Background: the quality of life (QoL) of patients with pancreatic ductal adenocarcinoma (PDAc), with its limited survival, can be affected by chemotherapy-induced toxicity. The main objective was to evaluate the effec...
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Background: the quality of life (QoL) of patients with pancreatic ductal adenocarcinoma (PDAc), with its limited survival, can be affected by chemotherapy-induced toxicity. The main objective was to evaluate the effect of introducing ocoxin oral solution (ooS) in combination with standard therapy on quality of life. Methods: Thirty patients were enrolled in an exploratory, prospective, single-centre clinical trial in the oncology department of “Hermanos Ameijeiras” University Hospital in Havana, cuba. Quality of life was measured using the EoRTc QLQ-c30 questionnaire and toxicity was assessed using the NcI-cTc-AE classification version 5.0. Results: There was stability in the scores over time for overall QoL and the functional scale criteria, while in terms of symptoms, fatigue, pain and loss of appetite were reduced. No grade 3 - 4 adverse events (AEs) were recorded, and only 14.9% of toxicities were classified as grade 2, and these were considered to be unrelated to ooS. Biochemical and nutritional parameters were normalised at 12 months compared to the baseline values. conclusions: This clinical study is the first report of the use of ooS in patients with advanced pancreatic cancer, and demonstrates that it is able to maintain optimal quality of life with reduced severity of toxicity during and after combination treatment with gemcitabine-based chemotherapy.
Several ectoparasites parasitise nestlings decreasing their body condition,growth and *** minimise any loss of fitness due to ectoparasites,birds have developed a wide variety of defence mechanisms,potentially includi...
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Several ectoparasites parasitise nestlings decreasing their body condition,growth and *** minimise any loss of fitness due to ectoparasites,birds have developed a wide variety of defence mechanisms,potentially including hatching *** to the Tasty chick Hypothesis(TcH),the cost of parasitism would be reduced if ectoparasites tend to eat on less immunocompetent nestlings,typically the last-hatched chick in asynchronously hatched broods,as they are in poor body *** predictions of the TcH are that immune capacity is lower in smaller nestlings than in larger ones and that parasites should provoke a more negative effect on smaller ***,we test these predictions in a population of Blue Tits(cyanistes caeruleus)whose broods are parasitised by Hen Fleas(ceratophyllus gallinae)and Blowflies(Protocalliphora azurea).We recorded the presence of both ectoparasites and analysed the immunocompetence(number of leucocytes per 10,000 erythrocytes and cutaneous immune response to phytohaemagglutinin)and body condition of smaller and larger nestlings within individual *** leucocyte count was higher in smaller nestlings than in larger ones,whereas the cutaneous immune response did not differ between smaller and larger *** nestlings,but not larger nestlings,had lower body mass when fleas were ***,by contrast,had no detectable negative effect on ***,our findings provide partial support to the *** immune capacity in smaller nestlings than in larger ones was not supported,but Hen Fleas seemed to negatively impact on smaller nestlings more than on larger ones.
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