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Снимок новаторского подхода к комплексному преподаванию медицинской биохимии в рамках учебной программы для оценки результатов.

Медицинская биохимия (МБ) обычно преподается в начале медицинской программы, в которой практически отсутствует клинический контекст. Время родов и устаревшие методы обучения изображают БМ в негативном свете, ограничивая понимание его важности в медицинской практике. Для решения этой проблемы авторы разработали спирально интегрированный подход к преподаванию этой темы, в рамках которого основные темы, связанные с БМ, намеренно переплетаются по всей учебной программе, предшествующей стыковке, что позволяет учащимся пересматривать и углублять свое понимание материалов в все более клинических и ме

Protocol for SARS-CoV-2 post-vaccine surveillance study in Australian adults and children with cancer: an observational study of safety and serological and immunological response to SARS-CoV-2 vaccination (SerOzNET).

BackgroundCancer is associated with excess morbidity and mortality from coronavirus disease 2019 (COVID-19) following infection by the novel pandemic coronavirus SARS-CoV-2. Vaccinations against SARS-CoV-2 have been rapidly developed and proved highly effective in reducing the incidence of severe COVID-19 in clinical trials of healthy populations. However, patients with cancer were excluded from pivotal clinical trials. Early data suggest that vaccine response is less robust in patients with immunosuppressive conditions or treatments, while toxicity and acceptability of COVID-19 vaccines in th

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… The full list of common data elements to be collected is included in Additional file 1 : Appendix S1. Blood collection Sample collection for serologic and immunologic analysis will be performed at timepoints shown in Table 2 . … Common data element collection for SerOzNET. Additional file 2: Appendix S2. Biospecimen handling. Additional file 3: Appendix S3. SerOzNET Patient Reported Outcomes Common Terminology Criteria for Adverse Events: PRO-CTCAE. …

Innovative trial approaches in immune-mediated inflammatory diseases: current use and future potential.

BackgroundDespite progress that has been made in the treatment of many immune-mediated inflammatory diseases (IMIDs), there remains a need for improved treatments. Randomised controlled trials (RCTs) provide the highest form of evidence on the effectiveness of a potential new treatment regimen, but they are extremely expensive and time consuming to conduct. Consequently, much focus has been given in recent years to innovative design and analysis methods that could improve the efficiency of RCTs. In this article, we review the current use and future potential of these methods within the context

Integrating digital and narrative medicine in modern healthcare: a systematic review.

The increasing integration of digital technologies in healthcare, such as electronic health records, telemedicine, and diagnostic algorithms, improved efficiency but raised concerns about the depersonalization of care. Narrative medicine has emerged as a pedagogical and clinical response to this shift, emphasizing the value of patient stories, socio-cultural contexts, and reflective practice. Understanding how digital tools support, rather than undermine, narrative competencies is critical for developing a more human-centered healthcare education. This review systematically examined empirical

Пересмотр подходов к реабилитации и образу жизни для повышения качества жизни людей с множественным склерозом: обзор скопирования.

Фон: Множественный склероз (МС) связан со сложными физическими, когнитивными и поведенческими проблемами, которые в совокупности влияют на качество жизни. Включение таких компонентов образа жизни, как оптимизация сна, поведение в рационе питания, борьба со стрессом и стратегии саморегулирования, в процесс реабилитации может способствовать достижению результатов, выходящих за рамки традиционных подходов. Целью этого аналитического обзора было картирование реабилитационных мероприятий, которые сочетают в себе психомоторные, когнитивные, ориентированные на образ жизни или мультимодальные элементы

Surgical Roles for Spinal Involvement of Hematological Malignancies.

ObjectivePatients with hematological malignancies frequently encounter spine-related symptoms, which are caused by disease itself or process of treatment. However, there is still lack of knowledge on their epidemiology and clinical courses. The purpose of this article is to review clinical presentations and surgical results for spinal involvement of hematologic malignancies.MethodsFrom January 2011 to September 2014, 195 patients (98 males and 97 females) suffering from hematological malignancies combined with spinal problems were retrospectively analyzed for clinical and radiological characte

Artificial intelligence in drug discovery and development.

Artificial intelligence-integrated drug discovery and development has accelerated the growth of the pharmaceutical sector, leading to a revolutionary change in the pharma industry. Here, we discuss areas of integration, tools, and techniques utilized in enforcing AI, ongoing challenges, and ways to overcome them.

Неудовлетворение влияния полиморфизма HHEX rs7923837 на патогенез с множественным склерозом.

One (MS) риск полиморфизма, rs7923837, карты вблизи гена HHEX (гематопоэтический гомеобокс). Этот вариант также связан с типом 2 Уязвимость диабета и уровень триглицерида, что говорит о его участии в метаболике. HHEX играет важную роль в качестве негативного регулятора воспалительных генов в микроглии. Сообщалось о взаимных репрессиях между HHEX и BCL6, еще один предполагаемый фактор риска в РС. Настоящее исследование свидетельствует о статистически значимых более низких уровнях содержания HHEX mRNA в лимфоцитах пациентов с НР по сравнению с уровнем контроля, что свидетельствует о аналогичной

A scoping review of the literature on the application and usefulness of the Problem Management Plus (PM+) intervention around the world.

BackgroundGiven the high rates of common mental disorders and limited resources, task-shifting psychosocial interventions are needed to provide adequate care. One such intervention developed by the World Health Organization is Problem Management Plus (PM+).AimsThis review maps the evidence regarding the extent of application and usefulness of the PM+ intervention, i.e. adaptability, feasibility, effectiveness and scalability, since it was introduced in 2016.MethodWe conducted a scoping review of seven literature databases and grey literature from January 2015 to February 2024, to identify peer

Ribosomal rodeo: wrangling translational machinery in gynecologic tumors.

Gynecologic cancers are a significant cause of morbidity and mortality among women worldwide. Despite advancements in diagnosis and treatment, the molecular mechanisms underlying the development and progression of these cancers remain poorly understood. Recent studies have implicated translational machinery (ribosomal proteins (RPs) and translation factors (TFs)) as potential drivers of oncogenic processes in various cancer types, including gynecologic cancers. RPs are essential components of the ribosome, which is responsible for protein synthesis. In this review paper, we aim to explore the

Комплексный подход к проблеме употребления наркотиков в сексуальных целях (Хемсекс) 3-methylmethcathinone:: отчет о деле.

Практика химиката касается употребления наркотиков во время половой жизни. Во многих статьях содержится описание химикатов и рассматриваются риски, связанные с инфекциями, передаваемыми половым путем; вместе с тем лишь в немногих статьях рассматривается вопрос о формах зависимости химикса с точки зрения диагностических критериев, предрасполагающих факторов и рекомендуемых методов лечения. Наркотики, обычно используемые в химсексуальной практике, включают новые синтетические катиноны 3-methylmethcathinone и 4-methylmethcathinone. Знания о свойствах привыкания 3-methylmethcathinone и 4-methylmet

Characteristics of registered clinical trials assessing treatments for COVID-19: a cross-sectional analysis.

OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic has prompted many initiatives to identify safe and efficacious treatments, yet little is known regarding where early efforts have focused. We aimed to characterise registered clinical trials assessing drugs or plasma treatments for COVID-19. DESIGN, SETTING AND PARTICIPANTS: Cross-sectional analysis of clinical trials for the treatment of COVID-19 that were registered in the USA or in countries contributing to the WHO's International Clinical Trials Registry Platform. Relevant trial entries of drugs or plasma were downloaded on 26 M

Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: children and adolescents.

The Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: Children and Adolescents was developed by dietitians, physicians, and pediatric hematologists from 10 Brazilian reference centers in hematopoietic stem cell transplantation. The aim was to emphasize the importance of nutritional status and body composition during treatment, as well as the main characteristics related to patient´s nutritional assessment. This consensus is intended to improve and standardize nutrition therapy during hematopoietic stem cell transplantation. The consensus was approved by the Brazilian

Market Access Challenges and Solutions in Cell and Gene Therapy in The Netherlands.

With the increasing pipeline of cell and gene therapies (CGTs) and the expected surge in the number of approvals, understanding the market access landscape becomes crucial for timely patient access. This study evaluates the challenges Dutch stakeholders encounter in CGT market access, offering insights for improving time-to-patient access. A traditional literature review was conducted to identify market access challenges and solutions for CGTs. Based on the findings, participants for semi-structured interviews, designed using an interview guide adapted to the Dutch context, were selected to ca

Множественная миелома: сказка о дерегулированных факторах транскрипции.

Всеобъемлющее понимание молекулярных механизмов, лежащих в основе множественных миэломных (ММ) патогенеза, крайне важно для разработки терапевтических стратегий, позволяющих преодолеть гетерогенность заболеваний и рецидив лечения. В этом обзоре мы сосредоточимся на коэффициентах транскрипции (TF), ключевых регуляторах генного экспрессия, которые играют важнейшую роль в обычной гематопоизисе и биологии MM. Сначала мы обсудим физиологические функции ТФ в составе лимфоидной линии и конечной дифференциации В-клеток на плазменные клетки. Это позволяет получить представление о вкладе ключевых ЦГ, та

Moments of deep connection between clinicians and patients in oncology: a mixed-methods study of sacred moments.

PurposeSacred moments are periods of deep connection between clinicians and patients, associated with increased clinician career fulfillment and stronger therapeutic alliances in radiation oncology and internal medicine. Our study is the first to investigate sacred moments in medical oncology.MethodsWe conducted semi-structured qualitative interviews with clinicians and patients at an NCI-designated Comprehensive Cancer Center. Interviews were recorded, transcribed, and analyzed using inductive coding. Participants completed a closed-ended (Likert-style) questionnaire that assessed demographic

Using virtual reality hypnosis during stem cell transplant for patients in hematology: A protocol for a feasibility randomized study.

BackgroundStem cell transplantation is a highly stressful treatment for hematological cancer patients, negatively impacting their quality of life. Hypnosis has proven effective in managing symptoms like pain, fatigue, and anxiety, and improving quality of life. Virtual reality (VR) is used in cancer treatments to distract from pain, and combining VR with hypnosis (VRH) could enhance the hypnotic experience. However, methodological limitations in current studies prevent clear evaluation of its effectiveness, particularly for individualized care and psychosocial interventions.Aims1) To evaluate

Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: Adults.

The nutritional status of patients submitted to hematopoietic stem cell transplant is considered an independent risk factor, which may influence on quality of life and tolerance to the proposed treatment. The impairment of nutritional status during hematopoietic stem cell transplant occurs mainly due to the adverse effects resulting from conditioning to which the patient is subjected. Therefore, adequate nutritional evaluation and follow-up during hematopoietic stem cell transplant are essential. To emphasize the importance of nutritional status and body composition during treatment, as well a

Metformin and Its Benefits for Various Diseases.

Metformin is a widely used biguanide drug due to its safety and low cost. It has been used for over 60 years to treat type 2 diabetes at the early stages because of its outstanding ability to decrease plasma glucose levels. Over time, different uses of metformin were discovered, and the benefits of metformin for various diseases and even aging were verified. These diseases include cancers (e.g., breast cancer, endometrial cancer, bone cancer, colorectal cancer, and melanoma), obesity, liver diseases, cardiovascular disease, and renal diseases. Metformin exerts different effects through differe

Время для последующей терапии (TTST) в качестве конечной точки в клинических исследованиях: разработка стандартизованной документации о последующей терапии на основе систематического обзора литературы, опросов экспертов и обследования Делфи.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: конечная точка " Время для последующей терапии " (TTST) является промежуточной точкой, используемой в исследованиях и оценках регулирования. TTST означает начало последующей терапии и является четко определенным, клинически значимым мероприятием для медицинских работников. Однако она не была систематически установлена, в какой степени TTST субъективно значима для пациентов. Цель этого исследования заключалась в том, чтобы определить TTST как промежуточный конечный показатель, учитывающий интересы пациентов.МЕТОДЫ: Изученное исследование five Онкологические пока