简介：DearEditor,IamDr.KhayWeiPohfromDepartmentofOphthalmology,HospitalKualaLumpur,Malaysia.IwritetoshareacaseofdiffusechoroidalhaemangiomainachildwithSturgerWebersyndromewhoshowedresolutionofexudativeretinal

简介：IntroductionThereisnowanewwaytotreathypercholesterolemia,usingamonoclonalantibody(Evolocumab)thatbindstoandinhibitsPCSKA9.MostphysiciansknowthetermPCSK9buthavenoideawhatPCSK9standsfor(includingme).MypurposeforwritingthiseditorialistoeducatemyselfonwhatPCSK9isandwhatitdoes.MyhopeisthatIcanperhapseducatethosereadingthisdocumentaswell.

简介：Advancedagebringsahigherincidenceofthrombosis-relateddiseases.Althoughantithrombotictherapysignificantlyreducestheriskofischemicevents,relativelyhigherbleedingratesresultinincreasedmortalityandworseprognosisintheelderly.Thusthebenefitsandharmsofantithromboticdrugsshouldtobecarefullyevaluated.Inthisreview,wesummarizecurrentevidenceandupdatedguidelinesregardingantithrombotictherapyintheagingpopulation.

简介：Anticancerimmunotherapyhasundergonealongevolvingjourneyfordecades,andhasbeendramaticallyappliedtomainstreamtreatmentsinoncologyinrecent5years.Thisprogressrepresentsanadvancedmilestonefollowingcytotoxicmedicineandtargetedtherapy.Cellularimmunityplaysapivotalroleintheimmuneresponsesofhoststotumorantigens.Suchimmunityisnotablysuppressedduringneoplasticprogressionduetoimmuno-editingprocesses.Cellularimmunitycanalsobeselectivelyreactivatedtocombatmalignancieswhileexploitingtheadvantagesofcontemporaryscientificbreakthroughsinmolecularimmunologyandgeneticengineering.Therapidadvancementofcellularimmunity-basedtherapeuticapproacheshasachievedhighefficacyincertaincancerpatients.Consequently,thelandscapeofoncologicmedicineandpharmaceuticalinnovationhastransformedrecently.Inthisregard,wepresentacomprehensiveupdateonclinicallyestablishedanti-cancertreatmentswithcellimmunityaugmentationasthemajormechanismofaction.

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简介：Hearinglossisoneofthemostfrequenthealthissuesinindustrializedcountries.Thepathogenesisandmolecularmechanismsofhearinglossarestillunclear.Histonedeacetylases(HDACs)areemergingaskeyenzymesinmanyphysiologicalprocesses,includingchromatinremodeling,regulationoftranscription,DNArepair,metabolism,genomestabilityandproteinsecretion.RecentstudiesindicatedthatHDACsareassociatedwiththedevelopmentandprogressionofhearingloss.DysfunctionofHDACscouldpromotetheoxidativestressandagingintheinnerear.Inlightofconsideringthecurrentstagnationinthedevelopmentoftherapeuticoptions,theneedfornewstrategiesinthetreatmentofhearinglosshasneverbeensopressing.Inthisreview,wewillsummarizethereportedliteraturesforHDACsinhearinglossanddiscusshowHDACfamilymembersshowdifferentperformancesforthepossibilityofprocessofdiseasesdevelopment.Thepossibilityofpharmacologicalinterventiononhearinglossopensanovelpathinthetreatmentofhearingloss.

简介：Adolescenceisakeyperiodinhumandevelopment,inwhichyoungpeopleareexposedtodangeroussituations,oneofthosedangersistheriskofparticipatingincriminalorillicitactivities.Thisarticlefocusesonthetreatmentofadolescentswhoareinconflictwiththelaw.Itdescribesthemodelfortheevaluationofriskofviolenceandrecidivism.Itdescribestheinstrumentsfortheevaluationthatareavailabletotheyoungpeoplewhoareinternedforcriminalbehavior.Italsodescribes,indetail,theInventoryformanagementandInterventionforyoungpeople.IGI-J,italsodescribesthemosteffectivetreatmentmodeluptodaterelatedtocriminalrecidivisminadolescentsanditsimplications.

简介：Thedevelopmentofcancernanotherapeuticshasattractedgreatinterestintherecentdecade.Cancernanotherapeuticshaveovercomeseverallimitationsofconventionaltherapies,suchasnonspecificbiodistribution,poorwatersolubility,andlimitedbioavailability.Nanoparticleswithtunedsizeandsurfacecharacteristicsarethekeycomponentsofnanotherapeutics,andaredesignedtopassivelyoractivelydeliveranti-cancerdrugstotumorcells.Weprovideanoverviewofnanoparticle-baseddrugdeliverymethodsandcancertherapiesbasedontumor-targetingdeliverystrategiesthathavebeendevelopedinrecentyears.

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简介：Leber'scongenitalamaurosis(LCA)andrecentgenetherapyadvancementfortreatinginheritedretinopathieswereextensiveliteraturereviewedusingMEDLINE,PubMedandEMBASE.Adeno-associatedviralvectorswerethemostutilisedvectorsforoculargenetherapy.Conephotoreceptorcellsmightuseanalternatepathwaywhichwasnotreliantoftheretinalpigmentepithelium(RPE)derivedretinoidisomerohydrolase(RPE65)toaccessthe11-cisretinaldehydechromophore.Researcheffortsdedicatedontheprogressionofagene-basedtherapyforthetreatmentofLCA2.Suchgenetherapyapproacheswereextremelysuccessfulincanine,porcineandrodentLCA2models.TherecombinantAAV2.hRPE65v2adenoassociatedvectorcontainedtheRPE65cDNAandwasreplicationdeficient.ItsinvitroinjectionintargetcellsinducedRPE65proteinproduction.Thegenetherapytrialsthatweresofarconductedforinheritedretinopathieshavegeneratedpromisingresults.PhaseIclinicaltrialstocureLCAandchoroideremiademonstratedthatadeno-associatedviralvectorscontainingRPEgenesandphotoreceptorsrespectively,couldbesuccessfullyadministeredtoinheritedretinopathypatients.AphaseIIItrialispresentlyongoingandifsuccessful,itwillleadthewaytoadditionalgenetherapyattemptstocuremonogenic,inheritedretinopathies.

简介：Neurotrophicfactorscompriseessentialsecretedproteinsthathaveseveralfunctionsinneuralandnon-neuraltissues,mediatingthedevelopment,survivalandmaintenanceofperipheralandcentralnervoussystem.Therefore,neurotrophicfactorissuehasbeenextensivelyinvestigatedintothecontextofneurodegenerativediseases.Alzheimer'sdiseaseandParkinson'sdiseaseshowchangesintheregulationofspecificneurotrophicfactorsandtheirreceptors,whichappeartobecriticalforneuronaldegeneration.Indeed,neurotrophicfactorspreventcelldeathindegenerativeprocessesandcanenhancethegrowthandfunctionofaffectedneuronsinthesedisorders.Basedonrecentreports,thisreviewdiscussesthemainfindingsrelatedtotheneurotrophicfactorsupport–mainlybrain-derivedneurotrophicfactorandglialcellline-derivedneurotrophicfactor–inthesurvival,proliferationandmaturationofaffectedneuronsinAlzheimer'sdiseaseandParkinson'sdiseaseaswellastheirputativeapplicationasnewtherapeuticapproachforthesediseasesmanagement.

简介：Multidrugresistance(MDR)isamajorobstacletosuccessfulcancertreatmentandiscrucialtocancermetastasisandrelapse.CombinationtherapyisaneffectivestrategyforovercomingMDR.However,thedifferentpharmacokinetic(PK)profilesofcombineddrugsoftenunderminethecombinationeffectinvivo,especiallywhengreatlydifferentphysicochemicalproperties(e.g.,thoseofmacromoleculesandsmalldrugs)combine.Toaddressthisissue,nanotechnology-basedcodeliverytechniqueshavebeenactivelyexplored.Theypossessgreatadvantagesfortumortargeting,controlleddrugrelease,andidenticaldrugPKprofiles.Thus,apowerfultoolforcombinationtherapyisprovided,andthetranslationfrominvitrotoinvivoisfacilitated.Inthisreview,wepresentasummaryofvariouscombinationstrategiesforovercomingMDRandthenanotechnology-basedcombinationtherapy.

简介：Anewtechnologythatsimulatestumorshasbeenshowntoperformaswellasresearchanimalsintestingchemotherapydrugs,representingapotentialtoolforscreeningdrugsbeforetreatingapatient.Along-termgoalistoincorporatebiopsiedcancercellsfrompatientsandtesttheeffectivenessofdifferentdrugsonthepatient-derivedcells.

简介：Developingtheradiographicimagesfromtwotothree-dimensional,finiteelementanalysis(FEA)technologycansetupthemodel,predictingdiagnosis,treatmentdesign,aswellassurgicalplan.FEAprovidesanaccuratethree-dimensionalfiniteelementbiomechanicalstudyinosteonecrosisoffemoralhead(ONFH).Thepapersinthelatest5yearsrelatedtofemoralheadosteonecrosisandfiniteelementanalysisapplicationareconcentratedon.Wesummarizethelatestresearchprogressandproblems,includingtheappliedresearchcarriedoutinthefemoralheadosteonecrosisclinicalcases,innovationalskills,soastopointoutthedirectionoffutureresearchinFEA.

简介：Benignparoxysmalpositionalvertigo(BPPV)isthemostfrequentepisodicvestibulardisorder.Itisduetootolithreststhatarefreeintothecanalsorattachedtothecupulas.Wellover90%ofpatientscanbesuccessfullytreatedwithmanoeuvresthatmovetheparticlesbacktotheutriculus.Amongthegreatvarietyofproceduresthathavebeendescribed,themanoeuvresthataresupportedbyevidenced-basedstudiesorextensiveseriesarecommentedinthisreview.SometopicsregardingBPPVtreatment,suchascontrollingtheaccuracyoftheproceduresortheutilityofpost-manoeuvrerestrictionsarealsodiscussed.

简介：为了在长期的绿内障patients.METHODSA评估有中央角膜的subbasal神经纤维层的眼睛的表面变化和它的关联，没有任何眼睛的问题，眼睛的表面评估的未来的比较学习为至少6mo和25个正常题目的50只眼睛在使用二的25个病人或更多的antiglaucoma药的50只眼睛被执行作为控制。评估的学习参数包括了视觉尖酸，intraocular压力，眼睛的表面评估参数[荧光黄分散时间(FTBUT)，我测试的Schirmers，眼睛的表面染色分数和眼睛的表面疾病索引分数(OSDI)]，中央角膜的感觉(CochetBonnettaesthesiometer)，由在绿内障盒子和控制组中的共焦的microscopy.RESULTSThe平均数值的中央subbasal神经纤维层密度(SBNFLD)分别地如下：OSDI分数(35.89祣潴楫敮????????????木????€???€乔????偉?‰??????????倨???‵？？

简介：Thereisalackofinvestigationintothebiologicalcharacteristicsandpreoperativesystemictherapy(PST)foroccultbreastcancer(OBC).Forthisstudy,departmentalrecordsinBreastDiseaseCenterofPekingUniversityFirstHospitalfromJanuary2008toDecember2015wereretrospectivelyreviewedtoidentifycasesofOBC.Elevencaseswereincluded,andallpatientswerefemale,withamedianageof56(range:29–75)years.Thesensitivityofmagneticresonanceimaging(MRI)was100%,andthefalsepositiveratewas33.3%.Basedonhistologicanalysisoftheaxillarynode,9(81.8%)casesweregrade3,and2(18.2%)casesweregrade2;4(36.4%)caseswere≥10%estrogenreceptor(ER)positiveand6(54.5%)humanepidermalgrowthreceptor2(HER2)positive.Ninecases(81.8%)exhibitedover30%Ki67expression.PSTwasperformedin5ofthe11cases.Thelymphnoderesponseratewas100%(5/5),butnocompleteremissionwasachieved.Inconclusion,aggressivesubtypeswerepredominantamongtheincludedcases,andPSTshouldbeconsideredforOBCtreatmentoptions.

简介：Strokeisaleadingcauseofdisabilityanddeath,yeteffectivetreatmentsforacutestrokehasbeenverylimited.Thusfar,tissueplasminogenactivatorhasbeentheonlyFDA-approveddrugforthrombolytictreatmentofischemicstrokepatients,yetitsapplicationisonlyapplicabletolessthan4–5%ofstrokepatientsduetothenarrowtherapeuticwindow(<4.5hoursaftertheonsetofstroke)andthehighriskofhemorrhagictransformation.Emergingevidencefrombasicandclinicalstudieshasshownthattherapeutichypothermia,alsoknownastargetedtemperaturemanagement,canbeapromisingtherapyforpatientswithdifferenttypesofstroke.Moreover,thesuccessinanimalmodelsusingpharmacologicallyinducedhypothermia(PIH)hasgainedincreasingmomentumforclinicaltranslationofhypothermictherapy.Thisreviewprovidesanupdatedoverviewofthemechanismsandprotectiveeffectsoftherapeutichypothermia,aswellastherecentdevelopmentandfindingsbehindPIHtreatment.ItisexpectedthatasafeandeffectivehypothermictherapyhasahightranslationalpotentialforclinicaltreatmentofpatientswithstrokeandotherCNSinjuries.

简介：Schwannomasareneurogenictumorsthatarisefromtheneuralsheathsofperipheralnerves.Thesetumorscanbelocatedinanyareaofthehumanbody;themostcommonlocationsarethehead,neck,trunkandextremities.Pancreaticschwannomasareveryrare.Overthepast40years,only67casesofpancreaticschwannomashavebeenreportedintheEnglishliterature.Herewepresentacaseofpancreaticschwannomaina62-year-oldmale.Thetumorwasrevealedbyultrasoundandcomputedtomographyintheneckandbodyofthepancreas.Anaccuratediagnosiswasdifficulttoobtainpreoperatively.Thepatientconsentedtotheperformanceofalaparotomy,andthemasswasfoundintheneckandbodyofthepancreasandsuccessfullytreatedusingaspleenpreservingdistalpancreatectomywithsplenicarteryandveinpreservation.Theprocedurehasonlybeenreportedinoneothercaseofpancreaticschwannoma;herewepresentthesecondreportedcase.Macroscopically,thetumorwaswellcircumscribed,gray-whiteincolorand3.3cm×2.8cminsize.Microscopically,thetumorcellswerespindle-shapedandhadapalisadingarrangementwithnoatypia,whichareresultscompatiblewithabenigntumor.Bothhypercellularandhypocellularareaswerevisible.Immunohistochemically,thetumorcellswerestronglypositiveforS-100protein.Thetumorwasdefinitivelydiagnosedasaschwannomaofthepancreaticneckandbody.Thepatientwasfollowedfor72moandhasbeendoingwellwithoutanycomplications.

简介：EpidemiologicalstudiesshowedtheincidencemortalityratesofcancerwereincreasinginrecentdecadesinChinesepopulation.Nationalandregionalpreventiveprogramsaimtoreducethehealthhazardsofcancerandfocusethepopulationathighrisksforspecificcancer,particularlyinruralareasandtooffertheaccesstoearlydetectionformultlplecancersinurbanareas.Theearlyscreening,earlydetectionandtreatmenthavebeenputintooperationforthepopulationatrisksinruralareasatfirst,andintheurbanareasinrecentyears.Tounderstandtheepidemicpatternsandtrendsofcancer,andtheexperiencesinapplyingearlydetectionstrategiesinChina,selectedliteratureswerereviewedforbriefsummary.