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Current status of cancer immunotherapy.

To prove clinical benefits of cancer vaccine is currently difficult, except for one phase III trial has documented improved overall survival with the vaccine, Sipuleucel-T, although induction of anti-tumor immune responses through cancer vaccine is theoretically promising and would be straightforward. In contrast, immune checkpoint blockade with anti-CTLA4 mAb and anti-PD-1 mAb has demonstrated clear evidence of objective responses including improved overall survival and tumor shrinkage, driving renewed enthusiasm for cancer immunotherapy in multiple cancer types. In addition, there is a promi

BTK-ингибирование усиливается TLR-7-Mediated Производство Интерферона-Альфа в РДЦ путем блокировки Ингибитории BDCA-2 Путь.

В PDC производство BTK-inhibition (BTKi) блокирует производство IFN-α через TLR-9, но не через TLR-7. Включено TLR-7 Стимулирование, BTKi увеличивает производство IFN-α, блокируя ингибиторию BDCA-2 Путь. Это может частично объяснить неудачу BTKi в SLE и представляет интерес для испытаний BTKi при множественном склерозе.

Gastric Cancer or Plasmacytoma in a Seemingly Well-Controlled Multiple Myeloma Patient?

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

Current Therapeutic Options for the Main Monogenic Autoinflammatory Diseases and PFAPA Syndrome: Evidence-Based Approach and Proposal of a Practical Guide.

Monogenic autoinflammatory diseases are rare conditions caused by genetic abnormalities affecting the innate immunity. Previous therapeutic strategies had been mainly based on results from retrospective studies and physicians' experience. However, during the last years, the significant improvement in their genetic and pathogenic knowledge has been accompanied by a remarkable progress in their management. The relatively recent identification of the inflammasome as the crucial pathogenic mechanism causing an aberrant production of interleukin 1β (IL-1β) in the most frequent monogenic autoinflamm

Прогрессивная слюнная речь как нетипичное представление GDAP2-относительно Spinocerebellar Ataxia: доклад по делу.

47-летний мужчина с сахарным диабетом и дислипидемией за четыре года развил прогрессивную речь. МРТ не выявила атрофии мозга, и обычные лабораторные и нейрофизиологические исследования были непримечательными. У его брата были похожие, но продвинутые симптомы, включая дисфагию и серьезные походки, что привело к зависимости от инвалидных колясок. Полноэкзомная последовательность выявила вероятную патогенную гомозиговую мутацию в гене GDAP2, подтверждающую диагноз атаксии 27 (SCAR27). В этом докладе подчеркивается важность рассмотрения наследственных атаксий при дифференциальном диагностике прогр

Resilience and Sub-optimal Social Determinants of Health: Fostering Organizational Resilience in the Medical Profession.

The relationship between social determinants of health (SDOH) and resilience has been investigated at the individual level and, to some extent, at the community level. The aftermath of the COVID-19 pandemic further highlighted the necessity for organizational resilience in the United States. The US public health and health care system began the lengthy process of identifying the resiliency needs of its workforce that expand beyond disaster preparedness. The purpose of this article is to describe the relationship between resilience and SDOH and how medical training can infuse resiliency within

Совпадение в полном тексте источника
… For example, Jessica, given her family's history of needing help during her illness and recovery, recognizes how important extended family, community, and local resources are to her patient and the patient's family when she diagnoses her new patient with multiple myeloma. …

A rare case of acute liver failure due to disseminated Varicella-Zoster Virus (VZV) infection.

Varicella zoster virus (VZV) is a human alpha herpes virus that typically manifests in humans with two distinct cutaneous phenotypes: primary varicella, or chickenpox, and secondary reactivation, or Shingles, after establishing latency in the cranial and dorsal root ganglia. VZV infection can present with rarer manifestations including encephalitis, pneumonia, hepatitis, myocarditis, and nephritis. Immunocompromised populations are at the greatest risk for cutaneous and visceral dissemination. The progression of VZV hepatitis to acute liver failure is exceedingly rare, with very few published

End-of-Life Care Practice in Dying Patients after Enforcement of Act on Decisions on Life-Sustaining Treatment For Patients in Hospice and Palliative Care or at the End of Life : A Single Center Experience

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

Antiobesity Medications for Older Adults-the New, the Good, the Bad, and the Unknown.

OBJECTIVE: Obesity affects 42% of older adults, with rates continuing to rise. This a complex condition influenced by non-modifiable as well as modifiable risk factors. The disease can be treated through modifications to diet, physical activity, and behavior and more recently through antiobesity medications (AOMs) and surgery. Treatment must be tailored to individual needs due to age-related metabolic and physiological changes. This review aimed to identify the suitability of seven FDA-approved AOMs in the treatment of obesity in older adults. METHODS: A review of AOMs was performed, focusing

Structure and function of therapeutic antibodies approved by the US FDA in 2024.

In 2024, the Food and Drug Administration approved 47 new molecular entities (NMEs), including 15 therapeutic antibody-based molecules, marking the 30th anniversary of the first approved recombinant antibody. Ten of these were recombinant immunoglobulin G antibodies, while the rest comprised three bispecific antibodies, one immunocytokine, and one Fc-fusion protein. Seven antibodies targeted previously approved targets like programmed cell death receptor-1, programmed cell death receptor ligand-1, complement factor C5, interleukin (IL)-13, human epidermal growth factor receptor 2 (HER2) (bipar

Screening for comprehensive social needs in patients with cancer: a narrative review.

BackgroundPatients with cancer who report social needs have worse quality of life, lower health-care access, and suboptimal health outcomes. However, screening for social needs does not happen systematically, and successful screening tools, strategies, and workflows have seldom been described. The downstream effects of screening including resource navigation have also not been well characterized. The objective of this narrative review was to fill these gaps.MethodsTwo investigators searched PubMed and Embase for studies that implemented a patient-facing social screening tool among patients wit

Mechanisms of IFNalpha-1a-Induced Apoptosis in a Laryngeal Cancer Cell Line.

BACKGROUND Interferon alpha (IFNalpha) exerts its anti-proliferative effect on many human cancers. Among the 13 subtypes of human IFNalpha, IFNalpha-1 subtype has 2 variants, named IFNalpha-1a and IFNalpha-1b, that differ from each other in only 1 amino acid, at residue 114. However, the mechanism by which IFNalpha-1a mediates growth inhibition is still unclear. MATERIAL AND METHODS Human laryngeal carcinoma HEp2 cells were treated with IFNalpha-1a by either transient transfection or exogenous delivery. Western blot and RT-PCR analysis were carried out to assess apoptotic pathways active in IF

Metabolic Insights From Composition-Based Analysis of Kidney Stones: A Retrospective Study of 506 Patients.

BACKGROUND: Kidney stone disease is a highly prevalent condition with increasing global incidence and recurrence. The stone composition reflects underlying metabolic and biochemical alterations, and its evaluation may provide clinically relevant information for effective management. AIM: To evaluate the distribution of stone composition in a large surgical cohort and explore its association with routinely assessed metabolic parameters and recurrence patterns. METHODS: This retrospective single-center study included 506 adult patients who underwent surgical stone removal between 2018 and 2024

Деменция, расстройства настроения и старение.

С повышением возраста и продолжительности жизни в мире как в развитых, так и в развивающихся странах риск развития когнитивных потерь и расстройств настроения значительно возрастает в той мере, в какой после достижения возраста 65, этот риск почти удваивает каждый 5 Спустя годы. В результате, соответствующий рост неинфекционных заболеваний поразит людей со слабоумием и расстройствами настроения, связанными с болезнью Альцгеймера, множественным склерозом, депрессией и тревогой. На клинической основе многочисленные факторы риска и представления, которые связаны с утратой интеллектуальных способн

The Situation of Life-Sustaining Treatment One Year after Enforcement of the Act on Decisions on Life-Sustaining Treatment for Patients at the End-of-Life in Korea: Data of National Agency for Management of Life-Sustaining Treatment.

PurposeThe "Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End-of-Life" was enacted on February 3, 2016 and went into effect on February 4, 2018 in Korea. This study reviewed the first year of determination to life-sustaining treatment (LST) through data analysis of the National Agency for Management of Life-Sustaining Treatment.Materials and methodsThe National Agency for Management of LST provided data between February 4, 2018 and January 31, 2019 anonymously from 33,549 patients. According to the forms patients were defined as either elf-de

Trazodone in the Management of Major Depression Among Elderly Patients with Dementia: A Narrative Review and Clinical Insights.

ObjectiveMajor depressive disorder (MDD) often co-occurs with dementia and other neurological disorders, and treatment with antidepressants can improve symptoms, quality of life, and survival in these patients. This narrative review provides an expert opinion about the role and effectiveness of trazodone in the treatment of older adults with MDD and cognitive impairment due to physical illnesses, such as dementia.ResultsBecause of its mechanism of action, trazodone can treat several depression symptoms often seen in people with dementia, including insomnia, agitation, anxiety, cognitive impair

Combining rehabilitation nursing with nutritional intervention to improve self-care ability and nutritional status in elderly stroke patients: a randomized controlled trial.

This study was a randomized controlled trial (RCT) investigating the effects of combining rehabilitation nursing with nutritional intervention on self-care ability and nutritional status in elderly stroke patients. Three hundred elderly stroke patients admitted to a hospital from 2021 to 2023 were randomly allocated to either an experimental group (n = 150) receiving rehabilitation nursing combined with nutritional intervention, or a control group (n = 150) receiving standard care. Changes in clinical efficacy, self-care ability, nutritional status indicators, and recovery of motor function we

Множественный склероз и кишечная микробиота: Lachnospiraceae из подлеца близнецов MS вызывает заболевание, похожее на MS, в бесфинансовом трансгенном мыше-Непредвзятом функциональном исследовании.

Мы разработали двухуровневую стратегию, направленную на выявление кишечных бактерий, функционально связанных с развитием множественного склероза (MS). Во-первых, мы сравнили кишечные микробные профили в группе из 81 монозиготных близнецов, которые расходятся с MS. Такой подход позволил свести к минимуму смешанное воздействие генетических и ранних экологических факторов и выявил более 50 различных таксов, при этом большинство повышенных таксонов внутри фирм. К ним относятся такса, ранее описываемая как ассоциированная с MS (Anaerotruncus colihominis и Eisenbergiella Tayi), а также вновь выявлен

Социальные детерминанты здоровья, качества ухода за больными и результаты лечения неврологических расстройств: систематический обзор.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Социальные детерминанты здоровья (SDOH) оказывают значительное влияние на оказание медицинской помощи и ее результаты, однако их конкретное воздействие на качество неврологической медицинской помощи по-прежнему недостаточно синтезировано. ЦЕЛЬ: Цель этого систематического обзора заключалась в обобщении данных о связях между СДОГ и качеством медицинского обслуживания и результатах лечения пациентов в связи с серьезными неврологическими расстройствами. МЕТОДЫ: ПОСЛЕ ПРИСМА 2020 Руководящие принципы, мы систематически искали Пуббмеда, Интернет науки и Эмбазу для исследовани

Cardiotoxicity after cancer treatment: a process map of the patient treatment journey.

Background/aimCardiotoxicity is a potential complication of anticancer therapy. While guidelines have been developed to assist practitioners, an effective, evidence based clinical pathway for the treatment of cardiotoxicity has not yet been developed. The aim of this study was to describe the journey of patients who developed cardiotoxicity through the healthcare system in order to establish baseline data to inform the development and implementation of a patient-centred, evidence-based clinical pathway.MethodsMixed-methods design with quantitative and qualitative components using process mappi