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Final Results of a Phase II study of Bevacizumab, Cisplatin and Pemetrexed as First-Line Therapy for Patients with Advanced non-squamous non-small Cell Lung Cancer

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Journal of Cancer Therapy 2016年第7期7卷 455-463页

作者： Guillermo López Vivanco Eider Azkona sergio Carrera Aintzane sancho Itziar Rubio Juan Manuel Mañé Begoña Calvo Unai Aresti Aitziber Buque inés marrodán Alberto Muñoz servicio de Oncología Médica Hospital de Cruces Bilbao Spain

Background: Efficacy and safety data for cisplatin and pemetrexed plus bevacizumabinnon squamousnon non-small cell lung cancer (nsCLC) are still limited. nevertheless, either bevacizumab plus platinum doublet or pemetrexed plus platinum is approved options for first line therapy. Predictive factors for bevacizumab are needed. KRAs is one of the most common oncogenic drivers in lung cancer. Its prognostic and predictive value in nsCLC is under investigation. Patients and methods: This trial evaluates the addition of bevacizumab 7.5 mg/kg to cisplatin 75 mg/msup>2sup> plus pemetrexed 500 mg/msup>2sup> as first line treatment in stage IV non-squamous nsCLC patients. Maintenance bevacizumab was received as monotherapy until progressive disease, unacceptable toxicityor consent with drawal. The primary objective was progression free survival (PFs). secondary objectives included overall survival (Os), safety, global objective responses and the determination of KRAs mutation at baseline. Results: From March 2009 to March 2012, 31 patients were enrolled. Mean age was 59.19 (standard deviation (sD) 8.53). From all the patients included in this trial, 67.70% were men. KRAs was wild type in 19 patients (58.06%);in 7 (22.58%) was mutated and was unknown in 6 patients (19.35%). Median PFs for KRAs mutated patients was 4 months, whereas for the KRAs wild type it was 7.9 months (P = 0.0031). Median Os was 4 months for the KRAs population, and 16.1 months for the KRAs wild type (P = 0.0032). Twenty four patients (77.42%) experienced at least a grade 3 - 4 adverse event. The most common grade 3 - 4 toxicity was asthenia. Conclusions: Both PFs and Os were statistically longer for the KRAs wild type patients compared with the KRAs mutated population (P = 0.0031). Median Os was shorter than the reported in previous trials with bevacizumab. nevertheless, focussing on the Os for KRAs wild type patients, this achieves a result or 16.1 months. Therefore, this would be a consistent data supporting to qualify this parameter as a pred

关键词： non-small-Cell Lung Cancer Bevacizumab Pemetrexed Predictive Biomarker KRAs

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In vitro adherence of conjunctival bacteria to different oculoplastic materials

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International Journal of Ophthalmology(English edition) 2018年第12期11卷 1895-1901页

作者： Alvaro Toribio Honorina Martinez-Blanco Leandro Rodriguez-Aparicio Miguel A.Ferrero Teresa marrodán Isabel Fernández-natal Department of Ophthalmology University Hospital of Leon Leon 24071Spain Department of Molecular Biology University of LeonLeon 24071Spain Department of Clinical Microbiology University Hospital of LeonLeon 24071Spain

AIM: To investigate the resistance to bacterial adhesion of materials used in oculoplastic surgery, particularly materials used in the manufacture of orbital implants.METHODs: seven organisms of conjunctival flora(two strains of staphylococcus epidermidis and one strain each of staphylococcus aureus, staphylococcus hominis, Corynebacterium amycolatum, Acinetobacter calcoaceticus, and serratia marcescens) were selected. A lactic acid bacterium(Lactobacillus rhamnosus) was also included as positive control because of its well-known adhesion ability. Eight materials used to make oculoplastic prostheses were selected(glass, steel, polytetrafluoroethylene, polymethylmethacrylate, silicone from orbital implants, commercial silicone, porous polyethylene, and semismooth polyethylene). Materials surfaces and biofilms developed by strains were observed by scanning electron microscopy. Kinetics of growth and adhesion of bacterial strains were determined by spectrophotometry. Each strain was incubated in contact with plates of the different materials. After growth, attached bacteria were re-suspended and colony-forming units(CFUs) were counted. The number of CFUs per square millimetre of material was statistically analyzed.REsULTs: A mature biofilm was observed in studied strains except staphylococcus hominis, which simply produced a microcolony. Materials showed a smooth surface on the microbial scale, although steel exhibited 1.0-μm-diameter grooves. Most organisms showed significant differences in adhesion according to the material. There were also significant differences in thetotal number of CFUs per square millimetre from each material(P=0.044). CFU counts were significantly higher in porous polyethylene than in silicone from orbital implants(P=0.038).COnCLUsIOn: silicone orbital implants can resist microbial colonization better than porous polyethylene implants.

关键词： conjunctival flora microbial adhesion biofilm orbital implant oculoplastic prosthesis

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Conjunctival flora in anophthalmic patients: microbiological spectrum and antibiotic sensitivity

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International Journal of Ophthalmology(English edition) 2019年第5期12卷 765-773页

作者： Alvaro Toribio Teresa marrodán Isabel Fernández-natal Honorina Martínez-Blanco Leandro Rodríguez-Aparicio Miguel á.Ferrero Department of Ophthalmology University Hospital of León Department of Clinical Microbiology University Hospital of León Department of Molecular Biology University of León

AIM: To identify the spectrum and susceptibility pattern of isolated microorganisms from conjunctival flora of anophthalmic patients.METHODs: A cross-sectional clinical study including 60 patients with unilateral anophthalmia. Patients with use of antibiotic drops in their socket during the last month were also included. From each patient, three microbiological samples were taken from the lower conjunctival sac(healthy eye, pre-prosthesis, and retro-prosthesis space of socket). The 180 samples obtained were cultured. Isolates were identified and their antibiotic sensitivities were determined.REsULTs: A total of 251 isolates were recovered(62 isolates from healthy eye, 93 from pre-prosthesis, and 96 from retro-prosthesis space). The most common organism was staphylococcus epidermidis, in both healthy eyes(64.5%) and sockets(45.5%). Altogether, coagulasepositive staphylococci, streptococci, and Gram-negative bacteria accounted for less than 15% of isolates in healthy eyes and more than 35% in sockets. Regarding the antibiotic sensitivities, there were no significant differences between isolates from sockets and healthy eyes. nine patients recognized the use of self-prescribed antibiotic drops in their socket. In the healthy eyes of these subjects, Gram-positive microorganisms showed significantly greater resistance to aminoglycosides and tetracycline.COnCLUsIOn: sockets of anophthalmic patients show a greater number of pathogens compared to healthy eyes.The use of antibiotic drops in the socket promotes a resistant flora not only in the socket but also in the healthy eye. Quinolones and macrolides may be better therapeutic options than aminoglycosides for treating conjunctivitis of anophthalmic sockets, since these antibiotics are less active against staphylococcus epidermidis.

关键词： socket ocular prosthesis antibiotic resistance microflora conjunctival dysbiosis

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