AIM:To evaluate the effectiveness of infliximab as a second-line therapy in Crohn's disease patients after adalimumab failure. METHODS:A historical cohort study in a community-based gastroenterology practice evalu...AIM:To evaluate the effectiveness of infliximab as a second-line therapy in Crohn's disease patients after adalimumab failure. METHODS:A historical cohort study in a community-based gastroenterology practice evaluated Crohn's disease patients treated with infliximab (induction plus maintenance) after adalimumab failure. Patients were identified using a large Spanish database (ENEIDA). RESULTS:We included 15 Crohn's disease patients who received infliximab after adalimumab failure. Five patients discontinued adalimumab due to loss of response, 3 due to adverse events and 7 due to partial response. After infliximab therapy was started, all patients who had interrupted adalimumab due to loss of efficacy regained response. All patients who discontinued adalimumab due to adverse events responded to infliximab and maintained this response; one of these patients had an uneventful course on infliximab, but 2 developed adverse events. None of the 7 patients who interrupted adalimumab due to partial response reached remission with infliximab. CONCLUSION:Switching from adalimumab to infliximab may be useful in patients who develop adverse effects or loss of response, however, the benefit of infliximab in primary nonresponders was not established.展开更多
This study is a review of existing reports and summary of some field experiences aiming at building of a resilient wheat seed system to resist rust risks in Ethiopia. Practical gaps in the wheat seed system were ident...This study is a review of existing reports and summary of some field experiences aiming at building of a resilient wheat seed system to resist rust risks in Ethiopia. Practical gaps in the wheat seed system were identified with regard to understanding of seed system factors that build, or undermine resilience to rust risks. The study has recognized that the formal seed multiplication schemes are too slow to respond to the ever increasing frequencies of wheat rust outbreaks. Therefore, it is indicated that new approaches such as pre-release and farmer based seed multiplication schemes are helpful in insuring availability of seed of rust resistant wheat varieties to the small farmers.展开更多
文摘AIM:To evaluate the effectiveness of infliximab as a second-line therapy in Crohn's disease patients after adalimumab failure. METHODS:A historical cohort study in a community-based gastroenterology practice evaluated Crohn's disease patients treated with infliximab (induction plus maintenance) after adalimumab failure. Patients were identified using a large Spanish database (ENEIDA). RESULTS:We included 15 Crohn's disease patients who received infliximab after adalimumab failure. Five patients discontinued adalimumab due to loss of response, 3 due to adverse events and 7 due to partial response. After infliximab therapy was started, all patients who had interrupted adalimumab due to loss of efficacy regained response. All patients who discontinued adalimumab due to adverse events responded to infliximab and maintained this response; one of these patients had an uneventful course on infliximab, but 2 developed adverse events. None of the 7 patients who interrupted adalimumab due to partial response reached remission with infliximab. CONCLUSION:Switching from adalimumab to infliximab may be useful in patients who develop adverse effects or loss of response, however, the benefit of infliximab in primary nonresponders was not established.
文摘This study is a review of existing reports and summary of some field experiences aiming at building of a resilient wheat seed system to resist rust risks in Ethiopia. Practical gaps in the wheat seed system were identified with regard to understanding of seed system factors that build, or undermine resilience to rust risks. The study has recognized that the formal seed multiplication schemes are too slow to respond to the ever increasing frequencies of wheat rust outbreaks. Therefore, it is indicated that new approaches such as pre-release and farmer based seed multiplication schemes are helpful in insuring availability of seed of rust resistant wheat varieties to the small farmers.
