| 1. |
- Hill, Brian T., et al.
(author)
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Assessment of Impact of HLA Type on Outcomes of Allogeneic Hematopoietic Stem Cell Transplantation for Chronic Lymphocytic Leukemia
- 2018
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In: Biology of blood and marrow transplantation. - : Elsevier BV. - 1083-8791 .- 1523-6536. ; 24:3, s. 581-586
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Journal article (peer-reviewed)abstract
- Chronic lymphocytic leukemia (CLL) is a common hematologic malignancy with many highly effective therapies. Chemorefractory disease, often characterized by deletion of chromosome 17p, has historically been associated with very poor outcomes, leading to the application of allogeneic hematopoietic stem cell transplantation (allo-HCT) for medically fit patients. Although the use of allo-HCT has declined since the introduction of novel targeted therapy for the treatment of CLL, there remains significant interest in understanding factors that may influence the efficacy of allo-HCT, the only known curative treatment for CLL. The potential benefit of transplantation is most likely due to the presence of alloreactive donor T cells that mediate the graft-versus-leukemia (GVL) effect. The recognition of potentially tumor-specific antigens in the context of class I and II major histocompatibility complex on malignant B lymphocytes by donor T cells may be influenced by subtle differences in the highly polymorphic HLA locus. Given previous reports of specific HLA alleles impacting the incidence of CLL and the clinical outcomes of allo-HCT for CLL, we sought to study the overall survival and progression-free survival of a large cohort of patients with CLL who underwent allo-HCT from fully HLA-matched related and unrelated donors at Center for International Blood and Marrow Transplant Research transplantation centers. We found no statistically significant association of allo-HCT outcomes in CLL based on previously reported HLA combinations. Additional study is needed to further define the immunologic features that portend a more favorable GVL effect after allo-HCT for CLL.
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| 2. |
- Kapoor, Medha, et al.
(author)
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Decision theoretic approach for identification of optimal proof load with sparse resistance information
- 2021
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In: Bridge Maintenance, Safety, Management, Life-Cycle Sustainability and Innovations. - : CRC Press. - 9780429279119
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Conference paper (peer-reviewed)abstract
- Proof load testing may be performed to confirm the reliability of the bridge for an existing classification or to prove the reliability for a higher classification.In this paper, a probabilistic decision analysisapproach is applied to the scenario for the evaluation of target proof load in the situation where information on the bridge resistance model is lacking. In this case, the resistance model is established by proof loading and taking very basic prior knowledge into account. The decision scenario is modelled in the context of the proof load test planner who shall choose the required load level for assessment of a bridge. The choice of the load level depends on the risks due to the testing and the expected benefit gain from the test. Information acquired about the loading response from monitoring during the proof load testing is modelled by taking basis in the model uncertainty formulation. The optimal proof load level for classification of a single lane, simply supported bridge of 8m span subjected to live load from very heavy (gross weight > 80 tons) transport vehicles was calculated. The optimal proof load level was identified as leading to a positive expected benefit gain to the decision maker while also satisfying target reliability criteria for remaining service life. The analysis was performed for the evaluation of bridge performance with respect to five classifications of very heavy transport vehicles with different vehicle weights and configurations.
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