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Analysis of Early Post-Radiation Surgical Management of Metastatic Spinal Tumors.

Background/Objectives: Radiotherapy is one of the various treatment options for patients with metastatic spinal tumors (MST). However, it is difficult to say that this is definitely an optimal treatment for MST, and there are several patients who need surgical treatment because pain or neurologic deficits occur even after radiotherapy. Therefore, this study aimed to analyze which patients received early operative treatment after radiotherapy. Methods: We included 81 patients who underwent decompression and fusion surgery after radiotherapy for MST. Patients who underwent surgery within 6 month

Bone marrow endosteum in homeostasis and metastasis.

The endosteum is a thin layer of connective tissue lining the inner surfaces of bones adjoining the medullary cavity. The endosteum houses a variety of cells crucial for bone growth, repair and remodelling, including bone-forming osteoblasts, bone-resorbing osteoclasts and their precursor cells. Historically, the endosteum has been extensively studied as a key site for haematopoiesis by which blood cells are incessantly produced. However, recent studies have defined the endosteum as a niche for skeletal stem cells, underscoring the importance of the harmony between the inner endosteum and the

Резюме МКАРЕ 2023 77th Национальный конгресс " СИААРТИ "

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Ремдезивирско-ассоциированные результаты выживания среди иммунокомпромиссных пациентов, госпитализированных COVID-19: Реальные улики о микродоминантной эпохе.

Пациенты с иммунокомпромиссными заболеваниями подвергаются повышенному риску заболевания коронавирусом 2019 (В тыс.COVID-19) связанная с этим госпитализация и смерть. Случайные клинические испытания обеспечивают ограниченное число пациентов, если таковые имеются, для получения информации о результатах лечения таких пациентов ремдезивиром. COVID-19 в период с декабря 2021 и февраль 2024. Главным результатом этого стало то, что стационарная смертность была проверена у пациентов, у которых характерные показатели сравниваются с оценками, в группах ремдесивир против нередесивирных групп. Были прове

VERTEBROPLASTY IN THE TREATMENT OF VERTEBRAL FRACTURES CAUSED BY PLASMACYTOMA.

The aim of this study was to compare and evaluate clinical results before and after vertebroplasty in the treatment of myeloma-induced vertebral fractures. Success of the surgery was defined by increased or reduced pain intensity before and after the treatment, as assessed using the visual analog scale (VAS). The study was designed as a retrospective-prospective study. The study included 26 patients, 14 women and 12 men. Data on patients treated for myeloma-induced vertebral fractures were collected at the Department of Orthopedics, Osijek University Hospital Centre. The following data were an

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… The patient remained on bed rest for at least one hour, and was discharged 24 hours after the procedure ( 4 ). Three weeks after the procedure, during the first follow-up examination scheduled to obtain histopathologic findings, the patients filled out the questionnaire again. …

Clinical efficacy analysis of extrapedicular unilateral percutaneous vertebroplasty via the upper edge of the transverse process for lumbar osteoporotic vertebral compression fractures.

ObjectiveTo investigate the clinical effect of vertebroplasty through unilateral upper edge of transverse process in the treatment of lumbar osteoporotic vertebral compression fracture (OVCF), and to explore the surgical indications and operation points of this technique.MethodsNinety patients with osteoporotic vertebral compression fractures of the lumbar spine treated in our hospital from June 2020 to June 2021 were retrospectively analyzed and divided into the experimental group and the control group for vertebroplasty according to the principle of randomization; the experimental group was

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… Postoperative management and Outcome Evaluation After operation, the patients were given bed rest, fluid infusion, and other symptomatic and supportive treatment to observe whether there were subcutaneous hemorrhage, infection, spinal cord nerve injury pulmonary embolism, and other symptoms, and rehabilitation … PVP has the characteristics of small trauma, short operation time, and quick effect, which can not only significantly relieve the symptoms of patients after PVP, but also significantly reduce the related complications caused by long-term bed rest [ 10 ]. …

Surgical versus non-surgical treatment for vertebral compression fracture with osteopenia: a systematic review and meta-analysis.

BACKGROUND: Surgical and non-surgical interventions are the two categories for treatment of vertebral compression fractures (VCFs). However, there is clinical uncertainty over optimal management. This study aimed to examine the safety and effectiveness of surgical management for treatment of VCFs with osteopenia compared with non-surgical treatment. METHODS: We conducted a systematic search through electronic databases from inception to June 2014, with no limits on study data or language. Randomized controlled trials (RCTs) evaluating surgical versus non-surgical interventions for treatment o

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… Standard non-surgical treatment includes bed rest, analgesia, use of a back brace or corset, and physical support. Minimally invasive techniques, such as percutaneous vertebroplasty (PV) and balloon kyphoplasty (BK), are popular for treating painful VCFs [ 10 – 13 ]. … Conservative interventions consisted of bed rest, medication (e.g., analgesics), use of a corset, brace, or cast, and rehabilitation (e.g., physiotherapy). Types of outcome measures The primary outcomes were self-reported pain and adverse effects. …

Fatigue Experience in Oncology; a Targeted Qualitative Literature Review and Novel Patient-Centric Conceptual Model.

IntroductionTraditionally, treatment endpoints in oncology have focused on increasing overall survival and progression-free survival. Although fatigue may be a meaningful outcome measure across different cancers, it is assessed less frequently. To explore the impact of fatigue on patients with cancer, confirm the importance of fatigue measurement and inform future measurement strategies in oncology, we aimed to characterise the patient experience of fatigue and the associated impact on how patients feel and function, including aspects of health-related quality of life (HRQoL).MethodsA targeted

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

Application of Pet-CT Fusion Deep Learning Imaging in Precise Radiotherapy of Thyroid Cancer.

This article explores the value of wall F-FDG PET/Cr imaging in the diagnosis of thyroid cancer, studies its ability to distinguish benign and malignant thyroid lesions, and seeks ways to improve the accuracy of diagnosis. The normal control group selected 40 patients who came to our center for physical examination. In the normal control group, the average value of the standard uptake value of both sides of the thyroid was used as the SUV of the thyroid gland and the highest SUV value of the patient's lesion (SUV max) represented the SUV of the lesion. After injection of imaging agent 18F-FD1G

Exercise barriers and facilitators during hematopoietic stem cell transplantation: a qualitative study.

ObjectiveAlthough exercise is beneficial in patients undergoing hematopoietic stem cell transplantation (HSCT), motivating patients to exercise is challenging. We aimed to understand exercise barriers and facilitators during HSCT treatment while participating in a daily unsupervised exercise programme.ParticipantsPatients scheduled to have HSCT.Study design6 participants were included in this descriptive qualitative study during HSCT treatment while participating in an exercise programme to identify perceived barriers and facilitators of the exercise. An average of three semi-structured interv

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… Bone Marrow Transplant 2007 ; 39 : 595 – 603 . 10.1038/sj.bmt.1705624 17369868 5 Parry SM , Puthucheary ZA The impact of extended bed rest on the musculoskeletal system in the critical care environment . …

ESICM LIVES 2016: part three : Milan, Italy. 1–5 October 2016

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… Tomas – Clinica Sagrada Esperança, Luanda, Angola Introduction: Bed rest and immobility during critical illness may result in profound physical deconditioning. …

Palliative patients who may benefit from intranasal delivery of symptomatic drugs: a two-center observational study evaluated the administration of morphine and dexamethasone in Polish hospices.

IntroductionPatients receiving hospice care at the end of life often suffer from a variety of ailments. They may need medication to alleviate symptoms for the rest of their lives. The most common and recommended way to take opioids and steroids is orally. Less frequently, the subcutaneous or intravenous routes are used. The intranasal route is a relatively uncommon but interesting alternative for administering drugs.AimThe study aims to identify hospice patients who may benefit from changing the standard opioid and steroid administration route to intranasal delivery.Material and methodsThe ele

Clinical effect of Zoledronic Acid in the treatment of Senile Osteoporosis.

ObjectiveTo investigate the clinical efficacy of zoledronic acid in the treatment of senile osteoporosis.MethodsOne hundred and six cases of senile osteoporosis who visited to our hospital from August 2017 to December 2018 for treatment were selected and randomly divided into a control group and an observation group. The control group was treated with conventional therapy, while the observation group was treated with zoledronic acid in addition to the treatment of the control group. Bone mineral density, pain degree, therapeutic effect and adverse reactions of the two groups were compared.Resu

Изучение роли позитивного образа тела, симптомов депрессии, инвалидности и возраста в принятии болезней у людей с множественным склерозом.

Фон: Множественный склероз (MS) является хроническим нейродегенеративным заболеванием, приводящим к постепенной инвалидности, которая может влиять не только на физическое, но и на психическое состояние пациентов. Психологическая адаптация к этому заболеванию играет важную роль в общей эффективности лечения. Цель этого исследования заключалась в определении изменяемых и немодифицированных корреляций принятия болезни. Методы: Включено в общей сложности 139 белых жителей, имеющих MS (PwMS) (106 женщин). Были использованы данные о принятии шкалы заболеваемости (АИС), шкалы оценки тела (БАС-2) и гр

Fascia training in patients undergoing allogeneic hematopoietic cell transplantation-a pilot study.

PurposePatients undergoing allogeneic hematopoietic cell transplantation (alloHCT) spend many weeks of treatment in an isolated environment with little room for exercise. Feasibility of a daily-performed, unassisted fascia-training program and its effects on back and foot pain, back flexibility, and quality of life were investigated.MethodsEighteen patients receiving alloHCT were randomized to an intervention (IG: n = 9; 60.7 ± 9.2 years) or control group (CG: n = 9; 54.0 ± 15.5 years) and assessed from 1 week before to 3 weeks after transplantation (t0-t3). CG received standard care physical

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… Muscle atrophy, pain, and damage in bed rest reduced by resistive (vibration) exercise. Med Sci Sports Exerc. 2014;46(8):1506–1516. doi: 10.1249/MSS.0000000000000279. 6. Albrecht TA, Taylor AG. Physical activity in patients with advanced-stage cancer: a systematic review of the literature. …

Safety and feasibility of exercise interventions in patients with hematological cancer undergoing chemotherapy: a systematic review.

ObjectiveExercise during and after cancer treatment has established quality of life and health benefits. However, particularly for patients with hematological cancer clear recommendations regarding the safety and feasibility of exercise are under-investigated. The aim of our systematic review was to summarize the literature regarding the feasibility and safety of exercise interventions in patients diagnosed with hematological cancer undergoing chemotherapy.MethodA systematic literature review was conducted using PubMed, SPORTDiscus, MEDLINE, Science Direct, and Web of Science electronic databa

Patient-reported outcomes and health-related quality of life in individuals living with, through, and beyond cancer in Sweden: a cross-sectional study.

BackgroundThe use of patient-reported outcome measures (PROM) can be beneficial in several ways. However, presentations of PROM data from individuals living with, through, or beyond cancer are scarce in the existing scientific literature, and challenges in presenting and interpreting PROM data may be an explanation. Our overall aim was to describe aspects of wellbeing in individuals living with current or previous cancer, 1-2 and 5-6 years after diagnosis. We also aimed to identify vulnerable subgroups of individuals and to facilitate the interpretation of PROM data by combining different pres

Oral Food Supplement with Bio-Activated Silicium and Vitamins D3 and K2 in the Conservative Management of Osteoporotic Vertebral Compression Fractures.

Background: Osteoporotic vertebral compression fractures (OVCFs) are the most prevalent manifestation of osteoporotic skeletal disease, associated with severe pain, functional decline, and elevated risk of subsequent fractures. Conservative management remains the first-line approach for stable fractures, yet pain control is often suboptimal, and vertebral collapse progresses in up to 37% of patients. Bio-activated orthosilicic acid combined with vitamins D3 and K2 (BioSi-DK) may support fracture healing through complementary mechanisms acting on osteoblast differentiation, collagen synthesis,

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… Conservative management typically includes relative bed rest, thoracolumbar orthosis, multimodal analgesia, and early mobilization. Although pain usually improves within 6–12 weeks, vertebral collapse progresses in 7–37% of cases, sometimes requiring surgical intervention [ 10 ]. … Treatment Protocol All patients received a standardized conservative treatment protocol comprising an initial period of bed rest (one to two weeks, titrated to pain intensity), thoracolumbar orthosis bracing, and analgesic therapy (e.g., tramadol and paracetamol) administered according to the WHO analgesic …

Patient perspectives on symptoms, health-related quality of life, and treatment experience associated with relapsed/refractory multiple myeloma.

Abstract Purpose This study aimed to better understand the patient perspective and treatment experience of relapsed and/or refractory multiple myeloma (RRMM). Methods This qualitative study enrolled adult RRMM patients from 6 US clinics who had ≥ 3 months of life expectancy, ≤ 6 prior lines of therapy, and ≥ 1 treatment regimen with a proteasome inhibitor and immunomodulator, or a CD38 monoclonal antibody or an alkylating agent, and a steroid. In-person semi-structured qualitative interviews were conducted to capture concepts that were relevant and important to patients. Topics included RRMM s