Optimal first-line treatment that enables deeper and longer remission is crucially important for newly diagnosed multiple myeloma (NDMM). In this study, we developed the machine learning (ML) models predicting overall survival (OS) or response of the transplant-ineligible NDMM patients when treated by one of the two regimens—bortezomib plus melphalan plus prednisone (VMP) or lenalidomide plus dexamethasone (RD). Demographic and clinical characteristics obtained during diagnosis were used to train the ML models, which enabled treatment-specific risk stratification. Survival was superior when the patients were treated with the regimen to which they were low risk. The largest difference in OS was observed in the VMP-low risk & RD-high risk group, who recorded a hazard ratio of 0.15 (95% CI: 0.04–0.55) when treated with VMP vs. RD regimen. Retrospective analysis showed that the use of the ML models might have helped to improve the survival and/or response of up to 202 (39%) patients among the entire cohort (N = 514). In this manner, we believe that the ML models trained on clinical data available at diagnosis can assist the individualized selection of optimal first-line treatment for transplant-ineligible NDMM patients.
Acrylonitrile butadiene rubber (NBR) is widely used in seal applications due to its excellent oil resistance. In this article, carbon black-filled NBR composites, which differed in their acrylonitrile (ACN) and butadiene content ratios, were prepared and their curing characteristics and mechanical properties were investigated. Curing characteristics were investigated by measuring chemical kinetics and onset temperature of cross-linking reaction. Cross-linking density was measured by the volume swelling test. Mechanical properties, oil resistance, and compression set (CS) tests were also conducted. From these results, it was found that the microstructure in NBR polymer is closely connected to the curing characteristics and mechanical properties of the composite. On increasing the ACN content, Shore A hardness, tensile strength at break, elongation at break, oil resistance, and CS were raised, while, on the other hand cross-linking density, kinetics of cross-linking reaction, and bound rubber content were decreased.
1 April 2014 in International Journal of Radiation Oncology, Biology, Physics