8 research outputs found

    Pazopanib and Statin-Induced Rhabdomyolysis

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    Background: The VEGF inhibitor pazopanib is a widely used first-line therapy for the treatment of advanced renal cell carcinoma. Potential drug-drug interactions and toxicities may be underrecognized. Case Presentation: A 73-year-old woman with metastatic renal cell carcinoma on treatment with pazopanib presented with progressive inability to ambulate. The initial concern was for metastasis to the spine. However, MRI of the spine revealed diffuse muscle edema with no metastatic deposits or lytic lesions. Upon further evaluation, creatine kinase was significantly elevated and the diagnosis of rhabdomyolysis was made. With aggressive hydration and discontinuation of both pazopanib and rosuvastatin, the patient made a full recovery. Conclusion: This case of drug-induced rhabdomyolysis demonstrates an unexpected toxicity resulting from concomitant pazopanib and rosuvastatin therapy. This combination is predicted to be safe due to different, nonoverlapping effects on the cytochrome p450 enzymes. Discontinuation of statin therapy in patients with metastatic cancer should be considered when the risk of cancer-related death exceeds the risk of cardiovascular-related death

    Flipping STEM

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    This chapter contains case studies from stem content areas. Case studies in this chapter focus on the concept of discovery learning, incorporate constructivist principles, but also constructionist theories. Several cases reference the tradition of apprenticeship and research that shows the value of project work as a means to highlight the iterative nature of design, while maximizing in-class time with active learning through collaborative activities and personalized instruction. Each case study opens with the instructional context and a rationale for flipping the classroom. The case-study authors also describe the structure of the course, as well as descriptions about how they prepared their students for flipping, and an evaluation of the flipping experience from both the instructor and student perspectives
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