2 research outputs found

    Model Fragmentasi Sistem Basis Data Terdistribusi Studi Kasus Sistem Member Warnet

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    Sistem terdistribusi merupakan suatu bentuk arsitektur sistem dimana komputer-komputer yangberdiri secara otonom dapat saling berkomunikasi dan berbagi resource tanpa memperdulikan dimanakomputer itu berada dan platform yang digunakan.Bisnis warnet dan game center saat ini dianggap sebagai bisnis yang menggiurkan. Untukmemperluas pasar biasanya digunakan strategi membuka cabang baru dan pemberlakuan program khusus.Sistem member yang diberlakukan memberikan fasilitas potongan harga dibandingkan dengan user yangtidak masuk dalam program member dan prepaid atau prabayar. Dengan sistem tersebut mereka berharapdapat mengikat konsumennya untuk menjadi seorang pelanggan.Pada penelitian ini akan dibahas mengenai penerapan sistem terdistribusi pada sistem memberwarnet. Sehingga member warnet dapat menggunakan keanggotaannya untuk mendapatkan potongan hargapada semua warnet yang dimiliki oleh pengusaha warnet tersebut

    Phase II randomised discontinuation trial of brivanib in patients with advanced solid tumours

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    Background: Brivanib is a selective inhibitor of vascular endothelial growth factor and fibroblast growth factor (FGF) signalling. We performed a phase II randomised discontinuation trial of brivanib in 7 tumour types (soft-tissue sarcomas [STS], ovarian cancer, breast cancer, pancreatic cancer, non-small-cell lung cancer [NSCLC], gastric/esophageal cancer and transitional cell carcinoma [TCC]). Patients and methods: During a 12-week open-label lead-in period, patients received brivanib 800 mg daily and were evaluated for FGF2 status by immunohistochemistry. Patients with stable disease at week 12 were randomised to brivanib or placebo. A study steering committee evaluated week 12 response to determine if enrolment in a tumour type would continue. The primary objective was progression-free survival (PFS) for brivanib versus placebo in patients with FGF2-positive tumours. Results: A total of 595 patients were treated, and stable disease was observed at the week 12 randomisation point in all tumour types. Closure decisions were made for breast cancer, pancreatic cancer, NSCLC, gastric cancer and TCC. Criteria for expansion were met for STS and ovarian cancer. In 53 randomised patients with STS and FGF2-positive tumours, the median PFS was 2.8 months for brivanib and 1.4 months for placebo (hazard ratio [HR]: 0.58, p = 0.08). For all randomised patients with sarcomas, the median PFS was 2.8 months (95% confidence interval [CI]: 1.4–4.0) for those treated with brivanib compared with 1.4 months (95% CI: 1.3–1.6) for placebo (HR = 0.64, 95% CI: 0.38–1.07; p = 0.09). In the 36 randomised patients with ovarian cancer and FGF2-positive tumours, the median PFS was 4.0 (95% CI: 2.6–4.2) months for brivanib and 2.0 months (95% CI: 1.2–2.7) for placebo (HR: 0.56, 95% CI: 0.26–1.22). For all randomised patients with ovarian cancer, the median PFS in those randomised to brivanib was 4.0 months (95% CI: 2.6–4.2) and was 2.0 months (95% CI: 1.2–2.7) in those randomised to placebo (HR = 0.54, 95% CI: 0.25–1.17; p = 0.11). Conclusion: Brivanib demonstrated activity in STS and ovarian cancer with an acceptable safety profile. FGF2 expression, as defined in the protocol, is not a predictive biomarker of the efficacy of brivanib
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