Результаты поиска

Co-research in the development of AI and digital health tools for cancer management and care: a systematic review.

BackgroundParticipatory approaches (including co-research, co-design, Patient and Public Involvement [PPI], and Participatory Action Research [PAR]) are increasingly being incorporated into digital health innovation. However, their application in cancer-related digital and Artificial Intelligence (AI) tool lifecycle remains insufficiently synthesised, limiting understanding of how participatory approaches influence ethical outcomes, trust, and the real-world implementation of these technologies. This review moves beyond documenting participatory approaches to critically examine how far partici

The influence of baseline characteristics, treatment and depression on health-related quality of life in patients with multiple myeloma: a prospective observational study.

BACKGROUND: Multiple myeloma (MM) is the third most common hematologic malignancy with increasing importance due to improving treatment strategies and long-term outcomes in an aging population. This study aims to analyse influencing factors on health-related quality of life (HRQoL), such as treatment strategies, participation in a clinical trial and patient characteristics like anxiety, depression, gender, and age. A better understanding of the individual factors in context with HRQoL could provide a helpful instrument for clinical decisions. METHODS: In this prospective observational study,

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… During the inclusion interval, after detailed explanation of the interview procedure, consent form, and data protection, written informed consent was obtained from each patient with an indication of first-line or relapse treatment of MM. … The study protocol, informed consent forms, and other study-related documents were reviewed and approved by the local ethics committee of the Medical Faculty of University of Wuerzburg (votum-no 301/12). Written informed consent was obtained from all patients. …

Марбургский вариант множественного склероза: отчет о деле молодых женщин.

Болезнь Марбурга (мягкий множественный склероз, MS) представляет собой редкий, острый вариант MS, который встречается преимущественно среди молодежи. Поскольку эта болезнь характеризуется редкостью, высокой заболеваемостью и смертностью, она нуждается в дальнейшей оценке, и опыт врачей играет определенную роль в лечении. Мы сообщаем о случае 15-летней женщины с прогрессивной слабостью по отношению к конечностям, гиперрефлексией и потерей ощущения в результате физического осмотра, лабораторных тестов и радиологических исследований. После лечения в ходе клинического посещения неулучшенность была

Abstracts

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Increased intervals in enzyme replacement therapy for stable type 1 Gaucher disease: A non-inferiority sequential trial emulation.

OBJECTIVE: To compare the efficacy and safety of extended interval (Q3-4W) enzyme replacement therapy (ERT) versus standard biweekly (Q2W) ERT in clinically stable type 1 Gaucher disease (GD) patients. METHODS: We emulated a target trial with a sequential trial design, using data from the French Gaucher Disease Registry. Eligible patients were treated for ≥2 years biweekly without clinical events. Every 3 months, switchers to Q3-4W were matched to Q2W patients by age, sex, referral center follow-up, disease history (bone events, anemia, thrombocytopenia, splenectomy, and hepatosplenomegaly),

Multicentre adaptive randomised trial of GvHD prophylaxis following unrelated donor stem cell transplantation comparing Thymoglobulin versus calcineurin inhibitor-based or sirolimus-based post-transplant cyclophosphamide (Methods of T cell Depletion, MoTD trial).

IntroductionGraft-versus-host disease (GvHD) remains a major complication of allogeneic stem cell transplantation (allo-SCT), affecting 30-70% of patients (representing 800 new patients per year in the UK). The risk is higher in patients undergoing unrelated allo-SCT. About 1 in 10 patients die as a result of GvHD or through complications of its treatment. In patients who survive GvHD and or the complications of treatment, about 1 in 3 patients develop chronic GvHD which has a negative impact on quality of life (QoL). Many transplant protocols use alemtuzumab or anti-thymocyte globulin (ATG) i

Symptom burden and health-related quality of life impacts of smoldering multiple myeloma: the patient perspective.

Abstract Background Smoldering multiple myeloma (SMM) is an early form of multiple myeloma (MM). SMM is typically considered asymptomatic, and research on how it affects health-related quality of life (HRQoL) is limited. This study assessed the symptoms and HRQoL of patients with SMM and those who progressed from SMM to MM and evaluated the content validity of two patient-reported outcome instruments (EORTC QLQ-C30 and nine items from the EORTC QLQ-MY20) for use in SMM clinical trials. To address these objectives, concept elicitation and cognitive interviews were conducted with SMM patients an

Плазменный обмен и т.д. Иммуноадсорбция: воздействие на иммунологические маркеры и прогнозируемая ценность при нападениях со стероидами-редактерами MS.

ОКРУЖАЮЩАЯ СРЕДА: Данные о нейрохимических механизмах, лежащих в основе реакции на афероз в приступах с множественным склерозом (MS), ограничены. ЦЕЛЬ: Изучение влияния иммуноадсорбции (IA) на плазменный обмен (PLEX) на сывороточные иммунологические параметры [IgG, IgA, IgM, kappa- и лямбда-иммуноглобулиновые цепочки освещения (Δ-FLC, β-FLC), CXCL13, CXCL12] и прогнозное значение этих параметров для реакции на аферез. Были изучены образцы до и послепроцедурной сыворотки 38 участников (IA: n = 19, PLEX: n = 19) процесса IAPEMS (NCT02671682), проведенного в нашем высшем центре.Результаты: После

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… All study participants signed informed consent forms. Results Baseline characteristics The baseline characteristics of the two treatment groups showed a balanced distribution ( Table 1 ). The median age for the PLEX-group was 39 years vs 40 years for the IA-group. … Footnotes Consent to participate: All study participants signed informed consent forms. Consent for publication: Not applicable Data availability statement: The data that support the findings of this study are available on request from the corresponding author. …

Comparative Study of Recombinant Human Erythropoietin (rhEPO) Products on CKD (Chronic Kidney Disease) Patients.

PurposeThis study was conducted to evaluate whether the efficacy and safety profile of recombinant human erythropoietin (rhEPO) manufactured by Daewoong Pharmaceutical Co., Ltd was similar to biological products approved by the drug safety regulatory authority.Patients and methodsIt was an open-label, randomized, comparative, parallel, multi-center study in hemodialysis patients with anemia. The reference product at an individualized dose 3 times a week was given in 4-8 weeks of titration period and hemoglobin (Hb) level was controlled to reach the range of 10-12 g/dL. Then, the subjects were

Factors affecting outcome in the treatment of streptococcal periprosthetic joint infections: results from a single-centre retrospective cohort study.

PurposeTo report and analyse factors affecting the outcome of streptococcal periprosthetic joint infections (PJIs).MethodsA retrospective analysis of consecutive streptococcal PJIs was performed. Musculoskeletal Infection Society 2013 criteria were used. Outcome was compared with a prospective PJI cohort from the same institution.ResultsThe most common isolated streptococcal species was Streptococcus dysgalactiae (9/22, 41%) among 22 patients included. Surgical treatment consisted of DAIR (debridement, antibiotics, irrigation and retention) in 12 (55%), one-stage revision arthroplasty in one (

Pharmacist Awareness, Knowledge, and Clinical Engagement of Medication-Related Osteonecrosis of the Jaw: A Survey From a Designated Community Cancer Care Hospital.

Introduction Medication-related osteonecrosis of the jaw (MRONJ) is a clinically challenging condition; however, the actual practice and interprofessional engagement of pharmacists regarding MRONJ remain undetermined. We assessed the awareness, knowledge, and clinical engagement regarding MRONJ among pharmacists working at a cancer care hospital, identified the gaps between theoretical understanding and actual clinical practice, and explored strategies for enhancing interprofessional collaboration and educational support. Methods In this cross-sectional survey, we administered a web-based anon

Methadone rotation versus other opioid rotation for refractory cancer induced bone pain: protocol of an exploratory randomised controlled open-label study.

BACKGROUND: A third of patients with advanced cancer and bone metastasis suffer from cancer induced bone pain (CIBP), impeding quality of life, psychological distress, depression and anxiety. This study will evaluate the impact of an opioid rotation, comparing methadone rotation with other opioid rotation in patients with refractory CIBP. METHODS: This open-label randomised controlled trial will recruit cancer patients with CIBP and inadequate pain control despite established baseline opioid and/or intolerable opioid side effects from cancer and palliative care services. Participants will be

Инвалидность и связанные со здоровьем качество жизни при множественном склерозе: перспективы 10-year Веб-исследование основанной на народонаселении модели реальной жизни в Нидерландах.

ЦЕЛЬ: Оценить на уровне населения долгосрочные изменения в показателях инвалидности и качества жизни, связанного со здоровьем (HRQOL), у лиц с множественным склерозом (PwMS) в Нидерландах. ПАТИЕНТЫ И МЕТОДЫ: перспективное исследование на базе Интернета в реальных группах населения на основе самопрокатов; 6- месячные оценки на основе Профильа воздействия склероза (MSIP) и Множественного склероза Life-54 (В тыс.MSQoL-54) вопросники; анализ общих линейных смешанных моделей (GLMM); предопределенные якорные точки 5, 8 и 10 :: последующие годы. РЕЗУЛЬТАТЫ: Общенациональные 391 (начало лечения)2011-2

Ультра-высокий контраст (УХК) MRI изображений мозгового, спинного и оптического нерва в множестве склероза с использованием непосредственно приобретенного и синтетического биполярного фильтра (BLAIR).

В этом образовательном обзоре разъясняется базовая физика, лежащая в основе использования последовательности биполярных фильтров ультравысокого контраста (UHC) (BLAIR), включая разделенное вычитаемое восстановление инверсии (dSIR). Эти последовательности могут увеличить контраст, вызванный небольшими изменениями в Т1 в коэффициенте: ten или более по сравнению с обычными IR последовательностями. В иллюстративных случаях эти последовательности использовались для лечения нескольких склерозов (MS) во время рецидива и ремиссии и сравнивались с обычным методом позиционирования (см.T2-weighted вращен

Quality of life and distress assessed with self and external assessment screening tools in patients with hematologic malignancies attending treatment in an acute hospital.

PurposeIn this study, we examined distress levels and quality of life (QoL) of patients with hematologic malignancies under treatment in an acute setting. We used external- and self-assessment instruments for distress. Additionally, we investigated the relation between distress and QoL as well as whether highly distressed patients differed from less distressed patients concerning their QoL.MethodsA cross-sectional study with patients of the Medical Clinic II of the University Hospital Frankfurt was conducted. One hundred and nine patients were assessed with an expert rating scale and completed

Синхронное тройное злоумышленничество с множественными миеломами и префиброзным первичным миелофиброзом у пациента, больного мухой молочной карциномой: доклад по делу из сельских районов Южной Африки.

Множественные первичные злокачественные новообразования (МПМН), диагностированные синхронно, встречаются редко и имеют частоту менее 1%. Происхождение тройных синхронных маньяков является чрезвычайно редким, и, насколько нам известно, ни в одном из предыдущих докладов не описывается одновременное представление о новообразовании миэлопролиферативной системы, дискразии плазменных клеток и рака молочной железы. Такие случаи сопряжены со значительными диагностическими и терапевтическими проблемами, особенно в условиях ограниченного доступа к передовым молекулярным тестам и онкологической терапии.

Deceased Donor Transplantation in Telangana State, India: Overcoming Challenges in a Low Resource Country.

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Множественный склероз педиатрии (POMS) и эпилепсия: исследование этиологической сложности - результаты из опыта одного центра.

В этой статье рассматривается сложная взаимосвязь между припадками, эпилепсией и множественным склерозом (МС) у педиатрических пациентов на основе подробных результатов исследования, проведенного в одном центре. Справочная информация: Хотя множественный склероз в первую очередь признается в качестве заболевания, порождаемого взрослыми, его распространенность у детей сопряжена с особыми проблемами, особенно связанными с расстройствами припадков. Методы: Мы провели обзор 120 Число пациентов педиатрии, прошедших оценку 7 годы; six (из них)5%) опытных изъятий (включая one случай острого эпилептиче

Efficacy and safety of modified Bushen Yiqi formulas (MBYF) as an add-on to formoterol and budesonide in the management of COPD: study protocol for a multicentre, double-blind, placebo-controlled, parallel-group, randomized clinical trial: FB-MBYF Trial.

BackgroundInhaled glucocorticoid corticosteroid (ICS), long-acting β2-adrenoceptor agonist (LABA), and other drugs have limited therapeutic effects on COPD with significant individual differences. Traditional Chinese medicine (TCM)-modified Bushen Yiqi formula (MBYF) demonstrates advantages in COPD management in China. This study aims to evaluate the efficacy and safety of MBYF as an add-on to budesonide/formoterol in COPD patients and confirm the related genes affecting the therapeutic effect in the treatment of COPD.MethodsIn this multicentre, randomised, double-blind, placebo-controlled, pa

Nurse-led web-based self-management program to improve patient activation and health outcomes in patients with chronic low back pain: an acceptability and feasibility pilot study.

BackgroundPatients with chronic low back (cLBP) pain report reduced physical function and ability to participate in social roles and are more likely to use opioid pain medications. While self-management interventions have been shown to support these patients, their effectiveness has been limited due to poor patient engagement. "Patient activation" encompasses the skills, knowledge, and motivation that a person has to manage their health. Supporting patient activation may improve the effectiveness of self-management for cLBP.MethodsIn this single-masked pilot study of adults with cLBP, patients