2,515 research outputs found

    Relationship of Driver Oncogenes to Long-Term Pemetrexed Response in Non--Small-Cell Lung Cancer.

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    BackgroundPemetrexed is approved in the treatment of advanced stage nonsquamous non-small-cell lung cancer (NSCLC). The length of response is variable, and we thus sought to identify which clinicopathologic characteristics are associated with long-term disease control with pemetrexed.Patients and methodsPatients with metastatic NSCLC received pemetrexed (with or without bevacizumab) for 12 months or longer, either as maintenance treatment after first-line platinum-based chemotherapy or as subsequent treatment. Clinical and pathologic characteristics were collected.ResultsOf a total of 196 patients who received pemetrexed starting in 2007, 25 patients were identified who received pemetrexed for over 1 year. Of these, 15 patients received pemetrexed with or without bevacizumab as maintenance treatment and 10 patients received pemetrexed as subsequent treatment. Fifteen (60%) of 25 patients had an oncogenic driver mutation as follows: 5 (20%) had ROS1 gene rearrangements, 4 (16%) had ALK gene rearrangements, 3 (12%) had KRAS mutations, 2 (8%) had epidermal growth factor receptor (EGFR) mutations, and 1 (4%) had an NRAS mutation. The median overall survival was 42.2 months (95% confidence interval, 37.4-61.3) and median progression-free survival was 22.1 months (95% confidence interval, 15.1-29.1). Patients with an oncogenic driver mutation had significantly better progression-free survival (P = .006) and overall survival (P = .001).ConclusionAmong patients with NSCLC who received pemetrexed for an extended time, those with ALK and ROS1 gene rearrangements were proportionally overrepresented compared with that anticipated in a general nonsquamous NSCLC population, and patients with oncogenic driver mutations had improved outcomes

    EVPI and Real Option Valuation

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    A poster discussing the interaction of the expected value of perfect information and real options valuation

    An Adaptive Interacting Wang-Landau Algorithm for Automatic Density Exploration

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    While statisticians are well-accustomed to performing exploratory analysis in the modeling stage of an analysis, the notion of conducting preliminary general-purpose exploratory analysis in the Monte Carlo stage (or more generally, the model-fitting stage) of an analysis is an area which we feel deserves much further attention. Towards this aim, this paper proposes a general-purpose algorithm for automatic density exploration. The proposed exploration algorithm combines and expands upon components from various adaptive Markov chain Monte Carlo methods, with the Wang-Landau algorithm at its heart. Additionally, the algorithm is run on interacting parallel chains -- a feature which both decreases computational cost as well as stabilizes the algorithm, improving its ability to explore the density. Performance is studied in several applications. Through a Bayesian variable selection example, the authors demonstrate the convergence gains obtained with interacting chains. The ability of the algorithm's adaptive proposal to induce mode-jumping is illustrated through a trimodal density and a Bayesian mixture modeling application. Lastly, through a 2D Ising model, the authors demonstrate the ability of the algorithm to overcome the high correlations encountered in spatial models.Comment: 33 pages, 20 figures (the supplementary materials are included as appendices

    Assessing Change in Social Support During Late Life

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    The purpose of this study is to evaluate change in 14 measures of social support with data provided by a nationwide longitudinal study of older adults. The findings reveal that fairly substantial change took place during the three-year follow-up period. More important, the data indicate that change is not uniform or systematic across the entire study sample. Instead, there appears to be considerable individual-level change taking place. The implications of these findings for the development of conceptual models as well as support-based interventions are discussed.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68866/2/10.1177_0164027599214002.pd

    Continental rupture and the creation of new crust in the Salton Trough rift, Southern California and northern Mexico: Results from the Salton Seismic Imaging Project

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    A refraction and wide-angle reflection seismic profile along the axis of the Salton Trough, California and Mexico, was analyzed to constrain crustal and upper mantle seismic velocity structure during active continental rifting. From the northern Salton Sea to the southern Imperial Valley, the crust is 17–18 km thick and approximately one-dimensional. The transition at depth from Colorado River sediment to underlying crystalline rock is gradual and is not a depositional surface. The crystalline rock from ~3 to ~8 km depth is interpreted as sediment metamorphosed by high heat flow. Deeper felsic crystalline rock could be stretched preexisting crust or higher-grade metamorphosed sediment. The lower crust below ~12 km depth is interpreted to be gabbro emplaced by rift-related magmatic intrusion by underplating. Low upper mantle velocity indicates high temperature and partial melting. Under the Coachella Valley, sediment thins to the north and the underlying crystalline rock is interpreted as granitic basement. Mafic rock does not exist at 12–18 km depth as it does to the south, and a weak reflection suggests Moho at ~28 km depth. Structure in adjacent Mexico has slower midcrustal velocity, and rocks with mantle velocity must be much deeper than in the Imperial Valley. Slower velocity and thicker crust in the Coachella and Mexicali valleys define the rift zone between them to be >100 km wide in the direction of plate motion. North American lithosphere in the central Salton Trough has been rifted apart and is being replaced by new crust created by magmatism, sedimentation, and metamorphism

    ADVANCED NEUTRON GENERATOR FOR SNM IMAGING

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    Report about the Advanced Neutron Generator for SNM Imaging
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