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Pacritinib (Vonjo, CTI BioPharma) is indicated for use in the treatment of adults with intermediate- or high-risk primary or secondary (post-polycythemia vera or post-essential thrombocythemia) myelofibrosis with a platelet count below 50 × 109/L.

Pacritinib is a novel oral kinase inhibitor with specificity for activity against Janus associated kinase 2 (JAK2) and IRAK1, without inhibiting JAK1. The recommended dosage is 200 mg orally twice daily.

What Is Multiple Myeloma? 

Cancer starts when cells begin to grow out of control. Cells in nearly any part of the body can become cancer, and can spread to other areas.

Multiple myeloma is a cancer of plasma cells. Normal plasma cells are found in the bone marrow and are an important part of the immune system. The immune system is made up of several types of cells that work together to fight infections and other diseases. Lymphocytes (lymph cells) are one of the main types of white blood cells in the immune system and include T cells and B cells. Lymphocytes are in many areas of the body, such as lymph nodes, the bone marrow, the intestines, and the bloodstream.

When B cells respond to an infection, they mature and change into plasma cells. Plasma cells make the antibodies (also called immunoglobulins) that help the body attack and kill germs. Plasma cells, are found mainly in the bone marrow. Bone marrow is the soft tissue inside bones. In addition to plasma cells, normal bone marrow is also the home for other blood cells such as red cells, white cells, and platelets.

In general, when plasma cells become cancerous and grow out of control, this is called multiple myeloma. The plasma cells make an abnormal protein (antibody) known by several different names, including monoclonal immunoglobulin, monoclonal protein (M-protein), M-spike, or paraprotein.

NOTE: In a new intelligence assessment, the CIA has ruled out that the mysterious symptoms known as Havana Syndrome are the result of a sustained global campaign by a hostile power aimed at hundreds of U.S. diplomats and spies.

People who have experienced possible Havana Syndrome symptoms and have been briefed on the assessment have expressed deep disappointment to this CIA’s findings.

Starting in late 2016, U.S. diplomats and spies serving in Cuba began reporting bizarre sounds and sensations followed by unexplained illnesses and symptoms, including hearing and vision loss, memory and balance problems, headaches and nausea.

Over the years (including recently), many hundreds of U.S. officials have come forward reporting suspected incidents in more than a dozen countries.

Zinc supplementation may exacerbate rheumatoid arthritis (RA), new laboratory data suggest.

In monocytes from rheumatoid arthritis patients, plasma zinc concentrations and Zip8 expression were increased, and Zip8 expression correlated with more severe disease. Thus, inhibiting zinc influx into monocytes and macrophages could prevent excessive inflammatory responses that occur in diseases such as rheumatoid arthritis – the researchers concluded.

A team of doctors and researchers working at Erasmus Hospital in Belgium has successfully treated an adult woman infected with a drug-resistant bacteria using a combination of bacteriophage therapy and antibiotics. In their paper published in the journal Nature Communications, the group describes the reasons for the use of the treatment and the ways it might be used in other cases.

Bacteriophages are viruses that infect and kill bacteria. Research involving their use in human patients has been ongoing for several decades, but they are still not used to treat patients. In this new effort, the researchers were presented with a unique opportunity not only to treat a patient in need of help, but to learn more about the possible use of viruses to treat patients infected with bacteria that have become resistant to conventional antibiotics.

Bacteria may Demonstrate any of Five General Mechanisms of Antibiotic Resistance: 
1. Lack of entry; Decreased cell permeability. 
2. Greater exit; Active efflux. 
3. Enzymatic inactivation of the antibiotic. 
4. Altered target; Modification of drug receptor site. 
5. Synthesis of resistant metabolic pathway. 

More than HIV, more than malaria. The death toll worldwide from bacterial antimicrobial resistance (AMR) in 2019 exceeded 1.2 million people, according to a new study. 

In terms of preventable deaths, 1.27 million people could have been saved if drug-resistant infections were replaced with infections susceptible to current antibiotics. Furthermore, 4.95 million fewer people would have died if drug-resistant infections were replaced by no infections, researchers estimated.

I am a medical student from a developing country in Southeast Europe, the average monthly wages here are around 420 euros. The education system incomparable to the american or  european system, the literature we use is so outdated that our diploma is not recognised outside our county. But we want to be as equally good doctors. Therefore, we try using foreign books and online resources but you know these things usually have a price and my family cannot afford to pay  for my ‘non-university-required’. /optional study materials. I am in my clinical years of med school and I have found the OnlineMedEd videos very useful but I can not afford the OME notes. May ask if anyone could be willing to share the onlinemeded notes pdf with me. I would be really grateful. Sorry for taking your time.  please if you can and want help me. Thank you in advance!

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