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Application of the CARE guideline as reporting standard in the Women’s Health Investigation 在妇女健康调查中应用CARE指南作为报告标准
Pub Date : 2019-12-01 DOI: 10.21037/whi.2019.10.01
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引用次数: 0
Immune checkpoint inhibitors: a potential treatment breakthrough for metastatic triple-negative breast cancer? 免疫检查点抑制剂:转移性三阴性乳腺癌的潜在治疗突破?
Pub Date : 2019-08-04 DOI: 10.21037/WHI.2019.03.01
E. Pons-Tostivint, J. Delord, F. Dalenc
A milestone in oncology has been reached in recent years with the advent of immune checkpoint inhibitors (ICIs) which target programmed cell death protein 1 (PD-1) or its ligand, PD-L1, and cytotoxic T-lymphocyte-associated protein 4 (CTLA4). ICIs were first approved by the Food and Drug Administration (FDA) for melanoma in 2011 and subsequently in several other tumor types. In contrast to more immunogenic solid tumor types, breast cancer (BC) is typically not characterized by a high tumor mutation burden which is known as one of the predictive biomarkers of response to ICI (well described in melanoma and lung cancer), and so it has been considered potentially less immunogenic.
近年来,针对程序性细胞死亡蛋白1 (PD-1)或其配体PD-L1和细胞毒性t淋巴细胞相关蛋白4 (CTLA4)的免疫检查点抑制剂(ICIs)的出现达到了肿瘤学的一个里程碑。2011年,美国食品和药物管理局(FDA)首次批准使用ICIs治疗黑色素瘤,随后又批准了其他几种肿瘤。与更多的免疫原性实体肿瘤类型相比,乳腺癌(BC)通常不具有高肿瘤突变负担的特征,这是对ICI反应的预测性生物标志物之一(在黑色素瘤和肺癌中有很好的描述),因此被认为潜在的免疫原性较低。
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引用次数: 0
Gestational weight gain and pregnancy outcomes: where does delivery timing fit in? 妊娠期体重增加与妊娠结局:分娩时间在哪里?
Pub Date : 2019-01-01 DOI: 10.21037/WHI.2019.01.01
Joseph S. Fixler, E. Defranco
Gestational weight gain is a modifiable risk factor that impacts both short and long term maternal and child health (1). In 2009, the Institute of Medicine (IOM, now the National Academy of Medicine) published guidelines, “Weight Gain in Pregnancy, Reexamining the Guidelines”, recommending pregnancy weight gain goals stratified based on prepregnancy BMI (2). Achieving these goals in the United States has been difficult: in 2012–2013, only 32.1% of parturients met the recommended gestational weight gain target (3). Nonetheless, there is evidence supporting the use of dietary and lifestyle modifications to improve both maternal weight gain and obstetric outcomes (4,5).
妊娠期体重增加是影响短期和长期母婴健康的可改变的风险因素(1)。2009年,医学研究所(IOM,现为国家医学科学院)发布了指南,“妊娠期体重增加,重新检查指南”,推荐了基于孕前BMI分层的妊娠期体重增加目标(2)。在美国实现这些目标一直很困难:2012-2013年,只有32.1%的产妇达到了建议的妊娠期体重增加目标(3)。尽管如此,有证据支持通过改变饮食和生活方式来改善产妇体重增加和产科结局(4,5)。
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引用次数: 2
Immunotherapy in cervical cancer: historic breakthroughs beating checkpoints 宫颈癌免疫治疗:历史性突破击败检查点
Pub Date : 2018-11-01 DOI: 10.21037/whi.2018.11.01
R. Penson
Who benefits from immunotherapy? What constitutes a breakthrough? Where do the blockbuster pharmaceutical come from? When are clinical and scientific dreams realized? Why does getting a drug to market require such a huge, long and costly investment? How do we pick the winners?
谁从免疫疗法中受益?什么是突破?重磅制药从何而来?临床和科学的梦想何时才能实现?为什么将一种药物推向市场需要如此巨大、漫长和昂贵的投资?我们如何挑选赢家?
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引用次数: 0
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Women’s Health Investigation
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