Precision medicine in Ewing sarcoma: a translational point of view.

Ewing sarcoma is a rare tumor that arises in bones of children and teenagers but, in 15% of the patients it is presented as a primary soft tissue tumor. Balanced reciprocal chimeric translocation t(11;22)(q24;q12), which encodes an oncogenic protein fusion (EWSR1/FLI1), is the most generalized and characteristic molecular event. Using conventional treatments, (chemotherapy, surgery and radiotherapy) long-term overall survival rate is 30% for patients with disseminated disease and 65-75% for patients with localized tumors. Urgent new effective drug development is a challenge. This review summarizes the preclinical and clinical investigational knowledge about prognostic and targetable biomarkers in Ewing sarcoma, finally suggesting a workflow for precision medicine committees.

Letter to the Editor: In the last CTO issue members of SEHOP SEAP and SEFH headed by Pilar Garrido

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[Changes in HIV-related attitudes and knowledge of teenagers following the Aulasida intervention in 1996-1997]. / Cambios en las actitudes y conocimientos de los adolescentes sobre la infección por VIH tras la intervención escolar Aulasida, 1996-1997.

BACKGROUND: Schools being the ideal setting for carrying out Health Education activities, the aim of this study was that of pinpointing and quantifying the changes in attitudes and knowledge on the part of teenagers enrolled in school in Algemesí (Valencia) following an educational intervention regarding HIV infection. METHOD: Eleven schools at which a total of 2,599 teenagers (ages 12-19) were enrolled in eleven different years of study (Secondary Education, Secondary Ed. and School Leaving Certificate, College Preparation Course and Vocational Training) were invited to take part. The Aulasida intervention carried out during the 1996-1997 school year consisted of an informative lecture-panel discussion and student involvement activities in small groups using educational materials. The gauging instrument was a questionnaire. This questionnaire was designed in a before-and-after cross-sectional study. An analysis was made divided into age and educational level strata. The averages were compared with the Student "t" test and the percentages of change with ji square. RESULTS: A total of nine schools accepted taking part. 1575 students answered the "before" test (47.4% males and 52.1% females), the average age being 15.2 (1.96) years old. The average number of correct answers to the "before" test was 13.5 (2.8). The "after" test showed an overall increase of up to 14.7 (3.0) correct answers (p < 0.01). By educational levels, this increase was highly appreciable in the younger age group. The most common sources of information on HIV were: television (80.8%); Aulasida (76.8%), teachers (60.9%), pamphlets (58.4%) and films (53.7%9. CONCLUSIONS: Educational interventions are useful tools for increasing knowledge and improving attitudes regarding HIV infection. Secondary schools are the best environment for this purpose, it being necessary to carry out interventions among younger groups, as a greater impact is thus achieved.

Metabolizable energy of meat and bone meal from Spanish rendering plants as influenced by level of substitution and method of determination.

Experiments were conducted to determine the MEn of eight meat and bone meal (MBM) samples. Samples averaged (DM basis): 6.01% moisture, 4.25 kcal gross energy (GE)/g, 53.3% CP, 14.5% ether extract (EE), 29.6% ash, 9.2% calcium, and 4.3% phosphorus. Samples of MBM were substituted in a corn basal diet at levels of 6, 12, 18, and 24%. Values of AMEn were determined at each level of substitution and with regression analysis, because, in general, there were no significant deviations from linearity between dietary AMEn and inclusion level. When considering all the samples studied, the average AMEn values determined with substitution at the 6, 12, 18, and 24% levels of inclusion were 2.91, 2.76, 2.67, and 2.75 kcal/g, respectively, the differences not reaching significance (P greater than .05). The TMEn values were determined by Sibbald's fasted cockerel method. Average values of MBM ME were similar whether determined by calculations based on substitution in the diet or by regression of the data (2.75 and 2.69 kcal/g, respectively). These values were similar to TMEn obtained using Sibbald's method (2.74 kcal/g). Most of the differences in MEn among the samples studied could be attributed to differences in GE, although the percentage of GE metabolized [(ME divided by GE) x 100] tended to increase (R2 = .45; P = .069) when EE content in MBM increased.(ABSTRACT TRUNCATED AT 250 WORDS)