1363. Cediranib in patients with relapsed platinum-sensitive ovarian cancer (ICON6): a randomised, double-blind, placebo-controlled phase 3 trial.
作者: Jonathan A Ledermann.;Andrew C Embleton.;Fharat Raja.;Timothy J Perren.;Gordon C Jayson.;Gordon J S Rustin.;Stan B Kaye.;Hal Hirte.;Elizabeth Eisenhauer.;Michelle Vaughan.;Michael Friedlander.;Antonio González-Martín.;Daniel Stark.;Elizabeth Clark.;Laura Farrelly.;Ann Marie Swart.;Adrian Cook.;Richard S Kaplan.;Mahesh K B Parmar.; .
来源: Lancet. 2016年387卷10023期1066-1074页
Angiogenesis is a validated clinical target in advanced epithelial ovarian cancer. Cediranib is an oral antiangiogenic vascular endothelial growth factor receptor 1-3 inhibitor that has shown antitumour activity in recurrent ovarian cancer. We assessed efficacy and safety of cediranib in combination with platinum-based chemotherapy and as continued maintenance treatment in patients with first relapse of platinum-sensitive ovarian cancer.
1367. Changing oral vaccine to inactivated polio vaccine might increase mortality.
作者: Eleanor N Fish.;Kate L Flanagan.;David Furman.;Sabra L Klein.;Tobias R Kollmann.;Dorthe L Jeppesen.;Ofer Levy.;Arnaud Marchant.;Siva Namachivayam.;Mihai G Netea.;Magdalena Plebanski.;Sarah L Rowland-Jones.;Liisa K Selin.;Frank Shann.;Hilton C Whittle.
来源: Lancet. 2016年387卷10023期1054-1055页 1378. Public health and international drug policy.
作者: Joanne Csete.;Adeeba Kamarulzaman.;Michel Kazatchkine.;Frederick Altice.;Marek Balicki.;Julia Buxton.;Javier Cepeda.;Megan Comfort.;Eric Goosby.;João Goulão.;Carl Hart.;Thomas Kerr.;Alejandro Madrazo Lajous.;Stephen Lewis.;Natasha Martin.;Daniel Mejía.;Adriana Camacho.;David Mathieson.;Isidore Obot.;Adeolu Ogunrombi.;Susan Sherman.;Jack Stone.;Nandini Vallath.;Peter Vickerman.;Tomáš Zábranský.;Chris Beyrer.
来源: Lancet. 2016年387卷10026期1427-1480页
In September 2015, the member states of the United Nations endorsed sustainable development goals (SDG) for 2030 that aspire to human rights-centered approaches to ensuring the health and well-being of all people. The SDGs embody both the UN Charter values of rights and justice for all and the responsibility of states to rely on the best scientific evidence as they seek to better humankind. In April 2016, these same states will consider control of illicit drugs, an area of social policy that has been fraught with controversy, seen as inconsistent with human rights norms, and for which scientific evidence and public health approaches have arguably played too limited a role. The previous UN General Assembly Special Session (UNGASS) on drugs in 1998 – convened under the theme “a drug-free world, we can do it!” – endorsed drug control policies based on the goal of prohibiting all use, possession, production, and trafficking of illicit drugs. This goal is enshrined in national law in many countries. In pronouncing drugs a “grave threat to the health and well-being of all mankind,” the 1998 UNGASS echoed the foundational 1961 convention of the international drug control regime, which justified eliminating the “evil” of drugs in the name of “the health and welfare of mankind.” But neither of these international agreements refers to the ways in which pursuing drug prohibition itself might affect public health. The “war on drugs” and “zero-tolerance” policies that grew out of the prohibitionist consensus are now being challenged on multiple fronts, including their health, human rights, and development impact. The Johns Hopkins – Lancet Commission on Drug Policy and Health has sought to examine the emerging scientific evidence on public health issues arising from drug control policy and to inform and encourage a central focus on public health evidence and outcomes in drug policy debates, such as the important deliberations of the 2016 UNGASS on drugs. The Johns Hopkins-Lancet Commission is concerned that drug policies are often colored by ideas about drug use and drug dependence that are not scientifically grounded. The 1998 UNGASS declaration, for example, like the UN drug conventions and many national drug laws, does not distinguish between drug use and drug abuse. A 2015 report by the UN High Commissioner for Human Rights, by contrast, found it important to emphasize that “[d]rug use is neither a medical condition nor does it necessarily lead to drug dependence.” The idea that all drug use is dangerous and evil has led to enforcement-heavy policies and has made it difficult to see potentially dangerous drugs in the same light as potentially dangerous foods, tobacco, alcohol for which the goal of social policy is to reduce potential harms.
1380. A blood RNA signature for tuberculosis disease risk: a prospective cohort study.
作者: Daniel E Zak.;Adam Penn-Nicholson.;Thomas J Scriba.;Ethan Thompson.;Sara Suliman.;Lynn M Amon.;Hassan Mahomed.;Mzwandile Erasmus.;Wendy Whatney.;Gregory D Hussey.;Deborah Abrahams.;Fazlin Kafaar.;Tony Hawkridge.;Suzanne Verver.;E Jane Hughes.;Martin Ota.;Jayne Sutherland.;Rawleigh Howe.;Hazel M Dockrell.;W Henry Boom.;Bonnie Thiel.;Tom H M Ottenhoff.;Harriet Mayanja-Kizza.;Amelia C Crampin.;Katrina Downing.;Mark Hatherill.;Joe Valvo.;Smitha Shankar.;Shreemanta K Parida.;Stefan H E Kaufmann.;Gerhard Walzl.;Alan Aderem.;Willem A Hanekom.; .
来源: Lancet. 2016年387卷10035期2312-2322页
Identification of blood biomarkers that prospectively predict progression of Mycobacterium tuberculosis infection to tuberculosis disease might lead to interventions that combat the tuberculosis epidemic. We aimed to assess whether global gene expression measured in whole blood of healthy people allowed identification of prospective signatures of risk of active tuberculosis disease.
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