Results of combined treatment of anaplastic thyroid carcinoma (ATC)

<p>Abstract</p> <p>Background</p> <p>Anaplastic thyroid carcinoma (ATC) is among the most aggressive human malignancies. It is associated with a high rate of local recurrence and with poor prognosis.</p> <p>Methods</p> <p>We retrospectively reviewed 44 consecutive patients treated between 1996 and 2010 at Leon Berard Cancer Centre, Lyon, France. The combined treatment strategy derived from the one developed at the Institut Gustave Roussy included total thyroidectomy and cervical lymph-node dissection, when feasible, combined with 2 cycles of doxorubicin (60 mg/m2) and cisplatin (100 mg/m2) Q3W, hyperfractionated (1.2 Gy twice daily) radiation to the neck and upper mediastinum (46-50 Gy), and then four cycles of doxorubicin-cisplatin.</p> <p>Results</p> <p>Thirty-five patients received the three-phase combined treatment. Complete response after treatment was achieved in 14/44 patients (31.8%). Eight patients had a partial response (18.2%). Twenty-two (50%) had progressive disease. All patients with metastases at diagnosis died shortly afterwards. Thirteen patients are still alive. The median survival of the entire population was 8 months.</p> <p>Conclusion</p> <p>Despite the ultimately dismal prognosis of ATC, multimodality treatment significantly improves local control and appears to afford long-term survival in some patients. There is active ongoing research, and results obtained with new targeted systemic treatment appear encouraging.</p

Kenya in Motion 2000-2020

This edited volume offers a broad understanding and particular visions of Kenya in the first quarter of the twenty-first century. By bringing together rigorous yet accessible contributions, it shows how, since the 2002 transition, Kenya has been striving for change through economic modernisation and political liberalisation. The planned transformations are coming to fruition, even if the legacies of the past and political habits are slowing down the process. The various chapters take us from developmental capitalism to extreme poverty and enduring inequalities, from reforms on paper to mixed results in multiple sectors: decentralised governance, natural resources, land, and education. They also explore Kenya’s ancient and colonial history and the diversity of its population. Thus, the book helps understand contemporary political, religious and community cleavages, the asymmetries between towns and the countryside, between Nairobi and the coast, in a country open to the world, as much through trade and finance as through art networks.Cet ouvrage offre une saisie synthétique et des visions particulières du Kenya en ce premier quart du XXIe siècle. Il rassemble des contributions rigoureuses et accessibles pour montrer comment, depuis l’alternance de 2002, le Kenya s’efforce de changer par la modernisation économique et la libéralisation politique. Les transformations annoncées voient le jour, même si les legs du passé et les habitus politiques en ralentissent la marche. Les différents chapitres nous mènent du capitalisme développemental kényan à la grande pauvreté et aux inégalités vivaces, des réformes sur le papier aux mises en œuvre en demi-teinte dans de multiples secteurs : gouvernance décentralisée, ressources naturelles, foncier, éducation. L’histoire ancienne et coloniale, la diversité du peuplement au Kenya permettent de mieux comprendre les clivages politiques, religieux et communautaires, les asymétries entre villes et campagnes, entre Nairobi et la côte, dans un Kenya ouvert sur le monde, autant par le commerce et la finance que par les réseaux de l’art

Le Kenya en marche, 2000-2020

Cet ouvrage offre une saisie synthétique et des visions particulières du Kenya en ce premier quart du XXIe siècle. Il rassemble des contributions rigoureuses et accessibles pour montrer comment, depuis l’alternance de 2002, le Kenya s’efforce de changer par la modernisation économique et la libéralisation politique. Les transformations annoncées voient le jour, même si les legs du passé et les habitus politiques en ralentissent la marche. Les différents chapitres nous mènent du capitalisme développemental kényan à la grande pauvreté et aux inégalités vivaces, des réformes sur le papier aux mises en œuvre en demi-teinte dans de multiples secteurs : gouvernance décentralisée, ressources naturelles, foncier, éducation. L’histoire ancienne et coloniale, la diversité du peuplement au Kenya permettent de mieux comprendre les clivages politiques, religieux et communautaires, les asymétries entre villes et campagnes, entre Nairobi et la côte, dans un Kenya ouvert sur le monde, autant par le commerce et la finance que par les réseaux de l’art.This edited volume offers a broad understanding and particular visions of Kenya in the first quarter of the twenty-first century. By bringing together rigorous yet accessible contributions, it shows how, since the 2002 transition, Kenya has been striving for change through economic modernisation and political liberalisation. The planned transformations are coming to fruition, even if the legacies of the past and political habits are slowing down the process. The various chapters take us from developmental capitalism to extreme poverty and enduring inequalities, from reforms on paper to mixed results in multiple sectors: decentralised governance, natural resources, land, and education. They also explore Kenya’s ancient and colonial history and the diversity of its population. Thus, the book helps understand contemporary political, religious and community cleavages, the asymmetries between towns and the countryside, between Nairobi and the coast, in a country open to the world, as much through trade and finance as through art networks

A targeted next-generation sequencing assay for the molecular diagnosis of genetic disorders with orodental involvement.

BACKGROUND: Orodental diseases include several clinically and genetically heterogeneous disorders that can present in isolation or as part of a genetic syndrome. Due to the vast number of genes implicated in these disorders, establishing a molecular diagnosis can be challenging. We aimed to develop a targeted next-generation sequencing (NGS) assay to diagnose mutations and potentially identify novel genes mutated in this group of disorders. METHODS: We designed an NGS gene panel that targets 585 known and candidate genes in orodental disease. We screened a cohort of 101 unrelated patients without a molecular diagnosis referred to the Reference Centre for Oro-Dental Manifestations of Rare Diseases, Strasbourg, France, for a variety of orodental disorders including isolated and syndromic amelogenesis imperfecta (AI), isolated and syndromic selective tooth agenesis (STHAG), isolated and syndromic dentinogenesis imperfecta, isolated dentin dysplasia, otodental dysplasia and primary failure of tooth eruption. RESULTS: We discovered 21 novel pathogenic variants and identified the causative mutation in 39 unrelated patients in known genes (overall diagnostic rate: 39%). Among the largest subcohorts of patients with isolated AI (50 unrelated patients) and isolated STHAG (21 unrelated patients), we had a definitive diagnosis in 14 (27%) and 15 cases (71%), respectively. Surprisingly, COL17A1 mutations accounted for the majority of autosomal-dominant AI cases. CONCLUSIONS: We have developed a novel targeted NGS assay for the efficient molecular diagnosis of a wide variety of orodental diseases. Furthermore, our panel will contribute to better understanding the contribution of these genes to orodental disease. TRIAL REGISTRATION NUMBERS: NCT01746121 and NCT02397824.journal articleresearch support, non-u.s. gov't2016 Feb2015 10 26importe

Ultralight vector dark matter search using data from the KAGRA O3GK run

Among the various candidates for dark matter (DM), ultralight vector DM can be probed by laser interferometric gravitational wave detectors through the measurement of oscillating length changes in the arm cavities. In this context, KAGRA has a unique feature due to differing compositions of its mirrors, enhancing the signal of vector DM in the length change in the auxiliary channels. Here we present the result of a search for U(1)B−L gauge boson DM using the KAGRA data from auxiliary length channels during the first joint observation run together with GEO600. By applying our search pipeline, which takes into account the stochastic nature of ultralight DM, upper bounds on the coupling strength between the U(1)B−L gauge boson and ordinary matter are obtained for a range of DM masses. While our constraints are less stringent than those derived from previous experiments, this study demonstrates the applicability of our method to the lower-mass vector DM search, which is made difficult in this measurement by the short observation time compared to the auto-correlation time scale of DM