Impact of safety-related dose reductions or discontinuations on sustained virologic response in HCV-infected patients: Results from the GUARD-C Cohort

BACKGROUND: Despite the introduction of direct-acting antiviral agents for chronic hepatitis C virus (HCV) infection, peginterferon alfa/ribavirin remains relevant in many resource-constrained settings. The non-randomized GUARD-C cohort investigated baseline predictors of safety-related dose reductions or discontinuations (sr-RD) and their impact on sustained virologic response (SVR) in patients receiving peginterferon alfa/ribavirin in routine practice. METHODS: A total of 3181 HCV-mono-infected treatment-naive patients were assigned to 24 or 48 weeks of peginterferon alfa/ribavirin by their physician. Patients were categorized by time-to-first sr-RD (Week 4/12). Detailed analyses of the impact of sr-RD on SVR24 (HCV RNA <50 IU/mL) were conducted in 951 Caucasian, noncirrhotic genotype (G)1 patients assigned to peginterferon alfa-2a/ribavirin for 48 weeks. The probability of SVR24 was identified by a baseline scoring system (range: 0-9 points) on which scores of 5 to 9 and <5 represent high and low probability of SVR24, respectively. RESULTS: SVR24 rates were 46.1% (754/1634), 77.1% (279/362), 68.0% (514/756), and 51.3% (203/396), respectively, in G1, 2, 3, and 4 patients. Overall, 16.9% and 21.8% patients experienced 651 sr-RD for peginterferon alfa and ribavirin, respectively. Among Caucasian noncirrhotic G1 patients: female sex, lower body mass index, pre-existing cardiovascular/pulmonary disease, and low hematological indices were prognostic factors of sr-RD; SVR24 was lower in patients with 651 vs. no sr-RD by Week 4 (37.9% vs. 54.4%; P = 0.0046) and Week 12 (41.7% vs. 55.3%; P = 0.0016); sr-RD by Week 4/12 significantly reduced SVR24 in patients with scores <5 but not 655. CONCLUSIONS: In conclusion, sr-RD to peginterferon alfa-2a/ribavirin significantly impacts on SVR24 rates in treatment-naive G1 noncirrhotic Caucasian patients. Baseline characteristics can help select patients with a high probability of SVR24 and a low probability of sr-RD with peginterferon alfa-2a/ribavirin

Synthesis of geopolymer waste form to solidify radioactive wastes from decontamination of primary system in nuclear power plant

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Immobilization of High-Sulfate Radioactive Waste Solution by Metakaolin-Based Geopolymer Wate Form

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Immobilization of radioactive waste generated from primary system decontamination using geopolymer waste form

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Identifying Bacterial Communities and Their Correlations with Geochemical Parameters in Low- and Intermediate-level Radioactive Waste Disposal Facility in Republic of Korea

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Radionuclide transport in unsaturated fractured rock at LILW disposal facility

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Solidification of HyBRID Waste Using Geopolymer Waste Form

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Fracture flow of radionuclides in unsaturated conditions at LILW Disposal Facility

Adsorption experiments for radionuclides such as 3H, 90Sr and 99Tc were conducted using fractured rock collected in unsaturated zone. The released radionuclide through artificial barrier from the near surface repository can be transported by the flow of rainfall or pore water through fractures in unsaturated zone and reach to groundwater flow. Therefore, it is important to investigate transport behavior (retardation) of radionuclides through fractured rock for the safety assessment and long-term performance of repository. Fractured rock samples were collected and characterized by X-ray microtomography (XMT) analysis, which can be used to develop a more robust unsaturated fracture transport model. When fracture-filling materials are exist, distribution coefficient of 90Sr is higher than without fracture-filling materials. In this study, batch sorption distribution coefficient (Kd) of radionuclide was determined and used to increase our understanding of radionuclide retardtion through fracture-filling materials.22Nkc

Solidification of HyBRID waste using metakaolin based geopolymer waste form

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Use of swine wastewater as alternative substrate for mycelial bioconversion of white rot fungi

Seven white rot fungal species were tested for growth as mycelia using swine wastewater (SW), an agro-waste with tremendous environmental footprint, as the sole nutrient source. The SW contained high concentrations of carbon and nitrogen components, which could support nutritional requirements for mycelial growth. Out of the seven species, Pleurotus ostreatus and Hericium erinaceus were successfully cultivated on the SW medium using solid-state fermentation. Response surface methodology was employed to determine the combination of pH, temperature (T), and substrate concentration (C) that maximizes mycelial growth rate (Kr) for the two species. The optimum condition was estimated as pH = 5.8, T = 28.8 A degrees C, and C = 11.2 g chemical oxygen demand (COD)/L for P. ostreatus to yield Kr of 11.0 mm/day, whereas the greatest Kr (3.1 mm/day) was anticipated at pH = 4.6, T = 25.5 A degrees C, and C = 11.9 g COD/L for H. erinaceus. These Kr values were comparable to growth rates obtained using other substrates in the literature. These results demonstrate that SW can be used as an effective substrate for mycelial cultivation of the two white rot fungal species, suggesting an alternative method to manage SW with the production of potentially valuable biomass.110Nsciescopu