简介:AIM:Toevaluatetheefficacyofthe14-dmoxifloxacinbasedtripletherapyforthesecond-lineeradicationofHelicobacterpylori(H.pylori)infection.METHODS:Between2011and2013,weconductedaretrospectivereviewofthemedicalrecordsof160patientswhohadexperiencedfailureoftheirfirst-lineprotonpumpinhibitor-basederadicationtherapyandsubsequentlyreceivedthemoxifloxacin-basedtripletherapyasasecond-lineeradicationtreatmentregimen.Thepatientswhoweretreatedwiththemoxifloxacinbasedtripletherapy(oral20mgrabeprazoleb.i.d.,1000mgamoxicillinb.i.d.,and400mgmoxifloxacinq.d.)for7dwereassignedtotheRAM-7group(n=79)whilethosewhotookthemfor14dayswereassignedtoRAM-14group(n=81).Theeradicationratesforbothgroupsweredeterminedbyintentionto-treat(ITT)andper-protocol(PP)analyses.ITTanalysiscomparedthetreatmentgroupsasoriginallyallocatedwhilethePPanalysisincludingonlythosepatientswhohadcompletedthetreatmentasoriginallyallocated.SuccessfuleradicationtherapyforH.pyloriinfectionwasdefinedasthedocumentationofanegative13C-ureabreathtest4wkaftertheendoftheeradicationtreatment.RESULTS:TheoverallITTeradicationratewas76.2%(122/160).ThefinalITTeradicationrateswere70.8%(56/79;95%CI:63.3%-77.1%)intheRAM-7groupand81.4%(66/81;95%CI:74.6%-88.3%)intheRAM-14group(P=0.034).TheoverallPPeradicationratewas84.1%(122/145),andthefinalPPeradicationrateswere77.7%(56/72;95%CI:70.2%-85.3%)intheRAM-7groupand90.4%(66/73;95%CI:82.8%-98.1%)intheRAM-14group(P=0.017).TheH.pylori-eradicationratesintheRAM-14groupweresignificantlyhighercomparedwiththatoftheRAM-7groupaccordingtoboththeITT(P=0.034)andthePPanalyses(P=0.017).Bothgroupsexhibitedgoodtreatmentcompliance(RAM-7/RAM-14group:100%/100%).Theadverseeventrateswere19.4%(14/72)and20.5%(15/73)intheRAM-7andRAM-14groups,respectively(P=0.441).Adverseeventsoccurredin14
简介:Objective:Panitumumabadministeredasmonotherapyincolorectalcancer(CRC)hasshownresponseanddiseasestabilizationratesofapproximately30%.Thecurrentstudyaimedtoevaluatetheprogression-freesurvival(PFS)andoverallsurvival(OS)ofpatientswithmetastaticcolorectalcancer(mCRC)treatedwithpanitumumabevery3weeksasasecondlinetreatment.Methods:Thisstudyisaretrospectiveanalysisof18patients,agedmorethan18years,withwild-typeKRASexon2mCRCtreatedwithpanitumumabasasecond-linesingleagentafterprogressiononfirst-linechemotherapy.Results:Themediannumberofcoursesreceivedwas10(range,4-29),andthemediandurationoftreatmentwas30weeks(range,12-96weeks).Afteramedianfollow-upperiodof13months,themedianPFSwas6months(range,4.3-7.7months)andthemedianOSwas11months(range,7.4-14.5months).ThemedianPFSwas4monthsforpatientswith
简介:Lungcanceristhemostfrequentlydiagnosedcancerandaleadingcauseofcancermortalityworldwide,withadenocarcinomabeingthemostcommonhistologicalsubtype.Deeperunderstandingofthepathobiologyofnon-smallcelllungcancer(NSCLC)hasledtothedevelopmentofsmallmoleculesthattargetgeneticmutationsknowntoplaycriticalrolesinprogressiontometastaticdiseaseandtoinfluenceresponsetotargetedtherapies.Theprinciplegoalofprecisionmedicineistodefinethosepatientpopulationsmostlikelytorespondtotargetedtherapies.However,thecancergenomelandscapeiscomposedofrelativelyfew"mountains"[representingthemostcommonlymutatedgeneslikeKRAS,epidermalgrowthfactor(EGFR),andanaplasticlymphomakinase(ALK)]andavastnumberof"hills"(representinglowfrequencybutpotentiallyactionablemutations).Low-frequencylesionsthataffectadruggablegeneproductallowarelativelysmallpopulationofcancerpatientsfortargetedtherapytobeselected.
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简介:Alookattheongoing'5pointsin1line'coastlinedevelopmentprojectinLiaoning,NortheastChinaLIAONINGProvinceinNortheastChinawasoncethecountry'sindustrialengine.WithinadecadeofNewChina'sfounding,itwaschurningouteverythingfromcoalandsteeltofighterjets.Buttheenginesplutteredoutinthemid-1990s,whenmanyofLiaoning'sstate-owned
简介:Reformandopeningis,inessence,asecondrevolution.---DengXiaopingAhistoricreorientationtookplacein1978,whenDengXiaopingstoodoutasthechiefarchitectofreformandopening.Hestartedthecountryonitsownindus-trialrestructuring.Chinahashaddazzlingannualgrowthof9.7percent(1978-
简介:对线线的描述拓扑的关系尽管许多努力被做了,仍然是一个未解决的问题。这个问题涉及象空间质问,空间分析和制图综合那样的许多实际应用。开发一条健全、有效的途径描述线线关系,它是第一必要排队定义一个个人的拓扑学,即,本地拓扑学。连接的度的概念在一根线的几何结构被用于拓扑的差别的鉴定。一根线的一般拓扑的定义被给,即,端点集合和内部点设定。这个定义能被用于不同尺寸的嵌入的空格,合作尺寸是否等于或比零大。在这个基础上,打电话给4intersection-and-difference的一个通用模型为对基本线线的描述被建立拓扑的关系,一张概念的邻居图与拓扑的距离的考虑在之上被造。建议模型能在/R~1和/R~2代表在线片断之间的拓扑的变化,和基本关系的性质,这被结束。
简介:ItisacommonpracticeinChinatouseaninsulatedsilkjacklad-derinthelive-lineworktoenterthe500kVEHVelectricfield.WuhanHighVoltageResearchInstitutehassuccessfullycarriedoutsuchoperatingperformanceatthemeetingofESMO-90inCanada.(Fig.1)Theoperatingprocedureisnowrecommendedasfollows.
简介:Iamverysatisfiedwithmylife,whichisvariedandcolourful,distinctive,andhappyexceptforsomefrustrations.Inthepast,IwishedIwouldhaveasecondlifelikethisone.NowIgiveuptheideabecauseIamconfidentthatthe