... to improve the effectiveness of systemic chemotherapy for the treatment of malignant brain tumors and the therapeutic implications thereof Background Malignant brain tumors consist of high-grade ... between endothelial cells of the BBTB to enhance the per-meation of drugs across the BBTB[34,47,48] The overall ineffectiveness of these approaches can be attributed to the fact that there is only ... sustained-drug release formula-tions of small molecule chemotherapy drugs have been developed by the non-covalent attachment of chemother-apy drugs to polymers or the encapsulation of drugs within liposomes[65,66]
Ngày tải lên: 18/06/2014, 15:20
... affecting the early portion of the movements, which best reflects the operation of the feed-forward compo-nent of control Late portions of the trajectory are highly variable, as they reflect the feedback ... was on the opposite side The force generated by the robot in direction d = 1 3, Fd(t), was only present during the initial 2/3 of the total duration of the movement (estimated from that of the ‘average’ ... sub-jects caused not by the treatment itself but by variation of the clinical scale at the beginning of the therapy To test the overall effect of adaptive training, we com-pared the primary outcome
Ngày tải lên: 19/06/2014, 08:20
Báo cáo y học: "Intra-articular hyaluronan (hyaluronic acid) and hylans for the treatment of osteoarthritis: mechanisms of action" pps
... the goal of intra-articular therapy with HA is to help replace synovial fluid that has lost its viscoelastic properties The efficacy and tolerability of intra-articular HA for the treatment of ... processes of the joint, the size of HA molecules decreases at the same time as the number of cells in the joint space increases [3] In syn-ovial fluid from knee joints in OA, concentrations of HA, ... proteoglycan synthesis, reduces the production and activity of proinflammatory mediators and matrix metalloproteinases, and alters the behavior of immune cells Many of the physiological effects of exogenous
Ngày tải lên: 09/08/2014, 01:21
báo cáo khoa học: "Surgical perspectives from a prospective, nonrandomized, multicenter study of breast conserving surgery and adjuvant electronic brachytherapy for the treatment of breast cancer" pps
... for the screening and selection of patients for APBI [22,23], and these g uideline s formed th e basis f or patient selection in the EBT multicent er study [20]. Of the 65 patients that met the ... criteria and were treated. The majority of the 21 patients not eligible for treatment were disqualified at the time of implantation for inadequate balloon conformance to the tumor cavity or inadequate ... suture, for each of these layers. An inflated balloon exerts pressure against the skin, and an adequate skin bridge will maintain the distance from the balloon to the skin surface. The greater the
Ngày tải lên: 09/08/2014, 01:24
Báo cáo khoa học: "Transarterial chemoembolisation (TACE) using irinotecan-loaded beads for the treatment of unresectable metastases to the liver in patients with colorectal cancer: an interim report" pdf
... 4) In the majority of cases (n = 90), 100% of the loaded dose was administered for the first treatment and 80% of the dose for subsequent treatments Complete occlusion was achieved in 28% of cases, ... to 38% The median survival time from the date of diagnosis of metastases was 3.4 years the median survival time from the start of TACE treatment was 1.34 years The median survival time of the palliative ... chemotherapy, additional therapies include transarterial chemotherapy, ethanol injection, cryotherapy, radiofrequency ablation, and microwave ablation The role of hepatic transarterial ther-apy for
Ngày tải lên: 09/08/2014, 04:21
Báo cáo khoa học: "Feasibility study of volumetric modulated arc therapy for the treatment of retroperitoneal sarcomas" pdf
... maximal dose of 124% inside the PTV This hotspot wouldn’t have been observed if we had covered 95% of the volume by 95% of the dose Never-theless, we may wonder whether the presence of these hotspots ... required for each plan and the treat-ment delivery time (from start to the end of the irradiation), dimension of the fields and collimator angle are reported in Table 2 Following the results of the ... IMRT of the contralateral kidney No significant advan-tage for small bowel was observed with IMRT in their study where they defined the CTV as a part of the whole GTV Additionally, the presence of
Ngày tải lên: 09/08/2014, 09:20
Báo cáo khoa học: " Optimal organ-sparing intensity-modulated radiation therapy (IMRT) regimen for the treatment of locally advanced anal canal carcinoma: a comparison of conventional and IMRT plans" ppsx
... V20 of 59% and V10 of 73% It is possible that sparing of the femoral heads and/ or other organs comes at the cost of increasing dose to the iliac crests The results of our study reinforce the ... chemoradiation is the established standard of care for locally advanced carcinoma of the anal canal Attempts to decrease the important side-effects of this treatment by modifying the chemotherapy regimen ... conformation around the PTV Six and 18 MV photons were used for the AP and PA fields, respectively The radiation dose was pre-scribed to the PTV, such that 100% of the PTV received > 95% of the
Ngày tải lên: 09/08/2014, 10:21
Báo cáo y học: "A meta-analysis of CAG (cytarabine, aclarubicin, G-CSF) regimen for the treatment of 1029 patients with acute myeloid leukemia and myelodysplastic syndrome" ppsx
... not specify AML status of the rest 117 patients. These 117 patients were therefore excluded for this comparison (Table 3). The heterogeneity test of CR event rates of these studies revealed ... in most of the studies The standard of supportive care for AML has changed dramatically over the decade The toxicity data from this analysis may therefore overestimate the adverse ... considered. For each meta-analysis, the Cochrane’s Q statistic was first calculated to assess the heterogeneity of the included studies. For p values less than 0.1, the assumption of homogeneity
Ngày tải lên: 10/08/2014, 21:23
Báo cáo y học: "Efficacy of intra-articular hyaluronan (Synvisc®) for the treatment of osteoarthritis affecting the first metatarsophalangeal joint of the foot (hallux limitus): study protocol for " doc
... management of OA of the knee [10,11] Although the results of systematic reviews investigating the effectiveness of this type of treatment for knee OA are controversial, the most recent update of the ... Despite there being a large number of studies investigat-ing the effectiveness of hyaluronan for knee OA, few stud-ies have investigated the effects of this form of treatment for OA at the first ... 8Measurement of plantar flexion strength of the toe-flexors of the halluxFigure 3 Measurement of plantar flexion strength of the toe-flexors of the hallux Participant positioning (A) and recording of forces
Ngày tải lên: 10/08/2014, 21:23
báo cáo khoa học: "New targets for the treatment of follicular lymphoma" potx
... the concept of individualized targeted therapy for the treatment of FL Introduction Non-Hodgkin's Lymphoma (NHL) represents the fifth-leading cause of cancer deaths in the United States and the ... under-standing of the biological factors underlying the develop-ment of FL The identification of new targets and development of novel targeted therapies is imperative to exploit the biological indolence of ... shown to interact with the hydrophobic cleft of MDM2, thus mimicking the binding of the helical portion of p53 However, one of the enanti-omers of this racemic mixture of compounds was found
Ngày tải lên: 10/08/2014, 22:20
Báo cáo khoa hoc:" Evaluation of vardenafil for the treatment of subjective tinnitus: a controlled pilot study" ppt
... statistics were repeated without the values of these 7 subjects The analysis resulted in the same slight changes in the total score and subscores of the TQ as well as in the same audiometric findings ... significant treatment effects The safety profile was favorable and consistent with that of other vardenafil studies In spite of the particular role, which hypoxia and ischemia play in the pathogenesis of ... higher levels of functioning and associated QoL Patients were asked to rate the level of their present health condi-tion In order to provide a basis for the assessment of achieved results, the scores
Ngày tải lên: 11/08/2014, 07:21
SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 1 potx
... Repair for the Management of Left Ventricular Dyshction 5 Selection and Management of the Potential Candidate for Cardiac Transplanatation 6 The Registry of the International Society for ... contribution to the overall knowledge of the management of the heart failure patient and provides a useful and worthwhile read for every cardiac surgeon of the day Wilbert J Keon University of Ottawa ... has become the central pillar in the surgical management of this group of patients Unfortunately, because of limited donor supply the teclmique cannot be applied to large numbers of patients
Ngày tải lên: 11/08/2014, 15:20
SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 2 pdf
... suggest that the changes in adrenergic receptors in the myocardium may depend both on the etiology of congestive heart failure and the stage of the heart failure Tlie activation of the sympathetic ... accompanied by the activation of the renin-angiotensin-aldosterone system and the release of vasopressin leading to vasoconstriction, retention of sodium, increase of body fluid and formation of edema.'•* ... waiting for transplantation In terms of symptomatic state, the patients undergoing medical treatment deteriorated dunng treatment, the patients who underwent CABG improved somewhat, and the patients
Ngày tải lên: 11/08/2014, 15:20
SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 3 doc
... perioperative preservation of ventricular fiinction. The treatment of congestive heart failure has improved dramatically as well, especially in the recognition of the importance of treatment with aftcrload ... farther apart on the tissue than on the Teflon to plicate the length of the ventriculotomy and partially restore the shape of the ventricle.^'* Endoventricidar Repair ofJatene (Figure!) ... operation because the likelihood of improvement is too low? This issue deserves careful analysis. The greater the left ventricular dysfiinction and the greater the symptoms, the worse is the outcome.
Ngày tải lên: 11/08/2014, 15:20
SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 4 pot
... taper of the distal septum and the stabilized septum subsequently remains as part of the wall of the left ventricular wall. The technique of Dor however excludes the aneurysmal portion of the ... aroiMid the entire circumference of tlie base of the aiiemysin at tlie junction of scar and noirnal myocardiuriL The degi^ee of tigblening of this suture will detenmne the final size of the ... of volume overload, and almost always indicate the need for further therapy Previous therapy to relieve congestion has often been... and other measures of exercise capacity such as the
Ngày tải lên: 11/08/2014, 15:20
SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 5 pot
... with the cost of immediate disappointment preventing the tragedy of protracted postoperative misery prior to death, and the tragedy of the premature end of a donor heart, fransplantation for otherwise ... allow fiirther symptomatic improvement and peripheral muscle reconditioning due to relief of exertional dyspnea On the other hand, the same result would be an indication for the listing of a patient ... of heart failure.'^ In 120 transplant candidates without any of these risk factors, the incidence of embolic events during a mean follow-up of 300 days without anticoagulation was 4%.'^ The official
Ngày tải lên: 11/08/2014, 15:20
SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 6 potx
... .survival rate IS 21%. The survival Vi life for the entire curve is 2.6 years because of the high first-year mortality rate. The conditional Yi life for those sun-iving the first year is more ... through 1993, on the basis of tlie past 3 years' data, this growth has clearly ceased, again m spite of the use of increasingly older donors (Figure 26) The age distribution for lung transplantation ... presented The data set for these analyses include worldwide data from 1994 onward (US data only for employment status). Figures 13 and 14 demonstrate the acti\ity levels and employment status of
Ngày tải lên: 11/08/2014, 15:20
SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 7 docx
... with the use of these devices so that current results have improved The weanability and discharge rates appear to be related to a) the promptness of implantation of the device, b) the age of the ... an offshoot from the development of cardiopulmonary bypass Early efforts in the design and development of devices were focused on providing support for the body and the heart during periods of ... pcrcutaneously (for support needed for < 6 hrs) or via a graft sutured to the femoral arterv' or the ascending aorta (for support needed for days) The catheter is then advanced through the aortic
Ngày tải lên: 11/08/2014, 15:20
SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 8 pdf
... avoid tension of the intact neurovascular pedicle The ligamentous insertion of the LDM is then affixed to the periosteum of the second or third rib with a non-absorbable heavy suture The skin is ... necessary The LDM is left unstimulated for 10 to 14 days while the patient recuperates from the operation.''"" ^ lliis is to allow for the reaivery of the distal jjortion of the mascle ... accomplished by sliding the muscle posterior to the heart, and anchoring it with two sutures to the posterior pericardium; one just to the left of the pulmonic valve, and the other at the inferior vena
Ngày tải lên: 11/08/2014, 15:20
SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 9 doc
... marginal branches of the circumflex coronary arterv' are oversewn Returning to the apex of the heart, the incision is extended to 3 cm parallel to the LAD and carried along the posterior papillary ... transplantation is an established form of treatment for many end stage disease processes that lead to heart failure, the number of tiansplants performed is limited by a relative lack of donor organs This ... Numbers of Patients on Waiting Lists for Transplantation & Number ofTransptants Performed: USA Data is shown for all organs m the United States The increasing disparity between the steadily
Ngày tải lên: 11/08/2014, 15:20