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Response-The Road Less Travelled: Why did Miles Little Turn to Qualitative Research and Where Did This Lead?

Miles Little is an Australian surgeon, poet, and philosopher whose published work spans diverse topics in surgery, medicine, philosophy, and bioethics. In 1974 he co-authored a survey that included an analysis of interviews conducted with amputees. This was his first foray into qualitative research. Twenty years later he established a research centre at the University of Sydney that initiated a programme of qualitative research in cancer medicine. For twenty years after that, the centre acted as a hub for research that applied qualitative methods from the social sciences to study the experienc

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… For example, Penelope Hawe was introducing qualitative research methods in health promotion, and Simon Chapman was applying semiotics to research into cigarette advertising in public health. This is typically precipitated by an extreme experience. …

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.

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… Companies exploit search engines as one of the technological platforms to occupy a prominent position in online marketing and help in the positioning of the product in the market, as also confirmed by the Internet Advertising Bureau. … AI-based software engages consumers and creates awareness among physicians by displaying advertisements directing them to the product site by just a click [110] . …

Legal access to medications: a threat to Brazil's public health system?

BackgroundIn Brazil, health is fundamental human right guaranteed by the Constitution of 1988, which created the Brazilian Universal Health System (Sistema Único de Saúde - SUS). The SUS provides medications for outpatient care via policy of pharmaceutical assistance (PA) programmes. Despite the advances in PA policies which include the improvement in access to medications, there has been a significant increase in lawsuits related to health products and services. This study aimed to characterize the medication processes filed between 2010 and 2014 against the Secretary of State for Health of S

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… Recent prohibitions and restrictions related to the advertising of new medicines have prompted the pharmaceutical industry to use alternative forms of advertising. …

Onconephrology Fellowship Training: Current Status and Future Outlook.

Onconephrology, an emerging discipline nestled at the intersection of nephrology and oncology, has experienced remarkable growth over the past 15 years. This evolution has been punctuated by pivotal events, including establishing the American Society of Onconephrology, dedicated forums, and journals, highlighting its increasing significance. The clinical landscape of onconephrology is diverse, encompassing AKI in patients with cancer, toxicity from anticancer treatments, and a spectrum of electrolyte disorders, necessitating close collaboration between nephrologists and oncologists. However, t

Impact of e-cigarettes as cancer risk: A protocol for systematic review and meta-analysis.

BackgroundThe use of electronic cigarettes is one of the current public health problems on increasing alert, has been growing at an accelerating rate, and has become a public health emergency. Its importance is explained by the continuous growth and acceleration of oncological rates among all ages versus the absence of high-quality evidence, correlated to the use of nicotine derived products, being at their regular versions or the new ones. Available preclinical data indicate that activation of the sympathetic nervous system by nicotine inhaled from e-cigarettes may stimulate cancer developmen

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… As long as these studies emerge, despite the advertising selling e-cigarettes as less harmful and oncogenic than the other cigarettes with nicotine, they are far from benign. …

Development, Implementation, and Patient Perspectives of the Women's Integrative Sexual Health Program: A Program Designed to Address the Sexual Side Effects of Cancer Treatment.

BackgroundAdvanced practitioners (APs) are a growing demographic in survivorship care. One goal of survivorship care is to manage consequences of cancer treatments. Sexual dysfunction from prior therapies can impact quality of life. Advanced practitioners are perfectly poised to provide care for sexual problems. This article will describe the development and implementation of the Women's Integrative Sexual Health (WISH) program by APs within a comprehensive cancer center and describe patient perspectives of care provided.MethodsTwo physician assistants working in gynecologic oncology at the Un

Нарушение порядка сбора кожи и опасное употребление алкоголя.

ОКРУЖАЮЩАЯ СТРУКТУРА: Несостояние кожей характеризуется повторным вымогательством кожи. Несмотря на то, что расстройство, связанное с выбиранием кожи, связано с проблемами, связанными с потреблением веществ, ни в одном из предыдущих исследований не рассматривались связи употребления алкоголя при сборе симптоматологии кожи. МЕТОДЫ: Взрослые, страдающие расстройством, связанным с кожей (n = 182), были набраны из общины в рамках онлайнового обследования. Участники закончили тест на выявление расстройств, связанных с употреблением алкоголя (АУДИТ), для измерения потребления алкоголя и различные са

Updating Korean Disability Weights for Causes of Disease: Adopting an Add-on Study Method.

ObjectivesDisability weights require regular updates, as they are influenced by both diseases and societal perceptions. Consequently, it is necessary to develop an up-to-date list of the causes of diseases and establish a survey panel for estimating disability weights. Accordingly, this study was conducted to calculate, assess, modify, and validate disability weights suitable for Korea, accounting for its cultural and social characteristics.MethodsThe 380 causes of disease used in the survey were derived from the 2019 Global Burden of Disease Collaborative Network and from 2019 and 2020 Korean

Alcohol consumption, drinking patterns and cancer incidence in an Australian cohort of 226,162 participants aged 45 years and over.

BackgroundAlthough overall alcohol consumption is known to increase the risk of a number of cancers internationally, evidence for Australia and evidence regarding the pattern of drinking and cancer risk is limited.MethodsAdjusted hazard ratios (HR) and 95% confidence intervals (CI) for cancer risk in relation to overall alcohol consumption (drinks/week) and pattern of drinking were calculated using Cox proportional hazard regressions for 226,162 participants aged ≥45 years (2006-2009) in the 45 and Up Study, an Australian prospective cohort study. Incident primary cancer cases were ascertained

Эффективность дыхательных упражнений с симптомами мочеиспускания, мышечной активностью и силой у женщин с множественным склерозом и недержанием мочевого мозга - протокол исследования для случайного контролируемого исследования.

Недержание мочевины (УИ) является распространенным и изнурительным заболеванием среди людей с множественным склерозом (МС) и более широко распространено среди женщин. За последнее десятилетие были проведены многочисленные исследования по изучению последствий обучения мышечных мышц тазовому полу (ПФМТ) в качестве средства лечения ИП у людей с НР. MS негативно влияет на легочную функцию даже на ранних стадиях заболевания, и у людей с MS может возникнуть дыхательная слабость мышц. Учитывая синергию между мышцами тазового пола (PFM) и респираторными мышцами, в ходе этого испытания будет проведена

Опыт автоматической трансплантации стволовой клетки в Множественной миеломе: взгляд пациента и сторожа.

Было проведено качественное исследование опыта пациентов, получивших аутологическую трансплантацию стволовых клеток (ASCT) для лечения множественной миеломы (MM), с тем чтобы лучше понять их болезнь MM, включая первые симптомы, диагностику, ASCT и восстановление. Sixteen Участники, включая 12 пациентов с ММ и 4 В ходе совещаний целевых групп были проведены беседы с лицами, обеспечивающими уход за пациентами, имеющими MM. Боль, слабость и боль в костях были распространенными первыми симптомами среди пациентов. Диагноз MM часто делал гематолог или онколог. Пациенты после диагноза направляются к

Predictors of Compulsive Sexual Behavior Among Treatment-Seeking Women.

BACKGROUND: Compulsive Sexual Behavior Disorder is currently included in the forthcoming eleventh revision of the International Classification of Diseases (ICD-11); however, prior studies have been conducted mostly on heterosexual, White/European male samples. AIM: To examine the correlates of compulsive sexual behaviors (CSB) with sociodemographic and sexual history characteristics, as well as predictors of CSB in a sample of treatment-seeking Polish women. METHODS: Six hundred seventy-four (674) Polish women aged 18-66 completed an online-based survey. OUTCOMES: Polish adaptation of the S

Relationship between Consulting for Second Medical Opinions, Radiotherapy, and Satisfaction with Therapy, Analyzed by Structural Equation Modeling: A Web-Based Survey.

ObjectiveThe radiotherapy utilization rate in Japan is lower than that in other developed countries. This study identified factors associated with the low rate, by conducting an online survey of Japanese cancer survivors.MethodsWe reviewed the web survey results of Japanese cancer patients. The survey examined the process of choosing treatments and the actual treatment received. We included respondents whose most engaged-in treatment was either radiotherapy or surgery, dividing them into two groups. We used the chi-square test to compare the patients in the both groups for their impression of

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… In the screening survey, eligible participants were members of this “disease panel,” aged 18–99 years, and not working in advertising. …

A Qualitative Study to Assess Collusion and Psychological Distress in Cancer Patients.

IntroductionCollusion is frequently encountered but least studied entity in palliative care services in India. Impact of collusion is manifold and identifying it requires good communication skills. Once identified, it gives an indication for existing healthy versus developing unhealthy collusion to be dealt within families.ObjectiveThe objective of this study was to identify the prevalence of collusion and its clinical and psychological correlates among patients and caregivers in a palliative cancer care.Materials and methodsWe describe systematic identification and unraveling of collusion acr

Обоснование 4-month, параллельные, выборочно контролируемые испытания для оценки осуществимости и эффективности дистанционного обучения испаноязычных/латиноязычных лиц с множественным склерозом (FERLA MS).

ИСТОРИЯ ВОПРОСА: Испаноязычные/латиноязычные лица с множественным склерозом (МС) сталкиваются с бóльшим бременем болезней и коморбидностью из-за ограниченного доступа к медицинскому обслуживанию, недостаточной представленности в научных исследованиях и социальных факторов, определяющих состояние здоровья (SDOH). Профессиональная подготовка могла бы способствовать достижению результатов в области здравоохранения, однако в существующих исследованиях, посвященных мерам вмешательства, не представлены испаноязычные/латиноязычные страны. МЕТОДЫ: Мы предлагаем провести технико-экономическое обоснован

Frequently asked questions on surrogate endpoints in oncology-opportunities, pitfalls, and the way forward.

Patients with cancer expect prolonged life (overall survival, OS) or better life (quality of life, QOL) from cancer treatments. However, majority of new cancer drugs are now being approved not based on improved OS or QOL, but based on surrogate endpoints such as tumor shrinkage or delayed tumor progression. These surrogate endpoints, including their validity as a proxy for overall survival, differ based on disease settings and lines of treatment but in general, most surrogate measures have weak correlation with outcomes that matter to patients. Nevertheless, they are being increasingly used as

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… In an experiment of direct-to-consumer advertising of cancer drugs, participants could not differentiate between ORR, PFS and OS endpoints regarding whether the drug helped patients live longer. … Patient understanding of oncology clinical trial endpoints in direct-to-consumer television advertising. Oncologist. 2023;28(7):e542–e553. doi: 10.1093/oncolo/oyad064. 97. Gyawali B., Eisenhauer E., Tregear M., Booth C.M. Progression-free survival: it is time for a new name. …

Mortality patterns and risk among older men and women with intellectual disability: a Swedish national retrospective cohort study.

BackgroundSweden has closed all institutions and imposed legislation to ensure service and support for individuals with intellectual disability (ID). Understanding mortality among older individuals with ID is essential to inform development of health promotion and disease control strategies. We investigated patterns and risk of mortality among older adults with ID in Sweden.MethodsThis retrospective cohort study compared older adults aged 55 years and older with ID with a control population. Participants were followed during 2002-2015 or death, and censored if they moved out of Sweden. Individ

У людей с множественным склерозом оральный Dalfampridine, как представляется, не влияет на функцию верхних конечностей: беспорядочное контролируемое испытание.

КОЛИЧЕСТВО: дисфункция верхней части конечности характерна для людей с множественным склерозом (pwMS), что оказывает значительное воздействие на повседневную деятельность и качество жизни. Несмотря на то, что Дальфампридин доказал свою эффективность в улучшении похода в ПТМС, его влияние на функцию верхней конечности остается неясным. ЦЕЛИ: Оценка воздействия устойчиво излучаемого перорального орального орального орального орального орального орального орального орального орального орального орального орального орального орального орального орального орального опьянения на функцию верхней окон

End-of-Life Care Practice in Dying Patients after Enforcement of Act on Decisions on Life-Sustaining Treatment For Patients in Hospice and Palliative Care or at the End of Life : A Single Center Experience

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Спасение аутологической трансплантации при повторной множественных миеломах: долгосрочные последующие мероприятия фазы 3 Суд по делу GMG ReLapsE.

Мультицентральный, фазы 3 Немецкоязычная группа " Myeloma Multicenter Group " (GMG) 25 мг суток 1-21, DEX 40 мг еженедельно, в мкг 4-week химиотерапия с высокой дозой (СХДТ; мелфалан) 200 мг/м2), аутологическая трансплантация стволовых клеток (ASCT) и техническое обслуживание LEN (ASCT)10 мг/d; плечо для трансплантации, n = 139) по отношению к непрерывному LEN/DEX (контрольный рычаг, n = 138). Ninety-four Процентная доля пациентов, получивших прифронтовые ГДХТ/АЦТ. Мы сообщаем об обновленном анализе конечных точек выживаемости с медианной последующей 99 месяцев. Выживание без среднег