Результаты поиска

Atrial Fibrillation With Decompensated Heart Failure Complicated With Non-ST Elevation Myocardial Infarction.

Non-ST-elevation myocardial infarction (NSTEMI) has a less severe ratio of acute coronary syndromes compared with ST-segment elevation myocardial infarction (STEMI), arising from complete occlusion of a major coronary artery. The name implies a syndrome that does not exhibit the dramatic ST-elevation seen in the traditional 12-lead ECG in chest pain patients with a confirmed diagnosis of STEMI. The crucial clinical significance of NSTEMI is that delay in diagnosis can lead to increased morbidity, risk of arrhythmia, and death. It was recently reported that atrial fibrillation (AF) correlates w

Воздействие амбулаторного и стационарного лечения на результаты клинической, экономической и гуманистической терапии у пациентов с гематологическим раком: системный анализ литературы.

Хотя клеточная терапия химерика антигенного рецептора (КАР)-Т, как правило, проводится в стационарных условиях, быстро расширяется амбулаторное лечение. Вместе с тем имеются лишь ограниченные обобщенные данные о сопоставлении результатов работы амбулаторного и стационарного административных органов. Цель этого систематического обзора литературы состоит в том, чтобы сопоставить показатели безопасности, эффективности, качества жизни (QoL), затрат и использования медицинских ресурсов (HCRU) у пациентов с гематологическим раком, которые проходят терапию CAR-T в амбулаторном и стационарном условиях

Sciatica как нетипичное первоначальное представление множественной миеломы: отчет о деле.

ВЕРТЕБРАЛЬНОЕ участие в множественной миеломе является частой причиной заболеваемости и связано с сильной болью, деформацией позвоночника и неврологическим компромиссом. Несмотря на то, что боль в спине является широко распространенной особенностью, сицика в качестве первоначального проявления множественной миеломы является крайне редким явлением, особенно у пациентов, не имеющих истории травм или остеопоротических факторов риска. Признание таких нетипичных презентаций имеет решающее значение для своевременной диагностики и управления. ОПИСАНИЕ СЛУЧАИ: Мужчина среднего возраста без какой-либо

Management of adverse events associated with ixazomib plus lenalidomide/dexamethasone in relapsed/refractory multiple myeloma.

The oral proteasome inhibitor ixazomib is approved in the United States, European Union and other countries, in combination with oral lenalidomide and dexamethasone (Rd), for the treatment of patients with multiple myeloma who have received at least one prior therapy. Approval was based on the global, randomised, double-blind, placebo-controlled Phase III TOURMALINE-MM1 study of ixazomib-Rd (IRd) versus placebo-Rd in patients with relapsed/refractory multiple myeloma. IRd resulted in a significant improvement in progression-free survival versus placebo-Rd (median: 20·6 vs. 14·7 months; hazard

Совпадение в полном тексте источника
… Use of laxatives was similar in the IRd and placebo‐Rd groups (38% vs. 35%). Rash The incidence of rash was 36% vs. 23% with IRd versus placebo‐Rd (Table 1 ) (Moreau et al , 2016 ). … The incidence of constipation was higher with IRd and was manageable with routine measures including diet and laxative adjustments (Tariman, 2007 ). …

Длительное использование цинка для дисгейзии, вызывающее нехватку меди.

Цинк является микроэлементом, необходимым для восприятия вкуса и может быть прописан для дисгейзии у больных раком, проходящих лечение. Однако чрезмерное потребление цинка может привести к дефициту меди, который, скорее всего, недооценивается и может представлять собой усталость, тошноту, анемию и миэлопатию. КИСЛОТА: Пациент в 70-летнем возрасте с несколькими миэломой и гастропарезом, принимающий добавки цинка для лечения дисгейсии в прошлом. 2 Годы, порожденные общей усталостью, головокружением, тошнотой, нейтрализмом, анемией, походом, а также ухудшением онемения и покалыванием в нижних кон

Совпадение в полном тексте источника
… He was advised to increase laxatives and take metoclopramide 5 mg three times daily for nausea and early satiety. …

Pharmacists are initiators in palliative care for patients with rare diseases.

The World Health Organization supports early delivery of palliative care as it reduces unnecessary hospital admissions and the inappropriate use of health care services. A community pharmacist can play a key role in advocating timely access to palliative care. Medication reconciliation must alert them to start communicating with the patient and/or his relatives about refocusing treatment and care as part of palliative and terminal care. Pharmaceutical activities for these patients include dispensing of devices and medicinal products, compounding personalized medication and participating as a m

Совпадение в полном тексте источника
… As constipation is a common side-effect of opioids, laxatives are always administered, prescription free [ 37 ]. Opioid, antipsychotic and hypnotic drug use in palliative care has been studied in several European countries [ 38 , 39 ]. …

Amyloidosis for the Gastroenterologist: A Comprehensive Systematic Review of Diagnosis and Management of Gastrointestinal Manifestations.

BackgroundAmyloidosis is a rare, multisystem disorder characterized by extracellular deposition of misfolded protein fibrils. Gastrointestinal (GI) amyloidosis is uncommon but under-recognized due to nonspecific symptoms, but early diagnosis is critical to improve quality of life and prognosis. This comprehensive systematic review aimed to summarize current literature on GI and hepatic manifestations of amyloidosis, highlighting diagnostic and management strategies across the major subtypes of amyloidosis, in particular AL (immunoglobulin light chain), ATTR (transthyretin), and AA (serum amylo

Совпадение в полном тексте источника
… to 30 mg BD), and diphenoxylate In AA amyloidosis: treatment of chronic inflammatory disease may improve diarrhea Octreotide 50–100 μ g subcutaneously BD or TDS, can be used in outpatient setting in severe diarrhea or consideration of long acting alternative such as lanreotide Constipation | Osmotic laxatives … Constipation In the management of constipation, osmotic laxatives, particularly polyethylene glycol (macrogel, up to 13–80 mg daily), are the most effective first‐line option [ 3 ]. Lactulose (up to 15–60 mL daily), though associated with greater side effects, may serve as an alternative [ 104 ]. …

Efficacy of 5-hydroxytryptamine 3 receptor antagonists versus metoclopramide for preventing nausea and vomiting during azacitidine chemotherapy in patients with myelodysplastic syndromes or acute leukemia: a retrospective observational study.

BACKGROUND: 5-Hydroxytryptamine 3 receptor antagonists (5-HT3RAs) and dexamethasone are recommended to prevent azacitidine-induced nausea and vomiting. In clinical practice, 5-HT3RAs or metoclopramide is often used without dexamethasone. In this study, we aimed to determine whether 5-HT3RAs or metoclopramide is more effective for suppressing nausea and vomiting during azacitidine-based chemotherapy. METHODS: This study was a single-center retrospective observational study. Patients with myeloid malignancies receiving azacitidine-based regimens were treated with a 5-HT3RA (ramosetron or granis

Совпадение в полном тексте источника
… However, evaluations of these side effects were difficult, because many patients also used laxatives and hypnotics. …

Severe hyperammonemia from intense skeletal muscle activity: A rare case report and literature review.

RATIONALE: Adult hyperammonemia is most often the result of hepatic dysfunction. Hyperammonemia in the setting of normal hepatic function is a much less common phenomenon and has usually been associated with medications and certain disease states. Here, we present an unusual case of severe hyperammonemia caused physiologically by intense muscle activity in a patient lacking any evidence of liver disease. PATIENT CONCERNS: A 36-year-old woman was brought to the emergency department for a suicide attempt after being found covered in Lysol and Clorox germicidal bleach. She was noted to be in a s

HERV Dys Regulation в деле Myalgic Encephalomyelitis и Multic Sclerosis Responsive to Rituximab.

В этой статье резюмируется случай, когда 30-летний мужчина диагностировал синдром мальгического энцефаломелита/хронического утомительного синдрома (ME/CFS) и его продольный слежение, в результате чего через восемь лет был диагностирован множественный склероз (MS). Наиболее ощутимым результатом стала его реакция на ритуксимаб после систематического отказа в предварительном лечении. Хотя выражение эндогенных ретровирусных белков ассоциируется с автоиммунитетом, пациент не продемонстрировал более широкое выражение токсичного белка HERV (человеческий ретровирус)-W ENV, который является целью текущ

Совпадение в полном тексте источника
… He has not experienced any changes in his bowel movements before or after treatment; he has chronic constipation and requires laxatives. He did not report infections or allergies. …

Overview of nutritional approach in hematopoietic stem cell transplantation: COVID-19 update.

The coronavirus disease 2019 (COVID-19) is caused by the newly discovered SARS-CoV-2. Hematopoietic stem cell transplantation (HSCT) is a high-risk procedure. The novelty of COVID-19 has created more uncertainty during all phases of HSCT. It is thought that HSCT patients taking immunosuppressive agents are more likely to contract COVID-19 than healthy individuals are. Appropriate care precautions should be taken with patients undergoing HSCT to minimize the risk of COVID-19, and appropriate treatment methods must be followed in patients infected with COVID-19. Malnutrition has become a signifi

Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: Adults.

The nutritional status of patients submitted to hematopoietic stem cell transplant is considered an independent risk factor, which may influence on quality of life and tolerance to the proposed treatment. The impairment of nutritional status during hematopoietic stem cell transplant occurs mainly due to the adverse effects resulting from conditioning to which the patient is subjected. Therefore, adequate nutritional evaluation and follow-up during hematopoietic stem cell transplant are essential. To emphasize the importance of nutritional status and body composition during treatment, as well a

Совпадение в полном тексте источника
… Magnesium The use of immunosuppressants may cause hypomagnesemia in patients undergoing HSCT. 94 Nonetheless, there are reports of hypermagnesemia in these patients, which can be associated with the use of laxatives, kidney dysfunction or abnormal intestinal motility. 169 , 170 Magnesium supplementation …

Множественный склероз после века 50 Годы: Сравнительный анализ положения с поздним наступлением и взрослым наступлением.

ЦЕЛЬ И СПРАВОЧНАЯ ИНФОРМАЦИЯ: Растет заболеваемость множественным склерозом (МС) у пожилых пациентов. Некоторые из этих пациентов развивают это заболевание после возраста 50 Годы, состояние, известное как поздний запуск MS (LOMS). Цель этого исследования состояла в том, чтобы дать характеристику MS у пациентов более старшего возраста (см.50-75 ) путем сопоставления СУП с ССВ для взрослых (КОМС). МЕТОДЫ: Мы ретроспективно проанализировали данные, полученные 230 больные в возрасте 50-75 годы, которые посещали португальский высший консультационный центр. Результаты: Это исследование включало в се

Совпадение в полном тексте источника
… Symptomatic therapies were also considered, namely antidepressants of any kind, antispastics (baclofen and tizanidine), neurogenic bladder treatment (oxybutynin, solifenacin, trospium chloride, and tamsulosin), bowel dysfunction treatment (laxatives, enemas, and antidiarrheal agents), dietary supplements …

Increasing use of sodium nitrite in suicides-an emerging trend.

Sodium nitrite (NaNO2) is a compound with broad practical applications in food preservation, automotive maintenance, and animal control. Sodium nitrite is also potentially fatal when ingested, as it interferes with the ability of red blood cells to transport oxygen. While incidents of accidental consumption have been reported in the literature, case reports of sodium nitrite being used as a pharmacological suicide agent are becoming more frequent. Therefore, a study was undertaken to evaluate trends in sodium nitrite deaths in South Australia between 2000 and 2019. All cases of fatal sodium ni

Upregulation of CD19 by low-dose chidamide promotes CAR T cells functionality in B-cell non-Hodgkin lymphoma.

B-cell non-Hodgkin lymphoma (B-NHL) is a highly heterogeneous group of lymphopoietic malignancies that account for 85% to 90% of all non-Hodgkin lymphomas. In recent years, CD19 Chimeric antigen receptor T (CAR T) cell immunotherapy has significantly improved the cure rate of B-NHL patients, but there are still some patients who cannot achieve remission after treatment, or relapse after remission. Therefore, it is of great importance to overcome the drug resistance of CD19 CAR T cells after B-NHL treatment and reduce the recurrence rate of CD19 CAR T cells after B-NHL treatment. We found that

Anticholinergic burden risk and prevalence of medications carrying anticholinergic properties in elderly cancer patients in Jordan.

BackgroundGeriatric cancer patients are susceptible to adverse drug events due to the complexity of their chemotherapy regimens and collateral treatments for their comorbid conditions. Prescribing medications with anticholinergic burden characteristics can complicate their condition, leading to negative impacts on their health outcomes and quality of life, including an increase in adverse drug event frequency, physical and cognitive impairments.ObjectiveThis study aims to examine the prevalence of anticholinergic prescribing and identify the cumulative anticholinergic load risk associated with

Совпадение в полном тексте источника
… Comparison of nine instruments to calculate anticholinergic load in a large cohort of older outpatients: association with cognitive and functional decline, falls, and use of laxatives. Am. J. Geriatr. Psychiatry. 2017;25(5):531–540. doi: 10.1016/j.jagp.2017.01.009. …

Pathologic and prognostic impacts of FGFR2 amplification in gastric cancer: a meta-analysis and systemic review.

Fibroblast growth factor receptor-2 (FGFR2) gene is amplified in up to 15% of patients with gastric cancer (GC). However, the prognostic significance of FGFR2 amplification has been controversial. This meta-analysis was conducted to evaluate the clinicopathological impacts of FGFR2 amplification in patients with GC. We performed a systematic computerized search of the electronic databases of PubMed, PMC, EMBASE, Web of Science, and Google Scholar and selected studies assessing the correlation of FGFR2 amplification with pathologic features and/or prognosis in gastric adenocarcinoma. From eight

Платеже-Rich Plasma-Derived Exosom Olficy Инъекции для лечения травматического обесценения

Фон: В последнее время для лечения травматической обонятельной дисфункции, связанной с болезнью коронавируса, использовались носовые инъекции плазмы с высоким содержанием тромбоцитов (РРП). 2019. Однако в настоящее время экзосомы, получаемые из плазмы, богатой тромбоцитами, становятся ключевыми факторами, влияющими на активность ПРП, и, по сравнению с ПРП, характеризуются высокой устойчивостью и минимальной иммуногенностью. Представление дела: Мы описали случай 27-year-old женщина, которая потеряла свою обонятельную функцию после того, как ударилась головой 8 июль 2022. Анализ запаха показал п

Occult Esophageal Squamous Cell Carcinoma Presenting as Bone-Predominant Carcinoma of Unknown Primary: A Case Report of a p40-Negative Vertebral Metastasis.

Background and Clincal significance: Esophageal squamous cell carcinoma (ESCC) classically presents with progressive dysphagia and weight loss, but atypical presentations may redirect the diagnostic workup before the esophageal primary is identified. We report a case illustrating the simultaneous convergence of three diagnostic pitfalls: absence of dysphagia, bone-predominant metastatic presentation initially managed as carcinoma of unknown primary (CUP), and negative p40 staining in a vertebral biopsy in a patient subsequently confirmed to have invasive mid-esophageal squamous cell carcinoma.

Совпадение в полном тексте источника
… Initial laboratory evaluation was unrevealing; no imaging or endoscopy was performed, and he was discharged after symptomatic improvement with laxatives. The available record did not document the rationale for deferring endoscopic evaluation at this visit. …

The Relationship between Changes in Serum Element Concentrations and Pathological Condition and Disease Status in Japanese Multiple Myeloma Patients: A Pilot Study and Literature Review.

BackgroundMultiple myeloma (MM) is a rare cancer, and information on its pathological condition and serum element levels is lacking. In this pilot study, we examined serum element concentrations in Japanese patients with MM by a comprehensive multi-element analysis.MethodsThis is a case-control study of 12 Japanese patients diagnosed with MM at the Nagoya City University Hospital between 2008 and 2013. Blood samples were taken, at the initial diagnosis and at relapse. The serum concentrations of 12 elements were analyzed by inductively coupled plasma mass spectrometry and compared between MM p