scholarly journals Pharmacogenomics of “Core” Essential Medicines

2021 ◽  
Author(s):  
Molungoa Sello

Pharmacogenomics uses information about a person’s genetic makeup to choose the drugs dosage regimens that are likely to work best for that particular person. The genomic research has changed the “one size fits all” approach and opened the door to more personalized approaches that consider individual genetic makeup tend to enhance the efficacy and safety of drugs; thus saving time and money. Patient DNA influences multiple steps in which the drugs interact with the body and where will the drug act in the body. Genetic makeup-based prescription, design, and implementation of therapy do not only improve the outcome of treatments, but also reduce the risk of toxicity and other adverse events. The aim of the chapter is to explore the documented pharmacogenomics of essential as per pharmacogenomic biomarkers in drug labeling; and suggest efficacy and safety modifications. Polymorphism of drug metabolizing enzymes has the greatest effect on inter individual variability of drug response; affecting the response of individuals to drugs used in the treatment of diseases. Also, genetic deficiency of some enzymes limits effectiveness of drugs in treating concerned diseases. Gene testing prior to initiating concerned treatment is the best clinical practice that to enhance the efficacy and safety of drugs.


2021 ◽  
Vol 14 (3) ◽  
pp. 204
Author(s):  
Teresa Iannaccone ◽  
Carmine Sellitto ◽  
Valentina Manzo ◽  
Francesca Colucci ◽  
Valentina Giudice ◽  
...  

Pharmacogenomics can identify polymorphisms in genes involved in drug pharmacokinetics and pharmacodynamics determining differences in efficacy and safety and causing inter-individual variability in drug response. Therefore, pharmacogenomics can help clinicians in optimizing therapy based on patient’s genotype, also in psychiatric and neurological settings. However, pharmacogenetic screenings for psychotropic drugs are not routinely employed in diagnosis and monitoring of patients treated with mood stabilizers, such as carbamazepine and valproate, because their benefit in clinical practice is still controversial. In this review, we summarize the current knowledge on pharmacogenetic biomarkers of these anticonvulsant drugs.



2011 ◽  
Vol 81 (4) ◽  
pp. 256-263 ◽  
Author(s):  
Christophe Matthys ◽  
Pieter van ‘t Veer ◽  
Lisette de Groot ◽  
Lee Hooper ◽  
Adriënne E.J.M. Cavelaars ◽  
...  

In Europe, micronutrient dietary reference values have been established by (inter)national committees of experts and are used by public health policy decision-makers to monitor and assess the adequacy of diets within population groups. The approaches used to derive dietary reference values (including average requirements) vary considerably across countries, and so far no evidence-based reason has been identified for this variation. Nutrient requirements are traditionally based on the minimum amount of a nutrient needed by an individual to avoid deficiency, and is defined by the body’s physiological needs. Alternatively the requirement can be defined as the intake at which health is optimal, including the prevention of chronic diet-related diseases. Both approaches are confronted with many challenges (e. g., bioavailability, inter and intra-individual variability). EURRECA has derived a transparent approach for the quantitative integration of evidence on Intake-Status-Health associations and/or Factorial approach (including bioavailability) estimates. To facilitate the derivation of dietary reference values, EURopean micronutrient RECommendations Aligned (EURRECA) is developing a process flow chart to guide nutrient requirement-setting bodies through the process of setting dietary reference values, which aims to facilitate the scientific alignment of deriving these values.



2018 ◽  
Vol 13 (3) ◽  
pp. 364-381
Author(s):  
Margot Gayle Backus ◽  
Spurgeon Thompson

As virtually all Europe's major socialist parties re-aligned with their own national governments with the outbreak of World War I, Irish socialist and trade unionist James Connolly found himself internationally isolated by his vociferous opposition to the war. Within Ireland, however, Connolly's energetic and relentless calls to interrupt the imperial transportation and communications networks on which the ‘carnival of murder’ in Europe relied had the converse effect, drawing him into alignment with certain strains of Irish nationalism. Connolly and other socialist republican stalwarts like Helena Molony and Michael Mallin made common cause with advanced Irish nationalism, the one other constituency unamenable to fighting for England under any circumstances. This centripetal gathering together of two minority constituencies – both intrinsically opposed, if not to the war itself, certainly to Irish Party leader John Redmond's offering up of the Irish Volunteers as British cannon fodder – accounts for the “remarkably diverse” social and ideological character of the small executive body responsible for the planning of the Easter Rising: the Irish Republican Brotherhood's military council. In effect, the ideological composition of the body that planned the Easter Rising was shaped by the war's systematic diversion of all individuals and ideologies that could be co-opted by British imperialism through any possible argument or material inducement. Although the majority of those who participated in the Rising did not share Connolly's anti-war, pro-socialist agenda, the Easter 1916 Uprising can nonetheless be understood as, among other things, a near letter-perfect instantiation of Connolly's most steadfast principle: that it was the responsibility of every European socialist to throw onto the gears of the imperialist war machine every wrench on which they could lay their hands.



Author(s):  
Lisa Sousa

The Woman Who Turned Into a Jaguar examines gender relations in indigenous societies of central Mexico and Oaxaca from the 1520s to the 1750s, focusing mainly on the Nahua, Ñudzahui (Mixtec), Bènizàa (Zapotec), and Ayuk (Mixe) people. This study draws on an unusually rich and diverse corpus of original sources, including Ñudzahui- (Mixtec-), Tíchazàa- (Zapotec-), and mainly Nahuatl-language and Spanish civil and criminal records, published texts, and pictorial manuscripts. The sources come from more than 100 indigenous communities of highland Mexico. The book considers women’s lives in the broadest context possible by addressing a number of interrelated topics, including: the construction of gender; concepts of the body; women’s labor; marriage rituals and marital relations; sexual attitudes; family structure; the relationship between household and community; and women’s participation in riots and other acts of civil disobedience. The study highlights subtle transformations and overwhelming continuities in indigenous social attitudes and relationships. The book argues that profound changes following the Spanish conquest, such as catastrophic depopulation, economic pressures, and the imposition of Christian marriage, slowly eroded indigenous women’s status. Nevertheless, gender relations remained inherently complementary. The study shows how native women and men under colonial rule, on the one hand, pragmatically accepted, adopted, and adapted certain Spanish institutions, concepts, and practices, and, on the other, forcefully rejected other aspects of colonial impositions. Women asserted their influence and, in doing so, they managed to retain an important position within their households and communities across the first two centuries of colonial rule.



2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Caleb Liang ◽  
Wen-Hsiang Lin ◽  
Tai-Yuan Chang ◽  
Chi-Hong Chen ◽  
Chen-Wei Wu ◽  
...  

AbstractBody ownership concerns what it is like to feel a body part or a full body as mine, and has become a prominent area of study. We propose that there is a closely related type of bodily self-consciousness largely neglected by researchers—experiential ownership. It refers to the sense that I am the one who is having a conscious experience. Are body ownership and experiential ownership actually the same phenomenon or are they genuinely different? In our experiments, the participant watched a rubber hand or someone else’s body from the first-person perspective and was touched either synchronously or asynchronously. The main findings: (1) The sense of body ownership was hindered in the asynchronous conditions of both the body-part and the full-body experiments. However, a strong sense of experiential ownership was observed in those conditions. (2) We found the opposite when the participants’ responses were measured after tactile stimulations had ceased for 5 s. In the synchronous conditions of another set of body-part and full-body experiments, only experiential ownership was blocked but not body ownership. These results demonstrate for the first time the double dissociation between body ownership and experiential ownership. Experiential ownership is indeed a distinct type of bodily self-consciousness.



2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Jung-ah Choi ◽  
Jae Hoon Lim

AbstractThis paper is a self-reflective narrative of our teaching experience as two immigrant Asian female professors who teach Multicultural Education. Employing collaborative autoethnography (CAE), the study addresses the issues of authority, positionality, and legitimacy of knowledge claims in critical feminist pedagogy. Two research questions guided our inquiry: 1. How does a teacher’s racial positionality play out in exercising professional knowledge, and conversely, 2. How does seemingly neutral professional knowledge become racialized in the discussions of race? Major findings demonstrate the double-edged contradictions in the body/knowledge nexus manifested in our everyday teaching contexts. On the one hand, the bodily dimension of teacher knowledge is de-racialized because of institutional norms and cultures. On the other hand, there are times professional knowledge becomes racialized through the teacher’s body. Understanding the body/knowledge nexus that invites precarious power dynamics in racial discussions and even blatantly dismisses our professional knowledge, we, as an immigrant faculty of color, find it impossible to create a safe environment for participatory, critical discourse. Acknowledging our triple marginality, we put forth the concept of “pedagogy of fear” (Leonardo, Z., & Porter, R. K. (2010). Pedagogy of fear: Toward a Fanonian theory of ‘safety’ in race dialogue. Race, Ethnicity and Education, 13(2), 139–157) which squarely disrupts the idea of a safe environment in race dialog and urges teachers to confront their own/their students’ fear and create a space of teaching vulnerably.



2021 ◽  
pp. 1-5
Author(s):  
Vitaliy Sazonov ◽  
Zaure Tobylbayeva ◽  
Askhat Saparov ◽  
Bolatbek Jubaniyazov ◽  
Samat Issakov ◽  
...  

Background: High-dose methotrexate (HDMTX) is likely to cause a number of side effects and manifest itself as hepatotoxicity, nephrotoxicity, mucositis, and neurotoxicity. A several studies demonstrated the efficacy of extracorporeal detoxification methods such as plasma exchange, hemodialysis (HD), HD filtration, and hemoperfusion for the treatment of MTX delayed clearance. However, none of the existing methods as effective as expected and limited for general implementation due to a procedure-related complication. Case Report: Here, we report a successful implementation of HA-230 hemoadsorption procedure to remove cumulated MTX from the body and reduce its toxicity in a child with ALL after high-dose chemotherapy. Results and Conclusion: Based on our results, single-hemoadsorption procedure with the HA-230 adsorber in case of delayed methotrexate clearance was safe and well-tolerated in a pediatric patient with ALL and would significantly improve the patient’s condition. Further studies need to demonstrate its safety and efficacy in a large number of pediatric patients.



Tempo ◽  
2021 ◽  
Vol 75 (296) ◽  
pp. 7-20
Author(s):  
Bethany Younge

AbstractThis article adopts a disability studies perspective to evaluate the ways in which Mauricio Kagel's Repertoire from Staatstheater reimagines human bodies. Objects and bodies interact in myriad ways within the one hundred vignettes of Repertoire: some objects hinder or aid the bodies on stage, while others become incorporated within the body, acting as a single expressive unit. My analysis demonstrates the ways in which both objects and bodies transform their traditional roles as ascribed by society, rejecting procrustean physiques. Using disability studies concepts such as embodiment and experientialism I evaluate sound and physical action as inextricable expressions of imaginative corporealities. Reflecting upon Kagel's identity as an outsider of the European avant-garde, as well as his irreverence for oppressive social institutions, I evince that other forms of hierarchical disruptions are at play, namely that abled bodies do not preside over disabled ones and notions of beauty hold no clout.



Religions ◽  
2021 ◽  
Vol 12 (6) ◽  
pp. 380
Author(s):  
Matthew John Paul Tan

This paper will focus on one element of the pushback against the massive influx of immigrants taken in for humanitarian purposes, namely, an identity-based chauvinism which uses identity as the point of resistance to the perceived dilution of that identity, brought about by the transformation of culture induced by the incorporation of a foreign other. The solution to this perceived dilution is a simultaneous defence of that culture and a demand for a conformity to it. While those in the critical tradition have encouraged a counter-position of revolutionary transformation by the other through ethics, dialogue, or the multitude, such a transformation is arguably impeded by what is ultimately a repetition of the metaphysics of conformity. Drawing on the personalism of Emmanuel Mounier and the Eucharistic theology of Creston Davis and Aaron Riches, this paper submits an alternative identity politics position that completes the revolutionary impulse. Identity here is not the flashpoint of a self-serving conflict, but the launch-point of politics of self-emptying, whose hallmarks include, on the one hand, a never-ending reception of transformation by the other, and on the other hand, an anchoring in the Body of Christ that is at once ever-changing and never-changing.



1952 ◽  
Vol 5 (1) ◽  
pp. 24-28
Author(s):  
B. De Kretser

The consideration of this problem is important for at least two reasons. In many countries there are reports of an increasing decline in public morals and of growing dishonesty and corruption in the life of the body politic. This is taking place at a time when the established religious systems are being subjected to the pressure of pseudo-scientific secularism on the one hand and the claims of modern alternative faiths on the other. Clearly the two developments are interconnected. Yet, to judge from the burden of many public utterances of responsible leaders, including the now important and significant ‘Moral Re-armament’ Group, the close dependence of moral truth and the truth about the character of reality is not realised. Most people are content to mutter the usual platitudes—‘Honesty is the best policy’, ‘Do please try to be good and speak the truth’. But the problem of truth is more complicated than our naīve moralists would have us believe.



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