• Title/Summary/Keyword: PFS

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The Neutrophil to Lymphocyte Ratio is an Independent Prognostic Factor in Patients with Metastatic Gastric Cancer

  • Musri, Fatma Yalcin;Mutlu, Hasan;Eryilmaz, Melek Karakurt;Salim, Derya Kivrak;Gunduz, Seyda;Coskun, Hasan Senol
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1309-1312
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    • 2016
  • Inflammation can play an important role in cancer progression and the prognostic importance of neutrophil to lymphocyte ratio (NLR), a marker of inflammation, in cancer is a current investigation topic. In the present study, we aimed to determine whether there is a prognostic link between NLR and metastatic gastric cancer (mGC). A total of 143 patients from the Akdeniz University and Antalya Training and Research Hospital database were retrospectively analyzed. The median NLR value was 3.34. The median overall survival (OS) and median progression-free survival (PFS) were 11.6 and 7.9 months, respectively, in patients with NLR<3.34 while these values were 8.3 and 6.2 months respectively in patients with NLR>3.34 (p<0.001 and p=0.011, respectively). Our study showed that increased NLR is an independent prognostic factor associated with short survival in patients with mGC.

Retrospective Study of Gemcitabine Based Chemotherapy for Unresectable or Recurrent Esophagus Squamous Cell Carcinoma Refractory to First Line Chemotherapy

  • Wang, Mei;Gu, Jun;Wang, Hai-Xing;Wu, Mei-Hong;Li, Yong-Mei;Wang, Ya-Jie
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.4153-4156
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    • 2012
  • Purpose: To investigate the efficacy and toxicity of a combination of gemcitabine with nedaplatin (GN) or cisplatin (GC) for patients with unresectable or recurrent esophagus squamous cell carcinoma. Methods: Gemcitabine was administered at 1 g/m2 intravenously on days 1 and 8; and nedaplatin or cisplatin were administered at 80 mg/m2 intravenously on day 1. We analyzed the response rate, overall survival time, progression-free survival time, and toxicity in 21 patients treated with GN and 27 patients treated with GC. Results: In patients treated with gemcitabine plus nedaplatin, the ORR was 47.6%, the median progression-free survival time was 4.1 months, and the median survival time was 9.3 months. In patients treated with gemcitabine plus cisplatin, the ORR was 48.2%, the median progression-free survival time was 3.9 months, and the median survival time was 9.1 months, respectively. There were no statistically significant differences in ORR, PFS and OS between the two groups. In both, the most commonly observed toxicities were thrombocytopenia and fatigue. Nausea and vomiting was more frequent in the GC group than in the GN group. Conclusion: Gemcitabine based chemotherapy was effective and tolerable for patients with unresectable or recurrent esophagus squamous cell carcinoma refractory to first line chemotherapy.

Low Cycle Fatigue Characteristics of High Strength Low Alloy Steel (고강도 저합금강의 저주기 피로특성)

  • Kim, Jae-Hoon;Kim, Duck-Hoi;Lee, Jong-Hyun;Cho, Seong-Seock;Jeon, Byoung-Hwan
    • Proceedings of the KSME Conference
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    • 2001.06a
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    • pp.169-174
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    • 2001
  • Low cycle fatigue tests are performed on high strength low alloy steels that be developed for submarine material. The relation between absorbed plastic strain energy and numbers of cycle to failure is examined in order to predict the low cycle fatigue life of structural steels by using plastic strain energy method. The cyclic properties are determined by a least square fit techniques. The life predicted by the plastic strain energy method is found to coincide with experiment data and results obtained from the Coffin-Manson method. Also the cyclic behavior of structural steels is characterized by cyclic softening with increasing number of cycle at room temperature. Especially, low cycle fatigue characteristics and microstructural changes of structural steels are investigated according to changing tempering temperatures. In the case of PFS steels, the $\varepsilon$-Cu is formed in 550C of tempering temperature and enhances the low cycle fatigue properties.

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Performance Analysis of Proportional Fair Scheduling with Partial Feedback Information for Multiuser MIMO-OFDMA Systems (다중 사용자 MIMO-OFDMA 시스템에서 부분 궤환 정보를 이용한 비례적 공정 스케줄링의 성능 분석)

  • Kang, Min-Gyu;Byun, Il-Mu;Park, Jin-Bae;Kim, Kwang-Soon
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.33 no.6A
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    • pp.643-651
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    • 2008
  • In this paper, we analyze the performance of normalized SNR based proportional fair scheduling with partial feedback information for multiuser MIMO-OFDMA systems. The closed form expression on the downlink capacity of the selective partial CQI feedback scheme is derived and its asymptotic behavior is investigated. From the performance analysis and numerical results, it is found that the optimal growth rate of downlink capacity can be achieved with bounded average feedback overhead irrespective of the number of users.

Relationship Between Fatigue and Nutritional Status in Patients with Cancer Undergoing Radiotherapy

  • Yang, Young Hee
    • Journal of Korean Academy of Nursing
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    • v.33 no.4
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    • pp.478-487
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    • 2003
  • Purpose. The purpose of this study was to identify the relationship between fatigue and nutritional status in patients undergoing radiotherapy. Design. A correlational and crossectional study design was used. Method. One-hundred-fifty-one subjects with cancer receiving radiotherapy were recruited from a university hospital in Chonan, Korea. Fatigue was measured using Piper's Fatigue Scale (PFS). The parameters for nutritional status included body weight, body mass index, hemoglobin, and lymphocyte counts. Cancer stage was controlled in analyzing the differences in fatigue, body weight and body mass index. Results. The patients who experienced most fatigue were in their fifties, employed, had head and neck cancer, received radiotherapy on the head and neck, and had concomitant chemotherapy. Disease-related characteristics such as cancer type, and treatment type were frequently related to poorer nutritional status. Patients who showed poorer nutritional status, such as those with lower body weight, lower body mass index and lower hemoglobin levels were more fatigued than those who did not exhibit such characteristics. Lymphocyte counts did not correlate with fatigue. Conclusion: The findings can be used by nurses who are taking care of patients undergoing radiotherapy. Considering the relationship between fatigue and nutritional status, nurses can identify the risk group most vulnerable to fatigue and malnourishment in order to provide appropriate interventions for them.

A comparative analysis on market and technology in water industry (물산업 시장과 기술 비교분석)

  • Park, Imsu
    • Journal of Korean Society of Water and Wastewater
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    • v.35 no.6
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    • pp.437-454
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    • 2021
  • This study investgates Korean water technology through the water market perspective and analyses its competitiveness. Based on the water technology classification, water technology competitiveness is analysed through the technological influence index and market dominance index which are based on the extracted water technology patents from the US, Europe, Korea, and Japan for the last decade. As a result, the Korean water technology patents were lack in influence and competitiveness in global market considering the large volume of patents. There are two most tech-influential industries in Korea; manufacturing industry consisting pipes, sterilization, disinfection, and advanced water purification equipment, and construction industry including seawater desalination and water resource development. Due to the domestic usage of the patents, the Korean water technology patents scored low in global market PFS(Patent Family Size) index compared to their CPP(Cites Per Patent) index. The study is meaningful in a way that the analysis on Korean water technology competitiveness using water technology classification system and patent analysis was conducted based on the perspective of the global water market.

A random forest-regression-based inverse-modeling evolutionary algorithm using uniform reference points

  • Gholamnezhad, Pezhman;Broumandnia, Ali;Seydi, Vahid
    • ETRI Journal
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    • v.44 no.5
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    • pp.805-815
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    • 2022
  • The model-based evolutionary algorithms are divided into three groups: estimation of distribution algorithms, inverse modeling, and surrogate modeling. Existing inverse modeling is mainly applied to solve multi-objective optimization problems and is not suitable for many-objective optimization problems. Some inversed-model techniques, such as the inversed-model of multi-objective evolutionary algorithm, constructed from the Pareto front (PF) to the Pareto solution on nondominated solutions using a random grouping method and Gaussian process, were introduced. However, some of the most efficient inverse models might be eliminated during this procedure. Also, there are challenges, such as the presence of many local PFs and developing poor solutions when the population has no evident regularity. This paper proposes inverse modeling using random forest regression and uniform reference points that map all nondominated solutions from the objective space to the decision space to solve many-objective optimization problems. The proposed algorithm is evaluated using the benchmark test suite for evolutionary algorithms. The results show an improvement in diversity and convergence performance (quality indicators).

Efficacy and Safety of Concomitant Chemoradiotherapy with Cisplatin and Docetaxel in Patients with Locally Advanced Squamous Cell Head and Neck Cancers

  • Baykara, Meltem;Buyukberber, Suleyman;Ozturk, Banu;Coskun, Ugur;Unsal, Diclehan Kilic;Demirci, Umut;Dane, Faysal;Kaplan, Muhammet Ali;Bora, Huseyin;Benekli, Mustafa
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2557-2561
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    • 2013
  • Background: Chemoradiation (CRT) using cisplatin-based regimens has become the standard of care in the treatment of squamous cell head and neck cancers (SCHNC). The impact of taxanes as radiosensitizing agents with concurrent CRT regimens is unknown. We therefore retrospectively evaluated the efficacy and tolerability of a weekly cisplatin+docetaxel combination with CRT in locally advanced SCHNC. Methods: Sixty-six patients with locally advanced SCHNC (39.4% stage IV, 53% stage III, and 7.6% stage II) were assessed retrospectively. Total radiation dose to the PTV of gross disease (primary and/or node) was 70 Gy/35 fractions, 5 fractions per week. Minimum doses of 60 Gy and 50 Gy were administered to PTVs of elective high risk and low risk disease, respectively. Chemotherapy (CT) consisted of weekly cisplatin (20 $mg/m^2$)+docetaxel (20 $mg/m^2$) concurrently with RT. Results: The median age of the patients was 58 years (range, 32-77). Objective response rate was 83.3%. The 2-year progression-free survival (PFS) and overall survival (OS) were 75.7% and 78.3%, respectively. The most common grade 3 and 4 toxicities were mucositis (36.4%), nausea and vomiting (12.1%), neutropenia (4.5%). Conclusion: Weekly cisplatin and docetaxel concurrent with RT for locally advanced SCHNC was found tolerable with high efficacy.

Prognostic Value of Vascular Endothelial Growth Factor Expression in Patients with Prostate Cancer: a Systematic Review with Meta-analysis

  • Wang, Kai;Peng, Hong-Ling;Li, Long-Kun
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.11
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    • pp.5665-5669
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    • 2012
  • Background: The vascular endothelial growth factor (VEGF) mediates vasculogenesis and angiogenesis through promoting endothelial cell growth, migration and mitosis, and has involvement in cancer pathogenesis, progression and metastasis. However, the prognostic value of VEGF in patients with prostate cancer remains controversial. Objectives: The aim of our study was to evaluate the prognostic value of VEGF in prostate cancer, and summarise the results of related research on VEGF. Methods: In accordance with an established search strategy, 11 studies with 1,529 patients were included in our meta-analysis. The correlation of VEGF-expression with overall survival and progression-free survival was evaluated by hazard ratio, either given or calculated. Results: The studies were categorized by introduction of the author, demographic data in each study, prostate cancer-relatived information, VEGF cut-off value, VEGF subtype, methods of hazard ratio (HR) estimation and its 95% confidence interval (CI). High VEGF-expression in prostate cancer is a poor prognostic factor with statistical significance for OS (HR=2.32, 95%CI: 1.40-3.24). However, high VEGF-expression showed no effect on poor PFS (HR=1.30, 95%CI: 0.88-1.72). Using Begg's, Egger's test and funnel plots, we confirmed lack of publication bias in our analysis. Conclusion: VEGF might be regarded as a prognostic maker for prostate cancer, as supported by our meta-analysis. To achieve a more definitive conclusion enabling the clinical use of VEGF in prostate cancer, we need more high-quality interventional original studies following agreed research approaches or standards.

Metaplastic Breast Carcinoma: Case Series and Review of the Literature

  • Esbah, Onur;Turkoz, Fatma P.;Turker, Ibrahim;Durnali, Ayse;Ekinci, Ahmet S.;Bal, Oznur;Sonmez, Ozlem Uysal;Budakoglu, Burcin;Arslan, Ulku Y.;Oksuzoglu, Berna
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4645-4649
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    • 2012
  • Metaplastic breast carcinoma (MpBC) is a rare disease entity, accounting for less than 1% of all breast carcinomas. Furthermore, it is a heterogenous disease with different subgroups, including malignant epithelial (carcinoma) and stromal (sarcoma) features. Here we evaluated, retrospectively, 14 female MpBC patients admitted to Ankara Oncology Training and Research Hospital between 2005 and 2011. Median age was 45.5 (range:16.0-76.0) and tumor size 57.5 mm (range: 20.0-80.0 mm). Histopathological subtypes were as follows: 5 carcinosarcoma, 5 squamous and 4 adenosquamous carcinoma. All but one with upfront lung metastasis, had their primary breast tumor operated. Axillary lymph nodes were involved in 64.3%. The most common sites of metastasis were lungs and brain. Chemotherapy including antracycline, taxane and even platinium was planned for adjuvant, neoadjuvant and palliative purposes in 9, 3 and 1 patient, respectively. Median cycles of chemotherapy was 6 (range:4-8). Median follow-up of the patients was 52 months (95%CI 10.4-93.6 month). Median 3 year progression free survival (PFS) and overall survival (OS) in this patients cohort were 33% and 56%, respectively. In conclusion, MpBC is a rare and orphan disease without standardized treatment approaches and the prognosis is poor so that larger studies to investigate different treatment schedules are urgently needed.