TRAstonDrs
@castltrastondrs.bsky.social
9.4K followers 1.8K following 13K posts
"Not all those who wander are lost" JR Tolkien #Clinicalresearcher #DrugDevelopment #Clinicaltrials & Registration 🧬🔬📚🔎🦠🧫 📌 Melbourne 🇦🇺 Oxford 🇬🇧& 🏴󠁧󠁢󠁳󠁣󠁴󠁿 #MedSky🧪
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castltrastondrs.bsky.social
Our greatest strength lies in the gentleness and tenderness of our heart.
Rumi
Glenshee  🏴󠁧󠁢󠁳󠁣󠁴󠁿 my former home Nov 2016 Glenshee  🏴󠁧󠁢󠁳󠁣󠁴󠁿 my former home Nov 2016 Glenshee  🏴󠁧󠁢󠁳󠁣󠁴󠁿 my former home Nov 2016 Glenshee  🏴󠁧󠁢󠁳󠁣󠁴󠁿 my former home Nov 2016
Reposted by TRAstonDrs
efsa.europa.eu
📣 Just published | 4th joint monthly report on #WestNileVirus with @ecdc.europa.eu

➡️ Belgium reports its first WNV outbreaks in wild birds – a new EU country affected
➡️ 989 human cases & 63 deaths across 13 countries
➡️ 127 equid & 217 bird outbreaks across 9 countries

More 👉 link.europa.eu/fNP38x
High Magnification Microscopy of Malaria Infected Mosquito.
castltrastondrs.bsky.social
Love is not just a confrontation with the absurdity of the world;
it is a refusal to be broken by it.
It is one of the ways we can each of us be stronger
than our rocks.
#AlbertCamus on
love and the absurd…
My little peaceful corner of life
A calming and peaceful husky effect. Morning sunrise on the lake Autumn colours of the morning Between shadow and light, where the world moves.
castltrastondrs.bsky.social
#Medsky🧪 #microsky #immunosky #publichealth #Pathophysiology, #etiology, Progression & Complications of #Diverticulitis & Acute Diverticulitis . A Review & Risk factors
jama.com
JAMA @jama.com · 6h
Diverticulitis results in approximately 200 000 hospitalizations annually in the US, with an estimated health care expenditure of more than $6.3 billion annually. This Review summarizes the pathogenesis, diagnosis, and treatment of diverticulitis.

ja.ma/4q0P9pC
Diagram titled: "Figure 1. Pathophysiology, Progression, and Complications of Acute Diverticulitis", contrasting uncomplicated and complicated diverticulitis with labelled anatomical drawings and related clinical information.
castltrastondrs.bsky.social
a more comprehensive understanding of which patients are most likely to benefit from the combination of #mitazalimab & #mFOLFIRINOX
Summary of biomarker findings
castltrastondrs.bsky.social
Clearance of ctDNA was able to predict radiological response with high accuracy (76.7%). Conversely, molecular progression was also significantly associated with worse OS .
The OPTIMIZE-1 biomarker analysis provides
castltrastondrs.bsky.social
Analysis of ctDNA, which is genetic material from tumor cells found in 🩸 , revealed additional prognostic biomarkers
- The study showed that 72% of patients achieved clearance of KRAS ctDNA during treatment. This molecular response was strongly associated with longer overall survival.
castltrastondrs.bsky.social
www.sciencedirect.com/science/arti...
#Mitazalimab led to increased levels of activated immune cells, such as T cells, NK cells & myeloid cells, in the bloodstream. Higher levels of these activated immune cells correlated with better clinical outcomes.
castltrastondrs.bsky.social
This suggests that the tumor microenvironment may play a role in how patients respond to this combination therapy . Evidence that #mitazalimab's mechanism of action , activating the immune system was a significant factor in patient outcomes. Several findings point to this conclusion
castltrastondrs.bsky.social
The study found a specific gene signature linked to fibrosis in the tumor tissue at the start of treatment. Patients with higher baseline expression of this fibrosis-related gene signature had better overall survival (OS).
castltrastondrs.bsky.social
for untreated metastatic pancreatic cancer patients receiving #mitazalimab plus #mFOLFIRINOX: a tumor-intrinsic fibrosis gene signature, #mitazalimab-induced immune activation, and circulating tumor DNA (ctDNA) clearance.
castltrastondrs.bsky.social
Current standard of care regimens, such as gemcitabine + nab-paclitaxel & FOLFIRINOX, achieve objective response rates (ORRs) of 20%–40% & a median progression-free survival (PFS) of approximately 6 months.The recently approved NALIRIFOX regimen provides similar outcomes.
castltrastondrs.bsky.social
#Medsky🧪 #Oncosky #pharmsky #publichealth #Pancreaticductaladenocarcinoma is a highly aggressive malignancy with a dismal prognosis. It is projected to become 2nd leading cause of cancer-related deaths by 2030 . Metastatic PDAC (mPDAC) is particularly lethal, with a 5-year survival rate of only 3%.
castltrastondrs.bsky.social
These findings suggest that rehabilitation for severe LC patients should move beyond simple deconditioning theory and consider targeted, specific strategies.
castltrastondrs.bsky.social
can lead to the formation of microclots, which may restrict blood flow & oxygen delivery to muscle tissue.
- some effects are due to inactivity during illness, the specific mitochondrial dysfunction & altered immune response
castltrastondrs.bsky.social
the energy-producing powerhouses within cells, which may explain the severe fatigue & muscle weakness.
- Evidences suggests that the immune system may develop an autoimmune response against muscle cells, causing inflammation & damage
- Widespread damage to the lining of blood vessels
castltrastondrs.bsky.social
Lingering nerve and muscle damage .The findings are consistent with #polyneuromyopathy, a disorder affecting both nerves & muscles, which may explain the long-term muscle weakness, fatigue & nerve conduction experienced by some #neurocovid patients.
castltrastondrs.bsky.social
- High prevalence increased echogenicity (poorer muscle architecture) & higher chronaxie values (an indicator of neuromuscular excitability disorders) in the tibialis anterior muscle in some LC group
castltrastondrs.bsky.social
-The severe LC group had a higher muscle echogenicity in the tibialis anterior & gastrocnemius lateralis muscles for up to one year after the initial infection. High echogenicity often indicates poorer muscle quality due to an increased infiltration of fat & connective tissue.