The presentation discusses cancer, including its causes, classification of anticancer drugs, and recent developments. It covers milestones in cancer discovery such as imatinib mesylate in 2001 and recent FDA-approved drugs. Phytochemicals from fruits and vegetables that are being studied for cancer prevention are mentioned. Research is exploring the anticancer effects of compounds from pomegranates, bromelain from pineapples, and curcumin from turmeric. Targeted drug delivery approaches to tumor vasculature are also discussed.
This PPT covers Drug therapy for Viral Infection or disease. It includes Viral replication cycle, classification of antiviral drugs, Anti-Herpes drug, Anti Influenza drugs, Anti hepatitis drugs and anti retroviral drugs
UNDERSTANDING OF CHEMICAL CARCINOGENESIS:CURRENT AND FUTURE PERSPECTIVES
Carcinogenesis refers to the process by which a normal cell is transformed into a malignant cell and repeatedly divides to become a cancer
Chemicals which initiate this process is called chemical carcinogens
Chemicals which increase the effectiveness of carcinogens is called co-carcinogens
CLASSIFICATION OF CHEMICAL CARCINOGENS
MECHANISM OF ACTION
STAGES OF CARCINOGENESIS
ROLE OF PROTO-ONCOGENES AND TUMOR SUPPRESSOR GENES
ACTIVATION OF PROTO ONCOGENES
INACTIVATION OF TUMOR SUPPRESSOR GENE
OXIDATIVE STRESS IN CARCINOGENESIS
ROS can be produced from both endogenous and exogenous sources
Attack both purine and pyrimidine bases, as well as the deoxyribose backbone
Induces DNA damage which includes single or double-strand breakage, deoxyribose modification, and DNA cross-link
If DNA damage is not properly repaired it may result in mutation which leads to cancer
BIOMARKERS
REGULATORY BACKGROUND
OECD guidelines
451- Carcinogenecity studies
453- Combined chronic toxicity/carcinogenecity
ICH guidelines
S1A- Guideline on the need for carcinogenicity studies of
pharmaceuticals
S1B- Testing for carcinogenicity of pharmaceuticals
S1C- Dose selection for carcinogenicity studies of pharmaceuticals
Basic principles of chemotherapy/ AMAs covers definition, history of AMAs development, principles of AMAs, problems associated with AMAs, failure of therapy with examples.
I have tried to provide an outline regarding the general antivirals available in our country..and discussed regarding MOA,indications and Therapeutic uses.
This PPT covers Drug therapy for Viral Infection or disease. It includes Viral replication cycle, classification of antiviral drugs, Anti-Herpes drug, Anti Influenza drugs, Anti hepatitis drugs and anti retroviral drugs
UNDERSTANDING OF CHEMICAL CARCINOGENESIS:CURRENT AND FUTURE PERSPECTIVES
Carcinogenesis refers to the process by which a normal cell is transformed into a malignant cell and repeatedly divides to become a cancer
Chemicals which initiate this process is called chemical carcinogens
Chemicals which increase the effectiveness of carcinogens is called co-carcinogens
CLASSIFICATION OF CHEMICAL CARCINOGENS
MECHANISM OF ACTION
STAGES OF CARCINOGENESIS
ROLE OF PROTO-ONCOGENES AND TUMOR SUPPRESSOR GENES
ACTIVATION OF PROTO ONCOGENES
INACTIVATION OF TUMOR SUPPRESSOR GENE
OXIDATIVE STRESS IN CARCINOGENESIS
ROS can be produced from both endogenous and exogenous sources
Attack both purine and pyrimidine bases, as well as the deoxyribose backbone
Induces DNA damage which includes single or double-strand breakage, deoxyribose modification, and DNA cross-link
If DNA damage is not properly repaired it may result in mutation which leads to cancer
BIOMARKERS
REGULATORY BACKGROUND
OECD guidelines
451- Carcinogenecity studies
453- Combined chronic toxicity/carcinogenecity
ICH guidelines
S1A- Guideline on the need for carcinogenicity studies of
pharmaceuticals
S1B- Testing for carcinogenicity of pharmaceuticals
S1C- Dose selection for carcinogenicity studies of pharmaceuticals
Basic principles of chemotherapy/ AMAs covers definition, history of AMAs development, principles of AMAs, problems associated with AMAs, failure of therapy with examples.
I have tried to provide an outline regarding the general antivirals available in our country..and discussed regarding MOA,indications and Therapeutic uses.
classification of antiviral agents,replication of HIV virus and replication of virus.targets of virus,classification of antiviral agents with structure and mechanism action of antiviral agents
Urinary Tract Anti-Infective Agents: Definition, Classification
[Study of the following category of medicinal compounds with respect classification, chemical name, chemical structure (compounds with * mark), uses, stability and storage conditions, different types of formulation & their popular brand names]
Norfloxacin
Ciprofloxacin,
Ofloxacin*,
Moxifloxacin,
it is related to that of ayurvedic and traditional ealth scciences ,deals with its global market ,importance some examples reffered from internet sources.
classification of antiviral agents,replication of HIV virus and replication of virus.targets of virus,classification of antiviral agents with structure and mechanism action of antiviral agents
Urinary Tract Anti-Infective Agents: Definition, Classification
[Study of the following category of medicinal compounds with respect classification, chemical name, chemical structure (compounds with * mark), uses, stability and storage conditions, different types of formulation & their popular brand names]
Norfloxacin
Ciprofloxacin,
Ofloxacin*,
Moxifloxacin,
it is related to that of ayurvedic and traditional ealth scciences ,deals with its global market ,importance some examples reffered from internet sources.
How to Understand and Treat Cancer with Molecular MarkersSheldon Stein
How to Understand and Treat Cancer with Molecular Markers by Professor Serge Jurasunas, N.D., M.D. (Hom)
This is the first in a series of presentations on Naturopathic Oncology.
For More Information Visit: www.sergejurasunas.com
Studies that examined the therapeutic potential of plants leaf extracts
Plant Scientific Name Common Name Type of extraction Proposed active material
1. Solanum viarum Tropical Soda Apple Ether Solasodine glycoalkaloid
2. Acanthus illicifolious Harkucha Kanta Methanol Triterpenoids,Flavonoids,
Alkaloids
3. Annona squamosa Custard Apple Ethyl acetate Acetogenins,Alkaloids,
Dofamine
4 Alstonia scholaris. Chatium Methanol Alkaloids,Flavonoids
5. Calotropis gigantea Akanda Ethanol Triterpenoids,Flavonol
Glycosides
Current concepts in the pathogenesis of cancer /certified fixed orthodontic c...Indian dental academy
Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
2. INTRODUCTION
CAUSE
MILESTONES IN CANCER DISCOVERY
CLASSIFICATION OF ANTICANCER
DRUGS
RECENT LY APPROVED DRUGS BY FDA
RECENT DRUGS
RECENT DEVELOPMENT
3. 1. WHAT IS CANCER??
Uncontrolable divisions
Old or damaged cells survive when they should
die, and new cells form when they are not
needed.
TYPES:
1) Malignant tumour
2) Benign
4. CANCEROUS CELL NORMAL CELL
Cancer cells are less
specialised
Do not respond to
apoptosis and
programmed cell
death.
Evade immune
system.
Have a large nuclear-
cytoplasmic ratio
Normal cells identifies
difference between
cells.
Respond to every
normal signal.
Non-injurious to
immune system.
Nonmigratory
Have a small nuclear-
cytoplasmic ratio
5.
6.
7. 2001: Imatinib Mesylate
2003: NCI-Sponsored Prostate Cancer Prevention Trial (PCPT)
2006: NCI's Study of Tamoxifen and Raloxifene (STAR)
2006: Gardasil
2009: Cervarix
2010: The First Human Cancer Treatment Vaccine
2010: NCI-Sponsored Lung Cancer Screening Tiral (NLST)
2011: Ipilimumab
2012: NCI-Sponsored PLCO Cancer Screening Trial
2013: Ado-Trastuzumab Emtansine (T-DM1)
2014: Analyzing DNA in Cancer
2014: Pembrolizumab
26. Phytochemicals derived from such fruits and
vegetables, referred to as chemopreventive agents include
genistein, resveratrol, diallyl
sulfide, S-allyl cysteine, allicin, lycopene, capsaicin,
curcumin, 6-gingerol, ellagic acid,
ursolic acid, silymarin, anethol, catechins and eugenol
suppress cancer cell proliferation, inhibit growth factor
signaling pathways,induce apoptosis, inhibit NF-κB, AP-1 and
JAK-STAT activation pathways, inhibit angiogenesis, suppress
the expression of anti-apoptotic proteins, inhibit
cyclooxygenase-2,
27. a sesquiterpene lactone derived from the
sweet wormwood plant Artemisia annua
It has inhibitory effect in cancer cell growth.
The cytotoxic effect of artemisinin is specific
to cancer cells
The artemisinins’ endoperoxide moiety is
responsible for its anti-malarial and anti-
cancer effects.
High oxidative stress is a common anti-
neoplastic property of anticancer drugs
28.
29.
30.
31. Curcumin in pancreatic tumour
Lycopene supplements reduced tumor size
and PSA level in localized prostate cancer
Green tea in breast cancer
A soya rich diet inhibited pulmonary
metastasis of melanoma cells in C57Bl/6 mice
32. In the present study, the potential anticancer effects of
pomegranate extracts and genistein on inhibition of
cell proliferation and induction of apoptosis in human
breast cancer cells was investigated.
http://www.ncbi.nlm.nih.gov/pubmed/16379557
It is also used in prostate cancer and pancreatic
cancer; treatment induced cell cycle arrest and
inhibited cell proliferation in PANC-1 cells. PE
treatment increased the proportion of cells lacking
CD44 and CD24 expression, which are associated with
increased tumor-initiating ability, demonstrating that
PE altered cell phenotype. PE was more effective in
inhibiting the proliferation of PANC-1 cells than the
clinically used dose of paclitaxel.
http://www.researchgate.net/publication/51596733_
33. Bromelain(a proteolytic enzyme) in Pineapples Kills
Cancer Cells: One such compound is bromelain, an
enzyme that can be extracted from pineapple stems.
Research published in the journal Planta Medica found
that bromelain was superior to the chemotherapy drug
5-fluorauracil in treating cancer in an animal study.i
Other drugs includes: vitamin C - vitamin C was
selectively cytotoxic against cancer cells.
Eggplant extract - Eggplant extract cream appears to
be particularly useful in treating skin cancer.
Turmeric (Curcumin Extract) - the primary polyphenol
in turmeric, saw a decrease in experimentally-induced
brain tumors in 9 out of 11 treated "suggesting that
curcumin selectively targets the transformed
[cancerous] cells.“
http://articles.mercola.com/sites/articles
34. Cancer Treatment by Targeted Drug Delivery to
Tumor Vasculature in a Mouse Model
Synthesis of thiophene-thiosemicarbazone
derivatives and evaluation of their in vitro and
in vivo antitumor activities.
•In vitro
•In vivo