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Biological immortality – Wikipedia

September 30th, 2019 9:44 pm

A state in which the rate of mortality from senescence is stable or decreasing

Biological immortality (sometimes referred to as bio-indefinite mortality) is a state in which the rate of mortality from senescence is stable or decreasing, thus decoupling it from chronological age. Various unicellular and multicellular species, including some vertebrates, achieve this state either throughout their existence or after living long enough. A biologically immortal living being can still die from means other than senescence, such as through injury, disease, or lack of available resources.

This definition of immortality has been challenged in the Handbook of the Biology of Aging,[1] because the increase in rate of mortality as a function of chronological age may be negligible at extremely old ages, an idea referred to as the late-life mortality plateau. The rate of mortality may cease to increase in old age, but in most cases that rate is typically very high.[2]

The term is also used by biologists to describe cells that are not subject to the Hayflick limit on how many times they can divide.

Biologists chose the word "immortal" to designate cells that are not subject to the Hayflick limit, the point at which cells can no longer divide due to DNA damage or shortened telomeres. Prior to Leonard Hayflick's theory, Alexis Carrel hypothesized that all normal somatic cells were immortal.[3]

The term "immortalization" was first applied to cancer cells that expressed the telomere-lengthening enzyme telomerase, and thereby avoided apoptosisi.e. cell death caused by intracellular mechanisms. Among the most commonly used cell lines are HeLa and Jurkat, both of which are immortalized cancer cell lines. HeLa cells originated from a sample of cervical cancer taken from Henrietta Lacks in 1951.[4] These cells have been and still are widely used in biological research such as creation of the polio vaccine,[5] sex hormone steroid research,[6] and cell metabolism.[7] Normal stem cells and germ cells can also be said to be immortal (when humans refer to the cell line).[citation needed]

Immortal cell lines of cancer cells can be created by induction of oncogenes or loss of tumor suppressor genes. One way to induce immortality is through viral-mediated induction of the large Tantigen,[8] commonly introduced through simian virus 40 (SV-40).[9]

According to the Animal Aging and Longevity Database, the list of organisms with negligible aging (along with estimated longevity in the wild) includes:[10]

In 2018, scientists working for Calico, a company owned by Alphabet, published a paper in the journal eLife which presents possible evidence that Heterocephalus glaber (Naked mole rat) do not face increased mortality risk due to aging.[11][12][13]

Many unicellular organisms age: as time passes, they divide more slowly and ultimately die. Asymmetrically dividing bacteria and yeast also age. However, symmetrically dividing bacteria and yeast can be biologically immortal under ideal growing conditions.[14] In these conditions, when a cell splits symmetrically to produce two daughter cells, the process of cell division can restore the cell to a youthful state. However, if the parent asymmetrically buds off a daughter only the daughter is reset to the youthful statethe parent isn't restored and will go on to age and die. In a similar manner stem cells and gametes can be regarded as "immortal".

Hydras are a genus of the Cnidaria phylum. All cnidarians can regenerate, allowing them to recover from injury and to reproduce asexually. Hydras are simple, freshwater animals possessing radial symmetry and no post-mitotic cells. All hydra cells continually divide.[citation needed] It has been suggested that hydras do not undergo senescence, and, as such, are biologically immortal. In a four-year study, 3 cohorts of hydra did not show an increase in mortality with age. It is possible that these animals live much longer, considering that they reach maturity in 5 to 10 days.[15] However, this does not explain how hydras are consequently able to maintain telomere lengths.

Turritopsis dohrnii, or Turritopsis nutricula, is a small (5 millimeters (0.20in)) species of jellyfish that uses transdifferentiation to replenish cells after sexual reproduction. This cycle can repeat indefinitely, potentially rendering it biologically immortal. This organism originated in the Caribbean sea, but has now spread around the world. Similar cases include hydrozoan Laodicea undulata[16] and scyphozoan Aurelia sp.1.[17]

Research suggests that lobsters may not slow down, weaken, or lose fertility with age, and that older lobsters may be more fertile than younger lobsters. This does not however make them immortal in the traditional sense, as they are significantly more likely to die at a shell moult the older they get (as detailed below).

Their longevity may be due to telomerase, an enzyme that repairs long repetitive sections of DNA sequences at the ends of chromosomes, referred to as telomeres. Telomerase is expressed by most vertebrates during embryonic stages but is generally absent from adult stages of life.[18] However, unlike vertebrates, lobsters express telomerase as adults through most tissue, which has been suggested to be related to their longevity.[19][20][21] Contrary to popular belief, lobsters are not immortal. Lobsters grow by moulting which requires a lot of energy, and the larger the shell the more energy is required.[22] Eventually, the lobster will die from exhaustion during a moult. Older lobsters are also known to stop moulting, which means that the shell will eventually become damaged, infected, or fall apart and they die.[23] The European lobster has an average life span of 31 years for males and 54 years for females.

Planarian flatworms have both sexually and asexually reproducing types. Studies on genus Schmidtea mediterranea suggest these planarians appear to regenerate (i.e. heal) indefinitely, and asexual individuals have an "apparently limitless [telomere] regenerative capacity fueled by a population of highly proliferative adult stem cells". "Both asexual and sexual animals display age-related decline in telomere length; however, asexual animals are able to maintain telomere lengths somatically (i.e. during reproduction by fission or when regeneration is induced by amputation), whereas sexual animals restore telomeres by extension during sexual reproduction or during embryogenesis like other sexual species. Homeostatic telomerase activity observed in both asexual and sexual animals is not sufficient to maintain telomere length, whereas the increased activity in regenerating asexuals is sufficient to renew telomere length... "[24]

Lifespan: For sexually reproducing planaria: "the lifespan of individual planarian can be as long as 3 years, likely due to the ability of neoblasts to constantly replace aging cells". Whereas for asexually reproducing planaria: "individual animals in clonal lines of some planarian species replicating by fission have been maintained for over 15 years".[25]They are "literally immortal."[26]

Although the premise that biological aging can be halted or reversed by foreseeable technology remains controversial,[27] research into developing possible therapeutic interventions is underway.[28] Among the principal drivers of international collaboration in such research is the SENS Research Foundation, a non-profit organization that advocates a number of what it claims are plausible research pathways that might lead to engineered negligible senescence in humans.[29][30]

In 2015, Elizabeth Parrish, CEO of BioViva, treated herself using gene therapy with the goal of not just halting, but reversing aging.[31] She has since reported feeling more energetic, and no obvious negative side effects have been noticed.[32]

For several decades,[33] researchers have also pursued various forms of suspended animation as a means by which to indefinitely extend mammalian lifespan. Some scientists have voiced support[34] for the feasibility of the cryopreservation of humans, known as cryonics. Cryonics is predicated on the concept that some people considered clinically dead by today's medicolegal standards are not actually dead according to information-theoretic death and can, in principle, be resuscitated given sufficient technological advances.[35] The goal of current cryonics procedures is tissue vitrification, a technique first used to reversibly cryopreserve a viable whole organ in 2005.[36][37]

Similar proposals involving suspended animation include chemical brain preservation. The non-profit Brain Preservation Foundation offers a cash prize valued at over $100,000 for demonstrations of techniques that would allow for high-fidelity, long-term storage of a mammalian brain.[38]

In 2016, scientists at the Buck Institute for Research on Aging and the Mayo Clinic employed genetic and pharmacological approaches to ablate pro-aging senescent cells, extending healthy lifespan of mice by over 25%. The startup Unity Biotechnology is further developing this strategy in human clinical trials.[39]

In early 2017, Harvard scientists headed by biologist David Sinclair announced they have tested a metabolic precursor that increases NAD+ levels in mice and have successfully reversed the cellular aging process and can protect the DNA from future damage. "The old mouse and young mouse cells are indistinguishable", David was quoted. Human trials are to begin shortly in what the team expect is 6 months at Brigham and Women's Hospital, in Boston.[40]

To achieve the more limited goal of halting the increase in mortality rate with age, a solution must be found to the fact that any intervention to remove senescent cells that creates competition among cells will increase age-related mortality from cancer.[41]

In 2012 in Russia, and then in the United States, Israel, and the Netherlands, pro-immortality transhumanist political parties were launched.[42] They aim to provide political support to anti-aging and radical life extension research and technologies and want to ensure the fastest possibleand at the same time, the least disruptivesocietal transition to radical life extension, life without aging, and ultimately, immortality. They aim to make it possible to provide access to such technologies to the majority of people alive today.[43]

Future advances in nanomedicine could give rise to life extension through the repair of many processes thought to be responsible for aging. K. Eric Drexler, one of the founders of nanotechnology, postulated cell repair devices, including ones operating within cells and utilizing as yet hypothetical molecular machines, in his 1986 book Engines of Creation. Raymond Kurzweil, a futurist and transhumanist, stated in his book The Singularity Is Near that he believes that advanced medical nanorobotics could completely remedy the effects of aging by 2030.[44] According to Richard Feynman, it was his former graduate student and collaborator Albert Hibbs who originally suggested to him in around 1959 the idea of a medical use for Feynman's theoretical micromachines (see biological machine). Hibbs suggested that certain repair machines might one day be reduced in size to the point that it would, in theory, be possible to (as Feynman put it) "swallow the doctor". The idea was incorporated into Feynman's 1959 essay There's Plenty of Room at the Bottom.[45]

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U-2 OS ATCC HTB-96 Homo sapiens bone osteosarcoma

September 30th, 2019 9:44 pm

References

Heldin CH, et al. A human osteosarcoma cell line secretes a growth factor structurally related to a homodimer of PDGF A-chains. Nature 319: 511-514, 1986. PubMed: 3456080

Ponten J, Saksela E. Two established in vitro cell lines from human mesenchymal tumours. Int. J. Cancer 2: 434-447, 1967. PubMed: 6081590

Raile K, et al. Human osteosarcoma (U-2 OS) cells express both insulin-like growth factor-I (IGF-I) receptors and insulin-like growth factor-II/mannose-6- phosphate (IGF-II/M6P) receptors and synthesize IGF-II: autocrine growth stimulation by IGF-II via the IGF-I receptor. J. Cell. Physiol. 159: 531-541, 1994. PubMed: 8188767

Landers JE, et al. Translational enhancement of mdm2 oncogene expression in human tumor cells containing a stabilized wild-type p53 protein. Cancer Res. 57: 3562-3568, 1997. PubMed: 9270029

Moradpour D, et al. Characterization of cell lines allowing titghtly regulated expression of heapatitis C virus core protein. Virology 222: 51-63, 1996. PubMed: 8806487

Ponten J, Saksela E. Two established in vitro cell lines from human mesenchymal tumours. Int. J. Cancer 2: 434-447, 1967. PubMed: 6081590

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Magenta Therapeutics Announces FDA Regenerative Medicine …

September 30th, 2019 9:41 pm

CAMBRIDGE, Mass.--(BUSINESS WIRE)--Sep. 4, 2019--Magenta Therapeutics (NASDAQ: MGTA), a clinical-stage biotechnology company developing novel medicines to bring the curative power of stem cell transplant to more patients, today announced that the U.S. Food and Drug Administration (FDA) granted Regenerative Medicine Advance Therapy (RMAT) designation for MGTA-456, a one-time cell therapy for the treatment of multiple inherited metabolic disorders.

This RMAT designation was based on the encouraging clinical data we have presented thus far, and it is an important milestone that recognizes the transformative, life-saving potential of MGTA-456 for children suffering from inherited metabolic disorders, said John Davis, M.D., M.P.H., Chief Medical Officer, Magenta. We look forward to collaborating closely with the FDA as we seek to rapidly advance MGTA-456 through the ongoing Phase 2 study and into potential pivotal studies in 2020.

MGTA-456 is a cell therapy designed to halt the progress of inherited metabolic disorders by providing a high dose of stem cells that regenerate a well-matched new immune system in the patient. Magenta is developing MGTA-456 as a medicine for multiple diseases. The company is currently studying MGTA-456 in a Phase 2 clinical trial in patients older than 6 months of age with Hurler syndrome, cerebral adrenoleukodystrophy (cALD), metachromatic leukodystrophy (MLD) or globoid cell leukodystrophy (GLD) at four centers of excellence: Cincinnati Childrens Hospital, Duke University, Emory University and the University of Minnesota.

Previously presented results from the first five evaluable patients treated in the study followed to 6 months showed rapid and persistent signs of disease benefit, which are not consistently seen with other investigational therapies in these diseases:

Established under the 21st Century Cures Act, RMAT designation is a dedicated program designed to expedite the development and approval processes for promising pipeline products, including cell therapies. An investigational drug is eligible for RMAT designation if it is intended to treat, modify, reverse, or cure a serious or life-threatening disease; and preliminary clinical evidence indicates that the therapy has the potential to address unmet medical needs for that disease. Advantages of the RMAT designation include all the benefits of the fast track and breakthrough therapy designation programs, including early interactions with FDA that may be used to discuss potential surrogate or intermediate endpoints to support accelerated approval.

About Magenta TherapeuticsHeadquartered in Cambridge, Mass., Magenta Therapeutics is a clinical-stage biotechnology company developing novel medicines for patients with autoimmune diseases, blood cancers and genetic diseases. By creating a platform focused on critical areas of unmet need, Magenta Therapeutics is pioneering an integrated approach to allow more patients to receive one-time, curative therapies by making the process more effective, safer and easier.

Forward-Looking StatementThis press release may contain forward-looking statements and information within the meaning of The Private Securities Litigation Reform Act of 1995 and other federal securities laws. The use of words such as may, will, could, should, expects, intends, plans, anticipates, believes, estimates, predicts, projects, seeks, endeavor, potential, continue or the negative of such words or other similar expressions can be used to identify forward-looking statements. The express or implied forward-looking statements included in this press release are only predictions and are subject to a number of risks, uncertainties and assumptions, including, without limitation: uncertainties inherent in clinical studies and in the availability and timing of data from ongoing clinical studies; whether interim results from a clinical trial will be predictive of the final results of the trial; whether results from preclinical studies or earlier clinical studies will be predictive of the results of future trials; the expected timing of submissions for regulatory approval or review by governmental authorities, including review under accelerated approval processes; orphan drug designation eligibility; regulatory approvals to conduct trials or to market products; and other risks set forth under the caption Risk Factors in Magentas Registration Statement on Form S-1, as updated by Magentas most recent Quarterly Report on Form 10-Q and its other filings with the Securities and Exchange Commission. In light of these risks, uncertainties and assumptions, the forward-looking events and circumstances discussed in this press release may not occur and actual results could differ materially and adversely from those anticipated or implied in the forward-looking statements. You should not rely upon forward-looking statements as predictions of future events. Although Magenta believes that the expectations reflected in the forward-looking statements are reasonable, it cannot guarantee that the future results, levels of activity, performance or events and circumstances reflected in the forward-looking statements will be achieved or occur. Moreover, except as required by law, neither Magenta nor any other person assumes responsibility for the accuracy and completeness of the forward-looking statements included in this press release. Any forward-looking statement included in this press release speaks only as of the date on which it was made. We undertake no obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future events or otherwise, except as required by law.

View source version on businesswire.com: https://www.businesswire.com/news/home/20190904005511/en/

Source: Magenta Therapeutics

Magenta Therapeutics:Manisha Pai, Vice President, Communications & Investor Relations617-510-9193mpai@magentatx.com

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Admission Requirements | Genetic Counseling Program

September 30th, 2019 9:40 pm

An applicant must successfully complete requirements of both theUW-Madison Graduate Schooland the Master of Genetic Counselor Studies program (MCGS) to be considered a qualified applicant.

Most applicants have a balanced set of experiences, clear communication skills and strong letters of recommendations as well as high academic achievement. Strong applicantsdemonstrate an insightful process towardtheir career development and a high level of maturity.

Applicants must have a bachelor's degree. Although a specific major is not required, most applicants have a degree in a biological science (e.g. biology, genetics, biochemistry).

The average GPA of admitted students is 3.5. In following the Graduate Schools requirements for admission, a minimum undergraduate grade-point average (GPA) of 3.00 on the equivalent of the last 60 semester hours (approximately two years of work)ora master's degree with a minimum cumulative GPA of 3.00 is required. If a student has an undergraduate GPA less than 3.0, coursework completed after graduation demonstrating a higher GPA will be considered.

An applicant must complete courses in biochemistry, statistics and advanced genetics. An appropriate biochemistry course generally requires prerequisites that include at least one semester of chemistry and organic chemistry. Advanced genetic courses are typically designed for life science majors (e.g. biology, genetics, or molecular and cell biology majors). Generally, only having one introductory genetics course intended for non-science majors is not sufficient. We encourage students to take as many relevant genetics and biology courses as possible to strengthen their application. All required courses should be taken prior to applying as it is difficult to evaluate courses in progress at the time of application.

Completion of the GRE is required. This exam is used as a marker of likelihood of academic success. There is no specific cutoff value; a brochure (pdf)created by the Association of Genetic Counseling Program Directors includes average GRE scores of applicants. The Subject GRE is not required.

As per the requirements of the Graduate School, "Every applicant whose native language is not English, or whose undergraduate instruction was not in English, must provide an English proficiency test score." Given that the profession of genetic counseling is highly dependent on excellent communication skills, applicants must have a high degree of fluency in verbal and written communication. Strong candidates have TOEFL scores approaching 110 (iBT). TOEFL scores less than 100 (iBT) will not be considered for admission.

Observation of a genetic counselor(s) is a good method to learn more about the profession. This process is to help one identify if the field of genetic counseling is a good fit with one's personal and career goals. Recognizing that this clinical experience is not always possible, interviewing genetic counselors is a reasonable option. Simulated genetic counseling sessions are available on theNational Society of Genetic Counselors website as an additional resource to supplement other exposure. Please list such experience in your resume/CV.

Given the nature of this profession, having experience in advocacy or counseling is of significant value. Such experience helps one appreciate and develop interpersonal communication skills, have a better understanding of the patient or person's experience, and to have a better understanding of the healthcare system or other public service system. Applicants typically have experiences from many different settings including: Planned Parenthood, domestic abuse shelters, crisis hotlines, peer counseling, homeless shelters, hospice care, or working with individuals with physical disabilities or intellectual impairment.

Three letters of recommendation are required that demonstrate ones academic, professional and advocacy strengths.

As noted on theNational Society of Genetic Counselors website, applicants often engage in various types of experiences outside of the typical classroom. Experiences should aid intheir decision to pursue a career in genetic counseling. Most applicants have held various types of jobs, completed research or laboratory work, or volunteered with various organizations such as Special Olympics.

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What is direct-to-consumer genetic testing? – Genetics …

September 30th, 2019 9:40 pm

Most of the time, genetic testing is done through healthcare providers such as physicians, nurse practitioners, and genetic counselors. Healthcare providers determine which test is needed, order the test from a laboratory, collect and send the DNA sample, interpret the test results, and share the results with the patient. Often, a health insurance company covers part or all of the cost of testing.

Direct-to-consumer genetic testing is different: these genetic tests are marketed directly to customers via television, print advertisements, or the Internet, and the tests can be bought online or in stores. Customers send the company a DNA sample and receive their results directly from a secure website or in a written report. Direct-to-consumer genetic testing provides people access to their genetic information without necessarily involving a healthcare provider or health insurance company in the process.

Dozens of companies currently offer direct-to-consumer genetic tests for a variety of purposes. The most popular tests use genetic variations to make predictions about health, provide information about common traits, and offer clues about a persons ancestry. The number of companies providing direct-to-consumer genetic testing is growing, along with the range of health conditions and traits covered by these tests. Because there is currently little regulation of direct-to-consumer genetic testing services, it is important to assess the quality of available services before pursuing any testing.

Other names for direct-to-consumer genetic testing include DTC genetic testing, direct-access genetic testing, at-home genetic testing, and home DNA testing. Ancestry testing (also called genealogy testing) is also considered a form of direct-to-consumer genetic testing.

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Cause (medicine) – Wikipedia

September 30th, 2019 9:40 pm

"Etiologies" and "etiologic" redirect here. For other uses, see etiology.

Cause, also known as etiology () and aetiology, is the reason or origination of something.[1]

The word is derived from the Greek , aitiologia, "giving a reason for" (, aitia, "cause"; and -, -logia).[2]

In medicine, the term refers to the causes of diseases or pathologies.[3] Where no etiology can be ascertained, the disorder is said to be idiopathic.Traditional accounts of the causes of disease may point to the "evil eye".[4]The Ancient Roman scholar Marcus Terentius Varro put forward early ideas about microorganisms in a 1st-century BC book titled On Agriculture.[5]

Medieval thinking on the etiology of disease showed the influence of Galen and of Hippocrates.[6] Medieval European doctors generally held the view that disease was related to the air and adopted a miasmatic approach to disease etiology.[7]

Etiological discovery in medicine has a history in Robert Koch's demonstration that the tubercle bacillus (Mycobacterium tuberculosis complex) causes the disease tuberculosis, Bacillus anthracis causes anthrax, and Vibrio cholerae causes cholera. This line of thinking and evidence is summarized in Koch's postulates. But proof of causation in infectious diseases is limited to individual cases that provide experimental evidence of etiology.

In epidemiology, several lines of evidence together are required to infer causation. Sir Austin Bradford-Hill demonstrated a causal relationship between smoking and lung cancer, and summarized the line of reasoning in the epidemiological criteria for causation. Dr. Al Evans, a US epidemiologist, synthesized his predecessors' ideas in proposing the Unified Concept of Causation.

Further thinking in epidemiology was required to distinguish causation from association or statistical correlation. Events may occur together simply due to chance, bias or confounding, instead of one event being caused by the other. It is also important to know which event is the cause. Careful sampling and measurement are more important than sophisticated statistical analysis to determine causation. Experimental evidence involving interventions (providing or removing the supposed cause) gives the most compelling evidence of etiology.

Related to this, sometimes several symptoms always appear together, or more often than what could be expected, though it is known that one cannot cause the other. These situations are called syndromes, and normally it is assumed that an underlying condition must exist that explains all the symptoms.

Other times there is not a single cause for a disease, but instead a chain of causation from an initial trigger to the development of the clinical disease. An etiological agent of disease may require an independent co-factor, and be subject to a promoter (increases expression) to cause disease. An example of all the above, which was recognized late, is that peptic ulcer disease may be induced by stress, requires the presence of acid secretion in the stomach, and has primary etiology in Helicobacter pylori infection. Many chronic diseases of unknown cause may be studied in this framework to explain multiple epidemiological associations or risk factors which may or may not be causally related, and to seek the actual etiology.

Some diseases, such as diabetes or hepatitis, are syndromically defined by their signs and symptoms, but include different conditions with different etiologies. These are called heterogeneous conditions.

Conversely, a single etiology, such as Epstein-Barr virus, may in different circumstances produce different diseases such as mononucleosis, nasopharyngeal carcinoma, or Burkitt's lymphoma.

An endotype is a subtype of a condition, which is defined by a distinct functional or pathobiological mechanism. This is distinct from a phenotype, which is any observable characteristic or trait of a disease, such as morphology, development, biochemical or physiological properties, or behavior, without any implication of a mechanism. It is envisaged that patients with a specific endotype present themselves within phenotypic clusters of diseases.

One example is asthma, which is considered to be a syndrome, consisting of a series of endotypes.[8] This is related to the concept of disease entity.

Other example could be AIDS, where an HIV infection can produce several clinical stages. AIDS is defined as the clinical stage IV of the HIV infection.[9]

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Retinoblastoma – Genetics Home Reference – NIH

September 30th, 2019 9:40 pm

Baud O, Cormier-Daire V, Lyonnet S, Desjardins L, Turleau C, Doz F. Dysmorphic phenotype and neurological impairment in 22 retinoblastoma patients with constitutional cytogenetic 13q deletion. Clin Genet. 1999 Jun;55(6):478-82.

Corson TW, Gallie BL. One hit, two hits, three hits, more? Genomic changes in the development of retinoblastoma. Genes Chromosomes Cancer. 2007 Jul;46(7):617-34. Review.

De Falco G, Giordano A. pRb2/p130: a new candidate for retinoblastoma tumor formation. Oncogene. 2006 Aug 28;25(38):5333-40. Review.

Ewens KG, Bhatti TR, Moran KA, Richards-Yutz J, Shields CL, Eagle RC, Ganguly A. Phosphorylation of pRb: mechanism for RB pathway inactivation in MYCN-amplified retinoblastoma. Cancer Med. 2017 Mar;6(3):619-630. doi: 10.1002/cam4.1010. Epub 2017 Feb 17.

Lohmann DR, Gallie BL. Retinoblastoma. 2000 Jul 18 [updated 2015 Nov 19]. In: Pagon RA, Adam MP, Ardinger HH, Wallace SE, Amemiya A, Bean LJH, Bird TD, Ledbetter N, Mefford HC, Smith RJH, Stephens K, editors. GeneReviews [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2017. Available from http://www.ncbi.nlm.nih.gov/books/NBK1452/

Madhavan J, Ganesh A, Kumaramanickavel G. Retinoblastoma: from disease to discovery. Ophthalmic Res. 2008;40(5):221-6. doi: 10.1159/000128578. Epub 2008 Apr 29. Review.

Mallipatna A, Marino M, Singh AD. Genetics of Retinoblastoma. Asia Pac J Ophthalmol (Phila). 2016 Jul-Aug;5(4):260-4. doi: 10.1097/APO.0000000000000219. Review.

Poulaki V, Mukai S. Retinoblastoma: genetics and pathology. Int Ophthalmol Clin. 2009 Winter;49(1):155-64. doi: 10.1097/IIO.0b013e3181924bc2. Review.

Rushlow DE, Mol BM, Kennett JY, Yee S, Pajovic S, Thriault BL, Prigoda-Lee NL, Spencer C, Dimaras H, Corson TW, Pang R, Massey C, Godbout R, Jiang Z, Zacksenhaus E, Paton K, Moll AC, Houdayer C, Raizis A, Halliday W, Lam WL, Boutros PC, Lohmann D, Dorsman JC, Gallie BL. Characterisation of retinoblastomas without RB1 mutations: genomic, gene expression, and clinical studies. Lancet Oncol. 2013 Apr;14(4):327-34. doi: 10.1016/S1470-2045(13)70045-7. Epub 2013 Mar 13.

Schefler AC, Abramson DH. Retinoblastoma: what is new in 2007-2008. Curr Opin Ophthalmol. 2008 Nov;19(6):526-34. doi: 10.1097/ICU.0b013e328312975b. Review.

Sippel KC, Fraioli RE, Smith GD, Schalkoff ME, Sutherland J, Gallie BL, Dryja TP. Frequency of somatic and germ-line mosaicism in retinoblastoma: implications for genetic counseling. Am J Hum Genet. 1998 Mar;62(3):610-9.

Soliman SE, Dimaras H, Khetan V, Gardiner JA, Chan HS, Hon E, Gallie BL. Prenatal versus Postnatal Screening for Familial Retinoblastoma. Ophthalmology. 2016 Dec;123(12):2610-2617. doi: 10.1016/j.ophtha.2016.08.027. Epub 2016 Oct 3.

Soliman SE, Racher H, Zhang C, MacDonald H, Gallie BL. Genetics and Molecular Diagnostics in Retinoblastoma--An Update. Asia Pac J Ophthalmol (Phila). 2017 Mar-Apr;6(2):197-207. doi: 10.22608/APO.201711.

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How long do timing belts last? | HowStuffWorks

September 29th, 2019 9:44 pm

Your car's timing belt is responsible for maintaining the precision that's crucial to your engine's functions. Essentially, it coordinates the rotations of the camshaft and crankshaft so the engine's valves and pistons move in sync. The expected lifespan of your timing belt is specific to your car and engine configuration, usually between 60,000 and 100,000 miles. (You can check your owner's manual or look online for your car's service schedule.)

The manufacturer's recommended intervals are a safe guideline; you probably won't need to replace your belt any earlier [source: Allen]. However, if you're approaching your service interval and have doubts about the belt's condition, you might as well get it replaced a little early. It'll be less expensive than waiting until after the belt breaks.

Why is it important to replace the timing belt on such a strict schedule? The belt is a synthetic rubber strap that contains fiber strands for strength. It has teeth to prevent slipping, which fit into the grooves on the end of the camshaft and crankshaft. It's a simple part for such an important function, and when it snaps, things get a lot more complicated. Unlike many car parts that gradually lose function as they wear out, a timing belt simply fails. Whether the belt breaks or a couple of teeth strip, the end result is the same. One minute, your car will be running perfectly; the next minute, it won't. You're in trouble if your car has an "interference engine," in which the valves are in the path of the pistons. If the camshaft or crankshaft moves independently in an interference engine, there will be at least one valve/piston collision. The fragile valves will bend, and you'll be faced with a costly repair.

It's easy to check the belt for signs of premature wear -- just locate it in the engine bay (usually under a plastic or metal shield that should be easy to remove) and check it for drying, fraying and discoloration.

The belt itself is inexpensive, probably costing less than $20 at an auto parts store. Your mechanic will probably charge several hundred dollars (or more) for a belt replacement service, though. Those hours spent dismantling and reassembling the engine bay add up quickly.

You can replace the timing belt yourself if you have access to the necessary equipment. In some cars, it's a straightforward procedure -- remove the engine covers and shrouds, line up the camshaft and crankshaft, slip off the old belt, and slip on the new one. Sometimes, though, it's a lot more complicated. For example, the timing belt might loop through a motor mount, in which case the mount would need to be removed to access the belt. You'd need an engine hoist or stand to safely remove and replace the mount [source: Juran].

Keep in mind that an error in this job, such as improperly turning the engine by hand or failing to coordinate the shafts, will cause the same damage as a snapped belt. Make sure you understand the procedure before getting started.

Need more help with the do-it-yourself approach? The next section will point you in the right direction.

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How long do windshield wiper blades last? | HowStuffWorks

September 29th, 2019 9:44 pm

Windshield wiper blades don't get the respect they deserve. They remove rain, snow and sometimes even ice and dirt from the windshield of your car and they do it quickly and smoothly, at the push of a button. They endure extremes of temperature, from sub-zero winter weather to scorching desert sunshine. They may have to operate for hours at a time. And yet they're made out of thin, flexible rubber -- not exactly the sort of material that can take this kind of abuse indefinitely.

This makes windshield wiper blades one of the hardest working -- yet least durable -- parts of your car. Over time, they'll crack, become misshapen or lose their flexibility. And don't think that just because you live in a sunny dry climate without much rain -- Southern California, for instance -- that your wiper blades will last longer. In fact, the heat and lack of moisture can damage the blades even if you never turn them on. Similarly, extremely cold weather can make the blades stiff and easily fractured.

Most experts say that wiper blades need to be changed every six to 12 months, though this depends both on weather conditions and on what the blades are made out of. Ordinary rubber blades have the shortest lifespan, halogen-hardened rubber blades last a bit longer, and silicone blades have the longest lifetimes of all, perhaps exceeding a year even under intense use. Of course they also cost more than ordinary rubber blades.

You'll know when your wiper blades need to be replaced because you'll see streaking as they wipe the moisture from the windshield or even large gaps where no water is being removed. They may start making squeaking or chattering sounds (though this can also happen if you run the wipers when the windshield is mostly dry). If left unchanged for too long, the material of the blade can shred and break loose from the arm. This can actually cause damage to your windshield, as the metal or hard plastic of the arm scrapes across the glass. You don't want this to happen.

Fortunately, you won't necessarily have to replace the entire blade assembly. Most blade arms will accept rubber refills, giving you the option of replacing only the part that's damaged. However, blade arms can become bent over time, so make sure that the refill is all that you need to replace in order to fix the problem.

For more information about windshield wiper blades and other related topics, follow the links below.

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Integrative Doctor in your area – wellness.com

September 29th, 2019 9:42 pm

Integrative Doctor Summary: An Integrative Doctor combines the latest advancements of conventional medicine with complimentary alternative approaches to promote wellness of the body, mind, heart, and spirit. An Integrative Doctor focuses on a more holistic approach to relieve pain, reduce stress, find alternatives to prescription medicines, or simply improve an individual's quality of life. An Integrative Doctor will typically offer individualized treatment plans based on a patients' needs. Some of the therapies an Integrative Doctor may incorporate throughout treatment include nutritional supplements, acupuncture, naturopathic medicine, clinical nutrition, massage, and energy healing. Integrative Doctors treat a wide array of ailments and illnesses and offer integrative, holistic care that is designed to treat the person, not just the disease.

Integrative Doctor FAQs: What is an Integrative Doctor?An Integrative Doctor is a doctor who combines conventional medicine with alternative medicine.

What is Conventional Medicine?Conventional Medicine is the system that physicians use to treat diseases. It is one of the practices of an Integrative Doctor.

What is Alternative Medicine?Examples of Alternative Medicine are acupuncture, massage, herbal remedies and supplements. It is also one of the practices of an Integrative Doctor.

How do I find an Integrative Doctor in my city and state?The Wellness.com directory will help you locate an Integrative Doctor in your state. Select Integrative Doctor from the professionals menu and select the state that you are looking to locate an Integrative Doctor in. After you have located your state, find the city that you will need an Integrative Doctor in. Select the state and city and you will see a list of Integrative Doctors in your city and state.

Integrative Doctor Related Terms: holistic, wellness, integrative doctor, alternative medicine, conventional medicine, herbal remedies

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Integrative Medicine | UNC Medical Center | Chapel Hill, NC

September 29th, 2019 9:42 pm

When you want a holistic approach to health care that incorporates complementary and alternative medicine (CAM) techniques with conventional medicine, choose UNC Medical Center. We bring together research, knowledge and practice, so you can count on finding safe, effective integrative medicine options to help you feel your best.

Take advantage of a wide range of prevention, wellness and treatment services, including:

Your doctor can help you decide which techniques are best for you.

You may benefit from incorporating complementary and alternative medicine into your treatment plan if you experience:

When daily stresses challenge your ability to cope, ease any resulting physical and emotional discomforts with mindfulness techniques. In our mindfulness-based stress- and pain-management programs, youll learn how to recognize the warning signs of stress reactions and relax in ways that enhance your bodys natural adaptive and healing abilities. Mindfulness techniques have been shown to deliver lasting benefits for people with irritable bowel syndrome (IBS), heart disease, migraine headaches, anxiety, depression and some autoimmune diseases.

Find a mindfulness program to meet your needs at UNC Medical Center.

Options include:

To register, call our Mindfulness Program at the Program on Integrative Medicine at 919-966-8586 or go to our website.

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Life After Death, According To Science: Cells Fight To …

September 29th, 2019 9:42 pm

Arecent studyis providing new supportfor an old adage: "death is only the beginning." According to the research, some cells in the body fight to live long after the organism dies.

In some cases, cell activity actually increases following death. The research suggests that the death of a living organism is a multi-step process that continues long after the final heartbeat;findings from this research could have implications foreverything from cancer research to life extension.

The study, now published online in the journal Open Biology, revealed just how many cells remain alive and thriving after an organisms death. For example, stem cells in particular were found to be most active after death, fighting to stay alive and attempting to repair themselves for days, and in some cases weeks, after death. In addition, a process known as gene transcription, that Seeker explained as a cellular behavior associated with stress, immunity, inflammation,and cancer, also increased following death. Although the research was conducted on zebrafish and mice, they believe the same cellular activity could be observed in all living creatures.

Read: 'How Long Will I Live?' Your Lifespan Depends On Cellular Death And Progress Of Future Science

Not all cells are 'dead' when an organism dies," senior author Peter Noble told Seeker. "Different cell types have different life spans, generation times and resilience to extreme stress."

In the "Twilight of Death," many cells continue to live and thrive once the body has technically died. Photo Courtesy of Pixabay

The fascinating discovery has been dubbed the Twilight of Death, and refers to the time period between death and decomposition where not all of the bodys cells are yet dead. The study researchers noted that their findings suggest death is more like a slow shutdown process and not the simple off-switch many imagine it to be. Whats more, better understanding of what happens when the body dies could lead to medical interventions aimed at delaying this process.

Not only does this researchhelp us better understand how a body dies, (and perhaps how to delaythis process), but it could also have real-life implications for organ transplant. Past research has suggested that patients have increased chances of developing cancer after they receive an organ transplant. For example, a 2011 study from the National Institutes of Health, found that U.S. organ transplant recipients had a high risk for develop 32 different types of cancer. The highest risks being non-Hodgkin lymphoma (14.1 percent of all cancers in transplant recipients), lung cancer (12.6 percent), liver cancer (8.7 percent), and kidney cancer (7.1 percent).

Although the reason for this remains unclear, the new study suggests it may be connected to the increased cellular activity observed in this Twilight of Death. Whats more, Noble suggested that there may even be something we can do about this, and proposed that prescreening transplant organs for increased cancer gene transcripts could help lower this risk.

Source: Pozhitkov AE, Neme R, Domazet-Loo T, et al. Tracing the dynamics of gene transcripts after organismal death. Open Biology. 2017

See Also:

Legal Definition Of 'Death' May Not Be Enough To Pinpoint When We Medically Kick The Bucket

The Evolutionary Reason Humans Die Despite The Inclination To Survive

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Arthritis: Symptoms, treatment and causes

September 29th, 2019 9:41 pm

What is arthritis?

Arthritis simply means a painful condition of the joints.

There are different types of the disease many inflammatory, for example rheumatoid arthritis (RA), and others more degenerative in nature, for example osteoarthritis (OA).

Arthritis may be preceded or accompanied by a period of fatigue and a feeling of stiffness. This appears more in rheumatoid arthritis than in osteoarthritis.

Pain in the joints in rheumatoid arthritis almost always begins in the hands, especially in the knuckles, and often in both hands simultaneously, as one of the commonest types of inflammatory arthritis.

Arthritis can affect all joints in the body, and it's impossible to predict which or how many joints will be attacked.

We do not know the cause of arthritis. In rheumatoid arthritis, the theory that it's triggered by an infection has never been proved. It may be partly hereditary, and it occurs three times as often in women as in men.

All age groups can develop arthritis even children but usually rheumatoid arthritis appears between the ages of 30 and 35.

The disease is unpredictable and the treatment difficult. But there are several medical remedies that can both ease the pain and slow down the spread of the disease and the damage it causes.

Some doctors may recommend a diet, but there's no evidence that dietary changes alone can ease or stop the development of arthritis.

Simple painkillers can help. When used with caution, non-steroidal anti-inflammatory drugs (NSAIDs) can provide relief from pain, as well as stiffness. These are prescribed more often in rheumatoid arthritis than in osteoarthritis.

Overweight patients should aim to reduce weight with appropriate diet and exercise.

It's important for patients with arthritis to obtain help to keep the muscles and joints active and to be supported in leading a normal life.

Physiotherapists, who are trained to maintain a patient's physical ability and relieve pain, and occupational therapists, who assess physical ability and provide help and advice including aids, play a large part in making life bearable for arthritis sufferers.

During recent years, there has been great progress in the treatment of arthritis particularly with the use of artificial joints. Some people still have to live with the discomfort of the disease because not all joints can be replaced surgically.

Research has suggested that the natural treatment glucosamine sulphate, taken at a daily dose of 1500mg, is effective in relieving arthritis symptoms particularly of the knee joints in patients with osteoarthritis rather than rheumatoid arthritis.

Rheumatoid arthritis patients benefit from disease modifying drugs, such as sulphasalazine and methotrexate, or even the latest biologic treatments in those who fail with routine drugs (anti-TNF drugs and others (rituximab).

Based on a text by Dr Erik Fangel Poulsen, specialist, Dr Per Grinsted, GP

Last updated 27.07.2010

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Osteoporosis and Arthritis: Two Common but Different …

September 29th, 2019 9:41 pm

Many people confuse osteoporosis and some types of arthritis. This fact sheet discusses the similarities and differences between these conditions.

Osteoporosis is a condition in which the bones become less dense and more likely to fracture. In the United States, more than 53 million people either already have osteoporosis or are at high risk due to low bone mass. In osteoporosis, there is a loss of bone tissue that leaves bones less dense and more likely to fracture. It can result in a loss of height, severe back pain, and change in ones posture. Osteoporosis can impair a persons ability to walk and can cause prolonged or permanent disability.

Risk factors for developing osteoporosis include:

Osteoporosis is known as a silent disease because it can progress undetected for many years without symptoms until a fracture occurs. Osteoporosis is diagnosed by a bone mineral density test, which is a safe and painless way to detect low bone density.

Although there is no cure for the disease, the U.S. Food and Drug Administration has approved several medications to prevent and treat osteoporosis. In addition, a diet rich in calcium and vitamin D, regular weight-bearing exercise, and a healthy lifestyle can prevent or lessen the effects of the disease.

Arthritis is a general term for conditions that affect the joints and surrounding tissues. Joints are places in the body where bones come together, such as the knees, wrists, fingers, toes, and hips. Two common types of arthritis are osteoarthritis and rheumatoid arthritis.

Although osteoporosis and osteoarthritis are two very different medical conditions with little in common, the similarity of their names causes great confusion. These conditions develop differently, have different symptoms, are diagnosed differently, and are treated differently.

Osteoporosis and arthritis do share many coping strategies. With either or both of these conditions, many people benefit from exercise programs that may include physical therapy and rehabilitation. In general, exercises that emphasize stretching, strengthening, posture, and range of motion are appropriate. Examples include low-impact aerobics, swimming, tai chi, and low-stress yoga. However, people with osteoporosis must take care to avoid activities that include bending forward from the waist, twisting the spine, or lifting heavy weights. People with arthritis must compensate for limited movement in affected joints. Always check with your doctor to determine whether a certain exercise or exercise program is safe for your specific medical situation.

Most people with arthritis will use pain management strategies at some time. This is not always true for people with osteoporosis. Usually, people with osteoporosis need pain relief when they are recovering from a fracture. In cases of severe osteoporosis with multiple spine fractures, pain control also may become part of daily life. Regardless of the cause, pain management strategies are similar for people with osteoporosis, OA, and RA.

For updates and for any questions about any medications you are taking, please contact

U.S. Food and Drug AdministrationToll Free: 888-INFO-FDA (888-463-6332)Website: https://www.fda.gov

For additional information on specific medications, visit Drugs@FDA at https://www.accessdata.fda.gov/scripts/cder/daf. Drugs@FDA is a searchable catalog of FDA-approved drug products.

NIH Pub. No. 18-7893

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Gene therapy – Drugs.com

September 26th, 2019 12:42 pm

On this page

Medically reviewed by Drugs.com. Last updated on Dec 29, 2017.

Gene therapy involves altering the genes inside your body's cells in an effort to treat or stop disease.

Genes contain your DNA the code that controls much of your body's form and function, from making you grow taller to regulating your body systems. Genes that don't work properly can cause disease.

Gene therapy replaces a faulty gene or adds a new gene in an attempt to cure disease or improve your body's ability to fight disease. Gene therapy holds promise for treating a wide range of diseases, such as cancer, cystic fibrosis, heart disease, diabetes, hemophilia and AIDS.

Researchers are still studying how and when to use gene therapy. Currently, in the United States, gene therapy is available only as part of a clinical trial.

Gene therapy is used to correct defective genes in order to cure a disease or help your body better fight disease.

Researchers are investigating several ways to do this, including:

Gene therapy has some potential risks. A gene can't easily be inserted directly into your cells. Rather, it usually has to be delivered using a carrier, called a vector.

The most common gene therapy vectors are viruses because they can recognize certain cells and carry genetic material into the cells' genes. Researchers remove the original disease-causing genes from the viruses, replacing them with the genes needed to stop disease.

This technique presents the following risks:

The gene therapy clinical trials underway in the U.S. are closely monitored by the Food and Drug Administration and the National Institutes of Health to ensure that patient safety issues are a top priority during research.

Currently, the only way for you to receive gene therapy is to participate in a clinical trial. Clinical trials are research studies that help doctors determine whether a gene therapy approach is safe for people. They also help doctors understand the effects of gene therapy on the body.

Your specific procedure will depend on the disease you have and the type of gene therapy being used.

For example, in one type of gene therapy:

Viruses aren't the only vectors that can be used to carry altered genes into your body's cells. Other vectors being studied in clinical trials include:

The possibilities of gene therapy hold much promise. Clinical trials of gene therapy in people have shown some success in treating certain diseases, such as:

But several significant barriers stand in the way of gene therapy becoming a reliable form of treatment, including:

Gene therapy continues to be a very important and active area of research aimed at developing new, effective treatments for a variety of diseases.

1998-2019 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Terms of use

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Positive and negative Impacts of Stem Cells – Essay and …

September 24th, 2019 12:41 am

Are Stem Cells Good or Bad?

Do you know what a stem cell is? Stems cells are the undifferentiated biological cells, which have the potential to develop into different types of cells with specialized functions. They also help to repair the damaged cells in our body. These cells also have the ability to renew themselves via cell division even after remaining inactive for a long period of time. Due to their regenerative properties, stem cells are nowadays being experimented to treat the various diseases.

Though these cells are present in all our bodies, they function more effectively in a fetus. Hence, there are two types of stem cells adult stem cells and embryonic stem cells. Bone marrow transplantation is the only stem cell therapy, which is being used widely today. The use of stem cells for treatments and other experiments have always been the topics of controversy. Like all the medicines and treatments, the stem cell therapy also will cause both positive and negative effects on our body. Some of them are mentioned below:

There are many people who consider the treatments using the stem cells as unethical. The government authorities also do not extend a wide support to these experiments. The various states in the US have even banned the research activities of the embryonic stem cells. The destruction of the blastocytes which happen during the stem cell research is also considered to be immoral by many people.

Moreover, most of the treatments and research on the stem cell therapies are based on theories. Though more than 3500 research studies are happening on the stem cells and the treatments using them, there are no proven results on them. Some of the stem cells, even use immunosuppressant on patients before doing the transplantation in order to prevent the chances of rejection of these cells by the body. This can cause various harmful side effects on the patients after the treatment.

Though the stem cells provide solutions to a wide number of diseases, the therapies done using them cannot be trusted completely. As it remains unproven, it has to be decided by the people, if they want to subject their lives to such experiments with no certain outcomes.

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How to automatically make all entered numbers in a row …

September 24th, 2019 12:41 am

Here are the three possibilities: 1. Multiplying with -1 2. Formatting to minus(-) sign3. ABS() Function

Method 1: Multiplying with -11. Enter the numbers as usual, after finishing all entries, do the following:2. Go to any other empty cell, and type -1 and copy it, now select the entire column you want to make negative.3. Right-click on the selection and select Paste Special..4. Choose All and Multiply and click OK, as shown in the picture below: Now all the selected cells will be negative. Now delete the cell value-1 you copied from.

1. Select the entire column you want it to be negative, by clicking on the column header.2. MAC users Hold down Command key and click in any cell(with selection), WINDOWS users right-click, then click Format cells in the context menu.3. Click Number tab, click Custom Option, on right-hand side, under Type text box select General, and in the Type text box, enter a minus sign like this: -General and click OK.

Note: Positive values will be from D1 to D50 and Negative values will be from E1 to E50 as the above example is concerned

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Integrative Medicine Cincinnati | Huber Personalized Medicine

September 24th, 2019 12:41 am

If you read chapter one and two of this Me Time thought line then hopefully this will put a cherry on that chocolate sundae. I met this morning with a fun group to discuss the use of meditation as a tool for stress relief. In fact, we were diving much deeper into how meditation can be used to rewrite your future experience. Creating your future through your thoughts and feelings rather than playing victim to whatever your repeated past patters will predictably produce for you. We reviewed some of the work presented by Dr. Joe Dispenza who is fond of saying that our stress hormones cause us to look at our present environment with fear and trepidation turning us toward survival mode and becoming selfish. Its all about being self-centered, self-important, self-involved as we look to protect the ME.

The facade I present to the world is not really me. The real me, the guy who walks around in his underwear, unshaven

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7 Alternative Kidney Disease Treatments | Stem Cell Research

September 20th, 2019 2:40 pm

Kidney disease treatment is no longer limited to conventional medicine, dialysis, or surgery. Alternative treatments are also available to treat some types of kidney disease and to manage its symptoms. Alternative treatments enhance standard kidney disease treatment. They do not replace conventional therapies, rather they complement them. Here are 7 alternative kidney disease treatment options worth looking into:

Note: Make sure to consult with a doctor before taking herbal medicine. Notall herbs may be beneficial for patients with renal disease.

Note: Consult a doctor before taking any supplements to ensure safety.

Learn more about alternative kidney disease treatment with this video by HealthP1:

These are just some of the alternative kidney disease treatments for patients with chronic renal illness. Again, it is important to note that these treatments complement standard or conventional therapies such as dialysis and surgery. Consult with a doctor before starting a particular alternative treatment to ensure safe and effective results.

What are your thoughts on alternative kidney disease treatment? Share with us your ideas in the comments section below!

Up Next:How To Find A Kidney Donor: Dads Plea Went Viral On A Disney Trip

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Pierre Guibor, MD, PA – 25 Photos – Ophthalmologists – 55 …

September 19th, 2019 3:42 pm

Dr. Pierre Guibor has been my trusted ophthalmologist for many years; gosh, I think it has been around 20 years, now. He used to have his office in Manhattan, just off Park Ave. Now, his office is (& has been for a while) inside Meadowlands Hospital Medical Center, in Secaucus, New Jersey, where he is Chief, Ophthalmology & Oculoplastic Surgeon.Years back, It was Dr. Guibor who showed me the unbelievably easy way to put drops in my eye. So simple ! No shock to the eye, no trauma, no drama. No tilting the head. Easy! Pain free. It is knowing & trusting the skill of Dr Guibor that keeps me calm when he explains that he is going to check the pressure in my eye. He has put a drop in each eye so that I won't feel the thing with the blue light that checks the pressure, but, I'm not blinking, since I'm not nervous, because I trust in his ability. Years ago, when Dr Guibor surgically removed an eyelid papilloma for me, in the hospital, I had total confidence in him. I was not worried about his surgical ability, that's for sure. Everything went well, I even went shopping briefly w/my friend afterwards. Having the big bandage over my eye was the most amazing shopping asset ever!! In the designer outlet shop, in Seacaucus , the shopping crowd, upon seeing my big bandage, parted, like the sea parted in the movie, "The Ten Commandments"....but, I digress, please forgive me. LOL I feel so very fortunate to know Dr. Guibor, and have him as my ophthalmologist because he is so very knowledgeable, with many years of experience. As important as experience and skill are, I strongly believe that it is equally important for a physician to treat patients with respect. From my own experience, as well as from my observations, I can tell you that he treats every patient with respect. He has taught many medical professionals & has taught in many locations around the world! So he knows a lot of eye specialists, which is to your benefit, as a patient. Think about it, let's say you were away on vacation, or business, & you needed an eye specialist , you could email or call Dr Guibor and ask if he could recommend someone. And chances are he just may know a skilled eye Dr where you happen to be. (And that's because Dr Guibor is one cool dude!...who happens to be a kind, talented, smart, eye surgeon.) He is a very cool person. I'm also so proud to let people know that he has taught his surgical skills to many medical professionals in countries where the opportunity to learn from such a well-respected eye surgeon is rare. I shall have to double check, but I think he has also been involved with Doctors Without Borders. The bottom line is, it is my personal, humble opinion, that you are in great, experienced, knowledgeable hands w/Dr. Pierre Guibor.And lastly, I am very particular when it comes to selecting a medical or dental professional. And that is an understatement. I take everything into consideration--how does the doctor speak to his/her staff...does he/she answer my questions, does he/she explain things, do I feel rushed, it all matters to me. I don't just want a good doctor, I want a good person, too! And I want a person who enjoys their work. In my opinion, when someone enjoys the work they do, they don't mind explaining things. Getting to Meadowlands Hospital by bus from Manhattan is easy . IT IS ONLY 20 MINUTES!! I take the NJ Transit bus #129, from The Port Authority Bus Terminal--the 2nd building, located on 41st Street (Not 42St). The building has Heartland Brewery on street level, see my photo. I enter at 8th Ave/West 41st Street, walk straight ahead, staying on the left side, and past Au Bon Pain, past the escalators & you'll see on your left the area, up a few steps, where you buy your bus ticket. I think my R/T tix today were $7. ALLOW ENOUGH EXTRA TIME FOR TIX & GETTING UPSTAIRS TO THE GATE WHERE BUS #129 will depart from. Today it was Gate 314. The ride is just 20 minutes to the front of the hospital. I ALWAYS TELL THE BUS DRIVER THAT I AM GOING TO MEADOWLANDS HOSPITAL WHEN I GET ON THE BUS. I do ring for the stop, too. THE BUS DOES NOT AUTOMATICALLY STOP ANYWHERE. YOU MUST RING FOR YOUR STOP. So it's a good idea to mention to the bus driver as you board the bus that you are going to Meadowlands Hospital. And lastly, if you want to see Dr Guibor, you need to call & make an appointment. OFFICE: 201-392-3438When you have a good , thorough eye exam, you have peace of mind. Did you know that sometimes other medical situations can be detected by way of a thorough eye exam? If you have been putting off an eye exam, for way too long & you know it, well then, maybe there's a reason you happen to see this.

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