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Sökning: WFRF:(Silva Karol)

  • Resultat 1-4 av 4
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1.
  • Aad, G., et al. (författare)
  • 2012
  • swepub:Mat__t (refereegranskat)
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2.
  • Axcrona, Karol, et al. (författare)
  • Androgen deprivation therapy for volume reduction, lower urinary tract symptom relief and quality of life improvement in patients with prostate cancer: degarelix vs goserelin plus bicalutamide.
  • 2012
  • Ingår i: BJU international. - 1464-410X. ; 110:11, s. 1721-1728
  • Tidskriftsartikel (refereegranskat)abstract
    • Study Type - Therapy (RCT) Level of Evidence1b What's known on the subject? and What does the study add? Androgen deprivation therapy (ADT) is commonly used as a primary treatment for patients with prostate cancer (PCa) who are not eligible for radical treatment options. ADT is also used in patients with PCa as neo-adjuvant hormone therapy to reduce prostate volume and down-stage the disease before radiotherapy with curative intent. The present study showed that ADT with the gonadotropin hormone-releasing hormone (GhRH) antagonist degarelix is non-inferior to combined treatment with the LHRH agonist goserelin and bicalutamide in terms of reducing prostate volume during the treatment period of 3 months. Degarelix treatment evokes, however, significantly better relief of lower urinary tract symptoms in patients having moderate and severe voiding problems. OBJECTIVE: • To assess the efficacy of monthly degarelix treatment for reduction of total prostate volume (TPV), relief of lower urinary tract symptoms (LUTS) and improvement of quality of life (QoL) in patients with prostate cancer (PCa) using monthly goserelin as active control. METHODS: • This was a randomized, parallel-arm, active-controlled, open-label, multicentre trial on 182 patients treated with either monthly degarelix (240/80mg) or goserelin (3.6mg) for 12 weeks. • For flare protection, goserelin-treated patients also received daily bicalutamide (50mg) during the initial 28 days. • Key trial variables monitored monthly were TPV (primary endpoint), serum testosterone, prostate-specific antigen (PSA), the International Prostate Symptom Score (IPSS) and the Benign Prostate Hyperplasia Impact Index. RESULTS: • In all, 175 patients completed the trial (96.1%). • At week 12, changes in TPV for degarelix and goserelin were similar (-37.2% vs -39.0%) and met the predefined non-inferiority criterion. • Decreases in IPSS were greater in degarelix than in goserelin-treated patients, differences being statistically significant in patients with baseline IPSS > 13 (-6.7 ± 1.8 vs -4.0 ± 1.0; P= 0.02). • The number of patients with an IPSS change of ≥3 over baseline was also significantly higher in patients treated with degarelix (61.0 vs 44.3%, P= 0.02). • Both treatments were safe and well tolerated. CONCLUSIONS: • Medical castration reduces TPV and could also improve LUTS in patients with PCa. • While the short-term efficacy of degarelix and goserelin + bicalutamide was the same in terms of TPV reduction, degarelix showed superiority in LUTS relief in symptomatic patients, which could highlight the different actions of these drugs on extrapituitary gonadotrophin-releasing hormone (GnRH) receptors in the bladder and/or the prostate.
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3.
  • Duell, Natasha, et al. (författare)
  • A cross-sectional examination of response inhibition and working memory on the Stroop task
  • 2018
  • Ingår i: Cognitive development. - : Elsevier BV. - 0885-2014 .- 1879-226X. ; 47, s. 19-31
  • Tidskriftsartikel (refereegranskat)abstract
    • The authors examined the association between working memory and response inhibition on the Stroop task using a cross-sectional, international sample of 5099 individuals (49.3% male) ages 10–30 (M = 17.04 years; SD = 5.9). Response inhibition was measured using a Stroop task that included "equal" and "unequal" blocks, during which the relative frequency of neutral and incongruent trials was manipulated. Competing stimuli in incongruent trials evinced inhibitory functioning, and having a lower proportion of incongruent trials (as in unequal blocks) placed higher demands on working memory. Results for accuracy indicated that age and working memory were independently associated with response inhibition. Age differences in response inhibition followed a curvilinear trajectory, with performance improving into early adulthood. Response inhibition was greatest among individuals with high working memory. For response time, age uniquely predicted response inhibition in unequal blocks. In equal blocks, age differences in response inhibition varied as a function of working memory, with age differences being least pronounced among individuals with high working memory. The implications of considering the association between response inhibition and working memory in the context of development are discussed.
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4.
  • Marhold, Karol, et al. (författare)
  • IAPT chromosome data 39-Extended version
  • 2023
  • Ingår i: Taxon. - : John Wiley & Sons. - 0040-0262 .- 1996-8175. ; 72:5, s. 1189-1192
  • Tidskriftsartikel (refereegranskat)
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