Relationships between serum HER2 ECD, TIMP-1 and clinical outcomes in Taiwanese breast cancer

<p>Abstract</p> <p>Background</p> <p>Serum levels of the extracellular domain of HER2/neu (HER2 ECD) have been demonstrated to be associated with clinical outcomes. A disintegrin and metalloproteinase-10, a sheddase of HER2/neu, can drive cancer progression and its activity is inhibited by tissue inhibitor of metalloproteinase-1 (TIMP-1). However, elevated TIMP-1 expression has been associated with a poor prognosis of breast cancer. Therefore, this study was performed to explore the relationships between serum HER2 ECD, TIMP-1 and clinical outcomes.</p> <p>Methods</p> <p>One hundred and eighty-five female breast cancer patients, who received curative mastectomy without neo-adjuvant chemotherapy at Chang-Gung Memorial Hospital, were recruited with informed consent for this study. Pre-operative serum levels of HER2 ECD and TIMP-1 were measured using an enzyme-linked immunosorbent assay.</p> <p>Results</p> <p>Twenty-three cases (12.4%) were classified HER2 ECD positive. HER2 ECD positivity was significantly associated with age, lymph node involvement, histological grade, estrogen receptor status, progesterone receptor status, tissue HER2/neu overexpression, and disease-free survival (DFS). In an age, stage, ER and HER2/neu status matched subgroup (N = 41), the serum level of TIMP-1 was significantly associated with HER2 ECD positivity and DFS.</p> <p>Conclusions</p> <p>A high serum TIMP-1 was significantly associated with HER2 ECD positivity and a poorer DFS among Taiwanese primary breast cancer patients with HER2 overexpression.</p

Understanding the Impact of Service Failure and Recovery Justice on Consumers’ Satisfaction and Repurchase Intention

This research attempts to explore the impacts of different types of justice and their interactions on the satisfaction toward service failure recovery. We attempt to classify justices into hygiene, motivator, or asymmetric variable, based on the concept of asymmetric effect and two factors theory proposed by Herzberg. Specifically, we predict that procedural and distributive justices are hygiene or performance factor and interpersonal justice is motivator. In addition, based on expectancy-disconfirmation theory (EDT), we also attempt to understand the interaction between paired justices by arguing that motivator can generate more effect when hygiene factor or performance factors meet initial expectation. An experiment, with 3x2x2 between-subjects factorial design consisting of three factors to represent different levels of justice provided by online retailer, will be conducted to test the proposed hypotheses. A two-step approach will be used to (1) confirmation the types (hygiene, performance, or motivator) that each justice dimension belongs to, (2) understand the impact of each justice on satisfaction, and (3) test whether motivator will generate more effect when hygiene and performance factor are satisfied

TIME millimeter wave grating spectrometer

The Tomographic Ionized-carbon Mapping Experiment (TIME) utilizes grating spectrometers to achieve instantaneous wideband coverage with background-limited sensitivity. A unique approach is employed in which curved gratings are used in parallel plate waveguides to focus and diffract broadband light from feed horns toward detector arrays. TIME will measure singly ionized carbon fluctuations from 5 < z < 9 with an imaging spectrometer. 32 independent spectrometers are assembled into two stacks of 16, one per polarization. Each grating has 210 facets and provides a resolving power R of ~ 200 over the 186–324 GHz frequency range. The dispersed light is detected using 2-D arrays of transition edge sensor bolometers. The instrument is housed in a closed-cycle 4K–1K–300mK cryostat. The spectrometers and detectors are cooled using a dual-stage 250/300 mK refrigerator

Clinical Study Therapeutic Outcome of Second Primary Malignancies in Patients with Well-Differentiated Thyroid Cancer

Background. The aims of this study were to analyze the clinical characteristics of SPM in patients with well-differentiated thyroid cancer and to determine the long-term prognosis in patients with double malignancies. Materials and Methods. We retrospectively analyzed 2,864 patients with well-differentiated thyroid cancer and a mean age of 44.0 ± 14.4 years. Of these, 200 (7.0%) were diagnosed with SPM, 115 of which were diagnosed with metachronous SPM. Results. Of 2,864 patients, 163 (5.7%) patients died of thyroid cancer and 301 (10.5%) died of any cause by the end of the follow-up period. Multivariate analysis identified age, SPM, external radiotherapy, TNM stage, and postoperative serum Tg level to be factors independently associated with decreased survival. Of 200 patients with SPM, 74 (37.0%) died. In comparison to the anachronous and synchronous groups, the metachronous SPM group had a higher mean age; more advanced tumor, node, and metastasis stage; lower remission rate; higher postoperative radioactive iodide ( 131 I) accumulated dose; a higher proportion of patients who underwent external radiotherapy; and higher thyroid cancer and total mortality rates. Conclusions. Patients with well-differentiated thyroid carcinoma and metachronous SPM had worse prognoses compared to patients without SPM

Prognosis of Multifocal Papillary Thyroid Carcinoma

This study was to investigate the clinical features and therapeutic outcomes of multifocal papillary thyroid microcarcinoma (PTMC). A total of 2,418 papillary thyroid carcinoma (PTC) patients had undergone thyroidectomy in one medical center between 1977 and 2010. There were 483 (20.0%) diagnosed with multifocal PTC. The percentage of multifocal PTC was higher in PTMC patients (22.0%) than in non-PTMC patients (19.5%). Demographic and clinical characteristics of PTMC and multifocal PTC in PTC patients were traced. Multifocal PTC patients presented with smaller tumors at an older age, and a higher percentage underwent total or complete thyroidectomy. These patients also showed a higher incidence of postoperative disease progression than did unifocal PTC patients. Comparison of 483 patients with multifocal PTMC and non-PTMC tumors showed a higher incidence of postoperative disease progression in patients with non-PTMC; otherwise, there was no statistical difference in disease-specific and total mortality between these two groups. In conclusion, the incidence of multifocal PTMC was not lower than that of non-PTMC, and postoperative therapies were necessary for both multifocal PTMC and non-PTMC patients

Associations of obesity and malnutrition with cardiac remodeling and cardiovascular outcomes in Asian adults:A cohort study

BackgroundObesity, a known risk factor for cardiovascular disease and heart failure (HF), is associated with adverse cardiac remodeling in the general population. Little is known about how nutritional status modifies the relationship between obesity and outcomes. We aimed to investigate the association of obesity and nutritional status with clinical characteristics, echocardiographic changes, and clinical outcomes in the general community.Methods and findingsWe examined 5,300 consecutive asymptomatic Asian participants who were prospectively recruited in a cardiovascular health screening program (mean age 49.6 ± 11.4 years, 64.8% male) between June 2009 to December 2012. Clinical and echocardiographic characteristics were described in participants, stratified by combined subgroups of obesity and nutritional status. Obesity was indexed by body mass index (BMI) (low, ≤25 kg/m2 [lean]; high, >25 kg/m2 [obese]) (WHO-recommended Asian cutoffs). Nutritional status was defined primarily by serum albumin (SA) concentration (low, ConclusionsIn our cohort study among asymptomatic community-based adults in Taiwan, we found that obese individuals with poor nutritional status have the highest comorbidity burden, the most adverse cardiac remodeling, and the least favorable composite outcome

INSPIRESat-1: An Ionosphere and Solar X-ray Observing MicroSat

The International Satellite Program in Research and Education’s (INSPIRE) first satellite is an Ionosphere and Solar X-ray observing microsat slated for launch in November of 2019 onboard an ISRO Polar Satellite Launch Vehicle. The microsat has a mission specific structure fitting on a PSLV ring deployer. There are two payloads aboard with two different science objectives. The Compact Ionosphere Probe (CIP) will take in-situ measurements of ion density, composition, temperature, velocity, and electron temperature. The CIP is a smaller version of the Advanced Ionosphere Probe (AIP, both developed in Taiwan) currently operating onboard the FORMOSat-5. This instrument is capable of sampling the ionosphere at 1 and 8 Hz. The second payload is the Dual Aperture X-ray Solar spectrometer (DAXSS). DAXSS is a modified Amptek X123 that will observe Solar X-rays, specifically soft X-rays. Hot plasma in the sun’s corona is best measured in the soft X-rays. Many emission lines for important elements (Fe, Si, Mg, S, etc) are in the soft X-ray range. Soft X-rays are always present in the sun but 100 times brighter during flares, these observations will also lend to understanding the temperature difference between the sun’s corona and photosphere. The solar soft x-rays are also important for the Earth’s Ionosphere, adding to the ionosphere observations made by CIP. The DAXSS instrument has heritage from a NASA calibration rocket experiment and two cubesats, MINXSS 1 and 2. The newer model Amptek X123 has much improved energy resolution for the X-ray spectrum. The primary science objectives of the INSPIRESat-1 are twofold. First, enabling the characterization of the temporal and spatial distributions of small-scale plasma irregularities like plasma bubbles and the Midnight Temperature Maximum (MTM) in season, location, and time by CIP. Second, giving a greater understanding of why the Sun’s corona is orders of magnitude hotter than the photosphere, why there is an abundance of elements change during different solar events, and how these events (observed with greater soft x-ray fidelity) effect the earth’s ionosphere. In this paper, we present science expectations for the INSPIRESat-1 and a concept for coordinated Ionospheric measurements covering several altitudes and local times using three satellite platforms carrying the same CIP instrument (INSPIRESat-1, IDEASat/INSPIRESat-2, INSPIRESat-4, FORMOSat-5). We describe the development of DAXSS and how the dual aperture prevents the need for two X123 to get the similar data. We also highlight the unique development of the INSPIRESat-1 microsat being developed by international collaboration across three different universities

System Verification and Runtime Monitoring with Multiple Weakly-Hard Constraints

A weakly-hard fault model can be captured by an (m,k) constraint, where 0≤ m ≤ k , meaning that there are at most m bad events (faults) among any k consecutive events. In this article, we use a weakly-hard fault model to constrain the occurrences of faults in system inputs. We develop approaches to verify properties for all possible values of (m,k) , where k is smaller than or equal to a given  K , in an exact and efficient manner. By verifying all possible values of (m,k) , we define weakly-hard requirements for the system environment and design a runtime monitor based on counting the number of faults in system inputs. If the system environment satisfies the weakly-hard requirements, then the satisfaction of desired properties is guaranteed; otherwise, the runtime monitor can notify the system to switch to a safe mode. This is especially essential for cyber-physical systems that need to provide guarantees with limited resources and the existence of faults. Experimental results with discrete second-order control, network routing, vehicle following, and lane changing demonstrate the generality and the efficiency of the proposed approaches. </jats:p

Benchmarking of eight recurrent neural network variants for breath phase and adventitious sound detection on a self-developed open-access lung sound database-HF_Lung_V1

A reliable, remote, and continuous real-time respiratory sound monitor with automated respiratory sound analysis ability is urgently required in many clinical scenarios-such as in monitoring disease progression of coronavirus disease 2019-to replace conventional auscultation with a handheld stethoscope. However, a robust computerized respiratory sound analysis algorithm has not yet been validated in practical applications. In this study, we developed a lung sound database (HF_Lung_V1) comprising 9,765 audio files of lung sounds (duration of 15 s each), 34,095 inhalation labels, 18,349 exhalation labels, 13,883 continuous adventitious sound (CAS) labels (comprising 8,457 wheeze labels, 686 stridor labels, and 4,740 rhonchi labels), and 15,606 discontinuous adventitious sound labels (all crackles). We conducted benchmark tests for long short-term memory (LSTM), gated recurrent unit (GRU), bidirectional LSTM (BiLSTM), bidirectional GRU (BiGRU), convolutional neural network (CNN)-LSTM, CNN-GRU, CNN-BiLSTM, and CNN-BiGRU models for breath phase detection and adventitious sound detection. We also conducted a performance comparison between the LSTM-based and GRU-based models, between unidirectional and bidirectional models, and between models with and without a CNN. The results revealed that these models exhibited adequate performance in lung sound analysis. The GRU-based models outperformed, in terms of F1 scores and areas under the receiver operating characteristic curves, the LSTM-based models in most of the defined tasks. Furthermore, all bidirectional models outperformed their unidirectional counterparts. Finally, the addition of a CNN improved the accuracy of lung sound analysis, especially in the CAS detection tasks.Comment: 48 pages, 8 figures. To be submitte

Single nucleotide polymorphisms of the APC gene and colorectal cancer risk: a case-control study in Taiwan

BACKGROUND: Colorectal cancer (CRC), which has become especially prevalent in developed countries, is currently the third highest cause of cancer mortality in Taiwan. Mutation of the adenomatous polyposis coli (APC) gene, a tumour suppressor, is thought to be an early event in colorectal tumourigenesis. To date, however, no large-scale screening for APC gene variants in Chinese subjects has been performed. The present study was undertaken to identify APC gene variants that are significantly associated with the occurrence of CRC in Taiwanese subjects. METHODS: In order to compare the genotype distribution of variant sites, the full-length APC genes of 74 healthy individuals and 80 CRC patients were sequenced. RESULTS: Among the 154 Taiwanese subjects examined in this study, three new mutations, but no previously reported mutations, were found. One deletion at codon 460 leading to a frameshift and two missense mutations resulting in p.V1125A and p.S1126R substitutions were identified. Additionally, three high risk genotypes associated with three single nucleotide polymorphisms and one low risk genotype at codon 1822 were identified. CONCLUSION: The findings of this case-control study are consistent with the proposal that Taiwanese subjects differ from other subjects with respect to phenotypic presentation of APC and CRC risk