• Title/Summary/Keyword: entire solutions

Search Result 213, Processing Time 0.025 seconds

Treatment Patterns, Costs, and Survival among Medicare-Enrolled Elderly Patients Diagnosed with Advanced Stage Gastric Cancer: Analysis of a Linked Population-Based Cancer Registry and Administrative Claims Database

  • Karve, Sudeep;Lorenzo, Maria;Liepa, Astra M;Hess, Lisa M;Kaye, James A;Calingaert, Brian
    • Journal of Gastric Cancer
    • /
    • v.15 no.2
    • /
    • pp.87-104
    • /
    • 2015
  • Purpose: To assess real-world treatment patterns, health care utilization, costs, and survival among Medicare enrollees with locally advanced/unresectable or metastatic gastric cancer receiving standard first-line chemotherapy. Materials and Methods: This was a retrospective analysis of the Surveillance, Epidemiology, and End Results-Medicare linked database (2000~2009). The inclusion criteria were as follows: (1) first diagnosed with locally advanced/unresectable or metastatic gastric cancer between July 1, 2000 and December 31, 2007 (first diagnosis defined the index date); (2) ${\geq}65$ years of age at index; (3) continuously enrolled in Medicare Part A and B from 6 months before index through the end of follow-up, defined by death or the database end date (December 31, 2009), whichever occurred first; and (4) received first-line treatment with fluoropyrimidine and/or a platinum chemotherapy agent. Results: In total, 2,583 patients met the inclusion criteria. The mean age at index was $74.8{\pm}6.0years$. Over 90% of patients died during follow-up, with a median survival of 361 days for the overall post-index period and 167 days for the period after the completion of first-line chemotherapy. The mean total gastric cancer-related cost per patient over the entire post-index follow-up period was United States dollar (USD) $70,808{\pm}56,620$. Following the completion of first-line chemotherapy, patients receiving further cancer-directed treatment had USD 25,216 additional disease-related costs versus patients receiving supportive care only (P<0.001). Conclusions: The economic burden of advanced gastric cancer is substantial. Extrapolating based on published incidence estimates and staging distributions, the estimated total disease-related lifetime cost to Medicare for the roughly 22,200 patients expected to be diagnosed with this disease in 2014 approaches USD 300 millions.

Analysis of the shelf life of chitosan stored in different types of packaging, using colorimetry and dentin microhardness

  • da Cruz-Filho, Antonio Miranda;de Vito, Angelo Rafael;Souza-Flamini, Luis Eduardo;da Costa Guedes, Debora Fernandes;Saquy, Paulo Cesar;Silva, Ricardo Gariba;Pecora, Jesus Djalma
    • Restorative Dentistry and Endodontics
    • /
    • v.42 no.2
    • /
    • pp.87-94
    • /
    • 2017
  • Objectives: Chitosan has been widely investigated and used. However, the literature does not refer to the shelf life of this solution. This study evaluated, through the colorimetric titration technique and an analysis of dentin micro-hardness, the shelf life of 0.2% chitosan solution. Materials and Methods: Thirty human canines were sectioned, and specimens were obtained from the second and third slices, from cemento-enamel junction to the apex. A 0.2% chitosan solution was prepared and distributed in 3 identical glass bottles (v1, v2, and v3) and 3 plastic bottles (p1, p2, and p3). At 0, 7, 15, 30, 45, 60, 90, 120, 150, and 180 days, the specimens were immersed in each solution for 5 minutes (n = 3 each). The chelating effect of the solution was assessed by micro-hardness and colorimetric analysis of the dentin specimens. 17% EDTA and distilled water were used as controls. Data were analyzed statistically by two-way and Tukey-Kramer multiple comparison (${\alpha}=0.05$). Results: There was no statistically significant difference among the solutions with respect to the study time (p = 0.113) and micro-hardness/time interaction (p = 0.329). Chitosan solutions and EDTA reduced the micro-hardness in a similar manner and differed significantly from the control group (p < 0.001). Chitosan solutions chelated calcium ions throughout the entire experiment. Conclusions: Regardless of the storage form, chitosan demonstrates a chelating property for a minimum period of 6 months.

The Role of Charge and Retention in Effective Wet end Management

  • Rantala, T.;Nokelainen J.;Ojala, T;Dr. Taina Sopenlehto
    • Proceedings of the Korea Technical Association of the Pulp and Paper Industry Conference
    • /
    • 2000.06a
    • /
    • pp.1-10
    • /
    • 2000
  • The development of paper machines, increasing machine speeds with new, mostly low basis weight and/or high ash content paper grades, as well as the fact that several trends regarding process items have increased the sensitivity of papermaking. At the same time, papermakers are looking for flexibility in the production line. We can say that with all PMs the biggest benefits with the lowest capital spending can be achieved by focusing on improved wet end management. In order to manage wet end chemistry on a paper machine, our goal is to control sub-process through which we can influence the operation of the entire wet end with maximum effect. Key measurements and controls are-white water consistency control which is the most effective way to control retention - charge demand measurement and control which takes care of concentration of the anionic material entering to PM -ash measurements and controls which are deeply related to retention and paper quality This paper presents and concentrates to two of these key controls ; retention and charge. The purpose of charge control is to give the process control the tools to react to changes caused by amount of dissolved and colloida material incoming to wet end system. It is called coagulation or fixing control. Retention control is then taking care of retention aid flow to the process by responding any changes seen in white water consistency. It is called flocculation control. Each of these solutions separately , and even more effectively all together, stabilize the wet end operations and so greatly improve the produced paper quality and machine runnability. Practical results will be presented and they are referring to the latest mill cases. We have developed the first wet end measuring system in the late 1980s and control solutions based on this modern measuring technology were completely updated in 1990s. This paper introduces the principle, operation , and results of our unique wet end analyzers (retention and charge ) which are at the level of automation solutions as a part of paper machine quality control Especially our newest member of the platform , on-line charge analyzer has reached and set new standards to the on-line charge monitoring.

The Role of Charge and Retention in Effective Wet End Management

  • Rantala, T.;Nokelainen, J.;Ojala, T.;Sopenlehto, Taina
    • Journal of Korea Technical Association of The Pulp and Paper Industry
    • /
    • v.32 no.5
    • /
    • pp.44-53
    • /
    • 2000
  • The development of paper machines, increasing machine speeds with new, mostly low basis weight and/or high ash content paper grades, as well as the fact that several trends regarding process items have increased the sensitivity of papermaking. At the same time, papermakers are looking for flexibility in the production line. We can say that with all PMs, the biggest benefits with the lowest capital spending can be achieved by focusing on improved wet end management. In order to manage wet end chemistry on a paper machine, our goal is to control subprocesses through which we can influence the operation of the entire wet end with maximum effect. Key measurements and controls are - white water consistency control which is the most effective way to control retention. - charge demand measurement and control which takes care of concentration of the anionic material entering to PM. - ash measurements and controls which are deeply related to retention and paper quality. This paper presents and concentrates to two of these key controls: retention and charge. The purpose of charge control is to give the process control the tools to react to changes caused by amount of dissolved and colloidal material incoming to wet end system. It is called coagulation or fixing control. Retention control is then taking care of retention aid flow to the process by responding any changes seen in white water consistency. It is called flocculation control. Each of these solutions separately, and even more effectively all together, stabilize the wet end operations and so greatly improve the produced paper quality and machine runnability. Practical results will be presented and they are referring to the latest mill cases. We have developed the first wet end measuring system in the late 1980s and control solutions based on this modern measuring technology were completely updated in 1990s. This paper introduces the principle, operation, and results of our unique wet end analyzers (retention and charge) which are at the level of automation solutions as a part of paper machine quality control. Especially our newest member of the platform, on-line charge analyzer has reached and set new standards to the on-line charge monitoring.

  • PDF

Performance Analysis of Francis Turbines by CFD (CFD을 이용한 프란시스 수차의 내부유동 해석)

  • Choi, Hyen-Jun;Hwang, Young-Cheol;Kim, You-Taek;Nam, Chung-Do;Lee, Young-Ho
    • 한국신재생에너지학회:학술대회논문집
    • /
    • 2010.06a
    • /
    • pp.191.2-191.2
    • /
    • 2010
  • The conventional method to assess turbine performance is its model testing which becomes costly and time consuming for several design alternatives in design optimization. Computational fluid dynamics (CFD) has become a cost effective tool for predicting detailed flow information in turbine space to enable the selection of best design. In the present paper, Francis turbine of commercial small hydropower plants which is under 70kw is investigated. Solutions are investigated with respect to the hydraulic characteristics against an outward angle of guide vane, the number of guide vane and head (inlet velocity). By suitable modification of the runner shape, low pressure zone on the leading edge can be reduced. If the entire runner is to be optimized in this manner, flow simulation tests have to be carried out on a series of different geometrical shape.

  • PDF

A Study on the Multi-Objective Optimization of Impeller for High-Power Centrifugal Compressor

  • Kang, Hyun-Su;Kim, Youn-Jea
    • International Journal of Fluid Machinery and Systems
    • /
    • v.9 no.2
    • /
    • pp.143-149
    • /
    • 2016
  • In this study, a method for the multi-objective optimization of an impeller for a centrifugal compressor using fluid-structure interaction (FSI) and response surface method (RSM) was proposed. Numerical simulation was conducted using ANSYS CFX and Mechanical with various configurations of impeller geometry. Each design parameter was divided into 3 levels. A total of 15 design points were planned using Box-Behnken design, which is one of the design of experiment (DOE) techniques. Response surfaces based on the results of the DOE were used to find the optimal shape of the impeller. Two objective functions, isentropic efficiency and equivalent stress were selected. Each objective function is an important factor of aerodynamic performance and structural safety. The entire process of optimization was conducted using the ANSYS Design Xplorer (DX). The trade-off between the two objectives was analyzed in the light of Pareto-optimal solutions. Through the optimization, the structural safety and aerodynamic performance of the centrifugal compressor were increased.

Genetic Algorithm Applications to Broadcast Traffic Management in an ATM LAN Network (유전자 알고리즘을 이용한 ATM LAN에서의 Broadcast 트래픽 운용)

  • Kim Do-Hun
    • Proceedings of the Society of Korea Industrial and System Engineering Conference
    • /
    • 2002.05a
    • /
    • pp.105-111
    • /
    • 2002
  • Presented is a Genetic Algorithm(GA) for dynamic partitioning an ATM LANE(LAN Emulation) network. LANE proves to be one of the best solutions to provide guaranteed Quality of Service(QoS) for mid-size campus or enterprise networks with a little modification of legacy LAN facilities. However, there are few researches on the efficient LANE network operations to deal with scalability issues arising from broadcast traffic delivery. To cope with this scalability issue, proposed is a decision model named LANE Partitioning Problem(LPP) which aims at partitioning the entire LANE network into multiple Emulated LANs(ELANs), each of which works as an independent virtual LAN.

  • PDF

Study on Forward Kinematics of Stewart Platform Using Neural Network Algorithm together with Newton-Raphson Method (신경망과 뉴톤 랩슨 방법을 이용한 스튜어트 플랫폼의 순기구학 해석에 관한 연구)

  • Goo, Sang-Hwa;Son, Kwon
    • Transactions of the Korean Society of Automotive Engineers
    • /
    • v.9 no.1
    • /
    • pp.156-162
    • /
    • 2001
  • An effective and practical method is presented for solving the forward kinematics of a 6-DOF Stewart Platform, using neural network algorithm together with Newton-Raphson method. An approximated solution is obtained from trained neural network, then it is used as an initial estimate for Newton-Raphson method. A series of accurate solutions are calculated with reasonable speed for the entire workspace of the platform. The solution procedure can be used for driving a real-time simulation platform.

  • PDF

Interpreting Conservativeness in Design Criteria for Flexural Strengthening of RC Structures Using Externally Bonded FRP

  • Kansara, Kunal D.;Ibell, Tim J.;Darby, Antony P.;Evernden, Mark
    • International Journal of Concrete Structures and Materials
    • /
    • v.4 no.1
    • /
    • pp.25-36
    • /
    • 2010
  • This paper presents the influence of various flexural strengthening design criteria specified by three important design guidelines (ACI440, TR55, FIB14) on the resulting strength, ductility and conservativeness of FRP strengthened RC elements. Various generalised mathematical relations in non-dimensional form are presented that can be employed to develop design aids for the FRP-strengthening process. A design methodology is prescribed based on these equations enabling the designer to optimally and intuitively incorporate sufficient ductility while designing for strength. In order to better interpret conservativeness within design codes, four distinct levels of embedded conservativeness are identified, which cover the entire range of sources of conservativeness. Finally, a detailed parametric study is presented, using the proposed design equations and methodology, to determine the influence of each of these four levels of conservativeness on final design solutions. Specific criteria that are useful while calibrating design guidelines are also presented.

DIFFERENTIAL EQUATIONS RELATED TO FAMILY A

  • Li, Ping;Meng, Yong
    • Bulletin of the Korean Mathematical Society
    • /
    • v.48 no.2
    • /
    • pp.247-260
    • /
    • 2011
  • Let h be a meromorphic function with few poles and zeros. By Nevanlinna's value distribution theory we prove some new properties on the polynomials in h with the coefficients being small functions of h. We prove that if f is a meromorphic function and if $f^m$ is identically a polynomial in h with the constant term not vanish identically, then f is a polynomial in h. As an application, we are able to find the entire solutions of the differential equation of the type $$f^n+P(f)=be^{sz}+Q(e^z)$$, where P(f) is a differential polynomial in f of degree at most n-1, and Q($e^z$) is a polynomial in $e^z$ of degree k $\leqslant$ max {n-1, s(n-1)/n} with small functions of $e^z$ as its coefficients.