m*********r 发帖数: 4692 | 1 Before Redskins-Rams deal, Browns tried to make last-minute push to make tra
de for second overall pick. By then, too late.
Trade will not change Redskins plans in pursuing Peyton Manning. Intend to t
alk with and try to sign him, even if considered a longshot. |
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O*******o 发帖数: 7091 | 2 what're you talking about? I was alking about the black hawk down |
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E***X 发帖数: 885 | 6 请问做一个你去年的网站需要什么skills,多长时间?谢谢。
我来回答一下上面的问题吧,狗曝光正确,只好牺牲雪了。其实我觉得第一张有时间做
暗角,就该把雪中的 hiking route(S curve) 作暗点。 |
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l**n 发帖数: 2405 | 7 肝脏指标:第一列数字(84, 161, 58)是我的猫咪的检查结果。
后面的range(0-62, 28-100, 5-55)是正常范围。
ALK. PHOSPHATASE 84 0-62
ALT (SGPT) 161 28-100U/L
AST (SGOT) 58 5-55U/L
从检查结果看明星的肝功能问题。大夫也说不清是怎么回事。但是看在他能吃
罐头的份上,先观察两天。另外我知道一个很好的大夫,就是远了点。打算这个
星期带上尼尼去这个好大夫那里,一起带上从现在大夫这里得到的血液检查,
X光片子。
谢谢大家。 |
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a*f 发帖数: 5682 | 8 Kaka in Central Park New York
1
2 |
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a*f 发帖数: 5682 | 11 不是很早, 8点多, 不过在公园里面,在加上埋到膝盖的雪,所以人少, |
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b*****r 发帖数: 4717 | 13 vet打来电话说血检几项偏高,要再去查个test。昨天是他爸带着去的,见得是clinic
另一个vet Dr.B(我不喜欢那个vet),今天是Dr. G, 是kaka一直见的vet.G.他说几项
肝指标偏高,可能是infection引起的secondary,也可能是肝炎之类,可能cancer但卡
卡这么年轻先考虑排除别的。 Dr.B让查T4,问Dr.G为啥,Dr.G也不明白打电话问Dr.B
,说是胆固醇高,要查T4排除Hypothoridism,我问拉肚子呕吐什么关系??Dr.G也不
convince该查那个。。最后他说,回去吃药观察,如果继续呕吐拉肚子,回来拍片子,
再查血,或者fecal culture排除salmonella?
感觉vet意思是,如果吞了异物,呕吐应该更频繁,他吐得频率更像是功能方面的。血
检结果贴在楼下了,有懂的帮忙看下吧,多谢了。AST (SGOT), ALT(SGPT),Alk
Phosphatase, Cholesterol偏高。
今天早上吃了鸡肉拌饭,胃口也一般,目前还没吐,便便还soft一滩。
—————————————————————————————... 阅读全帖 |
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l**********3 发帖数: 2088 | 14 要出门1,2个星期的话换水怎么办? 还有为啥一定要换水?不能加ALK的添加剂来增
加KH么 |
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R*o 发帖数: 3781 | 15 Problem (2) fulfillment of the Isaiah
12: 34 So the crowd answered him, "We have heard from the Law that the Chris
t remains forever. How can you say that the Son of Man must be lifted up? W
ho is this Son of Man?"
12:35 So Jesus said to them, "The light is among you for a little while long
er. Walk while you have the light, lest darkness overtake you. The one who w
alks in the darkness does not know where he is going.
Jesus failed to answer an important question here. Reading Isaiah 9:6-7, Je... 阅读全帖 |
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C****i 发帖数: 1776 | 16 神學教育典範﹕神學生必讀書目
A CLASSIC SEMINARY EDUCATION:
My Recommended Reading List
What the 21st century longs and needs to see, are Christians and
churches w
ho have a message to proclaim. Do you know what you believe? Building one
's own theological foundation is a life time task. It may involve going to s
eminary, or it may not. Not everyone has that opportunity. Sadly, very oft
en a seminary degree does not mean a solid foundation in the doctrines of th
e Bible. However you can launch ou... 阅读全帖 |
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C****i 发帖数: 1776 | 17 BIBLE STUDY AIDS 查經法(技巧)﹐材料
My suggestion for personal Bible study is: before you dig into a
book of th
e Bible, first read the 2-page introduction which is given before that book,
in most study Bibles. Then for every day after that, read 10-12 verses, or
one major paragraph. Re-read this section 1-2 days later. Make good use o
f study questions or notes on the bottom, or at the margin of your study Bib
le. Perhaps in our hectic lifestyle we will be able to retain some insights
that ... 阅读全帖 |
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C****i 发帖数: 1776 | 18 CHAPTER XV
Of Repentance unto Life
I. Repentance unto life is an evangelical grace,[292] the doctrine whereof i
s to be preached by every minister of the gospel, as well as that of faith i
n Christ.[293]
II. By it, a sinner, out of the sight and sense not only of the danger, but
also of the filthiness and odiousness of his sins, as contrary to the holy n
ature, and righteous law of God; and upon the apprehension of his mercy in C
hrist to such as are penitent, so grieves for, and hates his sins,... 阅读全帖 |
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Q*******e 发帖数: 57 | 19 Tone Check
Text Size: Zoom In
October 1, 2011 — by Bill Crowder
Subscribe on iTunes
Play MP3 (Mobile)
Our Daily Bread Radio is hosted by Les Lamborn
Read: Colossians 4:2-6
Let your speech always be with grace, seasoned with salt, that you may know
how you ought to answer each one. —Colossians 4:6
Bible in a year:
Isaiah 11-13; Ephesians 4
Driving home from work, I heard a radio advertisement that got my attention.
It was for a computer program that checks e-mails as they are written. I wa
s fami... 阅读全帖 |
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R*o 发帖数: 3781 | 20 Study By: Greg Herrick
A. Introduction
Hypocrisy—carefully presenting one appearance on the outside, while clingin
g to another on the inside—is declared by Jesus to be like a white washed t
omb. Such houses for the dead look great, however, even impressive on the ou
tside, but… and you know how the rest of that goes (cf. Matt 23:27). Two st
ories illustrate well the nature of hypocrisy and the pain that comes with i
t.
The first is related by Stuart Briscoe. He tells the story of the time he wa... 阅读全帖 |
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R*o 发帖数: 3781 | 21 Study By: Greg Herrick
A. Introduction
Hypocrisy—carefully presenting one appearance on the outside, while clingin
g to another on the inside—is declared by Jesus to be like a white washed t
omb. Such houses for the dead look great, however, even impressive on the ou
tside, but… and you know how the rest of that goes (cf. Matt 23:27). Two st
ories illustrate well the nature of hypocrisy and the pain that comes with i
t.
The first is related by Stuart Briscoe. He tells the story of the time he wa... 阅读全帖 |
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j****u 发帖数: 1413 | 22 新闻与照片请见:http://marathon.ustc.edu.cn
传奇女生,发明治疗肺癌新药,被誉智慧与创造力的化身
2012年10月,中国科大803校友、辉瑞公司科学家崔景荣博士荣获Profiles in
Diversity Journal 颁发的2013年度最值得瞩目女性奖(11th WomenWorthWatching
Awards)。10月1日上午(美国太平洋时间9月30日晚即中秋节之夜),新创基金会致电
崔景荣博士祝贺中秋佳节,并介绍“再战北马,捐赠海外交流”行动的情况。崔景荣欣
然捐赠,表达她对中国科大的支持。
最值得瞩目女性奖的获奖者多为大公司高管,而崔景荣作为制药公司华裔女科学家入选
显得卓尔不群。在当期杂志的采访中,崔景荣回顾了她在中美接受教育经历。在被问及
对年轻女性有何建议时,崔景荣提到:应尽快找到兴趣和热情之所在,努力完成学业—
为事业成功奠定坚实的基础。而崔景荣的人生信条则是“努力工作必将有所突破。(
Hard work will make a difference.)
上图为Profiles in Diversity Journal杂志对崔景荣的报道
... 阅读全帖 |
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A*******e 发帖数: 284 | 23 谢谢诸位!我这个是因为需要建library,最好达到10(9),最低也得10(7)才
能说得过去,所以要求很高的浓度和效率。也有可能是自连,就是在两个酶只有一个酶
成功切了,而另外一个没有切的情况下,肯定自连。因为需要连接的效率,所以ALK之
类的处理被排除。也不想分布酶切,因为首先有共用buffer,其次我不想多纯化一次损
失我的vector.按诸位的意见,我打算降低单个酶切反应dna的量试试看。另外我这两个
酶切位点相距12bp,我想不会相互干扰。 这12bp中还有另外一个酶切位点,也是同样
的工作buffer,我想先用双酶切后,再加点这个酶,争取把那些漏网之鱼逮到干掉。
诸位有好主意,请不吝赐教!谢谢 |
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s******u 发帖数: 81 | 24 Is this the one showing tremendous specificity for ALK? |
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K******S 发帖数: 10109 | 25 that's quick. EML4-ALK fusion was discovered around 2007. It only takes 4
years to have a commercial drug. |
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l*****1 发帖数: 8 | 26 http://www.ncbi.nlm.nih.gov/pubmed?term=20551945
Nature Reviews Clinical Oncology 7, 401-414 (July 2010) | doi:10.1038/
nrclinonc.2010.64
Targeted therapy in non-small-cell lung cancer—is it becoming a reality?
Filip Janku, David J. Stewart & Razelle Kurzrock
Abstract
Treatment outcomes in advanced or metastatic non-small-cell lung cancer (
NSCLC) remain unsatisfactory, with low long-term survival rates. Palliative
chemotherapy offers a median survival not exceeding 1 year. To date, various
comb... 阅读全帖 |
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H*****e 发帖数: 120 | 27 Good to see these discussions.
First, I do review both grant and paper but nothing to be proud of. In the
begining, you will be excited to do it but then you will be sick of doing it
. Also you spend your own time to do it and it became a huge burden. You
probably know how hard to condense 20 page information to 12 pages for R01,
but is much harder to just read those things, especially so many of them.
As for the personlized medicine, diagnosis or therapy, it is the trend and
FDA do like it. ... 阅读全帖 |
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d********n 发帖数: 1013 | 28 晚期肺癌,手术目前是不要考虑了.如果是非小细胞(NSCLC),有活检组织能测个序吗
,看看有没有EGFR, KRAS, ALK mutation.有些基因型一些比较贵药效果会比较好,比
如tarceva之类的.如果没有办法测序,目前估计docetaxel, cisplatin+pemetrexed
(Altima)好像用得比较多.不直接做临床,只知道这点. |
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s******s 发帖数: 55 | 29 http://www.reuters.com/article/2013/05/15/us-cancer-chemo-idUSB
(Reuters) - After decades of using one-size-fits-all therapies to combat
cancer, doctors are using new tools to help decide when their patients can
skip chemotherapy or other harsh treatments.
An approach to oncology that has been in place for decades is beginning to
yield to an arsenal of long-term clinical studies, genetic tests and novel
drugs that target cancer cells and their infrastructure.
"What is happening is a combination ... 阅读全帖 |
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T****u 发帖数: 424 | 30 是的。
所以他们都做药去了。
但是,这个也是一个方向。
现在说用高通量测序做癌症的都是忽悠。
暂时用不上不代表没前途,和药物开发一样,现在是硬件软件数据平台积累阶段。
第二点也不完全是。还说EGFR,同样是sensitizing mutation, 如果用PCR鉴定,确实
应该是使用的。但有些人就是有原发或激发耐药,结合omics还是帮助诊断。
如原发耐药 or 继发的c-MET,ALK突变。 |
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s******9 发帖数: 283 | 31 NCBI protein database一般都有标注吧。
FEATURES Location/Qualifiers
source 1..503
/organism="Homo sapiens"
/db_xref="taxon:9606"
gene 1..503
/gene="TGFBR1"
/gene_synonym="ALK5"
/gene_synonym="SKR4"
Protein 1..503
/gene="TGFBR1"
/gene_synonym="ALK5"
/gene_synonym="SKR4"
... 阅读全帖 |
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m**********d 发帖数: 137 | 32 Expression of ALK-1, TIA-1 and granzyme B in primary systematic anaplastic
large cell lymphoma and their significances on clinical outcome |
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r*****m 发帖数: 3619 | 33 Results: 46
Select item 25597018
1.
Exome-wide Sequencing Shows Low Mutation Rates and Identifies Novel Mutated
Genes in Seminomas.
Cutcutache I, Suzuki Y, Tan IB, Ramgopal S, Zhang S, Ramnarayanan K, Gan A,
Lee HH, Tay ST, Ooi A, Ong CK, Bolthouse JT, Lane BR, Anema JG, Kahnoski RJ,
Tan P, Teh BT, Rozen SG.
Eur Urol. 2015 Jan 14. pii: S0302-2838(14)01396-7. doi: 10.1016/j.eururo.
2014.12.040. [Epub ahead of print]
PMID: 25597018 [PubMed - as supplied by publisher] Free Article
Related citations... 阅读全帖 |
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s**********x 发帖数: 4593 | 34 【 以下文字转载自 Texas 讨论区 】
发信人: wsxbb (ss), 信区: Texas
标 题: 【新来屯子的大色狼】
发信站: BBS 未名空间站 (Tue Sep 21 14:05:05 2010, 美东)
听我闺蜜说的。
就是她隔壁实验室,M所新来的教授。以前经常闹绯闻,闹一次,搬一个地方。经常用t
alk 课题来和学生搭腔。然后软磨硬泡手段非常流氓。这次又泡了一个但被老婆发现了
,他立刻想让这个学生离开这个lab,还要离开houston。简直他妈的是禽兽,还号称要d
efense family!!
他自己家小孩子好几个,你们有知道的可以对号入座。名字我就先不说了,等我朋友安
定好了,我再来讲
另外,有人知道学生告老板的话,最后有什么结果么?我们都劝她去告到上层 |
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yf 发帖数: 272 | 35 要不要试一下做个eml4-alk mutation 的检查,虽然只有少数患者有这个基因突变,但
是如果有就可以用crizotinib,效果很好。(Kwak et al. Nemj 2010)你可以google一
下。现在正在做临床试验。 |
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a**********2 发帖数: 3726 | 36 Only common ones, like:
WBC, HGB, HCT, MCV, RDW, PLT
Na, K, Cl, HCO3, BUN, Cr, Mg, PO4, Ca
AST, ALT, ALK PHOS, lbumin, T-bili, D-bili
Lactid acid
PT, INR, PTT
TSH
PaO2, PaCO2, PH in ABG
Normal anion gap
A-a gradient
PCWP normal value |
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s********g 发帖数: 176 | 37
试验
对美国实习生对国内医疗水平的认识深表遗憾,肿瘤内科应该是最没有技术含量的工作
了,国内都快烂大街了,巴不得街道医院都整个肿瘤科,全世界都用一样的指南、甚至
是一样的药物,照着开药就行了,会处理点并发症就可以了!
crizotinib 只针对ALK基因融合突变的患者,非小细胞肺癌里大约5%,小细胞的更少了
,如果做了基因检测存在突变自然可以用,但是概率太低。 |
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R********t 发帖数: 10 | 38 【 以下文字转载自 Medicine 讨论区 】
发信人: RebeccaAnt (RebeccaAnt), 信区: Medicine
标 题: 求助:国内朋友的父亲肺非小细胞腺癌 预后和治疗
发信站: BBS 未名空间站 (Tue Feb 2 19:00:06 2016, 美东)
基本病史:
男,年龄59岁,近40年吸烟史。咳嗽一个月左右,有痰,其他身体状况尚佳。
患者一月初自己摸到右腰部皮下有一结节,不痛,于1月20日将结节切除,1月21日病检
为转移性低分化癌,说是恶性程度比较高。
1月22日做PET-CT发现右上肺有包块,应该为恶性,大约4cm。其他器官未发现转移。
1月23日晚上咳痰发现有点带粉红色。
1月24日入院,26日做了纤支镜,取了活检,但是由于又拿去做基因检查,所以结果还
没出来,当时医生涂片后跟我说是非小细胞腺癌。
朋友自己查了很多相关文献,这种癌症貌似预后不太好,生存期也不是很长。
他们的问题就是:
检查只做了ALK和EGFR,没有突变,还可以用靶向药么?还是需要做其他的基因检查?
如果只能化疗,哪种化疗的药物适合他这种情况,副作用小些的最好。还有这种情况有... 阅读全帖 |
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R********t 发帖数: 10 | 39 【 以下文字转载自 Medicine 讨论区 】
发信人: RebeccaAnt (RebeccaAnt), 信区: Medicine
标 题: 求助:国内朋友的父亲肺非小细胞腺癌 预后和治疗
发信站: BBS 未名空间站 (Tue Feb 2 19:00:06 2016, 美东)
基本病史:
男,年龄59岁,近40年吸烟史。咳嗽一个月左右,有痰,其他身体状况尚佳。
患者一月初自己摸到右腰部皮下有一结节,不痛,于1月20日将结节切除,1月21日病检
为转移性低分化癌,说是恶性程度比较高。
1月22日做PET-CT发现右上肺有包块,应该为恶性,大约4cm。其他器官未发现转移。
1月23日晚上咳痰发现有点带粉红色。
1月24日入院,26日做了纤支镜,取了活检,但是由于又拿去做基因检查,所以结果还
没出来,当时医生涂片后跟我说是非小细胞腺癌。
朋友自己查了很多相关文献,这种癌症貌似预后不太好,生存期也不是很长。
他们的问题就是:
检查只做了ALK和EGFR,没有突变,还可以用靶向药么?还是需要做其他的基因检查?
如果只能化疗,哪种化疗的药物适合他这种情况,副作用小些的最好。还有这种情况有... 阅读全帖 |
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Y***Y 发帖数: 232 | 40 我在MICU/CCU刚刚满一年,最近把CCRN考了,一次高空飞过,来分享一下考经吧。
最近科室里面掀起了一阵CCRN潮,科室还给大家一套AACN的复习材料给大家轮流使用。
AACN 有一盘CD 和三套模拟训练题, 我只看了CD,觉得非常有用的,每个系统把考点
总结了一下,很好的加强了理论知识。
我还用了pass CCRN CD 的题库,没有全部做完,cardio 和 pulm 实在太多了,大概各
做了70题,
其他category题目少的基本都做完了,每次无论对的错的都看解释加做笔记,虽然笔记
后来一遍都没看过 :(
总共复习了两个星期,其中全职上班,不上班的日子每天复习8小时,上班的日子完全不
看书。
实战感觉和 pass ccrn 接近或者更简单一些,基本一分钟一题,题干也不长,磨棱两
可的做bookmark,做完全部150题 然后回头琢磨那些磨棱两可的,根本不需要三小时。
以下理论知识基本在考题中都有用到:
CVP, PAOP, PAP, CO, CI 这些正常范围一定要知道,怎么区分LVHF 和 RVHF,fluid
status,
preload, afterload,
IC... 阅读全帖 |
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t*******m 发帖数: 80 | 41 各位同行、前辈:
我国内的一位儿时旧友昨日来信,提到其父肺癌晚期,ALK阳性,急需购买Crizotinib
救命...
Crizotinib刚刚上市,应该是处方药。可是朋友的父亲现在在国内。
请问有何渠道可以在美国直接购买Crizotinib?或由美国医生开药直接寄往国内?
谢谢各位了! |
|
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t*******m 发帖数: 80 | 43 各位同行、前辈:
我国内的一位儿时旧友昨日来信,提到其父肺癌晚期,ALK阳性,急需购买Crizotinib
救命...
Crizotinib刚刚上市,应该是处方药。可是朋友的父亲现在在国内。
请问有何渠道可以在美国直接购买Crizotinib?或由美国医生开药直接寄往国内?
谢谢各位了! |
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