Prognostic factors associated with time to hCG remission in patients with low-risk postmolar gestational trophoblastic neoplasia

Objective The purpose of this study was to identify the clinical factors associated with time to hCG remission among women with low-risk postmolar GTN. Methods This study included a non-concurrent cohort of 328 patients diagnosed with low-risk postmolar GTN according to FIGO 2002 criteria. Associations of time to hCG remission with history of prior mole, molar histology, time to persistence, use of D&C at persistence, presence of metastatic disease, FIGO score, hCG values at persistence, type of first line therapy and use of multiagent chemotherapy were investigated with both univariate and multivariate analyses. Results Overall median time to remission was 46 days. Ten percent of the patients required multi-agent chemotherapy to achieve hCG remission. Multivariate analysis incorporating the variables significant on univariate analysis confirmed that complete molar histology (HR 1.45), metastatic disease (HR 1.66), use of multi-agent therapy (HR 2.00) and FIGO score (HR 1.82) were associated with longer time to remission. There was a linear relationship between FIGO score and time to hCG remission. Each 1-point increment in FIGO score was associated with an average 17-day increase in hCG remission time (95% CI: 12.5-21.6). Conclusions Complete mole histology prior to GTN, presence of metastatic disease, use of multi-agent therapy and higher FIGO score were independent factors associated with longer time to hCG remission in low-risk GTN. Identifying the prognostic factors associated with time to remission and effective counseling may help improve treatment planning and reduce anxiety in patients and their families. © 2013 Elsevier Inc. All rights reserved.

Formas de fósforo no solo após o cultivo de braquiária e tremoço branco

Phosphorus is one of the major factor that limits agricultural productivity in most tropical soils. The objective of this study was to assess P transformations and availability in a soil cropped to brachiaria (Urochloa ruziziensis) and white lupin (Lupinus albus L.). The study was carried out in a greenhouse at Botucatu, State of São Paulo, Brazil. Brachiaria and white lupin were grown in pots with soil fertilized with 0, 20, 40, 60 and 80mg dm-3 P. The plants were grown for 60 days, when they were harvested and the soil was sampled. Dry matter yields of both species were increased with P rates. Soil bioactive P is increased with P fertilization, but is not affected by the plant species. White lupin is more effective in taking up the organic soil P, but Brachiaria was more effective in reducing the soil maximum P adsorption capacity.

Formas de aplicación de zinc para las plantas de maíz que crecen en Oxisol: Efectos sobre el suelo, la nutrición de las plantas y la productividad

The way of applying zinc can influence the zinc uptake and productivity of crops, especially cereals that have high demand for this nutrient. The aim of this study is to evaluate methods of Zn application on soil, nutritional status and productivity of maize. For this, an experiment was undertaken at FCAV/UNESP, Jaboticabal-SP, in Oxisol clay (DTPA on Zn: 0.5 mg dm-3) with maize (hybrid Simple Impact), from December through May 2009. Nine treatments with three doses of Zn in soil banded application (in furrows) and three doses of Zn by incorporation in soil (0-20 cm depth), foliar application, seed application and control (no Zn). The treatments were arranged in a randomized block design with four replications. Regardless of the method, Zn application promoted higher contents of this micronutrient in soil and higher accumulation in the shoots as well as increasing Zn in the maize grain. However, it did not affect the nutritional status and yield of the maize. The Zn application in the soil resulted in a greater Zn uptake by plants and maize yield, compared to Zn application in the plant by seed or foliar.

Formas de aplicação de zinco e molibdênio no feijoeiro

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Variabilidade vertical de formas de fósforo em função de fontes e doses de fosfatos em semeadura direta

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Expressão gênica das adesinas e fatores de virulência da fase miceliar e leveduriforme do complexo paracoccidioides e de sua interação com células epiteliais e fagócitos

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Processos de criação em sala de aula: experiências fenomenológicas como formas de reaprender a ver o mundo

Pós-graduação em Artes - IA

Vozes das formas na poesia concreta do Grupo Noigandres

Pós-graduação em Artes - IA

Novas formas de pensar/dizer, dizer/pensar: a imagem como linguagem mediadora da experiência do formador de professores

Pós-graduação em Artes - IA

Filogenia das abelhas corbiculadas (Apidae, Apinae): uso combinado de dados comportamentais de auto-limpeza e moleculares

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Relações filogenéticas e história evolutiva do gênero Astyanax (Teleostei: Characidade), com base em caracteres moleculares

Pós-graduação em Ciências Biológicas (Biologia Celular e Molecular) - IBRC

Caracterização de populações genéticas de Solenopsis invicta através de marcadores moleculares microssatélites. Correlação de similaridade entre populações hospedeiras e endossimbiose

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Evidências moleculares dos padrões evolutivos e filogeográficos de populações de Astyanax paranae (Pisces : Characidae) com base em caracteres do DNA mitocondrial

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análises moleculares e da presença de endobactérias de Camponotus textor Forel, 1899 (Hymenoptera, Formicidae)

Pós-graduação em Ciências Biológicas (Biologia Celular e Molecular) - IBRC

Análises moleculares das formigas lava-pés (Solenopsis spp.) (Hymenoptera : Formicidae) e da presença da endobactéria Wolbachia

Pós-graduação em Ciências Biológicas (Biologia Celular e Molecular) - IBRC