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A review of big data and medical research.

Universally, the volume of data has increased, with the collection rate doubling every 40 months, since the 1980s. "Big data" is a term that was introduced in the 1990s to include data sets too large to be used with common software. Medicine is a major field predicted to increase the use of big data in 2025. Big data in medicine may be used by commercial, academic, government, and public sectors. It includes biologic, biometric, and electronic health data. Examples of biologic data include biobanks; biometric data may have individual wellness data from devices; electronic health data include t

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… In internet based studies informed consent forms may not be ideal. 50 , 51 Big data is vast and is not yet regulated under privacy laws. | Loss of privacy for participants or providers. | An encryption breach of provider data in an Australian study occurred. 52 , 53 Loss of privacy for biological relatives …

Radiation-induced toxicity after image-guided and intensity-modulated radiotherapy versus external beam radiotherapy for patients with spinal bone metastases (IRON-1): a study protocol for a randomized controlled pilot trial.

BackgroundRadiation therapy (RT) of bone metastases provides an important treatment approach in palliative care treatment concepts. As a consequence of treatment, the extent of radiation-induced toxicity is a crucial feature with consequences to a patient's quality of life. In this context this study aims at reducing the extent of radiation-induced side effects and toxicity by assuming a better sparing of normal tissue with the use of intensity-modulated instead of conventionally delivered external beam radiotherapy.Methods/designIn this prospective, randomized, single-center trial for patient

Iceland screens, treats, or prevents multiple myeloma (iStopMM): a population-based screening study for monoclonal gammopathy of undetermined significance and randomized controlled trial of follow-up strategies.

Monoclonal gammopathy of undetermined significance (MGUS) precedes multiple myeloma (MM). Population-based screening for MGUS could identify candidates for early treatment in MM. Here we describe the Iceland Screens, Treats, or Prevents Multiple Myeloma study (iStopMM), the first population-based screening study for MGUS including a randomized trial of follow-up strategies. Icelandic residents born before 1976 were offered participation. Blood samples are collected alongside blood sampling in the Icelandic healthcare system. Participants with MGUS are randomized to three study arms. Arm 1 is n

Improving public cancer care by implementing precision medicine in Norway: IMPRESS-Norway.

BackgroundMatching treatment based on tumour molecular characteristics has revolutionized the treatment of some cancers and has given hope to many patients. Although personalized cancer care is an old concept, renewed attention has arisen due to recent advancements in cancer diagnostics including access to high-throughput sequencing of tumour tissue. Targeted therapies interfering with cancer specific pathways have been developed and approved for subgroups of patients. These drugs might just as well be efficient in other diagnostic subgroups, not investigated in pharma-led clinical studies, bu

Effect of Baduanjin exercise on primary osteoporosis: study protocol for randomized controlled trial.

BackgroundLack of exercise is often a major cause of chronic disease. Osteoporosis (OP) is a chronic disease with multifactorial co-morbidity. Baduanjin (BDJ) exercise may be a powerful tool for modifying risk factors. The aim is to provide more evidence about the effectiveness of BDJ exercise in improving pain and balance ability in patients with OP.MethodsIn the prospective randomized controlled trial, 160 participants will be recruited and randomized to the treatment group (BDJ exercise combined with Calcium carbonate and D3) or the control group (Calcium carbonate and D3) at 1:1 ratio. Par

Ход работы сессии 29th Европейский конгресс педиатрии.

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The work of managing multiple myeloma and its implications for treatment-related decision making: a qualitative study of patient and caregiver experiences.

BackgroundThe evolving nature of multiple myeloma (MM) therapies, including the introduction of novel oral agents, has produced a shift in the delivery of care from hospital to home. Within this context, patients and their caregivers are becoming increasingly engaged in the work of illness management, however the exact nature of this work as well as the ways in which this work informs treatment preferences and decisions within this population has not been explored. This qualitative study sought to develop an in-depth understanding of patient and caregiver experiences with different MM treatmen

Patient Perspectives on Palliative Care Outreach to Adults Living With Homelessness.

ImportancePeople experiencing homelessness face higher rates of early mortality, multimorbidity, and unmet needs at the end of life, but despite these risks, they often encounter systemic barriers to accessing palliative care. Outreach-based models have emerged to address this gap, yet little is known about how these models are perceived by those receiving care.ObjectiveTo evaluate a palliative care outreach intervention, the Palliative Education and Care for the Homeless (PEACH) program, from the perspective of patients living with homelessness and life-limiting illness.Design, setting, and p

Rice bran arabinoxylan compound and quality of life of cancer patients (RBAC-QoL): Study protocol for a randomized pilot feasibility trial.

IntroductionRice bran arabinoxylan compound (RBAC) is a nutraceutical for enhancing a depleted immune system during and after cancer treatment. This pilot feasibility trial aims to evaluate the effects of RBAC on cancer patients' quality of life during active treatment, compared to placebo, using a validated questionnaire. Other outcome measures include changes in inflammatory and nutritional status, cytokine profile, and gut microbiota.Methods/designThe study will recruit 50 participants from a regional cancer center in Australia. Patients aged 18-70, diagnosed with solid organ cancers stage

Механические свойства мышечных мышц Лумбопелвича у женщин с множественным склерозом: перекрестное исследование под контролем.

Предыстория/цели: Сопоставление мышечных механических свойств (МПМ) у женщин с множественным склерозом (МС) и без него и изучение взаимосвязей между этими свойствами и социально-демографическими/клиническими характеристиками. Методы: Это межсекторальное исследование охватывало 22 женщины с НР и 22 женщины с матчными возрастами и БИ без НР. С помощью устройства MyotonPRO была произведена оценка ММП (частота, жесткость, обесцвечивание, релаксация и полость) тазового пола и поясничных мышц. Были также собраны социально-демографические и клинические данные, касающиеся здоровья тазового пола. Резул

Use of percutaneous microwave ablation for the treatment of bone tumors: a retrospective study of clinical outcomes in 47 patients.

ObjectiveThe present study aimed to evaluate the short-term clinical performance and safety of percutaneous microwave ablation (MWA) techniques for the treatment of bone tumors.MethodsThis single-institution retrospective study investigated 47 cases of bone tumors treated by MWA from June 2015 to June 2018. The study included 26 patients (55.3%) with benign bone tumors and 21 patients (44.7%) with malignant bone tumors. The tumors were located in the spine or sacrum (15, 31.9%), the upper extremities (6, 12.8%), the lower extremities (17, 36.2%) and the pelvis (9, 19.1%). Outcomes regarding cl

Turkish translation, validity, and reliability of the European organization for research and treatment of cancer quality of life-high dose chemotherapy29 in patients undergone hematopoietic stem cell transplantation.

Background/aimOur aim was to investigate psychometric properties of the Turkish version of the European organization for research and treatment of cancer quality of life-high dose chemotherapy29 (EORTC QLQ-HDC29) in patients treated with hematopoietic stem cell transplantation (HSCT).Materials and methodsPatients between the ages of 18 and 65 years and undergone HSCT were included. The European organization for research and treatment of cancer quality of life questionnaire-cancer30 the Eastern cooperative oncology group performance score, and the functional assessment of cancer therapy-bone ma

Выявление потребностей пациентов с множественной миеломой: исследование на основе вопросника для израильских пациентов.

Ввод: Множественная миелома — неизлечимое хроническое злокачественное заболевание. Сама болезнь и ее лечение ухудшают качество жизни (QoL), однако нет данных о биопсихосоциальных потребностях пациентов в эпоху новых методов лечения. В текущем исследовании мы стремились определить биопсихосоциальные потребности пациентов с множественной миеломой. МЕТОДЫ: Это описательное исследование пациентов с множественной миеломой в Израиле. 2024. Эта информация была основана на вопроснике, в котором рассматривались физические, психологические и социальные потребности пациентов миэломы. Мы проанализировали

Comparison of different concentrations of a povidone iodine-diluted sitz bath in the prevention of perianal infection in patients undergoing chemotherapy for hematological malignancy: study protocol for a randomized controlled trial.

BackgroundInfection is one of the most common causes of death in patients with hematological malignancies during chemotherapy. Due to its special location, local warmth and humidity, repeated pollution with stool and urine, and characteristically wrinkled anatomical structure within which bacteria can hide, the perianal becomes a site with a high incidence of infection. Such infection also has a high recurrence rate and high mortality, increasing the economic burden of patients, delaying the time of treatment and reducing the quality of life. In severe cases, sepsis occurs and endangers the pa

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… Potential participants will be screened, will receive information on the trial, and then will be asked to sign informed consent forms. … The version number of consent form is HX-IRB-AF-05-V3.0. Competing interests The authors declare that they have no competing interests. Footnotes Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. …

Разоблачение < < тишины > > угрозы: распространенность сердечно-сосудистых факторов риска среди пациентов, страдающих НР, в Бухаресте, Румыния.

Предыстория и цели: Данное исследование направлено на выявление факторов сердечно-сосудистого риска среди 91 - пациенты с множественным склерозом в Бухаресте, Румыния, с использованием данных медицинских карт и самостоятельного вопросника. Материалы и методы: Основное внимание в исследовании уделяется состоянию курения, индексу массы тела, сахару в крови, холестерину, тремглицеридам, кровяному давлению и почечной функции. Средний возраст пациентов составлял 42.90 ± 10.60 годы и 74.73% были женщинами. Средний показатель BMI составлял 23.89 кг/м2 ± 4.74 кг/м2 (менее, чем у населения в целом) с 4

Feasibility of patient-reported outcomes collection in clinical routine at a radiotherapy department.

Background and purposeRoutine collection of patient-reported outcome measures (PROMs) may provide valuable real-world data on quality of life (QoL) and treatment tolerability, complementing clinical outcomes. This study evaluated the feasibility of launching a semi-automated, department-wide PROM collection program at a large tertiary radiotherapy centre.Patients and methodsPatients ≥ 18 years referred for radiotherapy were invited to participate. Exclusion criteria were inability to provide informed consent, severe cognitive conditions, or language barriers. PROMs were collected using a web-b

The mediating role of health anxiety, resilience, and body image in the relationship between pain and sleep in hematopoietic stem cell transplantation patients.

IntroductionBio-psychological factors may affect the relationship between pain and sleep, but they are understudied in hematopoietic stem cell transplantation (HSCT) patients. This study investigated the mediating role of health anxiety, resilience, and body image in the relationship between pain and sleep in HSCT patients.MethodsIn this cross-sectional study, 210 HSCT patients from Motahari clinic, Shiraz University of Medical Sciences were recruited using convenience sampling. Demographic and clinical characteristics, Pittsburgh Sleep Quality Index, Numeric Rating Scale of Pain, Health Anxie

Two Случаи множественного склероза в семье с X-Linked Charcot-Mari-Loth Болезнь.

Цель этого исследования состояла в том, чтобы представить доклад о первом семейном случае множественного склероза (MS) в семействе чаркот-Мари-Зуб с X-образным вариантом в GJB1. МЕТОДЫ: Клинические, нейрофизиологические, нейроимулирующие и генетические оценки 9 Затронутые члены большой семьи " Чаркот-Мари-Зуб " (CMTX), связанной с X, включая 2 , который также разработал MS. :: 2 Члены семей с CMTX и MS прошли проверку на наличие патогенных вариантов в 245 Гены, связанные с MS. Мы протестировали 150 - независимые пациенты с MS, 48 Семейные и 102 Неоднократно для редких патогенных вари

Empowering Patients in Clinical Research: A Narrative Review.

This narrative review focuses on the evolving shift toward patient centricity in Indian clinical research, highlighting persistent gaps in structured patient engagement. The review synthesizes existing literature on patient-centered clinical research and contextualizes these principles through two India-based initiatives: Patient Advocates for Clinical Research (PACER) and Patient Recommendations for Ethical Decentralized and Inclusive Clinical Trials (PREDICT). A targeted literature search was conducted across Medline (via PubMed), Google Scholar, and the Cochrane Library to identify publishe

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… To address this, researchers are exploring patient-centered approaches, including shortened, patient-designed consent forms and multimedia tools [ 38 ]. … form and consent recording process, and providing patients with comprehensive education about the trial, the investigational molecule, and safety/efficacy concerns. …

RELIEF: A Digital Health Tool for the Remote Self-Reporting of Symptoms in Patients with Cancer to Address Palliative Care Needs and Minimize Emergency Department Visits.

The lack of timely symptom reporting remains a barrier to effective symptom management and comfort for patients with cancer-related palliative care needs. Poor symptom management at home can lead to unwanted outcomes, such as emergency department visits and death in hospital. We developed and evaluated RELIEF, a remote symptom self-reporting app for community patients with palliative care needs. A pilot feasibility study was conducted at a large, community hospital in Ontario, Canada. Patients self-reported their symptoms each morning using validated clinical symptom measures and RELIEF would