13 research outputs found

    CAPACITIVE METHODS FOR TESTING OF POWER SEMICONDUCTOR DEVICES

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    Electrical capacity of power semiconductor devices is quite an important parameter that can be utilized not only for testing a component itself, but it can also be applied practically; e.g. in series-connected high voltage devices. This paper first analyzes the theoretical voltage distribution on the bases of the polarized p-n junction, as well as the size of capacity. The measurement of the voltage capacity dependence using the resonance principle is illustrated on the samples of 4kV and 6kV thyristors. The correspondence between theoretical estimate of the capacity, measured voltage capacity dependence based on the resonance principle and experimentally determined by injected charge proves the correctness of the applied procedures and assumptions

    Personalised progression prediction in patients with monoclonal gammopathy of undetermined significance or smouldering multiple myeloma (PANGEA): a retrospective, multicohort study

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    BACKGROUND: Patients with precursors to multiple myeloma are dichotomised as having monoclonal gammopathy of undetermined significance or smouldering multiple myeloma on the basis of monoclonal protein concentrations or bone marrow plasma cell percentage. Current risk stratifications use laboratory measurements at diagnosis and do not incorporate time-varying biomarkers. Our goal was to develop a monoclonal gammopathy of undetermined significance and smouldering multiple myeloma stratification algorithm that utilised accessible, time-varying biomarkers to model risk of progression to multiple myeloma. METHODS: In this retrospective, multicohort study, we included patients who were 18 years or older with monoclonal gammopathy of undetermined significance or smouldering multiple myeloma. We evaluated several modelling approaches for predicting disease progression to multiple myeloma using a training cohort (with patients at Dana-Farber Cancer Institute, Boston, MA, USA; annotated from Nov, 13, 2019, to April, 13, 2022). We created the PANGEA models, which used data on biomarkers (monoclonal protein concentration, free light chain ratio, age, creatinine concentration, and bone marrow plasma cell percentage) and haemoglobin trajectories from medical records to predict progression from precursor disease to multiple myeloma. The models were validated in two independent validation cohorts from National and Kapodistrian University of Athens (Athens, Greece; from Jan 26, 2020, to Feb 7, 2022; validation cohort 1), University College London (London, UK; from June 9, 2020, to April 10, 2022; validation cohort 1), and Registry of Monoclonal Gammopathies (Czech Republic, Czech Republic; Jan 5, 2004, to March 10, 2022; validation cohort 2). We compared the PANGEA models (with bone marrow [BM] data and without bone marrow [no BM] data) to current criteria (International Myeloma Working Group [IMWG] monoclonal gammopathy of undetermined significance and 20/2/20 smouldering multiple myeloma risk criteria). FINDINGS: We included 6441 patients, 4931 (77%) with monoclonal gammopathy of undetermined significance and 1510 (23%) with smouldering multiple myeloma. 3430 (53%) of 6441 participants were female. The PANGEA model (BM) improved prediction of progression from smouldering multiple myeloma to multiple myeloma compared with the 20/2/20 model, with a C-statistic increase from 0·533 (0·480-0·709) to 0·756 (0·629-0·785) at patient visit 1 to the clinic, 0·613 (0·504-0·704) to 0·720 (0·592-0·775) at visit 2, and 0·637 (0·386-0·841) to 0·756 (0·547-0·830) at visit three in validation cohort 1. The PANGEA model (no BM) improved prediction of smouldering multiple myeloma progression to multiple myeloma compared with the 20/2/20 model with a C-statistic increase from 0·534 (0·501-0·672) to 0·692 (0·614-0·736) at visit 1, 0·573 (0·518-0·647) to 0·693 (0·605-0·734) at visit 2, and 0·560 (0·497-0·645) to 0·692 (0·570-0·708) at visit 3 in validation cohort 1. The PANGEA models improved prediction of monoclonal gammopathy of undetermined significance progression to multiple myeloma compared with the IMWG rolling model at visit 1 in validation cohort 2, with C-statistics increases from 0·640 (0·518-0·718) to 0·729 (0·643-0·941) for the PANGEA model (BM) and 0·670 (0·523-0·729) to 0·879 (0·586-0·938) for the PANGEA model (no BM). INTERPRETATION: Use of the PANGEA models in clinical practice will allow patients with precursor disease to receive more accurate measures of their risk of progression to multiple myeloma, thus prompting for more appropriate treatment strategies. FUNDING: SU2C Dream Team and Cancer Research UK

    Catálogo Taxonômico da Fauna do Brasil: setting the baseline knowledge on the animal diversity in Brazil

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    The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others

    Scale dependence of species–area relationships is widespread but generally weak in Palaearctic grasslands

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    Questions: Species–area relationships (SARs) are fundamental for understanding biodiversity patterns and are generally well described by a power law with a constant exponent z. However, z-values sometimes vary across spatial scales. We asked whether there is a general scale dependence of z-values at fine spatial grains and which potential drivers influence it. Location: Palaearctic biogeographic realm. Methods: We used 6,696 nested-plot series of vascular plants, bryophytes and lichens from the GrassPlot database with two or more grain sizes, ranging from 0.0001 m² to 1,024 m² and covering diverse open habitats. The plots were recorded with two widespread sampling approaches (rooted presence = species “rooting” inside the plot; shoot presence = species with aerial parts inside). Using Generalized Additive Models, we tested for scale dependence of z-values by evaluating if the z-values differ with gran size and tested for differences between the sampling approaches. The response shapes of z-values to grain were classified by fitting Generalized Linear Models with logit link to each series. We tested whether the grain size where the maximum z-value occurred is driven by taxonomic group, biogeographic or ecological variables. Results: For rooted presence, we found a strong monotonous increase of z-values with grain sizes for all grain sizes below 1 m². For shoot presence, the scale dependence was much weaker, with hump-shaped curves prevailing. Among the environmental variables studied, latitude, vegetation type, naturalness and land use had strong effects, with z-values of secondary peaking at smaller grain sizes. Conclusions: The overall weak scale dependence of z-values underlines that the power function generally is appropriate to describe SARs within the studied grain sizes in continuous open vegetation, if recorded with the shoot presence method. When clear peaks of z-values occur, this can be seen as an expression of granularity of species composition, partly driven by abiotic environment

    Scale dependence of species–area relationships is widespread but generally weak in Palaearctic grasslands

    No full text
    Questions: Species–area relationships (SARs) are fundamental for understanding biodiversity patterns and are generally well described by a power law with a constant exponent z. However, z-values sometimes vary across spatial scales. We asked whether there is a general scale dependence of z-values at fine spatial grains and which potential drivers influence it. Location: Palaearctic biogeographic realm. Methods: We used 6,696 nested-plot series of vascular plants, bryophytes and lichens from the GrassPlot database with two or more grain sizes, ranging from 0.0001 m² to 1,024 m² and covering diverse open habitats. The plots were recorded with two widespread sampling approaches (rooted presence = species “rooting” inside the plot; shoot presence = species with aerial parts inside). Using Generalized Additive Models, we tested for scale dependence of z-values by evaluating if the z-values differ with gran size and tested for differences between the sampling approaches. The response shapes of z-values to grain were classified by fitting Generalized Linear Models with logit link to each series. We tested whether the grain size where the maximum z-value occurred is driven by taxonomic group, biogeographic or ecological variables. Results: For rooted presence, we found a strong monotonous increase of z-values with grain sizes for all grain sizes below 1 m². For shoot presence, the scale dependence was much weaker, with hump-shaped curves prevailing. Among the environmental variables studied, latitude, vegetation type, naturalness and land use had strong effects, with z-values of secondary peaking at smaller grain sizes. Conclusions: The overall weak scale dependence of z-values underlines that the power function generally is appropriate to describe SARs within the studied grain sizes in continuous open vegetation, if recorded with the shoot presence method. When clear peaks of z-values occur, this can be seen as an expression of granularity of species composition, partly driven by abiotic environment

    Carfilzomib, Lenalidomide, and Dexamethasone for Relapsed Multiple Myeloma.

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    Background Lenalidomide plus dexamethasone is a reference treatment for relapsed multiple myeloma. The combination of the proteasome inhibitor carfilzomib with lenalidomide and dexamethasone has shown efficacy in a phase 1 and 2 study in relapsed multiple myeloma. Methods We randomly assigned 792 patients with relapsed multiple myeloma to carfilzomib with lenalidomide and dexamethasone (carfilzomib group) or lenalidomide and dexamethasone alone (control group). The primary end point was progression-free survival. Results Progression-free survival was significantly improved with carfilzomib (median, 26.3 months, vs. 17.6 months in the control group; hazard ratio for progression or death, 0.69; 95% confidence interval [CI], 0.57 to 0.83; P=0.0001). The median overall survival was not reached in either group at the interim analysis. The Kaplan-Meier 24-month overall survival rates were 73.3% and 65.0% in the carfilzomib and control groups, respectively (hazard ratio for death, 0.79; 95% CI, 0.63 to 0.99; P=0.04). The rates of overall response (partial response or better) were 87.1% and 66.7% in the carfilzomib and control groups, respectively (P<0.001; 31.8% and 9.3% of patients in the respective groups had a complete response or better; 14.1% and 4.3% had a stringent complete response). Adverse events of grade 3 or higher were reported in 83.7% and 80.7% of patients in the carfilzomib and control groups, respectively; 15.3% and 17.7% of patients discontinued treatment owing to adverse events. Patients in the carfilzomib group reported superior health-related quality of life. Conclusions In patients with relapsed multiple myeloma, the addition of carfilzomib to lenalidomide and dexamethasone resulted in significantly improved progression-free survival at the interim analysis and had a favorable risk-benefit profile. (Funded by Onyx Pharmaceuticals; ClinicalTrials.gov number, NCT01080391 .)
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