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TL;DR: In persons infected with HIV, HAART use may prevent most excess risk of Kaposi sarcoma and non-Hodgkin lymphoma, but not that of Hodgkins lymphoma and other non-acquired immunodeficiency syndrome-defining cancers.
Abstract: Background: Persons infected with human immunodefi ciency virus (HIV) have an increased risk for several cancers, but the infl uences of behavioral risk factors, such as smoking and intravenous drug use, and highly active antiretroviral therapy (HAART) on cancer risk are not clear. Methods: Patient records were linked between the Swiss HIV Cohort Study and Swiss cantonal cancer registries. Observed and expected numbers of incident cancers were assessed in 7304 persons infected with HIV followed for 28 836 person-years. Relative risks for cancer compared with those for the general population were determined by estimating cancer registry – , sex-, age-, and period-standardized incidence ratios (SIRs). Results: Highly elevated SIRs were confi rmed in persons infected with HIV for Kaposi sarcoma (KS) (SIR = 192, 95% confi dence interval [CI] = 170 to 217) and non-Hodgkin lymphoma (SIR = 76.4, 95% CI = 66.5 to 87.4). Statistically signifi cantly elevated SIRs were also observed for anal cancer (SIR = 33.4, 95% CI = 10.5 to 78.6); Hodgkin lymphoma (SIR = 17.3, 95% CI = 10.2 to 27.4); cancers of the cervix (SIR = 8.0, 95% CI = 2.9 to 17.4); liver (SIR = 7.0, 95% CI = 2.2 to 16.5); lip, mouth, and pharynx (SIR = 4.1, 95% CI = 2.1 to 7.4); trachea, lung, and bronchus (SIR = 3.2, 95% CI = 1.7 to 5.4); and skin, nonmelanomatous (SIR = 3.2, 95% CI = 2.2 to 4.5). In HAART users, SIRs for KS (SIR = 25.3, 95% CI = 10.8 to 50.1) and non-Hodgkin lymphoma (SIR = 24.2, 95% CI = 15.0 to 37.1) were lower than those for nonusers (KS SIR = 239, 95% CI = 211 to 270; non-Hodgkin lymphoma SIR = 99.3, 95% CI = 85.8 to 114). Among HAART users, however, the SIR (although not absolute numbers) for Hodgkin lymphoma (SIR = 36.2, 95% CI = 16.4 to 68.9) was comparable to that for KS and non-Hodgkin lymphoma. No clear impact of HAART on SIRs emerged for cervical cancer or non – acquired immunodefi ciency syndrome-defi ning cancers. Cancers of the lung, lip, mouth, or pharynx were not observed among nonsmokers. Conclusion: In persons infected with HIV, HAART use may prevent most excess risk of KS and non-Hodgkin lymphoma, but not that of Hodgkin lymphoma and other non – acquired immunodefi ciency syndrome-defi ning cancers. No cancers of the lip, mouth, pharynx, or lung were observed in nonsmokers. [J Natl Cancer Inst 2005;97:425 – 32]
832 citations
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TL;DR: In this article, the relationship between fresh and hardened paste, mortar, and concrete material properties and how they influence the geometry of the created object is explored and classified by construction application to identify the spectrum of future research exploration in this emerging field.
758 citations
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TL;DR: The case of a 72-year-old man with a 10-year history of prostatism hospitalized for hematuria was reported in this paper, which revealed a prostatic localization of lymphocytic lymphoma.
Abstract: The authors report the case of a 72-year-old man with a 10-year history of prostatism hospitalized for hematuria. Biopsies revealed a prostatic localization of lymphocytic lymphoma which staging wo...
525 citations
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TL;DR: The findings provide evidence for the strong need for psycho-oncological interventions in cancer populations using a proportional stratified random sample based on the nationwide cancer incidence in Germany.
Abstract: Purpose To provide the 4-week prevalence estimates of mental disorders in cancer populations. Patients and Methods We enrolled adult patients with cancer from in- and outpatient care facilities, using a proportional stratified random sample based on the nationwide cancer incidence in Germany. Patients who scored 9 or above on the Patient Health Questionnaire (PHQ-9) were administered to the standardized computer-assisted Composite International Diagnostic Interview for mental disorders adapted for cancer patients (CIDI-O). A random sample of those with a PHQ-9 score that was less than 9 were selected for a CIDI-O. Results A total of 5,889 patients were identified, which led to 4,020 participants (a 68.3% response rate); of those, 2,141 patients were interviewed. The 4-week total prevalence for any mental disorder was 31.8% (95% CI, 29.8% to 33.8%); this included any anxiety disorder (11.5%; 95% CI, 10.2% to 12.9%), any adjustment disorder (11.1%; 95% CI, 9.7% to 12.4%), any mood disorder (6.5%; 95% CI, 5....
476 citations
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TL;DR: Prednisone treatment for 7 days in patients with community-acquired pneumonia admitted to hospital shortens time to clinical stability without an increase in complications, relevant from a patient perspective and an important determinant of hospital costs and efficiency.
300 citations
Authors
Showing all 411 results
Name | H-index | Papers | Citations |
---|---|---|---|
Patrick C. Wilson | 60 | 176 | 13527 |
Christoph Lauber | 42 | 91 | 6256 |
Fabio Levi | 36 | 65 | 5055 |
Bret W. Tobalske | 33 | 102 | 3733 |
Michael Pascal Hengartner | 29 | 137 | 2479 |
Jean-Luc Bulliard | 28 | 106 | 3683 |
Hervé Duplain | 21 | 46 | 2884 |
Markus Kosel | 21 | 48 | 2423 |
Gerard D. Gierliński | 21 | 45 | 984 |
Daniel Marty | 19 | 50 | 1063 |
Brice Gautier | 18 | 102 | 1095 |
Christophe Rousselot | 18 | 50 | 1514 |
Michael M. Berner | 17 | 71 | 1803 |
Milford Bateman | 17 | 51 | 1440 |
Federico Simonetta | 17 | 59 | 920 |