Quality of Life in elderly patients with cancer

The incidence of most types of cancers is age-dependent and the progressive ageing is rapidly increasing the number of elderly people who need treatment for cancer. Elderly patients present peculiar characteristics that make the choice of the correct treatment more difficult and these patients are often undertreated. Moreover, elderly patients are largely underrepresented in cancer treatment trials, and this makes the experimental evidence on this topic even weaker. Health-related Quality of Life (QOL) has been considered as one of the hard end-points for clinical cancer research, and treatment of elderly cancer patients represents a typical situation where its assessment can be particularly useful, because the expected toxicity of treatment could be relevant in the discussion of the treatment choice. However, QOL assessment in the elderly is complicated by several unresolved methodological problems (higher frequency of illiteracy, worse compliance with the questionnaires, concomitant diseases, use of instruments not validated in the aged population). Conduct of clinical trials dedicated to elderly patients is now encouraged but there are few published studies. Advanced non-small-cell lung cancer is one of the fields with the largest amount of research on QOL in elderly patients. The ELVIS study demonstrated the efficacy of single-agent chemotherapy, both in terms of QOL and of survival. The MILES study, in which combination chemotherapy was not superior than single agents, showed that baseline QOL is a strong prognostic indicator in these patients. QOL of patients with breast cancer has been another important field in clinical research over the last decades, and interest on this topic in elderly patients is growing, from loco-regional to palliative treatment. In conclusion, some steps have been done in clinical cancer research dedicated to elderly patients, and the role of QOL assessment in this setting is important. However, many methodological problems must be resolved, in order to obtain reliable and useful results. A QOL assessment could also be useful for elderly patients in clinical practice, where it could improve patient-clinician communication: a wider application of properly selected instruments should be recommended

Towards Green Reductions in Bio-Derived Solvents

The hydrogenation processes, and all the reactions that formally add two hydrogen atoms to an unsaturated bond, are among the most used transformations in the manufacture of bulk and fine chemicals. Although their potential as powerful tool for the sustainable synthesis of organic compounds, hydrogenations, and more generally the reductions, have been typically carried out in volatile organic solvents deriving from petroleum; indeed, all studies and fascinating advances related to the catalysts’ activity or the reducing agents’ reactivity have been limited to such volatile and often toxic reaction media. In this review, recent advances in the reducing methodologies with an improved degree of sustainability have been described. In particular, a series of examples have been reported to highlight the chance to reduce an organic compound by using a benign solvent deriving from renewable sources, without waiving to the process efficiency and selectivity. Some important key points of green chemistry, such as the easiness of catalyst recovery or the simplicity of product isolation, have been considered in the choice of the described studies

Photoresponsive Inorganic Nanomaterials in Oncology

The diagnosis and treatment of cancer are continuously evolving in search of more efficient, safe, and personalized approaches. Therapies based on nanoparticles or physical stimuli-responsive substances have shown great potential to overcome the inherent shortcomings of conventional cancer therapies. In fact, nanoparticles may increase the half-life of chemotherapeutic agents or promote the targeting in cancer tissues while physical stimuli-responsive substances are more effective and safer with respect to traditional chemotherapeutic agents because of the possibility to be switched on only when needed. These 2 approaches can be combined by exploiting the ability of some inorganic nanomaterials to be activated by light, ultrasounds, magnetic fields, or ionizing radiations. Albeit the development of stimuli-responsive materials is still at the early stages, research in this field is rapidly growing since they have important advantages with respect to organic nanoparticles or molecular substances, like higher stability, and higher efficiency in converting the stimulus in heat or, in some cases, reactive oxygen species. On the other hand, the translation process is slowed down by issues related to safety and quality of the formulations. This literature review summarizes the current advancements in this research field, analysing the most promising materials and applications

Explaining Nonlinearities in Black Hole Ringdowns from Symmetries

It has been recently pointed out that nonlinear effects are necessary to model the ringdown stage of the gravitational waveform produced by the merger of two black holes giving rise to a remnant Kerr black hole. We show that this nonlinear behaviour is explained, both on the qualitative and quantitative level, by near-horizon symmetries of the Kerr black hole within the Kerr/CFT correspondence.Comment: 5 page

Improving Adjuvant Endocrine Treatment Tailoring in Premenopausal Women With Hormone Receptor-Positive Breast Cancer

The Oncology Grand Rounds series is designed to place original reports published in the Journal into clinical context. A case presentation is followed by a description of diagnostic and management challenges, a review of the relevant literature, and a summary of the authors' suggested management approaches. The goal of this series is to help readers better understand how to apply the results of key studies, including those published in Journal of Clinical Oncology, to patients seen in their own clinical practice

L’innovazione della didattica dell’italiano: dai contenuti per la formazione dei docenti alle pratiche in classe

In order to innovate and improve the italian language teaching, it is necessary to support teachers’ continuous professional development, as indicated by the European Recommendations.Concerning the realization of training plans for teachers of Italian language,INDIRE conducted a study on the design of learning content that goes beyondthe model of “professional updating and training”: on the one hand through a indepth analysis of the aspects of innovation of the discipline, on the other through the study of the most effective “formats” to support the professional development and reflection of teachers. This also led to the design and production of video documentation of “exemplary” practices for the innovation of teaching of Italian language. This process has been possible thanks to the collaboration between research and school: teachers, researchers and disciplinary experts.Per innovare e migliorare l’insegnamento dell’italiano è necessario agire sulla formazione dei docenti, come indicano anche le raccomandazioni europee. Nell’ambito della realizzazione di grandi piani di formazioneper gli insegnanti di italiano curati da Indire, è stata oggetto di riflessione la progettazione di contenuti formativi che superino il modello dell’“aggiornamento-addestramento”: da una parte attraverso un approfondimento degli aspetti di innovazione della disciplina, dall’altra tramite lo studio dei “formati” più efficaci per supportare lo sviluppo professionale e la riflessione degli insegnanti,che ha portato anche alla progettazione e alla produzione di video documentazioni di pratiche didattiche “esemplari” per l’innovazione dell’italiano. Questo processo è stato possibile grazie alla collaborazione di docenti, ricercatori e esperti disciplinari, del mondo della ricerca e della scuola

Pd-catalyzed Reductions in Deep Eutectic Solvents by Using Aluminum and Water as Hydrogen Source

The reduction of organic functional groups, using metal-catalyzed hydrogenations, is one of the most employed strategy in organic chemistry for the synthesis of both fine and bulk chemicals.[1] Hydrogen is an explosive gas and its production needs extensive energy and generates a considerable amount of carbon dioxide. Therefore, the development of cost-effective reduction methods that use safe reagents, environmentally-friendly solvents and prevent or minimize waste formation represents a challenge of great interest in sustainable chemistry. As part of our ongoing efforts in the discovery of sustainable synthetic methodologies,[2] an alternative and safe palladium-catalyzed hydrogenation reaction in Deep Eutectic Solvents (DESs) is here described.[3] The use of aluminum powder in combination with water and a base in DESs, results in an environmentally-responsible system for the controlled in-situ generation of hydrogen. Our optimized protocol is effective for the reduction of a wide range of functional groups, containing C–C, C–N, C–O, N–O multiple bonds as well as for the dearomatization of (hetero)aromatic compounds, and leads to the desired products in yield up-to 99%. The simplicity, cost, tunability, scalability and the environmentally benign character of both catalytic system and DESs, offer numerous advantages over the currently available methods that employ external and dangerous H2 source and harsh, volatile organic solvents

Why PB28 Could Be a Covid 2019 Game Changer?

PB28, a cyclohexylpiperazine derivative, could be a potential strategy for Covid 19 because in a recent study it has been found more active than hydroxychloroquine without interaction with cardiac proteins. PB28 has been designed, developed, and biologically evaluated in the past decade in our research group. A possible mechanism to explain its surprising anti-COVID-19 activity is suggested