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- Olszewski, Adam J., et al.
(författare)
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Burkitt Lymphoma International Prognostic Index
- 2021
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Ingår i: Journal of clinical oncology : official journal of the American Society of Clinical Oncology. - 0732-183X. ; 39:10, s. 1129-1138
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: Burkitt lymphoma (BL) has unique biology and clinical course but lacks a standardized prognostic model. We developed and validated a novel prognostic index specific for BL to aid risk stratification, interpretation of clinical trials, and targeted development of novel treatment approaches. METHODS: We derived the BL International Prognostic Index (BL-IPI) from a real-world data set of adult patients with BL treated with immunochemotherapy in the United States between 2009 and 2018, identifying candidate variables that showed the strongest prognostic association with progression-free survival (PFS). The index was validated in an external data set of patients treated in Europe, Canada, and Australia between 2004 and 2019. RESULTS: In the derivation cohort of 633 patients with BL, age ≥ 40 years, performance status ≥ 2, serum lactate dehydrogenase > 3× upper limit of normal, and CNS involvement were selected as equally weighted factors with an independent prognostic value. The resulting BL-IPI identified groups with low (zero risk factors, 18% of patients), intermediate (one factor, 36% of patients), and high risk (≥ 2 factors, 46% of patients) with 3-year PFS estimates of 92%, 72%, and 53%, respectively, and 3-year overall survival estimates of 96%, 76%, and 59%, respectively. The index discriminated outcomes regardless of HIV status, stage, or first-line chemotherapy regimen. Patient characteristics, relative size of the BL-IPI groupings, and outcome discrimination were consistent in the validation cohort of 457 patients, with 3-year PFS estimates of 96%, 82%, and 63% for low-, intermediate-, and high-risk BL-IPI, respectively. CONCLUSION: The BL-IPI provides robust discrimination of survival in adult BL, suitable for use as prognostication and stratification in trials. The high-risk group has suboptimal outcomes with standard therapy and should be considered for innovative treatment approaches.
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- Fridén, Jan, 1953, et al.
(författare)
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Simultaneous powering of forearm pronation and key pinch in tetraplegia using a single muscle-tendon unit.
- 2012
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Ingår i: The Journal of hand surgery, European volume. - 2043-6289. ; 37:4, s. 323-328
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Tidskriftsartikel (refereegranskat)abstract
- This study clinically assessed the concept that both thumb flexion and forearm pronation can be restored by brachioradialis (BR)-to-flexor pollicis longus (FPL) tendon transfer if the BR is passed dorsal to the radius. Six patients [two women and four men, mean age 32.3 years (SD 4.9, range 23-56)] underwent BR-to-FPL transfer dorsal to the radius and through the interosseous membrane (IOM). Lateral key pinch strength and pronation range of motion (ROM) were measured 1 year after surgery. A group of six patients [two women and four men, mean age 31.2 years (SD 5.0, range 19-52)] who underwent traditional palmar BR-to-FPL was included for comparison. Postoperative active pronation was significantly greater in the dorsal transfer group compared to the palmar group [149 (SD 6) and 75 (SD 3), respectively] and pinch strength was similar in the two groups [1.28 (SD 0.16) kg and 1.20 (SD0.21) kg, respectively]. We conclude that it is feasible to reconstruct lateral key pinch and forearm pronation simultaneously using only the BR motor.
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- Kocur, Chris, et al.
(författare)
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Characterization of nZVI mobility in a field scale test
- 2014
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Ingår i: Environmental Science and Technology. - : American Chemical Society (ACS). - 0013-936X .- 1520-5851. ; 48:5, s. 2862-2869
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Tidskriftsartikel (refereegranskat)abstract
- Nanoscale zero valent iron (nZVI) particles were injected into a contaminated sandy subsurface area in Sarnia, Ontario. The nZVI was synthesized on site, creating a slurry of 1 g/L nanoparticles using the chemical precipitation method with sodium borohydride (NaBH4) as the reductant in the presence of 0.8% wt. sodium carboxymethylcellulose (CMC) polymer to form a stable suspension. Individual nZVI particles formed during synthesis had a transmission electron microscopy (TEM) quantified particle size of 86.0 nm and dynamic light scattering (DLS) quantified hydrodynamic diameter for the CMC and nZVI of 624.8 nm. The nZVI was delivered to the subsurface via gravity injection. Peak normalized total Fe breakthrough of 71% was observed 1m from the injection well and remained above 50% for the 24 hour injection period. Samples collected from a monitoring well 1 m from the injection contained nanoparticles with TEM-measured particle diameter of 80.2 nm and hydrodynamic diameter of 562.9 nm. No morphological changes were discernible between the injected nanoparticles and nanoparticles recovered from the monitoring well. Energy dispersive X-ray spectroscopy (EDS) was used to confirm the elemental composition of the iron nanoparticles sampled from the downstream monitoring well, verifying the successful transport of nZVI particles. This study suggests that CMC stabilized nZVI can be transported at least 1 m to the contaminated source zone at significant Fe0 concentrations for reaction with target contaminants.
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- Yamamichi, Masato, et al.
(författare)
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Rapid evolution of a consumer stoichiometric trait destabilizes consumer-producer dynamics
- 2015
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Ingår i: Oikos. - : John Wiley & Sons. - 0030-1299 .- 1600-0706. ; 124:7, s. 960-969
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Tidskriftsartikel (refereegranskat)abstract
- Recent studies have shown that adaptive evolution can be rapid enough to affect contemporary ecological dynamics in nature (i.e. 'rapid evolution'). These studies tend to focus on trait functions relating to interspecific interactions; however, the importance of rapid evolution of stoichiometric traits has been relatively overlooked. Various traits can affect the balance of elements (carbon, nitrogen, and phosphorus) of organisms, and rapid evolution of such stoichiometric traits will not only alter population and community dynamics but also influence ecosystem functions such as nutrient cycling. Multiple environmental changes may exert a selection pressure leading to adaptation of stoichiometrically important traits, such as an organism's growth rate. In this paper, we use theoretical approaches to explore the connections between rapid evolution and ecological stoichiometry at both the population and ecosystem level. First, we incorporate rapid evolution into an ecological stoichiometry model to investigate the effects of rapid evolution of a consumer's stoichiometric phosphorus: carbon ratio on consumer-producer population dynamics. We took two complementary approaches, an asexual clonal genotype model and a quantitative genetic model. Next, we extended these models to explicitly track nutrients in order to evaluate the effect of rapid evolution at the ecosystem level. Our model results indicate rapid evolution of the consumer stoichiometric trait can cause complex dynamics where rapid evolution destabilizes population dynamics and rescues the consumer population from extinction (evolutionary rescue). The model results also show that rapid evolution may influence the level of nutrients available in the environment and the flux of nutrients across trophic levels. Our study represents an important step for theoretical integration of rapid evolution and ecological stoichiometry.
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