Chronic Myeloid Leukemia Patient Registry in the Russian Federation: From Observational Studies to the Efficacy Evaluation in Clinical Practice

Background. Due to the significant increase in life expectancy and the quality of life in patients with chronic myeloid leukemia (CML) as well as the growing need for expensive tyrosine kinase inhibitors (TKI), the analysis of cost-effectiveness and lifelong monitoring of patients is especially important. Aim. We present the results of a multicenter observational study “The Russian Registry of Chronic Myeloid Leukemia in routine clinical practice (2011–2016)”. Materials & Methods. The study included Russian patients with CML, confirmed by the detection of a Ph-chromosome or a BCR-ABL transcript. The statistical analysis (July 1, 2016) included 7609 patients from 80 regions of the Russian Federation (covering 95 % of the population). The annual increase in the number of patients with newly diagnosed CML was 600–650 patients. At the time of the statistical analysis, 6995 (92 %) patients remained under observation, 473 (6 %) died and 141 (2 %) were withdrawn. The registry included 44 % of men and 56 % of women, the median age was 49 years (range 2–94 years). The peak incidence (46.3 %) occurred at the age of 40–60 years. The median disease duration by the time of the analysis was 6 years (range 0.1–30 years). Results. The disease was diagnosed in the chronic phase (CP), acceleration phase, and blast crisis in 6560 (93.8 %), 380 (5.5 %) and 47 (0.7 %) patients, respectively. The proportion of risk groups according to Sokal for low, intermediate and high risk in CP was 49 %, 30 %, and 21 %, respectively. TKI were administered to 6473 (92.5 %) patients. Imatinib and the second generation TKI (TKI2) were administered to 5570 (86 %) and 903 (14 %) patients, respectively. The total of 30.4 % of patients received the increased imatinib dose of 600–800 mg. In the TKI2 group, 558 (61.7 %) patients received nilotinib and 345 (38.2 %) patients received dasatinib. The proportion of patients with completed molecular genetic studies (MGS) in 2014, 2015 and the first 6 months of 2016 amounted to 61 %, 58 % and 23 %, respectively. The proportion of patients with cytogenetic studies (CS) for the same period was 28 %, 26 % and 7 %, respectively. No CS or MGS data were presented for 34 %, 35 % and 63 % of patients during this period. Optimal molecular response and major molecular response (MMR) for TKI therapy were observed in 23 % and 58 % of patients treated 12 months, respectively. When nilotinib was used in the second line, MMR was obtained in 42 % of patients, and a deep molecular response was obtained in 25 % of patients (BCR-ABL < 0.01 %). Conclusion. The high efficacy of TKI therapy was observed in the majority of patients with the possibility of achieving a minimal residual disease. The problems concerning untimely monitoring and suboptimal administration of second line treatment were identified. In general, the CML patient registry allowed the data integration of data and information management of population with CML in Russia

The Evolution of Compact Binary Star Systems

We review the formation and evolution of compact binary stars consisting of white dwarfs (WDs), neutron stars (NSs), and black holes (BHs). Binary NSs and BHs are thought to be the primary astrophysical sources of gravitational waves (GWs) within the frequency band of ground-based detectors, while compact binaries of WDs are important sources of GWs at lower frequencies to be covered by space interferometers (LISA). Major uncertainties in the current understanding of properties of NSs and BHs most relevant to the GW studies are discussed, including the treatment of the natal kicks which compact stellar remnants acquire during the core collapse of massive stars and the common envelope phase of binary evolution. We discuss the coalescence rates of binary NSs and BHs and prospects for their detections, the formation and evolution of binary WDs and their observational manifestations. Special attention is given to AM CVn-stars -- compact binaries in which the Roche lobe is filled by another WD or a low-mass partially degenerate helium-star, as these stars are thought to be the best LISA verification binary GW sources.Comment: 105 pages, 18 figure

The Impact of Long-Term Exposure to Space Environment on Adult Mammalian Organisms: A Study on Mouse Thyroid and Testis

Hormonal changes in humans during spaceflight have been demonstrated but the underlying mechanisms are still unknown. To clarify this point thyroid and testis/epididymis, both regulated by anterior pituitary gland, have been analyzed on long-term space-exposed male C57BL/10 mice, either wild type or pleiotrophin transgenic, overexpressing osteoblast stimulating factor-1. Glands were submitted to morphological and functional analysis

Regional dynamics of social partnership:: political, legal and value characteristic

The subject of this work is the study of the level of development, key problems and directions for the development of social partnership via expert surveys conducted in 13 regions of the Russian Federation. As a result, the development of regions, the provision of positive social dynamics in the development of the latter is associated with the formation and stimulation of social partnership. In conclusion, the model of joint development of the key actors of the political and socio-economic processes is the most adequate in comparison with the liberal-democratic forms and practices, to solve many regional problems, conflicts and contradictions.El tema de este trabajo es el estudio del nivel de desarrollo, problemas clave y direcciones para el desarrollo de la asociación social a través de encuestas de expertos realizadas en 13 regiones de la Federación Rusa. Como resultado, el desarrollo de las regiones, la provisión de dinámicas sociales positivas en el desarrollo de estas últimas se asocia con la formación y el estímulo de la sociedad social. En conclusión, el modelo de desarrollo conjunto de los actores clave de los procesos políticos y socioeconómicos es el más adecuado en comparación con las formas y prácticas liberaldemocráticas, para resolver muchos problemas, conflictos y contradicciones regionales

Strategically placed landscape fuel treatments decrease fire severity and promote recovery in the northern Sierra Nevada

Strategically placed landscape area treatments (SPLATs) are landscape fuel reduction treatments designed to reduce fire severity across an entire landscape with only a fraction of the landscape treated. Though SPLATs have gained attention in scientific and policy arenas, they have rarely been empirically tested. This study takes advantage of a strategically placed landscape fuel treatment network that was implemented and monitored before being burned by a wildfire. We evaluated treatment efficacy in terms of resistance, defined here as the capacity to withstand disturbance, and recovery, defined here as regeneration following disturbance. We found that the treated landscape experienced lower fire severity than an adjacent control landscape: in the untreated control landscape, 26% of land area was burned with &gt;90% basal area mortality, according to the remote-sensing-derived relative differenced Normalized Burn Ratio (RdNBR), while in the treated landscape only 11% burned at the same severity. This difference was despite greater pre-treatment fire risk in the treatment landscape, as indicated by FARSITE fire behavior modeling. At a more local scale, monitoring plots within the treatments themselves saw greater regeneration of conifer seedlings two years following the fire than plots outside the treatments. Mean seedling densities for all conifer species were 7.8 seedlings m −2 in treated plots and only 1.4 seedlings m −2 in control plots. These results indicate that SPLATs achieved their objective of increasing forest resistance and recovery

Strategically placed landscape fuel treatments decrease fire severity and promote recovery in the northern Sierra Nevada

Strategically placed landscape area treatments (SPLATs) are landscape fuel reduction treatments designed to reduce fire severity across an entire landscape with only a fraction of the landscape treated. Though SPLATs have gained attention in scientific and policy arenas, they have rarely been empirically tested. This study takes advantage of a strategically placed landscape fuel treatment network that was implemented and monitored before being burned by a wildfire. We evaluated treatment efficacy in terms of resistance, defined here as the capacity to withstand disturbance, and recovery, defined here as regeneration following disturbance. We found that the treated landscape experienced lower fire severity than an adjacent control landscape: in the untreated control landscape, 26% of land area was burned with &gt;90% basal area mortality, according to the remote-sensing-derived relative differenced Normalized Burn Ratio (RdNBR), while in the treated landscape only 11% burned at the same severity. This difference was despite greater pre-treatment fire risk in the treatment landscape, as indicated by FARSITE fire behavior modeling. At a more local scale, monitoring plots within the treatments themselves saw greater regeneration of conifer seedlings two years following the fire than plots outside the treatments. Mean seedling densities for all conifer species were 7.8 seedlings m in treated plots and only 1.4 seedlings m in control plots. These results indicate that SPLATs achieved their objective of increasing forest resistance and recovery. −2 −