75 research outputs found

    Feasibility and Safety of Extensive Upper Abdominal Surgery in Elderly Patients with Advanced Epithelial Ovarian Cancer

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    We performed a retrospective study to evaluate the feasibility and safety of extensive upper abdominal surgery (EUAS) in elderly (ā‰„65 yr) patients with advanced ovarian cancer. Records of patients with advanced epithelial ovarian cancer who received surgery at our institution between January 2001 and June 2005 were reviewed. A total of 137 patients including 32 (20.9%) elderly patients were identified. Co-morbidities were present in 37.5% of the elderly patients. Optimal cytoreduction was feasible in 87.5% of the elderly while 95.2% of young patients were optimally debulked (P=0.237). Among 77 patients who received one or more EUAS procedures, 16 (20.8%) were elderly. Within the cohort, the complication profile was not significantly different between the young and the elderly, except for pleural effusion and pneumothorax (P=0.028). Elderly patients who received 2 or more EUAS procedures, when compared to those 1 or less EUAS procedure, had significantly longer operation times (P=0.009), greater blood loss (P=0.002) and more intraoperative transfusions (P=0.030). EUAS procedures are feasible in elderly patients with good general condition. However, cautious peri-operative care should be given to this group because of their vulnerability to pulmonary complications and multiple EUAS procedures

    Disruption of nucleocytoplasmic trafficking as a cellular senescence driver

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    Senescent cells exhibit a reduced response to intrinsic and extrinsic stimuli. This diminished reaction may be explained by the disrupted transmission of nuclear signals. However, this hypothesis requires more evidence before it can be accepted as a mechanism of cellular senescence. A proteomic analysis of the cytoplasmic and nuclear fractions obtained from young and senescent cells revealed disruption of nucleocytoplasmic trafficking (NCT) as an essential feature of replicative senescence (RS) at the global level. Blocking NCT either chemically or genetically induced the acquisition of an RS-like senescence phenotype, named nuclear barrier-induced senescence (NBIS). A transcriptome analysis revealed that, among various types of cellular senescence, NBIS exhibited a gene expression pattern most similar to that of RS. Core proteomic and transcriptomic patterns common to both RS and NBIS included upregulation of the endocytosis-lysosome network and downregulation of NCT in senescent cells, patterns also observed in an aging yeast model. These results imply coordinated aging-dependent reduction in the transmission of extrinsic signals to the nucleus and in the nucleus-to-cytoplasm supply of proteins/RNAs. We further showed that the aging-associated decrease in Sp1 transcription factor expression was critical for the downregulation of NCT. Our results suggest that NBIS is a modality of cellular senescence that may represent the nature of physiological aging in eukaryotes. Ā© 2021, The Author(s).1

    In reply: Different role of secondary cytoreductive surgery by surgeon's experience and hospital facility

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    Fatigue Life Prediction for Carbon-SMC and Carbon-FRP by Considering Elastic Modulus Degradation

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    In the automotive industry, being lightweight has become an important design factor with the enhancement of environmental regulations. As a result, many studies on the application of composite materials are in progress. Among them, interest in carbon materials, such as carbon sheet molding compound (C-SMC) and carbon-fiber-reinforced plastic (CFRP), which have excellent strength and stiffness, is increasing. However, CFRP is a material that makes it difficult to secure economic feasibility due to its relatively high manufacturing costs and limited mass production, despite its excellent mechanical strength and durability. As a result, many studies have been conducted on C-SMC as an alternative carbon composite material that can be easily mass-produced. In this regard, this study intended to conduct a study on evaluating the fatigue strength of C-SMC and CFRP among mechanical properties due to the lack of clear failure criteria for fatigue design. We investigated the tensile and fatigue strengths of C-SMC and CFRP, respectively. In the case of C-SMC, the mechanical strength tests were conducted for two different width conditions to evaluate the cutting effect and the machining methods to assess the effects of the edge conditions. To evaluate the fatigue failure assessment criteria, the stiffness drop and elastic modulus degradation criteria were applied for each fatigue test result from the C-SMC and CFRP. The results confirmed that the rationality of the failure criteria in terms of the stiffness drop and the application of the fatigue life prediction of C-SMC based on elastic modulus degradation demonstrated promising results

    Noble strain of Sparassis latifolia produces high content of Ī²-glucan

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    Objective: To classify four new Sparassis strains (CLM1, CKM1, CKM2, and KJM1) using the internal transcribed spacer sequence and to elucidate their Ī²-glucan content and mycelial growth. Methods: Two different microbiological media were used to determine growth rate. The Ī²-glucan contents were analyzed using the Megazyme Mushroom and Yeast Beta-Glucan kit. To determine the genetic relationships, phylogenetic trees were constructed using ClustalX. Multiple sequence alignments were printed and shaded with the BOXSHADE 3.21 program. Results: In this study, four new Sparassis strains were isolated from the southern region of the Korea Peninsula. They were all classified into the Sparassis latifolia clade as a monophyletic group based on the internal transcribed spacer sequence. Mycelial growth rate of the CLM1 strain was highest in potato dextrose agar and potato dextrose agar larch. The Ī²-glucan content of the CLM1 strain was highest at 29.5% (w/w). A high degree of sequence divergence was detected in the RNA polymerase second largest subunit II gene (RPB2) within Sparassis spp. tested. The putative amino acid sequences of the RPB2 had a distinct sequence. The nucleotide sequences of the RPB2's intron were also divergent among Sparassis spp., even though their nucleotide length was well conserved within Sparassis latifolia. Conclusions: These results indicate that the nucleotide sequences and the amino acid sequences of RPB2 can be used to identify individual Sparassis sp. The Sparassis strain CLM1 may be best for developing a remedy to prevent or treat cancer and other chronic diseases
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