977 resultados para Parker, Simon


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The Dublin Simon Community Health Audit took place during a one week period from Tuesday October 27th to Monday November 2nd 2009. During this one week period the survey was conducted with representative sample of people using Dublin Simon services to provide a snapshot picture of the presenting needs and issues Dublin Simon Community work with on a daily basis. The information gathered builds up a picture of the complex nature of both homelessness and the physical/mental health needs of those experiencing homelessness. Specifically it looks at the physical health issues, diagnosed and undiagnosed; mental health issues, diagnosed and undiagnosed; and drug and alcohol use of those using Dublin Simon services over this one week period.This resource was contributed by The National Documentation Centre on Drug Use.

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PURPOSE: To assess objective response rate (ORR) after two cycles of temozolomide in combination with topotecan (TOTEM) in children with refractory or relapsed neuroblastoma. PATIENTS AND METHODS: This multicenter, non-randomised, phase II study included children with neuroblastoma according to a two-stage Simon design. Eligibility criteria included relapsed or refractory, measurable or metaiodobenzylguanidine (mIBG) evaluable disease, no more than two lines of prior treatment. Temozolomide was administered orally at 150mg/m(2) followed by topotecan at 0.75mg/m(2) intravenously for five consecutive days every 28days. Tumour response was assessed every two cycles according to International Neuroblastoma Response Criteria (INRC), and reviewed independently. RESULTS: Thirty-eight patients were enroled and treated in 15 European centres with a median age of 5.4years. Partial tumour response after two cycles was observed in 7 out of 38 evaluable patients [ORR 18%, 95% confidence interval (CI) 8-34%]. The best ORR whatever the time of evaluation was 24% (95% CI, 11-40%) with a median response duration of 8.5months. Tumour control rate (complete response (CR)+partial response (PR)+mixed response (MR)+stable disease (SD)) was 68% (95% CI, 63-90%). The 12-months Progression-Free and Overall Survival were 42% and 58% respectively. Among 213 treatment cycles (median 4, range 1-12 per patient) the most common treatment-related toxicities were haematologic. Grade 3/4 neutropenia occurred in 62% of courses in 89% of patients, grade 3/4 thrombocytopenia in 47% of courses in 71% of patients; three patients (8%) had febrile neutropenia. CONCLUSION: Temozolomide-Topotecan combination results in very encouraging ORR and tumour control in children with heavily pretreated recurrent and refractory neuroblastoma with favourable toxicity profile.

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El objetivo principal de mi tesis doctoral es identificar y entender los procesos que determinan la enorme riqueza de seres vivos que existe en el Mediterráneo. Para conseguir los objetivos planteados he utilizado como modelo de estudio los géneros de arañas Parachtes y Harpactocrates endémicas del mediterráneo occidental. Los resultados obtenidos hasta el momento se basan en la información que nos proporcionan las datos moleculares a través de una aproximación filogenética, de inferencia de tiempos de divergencia y de genética de poblaciones. Algunas de las conclusiones a las que he llegado son: (1) la secuencia de formación de las especies que componen el género Parachtes y sus edades asociadas sigue la secuencia geocronológica de formación de la cuenca mediterránea occidental, (2) las especies del género Harpactocrates de los Alpes provienen de una colonización desde la Península Ibérica, (3) las edades de divergencia entre las especies de éste género preceden a las glaciaciones, lo que rechaza la hipótesis de especiación pleistocénica (4) el patrón filogeográfico obtenido para la especie pirenaica Harpactocrates ravastellus sugieren que los cambios climáticos pleistocénicos modelaron la estructura poblacional de la especie, identificándose refugios glaciares, (5) el patrón filogeográfico obtenido para las 3 especies del Sistema Central (H. gredensis, H. globifer y H. gurdus) muestra una marcada estructura poblacional, con tiempos de divergencia que datan alrededor de las épocas del Plio-Pleistoceno, sugiriendo la existencia de varios refugios dentro del Sistema Central.

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Projecte que presenta la implementació per a dispositius Android del joc 'Simon says'.