Science topics: MedicineOncology
Science topic

Oncology - Science topic

Oncology is concerned with the diagnosis of any cancer in a person; cancer therapy; follow-up of cancer patients after successful treatment; palliative care of patients with terminal malignancies; ethical questions surrounding cancer care; as well as screening efforts of populations, or of the relatives of patients (in types of cancer that are thought to have a hereditary basis, such as breast cancer).
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A very Emergency case, The Mother of my best friend, the results of her MRI said that she had nodular peritoneal thickening that suggested peritoneal serosal carcinoma, and ovarian cancer, also she has ascites, what is the source of ascites in case of high CA-125? We are suggesting a surgery to remove the ovarian, peritoneal biopsy and taking different samples to histology laboratory for culture and characterization, Any Informations would be helpful and well Appreciated, Many Thanks
Ali
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I am NOT a doctor but as compter science professional, little more AI provided detail:
In cases where there is nodular peritoneal thickening, ovarian cancer, and ascites, the source of ascites can be the result of various factors, including the presence of cancer cells in the peritoneal cavity.
CA-125 is a tumor marker that is often elevated in cases of ovarian cancer, although it can also be elevated in other conditions. The presence of high CA-125 levels, along with the imaging findings of nodular peritoneal thickening, suggests the possibility of peritoneal serosal carcinoma, which is a type of cancer that affects the lining of the abdominal cavity (peritoneum). Ovarian cancer can sometimes spread to the peritoneum, leading to peritoneal serosal carcinoma.
Ascites refers to the accumulation of fluid in the abdominal cavity. In the context of ovarian cancer, ascites can occur due to several reasons, including:
1. Peritoneal involvement: Cancer cells can spread to the peritoneum, leading to inflammation and the production of fluid.
2. Impaired lymphatic drainage: The presence of cancer can disrupt the normal flow of lymphatic fluid, leading to its accumulation in the abdomen.
3. Liver involvement: Advanced ovarian cancer can involve the liver, leading to impaired liver function and fluid accumulation.
Surgery, as you mentioned, is often a crucial component of the treatment plan for ovarian cancer. The specific surgical procedures performed can vary depending on the individual case, but they may include removal of the ovaries (oophorectomy), peritoneal biopsy, and collection of various samples for histological examination. These procedures aim to obtain a definitive diagnosis, determine the extent of the disease, and guide further treatment decisions.
Please consult qualified healthcare professionals who can provide personalized advice and guidance based on the specific details of your best friend's mother's case. They will be able to provide the most accurate information and help determine the most appropriate course of action.
Hope it helps
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A study by Peeters et al. (2017) suggests that sugar traps cancer in a 'vicious cycle' which make it more aggressive and harder to treat (1). On the question-and-answer site Quora, Ray Schilling, MD, concludes: "there is a connection between the consumption of sugar and starchy foods and various cancers in man. Animal experiments are useful in suggesting these connections, but many clinical trials including the Women’s Health Initiative have shown that these findings are also true in humans. It is insulin resistance due to sugar and starch overconsumption that is causing cancer" (2).
References
1. Peeters K, Van Leemputte F, Fischer B, Bonini BM, Quezada H, Tsytlonok M, Haesen D, Vanthienen W, Bernardes N, Gonzalez-Blas CB, Janssens V, Tompa P, Versées W, Thevelein JM. Fructose-1,6-bisphosphate couples glycolytic flux to activation of Ras. Nat Commun 2017; 8: 922. doi: 10.1038/s41467-017-01019-z. https://www.nature.com/articles/s41467-017-01019-z.pdf
2. Schilling R. Why isn't sugar portrayed as bad like cigarettes? https://www.quora.com/Why-isnt-sugar-portrayed-as-bad-like-cigarettes
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Although sugar is not directly labeled a carcinogen, recent research has unveiled the link between sugar consumption and cancer risk. Sugar, primarily sucrose and high-fructose corn syrup is commonly found in processed foods, sugary beverages, and sweet treats. Excessive sugar intake has long been associated with various health issues, such as obesity, diabetes, and heart disease. However, the emerging connection between sugar and cancer has garnered recent attention. High sugar consumption can lead to chronic inflammation, insulin resistance, and the promotion of obesity, creating an environment conducive to certain types of cancer. While sugar itself does not directly induce cancer, it can contribute by fueling the rapid division and growth of cancer cells, particularly in breast and lung cancer cases. Some research suggests that reducing sugar intake could be an effective strategy for cancer prevention and improving the outcomes of cancer treatments. It is crucial to note that the relationship between sugar and cancer is complex and not entirely understood. Several factors, including genetics and overall diet, contribute to an individual's cancer risk. Therefore, the main message is not to demonize sugar but to stress the importance of moderation and a well-balanced diet. Simultaneously, sugar is not classified as a direct carcinogen, but a growing body of evidence indicates that excessive sugar consumption can contribute to the risk of developing cancer. Maintaining a healthy, well-balanced diet with limited sugar intake is advisable for overall health and potentially reduces cancer risk.
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In the past two years, Oncology Research has witnessed remarkable progress in the field of lung cancer research, with numerous innovative and prospective articles published between 2022 and 2023. From these we have carefully selected a range of papers covering different areas, including the diagnosis, treatment and prevention of lung cancer. By sharing these research breakthroughs, we aspire to provide readers with valuable insights and inspiration, fostering a deeper understanding of the ongoing advancements in lung cancer management.
The article is as follows:
01.High expression of PD-L1 mainly occurs in non-small cell lung cancer patients with squamous cell carcinoma or poor differentiation
02.Changes of protein expression during tumorosphere formation of small cell lung cancer circulating tumor cells
03.Survival and comorbidities in lung cancer patients: Evidence from administrative claims data in Germany
04.The synergistic effects of PRDX5 and Nrf2 on lung cancer progression and drug resistance under oxidative stress in the zebrafish models
Thank you for your time.
Sincerely,
Oncology Research Editorial
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There has been advances in systemic therapy against lung cancers but radiation therapy dose escalation has not shown much promise.
Investigation into radiosensitizers might be a good research question
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Breast cancer continues to pose a significant global challenge to women's health. Fortunately, with the continuous progress in science and technology, our understanding of the disease and treatment methods has been deepening. As a dedicated cancer research journal, Oncology Research is committed to disseminating the latest advancements in breast cancer research. Our goal is to empower patients, physicians, and researchers with the knowledge necessary to better understand and respond to this serious disease.
Over the past two years, we have proudly published a series of pivotal breast cancer research papers, showcasing exceptional work from renowned scientists worldwide. With rigorous screening, our team has curated a selection of significant papers on breast cancer published between 2022 and 2023. These articles encompass a wide range of aspects, including early diagnosis, personalized treatment, immunotherapy, and more. By delving into these innovative studies, we aim to provide valuable insights into breast cancer development, novel treatment approaches, and preventive strategies.
Join us in exploring these cutting-edge research findings, enabling us to collectively advance our knowledge and make meaningful progress in combating breast cancer.
01.Has_circ_0000069 expression in breast cancer and its influences on prognosis and cellular activities
GANG WANG, MINGPING QIAN, WEI JIAN, JUHANG CHU, YIXIANG HUANG*
02.An inflammatory-related genes signature based model for prognosis prediction in breast cancer
JINGYUE FU, RUI CHEN, ZHIZHENG ZHANG, JIANYI ZHAO, TIANSONG XIA*
03.Targeting triple-negative breast cancer: A clinical perspective
LAZAR S. POPOVIC*, GORANA MATOVINA-BRKO, MAJA POPOVIC, KEVIN PUNIE, ANA CVETANOVIC, MATTEO LAMBERTINI
04.Senescent mesenchymal stem/stromal cells in pre-metastatic bone marrow of untreated advanced breast cancer patients
FRANCISCO RAÚL BORZONE*, MARÍA BELÉN GIORELLO, LEANDRO MARCELO MARTINEZ, MARÍA CECILIA SANMARTIN, LEONARDO FELDMAN, FEDERICO DIMASE, EMILIO BATAGELJ, GUSTAVO YANNARELLI, NORMA ALEJANDRA CHASSEING*
05.The role of AFAP1-AS1 in mitotic catastrophe and metastasis of triple-negative breast cancer cells by activating the PLK1 signaling pathway
SHUIZHONG CEN, XIAOJIE PENG, JIANWEN DENG, HAIYUN JIN, ZHINAN DENG, XIAOHUA LIN, DI ZHU, MING JIN6, YANWEN ZHU, PUSHENG ZHANG, YUNFENG LUO, HONGYAN HUANG*
06.Integrative multiomics analysis identifies a metastasis-related gene signature and the potential oncogenic role of EZR in breast cancer
GUODONG XIAO, FENG CHENG1, JING YUAN1, WEIPING LU1, PEILI WANG2, HUIJIE FAN1*
07.circRNAs in drug resistance of breast cancer
SEMA MISIR*, SERAP OZER YAMAN, NINA PETROVIĆ, CEREN SUMER, CEYLAN HEPOKUR, YUKSEL ALIYAZICIOGLU
08.The Implication of microRNAs as non-invasive biomarkers in 179 Egyptian breast cancer female patients
NADIA Z. SHAABAN, NASHWA K. IBRAHIM, HELEN N. SAADA, FATMA H. EL-RASHIDY, HEBATALLAH M. SHAABAN, NERMEEN M. ELBAKARY*, AHMAD S. KODOUS*
Thank you for your time.
Sincerely,
Oncology Research Editorial
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Vishwas Chavan Sun Sheng Thanks for sharing.
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A patient with desminopathy (mutation Thr341Pro DES in a heterozygous state) with the progression of the disease has a decrease in taste and smell, immunosuppression, and an increase in IgA in the blood.
Oddly enough, but all this is characteristic of infections, including viral ones. For example, it is known that if the hepatitis C virus is not treated, then death will occur in 20 years.
In the identified case of late onset desminopathy, muscle weakness manifests itself at the age of 30, and death occurs 20 years after the onset of the disease.
Could the desmin mutation in myofibrillar myopathy be caused by an infection?
Perhaps the infection contributes to the progression of desminopathy?
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With the progression of the detected case of desminopathy, the appearance of viruses and gram-negative rods was established, there was an excessive bacterial growth of the fecal microbiota with a pronounced increase in transient microorganisms, an increase in endotoxin. The results are presented in the article: https://www.researchgate.net/publication/372952519_CHANGE_CHARACTERISTICS_IN_SALIVA_AND_FECES_MICROBIOTA_OF_A_DESMINOPATHY_T341P_PATIENT
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The latest issue of "Oncology Research" features four review articles that unveil the latest advancements in the field of cancer research! Whether you're an academic researcher, a clinical doctor, or simply interested in cancer research, these reviews will provide valuable insights and inspiration.
The article is as follows:
1.Targeting DNA repair for cancer treatment: Lessons from PARP inhibitor trials
2.Scaffold proteins of cancer signaling networks: The paradigm of FK506 binding protein 51 (FKBP51) supporting tumor intrinsic properties and immune escape
3.Tumor neoantigens: Novel strategies for application of cancer immunotherapy
4.Underlying mechanisms and clinical potential of circRNAs in glioblastoma
Thank you for your time.
Sincerely,
Oncology Research Editorial
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Thank you
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Kaplan-meier is the most frequently used statistical method in survival analysis, and we prefer the log-rank test for comparison of groups. But are our analyzes and results reliable?
We enter the fictitious data into the SPSS database as in a phase 3 study (n=514).
Group A; n=257
Group B; n=257
Except for 4 patients, all patients progress in 101 days. However, we determine that only 4 patients in group-A progress in 102 days.
Do you think Group-A achieved statistically longer survival due to these 4 patients?
Correct Answer is yes; according to statistical analysis, group-A achieved longer PFS than group-B (p=0.045).
One treatment provides only 4 days of PFS benefits in a cluster of 514 people and costs millions of dollars.
Do you think statistics is an illusion?
(sharing the dataset)
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Hi! The Hazard Ratio test is used in clinical trials. Your example has a HR of 1.07 and the p-value of 0.3966. Hence, the sample size should be 6859 for only events. Moreover, your example is very artificial and hardly posible in the real world.
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Does anyone have any recommendations as to the best software to use to produces a Swimmer's plot for Oncology patients in a clinical study.
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I have used "swimplot" in R for a previous study, link and instructions here:
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Does anyone knows the length (word count, excluding or including references) for a minireview article intended for the World Journal of Gastrointestinal Oncology? I‘ve searched in the web page but found nothing 👀. thanks in advance
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Title: no more than 18 words.
Abstract: less than 200 words.
No definite main text limitation was found.
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We need your expertise & opinion!
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Is best to prevention also to treatment.
The best test option for screening of CRC is FIT test and consecutively colonoscopy.
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All tumors have DNA mutations, and a predictive understanding of those mutations could inform clinical treatments. However, 40% of the mutations are variants of unknown significance (VUS). So the challenge is to objectively predict whether a VUS is pathogenic and supports the tumor or whether it is benign. We are working on this problem and would welcome feedback on our efforts (see doi: 10.3389/fmolb.2021.791792 ) and also alternative ideas and insight.
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I am very interested in this because of the multiple mutations in Papillary Ca of Thyroid which are VUS and how best to discern if they are more likely to be pathogenic. So far I look at Clin Var and a few other sources so I will take a look at your paper- thank you!
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" Given lenalidomide’s mechanism of action, it is intriguing that IMiDs and proteasome inhibitors are synergistic in the treatment of multiple myeloma.(24) Recent evidence suggests that this synergy may result from the pharmacokinetic properties and dosing schedules of these drugs. Although treatment with proteasome inhibitors can block lenalidomide induced degradation of IKZF1 and IKZF3 in vitro,(14) this effect depends on both the order of administration and the dose. When the drugs are administered at the same time, lenalidomide-induced degradation occurs before the onset of proteasomal blockade. (25) " excerpt from [1] below.
[1] BLOOD SPOTLIGHT| NOVEMBER 19, 2015
The novel mechanism of lenalidomide activity
Blood (2015) 126 (21): 2366–2369.
" In this article, we review the recently recognized mechanisms of action of lenalidomide and discuss the most recent clinical data regarding its use in patients with both 5q− MDS as well as non-5q− MDS. " excerpt from [2] below.
First published: 13 February 2017
[2] Lenalidomide use in myelodysplastic syndromes: Insights into the biologic mechanisms and clinical applications
Maximilian Stahl MD,Amer M. Zeidan MBBS, MHS
[3]Jacob Keevan & William D Figg (2014) , Cancer Biology & Therapy, 15:8, 968-969, DOI: 10.4161/cbt.29189
Updated Dec 26th 2021 as I know have some publications of relevance to Lenalidomide. Top of my list are [1] and [2] at the moment they are most recent publications I have found. [3] added Jan 24 2023 - still need to review but it pre-dates [1] and [2]
Some additional references for background.
Damato AR, Katumba RGN, Luo J, Atluri H, Talcott GR, Govindan A, Slat EA, Weilbaecher KN, Tao Y, Huang J, Butt OH, Ansstas G, Johanns TM, Chheda MG, Herzog ED, Rubin JB, Campian JL. A randomized feasibility study evaluating temozolomide circadian medicine in patients with glioma. Neurooncol Pract. 2022 Jan 31;9(3):193-200. doi: 10.1093/nop/npac003. PMID: 35601970; PMCID: PMC9113320.
Core Concept: Emerging science of chronotherapy offers big opportunities to optimize drug delivery https://lnkd.in/gpAz-28v
Optimizing circadian drug infusion schedules towards personalized cancer chronotherapy
Hill RJW, Innominato PF, Le´vi F, Ballesta A (2020) PLoS Comput Biol 16(1): e1007218. https://lnkd.in/gnCAAzk5 https://lnkd.in/g4sY-NDv
Temporal regulation of tumor growth in nocturnal mammals: In vivo studies and chemotherapeutical potential
The FASEB Journal. 2021;35:e21231.First published: 11 January 2021 https://lnkd.in/gm9mr6z
Paula M. Wagner,César G. Prucca,Fabiola N. Velazquez,Lucas G. Sosa Alderete,Beatriz L. Caputto,Mario E. Guido
Harnessing the predictive power of preclinical models for oncology drug development. 
Honkala, A., Malhotra, S.V., Kummar, S. et al. Nat Rev Drug Discov (2021). https://lnkd.in/gYnT7VtF
Updated Aug 22nd 2022: Chronotherapy Clinical Trial with a different Drug which is a good background resource.
Temozolomide Chronotherapy for High Grade Glioma
Updated Jan 12th 2023: Wang, Chen, et al. "The circadian immune system." Science Immunology 7.72 (2022): eabm2465. Another good background resource.
Article The circadian immune system
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I have treated 600 cancer patients with thalidomide and celecoxib, using thalidomide 200mg before sleep, because it has the activity to let the patients somnolent. Celecoxib was able to give an effective therapeutic effect at 400 mg twice a day. As a result, the usage would have been effective.
I expect thalidomide and celecoxib to be marketed worldwide as anti-cancer agents and as a useful drug for the treatment of COVID-19 infections.
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Metabolic rewiring and epigenetic remodeling, which are closely linked and reciprocally regulate each other, are among the well-known cancer hallmarks. Studies have reported use of Onco-metabolites to metabolically reprogram the epigenetic of cancer. I was wondering what might be major limitations of such techniques?
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Hello. This topic is not exactly my field, so I cannot give you a satisfactory answer. I will be happy to follow all the news and discussions in this field.
Regards, Zlata Felc.
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For example AI can automate processes in the initial interpretation of images and shift the clinical workflow of radiographic detection, management decisions. But what are the clinical challenges for its application?
#AI #cancer #clinical #oncology #biomedical
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The first is the sample size issue, a predictive model are trained and built with limited imaging data from a particular hospital or region; this has to face bias caused by various factors when dealing with a wider range of diagnoses; it may not be adaptable when making diagnostic decisions for images from other regions.
The second is the inability to balance the patient's treatment intentions, the patient's financial situation, and different regional customs when making treatment decisions.
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HI All,
I'm doing a survey as part of an Audacious program (https://www.startupdunedin.nz/audacious), which essentially is a StartUp initiative at Otago University. I'm curious to understand what level of programming do biologists these days need during their day to day research.
For all the biologists out there here are some questions to start the discussion on this topic:
1) Have you done any programming till date? If so which language did you use and for what purpose?
2) How have to overcome programming limitations? For example, did you get the work done through bioinformaticians, or sought help from your programming friend, etc?
3) Have you used online biological databases for your research? If so, which one?
4) How much of artificial intelligence have you used in your research? Do you see AI potential in your current work?
If you have anything else to add, please feel free.
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Please have look on our(Eminent Biosciences (EMBS)) collaborations.. and let me know if interested to associate with us
Our recent publications In collaborations with industries and academia in India and world wide.
Our Lab EMBS's Publication In collaboration with Universidad Tecnológica Metropolitana, Santiago, Chile. Publication Link: https://pubmed.ncbi.nlm.nih.gov/33397265/
Our Lab EMBS's Publication In collaboration with Moscow State University , Russia. Publication Link: https://pubmed.ncbi.nlm.nih.gov/32967475/
Our Lab EMBS's Publication In collaboration with Icahn Institute of Genomics and Multiscale Biology,, Mount Sinai Health System, Manhattan, NY, USA. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/29199918
Our Lab EMBS's Publication In collaboration with University of Missouri, St. Louis, MO, USA. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30457050
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Our Lab EMBS's Publication In collaboration with ICMR- NIN(National Institute of Nutrition), Hyderabad Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/23030611
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Mob :+91 97522 95342
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Greetings all,
What do you think is the best programming language for cancer informatics for a beginner?
I have found some recommendations for Python, R, MySql, PHP, and Perl, yet as a novice in informatics I couldn't reach a clear conclusion.
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R Programming and Python.
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I have obtained the mean for each of 10 domains for the CarGoQol scale as instructed. Then I calculated an Index score by summing the mean of of all 10 domains and dividing it by 10. The scoring procedure outlines I now need to linearly transform and standardize the domain and index scores on a scale of 0 to 100. How do I do that? Please help!
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x is the untransformed dimension score for each dimension (ie mean of item score)
in the case of dimensions (domains)
for the index x is the untransformed index score (mean of domain scores)
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I have 3 group populations.
Group A has marked nuclear pleomorphism (change in nuclear shape and size), like 1 um, 4um, 2 um, 4um, 6um, 1um, 3um. etc
Group B has also nuclear pleomorphism but not as wide of change as group A
Group C the control group has consistent nuclear size of say 1um for example
I would like to use a stat test to evaluate
1. how significantly different are the groups based on rate of differences
Here are my ideas:
T test probably wont help
I can use clustering analysis
I can do regression analysis
Confidence intervals to show spread of values?
Would ANOVA work?
I just want to visualize and get a P value that these three groups can be different based on variance/change.
Goal is to establish diagnostic criteria based on nuclear size cut offs of either length, width, and circumference of nuclei.
end goal is like 1um - 4um = Grade 1 , 4 - 5um = Grade 2, >6 um = grade 3 and to correlate it to progression free survival.
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One way ANOVA might work but you would need to test its assumptions first, especially homogeneity of variance. Please see my study guide for more information: and the additional material study guide.
If it isn't suitable, apart from Kruskal-Wallis, you can also try Jonckhere-Terpstra which looks for a tend between your groups, which seems to be what you are suggesting.
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I’m conducting a meta analysis for my dissertation and have issues running my data. It utilises median overall survival (months) and does not have usable controls. I’m counteracting that by using a second treatment method fir comparison. I’ve noticed some studies use historic controls, and form hazard ratios from them. Is it possible to treat the secondary treatment as a historic control and form hazard ratios across studies?
Otherwise single arm survival studies are awful to try and run analysis on. (Oncology is a pain).
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Mathematically, nothing should stop you from doing so. Methodologically and clinically, however, I think that such a move can bring about more questions than answers in your analyses.
First and foremost, you have to justify convincingly that your uncontrolled sample and the historical comparator you are planning to benchmark it against are sufficiently similar in clinical context. However, that may even not be enough in light of unknown/unconsidered confounding.
If it is an option, perhaps a systematic review without meta-analysis, rather than with meta-analysis, may be a safer bet to synthesize the evidence.
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Possibily not an open access journal which does not add any publishing costs once being accepted. Thank you in advance
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To any peer-reviewed journal of neurosurgery or neuro-oncology.
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Please find attached the full medical file of our patient and all biological reseaults included.
We are seeking to explain how can she produce such levels of immunoglobulins with no B cells expression.
NB ! : * The patient ddidn't recieve any immunoglobulins injection.
* We made another dosage for immunoglobulins levels after 01 moth of the first one and we had the same resault ( high levels ).
Best regards
Msc, Abdelwahab
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First thing i would like to comment on it that you may change the clone of CD20, check CD19 as well if they are even few?
Secondary, The absence B cells might be the drug effect (Like: Rituximab or any alternative/traditional medicine).
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Hello,
SV40 is not considered an oncogenic virus in this review:
Why is SV40 not considered an oncogenic virus when it produces the large T antigen, which is used to immortalize mammalian cell lines?
Additionally, SV40 proteins have been found in human tumors.
Could this lack of coverage possibly have something to do with the fact that the polio vaccine introduced SV40 into the human population in the late 1950’s? How many people are actually positive for SV40 proteins? How many of these people develop cancer? Why are SV40 proteins not tested for regularly, given that they are an indicator of cancer?
Thanks!
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Please have a look at the following RG link.
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For any no-relapse cancer gene therapy, all cancer cells need to be transfected. Is it possible? Will repeated administration be able to reach all cancer cells? I know different serotypes viral vectors must be used for repeated administration to evade antibody response, but let's not focus on little details. I want to know if its fundamentally possible? Cancer cells have mutated antigens that viruses use to get in, so there can be resistance. Perhaps repeated non-viral transfection in-vivo? What do you think? If not, then why can't repeated transfection reach every cancer cell? It seems to me that due to minuscule size of vectors, spatial availability in-vivo isn't the issue. What do you think?
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Hi John Schloendorn , Thanks a lot for your reply. I might have phrased my question in a wrong manner. 100% transfection efficiency is impossible, let's say it is 20% efficient. Is it possible to still transfect all cancer cells in a patient with repeated administrations each with 20% efficiency, given that the treatment is selective and non-toxic? It seems like non-viral transfection is more stochastic, in a sense that it in principle can transfect any cell, it just happens that it doesn't, so with enough repeated administration it should be able in principle to transfect all cells, right? Thank you very much for your time. Your experience is invaluable on this matter. I am asking for a research proposal I have made, where this issues now stands out.
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without allowing our study be reduced to just rubber stamping of other people's findings. How do we ensure critical rather a mere descriptive discourse ?
What are the tips to highlight the originality of the research project?
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I totally agree with Dr. M. D.H. Prodhan and Dr. Abdelhameed Ibrahim. Really they hit the target.
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Global spotlight is on 2020 Nobel prizes which is slated to commence today, Monday October 5, 2020. Many researchers have been mentioned and nominated in various capacities for their discoveries such as;
1. American Mary-Claire King, who discovered the BRCA1 gene responsible for a hereditary form of breast cancer.
2. The duo of Emmanuelle Charpentier of France and Jennifer Doudna of the US, for their gene-editing technique, the CRISPR-Cas9 DNA snipping tool, a type of genetic “scissors” in cutting mutated gene, and for insertion of a corrected manipulated one.
3. Dennis Slamon, American oncologist for research on breast cancer and the drug treatment Herceptin.
4. Leroy Hood, US gene sequencing pioneer.
5. And host of others.
Not only limited to medicine, in any field, who do you have in mind for his/her discovery roles in the past few years?
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There are real doctors who treat any kind of infection including Covid 19 Covid 2099 also.
In many corner of the world. Health and Education should be completely at Free of cost for each and every Citizens and By the way healthcare corruption will get into an end for ever. No private involvement of anybody in health care Management.
Nobel Price For Medicine should goes to Dr.B.M.Hegde,MBBS.,MD.,DM. FCCP. BadhmaPhushan award winner.
Nobel Price Trust should take strict legal action on Xi and his allies who are the responsible person for Pandemic and By the way such mistakes will not repeat.
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Dear Researcher,
I am investigating new therapeutic approaches to treat Glioblastoma. By testing my approach, I found that in one mouse model the data are promising. However, I am looking for validating my data. I would like to re-do the experiment using a different mouse model for the same disease.
I know that the best is to test the treatment approaches on two different mouse models (two independent experiments each) However, due to running out from the funding and time I must choose between two options.
Either using one mouse model (two independent experiments) or two mouse models (one independent experiment each).
Let me know what do you think?
Thanks a lot
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I think it would also depend on the variability of the results so far. You may need to increase the number of animals, dosage range etc.
if you have statistically significant results already in one model then extension to another model would be valuable.
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COVID-19 has pull people apart from each other. Social distancing is the main way to prevent spreading of infection. Tele-medicine, once used for rural area remote healthcare model, is the emerging new way of practice under COVID-19.
Different specialties have different practicing needs, what difficulties do you encounter on applying tele-medicine under COVID-19 in your specialty? Will tele-medicine totally uproot the usual face-to-face room consultation of medical practitioners? And becoming the new service model?
What is your view?
Some references:
Virtually Perfect? Telemedicine for Covid-19
NEJM
DOI: 10.1056/NEJMp2003539
Covid-19 and Health Care’s Digital Revolution
NEJM
DOI: 10.1056/NEJMp2005835
Telemedicine in the Era of COVID-19
The Journal of Allergy and Clinical Immunology: In Practice
DOI: 10.1016/j.jaip.2020.03.008
Keep Calm and Log On: Telemedicine for COVID-19 Pandemic Response.
DOI: 10.12788/jhm.3419
‘Healing at a distance’—telemedicine and COVID-19
Public Money & Management
DOI: 10.1080/09540962.2020.1748855
The Role of Telehealth in Reducing the Mental Health Burden from COVID-19
Telemedicine and e-Health
DOI: 10.1089/tmj.2020.0068
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Hello, in Portugal, during Covid there was a huge increase of tele consultation. Still some barriers were found:
- older people have more difficulties in using digital tools.
- 3G and 4G coverage is still low in some rural areas.
- Lack of good tele consultation tools available to be used, some physicians then still want to do the face to face consultation.
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COVID- 19
Respiratory infections can be transmitted through droplets of different sizes: when the droplet particles are >5-10 μm in diameter they are referred to as respiratory droplets, and when then are <5μm in diameter, they are referred to as droplet nuclei. According to current evidence, COVID-19 virus is primarily transmitted between people through respiratory droplets and contact routes.2-7 In an analysis of 75,465 COVID-19 cases in China, airborne transmission was not reported.
Droplet transmission occurs when a person is in in close contact (within 1 m) with someone who has respiratory symptoms (e.g., coughing or sneezing) and is therefore at risk of having his/her mucosae (mouth and nose) or conjunctiva (eyes) exposed to potentially infective respiratory droplets. Transmission may also occur through fomites in the immediate environment around the infected person. Therefore, transmission of the COVID-19 virus can occur by direct contact with infected people and indirect contact with surfaces in the immediate environment or with objects used on the infected person (e.g., stethoscope or thermometer). 
Airborne transmission is different from droplet transmission as it refers to the presence of microbes within droplet nuclei, which are generally considered to be particles <5μm in diameter, can remain in the air for long periods of time and be transmitted to others over distances greater than 1 m. 
In the context of COVID-19, airborne transmission may be possible in specific circumstances and settings in which procedures or support treatments that generate aerosols are performed; i.e., endotracheal intubation, bronchoscopy, open suctioning, administration of nebulized treatment, manual ventilation before intubation, turning the patient to the prone position, disconnecting the patient from the ventilator, non-invasive positive-pressure ventilation, tracheostomy, and cardiopulmonary resuscitation. 
There is some evidence that COVID-19 infection may lead to intestinal infection and be present in faeces. However, to date only one study has cultured the COVID-19 virus from a single stool specimen.  There have been no reports of faecal−oral transmission of the COVID-19 virus to date.
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Nowadays, where there is a lot of new information and studies on immunotherapy in Hematology and Oncology every day, are there news about Haemophagocytosis and Immuntherapy, such as Antibody against PD-L1 AS Exemple?.
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More than 2 Years sinnce my Quastion about it in 2018 😀 ...
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A 60y/o woman with stage IV breast cancer (OSS, PER), ER / PR +, Her2 -, previous illnesses: HTN, devlops a recurrent ascites under the Treatment with letrozole + palbociclib, additionally to arterial hypotension, sleightly elevated creatinine 1.3 mg / ml, hyperkalemia up to 7 mmol / l, hyponatremia up to 118 mmol / l, compensated metabolic acidosis with BE of -7 und a hypoalbuminemia of 18 g / l. SIADH and hypocortisolism are excluded. What could be the cause for this clinical and laboratorypicture?
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Most women with stage 4 breast cancer experience tumour lysis syndrome following the administration of chemotherapy. It is important to monitor the blood parameters and carefully manage co- morbidities to prevent further complications.
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Oncology is a branch of medicine that deals with the prevention, diagnosis, and treatment of cancer. A medical professional who practices oncology is an oncologist. The name's etymological origin is the Greek word ὄγκος (óngkos), meaning 1. "burden, volume, mass" and 2. "barb", and the Greek word λόγος (logos), meaning "study".
Cancer survival has improved due to three main components: improved prevention efforts to reduce exposure to risk factors (e.g., tobacco smoking and alcohol consumption), improved screening of several cancers (allowing for earlier diagnosis), and improvements in treatment.
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Lauren Pecorino
Molecular Biology of Cancer: Mechanisms, Targets, and Therapeutics
3rd Edición
ISBN-13: 978-0199577170, ISBN-10: 019957717X
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Metformin's anti-cancerous properties have been demonstrated in various cancer cells in vitro, such as lung, pancreatic, colon, ovarian, breast, prostate, renal cancer cells, melanoma, and even in acute lymphoblastic leukemia cells. 
It was suggested that the tumoral  microenvironment is associated with long-term outcome in primary and metastatic tumors.Metformin reduces inflammatory microenvironment Is regulated microenvironment with metformin reprogramme malignant cancer Cells toward a benign phenotype.
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Epigenetic therapy inhibits metastases by disrupting premetastatic niches
  • Zhihao Lu,
  • Jianling Zou,
  • […]
  • Malcolm V. Brock
Nature volume 579, pages284–290(2020
Abstract
Cancer recurrence after surgery remains an unresolved clinical problem1,2,3. Myeloid cells derived from bone marrow contribute to the formation of the premetastatic microenvironment, which is required for disseminating tumour cells to engraft distant sites4,5,6. There are currently no effective interventions that prevent the formation of the premetastatic microenvironment6,7. Here we show that, after surgical removal of primary lung, breast and oesophageal cancers, low-dose adjuvant epigenetic therapy disrupts the premetastatic microenvironment and inhibits both the formation and growth of lung metastases through its selective effect on myeloid-derived suppressor cells (MDSCs). In mouse models of pulmonary metastases, MDSCs are key factors in the formation of the premetastatic microenvironment after resection of primary tumours. Adjuvant epigenetic therapy that uses low-dose DNA methyltransferase and histone deacetylase inhibitors, 5-azacytidine and entinostat, disrupts the premetastatic niche by inhibiting the trafficking of MDSCs through the downregulation of CCR2 and CXCR2, and by promoting MDSC differentiation into a more-interstitial macrophage-like phenotype. A decreased accumulation of MDSCs in the premetastatic lung produces longer periods of disease-free survival and increased overall survival, compared with chemotherapy. Our data demonstrate that, even after removal of the primary tumour, MDSCs contribute to the development of premetastatic niches and settlement of residual tumour cells. A combination of low-dose adjuvant epigenetic modifiers that disrupts this premetastatic microenvironment and inhibits metastases may permit an adjuvant approach to cancer therapy.
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Is there a proven relationship between vehicle emission and cancer diseases?
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Research indicates that nitrogen oxides and sulfur dioxide have an effect on increasing the risk of cancer.
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"In conclusion, high-dose intravenous ascorbate represents a promising and inexpensive anticancer therapeutic option that should be further explored in clinical trials. Given its low toxicity and low financial cost, ascorbate could become an important weapon in our arsenal against cancer, either acting as a single agent with predictive biomarkers or used in combination as an adjuvant therapy."
Targeting cancer vulnerabilities with high-dose vitamin C
Bryan Ngo, Justin M. Van Riper, Lewis C. Cantley & Jihye Yun
Nature Reviews Cancer volume 19, pages 271–282 (April 2019)
Invitation: Start a clinical trial.
There are currently 15 clinical trials. See details of those trials here: https://www.nature.com/articles/s41568-019-0135-7/tables/1
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Joe Graymer
Gamal Abdul Hamid Luis Rodrigo Wolfgang Doerr , check this out:
Alessandro Magrì et al. High-dose vitamin C enhances cancer immunotherapy, Science Translational Medicine (2020)
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I would like to know the mechanisms by which the bacteria induce cancer?
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Please take a look at the following RG links.
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I am in search of high standard International upcoming conferences on Oncology. Kindly do suggest me some conferences. Suggest me the standard of the conference organized by International Association of Oncology
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I have heard about the International Association of Oncology. They are organizing high standard International conferences regarding Oncology, Cancer. I can suggest the association link too, there you can find the conferences.
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Intraductal papillary mucinous neoplasms (IPMNs) of the pancreas are being diagnosed with increasing frequency. IPMNs comprise a histologic group that ranges from adenoma to invasive carcinoma with different degrees of aggressiveness (borderline tumor). Actually, it is not known whether all IPMNs have this malignant potential or what is the best treatment of IPMNs. The'identify the right time of surgical treatment or follow-up is the great dilemma .
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clinical trail for borderline resectable pancreatic cancer
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Hi everyone! I need your advice.
I have been working with Truven MarketScan® Commercial Claims and Encounters Database and the Medicare Supplemental and Coordination of Benefits (COB) Database in the past, and most recently with the SEER-Medicare data.
The oncology medicines I am working with are either injectable ( antibodies or targeted treatment) or chemo ( I guess it can be both orally taken or given infusion in an out-patient setting). I want to pull out all the claim information about the medicines. Should I just use J-code to pull them out from the in-patient (part A in Medicare) and out-patient (part B in Medicare) database? These medicines also show up as NDC# in the pharmacy database ( Medicare part D). Should I include the pharmacy claims in my analysis? All the medicines are reimbursed by Part B in Medicare. I don't understand why they show up in the pharmacy claims (part D). The patients wouldn't go to a pharmacy to pick up an oncology drug right?
Thank you so much for your advice!
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Thank you so much for your answer, James. Apologies for my late reply. I agree with you. The actual cost has little relation to ASP. I am only looking for medication costs, so it could be more straightforward. Overall, I found that understanding the real-world medical practice and reimbursement rules, as well as the data structure, are important to figure out the cost source and where they will show up in the data files. For example, infused oncology medicines are in part B while oral medications are in part D. There are also some specific rules in exception for particular medicines. The commercial databases can be different from the CMS ones because the reimbursement rules are different. Interesting and complicated.
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Their is need to understand the safety and efficacy of exercise therapy on cancer treatment–induced cardiovascular toxicity and tumor progression and metastasis in oncology practice, this can be achieved by having a fundamental knowledge of exercise prescription, dosing and personalization with regards to cancer treatment and according to global best practices.
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I want to know whether tumor cells share their information by time passing. I were wondering if anybody could answer my question and introduce some good resources in this regard?
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The answer is "Yes". Please see the following PDF attachments.
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I once had a colleague in a university, he was a professor of postgrad studies. About three years ago he suffered a bladder cancer, see for example: http://www.cancer.org/cancer/bladdercancer/. Then he took a surgery abroad, but it seemed that the cancer was spreading. So he decided to take herbal remedies besides taking chemotherapy.
I am not sure what happened then, except the fact that two years ago he passed away. I dont know exactly if his condition worsened because of cancer grew or not. But this story makes me ask about the safety and effectiveness of herbal remedies. Some people think that herbal remedies have better credibility over other alternative medicines.
So do you agree that herbal remedies are safe for cancer treatment? Do you have experience. Thank you.
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Kindly see the following PDF attachments.
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I am looking at tumor cells + surrounding immune cells and their expression of IL-6 in B-cell derived cancer. In some samples I can recognize comet-like plasma cells, and their cytoplasm is very clearly stained for the IL-6 antibody. Can plasma cells express IL-6, and if not, what might (in theory) activate the expression of this gene?
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the plasma cell are dendritic cells that stained may be with the IL-6 antibody.
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I want to find out the sex of the cell line.
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The cell lines has the transcripts from Y chromosome.
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Mack et al studied subtypes of three ependymoma(same histopathology) brain tumors and found that one subtype carries an intrachromosomal translocation that creates a new tumor-driving gene, another lacks tumor-driving mutations but has aberrant epigenetic modifications, and a third shows neither gene mutations nor epigenetic aberrations. There were three genotype but one cancer phenotype. Similarly Martincorena and colleagues found thousands of mutations in cancer-relevant genes, including cancer-driver genes, in normal eyelid epidermis .(multiple cancer genotypes but no cancer phenotype).
In disparate classes of biological systems, there are more genotypes than phenotypes. Where sufficient information exists to enumerate these phenotypes, there are exponentially more genotypes than phenotypes, as a function of the number of system parts. This means that any one phenotype typically has many genotypes that form it.
In a brief, cancer is the decision of the cell to choose the innovative/adaptive phenotype and understanding the genotype does not mean understanding cancer.
References
1. Mack, S. C., Witt, H., Piro, R. M., Gu, L., Zuyderduyn, S., Stütz, A. M., et al. (2014). Epigenomic alterations define lethal CIMP-positive ependymomas of infancy. Nature 506, 445–450.
2. Martincorena, I., Roshan, A., Gerstung, M., Ellis, P., Van Loo, P., McLaren, S., et al. (2015). High burden and pervasive positive selection of somatic mutations in normal human skin. Science 348, 880–886.
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Answer of the question
Cancer is name of the a kind phenotype not genotype
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We are looking for a patient monitering camera that is not degraded by radiation interactions. We need extended zoom capabibilitees so we can also do our HDR positioning QA in the morning. The current cameras we use last for about 2 years before they get radiation damage and become spoted.
Any advice?
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Our MegaRAD3 camera product line have been used by OEM suppliers of LINAC’s for over 20 years, and there literally are thousands of them currently in use around the world for patient monitoring, and even within some MLC’s for beam alignment, possibly even at your facility now.
While many End Users utilize our MegaRAD3 camera product line for imaging in their radiation environments, in some low radiation level Hot Cells, or Oncology applications where multiple cameras are used, these version cameras may be an expensive alternative when compared to “disposable” CCD or CMOS cameras, plus they had to be mounted onto bulky 3rd party pan/tilt platforms, and coupled with a lens to be useful as a remote controlled monitoring tool.
That’s why we’ve put years into the development of the KiloRAD PTZ camera. While it has lower radiation total dose capabilities when compared to our MegaRAD3 version cameras, the affordable KiloRAD PTZ cameras have much higher radiation resistance when compared to CCD or CMOS cameras.
As a “turn-key solution”, they are an ideal fit for a patient / room monitoring cameras for Oncology applications.
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JMML is well known for its non responsiveness to existing treatment options including HSCT, which has only shown to be the only curative option to provide for these patients. Even with HSCT prognosis is not so good. Does any centre in India have experience with HSCT in JMML ? Is there a specific recommendation/ guideline as to who all needs HSCT and whom to palliate ?
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There are very few data indeed Dr. Gopakumar.. See following articles regarding HSCT for jCMML:
I hope that it might help...!!!
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Is it indicated to make use of a totally implanted venous access device in the Emergency Department?
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Hi James,
Unfortunately, there is no "one size fits all" answer. It really depends on the specific patient and the specific emergency department. If peripheral access is easily and quickly obtained, then accessing the IVAD should not be performed. However, most patients with IVADs generally have poor peripheral access. In this case, it would be appropriate to access the IVAD only if the staff is adequately trained in doing so. The department should have a policy for accessing these devices along with a good training program so that they are accessed safely and sterile.
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We are brainstorming about research involving the fields of genetics and oncology. We were wondering if chemotherapy could interfere with the results of the DNA isolation and Genetic results. Would it be possible to get blood samples during chemotherapy or is it best to do this between chemotherapy sessions?
Thanks in advance,
Roel
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I think the answer depends on what you intent to measure and what the details are. Chemotherapy can induce somatic DNA alterations and potentially predispose to acquired aberrant clonal expansions (https://www.nature.com/articles/gim2017196). Are you plannig to get blood samples for germline DNA testing? Hematologic malignancy testing? Cell free DNA?
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To fight the disease effectively, researchers from across the scientific spectrum and beyond must join forces.
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Yes
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Although cancer immunotherapy can be quite effective, it has a variety of drawbacks.
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Dear Researchers,
I am working with a PDCL cancer cells and I want to transfect GFP in the cells. I am using lipofectamine 2000 and I incubated it with the cells for 6 hour and seems to be good but after 6 hours they start to show some death due to Lipofectamine toxicity.
So I only incubated cells with the Lipofactamine and the vectors for 6 hours and then changed the medium to the normal medium that I am using for the cells.
I used in this experiment 10.000 cells and they showed some positive cells after 72 hour however they all died when I tranfered them to a larger T25 Flask,
Any suggestions ?
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Hi Sandra,
Thank you very much for your valuable input and looking forward to using Viromer in our cell line setups
Best Regards,
Mohammed.
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In our routine clinical practice, we are trying to kill mosquitoes (cancer cells) to cure cancer. sometimes we are using smart medications ( molecular-targeted therapies-it is look like, targeting the wings of mosquitoes ), I think that we must dry the swamp to cure cancer(fix the corrupted microenvironment)
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Fully agree. But it is not only the swamp. It is the mosquito and the swamp.
Because in the case of cancer it is the mosquito who creates the swamp.
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I was planning to simulate hypoxia chemically in cancer cells using dimethyloxalylglycine (DMOG), desferrioxamine (DFO), ciclopirox olamine (CPX) or cobalt chloride (CoCl2), due to lack of a hypoxia chamber. However, I was also wondering if the results obtained from this form of hypoxia induction comparable to hypoxic simulation in a chamber, but I only found one article for this proof related to mesenchymal stem cells:
I have yet to find an article noting a difference between the two in cancer cells. Has anyone tried both cases and noticed a significant difference, or are they comparable? Similarly, does the agent type also affects results? I can't find any article comparing the effect of each agent in cancer cells as well. Thanks!
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It's also important to keep in mind that chemical hypoxia (cobalt, DMOG..), inhibits "specifically" PHD and promotes HIFa stabilization. However, real hypoxia induces several changes independently of HIF (for example, ER stress and UPR response, diminution of ATP, AMPK activation and inhibition of mTOR, and ROS production changes). Thus, it's necessary to distinguish the role of hypoxia and the role of HIFa stabilization.
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In reviewing methodology of a manuscript, I found out that CA125 levels in ovarian cyst fluids were measured using an ELISA kit. In the kit manual, it says that this kit is used for measuring CA125 in serum or plasma. Is this CA125 measurement valid?
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Thanks
Very helpful
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Three questions:
- Would it help to linearize the plasmid before transfecting the suspension cells using Lipofectamine 2000 or 3000?
- Does it make a difference if the DNA is added in TE buffer or H2O (to OptiMEM)?
- Could I also use RNA for Lipofectamine transfection using the exact same protocol?
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Electroporation is the way to go for suspension cell lines. You can get up to 80% efficiency for siRNA knockouts with electroporation tailored to specific cell lines (for example Raji: https://altogen.com/product/raji-electroporation-kit-burkitts-lymphoma-cells-ccl-86/). Other methods can work, it's just that electroporation is particularly effective for suspension cell lines.
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We are using lipofectamine for transfecting synthetic miRNA mimics for the miRNA functional analyses and miRNA target site validation experiments that we are developing with human cancer cell lines. However I would like to know if in your experience those experiments work as well with jet-PEY or similar reagents, which seems to be more cost effective. Thank you, Inma
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It all depends on the cell line, and the transfection reagent for it as well. Given the similarities between miRNA and siRNA, if you find reagents that work well for siRNA delivery it's likely they'll work for miRNA delivery as well. See this catalog (https://altogen.com/products-index/) and you'll see that different cell lines have different efficiencies, even for optimized reagents. Generics will work, but they won't be stellar. Look through previous studies to see what reagents they used for given cell lines, and you should be set for getting the empirical values for efficiency as well.
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According to a 2004 report by Morgan, Ward, and Barton: "The contribution of cytotoxic chemotherapy to 5-year survival in adult malignancies. ... survival in adults was estimated to be 2.3% in Australia and 2.1% in the USA." See http://www.ncbi.nlm.nih.gov/pubmed/15630849, or https://www.burtongoldberg.com/home/burtongoldberg/contribution-of-chemotherapy-to-five-year-survival-rate-morgan.pdf
Although such conditions may vary for different types of cancer, it is commonly held that 80% of oncologists will not take chemotherapy if they suffer from cancer themselves.
Another possible approach is perhaps herbal chemotherapy, which according to another report may yield an 85% success rate. See http://breastcancerconqueror.com/85-success-rate-with-herbal-chemo/
So why is the success rate of chemotherapy very low? And is it possible to improve that?
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I am not a doctor, but I have spoken with countless individuals who have survived cancer through natural means (diet, colonics and supplements) to boost their immune systems and detoxify their bodies. I have had a natural health store for more than twenty-five years and have read many books and articles as well as heard testimonials on this process.
What is ironic is that now the "breakthrough" method of cancer treatment that is touted by the medical establishment is the use of the individual's own immune system. Of course they say that the immune system must be "enhanced" by their drugs in order to work. They call it CAR-T cell therapy and they will provide it for one-half million dollars with the disclaimer that the boosted immune system might attack other organs. (TIME Mag. 12/25/2017).
Here's an idea - let people keep their one-half million dollars and use a small portion of it to buy organic vegetables and supplements, and maybe pay a practitioner to monitor their progress. Their naturally tuned-up immune systems will love all of their organs rather than attack them.
How gullible do we have to be to believe that we should pay the medical community one-half million dollars to use our own system that is in place naturally?
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Hello everyone,
EGCG and sulforaphane are attributed intriguing pharmacological effect in a wide variety of fields. Recent research also investigates the synergistic effects of those two compounds (e.g.
Epigallocatechin gallate and sulforaphane combination treatment induce apoptosis in paclitaxel-resistant ovarian cancer cells through hTERT and Bcl-2 down-regulation (Chen et al. 2013)) with astonishing results compared to the isolated application of the compounds.
Although, there is one in vivo study in mice that investigated the combined effect (Nair et al. 2010, Regulation of Nrf2- and AP-1-mediated gene expression by epigallocatechin-3-gallate and sulforaphane in prostate of Nrf2-knockout or C57BL/6J mice and PC-3 AP-1 human prostate cancer cells), I doubt that these results can be simply transferred to humans, as I came across this study
Inhibitory effects of green tea and grape juice on the phenol sulfotransferase activity of mouse intestines and human colon carcinoma cell line, Caco-2. (Tamura, Matsui, 2000)
It occurs to me, that the co-administration of EGCG and sulforaphane might actually counteract what was intended. From what I understand, sulfotransferase responsible for the uptake of sulfones (like sulphorafane). Therefore, inhibiting that enzyme might prevent the uptake of sulphorafane at all.
Am I right with that conclusion or am I mistaken?
Best regards,
Christian
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Hi dear Christian Neumann
i think the following paper can help you
best and kind regard
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I know how to calculate the MU time but not sure how to get the cumulative dose. I have gone through the Radiation Physics book by Faiz. However no clear cut approach is shown for getting the cumulative dose? So my question is 1) Is there any approach by which cumulative dose can be calculated? or it is prescribed by the radiologist? 2) Do we need to optimize the dose distribution for telecobalt therapy?
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Francisco is correct in his comments. I will add a few as well.
Calculating MU/time and calculating dose are the inverse of one another. You need to be given MU to calculate dose, or you need prescribed dose to calculate MU. Typically one is tasked with calculating MU or time after the dose is prescribed by the Radiation Oncologist. In simple calculations the dose would be prescribed to a point in the body and the field apertures shaped to conform to the local anatomy, followed by normalizing to an isodose line that covers the desired area. All of this goes into the calculation of MU or time needed to get the prescribed dose. Modern techiniques involve the use of inverse planning utilizing arcs, dynamic MLC's, etc. It is always important to optimize the dose distribution, whether in linac based therapy or cobalt teletherapy. The ability to optimize the dose distribution is tied to the imaging available (2D, 3D, 4D, PET, MRI, etc.) the technology contained in the treatment planning system, and the skill of the planner.
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I greatly appreciate your input
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I'm sure you realize that with MCF7 cells you are generating a metastasis model, not a carcinogenesis model, right?
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According to Kuhn, a paradigm change in science, that means an epistemological change, requests the agreement of the scientific community, like it is arrived with the institution of quantum physics. In medicine a new paradigm of Medical Science has been proposed and applied in Medical Education in 1998 at the Milan School of Medicine , with the introduction of Person Centered Clinical Method and after the presentation of the new person centered interactionist and teleological health paradigm in 2005 ,presented at WHO (by invitation) in 2011 along with Person Centered Medicine, Medical Education change the paradigm change has been formalized on 13-14-15 October in Milan along with the presentation of “La Charte Mondiale de la Santé-the World Health Charter”.
The person-centered paradigm change of Medicine,Health, Medical Education and research corresponds to re-birth of clinics like a discipline addressed to discover the individuality of the patient in a disease and not the opposite, reducing him/her to an abstract theory. To date it is impossible because the same basic sciences , neurobiology, physiology, psycho-neuro- immune-endocrinology (PNEI) , already at experimental level, evidenced the end of a mechanistic , deterministic paradigm in Medical Science and the birth o f a person centered one (Person Centered Medicine) , that discriminates biological reactions, whose variability is determined by the person’s existential choices (life style and quality) from biological constants , responsible of biological life, according the Relativity Theory of Biological Reactions (1996)
I invite you to read the e-book “ Medical Science and Health Paradigm Change” and to give your “YES or NOT” about this paradigm change determinant for the destiny of Medicine , Medical Science and Medical Education, reformulating in a new way the epistemological principles of medicine, clinical method and clinical supervision
You can download the e-book from Research Gate:
And , if you agree ,to fulfill the agreement form or download it from www.healthparadigmchange.it sending it to secretariat@healthparadigmchange.it
And to read some other info on Person Centered Medicine on www.unambro.it
Thank you
Giuseppe R.Brera
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In the 21st century a revision needs on our medical science. A medical research cursory attention by either device or molecule is ultimately wrong and being violated the medical ethics.
A 20 years after the real medical research negligence and its consequences may affect to the innocent patients. They buried their valued life by the wrong medical treatment. We must follow basic science, but what is basic science?. Can we retrieve one ampule injection once used from the blood?.
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Would 2 biosimilars, that have separately demonstrated interchangeability with the reference product, through adequate clinical designs (phase III trials with 2 arms, and at least three changes in the switching arm, as proposed by the FDA draft), be also interchangeable with each other?
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Thans Igor
As I see it the main issue is to demonstrate similarity in
quality, safety and efficacy. I would think that, just taking safety, you cannot go from preclinical stidues in animals to a phaase III trial in humans
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Probably this will be the future. In the meantime we are overlooking very simple non taylored treatments that are less toxic and almost as effective that the sofisticated ones.
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The venom contains MP1 molecule.
MP1 molecule and lipid membrane.
The potential of MP1 molecule as cancer drug.
Combination therapies.
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Ya its very true Polybia-MP1 (MP1 extracted from the venom of Brazilian wasp Polybia paulista) have anticancer potential I have also published this in review article recently.
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Nature Webcast
The potential applications of single cell genomics include biomarker discovery, clinical trials, therapy selection, and disease monitoring.  
What is the importance of single-cell biology to understand how clonal diversity in cancer impacts response, resistance, and relapse?
How single-cell DNA analysis overcomes the limitations of bulk sequencing to understand clonal architecture and mutation co-occurrence which impacts hematological malignancies?
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I believe that single DNA-analysis in liquid biopsy would realize the precision medicine in cancer treatment because we can understand the heterogeneity of the tumor population and the dynamic tumor evolution!!
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from
Theoretically, the Quorum Sensing (QS) mechanism may be disrupted by any condition which prevents a faithful "count" of SC neighbors. This can be either due to reduced sensitivity of the SC itself, e.g., shortage of adequate receptors for environmental signals, or due to reduced "clarity" in the environment, concealing extracellular signals from the SC. The result in both cases is weakened ability to sense the "true" number of SCs in the micro-environment and, as a consequence, incessant proliferation and elusion of normal homeostatic tissue control. These two properties can be integrated into one parameter, the magnitude of intercellular communication sensed by a SC, which is expected to be the critical determinant of the tissue's steady-state production of end cells.
Agur Z, Kogan Y, Levi L, et al. Disruption of a Quorum Sensing mechanism triggers tumorigenesis: a simple discrete model corroborated by experiments in mammary cancer stem cells. Biology Direct. 2010;5:20. doi:10.1186/1745-6150-5-20.
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