57 research outputs found

    CA 125 regression after two completed cycles of chemotherapy: lack of prediction for long-term survival in patients with advanced ovarian cancer

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    The prognostic influence of CA 125 regression between the time point before surgery and after two completed courses of chemotherapy was studied in 210 patients with advanced ovarian cancer, and was compared to other well established prognostic factors. CA 125 blood samples were collected preoperatively (CA 125 pre) and 3 months after surgery (CA 125 3 mo) (at the beginning of the 3rd cycle of chemotherapy). The parameter CA 125 regression defined as log10 (CA 125 3 mo/CA 125 pre) was used for statistical analysis. In a survival analysis using a Cox proportional hazards model, CA 125 regression (P = 0.0001), residual tumour (P = 0.0001), age (P = 0.0095) and grading (P = 0.044) were independent variables, whereas stage of disease, histology, ascites and type of surgery failed to retain significance. Using log10 (CA 125 3 mo/CA 125 pre) as simple covariate in a Cox model showed a hazard ratio of 1.70 (95% confidence interval 1.32–2.19, P = 0.0001). However, a detailed analysis of the interaction of time with the prognostic factor CA 125 regression on survival revealed a strong time-dependent effect with a hazard ratio of more than 6 immediately after two courses of chemotherapy, whereas within approximately 1 year the hazard ratio for the surviving patients dropped quickly to the neutral level of 1. In summary, CA 125 regression is an independent prognostic factor for survival of women with advanced ovarian cancer and allows an identification of a high-risk population among patients with advanced ovarian cancer. However, the discriminating power of serial CA 125 for long-term survival seems to be temporary and prediction of individual patients outcome is far less precise. © 1999 Cancer Research Campaig

    Overview of the JET ITER-like wall divertor

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    Power exhaust by SOL and pedestal radiation at ASDEX Upgrade and JET

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    ELM divertor peak energy fluence scaling to ITER with data from JET, MAST and ASDEX upgrade

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    Assessment of erosion, deposition and fuel retention in the JET-ILW divertor from ion beam analysis data

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    Multi-machine scaling of the main SOL parallel heat flux width in tokamak limiter plasmas

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    Progress in understanding disruptions triggered by massive gas injection via 3D non-linear MHD modelling with JOREK

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    3D non-linear MHD simulations of a D 2 massive gas injection (MGI) triggered disruption in JET with the JOREK code provide results which are qualitatively consistent with experimental observations and shed light on the physics at play. In particular, it is observed that the gas destabilizes a large m/n = 2/1 tearing mode, with the island O-point coinciding with the gas deposition region, by enhancing the plasma resistivity via cooling. When the 2/1 island gets so large that its inner side reaches the q = 3/2 surface, a 3/2 tearing mode grows. Simulations suggest that this is due to a steepening of the current profile right inside q = 3/2. Magnetic field stochastization over a large fraction of the minor radius as well as the growth of higher n modes ensue rapidly, leading to the thermal quench (TQ). The role of the 1/1 internal kink mode is discussed. An I p spike at the TQ is obtained in the simulations but with a smaller amplitude than in the experiment. Possible reasons are discussed

    Multimodal User Interface for Mission Planning

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    This paper 1 presents a multimodal interface featuring fusion of multiple modalities for natural human-computer interaction. The architecture of the interface and the methods applied are described, and the results of the real-time multimodal fusion are analyzed. The research in progress concerning a mission planning scenario is discussed and other possible future directions are also presented. Introduction Current human-machine communication systems predominantly use keyboard and mouse inputs that inadequately approximate human abilities for communication. More natural communication technologies such as speech, sight and touch, are capable of freeing computer users from the constraints of keyboard and mouse. Although they are not sufficiently advanced to be used individually for robust human-machine communication, they have adequately advanced to serve simultaneous multisensory information exchange (Cohen et al. 1996, Waibel et al. 1995). The challenge is to properly combine these t..
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