Maintenance Therapy With Tumor-Treating Fields Plus Temozolomide vs Temozolomide Alone for Glioblastoma: A Randomized Clinical Trial.

IMPORTANCE: Glioblastoma is the most devastating primary malignancy of the central nervous system in adults. Most patients die within 1 to 2 years of diagnosis. Tumor-treating fields (TTFields) are a locoregionally delivered antimitotic treatment that interferes with cell division and organelle assembly. OBJECTIVE: To evaluate the efficacy and safety of TTFields used in combination with temozolomide maintenance treatment after chemoradiation therapy for patients with glioblastoma. DESIGN, SETTING, AND PARTICIPANTS: After completion of chemoradiotherapy, patients with glioblastoma were randomized (2:1) to receive maintenance treatment with either TTFields plus temozolomide (n = 466) or temozolomide alone (n = 229) (median time from diagnosis to randomization, 3.8 months in both groups). The study enrolled 695 of the planned 700 patients between July 2009 and November 2014 at 83 centers in the United States, Canada, Europe, Israel, and South Korea. The trial was terminated based on the results of this planned interim analysis. INTERVENTIONS: Treatment with TTFields was delivered continuously (>18 hours/day) via 4 transducer arrays placed on the shaved scalp and connected to a portable medical device. Temozolomide (150-200 mg/m2/d) was given for 5 days of each 28-day cycle. MAIN OUTCOMES AND MEASURES: The primary end point was progression-free survival in the intent-to-treat population (significance threshold of .01) with overall survival in the per-protocol population (n = 280) as a powered secondary end point (significance threshold of .006). This prespecified interim analysis was to be conducted on the first 315 patients after at least 18 months of follow-up. RESULTS: The interim analysis included 210 patients randomized to TTFields plus temozolomide and 105 randomized to temozolomide alone, and was conducted at a median follow-up of 38 months (range, 18-60 months). Median progression-free survival in the intent-to-treat population was 7.1 months (95% CI, 5.9-8.2 months) in the TTFields plus temozolomide group and 4.0 months (95% CI, 3.3-5.2 months) in the temozolomide alone group (hazard ratio [HR], 0.62 [98.7% CI, 0.43-0.89]; P = .001). Median overall survival in the per-protocol population was 20.5 months (95% CI, 16.7-25.0 months) in the TTFields plus temozolomide group (n = 196) and 15.6 months (95% CI, 13.3-19.1 months) in the temozolomide alone group (n = 84) (HR, 0.64 [99.4% CI, 0.42-0.98]; P = .004). CONCLUSIONS AND RELEVANCE: In this interim analysis of 315 patients with glioblastoma who had completed standard chemoradiation therapy, adding TTFields to maintenance temozolomide chemotherapy significantly prolonged progression-free and overall survival. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00916409.

Design of highly focused fields that remain unpolarized on axis

Research on the properties of highly focused fields mainly involved fully polarized light, whereas partially polarized waves received less attention. The aim of this Letter is to provide an appropriate framework, for designing some features of the focused field, when dealing with incoming partially polarized beams. In particular, in this Letter, we describe how to get an unpolarized field on the axis of a high numerical aperture objective lens. Some numerical results that corroborate theoretical predictions are provided.

Nematode community, trophic structure and population fluctuation in soybean fields

Temporal (monthly in three fields for 12 months) and spatial (once in 23 fields during March-April) samplings were conducted in the major soybean (Glycine max)-growing region of the Brazilian Federal District. Fifty-three nematode genera were found in both samplings, but 13 were detected only by the temporal sampling, and one only by the spatial sampling. Fifty-three percent were plant-parasites, 35% were bacterivores, and about 12% were fungivores, predators and omnivores constituted the community that was dominated by the genera Helicotylenchus (40% of total abundance), Acrobeles (15%), Cephalobus (7.6%), Meloidogyne(5.6%) and Pratylenchus (4.9%). Heterodera glycines was not found in this study. There were no differences in ten ecological measurements [Ds, H', Es, T, FF/BF, (FF+BF)/PP, MI, PPI, mMI, and Dorylaimida (%)] between the two sampling types, but differences in indexes d and J'. Plant parasite populations dropped at the end of the crop cycle, remained at low levels during the dry season and the seedling period, then increased again in the crop-growing season. Fungivores maintained their low populations throughout the year, increasing only in June and July, the post-harvest period, when soil fungi decomposed root tissue. The population of bacterivores slightly declined during the dry season and the initial rainy season, but peaked in the middle of the rainy season, apparently associated with soil humidity. In the five most abundant nematodes, those of Acrobeles and Pratylenchus were more populous in wet soils, Cephalobus and Meloidogyne adapted well in dry soils, but Helicotylenchus survived abundantly in a wide range of soil moisture.

Virulence pattern of Pyricularia grisea isolates from farmers' fields on newly released upland rice cultivars

The virulence pattern of the isolates of Pyricularia grisea from commercial fields of the upland rice (Oryza sativa) cultivars 'Primavera' and 'BRS Bonança' was analyzed. A hundred and seventy monoconidial isolates of the pathogen virulent to 'Primavera' and 139 to 'BRS Bonança' collected from eight fields, during two years (2001-2003) were tested, under greenhouse conditions, on six newly released rice cultivars. Differences in virulence pattern were observed in pathogenic populations of 'Primavera' and 'BRS Bonança'. Isolates with virulence to improved cultivars were common in samples from farmers' fields in the absence of aloinfection. The virulence frequency of P. grisea isolates collected from 'Primavera'' to cultivars 'BRS Vencedora', 'BRS Colosso', 'BRS Liderança', 'BRS Soberana', 'BRS Curinga' and 'BRS Talento', was high in descending order. On the other hand, in the fungus population of 'BRS BRS Bonança' virulence frequency was high in 'BRS Talento', followed by 'BRS Curinga', 'BRS Vencedora', 'BRS Liderança', 'BRS Colosso' and 'BRS Soberana'. While virulence to 'BRS Talento' was rare among isolates from 'Primavera', it was most frequent in isolates of 'BRS Bonança'. The six improved rice cultivars permitted to differentiating agriculturally important virulences in the pathogen population which can be utilized in selecting breeding lines for specific resistance, in rice blast improvement program.

Leadership in repetitively innovative mature companies

Mobiltelefonen uppfanns år 1970, den förta komerciella produkten lanserades 1983 och marknaden för mobiltelefoner tog kraftigt fart 1986. Exemplet belyser fenomenet innovation såsom ett mångårigt, ofta upptill tio år eller årtionden, vilket är forkningsansatsen i doktorsavhandlingen. Studien har betraktat fenomenet utgående från ett företagsledningsperspektiv, inte som ett innovations projekt vilket är det trditionella perspektivet. Forskningen bygger vidare på kritiken mot den allmänna uppfattningen att nystartade små och entrepreneursdrivna företag är idealomgivningen för innovation. I forskningen har studerats gamla och stora innovativa konsumentvaruföretag. De sex studerade företagen drivs inte längre av företagets grundare, hans tankar, nätverk, ledningssätt, utan är mera influerat av strukturer, system och prosesser som och iståndsatts av en annan professionell ledning. Denna ledning har i viss mån förmått att professionalisera sättet hur innovation hanteras framgångsrikt i företaget. I forskningen har den innovativa företagsledningens tankevärld och dynamiken i tänkandet definierats. Genom studien framkommer dels tre påtagliga tankemönster och dels en generell beskrivning av ledningen för ett innovativt företag. Kärnan i arbetet definierar ledningens uppmärksamhetsområde vilket är kritiskt för att det innovativa tillståndet och cykeln för innovation har fortbestått. Innovationsaktivisternas roll är avgörande, där produkten formas som en funktion av idéer som någon har och jobbar med, av beslutsfattadet i företaget, samt av tolkning och slutledningen av företagets gällande och framtida verksamhetsvilkor. Detta kritiska uppmärksamhetsområde har även testats och verifierats i avhandlingen. Ur forskningen framstår belägg och ett förslag till en teori, med vilken det är möjligt att förklarar skillnaden i ledningens tänkande vid betraktelsen av de innovativa företagen och de icke-innovativa företagen.

Keille yliopiston portit avautuvat? Tutkimus suomalaisiin yliopistoihin ja eri tieteenaloille valikoitumisesta 2000-luvun alussa

Tutkimuksessa tarkastellaan suomalaisiin yliopistoihin valikoitumista 2000-luvun alussa. Tarkastelu pohjautuu yliopistoon hakeneiden, opiskelemaan hyväksyttyjen ja opiskelupaikkaa ilman jääneiden taustojen vertailuun. Tutkimuksen tarkoituksena on selvittää, miten koulutuksellinen tasa-arvo toteutuu opiskelemaan pääsyssä. Erityistä huomiota kiinnitetään sukupuolten, eri-ikäisten, sosiaalisten ryhmien sekä eri alueella asuvien opiskelijavalinnoissa pärjäämiseen. Lisäksi pohditaan, millaiset taustatekijät ovat yhteydessä opiskelemaan pääsyyn ja miten suomalainen yliopistokenttä on lohkoutunut yliopistoittain ja aloittain hakijoiden ja sisään päässeiden taustojen perusteella. Tutkimuksen pääaineistona on henkilöpohjainen rekisteriaineisto, joka on laadittu valtakunnallisen hakijarekisterin (HAREK) ja Tilastokeskuksen yhteistyönä. Aineisto käsittää 40 %:n satunnaisotoksen vuonna 2003 suomalaisiin yliopistoihin hakeneista (N = 55 790). Aineiston muuttujat kuvaavat hakijoiden taustoja, elämäntilannetta, aiempaa koulutusta ja lapsuudenperheen asemaa. Tutkimuksessa hyödynnetään lisäksi kokonaisjoukosta muodostettua taulukkoaineistoa (N = 139 668). Yliopistoihin hakevat eivät ole yhtenäinen ryhmä. Vaikka suurin osa hakijoista oli nuoria, oli joukossa myös varttuneempia hakijoita, jotka olivat ehtineet hankkia koulutusta ja muuta elämänkokemusta. Päävalinnat toimivat siten myös aikuishakijoiden hakuväylänä; erillisvalintoja eivät hyödynnä läheskään kaikki, joilla siihen olisi mahdollisuus. Klusterianalyysin avulla hakijoista voitiin erottaa neljä ryhmää: 1) nuoret ylioppilaat, 2) toisen tutkinnon suorittajat, 3) koulutuspääoman kartuttajat sekä 4) aikuiset lisäkouluttautujat. Opiskelemaan pääsyyn vaikuttavia tekijöitä analysoitiin logistisen regressioanalyysin avulla. Analyysin mukaan hakijan iällä oli muista taustatekijöistä riippumaton vaikutus opiskelemaan pääsyyn niin, että todennäköisyys päästä yliopistoon vähenee hakijan iän kohotessa. Parhaiten opiskelemaan pääsivät kaikkein nuorimmat, alle 20-vuotiaat hakijat, jotka siis useimmiten ovat saman kevään ylioppilaita. Vanhemmille hakijoille oli usein kertynyt jo koulutusta, mutta aiemmat tutkinnot paransivat sisäänpääsyn mahdollisuuksia vain, mikäli ne olivat korkea-asteelta. Alemmilla ammatillisilla tutkinnoilla oli pikemminkin opiskelemaan pääsyä heikentävä vaikutus. Myös se, mitä hakija oli tehnyt ennen valintakokeita, vaikutti sisäänpääsyn mahdollisuuksiin. Parhaiten valinnoissa pärjäsivät päätoimiset opiskelijat, heikoiten työttömät hakijat. Vaikka miesten hyväksymisprosentit olivat keskimäärin korkeammat kuin naisten, sukupuoli ei osoittautunut itsenäiseksi opiskelemaan pääsyä selittäväksi tekijäksi. Naisten huonompi pärjääminen valinnoissa selittyykin pitkälti sukupuolten eriytyneillä alavalinnoilla. Naisten suosimat alat kun ovat pääsääntöisesti vaikeapääsyisempiä kuin miesten. Tutkimuksessa selvisi myös, että kaupunkilaisuus lisäsi todennäköisyyttä tulla hyväksytyksi. Toisaalta opiskelemaan pääsy erosi myös asuinmaakunnittain, mikä kertoo lähinnä siitä, että eri yliopistojen sisäänpääsyasteissa on varsin suuria eroja. Yliopistojen lohkoutuminen hakijoiden sosiaalisen taustan mukaan oli paljon selvempää kuin alojen. Kaikki pääkaupunkiseudun yliopistot – lukuun ottamatta Teatterikorkeakoulua – luokittuivat isän asemalla mitaten elitistisiksi. Matalimmista taustoista haettiin Lapin, Joensuun ja Vaasan yliopistoihin. Alojen paikka elitistisyyskansanomaisuus -ulottuvuudella vaihteli suuresti yliopistoittain. Teknillistieteellinen, matemaattis-luonnontieteellinen ja kauppatieteellinen ala sijoittuivat kuitenkin keskimääräistä ylemmäs, kun taas kasvatustiede ja farmasia olivat kansanomaisimpia hakukohteita. Opiskelijaksi valikoitumisen peruselementit toistuivat myös tässä tutkimuksessa: koulutetuimpien ja hyvässä asemassa olevien vanhempien jälkeläiset saivat opiskelupaikan useammin kuin muut. Yliopistolaitoksessa vuosikymmenten saatossa toteutetut rakenteelliset muutokset eivät siis ole muuttaneet valikoitumisen peruslinjaa, joskin uutena huomiona nousi maanviljelijöiden jälkeläisten hyvä valinnoissa pärjääminen. Maanviljelijäperheestä tulevien opiskelemaan pääsyn todennäköisyys oli kaikkein suurin.

Natural regeneration in abandoned fields following intensive agricultural land use in an Atlantic Forest Island, Brazil

The time required to regrowth a forest in degraded areas depends on how the forest is removed and on the type of land use following removal. Natural regeneration was studied in abandoned old fields after intensive agricultural land use in areas originally covered by Brazilian Atlantic Forests of the Anchieta Island, Brazil in order to understand how plant communities reassemble following human disturbances as well as to determine suitable strategies of forest restoration. The fields were classified into three vegetation types according to the dominant plant species in: 1) Miconia albicans (Sw.) Triana (Melastomataceae) fields, 2) Dicranopteris flexuosa (Schrader) Underw. (Gleicheniaceae) thickets, and 3) Gleichenella pectinata (Willd.) Ching. (Gleicheniaceae) thickets. Both composition and structure of natural regeneration were compared among the three dominant vegetation types by establishing randomly three plots of 1 x 3 m in five sites of the island. A gradient in composition and abundance of species in natural regeneration could be observed along vegetation types from Dicranopteris fern thickets to Miconia fields. The gradient did not accurately follow the pattern of spatial distribution of the three dominant vegetation types in the island regarding their proximity of the remnant forests. A complex association of biotic and abiotic factors seems to be affecting the seedling recruitment and establishment in the study plots. The lowest plant regeneration found in Dicranopteris and Gleichenella thickets suggests that the ferns inhibit the recruitment of woody and herbaceous species. Otherwise, we could not distinguish different patterns of tree regeneration among the three vegetation types. Our results showed that forest recovery following severe anthropogenic disturbances is not direct, predictable or even achievable on its own. Appropriated actions and methods such as fern removal, planting ground covers, and enrichment planting with tree species were suggested in order to restore the natural forest regeneration process in the abandoned old fields.

JUVENILE-MATURE GENETIC CORRELATIONS IN Pinus taeda CLONES PROPAGATED VIA SOMATIC EMBRYOGENESIS

ABSTRACT This study aimed to estimate the genetic correlation among selection ages (juvenile - adult) and efficiency of early selection for the height, diameter, and volume traits of individuals from Pinus taeda families propagated via somatic embryogenesis. This study was carried out by genetic-statistical analysis, estimation procedure of variance (Reml), and prediction components of breeding values (Blup), using the Selegen-Reml/Blup software. Genetic correlations among juvenile ages and rotation age were performed by applying the linear model developed by Lambeth (1980). In accordance with results of the established model, the early selection can be performed in clones of Pinus taeda with high selection efficiency. Ages from 4 to 6 years old are enough to select Pinus taeda clones propagated via somatic embryogenesis for harvesting at 8 and 12 years old; and 6 to 10 years old are enough to select them for harvesting at 20 years old. On the basis of the genetic correlations estimates from the environments, the clones' selection of Pinus taeda propagated via somatic embryogenesis should be developed specifically for each environment. The clones' selection can be performed considering the diameter due to the high correlation between volume and diameter.

Fungicide application using a trailing boom in soybean fields

The objective of this study was to determine the effects in the yield of soybean crop utilizing a trailing boom sprayer for chemical control of late season diseases. The experimental design was randomized blocks with 04 treatments, which consisted of applying fungicides with a traditional sprayer, trailing boom, the traditional sprayer plus the trailing boom simultaneously and control (without fungicide aerial application) in 05 repetitions per treatment. The variables evaluated were: final plant population, pods per plant, grains per pod, weight of one thousand grains and yield. It was concluded that the control of foliar diseases with fungicides presented weight of one thousand grains and yield significantly higher than the average of plots without fungicide application. The trailing boom did not significantly affect the yield compared to the technology currently used.

The importance of Leptospira interrogans serovars Icterohaemorrhagiae and Canicola in coastal zone and in southern fields of Rio Grande do Sul, Brazil

This study aimed to describe the occurrence of Leptospira interrogans serovars Icterohaemorrhagiae and Canicola, in coastal zone and in southern grasslands of Rio Grande do Sul, Brazil. In each one of the four analyzed farms blood samples were collected from free-living wild animals, domestic animals and humans to perform serological testing for leptospirosis. The presence of antibodies was verified by microscopic agglutination test (MAT). The criterion adopted to consider a serum as agglutination reactant was at least 50% of leptospira for a microscopic field of 100x. From 17 blood samples collected at Chuí, five (29.41%) were positive, three (60.00%) for serovar Icterohaemorrhagiae and two (40.00%) for Canicola. From 21 samples collected in the County of Santana da Boa Vista, six (28.57%) were positive, four (66.67%) for serovar Canicola and two (33.33%) for serovar Icterohaemorrhagiae. From 32 samples collected at Alegrete, 10 (31.25%) were positive, seven (70.00%) for serovar Icterohaemorrhagiae and three (30.00%) foro serovar Canicola. From 17 blood samples collected in Cruz Alta, three (17.64%) were positive, two (66.67%) for serovar Icterohaemorrhagiae and one (33.33%) for Canicola. It is necessary to improve sanitary practices on farms in the state of Rio Grande do Sul, in order to achieve success in leptospirosis control programs.

From the seeds of rediscovered texts come new fields of inquiry

Kirjallisuusarvostelu

Unexpected effects of pigeon-peas (Cajanus cajan) in the restoration of rupestrian fields

Several degraded areas can be found along the Highway MG-010 that crosses the Espinhaço Mountain Biosphere Reserve in the Brazilian state of Minas Gerais. Restoration by planting the legume Cajanus cajan was implemented in some of these areas. The present study compares plant species richness, diversity, abundance, equitability, similarity, and soil composition between restored and non-restored areas, in an attempt to evaluate the effectiveness of the use of C. cajan in the restoration process in the mountain environment. Each treatment (restored and non-restored) had four sampling areas, each with three 300 m² plots. We counted and identified every individual plant found within these plots. We also collected soil from the superficial layer (0-10 cm) of each sampling area in both treatments. The areas where C. cajan was planted revealed lower species richness, diversity, and plant abundance. The soil of these areas also contained higher levels of Phosphorus and Magnesium. Plant equitability and similarity between plots and other soil components (pH, Nitrogen, Aluminum, Calcium, Potassium, H+Al, sum of bases - SB, cation exchange capacity - CTC, base saturation - V%, aluminum saturation - M%) did not differ between the two treatments. Contrary to the expectations, soil enhancement in the quartzitic soil poor in nutrients in the rupestrian fields can facilitate the invasion by exotic plants, which are not adapted to the lack of nutrients. As it appears, the use of C. cajan in restoration projects represents a mistake and future restoration plans should avoid the use of exotic species, given that they may cause negative effects on the native plant community, as demonstrated here in the rupestrian fields.

Limits of Meritocracy. How Fields of Study and Gender Segregation Affect Social Stratification in Finland

This dissertation critically reviews the idea of meritocracy from both a theoretical and an empirical perspective. Based on a discussion of classical texts of social philosophy and sociology, it is argued that meritocracy as a concept for social stratification is best compatible with the sociological tradition of status attainment research: both frame social inequality in primarily individualistic terms, centring on the role of ascribed (e.g., gender, social background) and achieved (e.g., educational qualifications) characteristics for determining individuals’ socioeconomic rewards. This theoretical argument introduces the research problem at the core of this dissertation: to what extent can the individualistic conception of social stratification be maintained empirically? Fields of study and their interaction with educational attainment levels play a prominent role in the analysis of this question. Drawing on sociological versions of segmented labour market theory, it is assumed that fields of study may channel individuals into heterogeneous political-economic contexts on the labour market, which potentially modify the socioeconomic benefit individuals derive from their qualification levels. The focus on fields of study may also highlight economic differentials between men and women that derive from the persisting segregation of men’s and women’s occupational and educational specializations rather than direct gender discrimination on the labour market. The quantitative analyses in this dissertation consist of three research articles, which are based primarily on Finnish data, but occasionally extend the view to other European countries. The data sources include register-based macro- and microdata as well as survey data. Article I examines the extent and the patterns of gender segregation within the Finnish educational system between 1981 and 2005. The results show that differences between men’s and women’s field specializations have for the most part remained stable during this period, with particularly high levels of gender segregation observed at lower educational levels. The focus in Article II rests on the effects of gender-segregated fields of study on higher education graduates’ occupational status. It is shown that fields of study matter for accessing professional jobs and avoiding low-skilled positions in Finland: at the early career stage, particularly polytechnic graduates from female-dominated fields are less likely to work in professional positions. Finnish university graduates from male-dominated fields were more likely than their peers with different specializations to work as professionals, yet they also faced a greater risk of being sorted into lowskilled jobs if they failed to make use of this advantage. Article III proceeded to analyse the joint impact of educational qualification levels and fields of study on young adults’ median earnings in Finland between 1985 and 2005. The results show that qualification levels do not confer a consistent benefit in the process of earnings stratification. Advanced qualifications raise median earnings most clearly among individuals specializing in the same field of study. When comparing individuals with different field specializations, on the other hand, higher-level qualifications do not necessarily lead to higher median earnings. Overall, the findings of this dissertation reveal a heterogeneous effect of education for achieving social positions, which challenges individual-centred, meritocratic accounts of social stratification and underlines the problematic lack of structural and institutional dimensions in the dominant account of social status attainment.