Targeted therapy for epithelial ovarian cancer: Current status and future prospects

2003 ◽  
Vol 13 (6) ◽  
pp. 701-734 ◽  
Author(s):  
H. T. See ◽  
J. J. Kavanagh ◽  
W. Hu ◽  
R. C. Bast

Despite advances in surgery and chemotherapy, less than 20% of patients with stage III or IV ovarian cancer survive long-term. In the past, cytotoxic regimens have been developed empirically, combining active agents at maximally tolerated doses, often without a clear rationale for their interaction. Advances in understanding the biology of ovarian cancer have identified multiple molecular targets that differ in normal and malignant cells. Targets include cell cycle regulators, growth factor receptors, signal transduction pathways, molecules that confer drug resistance, and angiogenic mechanisms. A number of targeted agents have entered clinical trials. Small molecular weight inhibitors, monoclonal antibodies, and antisense and gene therapy are all being evaluated alone and in combination with cytotoxic drugs. In contrast to earlier studies, the impact of each agent on the designated target can be assessed and agents can be matched to the genotype and phenotype of malignant and normal cells. In the long run, this should facilitate individualization of more effective, less toxic therapy for women with ovarian cancer.

2021 ◽  
pp. 003329412110051
Author(s):  
Rashmi Gupta ◽  
Jemima Jacob ◽  
Gaurav Bansal

Psychosocial stressors and social disadvantages contribute to inequalities in opportunities and outcomes. In the current paper, we use an epidemiological perspective and highlight the role stress plays on individuals by reviewing the outcomes of major stressors such as poverty and unemployment. We further analyzed the psychological and physical cost of these stressors and their long-term impact. We examined the role of universal basic income and closely looked at income experiments that were implemented in the past, in terms of their effectiveness in enhancing the community as well as individual outcomes and propose the UBI as a tool for alleviating the impact of these stressors. At a time when a major pandemic (e.g., COVID-19) threatens economic stability and health globally, we believe the UBI is relevant now, more than ever.


2021 ◽  
Vol 13 (11) ◽  
pp. 6503
Author(s):  
Yu Peng ◽  
Hubert Hirwa ◽  
Qiuying Zhang ◽  
Guoqin Wang ◽  
Fadong Li

Given the impact of COVID-19 and the desert locust plague, the Ethiopian food security issue has once again received widespread attention. Its food crisis requires comprehensive and systematic research to achieve the United Nations Sustainable Development Goal of zero hunger. This review discusses the current situation and the causes of food security in Ethiopia. We focus on the challenges in the food security assessment field. The article lists seven typical causes of food insecurity and three roots of food security in Ethiopia. Long-term food security assessment and a comprehensive understanding and manageability for food security causes are considered as the main existing research challenges. Climate-resilient management, water management, and long-term ecosystem network monitoring and data mining are suggested as potential roadmap for future research.


2019 ◽  
Vol 64 (3) ◽  
pp. 23-38
Author(s):  
Talknice Saungweme ◽  
Nicholas M. Odhiambo

Abstract This paper contributes to the ongoing debate on the impact of public debt service on economic growth; and it provides an evidence-based approach to public policy formulation in Zimbabwe. The empirical analysis was performed by applying the autoregressive distributed lag (ARDL) technique to annual time-series data from 1970 to 2017. The study findings reveal that the impact of public debt service on economic growth in Zimbabwe is negative in the short run but positive in the long run. The results are suggestive of the existence of a crowding-out effect of public debt service in Zimbabwe in the short run and a crowding-in effect in the long run. In view of these findings, the government should consider fiscal and financial policies that promote a constant supply of long-term finance, long-term fixed investments, and extension of a government securities maturity structure so as to ensure sustainable short- and long-term public debt service expenditures. The study further recommends the strengthening of non-distortionary revenue mobilisation reforms to reduce market distortions and boost domestic investment.


2018 ◽  
Vol 10 (7) ◽  
pp. 2465
Author(s):  
Laura Brad ◽  
Gabriel Popescu ◽  
Alina Zaharia ◽  
Maria Claudia Diaconeasa ◽  
Daniela Mihai

The importance of agricultural financing in ensuring food security and safety, jobs, poverty reduction, economic growth and more recently, climate change mitigation, natural resource conservation and sustainable development imposes periodic analysis of the factors which might influence the farmers’ financial situation, in order to improve it. One way of assessing this is to analyze the agricultural debt. In this context, based on previous models, the paper aims to assess the impact of specific factors on the agricultural debt level in the European Union during 2008–2015, as these should be considered in future common agriculture policies as well as in achieving sustainable agriculture. The research was conducted based on econometric techniques, by applying panel models in the Eviews 7.0 software-64 bit version. More than 20 variables were considered in the analysis. Some of the findings suggest that an increase in subsidies as well as the share of cash flow in the total existing capital would determine considerable reductions of the total debt. Decoupled subsidies seem to have a higher impact than coupled subsidies on short term debt, while its value is between the one found for coupled subsidies in the case of long term debt. Large farms/companies, to which decoupled payments are granted, have higher debts on long run and on total debt. The same units, to which coupled subsidies were granted, have smaller short-term debt. In contrast, the increases of labor costs, fixed costs, and crop/livestock costs lead to an increase in the total debt, since the farms require additional financial resources to cover the expanded costs. Also, the results suggest that short-term debts are mainly formed of long-term loans that reached maturity. In this case, the authors support the idea of differentiated financing programs for the agricultural activities because of their peculiarities and reinforced by the need to turn the intensive agriculture into a sustainable and plentiful one.


2013 ◽  
Vol 40 (1) ◽  
pp. 77 ◽  
Author(s):  
Mitchell B. East ◽  
J. Daren Riedle ◽  
Day B. Ligon

Context Monitoring populations of long-lived species requires continuous long-term efforts. This is especially applicable for species that have experienced declines range-wide. Aims Our study assessed the current status of a population of wild Macrochelys temminckii and compared the present results to those from a survey conducted nearly a decade ago. Methods Trapping in 2010–2011 was conducted on two creeks within the refuge, during the months of May–July. Capture data were compared with data collected by similar methods in 1997–2001. Key results The population structure of M. temminckii was dominated by juveniles, with few large adults or small juveniles detected and a missing size class was evident. Retrospective analysis of 1997–2001 data revealed that the population was likely to be in decline even then, despite high capture rates. Conclusions The M. temminckii population showed significant declines that indicated that the population had experienced stressors of unknown origin. The status of M. temminckii at the refuge is concerning, given the protection afforded this remnant population. Implications Short-term data from 1997–2001 indicated a healthy M. temminckii population, whereas longer-term data showed that the population has declined, resulting in significant demographic changes. Continued monitoring will be necessary to develop management recommendations and track the impact of implemented management practices. Longer-term monitoring of long-lived vertebrates is required to identify population trends.


2017 ◽  
Vol 46 (1) ◽  
pp. 3-25 ◽  
Author(s):  
Travis N. Ridout ◽  
Erika Franklin Fowler ◽  
Michael M. Franz ◽  
Kenneth Goldstein

Scholars agree that there has been an increase in polarization among political elites, though there continues to be debate on the extent to which polarization exists among the mass public. Still, there is general agreement that the American public has become more sorted over the past two decades, a time during which political ad volumes have increased and ads have become more negative. In this research, we explore whether there is a link between the two. We take advantage of variation in the volume and tone of political advertising across media markets to examine the link between advertising and three dependent variables: issue polarization, affective polarization, and sorting. We focus on the impact of both recent ad exposure and cumulative ad exposure across several election cycles. Ultimately, we find little impact of advertising on polarization or sorting, both overall and among subgroups of the population.


Author(s):  
N. Dolzhenko ◽  
E. Mailyanova ◽  
I. Assilbekova ◽  
Z. Konakbay

Cloudiness and range of visibility are the most significant flight conditions for aircraft. The impact of clouds and visibility on the safety of aircraft flights, especially small aircraft, cannot be overestimated. According to the Interstate Air Committee, Kazakhstan ranks second in the number of aviation disasters. The average age of a third of Kazakhstan's small aircraft is more than 30 years. Over the past few years, 14 air accidents have occurred in the Republic of Kazakhstan, 11 of them with small aircraft. In this work, we investigate long-term data on cloudiness and visibility at the most weather-favorable airfield in Balkhash, for the possibility of safe and economical flights of small aircraft and planning training flights.


Author(s):  
Takrima Sayeda

The purpose of the paper is to see if there is any relationship exist between free floating exchange rate and export performance of Bangladesh. It inspects the monthly data of exchange rate and export value for the time period between year 2000 and 2017. It utilized the Johansen [1] cointegration approach to identify the extent of long run and short run relationship between them. The study could not establish neither any long term trend nor any short term dynamics between the variables. Respective variables are significantly related to their own immediate past values. Distant past values do not have any implications. This study suggests that short run macroeconomic policy would be beneficial to influence the foreign exchange market and eventually the performance of export of Bangladesh.


2016 ◽  
Vol 7 (2) ◽  
Author(s):  
Paul C Langley ◽  
Taeho Greg Rhee

Over the past 20 years a number of simulations or models have been developed as a basis for tracking and evaluating the impact of pharmacological and other interventions in type 1 and type 2 diabetes mellitus. These models have typically tracked the natural course of these diseases generating long-term composite claims for cost-effectiveness. These claims can extend over the lifetime of the modeled patient cohort. Set against the standards of normal science, however, these claims lack credibility. The claims presented are all too often either immune to failure or are presented in a form that is non-testable. As such they fail to meet the key experimental requirements of falsification and replication. Unfortunately, there is a continuing belief that long-term or lifetime models are essential to decision-making. This is misplaced. The purpose of this review is to argue that there is a pressing need to reconsider the needs of health system decision makers and focus on modeled or simulated claims that are meaningful, testable, reportable and replicable in evaluating interventions in diabetes mellitus.   Type: Commentary


2005 ◽  
Vol 15 (S1) ◽  
pp. 174-178 ◽  
Author(s):  
Kathleen Mussatto ◽  
James Tweddell

The past two decades have witnessed a major shift towards repair of most congenital cardiac malformations during the neonatal or infant periods of life.1 Early anatomic correction or palliation, dramatic improvements in survival, and reduced morbidity due to improvements in perioperative and long-term medical management, have resulted in new populations of children that have reaped the benefits of the best care currently available for treatment of congenital cardiac disease. The impact of the congenital cardiac malformations, however, extends far beyond the walls of the hospital or clinic where we diagnose, treat, and follow our patients. The breakthrough of achieving predictable results with repair or palliation of most lesions during the neonatal and infant periods mandates us to look beyond survival, and to examine the lives our patients lead when they are outside of our care. Our purpose in this review is to discuss the measures of psychosocial outcome that are appropriate for exploration in those neonates and infants who survive cardiac surgery, to explore what is known about the psychosocial outcomes and quality of life for these patients, and what needs exist for future research.


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