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- Juliusson, Gunnar, et al.
(författare)
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Attitude towards remission induction for elderly patients with acute myeloid leukemia influences survival.
- 2006
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Ingår i: Leukemia. - : Springer Science and Business Media LLC. - 1476-5551 .- 0887-6924. ; 20:1, s. 42-47
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Tidskriftsartikel (refereegranskat)abstract
- Combination chemotherapy may induce remission from acute myeloid leukemia (AML), but validated criteria for treatment of elderly are lacking. The remission intention ( RI) rate for elderly patients, as reported to the Swedish Leukemia Registry, was known to be different when comparing the six health care regions, but the consequences of different management are unknown. The Leukemia Registry, containing 1672 AML patients diagnosed between 1997 and 2001, with 98% coverage and a median follow-up of 4 years, was completed with data from the compulsory cancer and population registries. Among 506 treated and untreated patients aged 70-79 years with AML (non-APL), there was a direct correlation between the RI rate in each health region ( range 36-76%) and the two-year overall survival, with no censored observations (6-21%) ( v 2 for trend = 11.3, P < 0.001; r(2) = 0.86, P < 0.02, nonparametric). A 1-month landmark analysis showed significantly better survival in regions with higher RI rates ( P = 0.003). Differences could not be explained by demographics, and was found in both de novo and secondary leukemias. The 5-year survival of the overall population aged 70-79 years was similar between the regions. Survival of 70-79-year-old AML patients is better in regions where more elderly patients are judged eligible for remission induction.
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- Billstrom, K., et al.
(författare)
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Geochronological, stable isotopes and fluid inclusion constraints for a premetamorphic development of the intrusive-hosted Bjorkdal Au deposit, northern Sweden
- 2009
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Ingår i: International journal of earth sciences. - : Springer Science and Business Media LLC. - 1437-3254 .- 1437-3262. ; 98:5, s. 1027-1052
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Tidskriftsartikel (refereegranskat)abstract
- The Bjorkdal gold deposit, bound to a quartz vein system which is mainly hosted by a quartz-monzodioritic intrusion, is situated at the easternmost part of the 1.9 Ga Skellefte base metal district in the Fennoscandian shield. Three fluid stages may be distinguished, referred to as a ""barren"" stage, a main gold stage, and a remobilization stage, respectively. From oxygen and hydrogen isotope evidence, it is argued that fluids of different origins (magmatic and surface waters) penetrated the ore zone at the inferred stages, but regional metamorphic fluids appear essentially only to have redistributed elements. Early quartz veining took place during a pre-metamorphic stage at ca. 1.88 Ga, as evidenced by unradiogenic galena data and an Sm-Nd scheelite errorchron of 1,915 +/- A 32 Ma (MSWD = 0.25). Temporarily, the main ore-forming stage was closely related to the first barren stage and took place during a major uplift event close to 1.88 Ga. Although other source rocks cannot be totally ruled out, available isotope data (O, S, Sr and Pb) are seemingly consistent with the view that these elements, and by inference other ore elements, were derived from the host intrusion.
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