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| 1 | 帕博利珠单抗治疗伴脑转移NSCLC患者的一项非随机、开放Ⅱ期试验的长期随访结果和生物标志物分析显示文摘背景与目的我们开展了一项帕博利珠单抗用于伴未治疗脑转移的非小细胞肺癌(non-small cell lung cancer,NSCLC)或黑色素瘤患者的疗效和安全性的II期试验,旨在评估程序性死亡受体1(programmed cell death 1,PD-1)抑制剂在中枢神经系统(central nervous system,CNS)中的疗效。中期结果已发表,现报道对NSCLC队列的更新分析结果。方法这是一项开放性、单中心、II期试验。纳入标准:年龄≥18岁,诊断为晚期NSCLC并伴有≥1个5 mm-20 mm脑转移病灶,既往从未治疗或之前放疗后进展,无神经系统症状,不需要激素治疗且美国东部肿瘤协作组(Eastern Cooperative Oncology Group,ECOG)<2分。患者每2周接受一次帕博利珠单抗(10 mg/kg)治疗。队列1为程序性死亡配体1(programmed cell death ligand 1,PD-L1)≥1%的患者,队列2为PD-L1<1%或未评估的患者。主要终点是脑转移患者缓解比例。所有经治患者均纳入疗效与安全性终点的分析。该研究已结束入组,并于Clinicaltrials.gov登记注册,注册号为NCT02085070。结果2014年3月31日-2018年5月21日,共42例患者接受治疗。中位随访时间为8.3个月(IQR:4.5个月-26.2个月)。队列1的37例患者中11例有脑转移缓解[29.7%(95%CI:15.9%-47.0%)]。队列2未观察到缓解。治疗相关的3级-4级不良事件(adverse events,AEs)包括2例肺炎、1例全身症状、1例结肠炎、1例肾上腺皮质功能不全、1例高血糖症和1例低钾血症。6例(14%)患者发生了治疗相关的严重不良事件,包括肺炎、急性肾损伤、低钾血症和肾上腺皮质功能不全。没有观察到治疗相关死亡病例。结论帕博利珠单抗治疗PD-L1≥1%的NSCLC伴脑转移患者有效,且对所有纳入的未经治疗的脑转移患者安全。需要进一步探索免疫治疗用于NSCLC合并CNS转移。 | Sarah B GOLDBERG Kurt A SCHALPER Scott N GETTINGER Amit MAHAJAN Roy S HERBST Anne C CHANG Rogerio LILENBAUM Frederick H WILSON Sacit Bulent OMAY James B YU Lucia JILAVEANU Thuy TRAN Kira PAVLIK Elin ROWEN Heather GERRSH Annette KOMLO Richa GUPTA Hailey WYATT Matthew RIBEIRO Yuval KLUGER Geyu ZHOU Wei WEI Veronica L CHANG Harriet M KLUGER 董晓荣(翻译/校对) | 2021 | 中国肺癌杂志2021，24，9： | 34 |
| 2 | Does physical therapy and rehabilitation improve outcomes for diabetic foot ulcers?显示文摘One of the most common and serious complications of diabetes mellitus is ulceration of the foot. Among persons with diabetes, 12%-25% will present to a healthcare institution for a foot disorder during their lifespan. Despite currently available medical and surgical treatments, these are still the most common diabetes-related cause of hospitalization and of lower extremity amputations. Thus, many adjunctive and complementary treatments have been developed in an attempt to improve outcomes. We herein review the available literature on the effectiveness of several treatments, including superficial and deep heaters, electro-therapy procedures, prophylactic methods, exercise and shoe modifications, on diabetic foot wounds. Overall, although physical therapy modalities seem to be useful in the treatment of diabetic foot wounds, further randomized clinical studies are required. | Yasemin Turan Bulent M Ertugrul Benjamin A Lipsky Kevser Bayraktar | 2015 | World Journal of Experimental Medicine2015，5，2： | 7 |
| 3 | Appropriateness of systemic treatments in unresectable metastatic well-differentiated pancreatic neuroendocrine tumors显示文摘AIM:To evaluate systemic treatment choices in unresectable metastatic well-differentiated pancreatic neuroendocrine tumors(PNETs)and provide consensus treatment recommendations.METHODS:Systemic treatment options for pancreatic neuroendocrine tumors have expanded in recent years to include somatostatin analogs,angiogenesis inhibitors,inhibitors of mammalian target of rapamycinand cytotoxic agents.At this time,there is little data to guide treatment selection and sequence.We therefore assembled a panel of expert physicians to evaluate systemic treatment choices and provide consensus treatment recommendations.Treatment appropriateness ratings were collected using the RAND/UCLA modified Delphi process.After studying the literature,a multidisciplinary panel of 10 physicians assessed the appropriateness of various medical treatment scenarios on a 1-9 scale.Ratings were done both before and after an extended discussion of the evidence.Quantitative measurements of agreement were made and consensus statements developed from the second round ratings.RESULTS:Specialties represented were medical and surgical oncology,interventional radiology,and gastroenterology.Panelists had practiced for a mean of15.5 years(range:6-33).Among 202 rated scenarios,disagreement decreased from 13.2%(26 scenarios)before the face-to-face discussion of evidence to 1%(2)after.In the final ratings,46.5%(94 scenarios)were rated inappropriate,21.8%(44)were uncertain,and30.7%(62)were appropriate.Consensus statements from the scenarios included:(1)it is appropriate to use somatostatin analogs as first line therapy in patients with hormonally functional tumors and may be appropriate in patients who are asymptomatic;(2)it is appropriate to use everolimus,sunitinib,or cytotoxic chemotherapy therapy as first line therapy in patients with symptomatic or progressive tumors;and(3)beyond first line,these same agents can be used.In patients with uncontrolled secretory symptoms,octreotide LAR doses can be titrated up to 60 mg every4 wk or up to 40 mg every 3 or 4 wk.CONCLUSION:Using the Delphi process allowed physician experts to systematically obtain a consensus on the appropriateness of a variety of medical therapies in patients with PNETs. | Jonathan R Strosberg George A Fisher Al B Benson Lowell B Anthony Bulent Arslan John F Gibbs Edward Greeno Renuka V Iyer Michelle K Kim William J Maples Philip A Philip Edward M Wolin Dasha Cherepanov Michael S Broder | 2015 | World Journal of Gastroenterology2015，21，8： | 2 |
| 4 | Ovarian wedge resection by minilaparatomy in infertile patients with polycystic ovarian syndrome: a new technique 显示文摘 | Yildirim M Noyan V Bulent Tiras M Yildiz A Guner H | 2003 | Eur J Obstet Gynecol Reprod Biol2003，107，1： | 1 |
| 5 | Intervention in gaslro intestinal tract: the treatment of esophageal, gastroduodenal and colorectal obstructions with metallic stents显示文摘 | Bulent A Arzu P Izzet R | 2002 | Eur Radiology2002，42，2： | 1 |
| 6 | Obstructive sleep apnea syndrome and erectile dysfunction:does long term continuous positive airway pressure therapy improve erections?显示文摘 | Husnu T Ersoz A Bulent E | 2015 | Afr Health Sci2015，15，1： | 1 |
| 7 | Ovarian ectopie pregnancy after intracytoplasmic sperm injection显示文摘 | Cem S A Bulent B llkkan D | 2004 | Obstet Gyneeol Reprod Biol2004，112，： | 1 |
| 8 | Foreign Imdy aspiration,what isthe outcxme显示文摘 | Fasiiel K Bulent K Cengiz A et a1 | 2002 | Pediat Pulmonol2002，34，1： | 1 |
| 9 | Comparison of the plasma and hernia sac tissue copper levels in direct and indirect inguinal hernia patients显示文摘 | Kayaoglu HA Hazinedaroglu SM Bulent Erkek A | 2005 | Biol Trace Elem Res2005，108，13： | 1 |
| 10 | comparison of the plasma and hernia sac tissue copper levels in direct and indi- rect inguinal hernia patients显示文摘 | Kayaoglu HA Hazinedaroglu SM Bulent Erkek A | 2005 | Biol Trace Elem Res2005，108，13： | 1 |
| 11 | Comparison of plate-screw fixation and intramedullary fixation with inflatable nails in the treatment of acute humeral shaft fractures显示文摘 | Bulent D Onder M Bulent A T | 2007 | Acta Orthop Traumatol Turc2007，41，1： | 1 |
| 12 | Statistical evaluation of image quality measures 显示文摘 | ISMAIL A BULENT S KHALID S | 2002 | Journal of Electronic Imaging2002，11，2： | 1 |
| 13 | The effects of lower supplementation levels of organically com- plexed minerals (zinc,copper and manganese) versus inorganic forms on hematological and biochemical pa- rameters in broilers显示文摘 | DEVRIM S A TAYLAN A BULENT O | 2010 | Ka fkas Univ Vet Fak Derg2010，16，4： | 1 |
| 14 | Estimation of available band- width share by tracking unknown cross-traffic with adaptive extended kalman filter 显示文摘 | Bulent (2 Emin A O | 2014 | Comput Com- mun2014，，47： | 1 |
| 15 | A semi-empirical approach for residual stresses in electric discharge machining(EDM) 显示文摘 | Ekmekeia Bulent Tekkayab A Erman Erdenc Abdulkadir | 2006 | International Journal of Machine Tools & Manufacture2006，46，： | 1 |
| 16 | Foreign body aspiration:what is the outcome显示文摘 | Fazilet K Bulent K Cengiz A | 2002 | Pediatr Pulmonol2002，34，1： | 1 |
| 17 | Top Management Team Diversity and Innovativeness:The Moderating Role of Interfunctional Co- ordination 显示文摘 | Seigyoung A Bulent M | 2005 | Industrial Marketing Management2005，34，1： | 1 |
| 18 | The Influence of Top Management Team Functional Diversity on Strategic Orientations: The Moderating Role of Environmental Turbulence and Interfunctional Coordination 显示文摘 | SEIJYOUNG A BULENT M | 2005 | International Journal of Research in Marketing2005，22，3： | 1 |
| 19 | Ovarian ectopic pregnancy after intracytoplasmic sperm injection Eruopeam显示文摘 | Cem S A Bulent B llkkan D | 2004 | Obstet Gynecol Reprod Biol2004，112，： | 1 |
| 20 | Prevalence and predictors of benign lesions in renal masses smaller than 7 cm presumed to be renal cell carcinoma显示文摘 | Bulent A Kubilay I Haluk O | 2012 | Clin GeM- tourin Cancer2012，10，2： | 1 |
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