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Characterization and predictive value of volume changes of extremity and pelvis soft tissue sarcomas during radiation therapy prior to definitive wide excision

  • Gui, Chengcheng;Morris, Carol D.;Meyer, Christian F.;Levin, Adam S.;Frassica, Deborah A.;Deville, Curtiland;Terezakis, Stephanie A.
    • Radiation Oncology Journal
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    • v.37 no.2
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    • pp.117-126
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    • 2019
  • Purpose: The purpose of this study was to characterize and evaluate the clinical significance of volume changes of soft tissue sarcomas during radiation therapy (RT), prior to definitive surgical resection. Materials and Methods: Patients with extremity or pelvis soft tissue sarcomas treated at our institution from 2013 to 2016 with RT prior to resection were identified retrospectively. Tumor volumes were measured using cone-beam computed tomography obtained daily during RT. Linear regression evaluated the linearity of volume changes. Kruskal-Wallis tests, Mann-Whitney U tests, and linear regression evaluated predictors of volume change. Logistic and Cox regression evaluated volume change as a predictor of resection margin status, histologic treatment response, and tumor recurrence. Results: Thirty-three patients were evaluated. Twenty-nine tumors were high grade. Prior to RT, median tumor volume was 189 mL (range, 7.2 to 4,885 mL). Sixteen tumors demonstrated significant linear volume changes during RT. Of these, 5 tumors increased and 11 decreased in volume. Myxoid liposarcoma (n = 5, 15%) predicted decreasing tumor volume (p = 0.0002). Sequential chemoradiation (n = 4, 12%) predicted increasing tumor volume (p = 0.008) and corresponded to longer times from diagnosis to RT (p = 0.01). Resection margins were positive in three cases. Five patients experienced local recurrence, and 7 experienced distant recurrence, at median 8.9 and 6.9 months post-resection, respectively. Volume changes did not predict resection margin status, local recurrence, or distant recurrence. Conclusion: Volume changes of pelvis and extremity soft tissue sarcomas followed linear trends during RT. Volume changes reflected histologic subtype and treatment characteristics but did not predict margin status or recurrence after resection.

Multi-flexible Dynamic Modeling and Wheel Load Analysis of a Rubber Tired Gantry Crane in Container Cargo Working (컨테이너 하역작업 시 갠트리 크레인의 유연다물체 동역학 모델링 및 윤하중 해석)

  • Kim, Jungyun;Kim, Jingon
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.27 no.5
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    • pp.379-384
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    • 2014
  • This article describes the dynamic behaviors of a rubber tired gantry crane(RTGC) under typical load conditions which are used in the design of gantry cranes. In order to investigate the dynamic characteristics of an RTGC, we developed a finite element crane model for its huge structure. The finite element model was validated with the modal test results, e.g., natural frequencies and normal modes. And other components of RTGC were converted into detailed 3D CAD models and finally transformed to rigid body models in a dynamic simulation program ADAMS. The load conditions considered in this paper were a normal operating condition(OP1) and container hanging condition with no external loads. As a result, we could find there was large influence of crane's vibration owing to its structural stiffness and deformation. And the vibration of crane could made the movements of RTGC, which occurs crash or malfunction of crane works.

Low Serum Potassium Levels Associated with Disease Severity in Children with Nonalcoholic Fatty Liver Disease

  • Tabbaa, Adam;Shaker, Mina;Lopez, Rocio;Hoshemand, Kazem;Nobili, Valerio;Alkhouri, Naim
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.3
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    • pp.168-174
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    • 2015
  • Purpose: Recent studies have suggested that decreased serum potassium level may contribute to various metabolic disorders in adult patients including nonalcoholic fatty liver disease (NAFLD). We aimed to study the correlation between serum potassium levels and the histologic severity of NAFLD in children. Methods: Pediatric patients with biopsy-proven NAFLD were included in this study. Demographic, clinical, and histopathological data were obtained. Multivariable logistic regression analysis was used to assess whether potassium levels are associated with the presence of nonalcoholic steatohepatitis (NASH) or fibrosis after adjusting for possible confounders. A p-value <0.05 was considered statistically significant. Results: Among 125 biopsies, 49.6% (62) had evidence of NASH while 66.4% (83) had some degree of fibrosis (stage 1-3). Mean serum potassium was significantly lower in NASH group as compared to non-NASH group ($4.4{\pm}0.42mmoL/L$ vs. $4.8{\pm}0.21$, p<0.001). Higher potassium level had negative correlation with presence of steatosis, ballooning, lobular inflammation, fibrosis and NAFLD activity score (p<0.05). On multivariable analysis and after adjusting for the metabolic syndrome and insulin resistance, higher potassium level was significantly associated with lower likelihood of having a histological diagnosis of NASH on biopsy (odds ratio [OR], 0.12; 95% confidence interval [95% CI], 0.05-0.28; p<0.001). Similarly, the likelihood of having fibrosis decreases by 76% for every 0.5 mmoL/L increase in potassium (OR, 0.24; 95% CI, 0.11-0.54; p<0.001). Conclusion: Our study shows an inverse relationship between serum potassium levels and the presence of aggressive disease (NASH and fibrosis) in children with NAFLD.

Caenorhabditis elegans: A Model System for Anti-Cancer Drug Discovery and Therapeutic Target Identification

  • Kobet, Robert A.;Pan, Xiaoping;Zhang, Baohong;Pak, Stephen C.;Asch, Adam S.;Lee, Myon-Hee
    • Biomolecules & Therapeutics
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    • v.22 no.5
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    • pp.371-383
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    • 2014
  • The nematode Caenorhabditis elegans (C. elegans) offers a unique opportunity for biological and basic medical researches due to its genetic tractability and well-defined developmental lineage. It also provides an exceptional model for genetic, molecular, and cellular analysis of human disease-related genes. Recently, C. elegans has been used as an ideal model for the identification and functional analysis of drugs (or small-molecules) in vivo. In this review, we describe conserved oncogenic signaling pathways (Wnt, Notch, and Ras) and their potential roles in the development of cancer stem cells. During C. elegans germline development, these signaling pathways regulate multiple cellular processes such as germline stem cell niche specification, germline stem cell maintenance, and germ cell fate specification. Therefore, the aberrant regulations of these signaling pathways can cause either loss of germline stem cells or overproliferation of a specific cell type, resulting in sterility. This sterility phenotype allows us to identify drugs that can modulate the oncogenic signaling pathways directly or indirectly through a high-throughput screening. Current in vivo or in vitro screening methods are largely focused on the specific core signaling components. However, this phenotype-based screening will identify drugs that possibly target upstream or downstream of core signaling pathways as well as exclude toxic effects. Although phenotype-based drug screening is ideal, the identification of drug targets is a major challenge. We here introduce a new technique, called Drug Affinity Responsive Target Stability (DARTS). This innovative method is able to identify the target of the identified drug. Importantly, signaling pathways and their regulators in C. elegans are highly conserved in most vertebrates, including humans. Therefore, C. elegans will provide a great opportunity to identify therapeutic drugs and their targets, as well as to understand mechanisms underlying the formation of cancer.

Assessment of statistical sampling methods and approximation models applied to aeroacoustic and vibroacoustic problems

  • Biedermann, Till M.;Reich, Marius;Kameier, Frank;Adam, Mario;Paschereit, C.O.
    • Advances in aircraft and spacecraft science
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    • v.6 no.6
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    • pp.529-550
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    • 2019
  • The effect of multiple process parameters on a set of continuous response variables is, especially in experimental designs, difficult and intricate to determine. Due to the complexity in aeroacoustic and vibroacoustic studies, the often-performed simple one-factor-at-a-time method turns out to be the least effective approach. In contrast, the statistical Design of Experiments is a technique used with the objective to maximize the obtained information while keeping the experimental effort at a minimum. The presented work aims at giving insights on Design of Experiments applied to aeroacoustic and vibroacoustic problems while comparing different experimental designs and approximation models. For this purpose, an experimental rig of a ducted low-pressure fan is developed that allows gathering data of both, aerodynamic and aeroacoustic nature while analysing three independent process parameters. The experimental designs used to sample the design space are a Central Composite design and a Box-Behnken design, both used to model a response surface regression, and Latin Hypercube sampling to model an Artificial Neural network. The results indicate that Latin Hypercube sampling extracts information that is more diverse and, in combination with an Artificial Neural network, outperforms the quadratic response surface regressions. It is shown that the Latin Hypercube sampling, initially developed for computer-aided experiments, can also be used as an experimental design. To further increase the benefit of the presented approach, spectral information of every experimental test point is extracted and Artificial Neural networks are chosen for modelling the spectral information since they show to be the most universal approximators.

Properties of Synchronous Versus Metachronous Bilateral Breast Carcinoma with Long Time Follow Up

  • Eliyatkin, Nuket;Zengel, Baha;Yagci, Ayse;Comut, Erdem;Postaci, Hakan;Uslu, Adam;Aktas, Safiye
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.12
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    • pp.4921-4926
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    • 2015
  • Background: Breast cancer is the most common cancer type among women with increasing incidence rates, improved prognosis and survival. According to the localization of the tumor, breast cancer is designated as unilateral (UBC) or bilateral (BBC). BBC can be classified as synchronous (SBBC) or metachronous (MBBC) based on the time interval between the diagnosis of the first and the secondary tumors. According to the guideline of WHO 2012, BBC is generally defined as SBBC when contralateral breast carcinoma is diagnosed within 3 months. The aim of this study was to compare the characteristics and patterns of metastasis of BBC patients with UBC. Materials and Methods: A cohort of 768 patients with breast cancer treated at the Turkish Ministry of Health-Izmir Bozyaka Research and Training Hospital between 1976 and 2012 were studied. Survival analysis was performed comparing UBC and BBC patients. In addition, evaluations were performed in patients with SBBC and MBBC sub-groups. We used a 3-months interval to distinguish metachronous from synchronous. Results: When clinical and histopathological parameters were statistically evaluated, ER status, event-free and overall survival were found to be significant between UBC and BBC patients. In comparison of SBBC and MBBC patients, age, histological type of tumor, event-free and overall survival were found to be significant. Conclusions: BBC cases were found to show worse prognosis than UBC cases. Among BBC, SBBC had the worst prognosis based on overall survival rates.

Dynamic Analysis of Wave Energy Generation System by Using Multibody Dynamics (다물체 동역학을 이용한 파력발전기의 동적거동 분석)

  • Jang, Jin-Seok;Sohn, Jeong-Hyun
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.12
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    • pp.1579-1584
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    • 2011
  • This paper discusses an energy system that can convert wave energy into electrical energy. This wave energy generation system is movable and has 12 arms and one generator. A multibody dynamic model for this system is established by using kinematic constraints. A gear mechanism, several kinematic constraints, and force elements are included in the model. Wave forces are obtained numerically from the time domain formulation based on the Morison equation. The MSC/ADAMS program is employed to carry out dynamic analysis of the wave energy generation system. The dynamic behavior responses of this system are analyzed for design verification. According to the results of the dynamic analysis, the yaw motion is relatively stable and kinetic energy sufficient to generate electrical energy is obtained when the wave height exceeds 1m.

Development of Machine Learning Model for Predicting Distillation Column Temperature (증류공정 내부 온도 예측을 위한 머신 러닝 모델 개발)

  • Kwon, Hyukwon;Oh, Kwang Cheol;Chung, Yongchul G.;Cho, Hyungtae;Kim, Junghwan
    • Applied Chemistry for Engineering
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    • v.31 no.5
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    • pp.520-525
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    • 2020
  • In this study, we developed a machine learning-based model for predicting the production stage temperature of distillation process. It is necessary to predict an accurate temperature for control because the control of the distillation process is done through the production stage temperature. The temperature in distillation process has a nonlinear complex relationship with other variables and time series data, so we used the recurrent neural network algorithms to predict temperature. In the model development process, by adjusting three recurrent neural network based algorithms, and batch size, we selected the most appropriate model for predicting the production stage temperature. LSTM128 was selected as the most appropriate model for predicting the production stage temperature. The prediction performance of selected model for the actual temperature is RMSE of 0.0791 and R2 of 0.924.

Numerical investigation of flow characteristics through simple support grids in a 1 × 3 rod bundle

  • Karaman, Umut;Kocar, Cemil;Rau, Adam;Kim, Seungjin
    • Nuclear Engineering and Technology
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    • v.51 no.8
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    • pp.1905-1915
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    • 2019
  • This paper investigated the influence of simple support girds on flow, irrespective of having mixing vanes, in a 1 × 3 array rod bundle by using CFD methodology and the most accurate turbulence model which could reflect the actual physics of the flow was determined. In this context, a CFD model was created simulating the experimental studies on a single-phase flow [1] and the results were compared with the experimental data. In the first part of the study, influence of mesh was examined. Tetra, hybrid and poly type meshes were analyzed and convergence study was carried out on each in order to determine the most appropriate type and density. k - ε Standard and RSM LPS turbulence models were used in this section. In the second part of the study, the most appropriate turbulence model that could reflect the physics of the actual flow was investigated. RANS based turbulence models were examined using the mesh that was determined in the first part. Velocity and turbulence intensity results obtained on the upstream and downstream of the spacer grid at -3dh, +3dh and +40dh locations were compared with the experimental data. In the last section of the study, the behavior of flow through the spacer grid was examined and its prominent aspects were highlighted on the most appropriate turbulence model determined in the second part. Results of the study revealed the importance of mesh type. Hybrid mesh having the largest number of structured elements performed remarkably better than the other two on results. While comparisons of numerical and experimental results showed an overall agreement within all turbulence models, RSM LPS presented better results than the others. Lastly, physical appearance of the flow through spacer grids revealed that springs has more influence on flow than dimples and induces transient flow behaviors. As a result, flow through a simple support grid was examined and the most appropriate turbulence model reflecting the actual physics of the flow was determined.

SCANNING ELECTRON MICROSCOPY ANALYSIS OF FUEL/MATRIX INTERACTION LAYERS IN HIGHLY-IRRADIATED U-Mo DISPERSION FUEL PLATES WITH Al AND Al-Si ALLOY MATRICES

  • Keiser, Dennis D. Jr.;Jue, Jan-Fong;Miller, Brandon D.;Gan, Jian;Robinson, Adam B.;Medvedev, Pavel;Madden, James;Wachs, Dan;Meyer, Mitch
    • Nuclear Engineering and Technology
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    • v.46 no.2
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    • pp.147-158
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    • 2014
  • In order to investigate how the microstructure of fuel/matrix-interaction (FMI) layers change during irradiation, different U-7Mo dispersion fuel plates have been irradiated to high fission density and then characterized using scanning electron microscopy (SEM). Specifially, samples from irradiated U-7Mo dispersion fuel elements with pure Al, Al-2Si and AA4043 (~4.5 wt.%Si) matrices were SEM characterized using polished samples and samples that were prepared with a focused ion beam (FIB). Features not observable for the polished samples could be captured in SEM images taken of the FIB samples. For the Al matrix sample, a relatively large FMI layer develops, with enrichment of Xe at the FMI layer/Al matrix interface and evidence of debonding. Overall, a significant penetration of Si from the FMI layer into the U-7Mo fuel was observed for samples with Si in the Al matrix, which resulted in a change of the size (larger) and shape (round) of the fission gas bubbles. Additionally, solid fission product phases were observed to nucleate and grow within these bubbles. These changes in the localized regions of the microstructure of the U-7Mo may contribute to changes observed in the macroscopic swelling of fuel plates with Al-Si matrices.