Health Quality Control of Laboratory Anjmals 0f the Czechoslovak Academy of Sciences (CSAV)

No abstract availabl

20-Year Risks of Breast-Cancer Recurrence after Stopping Endocrine Therapy at 5 Years

The administration of endocrine therapy for 5 years substantially reduces recurrence rates during and after treatment in women with early-stage, estrogen-receptor (ER)-positive breast cancer. Extending such therapy beyond 5 years offers further protection but has additional side effects. Obtaining data on the absolute risk of subsequent distant recurrence if therapy stops at 5 years could help determine whether to extend treatment

Long-term outcomes for neoadjuvant versus adjuvant chemotherapy in early breast cancer: meta-analysis of individual patient data from ten randomised trials

Background Neoadjuvant chemotherapy (NACT) for early breast cancer can make breast-conserving surgery more feasible and might be more likely to eradicate micrometastatic disease than might the same chemotherapy given after surgery. We investigated the long-term benefits and risks of NACT and the influence of tumour characteristics on outcome with a collaborative meta-analysis of individual patient data from relevant randomised trials. Methods We obtained information about prerandomisation tumour characteristics, clinical tumour response, surgery, recurrence, and mortality for 4756 women in ten randomised trials in early breast cancer that began before 2005 and compared NACT with the same chemotherapy given postoperatively. Primary outcomes were tumour response, extent of local therapy, local and distant recurrence, breast cancer death, and overall mortality. Analyses by intention-to-treat used standard regression (for response and frequency of breast-conserving therapy) and log-rank methods (for recurrence and mortality). Findings Patients entered the trials from 1983 to 2002 and median follow-up was 9 years (IQR 5–14), with the last follow-up in 2013. Most chemotherapy was anthracycline based (3838 [81%] of 4756 women). More than two thirds (1349 [69%] of 1947) of women allocated NACT had a complete or partial clinical response. Patients allocated NACT had an increased frequency of breast-conserving therapy (1504 [65%] of 2320 treated with NACT vs 1135 [49%] of 2318 treated with adjuvant chemotherapy). NACT was associated with more frequent local recurrence than was adjuvant chemotherapy: the 15 year local recurrence was 21·4% for NACT versus 15·9% for adjuvant chemotherapy (5·5% increase [95% CI 2·4–8·6]; rate ratio 1·37 [95% CI 1·17–1·61]; p=0·0001). No significant difference between NACT and adjuvant chemotherapy was noted for distant recurrence (15 year risk 38·2% for NACT vs 38·0% for adjuvant chemotherapy; rate ratio 1·02 [95% CI 0·92–1·14]; p=0·66), breast cancer mortality (34·4% vs 33·7%; 1·06 [0·95–1·18]; p=0·31), or death from any cause (40·9% vs 41·2%; 1·04 [0·94–1·15]; p=0·45). Interpretation Tumours downsized by NACT might have higher local recurrence after breast-conserving therapy than might tumours of the same dimensions in women who have not received NACT. Strategies to mitigate the increased local recurrence after breast-conserving therapy in tumours downsized by NACT should be considered—eg, careful tumour localisation, detailed pathological assessment, and appropriate radiotherapy

Nitro-polycyclic aromatic hydrocarbons - gas-particle partitioning, mass size distribution, and formation along transport in marine and continental background air

Nitro-polycyclic aromatic hydrocarbons (NPAH) are ubiquitous in polluted air but little is known about their abundance in background air. NPAHs were studied at one marine and one continental background site, i.e. a coastal site in the southern Aegean Sea (summer 2012) and a site in the central Great Hungarian Plain (summer 2013), together with the parent compounds, PAHs. A Lagrangian particle dispersion model was used to track air mass history. Based on Lagrangian particle statistics, the urban influence on samples was quantified for the first time as a fractional dose to which the collected volume of air had been exposed. At the remote marine site, the 3–4-ring NPAH (sum of 11 targeted species) concentration was 23.7 pg m−3 while the concentration of 4-ring PAHs (6 species) was 426 pg m−3. The most abundant NPAHs were 2-nitrofluoranthene (2NFLT) and 3-nitrophenanthrene. Urban fractional doses in the range of < 0.002–5.4 % were calculated. At the continental site, the Σ11 3–4-ring NPAH and Σ6 4-ring PAH were 58 and 663 pg m−3, respectively, with 9-nitroanthracene and 2NFLT being the most concentrated amongst the targeted NPAHs. The NPAH levels observed in the marine background air are the lowest ever reported and remarkably lower, by more than 1 order of magnitude, than 1 decade before. Day–night variation of NPAHs at the continental site reflected shorter lifetime during the day, possibly because of photolysis of some NPAHs. The yields of formation of 2NFLT and 2-nitropyrene (2NPYR) in marine air seem to be close to the yields for OH-initiated photochemistry observed in laboratory experiments under high NOx conditions. Good agreement is found for the prediction of NPAH gas–particle partitioning using a multi-phase poly-parameter linear free-energy relationship. Sorption to soot is found to be less significant for gas–particle partitioning of NPAHs than for PAHs. The NPAH levels determined in the south-eastern outflow of Europe confirm intercontinental transport potential

Multicompartmental analysis of POPs and PAHs in Concepcion Bay, central Chile: Part I - Levels and patterns after the 2010 tsunami

Persistent organic pollutants (POPs) and polycyclic aromatic hydrocarbons (PAHs) were determined in abiotic samples from Concepción Bay in Central Chile. Samples were soxhlet extracted and injected in gas chromatography–mass spectrometry (GCMS). Polybrominated diphenyl ethers (PBDEs) showed the highest levels in air (3–1100 pg m−3), in water (2–64 pg L−1), in sediment, and soil (1–78 ng g−1 (dw)). PAHs were also high in the air (1–6 ng m−3), in water (1–7 ng L−1), in sediment (90–300 ng g−1 (dw)), and in soil (15–2300 ng g−1 (dw)). The polychlorinated biphenyls (PCBs) and chlorinated pesticides were generally low and did not show clear trends along the water column, with exception of PAHs. New data are presented in this work to assess the health status of a relevant coastal area in central Chile