13 research outputs found

    Rak reproduktivnih organov

    Get PDF

    Novosti v otroŔki onkologiji

    Get PDF

    A study of defect structures in Fe-alloyed ZnO: Morphology, magnetism, and hyperfine interactions

    Get PDF
    In order to study the effect of Fe cation substitution on the local structure, defect formation, and hyperfine interactions in ZnO, Mƶssbauer spectroscopy measurements of the microwave processed Zn1āˆ’xFexO (x=0.05, 0.10, 0.15, and 0.20) nanoparticles, together with ab initio calculations, were performed. Complementary information on the distribution of particle size and morphology, as well as magnetic properties, were obtained by X-ray diffraction, transmission electron microscopy, and squid-magnetometry. The selected model for analyzing the Mƶssbauer spectra of our samples is a distribution of quadrupole splittings. The fitting model with two Lorentz doublets was rejected due to its failure to include larger doublets. The Fe3+ ions do not yield magnetic ordering in the samples at room temperature. The results from first-principles calculations confirm that the major component of the Mƶssbauer spectra corresponds to the Fe-alloyed ZnO with Zn vacancy in the next nearest neighbor environment. The magnetic measurements are consistent with the description of the distribution of iron ions over the randomly formed clusters in the ZnO host lattice. While at room temperature all the samples are paramagnetic, magnetic interactions cause a transition into a cluster spin-glass state at low temperatures

    Light as a Medium for Supporting Leisure Activities in Open Public Spaces

    Get PDF
    This work identifies lighting as a non-invasive method for the transformation of a space that simultaneously and unconstructively articulates various activities and does not interfere with the inherited physical framework. Through experimental research and a case study of the "Eastern City Gate of Belgrade" housing settlement in Serbia, which was designed and built in the second half of the 20th century, the activity rhythm of a contemporary user is explored. The research goal was to recognise the decision-making tools for increasing the quality of open public spaces during the night-time mode of use by improving the quality of lighting. The study proposes the new lighting design model that supports night-time leisure activities in mass housing open public spaces in the contemporary urban context

    Response-adapted omission of radiotherapy and comparison of consolidation chemotherapy in intermediate- and advanced-stage children and adolescents with classic Hodgkin lymphoma: a titration study with an embedded non-inferiority randomised controlled trial

    Get PDF
    BACKGROUND: Children and adolescents with intermediate-stage and advanced-stage classical Hodgkin lymphoma achieve an event-free survival at 5 years of about 90% after treatment with vincristine, etoposide, prednisone, and doxorubicin (OEPA) followed by cyclophosphamide, vincristine, prednisone, and procarbazine (COPP) and radiotherapy, but long-term treatment effects affect survival and quality of life. We aimed to investigate whether radiotherapy can be omitted in patients with morphological and metabolic adequate response to OEPA and whether modified consolidation chemotherapy reduces gonadotoxicity. METHODS: Our study was designed as a titration study with an open-label, embedded, multinational, non-inferiority, randomised controlled trial, and was carried out at 186 hospital sites across 16 European countries. Children and adolescents with newly diagnosed intermediate-stage (treatment group 2) and advanced-stage (treatment group 3) classical Hodgkin lymphoma who were younger than 18 years and stratified according to risk using Ann Arbor disease stages IIAE, IIB, IIBE, IIIA, IIIAE, IIIB, IIIBE, and all stages IV (A, B, AE, and BE) were included in the study. Patients with early disease (treatment group 1) were excluded from this analysis. All patients were treated with two cycles of OEPA (1Ā·5 mg/m(2) vincristine taken intravenously capped at 2 mg, on days 1, 8, and 15; 125 mg/m(2) etoposide taken intravenously on days 1ā€“5; 60 mg/m(2) prednisone taken orally on days 1ā€“15; and 40 mg/m(2) doxorubicin taken intravenously on days 1 and 15). Patients were randomly assigned to two (treatment group 2) or four (treatment group 3) cycles of COPP (500 mg/m(2) cyclophosphamide taken intravenously on days 1 and 8; 1Ā·5 mg/m(2) vincristine taken intravenously capped at 2 mg, on days 1 and 8; 40 mg/m(2) prednisone taken orally on days 1 to 15; and 100 mg/m(2) procarbazine taken orally on days 1 to 15) or COPDAC, which was identical to COPP except that 250 mg/m(2) dacarbazine administered intravenously on days 1 to 3 replaced procarbazine. The method of randomisation (1:1) was minimisation with stochastic component and was centrally stratified by treatment group, country, trial sites, and sex. The primary endpoint was event-free survival, defined as time from treatment start until the first of the following events: death from any cause, progression or relapse of classical Hodgkin lymphoma, or occurrence of secondary malignancy. The primary objectives were maintaining 90% event-free survival at 5 years in patients with adequate response to OEPA treated without radiotherapy and to exclude a decrease of 8% in event-free survival at 5 years in the embedded COPDAC versus COPP randomisation to show non-inferiority of COPDAC. Efficacy analyses are reported per protocol and safety in the intention-to-treat population. The trial is registered with ClinicalTrials.gov (trial number NCT00433459) and EUDRACT (trial number 2006-000995-33), and is closed to recruitment. FINDINGS: Between Jan 31, 2007, and Jan 30, 2013, 2102 patients were recruited. 737 (35%) of the 2102 recruited patients were in treatment group 1 (early-stage disease) and were not included in our analysis. 1365 (65%) of the 2102 patients were in treatment group 2 (intermediate-stage disease; n=455) and treatment group 3 (advanced-stage disease; n=910). Of these 1365, 1287 (94%) patients (435 [34%] of 1287 in treatment group 2 and 852 [66%] of 1287 in treatment group 3) were included in the titration trial per-protocol analysis. 937 (69%) of 1365 patients were randomly assigned to COPP (n=471) or COPDAC (n=466) in the embedded trial. Median follow-up was 66Ā·5 months (IQR 62Ā·7ā€“71Ā·7). Of 1287 patients in the per-protocol group, 514 (40%) had an adequate response to treatment and were not treated with radiotherapy (215 [49%] of 435 in treatment group 2 and 299 [35%] of 852 in treatment group 3). 773 (60%) of 1287 patients with inadequate response were scheduled for radiotherapy (220 [51%] of 435 in the treatment group 2 and 553 [65%] of 852 in treatment group 3. In patients who responded adequately, event-free survival rates at 5 years were 90Ā·1% (95% CI 87Ā·5ā€“92Ā·7). event-free survival rates at 5 years in 892 patients who were randomly assigned to treatment and analysed per protocol were 89Ā·9% (95% CI 87Ā·1ā€“92Ā·8) for COPP (n=444) versus 86Ā·1% (82Ā·9ā€“89Ā·4) for COPDAC (n=448). The COPDAC minus COPP difference in event-free survival at 5 years was āˆ’3Ā·7% (āˆ’8Ā·0 to 0Ā·6). The most common grade 3ā€“4 adverse events (intention-to-treat population) were decreased haemoglobin (205 [15%] of 1365 patients during OEPA vs 37 [7%] of 528 treated with COPP vs 20 [2%] of 819 treated with COPDAC), decreased white blood cells (815 [60%] vs 231 [44%] vs 84 [10%]), and decreased neutrophils (1160 [85%] vs 223 [42%] vs 174 [21%]). One patient in treatment group 2 died of sepsis after the first cycle of OEPA; no other treatment-related deaths occurred. INTERPRETATION: Our results show that radiotherapy can be omitted in patients who adequately respond to treatment, when consolidated with COPP or COPDAC. COPDAC might be less effective, but is substantially less gonadotoxic than COPP. A high proportion of patients could therefore be spared radiotherapy, eventually reducing the late effects of treatment. With more refined criteria for response assessment, the number of patients who receive radiotherapy will be further decreased. FUNDING: Deutsche Krebshilfe, Elternverein fĆ¼r Krebs-und leukƤmiekranke Kinder GieƟen, Kinderkrebsstiftung Mainz, Tour der Hoffnung, Menschen fĆ¼r Kinder, Programme Hospitalier de Recherche Clinique, and Cancer Research UK

    The influence of population density and duration of breeding on broiler chickens productivity and profitability

    No full text
    Fattening of broiler chickens is a very specific production process characterized by intensive production principles, rapid increase in broilers, small consumption of food/kg of gain (feed conversion ratio) and a large production of broilers' meat per square meter of surface. In order to increase the profitability of this production, the intention of farmers is to reduce the duration of production as well as to increase population density, with the aim of increasing the production of broiler chickens' meat, calculated per unit of surface (m(2)). However, most of the countries in the world, in order to protect and preserve the welfare of poultry, limit the maximum of broilers' meat production by regulations and standards. These researches aim to determine the optimal density and duration of fattening in a way to achieve the best production results and the profitability of fattening the broiler chickens hybrids Cobb 500 in temperate continental climate, while preserving the welfare of poultry. From six different population densities (16.84, 16.33, 14.29, 12.75, 14.80 and 15.46 birds per m(2)) and fattening period between 37 and 40 days, the best production and economic performance showed that a group of chickens that was fattened in a period of 40 days had a population density of about 16 birds per m(2). This group of broilers produced the most meat per m(2) (about 33 kg), the welfare of poultry is maintained and the standard was not exceeded, so we can say that the best economy and profitability of fattening broiler chickens in the concerned region is achieved. In other groups of chickens, profitability could be more advantageous if the increased population density goes up to 16 birds per m(2); or the duration of fattening could be extended up to 40 days and by this way the welfare of poultry would not be violated

    Prognostic value of early post-infarction angina in elderly patients

    No full text
    Although numerous studies have shown that early post-infarction angina was a predictor of poor prognosis in patients with acute myocardial infarction, not a single study has considered this issue in the elderly. The goal of this study, based on a five-year follow-up of elderly patients with acute myocardial infarction, was to determine whether early post-infarction angina in the elderly had any influence on mortality and the incidence of additional coronary events. The study population consisted of 51 patients, aged 60 years or more, with acute myocardial infarction. Early post-infarction angina occurred in 31 subjects (Group 1), while it did not in 20 subjects (Group 2). Patients were monitored for five years and the incidences of death and new coronary events were recorded. A survival analysis was carried out using the Kaplan-Meier method. The survival analysis showed no difference between the observed groups concerning the following probabilities: death (p=0.9459), cardiac death (p=0.8253), myocardial reinfarction (p=0.7405), new coronary events (p=0.1708), unstable angina (p=0.1788), myocardial revascularisation (p=0.0691), and heart failure (p=0.7047j. In contrast to the younger population, where numerous studies have confirmed the link between early post-infarction angina and poor long-term prognosis, such findings could not be replicated in this study of the elderly population
    corecore