Is there a subgroup of long-term evolution among patients with advanced lung cancer?: Hints from the analysis of survival curves from cancer registry data

Background: Recently, with the access of low toxicity biological and targeted therapies, evidence of the existence of a long-term survival subpopulation of cancer patients is appearing. We have studied an unselected population with advanced lung cancer to look for evidence of multimodality in survival distribution, and estimate the proportion of long-term survivors. Methods: We used survival data of 4944 patients with non-small-cell lung cancer (NSCLC) stages IIIb-IV at diagnostic, registered in the National Cancer Registry of Cuba (NCRC) between January 1998 and December 2006. We fitted one-component survival model and two-component mixture models to identify short-and long-term survivors. Bayesian information criterion was used for model selection. Results: For all of the selected parametric distributions the two components model presented the best fit. The population with short-term survival (almost 4 months median survival) represented 64% of patients. The population of long-term survival included 35% of patients, and showed a median survival around 12 months. None of the patients of short-term survival was still alive at month 24, while 10% of the patients of long-term survival died afterwards. Conclusions: There is a subgroup showing long-term evolution among patients with advanced lung cancer. As survival rates continue to improve with the new generation of therapies, prognostic models considering short-and long-term survival subpopulations should be considered in clinical research.

Algoritmos multi-objetivos para la optimización de una secuencia de matrices generadoras en computación cuántica topológica

Quantum Computing is a relatively modern field which simulates quantum computation conditions. Moreover, it can be used to estimate which quasiparticles would endure better in a quantum environment. Topological Quantum Computing (TQC) is an approximation for reducing the quantum decoherence problem1, which is responsible for error appearance in the representation of information. This project tackles specific instances of TQC problems using MOEAs (Multi-objective Optimization Evolutionary Algorithms). A MOEA is a type of algorithm which will optimize two or more objectives of a problem simultaneously, using a population based approach. We have implemented MOEAs that use probabilistic procedures found in EDAs (Estimation of Distribution Algorithms), since in general, EDAs have found better solutions than ordinary EAs (Evolutionary Algorithms), even though they are more costly. Both, EDAs and MOEAs are population-based algorithms. The objective of this project was to use a multi-objective approach in order to find good solutions for several instances of a TQC problem. In particular, the objectives considered in the project were the error approximation and the length of a solution. The tool we used to solve the instances of the problem was the multi-objective framework PISA. Because PISA has not too much documentation available, we had to go through a process of reverse-engineering of the framework to understand its modules and the way they communicate with each other. Once its functioning was understood, we began working on a module dedicated to the braid problem. Finally, we submitted this module to an exhaustive experimentation phase and collected results.