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This powerpoint was presented by WSP Senior Sanitation and Hygiene Specialist, Yolande Coombes,during AfricaSan 3 (Kigali, Rwanda - 2011) under the "Global and Africa Experience in Scaling Up Rural Sanitation" session. This session provided guidance to policy makers and programmers by sharing evidence, recent results and lessons regarding how to scale up effective and promising approaches such as CLTS and Sanitation Marketing.

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5-year survival of GCP after radical procedures significantly depended on: 1) PT “early-invasive cancer”; 2) PT N0--N12; 3) Cell Ratio Factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) GC cell dynamics; 9) GC characteristics; 10) tumor localization; 11) anthropometric data; 12) surgery type. Optimal diagnosis and treatment strategies for GC are: 1) screening and early detection of GC; 2) availability of sufficient quantity of experienced abdominal surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunotherapy for GCP with unfavorable prognosis.

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