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Trifolium pratense: A New Activator of Purine Degradation 三叶草:一种新的嘌呤降解活化剂
Pub Date : 2018-10-11 DOI: 10.19080/jtmp.2018.03.555616
H. Çubukçu
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引用次数: 0
Acute Myeloid Leukemia in Patients Older than 60 Year 60岁以上患者的急性髓性白血病
Pub Date : 2018-10-09 DOI: 10.19080/JTMP.2018.03.555615
N. Hamed
The determinants of treatment success and failure remain partly understood. A combination of patient-related and specific disease-related factors are more common among this aging population and correlate markedly with treatment failure (i.e., primary resistance and relapse after induction therapy). They include comorbid conditions, performance status, decreased drug clearance and prolonged exposure to chemotherapeutics resulting from pharmacokinetic and pharmacodynamic changes, less tolerability to infections due to decreased immune competence of elderly patients, psychosocial factors (cognitive decline, social isolation, and, often, lack of caretakers), multidrug resistant abilities of the leukemia cells to expel the chemotherapeutics, antecedent hematologic disorders [3] (previous MDS, chronic myelomonocytic leukemia, myeloproliferative neoplasm), prior exposure to cytotoxic therapy for other disorders [4] and higher frequencies of adverse cytogenetics and unfavorable molecular aberrations [3].
治疗成功和失败的决定因素仍然部分被理解。患者相关因素和特定疾病相关因素的结合在这一老龄化人群中更为常见,并与治疗失败(即诱导治疗后的原发性耐药性和复发)显着相关。它们包括共病、运动状态、药代动力学和药效学改变导致的药物清除率下降和长期暴露于化疗药物、老年患者免疫能力下降导致的感染耐受性降低、社会心理因素(认知能力下降、社会孤立,通常缺乏照顾者)、白血病细胞排斥化疗药物的多重耐药能力、既往血液系统疾病[3](既往MDS,慢性髓单细胞白血病(骨髓增生性肿瘤),先前因其他疾病接受细胞毒性治疗[4],以及不良细胞遗传学和不利分子畸变的更高频率[3]。
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引用次数: 0
Pericardial Synovial Sarcoma: A Case Report and Review of Literature 心包滑膜肉瘤1例报告及文献复习
Pub Date : 2018-09-26 DOI: 10.33552/acrci.2018.01.000503
C. D. L. Pinta, R. Hernánz, T. Muñoz, A. Polo, Á. Montero, S. Sancho
Pericardial Synovial Sarcoma (PSS) is a rare malignant soft-tissue tumor. Early diagnosis and multimodal management could be improving patient outcome. PSS diagnose is difficult due to localization but and aggressive disease. Using all the available medical methods is important to avoid progression and recurrence of this kind of tumors. Multidisciplinary treatment is necessary and radiotherapy is a good and safe option. We present our experience of a forty-year-old man with this tumor.
摘要心包滑膜肉瘤是一种罕见的软组织恶性肿瘤。早期诊断和多模式管理可以改善患者的预后。由于PSS的局限性和侵袭性,诊断困难。使用所有可用的医疗方法是重要的,以避免这类肿瘤的进展和复发。多学科治疗是必要的,放射治疗是一个好的和安全的选择。我们报告一位四十岁男性患此肿瘤的经验。
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引用次数: 0
Introduction to Therapeutic Antibodies 治疗性抗体简介
Pub Date : 2018-09-24 DOI: 10.19080/JTMP.2018.03.555613
R. R. Nair
Antibodies are immunoglobulins that are part of the humoral immune response and are secreted by the B-cells (plasma cells). Antibodies act by binding to either soluble antigens or ligands that are expressed on the surface of organisms or cells. In terms of structure, antibodies are Y-shaped glycoproteins made up of two heavy chain polypeptides and two light chain polypeptides that are held together by disulfide bridges. The light and the heavy chain are made up of constant regions and variable regions with light chain having one variable and one constant region and the heavy chain having one variable and three to four constant regions (part of which forms the Fc, crystallizable portion). The variable region of the light chain and the heavy chain together forms the antigenbinding site (Fab, antigen binding portion). At the end of each variable region is the hypervariable region (CDR, complementary determining region) and it is this region that allows for numerous conformations for infinite antibody-antigen binding probability.
抗体是免疫球蛋白,是体液免疫反应的一部分,由b细胞(浆细胞)分泌。抗体通过与生物体或细胞表面表达的可溶性抗原或配体结合而起作用。在结构上,抗体是由两个重链多肽和两个轻链多肽通过二硫桥连接在一起的y形糖蛋白。轻链和重链由恒定区和可变区组成,轻链有一个可变区和一个恒定区,重链有一个可变区和三到四个恒定区(其中一部分形成Fc,可结晶部分)。轻链和重链的可变区共同形成抗原结合位点(Fab,抗原结合部分)。在每个可变区的末端是高可变区(CDR,互补决定区),正是这个区域允许无限的抗体-抗原结合概率的许多构象。
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引用次数: 0
A Rare Case of Vaginal Leiomyosarcoma 阴道平滑肌肉瘤1例
Pub Date : 2018-08-28 DOI: 10.19080/jtmp.2017.02.555576
A. Yordanov
Primary malignant tumors of the vagina are extremely rare, accounting for only about 2% of all gynecologic malignancies. About 140 Leiomyosarcoma in the vagina have been reported during the past 40 years [1]. There are no guidelines or standards established for the treatment of this disease. Vaginal Leiomyosarcoma usually originates from the smooth muscle tissue of the posterior vaginal wall, but they may also develop from smooth muscle cells in tissues near the vagina. This disease is diagnosed only histopatho logically.
阴道原发恶性肿瘤极为罕见,仅占所有妇科恶性肿瘤的2%左右。在过去的40年里,大约有140例阴道平滑肌肉瘤被报道[1]。目前还没有制定治疗这种疾病的指南或标准。阴道平滑肌肉瘤通常起源于阴道后壁的平滑肌组织,但也可能由阴道附近组织的平滑肌细胞发展而来。这种疾病只能通过组织病理学逻辑诊断。
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引用次数: 0
The Selective Effect of NSC-631570 (UKRAIN) NSC-631570 (UKRAIN)的选择性作用
Pub Date : 2018-08-28 DOI: 10.19080/JTMP.2017.01.555575
W. Nowicky
Surgery, chemotherapy and radiotherapy are the three most important types of cancer treatment. However, each of them have their limitations and as well as considerable ad-verse effects. Surgery is the oldest treatment option and, if possible, is still frequently the method of first choice. Unfortunately curative surgical intervention is only possible in few cases; the residual tumour usually remains unrecognized, leading to tumour recurrence and metastazing. Additional treatment then comes into consideration [1,2].
手术、化疗和放疗是三种最重要的癌症治疗方法。然而,每一种方法都有其局限性和相当大的副作用。手术是最古老的治疗选择,如果可能的话,仍然经常是首选的方法。不幸的是,治疗性手术干预仅在少数情况下是可能的;残留的肿瘤通常不被识别,导致肿瘤复发和转移。然后需要考虑额外的处理[1,2]。
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引用次数: 0
Incorrect Use of The Web Databases Can Result in Incorrect Information for the Readers: The Case of Lactate-Mitochondria Affair 对网络数据库的不正确使用可能导致读者获得不正确的信息:乳酸-线粒体事件的案例
Pub Date : 2018-08-16 DOI: 10.19080/JTMP.2018.03.555612
S. Passarella
One of the outstanding problems in biochemistry as well as in biological sciences is whether and how each research paper and in particular each review paper reports up-to date information on a specific topic. We suggest to resort to available data bases that sort publications by relevance (i.e. WEB of Sciences and SCOPUS) or by best match (i.e. PubMed). For instance, when searching for “lactate metabolism and cancer mitochondria” on July 9th2018, one finds more than 950 results that includes in the first 6, three publications from the Passarella Lab showing that cancer mitochondria can take up and metabolize externally added D and L-lactate [1-3]. This finding is further confirmed in the 14th and 15th papers on the list [4,5]. Surprisingly, the mitochondrial lactate metabolism in cancer cells is essentially ignored in all listed papers including the one published by the Gladden’s lab, which is listed at 43th place [6].
生物化学和生物科学中一个突出的问题是每一篇研究论文,特别是每一篇综述论文是否以及如何报告一个特定主题的最新信息。我们建议求助于可用的数据库,根据相关性(即WEB of Sciences和SCOPUS)或最佳匹配(即PubMed)对出版物进行排序。例如,当在2018年7月9日搜索“乳酸代谢和癌症线粒体”时,人们会发现超过950个结果,其中包括Passarella实验室的前6,3篇出版物,表明癌症线粒体可以吸收和代谢外部添加的D和l -乳酸[1-3]。这一发现在列表中的第14篇和第15篇论文中得到了进一步的证实[4,5]。令人惊讶的是,所有列出的论文基本上都忽略了癌细胞中的线粒体乳酸代谢,包括Gladden实验室发表的论文,该论文列在第43位[6]。
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引用次数: 1
Reducing the Length of Stay in Oncological Surgical Patients: Impact of Early Hospitalist Co-Management 缩短肿瘤外科病人的住院时间:早期住院医师共同管理的影响
Pub Date : 2018-08-15 DOI: 10.19080/jtmp.2018.03.555611
R. T. Costa
We conducted an observational retrospective study in cancer patients assisted by the Hospital Medicine Department in a 480 beds Cancer Center in Brazil between January 2013 and December 2016. Data were retrieved from a prospectively collected database. We included a total of 4695 patients that were evaluated by the Hospitalist Department in the study period. The following clinical data were included: number of patients, age, Average Length of Stay (ALOS) and time from hospital admission to the beginning of co-management by a hospitalist. Linear regression was used to compare the ALOS during the study period. The surgical patients were divided in two groups according to the time from hospital admission to the first evaluation of the hospitalist team: early comanagement group (time to first evaluation ≤ 3 days) vs late comanagement group (time to first evaluation > 3 days). Age was described as mean ± standard deviation and mean age between groups were compared using the t-student test. Non-parametric variables were described as median (25-75% percentile). We used the Mann-Whitney test to analyze the non-parametric variables. The median hospital LOS (16 days) for the surgical population was used as the cutoff value to build a Kaplan-Meier curve considering a LOS higher than 16 days (high LOS) as endpoint. The primary outcome was the hospital length of stay (LOS) of the patients evaluated. P-values <.05 were considered to indicate statistical significance.
2013年1月至2016年12月,我们在巴西一家480张床位的癌症中心的医院内科协助下,对癌症患者进行了一项观察性回顾性研究。数据从前瞻性收集的数据库中检索。在研究期间,我们共纳入了4695名由医院科评估的患者。包括以下临床数据:患者人数、年龄、平均住院时间(ALOS)和从入院到由一名医院医生开始共同治疗的时间。采用线性回归对研究期间的ALOS进行比较。根据手术患者入院至住院医师团队第一次评价的时间分为两组:早期管理组(至第一次评价时间≤3天)和晚期管理组(至第一次评价时间≤30天)。年龄用均数±标准差表示,组间平均年龄比较采用t-student检验。非参数变量描述为中位数(25-75%百分位数)。我们使用Mann-Whitney检验来分析非参数变量。以手术人群的中位住院生存时间(16天)作为截断值,以生存时间大于16天(高生存时间)为终点,构建Kaplan-Meier曲线。主要结局是评估患者的住院时间(LOS)。假定值<。0.05认为有统计学意义。
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引用次数: 1
Unipotent or Multipotent Mammary Stem/Progenitor Cells in Mouse Mammary Gland Development 单能或多能乳腺干细胞/祖细胞在小鼠乳腺发育中的作用
Pub Date : 2018-07-18 DOI: 10.19080/JTMP.2018.03.555609
Gilbert H. Smith
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引用次数: 1
Focus on Primary Prevention: A European Example of Prevention Strategies in the Digital Era 注重初级预防:数字时代预防战略的欧洲范例
Pub Date : 2018-07-18 DOI: 10.19080/jtmp.2018.03.555610
A. Mariniello
The era of communication we’re living has shrunk the world to a global village: digital reality is characterized by a constant stream of knowledge, and Internet articles are predominating over newspapers, radio and television. Therefore, for non-professionals, building a robust expertise on the access to information technologies and knowing how to discern between real and fake news, are contemporary and controversial issues. In this confusing scenario, the importance of educating general public to prevention is unequivocal and can be considered an ethical mission at all levels: either as primary prevention initiatives on healthy lifestyles or as secondary ones as well, promoting adherence to the screening programs. For Patient Organizations, communication facilities represent a golden opportunity to become promulgators of correct information: a beacon of positivism in the darkness of a new digital middle ages.
我们所生活的通信时代已经把世界缩小为一个地球村:数字现实的特点是不断的知识流动,互联网文章占主导地位,超过了报纸、广播和电视。因此,对于非专业人士来说,在获取信息技术和知道如何辨别真假新闻方面建立强大的专业知识,是当代和有争议的问题。在这种令人困惑的情况下,教育公众预防的重要性是明确的,可以被视为各级的道德使命:无论是作为健康生活方式的初级预防举措,还是作为次要预防举措,促进对筛查方案的遵守。对于患者组织来说,通信设施代表着成为正确信息传播者的黄金机会:在新的数字中世纪的黑暗中,它是实证主义的灯塔。
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Journal of Tumor Medicine & Prevention
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