Nanomedicine is a key science of the 21 st century. Although the production and use of nanosized particles had taken place in several ways in ancient times and hundreds of years ago, nanomedicine as a modern interdisciplinary science was first established in the nineties of the last century only. The basis of this new science derives from the development of an array of ultramicroscopic devices and the studies of cellular, molecular and finally atomsized structures in biology, chemistry and physics in the 20 th century. The nanotechnological approach, first framed in the 1950's by Richard P. Feynman, was the constitutive force to establish nanomedicine as a paramount section in science and medical treatments. From the beginning nanomedicine developed rapidly, driven by tremendous progress in techniques. Its historical evolvement and diversification into a wide range of medical applications (e.g. tissue engineering) and its increasing relevance for a large bunch of disease categories are outlined. Essential application and/or research areas comprise the use of biosensors for diagnostic reasons (including nanoimaging and lab-on-the-chip) and biocompatible nanomaterials (such as liposomes) as drug, vaccine and gene vehicles for therapy, most prominently as nanocapsules for cancer treatment (in connection to hyperthermia, thermoablation and radiotherapy methods where appropriate). Future directions remain multi-fold, the most important ones defined as drug delivery, theranostics, tissue engineering, and magnetofection. Some novel developments (regarding cancer treatment and stent angioplasty) are presented. Regenerative medicine and gene therapy are of rising importance
Although histopathology of meniscal degeneration plays an important role, no criteria to assess severity of the degeneration are available to date. Our aim was to create a histopathological scoring system for meniscal degeneration with good interobserver variability, taking matrix degradation and cellularity in meniscal tissue into consideration. Degeneration is classified as follows: grade 1 (low), grade 2 (intermediate), grade 3 (high). The pattern of NITEGE deposits (G1 fragment of aggrecan) was assessed immunohistochemically (n=38) and compared with the grades of degeneration. In 48% of the patients with grade 2 or 3 degeneration extracellular NITEGE deposits (specificity 100%) were found, whereas grade 1 patients showed no deposits. Extracellular NITEGE deposits correlated positively with the grade of degeneration. In all, 30 cases (10 per grade) were assessed by three pathologists (A, B, C). Grading conformity was 70% for grade 1, 66% for grade 2 and 100% for grade 3. Cohen's Kappa coefficient was 0.6--0.7 between pairs of observers. Combining grade 1 and 2 to low-grade degeneration, compared to a grade-3 high-grade degeneration achieved Kappa coefficients of between 0.93 and 1.0. This reproducible degeneration score for fibrous cartilage could form the basis for the standardized assessment of meniscal degeneration.
JNMNT, an open access journal Human study 70-year old female patient with metastases mammary carcinoma on left, initial diagnosis in May 2008, has been detected. Further diagnosis was arterial hypertension and obesity (97 kg, 161 cm). Results: The CT showed an exulcerated timorous mass approx. 10 cm
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