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Ca2+ involvement in the action potential generation of myenteric neurones in the rat oesophagus.

OBJECTIVE: Arterial aneurysms are life-threatening but usually asymptomatic before requiring hospitalization. Oculomics of retinal vascular features (RVFs) extracted from retinal fundus images can reflect systemic vascular properties and therefore were hypothesized to provide valuable information on detecting the risk of aneurysms. By integrating oculomics with genomics, this study aimed to (i) identify predictive RVFs as imaging biomarkers for aneurysms and (ii) evaluate the value of these RVFs in supporting early detection of aneurysms in the context of predictive, preventive and personalize

Quality of life of patients with chronic lymphocytic leukaemia in the Netherlands: results of a longitudinal multicentre study.

PURPOSE: To describe the health-related quality of life (HRQoL) of an unselected population of patients with chronic lymphocytic leukaemia (CLL) including untreated patients. METHODS: HRQoL was measured by the EORTC QLQ-C30 including the CLL16 module, EQ-5D, and VAS in an observational study over multiple years. All HRQoL measurements per patient were connected and analysed using area under the curve analysis over the entire study duration. The total patient group was compared with the general population, and three groups of CLL patients were described separately, i.e. patients without any ac

Social relationship challenges perceived by cancer patients and survivors: a qualitative meta-synthesis.

BackgroundA cancer diagnosis can significantly disrupt patients' social lives, leading to strained relationships and increased social isolation. Many encounter uneasy interactions or feel judged by others, amplifying loneliness and a sense of exclusion. While existing research has predominantly focused on clinical outcomes, the social relationship challenges faced by cancer patients have not been fully explored. Consequently, this study aims to synthesize qualitative studies that examine the social relationship experiences of cancer patients and survivors, offering a deeper insight into this i

Изучение психологического воздействия и опыта в области здравоохранения пациентов, живущих с рефрактом тройного класса, множественным миеломой: исследование интерпретирующих феноменологических исследований.

Множественная миелома (ММ) — хроническая гематологическая порча, вызванная распространением злокачественных плазменных клеток в костном мозге и перепроизводством моноклонных антител. Несмотря на отсутствие лекарств, лечение направлено на борьбу с этим заболеванием и на ремиссию пациентов. Эти исследования были направлены на изучение психологических последствий и опыта в области здравоохранения пациентов, страдающих от трехклассной рефрактуальной (TCR) MM. Это исследование стало частью более широкого качественного исследования, в ходе которого был изучен опыт вновь диагностированных пациентов,

Пациенты испытывают на себе воздействие множественных склерозов и корректирующих болезни терапии.

ЦЕЛЬ: Для регулирования множественных склерозов (MS) жизненно важное значение имеют методы лечения, корректирующие заболевания (DMT), однако исследования, проводимые с использованием административных данных, часто исключают предпочтения пациентов и факторы, которые врачи учитывают при принятии решений о лечении. Данные об опыте пациентов имеют важнейшее значение для понимания и улучшения инициирования, соблюдения и результатов лечения НР. МЕТОДЫ: С декабря в Интернете было проведено перекрестное обследование взрослых в США, имеющих MS или клинически изолированный синдром. 2022 по январь 2023 К

Опыт и проблемы лиц с множественным склерозом и низкой посещаемостью клинических исследований: качественное исследование.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Многие люди с множественным склерозом (МС) в Европе сталкиваются с ограниченным доступом к лечению и уходу. Исследования проблем, с которыми сталкиваются люди, не имеющие доступа к специализированному уходу и лечению, являются ограниченными, что оставляет пробел в понимании опыта и проблем тех, кто не посещает специализированный уход. Таким образом, мы намеревались изучить опыт людей с НР, которые не посещают регулярные клинические осмотры в специализированных клиниках НР в Дании, с уделением особого внимания самообслуживанию. МЕТОДЫ: В соответствии с подходом Брауна и К

Patient Perspectives on Health Insurance Design: A Mixed-Methods Analysis.

There remains a persistent lack of patient-centered evidence on insurance reform and real-world experiences of patients with chronic disease. This study gathered insights around insurance design from chronic disease beneficiaries. This mixed-methods analysis comprised an online survey and virtual focus group sessions (August to December 2023) involving US residents with chronic disease and health insurance. Patients' perspectives on insurance design were explored. Survey data were analyzed descriptively. Key themes were identified from focus group transcripts and direct observations. In total,

Cured but not well - haematological cancer survivors' experiences of chemotherapy-induced peripheral neuropathy in everyday life: a phenomenological-hermeneutic study.

PurposeTo explore haematological cancer survivors' experience of chemotherapy-induced peripheral neuropathy (CIPN) in everyday life.MethodsData were generated by means of individual semi-structured interviews with 12 haematological cancer survivors who experience CIPN after completion of treatment. Data were analysed using thematic analysis.ResultsThe thematic analysis yielded an in-depth description of the experience of CIPN symptoms and the influence of the symptoms on everyday life as being unwell despite being cured. Four main themes emerged from the analysis: (1) A diffuse and contradicto

Perspectives on the DNR decision process: A survey of nurses and physicians in hematology and oncology.

IntroductionIn cancer care, do-not-resuscitate (DNR) decisions are made frequently; i.e., decisions not to start the heart in the event of a cardiac arrest. A DNR decision can be a complex process involving nurses and physicians with a wide variety of experiences and perspectives. Previous studies have shown different perceptions of the DNR decision process among nurses and physicians, e.g. concerning patient involvement and information. DNR decisions have also been reported to be unclear and documentation inconsistent.ObjectiveThe aim was to investigate how important and how likely to happen

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… In some cases, an auto responder announced parental leave, sick leave or other absence. Some emails bounced due to communication errors with the server. Hence, the response rate could be higher than reported here, but not lower. Nevertheless, the overall response rate of 43% is an area of concern. …

Effects of nurse-led symptom management in chronic myeloid malignancies: a randomized trial.

PurposeChronic hematological malignancies progress slowly, potentially manifesting symptoms spanning months to years. HM-PRO is developed as a comprehensive clinical tool for assessing symptoms in hematology. The aim was to investigate the effect of a nurse-led systematic approach to symptom identification and management using HM-PRO in outpatient care in patients with chronic hematological malignancies.MethodsThis is a randomized trial including 94 patients to investigate an intervention comprising (1) HM-PRO data collection, (2) HM-PRO assessment guided by an algorithm, and (3) nurse-led tai

Informal caregivers' quality of life and management strategies following the transformation of their cancer caregiving role: A qualitative systematic review.

ObjectivesGlobally, informal caregivers caring for cancer patients meet challenges within their caregiving role, which significantly influence their quality of life. This qualitative systematic review aimed to analyze how cancer caregiving influence the quality of life of informal caregivers and the management strategies of informal caregivers for their role as cancer caregivers.MethodsFollowing the enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) statement, Wanfang database, the China National Knowledge Infrastructure (CNKI), CINAHL, MEDLINE, PubMed, Cochrane

Living with or beyond lymphoma: A rapid review of the unmet needs of lymphoma survivors.

ObjectiveTo establish an understanding of the unmet needs of people living with or beyond a lymphoma diagnosis. Survivors of lymphoma are at increased risk of unmet needs due to cancer, treatment-related toxicities and extended survivorship. Despite the rapidly growing numbers of lymphoma survivors, their needs and research priorities are underserved and undervalued, therefore left largely unaddressed.MethodsA rapid review method and reflexive thematic analysis approach assimilated current knowledge. Eligibility criteria included quantitative, qualitative, or mixed approaches employing cross-s

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… . | 60% | 100% NHL | 22–73 (median 58, SD NR) | NR | ⁃ Following ASCT, there was an impaired association between return to work for patients on sick leave at the time of relapse. … Working gave some survivors a sense of purpose and financial security, while flexible working arrangements helped meet psychological and practical needs. 48 Sometimes, survivors experienced cost implications when adjustments to work or school were made due to cancer care. 53 Similarly, patients on sick …

COPD patients in need of palliative care: Identification after hospitalization through the surprise question.

Currently, few patients suffering from chronic obstructive pulmonary disease (COPD) who might benefit from a palliative care approach are referred to a palliative care team. Tools to identify patients eligible for a palliative care approach have been found to be difficult to apply in daily practice. Therefore, there is need for a simple and easily applicable tool to identify those patients who would benefit from referral to a palliative care team. The aim of this study was to determine if the surprise question (SQ) "Would I be surprised if this patient dies within 12 months?" in a subset of re

Mechanisms of chemotherapy-induced behavioral toxicities.

While chemotherapeutic agents have yielded relative success in the treatment of cancer, patients are often plagued with unwanted and even debilitating side-effects from the treatment which can lead to dose reduction or even cessation of treatment. Common side effects (symptoms) of chemotherapy include (i) cognitive deficiencies such as problems with attention, memory and executive functioning; (ii) fatigue and motivational deficit; and (iii) neuropathy. These symptoms often develop during treatment but can remain even after cessation of chemotherapy, severely impacting long-term quality of lif

Alcohol Misuse in Older Women: A Scoping Review of Correlates, Consequences, Treatment, and Prevention.

BackgroundAlcohol use and alcohol use disorder (AUD) among older women (defined as age 50 and over) have increased substantially in recent years. Compared to men and younger women, older women negotiate biopsychosocial transitions that put them at greater risk of alcohol-related health conditions as they age and are less reliably screened and treated for heavy alcohol use and AUD.ObjectivesThis scoping review represents a critical evaluation of research methodology and findings since 2004 on biopsychosocial correlates and consequences of alcohol misuse (i.e., heavy alcohol use, defined as four

Impact of the COVID-19 pandemic on the diagnosis and treatment of onco-hematologic patients: a discussion paper.

We do not know the precise figure for solid organ tumors diagnosed each year in Spain and it is therefore difficult to calculate whether there has been a decrease in cancer diagnoses as a consequence of the pandemic. Some indirect data suggest that the pandemic has worsened the stage at which some non-hematological neoplasms are diagnosed. Despite the lack of robust evidence, oncology patients seem more likely to have a poor outcome when they contract COVID-19. The antibody response to infection in cancer patients will be fundamentally conditioned by the type of neoplasia present, the treatmen

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… In order to put an end to the doubts of cancer patients and their families in relation to legal aspects, an online seminar was held to answer the questions of all the attendees, especially those related to ERTES, ERES, sick leave, etc. This was entitled “Legal aspects related to COVID-19” [ 157 ]. …

A severe acute respiratory coronavirus virus 2 (SARS-CoV-2) nosocomial cluster with inter-facility spread: Lessons learned.

BackgroundDespite infection control guidance, sporadic nosocomial coronavirus disease 2019 (COVID-19) outbreaks occur. We describe a complex severe acute respiratory coronavirus virus 2 (SARS-CoV-2) cluster with interfacility spread during the SARS-CoV-2 δ (delta) pandemic surge in the Midwest.SettingThis study was conducted in (1) a hematology-oncology ward in a regional academic medical center and (2) a geographically distant acute rehabilitation hospital.MethodsWe conducted contact tracing for each COVID-19 case to identify healthcare exposures within 14 days prior to diagnosis. Liberal tes

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… Epidemiological investigation A thorough contact tracing investigation was attempted but was deemed insufficient given several difficulties such as accurately identifying workplace exposures retrospectively for patients no longer present in the facility, HCWs out on sick leave, and incomplete or delayed …

Quality of Life Evaluation in Patients with Follicular Cell Lymphoma: A Real-World Study in Europe and the United States.

INTRODUCTION: Follicular lymphoma (FL) is an indolent subtype of non-Hodgkin's lymphoma (NHL), characterized by a long natural course of remissions/relapses. We aimed to evaluate real-world quality of life (QoL) in patients with FL, by line of therapy (LOT), and across countries. METHODS: Data were drawn from the Adelphi FL Disease Specific Programme™, a cross-sectional survey of physicians and their patients in Europe [France, Germany, Italy, Spain, the United Kingdom (UK)], and the United States (US) from June 2021 to January 2022. Patients provided demographics and patient-reported outcome

Коммуникационные трудности и связи с грамотностью в области здравоохранения, медикаментозными представлениями и привитием многоразового склероза.

ВВЕДЕНИЕ: Трудности в области коммуникации являются распространенной, но недостаточно признанной чертой множественного склероза (МС) и могут влиять на качество жизни, участие в жизни общества и участие в здравоохранении. О том, в какой степени деятельность в области коммуникации связана с медицинской грамотностью, верованиями в медикаментозные средства и приверженностью НР, по-прежнему плохо известно. МЕТОДЫ: Это перекрестное исследование охватывало 307 взрослых, которые были набраны в госпитале Аль-Башир в Аммане, Иордания. Участники заполнили проверенные варианты вопросника по коммуникационн

Development of a Health-Related Quality of Life Tool for Adolescents and Young Adults With Cancer.

ImportanceA diagnosis of cancer during adolescence and young adulthood disrupts key developmental stages, affecting multiple domains of health-related quality of life (HRQOL). To provide a comprehensive assessment of the HRQOL issues of adolescents and young adults (AYAs) with cancer, a questionnaire dedicated to this age group is needed.ObjectiveTo develop an HRQOL questionnaire, as a supplement to the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30, that measures issues of relevance and importance to AYAs with cancer.Design, setting, and participantsThis survey stu