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Тенденции сокращения потребления липидов, интенсивности лечения и целевого показателя ЛДЛ-С для взрослых, страдающих диабетом и хроническими заболеваниями почек, не связанными с диализом в Гонконге.

С учетом меняющихся целевых показателей лечения, обеспокоенности по поводу почечной безопасности некоторых статинов и новых липидовых лекарственных средств (ЛЛД) мы стремились оценить тренды статинов и нестатичных ЛЛД [изетимибе и пропротеиновой трансформазы субтилизины/кексина типа 9 PCSK9i)] использование в Гонконге у лиц с диабетом и хроническими заболеваниями почек, не связанными с диализом (CKD). МЕТОДЫ: Мы провели ретроспективное когортное исследование 332,975 Китайские лица, страдающие диабетом и недиализом CKD, используя данные Управления больниц Гонконга 2002-2019. Мы проанализировали

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… The healthcare system operates on a dual-track basis, comprising both public and private sectors. The government heavily subsidizes the public system and established the Hospital Authority (HA) in 1990 to manage all hospitals and the majority of clinics in the public sector. … sector (<10%), which might lead to underestimation of LLD utilization. …

EHA Scientific Working Groups: Connecting Science and Spreading Knowledge in Hematology.

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Бремя лечения, секвенирования и использования ресурсов здравоохранения в множестве миеломы в Латинской Америке: обзор целевой литературы.

Утверждение основных классов лекарственных препаратов позволило улучшить выживание пациентов с множественной миеломой (ММ). В то же время большинство пациентов сталкиваются с рецидивом или становятся противниками этих методов лечения, причем повторное лечение имеет ограниченную эффективность. Доступ к этим основным методам лечения в разных странах Латинской Америки (ЛАТАМ), что может привести к неоптимальным клиническим результатам. Цель этого целевого обзора литературы заключалась в том, чтобы понять эпидемиологию, бремя лечения, последовательность лечения и наличие MM в Аргентине, Бразилии,

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… This differential access to effective treatments results in disparities in survival outcomes between patients treated in the public and private sectors and in different countries [ 23 ]. …

Pursuing equity in cancer care: implementation, challenges and preliminary findings of a public cancer referral center in rural Rwanda.

BackgroundCancer services are inaccessible in many low-income countries, and few published examples describe oncology programs within the public sector. In 2011, the Rwanda Ministry of Health (RMOH) established Butaro Cancer Center of Excellence (BCCOE) to expand cancer services nationally. In hopes of informing cancer care delivery in similar settings, we describe program-level experience implementing BCCOE, patient characteristics, and challenges encountered.MethodsButaro Cancer Center of Excellence was founded on diverse partnerships that emphasize capacity building. Services available incl

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… Particularly in LMICs, cancer services are inaccessible for most patients, with existing programs located primarily in urban areas or the private sector and focusing on select cancers [ 4 , 5 ]. …

Смертность среди лиц, находящихся на длительном лечении: ретроспективное национальное когортное исследование.

Недостатки понимания тенденций в области развития среди лиц, живущих в условиях долгосрочного ухода за детьми. Увязка данных открывает возможности для осуществления последующей деятельности на национальном уровне в реальном и долгосрочном плане. Наша цель заключалась в том, чтобы описать модели и связи с смертностью среди лиц, переезжающих в дома по уходу в Шотландии. Эти данные были индексированы и увязаны с национальными данными в области здравоохранения и данными о смертности лиц, переехавших в детские дома в Шотландии в период между 1 апрель 2013 и 31 Март 2016. Сообщается о месте смерти,

Myeloma: Patient accounts of their pathways to diagnosis.

BackgroundPathways to myeloma diagnosis can be prolonged, and are often preceded by multiple GP consultations and emergency presentation. This is the first qualitative study to examine events leading to diagnosis by asking patients about their experiences during this time.MethodsSet within a UK population-based cohort, semi-structured interviews were conducted with 20 myeloma patients with varying characteristics and pathways, 12 of whom invited their relatives to take part. Interviews were audio-recorded and qualitative analysis undertaken.ResultsPre-diagnostic awareness of myeloma was minima

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… However, different healthcare infrastructures (such as those in countries where, unlike the UK, the delivery of services is largely provided by the private sector), may affect help-seeking and diagnostic pathways. …

[Link between depression and academic self-esteem in gifted children].

INTRODUCTION: Studies of the psychology of gifted children frequently refer to their relatively immature affective development in terms of their intellectual capacities and the relational difficulties they experience with regard to their peers, teachers, close acquaintances and sometimes their parents. From a psychopathological viewpoint, various types of problem have been observed such as depressive symptoms, motor instability coupled with hyperactivity, attentional deficits, impulsivity and a fall in self-esteem. OBJECTIVE: In this study, we wished to verify the links between self-esteem an

The role of social, economic, and medical marginalization in cancer clinical trial participation inequities: A systematic review.

Extant literature reveals how patients of marginalized social identities, socioeconomic status (SES), and medical experiences - especially patients of color and older adults - are underrepresented in cancer clinical trials (CCTs). Emerging evidence increasingly indicates CCT underrepresentation among patients of lower SES or rural origin, sexual and gender minorities, and patients with comorbid disability. This review applies an intersectional perspective to characterizing CCT representativeness across race and ethnicity, age, sexual and gender identity, SES, and disability. Four databases wer

Global health burdens of plastics: a lifecycle assessment model from 2016 to 2040.

BackgroundQuantifying human health impacts throughout plastics lifecycles can inform global action against pollution that promotes sustainability across environmental, economic, and health concerns.MethodsWe combined material flow analysis, using the Plastics-to-Ocean model, with lifecycle assessment (LCA) to quantitatively compare disability-adjusted life-years (DALYs) associated with plastics lifecycles, under different global consumption and waste management scenarios between 2016 and 2040. We estimated global health effects of greenhouse gases, particulate matter, and specific chemical emi

Лечение пациентов с гематологическим раком на дому в Дании - национальный обзор.

ЦЕЛЬ: Изучение масштабов и практики лечения на дому пациентов с гематологическими заболеваниями в Дании. МЕТОДЫ: Это общенациональное исследование проводилось во всех датских гематологовых департаментах (n = 9). На каждом сайте был получен онлайновый вопросник для сбора данных о типе терапии, применяемой в качестве лечения на дому, о конкретных методах лечения с подробной информацией о целевых группах населения, критериях для пациентов, ходе осуществления и практике клинического лечения.Результаты: Six В датских гематологических отделениях в качестве домашнего лечения предлагались такие виды т

Closing the gaps: Tackling myeloma inequities in Latin America.

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Integrative oncology in Cancer Care Continuum

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The Burden of Cancer, Government Strategic Policies, and Challenges in Pakistan: A Comprehensive Review.

Cancer is a severe condition characterized by uncontrolled cell division and increasing reported mortality and diagnostic cases. In 2040, an estimated 28.4 million cancer cases are expected to happen globally. In 2020, an estimated 19.3 million new cancer cases (18.1 million excluding non-melanoma skin cancer) had been diagnosed worldwide, with around 10.0 million cancer deaths. Breast cancer cases have increased by 2.26 million, lung cancer by 2.21 million, stomach by 1.089 million, liver by 0.96 million, and colon cancer by 1.93 million. Cancer is becoming more prevalent in Pakistan, with 19

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… The irregular private sectors, which are made up of many agents such as sellers, collectors, mediators, processors, merchants, and dairy stores, perform a specific function at a different stage of the production process and manage it ( 80 ). … The private sector also duplicates services, primarily unregulated for quality treatment and cost. Pakistan's present health infrastructure are scattered and unidirectional ( 188 ). Current healthcare technology has not progressed ( 189 ). …

Establishing a Cardiac Implantable Electronic Device Lead Extraction Program in a Resource-Limited Setting.

BackgroundThe rising number of cardiac implantable electronic device (CIED) implantations in Asia is expected to increase CIED-related infections and lead malfunctions. Establishing a lead extraction program is therefore essential. We describe the set-up and early implementation of the University of the Philippines-Philippine General Hospital (UP-PGH) Lead Extraction Program.MethodsData on preoperative, intraoperative, and postoperative management were collected, along with details on resources, personnel, and workflows. A descriptive analysis was performed.ResultsThe UP-PGH Lead Extraction Pr

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… Collaboration with professional societies, such as the Philippine Heart Association and the APHRS, will be crucial for policy advocacy and financial support from the public and private sectors. …

Prevalence and incidence of multiple sclerosis in healthcare district IV of Asturias, Spain.

BACKGROUND: Multiple sclerosis is an inflammatory demyelinating autoimmune disease of the central nervous system. Studies conducted in recent years point to an increase in its prevalence and a change in the age profile of patients. This study aims to analyse the prevalence and incidence of multiple sclerosis in healthcare district IV of the region of Asturias, in north-western Spain. METHODS: We conducted a retrospective epidemiological study of the population of said healthcare district with a diagnosis of multiple sclerosis according to the 2017 McDonald criteria. The prevalence of the dise

Реальные результаты лечения от рака яичников в мире после &quot; Мирветуксимаб соравтансин &quot; : результаты работы в университете.

Foreign Mirvetuximab Soravtansine (MIRV) — антитело-наркомания, ориентированная на фолатовый рецептор альфа (FRα), выраженная в большинстве раковых заболеваний яичников. В ходе испытаний были получены положительные результаты, однако были использованы жесткие критерии отбора, а эффективность и токсичность в реальном мире по-прежнему являются неполными. Мы провели оценку общего выживаемости (ОС), без прогрессии выживаемости (ПФС) и токсичности среди общего гинекологического онкологического населения, лечившегося с помощью MIRV, в отношении повторяющегося рака яичников. 2022 и апрель 2025. Демог

Generic Anticancer Drugs of the Jan Aushadhi Scheme in India and Their Branded Counterparts: The First Cost Comparison Study.

Introduction In India, the costs of cancer drugs are exorbitant and cause significant financial toxicity to the affected patient and their family members. Considering this, Jan Aushadhi pharmacy stores were established across the country by the government of India with the objective of providing cheap generic medicines to patients. The objective of this study was to perform a cost comparison study of generic chemotherapeutic drugs provided through Jan Aushadhi pharmacies versus their branded counterparts. This will help patients and physicians get first-hand information on the cost variation b

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… The treatment costs are exorbitant, and more than 60% of the people treated in the private sector expend nearly 20% of their annual per capita household expenditure for cancer care of the affected family member [ 2 ]. …

CAR-Based Cell and Gene Therapies: Global Clinical Landscape and Emerging Therapeutic Strategies from ClinicalTrials.gov.

Chimeric Antigen Receptor (CAR)-based cell and gene therapies have become transformative treatments, offering targeted and durable responses, especially in hematologic malignancies. This review analyzes 1,744 CAR clinical trials registered on Clinical-Trials.gov as of 2024, focusing on platform types, indications, target antigens, therapeutic strategies, and late-phase development. CAR-T therapies predominate, followed by CAR-NK, CAR-NKT, CAR-M and CAR-DC platforms. Approximately 92% of trials target tumors, with hematologic malignancies accounting for 65% of indications; CD19 and BCMA are pri

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… As a result, industry players began to recognize the therapeutic and commercial potential of CAR-based therapies, shifting the developmental focus from academia to the private sector. …

The State of Cancer Care in the United Arab Emirates in 2022.

Cancer is the third-leading cause of death in the United Arab Emirates (UAE); cancer care in the UAE has evolved dramatically over the last 40 years, from a single center in Al Ain in 1981 to more than 30 cancer centers and clinics across the UAE, with at least four comprehensive cancer centers in the UAE nowadays. Despite the significant progress in medical care, cancer quality control across the UAE is still lacking, with significant variations in cancer care across the cancer centers. Access to clinical trials is still hampered by a lack of expertise and research infrastructure and a small

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… sector and BMT unit in Dubai Palliative care unit Pediatric Oncology | Research unit/publication, Genetic Counseling Burjeel Medical City | Abu Dhabi | 2020 | The European Society for Medical Oncology (ESMO) Designated Centres of Oncology and Palliative Care, the only centre accredited by ESMO in the … UAE | BMT unit & Only pediatric BMT in UAE Only palliative care service in Abu Dhabi city Only acute hematology in private sector in Abu Dhabi Cancer research unit Only Brain lab in UAE Pediatric Oncology | Genetic Counseling Mediclinic City Hospital | Dubai | 2016 | JCI accredited breast cancer unit …

Building a Sustainable Comprehensive Multiple Myeloma Program in Western Kenya.

Despite improved treatment strategies for multiple myeloma (MM), patient outcomes in low- and middle-income countries remain poor, unlike high-income countries. Scarcity of specialized human resources and diagnostic, treatment, and survivorship infrastructure are some of the barriers that patients with MM, clinicians, and policymakers have to overcome in the former setting. To improve outcomes of patients with MM in Western Kenya, the Academic Model Providing Access to Healthcare (AMPATH) MM Program was set up in 2012. In this article, the program's activities, challenges, and future plans are