ABSTRACT
<p>Background: The center for international relations was established in 2007 and it has organized a program for accepting international students for short periods since 2009 to enhance internationalization at the medical school.</p><p>Methods: The number of inbound and outbound students, and the number of overseas medical schools with an Academic Agreement and a Memorandum of Understanding with our institution from 2008 to 2013 were counted, and the relevant achievements were evaluated.</p><p>Results: The number of inbound students increased from 0 in 2008 to 14 in 2013, and the number of outbound students also increased from 1 in 2008 to 12 in 2013. The number of overseas medical schools with an Academic Agreement and a Memorandum of Understanding also increased from 1 to 3. The number of scholarship applications to go overseas also increased from 2 to 12.</p><p></p><p>Discussion: Organizing a well-established program for inbound students probably contributed to developing the international environment within the school for both inbound and outbound students, and to enhancing discussion of student exchange with potential partner universities. The center for international relations has functioned as a hub for the students and relevant departments by centralizing information, which has markedly communication improved.</p>
ABSTRACT
Placenta previa presents a highest risk to pregnancy, and placenta accreta is the most serious. Placenta accreta requires cesarean delivery and often results in massive obstetric hemorrhage and higher maternal morbidity. Challenges associated with cesarean delivery techniques may contribute to increased maternal blood loss and morbidity rates. Several recent obstetric studies reported the usefulness of transverse uterine fundal incision for managing placenta accreta. We present a case of placenta percreta that was treated by a transverse fundal incision. We successfully avoided cutting through the placenta and helped decrease maternal blood loss. After delivery, the patient underwent a cesarean hysterectomy. Postoperative day 48, she experienced watery discharge and was diagnosed with vaginal fistula. We present our case and review the literature.
Subject(s)
Humans , Pregnancy , Hemorrhage , Hysterectomy , Placenta , Placenta Accreta , Placenta Previa , Vaginal FistulaABSTRACT
<p><b>OBJECTIVE</b>To investigate the relationship between pre B cell leukemia transcription factor 2 (PBX2)/Ets domain transcription factor 2 (ELF2) expression with prognosis of non-small cell lung cancer (NSCLC).</p><p><b>METHODS</b>Expressions of ELF2 and PBX2 were examined in 206 patients of NSCLC by immunohistochemistry. The correlation of PBX2/ELF2 expression with valosin-containing protein (VCP) expression and clinicopathologic factors of NSCLC patients was analyzed. Chi-square test, Fisher's exact test and Cox's regression were used for statistical analysis.</p><p><b>RESULTS</b>The level of PBX2/ELF2 expression was associated with VCP expression (P=0.0126). Univariate analysis showed that 5-y disease free survival and overall survival (OS) of NSCLC were correlated with expression of PBX2, PBX2/ELF2 and VCP, tumor size, histological differentiation, visceral pleural invasion, N and T in pTNM grades, and clinical stages (P<0.05). The 5-y OS was also related to vascular invasion (P=0.0322). Multivariate analysis revealed that the expression level of PBX2/ELF2 and histological differentiation were independent predictors for NSCLC.</p><p><b>CONCLUSION</b>The level of PBX2/ELF2 expression is related to VCP expression, indicating that PBX2/ELF2-VCP pathway may be associated with the prognosis of NSCLC patients.</p>