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RISS 인기검색어
- 검색키워드
- 저자 : Claire Hall (검색결과 3 건)
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A Review of the Role of Carcinoembryonic Antigen in Clinical Practice
Claire Hall,Louise Clarke,Atanu Pal,Pamela Buchwald,Tim Eglinton,Chris Wakeman,Frank Frizelle 대한대장항문학회 2019 Annals of Coloproctolgy Vol.35 No.6
Carcinoembryonic antigen (CEA) is not normally produced in significant quantities after birth but is elevated in colorectal cancer. The aim of this review was to define the current role of CEA and how best to investigate patients with elevated CEA levels. A systematic review of CEA was performed, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies were identified from PubMed, Cochrane library, and controlled trials registers. We identified 2,712 papers of which 34 were relevant. Analysis of these papers found higher preoperative CEA levels were associated with advanced or metastatic disease and thus poorer prognosis. Postoperatively, failure of CEA to return to normal was found to be indicative of residual or recurrent disease. However, measurement of CEA levels alone was not sufficient to improve survival rates. Two algorithms are proposed to guide investigation of patients with elevated CEA: one for patients with elevated CEA after CRC resection, and another for patients with de novo elevated CEA. CEA measurement has an important role in the investigation, management and follow-up of patients with colorectal cancer.
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Fulvic acid-mediated phototransformation of mecoprop. A pH-dependent reaction
Halladja, Sabrina,Halle, Alexandra Ter,Pilichowski, Jean-Francois,Boulkamh, Abdelaziz,Richard, Claire Korean Society of Photoscience 2009 Photochemical & photobiological sciences Vol.8 No.7
Elliott soil fulvic acid sensitized the phototransformation of mecoprop in aqueous medium. The reaction was selective, leading to the main formation of 4-chloro-2-methylphenol in aerated and in deoxygenated neutral solution. In turn, 4-chloro-2-methylphenol underwent a fulvic acid-mediated phototransformation. A pH decrease from 8 to 2.2 led to an increase of the rate of mecoprop loss by a factor of 10. The roles of hydroxyl radicals, fulvic triplets and singlet oxygen were investigated using the scavenging technique. At pH 6.5 where mecoprop was in the anionic form, triplet excited states and hydroxyl radicals were the main oxidant species contributing to $40{\pm}10%$ and $20{\pm}5%$ of the reaction, respectively. At pH 2.2 where mecoprop was protonated, fulvic triplets and hydroxyl radicals contributed to $75{\pm}10%$ and $16{\pm}5%$, respectively. The enhancement of the reaction upon acidification might result from two phenomena tending to the same effect: (i) the capacity of protonated MCP to reach intra-humic microdomains and there interact with reactive species, and (ii) a greater photosensitizing property of FA in acidic medium.
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Impact of hematologic toxicities during concurrent chemoradiation for cervical cancer
Feiya Shi,Alison K. Yoder,Claire Mach,Shraddha Dalwadi,Matthew L Anderson,Tracilyn R Hall,Michelle S Ludwig 대한산부인과학회 2022 Obstetrics & Gynecology Science Vol.65 No.2
ObjectiveTo evaluate the prognostic significance of hematological toxicities during cervical cancer treatment. MethodsPatients treated for cervical carcinoma with definitive chemoradiation were identified. Toxicities were assessed duringweeks 1 to 6 of concurrent external beam radiation and chemotherapy. Outcomes were analyzed using Cox regressionanalysis. ResultsOne hundred twenty-one patients with Federation of Gynecology and Obstetrics stage I-III disease were eligible foranalysis. Median age at diagnosis was 45 years (interquartile range, 40-52) with median follow-up time of 34 months(95% confidence interval, 30.8-37.2). All patients experienced some grade of hematologic toxicity. The most commongrade 3+ toxicities were low absolute lymphocyte count (n=115, 95%), low white blood cell count (n=21, 17%), andanemia (n=11, 9%). The most common grade 4 toxicity was lymphopenia, experienced by 36% of patients (n=44). Grade 4 lymphopenia was associated with reduced overall survival (hazard ratio [HR], 4.5; P=0.005), progressionfreesurvival (HR, 3.4; P=0.001), and local control (HR, 4.1; P=0.047). Anemia grade 3, 4 was also associated withreduced overall survival (HR, 4.1; P=0.014). After controlling for disease and treatment variables, grade 4 lymphopeniaremained significantly associated with reduced overall survival (HR, 9.85; P=0.007). The association with grade 4lymphopenia only remained significant in women of Hispanic ethnicity. ConclusionSevere lymphopenia was associated with reduced overall survival and progression-free survival in Hispanic womenundergoing definitive chemoradiation for cervical cancer, but not associated with outcomes in non-Hispanic women.
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