Huge decreases in the risk of breast cancer relapse over the last three decades

Introduction The aim of this study was to evaluate local and systemic breast cancer control by comparing the risk of relapse in breast cancer patients in 2003–2004 with that in 1972–1979 and in 1980–1986. Methods About 8,570 women diagnosed with invasive breast cancer in 2003–2004 were selected from the population-based Netherlands Cancer Registry and compared with 133 patients treated in 1972–1979 and 174 in 1980–1986. Five-year risk of relapse was calculated by the Kaplan–Meier method. Cox-proportional hazard models were applied to adjust for tumour size, nodal status and age at diagnosis. Results Patients diagnosed in 2003–2004 had smaller tumours and a less advanced nodal stage than patients diagnosed in 1972–1986. In 1972–1979, 1980–1986 and 2003–2004, treatment included mastectomy in 94%, 72% and 47%; postmastectomy radiotherapy in 75%, 70% and 30%; chemotherapy in 9%, 14% and 37% and hormonal therapy in 3%, 3% and 42% of patients, respectively. Five-year risk of locoregional and distant recurrence decreased from 37% and 34% to 15%, respectively. The 5-year risk of second primary breast cancer did not differ and was 1%, 4% and 2%, respectively. The improved relapse-free survival in patients diagnosed in 2003–2004 as compared with 1972–1979 hardly changed after adjustment (HR = 0.38, 95% CI = 0.28–0.52). Conclusion Over the last decades, local breast cancer therapies have become less rigorous, whereas systemic therapy use has increased. Simultaneously, the risk of breast cancer relapse has tremendously decreased. Future novel therapies may lead to such small additional decreases in relapse rates, while the long-term side effects in breast cancer survivors will increas

The Ginzburg-Landau theory in application

A numerical approach to Ginzburg-Landau (GL) theory is demonstrated and we review its applications to several examples of current interest in the research on superconductivity. This analysis also shows the applicability of the two-dimensional approach to thin superconductors and the re-defined effective GL parameter kappa. For two-gap superconductors, the conveniently written GL equations directly show that the magnetic behavior of the sample depends not just on the GL parameter of two bands, but also on the ratio of respective coherence lengths.Comment: To be published in Physica C, VORTEX VI Conference Proceeding

Collaborative analysis of multi-gigapixel imaging data using Cytomine

Motivation: Collaborative analysis of massive imaging datasets is essential to enable scientific discoveries. Results: We developed Cytomine to foster active and distributed collaboration of multidisciplinary teams for large-scale image-based studies. It uses web development methodologies and machine learning in order to readily organize, explore, share and analyze (semantically and quantitatively) multi-gigapixel imaging data over the internet. We illustrate how it has been used in several biomedical applications

Proximal Esophageal Cancer

Proximal esophageal cancer (PEC) is a highly mortal cancer with a five-year survival rate of 30%. Because second primary tumors could decrease survival in PEC patients, this research is aiming at finding out about tumors associated with PEC and their infuence on survival. With the use of a database with PEC patients, diagnosed between 1989 and 2014, it was found that head and neck cancers (H&N) are the most prevalent previous tumor in PEC patients. Previous tumors have a negative effect on surivval. Prospective studies are needed to investigate on the effectiveness of prevention and surveillance methods for H&N patients

Asymmetric adjustment

A method of adjusting a signal processing parameter for a first hearing aid and a second hearing aid forming parts of a binaural hearing aid system to be worn by a user is provided. The binaural hearing aid system comprises a user specific model representing a desired asymmetry between a first ear and a second ear of the user. The method includes detecting a request for processing a parameter change at the first hearing aid, adjusting the signal processing parameter in the first hearing aid, and adjusting a processing parameter for the second hearing aid based on the request for processing parameter change and the user specific model.</p

Numerical Analysis of a Swirl Stabilized Premixed Combustor with the Flamelet Generated Manifold approach

In this paper the effectiveness of LES for modeling premixed methane combustion will be investigated in the context of gas turbine modeling. The required reduction of the chemistry is provided by the flamelet generated manifold (FGM) approach of van Oijen (2002). For turbulence-chemistry interactions an algebraic model is used to calculate variations which are used to invoke a pre-assumed pdf, Vreman et al. (2009). The algebraic model has a tunable parameter

Medication review and reconciliation with cooperation between pharmacist and general practitioner and the benefit for the patient:a systematic review

This article systematically reviews the literature on the impact of collaboration between pharmacists and general practitioners and describes its effect on patients' health. A systematic literature search provided 1041 articles. After first review of title and abstract, 152 articles remained. After review of the full text, 83 articles were included. All included articles are presented according to the following variables: (i) reference; (ii) design and setting of the study; (iii) inclusion criteria for patients; (iv) description of the intervention; (v) whether a patient interview was performed to involve patients' experiences with their medicine-taking behaviour; (vi) outcome; (vii) whether healthcare professionals received additional training; and (viii) whether healthcare professionals received financial reimbursement. Many different interventions are described where pharmacists and general practitioners work together to improve patients' health. Only nine studies reported hard outcomes, such as hospital (re)admissions; however, these studies had different results, not all of which were statistically significant. Randomized controlled trials should be able to describe hard outcomes, but large patient groups will be needed to perform such studies. Patient involvement is important for long-term success