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Integrating Patient-Centred Research in the Canadian Cancer Trials Group.

The inclusion of patients as partners in research is a key link in the delivery of patient-centred care in healthcare systems. Despite genuine intentions to engage patients in authentic partnerships, efforts can result in tokenism and benefits of engagement are missed. Understanding how patient engagement provides value along the research to patient-care continuum and how to best engage patients as partners are key. This document describes the method taken by the Canadian Cancer Trials Group (CCTG) to implement meaningful patient centricity and engagement and the benefits realized. Originally,

What do patients think about palliative care? A national survey of hematopoietic stem cell transplant recipients.

Palliative care (PC) benefits patients undergoing hematopoietic stem cell transplantation (HSCT), but it remains underutilized. Although transplant physicians report concerns regarding how patients perceive PC, HSCT recipients' perceptions about PC remain unaddressed. We conducted a multisite, cross-sectional survey of autologous and allogeneic HSCT recipients 3 to 12 months after transplant to assess their familiarity, knowledge, and perception of PC, as well as their unmet PC needs. We computed a composite score of patients' perceptions of PC and used a generalized linear regression model to

Разработка и осуществление мер по улучшению сексуального здоровья женщин, страдающих эндометриозом: протокол исследования смешанных методов и план мероприятий.

Ээндометриоз может оказать негативное воздействие на фертильность, психическое и сексуальное здоровье женщин. Поскольку в ходе проведенных исследований не были всесторонне рассмотрены потребности и стратегии по улучшению сексуального здоровья и разработке необходимых программ и мероприятий для этой группы женщин, цель настоящего исследования заключается в разработке и осуществлении мер по улучшению сексуального здоровья женщин, страдающих эндометриозом. 4 Этапы. фазы 1 - качественное исследование с использованием полуструктурированных бесед для изучения потребностей и стратегий с точки зрения

The impact of telemonitoring on correct drug use, complications and quality of life among patients with multiple myeloma (ITUMM): A study protocol for an open-label, parallel-group, randomized controlled trial.

INTRODUCTION: Multiple myeloma (MM) is the second most common hematologic malignancy. MM is associated with significant morbidity due to its end-organ destruction and is a disease of the older population. Although survival rates for MM have improved over the last decade, due to an increase in treatment options, the disease remains incurable. Expensive (oral) agents are widely used in MM patients; however, tools for supporting patients in complex treatment regimens are scarce. To investigate if a tool will support MM patients and healthcare professionals, the MM e-coach was developed and tested

Short-form quality care questionnaire-palliative care has acceptable measurement properties in Brazilian cancer patients.

BackgroundOur objective was to perform the translation, cross-cultural adaptation, and validation of the Quality Care Questionnaire-Palliative Care (QCQ-PC) into Brazilian Portuguese for cancer patients in palliative care. The translation and cross-cultural adaptation comprised the following stages: translation, synthesis of translations, back-translation, analysis by a committee of experts, testing of the pre-final version, and definition of the final version. The evaluated measurement properties were: structural validity using factor analysis, test-retest reliability using the intraclass cor

Многодисциплинарное групповое вмешательство для лиц, живущих с множественной миеломой: технико-экономическое обоснование.

Несмотря на то, что множественные миеломы по-прежнему являются неизлечимым раком, прогресс в их понимании и управлении ими привел к значительному повышению показателей выживаемости. По-прежнему мало случаев оказания помощи лицам, живущим с множественными миеломами, несмотря на рост числа случаев неудовлетворенных потребностей в поддержке среди многих выживших жертв миэломы. Нынешнее исследование направлено на оценку осуществимости и предварительной эффективности новаторского многодисциплинарного группового мероприятия по оказанию помощи лицам, пережившим миэлому. МЕТОДЫ: В рамках обычной служб

Screening supportive care needs, compliance with exercise program, quality of life, and anxiety level during the COVID-19 pandemic in individuals treated with hematopoietic stem cell transplantation.

PurposeThe primary aim was to assess supportive care needs, compliance with home exercise program, quality of life level (QOL), and anxiety level during the COVID-19 pandemic in individuals treated with hematopoietic stem cell transplantation (HSCT). The secondary aim was to investigate demographic and medical factors associated with the recorded outcomes.MethodsThe present study included individuals treated with HSCT and previously referred to physical therapy. The data were collected by interviews with the participants on the phone. Supportive care needs were assessed using the Supportive Ca

Tablet Acceptability in Older Outpatients Undergoing Cancer Chemotherapy.

Background/Objectives: Patient acceptability of oral anticancer drugs is a critical factor that influences treatment in older outpatients receiving cancer chemotherapy and plays a central role in enhancing adherence and treatment effectiveness. Identifying older outpatients receiving cancer chemotherapy who exhibit poor tablet acceptability before initiating oral anticancer therapy and offering alternative treatment options are beneficial. Therefore, we investigated the characteristics of patients with poor tablet acceptability by focusing on the tablet size, geriatric assessment, and polyphar

Доклад по делу: Цитовосстановительная хирургия как терапевтическая попытка лечения внематочной плазматомы.

ВВЕДЕНИЕ: Множественная миелома представляет собой гематологическую порчу, основанную на патологическом моноклональном распространении плазменных клеток, которое обычно происходит в костном мозге. Известные аспекты его симптоматологии включают анемию, почечную недостаточность, гиперкалкемию, остеолитические повреждения костей и потенциальные последствия амилоидоза. Диагностика носит мультимодальный характер и опирается на лабораторные и визуальные методы традиционной радиологии и ядерной медицины. Тогда лечение является достоянием гематолога-онколога. One форма этого заболевания представляет с

Forgoing life-sustaining treatment - a comparative analysis of regulations in Japan, Korea, Taiwan, and England.

BackgroundRegulations on forgoing life-sustaining treatment (LST) have developed in Asian countries including Japan, Korea and Taiwan. However, other countries are relatively unaware of these due to the language barrier. This article aims to describe and compare the relevant regulatory frameworks, using the (more familiar) situation in England as a point of reference. We undertook literature reviews to ascertain the legal and regulatory positions on forgoing LST in Japan, Korea, Taiwan, and England.Main textFindings from a literature review are first presented to describe the development of th

Optic nerve head plasmacytoma as a manifestation of multiple myeloma.

Extramedullary disease in multiple myeloma is uncommon and associated with a poorer prognosis. Extramedullary disease involving the orbit is even more unusual, with optic nerve involvement being rare. We describe an optic nerve head plasmacytoma in a 45-year-old female in the setting of systemic relapsed, refractory IgA kappa multiple myeloma. The case highlights the importance of keeping extramedullary disease spread in the differential for vision loss in a patient with a history of multiple myeloma. In addition, it describes an unusual location for presentation of extramedullary disease, the

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… Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient gave consent for de-identified images and other clinical information to be used for teaching and research purposes. …

Biomarkers of postmenopausal osteoporosis and interventive mechanism of catgut embedding in acupoints.

INTRODUCTION: Postmenopausal osteoporosis (PMOP), which is a common and frequently occurring age-related metabolic bone disease in perimenopausal women, severely affects patients living quality. Modern medicine therapies for PMOP have several problems such as side reactions, low compliance, and high costs. Thus, nonpharmacological modality is urgently needed. Although acupoint thread embedding treatment is widely used in clinical practice, there is no persuasive evidence of its effect on increasing bone mass for PMOP. This experiment aims to investigate the efficacy and safety of acupoint thre

Экономичность atumumumab для лечения повторной формы множественных склерозов в Объединенных Арабских Эмиратах.

Множественный склероз (MS) — аутоиммунное заболевание центральной нервной системы, связанное с обезвоживанием и воспалением. Повторные формы MS (RMS) охватывают всех пациентов, у которых MS испытывает рецидивы. Несмотря на то, что в настоящее время не существует лекарств для лечения MS, внедрение нескольких методов лечения, позволяющих регулировать заболевания (DMT), значительно уменьшило риск рецидива и инвалидности у пациентов с MS. Существует острая потребность в легком для использования DMT, который можно использовать на раннем этапе лечения.ЦЕЛИ: Данное исследование было направлено на оце

Patients' and family members' dyadic experience of post-operative delirium in the intensive care unit: A qualitative study.

BACKGROUND: Post-operative delirium is a complication with long-lasting consequences for both patients and their families. This is particularly true for those transferred to the intensive care unit after surgery, where the incidence of post-operative delirium is high, and patient outcomes are often poor. Despite the acknowledged role of family engagement in delirium management, previous research has mainly focused on patients, with limited exploration of the shared experiences between patients and family members. AIM: This study aims to explore the experiences of patients and family members d

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… Purposive sampling was used to recruit participants. 77 Potential participants were contacted for recruitment and gave their consent via the distributed informed consent forms after they or their relatives were transferred out of the ICU to the general wards. … All participants voluntarily signed informed consent forms, including soliciting consent from participants to access clinical data such as POD and LOS data needed in this study before data collection. …

Delivering bad news in clinical hematology: a personal perspective.

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Results of a quality control on non-interventional studies.

Non-interventional studies (NIS) have for decades been an established part of post-authorisation medicinal research. As early as the mid-nineties, there were at least rudimentary demands for controllable data quality. Beginning with the recommendations of the Federal Institute for Drugs and Medical Devices (BfArM) on the execution of non interventional (observational) studies of 1998 and finally with the guidelines and recommendations for ensuring Good Epidemiological Practice (GEP), with the VFA (Verband der forschenden Arzneimittelhersteller [German Association of Research-Based Pharmaceutic

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… At the practice or clinic, after presentation of the signed patient's consent form and, where appropriate, the patient identification list, the items to be controlled are compared with the entries in the electronic or conventional medical records and the results are noted on the appropriate forms. … To provide a proper understanding regarding the time for which study documents (e.g. patient consent forms) are to be kept and with regard to data protection, study-specific training courses regarding the necessity of documentation are proposed. …

Health-related quality of life and treatment satisfaction in Chronic Lymphocytic Leukemia (CLL) patients on ibrutinib compared to other CLL treatments in a real-world US cross sectional study.

The objective of this study was to describe real-world health-related quality of life (HRQoL) and treatment satisfaction of ibrutinib-treated patients with CLL compared to a reference group. This study was completed in two parts. The first portion (Norming Study) was a US online survey conducted to serve as a reference population. The Norming Study included a total of 139 patients with CLL, excluding those treated with ibrutinib: 64 were treatment naive (Tx naive), 36 were 1st line (1L), and 38 were in or had completed ≥2 lines (2L+) patients with CLL. The second portion (CLL Ibrutinib Study)

Hypercalcemia of Malignancy: An Incidental Finding in Carcinoma Cervix.

Hypercalcemia occurs in 30% of patients of cancer at either as apart of paraneoplastic process or due to bone metastases. It is an uncommon finding in gynecological cancers. Most common in ovarian cancers and till date very few cancer cervix with hypercalcemia have been reported. We, hereby, report patient of carcinoma cervix who was found to have incidental hypercalcemia without any associated clinical symptoms.

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… Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. …

A Case of AL Amyloidosis With Hepatomegaly as the Main Clinical Manifestation.

Light chain (AL) amyloidosis presenting predominantly with hepatomegaly is a rare and frequently misdiagnosed condition. While clinical features are non-specific, elevated ALP/GGT should raise suspicion. A liver biopsy remains the gold standard for diagnosis. Although there is no disease-specific therapy for hepatic amyloidosis, timely chemotherapy initiation-particularly monoclonal antibody-based regimens-can significantly improve prognosis and lead to symptom resolution.

Association of lumbar vertebral hemangiomas with low back pain, morphological changes, and quality of life: a cross-sectional study.

BACKGROUND AND OBJECTIVE: Vertebral hemangiomas are common benign spinal lesions. But studies of lumbar vertebral hemangiomas (LVHs) are still relatively limited. In this work, we assessed the distribution of LVHs within the study population, and explored their relationships with different categories of low back pain (LBP), pain- and health-related outcomes, and lumbar spine morphology. METHODS: A retrospective cross-sectional study recruited 1,021 participants with or without LBP. Magnetic resonance imaging was used to assess the location, size as well as types of LVHs. Clinical data were co