Pemetrexed with or without Matuzumab as Second-Line Treatment for Patients with Stage IIIB/IV Non-small Cell Lung Cancer

INTRODUCTION: This randomized phase II study investigated pemetrexed in combination with the epidermal growth factor receptor (EGFR)-targeting monoclonal antibody matuzumab compared with pemetrexed alone as second-line therapy for patients with advanced non-small cell lung cancer. METHODS: Patients received pemetrexed 500 mg/m every 3 weeks either alone (n = 50) or in combination with matuzumab at either 800 mg weekly (n = 51) or 1600 mg every 3 weeks (n = 47). The primary end point was objective response, as assessed by an independent review committee. RESULTS: Tumor EGFR expression was detected in 87% of randomized patients. The objective response rate for the pooled matuzumab-treated arms was 11% compared with 5% for pemetrexed alone (p = 0.332). Apart from one patient in the pemetrexed alone group, all responses occurred in patients whose tumors expressed EGFR. The objective response rate for patients receiving weekly matuzumab was 16% compared with 2% for those receiving matuzumab every 3 weeks. There was also a trend for improved overall survival in patients receiving matuzumab weekly versus every 3 weeks (12.4 months versus 5.9 months, respectively, versus 7.9 months for pemetrexed alone). The combination of pemetrexed and matuzumab demonstrated an acceptable safety profile, with the most common grade 3/4 adverse event being neutropenia. CONCLUSION: Although the analysis on the pooled matuzumab-treated arms did not demonstrate a statistically significant improvement in objective response for the addition of matuzumab to pemetrexed compared with pemetrexed alone, the trends for improvement in objective response and overall survival for pemetrexed plus weekly matuzumab compared with pemetrexed alone warrant confirmation in additional clinical trials

Bryant & Stratton's Counting house book-keeping: containing a complete exposition of the science of accounts, in its application to the various departments of business; including complete sets of books in wholesale and retail merchandising, farming, settlement of estates, forwarding, commission, banking, exchange, stock brokerage, etc. With full explanations and appropriate remarks on the customs of trade, and examples of the most important business forms in use./ By H. B. Bryant, and H. D. Stratton, ..., and S. S. Packard, ... .

375 p. : ill. ; 26 cm.Electronic text and image data. Ann Arbor, Mich. : University of Michigan, Digital Library Initiatives, 1996. Includes both TIFF files and keyword searchable text. [Making of America] This volume is made possible by a grant from the Andrew W. Mellon Foundation

Between a rock and a hard place: combined effect of trampling and phototrophic shell-degrading endoliths in marine intertidal mussels

Ecosystems often face a complex combination of natural and anthropogenic disturbances. The assessment of anthropogenic pressures and co-occurring natural stressors is crucial to our understanding of ecosystem structures, dynamics and their conservation. The present study provides the first experimental assessment of the combined effects of trampling (anthropogenic stressor) and endolithic induced erosion (natural stressor) on two coexisting intertidal mussel species, Mytilus galloprovincialis (de Lamarck, 1819) and Perna perna (Linnaeus, 1758). Mixed beds of the two species experiencing a wide range of endolithic parasitation were exposed to increasing intensities of human trampling. Our results clearly show that endolith-infested mussels are more vulnerable to trampling than non-infested individuals. At high trampling intensities, P. perna suffered significantly lower mortalities rates than M. galloprovincialis. More than 20% of large, infested M. galloprovincialis individuals were crushed even at low trampling intensities. Unexpectedly, mortalities rates decreased with mussel size, suggesting a sheltering role of larger conspecifics. Beyond ecological interest, such findings can provide critical experimental support for conservation and management actions.Fundacao para a Ciencia e Tecnologia (FCT-MEC, Portugal) [UID/Multi/04326/2013, IF/01413/2014/CP1217/CT0004]South African Research Chairs Initiative (SARChI) of Department of Science and Technology (DST)National Research Foundation (NRF

Bivalve Assemblages as Hotspots for Biodiversity

Many bivalve species occur in aggregations, and locally cover large partsof the seafloor. Above a certain density they provide a distinct, three dimensional structure and the aggregations are called bivalve beds or reefs. These persistent aggregations form a biogenic habitat for many other species. Bivalve beds, therefore, often have, in comparison with the surrounding areas, a high biodiversity value and can be seen as hotspots for biodiversity. Bivalve have a wide global distribution, on rocky and sedimentary coasts. Different processes and mechanisms influence the presence of associated benthic fauna. This paper reviewed the main drivers that influence the biodiversity, such as the bivalve species involved, the density, the size and the age of the bed, the depth or height in the tidal zone and the substratum type. Bivalve beds not only occur naturally in many subtidal and intertidal areas around the world, but mussels and oysters are also extensively cultured. Addition of physical cultivation structures in the water column or on the bottom allows for development of substantial and diverse communities that have a structure similar to that of natural beds. Dynamics of culture populations may however differ from naturalbivalve reefs as a result of culture site and/or maintenance and operation likeharvesting of the bivalve cultures. We used the outcome of the review on the drivers for wild assemblages to evaluate trade-offs between bivalve aquaculture and biodiversity conservation. Studies comparing natural and cultured assemblages proved to allow for a better understanding of the effect of the culture strategies and, consequently, to forward sustainable bivalve cultures. This is illustrated by a case study in the Dutch Wadden Sea