33 research outputs found

    High-sensitivity troponin I as a predictor of left ventricular dysfunction in the use of cardiotoxic anticancer agents for breast cancer in patients with predominantly low and moderate risk of cardiotoxicity

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    Aim. To study the significance of monitoring high-sensitivity troponin I (hs-cTnI) for predicting anthracycline-induced left ventricular (LV) dysfunction in the treatment of breast cancer in patients with moderate and low risk of cardiotoxicity (CT).Material and methods. The study involved 49 patients with breast cancer aged 50±10 years who underwent neoadjuvant or adjuvant chemotherapy, which included doxorubicin at a course dose of 60 mg/m2 and an average cumulative dose of 251±60 mg/m2. The level of hs-cTnI was determined by an ultrasensitive method before the start of chemotherapy, after each course of anthracyclines and in 18 patients before the administration of anthracyclines. The level of hscTnI >0,017 ng/ml was considered elevated. Echocardiography was performed before the start of chemotherapy, after the end of anthracycline therapy, and every 3 months for 12 months thereafter. CT was defined as a decrease in LV ejection fraction (EF) by ≥10% to <53%.Results. CT risk before chemotherapy was considered low and moderate in 96% of patients. An increase in hs-сTnI was detected ≥1 times in 56,8% of patients: before chemotherapy — in 13,5%, after 1 and 2 courses of anthracycline therapy — in 13,9%, after 3, 4, 5 and 6 courses — in 44%, 62%, 71% and 66% of patients, respectively. The levels of hs-cTnI before and after administration of anthracyclines did not differ significantly. The development of LV dysfunction was observed in 16,3% of patients. There were following prognostic significance of an increase in hs-cTnI at any time of chemotherapy for a decrease in LV EF: sensitivity — 87,5%, specificity — 50%, the positive predictive value — 28%, the negative predictive value — 94,7%. The closest relationship was noted between CT and hs-cTnI value before the start of chemotherapy (β=0,45, p=0,005) and after the 3rd course of anthracycline therapy (β=0,56, p=0,002).Conclusion. An increase in hs-cTnI level before and during anthracycline thera py in patients with a low risk of cardiotoxicity has a prognostic value in relation to the development of left ventricular dysfunction. Hs-cTnI assessment should be performed before the start of therapy, and then starting from the 3rd course of anthracycline therapy in all patients, regardless of the risk of cardiotoxicity

    Group Report 4: Iron dynamics in terrestrial ecosystems in the Amur River basin

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    Our focus is to understand the spatial and temporal patterns and processes of biogeochemical iron transport from terrestrial ecosystem to river with special attention to the human impacts such as forest fire, land-use change and agricultural activities. Field monitoring of iron dynamics including stream water, soil water, and groundwater has been conducted from the upstream to downstream basin of Amur river in northeastern China and far-eastern Russia under tight collaboration with Chinese and Russian scientists and institutes. We found that the major source of dissolved iron from terrestrial system to river was mainly natural wetland which largely covered near the middle to lower region of Amur river basin. In upstream forested basin, dissolved iron in soil was mainly transported with dissolved organic carbon (DOC) rather than the forms of Fe(II) and Fe(III). The swamp forest and riparian zone near the stream channel was the important source area of iron due to the wet and anaerobic conditions which increase the DOC concentration and dissolved iron in soil and groundwater. The forest fire, one of the major human disturbances in the upstream mountain, changes the quantity and qualities of the organic matter in the surface soil, resulting to the decrease of the iron transport from the burned forest to the stream. The downstream areas with gentle topography are largely covered by natural wetland especially surrounding the middle and lower part of Amur river. The spatial distribution of iron concentration in stream water indicated that the stream water at the lower elevation and the gentle watershed contained much higher iron concentrations than the upper and steep basin. DOC was the important carrier of dissolved iron in soil water and stream water in these lower wetland as well as in the upstream region. The land-use change from wetland to farmland (paddy field and cropland) caused significant changes in soil chemistry, redox potential (Eh) and soil water quality. The drainage during the crop production system increase the Eh (indicating changes from anaerobic to aerobic condition in soil), resulting the decrease of dissolved iron in soil water due to the land-use change. The development of the irrigation system has significantly decreased the groundwater table over the last several decades, possibly contributing to the decrease in iron concentration in river water in the Sanjiang plain. The irrigation of groundwater with high dissolved iron resulted in the accumulation of amorphous iron oxides in the surface soil of the paddy filed, which was retained and not mobile from the soil. Our results indicated that the natural anaerobic environment in wetland is important for iron mobilization from terrestrial system to Amur river and that the human impact such as forest fire and land reclamation tended to make these irons immobile through mainly oxidation in the ground surface

    Measurement of the mass difference m(D-s(+))-m(D+) at CDF II

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    We present a measurement of the mass difference m(D-s(+))-m(D+), where both the D-s(+) and D+ are reconstructed in the phipi(+) decay channel. This measurement uses 11.6 pb(-1) of data collected by CDF II using the new displaced-track trigger. The mass difference is found to be m(D-s(+))-m(D+)=99.41+/-0.38(stat)+/-0.21(syst) MeV/c(2)

    Engineering the CernVM-Filesystem as a High Bandwidth Distributed Filesystem for Auxiliary Physics Data

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    A common use pattern in the computing models of particle physics experiments is running many distributed applications that read from a shared set of data files. We refer to this data is auxiliary data, to distinguish it from (a) event data from the detector (which tends to be different for every job), and (b) conditions data about the detector (which tends to be the same for each job in a batch of jobs). Relatively speaking, conditions data also tends to be relatively small per job where both event data and auxiliary data are larger per job. Unlike event data, auxiliary data comes from a limited working set of shared files. Since there is spatial locality of the auxiliary data access, the use case appears to be identical to that of the CernVM- Filesystem (CVMFS). However, we show that distributing auxiliary data through CVMFS causes the existing CVMFS infrastructure to perform poorly. We utilize a CVMFS client feature called 'alien cache' to cache data on existing local high-bandwidth data servers that were engineered for storing event data. This cache is shared between the worker nodes at a site and replaces caching CVMFS files on both the worker node local disks and on the site's local squids. We have tested this alien cache with the dCache NFSv4.1 interface, Lustre, and the Hadoop Distributed File System (HDFS) FUSE interface, and measured performance. In addition, we use high-bandwidth data servers at central sites to perform the CVMFS Stratum 1 function instead of the low-bandwidth web servers deployed for the CVMFS software distribution function. We have tested this using the dCache HTTP interface. As a result, we have a design for an end-to-end high-bandwidth distributed caching read-only filesystem, using existing client software already widely deployed to grid worker nodes and existing file servers already widely installed at grid sites. Files are published in a central place and are soon available on demand throughout the grid and cached locally on the site with a convenient POSIX interface. This paper discusses the details of the architecture and reports performance measurements

    High Throughput WAN Data Transfer with Hadoop-based Storage

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    Hadoop distributed file system (HDFS) is becoming more popular in recent years as a key building block of integrated grid storage solution in the field of scientific computing. Wide Area Network (WAN) data transfer is one of the important data operations for large high energy physics experiments to manage, share and process datasets of PetaBytes scale in a highly distributed grid computing environment. In this paper, we present the experience of high throughput WAN data transfer with HDFS-based Storage Element. Two protocols, GridFTP and fast data transfer (FDT), are used to characterize the network performance of WAN data transfer
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