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- Roncolato, Felicia, et al.
(författare)
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Hidden in plain sight - Survival consequences of baseline symptom burden in women with recurrent ovarian cancer
- 2024
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Ingår i: Gynecologic Oncology. - : ACADEMIC PRESS INC ELSEVIER SCIENCE. - 0090-8258 .- 1095-6859. ; 185, s. 128-137
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Tidskriftsartikel (refereegranskat)abstract
- Objective. To describe the baseline symptom burden(SB) experienced by patients(pts) with recurrent ovarian cancer(ROC) prior and associations with progression free survival (PFS) and overall survival (OS). Methods. We analysed baseline SB reported by pts. with platinum resistant/refractory ROC (PRR-ROC) or potentially-platinum sensitive ROC receiving their third or greater line of chemotherapy (PPS-ROC >= 3) enrolled in the Gynecologic Cancer InterGroup - Symptom Benefit Study (GCIG-SBS) using the Measure of Ovarian Symptoms and Treatment concerns (MOST). The severity of baseline symptoms was correlated with PFS and OS. Results. The 948 pts. reported substantial baseline SB. Almost 80% reported mild to severe pain, and 75% abdominal symptoms. Shortness of breath was reported by 60% and 90% reported fatigue. About 50% reported moderate to severe anxiety, and 35% moderate to severe depression. Most (89%) reported 1 or more symptoms as moderate or severe, 59% scored 6 or more symptoms moderate or severe, and 46% scored 9 or more symptoms as moderate or severe. Higher SB was associated with significantly shortened PFS and OS; five symptoms had OS hazard ratios larger than 2 for both moderate and severe symptom cut-offs (trouble eating, vomiting, indigestion, loss of appetite, and nausea; p < 0.001). Conclusion. Pts with ROC reported high SB prior to starting palliative chemotherapy, similar among PRR-ROC and PPS-ROC >= 3. High SB was strongly associated with early progression and death. SB should be actively managed and used to stratify patients in clinical trials. Clinical trials should measure and report symptom burden and the impact of treatment on symptom control. (c) 2024 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://
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- Yoshida, Suguru, et al.
(författare)
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Kinetic Model of gamma to alpha Phase Transformation at Grain Boundaries in B-Bearing Low Alloy Steel
- 2012
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Ingår i: Tetsu to hagane. - : Iron and Steel Institute of Japan. - 0021-1575 .- 1883-2954. ; 98:9, s. 24-32
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Tidskriftsartikel (refereegranskat)abstract
- The effect of Boron (B) on nucleation and growth of ferrite from austenite grain boundaries is examined theoretically assuming the junction of 4-austenite grain boundaries as dominant nucleation sites of ferrite. B segregates to the austenite grain boundaries and reduces the grain boundary energy and thereby retards the ferrite nucleation at the grain boundary. The retardation is expressed as a decrease of nucleation frequency due to an increase of activation energy for nucleation and the calculated value of the fraction of active nucleation sites is in satisfactory agreed with experimental results. The reduction of the austenite grain boundary energy, obtained by applying the Gibbs isotherm for adsorption to the B segregation, is of the same order of as the one which is deduced from results of calculation for decrease in the nucleation frequency based on experimental result. The growth of ferrite is calculated using DICTRA yielding both the volume fraction and the grain size of transformed ferrite as a function of time, which agreed with the experimental results. This suggests the slight influence of B on growth rate. However, the increase of the diffusion cell size due to B addition is considered to be the main reason for the subtle larger grain size of ferrite as compared with B-free steel, which is in good accordance with the experimental fact.
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