982 research outputs found
Fractoluminescence characterization of the energy dissipated during fast fracture of glass
Fractoluminescence experiments are performed on two kinds of silicate
glasses. All the light spectra collected during dynamic fracture reveal a black
body radiator behaviour, which is interpreted as a crack velocity-dependent
temperature rise close to the crack tip. Crack velocities are estimated to be
of the order of 1300 m.s and fracture process zones are shown to extend
over a few nanometers.Comment: Accepted for publication in Europhysics Letters; 5 pages; 4 figure
Combined paclitaxel and gemcitabine as first-line treatment in metastatic non-small cell lung cancer: a multicentre phase II study
The efficacy and toxicity of combined paclitaxel and gemcitabine was evaluated in 54 chemotherapy-naive patients with metastatic non-small cell lung cancer (NSCLC). Gemcitabine i.v. 1000 mg/m2was administered on days 1 and 8 and paclitaxel 200 mg/m2as a continuous 3-hour infusion on day 1. Treatment was repeated every 21 days. Patients had a median age of 53 years. ECOG performance status was 0 or 1 in 48 patients. 41 patients (75.9%) had initial stage IV disease; histology was mainly adenocarcinoma (46.3%). 2 patients (4.3%) achieved a complete response and 15 (31.9%) achieved a partial response giving an overall response rate of 36.2% (95% CI: 22.4–49.9%); 19 patients (40.4%) had stable disease and 10 (21.3%) had progressive disease. The median survival time was 51 weeks (95% CI: 46.5–59.3), with a 1-year survival probability of 0.48 (95% CI: 0.34–0.63). Grade 3/4 neutropenia and febrile neutropenia occurred in 15.2% and 2.2% of courses, respectively. Grade 3/4 thrombocytopenia was rare (1.8% of courses). Peripheral neurotoxicity developed in 25 patients (47.2%), mostly grade 1/2. Arthalgia/myalgia was observed in 30 patients (56.6%), generally grade 1 or 2. Grade 3 abnormal levels of serum glutamate pyruvate transaminase (SGPT) and serum glutamate oxaloacetate transaminase (SGOT) occurred in 5 patients (9.4%) and 1 patient (1.9%), respectively. Combined paclitaxel and gemcitabine is an active and well-tolerated regimen for the treatment of advanced NSCLC, and warrants further investigation in comparative, randomized trials. © 2001 Cancer Research Campaign http://www.bjcancer.co
Prioritising systemic cancer therapies applying ESMO's tools and other resources to assist in improving cancer care globally:the Kazakh experience
BACKGROUND: In Kazakhstan, cancer is the second leading cause of death with a major public health and economic burden. In the last decade, cancer care and cancer medicine costs have significantly increased. To improve the efficiency and efficacy of cancer care expenditure and planning, the Kazakhstan Ministry of Health requested assistance from the World Health Organization (WHO) and the European Society for Medical Oncology (ESMO) to review its systemic cancer treatment protocols and essential medicines list and identify high-impact, effective regimens. MATERIALS AND METHODS: ESMO developed a four-phase approach to review Kazakhstan cancer treatment protocols: (i) perform a systematic analysis of the country’s cancer medicines and treatment protocols; (ii) cross-reference the country’s cancer protocols with the WHO Model List of Essential Medicines, the ESMO-Magnitude of Clinical Benefit Scale and the European Medicines Agency’s medicine availability and indications database; (iii) extract treatment recommendations from the ESMO Clinical Practice Guidelines; (iv) expert review for all cancer medicines not on the WHO Model List of Essential Medicines and the country treatment protocols. RESULTS: This ESMO four-phase approach led to the update of the Kazakhstan national essential cancer medicines list and the list of cancer treatment protocols. This review has led to the withdrawal of several low-value or non-evidence-based medicines and a budget increase for cancer care to include all essential and highly effective medicines and treatment options. CONCLUSION: When applied effectively, this four-phase approach can improve access to medicines, efficiency of expenditure and sustainability of cancer systems. The WHO–ESMO collaboration illustrated how, by sharing best practices, tools and resources, we can address access to cancer medicines and positively impact patient care
Modeling the series of (n x 2) Si-rich reconstructions of beta-SiC(001): a prospective atomic wire?
We perform ab initio plane wave supercell density functional calculations on
three candidate models of the (3 x 2) reconstruction of the beta-SiC(001)
surface. We find that the two-adlayer asymmetric-dimer model (TAADM) is
unambiguously favored for all reasonable values of Si chemical potential. We
then use structures derived from the TAADM parent to model the silicon lines
that are observed when the (3 x 2) reconstruction is annealed (the (n x 2)
series of reconstructions), using a tight-binding method. We find that as we
increase n, and so separate the lines, a structural transition occurs in which
the top addimer of the line flattens. We also find that associated with the
separation of the lines is a large decrease in the HOMO-LUMO gap, and that the
HOMO state becomes quasi-one-dimensional. These properties are qualititatively
and quantitatively different from the electronic properties of the original (3
x 2) reconstruction.Comment: 22 pages, including 6 EPS figure
AS PROTEÍNAS DE FOLHA DE MANDIOCA: ASPECTOS FISIOLÓGICOS, NUTRICIONAIS E IMPORTÂNCIA TECNOLÓGICA
Some aspects of leaf proteins, specially from cassava (Manihot esculenta Crantz), as physiologic origin, amino acid composition, biochemical properties, nutritional role and technological process are reviewed. Cassava leaves present high protein content (20-30% w/w dry basis), of satisfactory quality when compared to FAO recommended pattern, and also high content of vitamins A and C and minerals. Some potential applications for human nutrition, animal feed or biotechnology industries are discussed. Alguns aspectos ligados à tecnologia de proteínas de folhas, com ênfase para as folhas de mandioca (Manihot esculenta Crantz), são revisados. A composição em aminoácidos, as propriedades bioquímicas, a importância nutricional e os princípios dos métodos de extração são apresentados. As folhas de mandioca apresentam elevado teor de proteínas (20-30% base seca), de valor nutricional adequado às recomendações da FAO, além de altos teores de vitaminas A e C e de minerais. Algumas aplicações potenciais em nutrição humana ou animal ou como substrato para a indústria de biotecnologia são discutidas
Semiempirical Hartree-Fock calculations for KNbO3
In applying the semiempirical intermediate neglect of differential overlap
(INDO) method based on the Hartree-Fock formalism to a cubic perovskite-based
ferroelectric material KNbO3, it was demonstrated that the accuracy of the
method is sufficient for adequately describing the small energy differences
related to the ferroelectric instability. The choice of INDO parameters has
been done for a system containing Nb. Based on the parametrization proposed,
the electronic structure, equilibrium ground state structure of the
orthorhombic and rhombohedral phases, and Gamma-TO phonon frequencies in cubic
and rhombohedral phases of KNbO3 were calculated and found to be in good
agreement with the experimental data and with the first-principles calculations
available.Comment: 7 pages, 2 Postscript figures, uses psfig.tex. To be published in
Phys.Rev.B 54, No.4 (1996
Raltitrexed (Tomudex) administration in patients with relapsed metastatic colorectal cancer after weekly irinotecan/5-Fluorouracil/Leucovorin chemotherapy
PURPOSE: The present study aimed at evaluating the efficacy of Raltitrexed, a specific thymidilate synthase inhibitor, in patients with advanced colorectal cancer (ACC) in relapse (>8 weeks) after a prior response or disease stabilization to first-line chemotherapy combination with lrinotecan+5-Fluorouracil (5-FU)+Leucovorin (LV). METHODS: Twenty-five patients with metastatic ACC entered; 17 males/8 females, median age 61 (range: 47–70), median Karnovsky PS: 80 (70–90), and sites of metastases; liver: 21, lung: 4, lymph nodes: 7, peritoneal: 5 and a life expectancy of at least 3 months, were entered in the present pilot study. All patients had progressed after prior chemotherapy with lrinotecan+5-FU+LV. Raltitrexed was administered at a dose of 3 mg/m(2) i.v. every 21 days. RESULTS: Three patients (12%) achieved a partial response (PR), 8 (32%) had stable disease (SD), and the remaining 14 (56%) developed progressive disease (PD). Median time-to-progression (TTP) was 5.5 months (range, 2–8.5), and median overall survival (OS) 8 months (range, 4.0–12.5). Toxicity was generally mild; it consisted mainly of myelosuppression; neutropenia grade 1–2: 52%-grade 3: 28%, and anemia grade 1–2 only: 36%. Mild mucositis grade 1–2 occured in 13.5% of patients and was the principal non-hematologic toxicity. CONCLUSION: Response to treatment with Raltitrexed is limited in patients with ACC failing after an initial response or non-progression to the weekly lrinotecan+5-FU+LV combination. However, it appears that a limited number of patients with PR/SD may derive clinical benefit, but final proof would require a randomized study
Theoretical study of the (3x2) reconstruction of beta-SiC(001)
By means of ab initio molecular dynamics and band structure calculations, as
well as using calculated STM images, we have singled out one structural model
for the (3x2) reconstruction of the Si-terminated (001) surface of cubic SiC,
amongst several proposed in the literature. This is an alternate dimer-row
model, with an excess Si coverage of 1/3, yielding STM images in good accord
with recent measurements [F.Semond et al. Phys. Rev. Lett. 77, 2013 (1996)].Comment: To be published in PRB Rapid. Com
UFT/leucovorin and oxaliplatin alternated with UFT/leucovorin and irinotecan in metastatic colorectal cancer
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