The document summarizes a basket trial studying the BRAF inhibitor vemurafenib in various cancers with the BRAF V600 mutation. The trial enrolled 122 patients with multiple cancer types confirmed to have the BRAF mutation. Vemurafenib showed antitumor activity in cancers with low BRAF mutation rates like non-small cell lung cancer and Erdheim-Chester disease, with overall response rates of 42% and 43% respectively. However, colorectal cancer had a poor response to vemurafenib alone or with cetuximab. While basket trials allow for studying rare cancers, they lack precision due to limited sample sizes and need further studies to develop effective targeted therapies
Advances in Diagnosis & Imaging Impacting Cancer Treatment Dr.Harsha Doddihal
"Personalized Medicine" is making its way into health care. Oncology is a prime example. This is helped by advancements in imaging and molecular pathology. PET-CT, cancer pathways define how a cancer patient will be treated. Drugs approved by FDA last year gives a glimpse into the progress happening.
Recently, a phase II clinical trial in hepatocellular carcinoma (HCC) has suggested that the combination of sorafenib and 5-fluorouracil (5-FU) is feasible and side effects are manageable. However, preclinical experimental data explaining the interaction mechanism(s) are lacking. Our objective is to investigate the anticancer efficacy and mechanism of combined sorafenib and 5-FU therapy in vitro in HCC cell lines MHCC97H and SMMC-7721.
Advances in Diagnosis & Imaging Impacting Cancer Treatment Dr.Harsha Doddihal
"Personalized Medicine" is making its way into health care. Oncology is a prime example. This is helped by advancements in imaging and molecular pathology. PET-CT, cancer pathways define how a cancer patient will be treated. Drugs approved by FDA last year gives a glimpse into the progress happening.
Recently, a phase II clinical trial in hepatocellular carcinoma (HCC) has suggested that the combination of sorafenib and 5-fluorouracil (5-FU) is feasible and side effects are manageable. However, preclinical experimental data explaining the interaction mechanism(s) are lacking. Our objective is to investigate the anticancer efficacy and mechanism of combined sorafenib and 5-FU therapy in vitro in HCC cell lines MHCC97H and SMMC-7721.
Multicentric and multifocal versus unifocal breast cancer: differences in the...Enrique Moreno Gonzalez
The aim of this study was to evaluate the expression of the cell adhesion-related glycoproteins MUC-1, β-catenin and E-cadherin in multicentric/multifocal breast cancer in comparison to unifocal disease in order to identify potential differences in the biology of these tumor types.
Clinical and experimental studies regarding the expression and diagnostic val...Enrique Moreno Gonzalez
Carcinoembryonic antigen-related cell adhesion molecule 1 (CEACAM1) is a multifunctional Ig-like cell adhesion molecule that has a wide range of biological functions. According to previous reports, serum CEACAM1 is dysregulated in different malignant tumours and associated with tumour progression. However, the serum CEACAM1 expression in nonsmall-cell lung carcinomas (NSCLC) is unclear. The different expression ratio of CEACAM1-S and CEACAM1-L isoform has seldom been investigated in NSCLC. This research is intended to study the serum CEACAM1 and the ratio of CEACAM1-S/L isoforms in NSCLC.
Overexpression of YAP 1 contributes to progressive features and poor prognosi...Enrique Moreno Gonzalez
Yes-associated protein 1 (YAP 1), the nuclear effector of the Hippo pathway, is a key regulator of organ size and a candidate human oncogene in multiple tumors. However, the expression dynamics of YAP 1 in urothelial carcinoma of the bladder (UCB) and its clinical/prognostic significance are unclear.
Incidence of pneumonia and risk factors among patients with head and neck can...Enrique Moreno Gonzalez
This study investigated the incidence and patient- and treatment-related risk factors related to pneumonia acquired during radiotherapy (PNRT) in head and neck cancer (HNC) patients.
Differences in microRNA expression during tumor development in the transition...Enrique Moreno Gonzalez
The prostate is divided into three glandular zones, the peripheral zone (PZ), the transition zone (TZ), and the central zone. Most prostate tumors arise in the peripheral zone (70-75%) and in the transition zone (20-25%) while only 10% arise in the central zone. The aim of this study was to investigate if differences in miRNA expression could be a possible explanation for the difference in propensity of tumors in the zones of the prostate.
Acute myeloid leukemia (AML) is a hematopoietic malignancy with a dismal outcome in the majority of cases. A detailed understanding of the genetic alterations and gene expression changes that contribute to its pathogenesis is important to improve prognostication, disease monitoring, and therapy. In this context, leukemia-associated misexpression of microRNAs (miRNAs) has been studied, but no coherent picture has emerged yet, thus warranting further investigations.
20160219 - F. Grati - Toma - Maternal MalignanciesRoberto Scarafia
Origin of cfDNA testing (Synonyms – NIPT or NIPS) for fetal aneuploidies
Performances of cfDNA testing for fetal aneuploidies
Maternal malignancies as a possible source for false positive cfDNA results
How to detect when the cause of FP result is a maternal malignancy
Implications for genetic counseling
Normalization of Tumor Microenvironment in Hepatocellular Carcinoma
Oral presentation made at the 2016 World Gastrointestinal Cancer Symposium in Barcelona by Eric Raymond MD, PhD at Saint-Joseph Hospital. This presentation comprehensively updates drugs targeting the microenvironment such as antiangiogenic agents such as VEGF/VEGFR inhibitors, stromal signaling inhibitors such as HGF/c-MET, FGF19/FGFR4, TGF-beta targeting agents and immunotherapy such as PD1/PDL1 and CTLA4 inhibitors in hepatocellular carcinoma. This presentation is aimed at targeting physicians, scientists, students, and experts in pharmas who are interested in drug development in this area of oncology.
Cancer Immunotherapies (Focus on Melanoma & Lung Cancers)Zeena Nackerdien
Effective immunotherapy i.e. enlisting the patient’s own immune system to fight disease may mark a milestone in the fight against certain cancers. Three lymphocytes – T cells, B cells and NK-cells – involved in specific immune responses against cancers and other diseases. T cells recognize specific antigens via a T-cell antigen-receptor. The two main types of T cells, CD4- and CD8 T-cells, are categorized according to their respective CD4 and CD8 surface markers. The latter group includes cytotoxic T cells, also known as killer T lymphocytes. These cells kill invading pathogens or other disease-causing agents. Scientists discovered that a type of protein receptor, cytotoxic T-Lymphocyte Antigen 4 (CTLA-4), prevented T cells from launching immune attacks [1]. In the early 1990s, another “brake” was discovered in dying T cells namely programmed death 1 or PD-1. The rationale underlying cancer immunotherapy is that exposing CTLA-4, PD-1 or using other appropriate immune-system-based therapies may enable the activation of the immune system to destroy cancer.
Genetically engineering a patient’s T cells to target tumor cells marked one of the promising turning points in cancer immunotherapy, particularly for certain blood cancers and solid tumors. Melanoma and lung cancer, two often-fatal diseases, are treatable in the early stages with surgery or other standards of care. However, some patients are diagnosed during the later stages of the disease or relapse with refractory/unresectable tumors. For these subgroups, the latest National Comprehensive Cancer Network (NCCN) tailored algorithms coupled with systemic treatment options, including immunotherapies, could potentially improve outcomes. Here, I summarize the latest approved immunotherapies mentioned in the NCCN guidelines, along with other examples of investigational agents such as monoclonal antibodies, cancer vaccines, and natural killer cells. Additional examples of targeted therapies, novel “druggable” and other immunotargets are presented in the section, ”Future Directions.”
Reference
1. Couzin-Frankel, J., Breakthrough of the year 2013. Cancer immunotherapy. Science, 2013. 342(6165): p. 1432-3.
Multicentric and multifocal versus unifocal breast cancer: differences in the...Enrique Moreno Gonzalez
The aim of this study was to evaluate the expression of the cell adhesion-related glycoproteins MUC-1, β-catenin and E-cadherin in multicentric/multifocal breast cancer in comparison to unifocal disease in order to identify potential differences in the biology of these tumor types.
Clinical and experimental studies regarding the expression and diagnostic val...Enrique Moreno Gonzalez
Carcinoembryonic antigen-related cell adhesion molecule 1 (CEACAM1) is a multifunctional Ig-like cell adhesion molecule that has a wide range of biological functions. According to previous reports, serum CEACAM1 is dysregulated in different malignant tumours and associated with tumour progression. However, the serum CEACAM1 expression in nonsmall-cell lung carcinomas (NSCLC) is unclear. The different expression ratio of CEACAM1-S and CEACAM1-L isoform has seldom been investigated in NSCLC. This research is intended to study the serum CEACAM1 and the ratio of CEACAM1-S/L isoforms in NSCLC.
Overexpression of YAP 1 contributes to progressive features and poor prognosi...Enrique Moreno Gonzalez
Yes-associated protein 1 (YAP 1), the nuclear effector of the Hippo pathway, is a key regulator of organ size and a candidate human oncogene in multiple tumors. However, the expression dynamics of YAP 1 in urothelial carcinoma of the bladder (UCB) and its clinical/prognostic significance are unclear.
Incidence of pneumonia and risk factors among patients with head and neck can...Enrique Moreno Gonzalez
This study investigated the incidence and patient- and treatment-related risk factors related to pneumonia acquired during radiotherapy (PNRT) in head and neck cancer (HNC) patients.
Differences in microRNA expression during tumor development in the transition...Enrique Moreno Gonzalez
The prostate is divided into three glandular zones, the peripheral zone (PZ), the transition zone (TZ), and the central zone. Most prostate tumors arise in the peripheral zone (70-75%) and in the transition zone (20-25%) while only 10% arise in the central zone. The aim of this study was to investigate if differences in miRNA expression could be a possible explanation for the difference in propensity of tumors in the zones of the prostate.
Acute myeloid leukemia (AML) is a hematopoietic malignancy with a dismal outcome in the majority of cases. A detailed understanding of the genetic alterations and gene expression changes that contribute to its pathogenesis is important to improve prognostication, disease monitoring, and therapy. In this context, leukemia-associated misexpression of microRNAs (miRNAs) has been studied, but no coherent picture has emerged yet, thus warranting further investigations.
20160219 - F. Grati - Toma - Maternal MalignanciesRoberto Scarafia
Origin of cfDNA testing (Synonyms – NIPT or NIPS) for fetal aneuploidies
Performances of cfDNA testing for fetal aneuploidies
Maternal malignancies as a possible source for false positive cfDNA results
How to detect when the cause of FP result is a maternal malignancy
Implications for genetic counseling
Normalization of Tumor Microenvironment in Hepatocellular Carcinoma
Oral presentation made at the 2016 World Gastrointestinal Cancer Symposium in Barcelona by Eric Raymond MD, PhD at Saint-Joseph Hospital. This presentation comprehensively updates drugs targeting the microenvironment such as antiangiogenic agents such as VEGF/VEGFR inhibitors, stromal signaling inhibitors such as HGF/c-MET, FGF19/FGFR4, TGF-beta targeting agents and immunotherapy such as PD1/PDL1 and CTLA4 inhibitors in hepatocellular carcinoma. This presentation is aimed at targeting physicians, scientists, students, and experts in pharmas who are interested in drug development in this area of oncology.
Cancer Immunotherapies (Focus on Melanoma & Lung Cancers)Zeena Nackerdien
Effective immunotherapy i.e. enlisting the patient’s own immune system to fight disease may mark a milestone in the fight against certain cancers. Three lymphocytes – T cells, B cells and NK-cells – involved in specific immune responses against cancers and other diseases. T cells recognize specific antigens via a T-cell antigen-receptor. The two main types of T cells, CD4- and CD8 T-cells, are categorized according to their respective CD4 and CD8 surface markers. The latter group includes cytotoxic T cells, also known as killer T lymphocytes. These cells kill invading pathogens or other disease-causing agents. Scientists discovered that a type of protein receptor, cytotoxic T-Lymphocyte Antigen 4 (CTLA-4), prevented T cells from launching immune attacks [1]. In the early 1990s, another “brake” was discovered in dying T cells namely programmed death 1 or PD-1. The rationale underlying cancer immunotherapy is that exposing CTLA-4, PD-1 or using other appropriate immune-system-based therapies may enable the activation of the immune system to destroy cancer.
Genetically engineering a patient’s T cells to target tumor cells marked one of the promising turning points in cancer immunotherapy, particularly for certain blood cancers and solid tumors. Melanoma and lung cancer, two often-fatal diseases, are treatable in the early stages with surgery or other standards of care. However, some patients are diagnosed during the later stages of the disease or relapse with refractory/unresectable tumors. For these subgroups, the latest National Comprehensive Cancer Network (NCCN) tailored algorithms coupled with systemic treatment options, including immunotherapies, could potentially improve outcomes. Here, I summarize the latest approved immunotherapies mentioned in the NCCN guidelines, along with other examples of investigational agents such as monoclonal antibodies, cancer vaccines, and natural killer cells. Additional examples of targeted therapies, novel “druggable” and other immunotargets are presented in the section, ”Future Directions.”
Reference
1. Couzin-Frankel, J., Breakthrough of the year 2013. Cancer immunotherapy. Science, 2013. 342(6165): p. 1432-3.
Protocol for the Treatment Prostate Cancer - Dr Serge JurasunasSheldon Stein
Dr. Serge Jurasunas shares his Prostate Cancer Protocol in this paper, explaining the nature and treatment of Prostate Cancer from a Naturopathic Oncology Perspective. Professor Jurasunas is located in Lisbon Portugal and has lectured worldwide throughout his 50 years as a clinician.
He explains what can be done about the #1 cause of death in males even before lung cancer and what can be done, from the new perspective of Naturopathic Oncology.He offers an example, explains diagnostic procedures with Molecular markers and addresses detox, supplements and treatment.
Further information may be found in his new book, Health and Disease Begin in the Colon" and in his Blog: Naturopathiconcology.blogspot.com .
Biomarkers and biomarker testing are changing the way some colorectal cancer is treated and knowing your biomarkers can help your doctors identify your best treatment options and help you in making well informed decisions about how your cancer will be treated allowing you to be your own best advocate.
Join in on this informative webinar with guest Dr. Christopher Lieu from the University of Colorado Cancer Center, as he discusses everything you need to know about biomarkers.
Dr. Jennifer Wargo presents the latest on research biopsies and translational research in melanoma at the MRF's Patient Symposium at MD Anderson Cancer Center on January 31, 2015.
Tonight’s speakers: Dr. Dan Sargent and Kim Ryan
Disclaimer: “This Report is not an official event of the 2012 Gastrointestinal Cancers Symposium. Not sponsored or endorsed by any of the cosponsoring organizations of the 2012 Gastrointestinal Cancers Symposium.”
Presentation by Dr. Wafik El-Deiry on June 4, 2017 entitled "Emerging Complexity of Tumor Heterogeneity and Clinical Practice" at the Tumor and Clinical Heterogeneity Education Session in the Tumor Biology Track at the 2017 ASCO
meeting in Chicago.
To share the knowledge from 2015 GI ASCO, Dr. Al Benson, one of FightCRC Medical Advisory Board members, and Andi Dwyer discuss key highlights as they pertain to colorectal cancer from the symposium and what they mean for patients.
Pathways and targets how might these affect my treatment decisions gail eckh...Fight Colorectal Cancer
Dr. Gail Eckhardt
Professor and Head of the Division of Medical Oncology at the University of Colorado Denver and Health Sciences Center.
Join us for an exciting webinar about pathways and targets. Dr. Eckhardt will discuss the basic of pathways within a cancer cell, and how (and why) they can affect treatment options for patients. She'll explain how we learn about how new pathways are discovered, and how this information tell us what drugs may work in certain patients and why some drugs don’t.
Dr. Eckhardt will discuss the idea of targeted therapies, and the difference between them and regular chemotherapy. She'll talk about the relationship between pathways and targeted drugs, and how this may impact drug development in the future.
In this webinar, Dr. Azad discusses colorectal cancer recurrence. She addresses things to do to help reduce the risk of recurrence, in addition to what steps should be taken if colon or rectal cancer returns.
Hitting the Target in HER2-Positive Metastatic Colorectal Canceri3 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 will share the latest data and strategies for hitting the target in HER2-positive metastatic colorectal cancer. Dr. Christopher Lieu, Associate Professor at the University of Colorado Cancer Center, explores actionable targets to inform personalized care plans, guideline-recommended combination and sequencing strategies, adverse event monitoring and management, and more.
STATEMENT OF NEED
An estimated 153,020 new cases of colorectal cancer (CRC) are diagnosed annually, and 52,550 people die of the disease (Siegel et al, 2023). Approximately 22% of patients present with metastatic disease, which is associated with a dismal 5-year survival rate of 15% (SEER, 2022). Targeting biomarkers is a key strategy for expanding therapeutic options and improving outcomes in metastatic CRC. Human epidermal growth factor receptor 2 (HER2) amplification status and treatments targeting HER2 are some of the most recent additions to the arsenal of targeted therapy for this disease. This activity chaired by Christopher Lieu, MD, Associate Director of Clinical Research at the University of Colorado Cancer Center, will provide expert perspectives and practical guidance on treating HER2-positive metastatic CRC.
TARGET AUDIENCE
Oncologists, gastroenterologists, nurse practitioners, physician assistants, oncology nurses, and other health care professionals involved in the treatment of patients with colorectal cancer (CRC).
LEARNING OBJECTIVES
Upon completion of this activity, participants should be able to
Distinguish actionable targets that can inform personalized care plans in metastatic CRC
Evaluate practice guidelines on treatment combinations and sequences for patients with metastatic CRC
Appraise emerging efficacy and safety data on novel targeted therapies for patients with HER2-positive metastatic CRC
Assess strategies for optimizing the safety and tolerability of novel targeted therapies for HER2-positive metastatic CRC
Preventing Preterm Birth via Stem CellsShubhda Roy
Pregnant mother's body rejects the fetus, due to immune response caused by infection or local inflammation. This causes preterm birth. Stem cell therapy can prevent this reaction and prevent preterm birth.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
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
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
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
6. *
*Basket Trial/Study:
Study design allows patients with multiple diseases and one or more
target to be enrolled in cohorts or groups in one trial (the basket)
http://cancerprogressreport.org/2014/Pages/transforming.aspx?Page=2
http://err.ersjournals.com/content/23/133/367
Study One Drug – One Target – Many diseases
7. *
• All Cancers listed below have BRAF V600 mutations
colorectal cancer, non–small-cell lung cancer, Papillary thyroid cancer
Diffuse gliomas, Cholangiocarcinoma, Hairy-cell leukemia, Multiple myeloma, Langerhans’-cell
histiocytosis, Erdheim–Chester disease
• Cancers show aggressive disease phenotype
• Shorted “disease – free and overall” survival
• Incidence of mutation is 5%
• Rarity of disease
• Disease specific study not been systematically explored using vemurafenib
• Diseases are rare, frequency of tumors are low and involve too many tumor
types
• UNMET CLINICAL NEED TO STUDY THESE DISEASES USING vemurafenib
Basket study - different tumor types with the same molecular biomarker might
differ in their sensitivity to therapy targeted at that biomarker
8. *
* histology-independent, biomarker- selected, early phase 2 basket study
* Enrollment Dates: April 11, 2012, through June 10, 2014
* Number of Patients: 122
* Most important Eligibility Criteria:??
(Hint: Its in the title of the paper )
* Cancer Centers: 23 International centers
* Mutation identified using: Mutational analysis assays
* Ineligible Patients:
* Treated with BRAF or MEK Inhibitor
* Having Melanoma, papillary thyroid cancer, leukemia, or lymphoma
* Informed consent was obtained
Positive BRAF V600 Mutation
9. *
*ECD/LCH denotes Erdheim–Chester disease or Langerhans’-cell histiocytosis, and NSCLC non–small-cell lung cancer
** all-others cohort included cervical cancer, brain tumors, head and neck cancer, esophageal and gastric cancers,
pancreatic cancer, sarcoma, and carcinoma of unknown primary type
10. *
Eighty-nine percent of patients had received at least one previous line of therapy.
Ninety-five patients received vemurafenib monotherapy, and 27 patients with colorectal carcinoma received vemurafenib and
cetuximab combination
11. *
*Indicates patients in the dose escalation stage (dose levels 1 and 2)
†Indicates patient has LCH
14. *
* Complete Response: CR – 100% decrease from baseline
* Partial Response: PR – 50 % decrease from baseline
* Progressive disease : PD – Increase of 25% from baseline
* Overall Response : %(Complete Response + Partial Response)
* Clinical benefit rate : partial response+ complete response + and stable disease.
* Median progression-free survival : Median of the number of days survival without disease
* Median overall survival : Median of number of days overall survival
* Stable Disease: SD - Not meeting criteria for complete response, very good partial response
(not recommended for use as indicator of response)
17. *
* Tumor Types do not respond uniformly to BRAF – Targeted therapy
* Tumor nosology based on organ site (Breast Cancer vs. Colorectal Caner) cannot be entirely replaced by molecular nosology
(BRAF-Mutated Cancers)
* BRAF Mutation does not respond to a drug in the same way, if it is lung vs. breast
Different Strokes for different Folks
Starbucks
Dunkin’ Donuts
Wawa
McCafe
Java
Saxbys
18. * Discussion – BRAF inhibitor may be clinically significant for certain diseases
* Vemurafenib showed efficacy with
* non–small-cell lung cancer (19 Patients) [90% receives Pt Chemo)
* 42% overall response
* Tumor regression in majority (14/19)
* Median progression free survival is 7.3 months
* Overall 12 month survival rate was 66%
* Erdheim–Chester disease/Langerhans’-cell histiocytosis (no approved theray for adults)
* 43% overall response
* Tumor Regression in majority (12/14)
* Overall 12 month survival rate was 99%
* Median progression free survival is 5.9 months
* No disease progression while receiving therapy
* Colorectal Cancer - Monotherapy
* No response
* Median Progression free survival is 4.5 months
* Overall Survival is 9.5 months
* Colorectal Cancer - vemurafenib and cetuximab
* 1 patient response
* Tumor regression in 50% of patients (did not meet criteria of partial response)
* Median Progression free survival is 3.7 months
* Overall Survival is 7.1 months
- Colorectal cancer patients were pretreated with an average of at least two lines of therapy
19. *
* Basket study shows antitumor activity in cancers with low incidences rate of BRAF V600 mutation
* Pros of Basket Trial
* Basket study allows to use existing biomarkers to detect early signals of activity across multiple tumor
types for
* Orphan/Rare diseases which will never go through disease specific trial
* Flexible Biostatical design
* Not specific to a tumor
* Model changed on the go for e.g. Colorectal Cancer
* Helps detect sensitivity of targeted therapy of different tumor types to the same molecular biomarker
* Cons of Basket Trials
* Lacks precision (due to limited sample size)
* At times, there was only one patient enrolled for a tumor type
* Almost guessing in the dark
* Clinician cannot make informed decisions about rare diseases based on genomic profiling from such
studies
20. *
*Basket Trail is good starting point to use for genetic mutation in rare
diseases
*Can act as a tool
* To weed out certain tumor types with higher response
* To zoom in on tumor types needing further studies
* To develop molecular target cancer therapy for tumor types with good
response
*In the future – further studies are required make the model more precise
22. *
Resistance to BRAF Inhibitors: Unraveling Mechanisms and Future Treatment Options.
Jessie Villanueva, Adina Vultur and Meenhard Herlyn
Cancer Res 2011;71:7137-7140. Published online November 29, 2011
Fig 1.
23. *
GRADE ECOG PERFORMANCE STATUS
0
Fully active, able to carry on all pre-disease performance
without restriction
1
Restricted in physically strenuous activity but ambulatory and
able to carry out work of a light or sedentary nature, e.g., light
house work, office work
2
Ambulatory and capable of all selfcare but unable to carry out
any work activities; up and about more than 50% of waking
hours
3
Capable of only limited selfcare; confined to bed or chair more
than 50% of waking hours
4
Completely disabled; cannot carry on any selfcare; totally
confined to bed or chair
5 Dead
Editor's Notes
2. The breast cancer cohort was closed because
of insufficient accrual; the single patient with breast cancer was included in the all-others cohort
3. The ovarian cancer and multiple myeloma cohorts did not have sufficient numbers of patients for a
stage 1 analysis and therefore did not undergo formal analysis.
4.Resistance in colorectal cancer might be mediated through feedback activation of epidermal growth factor receptor (EGFR) signaling. Vemurafenib combined with cetuximab, an anti-EGFR antibody.
Maximum percentage change from baseline in target lesion diameter sum. (A) NSCLC cohort.a,b (B)
Colorectal cancer cohort (vemurafenib monotherapy).b (C) Colorectal cancer cohort (vemurafenib + cetuximab
combination therapy). *Indicates patients in the dose escalation stage (dose levels 1 and 2).b (D)
Cholangiocarcinoma cohort.b (E) ECD/LCH cohort. †Indicates patient has LCH.b (F) Anaplastic thyroid cancer
cohort.b (G) Other tumor cohort.a,b,c aOne patient died before evaluation. bIncludes only patients who had
measurable disease at baseline based on RECIST and at least one posttreatment tumor evaluation. cIncludes brain
tumor, head and neck cancer, pancreatic cancer, esophageal and gastric cancer, sarcoma, low-grade serous ovarian
cancer, multiple myeloma, and carcinoma of unknown primary. ECD/LCH indicates Erdheim-Chester
disease/Langerhans cell histiocytosis; NSCLC, non-small cell lung cancer; PXA, pleomorphic xanthoastrocytoma;
RECIST, Response Evaluation Criteria In Solid Tumors, version 1.1.