Tama Art University

Abstract Background: Cervical cancer is the second most prevalent cancer among females, following breast cancer, accounting for 13.3% of cases, whereas breast cancer accounts for 18% (WHO, 2022, version 11). The mortality rate of cervical cancer is around 5%, with post-menopausal patients being the most frequently affected group. Older patients tend to present at more advanced stages of the disease, leading to poorer treatment outcomes compared to those in the reproductive age group. This study aims to compare the treatment outcomes between reproductive-aged women and post-menopausal women. Methodology: Data were collected from Chittagong Health Point Hospital Ltd in Bangladesh, spanning from September 2019 to May 2023, focusing on cervical cancer treatment outcomes, including hysterectomy followed by chemotherapy and radiotherapy, with follow-ups at 3- and 6-months post-treatment. Results: A total of 35 patient records were analyzed. Of these, 15 (42.85%) were under 45 years old (reproductive age group), and 20 (57.15%) were over 50 years old (post-menopausal group). Most younger patients (73.33%) were diagnosed at an early stage (1A-1B1), while 4 out of 15 (26.66%) were diagnosed at a locally advanced stage (1B2-4A). After treatment, 93.33% of the younger patients showed positive prognoses. At the 3-month follow-up, two patients (13.33%) were found to have stage 1 cancer and underwent further chemotherapy and radiotherapy, achieving remission by the 6-month follow-up. One patient (6.67%) passed away during treatment. Among post-menopausal women, 65% (13 out of 20) were diagnosed at a locally advanced stage, with only 7 patients (53.85%) fully recovering by the 6-month follow-up. Four patients (20%) presented with advanced stage (4B) cancer and showed poor outcomes. Only three patients (15%) were diagnosed at an early stage, with relatively better prognoses. Notably, 35% (7 out of 20) refused to continue treatment, and 3 patients (15%) died during their treatment. Conclusion: The data indicate that younger patients are more likely to be diagnosed early, resulting in significantly better prognoses compared to their older counterparts. Citation Format: Farzana Sultana. A Comparative Study of Cervical Cancer Treatment Outcomes Between Reproductive-Aged and Post-Menopausal Women in a Tertiary Hospital in Bangladesh. [abstract]. In: Proceedings of the AACR Special Conference in Cancer Research: The Rise in Early-Onset Cancers—Knowledge Gaps and Research Opportunities; 2025 Dec 10-13; Montreal, QC, Canada. Philadelphia (PA): AACR; Clin Cancer Res 2025;31(23_Suppl):Abstract nr B033.

Understanding patients' perspectives and readiness regarding deprescribing-a concept broader than mere drug cessation, encompassing dynamic interaction between patients and health care professionals-is essential for developing feasible and effective deprescribing interventions. The goal of our study was to qualitatively explore the perspectives of older adults regarding proactive deprescribing, as well as its barriers and enablers. We conducted semistructured interviews with 20 patients in Japan aged 65 years or older who were receiving 5 or more regular medications to explore their perceptions and experiences related to deprescribing. The interviews were transcribed and the data were thematically analyzed to identify major concepts. Placing a low value on medication was an important trigger of patients' proactive attitudes toward deprescribing. Patients were open to deprescribing conversations if they trusted the prescriber. Conversely, patients who had a positive perspective on medication or considered themselves incapable of participating in decision making preferred to defer to a physician. On the basis of medication valuation, decision-making preferences, and openness to deprescribing, we developed a new typology with 5 types of patients: indifferent (15% of study patients), satisfied and risk-averse (10%), compliant (30%), fearful but passive (20%), and proactive (25%). Patients' attitudes toward deprescribing varied considerably according to their medication valuation, preference for involvement in decision making, and openness to deprescribing. Focusing on patients' proactiveness and understanding these barriers and enablers is essential for patient-centered decision making and for developing strategies to optimize the appropriateness of medication.

本研究は、長野県小布施町を対象に、住民と関係人口が捉える「地域らしい景観」の共通点と差異を、景観要素及びそれらに対する認識背景から明らかにすることを目的に、インタビュー調査・分析を行う。異なる土地利用においても両者に共通して「小布施らしい」と認識される景観要素としては、地域の気風や産物が表出した建築物、豊かな農緑地、それらの調和が挙げられた。これらを「小布施らしい」と感じる背景には、地域の産物や気風に基づく特定の地域イメージの共有が影響していることが示された。また、住民と関係人口の差異として、住民は日常的な生活経験や地域知識を背景に、個別の場所や景観構成要素の集合として景観を捉える傾向がある一方で、関係人口は他地域との比較を通じて、小布施全体の印象として景観を把握する傾向が示唆された。今後、継続的な訪問者や関係人口・移住者の増加を目指す地域における景観計画の策定において、住民と関係人口の双方に共通して「地域らしい」と認識される要素を重視しつつ、関係人口が持つ他地域との比較による視点を取り入れることで、地域内外の人々を惹きつける魅力的な景観づくりが可能となると考えられる。

The quality of services provided by logistics providers has a direct impact on an organization's business. Organizations need to critically evaluate the performance of their LSPs and choose service providers rationally. LSPs understand the importance of service quality to their survival and growth and strive to provide high-quality services. PT Pos Logistik Indonesia (PLI) is a company that operates in the field of Logistics Delivery Services which can include documents, electronic products, logistics, and others. PT Pos Logistik Indonesia (PLI) in Langsa City should have criteria as a logistics service provider to ensure customer satisfaction. This research aims to analyze these criteria through a survey collected from 120 Small and Medium Enterprises (SMEs) organizations in Langsa City that use the services of PT Pos Logistik Indonesia (PLI). Small and Medium Enterprises (SMEs) are individual business entities or legal entities that have small initial capital, or a small value of wealth (assets) and a small (limited) number of employees. Questionnaire strategies were used to identify criteria selection-based sustainable logistics service quality (SLSQ) theoretical framework, that is sustainable transport elements, training, collaboration, sustainable packaging, and sustainable information. The explanatory factor analysis method was employed. The top three ranked criteria for evaluating logistics service provider criteria selection based on sustainable logistics service quality are the trained PLI employees, the sustainable packaging, and the commitment to environmental goals. Through this research, it confirms that sustainable logistics practices can bring value to PLI as LSPs and better improve their performance and customer satisfaction.

This paper explores the integration of mobile augmented reality technology in museums, specifically through the development of the "Talkative Museum" prototype, aiming to enrich the museum visiting experience through interactive and collaborative engagements. As vital conduits for cultural and knowledge transmission, museums face the challenge of captivating the digital-native younger generation. Our research addresses this by leveraging advancements in mobile computing and human-computer interaction to foster engaging, intuitive, and collaborative learning environments within the museum context. The prototype facilitates interactions among parents and children and exhibits and encourages exploration and dialogue through augmented reality-enhanced activities. Preliminary user tests involving participants from the National Museum of Ethnology indicated positive responses to the app's usability and collaborative aspects of the museum experience. The analysis of questionnaire responses and observational data suggests that the prototype successfully promotes user engagement, collaborative learning, and the discovery of new knowledge.

A transposição congenitamente corrigida de grandes artérias representa uma anomalia congênita rara e idiopática, correspondendo a aproximadamente 0,5% das cardiopatias congênitas. O quadro se desenvolve a partir de uma discordância dupla: ventriculoarterial e atrioventricular, de forma que o átrio direito conecta-se ao ventrículo esquerdo, de onde emerge a artéria pulmonar levando sangue venoso, e o átrio esquerdo bombeia sangue oxigenado para o ventrículo direito, representando o ventrículo sistêmico conectado à aorta. Sendo assim, o presente relato de caso, bem como sua discussão, têm como propósito evidenciar a evolução de um paciente pediátrico com quadro de L-TGA, uma cardiopatia congênita com importantes complicações potenciais, mas que ainda carece de abordagens na literatura. Trata-se de um paciente do sexo masculino, 6 anos, com diagnóstico prévio de transposição congenitamente corrigida de grandes artérias, que apresentou-se ao ambulatório do serviço de saúde com queixa de dispneia aos médios esforços. Foram então descritos os principais achados ao exame físico e à propedêutica complementar, com destaque para as alterações identificáveis ao ecocardiograma (e como se correlacionam aos achados relatados no primeiro exame, três dias após o parto). Considerando que a história natural desta patologia não é completamente consolidada, sendo suas manifestações dependentes de um conjunto de potenciais anormalidades coexistentes bem como de possíveis repercussões fisiopatológicas associadas à progressão por vezes imprevisível do quadro, evidencia-se a relevância do caso aqui relatado e discutido, cumprindo seu papel de agregar à literatura mais dados e informações acerca da apresentação do processo patológico associado.

Art Platform Japan has initiated the translation of two works dedicated to contemporary Japanese art. This editorial event was accompanied by a conference at the Tokyo National Arts Center. History of Japanese Art after 1945: Institutions, Discourse, Practice, is comprised of three chapters from the work’s first Japanese edition published in 2014, and is preceded by an unedited introduction written by the art historian Kajiya Kenji. In his contribution to the book, Mitsuda Yuri, a professor a...