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    Medical education is one of the most competitive and demanding professions. It was only after the dawn of democracy in 1950 that the Department of Health Service was established in Nepal (1).

  • What Happens To Your Donated Blood?

    Blood donation is the act of giving one’s blood so it can be transfused into another for healing purposes.

  • The Pathology of Pain

    Pain has a myriad of concepts, and no one really welcomes pain and always tries to dispose of it as soon as possible. This is understandable, as pain is unpleasant and irksome, but the unpleasantness of pain is what it makes it so effective and an essential part of life.

  • Reconstructive Microsurgery

    From mind to hand and seamlessly to our fingers, we can execute an array of complex tasks without even thinking about them. Even now, as you read this article, complicated hand movements were executed to be able to get the information from my typing on my keyboard to you flipping through the pages of Medicos Next’s magazine to read this article.

  • Statins & Aggressive Behavior

    Many studies have linked decrease in cholesterol levels to increased aggression, and aggression has been reported in patients taking statins, with the increase higher in women.

Huge Milestone In Skin Cancer Treatment

Ten years ago, many patients with advanced melanoma died within six-nine months of diagnosis, with only about one in twenty surviving the disease. If caught early on, patients have a good chance of survival, but with time, the cancer becomes more aggressive and metastatic, and mortality rates fall sharply.
Now, results from a new trial has demonstrated that two immune-boosting drugs, ipilimumab (Yervoy) and nivolumab (Opdivo), when taken together, helps the immune system of patients to distinguish and destroy the cancerous cells, thus stopping or reversing progression of advanced melanoma. The study, led by the Royal Marsden NHS Foundation Trust, found that 52% patients survived, and 74% of them became treatment-free after five years.
In the research study, one group of patients, comprising of 314 participants, were given both nivolumab and ipilimumab, while another group of 316 test subjects was given nivolumab plus a placebo, and a third group of 315 received ipilimumab along with a placebo. The survival rate for the first group was over 52%, while the overall survival for the nivolumab group was 44%, and 26% for the ipilimumab group.
Professor James Larkin, consultant medical oncologist at the Royal Marsden NHS Foundation, hailed the result as a “huge milestone”. He stated, “Oncologists considered melanoma different to other cancers; it couldn’t be treated once it had spread.” Significantly, the researchers found that even in those who stopped treatment due to side-effects like and diarrhea, fatigue, and skin rashes, the result was as good as for those on the combination for longer periods. Dr. Larkin concluded, “The two drugs together definitely have a role in treating metastatic melanoma and will be the choice for some patients. For others, the decision may be to give the drugs in sequence.”
The Telegraph, Sept 28, 2019, https://urlzs.com/km9Et

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