Katholieke Universiteit Leuven

About: Katholieke Universiteit Leuven is a education organization based out in Leuven, Belgium. It is known for research contribution in the topics: Population & Transplantation. The organization has 61109 authors who have published 176584 publications receiving 6210872 citations.

European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement.

Abstract: IntroductionOver the past 20 years or so, the accuracy of the conventional Riva-Rocci/Korotkoff technique of blood pressure measurement has been questioned and efforts have been made to improve the technique with automated devices. In the same period, recognition of the phenomenon of white-coat hype

How much energy is needed to run a wireless network

Abstract: In order to quantify the energy efficiency of a wireless network, the power consumption of the entire system needs to be captured. In this article, the necessary extensions with respect to existing performance evaluation frameworks are discussed. The most important addenda of the proposed energy efficiency evaluation framework (E3F) are a sophisticated power model for various base station types, as well as large-scale long-term traffic models. The BS power model maps the RF output power radiated at the antenna elements to the total supply power of a BS site. The proposed traffic model emulates the spatial distribution of the traffic demands over large geographical regions, including urban and rural areas, as well as temporal variations between peak and off-peak hours. Finally, the E3F is applied to quantify the energy efficiency of the downlink of a 3GPP LTE radio access network.

Long-term outcome in patients with a pathological complete response after chemoradiation for rectal cancer: a pooled analysis of individual patient data

Abstract: Summary Background Locally advanced rectal cancer is usually treated with preoperative chemoradiation. After chemoradiation and surgery, 15–27% of the patients have no residual viable tumour at pathological examination, a pathological complete response (pCR). This study established whether patients with pCR have better long-term outcome than do those without pCR. Methods In PubMed, Medline, and Embase we identified 27 articles, based on 17 different datasets, for long-term outcome of patients with and without pCR. 14 investigators agreed to provide individual patient data. All patients underwent chemoradiation and total mesorectal excision. Primary outcome was 5-year disease-free survival. Kaplan-Meier survival functions were computed and hazard ratios (HRs) calculated, with the Cox proportional hazards model. Subgroup analyses were done to test for effect modification by other predicting factors. Interstudy heterogeneity was assessed for disease-free survival and overall survival with forest plots and the Q test. Findings 484 of 3105 included patients had a pCR. Median follow-up for all patients was 48 months (range 0–277). 5-year crude disease-free survival was 83·3% (95% CI 78·8–87·0) for patients with pCR (61/419 patients had disease recurrence) and 65·6% (63·6–68·0) for those without pCR (747/2263; HR 0·44, 95% CI 0·34–0·57; p Q test and forest plots did not suggest significant interstudy variation. The adjusted HR for pCR for failure was 0·54 (95% CI 0·40–0·73), indicating that patients with pCR had a significantly increased probability of disease-free survival. The adjusted HR for disease-free survival for administration of adjuvant chemotherapy was 0·91 (95% CI 0·73–1·12). The effect of pCR on disease-free survival was not modified by other prognostic factors. Interpretation Patients with pCR after chemoradiation have better long-term outcome than do those without pCR. pCR might be indicative of a prognostically favourable biological tumour profile with less propensity for local or distant recurrence and improved survival. Funding None.

Standardization and quality control studies of ‘real-time’ quantitative reverse transcriptase polymerase chain reaction of fusion gene transcripts for residual disease detection in leukemia – A Europe Against Cancer Program

Abstract: Detection of minimal residual disease (MRD) has proven to provide independent prognostic information for treatment stratification in several types of leukemias such as childhood acute lymphoblastic leukemia (ALL), chronic myeloid leukemia (CML) and acute promyelocytc leukemia. This report focuses on the accurate quantitative measurement of fusion gene (FG) transcripts as can be applied in 35-45% of ALL and acute myeloid leukemia, and in more than 90% of CML. A total of 26 European university laboratories from 10 countries have collaborated to establish a standardized protocol for TaqMan-based real-time quantitative PCR (RQ-PCR) analysis of the main leukemia-associated FGs within the Europe Against Cancer EAC) program. Four phases were scheduled: (1) training, (2) optimization, (3) sensitivity testing and (4) patient sample testing. During our program, three quality control rounds on a large series of coded RNA samples were performed including a balanced randomized assay, which enabled final validation of the EAC primer and probe sets. The expression level of the nine major FG transcripts in a large series of stored diagnostic leukemia samples (n = 278) was evaluated. After normalization, no statistically significant difference in expression level was observed between bone marrow and peripheral blood on paired samples at diagnosis. However, RQ-PCR revealed marked differences in FG expression between transcripts in leukemic samples at diagnosis that could account for differential assay sensitivity. The development of standardized protocols for RQ-PCR analysis of FG transcripts provides a milestone for molecular determination of MRD levels. This is likely to prove invaluable to the management of patients entered into multicenter therapeutic trials.

Gully erosion and environmental change: importance and research needs

Abstract: Assessing the impacts of climatic and, in particular, land use changes on rates of soil erosion by water is the objective of many national and international research projects. However, over the last decades, most research dealing with soil erosion by water has concentrated on sheet (interrill) and rill erosion processes operating at the (runoff) plot scale. Relatively few studies have been conducted on gully erosion operating at larger spatial scales. Recent studies indicate that (1) gully erosion represents an important sediment source in a range of environments and (2) gullies are effective links for transferring runoff and sediment from uplands to valley bottoms and permanent channels where they aggravate off site effects of water erosion. In other words, once gullies develop, they increase the connectivity in the landscape. Many cases of damage (sediment and chemical) to watercourses and properties by runoff from agricultural land relate to (ephemeral) gullying. Consequently, there is a need for monitoring, experimental and modelling studies of gully erosion as a basis for predicting the effects of environmental change (climatic and land use changes) on gully erosion rates. In this respect, various research questions can be identified. The most important ones are: (1) What is the contribution of gully erosion to overall soil loss and sediment production at various temporal and spatial scales and under different climatic and land use conditions? (2) What are appropriate measuring techniques for monitoring and experimental studies of the initiation and development of various gully types at various temporal and spatial scales? (3) Can we identify critical thresholds for the initiation, development and infilling of gullies in different environments in terms of flow hydraulics, rain, topography, soils and land use? (4) How does gully erosion interact with hydrological processes as well as with other soil degradation processes? (5) What are appropriate models of gully erosion, capable of predicting (a) erosion rates at various temporal and spatial scales and (b) the impact of gully development on hydrology, sediment yield and landscape evolution? (6) What are efficient gully prevention and gully control measures? What can be learned from failures and successes of gully erosion control programmes? These questions need to be answered first if we want to improve our insights into the impacts of environmental change on gully erosion. This paper highlights some of these issues by reviewing recent examples taken from various environments.