301 research outputs found

    PAS: A Sampling Based Similarity Identification Algorithm for compression of Unicode data content

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    Generally, Users perform searches to satisfy their information needs. Now a day’s lots of people are using search engine to satisfy information need. Server search is one of the techniques of searching the information. the Growth of data brings new changes in Server. The data usually proposed in timely fashion in server. If there is increase in latency then it may cause a massive loss to the enterprises. The similarity detection plays very important role in data. while there are many algorithms are used for similarity detection such as Shingle, Simhas TSA and Position Aware sampling algorithm. The Shingle Simhash and Traits read entire files to calculate similar values. It requires the long delay in growth of data set value. instead of reading entire Files PAS sample some data in the form of Unicode to calculate similarity characteristic value.PAS is the advance technique of TSA. However slight modification of file will trigger the position of file content .Therefore the failure of similarity identification is there due to some modifications.. This paper proposes an Enhanced Position-Aware Sampling algorithm (EPAS) to identify file similarity for the Server. EPAS concurrently samples data blocks from the modulated file to avoid the position shift by the modifications. While there is an metric is proposed to measure the similarity between different files and make the possible detection probability close to the actual probability. In this paper describes a PAS algorithm to reduce the time overhead of similarity detection. Using PAS algorithm we can reduce the complication and time for identifying the similarity. Our result demonstrate that the EPAS significantly outperforms the existing well known algorithms in terms of time. Therefore, it is an effective approach of similarity identification for the Server

    Advancement in radiotherapy for head and neck cancer management: a review

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    Objective: This study aimed to evaluate the influence of side effects on the quality of life (QoL) and psychosocial functioning of patients with oropharyngeal cancer associated with Human Papillomavirus (HPV), and to explore de-escalation procedures in the treatment of head and neck cancer (HNC). Materials and Methods: This study relied on systematic reviews and original research and focused on younger and older patients with HPV-induced oropharyngeal squamous cell carcinoma (OPSCC) undergoing modern radiotherapy (RT). This study aimed to analyze the impact of side effects on QoL and psychosocial functioning in these patients. De-escalation procedures and their effectiveness in the treatment of HPV-induced OPSCC were investigated. This study examined sophisticated image guidance, adaptive therapies, and precise delivery methods of modern RT. Results: According to the findings, the side effects of modern RT in patients with HPV-induced OPSCC had a significant impact on their QoL and psychosocial functioning. Although the evidence regarding de-escalation procedures is still evolving, it suggests potential benefits in terms of reducing side effects and improving outcomes. The combination of modernization of RT, innovative systemic agents, and expanding therapeutic indications in the recurrent/metastatic context is also promising. Conclusions: Patients with HPV-induced OPSCC undergoing modern RT face considerable challenges related to side effects that affect their QoL and psychosocial well-being. Therefore, exploring de-escalation procedures to mitigate these issues and to improve treatment outcomes is crucial. Further research is required to establish conclusive evidence regarding the effectiveness of de-escalation procedures and the optimal treatment approaches for HPV-induced OPSCC. Additionally, integrating RT modernization, innovative systemic agents, and expanding therapeutic indications holds great potential for advancing HNC treatment in recurrent/metastatic settings

    Occurrence of testicular microlithiasis in androgen insensitive hypogonadal mice

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    <b>Background</b>: Testicular microliths are calcifications found within the seminiferous tubules. In humans, testicular microlithiasis (TM) has an unknown etiology but may be significantly associated with testicular germ cell tumors. Factors inducing microlith development may also, therefore, act as susceptibility factors for malignant testicular conditions. Studies to identify the mechanisms of microlith development have been hampered by the lack of suitable animal models for TM.<BR/> <b>Methods</b>: This was an observational study of the testicular phenotype of different mouse models. The mouse models were: cryptorchid mice, mice lacking androgen receptors (ARs) on the Sertoli cells (SCARKO), mice with a ubiquitous loss of androgen ARs (ARKO), hypogonadal (hpg) mice which lack circulating gonadotrophins, and hpg mice crossed with SCARKO (hpg.SCARKO) and ARKO (hpg.ARKO) mice.<BR/> <b>Results</b>: Microscopic TM was seen in 94% of hpg.ARKO mice (n=16) and the mean number of microliths per testis was 81 +/- 54. Occasional small microliths were seen in 36% (n=11) of hpg testes (mean 2 +/- 0.5 per testis) and 30% (n=10) of hpg.SCARKO testes (mean 8 +/- 6 per testis). No microliths were seen in cryptorchid, ARKO or SCARKO mice. There was no significant effect of FSH or androgen on TM in hpg.ARKO mice.<BR/> <b>Conclusions</b>: We have identified a mouse model of TM and show that lack of endocrine stimulation is a cause of TM. Importantly, this model will provide a means with which to identify the mechanisms of TM development and the underlying changes in protein and gene expression

    Hot-melt extrusion process impact on polymer choice of glyburide solid dispersions : the effect of wettability and dissolution

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    The aim of this study was to evaluate the choice of polymer and polymer level on the performance of the microstructure and wettability of hot-melt extruded solid dispersion of Glyburide (Gly) as a model drug. The produced solid dispersion were characterised using scanning electron microscopy (SEM), image analysis using a focus variation instrument (FVI), differential scanning calorimetry (DSC), X-ray powder diffraction (XRPD), X-ray microtomography (XµT), dynamic contact angle measurement and dissolution analysis using biorelevant dissolution media (FASSIF). SEM and focus variation analysis showed that the microstructure and surface morphology was significantly different between samples produced. This was confirmed by further analysis using XµT which showed that an increase in polymer content brought about a decrease in the porosity of the hot-melt extruded dispersions. DSC suggested complete amorphorisation of Gly whereas XRPD suggested incomplete amorphorisation. The static and dynamic contact angle measurement correlated with the dissolution studies using FASSIF media indicating that the initial liquid imbibition process as captured by the dynamic contact angle directly affects the dissolution performance

    Endocrine therapy for hormone receptor-positive metastatic breast cancer: American Society of Clinical Oncology Guideline

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    PURPOSE: To develop recommendations about endocrine therapy for women with hormone receptor (HR) -positive metastatic breast cancer (MBC). METHODS: The American Society of Clinical Oncology convened an Expert Panel to conduct a systematic review of evidence from 2008 through 2015 to create recommendations informed by that evidence. Outcomes of interest included sequencing of hormonal agents, hormonal agents compared with chemotherapy, targeted biologic therapy, and treatment of premenopausal women. This guideline puts forth recommendations for endocrine therapy as treatment for women with HR-positive MBC. RECOMMENDATIONS: Sequential hormone therapy is the preferential treatment for most women with HR-positive MBC. Except in cases of immediately life-threatening disease, hormone therapy, alone or in combination, should be used as initial treatment. Patients whose tumors express any level of hormone receptors should be offered hormone therapy. Treatment recommendations should be based on type of adjuvant treatment, disease-free interval, and organ function. Tumor markers should not be the sole criteria for determining tumor progression; use of additional biomarkers remains experimental. Assessment of menopausal status is critical; ovarian suppression or ablation should be included in premenopausal women. For postmenopausal women, aromatase inhibitors (AIs) are the preferred first-line endocrine therapy, with or without the cyclin-dependent kinase inhibitor palbociclib. As second-line therapy, fulvestrant should be administered at 500 mg with a loading schedule and may be administered with palbociclib. The mammalian target of rapamycin inhibitor everolimus may be administered with exemestane to postmenopausal women with MBC whose disease progresses while receiving nonsteroidal AIs. Among patients with HR-positive, human epidermal growth factor receptor 2-positive MBC, human epidermal growth factor receptor 2-targeted therapy plus an AI can be effective for those who are not chemotherapy candidates

    Male breast cancer

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    Male breast cancer (MBC) is a rare disease representing less than 1% of all breast cancers (BC) and less than 1% of cancers in men. Age at presentation is mostly in the late 60s. MBC is recognized as an estrogen-driven disease, specifically related to hyperestrogenism. About 20% of MBC patients have family history for BC. Mutations in BRCA1 and, predominantly, BRCA2, account for approximately 10% of MBC cases. Because of its rarity, MBC is often compared with female BC (FBC). Based on age-frequency distribution, age-specific incidence rate patterns and prognostic factors profiles, MBC is considered similar to late-onset, postmenopausal estrogen/progesterone receptor positive (ER+/PR+) FBC. However, clinical and pathological characteristics of MBC do not exactly overlap FBC. Compared with FBC, MBC has been reported to occur later in life, present at a higher stage, and display lower histologic grade, with a higher proportion of ER+ and PR+ tumors. Although rare, MBC remains a substantial cause for morbidity and mortality in men, probably because of its occurrence in advanced age and delayed diagnosis. Diagnosis and treatment of MBC generally is similar to that of FBC. Men tend to be treated with mastectomy rather than breast-conserving surgery. The backbone of adjuvant therapy or palliative treatment for advanced disease is endocrine, mostly tamoxifen. Use of FBC-based therapy led to the observation that treatment outcomes for MBC are worse and that survival rates for MBC do not improve like FBC. These different outcomes may suggest a non-appropriate utilization of treatments and that different underlying pathogenetic mechanisms may exist between male and female BC

    Epidermal Growth Factor Receptor Inhibition Is Protective in Hyperoxia-Induced Lung Injury.

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    AIMS: Studies have linked severe hyperoxia, or prolonged exposure to very high oxygen levels, with worse clinical outcomes. This study investigated the role of epidermal growth factor receptor (EGFR) in hyperoxia-induced lung injury at very high oxygen levels (\u3e95%). RESULTS: Effects of severe hyperoxia (100% oxygen) were studied in mice with genetically inhibited EGFR and wild-type littermates. Despite the established role of EGFR in lung repair, EGFR inhibition led to improved survival and reduced acute lung injury, which prompted an investigation into this protective mechanism. Endothelial EGFR genetic knockout did not confer protection. EGFR inhibition led to decreased levels of cleaved caspase-3 and poly (ADP-ribosyl) polymerase (PARP) and decreased terminal dUTP nick end labeling- (TUNEL-) positive staining in alveolar epithelial cells and reduced ERK activation, which suggested reduced apoptosis CONCLUSION: In conditions of severe hyperoxia (\u3e95% for \u3e24 h), EGFR inhibition led to improved survival, decreased lung injury, and reduced cell death. These findings further elucidate the complex role of EGFR in acute lung injury

    Pregnancy after breast cancer: Are young patients willing to participate in clinical studies?

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    Young patients with breast cancer (BC) are often concerned about treatment-induced infertility and express maternity desire. Conception after BC does not seem to affect outcome, but information in estrogen-receptor positive (ER+) disease is not definitive. From September 2012-March 2013, 212 evaluable patients with ER+ early BC,37 years at diagnosis, from 5 regions (Europe/US/Canada/Middle-East/Australia) answered a survey about fertility concerns, maternity desire and interest in a study of endocrine therapy (ET) interruption to allow pregnancy. Overall, 37% of respondents were interested in the study; younger patients (≤30 years) reported higher interest (57%). Motivation in younger patients treated30 months was higher (83%) than in older women (14%), interest was independent of age in patients treated for ≤30 months. A prospective study in this patient population seems relevant and feasible. The International-Breast-Cancer-Study-Group (IBCSG), within the Breast-International-Group (BIG) - North-American-Breast-Cancer-Groups (NABCG) collaboration, is launching a study (POSITIVE) addressing ET interruption to allow pregnancy
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