998 resultados para FINAL DISPOSAL


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Background: EATL is a rare subtype of peripheral T-cell lymphomas characterized by primarily intestinal localization and a frequent association with celiac disease. The prognosis is considered to be poor with conventional chemotherapy. Limited data is available on the efficacy of ASCT in this lymphoma subtype. Primary objective: was to study the outcome of ASCT as a consolidation or salvage strategy for EATL. The primary endpoint was overall survival (OS) and progression-free survival (PFS). Eligible patients were > 18 years who had received ASCT between 2000-2010 for EATL that was confirmed by review of written histopathology reports, and had sufficient information on disease history and follow-up available. The search strategy used the EBMT database to identify patients potentially fulfilling the eligibility criteria. An additional questionnaire was sent to individual transplant centres to confirm histological diagnosis (histopathology report or pathology review) as well as updated follow-up data. Patients and transplant characteristics were compared between groups using X2 test or Fisher's exact test for categorical variables and t-test or Mann-Whiney U-test for continuous variables. OS and PFS were estimated using the Kaplan-Meier product-limit estimate and compared by the log-rank test. Estimates for non-relapse mortality (NRM) and relapse or progression were calculated using cumulative incidence rates to accommodate competing risk and compared to Gray's test. Results: Altogether 138 patients were identified. Updated follow-up data was received from 74 patients (54 %) and histology report from 54 patients (39 %). In ten patients the diagnosis of EATL could not be adequately verified. Thus the final analysis included 44. There were 24 males and 20 females with a median age of 56 (35-72) years at the time of transplant. Twenty-five patients (57 %) had a history of celiac disease. Disease stage was I in nine patients (21 %), II in 14 patients (33 %) and IV in 19 patients (45 %). Twenty-four patients (55 %) were in the first CR or PR at the time of transplant. BEAM was used as a high-dose regimen in 36 patients (82 %) and all patients received peripheral blood grafts. The median follow-up for survivors was 46 (2-108) months from ASCT. Three patients died early from transplant-related reasons translating into a 2-year non-relapse mortality of 7 %. Relapse incidence at 4 years after ASCT was 39 %, with no events occurring beyond 2.5 years after ASCT. PFS and OS were 54 % and 59 % at four years, respectively. There was a trend for better OS in patients transplanted in the first CR or PR compared to more advanced disease status (70 % vs. 43 %, p=0.053). Of note, patients with a history of celiac disease had superior PFS (70 % vs. 35 %, p=0.02) and OS (70 % vs. 45 %, p=0.052) whilst age, gender, disease stage, B-symptoms at diagnosis or high-dose regimen were not associated with OS or PFS. Conclusions: This study shows for the first time in a larger patient sample that ASCT is feasible in selected patients with EATL and can yield durable disease control in a significant proportion of the patients. Patients transplanted in first CR or PR appear to do better than those transplanted later. ASCT should be considered in EATL patients responding to initial therapy.

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This report provides an overview of the development and field testing of the S�_olta Quality Assurance Programme (QAP). It outlines the timeline, key roles and activities and draws upon evaluation data gathered at various stages of the action research and development process. It briefly describes the processes, tools, materials and the professional roles that have been developed to support implementation of the S�_olta QAP. It concludes with consideration of the context within which the S�_olta QAP will operate into the future and makes a set of recommendations to connect this research and development phase for S�_olta and the S�_olta QAP with national and international policy developments related to the improvement of the quality of early childhood care and education (ecce) in Ireland.

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El proyecto consiste en desarrollar un software para la gestión de los servicios que ofrece un Hotel Spa.Por un lado, un software con el que los clientes podrán interactuar para la petición de servicios al hotel. Estas peticiones de servicios son: -Peticiones servicios de habitaciones (incidencias, peticiones de material, servicio despertador, servicio limpieza, etc.) -Reservar un recurso (salas de reunión, pistas de deportes, etc.) -Planificar actividades realizadas en el recinto del hotel (gimnasio, masajista, conferencias, audiciones, espectáculos musicales, etc.)Y por otro lado el software necesario para gestionar estas peticiones que estará a la disposición de los encargados del hotel.El nombre de la aplicación es: eHotelSPANet.Para el desarrollo del software se utilizarán las herramientas de Microsoft usando la tecnología .NET, concretamente: -WPF (Windows Presentation Foundation). -WCF (Windows Communications Foundation) SQL Server 2008

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Programa en plataforma .NET para la gestión de un servicio técnico. Basado en una estructura cliente servidor. El motor de base de datos es SQL server.

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Creació d'una empresa que el seu producte principal es un programa amb una llicencia de programari lliure. L'empresa generarà una base del programa, robust i estable. Després s'alliberarà amb una llicencia lliure per a que la comunitat de programari lliure s'afegeixi al desenvolupament i el faci créixer i convertir-ho en un producte de qualitat i superior als actuals productes privatius. Per aconseguir el objectiu, l'empresa gestionarà el producte amb metodologies empresarials. El benefici, s'obtindrà de les SaaS (Software As a Service). El model de negoci i l'estratègia empresarial es basarà segons el model Hecker i Raymond.

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Les auteurs ont estimé nécessaire de mieux comprendre, d'une part les différents états de connaissance, d'attitude et de comportement des populations d'immigrés en Suisse par rapport au phénomène du SIDA et à sa prévention, et d'autre part, d'évaluer si ces états peuvent être mis en relation aux cultures d'origine ainsi qu'à des phénomènes de migration. Les auteurs ont choisi pour cette étude les communautés turque et africaine.