N fate and transport studies by reviewing pH and salt contents which can affect the microbial activity which is closely related to the rate of urea hydrolysis. The hydrolysis of urea over time follows first-order kinetics and soil urease activity in reclaimed soils will be represented by Michaelis-Menten-type kinetics. However, high pH and less microorganisms may delay the hydrolysis of urea due to decrease in urease activity with increasing pH. Therefore, the rate of urea hydrolysis should adopt V max referring enzyme activity (E 0 ) accounting for urease concentration which is indicative for urea hydrolysis, especially in a high saline and sodic soils.
The purpose of this study is to examine the effect of mentoring program using logic model in university students. We surveyed 40 mentors who participated mentoring program in 2014.Data collection were open-ended questions. Questions was made of with a steps in logic model and content analysis was carried out. The results are as follows:
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