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- Joensuu, Heikki, et al.
(author)
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KIT and PDGFRA Mutations and Survival of Gastrointestinal Stromal Tumor Patients Treated with Adjuvant Imatinib in a Randomized Trial
- 2023
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In: Clinical Cancer Research. - 1078-0432. ; 29:17, s. 3313-3319
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Journal article (peer-reviewed)abstract
- Purpose: Limited data are available about the influence of KIT and PDGFRA mutations on overall survival (OS) of patients with gastrointestinal stromal tumor (GIST) treated with adjuvant imatinib. Patients and Methods: The Scandinavian Sarcoma Group XVIII/AIO multicenter trial accrued 400 patients with a high risk for GIST recurrence after macroscopically complete surgery between February 4, 2004, and September 29, 2008. The patients received adjuvant imatinib 400 mg/day for either 1 year or 3 years based on random allocation. We analyzed using conventional sequencing KIT and PDGFRA mutations centrally from 341 (85%) patients who had localized, centrally confirmed GIST, and correlated the results with recurrence-free survival (RFS) and OS in exploratory analyses. Results: During a median follow-up time of 10 years, 164 RFS events and 76 deaths occurred. Most patients were re-treated with imatinib when GIST recurred. Patients with KIT exon 11 deletion or indel mutation treated with 3 years of adjuvant imatinib survived longer than patients treated for 1 year [10-year OS 86% versus 64%, respectively; HR, 0.34; 95% confidence interval (CI), 0.15-0.72; P 0.007], and also had longer RFS (10-year RFS 47% versus 29%; HR, 0.48; 95% CI, 0.31-0.74; P < 0.001). Patients with KIT exon 9 mutation had unfavorable OS regardless of the duration of adjuvant imatinib. Conclusions: Compared with 1 year of imatinib, 3 years of adjuvant imatinib led to 66% reduction in the estimated risk of death and a high 10-year OS rate in the subset of patients with a KIT exon 11 deletion/indel mutation.
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2. |
- Kuosmanen, Niina, et al.
(author)
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The role of climate, forest fires and human population size in Holocene vegetation dynamics in Fennoscandia
- 2018
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In: Journal of Vegetation Science. - : Wiley-Blackwell. - 1100-9233 .- 1654-1103. ; 29:3, s. 382-392
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Journal article (peer-reviewed)abstract
- QuestionsWe investigated the changing role of climate, forest fires and human population size in the broad-scale compositional changes in Holocene vegetation dynamics before and after the onset of farming in Sweden (at 6,000cal yr BP) and in Finland (at 4,000calyr BP). LocationSouthern and central Sweden, SW and SE Finland. MethodsHolocene regional plant abundances were reconstructed using the REVEALS model on selected fossil pollen records from lakes. The relative importance of climate, fires and human population size on changes in vegetation composition was assessed using variation partitioning. Past climate variable was derived from the LOVECLIM climate model. Fire variable was reconstructed from sedimentary charcoal records. Estimated trend in human population size was based on the temporal distribution of archaeological radiocarbon dates. ResultsClimate explains the highest proportion of variation in vegetation composition during the whole study period in Sweden (10,000-4,000cal yr BP) and in Finland (10,000-1,000cal yr BP), and during the pre-agricultural period. In general, fires explain a relatively low proportion of variation. Human population size has significant effect on vegetation dynamics after the onset of farming and explains the highest variation in vegetation in S Sweden and SW Finland. ConclusionsMesolithic hunter-gatherer populations did not significantly affect vegetation composition in Fennoscandia, and climate was the main driver of changes at that time. Agricultural communities, however, had greater effect on vegetation dynamics, and the role of human population size became a more important factor during the late Holocene. Our results demonstrate that climate can be considered the main driver of long-term vegetation dynamics in Fennoscandia. However, in some regions the influence of human population size on Holocene vegetation changes exceeded that of climate and has a longevity dating to the early Neolithic.
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3. |
- Otterbeck, Jonas, et al.
(author)
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Maskuliinisuus ja islamilainen popmusiikki
- 2015
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In: Kohtaamisi a: Kirjoituksia uskonnosta, arjesta ja monikulttuurisuudesta. - 9789515108753 ; , s. 180-189
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Book chapter (peer-reviewed)
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4. |
- Parkkinen, Jyrki, et al.
(author)
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Quantitation of autoradiographic grains in different zones of articular cartilage with image analyzer.
- 1990
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In: Histochemistry. - : Springer. - 0301-5564. ; 93:3, s. 241-245
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Journal article (peer-reviewed)abstract
- A novel method is introduced for the estimation of grain numbers in autoradiographic sections of articular cartilage with an image analyzer. It is based on separation of grains from the underlying structures by gray level thresholding and determination of the percentage of total area occupied by grains in a relatively large measuring field. The mean grain size is used as a reference to calculate grain numbers per cell profile and per unit area of tissue in various zones of bovine articular cartilage labelled with 35S-sulphate in tissue culture. The results demonstrate considerable zonal differences as well as site related topographic variation in the rate of 35S-sulphate incorporation. The largest site-related variation in the grain counts was observed in the superficial zone, suggesting a delicate control of proteoglycan synthesis in this zone.
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