Possible abscopal effect after discontinuation of nivolumab in metastatic renal cell carcinoma

IJU Case Reports

article

Nobuyuki Nakajima¹  Tatsuo Kano²  Kazuya Oda³  Takato Uchida¹  Tatsuya Otaki¹  Kentaro Nagao¹  Yuki Shimizu¹  Masayoshi Kawakami¹  Hakushi Kim¹  Masahiro Nitta¹  Masanori Hasegawa¹  Yoshiaki Kawamura¹  Akira Miyajima¹ 

[1] Department of Urology, Tokai University Graduate School of Medicine;Department of Urology, Tokai University Hachioji Hospital;Isehara Kyodo Hospital

关键词: abscopal effect;    immune checkpoint inhibitor;    programmed cell death-1;    radiotherapy;    renal cell carcinoma.;   

DOI  :  10.1002/iju5.12195

学科分类：社会科学、人文和艺术（综合）

来源: Wiley

【 摘 要 】

Background: It cannot be denied that the dependence of pregnant women on the knowledge, knowledge and experience of traditional birth attendant is still very high. Traditional birth attendants are considered as figures who have abilities related to local culture. On the other hand midwives are the most well-known health care workers to rural areas, have medical knowledge, knowledge and technology, on average young, but have not fully gained public trust. Subjects and Method: This was a qualitative study with case study approach. The study was conducted in North Klaten District, Klaten Regency, Central Java. Results: Traditional birth attendants were people who were trusted by the community to have knowledge and experience in the health of pregnancy. Partnership Guidelines for Midwives and traditional birth attendant issued by the Ministry of Health are divided into stages of pregnancy, and childbirth. Conclusion: The implementation of midwive and TBA partnership in accordance with govern­ment guidelines can begin with regional regulations that stipulate the implementation of the WB, followed by providing physiotherapy training to traditional birth attendants in postpartum maternal massage and baby massage, so that the competency of the traditional birth attendant is more targeted.

【 授权许可】

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