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Clinical Challenges and Consequences of Measurable Residual Disease in Non-APL Acute Myeloid LeukemiaJentzsch, Madlen, Schwind, Sebastian, Bach, Enrica, Stasik, Sebastian, Thiede, Christian, Platzbecker, Uwe 06 April 2023 (has links)
The ability to detect residual levels of leukemic blasts (measurable residual disease, MRD)
has already been integrated in the daily routine for treatment of patients with chronic myeloid and
acute lymphoblastic leukemia. In acute myeloid leukemia (AML), a variety of mostly retrospective
studies have shown that individuals in AML remission who tested positive for MRD at specific
time-points or had increasing MRD levels are at significantly higher risk of relapse and death
compared to MRD-negative patients. However, these studies differ with respect to the “MRD-target”,
time-point of MRD determination, material analyzed, and method applied. How this probably
very valuable MRD information in individual patients may be adapted in the daily clinical routine,
e.g., to separate patients who need more aggressive therapies from those who may be spared
additional—potentially toxic—therapies is still a work-in-progress. With the exception of MRD
assessment in acute promyelocytic leukemia (APL), the lack of randomized, prospective trials renders
MRD-based decisions and clinical implications in AML a difficult task. As of today, we still do
not have proof that early intervention in MRD-positive AML patients would improve outcomes,
although this is very likely. In this article, we review the current knowledge on non-APL AML MRD
assessment and possible clinical consequences.
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Využití fuzzy logiky pro hodnocení investičních rizik / Use of Fuzzy Logic in Investment Risk EvaluationHřebíčková, Jana January 2017 (has links)
This master thesis is dealing with development and application of a model that employs fuzzy logic. The model is used to support a decision of a selected Czech company that plans to invest abroad and establish a subsidiary. Selected indicators determine an investment risk in all countries considered for the investment. The model was implemented in parallel in two systems: MS Excel and MATLAB®.
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Vliv nejistoty modelů projektů na investiční rozhodování / The Impact of Uncertainty of Project Models on Investment Decision MakingPískatá, Petra January 2020 (has links)
This doctoral thesis widely analyses the process of investment decision-making. In its individual parts, it researches models used for planning, analysing and evaluation of investments projects, but also models used for final decision about realization of the investment. Investing activity is present in world economic cycle in all it’s phases. Capital sources used for financing if the investment projects are scarce and must be handled with care. For this reason, there are many supportive methodologies and models employed in managing of the investments as well as instruments developed to miti-gate the potential project risks. However, even utilization of these instruments and models can’t guarantee the expected results. There are uncertainties, errors and in-accuracies in the process that can thwart investment decisions. The aim of the thesis is to analyse the investment decision-making process (from the initial idea to the realization of the investment project) and to identify the main un-certainties – factors influencing the success / error rate of models for investment project planning as well as the decision on their realization. The main outcome of the thesis is an overview of these factors and recommenda-tions on how to work with these factors and make the process as effective as possi-ble. Another output is an analysis and recommendations for the use of financing sources and mix of the instruments that should be used to mitigate the potential impact of risks that are connected to all investment projects.
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