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Evaluating Acupuncture for Chemotherapy-Induced Peripheral Neuropathic Pain: A Narrative Review of Clinical Evidence and Mechanistic Perspectives.

BACKGROUND/OBJECTIVES: Despite the high prevalence of chemotherapy-induced peripheral neuropathic pain (CIPNp), its management remains challenging, and reliable preventive strategies are still lacking. Current treatment is largely symptomatic and often provides only modest benefits, as available pharmacological therapies have shown limited and inconsistent efficacy. In this context, acupuncture has been investigated as a non-pharmacological intervention, but the certainty and clinical applicability of the available evidence remain unclear. This critical narrative review examines the clinical e

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… Precipitating Factors: Drug-Specific Neurotoxicity The precipitating factors underlying CIPNp are primarily related to the direct neurotoxic effects of specific chemotherapeutic agents. …

Опиоидная токсичность связана с Тирзепатидом у пациента с хроническим оральным морфином.

Тирзепатид, двойной глюкозно-зависимый несулинотропический полипептид/глукагон-подобный peptide-1 (В тыс.GLP-1) рецептор агонист, задерживает опорожнение желудка и может изменить фармакокинетические препараты, используемые совместно для лечения пероральных заболеваний, в частности те, которые имеют узкие терапевтические показатели. Мы сообщаем о первом случае опасной для жизни опиоидной токсичности, вызванной началом тирцепатида у пациента при хронической пероральной устойчивой терапии. A 53-year-old человек с первичным прогрессивным множественным склерозом, осложненным квадриплегией, поддержи

Haematological Diseases in the Tropics

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Microgel-Based 3D Bioprinting: A Convergent Strategy Integrating Material Design, Jamming Dynamics, and Biological Function.

Driven by rapid technological innovation and an increasing demand for personalized medicine, microgel-based bioprinting emerges as a versatile strategy for generating physiologically relevant tissue models and patient-specific constructs. By integrating microgel systems with 3D bioprinting, this approach enables the creation of complex, cell-laden architectures that closely recapitulate native tissue architecture and function. Pivotal to this potential are microgels that offer significant advantages over conventional hydrogel-based bioinks, including tunable rheological behavior, enhanced prin

Current trends in theranostic applications of extracellular vesicles in cancer.

BackgroundExtracellular vesicles (EVs) play an integral role in cancer biology, influencing tumor progression, metastasis, and tumor microenvironment. Due to their distinctive molecular composition, including proteins, nucleic acids, and lipids, EVs present a promising candidate for cancer diagnostics and precision therapeutics.MethodsThis review was conducted by looking up recent studies obtained through PubMed, Scopus, and Web of Science databases using targeted keywords such as "Extracellular Vesicles," "Cancer Therapy," "Biomarkers," "Exosomes," "Tumor Microenvironment," and "Precision Med

Регулирование ДИ микроцина и протеолитическое декольте являются уникальными среди известных микроцинов.

Microcin PDI подавляет разнообразие патогенных эшеричий с помощью белка-эффектора, МакпМ. В этом исследовании мы продемонстрировали, что выражение ингибиторского фенотипа вызывается при низких осмолярных условиях, а его выражение контролируется главным образом EnvZ/OmpR. two- компонентная система регулирования. Функциональные, мутагенезовые и дополняющие эксперименты были использованы для эмпирической демонстрации того, что ЭнвЗ требуется для ингибиторского фенотипа и что регулирование mcpM зависит от привязки фосфорилата OmpR к области mcpM. Фосфорилаты могут распознавать three :: различные и

Challenges in Treating Cancer Patients With Unstable Psychiatric Disorder.

In this review, we first present a case of chronic myeloid leukemia with acute psychosis, and then we will discuss the incidence of cancer in patients with psychotic disorders, the manifestations of new-onset psychosis, and the prevalence of preexisting psychosis in cancer patients, coupled with their impact on the treatment, diagnosis, and prognosis of cancer. This was a case that presented with acute psychosis and was found to have an elevated white blood cell count upon admission to an inpatient psychiatric unit. He was diagnosed with chronic myeloid leukemia and successfully managed with i

Lenalidomide-Associated Rhabdomyolysis Progressing to Bilateral Compartment Syndrome and Permanent Foot Drop.

Lenalidomide is widely used for the treatment and maintenance of multiple myeloma and is generally considered to have a favorable safety profile. However, severe skeletal muscle toxicity associated with lenalidomide has been rarely reported. We describe a 52-year-old man with multiple myeloma who developed acute bilateral lower-extremity pain, cramping, weakness, and paresthesia while receiving lenalidomide therapy. Laboratory evaluation revealed marked rhabdomyolysis, and imaging and clinical findings were consistent with bilateral lower-leg compartment syndrome. Despite emergent bilateral fa

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… Notably, most previously reported cases of lenalidomide‐associated rhabdomyolysis involved additional precipitating factors, including concomitant statin therapy, hypothyroidism, acute dehydration, or intercurrent infection. … While lenalidomide remains the most likely precipitating factor based on the temporal sequence, the potential contribution of these additional clinical factors should be considered when interpreting the findings. …

Оптимизированная внутриназальная доставка сегестерона ацетатата в мозг с использованием наноэмульсии и микроэмульсии.

Segesteron aцетат (SA) является селективным и мощным агонистом рецептора прогестерона с потенциальным применением в лечении неврологических заболеваний, таких, как множественный склероз и инсульт. В этом исследовании микроэмульсия (МЭ) и three Наноэмульсии (NEs) с целевой концентрацией SA 0.48 Мг/г были разработаны для интраназального администрирования и подробно описаны в отношении их физико-химических свойств, устойчивости, антимикробной активности и безопасности (на первичных кортикальных клетках, тесте на яйцеклетки Hen/s, модели MucilAirTM и на крысах). Измерялись уровни плазмы и SA мозга

Serum free light chain level at diagnosis in myeloma cast nephropathy-a multicentre study.

Myeloma cast nephropathy (MCN) is a common cause of severe renal impairment in multiple myeloma (MM). The level of free light chain (FLC) that causes MCN varies substantially and there is uncertainty about the threshold level that should be used to inform clinical practice. In a multicentre cohort study of 103 patients with a diagnosis of MM and biopsy-confirmed MCN made between 2002-2014, we report prospectively measured levels of serum FLC at diagnosis obtained using a single nephelometric assay (Freelite®) and we explore the relationship between serum FLC level at diagnosis with renal outco

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… The two patients with FLC levels ≤500 mg/L had co-precipitating factors. There is great interest in improving the time to diagnosis and commencement of treatment for MCN. …

Construction of CXCR4 Receptor-Targeted CuFeSe2 Nano Theranostic Platform and Its Application in MR/CT Dual Model Imaging and Photothermal Therapy.

INTRODUCTION: Targeting, imaging, and treating tumors represent major clinical challenges. Developing effective theranostic agents to address these issues is an urgent need. METHODS: We introduce an "all-in-one" tumor-targeted theranostic platform using CuFeSe2-based composite nanoparticles (CuFeSe2@PA) for magnetic resonance (MR) and computed tomography (CT) dual model imaging-guided hyperthermia tumor ablation. Plerixafor (AMD3100) is bonded to the surface of CuFeSe2 as a targeting unit. Due to the robust interaction between AMD3100 and the overexpressed Chemokine CXC type receptor 4 (CXCR4

How I treat microangiopathic hemolytic anemia in patients with cancer.

Microangiopathic hemolytic anemia (MAHA) with thrombocytopenia, suggests a thrombotic microangiopathy (TMA), linked with thrombus formation affecting small or larger vessels. In cancer patients, it may be directly related to the underlying malignancy (initial presentation or progressive disease), to its treatment, or a separate incidental diagnosis. It is vital to differentiate incidental thrombotic thrombocytopenia purpura or atypical hemolytic uremic syndrome in cancer patients presenting with a TMA, as they have different treatment strategies, and prompt initiation of treatment impacts outc

Аккумулирование опустошающих липидов в Arf1-Ablanted Neurorons способствует нейродегенерации с помощью mtDNA и активации воспаляющих путей в Микроглии.

В нейронах и глиальных клетках были обнаружены липидные метаболические расстройства у пациентов с нейродегенеративной (ND) и животных. Однако патологическая связь между липидными капельками и НУ остается слабой. Недавняя работа высветила полезность модели мыши Arf1-knockout с учетом особенностей нейронов и соответствующих клеток для разъяснения связи между расстройствами липидного метаболизма и амиотропическим боковым склерозом (ALS) и множественным склерозом (MS). В этом исследовании было установлено, что недостача арф1 вызвала первичный синтез избытка жирной кислоты через ось АКТ-mTORC1-SREB

Exosomal AFAP1-AS1 binds to microRNA-15a-5p to promote the proliferation, migration, and invasion of ectopic endometrial stromal cells in endometriosis.

BackgroundEndometriosis (EMS) remains a major challenge to reproductive health due to multifactorial etiology, disease heterogeneity, and the lack of appropriate diagnostic markers and treatment. Eexosome (Exo) has become a major factor in progression of a variety of diseases. However, the mechanisms directing their role in the pathophysiology of EMS are ill-defined. Here, we aimed to investigate the clinical implications of actin filament associated protein 1-Antisense RNA 1 (AFAP1-AS1) in EMS.MethodsBioinformatics analysis was used to predict the expression and interaction of AFAP1-AS1, miR-

Diagnosis and treatment of multisystem amyloidosis associated with SGPL1 mutation: A case report and review of the literature.

RATIONALE: Amyloidosis is a rare, clinically heterogeneous disease, which makes its diagnosis difficult. The relationship between amyloidosis and gene mutations is insufficiently understood. We report a case of sphingosine-1-phosphate lyase 1 (SGPL1) mutation-related amyloidosis, and review the related literature. PATIENT CONCERNS: A 53-year-old man was admitted to our hospital with a 5-month history of renal dysfunction and abdominal distension, aggravated since 2 days. Five months ago, the patient was diagnosed with nephrotic syndrome, with liver dysfunction and abdominal distension. His sy

Multiple-Drugs-Related Osteonecrosis of the Jaw in a Patient Affected by Multiple Myeloma: A Case Report.

A 60-year-old woman suffering from multiple myeloma (MM) was treated with zoledronic acid (bisphosphonate), dexamethasone (corticosteroid), bortezomib (a chemotherapeutic agent), and lenalidomide (thalidomide analog) for about a year and with lenalidomide alone as maintenance therapy for almost two years and developed stage three medication-related osteonecrosis of the jaws (MRONJ) in the upper left dental arch approximately two weeks after tooth extraction, which was treated with a medical nonoperative conservative approach until reversion to stage one. The present case report describing the

Аутоиммунные заболевания и инфекция микобактерии.

Микобактиальные инфекции и аутоиммунные заболевания затрагивают многих людей во всем мире, и все больше данных свидетельствует о наличии двунаправленных связей. В настоящем обзоре рассматриваются механизмы, с помощью которых различные аутоиммунные заболевания предрасположены пациентов к микобактическим инфекциям, и наоборот. Мы провели поиск PubMed/MedLINE с использованием ключевых слов "mycobacterium" и названий аутоиммунных условий для идентификации соответствующих документов. РЕЗУЛЬТАТЫ: Ремуатоидальная артритная терапия, особенно ингибиторы TNF-α, повышает риск туберкулеза (ТБ) и нетуберку

High-Cutoff Hemodialysis Therapy for Patients with Light Chain Cast Nephropathy and AKI Requiring Dialysis: PRO.

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

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… factors for AKI at baseline in HCO HD versus HD groups were: Infection 11% versus 4% Hypercalcemia 20% versus 8% Dehydration 13% versus 10% NSAID use 39% versus 31% Prerenal insults from HCO HD treatment | Albumin loss from the HCO HD membrane | Albumin supplementation required in 41% in HCO HD and … Precipitating factors for renal injury at baseline in the HCO HD group versus HD were infection (11% versus 4%), hypercalcemia (20% versus 8%), dehydration (13% versus 10%), and non-steroidal anti-inflammatory drug use (39% versus 31%). …

Covalent targeting of PSMD14 by Eupalinolide B induces oncoprotein degradation and apoptosis in acute promyelocytic leukemia cells.

Treatment of acute promyelocytic leukemia (APL) remains challenged by toxicities associated with current regimens, highlighting the need for novel and safer therapeutic agents. Here, we identify Eupalinolide B (EB), a natural sesquiterpene lactone isolated from Eupatorium lindleyanum DC., as a potent anti-leukemic compound targeting the human APL-derived HL-60 cell line. Through integrated chemoproteomic profiling and functional validation, we demonstrate that EB covalently binds and inhibits 26S proteasome non-ATPase regulatory subunit 14 (PSMD14), a deubiquitinase enzyme (DUB) within the 19S

Educational Case: Osteoporosis.

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