The role of immunotherapy in non-clear cell renal cell carcinoma.

The category of non-clear cell renal cell carcinoma (nccRCC) includes several clinically, histologically, and molecularly diverse entities. Traditionally, they comprise type 1 and type 2 papillary, chromophobe, unclassified, and other histologies (medullary, collecting duct carcinoma, and translocation-associated). Molecular knowledge has allowed the identification of some other specific subtypes, such as fumarate hydratase-deficient renal cell carcinoma (RCC) or succinate dehydrogenase-associated RCC. In addition, it has recognized some alterations with a possible predictive role, e.g., MET proto-oncogene receptor tyrosine kinase (MET) alterations in papillary tumors. Standard therapies for the management of advanced clear cell RCC (ccRCC), i.e., vascular endothelial growth factor receptor (VEGFR) pathway inhibitors and mammalian target of rapamycin inhibitors, have shown poorer results in nccRCC patients. Therefore, there is a need to improve the efficacy of the treatment for advanced nccRCC. Immunotherapy, especially immune checkpoint inhibitors (ICIs) targeting programmed death 1/programmed death ligand 1 and cytotoxic T-lymphocyte associated protein 4 (CTLA-4), has demonstrated a significant survival benefit in several malignant neoplasias, including ccRCC, with a proportion of patients achieving long survival. The combinations of ICI or ICI + VEGFR tyrosine kinase inhibitors (TKIs) are the standard of care in advanced ccRCC. Unfortunately, major pivotal trials did not include specific nccRCC populations. In recent years, several studies have retrospectively or prospectively evaluated ICIs alone or in combination with another ICI or with TKIs in nccRCC patients. In this article, we review data from available trials in order to elucidate clinical and molecular profiles that could benefit from immunotherapy approaches.

Teleoncology: A Solution for Everyone? A Single-Center Experience with Telemedicine during the Coronavirus Disease 2019 (COVID-19) Pandemic.

Since the beginning of the COVID-19 pandemic, the use of telehealth was rapidly implemented without previous evidence. The ONCOTELEMD study aimed to evaluate the opinion of patients attended via telemedicine during this period and to study factors that condition patient preferences on its use. Included patients had a confirmed cancer diagnosis and were contacted by telephone between 13 March and 30 April 2020, in the Medical Oncology Service of Hospital Parc Taulí, Sabadell. A 12-question survey was presented to them between 4 February and 19 April 2021. Statistical analysis was carried out using chi-square and multivariable logistic regression tests. Six hundred forty-six patients were included; 487 responded to the survey. The median age was 68 years (27-90), 55.2% were female. Most patients had a surveillance visit (65.3%) and were diagnosed with colorectal or breast cancer (43% and 26.5%, respectively); 91.8% of patients were satisfied, and 60% would accept the use of telemedicine beyond the pandemic. Patients aged more than 50 years (OR 0.40; 95% CI, 0.19-0.81; p = 0.01) and diagnosed with breast cancer (OR 0.45; 95% CI, 0.26-0.69; p < 0.001) were less predisposed to adopt telehealth in the future. Patients agreed to be informed via telehealth of scan or lab results (62% and 84%, respectively) but not of new oral or endovenous treatments (52% and 33.5%, respectively). Additionally, 75% of patients had a medium or low-null technologic ability, and 51.3% would only use the telephone or video call to contact health professionals. However, differences were found according to age groups (p < 0.0001). In total, patients surveyed were satisfied with telemedicine and believed telehealth could have a role following the COVID-19 pandemic. Moreover, our results remark on the importance of individualizing the use of telehealth, showing relevant data on patient preferences and digital literacy.

[Fishery of oceanic and coastal sharks in Colima, Jalisco and Michoacán]. / La pesquería de tiburones oceánicos-costeros en los litorales de Colima, Jalisco y Michoacán.

Shark fishery is one of the most important activities in the Mexican Pacific coast, nevertheless, there is few data available about the specific captures done by the fleet along the coast. This study describes fishery biology aspects of the shark species catched by the semi-industrial long-line fleet of Manzanillo. Monthly samplings were made on board of these vessels during an annual period from April 2006 to April 2007. Captured species composition (n = 1 962 organisms) was represented by nine species. The one that sustains this fishery was Carcharhinus falciformis (88.12%), followed by Prionace glauca (8.21%). Low frequency species were represented by Sphyrna zygaena (1.78%), Alopias pelagicus (0.82%), Carcharhinus longimanus (0.45%). Furthermore, rare species were Alopias superciliosus (0.35%), Carcharhinus leucas (0.1%), Carcharhinus limbatus (0.1%) and Isurus oxyrinchus (0.05%). Fishery activity affected principally (60-92.70%) young males of C. falciformis, S. zygaena, C. longimanus and I. oxyrinchus; adult males (56-75%) of A. pelagicus, A. superciliosus, and C. limbatus; for P. glauca there were primarily female adults. For all the species found, females showed the bigger sizes when compared to males (with the exception of S. zygaena, that showed sexual dimorphism). Considering the lineal regressions made between precaudal length and total length, and, fork length and total length for C. falciformis, P. glauca, S. zygaena and A. pelagicus, the determination coefficients (r2) showed that both lengths can be useful to obtain the total length of fish with some damage or absence of its caudal fin. The estimated fecundity for C. falciformis was of 3-7 offspring/female of 30-45 cm LT (average of 40.57 +/- 2.03 cm LT); and for P. glauca 5-52 offspring/female of 5-18.6 cm LT (average of 11.61 +/- 0.21 cm LT). In the case of C. longimanus only one female was captured with a total of eight embryos, with an average of 45 cm LT each; for this reason we assumed that the fishery areas do not coincide with the nursery oness for this species. According to the information obtained, we concluded that C. falciformis has a concurrent cycle and P. glauca a consecutive biannual one.

La pesquería de tiburones oceánicos-costeros en los litorales de Colima, Jalisco y Michoacán

Fishery of oceanic and coastal sharks in Colima, Jalisco and Michoacán. Shark fishery is one of the most important activities in the Mexican Pacific coast, nevertheless, there is few data available about the specific captures done by the fleet along the coast. This study describes fishery biology aspects of the shark species catched by the semi-industrial long-line fleet of Manzanillo. Monthly samplings were made on board of these vessels during an annual period from April 2006 to April 2007. Captured species composition (n=1 962 organisms) was represented by nine species. The one that sustains this fishery was Carcharhinus falciformis (88.12%), followed by Prionace glauca (8.21%). Low frequency species were represented by Sphyrna zygaena (1.78%), Alopias pelagicus (0.82%), Carcharhinus longimanus (0.45%). Furthermore, rare species were Alopias superciliosus (0.35%), Carcharhinus leucas (0.1%), Carcharhinus limbatus (0.1%) and Isurus oxyrinchus (0.05%). Fishery activity affected principally (60-92.70%) young males of C. falciformis, S. zygaena, C. longimanus and I. oxyrinchus; adult males (56-75%) of A. pelagicus, A. superciliosus, and C. limbatus; for P. glauca there were primarily female adults. For all the species found, females showed the bigger sizes when compared to males (with the exception of S. zygaena, that showed sexual dimorphism). Considering the lineal regressions made between precaudal length and total length, and, fork length and total length for C. falciformis, P. glauca, S. zygaena and A. pelagicus, the determination coefficients (r²) showed that both lengths can be useful to obtain the total length of fish with some damage or absence of its caudal fin. The estimated fecundity for C. falciformis was of 3-7 offspring/female of 30-45cm LT (average of 40.57+2.03cm LT); and for P. glauca 5-52offspring/female of 5-18.6cm LT (average of 11.61±0.21cm LT). In the case of C. longimanus only one female was captured with a total of eight embryos, with an average of 45cm LT each; for this reason we assumed that the fishery areas do not coincide with the nursery oness for this species. According to the information obtained, we concluded that C. falciformis has a concurrent cycle and P. glauca a consecutive biannual one. Rev. Biol. Trop. 59 (2): 655-667. Epub 2011 June 01.

La pesquería de tiburón es una de las más importantes en el Pacífico mexicano, en la actualidad no se cuentan con los datos de la composición específica de las capturas de las diferentes flotas. En el presente trabajo se describen aspectos biológicos-pesqueros de las especies de tiburón, capturadas por la flota palangrera de mediana altura del puerto de Manzanillo, en un periodo anual de abril 2006-abril 2007, los muestreos se realizaron mensualmente a bordo de estas embarcaciones. La composición de las capturas estuvo representada por nueve especies (n=1 962), de las cuales Carcharhinus falciformis (Bibron, 1839) (88.12%) sostiene esta pesquería y en segundo lugar Prionace glauca (Linnaeus, 1758) (8.21%). Las especies poco frecuentes fueron Sphyrna zygaena (Linnaeus, 1758) con (1.78%), Alopias pelagicus (Nakamura, 1935) (0.82%), Carcharhinus longimanus (Poey, 1861) (0.45%), Alopias superciliosus (Lowe, 1839) (0.35%), Carcharhinus leucas (Valenciennes, 1839) (0.1%), Carcharhinus limbatus (Valenciennes, 1839) (0.1%) é Isurus oxyrinchus (Rafinesque, 1810) (0.05%). La fecundidad estimada para C. falciformis fue de 3-7 crías/hembra con tallas de 30-45cm LT; 40.57+2.03cm LT y P. glauca con 5-52 crías/hembra, con tallas de 5-18.6cm LT; 11.61±0.21cm LT. Por lo tanto se asume que C. falciformis presenta un ciclo concurrente y P. glauca probablemente un ciclo bianual consecutivo.

Validity of the Spanish version of the Inventory of Interpersonal Problems and its use for screening personality disorders in clinical practice.

We studied the reliability and validity of two versions (64 items and 32 items) of the Spanish translation of the Inventory of Interpersonal Problems (IIP-64 and IIP-32) and their usefulness as screening instruments for personality disorders in a sample of 190 outpatients and 66 healthy subjects. Patients were assessed using the IIP-64 and IIP-32, the Structured Clinical Interview for DSM-IV Axis II Personality Disorder diagnoses, and the Global Assessment of Functioning. The internal consistency and test-retest reliability were satisfactory. As theoretically predicted, factor analysis produced eight factors, and multidimensional scaling indicated the two dimensions of affiliation and dominance. Finally, a cutoff point of 87 for the IIP-64 showed 87% sensitivity and 85% specificity, whereas a cutoff point of 44 for the IIP-32 showed 82% sensitivity and 75% specificity. The Spanish versions of the IIP-32 and the IIP-64 are valid instruments for assessing interpersonal problems and for screening personality disorders in clinical practice.