Prognostic factors in resectable gastric cancer: results of EORTC study no. 40813 on FAM adjuvant chemotherapy

BACKGROUND: The high incidence of locoregional recurrences and distant metastases after curative surgery for gastric cancer calls for improved locoregional control and systemic adjuvant treatment. METHODS: In a randomized clinical trial on adjuvant FAM2 chemotherapy, quality of surgery was evaluated by comparing surgical and pathology data. Univariate and multivariate analysis was made to evaluate the effect of prognostic factors on survival and time of recurrence in relation to patients, tumor, and therapy. RESULTS: Of 314 patients randomized from 28 European institutions, 159 comprised the control and 155 the FAM2 group. After a median follow-up of 80 months, no statistically significant difference was found between survivals. However, for recurrence time, treated patients had a significant advantage over controls (p = 0.02). At univariate analysis, statistically significant differences in survival and time to progression emerged for T, N, disease stage and "adequacy" of surgery. The multivariate analysis retained preoperative Hb level, T, N, and "adequacy" of surgery for time of survival; and T, N, "adequacy" of surgery and adjuvant chemotherapy for recurrence time. CONCLUSIONS: Disease stage is the most important prognostic factor. "Adequate" surgery has an important effect. Adjuvant FAM2 delayed time of recurrence, but did not influence overall survival.     

Liquid phase sintering of hydroxyapatite by phosphate and silicate glass additions: structure and properties of the composites

Phosphate- and silicate-based glasses were added to hydroxyapatite in order to improve its mechanical properties and to fabricate composites with different degrees of bioactivity. A strong chemical bonding was obtained between hydroxyapatite and the phosphate-based glasses leading to samples approaching theoretical density, according to density measurements and scanning electron microscopy. Bioglass^® additions led to the formation of a complex calcium phosphate silicate which hampered the reinforcement process. The fracture toughness of the hydroxyapatite-glass composites was shown to be within the 1.1–1.2 MPam^1/2 range, which is double that determined for sintered hydroxyapatite. A 2 m thick apatite layer was observed on the surface of the hydroxyapatite-glass composites after 48 h immersion in a simulated human blood plasma, whereas only a few apatite crystals were detected on sintered hydroxyapatite after 7 days immersion. From the results obtained we anticipate that the composites might show a higher rate of bone bonding, leading to enhanced bioactivity.     

SPIDER: An availability-aware framework for the service function chain placement in distributed scenarios

The network function virtualization (NFV) paradigm replaces hardware-dependent network functions by virtual network functions (VNFs) that can be deployed in commodity hardware, including legacy servers. Consequently, the use of NFV is expected to reduce operating and capital expenses, as well as improve service deployment operation and management flexibility. For many use cases, the VNFs must be visited and invoked following a specific order of execution in order to compose a complete network service, named service function chain (SFC). Nonetheless, despite the benefits from NFV and SFC virtualization technologies, their introduction must not harm network performance and service availability. On the one hand, redundancy is seen by network service planners as a mechanism well established to combat availability issues. At same time, there is a goal to optimize resource utilization in order to reduce operational expenditure. In this article, we share our experience in the design use of a framework, named SPIDER, focused on SFC placement that considers the network infrastructure condition and the required SFC availability to define the placement strategy. The SPIDER monitors the status of infrastructure nodes and links and defines which servers the VNFs should be placed on and the number of redundant replicas needed. We present a proof-of-concept of SPIDER using Kubernetes to launch the VNFs as containers. We also use Kubernetes to forward the traffic between the VNFs, composing the service chain. We perform experiments to evaluate the runtime of SPIDER and the SFC delay under different network conditions.     

Hierarchical classification of data streams: a systematic literature review

The classification task usually works with flat and batch learners, assuming problems as stationary and without relations between class labels. Nevertheless, several real-world problems do not assume these premises, i.e., data have labels organized hierarchically and are made available in streaming fashion, meaning that their behavior can drift over time. Existing studies on hierarchical classification do not consider data streams as input of their process, and thus, data is assumed as stationary and handled through batch learners. The same can be said about works on streaming data, as the hierarchical classification is overlooked. Studies concerning each area individually are promising, yet, do not tackle their intersection. This study analyzes the main characteristics of the state-of-the-art works on hierarchical classification for streaming data concerning five aspects: (i) problems tackled, (ii) datasets, (iii) algorithms, (iv) evaluation metrics, and (v) research gaps in the area. We performed a systematic literature review of primary studies and retrieved 3,722 papers, of which 42 were identified as relevant and used to answer the aforementioned research questions. We found that the problems handled by hierarchical classification of data streams include mainly classification of images, human activities, texts, and audio; the datasets are mostly created or synthetic data; the algorithms and evaluation metrics are well-known techniques or based on those; and research gaps are related to dynamic context, data complexity, and computational resources constraints. We also provide implications for future research and experiments to consider common characteristics shared amongst hierarchical classification and data stream classification.

     

Estimating vulnerability to risks: an application in a biofuel supply chain

In the present work, we propose a theoretical model to identify and prioritize risks involved in a biofuel supply chain. We adopt a set of indicators associated with determinant factors of the supply chain to identify risks that are characterized through a risk matrix. We consider the five largest world biodiesel producers and included China due to its global market importance and potential impacts of its growth on the environment and society. To determine the impacts and the probability of occurrence of risks, we use the Canberra distance, as metrics. To facilitate the analysis and interpretation, a convenient manner is to express the results in terms of matrices. To exemplify the potentiality of the scheme and for the sake of simplicity, a more comprehensive discussion is focused on the Brazilian case, restricted to the Technology and Innovation, and Integration, Logistics and Infrastructure determining factors (dimensions) of the biodiesel supply chain. Concerning these determining factors, the Brazilian biodiesel chain shows strong vulnerability when compared with developed and developing countries, despite that the evolution of the data over recent years indicates small improvements in Integration, Logistics and Infrastructure dimension. Although in this work the calculations are restricted to the Canberra distance, the present approach may be applied to other distances to compare or validate the results. This work presents a contribution to model vulnerability to risks, providing to policy makers and stakeholders a tool to design, analyze and improve sustainability system by measuring its risks. The study of the contribution of each indicator suggests corrections to be taken and which indicators should be prioritized.     

Minimum Setup Minimum Aberration Two‐level Split‐plot Type Designs for Physical Prototype Testing

Although new technologies allow for less effort in prototyping, physical testing still remains an important step in the product development cycle. Well‐planned experiments are useful to guide the decision‐making process. During the design of an experiment, one of the challenges is to balance limited resources and system constraints to obtain useful information. It is common that prototypes are composed of several parts, with some parts more difficult to assemble than others. And, usually, there is only one piece available of each part type and a large number of different setups. Under these conditions, designs with randomization restrictions become attractive approaches. Considering this scenario, a new and additional criterion, minimum setup, to construct split‐plot type designs is presented. Designs with the minimum number of setups of the more difficult parts, which are especially useful for screening purposes in physical prototype testing, are discussed. The use of the proposed criterion combined with minimum aberration for selecting a regular design is shown through a real application in testing car prototypes. As a tool to practitioners, catalogs of selected 32‐run minimum setup minimum aberration split‐split‐plot and split‐split‐split‐plot designs are presented. More complete catalogs are available as Supporting information. Copyright © 2015 John Wiley & Sons, Ltd.     

Rietveld analysis of CaCu<Subscript>3</Subscript>Ti<Subscript>4</Subscript>O<Subscript>12</Subscript> thin films obtained by RF-sputtering

Calcium copper titanate, CaCu₃Ti₄O₁₂, CCTO, thin films with polycrystalline nature have been deposited by RF sputtering on Pt/Ti/SiO₂/Si (100) substrates at a room temperature followed by annealing at 600 °C for 2 h in a conventional furnace. The crystalline structure and the surface morphology of the films were markedly affected by the growth conditions. Rietveld analysis reveal a CCTO film with 100 % pure perovskite belonging to a space group Im3 and pseudo-cubic structure. The XPS spectroscopy reveal that the in a reducing N₂ atmosphere a lower Cu/Ca and Ti/Ca ratio were detected, while the O₂ treatment led to an excess of Cu, due to Cu segregation of the surface forming copper oxide crystals. The film present frequency -independent dielectric properties in the temperature range evaluated, which is similar to those properties obtained in single-crystal or epitaxial thin films. The room temperature dielectric constant of the 600-nm-thick CCTO films annealed at 600 °C at 1 kHz was found to be 70. The leakage current of the MFS capacitor structure was governed by the Schottky barrier conduction mechanism and the leakage current density was lower than 10^?7 A/cm² at a 1.0 V. The current–voltage measurements on MFS capacitors established good switching characteristics.     

Engineered Multifunctional Albumin‐Decorated Porous Silicon Nanoparticles for FcRn Translocation of Insulin

The last decade has seen remarkable advances in the development of drug delivery systems as alternative to parenteral injection‐based delivery of insulin. Neonatal Fc receptor (FcRn)‐mediated transcytosis has been recently proposed as a strategy to increase the transport of drugs across the intestinal epithelium. FcRn‐targeted nanoparticles (NPs) could hijack the FcRn transcytotic pathway and cross the epithelial cell layer. In this study, a novel nanoparticulate system for insulin delivery based on porous silicon NPs is proposed. After surface conjugation with albumin and loading with insulin, the NPs are encapsulated into a pH‐responsive polymeric particle by nanoprecipitation. The developed NP formulation shows controlled size and homogeneous size distribution. Transmission electron microscopy (TEM) images show successful encapsulation of the NPs into pH‐sensitive polymeric particles. No insulin release is detected at acidic conditions, but a controlled release profile is observed at intestinal pH. Toxicity studies show high compatibility of the NPs with intestinal cells. In vitro insulin permeation across the intestinal epithelium shows approximately fivefold increase when insulin is loaded into FcRn‐targeted NPs. Overall, these FcRn‐targeted NPs offer a toolbox in the development of targeted therapies for oral delivery of insulin.     

Reinforcement of hydroxyapatite by adding P2O5-CaO glasses with Na2O, K2O and MgO

Commercial hydroxyapatite was reinforced by adding small amounts (2 and 4 wt%) of P₂O₅-based glasses during its sintering process. The composites prepared had a chemical composition closely related to the mineral part of bone tissues in terms of trace elements usually detected, such as Na, K and Mg. X-ray diffraction analysis (XRD) showed that the glass reinforced-HA composites were composed of a HA matrix and variable amounts of tricalcium phosphate phase, depending on sintering temperature and glass composition. These composites were shown to have much higher biaxial bending strength than sintered HA, 107 MPa for Ha/2% of 35P₂O₅-35CaO-10Na₂O-10K₂O-10MgO glass composite and 28 MPa for sintered HA. The presence of -tricalcium phosphate in the microstructure of the composites is an important factor in the reinforcement process.This paper was accepted for publication after the 1995 Conference of the European Society of Biomaterials, Oporto. Portugal, 10–13 September.