• Title/Summary/Keyword: Heterogeneous primary system

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Survival Results and Prognostic Factors in T4 N0-3 Non-small Cell Lung Cancer Patients According to the AJCC 7th Edition Staging System

  • Arslan, Deniz;Bozcuk, Hakan;Gunduz, Seyda;Tural, Deniz;Tattli, Ali Murat;Uysal, Mukremin;Goksu, Sema Sezgin;Bassorgun, Cumhur Ibrahim;Koral, Lokman;Coskun, Hasan Senol;Ozdogan, Mustafa;Savas, Burhan
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.6
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    • pp.2465-2472
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    • 2014
  • Background: The American Joint Committee on Cancer (AJCC) published a new staging system ($7^{th}$ edition) in 2009. In our study, we evaluated the survival results and prognostic factors among T4 local advanced non-small cell lung cancer (LA-NSCLC) patients in a large heterogeneous group, in accordance with this new system. Materials and Methods: We retrospectively evaluated the files of 122 T4 N0-3 M0 LA-NSCLC patients, identified according to the new staging system, treated at two centers between November 2003 and June 2012. Variables correlating with univariate survival at p<0.20 were later included in multivariate Cox regression analysis. Here, selection of relevant predictors of survival was carried out in accordance with the likelihood ratio formula with p<0.05 regarded as significant. Results: The median age was 60 and the median follow-up period was 17.4 months. Median overall survival (OS) was 18.3 months, the 1 year overall survival (OS) rate was 72%, and the 5 year OS rate was 28%. Statistically significant predictors of survival were (p<0.20) ECOG-PS (Eastern Cooperative Oncology Group Performance Status), age, T4 factor subgroup, stage and primary treatment in OS univariate analysis. On multivariate analysis for OS ECOG-PS (p=0.001), diagnostic stage (p=0.021), and primary treatment (p=0.004) were significant. In the group receiving non-curative treatment, the median OS was 11.0 months, while it was 19.0 months in the definitive RT group and 26.6 months in the curative treatment group. There was a significant difference between the non-curative group and the groups which had definitive RT and curative operations (respectively p<0.001 and p=0.001) in terms of OS, but not between the groups which had definitive RT and curative operations. The median event free survival (EFS) rate was 9.9 months, with rates of 46% and 19% at 3 and 5 years, respectively. On univariate analysis of EFS rate with ECOG-PS, weight loss and staging, statistical significance was found only for thorax computerized tomography (CT)+18F-fluorodeoxy-glucose positron emission tomography-CT (PET-CT) use, stage and primary treatment (p<0.20). In multivariate analysis with EFS, only the primary treatment was statistically significant (p=0.001). In the group receiving non-curative treatment, the median EFS was 10.5 months while in the curative operation group it was 14.7 months. When all the primary treatment groups were taken into consideration, grade III/IV side effect swas observed in 57 patients (46.6%). Esophagitis was most prominent among those that received definitive radiotherapy. Conclusions: Independent prognostic factors among these 122 heterogeneous LA-NSCLC T4 N0-3 M0 patients were age at diagnosis, ECOG-PS, stage and primary treatment, the last also being a significant prognostic indicator of EFS. Our findings point to the importance of appropriate staging and a multidisciplinary approach with modern imaging methods in this patient group. In those with T4 lesions, treatment selection and the effective use of curative potential should be the most important goal of clinical care.

Localization Method for Multiple Robots Based on Bayesian Inference in Cognitive Radio Networks (인지 무선 네트워크에서의 베이지안 추론 기반 다중로봇 위치 추정 기법 연구)

  • Kim, Donggu;Park, Joongoo
    • Journal of Institute of Control, Robotics and Systems
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    • v.22 no.2
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    • pp.104-109
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    • 2016
  • In this paper, a localization method for multiple robots based on Bayesian inference is proposed when multiple robots adopting multi-RAT (Radio Access Technology) communications exist in cognitive radio networks. Multiple robots are separately defined by primary and secondary users as in conventional mobile communications system. In addition, the heterogeneous spectrum environment is considered in this paper. To improve the performance of localization for multiple robots, a realistic multiple primary user distribution is explained by using the probabilistic graphical model, and then we introduce the Gibbs sampler strategy based on Bayesian inference. In addition, the secondary user selection minimizing the value of GDOP (Geometric Dilution of Precision) is also proposed in order to overcome the limitations of localization accuracy with Gibbs sampling. Via the simulation results, we can show that the proposed localization method based on GDOP enhances the accuracy of localization for multiple robots. Furthermore, it can also be verified from the simulation results that localization performance is significantly improved with increasing number of observation samples when the GDOP is considered.

Integrated Data Environment (IDE): Concept & Implementation Technology (통합 데이타 환경: 개념 및 구현기술)

  • 김덕현
    • The Journal of Society for e-Business Studies
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    • v.1 no.1
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    • pp.69-92
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    • 1996
  • An Integrated Data Environment (IDE) is the end state of the CALS vision. It refers to an environment where all the data generated from the entire lifecycle activities of a product can be shared by anyone that participates in the management. engineering, manufacturing, or support of the product, although the data are geographically distributed and are maintained in heterogeneous platforms. The primary purpose of this paper is to introduce the fundamental concept, architecture, and core implementation technology of an IDE. The secondary purpose is to suggest some strategic directions to the planning staffs in both government and industry. and to suggest some research issues to the researchers in academia. The reference architecture of an IDE being developed by the US DoD and that of NIIIP (National Industrial Information Infrastructure Protocol) being developed by a consortium are discussed. Two principal issues of implementing an integrated database, i.e., distributed object computing including CORBA and multi-database system (MDBS) are reviewed. As a conclusion. the author suggests that daring investment in prototyping an IDE by a nationwide consortium is essential to keep up with the advanced countries in CALS implementation.

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Clinical Application of $^{18}F-FDG$ PET in Brain Tumors (뇌종양에서의 $^{18}F-FDG$ PET의 임상 이용)

  • Hong, Il-Ki;Kim, Jae-Seung
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.sup1
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    • pp.1-5
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    • 2008
  • Primary brain tumor accounts for 1.4% of entire cancer. For males between the ages of 15 and 34 years, central nervous system tumors account for the leading cause of cancer death. $^{18}F-FDG$ PET has been reported that it can provide important diagnostic information relating to tumor grading and differentiation from non- tumorous condition. In addition, the degree of FDG metabolism carries prognostic significance. By mapping the metabolic pattern of heterogeneous tumors, $^{18}F-FDG$ PET can aid in targeting for stereotactic biopsy by selecting the subregions within the tumor that are most hypermetabolic and potentially have the highest grade. According to clinical research data, FOG PET is expected to be a helpful diagnostic tool in the management of brain tumors.

Stereoscopic Video Coding for Subway Accident Monitoring System (지하철 사고 감시를 위한 스테레오 비디오 부호화 기법)

  • Oh, Seh-Chan;Kim, Gil-Dong;Park, Sung-Hyuk
    • Proceedings of the KIEE Conference
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    • 2005.10b
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    • pp.484-486
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    • 2005
  • Passenger safety is a primary concern of railway system but, it has been urgent issue that dozens of people are killed every year when they falloff from train platforms. Recently, advancements in IT have enabled applying vision sensors to railway environments, such as CCTV and stereo camera sensors. In this paper, we propose a stereoscopic video coding scheme for subway accident monitoring system. The proposed scheme is designed for providing flexible video among various displays, such as control center, station employees and train driver. We uses MPEG-2 standard for coding the left-view sequence and IBMDC for predicting the P- and B-types of frames of the right-view sequence. IBMDC predicts matching block by interpolating both motion and disparity predicted macroblocks. To provide efficient stereoscopic video service. we define both temporally and spatially scalable layers for each eye's-view by using the concept of Spatio-Temporal scalability. According to the experimental results. we expect the proposed functionalities will play a key role in establishing highly flexible stereoscopic video codec for ubiquitous display environment where devices and network connections are heterogeneous.

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MR Imaging Characteristics of Primary T-Cell Lymphoma of the Cauda Equina: A Case Report and Literature Review (말총의 원발성 T세포 림프종에서 MR 영상 소견: 증례 보고와 문헌 고찰)

  • Younguk Kim;Guen Young Lee;Sujin Kim;Kwang-sup Song;Hee Sung Kim
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1613-1618
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    • 2021
  • Primary central nervous system lymphoma is a rare form of extranodal non-Hodgkin lymphoma, and primary T-cell lymphoma of the cauda equina is extremely rare. We describe a case involving a 56-year-old female who presented with low back pain and radiating leg pain for 4 months. MRI of the lumbar spine revealed an elongated, multinodular intradural lesion of approximately 10 cm from the L4 body to the S2 body level with iso-signal intensity on T1-weighted imaging, heterogeneous iso- and high-signal intensity on T2-weighted imaging, and a heterogeneous intense enhancement on gadolinium contrast-enhanced T1-weighted imaging. A peripheral T-cell lymphoma of the cauda equina was diagnosed on the basis of immunohistochemical and T-cell receptor gamma gene rearrangement analysis after intradural biopsy of the mass.

Multi-criteria Vertical Handoff Decision Algorithm Using Hierarchy Modeling and Additive Weighting in an Integrated WLAN/WiMAX/UMTS Environment- A Case Study

  • Bhosale, Sahana;Daruwala, Rohin
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.8 no.1
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    • pp.35-57
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    • 2014
  • Multi-criteria decision making (MCDM) algorithms play an important role in ensuring quality of service in an integrated HetNets (Heterogeneous Networks). The primary objective of this paper is to develop a multi-criteria vertical handoff decision algorithm (VHDA) for best access network selection in an integrated Wireless Local Area Network (WLAN)/Universal Mobile Telecommunications System (UMTS)/Worldwide Interoperability for Microwave Access (WiMAX) system. The proposed design consists of two parts, the first part is the evaluation of an Analytic Hierarchy Process (AHP) to decide the relative weights of handoff decision criteria and the second part computes the final score of the weights to rank network alternatives using Simple Additive Weighting (SAW). SAW ranks the network alternatives in a faster and simpler manner than AHP. The AHP-SAW mathematical model has been designed, evaluated and simulated for streaming video type of traffic. For other traffic type, such as conversational, background and interactive, only simulation results have been discussed and presented in brief. Simulation results reveal that the hierarchical modelling and computing provides optimum solution for access network selection in an integrated environment as obtained results prove to be an acceptable solution to what could be expected in real life scenarios.

SOP (Search of Omics Pathway): A Web-based Tool for Visualization of KEGG Pathway Diagrams of Omics Data

  • Kim, Jun-Sub;Yeom, Hye-Jung;Kim, Seung-Jun;Kim, Ji-Hoon;Park, Hye-Won;Oh, Moon-Ju;Hwang, Seung-Yong
    • Molecular & Cellular Toxicology
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    • v.3 no.3
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    • pp.208-213
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    • 2007
  • With the help of a development and popularization of microarray technology that enable to us to simultaneously investigate the expression pattern of thousands of genes, the toxicogenomics experimenters can interpret the genome-scale interaction between genes exposed in toxicant or toxicant-related environment. The ultimate and primary goal of toxicogenomics identifies functional context among the group of genes that are differentially or similarly coexpressed under the specific toxic substance. On the other side, public reference databases with transcriptom, proteom, and biological pathway information are needed for the analysis of these complex omics data. However, due to the heterogeneous and independent nature of these databases, it is hard to individually analyze a large omics annotations and their pathway information. Fortunately, several web sites of the public database provide information linked to other. Nevertheless it involves not only approriate information but also unnecessary information to users. Therefore, the systematically integrated database that is suitable to a demand of experimenters is needed. For these reasons, we propose SOP (Search of Omics Pathway) database system which is constructed as the integrated biological database converting heterogeneous feature of public databases into combined feature. In addition, SOP offers user-friendly web interfaces which enable users to submit gene queries for biological interpretation of gene lists derived from omics experiments. Outputs of SOP web interface are supported as the omics annotation table and the visualized pathway maps of KEGG PATHWAY database. We believe that SOP will appear as a helpful tool to perform biological interpretation of genes or proteins traced to omics experiments, lead to new discoveries from their pathway analysis, and design new hypothesis for a next toxicogenomics experiments.

Modern diagnostic capabilities of neonatal screening for primary immunodeficiencies in newborns

  • Khalturina, Evgenia Olegovna;Degtyareva, Natalia Dmitrievna;Bairashevskaia, Anastasiia Vasi'evna;Mulenkova, Alena Valerievna;Degtyareva, Anna Vladimirovna
    • Clinical and Experimental Pediatrics
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    • v.64 no.10
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    • pp.504-510
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    • 2021
  • Population screening of newborns is an extremely important and informative diagnostic approach that allows early identification of babies who are predisposed to the development of a number of serious diseases. Some of these diseases are known and have effective treatment methods. Neonatal screening enables the early diagnosis and subsequent timely initiation of therapy. This helps to prevent serious complications and reduce the percentage of disability and deaths among newborns and young children. Primary immunodeficiency diseases and primary immunodeficiency syndrome (PIDS) are a heterogeneous group of diseases and conditions based on impaired immune system function associated with developmental defects and characterized by various combinations of recurrent infections, development of autoimmune and lymphoproliferative syndromes (genetic defects in apoptosis, gene mutation Fas receptor or ligand), granulomatous process, and malignant neoplasms. Most of these diseases manifest in infancy and lead to serious illness, disability, and high mortality rates. Until recently, it was impossible to identify children with PIDS before the onset of the first clinical symptoms, which are usually accompanied by complications in the form of severe coinfections of a viral-bacterial-fungal etiology. Modern advances in medical laboratory technology have allowed the identification of children with severe PIDS, manifested by T- and/or B-cell lymphopenia and other disorders of the immune system. This review discusses the main existing strategies and directions used in PIDS screening programs for newborns, including approaches to screening based on excision of T-cell receptors and kappa-recombination excision circles, as well as the potential role and place of next-generation sequencing technology to increase the diagnostic accuracy of these diseases.

Spermatid Differentiation and Sperm Ultrastructure of the Granular Ark, Tegillarca granosa (Bivalvia: Arcidae)

  • Lee, Jung-Sick;Park, Jung-Jun;Shin, Yun-Kyung;Jin, Young-Guk
    • Fisheries and Aquatic Sciences
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    • v.10 no.3
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    • pp.143-149
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    • 2007
  • This study describes spermatogenesis and sperm ultrastructure of the granular ark, Tegillarca granosa using light and electron microscopy. In the active spermatogenic season, the testis comprises many spermatogenic follicles that contain germ cells in different developmental stages. Primary spermatocytes in the pachytene stage are characterized by synaptonemal complexes. The early spermatids are characterized by the appearance of several Golgi bodies, increased karyoplasmic electron density, and tubular mitochondria. The mass of proacrosomal granules consists of numerous heterogeneous granules with high electron density that are about 20 nm in diameter. From the midstage of spermiogenesis, the well-developed mitochondria in the cytoplasm aggregate posterior to the nucleus and surround the proximal and distal centrioles. The proacrosomal granules condense and form a single acrosome with a thin envelope. During late spermiogenesis, the acrosome begins to elongate becoming conical. The sperm is approximately $35.0{\mu}m$ long and consists of a head, midpiece, and tail. The head comprises a round nucleus and a conical acrosome. A micro fibrous axial rod is observed between the nucleus and acrosome. The midpiece has a calyx-like structure with five mitochondria, and the tail, which has the typical "9+2" microtubular system, originates from the distal centriole.