Hepatitis News Ticker- A Practical Guide for the Use of Boceprevir and Telaprevir
- File Under AASLD Nov 2011, HCV News, stem cells
Genotype 2b Hepatitis C Virus in Association with the Response to Peginterferon and Ribavirin Therapy
Pocket Guide For Using
Reference guide highlighting the key elements of care when using boceprevir and telaprevir in clinical practice
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A Practical Guide for the Use of Boceprevir and Telaprevir for the Treatment of Hepatitis C
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With the advice of a panel of experts, this practical guide has been prepared as a consensus recommendation for how telaprevir and boceprevir should be used in the treatment of patients with HCV infection.
Learning Objectives
Upon completion of this activity, participants should be able to:
Manage adverse effects of treatment with boceprevir and/or telaprevir in patients with hepatitis C
Slideset: A Practical Guide for the Use of Boceprevir and Telaprevir for the Treatment of Hepatitis CIn this downloadable slideset, a panel of HCV experts outline the optimal use of boceprevir and telaprevir in the treatment of hepatitis C.
A few topics
Egypt's health catastrophe
By Manal Abdul Aziz -
The Egyptian Gazette
Saturday, September 17, 2011 01:35:39 PM
People are calling for questioning ex-president Mubarak over the health disaster that has hit Egyptians, putting them at the top of the world's list of people suffering from liver cancer and diabetes.
This can happen, for example, on doing medical tests ahead of getting a work visa for a Gulf state or when serious indications and symptoms of the disease present themselves. “Herein, the patient would have reached an advanced stage of the disease that requires huge sums of money for treatment with a very low rate of survival,” Dr Rakeeb told Radio and TV Arabic magazine.
Dr el-Rakeeb also attributes the spread of liver cancer to the carcinogenic wheat that the former regime continued to import and provided to the Egyptians to eat in the form of subsidised bread.
Meanwhile, Dr Inas Shaltout, professor of diabetes in Cairo University's Qasr el-Ainy Faculty of Medicine, has warned of the spread of Diabetes type 2 among the Egyptians, infecting around eight million persons. She says that this is due to citizens' wide dependence on fast food along with the increasing rate of obesity, both of which represent risk factors of heart diseases. The World Health Organisation (WHO) has recently warned that diabetes is turning into an epidemic due to being so widespread in the world. It is also one of four non-infectious diseases that cause 50 per cent of deaths in the world. Dr Gamal Shaaban, cardiac professor at the National Heart Institute has cautioned that the Egyptian nation is in danger because of ousted regime followed wrong health, economic and agriculture polices.
These culminated in an unprecedented rise in the incidence of different diseases such as heart ailments that afflict more than eight million citizens while around 25 per cent of the Egyptian people suffer from high blood pressure. This health problems contribute to the economic crisis because most of the patients are at working age and their ill health affects national production. “It is enough to know that serious diseases such as angina and coronary artery affect Egyptians at the age of 10, lower than in other nations, which is attributed to the widespread disease of diabetes and incidence of hypertension.”
Dr Shaaban cautioned that heart diseases have become the principal cause of death in Egypt: “47 per cent of deaths are caused by heart diseases while the rate was no more than 12.5 per cent n 1970.” Dr Salah el-Messidi, a professor of cancer diseases, presents an even darker picture in suspecting the data given on the number of patients suffering from different diseases. He explains that his suspicions are aroused by “the non-existence of a trusted data base in this country with all the figures given being mere assumptions while the facts are always worse.”
Dr el-Messidi noted, “Cancer diseases have become a chronic problem with some 100,000 cases of cancer being diagnosed every year, which situation exceeds the ability of the Ministry of Health to deal with it, especially with the ministry's limited budget and the high percentage of poor patients.” He believes that carcinogenic pesticides used in agriculture are the main culprits. In addition, professor of chest diseases in Al-Azhar University Dr Mohamed Sedqi focused on the high rate of lung cancer in Cairo and other large Egytian cities that is 20 per cent higher than the median world rate.
Pharmaceutical
The goal of the Top Employers Survey is to identify the most reputable companies in science; companies that are innovative, socially responsible, that inspire loyalty and that treat their employees with respect. Science calculated its results using a web-based survey, which engaged 3,784 participants.
2011 marks the first year that a Massachusetts-based company has claimed the survey’s top spot. However, the state’s performances in recent years have also been impressive, with companies frequently hovering at the #3 spot.
#1 Vertex Pharmaceuticals Incorporated (Cambridge)
From Pharma Gossip
Doctors Avoid Penalties in Suits Against Medical Firms
Two years ago, drugmaker Eli Lilly pleaded guilty to illegally marketing its blockbuster antipsychotic Zyprexa for elderly patients. Lilly paid $1.4 billion in criminal penalties and settlements in four civil lawsuits. But a doctor named as a co-defendant in one suit - for allegedly taking kickbacks to prescribe the drug extensively at nursing homes - never was pursued. Last year, Alpharma paid $42.5 million to settle federal allegations that it paid kickbacks to doctors to prescribe its painkiller Kadian."Health-care decisions must be based solely upon what is best for the individual patient and not on which pharmaceutical company is paying the doctor the biggest kickback," Rod J. Rosenstein, U.S. attorney for the District of Maryland, said in a statement announcing the settlement. But the doctors accused of trading prescriptions for paid speaking gigs faced no consequences...
Published: September 16, 2011 Reviewed by Zalman S. Agus, MD
Emeritus Professor University of Pennsylvania School of Medicine.
Action Points
Note that acute URTIs are the most common reason for people to seek medical care in the U.S. with up to one billion colds occurring per year.
Point out that the investigators found evidence, albeit weak, that probiotics (live micro-organisms, such as those found in yogurt) may be more beneficial than placebo for preventing acute URTIs with only minor GI side effects.
Probiotics modestly help stave off colds and the need for antibiotics to treat them, according to a Cochrane review.
Taking prophylactic doses of healthy bacteria in yogurt and supplements was associated with 12% fewer acute upper respiratory tract infections (rate ratio 0.88 versus placebo, 95% confidence interval 0.81 to 0.96), Bi Rong Dong, MD, of Sichuan University in Sichuan, China, and colleagues found.
Antibiotic use to treat these infections was also lower compared with individuals not taking probiotics in the pooled randomized trials (odds ratio 0.67, 95% CI 0.45 to 0.98), the group reported in The Cochrane Library.
"The evidence is weak, but our review shows a benefit in using probiotics to prevent acute upper respiratory tract infections," Dong's group wrote.
Prior reviews have also supported probiotics for treating infectious diarrhea, preventing antibiotic-associated diarrhea, and treating vaginal infections in pregnancy, they noted.
Probiotics, which most commonly include lactic acid bacteria and bifidobacteria, may exert their immune-boosting effect by bolstering gut wall integrity and amping up activity of phagocytes, Dong's group explained.
They pooled results of 10 randomized controlled trials in 3,451 participants across varying ages -- from infants to adults in their 40s -- aimed at prevention of upper respiratory tract infections with probiotics taken for more than a week, compared with a placebo or no treatment.
Probiotics reduced the number of individuals who had at least one acute upper respiratory tract infection by 42% (odds ratio 0.58, 95% CI 0.36 to 0.92).
Among the three trials that also reported on the proportion of participants who had three or more such acute infections, probiotics had a similar benefit (OR 0.53, 95% CI 0.36 to 0.80).
Mean duration of the infections wasn't significantly reduced in pooled results from the two studies that reported this outcome (0.29 days less than among controls, 95% CI -3.71 to 3.13).
Adverse events reported with probiotics largely fell under the gastrointestinal category, such as vomiting and flatulence, but weren't more common than among controls (OR 0.92, 95% CI 0.37 to 2.28).
The researchers cautioned, though, that these results were limited by a high level of heterogeneity, only one or two studies for some outcome measures, and no data regarding use among older people.
Three studies have been done in older adults -- an important population since the immune system weakens with age, Dong and colleagues pointed out.
While not specifically targeted to upper respiratory tract infections, those studies found:
Lower duration, but no reduction in incidence of winter infections
Lower duration of common infectious diseases, particularly upper respiratory tract infections
A 3.4-fold reduction in risk of coming down with the common cold or influenza virus infection
The study was supported by the Chinese Cochrane Center at Sichuan University and by the Cochrane ARI Group in Australia.
The researchers reported having no conflicts of interest to disclose.
Primary source:
The Cochrane LibrarySource reference:
Hao Q, et al "Probiotics for preventing acute upper respiratory tract infections" Cochrane Database of Syst Rev 2011; 9: CD006895.
From WebMD
What are probiotics?
Stem Cells
It is imperative that any application of stem cells in people is driven by firm scientific evidence. Any activity without such evidence must be strictly condoned and prevented, says Sanjeev Gupta, who holds the Eleazar and Feige Reicher Chair in Translational Medicine, Albert Einstein College of Medicine, US.
Dr. Gupta is one of the authorities on stem cell research, with particular interest in regeneration of the liver through stem cells. In Chennai recently, on the invitation of the Institute of Gastrointestinal Surgery, Government Stanley Hospital, he said it was particularly important that false hope was not generated through inappropriate, premature or unwise use of stem cells.
Appropriate measures must be taken at multiple levels – at the medical and political establishment levels to ensure that this is controlled. Only with the right type of scientific evidence and validation, will treatments be effective over the long run.
There is increasing information now, on stem cells. The major emphasis is on identifying the biological components of stem cells and how they could be harnessed for repairing organs. There is also great interest in liver-directed stem cell therapy, as this has the potential to impact on the condition of other organs as well. That makes the liver the most attractive, single target for stem cell therapy.
Serious efforts have been made towards understanding how a liver fails, and treating the liver with transplantation of healthy stem cells, to see if they can correct the disorders. Trying to make liver cells from stem cells is one way. Simultaneously, there has been a lot of interest in using cells from other parts of the body, such as bone marrow or the peripheral vascular system, with the consideration that those cells will convert themselves to the damaged organ, and start the process of repair.
“There is as yet no compelling scientific evidence that blood-derived cells can replace tissue cells elsewhere – such as the liver,” he said. However, there is definitely the possibility that these cells can be extracted, as also cells from the skin, intestinal tract, or eye, and converted to stem cells.
“At the moment, it requires manipulation, insertion of multiple genes that could cause cancers. There is a lot of work to do in the field,” Dr. Gupta explained.
There is another component of stem cells that has not received as much attention in the public mind, he said. This is the activation of one's own endogenous stem cells, or of one's own resident stem cells in every organ. “If there is damage to the organ, why can't we activate our own residual stem cells so that they can repair through appropriate signals?” he asks.
Cash backing for stem cell research
The money will support the work of researchers and clinicians in Scotland to find treatments for illnesses including diabetes, multiple sclerosis, strokes, blindness, liver disease and Alzheimer's.
Medical research charity the UK Stem Cell Foundation (UKSCF) hopes to raise £5 million towards stem cell research over the next three years.
It is also being supported by Scottish Enterprise with a £300,000 grant.
UKSCF chairman Sir Richard Sykes said: "Scotland is home to some of world's leading stem cell researchers and scientists. However, with ongoing pressure on budgets, it is becoming increasingly difficult to access funding for this exciting area of research.
"We already have over 20 Scottish companies involved in stem cell activity, and I believe this new fund has the potential to help turn our world-leading science into real commercial success."
AASLD 2011
The 62nd Annual Meeting of the American Association for the Study of Liver Diseases
San Francisco, CA - Moscone Convention Center November 5 - 8, 2011
SAN FRANCISCO, Sept. 15, 2011 /PRNewswire/ -- The Liver Meeting® is the premier meeting in the science and practice of hepatology, including the latest findings on new drugs, novel treatments, and the results from pilot and multicenter studies.
Approximately 10 percent of Americans have some form of liver disease, but fortunately, the research community has made great strides in recent years in developing new treatments for patients.
At this year's meeting, 2312 abstracts addressing these issues that will be presented, including 276 abstracts that will be presented in oral sessions. Those abstracts are available to members of the press at our website (http://www.aasld.org/%29.
San Francisco, CA: November 5 – 8, 2011
Oral Presentations: November 6 – 8
An AASLD President's press conference highlighting key abstracts and issues presented at the Liver Meeting® is scheduled for Saturday, November 5 at 4:00 pm.
The Hepatitis Debrief is designed to rapidly synthesize and summarize the new data presented at the Liver Meeting® in such a way that the information will be meaningful and useful.
Founded in 1950, AASLD is the leading organization of scientists and healthcare professionals committed to preventing and curing liver disease. AASLD has grown into an international society responsible for all aspects of hepatology, and our annual meeting attracts more than 8,000 physicians, surgeons, researchers, and allied health professionals from around the world.
Please contact AASLD at 703-299-9766 for information about the above presentations, or to receive any additional information about The Liver Meeting® – or visit our website at http://www.aasld.org/.
Sanford Guide Introduces New Hepatitis Guide
September 17, 2011


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