Georgehansen4956

This study reviews the relevant epidemiological studies associating cutaneous melanoma and breast carcinomas and provides an overview of the possible genetic, biological and bias factors that underpin this relationship. Standardised incidence ratio (SIR) for primary cutaneous melanoma after breast carcinoma ranged from 1.16 to 5.13 and ranged from 1.03 to 4.10 for primary breast carcinoma after cutaneous melanoma. Epidemiological studies highlight age, gender and use of radiotherapy and chemotherapy as potential risk factors for second primary cancers (SPCs). Mutations in BRCA2, CDKN2A, CDK4 and BAP1 may partly underlie any SPC association. The impact of socio-cultural factors and surveillance bias may be attributed to the findings of SPC partially or entirely. In conclusion, this study has highlighted the association between breast carcinoma and melanoma and identified various factors for further research and the optimised management of patients with both cancers.BRAF is a rare targetable mutation in non-small-cell lung cancer (NSCLC). Emerging evidence underlines that, rather than a single point mutation, BRAF genes present with a wide array of mutations, essentially in lung adenocarcinoma. Different BRAF mutations have divergent clinical and therapeutic implications, with a particular distinction between V600E and non-V600E mutations. The latter are at least as frequent in NSCLC as V600E, but lack any proven targeted therapy. In this paper, we briefly review the current literature and provide an update of scientific knowledge about different types of BRAF mutations in NSCLC.TAS-102 is a preconstituted drug combination comprising an oral fluoropyrimidine (trifluridine, TFT) and a potent inhibitor of thymidine phosphorylase (tipiracil hydrochloride, TPI). TFT/TPI has recently received Food and Drug Administration (FDA) approval also for the treatment of gastric cancer after at least two lines of chemotherapy. The approval was based on a large phase 3 trial (TAGS), in which TAS-102 showed a 31 % decrease in the risk of death compared with placebo. selleck inhibitor Here, we review the pharmacological properties, clinical development and potential future directions of TAS-102 in gastric cancer.Salivary glands carcinomas are very rare epithelial malignant tumors. In 2013 in Europe, 7800 new diagnoses were estimated, 8.5 % of all head and neck cancer. The last WHO classification (2017) counts more than 20 malignant histotypes, this variety as well as the rarity of some of them needs a skilled pathologist for diagnosis. Surgery remains the mainstay of management followed by radiation in high-grade and high-risk pathological features cases. The intensity modulated radiotherapy (IMRT) should be preferred over conformational radiotherapy techniques as adjuvant and exclusive treatment in advanced cases. Particle radiotherapy (i.e. protons, carbon ions) can have a role in advanced/unresectable disease since it was proved to have better results over photons in loco-regional control both in adenoid cystic carcinoma and in other histotypes. Although chemotherapy is still the most frequent treatment for metastatic patients, several new compounds (i.e. anti-angiogenic agents, tailored agents, checkpoint inhibitors) are under investigation.Submergence-induced leaf senescence may alter chlorophyll metabolism. The objective of this study was to characterize chlorophyll biosynthesis and degradation in contrasting perennial ryegrass (Lolium perenne) in response to submergence stress and recovery. The light-green and fast-growing accession PI238938 and the darker-green and slow-growing cultivar BrightStar SLT were exposed to 0, 6 h, 1-, 3-, and 7-d of submergence stress and 1- and 5- d of de-submergence, respectively. Plant growth of PI238938 were more severely inhibited by submergence stress and recovery. Both accessions showed increased leaf malondialdehyde under stress and recovery, but reduced chlorophyll (Chl) concentrations were observed at 3- and 7-d of stress and at recovery. The reduction in Chl was more severe in BrightStar SLT at 7 d of stress. The concentration of 5-aminolevulenic acid was unaffected by stress but increased at 1d of recovery. Activities of 5-aminolevulinic acid dehydratase (ALAD) involved in Chl biosynthesis remained unchanged under stress and recovery, while the activities of Chl degrading enzymes chlorophyllase (CHL) and pheophytinase (PPH) increased at 3 d or 7 d of stress, and returned to the control level after recovery in both accessions. The downregulation of Chl-biosynthetic genes CHLI, POR, and CHLP and the upregulation of Chl-degrading genes CLH, PPH, and SGR were observed in both accessions under most of the stress periods. BrightStar SLT exhibited much lower expressions of the Chl-biosynthetic genes PBGD, CHS, and CHID under stress, while PI238938 had remarkably higher expressions of genes involved in Chl breakdown including CLH, PPH, PAO, RCCR, and SGR, and the expressions of these genes remained at a higher level at 1 d of recovery. The results indicated that submergence-induced leaf senescence and declines in Chl were associated with downregulation of more Chl-biosynthetic genes in slow-growing genotype and upregulation of more Chl-degrading genes in fast-growing genotype of perennial ryegrass.The physicochemical properties of cladodes Opuntia ficus-indica (OFI) vary widely during maturation. However, few studies have been performed to evaluate changes in chemical characteristics on the pad depending on the maturity stages. Chemical proximate analysis like the content of total sugars, protein, dry matter, pH, conductivity and ash, depending on the variation of weight of the pad and the growing region was done to determine the changes of characteristics of nopal. Significant changes in physicochemical properties were observed among harvesting sites and during the growing stages. The principal component analysis was then performed to evaluate the relationship between harvesting sites, growth stages, and physicochemical properties. Results highlighted that Sidi El Aidi can be categorized as a poor ecotype among the studied ecotypes, besides, overall harvesting sites pH and proteins had a significant negative correlation with ash, total sugars, reducing sugars, conductivity proteins decrease with increasing age of nopals while total sugars, reducing sugars, and ash content showed the opposite trend. The high total sugar content, minerals of nopal pad (weight higher than 200 g) and proteins (weight lower than 200 g) could be an interesting source of these important components for human diets and also could be used in food, cosmetics, and pharmaceutical industry.Objective Radionuclide CSF study is a simple, effective, and low-radiation-dose procedure for the assessment of shunt patency. With the help of CT image of single-photon emission computed tomography/computed tomography (SPECT/CT), the interpretation becomes more accurate and easier.The aim of this study was to compare the classical methods and 2D planar scintigraphic images with radionuclide shuntography fused SPECT/CT. Methods Between 2015-2019 all hydrocephalic patients who underwent radionuclide shuntography and classical methods (cranial CT, USG and/or direct X-rays), for suspected VP shunt malfunction at our hospital were retrospectively enrolled in the study. Fusion with SPECT/CT is provided in all radionuclide shuntographies. Approximately 0.5-1 mCi diethylene-triaminepentaaceticacid (DTPA) was intrathecally injected. Images were collected as 5-second frames for the first minute, and 1-min frames for the second to the 30th min. Static whole body images were obtained as early (30 min) and delayed (120 min) images. SPECT/CT was performed in 120 min. Results When the classical methods were evaluated in the operated patients, according to the direct radiographic findings, in only 17 patients had shunt dysfunction due to disconnection-kinking or laceration, was obtained.On the other hand,while67 shuntography were evaluated,65 of these patients (97%) whose intraoperative and shuntography findings were found to be compatible with each other. Conclusion The 3D SPECT images combined with the two-dimensional planar images added to the CT provide more accurate information and also provide detailed anatomical information. The patient's operation was performed successfully in one session in cooperation with the other surgical branches when needed.Objective A minimum clinically important difference (MCID) has been increasingly well known in the current era of patient-centered care because it reflects a smallest change that is meaningful for patients following a clinical intervention. Previous studies suggested MCID values are disease and/or procedure dependent. No MCID values have been reported on the lumbar spinal stenosis (LSS) following decompression surgery despite LSS is the most common spinal disease and the main treatment is decompression surgery. Therefore, this study aimed to determine the MCID values as major outcome measures including the Numeric Rating Scale (NRS) of back pain, leg pain and numbness, Roland-Morris Disability Questionnaire (RMDQ), and Physical Component Summary (PCS) and Mental Component Summary (MCS) of Short Form 8 (SF-8) for patients with LSS undergoing decompression surgery. Patients and methods This is a retrospective cohort study using prospectively collected data from consecutive patients who underwent lumbar decompreal function, and satisfaction scores from Zurich Claudication Questionnaire as anchors for NRS and RMDQ, PCS, and MCS, respectively. Results A total of 126 patients were included. From the anchor-based method, MCIDs were determined to be 2 points for back pain, 4 points for leg pain and numbness, 5 points for RMDQ, 5 points for PCS, and 2 points for MCS. From the distribution-based method, MCIDs were determined to be 2 points for back pain, leg pain and numbness, 3-4 points for RMDQ, 6 points for PCS, and 5 points for MCS. Conclusion We first identified the MCIDs of the NRS, RMDQ, and SF-8 specific to patients undergoing decompression surgery for LSS.Aim We aimed to compare diagnostic differences for identification of sarcopenia using the original operational definition developed by the European Working Group on Sarcopenia in Older People (EWGSOP1) and the most recently revised EWGSOP2 definition in community dwelling older adults with type 2 diabetes mellitus (T2DM). Methods Appendicular Lean Mass (ALM) corrected for height (ALM/m2) was assessed by dual energy X-ray absorptiometry. Muscle strength was assessed using hand-grip strength (HGS) or chair stands, and the Short Physical Performance Battery (SPPB) and gait speed were used to evaluate lower extremity physical function. Cohen's kappa (κ) statistic was applied to determine the degree of agreement between the two definitions. Chi-square analysis with Bonferroni post hoc corrections were applied to determine differences in the prevalence of sarcopenic case-findings. Results A total of n = 87 older adults (71.2 ± 8.2 years; 66.7% males; BMI 29.5 ± 5.8 kg/m2) were included. Agreement between the two definitions was low and non-significant (κ value = 0.118; P = 0.144). Significantly more cases of sarcopenia were identified when applying the EWGSOP1 definition (EWGSOP1 n = 6 (7%); EWGSOP2 n = 2 (2%); P = 0.004). No sex specific differences were observed. Only 2 of the 6 (33.3%) cases of sarcopenia identified by EWGSOP1 were also identified as sarcopenic when applying the EWGSOP2 diagnostic criteria. Conclusions We showed significant discordance and limited overlap in the number of sarcopenic case-findings when applying both EWGSOP definitions. It is unknown as to whether the new diagnostic criteria are better at identifying adverse clinical outcomes in patients with T2DM. Future investigation is therefore warranted.