Assuntos
Neoplasias Pulmonares , Mesotelioma , Exposição Ocupacional , Estudos de Coortes , Humanos , TalcoRESUMO
Dr. Garabrant presented a paper concerning a comparison of asbestos fiber potency and elongate mineral particle (EMP) potency for mesothelioma in humans at the Elongate Mineral Particles Conference in Charlottesville, Virginia in 2017. I was a participant at the Conference. Following Dr. Garabrant's talk, I rose in question period to point out that he had not considered information about the occurrence of mesothelioma in several cohorts that was published after the studies that he cited. These additional data were still not addressed in the paper published in your Journal. I believe that your readers would be interested in these, so this letter is written to draw the additional data to their attention.
Assuntos
Poluentes Ocupacionais do Ar/efeitos adversos , Amianto/efeitos adversos , Mesotelioma/induzido quimicamente , Exposição Ocupacional/efeitos adversos , Animais , Mesotelioma/diagnóstico , Mesotelioma/epidemiologia , Fibras Minerais/efeitos adversos , Medição de Risco , Fatores de RiscoAssuntos
Amianto , Mesotelioma , Humanos , Incidência , Neoplasias Pulmonares , Exposição Ocupacional , Neoplasias Pleurais , Estados UnidosRESUMO
Allogeneic hematopoietic cell transplantation (alloHCT) with myeloablative conditioning based on total body irradiation (TBI) is widely used for the treatment of adults with acute lymphoblastic leukemia (ALL). TBI is most frequently administered in combination with either cyclophosphamide (Cy/TBI) or etoposide (Vp/TBI). The goal of this study was to retrospectively compare these two regimens. Adult patients with Ph-negative ALL treated with alloHCT in first or second complete remission who received Cy/TBI (n = 1346) or Vp/TBI (n = 152) conditioning were included in the analysis. In a univariate analysis, as compared to Cy/TBI, the use of Vp/TBI was associated with reduced incidence of relapse (17% vs. 30% at 5 years, P = .007), increased rate of leukemia-free survival (60% vs. 50%, P = .04), and improved "graft versus host disease (GVHD) and relapse-free survival" (GRFS, 43% vs. 33%, P = .04). No significant effect could be observed in terms of the incidence of nonrelapse mortality or acute or chronic GVHD. In a multivariate model, the use of Vp/TBI was associated with reduced risk of relapse (HR = 0.62, P = .04) while the effect on other study end-points was not significant. In conclusion, conditioning regimen based on Vp combined with TBI appears more effective for disease control than the combination of Cy with TBI for adult patients with Ph-negative ALL treated with alloHCT.
Assuntos
Ciclofosfamida/uso terapêutico , Etoposídeo/uso terapêutico , Transplante de Células-Tronco Hematopoéticas/métodos , Leucemia-Linfoma Linfoblástico de Células Precursoras/terapia , Condicionamento Pré-Transplante/métodos , Irradiação Corporal Total/métodos , Adulto , Feminino , Doença Enxerto-Hospedeiro/etiologia , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva , Estudos Retrospectivos , Transplante HomólogoAssuntos
Neoplasias Pleurais , Talco , Humanos , Neoplasias Pulmonares , Mesotelioma , Fatores de RiscoRESUMO
The film formation of an acrylate latex with a glass-transition temperature of 38 °C has been achieved through the use of near-infrared (NIR) radiative heating. A hard, crack-free coating was obtained without the addition of plasticizers. Sintering of acrylate particles was confirmed through measurements using atomic force microscopy. The addition of an NIR-absorbing polymer increased the rate of particle deformation such that it was significantly greater than obtained in a convection oven at 60 °C. The results are consistent with a lower polymer viscosity under infrared radiation, according to a simple analysis using a standard model of sintering.