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Vertebroplasty and kyphoplasty: a comparative review of efficacy and adverse events.

Vertebroplasty and kyphoplasty have become common surgical techniques for the treatment of vertebral compression fractures. Vertebroplasty involves the percutaneous injection of bone cement into the cancellous bone of a vertebral body with the goals of pain alleviation and preventing further loss of vertebral body height. Kyphoplasty utilizes an inflatable balloon to create a cavity for the cement with the additional potential goals of restoring height and reducing kyphosis. Vertebroplasty and kyphoplasty are effective treatment options for the reduction of pain associated with vertebral body

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… Medical therapies for vertebral compression fractures include analgesics, bed rest, bracing, and rehabilitation [ 20 , 21 ]. … In patients with osteoporosis, weight-bearing exercise is crucial in the prevention of disease progression [ 22 ], and therefore bed rest can be counterproductive in the long run. …

Durotomy During Outpatient Lumbar Discectomy Should Not Preclude Same-Day Discharge: A Case Series.

Background and objectivesWith advances in surgical techniques over the past 40 years, single-level lumbar hemilaminectomy and microdiscectomy (HLMD) has become a standard outpatient surgery. Incidental durotomy is a common complication of lumbar decompression surgeries and often precludes same-day discharge based on preexisting paradigms, involving bedrest that have no empirical support, but often lead to increased complications in available evidence-based studies. Limited data exist regarding the safety of same-day discharge after lumbar decompression involving an incidental durotomy. The obj

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… Early mobilization versus bed rest for incidental durotomy: an institutional cohort study . J Neurosurg Spine. 2022 ; 37 ( 3 ): 460 - 465 . 35303709 10.3171/2022.1.SPINE211208 12. Farshad M Aichmair A Wanivenhaus F Betz M Spirig J Bauer DE . …

Присутствие и воздействие усталости у пациентов с множественным склерозом.

Усталость часто встречается в множестве склерозов (MS) и отрицательно сказывается на функционировании и качестве жизни. Мы изучили клинические корреляции усталости, ее связь с депрессией и сонливостью, а также вопрос о том, улучшают ли лекарственные препараты, связанные с усталостью, результаты, о которых сообщают пациенты. В. МАТЕРИАЛЫ И МЕТОДЫ 203 Ветераны, классифицируемые по признаку наличия или отсутствия усталости. Первичными результатами были изменения в шкале усталости (СФС), изменённой шкале воздействия на усталость (MFIS) и шкале сна Epworth (ESS) от базового уровня до базового уровн

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… Misconceptions about fatigue often lead patients to adopt prolonged bed rest, which leads to muscle atrophy and osteoporosis [ 10 ]. Conversely, physical activity has been shown to mitigate fatigue, enhance energy metabolism, and preserve muscle function [ 16 ]. …

Oral Presentation

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Role of Cardio-Oncology Rehabilitation in Hematopoietic Stem Cell Transplantation and Chimeric Antigen Receptor T-Cell (CAR-T) Therapy.

Allogeneic hematopoietic stem cell transplantation (allo-HSCT) and chimeric antigen receptor T-cell (CAR-T) therapy often lead to severe sarcopenia and cachexia during treatment, making it difficult to maintain exercise tolerance. Consequently, "cancer rehabilitation" programs have been implemented to sustain and improve physical activity and motor function. Hematologic malignancies often involve the use of cardiotoxic drugs. Moreover, graft-vs.-host disease associated with allo-HSCT and the cytokine release syndrome in CAR-T therapy elevate the risk of cardiovascular complications. Thus, esta

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… In HSCT, high-dose chemotherapy, GVHD, and infections affect physical activity, resulting in reduced motor function, muscle strength, and exercise tolerance. 32 , 33 In CAR-T therapy, the development of CRS or immune effector cell-associated neurotoxicity syndrome (ICANS) often leads to prolonged bed … rest, with reports indicating fatigue in 44–96% of cases. 34 – 36 Muscle mass maintenance depends on the balance between protein synthesis and protein degradation. 37 Reduced physical activity leads to an early decline in protein synthesis rates, and prolonged bed rest further increases protein degradation …

Comparison of objective and subjective sleep time and quality in hospitalized recipients of hematopoietic stem cell transplantation.

ObjectiveIn this study, the sleep time and efficiency of recipients of hematopoietic stem cell transplantation (HSCT) were investigated throughout treatment and compared objective measurements with subjective self-reported data.MethodsSleep time and efficiency were measured using both objective and subjective methods throughout the treatment period in inpatients receiving HSCT. The participants were recruited among HSCT inpatients at a tertiary hospital in Seoul, South Korea, between August 2019 and August 2020. Actigraphy was used to measure objective sleep time and efficiency. Subjective sle

Обследование на предмет выявления рака груди у женщин с множественным склерозом: исследование смешанных методов.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Имеется мало информации о практике обследования на предмет выявления рака молочной железы у женщин с множественным склерозом. ЦЕЛЬ: Оценка и сопоставление показателей УХУ в УВМС и среди населения в целом и выявление барьеров и посредников. МЕТОДЫ: 2012-2020 Мы идентифицировали когортное исследование 47,166 WWMS без истории рака и совпадали с ними (до 1::4) к 184,124 контроль из французской национальной медико-административной базы данных. Показатели маммографии были сопоставлены в зависимости от возраста, социально-экономического положения на уровне городов, периода и ис

The Role of Exercise in Cancer-Related Sarcopenia and Sarcopenic Obesity.

One of the most common adverse effects of cancer and its therapeutic strategies is sarcopenia, a condition which is characterised by excess muscle wasting and muscle strength loss due to the disrupted muscle homeostasis. Moreover, cancer-related sarcopenia may be combined with the increased deposition of fat mass, a syndrome called cancer-associated sarcopenic obesity. Both clinical conditions have significant clinical importance and can predict disease progression and survival. A growing body of evidence supports the claim that physical exercise is a safe and effective complementary therapy f

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… Muscle Atrophy and Bone Loss after 90 Days’ Bed Rest and the Effects of Flywheel Resistive Exercise and Pamidronate: Results from the LTBR Study. Bone. 2005;36:1019–1029. doi: 10.1016/j.bone.2004.11.014. 99. Marusic U., Narici M., Simunic B., Pisot R., Ritzmann R. … Nonuniform Loss of Muscle Strength and Atrophy during Bed Rest: A Systematic Review. J. Appl. Physiol. 2021;131:194–206. doi: 10.1152/japplphysiol.00363.2020. 100. Jha N.K., Arfin S., Jha S.K., Kar R., Dey A., Gundamaraju R., Ashraf G.M., Gupta P.K., Dhanasekaran S., Abomughaid M.M., et al. …

Patient-Centered Insights on Treatment Decision Making and Living with Acute Myeloid Leukemia and Other Hematologic Cancers.

Expectations relating to treatment and survival, and factors influencing treatment decisions are not well understood in adult patients with acute myeloid leukemia. This study analyzed combined findings from a targeted literature review with patient-reported information shared on YouTube to further understand patient perspectives in hematologic cancers and, in particular, acute myeloid leukemia. The targeted literature review included articles concerning patient (aged ≥ 18 years) experiences or perspectives in acute myeloid leukemia or other hematologic cancers. YouTube video selection criteria

How long do endoprosthetic reconstructions for proximal femoral tumors last?

BackgroundAs the life expectancy of patients with musculoskeletal tumors improves, long-term studies of endoprosthetic reconstructions are necessary to establish realistic expectations for the implants and compare them to other reconstruction approaches.Questions/purposes(1) What is the long-term survival of cemented bipolar proximal femoral replacements? (2) How does prosthesis survival compare to patient survival among patients with Stage I, II, and III disease? (3) Do modular implants outperform custom-built prostheses? (4) Do some proximal femoral replacements require conversion to THA?Pat

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… Postoperatively, patients were originally placed on bed rest for 4 weeks. Over time, this period of bed rest has been reduced to 7 to 10 days. Antibiotics were continued until the drains were removed. …

Current approach to the diagnosis and treatment of femoral-popliteal arterial disease. A systematic review.

Peripheral arterial disease (PAD) is a common manifestation of atherosclerosis affecting 5 million adults in the United States, with an age-adjusted prevalence of 4% to 15% and increasing up to 30% with age and the presence of cardiovascular risk factors. In this article we focus on lower extremity PAD and specifically on the superficial femoral and proximal popliteal artery (SFPA), which are the most common anatomic locations of lower extremity atherosclerosis. We summarize current evidence and perform a systematic review on the diagnostic evaluation as well as the medical, endovascular and s

The Effect of Laughter Yoga on Chemotherapy-Induced Symptoms and Sleep Quality in Patients with Haematologic Cancer.

There are international studies that examine the effects of laughter yoga on the symptoms and quality of life of cancer patients as a complementary therapeutic method.AimThis study aims to examine the effect of laughter yoga on chemotherapy-induced symptoms and sleep quality in patients with haematologic cancer.Materials and methodsThis study was conducted as a randomised controlled trial with two parallel treatment arms. The study was between November 2020 and December 2021. The sample was calculated with 60 patients including in the study. A total of 4 sessions of laughter yoga were applied

Intra-apheresis Cycling to Improve the Clinical Efficacy of Peripheral Blood Stem Cell Donations.

Peripheral blood stem cell (PBSC) donation is the primary procedure used to collect haemopoietic stem cells (HSCs) for transplantation in individuals with haematological malignancies. More than 90,000 HSC transplants take place globally each year, and there is an increasing need to guarantee HSC mobilisation, improve tolerability to apheresis, and optimise immune reconstitution. Currently, mobilisation of HSCs depends upon pharmacological agents, with donors inactive during their subsequent apheresis. A successful yield of HSCs is not always achieved, and greater efficiency of collection proce

СНМИКОН 2024 Резюме

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Evidence-based guidelines for physiotherapy management of patients with multiple myeloma: study protocol.

BACKGROUND: Patients with multiple myeloma (MM) are often treated with chemotherapy, radiation, and, if indicated, autologous stem cell transplant. In addition to side effects of the treatment, patients with MM often have bone pain, pathological fractures, spinal cord compressions, fatigue, and muscle weakness, which negatively impact functional performance and quality of life. Currently, there are no related guidelines for safe and effective physiotherapy (PT) management. Accordingly, the aim of the present study is to develop guidelines for effective physiotherapy management of patients with

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… During the in-patient stay, number of factors may significantly affect the physical performance and functional status of hospitalized patients with MM including, prolonged periods of bed rest with muscle inactivity, older age, effects of cancer treatments including fatigue. …

Barthel Index is a valid and reliable tool to measure the functional independence of cancer patients in palliative care.

BackgroundOur objective was to verify the reliability, internal consistency and construct validity of the Barthel Index in Brazilian cancer patients in palliative care.MethodsWe included patients with cancer, both sexes, and age greater than or equal to 18 years. We used to evaluate patients the Barthel Index, Karnofsky Performance Scale (KPS), and European Organization for Research in the Treatment of Cancer Questionnaire-core 15 (EORTC-QLQ-C15-PAL). The measurement properties evaluated in this study were test-retest and inter-rater reliability and construct validity (tested by means of corre

Artificial intelligence assisted preoperative planning and 3D-printing guiding frame for percutaneous screw reconstruction in periacetabular metastatic cancer patients.

BACKGROUND: The percutaneous screw reconstruction technique, known as the "Tripod Technique," has demonstrated favorable clinical outcomes in the management of metastatic periacetabular lesions, as evidenced by our prior investigations and corroborated by independent studies. Nevertheless, there is a steep learning curve in handling this technique, with possible complications such as intraarticular screw placement. METHODS: Preoperative pelvic CT scans were acquired before surgery and utilized for the guiding frame design. A convolutional neural network model was trained with annotated data t

Malignant Pleural Effusion: Palliative Managements and Indication for Pleurodesis Based on Survival Scores.

Neoplastic pleural effusion is one in which malignant neoplastic cells are detected in the pleural fluid or in the parietal pleura. When secondary, it confirms disseminated neoplastic disease and suggests a reduced life expectancy and low quality of life. This review was described by a group of physician members of the Brazilian Society of Oncological Surgery regarding the treatment of neoplastic pleural effusion, developed to guide surgeons, palliative care physicians and clinical oncologists in their clinical practice to assess patients indicated for pleurodesis based on survival scores.

Abstracts

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Isolated Lesser Trochanter Fractures in Adults: A Systematic Review of Malignant, Infectious, and Benign Etiologies.

Isolated lesser trochanter (LT) fractures are uncommon in adults and may be the first clue to an underlying pathologic process. In contrast to adolescent apophyseal avulsions, the same finding in a skeletally mature patient has been linked to metastatic disease, primary bone tumors, hematologic malignancy, infection, and, less often, benign traumatic, stress-related, osteoporotic, or metabolic causes. This review examined the malignant, infectious, and benign etiologies, diagnostic pathways, treatments, and outcomes that have been reported in adults aged 18 years or older presenting with a rad

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… Presentation: Left hip pain and limited mobility; persistent pain after bed rest | Metastatic solid malignancy | Poorly differentiated squamous cell carcinoma of lung | X-ray; CT; MRI; contrast MRI; CT chest/abdomen; bone scan | Management: Initial bed rest; palliative radiotherapy; carboplatin/paclitaxel …