60 research outputs found
Evaluating the impact of Relative Total Dose Intensity (RTDI) on patients' short and long-term outcome in taxane- and anthracycline-based chemotherapy of metastatic breast cancer- a pooled analysis
Background: Chemotherapy dose delay and/or reduction lower relative total dose intensity (RTDI) and may affect short- and long-term outcome of metastatic breast cancer (MBC) patients.
Methods: Based on 933 individual patients' data of from 3 randomized MBC trials using an anthracycline and taxane we examined the impact of RTDI on efficacy and determined the lowest optimal RTDI for MBC patients.
Results: Median time to disease progression (TTDP) and overall survival (OS) of all patients were 39 and 98 weeks. Overall higher RTDI was correlated with a shorter TTDP (log-rank p = 0.0525 for 85% RTDI cut-off). Proportional hazards assumption was violated, there was an early drop in the TTDP-curve for the high RTDI group. It was explained by the fact that patients with primary disease progression (PDP) do have a high RTDI per definition. Excluding those 114 patients with PDP the negative correlation between RTDI and TTDP vanished. However, non-PDP patients with RTDI-cut-off levels <85% showed a shorter OS than patients with higher RTDI levels (p = 0.0086).
Conclusions: Optimizing RTDI above 85% appears to improve long-term outcome of MBC patients receiving first-line chemotherapy. Lowering RTDI had no negative influence on short term outcome like OR and TTDP
Expression of thymidine phosphorylase in peripheral blood cells of breast cancer patients is not increased by paclitaxel
Gravitational Wave Detection by Interferometry (Ground and Space)
Significant progress has been made in recent years on the development of
gravitational wave detectors. Sources such as coalescing compact binary
systems, neutron stars in low-mass X-ray binaries, stellar collapses and
pulsars are all possible candidates for detection. The most promising design of
gravitational wave detector uses test masses a long distance apart and freely
suspended as pendulums on Earth or in drag-free craft in space. The main theme
of this review is a discussion of the mechanical and optical principles used in
the various long baseline systems in operation around the world - LIGO (USA),
Virgo (Italy/France), TAMA300 and LCGT (Japan), and GEO600 (Germany/U.K.) - and
in LISA, a proposed space-borne interferometer. A review of recent science runs
from the current generation of ground-based detectors will be discussed, in
addition to highlighting the astrophysical results gained thus far. Looking to
the future, the major upgrades to LIGO (Advanced LIGO), Virgo (Advanced Virgo),
LCGT and GEO600 (GEO-HF) will be completed over the coming years, which will
create a network of detectors with significantly improved sensitivity required
to detect gravitational waves. Beyond this, the concept and design of possible
future "third generation" gravitational wave detectors, such as the Einstein
Telescope (ET), will be discussed.Comment: Published in Living Reviews in Relativit
Quantum Spacetime Phenomenology
I review the current status of phenomenological programs inspired by
quantum-spacetime research. I stress in particular the significance of results
establishing that certain data analyses provide sensitivity to effects
introduced genuinely at the Planck scale. And my main focus is on
phenomenological programs that managed to affect the directions taken by
studies of quantum-spacetime theories.Comment: 125 pages, LaTex. This V2 is updated and more detailed than the V1,
particularly for quantum-spacetime phenomenology. The main text of this V2 is
about 25% more than the main text of the V1. Reference list roughly double
Recommended from our members
Prospects for Observing and Localizing Gravitational-Wave Transients with Advanced LIGO and Advanced Virgo.
We present a possible observing scenario for the Advanced LIGO and Advanced Virgo gravitational-wave detectors over the next decade, with the intention of providing information to the astronomy community to facilitate planning for multi-messenger astronomy with gravitational waves. We determine the expected sensitivity of the network to transient gravitational-wave signals, and study the capability of the network to determine the sky location of the source. We report our findings for gravitational-wave transients, with particular focus on gravitational-wave signals from the inspiral of binary neutron-star systems, which are considered the most promising for multi-messenger astronomy. The ability to localize the sources of the detected signals depends on the geographical distribution of the detectors and their relative sensitivity, and 90% credible regions can be as large as thousands of square degrees when only two sensitive detectors are operational. Determining the sky position of a significant fraction of detected signals to areas of 5 deg2 to 20 deg2 will require at least three detectors of sensitivity within a factor of ∼ 2 of each other and with a broad frequency bandwidth. Should the third LIGO detector be relocated to India as expected, a significant fraction of gravitational-wave signals will be localized to a few square degrees by gravitational-wave observations alone
Localization and broadband follow-up of the gravitational-wave transient GW150914
A gravitational-wave transient was identified in data recorded by the Advanced LIGO detectors on 2015 September 14. The event candidate, initially designated G184098 and later given the name GW150914, is described in detail elsewhere. By prior arrangement, preliminary estimates of the time, significance, and sky location of the event were shared with 63 teams of observers covering radio, optical, near-infrared, X-ray, and gamma-ray wavelengths with ground- and space-based facilities. In this Letter we describe the low-latency analysis of the gravitational wave data and present the sky localization of the first observed compact binary merger. We summarize the follow-up observations reported by 25 teams via private Gamma-ray Coordinates Network Circulars, giving an overview of the participating facilities, the gravitational wave sky localization coverage, the timeline and depth of the observations. As this event turned out to be a binary black hole merger, there is little expectation of a detectable electromagnetic signature. Nevertheless, this first broadband campaign to search for a counterpart of an Advanced LIGO source represents a milestone and highlights the broad capabilities of the transient astronomy community and the observing strategies that have been developed to pursue neutron star binary merger events. Detailed investigations of the electromagnetic data and results of the electromagnetic follow-up campaign will be disseminated in the papers of the individual teams
Fulvestrant (Faslodex®) - Outcomes of the Expanded Access Programme (EAP) with ZD9238 (Fulvestrant) in Germany for postmenopausal patients with hormone sensitive, metastatic breast cancer after progression under hormone therapy
Praktikabilität und Nutzen einer interdisziplinären Kontrolle der ärztlichen DRG-Dokumentation im klinischen Alltag einer Chirurgischen Universitätsklinik
COMPACT (Compliance and Arthralgias in Clinical Therapy): Eine Untersuchung zum Management von Aromatasehemmer-assoziierten Arthralgien in der adjuvanten endokrinen Therapie des Mammakarzinoms bei postmenopausalen Frauen
PACT-Untersuchung (Patient's Anastrozole Compliance to Therapy) zur Auswirkung eines standardisierten Informationsservices auf die Compliance bei postmenopausalen Frauen mit Hormonrezeptor-positivem frühem Brustkrebs (HR+ EBC)
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