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Abstract: High grade gliomas are associated with cognitive problems. The aim of the study was to investigate cognitive functioning in a cohort of patients with high grade glioma, according to isocitrate dehydrogenase (IDH) and methyl guanine methyl transferase (MGMT) status and other clinical characteristics. The patients with the high-grade glioma treated in Slovenia in given period of time were included in study. Postoperatively they completed neuropsychological assessment consisting of Slovenian Verbal Learning Test, Slovenian Controlled Oral Word Association Test, Trail Making Test Part A and B and self-evaluation questionnaire. We analysed results (z-scores and dichotomized results) also according to IDH mutation and MGMT methylation. We examined differences between groups using T-test, Mann-Whitney U, χ2 and Kendall's Tau tests. Out of 275 patients in the cohort, we included 90. Forty-six percent of patients were unable to participate due to poor performance status and other conditions related to tumour. Patients with the IDH mutation were younger, with better performance status, larger proportions of grade III tumours and MGMT methylation. In this group cognitive functioning is significantly better in the domains of immediate recall, short delayed recall and delayed recall, and in the fields of executive functioning and recognition. There were no differences in cognitive functioning in regard to MGMT status. Grade III tumours were associated with more frequent MGMT methylation. Self-assessment proved week tool, associated only with immediate recall. We found no differences in cognitive functioning according to MGMT status, but cognition was better when IDH mutation was present. In a cohort study of patients with high-grade glioma, almost half were unable to participate in a study, which points to an overrepresentation of patients with better cognitive functioning in the research.
Keywords: cognition, high grade glioma, IDH1 mutation
Published in DiRROS: 25.07.2024; Views: 127; Downloads: 48
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Abstract: The use of modern irrigation systems and monitoring of soil water status can help improve crop performance and water use efficiency. The influence of different irrigation treatments on soil water content dynamics and olive oil yield was studied over two growing seasons using a surface drip irrigation system in an olive grove in northern Mediterranean climate. Irrigation treatments included optimal irrigation, sustained deficit irrigation (33 % of optimal irrigation), and rainfed treatment. Based on the water applied, we calculated the percentage of replenished estimated evapotranspiration (ETc*) for each treatment using the Penman-Monteith method. Soil water content dynamics were monitored with capacitive probes at five depths (10 to 50 cm). The increase in soil water content at a depth of 30 to 50 cm, which was only achieved with optimal irrigation, resulted in a significantly higher olive oil yield. In contrast, deficit irrigation, despite the addition of water, did not lead to an increase in soil water in the layers below 30 cm, so that the yield was equal to that of rainfed treatment. In irrigated olive groves, it is beneficial to monitor the water content of the soil at several depths to ensure that a sufficient amount of water has been applied.Uporaba sodobnih namakalnih sistemov ter spremljanje stanja vode v tleh lahko pripomore k izboljšanju učinkovitosti rastlinske pridelave in rabe vode. Vpliv različnih načinov namakanja na dinamiko vsebnosti vode v tleh in pri-delek oljčnega olja smo preučevali v dveh rastnih dobah z upo-rabo površinskega kapljičnega namakalnega sistema v oljčnem nasadu v severnem sredozemskem podnebju. Obravnavanja so vključevala optimalno namakanje, trajno namakanje s priman-jkljajem (33 % optimalnega namakanja) in brez namakanja. Na podlagi porabljene vode smo z uporabo metode Penman-Mon-teith izračunali odstotek nadomeščene ocenjene evapotranspi-racije (ETc*) za vsako obravnavo. Dinamiko vsebnosti vode v tleh smo spremljali s kapacitivnimi merilniki na petih globinah (od 10 do 50 cm). Povečanje vsebnosti vode v tleh na globini od 30 do 50 cm, ki je bilo doseženo le z optimalnim namakanjem, je povzročilo večji pridelek oljčnega olja. Nasprotno pa se pri namakanju s primanjkljajem kljub dodajanju vode ni povečala količina vode v tleh v plasteh pod 30 cm, zato je bil pridelek enak pridelku brez namakanja. V namakanih oljčnih nasadih je koristno spremljati vsebnost vode v tleh na več globinah, da se zagotovi, da je bila priskrbljena zadostna količina vode
Keywords: diviner, evapotranspiration, irrigation management, olive, soil depths, volumetric soil water content
Published in DiRROS: 17.07.2024; Views: 116; Downloads: 142
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Abstract: Bisphenol A (BPA) is one of the most commonly used substances in the manufacture ofvarious everyday products. Growing concerns about its hazardous properties, including endocrinedisruption and genotoxicity, have led to its gradual replacement by presumably safer analogues inmanufacturing plastics. The widespread use of BPA and, more recently, its analogues has increasedtheir residues in the environment. However, our knowledge of their toxicological profiles is limitedand their combined effects are unknown. In the present study, we investigated the toxic effectscaused by single bisphenols and by the combined exposure of BPA and its two analogues, BPAP andBPC, after short (24-h) and prolonged (96-h) exposure in HepG2 spheroids. The results showed thatBPA did not reduce cell viability in HepG2 spheroids after 24-h exposure. In contrast, BPAP andBPC affected cell viability in HepG2 spheroids. Both binary mixtures (BPA/BPAP and BPA/BPC)decreased cell viability in a dose-dependent manner, but the significant difference was only observedfor the combination of BPA/BPC (both at 40μM). After 96-h exposure, none of the BPs studiedaffected cell viability in HepG2 spheroids. Only the combination of BPA/BPAP decreased cellviability in a dose-dependent manner that was significant for the combination of 4μM BPA and 4μMBPAP. None of the BPs and their binary mixtures studied affected the surface area and growth ofspheroids as measured by planimetry. In addition, all BPs and their binary mixtures studied triggeredoxidative stress, as measured by the production of reactive oxygen species and malondialdehyde,at both exposure times. Overall, the results suggest that it is important to study the effects of BPsas single compounds. It is even more important to study the effects of combined exposures, as thecombined effects may differ from those induced by single compounds.
Keywords: BP analogues, hepatic in vitro 3D cell model, combined exposure, viability, oxidative stress, toxicology
Published in DiRROS: 12.07.2024; Views: 492; Downloads: 136
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Abstract: Based on recent data from clinical trials, the immune checkpoint inhibitor pembrolizumab prolongs survival and has a good toxicity profile in patients with advanced or metastatic melanoma. However, the question remains whether these results are transmitted into daily clinical practice. The aim of this study was to assess the efficacy and toxicity of pembrolizumab in treatment-naive patients with metastatic melanoma in everyday clinical practice in Slovenia and compare it to the results from clinical trials. Patients and methods. This observational retrospective cohort study included 138 consecutive metastatic treatment-naive melanoma patients treated with pembrolizumab at the Institute of Oncology Ljubljana in Slovenia, from January 2016 to December 2018. Patient and treatment characteristics were retrospectively collected from hospital data base. Statistical data was obtained using the SPSS software version 22. Survival rate was calculated with the Kaplan-Meier method. Observation period took place between January 2016 and the end of June 2019. Results. The estimated median overall survival (OS) was 25.1 months (95% CI, 14.6%35.6) and the median progressionfree survival (PFS) was 10.7 months (95% CI, 5.9%15.4). Among all patients, 29 (21.0%) achieved complete response, 31 (22.5%) partial response and 23 (16.7%) reached stable disease. The number of organs with metastatic involvement and the level of baseline lactate dehydrogenase (LDH) concentration had significant influence on survival rates. Immune-related adverse events (irAE) were reported in 88 (63%) patients, while grade 3%4 irAE occurred in 12 (8.7%). Due to toxicity, 16 (11.6%) patients discontinued the treatment. Conclusions. Our real-world data from single centre retrospective analysis of treatment-naive metastatic melanoma patients treated with pembrolizumab showed inferior median OS and similar median PFS, compared to the results from clinical trials. However, patients with normal serum levels of LDH and a small number of organs with metastatic involvement had comparable survival outcomes. Toxicity rates of pembrolizumab were quite similar. These results further support the use of pembrolizumab for metastatic treatment-naive melanoma patients.
Keywords: immunotherapy, pembrolizumab, metastatic melanoma, treatment-naive
Published in DiRROS: 11.07.2024; Views: 138; Downloads: 75
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Keywords: radiochemotherapy, definitive radiochemotherapy, esophageal cancer
Published in DiRROS: 05.07.2024; Views: 196; Downloads: 49
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