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Quality of Online Information on Multiple Myeloma Available for Laypersons.

Online information can increase patients' competence and engagement. However, there are concerns regarding invalid information. Overall, 300 websites and 50 YouTube videos on multiple myeloma (MM) were evaluated. The websites did not differ between the search engines or search ranks. The median time since the last update was 9 months. The 63 unique websites showed a poor general quality (median JAMA score 2 of 4, only 18% with a valid HON certificate). The patient- (user-) focused quality was medium to poor (median sum DISCERN score 41 out of 80 points). The overall reading level was difficult

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… General information on websites included the search rank, paid advertising website (yes versus no), URL (Uniform Resource Locator), host continent, website category (scientific/governmental, foundation/advocacy f. e. … There were nine promoted websites (i.e., paid advertising). …

Accuracy and Reliability of Internet Resources for Information on Monoclonal Gammopathy of Undetermined Significance-What Information Is out There for Our Patients?

BACKGROUND: Online information gathering can increase patients' engagement in decision-making. The quality of online resources available for monoclonal gammopathy of undetermined significance (MGUS) was evaluated. METHODS: 900 websites from Google, Bing, Yahoo, and 150 YouTube videos were assessed. RESULTS: The websites did not differ regarding their search rank or between the search engines. The median time since last update was 24 months. The 86 unique websites showed a medium to poor general quality (JAMA score 3/4, only 8.1% websites with a valid HON certificate). The patient- (user-) fo

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… There was one promoted website on each search engine in terms of paid advertising. … While the items authority, confidentiality, and transparency of authorship were addressed by the majority of videos, aspects of complementarity, attribution, justifiability, transparency of sponsorship, honesty in advertising, and editorial policy were generally not met ( Figure 2 B). …

Kidney care in patients with cancer: perspectives from the onconephrology committee of the Brazilian Society of Nephrology.

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Validation study of the Functional Assessment of Cancer Therapy-Cognitive Function-Version 3 for the Portuguese population.

BackgroundCancer-related cognitive impairment is a common and potentially debilitating symptom experienced by patients with non-central nervous system (CNS) cancers, with negative impact on their quality of life. The Functional Assessment of Cancer Therapy-Cognitive Function-Version 3 (FACT-Cog-v3) is the most extensively used instrument specifically developed to evaluate cognitive complaints in adult cancer patients. Nevertheless, this self-report measure is not yet validated for the Portuguese population. Therefore, the purpose of this study was to evaluate the psychometric properties of the

[Consensus, hedonism: the characteristics of new family and their consequences for the development of children].

Over the last three decades, the marital family model described by Durkheim at the end of the nineteenth century has undergone numerous changes, e.g. questioning about the principle of authority, women emancipation, occurrence of the "new fathers", the growing influence of the media on the daily life of families, the less frequent and most precious child (due to the reduced number of children per family),... Through clinical, psychoanalytical and developmental models we, here, analyze these changes together with their impact on child. Historical and sociological approaches also allowed us to e

Потребности и предпочтения в поддержке людей с множественным склерозом: протокол быстрого обзора.

ВВЕДЕНИЕ: Люди с множественным склерозом (МС) живут в прогрессивном состоянии, которое может привести к возникновению сложных потребностей в поддержке инвалидов. Следовательно, они могут нуждаться в специализированном уходе и ассистивных технологиях для поддержания своей независимости дома. Важно обеспечить понимание потребностей и предпочтений людей, имеющих НР, с целью сохранения независимости и повышения качества их жизни. МЕТОДЫ И АНАЛИЗ: Принципы системы систематического обзора включены в наш быстрый обзор. Таким образом, с самого начала проекта была нанята целевая группа, которая определ

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… Includes advice on in-home or community-based support Includes content that may inform practice 2010–current Location filters (1) Australia and (2) No location selected Theses, newsletters, memos or advertising materials Unavailable in English Focus of the PDF is not the population without MS or … Includes advice on in-home or community-based support Includes content that may inform practice 2010–current Location filters (1) Australia and (2) No location selected Theses, newsletters, memos or advertising materials Unavailable in English Focus of the PDF is not the population without MS or …

Use of Herbal Medicine Is Associated With Late-Stage Presentation in Tanzanian Patients With Cancer: A Survey to Assess the Utilization of and Reasons for the Use of Herbal Medicine.

PurposeIn Tanzania, patients with cancer present late with advanced stages. Among other reasons, the use of herbal medicine (HM) might contribute to delay in diagnosis and treatment. This study aims to understand the utilization of HM and the reasons for its' use.MethodsA semistructured 30-item questionnaire with closed- and open-ended questions was applied to a cohort of patients with cancer at Kilimanjaro Christian Medical Centre. Content analysis was performed for answers to open-ended questions.ResultsThree hundred two patients were interviewed, 50.9% males and 49.1% females. The mean age

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… Traditional medical practitioners use media on a large scale to advertise their products and do this in a manner that lacks both medical and business ethics, according to a study analyzed the situation in South Africa, Mozambique, and Zimbabwe. 15 This, however, remains an assumption, and further research … Munyaradzi M Ethical quandaries in spiritual healing and herbal medicine: A critical analysis of the morality of traditional medicine advertising in southern African urban societies Pan Afr Med J 10 6 2011 10.4314/pamj.v10i0.72212 PMC3282931 22187588 16. …

Older cancer patients' information and support needs surrounding treatment: An evaluation through the eyes of patients, relatives and professionals.

BackgroundProviding cancer patients with adequate treatment information is important for patients' health, well-being and satisfaction. Nurses play an important role in patient education. So far, few studies focused on the specific information needs of older cancer patients surrounding chemotherapy treatment. Given the growing incidence of cancer among older individuals, insight in these needs is crucial. This article describes the views of older cancer patients, their relatives and professionals on older patients' specific communication needs regarding chemotherapy treatment.MethodsA qualitat

Evaluating Integrative Cancer Clinics With the Claim Assessment Profile: An Example With the InspireHealth Clinic.

BackgroundThe evaluation of freestanding integrative cancer clinical programs is challenging and is rarely done. We have developed an approach called the Claim Assessment Profile (CAP) to identify whether evaluation of a practice is justified, feasible, and likely to provide useful information.ObjectivesA CAP was performed in order to (1) clarify the healing claims at InspireHealth, an integrative oncology treatment program, by defining the most important impacts on its clients; (2) gather information about current research capacity at the clinic; and (3) create a program theory and path model

Neuromuscular study of early branching Diuronotus aspetos (Paucitubulatina) yields insights into the evolution of organs systems in Gastrotricha.

According to Xinhua News, Chen Zhu, China's Minister of Health, mentioned at the 2007 Annual Conference of the China Association for Science … eased immunity to HBV. This, to a certain extent, may be attributed to the inadequate public health advertising and financial input of the Government. Except in some large general hospitals, the sanitary conditions of most hospitals and rural health clinics still need to be improved, including a system of social relief and assistance. Another important aspect …

Randomized controlled trial of geriatric consultation versus standard care in older adults with hematologic malignancies.

We conducted a randomized controlled trial in older adults with hematologic malignancies to determine the impact of geriatrician consultation embedded in our oncology clinic alongside standard care. From February 2015 to May 2018, transplant-ineligible patients aged ≥75 years who presented for initial consultation for lymphoma, leukemia, or multiple myeloma at Dana-Farber Cancer Institute (Boston, MA, USA) were eligible. Pre-frail and frail patients, classified based on phenotypic and deficit-accumulation approaches, were randomized to receive either standard oncologic care with or without con

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… Direct-to-consumer advertising for bleeding disorders: a content analysis and expert evaluation of advertising claims. J Thromb Haemost. 2008;6(10):1680-1684. 22. El-Jawahri AR, Abel GA, Steensma DP, et al. …

Internet-based guided self-help for glioma patients with depressive symptoms: design of a randomized controlled trial.

BackgroundAmong glioma patients, depression is estimated to be more prevalent than in both the general population and the cancer patient population. This can have negative consequences for both patients and their primary informal caregivers (e.g., a spouse, family member or close friend). At present, there is no evidence from randomized controlled trials for the effectiveness of psychological treatment for depression in glioma patients. Furthermore, the possibility of delivering mental health care through the internet has not yet been explored in this population. Therefore, a randomized contro

Fit & strong! Promotes physical activity and well-being in older cancer survivors.

IntroductionPhysical activity reduces fatigue and depression while improving quality of life in cancer survivors. Exercise is generally considered safe and is recommended to survivors of all ages. Despite the high prevalence of cancer in the elderly, few studies address physical activity interventions targeting this older population. Fit & Strong! is an evidence-based physical activity program shown to improve level of physical activity, exercise-self-efficacy, and mood in older adults with osteoarthritis. This study tests the feasibility and short-term impact of the Fit & Strong! exercise pro

Does Therapeutic Repurposing in Cancer Meet the Expectations of Having Drugs at a Lower Price?

Therapeutic repurposing emerged as an alternative to the traditional drug discovery and development model (DDD) of new molecular entities (NMEs). It was anticipated that by being faster, safer, and cheaper, the development would result in lower-cost drugs. As defined in this work, a repurposed cancer drug is one approved by a health regulatory authority against a non-cancer indication that then gains new approval for cancer. With this definition, only three drugs are repurposed for cancer: Bacillus Calmette-Guerin (BCG) vaccine (superficial bladder cancer, thalidomide [multiple myeloma], and p

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… For NMEs, massive spending from pharmaceutical companies on advertising their novel drug products and securing health regulatory authorities approval. … On the contrary, lack of advertising also results in a negative prescription bias, as is the case with aspirin. In 2003, a placebo-controlled trial of aspirin showed statistically significant positive results as a chemopreventive agent [ 96 ]. …

Caregiver Quality of Life: Satisfaction and Burnout.

Informal caregivers (ICs) of cancer patients play a crucial role in health care. Several of the challenges they face can affect their quality of life (QoL). This cross-sectional study explored role of burnout and caregiving satisfaction in their relationship to QoL. Portuguese ICs of adult cancer patients (N = 92) answered a sociodemographic and caregiving questionnaire, the WHOQOL-SRPB BREF, assessing physical, psychological, social, environmental, and spiritual QoL domains; the Maslach Burnout Interview, assessing the dimensions of depersonalization, emotional exhaustion, and personal accomp

Longevity leap: mind the healthspan gap.

Life expectancy has increased by three decades since the mid-twentieth century. Parallel healthspan expansion has however not followed, largely impeded by the pandemic of chronic diseases afflicting a growing older population. The lag in quality of life is a recognized challenge that calls for prioritization of disease-free longevity. Contemporary communal, clinical and research trends aspiring to extend the health horizon are here outlined in the context of an evolving epidemiology. A shared action integrating public and societal endeavors with emerging interventions that target age-related m

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… Large scale approaches rely on measurable multidimensional goals to modify the social and physical environment through banning public smoking, enforcing nutrition labeling, and regulating advertising and industry 26 , 27 . … Five billion people worldwide are now covered by WHO-led MPOWER control measures encompassing use, prevention policies, protection from tobacco smoke, cessation programs, danger warning, bans on advertising, and raising taxes. …

Awareness of Obesity-Related Cancers: A Complex Issue.

Cancer rates are on the rise across the world, making the illness a public health crisis, particularly in developed countries where cancer has become a leading cause of death [...].

Psychological therapies for the prevention of migraine in adults.

BackgroundMigraine is a common neurological problem associated with the highest burden amongst neurological conditions in terms of years lived with disability. Medications can be used as prophylaxis or rescue medicines, but are costly and not always effective. A range of psychological interventions have been developed to manage migraine.ObjectivesThe objective was to evaluate the efficacy and adverse events of psychological therapies for the prevention of migraine in adults.Search methodsWe searched CENTRAL, MEDLINE, Embase, PsycINFO and CINAHL from their inception until July 2018, and trials

Симптомы расстройства питания при множественном склерозе: взаимосвязь между нейротикой, дисфункцией тела и самоэстеемом.

Предыстория/цели: Исследования нарушений питания (РУ) у лиц с множественным склерозом (МС) являются ограниченными. В популяциях эпидемиологов нейротицизм связан с симптомами эдактики из-за более низкой самооценки и большего недовольства телом, но эти отношения остаются неизученными в MS. Цель этого исследования заключалась в изучении вопроса о том, являются ли самоуважение и неудовлетворенность тела посредником в установлении связи между нейротикализмом и симптомами ЭД у отдельных лиц, имеющих MS. Методы: Нынешняя выборка состояла из 275 участников, которые сообщили о подтвержденном неврологом