A randomized controlled trial of filgrastim during remission induction and consolidation chemotherapy for adults with acute lymphoblastic leukemia: CALGB study 9111

Recombinant human granulocyte colony-stimulating factor (G-CSF; filgrastim) shortens the time to neutrophil recovery after intensive chemotherapy, but its role in the treatment of adults with acute lymphoblastic leukemia (ALL) is uncertain. We randomly assigned 198 adults with untreated ALL (median age, 35 years; range, 16 to 83) to receive either placebo or G-CSF (5 microgram/kg/d) subcutaneously, beginning 4 days after starting intensive remission induction chemotherapy and continuing until the neutrophil count was >/=1, 000/microL for 2 days. The study assignment was unblinded as individual patients achieved a complete remission (CR). Patients initially assigned to G-CSF then continued to receive G-CSF through 2 monthly courses of consolidation therapy. Patients assigned to placebo received no further study drug. The median time to recover neutrophils >/=1,000/microL during the remission induction course was 16 days (interquartile range [IQR], 15 to 18 days) for the patients assigned to receive G-CSF and 22 days (IQR, 19 to 29 days) for the patients assigned to placebo (P < .001). Patients in the G-CSF group had significantly shorter durations of neutropenia (<1, 000/microL) and thrombocytopenia (<50,000/microL) and fewer days in the hospital (median, 22 days v 28 days; P = .02) compared with patients receiving placebo. The patients assigned to receive G-CSF had a higher CR rate and fewer deaths during remission induction than did those receiving placebo (P = .04 by the chi-square test for trend). During Courses IIA and IIB of consolidation treatment, patients in the G-CSF group had significantly more rapid recovery of neutrophils >/=1,000/microL than did the control group by approximately 6 to 9 days. However, the patients in the G-CSF group did not complete the planned first 3 months of chemotherapy any more rapidly than did the patients in the placebo group. Overall toxicity was not lessened by the use of G-CSF. After a median follow-up of 4. 7 years, there were no significant differences in either the disease-free survival (P = .53) or the overall survival (P = .25) for the patients assigned to G-CSF (medians, 2.3 years and 2.4 years, respectively) compared with those assigned to placebo (medians, 1.7 and 1.8 years, respectively). Adults who received intensive chemotherapy for ALL benefited from G-CSF treatment, but its use did not markedly affect the ultimate outcome.     

Effects of cold stress on survival and reproduction of Haematobia irritans (Diptera: Muscidae)

1. Hydroxypropyl-beta-cyclodextrin (HP-beta-CD) increases the stability of the oxazolidine prodrug toward hydrolysis. 2. The binding constant (Kb) and rate constant (Kc) for the hydrolysis of the prodrug-HP-beta-CD complex were calculated from the kinetic data. 3. Ion-spray mass spectra confirmed prodrug-HP-beta-CD complexation. 4. Mass spectral and kinetic data indicated 1:1 stoichiometry for the complex. 5. A significant elevation of locomotor activity in rats was observed when either (-)-ephedrine or the prodrug was administered by either the intraperitoneal or the oral route. 6. Addition of HP-beta-CD potentiated the central nervous system effect of both (-)-ephedrine and the prodrug when administered intraperitoneally. However, when the drugs were administered orally, HP-beta-CD caused a decrease in activity.     

Employee stress and health complaints in jobs with and without electronic performance monitoring

Current applications of electronic performance monitoring based on job design theories that consider worker performance rather than stress issues are likely to generate unsatisfying and stressful jobs (Smith et al, 1986). This study examines critical job design elements that could influence worker stress responses in an electronic monitoring context. A questionnaire survey of employees in telecommunications companies representative of each region in the United States examined job stress in directory assistance, service representative and clerical jobs with specific emphasis on the influence of electronic monitoring of job performance, satisfaction and employee health. Useable surveys were received from 745 employees representing seven operating companies and AT & T; a response rate of about 25%. The results of this survey indicated that employees who had their performance electronically monitored perceived their working conditions as more stressful, and reported higher levels of job boredom, psychological tension, anxiety, depression, anger, health complaints and fatigue. It is postulated that these effects may be related to changes in job design due to electronic performance monitoring.     

Simulation of partial oxidation of natural gas to synthesis gas using ASPEN PLUS

Conversion of natural gas to liquid fuels is a challenging issue. In SMDS process natural gas is first partially oxidized with pure oxygen to synthesis gas (a mixture of H₂ and CO) which is then converted to high quality liquid transportation fuels by utilizing a modernized version of the Fischer-Tropsch reaction. This paper presents a computer simulation of the first stage of the process, i.e. the synthesis gas production from natural gas. ASPEN PLUS equipped with a combustion databank was used for calculations. Concentrations of over 30 combustion species and radicals expected in the synthesis gas have been calculated at equilibrium and several non-equilibrium conditions. Using a sensitivity analysis tool, the relative feed flow rates and reactor parameters have been varied searching to maximize the CO/O₂ yield as well as to minimize the undesired nitrogen compounds in the product stream. The optimum reactor temperature for maximizing the CO mole fraction in the synthesis gas was also calculated.     

Non-Isothermal crystallization of isotactic polypropylene in dotriacontane. I: Effects of dilution,cooling rate,and nucleating agent addition on overall crystallization kinetics

The overall non-isothermal crystallization kinetics for nucleated and non-nucleated isotactic polypropylene (iPP) in dotriacontane systems was investigated. Adipic acid was used as the nucleating agent. Crystallization peak temperature was determined via differential scanning calorimetry as a function of the experimentally controlled variables iPP concentration, cooling rate, and nucleating agent concentration. The influence of these variables on crystallization mechanism and spherulitic structure as implied by the Ozawa and Ziabicki analyses was determined. The non-isothermal crystallization kinetics presented here are the first for iPP-diluent systems with and without nucleating agent.     

Polydispersity effect on transient flow behavior of polystyrene solution

Summary The transient flow behavior of the binary blend of monodisperse polystyrene fractions is measured by a flow birefringence method. Both of the shear stress and first normal stress difference are obtained simultaneously in time by using a PMFB technique. The entanglements of the polymer chains significantly affect the rheological property of the binary blend in flow region. Especially, the entanglements of the high molecular weight fractions with themselves is proven to be the main source to the growth of first normal stress differences.     

Preparation of ketoprofen‐loaded high‐molecular‐weight poly(vinyl alcohol) gels

High‐molecular‐weight atactic poly(vinyl alcohol) (a‐PVA) gels loaded with (R,S)‐2‐(3‐benzoylphenyl)propionic acid (ketoprofen) were prepared from 5, 6, 7, and 8 g/dL solutions of a‐PVA with a number‐average degree of polymerization of 4000 in an ethylene glycol/water mixture with an aging method to identify the effect of the initial polymer concentration on the swelling behavior, morphology, and thermal properties of a‐PVA gels. Then, the release behavior of ketoprofen from a‐PVA gels was investigated. As the polymer concentration decreased, the ability for network formation decreased, and the degree of swelling of the a‐PVA gels increased. In addition, the enthalpy increased with an increase in the a‐PVA concentration, but the melting temperatures of the gels prepared at different initial polymer concentrations were the same; this indicated that tighter gel networks would be formed by a higher polymer chain density. © 2007 Wiley Periodicals, Inc. J Appl Polym Sci 2007     

Permanent jet formation in beds of particulate solids

The simple criterion proposed by Chandnani and Epstein (1984, 1986) for stable spouting, d_or/d_p ≤ 25.4, is shown to give a good separation between gas-solid systems which form permanent jets and those that bubble, for a wide range of experimental data reported in the literature. The criterion is suggested as a necessary but not sufficient condition for permanent jet formation in fluidized, spout-fluid and spouted beds.