• Title/Summary/Keyword: CRC 16

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Association of Human Epidermal Growth Factor Receptor-2 Expression and Clinicopathological Findings in Patients with Colorectal Cancer

  • Karaca, Halit;Deniz, Kemal;Berk, Veli;Inanc, Mevlude;Ozkan, Metin
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.6221-6225
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    • 2012
  • Background: To determine the frequency of HER-2 overexpression in colorectal cancer (CRC) patients, and to explore the relationship between clinicopathological prognostic factors and their effects on survival, based on immunohistochemistry (IHC) and fluorescent in situ hybridization (FISH) analysis. Materials and Methods: The study included 80 patients with a histologically proven diagnosis of CRC that received adjuvant FOLFOX-4 chemotherapy at our department between March 2006 and September 2010. Patient data were analyzed retrospectively. Results: The median follow-up period and age of the patients were 24 months and 59 years, respectively. In immunohistochemical staining, 3+ staining was found in 2 patients (2.5%) while 2+ was in 13 (16%). FISH for HER-2 was performed for all of these 15 patients; samples which were 3+ showed positivity but the ones with 2+ were negative. There was no significant correlation between HER-2 expression and age, gender, tumor localization, histological subtype, grade, lymphovascular and perineural invasion, or pTN stage (P>0.05), even when the patients with HER-2 overexpression were analyzed separately. There was also no significant relationship between progression-free survival (PFS) and overall survival (OS), and HER-2 expression, gender, tumor localization, obstruction-perforation, bleeding, histological type, grade, lymphovascular and perineural invasion, or pT staging (P>0.05); however, there was a significant relationship between lymph node involvement, and PFS and OS (P<0.05). Conclusions: Evaluation of HER-2 overexpression in a more comprehensive, multi-center, prospective trial with standardized methods will be an appropriate approach.

Clinicopathological Features of Colon Adenocarcinoma in Qazvin, Iran: A 16 Year Study

  • Hajmanoochehri, Fatemeh;Asefzadeh, Saeed;Kazemifar, Amir Mohammad;Ebtehaj, Mehdi
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.2
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    • pp.951-955
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    • 2014
  • Background: Colorectal cancer (CRC) was the fourth most commonly diagnosed cancer in Iran between 2000 and 2009, with adenocarcinoma (AC) as the most common histological type. Demographic, topographic and histological variables are important in the epidemiology and biology of cancer. The aim of this study was to investigate clinicopathological features of colon adenocarcinomas in Qazvin, Iran. Materials and Methods: With a retrospective design, patient records of two pathology wards from March 1997 to March 2013 were studied with regard to anatomical location and histological classification. A broader anatomical grouping was also used including distal vs proximal regions and right sided vs left sided tumors. Data were analyzed using T-test and chi-square test. Results: 118 (50.9%) male and 114 (49.1%) female patients were included in the study. Mean age was $57.3{\pm}14.7$ years, with 29.2% under 50 years. There was no significant gender difference for age at diagnosis. The rectum (56%) and sigmoid colon (25%) were the most frequent anatomical locations. Proximal cases accounted for 18.6% in males and 8.8% in females (p=0.02). AC was more prevalent than other usual types in younger patients. The proportion of proximal cancer was 1.7% in first eight years of the study period vs 12.1% in the second one (p=0.005). A similar trend was also seen in right sided colon cancers (p=0.018). Conclusions: Young people are also at risk for the cancer with poor prognosis. Screening programs and weight loss in obese individuals can reduce incidence and complications of CRC.

Advanced analysis and optimal design of space steel frames accounting for nonlinear behavior of connections (접합부의 비선형 거동을 고려한 공간 강뼈대 구조물의 고등해석과 최적설계)

  • Choi, Se Hyu
    • Journal of Korean Society of Steel Construction
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    • v.16 no.5 s.72
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    • pp.683-694
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    • 2004
  • Advanced analysis and optimal design of semi-rigid space steel frames were presented. The advanced analysis can predict the combined nonlinear effects of connection, geometry, and material on the behavior and strength of semi-rigid frames. The Kishi-Chen power model was used to describe the nonlinear behavior of semi-rigid connections. Geometric nonlinearity was determined using stability functions. Material nonlinearity was determined using the Column Research Council (CRC) tangent modulus and the parabolic function. The direct search method proposed by Choi and Kim was used as optimization technique. One by one, the member with the largest unit value evaluated using the LRFD interaction equation were placed adjacent to a larger member selected from the database. The objective function was assumed to be the weight of steel frame, while the constraint functions were load-carrying capacities, deflections, inter-story drifts, and the ductility requirements. The member sizes determined using the proposed method were compared to those derived from the conventional LRFD method.

Zerumbone Restores Gut Microbiota Composition in ETBF Colonized AOM/DSS Mice

  • Cho, Hye-Won;Rhee, Ki-Jong;Eom, Yong-Bin
    • Journal of Microbiology and Biotechnology
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    • v.30 no.11
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    • pp.1640-1650
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    • 2020
  • Colorectal cancer (CRC) is the leading cause of common malignant neoplasm worldwide. Many studies have analyzed compositions of gut microbiota associated with various diseases such as inflammatory bowel diseases (IBD) and colon cancer. One of the most representative bacteria involved in CRC is enterotoxigenic Bacteroides fragilis (ETBF), a species belonging to phylum Bacteroidetes. We used ETBF colonized mice with azoxymethane (AOM)/dextran sulphate sodium (DSS) and zerumbone, a compound with anti-bacterial effect, to determine whether zerumbone could restore intestinal microbiota composition. Four experimental groups of mice were used: sham, ETBF colonized AOM/DSS group, ETBF colonized AOM/DSS group zerumbone 60 mg kg-1 (ETBF/AOM/DSS + Z (60)), and only zerumbone (60 mg kg-1)-treated group. We performed reversible dye terminators-based analysis of 16S rRNA gene region V3-V4 for group comparison. Microbiota compositions of ETBF/AOM/DSS + Z (60) group and ETBF colonized AOM/DSS group not given zerumbone were significantly different. There were more Bacteroides in ETBF/AOM/DSS + Z (60) group than those in ETBF colonized AOM/DSS group, suggesting that B. fragilis could be a normal flora activated by zerumbone. In addition, based on linear discriminant analysis of effect size (LEfSe) analysis, microbial diversity decreased significantly in the ETBF colonized AOM/DSS group. However, after given zerumbone, the taxonomic relative abundance was increased. These findings suggest that zerumbone not only influenced the microbial diversity and richness, but also could be helpful for enhancing the balance of gut microbial composition. In this work, we demonstrate that zerumbone could restore the composition of intestinal microbiota.

Should asymptomatic young men with iron deficiency anemia necessarily undergo endoscopy?

  • Kim, Nam Hee;Park, Jung Ho;Park, Dong Il;Sohn, Chong Il;Choi, Kyuyong;Jung, Yoon Suk
    • The Korean journal of internal medicine
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    • v.33 no.6
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    • pp.1084-1092
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    • 2018
  • Background/Aims: There has been no evidence for the necessity of endoscopy in asymptomatic young men with iron deficiency anemia (IDA). To determine whether endoscopy should be recommended in asymptomatic young men with IDA, we compared the prevalence of gastrointestinal (GI) lesions between young men (< 50 years) with IDA and those without IDA. Methods: We conducted a case-control study on asymptomatic young men aged < 50 years who underwent both esophagogastroduodenoscopy (EGD) and colonoscopy as part of a health checkup between 2010 and 2014. Results: Of 77,864 participants, 128 (0.16%) had IDA and 512 subjects without IDA were matched for several variables including age. Young men with IDA had a significantly higher proportion of colorectal cancer (CRC) (0.8% vs. 0.0%, p = 0.045), villous adenoma (0.8% vs. 0.0%, p = 0.045), and inflammatory bowel disease (IBD; 2.3% vs. 0.4%, p = 0.025) than those without IDA. Additionally, the prevalence of advanced colorectal neoplasia (ACRN) tended to be higher in subjects with IDA than in those without IDA (3.1% vs. 1.0%, p = 0.084). The prevalence of significant lower GI lesions including ACRN and IBD was higher in subjects with IDA than in those without IDA (5.5% vs. 1.4%, p = 0.011). Regarding upper GI lesions, a positive association with IDA was observed only for gastric ulcer (4.7% vs. 1.0%, p = 0.011). Conclusions: GI lesions including CRC, villous adenoma, IBD, and gastric ulcer were more common in asymptomatic young men with IDA. Our results suggest that EGD and particularly colonoscopy should be recommended even in asymptomatic young men with IDA.

Multiple Node Flip Fast-SSC Decoding Algorithm for Polar Codes Based on Node Reliability

  • Rui, Guo;Pei, Yang;Na, Ying;Lixin, Wang
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.16 no.2
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    • pp.658-675
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    • 2022
  • This paper presents a fast-simplified successive cancellation (SC) flipping (Fast-SSC-Flip) decoding algorithm for polar code. Firstly, by researching the probability distribution of the number of error bits in a node caused by channel noise in simplified-SC (SSC) decoder, a measurement criterion of node reliability is proposed. Under the guidance of the criterion, the most unreliable nodes are firstly located, then the unreliable bits are selected for flipping, so as to realize Fast-SSC-Flip decoding algorithm based on node reliability (NR-Fast-SSC-Flip). Secondly, we extended the proposed NR-Fast-SSC-Flip to multiple node (NR-Fast-SSC-Flip-ω) by considering dynamic update to measure node reliability, where ω is the order of flip-nodes set. The extended algorithm can correct the error bits in multiple nodes, and get good performance at medium and high signal-to-noise (SNR) region. Simulation results show that the proposed NR-Fast-SSC-Flip decoder can obtain 0.27dB and 0.17dB gains, respectively, compared with the traditional Fast-SSC-Flip [14] and the newly proposed two-bit-flipping Fast-SSC (Fast-SSC-2Flip-E2) [18] under the same conditions. Compared with the newly proposed partitioned Fast-SSC-Flip (PA-Fast-SSC-Flip) (s=4) [18], the proposed NR-Fast-SSC-Flip-ω (ω=2) decoder can obtain about 0.21dB gain, and the FER performance exceeds the cyclic-redundancy-check (CRC) aided SC-list (CRC-SCL) decoder (L=4).

XELOX Plus Bevacizumab vs. FOLFIRI Plus Bevacizumab Treatment for First-line Chemotherapy in Metastatic Colon Cancer: a Retrospective Study of the Anatolian Society of Medical Oncology

  • Duran, Ayse Ocak;Karaca, Halit;Besiroglu, Mehmet;Bayoglu, Ibrahim Vedat;Menekse, Serkan;Yapici, Heves Surmeli;Yazilitas, Dogan;Bahceci, Aykut;Uysal, Mukremin;Sevinc, Alper;Hacibekiroglu, Ilhan;Aksoy, Asude;Tanriverdi, Ozgur;Arpaci, Erkan;Inanc, Mevlude;Dane, Faysal;Ozkan, Metin
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.23
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    • pp.10375-10379
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    • 2015
  • Background: XELOX plus bevacizumab (XELOX-Bev) and FOLFIRI plus Bevacizumab (FOLFIRI - Bev) treatments are an effective strategies patients with metastatic colorectal cancer (mCRC).The aim of this study was to compare efficacy of first-line XELOX-Bev treatment vs FOLFIRI-Bev treatment for mCRC. Materials and Methods: A total of 409 patients with mCRC who received chemotherapy were included and divided into 2 groups. Group 1 (n=298) received XELOX-Bev and Group 2 (n=111) FOLFIRI-Bev. Comparisons were made in terms of overall (OS) and progression-free (PFS) survival, response rate (RR), and grade 3-4 toxicity. Results: Median follow-up was 11 months in Group 1 and 15 months for Group 2. Complete remission was observed in 29 (9.7%) and 2 (1.8%) patients, partial remission in 139 (46.6%) and 27 (24.5%), stable disease in 88 (29.5%) and 49 (44.1%) and progressive disease in 42 (14.1%) and 33 (30.0%) patients in Group 1 and 2, respectively. Median OS was 25 months (range 2-57 months, 95%CI; 22.2-27.7) for Group 1 and 20 months (range 1-67 months, 95%CI; 16.8-23.1) for Group 2 (p=0.036). Median PFS was 9.6 months (range 2-36 months, 95%CI; 8.8-10.4) for Group 1 and 9 months (range 1-44 months, 95%CI; 7.4-10.5) for Group 2 (p=0.019). Objective RR was 56.4% in Group 1 and 26.1% in Group 2 (p<0.001). Conclusions: First-line XELOX-Bev is more effective with a better response rate, prolongation of median PFS/OS, and a superior safety profile compared with FOLFIRI-Bev.

Prognostic Model Built on Blood-based Biomarkers in Patients with Metastatic Colorectal Cancer

  • He, Wen-Zhuo;Jiang, Chang;Yin, Chen-Xi;Guo, Gui-Fang;Rong, Ru-Ming;Qiu, Hui-Juan;Chen, Xu-Xian;Zhang, Bei;Xia, Liang-Ping
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.17
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    • pp.7327-7331
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    • 2014
  • Background: We had previously showed that the neutrophil lymphocyte ratio (NLR), ${\gamma}$-glutamyl transpeptidase (GGT) and carcinoembryonic antigen (CEA) are prognostic factors for metastatic colorectal cancer (mCRC) patients. In this study we developed a prognostic model based on these three indices. Materials and Methods: A total of 243 patients who were initially diagnosed as mCRC between 2005 and 2010 in the Sun Yat-sen University Cancer Center were studied. The endpoint was overall survival (OS). Results: NLR>3, elevated GGT and elevated CEA were confirmed as independent risk factors which could predict poor prognosis. Patients could be divided into three groups according to the number of risk factors they had. Those with two or three were defined as the high risk group, individuals with one risk factor as the modest risk group and patients without risk factor as the low risk group. The OS values for these three groups were 16.2 months (2.80~68.8), 24.2 months (4.07~79.0), and 37.2 months (12.6~87.8), respectively (p<0.001). Conclusions: We developed a simple but useful model based on NLR, GGT and CEA to provide prognostic information to clinical practice in highly selected mCRC patients. Further prospective and multi-center studies are warranted to test our model.

Design and Implementation of Wireless Modem for Indoor Data Communication (구내 데이터 통신용 무선모뎀 설계 및 구현)

  • Cho, Byung-Hak
    • Journal of The Institute of Information and Telecommunication Facilities Engineering
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    • v.11 no.1
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    • pp.16-22
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    • 2012
  • Wireless data communication is easy to be affected by channel noise and degrade reliability and stability by the multipath fading and ISI compared with wired data communication. In this paper, we designed and implemented indoor wireless modem adopted DQPSK modulation scheme for improvement of bandwidth efficiency, and convolutional encoding, Viterbi decoding and hybrid ARQ algorithm combinig FEC with CRC for efficient error control in indoor wireless channel. Testing the implemented wireless modem, we verified the proposed scheme is proper to efficient and reliable indoor wireless data communication.

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Design and Implementation of the subscriber MAC protocol in the BWA system

  • Hwang, You-Sun;Kim, Eung-bae
    • Proceedings of the IEEK Conference
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    • 2003.07a
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    • pp.569-572
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    • 2003
  • The broadband wireless access industry, which provides high-tate network connections to stationary sites, has matured to the point at which it now has a standard for second-generation wireless metropolitan area networks. IEEE Standard 802.16, with its WirelessMAN air interface, set the stage for widespread and effective deployments worldwide. This paper presents an implementation of media access control that can be applied to BWA (Broadband Wireless Access) system. Medium access control (MAC) is a key issue in multi-access networks where a common channel is shared by many users. The designed MAC prototype roughly consists of MAC Hardware and MAC Software. The MAC Hardware part includes timing process, MAC transmission control, MAC reception control, and CRC/HCS process. The MAC Software part includes control of MAC signaling, network interface, and Physical (PHY) control. The designed MAC protocol will be integrated with the PHY of BWA in future and we can test overall system performance of MAC and PHY.

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