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As the objective of language teaching is shifting from producing so‐called "native‐like" speakers to fostering speakers competent in intercultural communication, it has become necessary to identify the kinds of learning resources that may be related to the learner's development of intercultural communicative competence (ICC) in today's context of globalization and technological innovation. Employing a mixed‐method approach with focus group interviews (n = 46) and a survey (n = 342), this study examines Chinese, Japanese, and Korean language learners' out‐of‐class intercultural experience and examines how interpersonal engagement and media usage are associated with the three dimensions of ICC: approach, analyze, and act. The study found that while both interpersonal interactions and media usage related to target language were positively associated with self‐reported gains in all three dimensions of ICC, media use consistently had a greater effect on ICC than interpersonal interactions. The implications of these findings for language educators are discussed. The Challenge: With internationalized campuses and global presence of East Asian media, learners of Chinese, Japanese, or Korean have various out‐of‐class intercultural engagement opportunities. How and to what extent do learners interact with individuals and media from the target language culture? What impact does this have on their intercultural communicative competence? [ABSTRACT FROM AUTHOR]

Objectives: Laryngeal complications have been reported after endotracheal intubation and prone positioning in patients with critical coronavirus disease 2019 (COVID‐19), but their association is unclear. In this study, we investigated the rate of laryngeal complications in patients with COVID‐19 compared to an alternative condition (control group). Methods: We retrospectively analyzed the data of 40 patients who underwent endotracheal intubation for either COVID‐19 or an alternative condition (control group). Data on age, sex, body mass index (BMI), cardiovascular disease (CVD) risk factors, use of prone therapy, duration of endotracheal intubation, and duration from extubation/tracheostomy to laryngeal evaluation were collected from medical records. Results: There were no significant differences in BMI, frequency of CVD risk factors, duration of endotracheal intubation, or duration from extubation/tracheostomy to laryngeal evaluation between the two groups. In the COVID‐19 group, all patients adopted the prone position. In comparison, only one patient in the control group adopted the prone position. Significant differences were observed between the two groups regarding the incidence of vocal fold immobility and laryngeal granuloma. Conclusion: Laryngeal complications were more common in the COVID‐19 group than in the control group. Prone positioning may be a risk factor for these complications. Level of Evidence: 4. [ABSTRACT FROM AUTHOR]

Objective: We report our first experience of using a case‐specific three‐dimensional (3D) hologram for tumor resection in otolaryngology to show the proof of concept. In addition, a questionnaire was administered to assess the usefulness of the mixed reality technique in otolaryngology. Methods: A case‐specific 3D hologram was developed from enhanced images of dynamic computed tomography, with reference to contrast‐enhanced magnetic resonance images, and used for preoperative planning and intraoperative image reference. To evaluate the usefulness of the 3D hologram with head mount displays (HMDs), 18 attendings and resident otolaryngologists completed a questionnaire with the Likert scale. Results: The case‐specific 3D hologram on HMDs was successfully used by means of easy gesture‐handling without any monitors preoperatively and intraoperatively. The experience of picturing the tumor localization and evaluating the surgical approach was statistically better using the 3D hologram on HMDs than using the computer images (P <.01). Similarly, the holograms were observed to be better for intraoperative application and surgical education than computer images (P <.01). Conclusion: We demonstrated the use of a case‐specific 3D hologram for tumor resection in otolaryngology. The technology may be useful for preoperative planning and intraoperative image reference, especially for challenging cases, and surgical education. Level of Evidence: NA. [ABSTRACT FROM AUTHOR]

The European Treatment and Outcome Study (EUTOS) long‐term survival (ELTS) score predicts disease‐specific death in patients with chronic myeloid leukemia (CML) being treated with imatinib during the chronic phase (CP) of the disease. However, it is unclear whether the ELTS score predicts CML‐related events or treatment responses. This study evaluated the predictive value of the ELTS score regarding prognosis and treatment response in patients with CML‐CP. Clinical data were retrospectively obtained from patients enrolled in the CML Cooperative Study Group (CML‐CSG), which included patients diagnosed with CML‐CP from April 2001 to January 2016, and treated with any tyrosine kinase inhibitor (TKI) as first‐line therapy. Among 342 eligible patients, the ELTS scores indicated low‐, intermediate‐, and high‐risk in 74%, 21%, and 5% of patients, respectively. Patients with high ELTS scores had significantly higher disease‐specific mortality and worse event‐free survival, progression‐free survival, and overall survival. Among four risk scores, including the Sokal, Hasford, EUTOS, and ELTS scores, risk stratification by the ELTS score had the highest predictive value in assessing patient prognosis, and also in treatment responses. In fact, the EUTOS and ELTS scores were able to predict the major molecular response within 12 months. Most importantly, the ELTS score was the only scoring system that predicted deep molecular response at any time, regardless of risk level (65.0%, 43.7%, and 23.5% in low‐, intermediate‐, and high‐risk groups, respectively). Compared to other risk scores, the ELTS score was the most sensitive risk classification tool for the four endpoints of interest in this study, as well as molecular responses in patients with CML‐CP. [ABSTRACT FROM AUTHOR]

Graft copolymers show microphase separated structure as seen in block copolymers and have lower intrinsic viscosity than block copolymers because of a branching structure. Therefore, considering molding processability, especially for polymers containing rigid segments, graft copolymers are useful architectures. In this work, graft copolymers containing rigid poly(diisopropyl fumarate) (PDiPF) branches were synthesized by full free‐radical polymerization process. First, synthesis of PDiPF macromonomers by addition‐fragmentation chain transfer (AFCT) was investigated. 2,2‐Dimethyl‐4‐methylene‐pentanedioic acid dimethyl ester was found to be an efficient AFCT agent for diisopropyl fumarate (DiPF) polymerization because of the suppression of undesired primary radical termination, which significantly took place when common AFCT agent, methyl 2‐(bromomethyl)acrylate, was used. Copolymerization of PDiPF macromonomer with ethyl acrylate accomplished the generation of the graft copolymer having flexible poly(ethyl acrylate) backbone and rigid PDiPF branches. The graft copolymer showed a microphase separated structure, high transparency, and characteristic thermal properties to PDiPF and poly(ethyl acrylate). © 2019 Wiley Periodicals, Inc. J. Polym. Sci., Part A: Polym. Chem. 2019, 57, 2474–2480 [ABSTRACT FROM AUTHOR]

ABSTRACT: Various types of polymers containing tert‐butoxycarbonyl (BOC) moiety as the typical protecting group of functional moieties have been used for the design of stimuli‐responsive polymer materials. In this study, we investigated the heat‐responsive deprotection behavior of BOC‐containing polymers obtained by radical polymerization of 4‐(tert‐butoxycarbonyloxy)styrene (BSt) and copolymerizations of BSt with styrene and methyl acrylate. The deprotection of BOC groups accompanying the evolution of isobutene and carbon dioxide as gaseous products was monitored by thermogravimetric analyses at different temperature circumstances; that is, on heating at a rate of 10 °C/min and under isothermal conditions at various temperatures. The deprotection resulted in a significant decrease in the transmittance of visible light due to the formation of a large number of gas bubbles, that is, foaming, in the polymer films when a heating temperature was close to the glass transition temperature of the used polymer. The potential of BOC‐containing polymers was also evaluated as the heat‐responsive adhesive polymers for dismantlable adhesion. © 2018 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2018, 135, 46252. [ABSTRACT FROM AUTHOR]

The development of distance learning courses for less commonly taught languages (LCTLs) oftenmeets with instructional challenges, especially for Asian LCTLs with their distinct non-Roman characters and structures. This study documents the implementation of a fully online, elementary Japanese course at Stony Brook University. The curriculum was designed around the American Council on the Teaching of Foreign Languages's (ACTFL)World-Readiness Standards for Learning Languages; performance-driven assessments; and task-supported, technology-enhanced principles. Asynchronous and synchronous tools were incorporated to facilitate task delivery and reduce the virtual isolation of learners. A simulated Oral Proficiency Interview (OPI) was conducted for the online students in order to compare their oral performance with that of the face-to-face (F2F) cohort in the preceding semester. Quantitative results show that online students outperformed their F2F counterparts in most of the Integrated Performance Assessment's scoring criteria, with a statistically significant difference in the criterion "Communication strategies." Survey results indicate students' positive attitudes toward language gains and corroborate the qualitative results gleaned from student learning journals and survey responses: Students' sense of isolation was replaced by a sense of co-presence. We conclude that developing an online LCTL course, though challenging, is feasible and maximizes outcomes through the synergy of multimodal digital platforms, and a standards-based, task-driven curriculum design. [ABSTRACT FROM AUTHOR]

Highlights from the article: Tobacco smoking is an important risk factor for developing malignant neoplasms.[1] Among patients with lung cancer, smoking is reported to be an adverse risk factor for overall survival (OS) regardless of the treatment strategy (surgery, chemotherapy, radiation, or tyrosine kinase inhibitor [TKI] administration).[[2]] Thus, the characteristics and outcomes of patients with lung cancer differ considerably between smokers and nonsmokers, likely reflecting the distinct underlying tumorigenic mechanisms of the disease and the different clinical courses after treatment initiation. Therefore, we reviewed patients recorded in the CML Cooperative Study Group database and compared the clinical characteristics, treatment outcomes, and experienced complications between smokers and nonsmokers undergoing TKI therapy for CML.

ABSTRACT Living radical polymerizations of diisopropyl fumarate (DiPF) are carried out to synthesize poly(diisopropyl fumarate) (PDiPF) as a rigid poly(substituted methylene) and its block copolymers combined with a flexible polyacrylate segment. Reversible addition-fragmentation chain transfer (RAFT) polymerization is suitable to obtain a high-molecular-weight PDiPF with well-controlled molecular weight, molecular weight distribution, and chain-end structures, while organotellurium-mediated living radical polymerization (TERP) and reversible chain transfer catalyzed polymerization (RTCP) give PDiPF with controlled chain structures under limited polymerization conditions. In contrast, controlled polymerization for the production of high-molecular-weight and well-defined PDiPF is not achieved by atom transfer radical polymerization (ATRP) and nitroxide-mediated radical polymerization (NMP). The block copolymers consisting of rigid poly(substituted methylene) and flexible polyacrylate segments are synthesized by the RAFT polymerization. © 2016 Wiley Periodicals, Inc. J. Polym. Sci., Part A: Polym. Chem. 2016, 54, 2136-2147 [ABSTRACT FROM AUTHOR]

ABSTRACT We prepared the sequence-controlled block copolymers including poly(1-adamantyl acrylate) (PAdA) and poly( n-butyl acrylate) sequences as the hard and soft segments, respectively, by the organotellurium-mediated living radical polymerization. The thermal, optical, and mechanical properties of the adamantane-containing block copolymers with polar 2-hydroxyethyl acrylate (HEA) and acrylic acid (AA) repeating units were investigated. The microphase-separated structures of the block copolymers were confirmed by the differential scanning calorimetry and atomic force microscopy observations as well as dynamic mechanical measurements. The α- and β-dispersions due to the main-chain and side group molecular motions, respectively, of the hard and soft segments were observed. Their transition temperatures and activation energies increased due to the formation of intermolecular hydrogen bonding by the introduction of the HEA and AA repeating units. The effects of the hydrogen bonding on their tensile elasticity, strength, and strain were also evaluated. © 2014 Wiley Periodicals, Inc. J. Polym. Sci., Part A: Polym. Chem. 2014, 52, 2899-2910 [ABSTRACT FROM AUTHOR]

Angiogenesis is essential for the development, growth and advancement of solid tumors. Angiogenesis is induced by hypoxia with angiogenic transcription factor hypoxia inducible factors (HIF). This prompted us to study the clinical implications of HIF relative to angiogenesis in uterine cervical cancers. Although there was no significant difference in HIF-1α histoscores and mRNA levels according to histopathological type or lymph node metastasis, HIF-1α histoscores and mRNA levels increased significantly with advancing cancer stages. The prognosis of 30 patients with high HIF-1α in uterine cervical cancers was poor (73% survival), whereas the 24-month survival rate of the other 30 patients with low HIF-1α was 93%. HIF-1α histoscores and mRNA levels were correlated with the levels of the angiogenic factors thymidine phosphorylase and interleukin-8, and HIF-1α might be linked with these factors in cervical cancer tissue. HIF-1α is a candidate for prognostic indicator as an angiogenic mediator in uterine cervical cancer. ( Cancer Sci 2006; 97: 861–867) [ABSTRACT FROM AUTHOR]

T(3;14)(q27;q32) is frequently detected in B-cell non-Hodgkin's lymphomas, especially the diffuse large cell type and the follicular type. The BCL6 gene encoding a putative transcriptional factor which resides on 3q27 rearranges to the immunoglobulin heavy chain (IgH) gene on 14q32 in this chromosomal translocation. The upstream regulatory region of the BCL6 gene is replaced by the IgH gene. Deregulation of the BCL6 gene may contribute to tumourigenesis of these diseases. The rearrangement between the IgH and BCL6 genes generates chimaeric transcripts in which the joining (J) region of the IgH gene fuses to exon 3 of the BCL6 gene. We established a method to detect these chimaeric transcripts by reverse transcriptase polymerase chain reaction (RT-PCR) using the consensus sequence of the J region and the sequence of exon 3 of the BCL6 gene as primers. Using the semi-nested RT-PCR method and a cell line carrying t(3;14)(q27;q32), we detected one lymphoma cell among 10 000 background cells. We detected these chimaeric transcripts in two out of 13 clinical samples by this method. This method can detect t(3;14)(q27;q32) easily, whereas this alteration is frequently overlooked by routine karyotype analysis. Since this technique is sensitive enough to detect a small number of lymphoma cells with this genetic abnormality, it could be employed to detect contaminating lymphoma cells in bone marrow and peripheral blood and minimal residual diseases. [ABSTRACT FROM AUTHOR]

Estrogen-related receptor (ERR) was studied in the placenta and uterine endometrium, especially endometrial cancers, among reproductive organs. In the placenta, the estrogen receptor (ER) alpha and beta mRNA levels increased from the first to the second trimester, and then decreased until normal term delivery. Estrogen-related receptor alpha, beta and gamma mRNA levels gradually increased up to the second trimester, and then comparatively rapidly increased until normal term delivery. In endometrial cancers, ER alpha and beta mRNA levels decreased with clinical stage, myometrial invasion and dedifferentiation. Estrogen-related receptor alpha levels increased with clinical stage and myometrial invasion, and the ERR gamma levels increased with myometrial invasion. Estrogen-related receptors can bind to the steroid receptor coactivator family without any ligands, and drive transcription activity of the target genes. The manner of ERR and ER gene expressions might show a competitive interaction associated with the use of common cofactors. It is speculated that the upregulation of ERR is related to the placental growth after the downregulation of ER from the second trimester until delivery, and that ERR alpha and gamma are candidates for prognostic factors in endometrial cancer, although ERR are not directly related to tumor growth and advancement of endometrial cancer. (Reprod Med Biol 2005;4: 129–131) [ABSTRACT FROM AUTHOR]

A letter to the editor is presented regarding the case of a 76-year-old woman who was diagnosed with simultaneous colon cancer in mucosa-associated lymphoid tissue lymphoma.