Since their introduction into the clinical practices in 1980s, techniques of endoscopic ultrasonography（EUS） have been rapidly developing and are now in widespread use in gastrointestinal oncology. Evolving from the...Since their introduction into the clinical practices in 1980s, techniques of endoscopic ultrasonography（EUS） have been rapidly developing and are now in widespread use in gastrointestinal oncology. Evolving from the classical option, EUS today has been much innovated with addition of a variety of novel ideation which makes it a powerful tool with encouraging duality for both diagnostic and therapeutic purposes. There is a dire need for physicians in this field to understand the status quo of EUS as related to the management and detection of gastrointestinal tumors, which is globally reviewed in this paper.展开更多
Breast cancer treatment may have implications for women’s quality of life and social support, which refers to mechanisms through which interpersonal relationships protect people from the detrimental effects of stress...Breast cancer treatment may have implications for women’s quality of life and social support, which refers to mechanisms through which interpersonal relationships protect people from the detrimental effects of stress. This study’s objective was to analyze evidence available in the literature concerning social support provided to women with breast cancer undergoing chemotherapy. The Latin American and Caribbean Literature on Health Sciences (LILACS), PubMed, Web of Science, Psycinfo and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were used to select the studies. The papers were pre-selected after reading titles and abstracts and ten papers were ultimately selected after fully reading the texts. The studies were summarized, while their methodological designs and results were noted. The analysis of the studies shows that social support can be provided to women with breast cancer, such as emotional, instrumental and informational support. It is apparent that emotional and instrumental support is provided in the first phase of the treatment. The main sources of support include the spouses, family members and friends. Spouses provide emotional support, but mainly provide instrumental support, while family members and friends are the most important source of emotional support. The conclusion is that emotional support greatly contributes to the health-disease continuum, favoring treatment adherence and creating opportunities for women to express their feelings, positively influencing the treatment.展开更多
Cell-cell fusion is a normal biological process playing essential roles in organ formation and tissue differentiation,repair and regeneration.Through cell fusion somatic cells undergo rapid nuclear reprogramming and e...Cell-cell fusion is a normal biological process playing essential roles in organ formation and tissue differentiation,repair and regeneration.Through cell fusion somatic cells undergo rapid nuclear reprogramming and epigenetic modifications to form hybrid cells with new genetic and phenotypic properties at a rate exceeding that achievable by random mutations.Factors that stimulate cell fusion are inflammation and hypoxia.Fusion of cancer cells with non-neoplastic cells facilitates several malignancy-related cell phenotypes,e.g.,reprogramming of somatic cell into induced pluripotent stem cells and epithelial to mesenchymal transition.There is now considerable in vitro,in vivo and clinical evidence that fusion of cancer cells with motile leucocytes such as macrophages plays a major role in cancer metastasis.Of the many changes in cancer cells after hybridizing with leucocytes,it is notable that hybrids acquire resistance to chemo-and radiation therapy.One phenomenon that has been largely overlooked yet plays a role in these processes is polyploidization.Regardless of the mechanism of polyploid cell formation,it happens in response to genotoxic stresses and enhances a cancer cell’s ability to survive.Here we summarize the recent progress in research of cell fusion and with a focus on an important role for polyploid cells in cancer metastasis.In addition,we discuss the clinical evidence and the importance of cell fusion and polyploidization in solid tumors.展开更多
基金sponsored by the Key Clinical Specialty Discipline Construction Program of Fujian, P.R.Cthe Special Funds of Finance Department of Fujian Province (2012B013)
文摘Since their introduction into the clinical practices in 1980s, techniques of endoscopic ultrasonography（EUS） have been rapidly developing and are now in widespread use in gastrointestinal oncology. Evolving from the classical option, EUS today has been much innovated with addition of a variety of novel ideation which makes it a powerful tool with encouraging duality for both diagnostic and therapeutic purposes. There is a dire need for physicians in this field to understand the status quo of EUS as related to the management and detection of gastrointestinal tumors, which is globally reviewed in this paper.
文摘Breast cancer treatment may have implications for women’s quality of life and social support, which refers to mechanisms through which interpersonal relationships protect people from the detrimental effects of stress. This study’s objective was to analyze evidence available in the literature concerning social support provided to women with breast cancer undergoing chemotherapy. The Latin American and Caribbean Literature on Health Sciences (LILACS), PubMed, Web of Science, Psycinfo and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were used to select the studies. The papers were pre-selected after reading titles and abstracts and ten papers were ultimately selected after fully reading the texts. The studies were summarized, while their methodological designs and results were noted. The analysis of the studies shows that social support can be provided to women with breast cancer, such as emotional, instrumental and informational support. It is apparent that emotional and instrumental support is provided in the first phase of the treatment. The main sources of support include the spouses, family members and friends. Spouses provide emotional support, but mainly provide instrumental support, while family members and friends are the most important source of emotional support. The conclusion is that emotional support greatly contributes to the health-disease continuum, favoring treatment adherence and creating opportunities for women to express their feelings, positively influencing the treatment.
文摘Cell-cell fusion is a normal biological process playing essential roles in organ formation and tissue differentiation,repair and regeneration.Through cell fusion somatic cells undergo rapid nuclear reprogramming and epigenetic modifications to form hybrid cells with new genetic and phenotypic properties at a rate exceeding that achievable by random mutations.Factors that stimulate cell fusion are inflammation and hypoxia.Fusion of cancer cells with non-neoplastic cells facilitates several malignancy-related cell phenotypes,e.g.,reprogramming of somatic cell into induced pluripotent stem cells and epithelial to mesenchymal transition.There is now considerable in vitro,in vivo and clinical evidence that fusion of cancer cells with motile leucocytes such as macrophages plays a major role in cancer metastasis.Of the many changes in cancer cells after hybridizing with leucocytes,it is notable that hybrids acquire resistance to chemo-and radiation therapy.One phenomenon that has been largely overlooked yet plays a role in these processes is polyploidization.Regardless of the mechanism of polyploid cell formation,it happens in response to genotoxic stresses and enhances a cancer cell’s ability to survive.Here we summarize the recent progress in research of cell fusion and with a focus on an important role for polyploid cells in cancer metastasis.In addition,we discuss the clinical evidence and the importance of cell fusion and polyploidization in solid tumors.
