| 51. |
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| 52. |
- Geyer, C. E., et al.
(författare)
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Overall survival in the OlympiA phase Ill trial of adjuvant olaparib in patients with germime pathogenic variants in BRCA1/2 and high-risk, early breast cancer
- 2022
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Ingår i: Annals of Oncology. - : Elsevier BV. - 0923-7534. ; 33:12, s. 1250-1268
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Tidskriftsartikel (refereegranskat)abstract
- Background: The randomized, double-blind OlympiA trial compared 1 year of the oral poly(adenosine diphosphate-ribose) polymerase inhibitor, olaparib, to matching placebo as adjuvant therapy for patients with pathogenic or likely pathogenic variants in germline BRCA1 or BRCA2 (gBRCA1/2pv) and high-risk, human epidermal growth factor receptor 2-negative, early breast cancer (EBC). The first pre-specified interim analysis (IA) previously demonstrated statistically significant improvement in invasive disease-free survival (IDFS) and distant disease-free survival (DDFS). The olaparib group had fewer deaths than the placebo group, but the difference did not reach statistical significance for overall survival (OS). We now report the pre-specified second IA of OS with updates of IDFS, DDFS, and safety. Patients and methods: One thousand eight hundred and thirty-six patients were randomly assigned to olaparib or placebo following (neo)adjuvant chemotherapy, surgery, and radiation therapy if indicated. Endocrine therapy was given concurrently with study medication for hormone receptor-positive cancers. Statistical significance for OS at this IA required P < 0.015. Results: With a median follow-up of 3.5 years, the second IA of OS demonstrated significant improvement in the olaparib group relative to the placebo group [hazard ratio 0.68; 98.5% confidence interval (CI) 0.47-0.97; P = 0.009]. Four-year OS was 89.8% in the olaparib group and 86.4% in the placebo group (Delta 3.4%, 95% CI -0.1% to 6.8%). Four-year IDFS for the olaparib group versus placebo group was 82.7% versus 75.4% (Delta 7.3%, 95% CI 3.0% to 11.5%) and 4-year DDFS was 86.5% versus 79.1% (Delta 7.4%, 95% CI 3.6% to 11.3%), respectively. Subset analyses for OS, IDFS, and DDFS demonstrated benefit across major subgroups. No new safety signals were identified including no new cases of acute myeloid leukemia or myelodysplastic syndrome. Conclusion: With 35 years of median follow-up, OlympiA demonstrates statistically significant improvement in OS with adjuvant olaparib compared with placebo for gBRCA1/2pv-associated EBC and maintained improvements in the previously reported, statistically significant endpoints of IDES and DDFS with no new safety signals.
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| 53. |
- Gogolev, Ivan, 1984, et al.
(författare)
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Chemical-looping combustion in a 100 kW unit using a mixture of synthetic and natural oxygen carriers - Operational results and fate of biomass fuel alkali
- 2019
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Ingår i: International Journal of Greenhouse Gas Control. - : Elsevier BV. - 1750-5836. ; 88, s. 371-382
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Tidskriftsartikel (refereegranskat)abstract
- Biomass fuel use in chemical looping combustion enables negative CO2 emissions through BECCS (Bio-Energy Carbon Capture and Storage). Effective biomass utilization in CLC requires an economical and effective oxygen carrier to achieve high fuel conversion, effective CO2 capture, and management of the harmful effects of biomass alkali release (bed agglomeration, oxygen carrier deactivation, fouling and corrosion). These issues were addressed in 100 kW CLC pilot experiments. Building on previous work, a mixture of a synthetic calcium manganite perovskite and natural ilmenite was used as the oxygen carrier. Four biomass fuels of varied alkali content were tested: black pellets of steam-exploded stem wood (BP), BP impregnated with K2CO3, a mixture of 50% BP with 50% straw pellets, and wood char. Experiments showed high fuel conversion and very high CO2 capture, with overall performance exceeding that of ilmenite and manganese ore. More than 95% gas conversion was achieved with black pellets at around 950 degrees C. The fate of biomass alkali, previously virtually unknown in CLC research, was explored by implementing online surface-ionization-based measurement of alkali released in the flue gases of the fuel reactor (FR) and air reactor (AR). Release levels were found to correlate with the fuel alkali content. The flue gas measurements and bed material elemental analyses suggest that most of the fuel alkali are accumulated in the oxygen carrier. Unexpectedly, it was found that flue gas alkali release occurs in both the FR and AR, with AR exhibiting an equal or higher rate of release vs. the FR.
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| 54. |
- Grankvist, O, et al.
(författare)
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Detection of nephropathia epidemica virus RNA in patient samples using a nested primer-based polymerase chain reaction
- 1992
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Ingår i: Journal of Infectious Diseases. - 1537-6613 .- 0022-1899. ; 165:5, s. 934-937
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Tidskriftsartikel (refereegranskat)abstract
- A nested primer-based polymerase chain reaction was constructed for the detection of Puumala virus RNA in patient samples. Puumala virus RNA was detected in cells from the urinary and the respiratory tracts and in peripheral blood mononuclear cells of patients with nephropathia epidemica. After inoculation with nephropathia epidemica patient material on Vero E6 cells and propagation for nine passages (4 months), Puumala virus RNA was detected at every passage. Hybridization under high-stringency conditions revealed that the overall nucleotide homology between the different patient isolates and the prototype strain (Puumala) is high. Using cDNA from Hallnas B1 strain as a probe, hybridization occurred only under low-stringency conditions.
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| 55. |
- Hatschek, T, et al.
(författare)
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Individually tailored treatment with epirubicin and paclitaxel with or without capecitabine as first-line chemotherapy in metastatic breast cancer: a randomized multicenter trial
- 2012
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Ingår i: Breast Cancer Research and Treatment. - New York, USA : Springer Verlag (Germany). - 0167-6806 .- 1573-7217. ; 131:3, s. 939-947
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Tidskriftsartikel (refereegranskat)abstract
- Anthracyclines and taxanes are active cytotoxic drugs in the treatment of early metastatic breast cancer. It is yet unclear whether addition of capecitabine to the combination of these drugs improves the treatment outcome. Patients with advanced breast cancer were randomized to first-line chemotherapy with a combination of epirubicin (Farmorubicin(A (R))) and paclitaxel (Taxol(A (R))) alone (ET) or in combination with capecitabine (Xeloda(A (R)), TEX). Starting doses for ET were epirubicin 75 mg/m(2) plus paclitaxel 175 mg/m(2), and for TEX epirubicin 75 mg/m(2), paclitaxel 155 mg/m(2), and capecitabine 825 mg/m(2) BID for 14 days. Subsequently, doses were tailored related to side effects. Primary endpoint was progression-free survival (PFS); secondary endpoints were overall survival (OS), time to treatment failure (TTF), objective response (OR), safety and quality of life (QoL). 287 patients were randomized, 143 to ET and 144 to TEX. Median PFS was 10.8 months for patients treated with ET, and 12.4 months for those treated with TEX (HR 0.84, 95% CI 0.65-1.07, P = 0.16); median OS was 26.0 months for women in the ET versus 29.7 months in the TEX arm (HR 0.84, 95% CI 0.63-1.11, P = 0.22). OR was achieved in 44.8% (ET) and 54.2% (TEX), respectively (chi(2) 3.66, P = 0.16). TTF was significantly longer for patients treated with TEX, 6.0 months, versus 5.2 months following ET (HR 0.73, 95% CI 0.58-0.93, P = 0.009). Severe hematological side effects related to epirubicin and paclitaxel were evenly distributed between the treatment arms, mucositis, diarrhea, and Hand-Foot syndrome were significantly more frequent in the TEX arm. Toxicity-adjusted treatment with ET and TEX showed similar efficacy in terms of PFS, OS, and OR. In this trial with limited power, the addition of capecitabine to epirubicin and paclitaxel as first-line treatment did not translate into clinically relevant improvement of the outcome.
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| 56. |
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| 57. |
- Jeong, Jee-Hoon, 1976, et al.
(författare)
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Greening in the circumpolar high-latitude may amplify warming in the growing season
- 2012
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Ingår i: Climate Dynamics. - : Springer Science and Business Media LLC. - 0930-7575 .- 1432-0894. ; 38:7-8, s. 1421-1431
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Tidskriftsartikel (refereegranskat)abstract
- We present a study that suggests greening in the circumpolar high-latitude regions amplifies surface warming in the growing season (May–September) under enhanced greenhouse conditions. The investigation used a series of climate simulations with the Community Atmospheric Model version 3—which incorporates a coupled, dynamic global vegetation model—with and without vegetation feedback, under both present and doubled CO2 concentrations. Results indicate that climate warming and associated changes promote circumpolar greening with northward expansion and enhanced greenness of both the Arctic tundra and boreal forest regions. This leads to additional surface warming in the high-latitudes in the growing season, primarily through more absorption of incoming solar radiation. The resulting surface and tropospheric warming in the high-latitude and Arctic regions weakens prevailing tropospheric westerlies over 45–70N, leading to the formation of anticyclonic pressure anomalies in the Arctic regions. These pressure anomalies resemble the anomalous circulation pattern during the negative phase of winter Arctic Oscillation. It is suggested that these circulation anomalies reinforce the high-latitude and Arctic warming in the growing season.
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| 58. |
- Jeong, J. H., et al.
(författare)
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Impacts of Snow Initialization on Subseasonal Forecasts of Surface Air Temperature for the Cold Season
- 2013
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Ingår i: Journal of Climate. - : American Meteorological Society. - 0894-8755 .- 1520-0442. ; 26:6, s. 1956-1972
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Tidskriftsartikel (refereegranskat)abstract
- The present study examines the impacts of snow initialization on surface air temperature by a number of ensemble seasonal predictability experiments using the NCAR Community Atmosphere Model version 3 (CAM3) AGCM with and without snow initialization. The study attempts to isolate snow signals on surface air temperature. In this preliminary study, any effects of variations in sea ice extent are ignored and do not explicitly identify possible impacts on atmospheric circulation. The Canadian Meteorological Center (CMC) daily snow depth analysis was used in defining initial snow states, where anomaly rescaling was applied in order to account for the systematic bias of the CAM3 snow depth with respect to the CMC analysis. Two suites of seasonal (3 months long) ensemble hindcasts starting at each month in the colder part of the year (September–April) with and without the snow initialization were performed for 12 recent years (1999–2010), and the predictability skill of surface air temperature was estimated. Results show that considerable potential predictability increases up to 2 months ahead can be attained using snow initialization. Relatively large increases are found over East Asia, western Russia, and western Canada in the later part of this period. It is suggested that the predictability increases are sensitive to the strength of snow–albedo feedback determined by given local climate conditions; large gains tend to exist over the regions of strong snow–albedo feedback. Implications of these results for seasonal predictability over the extratropical Northern Hemisphere and future direction for this research are discussed.
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| 59. |
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| 60. |
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