43 research outputs found
An assemblage of terrestrial isopods (Crustacea) in southern Brazil and its contribution to leaf litter processing
Feint Lines: Notes on the Creation of a Skateboard Choreography
Magnetic fields on a range of scales play a large role in the ecosystems of
galaxies, both in the galactic disk and in the extended layers of gas away from
the plane. Observing magnetic field strength, structure and orientation is
complex, and necessarily indirect. Observational data of magnetic fields in the
halo of the Milky Way are scarce, and non-conclusive about the large-scale
structure of the field. In external galaxies, various large-scale
configurations of magnetic fields are measured, but many uncertainties about
exact configurations and their origin remain. There is a strong interaction
between magnetic fields and other components in the interstellar medium such as
ionized and neutral gas and cosmic rays. The energy densities of these
components are comparable on large scales, indicating that magnetic fields are
not passive tracers but that magnetic field feedback on the other interstellar
medium components needs to be taken into account.Comment: 13 pages, 7 figures. Accepted in Space Science Review
An European Organisation for Research and Treatment of Cancer phase I study of lapatinib and docetaxel as neoadjuvant treatment for Human Epidermal Growth Factor Receptor 2 (HER2) positive locally-advanced/inflammatory or large operable breast cancer.
BACKGROUND: Lapatinib is an effective anti-HER2 therapy in advanced breast cancer and docetaxel is one of the most active agents in breast cancer. Combining these agents in pre-treated patients with metastatic disease had previously proved challenging, so the primary objective of this study aimed to determine the maximum tolerated dose (MTD) in treatment-naive patients, by identifying acute dose-limiting toxicities (DLT) during cycle 1 in the first part of a phases 1-2 neoadjuvant European Organisation for Research and Treatment of Cancer (EORTC) trial.
PATIENTS AND METHODS: Patients with large operable or locally-advanced HER2 positive breast cancer were treated with continuous lapatinib, and docetaxel every 21days for 4 cycles. Dose levels (DLs) were: 1000/75, 1250/75, 1000/85, 1250/85, 1000/100 and 1250/100 (mg/day)/(mg/m(2)).
RESULTS: Twenty-one patients were included. Two DLTs occurred at dose level 5 (1000/100); one grade 4 neutropenia ⩾7days and one febrile neutropenia. A further 3 patients were therefore treated at the same dose with prophylactic granulocyte-colony stimulating factor (G-CSF), and 3 patients at dose level 6. No further DLTs were observed.
CONCLUSIONS: Our recommended dose for phase II is lapatinib 1000mg/day and docetaxel 100mg/m(2) with G-CSF in HER2 positive non-metastatic breast cancer. The dose of lapatinib should have been 1250mg/day but we were mindful of the high rate of treatment discontinuation in GeparQuinto with lapatinib 1250mg/day combined with docetaxel. No grade 3-4 diarrhoea was observed. Pharmacodynamics analysis suggests that concomitant medications altering P-glycoprotein activity (in addition to lapatinib) can modify toxicity, including non-haematological toxicities. This needs verification in larger trials, where it may contribute to understanding the sources of variability in clinical toxicity and treatment discontinuation
Charge effect on relative distance distribution of Fremy’s radical ions in frozen glassy solution studied by PELDOR
Il valore della TC multistrato nell’identificazione preoperatoria degli insulinomi pancreatici
Ellipsoidal potential parameterization for Bisphenol-A-Polycarbonate
We present a coarse-grained parameterization for the intra- and intermolecular potential for Bisphenol-A-Polycarbonate (BPA-PC). The parameterization is based on the ellipsoidal shaped monomer unit model applied to BPA-PC. Because of the symmetries of the model a Lennard-Jones type or even a mere repulsive potential with the usual parameters suffices to model the non-bonded interactions. We determine the potential parameters from ab-into quantum calculations for the BPA-PC monomer. (orig.)Available from TIB Hannover: RR 1606(95-42) / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekSIGLEDEGerman
A systematic review and meta-analysis of the role of positron emission tomography in the follow up of head and neck squamous cell carcinoma following radiotherapy or chemoradiotherapy
Objectives: This review examines the effectiveness of positron emission tomography (PET) in the detection of recurrent or persistent head and neck squamous cell carcinoma after radiotherapy or chemoradiotherapy.
Design: A systematic review and meta-analysis of trials of PET for detecting residual/recurrent head and neck squamous cell carcinoma treated by radiotherapy or chemoradiotherapy. Trials were quality assessed using the Quality Assessment of Diagnostic Accuracy Studies tool for assessing diagnostic accuracy studies. Quantitative data were extracted and a bivariate random effects model used to calculate pooled sensitivity and specificity.
Setting: Tertiary referral head and neck centre.
Participants: Prospective and retrospective studies, excluding reviews, which included patients with head and neck squamous cell carcinoma who had fluorodeoxyglucose PET in the post-treatment phase following primary treatment by radiotherapy or chemoradiotherapy.
Main outcomes measures: Quality assessment, sensitivity, specificity, false positive rates, false negative rates, positive and negative predictive values.
Results: Twenty-seven of 1871 identified studies were eligible for inclusion. The pooled sensitivity and specificity of PET for detecting residual or recurrent head and neck squamous cell carcinoma were 94% [95% confidence interval (CI), 87-97%] and 82% (95% CI, 76-86%) respectively. Positive and negative predictive values were 75% (95% CI, 68-82%), and 95% (95% CI, 92-97%) respectively. Sensitivity was greater for scans performed 10 weeks or more after treatment.
Conclusions: Positron emission tomography is highly accurate in this role. However it is less sensitive early after treatment and has poor anatomical detail. PET may reduce the requirement for check endoscopies and planned neck dissections. A protocol for its use in post-treatment surveillance is proposed