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The critical role of bisphosphonates to target bone cancer metastasis: an overview.

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The critical role of bisphosphonates to target bone cancer metastasis: an overview.

J Drug Target. 2014 Sep 9;:1-15

Authors: Singh T, Kaur V, Kumar M, Kaur P, Murthy RS, Rawal RK

Abstract
Abstract Cancer becomes the leading cause of deaths worldwide, including breast cancer, prostate cancer and lung cancer that preferentially metastasize to bone and bone marrow. Bisphosphonates (BPs) have been used successfully for many years to reduce the skeletal complications related with the benign and malignant bone diseases that are characterized by enhanced osteoclastic bone resorption. Nitrogen-containing bisphosphonates (N-BPs) have also been demonstrated to exhibit direct anti-tumour effects. BPs binds avidly to the bone matrix, and released from matrix during bone resorption process, BPs are internalized by the osteoclasts where they interfere with biochemical pathways and induce osteoclast apoptosis. BPs also antagonizes the production of osteoclast and promotes the osteoblasts proliferation. Currently, Zoledronic acid is widely used as one of the BP having high bone specificity and potential to inhibit the osteoclast-mediated bone resorption. In addition to inhibition of cell multiplication and initiation of apoptosis in cultured cancer cells, they also interfere with adhesion of cancer cells to the bone matrix and inhibit cell migration and invasion. Pathophysiology and current target therapies like conjugate of BPs with liposomes, nanoparticle used for the treatment of bone cancer is reviewed in this article along with the use of different BPs.

PMID: 25203856 [PubMed - as supplied by publisher]

The Second Study on WHO MPOWER Tobacco Control Scores in Eastern Mediterranean Countries Based on the 2013 Report: Improvements over Two Years.

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The Second Study on WHO MPOWER Tobacco Control Scores in Eastern Mediterranean Countries Based on the 2013 Report: Improvements over Two Years.

Arch Iran Med. 2014 Sep;17(9):621-5

Authors: Heydari G, Ebn Ahmady A, Lando HA, Shadmehr MB, Fadaizadeh L

Abstract
BACKGROND: Following MPOWER's 2011 report, a study was conducted to quantify the implementation of MPOWER tobacco control policies in the Eastern Mediterranean Region (EMR) in 2013 to assess any possible change during the last two years. 
METHODS: In this cross sectional study, based on 10 categories mentioned in MPOWER 2013, a checklist was designed and its scoring was agreed upon by Iranian and international tobacco control specialists. Seven questions were scored from 0 - 4 and 3 from 0 - 3. The 22 countries were ranked by their total score on a scale of 0 to 37. 
RESULTS: Among the 22 countries in the EMR, Iran, Kuwait, Egypt, Lebanon, Gaza and West bank and Jordan were scored 31, 28, 28, 26, 25 and 25 respectively. 14 countries scored more than 50%, a small improvement; 5 countries have seen their scores fall, and three countries received the same score as last time. The highest overall improvement was attributed to the warning label, and the sharpest decline was observed in the consumption category.
CONCLUSION: There has been a slight overall improvement in tobacco control planning, although the desired levels have yet to be reached and some countries in the region have fared worse.

PMID: 25204478 [PubMed - in process]

Information resources and latest news about Ebola virus disease available from ECDC.

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Information resources and latest news about Ebola virus disease available from ECDC.

Euro Surveill. 2014;19(31)

Authors: Eurosurveillance editorial team

PMID: 25138973 [PubMed - in process]

Ebola 2014 - New Challenges, New Global Response and Responsibility.

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Since Ebola virus was first identified in 1976, no previous Ebola outbreak has been as large or persistent as the current epidemic, and none has spread beyond East and Central Africa.

To date, more than 1000 people, including numerous health care workers, have been killed by Ebola virus disease (EVD) in 2014, and the number of cases in the current outbreak now exceeds the number from all previous outbreaks combined. Indirect effects include disruption of standard medical care, including for common and deadly conditions such as malaria, and substantial economic losses, insecurity, and social disruption in countries that were already . . .

Forty years of the war against Ebola.

Ebola2Humans have been fighting against the Ebola virus disease (EVD) since its first outbreak in 1976 in southern Sudan and Yambuku in Zaire which lies on the Ebola River. According to the data from the World Health Organization (WHO, 201b), the first outbreak claimed 431 lives in 1976, and the disease awoke transiently in Sudan three years later and then disappeared for 15 years afterwards. Following that, large outbreaks appeared in 1995 in Zaire with 250 deaths of people, 2001-2002 in Uganda with 224 deaths, 2002-2003 in Congo with 128 deaths, and 2007 in Congo with 187 deaths. In 2014, the most severe and complicated outbreak swept through the West African countries having already taken 1069 lives, with the situation seeming to be out of control. To date, there have been 15 outbreaks in Africa, which have caused 4362 infected cases and claimed 2659 lives. The pandemics of Ebola show obvious independence from any season.

Humans are generally susceptible to the Ebola virus without gender or age variation. The natural reservoir of the Ebola virus still remains unclear. During the past 40 years or so, the EVD disappeared after an outbreak in one region and erupted in another region without any warning.

The difficulty in understanding the spreading pattern of Ebola was compared to that of the wave-particle duality of light.

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