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201.
202.
Jacobson IM Pawlotsky JM Afdhal NH Dusheiko GM Forns X Jensen DM Poordad F Schulz J 《Journal of viral hepatitis》2012,19(Z2):1-26
The aim of this study is to review clinical trial data on the newly approved protease inhibitors boceprevir and telaprevir to develop consensus recommendations on the optimal use of these agents for the treatment of patients with chronic hepatitis C virus (HCV) infection. An expert panel of seven leading authorities in viral hepatitis was convened to establish and disseminate a practical guide on best practices for incorporating boceprevir and telaprevir into therapy for HCV infection in both treatment-naive and treatment-experienced patients. The topics covered include selecting candidates for boceprevir- or telaprevir-based treatments, predictors of response and early viral kinetics, response-guided therapy approaches, on-treatment management strategies to optimize the likelihood of response and minimize the risk of drug resistance, management of adverse effects during therapy and key considerations for special populations. The expert panel incorporated the best available clinical evidence into recommendations on how boceprevir and telaprevir should be used in the clinical setting. They indicated how treatment regimens may differ according to the baseline factors, such as presence of cirrhosis and when therapy may need to be modified or stopped altogether because of adverse events or poor virologic response. This practical guide will serve as a valuable resource for clinicians embarking on the new treatment paradigm of boceprevir or telaprevir in combination with peginterferon/ribavirin for chronic genotype 1 HCV infection. 相似文献
203.
Lavouisier FB Nogueira Edson C Morais Maria AD Brito Beatriz S Santos Doanny L Vale Bruno FF Lucena Fernando G Figueredo Glaucia MM Guedes Saulo R Tintino Celestina E S Souza Raquel BSS Nogueira Edinardo FF Matias Maria FB Morais-Braga Emídio VL Cunha Micheline A Lima Henrique DM Coutinho 《African health sciences》2014,14(2):372-376
Background
Multi-resistantmicroorganisms such as Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa, Candida tropicalis e Candida krusei are the main causes of microbial infections. Padina sanctae-crucis is a seaweed often used to check the contamination of ecosystems by materials such as heavy metals, but studies of the antimicrobial activity of the same seaweed were not found.Methods
The tests for the minimum inhibitory concentration and modulation of microbial resistance, with the use of ethanolic and methanolic extracts of Padina Sanctae-cruces combined with drugs of the class of aminoglycosides and antifungal were used to evaluate the activity against the cited microorganisms.Results
Was observed a modulation of antibiotic activity between the natural products and the E. coli and S. aureus strains, indicating a synergism and antagonism respectively.Conclusions
The results showed a moderate modulatory effect against some microorganisms studied. 相似文献204.
Nezam H. Afdhal Geoffrey M. Dusheiko Edoardo G. Giannini Pei–Jer Chen Kwang–Hyub Han Aftab Mohsin Maribel Rodriguez–Torres Sorin Rugina Igor Bakulin Eric Lawitz Mitchell L. Shiffman Ghias–Un–Nabi Tayyab Fred Poordad Yasser Mostafa Kamel Andres Brainsky James Geib Sandra Y. Vasey Rita Patwardhan Fiona M. Campbell Dickens Theodore 《Gastroenterology》2014
205.
206.
207.
Nissen NN Menon V Bresee C Tran TT Annamalai A Poordad F Fair JH Klein AS Boland B Colquhoun SD 《HPB : the official journal of the International Hepato Pancreato Biliary Association》2011,13(9):626-632
BackgroundRecurrence of hepatocellular carcinoma (HCC) after liver transplantation (LT) is rarely curable. However, in view of the advent of new treatments, it is critical that patients at high risk for recurrence are identified.MethodsPatients undergoing LT for HCC at a single centre between 2002 and 2010 were reviewed and data on clinical parameters and explant pathology were analysed to determine factors associated with HCC recurrence. All necrotic and viable tumour nodules were included in explant staging. All patients underwent LT according to the United Network for Organ Sharing (UNOS) Model for End-stage Liver Disease (MELD) tumour exception policies.ResultsLiver transplantation was performed in 122 patients with HCC during this period. Rates of recurrence-free survival in the entire cohort at 1 year and 3 years were 95% and 89%, respectively. Thirteen patients developed HCC recurrence at a median of 14 months post-LT. In univariate analysis the factors associated with HCC recurrence were bilobar tumours, vascular invasion, and stage exceeding either Milan or University of California San Francisco (UCSF) Criteria. Multivariate analysis showed pathology outside UCSF Criteria was the major predictor of recurrence; when pathology outside UCSF Criteria was found in combination with vascular invasion, the predicted 3-year recurrence-free survival was only 26%.ConclusionsExplant pathology can be used to predict the risk for recurrent HCC after LT, which may allow for improved adjuvant and management strategies. 相似文献
208.
Benjamin Basseri David Yamini Grace Chee Pharm D. Pedram Enayati Tram Tran Fred Poordad 《Liver international》2010,30(7):1012-1018
Background: Hepatitis C virus (HCV) infection is implicated in an increasing number of liver transplantations, hospitalizations and healthcare costs. Aims: We present an updated assessment of comorbidities associated with HCV in comparison to the general US population. Methods: Cross‐sectional retrospective review of data from 800 patients with HCV evaluated between January 1998 and November 2007. Patient data were prospectively collected using a standardized questionnaire completed at the first encounter and was compared with general US epidemiological data. Odds ratios and 95% confidence intervals (CI) are reported. Results: HCV conferred a 44% (CI 1.16–1.78) and 25% (CI 1.01–1.54) increased risk of diabetes (12.5 vs. 7.3–8.4%; P=0.001) and obesity (23.9 vs. 19.8–33.1%; P=0.041), respectively, compared with the US population. Human immunodeficiency virus (HIV) (5.3 vs. 0.3%; P<0.001) and end‐stage renal disease (ESRD) (4.5 vs. 0.2%; P<0.001) were 16‐ and 13‐fold more prevalent in HCV. Interestingly, HCV bestowed 90% decreased odds (CI 0.09–0.15) for hyperlipidaemia (12.3 vs. 53.2–56.1%; P<0.001). The HCV population had a higher prevalence of significant alcohol consumption (41.5 vs. 4.7%; P<0.001), current smoking (57.7 vs. 18.8–20.8%; P<0.001), drug use (46.8 vs. 14.6–15.6%; P<0.001), incarceration (6.6 vs. 2.7%; P<0.001) and tattoos (20.3 vs. 14%; P=0.011), as well as chronic fatigue (44.6 vs. 11.3–19%; P<0.001) and depression (29.3 vs. 5.0–10.3%; P<0.001). Conclusion: HCV poses an increasing healthcare burden associated with increased prevalence of diabetes, obesity, HIV, ESRD, maladaptive lifestyle habits and poor quality of life. Practitioners should be cognizant of these trends in order to appropriately manage these comorbidities. 相似文献