• 제목/요약/키워드: advanced stage

검색결과 2,274건 처리시간 0.024초

Two-Stage Fermentation for 2-Ketogluconic Acid Production by Klebsiella pneumoniae

  • Sun, Yuehong;Wei, Dong;Shi, Jiping;Mojovic, Ljiljana;Han, Zengsheng;Hao, Jian
    • Journal of Microbiology and Biotechnology
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    • 제24권6호
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    • pp.781-787
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    • 2014
  • 2-Ketogluconic acid production by Klebsiella pneumoniae is a pH-dependent process, strictly proceeding under acidic conditions. Unfortunately, cell growth is inhibited by acidic conditions, resulting in low productivity of 2-ketogluconic acid. To overcome this deficiency, a two-stage fermentation strategy was exploited in the current study. During the first stage, the culture was maintained at neutral pH, favoring cell growth. During the second stage, the culture pH was switched to acidic conditions favoring 2-ketogluconic acid accumulation. Culture parameters, including switching time, dissolved oxygen levels, pH, and temperature were optimized for the fed-batch fermentation. Characteristics of glucose dehydrogenase and gluconate dehydrogenase were revealed in vitro, and the optimal pHs of the two enzymes coincided with the optimum culture pH. Under optimum conditions, a total of 186 g/l 2-ketogluconic acid was produced at 26 h, and the conversion ratio was 0.98 mol/mol. This fermentation strategy has successfully overcome the mismatch between optimum parameters required for cell growth and 2-ketogluconic acid accumulation, and this result has the highest productivity and conversion ratio of 2-ketogluconic and produced by microorganism.

May the Platelet to Lymphocyte Ratio be a Prognostic Factor for Epithelial Ovarian Cancer?

  • Kokcu, Arif;Kurtoglu, Emel;Celik, Handan;Tosun, Migraci;Malatyalıoglu, Erdal;Ozdemir, Ayse Zehra
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권22호
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    • pp.9781-9784
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    • 2014
  • Background: The study aimed to evaluate changes in hematologic parameters, including white blood cell, platelet count, platelet indices, the platelet to lymphocyte and neutrophil to lymphocyte ratios in patients with early and advanced stages of epithelial ovarian cancers. Materials and Methods: The study included 100 patients with epithelial ovarian cancer who underwent primary staging exploratory laparotomy. Preoperative hematologic parameters, tumor histopathologic type, grade, stage and serum CA-125 levels were retrospectively analyzed. These parameters were compared between the patients with early (stage I-II) and advanced (stage III-IV) ovarian cancer. Results: White blood cell count and platelet indices, including mean platelet volume, platelet distribution width and platelet crit did not show a statistically significant difference between groups with early and advanced ovarian cancer. However, the neutrophil to lymphocyte ratio, platelet count, the platelet to lymphocyte ratio and CA-125 level showed a statistically significant difference between the two groups (p<0.05, p<0.01, p<0.001, p<0.01 respectively). Conclusions: It was found that the neutrophil to lymphocyte ratio, platelet count and the platelet to lymphocyte ratio increased with the increasing stage of ovarian cancer. Furthermore, it was seen that the platelet to lymphocyte ratio is an independent prognostic factor related to the stage of epithelial ovarian cancer.

Palliative Treatment of Advanced Cervical Cancer with Radiotherapy and Thai Herbal Medicine as Supportive Remedy - Analysis of Survival

  • Pesee, Montien;Kirdpon, Wichit;Puapairoj, Anucha;Kirdpon, Sukachart;Prathnadi, Pongsiri
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권3호
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    • pp.1593-1596
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    • 2013
  • Background: To evaluate outcomes using a Thai herbal medicine, Vilac Plus (G716/45) with standard radiotherapy in comparison with historic controls from literature reports of the results of treatment in stage IIIB cervical cancer. Materials and Methods: Between March 2003 and June 2005, thirty patients with advanced cervical cancer stage IIIB-IV who had a poor performance status were treated by palliative radiotherapy along with an adjuvant daily dose of 15-30 ml of Thai herbal tonic solution (Vilac Plus G716/45) administered orally three times after meals as an additional supportive therapy. The results were analyzed from the aspect of the overall survival rates with curves estimated by the Kaplan-Meier method. Results:.The median follow -up time for stage IIIB was 4.2 years with a range of 7.9 months - 6.1 years. The overall 1, 3, and 5 year survival rates for stage IIIB were 88%, 60% and 52%. Conclusions: The overall 5 year survival rate for stage IIIB with a poor performance status was 52% when compared with 34-54.8% for historic controls. The combined complementary palliative radiotherapy (CCPR) had low rates of radiation morbidity. It was a simple technique and feasible for developing countries. The pilot study was limited by the small number of patients and further research will be necessary to assess interrelated and confounding factors in treatment of cervical cancer patients.

하인두암의 방사선치료 성적 (Treatment Results of Hypopharyngeal Carcinoma)

  • 이창걸;노준규;류삼열;박경란;서창옥;김귀언;홍원표;김병수
    • Radiation Oncology Journal
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    • 제6권1호
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    • pp.23-33
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    • 1988
  • A rerospective review of fifty patients with carcinoma of hypopharynx treated with $RT{\pm}surgery$ was studied for eleven-year period from 1974 to 1984. Of the 50 patients,46 were pyriform sinus in origin, 4 were posterior pharyngeal wall. Eighty-eight percent of patients were locoregionally advanced(stage III, IV) and 78% of patients presented conical lymphadenopathy. 5-year disease-free survival rate of the pyriform sinus ca. was $25.4\%$ in RT alone group, $80\%$ in combined modality group and $30.6\%$ in overall. Local control rate with RT alone in early stage (II) was excellent $(100\%)$, however combined modality appears to be better for local control$(80\%)$ in advanced stage (III, IV) as compared with that of RT alone group $(32\%).$ On basis of this study, RT alone is effective in terms of local control and functional preservation in treatment of early stage of pyriform sinus ca. while surgery can be reserved for salvage purpose when RT fails and combined modality is recommended in patients with locally advanced stage for better local control and survival.

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Survival Analysis in Advanced Non Small Cell Lung Cancer Treated with Platinum Based Chemotherapy in Combination with Paclitaxel, Gemcitabine and Etoposide

  • Natukula, Kirmani;Jamil, Kaiser;Pingali, Usha Rani;Attili, Venkata Satya Suresh;Madireddy, Umamaheshwar Rao Naidu
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권8호
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    • pp.4661-4666
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    • 2013
  • Background: The wide spectrum of clinical features in advanced stages of non-small cell lung cancer (NSCLC) probably contributes to disparities in outcomes because of different prognostic variables significant for stage IIIB/IV patients. Hence the aim of this study was to check for favorable response of patients to various chemotherapeutic combinations with respect to patient survival in stage IIIB and stage IV NSCLC disease. We selected those patients for our study who were receiving treatment with paclitaxel, gemcitabine or etoposide in combination with platinum based drugs. Materials and Methods: Seventy-two patients who visited the hospital from June 2009 to November 2012 with confirmed diagnosis of lung cancer were included, and data were collected for follow up and classified according to treatment received with respect to patients' regimen and response, and overall survival. This study analyzed tumor variables that were associated with clinical outcome in advanced NSCLC patients who were undergoing first-line chemotherapy for stage IIIB/IV NSCLC. Results: Comparative data on various parameters like age, gender, stage, histology, site of disease, metastatic site and chemo-regimens was analyzed; these parameters predicted variable significant improvement for overall survival ($p{\geq}0.05$). One and two year survival rates were 20.8% and 15.3%. Conclusions: In this study we found slight improvement in survival rates in NSCLC and clinical outcomes with one combination (carboplatin+paclitaxel). Overall there were only marginal differences in survival rates for other chemo-regimens evaluated in this study.

거대 배열 안테나 무선 백홀 하향 링크 시스템에서 피드백 량을 줄이기 위한 빔 형성 방법 (Reduced Feedback Beamforming with a Large Antenna Array in Wireless Backhaul Downlink Systems)

  • 박재범;권기림;박현철
    • 한국통신학회논문지
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    • 제41권12호
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    • pp.1903-1913
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    • 2016
  • 본 논문은 광역 셀 기지국이 sub-array 구조의 거대 배열 안테나를 가지고 있는 무선 백홀 하향 링크 시스템에서 두 단계 빔 형성 및 수신 빔 형성 기법을 제안하였다. 또한, 시스템 성능 비교를 위해, 제로 포싱 프리코더(zero-forcing precoder)를 이용한 세 단계 빔 형성 기법을 적용하여 수신 소형 셀 기지국들의 전송률 성능을 계산하였다. 무선 백홀 채널의 채널 산란 및 거리감쇄 특성 등을 고려할 때 공간 다중화를 위한 프리코딩 기술뿐만 아니라 거리감쇄를 극복하기 위한 지향성 빔 형성 기술이 접목되어야 한다. 따라서 첫 번째 단계에서는 DFT(discrete-Fourier transform) 기반의 고정 빔 패턴을 설계하였다. 결과적으로, 피드백 량을 줄이면서 동시에 전송률 성능을 높이기 위해서는 제안한 두 단계 빔 형성 및 수신 빔 형성 기법을 선택하는 것이 공간 다중화를 고려할 때 유리하다는 것을 확인하였다.

W이 첨가된 슈퍼 2상 스테인리스강의 미세조직과 기계적성질에 미치는 시효처리의 영향 (The Effect of Aging Treatment on the Microstructure and Mechanical Properties of Super Duplex Stainless Steel with W)

  • 김수천;배동수;강창룡
    • 한국해양공학회지
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    • 제23권4호
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    • pp.52-57
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    • 2009
  • The effect of aging treatment on the microstructure and mechanical properties of super duplex stainless steel with W was investigated. The phase was precipitated mainly at the early stage of aging and a lower aging temperature under $750^{\circ}C$, but the phase was formed after long-term aging treatment between $600^{\circ}C$ and $900^{\circ}C$. The volume fraction of the phase increased with aging temperature up to $750^{\circ}C$ and then decreased up to $900^{\circ}C$. With an increase in the aging time, the volume fraction phase at the early stage of aging increased slightly, and then increased rapidly beyond a certain time. The rapid increase in the tensile strength and hardness and decrease in the elongation and impact toughness were measured with aging temperatures up to $750^{\circ}C$. On the other hand, the tensile strength and hardness decreased slightly, and the elongation and Charpy impact toughness were unchanged with aging temperatures over $750^{\circ}C$. The tensile strength and hardness increased rapidly at the early stage of aging, and then increased slowly beyond a certain time. The elongation and Charpy impact toughness decreased rapidly at the early stage of aging, and then remained unchanged beyond a certain time. The phase that formed at the early stage of aging and the lower aging temperature had a considerable effect on the elongation and Charpy impact toughness of the super duplex stainless steel with W.

Prognostic Factors Affecting Surgical Outcomes in Squamous Cell Carcinoma of External Auditory Canal

  • Nam, Gi-Sung;Moon, In Seok;Kim, Ji Hyung;Kim, Sung Huhn;Choi, Jae Young;Son, Eun Jin
    • Clinical and Experimental Otorhinolaryngology
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    • 제11권4호
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    • pp.259-266
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    • 2018
  • Objectives. Carcinomas of the external auditory canal (EAC) are rare, and management remains challenging. Previous studies seeking prognostic factors for EAC cancers included cancers other than carcinomas. In this study, we analyzed the treatment outcomes of, prognostic factors for, and survival rates associated with specifically squamous cell carcinoma (SCC) of the EAC. Methods. A retrospective review of 26 consecutive patients diagnosed with SCCs of the EAC in a 10-year period was performed in terms of clinical presentation, stage, choice of surgical procedure, and adjunct therapy. Overall survival (OS) and recurrence-free survival (RFS) were calculated and univariate analysis of prognostic factors was performed. Results. The median age of the 26 patients with SCCs of the EAC was 63 years (range, 40 to 72 years), and 16 males and 10 females were included. According to the modified University of Pittsburgh staging system, the T stages were T1 in 11, T2 in six, T3 in four, and T4 in five cases. The surgical procedures employed were wide excision in three cases, lateral temporal bone resection (LTBR) in 17, and extended LTBR in four, and subtotal temporal bone resection in two. Two patients underwent neoadjuvant chemotherapy, and two underwent adjuvant chemotherapy. One patient received preoperative radiation therapy, and eleven received postoperative radiation therapy. Of the possibly prognostic factors examined, advanced preoperative T stage and advanced overall stage were significant predictors of RFS, but not of OS. Conclusion. The advanced T stage and overall stage were associated with decreased survival after surgical treatment in patients with SCC of the EAC, highlighting the importance of clinical vigilance and early detection.

조선소 판넬라인의 최적 생산계획 수립을 위한 생산 시뮬레이션 연구 (A Study of Product Simulation for Establishing the Optimal Production Scheduling of the Panel line in a Shipyard)

  • 박주용;김세환;최우현
    • Journal of Welding and Joining
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    • 제24권5호
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    • pp.62-66
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    • 2006
  • Panel line is an important process occupying the largest work amount in shipbuilding. In this research product simulation has been carried out to establish the optimal production scheduling. For this purpose a web-based panel line simulator was developed using an object modeling technology and C# language. The balance of work-load and increase in the productivity by the improvement of production facilities and process are the key factors for a good scheduling. In this study SPRT(Shortest Remaining Process Time) rule was applied for the work-load balancing and a good result achieved. To increase the productivity in the stiffener welding stage which is a bottleneck; process, more welding heads and higher welding speed were tested using the developed simulator. The simulation results showed that either more welding head or higher welding speed decreased the total work time. Use of both, however, deteriorated the productivity because of the bottleneck in the following stage. This result points out that the improvement of production facilities and/or process should be evaluated with their influences on the leading and following processing stage.

Experiences of Family of Patient with Newly Diagnosed Advanced Terminal Stage Hepatocellular Cancer

  • Shih, Whei-Mei Jean;Hsiao, Ping-Ju;Chen, Min-Li;Lin, Mei-Hsiang
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권8호
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    • pp.4655-4660
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    • 2013
  • Background: Hepatocellular carcinoma (HCC) is the most common primary liver cancer and the third leading cause of cancer-related death worldwide due to its generally poor prognosis. Caregiver burden for liver cancer cases is higher than with other cancer and needs especial attention. Methods: To explore the experiences of families of patients with newly diagnosed advanced terminal stage hepatocellular cancer by interview. Results: Nine participants were recruited in this study. Content analysis of the interviews revealed four themes: blaming oneself, disrupting the pace of life, searching all possible regimens, and not letting go. Conclusions: This study provides new insight into the needs and support of family members especially when they are facing loved ones with newly diagnosed advanced terminal stage HCC. These results will inform future supportive care service development and intervention research aimed at providing assistance in reducing unmet supportive care needs and psychological distress of these family members.