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Abstract:In this paper, a lithological study taking into account trace metals of the profundal sediments from Słupiańska Bay in Wigry Lake is presented. A profile 5.26 m long has sandy muds at the bottom and moving upwards layers of calcareous gyttja, lacustrine chalk, and again calcareous gyttja are present. The profile is continuous, typical for the sediments of NE Poland formed from Allerøde to recent time. The results of the lithological analysis were correlated with results of high-resolution seismic survey. The results together with radiocarbon dating are part of interdisciplinary complex research comprising paleobiological study of pollen, Cladocera, diatom successions and human activity, which will be published in successive papers.

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Our results confirm that SABR is well tolerated and does not have a deleterious effect on QoL and psychological state. Results of our study indicate the importance of additional psychological care in the group of patients with COPD.

Background: There is a debate about the merits of progression-free survival (PFS) versus overall survival (OS) as primary endpoints in NSCLC. It has been postulated that post-progression therapy may influence OS in both arms. To investigate this issue, we analyzed chronological trends in PFS and OS in advanced NSCLC using restricted mean survival times (RMSTs). Methods: We digitized survival curves from first-line phase III trials published between 1998 and 2015 in 13 leading journals to compute RMSTs for PFS and OS at three truncation landmarks (5, 12, and 18 months). Results: Among the 161 trials identified, RMSTs could be computed for both endpoints in 102, 97, and 82 trials for the 5-, 12-, and 18-month truncation landmarks, respectively. Post-progression survival in the control arm, quantified as mean OS minus mean PFS truncated at 18 months, was on average 3.3 months between 1998 and 2003, 4.4 months between 2004 and 2009, and 5.4 months between 2010 and 2015. This increase was due to increasing RMST for OS over time, with no increase in RMST for PFS. The average withintrial difference in RMSTs between experimental and control arm was close to 0 for OS and less than 1 month for PFS. Conclusions: There is a progressive increase in postprogression survival in NSCLC trials, likely from salvage therapy. These results question both PFS and OS as sensitive endpoints in first-line trials, but suggest that the outlook for patients is improving regardless of within-trial gains.