• Title/Summary/Keyword: EGC

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A Modified eCura System to Stratify the Risk of Lymph Node Metastasis in Undifferentiated-Type Early Gastric Cancer After Endoscopic Resection

  • Hyo-Joon Yang ;Hyuk Lee;Tae Jun Kim;Da Hyun Jung;Kee Don Choi;Ji Yong Ahn;Wan Sik Lee;Seong Woo Jeon;Jie-Hyun Kim;Gwang Ha Kim;Jae Myung Park;Sang Gyun Kim;Woon Geon Shin;Young-Il Kim;Il Ju Choi
    • Journal of Gastric Cancer
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    • v.24 no.2
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    • pp.172-184
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    • 2024
  • Purpose: The original eCura system was designed to stratify the risk of lymph node metastasis (LNM) after endoscopic resection (ER) in patients with early gastric cancer (EGC). We assessed the effectiveness of a modified eCura system for reflecting the characteristics of undifferentiated-type (UD)-EGC. Materials and Methods: Six hundred thirty-four patients who underwent non-curative ER for UD-EGC and received either additional surgery (radical surgery group; n=270) or no further treatment (no additional treatment group; n=364) from 18 institutions between 2005 and 2015 were retrospectively included in this study. The eCuraU system assigned 1 point each for tumors >20 mm in size, ulceration, positive vertical margin, and submucosal invasion <500 ㎛; 2 points for submucosal invasion ≥500 ㎛; and 3 points for lymphovascular invasion. Results: LNM rates in the radical surgery group were 1.1%, 5.4%, and 13.3% for the low-(0-1 point), intermediate- (2-3 points), and high-risk (4-8 points), respectively (P-fortrend<0.001). The eCuraU system showed a significantly higher probability of identifying patients with LNM as high-risk than the eCura system (66.7% vs. 22.2%; McNemar P<0.001). In the no additional treatment group, overall survival (93.4%, 87.2%, and 67.6% at 5 years) and cancer-specific survival (99.6%, 98.9%, and 92.9% at 5 years) differed significantly among the low-, intermediate-, and high-risk categories, respectively (both P<0.001). In the high-risk category, surgery outperformed no treatment in terms of overall mortality (hazard ratio, 3.26; P=0.015). Conclusions: The eCuraU system stratified the risk of LNM in patients with UD-EGC after ER. It is strongly recommended that high-risk patients undergo additional surgery.

Effect of Purified Green Tea Catechins on Cytosolic Phospholipase $A_2$ and Arachidonic Acid Release in Human Gastrointestinal Cancer Cell Lines

  • Hong, Jung-Il;Yang, Chung-S.
    • Food Science and Biotechnology
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    • v.15 no.5
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    • pp.799-804
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    • 2006
  • Ingestion of green tea has been shown to decrease prostaglandin $E_2$ levels in human colorectum, suggesting that tea constituents modulate arachidonic acid metabolism. In the present study, we investigated the effects of four purified green tea catechins, (-)-epicatechin (EC), (-)-epigallocatechin (EGC), (-)-epigallocatechin-3-gallate (EGCG), and (-)-epicatechin-3-gallate (ECG), on the catalytic activity of cytosolic phospholipase $A_2$ ($cPLA_2$) and release of arachidonic acid and its metabolites from intact cells. At $50\;{\mu}M$, EGCG and ECG inhibited $cPLA_2$ activity by 19 and 37%, respectively, whereas EC and EGC were less effective. The inhibitory effects of these catechins on arachidonic acid metabolism in intact cells were much more pronounced. At $10\;{\mu}M$, EGCG and ECG inhibited the release of arachidonic acid and its metabolites by 50-70% in human colon adenocarcinoma cells (HT-29) and human esophageal squamous carcinoma cells (KYSE-190 and 450). EGCG and ECG also inhibited arachidonic acid release induced by A23187, a calcium ionophore, in both HT-29 and KYSE-450 cell lines by 30-50%. The inhibitory effects of green tea catechins on $cPLA_2$ and arachidonic acid release may provide a possible mechanism for the prevention of human gastrointestinal inflammation and cancers.

Recovery of Catechin Compound from Korean Green Tea by Solvent Extraction and Partition (용매 추출과 분배에 의한 한국산 녹차로부터 카테킨 화합물이 회수)

  • 김정일;노경호
    • KSBB Journal
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    • v.16 no.5
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    • pp.442-445
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    • 2001
  • Catechin compounds as anticancer and antioxidant were target materials from Korean Green Tea in this work. The methodologies of solvent extraction and partition were utilized to recover catechin compounds from green tea and the optimal experimental conditions were found by comparing the degree of recovery as slovent. extraction times and operating temperatures. The extract was partitioned with chloroform, which was best fit to remove caffeine after the extraction of green tea with 80$^{\circ}C$ water for 40 min. Further, the resulting extract was partitioned in ethyl acetate layer to purify the catechin compounds of EGC, EC EGCG and ECG. This experimental result could be extended to preparative HPLC to obtain EGCG on a commercial scale.

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Gastric cancer and adenomatous colorectal polyp concomitant with pyogenic liver abscess and bacteremia

  • Kang, Min Kyu;Kwon, Hee Jung;Kim, Min Cheol
    • Journal of Yeungnam Medical Science
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    • v.37 no.3
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    • pp.246-249
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    • 2020
  • Synchronous gastric cancer and adenomatous colorectal polyp in patients with Klebsiella pneumoniae-induced pyogenic liver abscess (KP-PLA) and bacteremia is a rare presentation. A 58-year-old man with a 6-month history of diabetes mellitus (DM) presented with febrile sensation and dull abdominal pain in the right upper quadrant of the abdomen. Subsequent to laboratory test results and abdominal computed tomography findings, KP-PLA with bacteremia was diagnosed. After intravenous antibiotic administration, his symptoms improved, and upper endoscopy and colonoscopy were performed to evaluate the cause of KP-PLA. Biopsy specimens of the prepyloric anterior wall revealed a moderately differentiated adenocarcinoma. Endoscopic mucosal resection of the colon revealed high-grade dysplasia. Early gastric cancer (EGC) and adenomatous colorectal polyps with high-grade dysplasia concomitant with KP-PLA and bacteremia were diagnosed in our patient who had DM. Intravenous antibiotic treatment for KP-PLA, subtotal gastrectomy for EGC, and colonoscopic mucosal resection for the colon polyp were performed. After 25 days of hospitalization, subtotal gastrectomy with adjacent lymph node dissection was performed. Follow-up ultrasound imaging showed resolution of the abscess 5 weeks post-antibiotic treatment, as well as no tumor metastasis. Upper gastrointestinal endoscopy and colonoscopy should be performed to evaluate gastric cancer in patients with PLA or bacteremia, accompanied with DM or an immunocompromised condition.

Minimizing Sensing Decision Error in Cognitive Radio Networks using Evolutionary Algorithms

  • Akbari, Mohsen;Hossain, Md. Kamal;Manesh, Mohsen Riahi;El-Saleh, Ayman A.;Kareem, Aymen M.
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.6 no.9
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    • pp.2037-2051
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    • 2012
  • Cognitive radio (CR) is envisioned as a promising paradigm of exploiting intelligence for enhancing efficiency of underutilized spectrum bands. In CR, the main concern is to reliably sense the presence of primary users (PUs) to attain protection against harmful interference caused by potential spectrum access of secondary users (SUs). In this paper, evolutionary algorithms, namely, particle swarm optimization (PSO) and genetic algorithm (GA) are proposed to minimize the total sensing decision error at the common soft data fusion (SDF) centre of a structurally-centralized cognitive radio network (CRN). Using these techniques, evolutionary operations are invoked to optimize the weighting coefficients applied on the sensing measurement components received from multiple cooperative SUs. The proposed methods are compared with each other as well as with other conventional deterministic algorithms such as maximal ratio combining (MRC) and equal gain combining (EGC). Computer simulations confirm the superiority of the PSO-based scheme over the GA-based and other conventional MRC and EGC schemes in terms of detection performance. In addition, the PSO-based scheme also shows promising convergence performance as compared to the GA-based scheme. This makes PSO an adequate solution to meet real-time requirements.

Prosuction of Cytokine and NO by RAW 264.7 Macrophages and PBMC In Vitro Incubation with Flavonoids

  • Lyu, Su-Yun;Park, Won-Bong
    • Archives of Pharmacal Research
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    • v.28 no.5
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    • pp.573-581
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    • 2005
  • Flavonoids, a group of low molecular weight phenylbenzopyrones, have various pharmacological properties including antioxidant activity, anticancer, and immunomodulatory effects. In the present study, lipopolysaccharide (LPS) and phorbol 12-myristate 13-acetate/phytohemagglutinin (PMA/PHA) were used as stimulants for RAW 264.7 macrophages and human peripheral blood mononuclear cell (hPBMC), and tumor necrosis factor (TNF)-${\alpha}$ and interleukin (IL)-2 productions were measured. In addition, flavonoids were examined for their effects on LPS-induced NO production in RAW 264.7 macrophages. The results showed that all compounds were not strongly cytotoxic at the tested concentrations on hPBMC and RAW 264.7 macrophages. On immunomodulatory properties, catechin, epigallocatechin (EGC), naringenin, and fisetin repressed NO production and TNF-${\alpha}$ secretion. Furthermore, catechin, epigallocatechin gallate (EGCG), epicatechin (EC), luteolin, chrysin, quercetin, and galangin increased IL-2 secretion while EGC, apigenin, and fisetin inhibited the secretion. These results indicated that flavonoids have the capacity to modulate the immune response and have a potential anti-inflammatory activity. There was no obvious structure-activity relationship regard to the chemical composition of the flavonoids and their cell biological effects.

Energy Efficiency of Cooperative Routing with EGC Over Rayleigh Fading Channel (레일리 페이딩 채널을 통해 결합된 등가 이득 협력 라우팅의 에너지 효율)

  • Kong, Hyung-Yun;Tran, Truc Thanh
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.13 no.5
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    • pp.65-70
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    • 2013
  • In this paper, we propose a multi-hop cooperative transmission protocol to obtain energy savings in static wireless networks. Each terminal in the network is equipped with a single antenna and each receiver uses equal gain combining technique (EGC) to combine received signals. We also propose a power allocation strategy which optimizes the total transmit power at each stage. Monte-Carlo simulations are presented to evaluate and compare performance of the proposed protocol with the multi-hop direct transmission (MDT) and the cooperative routing protocol proposed by Khadani [8], in terms of the average total transmit power and the average number of required stages.

Real-time Obstacle Avoidance of Non-holonomic Mobile Robots Using Expanded Guide Circle Method (확장 가이드 서클 방법을 이용한 비홀로노믹 이동로봇의 실시간 장애물 회피)

  • Shim, Young-Bo;Kim, Gon-Woo
    • The Journal of Korea Robotics Society
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    • v.12 no.1
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    • pp.86-93
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    • 2017
  • The Expanded Guide Circle (EGC) method has been originally proposed as the guidance navigation method for improving the efficiency of the remote operation using the sensory information. The previous algorithm is, however, concerned only for the omni-directional mobile robot, so it needs to suggest a suitable one for a mobile robot with non-holonomic constraints. The ego-kinematic transform is a method to map points of $R^2$ into the ego-kinematic space which implicitly represents non-holonomic constraints for admissible paths. Thus, robots with non-holonomic constraints in the ego-kinematic space can be considered as "free-flying object". In this paper, we propose an effective obstacle avoidance method for mobile robots with non-holonomic constraints by applying EGC method in the ego-kinematic space using the ego-kinematic transformation. This proposed method shows that it works better for non-holonomic mobile robots such as differential-drive robot than the original one. The simulation results show its effectiveness of performance.