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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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At least 847 records · Page 47
All sourcesNASA NTRSDOE OSTI
NASA NTRS2019

Prenatal 2g Exposure Alters Placental Expression of Stress-Related Genes

Extra-terrestrial colonization is of growing interest to space agencies and private entities, emphasizing the importance of research on reproduction and development in the absence of Earth's 1G. Maternal stressors can modify offspring development, exerting significant lifespan and crossgenerational changes through prenatal programming. The space environment is stressful, therefore exposure to altered gravity during pregnancy may impact later life outcomes in offspring. In ground-based studies, we exposed pregnant rats to continuous +G (above Earth gravity), and observed overweight and elevated anxiety in adult male (but not female) offspring, common phenotypes associated with prenatal maternal stress. Here we hypothesize that exposure to increased gravity during pregnancy elicits changes in the expression of stress-related genes in placenta that may mediate emergence of later life outcomes. While the placenta transports maternal factors to the fetus and produces endogenous fetal hormones, stress-induced changes at the placental-uterine interface may also alter communication between mother and fetus, facilitating prenatal transmission of unfavorable later life outcomes and cross-generational epigenetic alterations. Maternal stress elevates maternal glucocorticoids however placental 11b-hydroxysteroid dehydrogenase type 2 (HSD11B2) buffers fetal exposure by converting cortisol/corticosterone into inactive metabolites. Maternal stress during pregnancy down-regulates this enzyme and can induce epigenetic changes in placental and fetal tissues accounting for heightened adult HPA reactivity. Past studies have shown a placenta-specific increase in DNA methyltransferase (DNMT3a) mRNA in stressed mothers, an effect with implications for genome-wide epigenetic changes that may account for diverse phenotypic outcomes following maternal stress. Here we exposed groups of pregnant rats to one of five gravity loads (1, 1.5, 1.75 and 2G) and analyzed placental samples during late gestation. We predicted a systematic dose-response relationship between gravity load and the expression of the HSD11B2 and DNMT3 genes, thereby linking maternal exposure to altered gravity during pregancy with maternal stress.

Kalotia, Simranjit K.↗
NASA NTRS2019

An Automated Behavioral Analysis of Drosophila Melanogaster

Behavioral characteristics of D.melanogaster are strongly influenced by intrinsic and extrinsic factors, allowing scientists to assess how changes in physiology or environment manifest into behavior. Conversely, assessing changes in behavior of specimens provides valuable information about how the physiology of that organism responds to external changes. In this project, we developed a computer program to automate behavioral analyses of larvae and adult D. melanogaster aboard the International Space Station using on-board video recordings. Utilizing freely available libraries for Python, we set parameters to compute the number of animals, amount of locomotion as distance or movement, and the change in the perimeter of the larvae's outer shape to quantify behaviors such as curling or peristaltic full body wall contractions. Results show that our program is an efficient tool for analysis of larvae and adult locomotive behavior, thus providing scientists with a low-cost, efficient, and reliable method of quantifying behavioral data.

Zavaleta, Jhony↗
NASA NTRS2021

Microglia Cells, The Brain Innate Immune System: Friend or Foe?

Microglial cells are the resident immune cells of the Central Nervous System(CNS). Under physiological conditions, microglia constantly surveil their surrounding parenchyma and act as scavenger cells to maintain a healthy environment within the CNS. Following different insults to the CNS, microglia turn into a “reactive” state characterized by the production of inflammatory mediators that promote tissue repair to restore homeostasis. If inflammation is not in check, chronic microglia activation results in damage to the brain and leads to persistent cognitive impairments. Microglia display sex-specific features in adult mice; specifically, microglia from female mice have been found to be less reactive. Exposure to space radiation results in chronic activation of microglia in male but not in female mice. Interestingly, manipulating microglia after exposure to space radiation can prevent the development of cognitive deficits in adult male mice. These discoveries may provide clues in how to protect astronauts’ cognitive functions both during the missions and after return

Serena Paladini Maria↗
NASA NTRS2025

Effect of Strict Head Down Tilt Bedrest on Pituitary Gland Height

BACKGROUND Pituitary gland deformity and loss of pituitary height have been identified in astronauts postflight, hypothesized to be related to increased intracranial pressure or intracranial pressure pulsatility exposure from prolonged weightlessness. Microgravity-induced chronic headward fluid shift has been suggested as a root cause of intracranial compliance changes leading to altered intracranial pressure dynamics. Elevated intracranial pressure or pressure pulsatility is theorized to promote the development of an arachnoid diverticulum, which herniates into the pituitary fossa via a defect in the diaphragma sellae compressing the pituitary gland. We aimed to determine if chronic headward fluid induced by strict head-down tilt bed rest (HDTBR) can cause similar quantitative changes in pituitary gland height. METHODS Control group data from two 6-degree HDTBR studies were analyzed (SANS CM and AGBRESA). The AGBRESA study collected MRI data at Baseline, 14 days into HDTBR (HDTBR-14), 52 days into HDTBR (HDTBR-52), and three days into Recovery (R+ 3) and included eight healthy adults (2 women), age = 33 ± 8 years. The SANS CM collected MRI data at Baseline, 15 days into HDTBR (HDTBR-15), 29 days into HDTBR (HDTBR-29), and 12 days into Recovery (R+12) and included twelve healthy adults (4 women), age = 34 ± 9 years. Pituitary gland height was evaluated using a sagittal, 3D T1-MPRAGE sequence obtained on a dedicated 3T Siemens Biograph MRI scanner using a 32-channel head coil. Following the reconstruction of a true orthogonal sagittal plane of the pituitary gland using a 3D multiplanar reconstruction tool (Horosproject.org), the anterior pituitary mid-gland height at the pituitary stalk level was quantified according to the methodology described by Kramer et al. . A paired t-test was used to evaluate changes from the baseline measurements. FINDINGS The mean height of the pituitary gland at baseline was 6.5 ± 1.7 mm (AGBRESA) and 5.7 ± 1.6 mm (SANS CM). From baseline measurements, the SANS CM STUDY data showed a decrease in mean pituitary height of 0.3 mm (p=.011) at HDTBR-15, 0.5 mm at HDTBR-29 (p<.001) and 0.2 mm at R+12 (p=.02). From baseline measurements, the AGBRESA data showed a decrease in mean pituitary height of 0.3 mm (p=.06) at HDTBR-14, 0.6 mm at HDTBR-52 (p<.002) and 0.2 mm at R+3 (p=.13). CONCLUSION HDTBR results in progressive loss of pituitary height, which is most severe with the longest HDTBR exposure. Early pituitary height loss was the same at HDTBR-14 (AGBRESA) and HDTBR-15 (SANS CM). Residual pituitary height loss was the same at R+12 and R+3 but only significant in the latter (SANS CM). The degree of pituitary height loss at HDTBR-52 replicates the 0.6 mm height loss found in long-duration astronauts after approximately six months of microgravity exposure (p<.01, preflight mean height=5.9 mm). The hormonal effects of pituitary height loss are unknown in astronauts and HDTBR subjects and should be investigated in future studies. Future work will examine the individual variability in the loss of pituitary gland height and whether those changes are associated with other SANS findings, such as optic disc edema.

L A Kramer↗
DOE OSTI2014

Documenting Western Burrowing Owl Reproduction and Activity Patterns Using Motion-Activated Cameras

We used motion-activated cameras to monitor the reproduction and patterns of activity of the Burrowing Owl (Athene cunicularia) above ground at 45 burrows in south-central Nevada during the breeding seasons of 1999, 2000, 2001, and 2005. The 37 broods, encompassing 180 young, raised over the four years represented an average of 4.9 young per successful breeding pair. Young and adult owls were detected at the burrow entrance at all times of the day and night, but adults were detected more frequently during afternoon/early evening than were young. Motion-activated cameras require less effort to implement than other techniques. Limitations include photographing only a small percentage of owl activity at the burrow; not detecting the actual number of eggs, young, or number fledged; and not being able to track individual owls over time. Further work is also necessary to compare the accuracy of productivity estimates generated from motion-activated cameras with other techniques.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2017

Extending juvenility in grasses

The present invention relates to compositions and methods for modulating the juvenile to adult developmental growth transition in plants, such as grasses (e.g. maize). In particular, the invention provides methods for enhancing agronomic properties in plants by modulating expression of GRMZM2G362718, GRMZM2G096016, or homologs thereof. Modulation of expression of one or more additional genes which affect juvenile to adult developmental growth transition such as Glossy15 or Cg1, in conjunction with such modulation of expression is also contemplated. Nucleic acid constructs for down-regulation of GRMZM2G362718 and/or GRMZM2G096016 are also contemplated, as are transgenic plants and products produced there from, that demonstrate altered, such as extended juvenile growth, and display associated phenotypes such as enhanced yield, improved digestibility, and increased disease resistance. Plants described herein may be used, for example, as improved forage or feed crops or in biofuel production.

09 BIOMASS FUELS↗
DOE OSTI2020

Extending juvenility in grasses

The present invention relates to compositions and methods for modulating the juvenile to adult developmental growth transition in plants, such as grasses (e.g. maize). In particular, the invention provides methods for enhancing agronomic properties in plants by modulating expression of GRMZM2G362718, GRMZM2G096016, or homologs thereof. Modulation of expression of one or more additional genes which affect juvenile to adult developmental growth transition such as Glossy15 or Cg1, in conjunction with such modulation of expression is also contemplated. Nucleic acid constructs for down-regulation of GRMZM2G362718 and/or GRMZM2G096016 are also contemplated, as are transgenic plants and products produced there from, that demonstrate altered, such as extended juvenile growth, and display associated phenotypes such as enhanced yield, improved digestibility, and increased disease resistance. Plants described herein may be used, for example, as improved forage or feed crops or in biofuel production.

59 BASIC BIOLOGICAL SCIENCES↗
DOE OSTI2016

After School Matters Program at the Hanford Site - 16569

CH2M HILL Plateau Remediation Company (CH2M), a prime contractor for environmental remediation at the U.S. Department of Energy Hanford Site in southeast Washington State, partnered with the nonprofit After School Matters (ASM) organization to provide outreach to local elementary school students in 2013-2014. The program emphasizes building relationships between youths and adults through academic tutoring, homework assistance, mentoring and physical fitness development. The program assists students from families where adults are often unemployed or underemployed. This project not only gives employees an opportunity to mentor and teach local youths, it also helps them prepare the next generation of leaders and experts. A substantial number of employees will be eligible for retirement within the next ten years, and their extensive institutional knowledge will go with them. Visiting schools and sharing this knowledge and experience gives students insights into career opportunities they might not otherwise consider. This program proved so successful, another Hanford Contractor involved their workers, expanding the program to a second elementary school. Also, the program caught the eye of a nonprofit organization, 21. Century After-School Program, who invited the team to expand to a third elementary school. The ASM program at the Hanford Site: (1) targets an often overlooked group of students and provides an opportunity to mentor and teach the future generation; (2) positively impacts the students, volunteers and community; (3) has expanded its reach to other contractors and schools. Lessons learned from this community education program provide valuable context for other organizations interested in similar outreach efforts. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2019

Calculating Dose Release Factors to Obtain the Worst-Case Maximally Exposed Location by Sector

The aim of this project was to update the SRS Dose Release Factors (DRF's) for the Maximally Exposed Individual (MEI) for 20 area release points onsite. To update, potential MEIs now include onsite locations and modeled stack heights were updated to match onsite operations. The DRF's and MEI locations are used to ensure DOE and EPA compliance is met for dose standards. The Environmental Protection Agency (EPA) requires the use of the computer model CAP88 to estimate doses for demonstrating compliance with 40 CFR 61, the National Emission Standard for Hazardous Air Pollutants (NESHAP). The location of the maximally exposed individual (MEI) by sector and distance is required for execution of CAP88. The worst-case sector is the sector and distance where an offsite individual would receive the highest dose due to a potential release from a designated release location at a facility. The worst-case sector analysis addresses potential ground-level and stack-height releases from 20 areas of Savannah River Site (SRS). Weather patterns were analyzed at each of these areas relative to sixteen compass points. The analysis makes use of recently updated distance data and meteorological data. The computer model, CAP88 is EPA's software system used by the Department of Energy (DOE) to calculate the receptor dose due to routine atmospheric releases via a gaussian plume at the Savannah River Site (SRS). The dose-release factors (DRFs) are used to estimate the offsite and onsite dose from facility-specific releases and represent the dose to a receptor exposed to 1 Ci of a specified radionuclide being released into the atmosphere. The DRFs are simply a ratio of the TED to the release rate and, therefore, are directly scalable. The DRF values listed in the Appendix can be applied to expected release values from each area to estimate the potential dose to an individual adult at each location. NESHAP DRFs have been supplied to Environmental Compliance and Area Closure Projects (EC and ACP) for many years and are periodically updated to include changes in Cap88. estimate the potential dose to an individual adult at each location DRF in mrem Ci{sup -1} are estimated by modeling the total effective dose (TED) in mrem yr{sup -1} assuming an annual atmospheric release rate of 1 Ci yr-1 of the associated radionuclides. TED = Effective Dose (ED) + Committed Effective Dose (CED). TED = DRF/RR. Approach and Methods: Determine possible MEI locations Onsite/Offsite including buildings and farms; Determine the distances from the release area to the possible MEI location and the direction from the release to the MEI location; Using the most recent meteorological data (2007-2011) and parameters, run CAP88 for each release area for each compass sector and previously calculated distances to MEI locations using a 1 Ci release rate for tritium; Use the calculated the air concentration values to determine the MEI for each sector from CAP88. The relationship between air concentration and received dose is directly proportional and can be used to determine which locations to calculate DRF's and a dose for an MEI; The DRFs are found for each compass sector from 20 SRS release areas using CAP88-PC Version 4.0; Each location is calculated with ground level releases evaluated for each area for a list of radionuclides, some with and some without progenies; Compare the DRFs of the potential onsite MEIs to offsite MEIs. Based on the 2018 MEI Report, the Site worst case sector MEI is located 593 mW of B-Area. This MEI location represents a point along the main road that travels through a tract of land leased to the SC National Guard. While this location is estimated to have the highest exposure, minimal radioactivity is released from B-Area. In 2017, SRS requested and was approved by the EPA to change the location for modeling site releases from the Center of Site to H-Area, and to use six stack heights. H-Area emission account for approximately 90% of all radioactive operations onsite. The MEI for H-Area was found to be 11,458 m NNE which locates the Savannah River Ecology Lab Conference Center. Comparisons for 2018 data and 2014 shows the new methods of calculation are more conservative yet still remain well below the DOE 100 mrem limit.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2019

Effects of Soil Properties on Cadmium Toxicity to Folsomia candida (Collembola)

The study was endeavored to investigate the effects of soil properties on the acute and chronic cadmium (Cd) toxicities to Folsomia candida (Collembola F. candida). Results of the present study indicated that 10% lethal concentrations (LC10) in a period of 7 days were ranged from 68.6 to > 1000 mg/kg Cd. Soil Cd concentrations that halve F. candida reproductions (EC50, 28 days) were ranged from 41.4 to 146.8 mg/kg. Stepwise regression analysis between the thresholds of Cd toxicity and soil properties revealed that the pH and organic matter (OM) were two fundamental factors for the assessment of biological threats posed by Cd. The exchangeable Cd was mainly affected by soil pH. The reproduction inhibition and adult mortality ratios of F. candida were positively correlated with soil exchangeable Cd. The development of a comprehensive pedotransfer function based on pH and OM values would be suitable for accurately assessing the biological risks arising from Cd contamination.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2013

Short-Term Effects of Ankaferd Hemostat for Renal Artery Embolization: An Experimental Study

Renal artery embolization (RAE) is a minimally invasive therapeutic technique that is utilized in a number of disorders. Ankaferd is a novel hemostatic agent with a new mechanism of action independent of clotting factors. We used Ankaferd for RAE in a sheep model. Seven adult female sheep were included in the study. Selective renal arteriogram using 5-F diagnostic catheter was performed to make sure that each kidney was fed by a single renal artery and the animal had normal renal vasculature. Coaxial 2.7-F microcatheter was advanced to the distal main renal artery. Under fluoroscopic guidance, 2 mL of Ankaferd mixed with 2 mL of nonionic iodinated contrast agent was slowly injected. Fluoroscopy was used to observe the deceleration of flow and stagnation. Control renal angiograms were performed just after embolization. After the procedure, the animals were observed for 1 day and then sacrificed with intravenous sodium thiopental. The technical success was observed in seven of the seven animals.. After embolization procedure, none of the animals died or experienced a major systemic adverse event. On macroscopic examination of the embolized kidneys, thrombus at the level of main renal artery formed after Ankaferd embolization was more compact compared with the thrombi that was not Ankaferd-associated, which was observed elsewhere. Microscopically, majority of the renal tubular cells (80-90 %) were necrotic, and there was epithelial cell damage in a small portion of the cells (10-20 %). RAE was safe and effective in the short-term with Ankaferd in studied animals. Further studies should be conducted to better delineate the embolizing potential of this novel hemostatic agent.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2013

Combined Pharmacomechanical Thrombolysis of Complete Portomesenteric Thrombosis in a Liver Transplant Recipient

Treatment options for portomesenteric venous thrombosis range from anticoagulation to surgery, depending on chronicity, severity of symptoms, extent of thrombosis, and the availability of local expertise. For acute and subacute cases, a variety of endovascular options have been described in limited published series and case reports, including thrombolysis and mechanical thrombectomy. We report what is to our knowledge the first case in which the Trellis pharmacomechanical thrombolysis device was used successfully to treat complete acute thrombosis of the entire superior mesenteric vein and the entire portal vein with extension into all segmental intrahepatic portal branches in a young adult after liver transplantation. This device, coupled with adjunctive techniques using balloon catheters, facilitated complete restoration of flow, resulting in graft salvage and long-term patency.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2014

A New Occlusion Device: Application of the ArtVentive Endoluminal Occlusion System (EOS)—First in Human Clinical Trial

Purpose: The purpose of this study was to determine the safety and efficacy of a new endoluminal occlusion device, ArtVentive endoluminal occlusion system (EOS), to occlude the spermatic vein in symptomatic males with varicoceles. Methods: The ArtVentive EOS device has been developed for percutaneous, peripheral occlusion of the peripheral arterial and venous vasculature. The system is comprised of an implantable occlusion device and a delivery catheter. At present, there are two device sizes: (a) size 1 for target vessels ranging between 3.5 and 5.5 mm in diameter, and (b) size 2 for target vessels 5.5–8.5 mm in diameter. The treatment group included six adult males, ages 22–34 years. Nine target vessels were occluded. A total of 20 devices were implanted in six subjects. Results: The acute occlusion rate at the end of the procedure was 100 % occurring in nine of nine vessels. The spermatic veins of all patients remained occluded on venography at 30 days follow-up. Pain scores related to varicoceles decreased in five of six patients. Conclusions: Although we recognize this study is limited, initial experience indicates that the ArtVentive EOS is a safe and effective new device for occlusion of vessels (varicoceles). The device has potential applications in other clinical conditions requiring occlusion of veins or arteries.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2013

Hepatobiliary Intervention in Children

Various vascular and nonvascular hepatobiliary interventional radiology techniques are now commonly performed in children’s hospitals. Although the procedures are broadly similar to interventional practice in adults, there are important differences in indications and technical aspects. This review describes the indications, techniques, and results of liver biopsy, hepatic and portal venous interventions and biliary interventions in children.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2016

Vesical Artery Embolization in Haemorrhagic Cystitis in Children

Haemorrhagic cystitis is an uncommon and, in its severe form, potentially life-threatening complication of haematopoietic stem cell transplantation or cancer therapy in children. The severe form involves macroscopic haematuria with blood clots, urinary obstruction and/or renal impairment. There are many therapeutic options to treat acute haemorrhage, but only recombinant factor VII has a high level of clinical evidence in children. Supraselective vesical artery embolization (SVAE) is an increasingly used therapeutic procedure for controlling haemorrhage in adults, but is less commonly used in children. This might be due to several factors, such as the invasive nature of the procedure, lack of appropriate medical experience and possible long-term side effects. We present three cases of children successfully treated by means of effective SVAE.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2019

The correlation between the incidence of adverse events and progression-free survival in patients treated with cabozantinib for metastatic renal cell carcinoma (mRCC)

Clinical practice shows significant differences in treatment outcomes across patients treated with cabozantinib for metastatic renal cell carcinoma (mRCC). It is not known whether cabozantinib-induced adverse events are predictive factors of survival as in case of drugs such as sunitinib or axitinib. The study participants were 30 adult patients with mRCC treated with cabozantinib as a second- or further line setting. All adverse events were evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0. Progression-free survival (PFS) values were calculated by taking the beginning of cabozantinib treatment as the start date and either disease progression or death as the end date. PFS were estimated using the Kaplan–Meier method, and compared using the log-rank test. We identified independent PFS predictors using multiple Cox proportional hazards models and reported hazard ratios (HR) with 95% confidence intervals. The median observation time cabozantinib treatment was 7.5 months, with a range of 2–15 months. During that time, 11 (37%) of the patients had mRCC progression. Median PFS on cabozantinib was not reached, and lower quartile was 6 months. All patients developed at least one adverse event in the course of cabozantinib therapy. Hypertension, hypothyroidism and HFS were observed most frequently, in about two-thirds of the patients. The co-incidence of multiple adverse events was common. Hypertension, hypothyroidism, diarrhea and liver toxicity were significantly associated with longer PFS values. Patients with three or more side effects had significantly longer PFS than those with two or fewer. Even though this study was conducted in a small patient sample and the observation time was relatively short our results confirm the predictive value of the incidence of adverse events during cabozantinib treatment in mRCC patients. To the best of our knowledge, this is the first study of this kind conducted in this group of patients.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2019

Factors that impact the outcomes in testicular germ cell tumors in low–middle-income countries

Germ cell tumors (GCTs) are one of the most common tumors in adolescents and young adults. There is paucity of data on GCT from low–middle-income countries (LMIC). The present study was conducted to assess the demographic features, clinical manifestations, pathology, and outcomes of GCT patients treated at our center. Patients with testicular GCT above the age of 18 years, treated at our center from 2001 to 2015 were included in the study. Data were extracted retrospectively from the case records. Event-free survival (EFS) and overall survival (OS) were calculated using the Kaplan–Meier method and the variables were compared using the log-rank test. The study included 421 patients among whom 128 (30%) had a histological diagnosis of seminoma and 293 (70%) had non-seminomatous germ cell tumor (NSGCT). Metastatic disease at presentation was observed in 83/128 (65%) with seminoma and 254/293 (87%) with NSGCT. According to the International Germ Cell Cancer Collaborative Group (IGCCCG) risk stratification for metastatic disease, good- and intermediate-risk seminoma were observed in 55/83 (66%) and 28/83 (34%) patients, respectively, and good-, intermediate-, and poor-risk NSGCT were observed in 82/254 (32%), 76/254 (30%), and 96/254 (38%) patients, respectively. The median follow-up was 32.3 months (range 0.03–200 months). The 3-year OS for the entire cohort was 80.3%. The 3-year OS for seminoma was 91.4%, and for NSGCT was 75.3%. Factors significantly associated with inferior EFS and OS on multivariate analysis included poor performance status, scrotal orchidectomy, carboplatin-based regimen, NSGCT histology, and treatment default. Patients with testicular GCT in India present in an advanced stage and higher IGCCCG risk compared to Western data. Factors unique to LMIC like treatment default, bulky disease, dose compromise, and scrotal orchidectomy have a negative impact on the outcome.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2019

Interaction between phytotherapy and oral anticancer agents: prospective study and literature review

Cancer is becoming more prevalent in elderly patient. Due to polypharmacy, older adults with cancer are predisposed to drug-drug interactions. There is also an increasing interest in the use of complementary and alternative medicine (CAM). Thirty to seventy percent of patients with cancer have used CAM. Through pharmaceutical counseling sessions, we can provide advices on herb–drug interactions (HDI). All the patients seen in pharmaceutical counseling sessions were prospectively included. Information was collected during these sessions: prescribed medication (oral anticancer agents (OAA) and other drugs), CAM (phytotherapy especially), and use of over-the-counter (OTC) drugs. If pharmacist considered an interaction or an intervention clinically relevant, the oncologist was notified. Then, a literature review was realized to identify the potential HDI (no interactions, precautions for use, contraindication). Among 201 pharmacist counseling sessions, it resulted in 104 interventions related to 46 HDI, 28 drug-drug interactions and 30 others (wrong dosage, omission…). To determine HDI, we review 73 medicinal plants which are used by our patients with cancer and 31 OAA. A total of 1829 recommendations were formulated about 59 (75%) medical plants and their interaction with an OAA. Herb–drug interactions should not be ignored by healthcare providers in their management of cancer patients in daily practice.

62 RADIOLOGY AND NUCLEAR MEDICINE↗