• Title/Summary/Keyword: Predicted survival

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Surgical Treatment and Assessment of Prognostic Factors of Thymoma (흉선종의 수술적 치료 및 예후인자의 평가)

  • 정경영;김길동
    • Journal of Chest Surgery
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    • v.29 no.7
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    • pp.734-740
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    • 1996
  • The relative importance of various factors influencing the prognosis and survival in the treatment of thymoma is still controversial. Sixty ave patients operated on for thymoma from Jan. 1981 to Dec. 1994 were evaluated, 28 patients (43.1 %) with myasthenia gravis and 37 patients (56.9%) without. Masaoka staging revealed stage I disease in 28 patie ts(4).1%) , stage ll in 1) patients(20.0%), stage 111 In 22 patients(33.8%), stage IVa in 1 patients(1.5%), and stage IVb in 1 patient(1.5%). There was no operative mortality. A complete resection was performed in 48 patients (73.8%) patients, associated in 10 patients (15.4%) with postoperative adjuvant treatment(radiotherapy 5; chemotherapy 1: radio- and chemotherapy 4). Thymomas were found to be predominantly of the epithelial type in 16 patients(24.6%), predominantly Iymphocytic type in 18 patients(27.7%), and mlxed in 22 patients (33.9%). The overall 5- and 10-year survival rates were 87% and 82%, respectively, Factors indicating a poor prognosis included local invasion, incomplete excision, thymic carcinoma, advanced staging and myasthenia gravis. The de- gree of tumor invasion turned out to be the main prognostic factor, and treatment should be planned ac- cordingly. The prognosis is best predicted by the stage of the tumor as determined intraoperatively and is poorer in patie ts with incomplete resection than in those with complete resection of the thynoma. No recurrence developed In patients with stage I disease.

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DNA Vaccines Encoding Toxoplasma gondii Cathepsin C 1 Induce Protection against Toxoplasmosis in Mice

  • Han, Yali;Zhou, Aihua;Lu, Gang;Zhao, Guanghui;Sha, Wenchao;Wang, Lin;Guo, Jingjing;Zhou, Jian;Zhou, Huaiyu;Cong, Hua;He, Shenyi
    • Parasites, Hosts and Diseases
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    • v.55 no.5
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    • pp.505-512
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    • 2017
  • Toxoplasma gondii cathepsin C proteases (TgCPC1, 2, and 3) are important for the growth and survival of T. gondii. In the present study, B-cell and T-cell epitopes of TgCPC1 were predicted using DNAstar and the Immune Epitope Database. A TgCPC1 DNA vaccine was constructed, and its ability to induce protective immune responses against toxoplasmosis in BALB/c mice was evaluated in the presence or absence of the adjuvant ${\alpha}-GalCer$. As results, TgCPC1 DNA vaccine with or without adjuvant ${\alpha}-GalCer$ showed higher levels of IgG and IgG2a in the serum, as well as IL-2 and $IFN-{\gamma}$ in the spleen compared to controls (PBS, pEGFP-C1, and ${\alpha}-GalCer$). Upon challenge infection with tachyzoites of T. gondii (RH), $pCPC1/{\alpha}-GalCer$ immunized mice showed the longest survival among all the groups. Mice vaccinated with DNA vaccine without adjuvant (pCPC1) showed better protective immunity compared to other controls (PBS, pEGFP-C1, and ${\alpha}-GalCer$). These results indicate that a DNA vaccine encoding TgCPC1 is a potential vaccine candidate against toxoplasmosis.

Requirement of Fur for the Full Induction of dps Expression in Salmonella enterica Serovar Typhimurium

  • Yoo, Ah-Young;Kim, Sam-Woong;Yu, Jong-Earn;Kim, Young-Hee;Cha, Jae-Ho;Oh, Jeong-Il;Eo, Seong-Kug;Lee, John-Hwa;Kang, Ho-Young
    • Journal of Microbiology and Biotechnology
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    • v.17 no.9
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    • pp.1452-1459
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    • 2007
  • The Dps protein, which is overexpressed in harsh environments, is known to playa critical role in the protection of DNA against oxidative stresses. In this study, the roles of Fur in the expression of the dps gene in Salmonella and the protection mechanisms against oxidative stress in Salmonella cells preexposed to iron-stress were investigated. Two putative Fur boxes were predicted within the promoter region of the S. typhimurium dps gene. The profile of dps expression performed by the LacZ reporter assay revealed growth-phase dependency regardless of iron-status under the culture conditions. The fur mutant, $_X4659$, evidenced a reduced level of ${\beta}$-galactosidase as compared to the wild-type strain. The results observed after the measurement of the Dps protein in various Salmonella regulatory mutants were consistent with the results acquired in the reporter assay. This evidence suggested that Fur performs a function as a subsidiary regulator in the expression of dps. The survival ability of Salmonella strains after exposure to oxidative stress demonstrated that the Dps protein performs a pivotal function in the survival of stationary-phase S. typhimurium against oxidative stress. Salmonella cells grown in iron-restricted condition required Dps for full protection against oxidative stress. The CK24 (${\Delta}dps$) cells grown in iron-replete condition survived at a rate similar to that observed in the wild-type strain, thereby suggesting the induction of an unknown protection mechanism(s) other than Dps in this condition.

A Prediction Model on Freeway Accident Duration using AFT Survival Analysis (AFT 생존분석 기법을 이용한 고속도로 교통사고 지속시간 예측모형)

  • Jeong, Yeon-Sik;Song, Sang-Gyu;Choe, Gi-Ju
    • Journal of Korean Society of Transportation
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    • v.25 no.5
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    • pp.135-148
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    • 2007
  • Understanding the relation between characteristics of an accident and its duration is crucial for the efficient response of accidents and the reduction of total delay caused by accidents. Thus the objective of this study is to model accident duration using an AFT metric model. Although the log-logistic and log-normal AFT models were selected based on the previous studies and statistical theory, the log-logistic model was better fitted. Since the AFT model is commonly used for the purpose of prediction, the estimated model can be also used for the prediction of duration on freeways as soon as the base accident information is reported. Therefore, the predicted information will be directly useful to make some decisions regarding the resources needed to clear accident and dispatch crews as well as will lead to less traffic congestion and much saving the injured.

Comparative validity of microalbuminuria versus clinical mortality scores to predict pediatric intensive care unit outcomes

  • Nismath, Shifa;Rao, Suchetha S.;Baliga, B.S.;Kulkarni, Vaman;Rao, Gayatri M.
    • Clinical and Experimental Pediatrics
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    • v.63 no.1
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    • pp.20-24
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    • 2020
  • Background: Predicting the prognosis of patients admitted to the pediatric intensive care unit (PICU) is very important in determining further management and resource allocation. The prognostication of critically ill children can be challenging; hence, accurate methods for predicting outcomes are needed. Purpose: To evaluate the role of microalbuminuria at admission as a prognostic marker in comparison to standard Pediatric Risk of Mortality (PRISM) and Pediatric Logistic Organ Dysfunction (PELOD) mortality scores in children admitted to the PICU. Methods: This cross-sectional study was conducted from January 2015 to October 2016. Eighty-four patients aged 1 month to 18 years admitted to the PICU of teaching hospitals for more than 24 hours were enrolled by convenience sampling method. Microalbuminuria was estimated by spot urinary albumin-creatinine ratio. PRISM and PELOD scores were calculated using an online calculator. Outcome measures were PICU length of stay, inotrope usage, multiorgan dysfunction, and survival. ACR was compared with mortality scores for predicting survival. Results: Microalbuminuria was present in 79.8% with a median value of 85 mg/g (interquartile range, 41.5-254 mg/g). A positive correlation was found between albumin-creatinine ratio and PICU length of stay (P=0.013, r=0.271). Albumin-creatinine ratio was significantly associated with organ dysfunction (P=0.004) and need for inotropes (P=0.006). Eight deaths were observed in the PICU. The area under the curve for mortality for albumin-creatinine ratio (0.822) was comparable to that for PRISM (0.928) and PELOD (0.877). Albumin-creatinine ratio >109 mg/g predicted mortality with a sensitivity of 87.5% and specificity of 63.2%. Conclusion: Microalbuminuria is a good predictor of PICU outcomes comparable with mortality scores.

Integrated bioinformatics analysis of validated and circulating miRNAs in ovarian cancer

  • Dogan, Berkcan;Gumusoglu, Ece;Ulgen, Ege;Sezerman, Osman Ugur;Gunel, Tuba
    • Genomics & Informatics
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    • v.20 no.2
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    • pp.20.1-20.13
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    • 2022
  • Recent studies have focused on the early detection of ovarian cancer (OC) using tumor materials by liquid biopsy. The mechanisms of microRNAs (miRNAs) to impact OC and signaling pathways are still unknown. This study aims to reliably perform functional analysis of previously validated circulating miRNAs' target genes by using pathfindR. Also, overall survival and pathological stage analyses were evaluated with miRNAs' target genes which are common in the The Cancer Genome Atlas and GTEx datasets. Our previous studies have validated three downregulated miRNAs (hsa-miR-885-5p, hsa-miR-1909-5p, and hsa-let7d-3p) having a diagnostic value in OC patients' sera, with high-throughput techniques. The predicted target genes of these miRNAs were retrieved from the miRDB database (v6.0). Active-subnetwork-oriented Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis was conducted by pathfindR using the target genes. Enrichment of KEGG pathways assessed by the analysis of pathfindR indicated that 24 pathways were related to the target genes. Ubiquitin-mediated proteolysis, spliceosome and Notch signaling pathway were the top three pathways with the lowest p-values (p < 0.001). Ninety-three common genes were found to be differentially expressed (p < 0.05) in the datasets. No significant genes were found to be significant in the analysis of overall survival analyses, but 24 genes were found to be significant with pathological stages analysis (p < 0.05). The findings of our study provide in-silico evidence that validated circulating miRNAs' target genes and enriched pathways are related to OC and have potential roles in theranostics applications. Further experimental investigations are required to validate our results which will ultimately provide a new perspective for translational applications in OC management.

Predictive Models for the Tourism and Accommodation Industry in the Era of Smart Tourism: Focusing on the COVID-19 Pandemic (스마트관광 시대의 관광숙박업 영업 예측 모형: 코로나19 팬더믹을 중심으로)

  • Yu Jin Jo;Cha Mi Kim;Seung Yeon Son;Mi Jin Noh
    • Smart Media Journal
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    • v.12 no.8
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    • pp.18-25
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    • 2023
  • The COVID-19 outbreak in 2020 caused continuous damage worldwode, especially the smart tourism industry was hit directly by the blockade of sky roads and restriction of going out. At a time when overseas travel and domestic travel have decreased significantly, the number of tourist hotels that are colsed and closed due to the continued deficit is increasing. Therefore, in this study, licensing data from the Ministry of Public Administraion and Security were collected and visualized to understand the operation status of the tourism and lodging industry. The machine learning classification algorithm was applied to implement the business status prediction model of the tourist hotel, the performance of the prediction model was optimized using the ensemble algorithm, and the performance of the model was evaluated through 5-Fold cross-validation. It was predicted that the survival rate of tourist hotels would decrease somewhat, but the actual survival rate was analyzed to be no different from before COVID-19. Through the prediction of the business status of the hotel industry in this paper, it can be used as a basis for grasping the operability and development trends of the entire tourism and lodging industry.

Crop Analysis through Growth Survey after Wintering of Winter Annual Forages Grown from 2014 to 2015 (2014 / 2015년 동계 사료작물의 월동 후 생육조사를 통한 작황 분석)

  • Kim, Young-Jin;Kim, Won-Ho;Lee, Sang-Hoon;Park, Hyung-Soo;Kim, Ki-Yong;Ji, Hee-Chung;Choi, Ki-Choon;Lee, Sang-Hak;Jung, Jeong-Sung;Kim, Ji-Hea;Hwang, Tae-Young;Lee, Ki-Won;Kim, Hyeon-Shup;Choi, Gi-Jun
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.35 no.4
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    • pp.309-315
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    • 2015
  • In order to identify the causes of various problems related to forage crop growth, such as winter survival, coldness, rainfall, drought etc., and to provide basic data for the stable production and supply of forage year round, we performed a growth survey after the wintering of winter forage crops grown from mid-Sep. 2014 to late-Feb. 2015. The growth of winter forage crops after wintering in the country was generally bad. As shown in the regional distribution in the country, regions with 80% or higher winter survival rates comprised 66%, regions with 79 to 50% winter survival comprised 24.9% and regions with less than 50% winter survival comprised 9.1%. In conclusion, the average winter survival rate was 79% in the country. Winter survival rate and coverage rate after the wintering of winter forage crops under installed drain channels in paddy fields were good at 83% and 80%, respectively. However, the rates without installed drain channels were bad at 67% and 66%, respectively. It was predicted that the crop production of winter forage crops was reduced by 10-15% in Gangwon, Chungbuk, Chungnam, Gyeongnam and Jeonnam regions, reduced by 30% in Gyeonggi, Gyeongbuk and Jeonbuk regions and reduced overall by approximately 19% nationwide.

Colorectal Cancer Trends in Kerman Province, the Largest Province in Iran, with Forecasting until 2016

  • Roya, Nikbakht;Abbas, Bahrampour
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.791-793
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    • 2013
  • Colorectal cancer is one of the most common cancers. The aim of this study is determination its trends in Kerman province and individual cities separately until year 2016. This analytical and modeling study was based of cancer registry data of Kerman University of Medical Sciences, collected during 2001-2010. Among 20,351 cancer case, 792 were colorectal cancer cases in age group 18-93 years with a mean of 59.4 and standard deviation of 15.1. By applying time series and data trends, incidences were predicted until 2016 for the province and each city, with adjustment for population size. In colorectal cases, 413 (52%) were male, and 379 (48%) were female. The annual increasing rate in Kerman province overall was and can be expected to be 6%, and in the cities of the province Rafsanjan, Bardsir, Bam, Kerman, Baft, Sirjan, Jiroft, Kahnuj and Manujan had an increasing range from 5 to 14% by the year 2016. But in Ravar, Zarand and Shahrbabak reduction in rates of at least 2% could be predicted. The time series showed that the trend of colorectal cancer in female will increase 15% and in male 7% by year 2016. Given the trend of this cancer is increasing so that resources will be consumed in the treatment of the patients, efforts shoudlbe focused on prevention and early diagnosis of the disease. Screening could have an important role leading to improved survival.

Deletion of the oligopeptide transporter Lmo2193 decreases the virulence of Listeria monocytogenes

  • Li, Honghuan;Qiao, Yanjie;Du, Dongdong;Wang, Jing;Ma, Xun
    • Journal of Veterinary Science
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    • v.21 no.6
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    • pp.88.1-88.13
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    • 2020
  • Background: Listeria monocytogenes is a gram-positive bacterium that causes listeriosis mainly in immunocompromised hosts. It can also cause foodborne outbreaks and has the ability to adapt to various environments. Peptide uptake in gram-positive bacteria is enabled by oligopeptide permeases (Opp) in a process that depends on ATP hydrolysis by OppD and F. Previously a putative protein Lmo2193 was predicted to be OppD, but little is known about the role of OppD in major processes of L. monocytogenes, such as growth, virulence, and biofilm formation. Objectives: To determine whether the virulence traits of L. monocytogenes are related to OppD. Methods: In this study, Lmo2193 gene deletion and complementation strains of L. monocytogenes were generated and compared with a wild-type strain for the following: adhesiveness, invasion ability, intracellular survival, proliferation, 50% lethal dose (LD50) to mice, and the amount bacteria in the mouse liver, spleen, and brain. Results: The results showed that virulence of the deletion strain was 1.34 and 0.5 orders of magnitude higher than that of the wild-type and complementation strains, respectively. The function of Lmo2193 was predicted and verified as OppD from the ATPase superfamily. Deletion of lmo2193 affected the normal growth of L. monocytogenes, reduced its virulence in cells and mice, and affected its ability to form biofilms. Conclusions: Deletion of the oligopeptide transporter Lmo2193 decreases the virulence of L. monocytogenes. These effects may be related to OppD's function, which provides a new perspective on the regulation of oligopeptide transporters in L. monocytogenes.