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Major approaches in early diagnostics of common variable immunodeficiency in adults in Moscow.

Common variable immunodeficiency (CVID) is a primary immunological disease characterized predominantly by hypogammaglobulinemia. The main clinical manifestations are severe recurrent infections that often lead to structural damage of affected organs. The early start of adequate intravenous immunoglobulin therapy has significantly improved the prognosis of this serious disorder. Patients with CVID are also predisposed to autoimmune and lymphoproliferative complications. This article deals with the features of this primary immunodeficiency in adults. Clinical manifestations, immunological featur

Adverse drug reactions and drug-related problems with supportive care medications among the oncological population.

AimThe current study emphasizes the impact of adverse drug reactions (ADRs) and Drug-Related Problems (DRPs) caused by supportive care medications administered with chemotherapy.MethodThis is a longitudinal observational study carried out at the Ramaiah Medical College Hospital in Bengaluru, Karnataka, India, at the Department of Oncology. The data was recorded using a specifically created data collecting form. Based on the PCNE (Pharmaceutical Care Network Europe), DRPs are identified. The WHO probability scale, Modified Hartwig and Siegel for ADR severity assessment, Naranjo's algorithm for

Early shift to oral antibiotic treatment for pyogenic vertebral osteomyelitis (SAVE): study protocol for an open label, non-inferiority, nation-wide randomized controlled clinical trial.

BACKGROUND: The current Danish National Guideline (DNG) for treatment of pyogenic vertebral osteomyelitis (PVO) recommends 6 weeks antibiotic (AB) treatment, with a 2-week intravenous (IV) AB lead-in followed by 4 weeks oral AB for uncomplicated PVO, and 12 weeks AB treatment with a 4-week IV AB lead-in followed by 8 weeks oral AB for complicated PVO. The primary objective of the current study is to investigate whether shortening the duration of IV AB to one week is non-inferior to the current DNG. METHODOLOGY: The SAVE trial is an investigator initiated, randomized (1:1), controlled, non-inf

Feasibility of a yoga, aerobic and stretching-toning exercise program for adult cancer survivors: the STAYFit trial.

BackgroundThe use of yoga as a mind-body practice has become increasingly popular among clinical populations and older adults who use this practice to manage age and chronic disease-related symptoms. Although yoga continues to gain popularity among practitioners and researchers, pilot studies that examine its feasibility and acceptability, especially among cancer survivors, are limited. Feasibility studies play a critical role in determining whether the target population is likely to engage with larger scale efficacy and effectiveness trials. In this paper we present feasibility and acceptabil

Морфологическое исследование ячеек HLA-DR-иммунопозитивных клеток в множестве склерозов и их последствий для патогенеза

Фон: Множественный склероз (MS) характеризуется обезвоживанием белой материи, которое может быть классифицировано как активный, хронически активный или хронически неактивный в зависимости от степени обезвоживания, клетчатости и воспаления. Ключевую роль в этих процессах играют микроглии и макрофаги. Цель этого исследования заключалась в изучении морфологических характеристик клеток HLA-DR-иммунопозитивных клеток в этих досках, с тем чтобы улучшить наше понимание роли этих клеток в досках MS. Методы: Это исследование представляет собой ретроспективное исследование гистопатологического характера

What should rheumatologists know about Gaucher disease and Fabry disease? Connecting the dots for an overview.

Gaucher and Fabry diseases are lysosomal storage disorders in which deficient enzyme activity leads to pathological accumulation of sphingolipids. These diseases have a broad phenotypic presentation. Musculoskeletal symptoms and pain complaints are frequently reported by patients. Thus, rheumatologists can be contacted by these patients, contributing to the correct diagnosis, earlier indication of appropriate treatment and improvement of their prognosis. This review describes important concepts about Gaucher and Fabry diseases that rheumatologists should understand to improve patients' quality

Frailty-adjusted therapy in Transplant Non-Eligible patients with newly diagnosed Multiple Myeloma (FiTNEss (UK-MRA Myeloma XIV Trial)): a study protocol for a randomised phase III trial.

INTRODUCTION: Multiple myeloma is a bone marrow cancer, which predominantly affects older people. The incidence is increasing in an ageing population.Over the last 10 years, patient outcomes have improved. However, this is less apparent in older, less fit patients, who are ineligible for stem cell transplant. Research is required in this patient group, taking into account frailty and aiming to improve: treatment tolerability, clinical outcomes and quality of life. METHODS AND ANALYSIS: Frailty-adjusted therapy in Transplant Non-Eligible patients with newly diagnosed Multiple Myeloma is a nati

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… Source data verification will involve direct access to participant notes at the participating hospital sites and the ongoing central collection of copies of consent forms and other relevant investigation reports. … Appendices Informed consent material The consent forms that are to be completed by the participant at bone marrow registration and/or trial registration are included in online supplemental material . …

Самочувственное оральное здоровье у гемато-онкологических пациентов и связь с качеством жизни.

ЦЕЛЬ: Оценить самосообщенное состояние орального и перорального здоровья пациентов, у которых диагностируется гемато-онкологическое заболевание. ПАТИЕНТЫ И МЕТОДЫ: Данные собирались с помощью цифрового вопросника в сотрудничестве с голландской организацией пациентов " Гематон " . Вопросники EORTC-QLQ-C30, EORTC-QLQ-OH15, сокращенный Ксеростомический кадастр (XI) и OHIP-14 были использованы. Результаты: Seven hundred five (Включены пациенты)52.5% женщины среднего возраста 63.2 ± 10.1). Большинство из них были диагностированы 2 много лет назад86%) и прошли курс лечения (81%) за свою бо

Myohythmia: Количественное исследование синхронии и ритмичности между головой и верхним лимбом.

Мьоритмия — это расстройство осцилляционного движения <4 Гц, которое было в разной степени охарактеризовано как синхронное или асинхронное между частями тела и как вялое или ритмичное по внешнему виду, но никакого доклада о количественном анализе движения не опубликовано. МЕТОДЫ: 51-летняя женщина развила недееспособную миоритмию в голове и верхних конечностях (право) (слева) примерно через три месяца после рецидива множественных склерозов в ее мозговой стебле и мозжечке. Движение головы и двусторонних рук было зафиксировано в состоянии покоя и в позе с трехосными акселерометрами и гироскопиче

Longitudinal Analysis of P100 Wave Amplitude and Latency in Multiple Sclerosis: A 19-Year Retrospective VEP Study.

Background: The diagnosis of multiple sclerosis (MS) relies on identifying neurological signs and symptoms, supported by evidence of central nervous system (CNS) dissemination of lesions across time and space. The visual pathway is commonly involved in MS, with a frequent involvement of optic neuritis (ON) episodes. Our study aims to assess the relationship between neuronal damage and optic nerve demyelination by analyzing the latency and amplitude of the p100 wave complex using visual evoked potentials (VEPs). Methods: We conducted a retrospective longitudinal study, analyzing VEP records of

A phase I first-in-man study to investigate the pharmacokinetics and safety of liposomal dexamethasone in patients with progressive multiple myeloma.

Despite the introduction of multiple new drugs and combination therapies, conventional dexamethasone remains a cornerstone in the treatment of multiple myeloma (MM). Its application is, however, limited by frequent adverse effects of which the increased infection rate may have the strongest clinical impact. The efficacy-safety ratio of dexamethasone in MM may be increased by encapsulation in long-circulating PEG-liposomes, thereby both enhancing drug delivery to MM lesions and reducing systemic corticosteroid exposure. We evaluated the preliminary safety and feasibility of a single intravenous

Implementation of a model integrating primary and oncology pharmacists' care for patients taking oral anticancer agents (OAA).

Improvements in chronic myeloid leukemia (CML), chronic lymphocytic leukemia (CLL), and multiple myeloma (MM) treatment options have increased the 5-year survival rates for patients with these hematologic malignancies. In addition to cancer management, these patients may need help to manage multiple chronic conditions (MCC). The overall objective of this study is to examine the impact and implementation of a model that coordinates care between oncology and primary care pharmacists for people taking an oral anti-cancer agent (OAAs) and medications for comorbid chronic conditions. This is a mult

Management of Potential Organ Donor: Indian Society of Critical Care Medicine-Position Statement.

This position statement is documented based on the input from all contributing coauthors from the Indian Society of Critical Care Medicine (ISCCM), following a comprehensive literature review and summary of current scientific evidence. Its objective is to provide the standard perspective for the management of potential organ/tissue donors after brain death (BD) in adults only, regardless of the availability of technology. This document should only be used for guidance only and is not a substitute for proper clinical decision making in particular circumstances of any case. Endorsement by the IS

Efficacy of repetitive transcranial magnetic stimulation on postoperative pain in patients undergoing video-assisted thoracoscopic surgery: study protocol for a prospective, single-center, randomized controlled trial.

BACKGROUND: Video-assisted thoracoscopic surgery (VATS) is a key treatment for many cardiothoracic issues, but intraoperative factors can lead to acute postoperative pain (APSP), impacting recovery and quality of life. While multimodal analgesic methods are used, they have notable side effects. Repetitive transcranial magnetic stimulation (rTMS) offers a non-invasive pain relief option by stimulating the primary motor cortex (M1), effective in chronic pain management. However, its role in preventing and treating APSP after VATS needs confirmation through high-quality clinical trials. METHODS/

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… All participants will sign written informed consent forms prior to enrollment. This study complies with the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) guidelines ( 27 ). … Inclusion criteria Aged ≥ 18 years, gender not limited; ASA classification I–III; Proposed elective unilateral thoracoscopic surgery; Voluntarily participate in this study and sign an informed consent form. …

Прогнозирующие факторы развития инвалидности в множестве склерозов в реальной жизни: определение FSEP-высокой категории (OFSEP-HD) во Франции.

ЦЕЛЬ: Определение прогнозируемых факторов инвалидности при множественном склерозе (МС), т.е.1) выявлять факторы, определяющие динамику развития инвалидности;2) изучение эффективности методов лечения с целью видоизменения заболеваний (ДМТ);3) объединить детерминанты и ДРТ для создания ориентированных на пациента средств прогнозирования и ()4) проводить экономический анализ. УЧАСТНИКИ: Лица, зарегистрированные во Французской базе данных Французской обсерватории по склерозам в плаке (OFSEP), были включены в эту группу лиц с высоким определением FOSEP, если они имели диагноз MS, ≥15 :: возраст и у

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

Barthel Index is a valid and reliable tool to measure the functional independence of cancer patients in palliative care.

BackgroundOur objective was to verify the reliability, internal consistency and construct validity of the Barthel Index in Brazilian cancer patients in palliative care.MethodsWe included patients with cancer, both sexes, and age greater than or equal to 18 years. We used to evaluate patients the Barthel Index, Karnofsky Performance Scale (KPS), and European Organization for Research in the Treatment of Cancer Questionnaire-core 15 (EORTC-QLQ-C15-PAL). The measurement properties evaluated in this study were test-retest and inter-rater reliability and construct validity (tested by means of corre

Acute organ failure and risk of admission to intensive medical care in cancer patients: a single center prospective cohort study.

ObjectiveTo ascertain the cumulative incidence of acute organ failure and intensive care unit admission in cancer patients.MethodsThis was a single-center prospective cohort study of adult cancer patients admitted for unscheduled inpatient care while on systemic cancer treatment.ResultsBetween August 2018 and February 2019, 10,392 patients were on systemic treatment, 358 had unscheduled inpatient care and were eligible for inclusion, and 285 were included. The mean age was 60.9 years, 50.9% were male, and 17.9% of patients had hematologic cancers. The cumulative risk of acute organ failure was

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… All patients consented to participate in this study by providing signed consent forms. Statistical analysis The baseline characteristics of the included subjects at inpatient care admission were described using descriptive statistics as indicated. … Moreover, some patients who were clinically unable to consent or were discharged or died before being able to sign the consent form for study participation were not included; however, the impacts of these factors on our estimates are uncertain. …

Evidence-based guidelines for physiotherapy management of patients with multiple myeloma: study protocol.

BACKGROUND: Patients with multiple myeloma (MM) are often treated with chemotherapy, radiation, and, if indicated, autologous stem cell transplant. In addition to side effects of the treatment, patients with MM often have bone pain, pathological fractures, spinal cord compressions, fatigue, and muscle weakness, which negatively impact functional performance and quality of life. Currently, there are no related guidelines for safe and effective physiotherapy (PT) management. Accordingly, the aim of the present study is to develop guidelines for effective physiotherapy management of patients with

Последствия &quot; Читинас &quot; 3-like 1 Протеин в патогенезе множественных склерозов в аутопсиированных мозгах и муриновой модели.

Chitinase-3-like белок 1 (CHI3L1) был замешан в патологии множественных склерозов (MS), однако его конкретная роль остается неясной. Чтобы прояснить его участие, мы провели протеомический анализ цереброспиновой жидкости (CSF) пациентов, вновь выделяющих MS (RRMS) two- размерная разница в геле электрофорезе (2D-DIGE). CHI3L1 стал наиболее регулируемым белком в регулярных RRMS. ELISA подтвердила значительное повышение уровней CHI3L1 у пациентов с периодическими RRMS и вторичными прогрессивными MS (SPMS), при этом уровни снижаются у лиц, реагирующих на стероиды, но увеличиваются у лиц, не предста