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Neoadjuvant PD-1 Inhibitor Plus Apatinib and Chemotherapy Versus Apatinib Plus Chemotherapy in Treating Patients With Locally Advanced Gastric Cancer: A Prospective, Cohort Study

  • Chunjing Wang;Zhen Wang;Yue Zhao;Fujing Wang
    • Journal of Gastric Cancer
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    • v.23 no.2
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    • pp.328-339
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    • 2023
  • Purpose: This study aimed to evaluate the efficacy and safety of neoadjuvant programmed cell death-1 (PD-1) inhibitors plus apatinib and chemotherapy (PAC) in patients with locally advanced gastric cancer (LAGC). Materials and Methods: Seventy-three patients with resectable LAGC were enrolled and named the PAC group (n=39) or apatinib plus chemotherapy (AC) group (n=34) based on the treatment they chose. Neoadjuvant therapy was administered in a 21-day cycle for 3 consecutive cycles, after which surgery was performed. Results: The PAC group exhibited a higher objective response rate than the AC group (74.4% vs. 58.8%, P=0.159). Moreover, the PAC group showed a numerically better response profile than the AC group (P=0.081). Strikingly, progression-free survival (PFS) (P=0.019) and overall survival (OS) (P=0.049) were prolonged, whereas disease-free survival (DFS) tended to be longer in the PAC group than in the AC group (P=0.056). Briefly, the 3-year PFS, DFS, and OS rates were 76.1%, 76.1%, and 86.7% in the PAC group and 46.9%, 49.9%, and 70.3% in the AC group, respectively. Furthermore, PAC (vs. AC) treatment (hazard ratio=0.286, P=0.034) was independently associated with prolonged PFS in multivariate Cox regression analyses. The incidence of adverse events did not differ between the two groups (all P>0.05), where leukopenia, anemia, hypertension, and other adverse events were commonly observed in the PAC group. Conclusions: Neoadjuvant PAC therapy may achieve a preferable pathological response, delayed progression, and prolonged survival compared to AC therapy with a similar safety profile in patients with LAGC; however, further validation is warranted.

Modified Ac-Dc Single-Stage Converters

  • Moschopoulos, Gerry;Liu, Yan;Bassan, Sondeep
    • Journal of Power Electronics
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    • v.7 no.1
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    • pp.44-54
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    • 2007
  • Ac-dc power conversion can either be done with two separate converter stages or with a single converter stage. Two-stage ac-dc converters, however, can be costly and complex, while the performance of single-stage converters is compromised due to a reduced number of components. Several researchers have therefore proposed adding some sort of auxiliary circuit consisting of a second switch and some passive elements to single-stage converters to improve their performance. Although these modified single-stage converters may have two converters, they are not two-stage converters as they do not have two separate and independently controlled converters that are always operating to convert power from one form to another. In this paper, the operation of ac-dc single-stage converters is first reviewed and their strengths and weaknesses are noted. The operation of several modified single-stage converters, including one proposed by the authors, is then discussed, and the paper concludes by presenting experimental results that confirm the feasibility of the proposed converter.

An analysis on the S-boxes of block ciphers in 3GPP (3GPP 블록 암호의 S-box 안전성 분석)

  • 장구영;강주성;이옥연;정교일
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.11 no.4
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    • pp.67-75
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    • 2001
  • 3GPP proposed f8 and f9 algorithms based on the block cipher KASUMI to provide the data confidentiality and integrity over a radio access link for IMT-2000(W-CDMA). Also 3GPP proposed Milenage algorithm based on the block cipher Rijndael to provide an example set for 3GPP authentication and key generation functions. In order to analyze the security of 3GPP algorithms, we must go ahead an analysis of security of KASUMI and Rijndael. Since S-box is an important point of security of block cipher, in this paper we analyze the S-boxes of KASUMI and Rijndael and compare the S-boxes of KASUMI with the S-box of Rijndael. Although KASUMI S9-box is bad for AC and SAC, we find that AC of KASUMI FI function containing S7-box and S9-box is equal to AC of Rijndael S-box and SAC of KASUMI FI function is better than SAC of Rijndael S-box.

Characterization and Developmental Regulation of Polysialyltransferase from Embryos of Strongylocentrotus nudus (둥근성게, Strongylocentrotus nudus 배에 존재하는 Polysialyltransferase의 특성 및 발현 조절에 관한 연구)

  • 남지흔;김영대;박영제;조진원
    • Development and Reproduction
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    • v.2 no.2
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    • pp.149-155
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    • 1998
  • The polysialic acid (polySia) glycotope covalently modifies cell surface glycoconjugates on cells as evolutionarily diverse as microbes and human. The recent chemical identification of polysialylated glycoproteins in the jelly coat and on the cell surface of the sea urchin egg raises important questions about their biosynthesis and possible function. Using CMP-[$^{14}$ C]Neu5Ac as substrate and cell free preparations from eggs and embryos of the sea urchin Stronglylcentrotus nudus, we have identified a membrane associated CMP-Neu5Ac:poly-$\alpha$2, 8 sialosyl sialyltransferase (polyST) that transfers Neu5Ac to an endogenous acceptor. Optimal conditions for the polyST activity were found to be 2$0^{\circ}C$ in 20 mM MOPS buffer (pH 7.0). The polyST activity was increased 2.7 times by the addition of 10 mM $Mg^2$$^{+}$. The membrane-associated polyST also catalyzed the polysialylation of mammalian ganglioside GD3. Given that no structurally similar natural polysialylated gangliosides have been described, nor were observed in the present study, we conclude that a single polyST activity catalyzes sialylation of the endogenous acceptor and the gangliosides. Using an excess of GD3 as an exogenous acceptor, it was established that the expression of the polyST in S. nudus embryos increased rapidly at the mesenchyme blastula stage and reached at maximum at the gastrula stage. The finding that this polyST in the sea urchin embryo is developmentally regulated raises the possibility that it may play a role in the changing cell and tissue interactions that occur during gastrulation and the early stages of spicule formation.n.

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Assessment of Soil Stabilization forthe Reduction of Environmental Risk of Lead-contaminated Soil Near a Smelter Site (제련소 주변 납 오염 현장토양의 위해성 저감을 위한 토양 안정화 평가)

  • Yeo, In-Hong;Chang, Yoon-Young
    • Journal of Environmental Impact Assessment
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    • v.30 no.4
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    • pp.215-224
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    • 2021
  • In this study, to investigate the effect of stabilization of Pb-contaminated soil near a smelter site for the reduction of environmental risk of Pb leaching, commercial stabilizers were amended with the Pb-contaminated soil and evaluated leaching characteristics of Pb in soil by TCLP and SPLP leaching test. Also, performing sequential extraction procedure speciation of Pb in the amended soil was investigated. Limestone, AC-2 (Amron), Metafix (Peroxychem) that possess stabilization performance towards heavy metal in soil and mass production is available were selected as candidates. AC-2 contained a CaCO3 and MgO crystalline phase, while Metafix had a Fe7S8 crystalline phase, according to XRD studies. Pb content in SPLP extract was lower than the South Korean drinking water standard for Pb in groundwater at 4% AC-2 and Metafix treatment soil, and TCLP-based stabilization effectiveness was more than 90%. The findings of the sequential extraction method of soil treated with Metafix revealed that fractions 1 and 2 of Pb, which correspond to relatively high mobility and bioavailable fractions, were lowered, while the residual fraction (fraction 5) was raised. As a consequence, the order of performance for Pb stabilization in polluted soil was Metafix>AC-2>limestone.

Comparison of Nutrient Intakes Regarding Stages of Change in Dietary Fiber Increasing for College Students in Kyunggi-Do (경기 일부지역 대학생의 섬유소 섭취 행동단계에 따른 영양소 섭취상태 비교)

  • Chung, Eun-Jung
    • Korean Journal of Community Nutrition
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    • v.10 no.5
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    • pp.592-602
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    • 2005
  • This study was conducted to compare nutrient intakes regarding stages of change in dietary fiber increasing behavior. Subjects were consisted of healthy 383 college students (2S0 females and 133 males) in Kyunggi-Do. Stages of change classified by an algorithm based on 6 items were designed each subjects into one of the 5 stages: precontemplation (PC), contemplation (CO), preparation (PR), action (AC), maintenance (MA). Nutrient intakes were assessed by 24-hr recall method. Regarding the S stages of changes, PR stage comprised the largest group $(39.4\%)$, followed by AC $(33.7\%)$, MA$(14.6\%)$, PC$(7.6\%)$, CO$(34.7\%)$. Female were more belong to either AC or MA. The higher stage of change in dietary fiber increasing behavior, the higher self-efficacy. In all male and female, there were no differences in energy, protein, monounsaturated fatty acids, polyunsaturated fatty acids and cholesterol intakes across the 5 stages. But, fiber, postassuim (K), vitamin A and vitamin C intakes of AC or MA were higer than those of PC, CO and PR $Energy\%$ from fat of $PR(25.4\~26.5\%)$ was higher than $20\%$, and those of AC and MA was lower than the other groups. Dietary P/S and ${\varepsilon}6/{\varepsilon}$ 3 ratios of AC and MA were similar to the recommended ratio. Female of PR had the most total saturated fat and palmitic acid and those of MA had the least. Male of PR had the least $\alpha-LNA\;({\varepsilon}3)$ and total ${\varepsilon}3$ fatty acids and those of MA had the most. In male and female in AC or MA, fiber and K intakes from breakfast, dinner and snack and vitamin C intakes from all meals were higher than those of the other stages. These results of our study confirm differences in stages of change in fiber intake in terms of nutritional status. To have lower $energy\%$ from fat, higher intakes of K, fiber and vitamins, desirable ratio of dietary fatty acids, it needs consistent nutritional education leading to the AC or MA of fiber increasing behavior.

Effects of Cooking and Processing on the Reduction of Aflatoxin Content in Corn (옥수수의 조리 및 가공이 Aflatoxin 감소에 미치는 영향)

  • 여현종;김종규
    • Journal of Food Hygiene and Safety
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    • v.18 no.2
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    • pp.87-93
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    • 2003
  • This study was performed to investigate aflatoxin reduction resulting from the pre-treatment and the cooking and processing of corn. Aflatoxin was produced by Aspergillus parasiticus ATCC 15517 on a type of corn imported from the United States. The aflatoxin-produced com (AC) was pre-treated in three ways in order to reduce aflatoxin: exposure to sun light for 7 days (SC); ultraviolet irradiation for 56 hours (UC); and washing with water three times (WC). Four kinds of cooking and processing methods (boiling, steaming, baking, and popping) were used to reduce aflatoxin in the AC control, SC, UC, and WC. These treatments produced com gruel, com cakes, com bread and popcorn. The aflatoxin content in the samples was determined by high performance liquid chromatography. The total aflatoxin level of the AC was significantly decreased by sun light and UV (p<0.05), and decreased by washing. After cooking and processing the AC, SC, UC, and WC, and averaging the total aflatoxin levels in the final products, the greatest reduction was found in the com gruel, then the popcorn, then the corn cakes, and the least reduction in the com bread. These results indicate that sunlight and ultraviolet energy could be effective factors in aflatokin degradation in corn before cooking and processing. This study also indicates that boiling, steaming, baking and popping were helpful in reducing the aflatoxin level in the com and that the most helpful factors were exposure time to heat. More research is needed to reduce the aflatoxin level down to below the maximum tolerable level of aflatoxin in foods.

Identification and Screening of Gene(s) Related to Susceptibility to Enterotoxigenic Escherichia coli F4ab/ac in Piglets

  • Li, Hejun;Li, Yuhua;Qiu, Xiaotian;Niu, Xiaoyan;Liu, Yang;Zhang, Qin
    • Asian-Australasian Journal of Animal Sciences
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    • v.21 no.4
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    • pp.489-493
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    • 2008
  • In 2004, Jorgensen and coworkers proposed the MUC4 gene as a candidate gene of enterotoxigenic Escherichia coli (ETEC) F4ab/ac receptor in piglets and a mutation of $G{\rightarrow}C$ in intron 7 of MUC4 was identified to be associated with the ETEC F4ab/ac adhesion phenotypes. In this study, we used 310 piglets of three breeds (Landrace, Large White and Chinese Songliao Black) to analyze the relationship between this mutation and the F4ab/ac adhesion phenotype. The results show that the genotypes at this site and the ETEC F4ab/ac adhesion phenotypes were not completely consistent, although they are very strongly associated. Among the individuals with genotype CC, which was identified as a resistant genotype to F4ab/ac adhesion, only 72.1% (124/172) were non-adhesive to ETEC F4ab and 77.9% (134/172) were non-adhesive to ETEC F4ac infections. This suggests that this mutation may not be the causative mutation for ETEC F4ab/ac adhesion, rather, the actual causative mutation may be in another gene closely linked to MUC4, or at aother site within the MUC4 gene. Our results also suggest that the receptors of F4ab and F4ac may be determined by two different but closely linked loci. In order to screen other genes related to F4ab/ac adhesion in piglets, the mRNA profiles from six full sib piglets, of which three were adhesive to ETEC F4ab/ac and three non-adhesive, were analyzed by suppression subtractive hybridization (SSH). One up-regulated gene, Ep-CAM, was selected for further analysis based on its role in the intestinal epithelial cells adhesion. Using real-time RT-PCR, we found that the Ep-CAM gene was significantly up-regulated in the piglets adhesive to F4ab/ac. It was mapped to SSC3q11-q14 by radiation hybrid mapping.

A Study of the Aging Properties of the Common Synthetic Resin Adhesives for Paper Conservation Purposes (시판용 접착제의 지류보존처리 적합성 판단을 위한 열화 특성 연구)

  • Sung, Yeonsim;Youm, Inkyung
    • Journal of Conservation Science
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    • v.28 no.4
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    • pp.387-394
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    • 2012
  • Most of the libraries and archives that lacks conservation lab facilities, frequently apply common synthetic resin adhesives such as PVAc group(Pa), acrylic group(Ac) and PVP group(Pv) on simple repairs. The archival quality synthetic adhesive(Pa-1) that is used at the National Library of Korea and the common synthetic resin adhesives were selected for the experiments. Accelerated aging test was applied on the adhesive samples and change of the pH and chromaticity were measured for one month. As the result of the pH mesurments, Pa-1 and Ac-2 were at the acceptable pH range. As the result of the chromaticity mesurments, degree of yellowing(${\Delta}b^*$) showed smaller change to greater change in the following order; Pa-1

Study of the Driving Characteristics in the Magnetic Fluid Linear Pump by AC Operating Currents (Magnetic Fluid Linear Pump의 AC 전류에 의한 운전 특성에 관한 연구)

  • Park Gwan Soo;Seo Kang
    • The Transactions of the Korean Institute of Electrical Engineers B
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    • v.54 no.3
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    • pp.111-119
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    • 2005
  • In the magnetic fluid linear pump, the pumping forces and pumping speed mainly depend on the current patterns. In this research, a new design to reduce the discontinuities of the pumping forces of the MFLP was studied. Continuous pumping of the newly designed MFLP by using AC current increases pumping efficiency and reduces the pumping force. Forming shapes of the magnetic fluid at the intermediate state were computed and compared to measurement. Since the back flow of the fluid is reduced remarkably, 4 yoke's AC driving is more efficient than 7 yoke's DC driving. The size, weight and pumping discontinuity are also reduced.