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1.
Ann Oncol ; 30(10): 1613-1621, 2019 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-31504118

RESUMEN

BACKGROUND: Chemotherapy-induced damage of hematopoietic stem and progenitor cells (HSPC) causes multi-lineage myelosuppression. Trilaciclib is an intravenous CDK4/6 inhibitor in development to proactively preserve HSPC and immune system function during chemotherapy (myelopreservation). Preclinically, trilaciclib transiently maintains HSPC in G1 arrest and protects them from chemotherapy damage, leading to faster hematopoietic recovery and enhanced antitumor immunity. PATIENTS AND METHODS: This was a phase Ib (open-label, dose-finding) and phase II (randomized, double-blind placebo-controlled) study of the safety, efficacy and PK of trilaciclib in combination with etoposide/carboplatin (E/P) therapy for treatment-naive extensive-stage small-cell lung cancer patients. Patients received trilaciclib or placebo before E/P on days 1-3 of each cycle. Select end points were prespecified to assess the effect of trilaciclib on myelosuppression and antitumor efficacy. RESULTS: A total of 122 patients were enrolled, with 19 patients in part 1 and 75 patients in part 2 receiving study drug. Improvements were seen with trilaciclib in neutrophil, RBC (red blood cell) and lymphocyte measures. Safety on trilaciclib+E/P was improved with fewer ≥G3 adverse events (AEs) in trilaciclib (50%) versus placebo (83.8%), primarily due to less hematological toxicity. No trilaciclib-related ≥G3 AEs occurred. Antitumor efficacy assessment for trilaciclib versus placebo, respectively, showed: ORR (66.7% versus 56.8%, P = 0.3831); median PFS [6.2 versus 5.0 m; hazard ratio (HR) 0.71; P = 0.1695]; and OS (10.9 versus 10.6 m; HR 0.87; P = 0.6107). CONCLUSION: Trilaciclib demonstrated an improvement in the patient's tolerability of chemotherapy as shown by myelopreservation across multiple hematopoietic lineages resulting in fewer supportive care interventions and dose reductions, improved safety profile, and no detriment to antitumor efficacy. These data demonstrate strong proof-of-concept for trilaciclib's myelopreservation benefits. CLINICAL TRAIL NUMBER: NCT02499770.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Neoplasias Encefálicas/tratamiento farmacológico , Quinasa 4 Dependiente de la Ciclina/antagonistas & inhibidores , Quinasa 6 Dependiente de la Ciclina/antagonistas & inhibidores , Neoplasias Pulmonares/tratamiento farmacológico , Células Mieloides/efectos de los fármacos , Carcinoma Pulmonar de Células Pequeñas/tratamiento farmacológico , Adulto , Anciano , Anciano de 80 o más Años , Protocolos de Quimioterapia Combinada Antineoplásica/farmacocinética , Neoplasias Encefálicas/enzimología , Neoplasias Encefálicas/secundario , Carboplatino/administración & dosificación , Cisplatino/administración & dosificación , Método Doble Ciego , Etopósido/administración & dosificación , Femenino , Estudios de Seguimiento , Humanos , Neoplasias Pulmonares/enzimología , Neoplasias Pulmonares/patología , Masculino , Dosis Máxima Tolerada , Persona de Mediana Edad , Paclitaxel/administración & dosificación , Pronóstico , Pirimidinas/administración & dosificación , Pirroles/administración & dosificación , Carcinoma Pulmonar de Células Pequeñas/enzimología , Carcinoma Pulmonar de Células Pequeñas/patología , Tasa de Supervivencia , Distribución Tisular
2.
J Fluoresc ; 27(3): 1129-1140, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-28233248

RESUMEN

Diarylidenecyclopentanone compound namely, 2,5-bis[4-choloroacetyl-(thiophen-2-ylmethylene)]cyclopentanone (BCTCP) was firstly synthesized using the normal condition of Friedel-Crafts method by reacting 2,5-bis(thiophen-2-ylmethylene)cyclopentanone (BTCP) with chloroacetyl chloride in the presence of aluminum chloride anhydrous. The structure of this compound was confirmed by elemental and spectral analyses including FT-IR, 1H-NMR, 13C-NMR and mass spectrometry. The electronic absorption and emission properties of BCTCP were studied in different solvents. BCTCP displays a slight solvatochromic effect of the absorption and emission spectrum, indicating a small change in dipole moment of BCTCP upon excitation. BCTCP displayed photodecomposition in chlorinated solvents upon irradiating with 365 nm light. Ground and excited states electronic geometric optimizations were performed using density functional theory (DFT) and time-dependent density functional theory (TD-DFT), respectively. A DFT natural bond orbital (NBO) analysis complemented the intramolecular charge transfer (ICT). The simulated maximum absorption and emission wavelengths are in line the observed ones in trend, and were proportionally red-shifted with the increase of the solvent polarity. The stability, hardness and electrophilicity of BCTCP in different solvents were correlated with the polarity of the elected solvents.

3.
ScientificWorldJournal ; 2014: 821623, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25121139

RESUMEN

We introduce a new nonparametric outlier detection method for linear series, which requires no missing or removed data imputation. For an arithmetic progression (a series without outliers) with n elements, the ratio (R) of the sum of the minimum and the maximum elements and the sum of all elements is always 2/n : (0,1]. R ≠ 2/n always implies the existence of outliers. Usually, R < 2/n implies that the minimum is an outlier, and R > 2/n implies that the maximum is an outlier. Based upon this, we derived a new method for identifying significant and nonsignificant outliers, separately. Two different techniques were used to manage missing data and removed outliers: (1) recalculate the terms after (or before) the removed or missing element while maintaining the initial angle in relation to a certain point or (2) transform data into a constant value, which is not affected by missing or removed elements. With a reference element, which was not an outlier, the method detected all outliers from data sets with 6 to 1000 elements containing 50% outliers which deviated by a factor of ±1.0e - 2 to ±1.0e + 2 from the correct value.


Asunto(s)
Interpretación Estadística de Datos , Modelos Lineales , Conceptos Matemáticos , Análisis Numérico Asistido por Computador
4.
Heliyon ; 10(1): e23722, 2024 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-38205290

RESUMEN

Titanium oxide nanopowder (TiO2 NPs) was synthesized via anodization in 0.7 M perchloric acid then annealed in nitrogen at 450 °C for 3 h to prepared the Titanium Oxide Nitrogen annealed nanoparticles (TiO2 NPs-N2) powder as catalytic support. Using a photodeposition process, gold was added with isopropanol as a sacrificial donor and H[AuCl4] acid, producing gold nanoparticles on nitrogen-annealed titanium oxide nanoparticles (Au-NPs on TiO2-NPs-N2). The mass loading of Au NPs was 2.86 × 10-4 (g/cm2). TEM images of Au NPs on TiO2-NPs-N2 suggest circular particles with a tendency to agglomerate. Cyclic voltammetry (CV) was used to investigate the electrocatalytic performance of the Au NPs/TiO2-NPs-N2 catalysts in ferrocyanide, KOH, and H2SO4, and the results were compared to those of a polycrystalline Au electrode that is readily accessible in the market. In KOH, H2SO4, and (2 M KOH + 0.1 M glycerol) solutions, the Au NPs/TiO2-NPs-N2 electrode displayed a startlingly high electrocatalytic performance. Using CV, the electrocatalytic oxygen reduction reaction (ORR) of Au NPs/TiO2-NPs-N2 and Au-NPs against glycerol oxidation in basic media was studied. The results indicated that Au NPs/TiO2-NPs-N2 is a promising support material for improving the electrocatalytic activity for acidic and basic oxidation. The electrode made of Au NPs/TiO2-NTs-N2 has steady electrocatalytic activity and may be reused repeatedly. TiO2 NPs and Au NPs/TiO2NPs-N2 showed satisfactory antibacterial activity against some human pathogenic bacteria using the disc diffusion method.

5.
Med Confl Surviv ; 29(1): 45-56, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23729097

RESUMEN

There is an absence of education regarding psychosocial issues in Iraqi paediatric training programmes. The aim of this study is to examine current knowledge and perspectives around these topics and to explore potential development in these programmes. 56 paediatric trainers and students at the Child Central Teaching Hospital, a hospital affiliated to the Al-Mustansyria medical college in Baghdad, responded to a questionnaire to evaluate knowledge and perspectives regarding psychosocial approaches to child and adolescent health as delivered presently via academic training and used in professional practice. The majority of the respondents reported having no training in psychosocial interventions. Using a scale from 0 ('not relevant') to 10 ('very important'), psychosocial issues were rated 7.1 in their relevance to everyday paediatric practice. On a scale of 0 ('very poor') to 10 ('totally adequate'), respondents rated formal current psychosocial training at 2.5. It is concluded that incorporating psychosocial approaches in paediatric training will lead to a broader base of knowledge in children's health and contribute to the promotion of multidisciplinary practice in Iraq.


Asunto(s)
Actitud del Personal de Salud , Conocimientos, Actitudes y Práctica en Salud , Pediatría/educación , Psicología/educación , Adulto , Docentes Médicos , Femenino , Humanos , Internado y Residencia , Irak , Masculino , Persona de Mediana Edad , Estudiantes de Medicina , Adulto Joven
6.
Animal ; 17(11): 100985, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37820405

RESUMEN

Effects of amino acid supplementation to ideal protein (IP) formulated rations were investigated on growth performance, plasma metabolites and organ weights of broilers placed on 100% recycled (reused) litter. Day-old Ross308 male broilers were raised on either clean or reused litter and fed for three weeks on one of five isoenergetic diets, where an IP-based control diet (C) was compared with diets containing threonine (T) or arginine (A) at 25% above requirements, or with 1% supplemented glutamine (G), or with each amino acid added (TAG). Litter and diet treatments did not strongly interact on outcomes. Reused litter placement resulted in greater weight gain, smaller feed conversion ratio and heavier bursal weights (P < 0.05) compared to clean litter placement. Relative to C and T birds, TAG birds reduced weight gain and feed intake (P < 0.05). Plasma uric acid levels in G birds were greater than in C, T and A birds (P < 0.001). Collectively, since the outcomes of placement on reused litter increased performance and the control diet was IP formulated, the absence of increased growth performance in response to amino acid supplementation would be consistent with amino acids tested being excess to requirements.


Asunto(s)
Alimentación Animal , Pollos , Animales , Masculino , Pollos/fisiología , Alimentación Animal/análisis , Dieta/veterinaria , Suplementos Dietéticos , Aminoácidos/metabolismo , Proteínas , Fenómenos Fisiológicos Nutricionales de los Animales , Aumento de Peso
7.
J Mech Behav Biomed Mater ; 142: 105851, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-37068434

RESUMEN

Titanium alloys have gained popularity as a bioimplant material due to their biocompatibility, low modulus of elasticity, and increased strength. However, other issues, such as corrosion resistance, and infections can reduce the implant's lifespan. This paper aims to fabricate a new Ti-30Nb-3Ag at% alloy with enhanced in vitro corrosion and antibacterial properties by mechanical alloying (MA) followed by powder consolidation. XRD, SEM/EDX, and Vickers microhardness analyses were used to examine the phases compositions, microstructure, and microhardness, respectively. The in vitro corrosion performance of Ti-30Nb-3Ag alloy was inspected in a simulated body medium and artificial saliva. The alloy's antibacterial properties were evaluated in the gram-positive and negative bacterial medium. The results showed that after MA for 60 h, nanocrystalline ß-Ti (BCC) and α-Ti (HCP) solid solutions were formed with crystallite sizes of 7.44 and 3.47 nm, respectively. The sintered sample exhibited densifications of 97%, with a microstructure composed of ß-Ti, α-Ti, and a minor quantity of ultrafine Ti2Ag phase. The microhardness result showed that Ti-30Nb-3Ag alloy possesses HV 491.5. Ti-30Nb-3Ag alloy has a potent antibacterial capability of 85.75% and 88.81% relative to Ti-6Al-4V alloy and CP-Ti, respectively. In vitro corrosion results revealed that the Ti-30Nb-3Ag alloy exhibited the widespread passive area in the investigated anodic regions and presented the highest impedance values in comparison with the commercial alloys, confirming its improved corrosion resistance performance in both studied mediums. Ti-30Nb-3Ag alloy possibly be a competitive bioimplant material for orthopedic and dental uses owing to its enhanced biocorrosion and antibacterial properties compared to commercial Ti-6Al-4V alloy and CP-Ti.


Asunto(s)
Aleaciones , Titanio , Titanio/farmacología , Titanio/química , Corrosión , Aleaciones/farmacología , Aleaciones/química , Antibacterianos/farmacología , Antibacterianos/química , Propiedades de Superficie , Ensayo de Materiales
8.
Commun Agric Appl Biol Sci ; 76(3): 297-305, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-22696941

RESUMEN

Sugar beet, Beta vulgaris L. is a strategic crop of sugar industry in Egypt. It is threatened by several insect pests among most important of them is the beet fly Pegomyia mixta. This work deals with the biological control of this insect using four entomopathogenic nematodes (EPNs). The nematodes included Steinernema carpocapsae S2, Steinernema feltiae, Heterorhabditis bacteriophora (HB1-3) and Heterorhabditis bacteriophora S1. Daily mortality of larvae and pupae of P. mixta were recorded after treatment with serial concentrations (500, 1000, 2000 and 4000 infective juveniles (IJs)/ml) of each of four studied EPNs. In the laboratory all tested nematodes killed the larvae inside their mines in the sugar beet leaves and developed in their bodies in different extends. They also killed the insect pupae in the soil and developed in their bodies. Young larvae were more susceptible than old ones. New pupae were more susceptible than old ones. In the field a single spray of S. feltiae or H. bacteriophora caused 81.3 or 75.9% reduction in the larval population of the in sugar beet leaves.


Asunto(s)
Beta vulgaris/parasitología , Dípteros/parasitología , Control Biológico de Vectores/métodos , Enfermedades de las Plantas/parasitología , Rabdítidos/fisiología , Animales , Dípteros/crecimiento & desarrollo , Dípteros/fisiología , Larva/crecimiento & desarrollo , Larva/parasitología , Enfermedades de las Plantas/prevención & control
9.
Membranes (Basel) ; 11(10)2021 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-34677557

RESUMEN

In this work, the quasi-solid-state polymer electrolyte containing poly(vinyl alcohol)-polypyrrole as a polymer host, potassium iodide (KI), iodine (I2), and different plasticizers (EC, PC, GBL, and DBP) was successfully prepared via the solution casting technique. Fourier transform infrared spectroscopy (FTIR) was used to analyze the interaction between the polymer and the plasticizer. X-ray diffraction confirmed the reduction of crystallinity in the polymer electrolyte by plasticizer doping. The ethylene carbonate-based polymer electrolyte showed maximum electrical conductivity of 0.496 S cm-1. The lowest activation energy of 0.863 kJ mol-1 was obtained for the EC-doped polymer electrolyte. The lowest charge transfer resistance Rct1 was due to a faster charge transfer at the counter electrode/electrolyte interface. The polymer electrolyte containing the EC plasticizer exhibited an average roughness of 23.918 nm. A photo-conversion efficiency of 4.19% was recorded in the DSSC with the EC-doped polymer electrolyte under the illumination of 100 mWcm-2.

10.
Carbohydr Polym ; 242: 116285, 2020 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-32564833

RESUMEN

Being a natural and renewable polysaccharide, pectin (PC) is considered a polymer with promising potential for many applications. In the present investigation, novel multifunctional pectin/polypyrrole (PC/PPy) composite coatings loaded with gentamicin (GM) were electrochemically deposited on TiNbZr alloy to enhance its biocompatibility, antibacterial performance and corrosion resistance in physiological environment. Various surface and structural characterization techniques were deployed to examine the composite coatings. in vitro corrosion analysis confirmed that the composite coated TiNbZr specimen exhibited higher corrosion resistant performance in simulated body fluid (SBF). The drug release kinetics was estimated and the results corroborated the sustained release of GM from the controlled degradation of the composite matrix. The pectin composite coatings exhibited effective antibacterial performance; due to the sustained release of GM. In-vitro cell culture studies validated the improved biocompatibility of the composite coatings. Among the developed coatings, composite coatings loaded with 10 wt. % of GM exhibited the lowest corrosion rate, enhanced biocompatibility, and antibacterial performance.


Asunto(s)
Aleaciones/química , Antibacterianos/farmacología , Materiales Biocompatibles Revestidos/farmacología , Gentamicinas/farmacología , Pectinas/química , Polímeros/química , Pirroles/química , Antibacterianos/química , Materiales Biocompatibles Revestidos/química , Escherichia coli/efectos de los fármacos , Gentamicinas/química , Ensayo de Materiales , Pruebas de Sensibilidad Microbiana , Niobio/química , Ortopedia , Tamaño de la Partícula , Staphylococcus aureus/efectos de los fármacos , Propiedades de Superficie , Titanio/química , Circonio/química
11.
Mater Sci Eng C Mater Biol Appl ; 98: 482-495, 2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-30813050

RESUMEN

The fabrication of bioactive polymer nanocomposite coatings with enhanced biocompatibility and surface protection has been a topic of abundant concern in orthopaedic implant applications. Herein, we electrochemically prepared a novel poly (3,4-ethylenedioxythiophene) (PEDOT) based nanocomposite coatings with different contents of fluoro hydroxyapatite (FHA) nanoparticles on a newly developed Ti-Nb-Zr (TNZ) alloy; an appropriate approach to advance the surface features of TNZ implants. FTIR, XRD, and Raman analyses of the coating confirm the successful preparation of PEDOT/FHA nanocomposite, and XPS validate the chemical interaction between FHA and PEDOT matrix. SEM and TEM examination show the uniform distribution of spherical FHA nanoparticles inside the PEDOT matrix. Hardness and contact angle measurement results showed improving in the hardness and surface wettability of the coated samples respectively. Electrochemical corrosion tests specified that the PEDOT/FHA coatings exhibit higher corrosion protection than the pure PEDOT coatings. The fabricated nanocomposite coating supports the cell adsorption and proliferation of MG-63 cells. Moreover, antibacterial studies against Gram positive and negative bacteria reveal the enhanced antibacterial performance of the coated TNZ substrates. Our results show the potential applications of PEDOT/FHA nanocomposite as a most viable coating for the orthopaedic implants.


Asunto(s)
Aleaciones/farmacología , Infecciones Bacterianas/patología , Compuestos Bicíclicos Heterocíclicos con Puentes/farmacología , Materiales Biocompatibles Revestidos/farmacología , Nanocompuestos/química , Niobio/farmacología , Polímeros/farmacología , Prótesis e Implantes , Antibacterianos/farmacología , Línea Celular Tumoral , Corrosión , Espectroscopía Dieléctrica , Durapatita/química , Durapatita/farmacología , Técnicas Electroquímicas , Dureza , Humanos , Pruebas de Sensibilidad Microbiana , Nanocompuestos/ultraestructura , Espectroscopía de Fotoelectrones , Espectrometría Raman , Humectabilidad , Difracción de Rayos X
12.
J Biomech ; 41(16): 3455-61, 2008 Dec 05.
Artículo en Inglés | MEDLINE | ID: mdl-19019373

RESUMEN

Owing to the growing demand of cartilage tissue repair and transplants, engineered cartilage cells have emerged as a prospective solution. Several bioreactors were built for artificially grown cartilage cells. In this work, a recently designed flow bed bioreactor is numerically investigated and compared with experimental results. The flow field inside the bioreactor was modelled using the lattice Boltzmann method. The flow consists of two phases which are the liquid component (nutrition supply) and gas component (oxygen supply). The flow field is simulated using the multi-phase lattice Boltzmann method, whilst the cell activity is modelled using Michaelis-Menten kinetics. The oxygen diffusion level at the exit of the nutrition phase is used as an evaluation process between the numerical and experimental results reporting the possibility of using the proposed model to fully simulate such bioreactors, though greatly saving time and money. Shear stress and pressure distributions are as well compared with published human cartilage load measurements to estimate the dynamic similarity between the bioreactor and the human knee. The predicted oxygen levels proved consistent trends with the experimental work with a 7% difference after 1h measuring time. The shear stress levels recorded 10-11 orders of magnitude lower than in humans and also one order of magnitude lower in the pressure distribution.


Asunto(s)
Reactores Biológicos , Cartílago/citología , Cartílago/crecimiento & desarrollo , Condrocitos/citología , Condrocitos/fisiología , Modelos Biológicos , Ingeniería de Tejidos/instrumentación , Animales , Técnicas de Cultivo de Célula/instrumentación , Células Cultivadas , Simulación por Computador , Diseño Asistido por Computadora , Diseño de Equipo , Análisis de Falla de Equipo , Humanos , Microfluídica/instrumentación , Microfluídica/métodos
13.
Chem Commun (Camb) ; 54(92): 12970-12973, 2018 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-30383065

RESUMEN

The retro-Claisen reaction is frequently used in organic synthesis to access ester derivatives from 1,3-dicarbonyl precursors. The C-C bond cleavage in this reaction is usually promoted by a number of transition-metal Lewis acid catalysts or organic Brønsted acids/bases. Herein we report a new convenient and efficient method utilizing the tropylium ion as a mild and environmentally friendly organocatalyst to mediate retro-Claisen-type reactions. Using this method, a range of synthetically valuable substances can be accessed via solvolysis of 1,3-dicarbonyl compounds.

14.
RSC Adv ; 8(34): 19181-19195, 2018 May 22.
Artículo en Inglés | MEDLINE | ID: mdl-35539678

RESUMEN

Surface treatment of metallic materials prior to the application of polymer coatings plays an important role in providing improved surface features and enhanced corrosion protection. In the current investigation, we aimed to evaluate the effect of surface treatment of newly developed TiNbZr (TNZ) alloys on the surface characteristics, including the surface topography, morphology, hydrophobicity and adhesion strength of subsequent poly(3,4-ethylenedioxythiophene) (PEDOT) coatings. The surface morphology, chemical composition, and surface roughness of both treated and coated alloys were characterized by scanning electron microscopy, energy dispersive spectroscopy, and optical profilometry, respectively. The adhesion strength of the coating was measured using a micro scratch machine. Furthermore, we also evaluated the performance of electrochemically synthesized PEDOT coatings on surface-treated TNZ alloys in terms of the surface protective performance in simulated body fluid (SBF) and in vitro bioactivity in osteoblast MG63 cells. Surface analysis findings indicated that the nature of the PEDOT coating (surface morphology, topography, wettability and adhesion strength) was intensely altered, while the surface treatment performed before electrodeposition facilitated the overall performance of PEDOT coatings as implant coating materials. The obtained corrosion studies confirmed the enhanced corrosion protection performance of PEDOT coatings on treated TNZ substrates. In vitro cell culture studies validated the improved cell adhesion and proliferation rate, further highlighting the important role of surface treatment before electrodeposition.

15.
BMC Cancer ; 7: 102, 2007 Jun 19.
Artículo en Inglés | MEDLINE | ID: mdl-17578579

RESUMEN

BACKGROUND: Quality of life (QOL) issues are of interest in cancer because effective methods of treatment and detection have led to an increase in the number of long-term survivors. The objectives of the study were: to assess the subjective QOL of stable Sudanese women cancer outpatients and their family caregivers, using the WHO 26-item QOL Instrument; compare with matched general population groups, as well as diabetic and psychiatric patient groups; examine patient-caregiver concordance in ratings; and assess the variables associated with their QOL, with a view to identifying factors that can enhance quality of care. METHODS: Responses of oncology outpatients with breast cancer (117), cervical cancer (46) and ovarian cancer (18) (aged 44.6, SD 11.5) were compared with those of their family caregivers and matched general population groups. Data were analyzed by univariate and multivariate statistics. RESULTS: The cancer groups had similar QOL domain scores, which were significantly lower than those of their caregivers, but higher than the control group as well as those of psychiatric and diabetic patients studied previously. Patients who were married, with higher education, better employment, and with longer duration of illness had higher QOL. Patients on radiotherapy and their caregivers had higher QOL scores. Correlations between patient's ratings and caregiver impression of patient's QOL were high. Caregiver impression was a significant predictor of patient's and caregiver's QOL. Other predictors for the patient were: currently feeling sick and duration of illness; for the caregiver: feeling sick, relationship to patient, and age. CONCLUSION: Cancer patients in stable condition and with psychosocial support can hope to enjoy good QOL with treatment. The findings constitute an evidence base for the country's cancer care program, to boost national health education about prognosis in cancer. Families living with women cancer patients are vulnerable and need support if the patient is recently diagnosed, less educated, single, not formally employed; and the caregiver is female, parent, younger, less educated, unemployed and feels sick. Clinicians need to invest in the education and support of family caregivers. The patient-caregiver dyad should be regarded as a unit for treatment in cancer care.


Asunto(s)
Atención Ambulatoria/psicología , Neoplasias de la Mama/psicología , Cuidadores/psicología , Neoplasias de los Genitales Femeninos/psicología , Calidad de Vida , Adaptación Psicológica , Adulto , Atención Ambulatoria/métodos , Análisis de Varianza , Neoplasias de la Mama/terapia , Estudios de Casos y Controles , Relaciones Familiares , Femenino , Neoplasias de los Genitales Femeninos/terapia , Atención Domiciliaria de Salud/métodos , Atención Domiciliaria de Salud/psicología , Humanos , Persona de Mediana Edad , Análisis Multivariante , Neoplasias Ováricas/psicología , Neoplasias Ováricas/terapia , Pronóstico , Factores de Riesgo , Factores Socioeconómicos , Sudán , Encuestas y Cuestionarios , Neoplasias del Cuello Uterino/psicología , Neoplasias del Cuello Uterino/terapia
16.
Acta Haematol ; 117(3): 162-7, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17148935

RESUMEN

BACKGROUND: Recombinant human erythropoietin (rhEPO) is effective for the treatment of anemia associated with multiple myeloma. Data from animal studies and case reports suggest that rhEPO has antineoplastic properties. METHODS: Two hundred and ninety-two patients enrolled on different chemotherapy clinical trials at the Cleveland Clinic Myeloma Program between 1997 and 2003 were the subjects of this study. Information on erythropoietin use as well as baseline prognostic variables were collected retrospectively. RESULTS: The population consisted of 257 patients with multiple myeloma treated at the Cleveland Clinic Foundation from 1997 to 2003 and followed for at least 1 month. Thirty-five patients were excluded from this analysis because information on erythropoietin use was not available. One hundred and twenty-seven patients received rhEPO for at least 1 month and the rest did not received rhEPO. On average, patients who received rhEPO were older, had a higher Southwest Oncology Group (SWOG) stage, higher serum creatinine, lower serum hemoglobin, higher beta2-microglobulin, lower platelet counts, and a longer time from diagnosis to enrollment at the myeloma program (p < 0.001 for all). After adjusting for age, months from diagnosis to enrollment, serum creatinine, hemoglobin, platelet count, and beta2-microglobulin, the use of rhEPO was associated with improved overall survival (hazard ratio = 0.6; 95% CI = 0.38-0.94) in patients with SWOG stages II, III and IV but not in patients with SWOG stage I. CONCLUSION: rhEPO was associated with improved overall survival in this population of anemic multiple myeloma patients with SWOG stages of II, III and IV. A prospective randomized trial is warranted to corroborate this finding.


Asunto(s)
Anemia/tratamiento farmacológico , Anemia/mortalidad , Eritropoyetina/administración & dosificación , Mieloma Múltiple/mortalidad , Anciano , Anemia/etiología , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Mieloma Múltiple/complicaciones , Proteínas Recombinantes , Estudios Retrospectivos , Análisis de Supervivencia , Resultado del Tratamiento
17.
Leukemia ; 19(11): 1880-6, 2005 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-16193091

RESUMEN

B-cell chronic lymphocytic leukemia (CLL) accounts for 95% of chronic leukemia cases and 25% of all leukemia. Despite the prevalence of CLL, progress in its treatment has been only modest over the past three decades. Based upon the ability of fludarabine to produce high-grade remissions especially among patients with low initial tumor mass, and the ability of alkylators to reduce tumor mass, we hypothesized that sequential administration of a limited number of cycles of intermediate-dose cyclophosphamide followed by fludarabine could result in a larger percentage of patients with complete remissions (CRs). In all, 27 of the 49 eligible patients achieved overall responses of CR, unconfirmed complete remission (UCR), or PR, for a total response rate of 55% (95% confidence interval (CI) 40-69%). Considering the confounding medical issues of this patient population with advanced aggressive disease, the regimen was generally well tolerated. This study demonstrates that high-dose cyclophosphamide followed by fludarabine was relatively well tolerated in this group of advanced CLL patients. The study's criterion for testing whether the regimen is sufficiently effective to warrant further investigation was met: 14 (32%) of the first 44 eligible patients achieved CR or UCR.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Leucemia Linfocítica Crónica de Células B/tratamiento farmacológico , Adulto , Anciano , Anciano de 80 o más Años , Protocolos de Quimioterapia Combinada Antineoplásica/efectos adversos , Ciclofosfamida/administración & dosificación , Ciclofosfamida/efectos adversos , Relación Dosis-Respuesta a Droga , Esquema de Medicación , Femenino , Factor Estimulante de Colonias de Granulocitos y Macrófagos/administración & dosificación , Humanos , Masculino , Persona de Mediana Edad , Resultado del Tratamiento , Vidarabina/administración & dosificación , Vidarabina/efectos adversos , Vidarabina/análogos & derivados
18.
Med Oncol ; 23(1): 51-6, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-16645229

RESUMEN

Osteonecrosis of the jaw has been linked with bisphosphonate use in breast cancer and multiple myeloma patients. We report 17 cases of patients with plasma cell dyscrasia being treated with bisphosphonate who developed osteonecrosis/osteomyelitis of the jaw. Seventeen patients evaluated at our institution between 1998 and 2005 are reported. All were being treated with bisphosphonates for a median of 5 mo prior to the onset of jaw symptoms. Sixteen of the 17 patients are 51 yr or older. None of the patients had been irradiated in the jaw nor had obvious osseous manifestation of multiple myeloma in the jaw. Thirteen patients were receiving zoledronic acid and four patients were receiving pamidronate at the onset of jaw symptoms. Six of the 17 did receive both agents at some time and all of these individuals were receiving zoledronic acid at diagnosis. Microorganisms were isolated in 7/17 patients with the most common organism being actinomycosis. We have initiated the following guidelines in an effort to ameliorate the incidence of this complication. Patients should have a full dental examination at the time of diagnosis of the plasma cell dyscrasia especially if bisphosphonates are to be considered as part of the therapy. In addition, bisphosphonates are held for a period of 3 mo prior to invasive dental procedures to allow for the osteoclastic recovery, therefore enhanced debris removal and lessening the chance of creating a fertile bacterial medium. Following the dental procedure we would re-introduce bisphosphonates only after the healing process is complete. Finally, multiple myeloma patients diagnosed with jaw osteonecrosis probably have a concurrent infection and should be aggressively treated with antibiotics.


Asunto(s)
Difosfonatos/efectos adversos , Enfermedades Maxilomandibulares/inducido químicamente , Osteonecrosis/inducido químicamente , Paraproteinemias/tratamiento farmacológico , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Imidazoles/efectos adversos , Masculino , Persona de Mediana Edad , Osteomielitis/inducido químicamente , Pamidronato , Ácido Zoledrónico
19.
Ultrasonics ; 57: 65-71, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25465962

RESUMEN

The accuracy of density, reflection coefficient, and acoustic impedance determination via multiple reflection method was validated experimentally. The ternary system water-maltose-ethanol was used to execute a systematic, temperature dependent study over a wide range of densities and viscosities aiming an application as inline sensor in beverage industries. The validation results of the presented method and setup show root mean square errors of: 1.201E-3 g cm(-3) (±0.12%) density, 0.515E-3 (0.15%) reflection coefficient and 1.851E+3 kg s(-1) m(-2) (0.12%) specific acoustic impedance. The results of the diffraction corrected absorption showed an average standard deviation of only 0.12%. It was found that the absorption change shows a good correlation to concentration variations and may be useful for laboratory analysis of sufficiently pure liquids. The main part of the observed errors can be explained by the observed noise, temperature variation and the low signal resolution of 50 MHz. In particular, the poor signal-to-noise ratio of the second reflector echo was found to be a main accuracy limitation. Concerning the investigation of liquids the unstable properties of the reference material PMMA, due to hygroscopicity, were identified to be an additional, unpredictable source of uncertainty. While dimensional changes can be considered by adequate methodology, the impact of the time and temperature dependent water absorption on relevant reference properties like the buffer's sound velocity and density could not be considered and may explain part of the observed deviations.


Asunto(s)
Bebidas/análisis , Mezclas Complejas/análisis , Industria de Alimentos/métodos , Ultrasonido/métodos , Ultrasonido/normas , Acústica , Calibración , Mezclas Complejas/química , Impedancia Eléctrica , Etanol/análisis , Etanol/química , Industria de Alimentos/instrumentación , Ondas de Choque de Alta Energía , Maltosa/análisis , Maltosa/química , Modelos Teóricos , Procesamiento de Señales Asistido por Computador , Relación Señal-Ruido , Soluciones/química , Ultrasonido/instrumentación , Viscosidad , Agua/análisis , Agua/química
20.
PLoS One ; 10(11): e0141486, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26571035

RESUMEN

Data processing requires a robust linear fit identification method. In this paper, we introduce a non-parametric robust linear fit identification method for time series. The method uses an indicator 2/n to identify linear fit, where n is number of terms in a series. The ratio Rmax of amax - amin and Sn - amin*n and that of Rmin of amax - amin and amax*n - Sn are always equal to 2/n, where amax is the maximum element, amin is the minimum element and Sn is the sum of all elements. If any series expected to follow y = c consists of data that do not agree with y = c form, Rmax > 2/n and Rmin > 2/n imply that the maximum and minimum elements, respectively, do not agree with linear fit. We define threshold values for outliers and noise detection as 2/n * (1 + k1) and 2/n * (1 + k2), respectively, where k1 > k2 and 0 ≤ k1 ≤ n/2 - 1. Given this relation and transformation technique, which transforms data into the form y = c, we show that removing all data that do not agree with linear fit is possible. Furthermore, the method is independent of the number of data points, missing data, removed data points and nature of distribution (Gaussian or non-Gaussian) of outliers, noise and clean data. These are major advantages over the existing linear fit methods. Since having a perfect linear relation between two variables in the real world is impossible, we used artificial data sets with extreme conditions to verify the method. The method detects the correct linear fit when the percentage of data agreeing with linear fit is less than 50%, and the deviation of data that do not agree with linear fit is very small, of the order of ±10-4%. The method results in incorrect detections only when numerical accuracy is insufficient in the calculation process.


Asunto(s)
Interpretación Estadística de Datos , Estadística como Asunto , Algoritmos , Recolección de Datos , Análisis de los Mínimos Cuadrados , Modelos Lineales , Matemática , Distribución Normal , Análisis Numérico Asistido por Computador , Lenguajes de Programación , Programas Informáticos
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