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- Jerlström, Tomas, 1969-, et al.
(författare)
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No increased risk of short-term complications after radical cystectomy for muscle-invasive bladder cancer among patients treated with preoperative chemotherapy : a nation-wide register-based study
- 2020
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Ingår i: World journal of urology. - : Springer. - 0724-4983 .- 1433-8726. ; 38:2, s. 381-388
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: Preoperative chemotherapy is underused in conjunction with radical cystectomy (RC) for muscle-invasive bladder cancer (MIBC) due to concerns for complications and delay of surgery. Prospective data on short-term complications from population-based settings with frequent use of preoperative chemotherapy and standardised reporting of complications is lacking.METHODS: We identified 1,340 patients who underwent RC between 2011 and 2015 in Sweden due to MIBC according to the Swedish Cystectomy Register. These individuals were followed through linkages to several national registers. Propensity score adjusted logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for complications and death within 90 days of surgery, comparing patients receiving preoperative chemotherapy or not.RESULTS: Minimum two cycles of preoperative chemotherapy were given to 519 (39%) of the patients, who on average tended to be younger, have higher education, better physical status, and more advanced bladder cancer than patients not receiving chemotherapy. After adjusting for these and other parameters, there was no association between treatment with preoperative chemotherapy and short-term complications (OR 1.06 95% CI 0.82-1.39) or mortality (OR 0.75 95% CI 0.36-1.55). We observed a risk reduction for gastrointestinal complications among patients who received preoperative chemotherapy compared with those who did not (OR 0.49 95% CI 0.30-0.81).CONCLUSION: This nation-wide population-based observational study does not suggest that preoperative chemotherapy, in a setting with high utilisation of such treatment, is associated with an increased risk of short-term complications in MIBC patients treated with radical cystectomy.
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| 2. |
- Yang, Danni, et al.
(författare)
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Drip irrigation improves spring wheat water productivity by reducing leaf area while increasing yield
- 2023
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Ingår i: European Journal of Agronomy. - : Elsevier BV. - 1161-0301. ; 143
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Tidskriftsartikel (refereegranskat)abstract
- To mitigate the climate change-induced water shortage and realize the sustainable development of agriculture, drip irrigation, a more efficient water-saving irrigation method, has been intensively implemented in most arid agricultural regions in the world. However, compared to traditional border irrigation, how drip irrigation affects the biophysical conditions in the cropland and how crops physiologically respond to changes in biophysical conditions in terms of water, heat and carbon exchange remain largely unknown. In view of the above situation, to reveal the mechanism of drip irrigation in improving spring wheat water productivity, paired field experiments based on drip irrigation and border irrigation were conducted to extensively monitor water and heat fluxes at a typical spring wheat field (Triticum aestivum L.) in Northwest China during 2017–2020. The results showed that drip irrigation improved yield by 10.3 % and crop water productivity (i.e., yield-to-evapotranspiration-ratio) by 15.6 %, but reduced LAI by 16.9 % in contrast with border irrigation. Under drip irrigation, the lateral development of spring wheat roots was promoted by higher soil temperature combined with frequent dry-wet alternation in the shallow soil layer (0–20 cm), which was the basis for efficient absorption of water and fertilizer, as well as efficient formation of photosynthate. Meanwhile, drip irrigation increased net radiation and decreased latent heat flux by inhibiting leaf growth, thereby increased sensible heat, causing a higher soil temperature (+1.10 ℃) and canopy temperature (+1.11 ℃). Further analysis proved that soil temperature was the key factor affecting yield formation. Based on the above conditions, the decrease in leaf distribution coefficient (−0.030) led to the decrease in evapotranspiration (−5.7 %) and the increase in ear distribution coefficient (+0.029). Therefore, drip irrigation emphasized the role of soil moisture in the soil-plant-atmosphere continuum, enhanced crop activity by increasing field temperature, especially soil temperature, and finally improved yield and water productivity via carbon reallocation. The study revealed the mechanism of drip irrigation for improving spring wheat yield, and would contribute to improving Earth system models in representing agricultural cropland ecosystems with drip irrigation and predicting the subsequent biophysical and biogeochemical feedbacks to climate change.
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