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  • 1
    Electronic Resource
    Electronic Resource
    Acute hematologic toxicity and practicability of dose-intensified BEACOPP chemotherapy for advanced stage Hodgkin's disease (2000)
    Springer
    Annals of oncology 11 (2000), S. 1105-1114 
    Details
    ISSN: 1569-8041
    Keywords: BEACOPP ; chemotherapy ; dose intensification ; hematotoxicity ; Hodgkin's disease ; practicability
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background:Evidence is recently accumulating that the novelBEACOPP (bleomycin (B), etoposide (E), adriamycin (A), cyclophosphamide (C),vincristine (O), procarbazine (P), prednisone (P)) chemotherapy is a highlyeffective treatment for advanced stage Hodgkin's disease. Two dose variantsof BEACOPP are currently tested in a phase III randomized multicenter trialof the GHSG. To enable more extensive testing of BEACOPP we characterized itspracticability regarding schedule adherence, acute hematotoxicity and need forsupportive treatment. Patients and methods:Data of 858 patients (6592 therapy cycles)from 184 participating institutions were evaluated. Planned total drug dosesof the baseline variant (arm 1) were 80, 2400, 200, 5200, 11.2, 5600 and 4480mg/m2 for B, E, A, C, O, P and P, respectively. Compared to arm 1,the doses of E, A and C in the dose-intensified variant (arm 2) were escalatedby factor 2.0, 1.4, 1.92, respectively, using G-CSF assistance. Stepwise dosereductions were specified in case of dose-limiting toxicities. Both variantsare given in eight three-weekly courses. Results:Median dose adherence (dose actually given relative toplanned arm 1 dose) in arm 1 was 1.0 for all drugs. Relative dose escalationof E, A, and C actually maintained in arm 2 was 1.83, 1.37 and 1.77 (medians),respectively, and 70% of patients maintained elevated dose levelsthroughout the entire treatment. Dose-limiting toxicities occurred in25% of cycles in arm 2, most frequently due to leukocytopenia andthrombocytopenia. Time courses of leukocytes in arm 2 showed more severe butnot more prolonged leukocytopenia compared with arm 1. WHO grades 3–4infections were documented in 2.1% (arm 1) and 3.1% (arm 2) ofall cycles. Erythrocytes were transfused in 6% (arm 1) and 28%(arm 2), platelets in 〈1% (arm 1) and 6% (arm 2) of allcycles. Conclusions:Both BEACOPP schemes are practicable in a largemulticenter setting. Despite increased hematotoxicity, moderate doseescalation is safe for the majority of the patients with G-CSF assistance andstandard supportive treatment.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1023/A:1008301225839
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  • 2
    Electronic Resource
    Electronic Resource
    Seismic observations at an overstep of the western North Anatolian Fault (Abant–Sapanca region, Turkey) (1997)
    Springer
    Geologische Rundschau 86 (1997), S. 93-102 
    Details
    ISSN: 0016-7835
    Keywords: Key words Neotectonics ; Seismicity ; Fault-plane solution ; Stress ; Coda Q ; Earthquake ; Micro-earthquake ; Fault ; Pull-apart basin ; Overstep ; Strike slip ; North Anatolian Fault ; Turkey
    Source: Springer Online Journal Archives 1860-2000
    Topics: Geosciences
    Notes: Abstract  The course of the active North Anatolian Fault system from Lake Abant to Lake Sapanca was traced by its high micro-earthquake activity. If approaching from the east this section includes a broad south to north overstep (fault offset) of the main fault. Local seismicity has been recorded in this area by a semi-permanent network of 8 stations since 1985 within the frame of the Turkish–German Joint Project for Earthquake Research. The effect of the overstep and its complex fracture kinematics are reflected by the seismicity distribution, the variations of composite fault-plane solutions, and by the spatial coda-Q distribution. Areas of different stress orientation can be distinguished and assigned to different groups of faults. The stresses and the tectonic pattern only in part correspond to a simple model of an extensional overstep and its correlative pull-apart basin. Other types of deformation involved are characterized by normal faulting on faults parallel to the general course of the main strike-slip fault and by synthetic strike-slip faults oriented similar to Riedel shears. Shear deformation by this fault group widely distributed in an area north and east of the main fault line may play an important role in the evolution of the overstep. The development of a pull-apart basin is inhibited along the eastern half of the overstep and compatibility of both strands of the main fault (Bolu–Lake Abant and Lake Sapanca– Izmit–Marmara Sea) seems to be achieved with the aid of the fault systems mentioned. The extension of the missing part of the pull-apart basin seems to be displaced to positions remote from the Lake Abant–Lake Sapanca main fault line, i.e. to the Akyaz℩–Düzce basin tract. Highest Q-values (lowest attenuation of seismic waves) were found in the zone of highest seismicity north and west of the overstep which is the zone of strongest horizontal tension. If high coda-Q is an indicator for strong scattering of seismic waves it might be related to extensional opening of fractures.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s005310050124
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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