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Картирование использования высокодозовых или долгосрочных оральных глюкотортикодов и стратегий стероидного спаривания во взрослом возрасте с хроническими условиями: оперативный обзор обзоров.

ЦЕЛЬ: Оральные глюкокортикоиды (ОГК) имеют широкий спектр видов применения и являются эффективными в лечении многочисленных заболеваний. Вместе с тем общепризнано, что на УГК при высоких дозах или в течение длительного периода времени ложится бремя токсичности. Несмотря на применение стероидно-партизационной терапии, по-прежнему прописывают ОВГ для лечения широкого круга иммунных и подстрекательских заболеваний. Мы поставили перед собой цель решить следующие исследовательские вопросы:1) Каковы современные показатели для высоких доз и/или долгосрочных УГК?2) Какие модели использования описаны в

Elranatamab: Механизм действий, клиническая и переводческая наука.

Elranatamab (ELREXFIO) — гуманизированный антитела, официально утвержденный для пациентов с несколькократной миеломой (RRMM). Elranatamab использует CD3 на Т клетках и B-клеточном антигене (BCMA) на клетках миэломы, чтобы вызвать цитолиз клеточного клеточного клетка с помощью Т. Рекомендуемая подкожная доза эльранатамб состоит из фиксированных доз увеличения 12 мг в день 1 и 32 мг в день 4 для снижения частотности и серьезности синдрома высвобождения цитокина (CRS), за которым следует полная фиксированная доза 76 мг один раз в неделю (QW) из недель 2 в адрес 24. В ответ, 76 мг QW уменьшается д

Electroretinographic dysfunction, insulin resistance, and childhood trauma in early-course psychosis: A case-control exploratory study.

BACKGROUND: Subarachnoid hemorrhage (SAH) is characterized by intense central inflammation, leading to substantial post-hemorrhagic complications such as vasospasm and delayed cerebral ischemia. Given the anti-inflammatory effect of transcutaneous auricular vagus nerve stimulation (taVNS) and its ability to promote brain plasticity, taVNS has emerged as a promising therapeutic option for SAH patients. However, the effects of taVNS on cardiovascular dynamics in critically ill patients, like those with SAH, have not yet been investigated. Given the association between cardiac complications and e

Aldoxorubicin: a tumor-targeted doxorubicin conjugate for relapsed or refractory soft tissue sarcomas.

Despite available therapies after initial systemic therapy, prognosis remains poor in relapsed or refractory soft tissue sarcomas (STS). The rational and clinical development of novel agents to improve outcomes in this area of high unmet need is desperately warranted. Aldoxorubicin is a prodrug of doxorubicin that binds to serum albumin immediately after administration through an acid-sensitive hydrazone linker and is subsequently transported to tumor tissues where the acidic environment cleaves the linker and facilitates delivery of a tumor-targeted drug payload. In clinical studies to date,

Comparison of QCT and DXA: Osteoporosis Detection Rates in Postmenopausal Women.

Objective. To compare the osteoporosis detection rates in postmenopausal women when measuring bone mineral density (BMD) with quantitative computed tomography (QCT) in the spine versus dual X-ray absorptiometry (DXA) in the spine and hip and to investigate the reasons for the discrepancy between the two techniques. Methods. Spinal volumetric BMD was measured with QCT, and areal spinal and hip BMDs were measured with DXA in 140 postmenopausal women. We calculated the osteoporosis detection rate for the two methods. Lumbar CT images of patients who had a discrepancy between QCT and DXA findings

Delayed gastric emptying in critical illness: is enhanced enterogastric inhibition with cholecystokinin and peptide YY involved?

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

A prospective study of physical activity and cardiometabolic diseases in association with cancer risk.

BackgroundMost physical activity research focuses on general populations, and its cancer-preventive benefits in adults with cardiometabolic diseases remain poorly understood. This study investigated associations between non-occupational physical activity and cancer risk in adults with and without cardiometabolic diseases (cardiovascular disease and/or type 2 diabetes).MethodsWe conducted a meta-analysis of individual participant data of 598,890 men and women, aged 35-70 years at recruitment, across six European countries from the European Prospective Investigation into Cancer and Nutrition (EP

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… Physical activity assessment In both cohorts, PA was calculated in metabolic equivalent task hours per week (MET-h/week) based on self-reported PA questionnaires. In EPIC, PA was assessed at recruitment using an interview-based questionnaire 15 . … Abbreviations: CI: confidence interval; CMD: cardiometabolic diseases; CVD: cardiovascular disease; EPIC, European Prospective Investigation into Cancer and Nutrition; HR: hazard ratio; MET-h/week, metabolic equivalent task hours per week; NOPA, non-occupational physical activity; SD, standard deviation …

Discordance in diagnosis of osteoporosis by quantitative computed tomography and dual-energy X-ray absorptiometry in Chinese elderly men.

ObjectiveThe objective of this study was to investigate the diagnostic discordance of osteoporosis by quantitative computed tomography (QCT) and dual-energy X-ray absorptiometry (DXA) in Chinese elderly men.MethodsA total of 313 males older than 60 years, who underwent both spinal QCT and lumbar spine and hip DXA in our department, were included. The diagnostic criteria established by the World Health Organisation in 1994 were used for DXA to diagnose osteoporosis, and the criteria recommended by the International Society of Clinical Densitometry were used for QCT. The osteoporosis detection r

Модуляция микробиотики Гут по пребиотикам, пробиотикам и психобиотикам и ее воздействие на ось гута микробиота - мозг: систематический обзор.

Ось кишечника - это высокоинтегрированная двунаправленная коммуникационная сеть, функционирующая через нейронные, нейроэндокринные, иммунные и метаболические пути, которые поддерживают гомеостаз центральной нервной системы и стали перспективной дополнительной терапевтической целью для неврологических и нейропсихиатрических расстройств. ЦЕЛЬ: Цель настоящего исследования заключается в систематической оценке воздействия предбиотики, пробиотики и психобиотики на коммуникацию кишечника и неврологические и поведенческие результаты, включая нейроинфламматические маркеры, параметры осей ГПА и микробн

Oral chemotherapy agents in cats: clinical uses, administration and side effects.

PRACTICAL RELEVANCE: Cancer is a very common disease in cats, and many feline patients will require chemotherapy as part of their treatment plan, either as a sole agent or as part of multimodality therapy. Although some general practitioners might be reluctant to undertake injectable chemotherapy, oral chemotherapy may feel like a more acceptable treatment option to manage in practice. CLINICAL CHALLENGES: The small body size of many cats means that tablet sizes made for the human market are less appropriate, which creates dosing challenges. The administration of oral medication can also be a

Воздействие физических упражнений на цепочку нееврофильтрации и уровень глиального фибрового протеина у пациентов с множественным склерозом: систематический обзор и мета-анализ Байезийской сети.

Справочная информация: За последние десятилетия прогнозы в отношении лиц с множественным склерозом (МС) значительно улучшились благодаря достижениям в диагностике и лечении. Из-за непредсказуемости курса и реакции на гетерогенное лечение в MS существует явная потребность в биомаркерах, отражающих активность заболеваний при клиническом наблюдении за этими пациентами. Мы провели систематический обзор с байезийской сетью метаанализа с целью анализа воздействия физических упражнений на уровни нейрофильлитенов (NfL) и глиального фибрового кислотного белка (GFAP) у пациентов с MS. Методы: Был провед

Preoperative stereotactic radiosurgery for brain metastases: the STEP study protocol for a multicentre, prospective, phase-II trial.

BackgroundSurgery is an important therapeutic option for brain metastases. Currently, postoperative stereotactic radiosurgery (SRT) leads to 6-month and 1-year local control estimated at 70 and 62% respectively. However, there is an increased risk of radio-necrosis and leptomeningeal relapse. Preoperative SRT might be an alternative, providing local control remains at least equivalent. It is an innovative concept that could enable the stereotactic benefits to be retained with advantages over post-operative SRT.MethodsSTEP has been designed as a national, multicentre, open-label, prospective, n

Glucocorticoids-based prodrug design: Current strategies and research progress.

Attributing to their broad pharmacological effects encompassing anti-inflammation, antitoxin, and immunosuppression, glucocorticoids (GCs) are extensively utilized in the clinic for the treatment of diverse diseases such as lupus erythematosus, nephritis, arthritis, ulcerative colitis, asthma, keratitis, macular edema, and leukemia. However, long-term use often causes undesirable side effects, including metabolic disorders-induced Cushing's syndrome (buffalo back, full moon face, hyperglycemia, etc.), osteoporosis, aggravated infection, psychosis, glaucoma, and cataract. These notorious side e

Factors affecting pretransplant muscle strength in allogeneic stem cell transplant candidates prior transplantation.

PurposePhysical performance is crucial for prognosis after allogeneic hematopoietic stem cell transplantation (allo-HCT). Cardiorespiratory fitness has already been shown to have prognostic value, and there is increasing evidence that muscle strength and associated parameters (e.g., sarcopenia) are also of clinical relevance. Therefore, there is a need for the quantification of muscle strength and defining risk factors for reduced performance values.MethodsMaximal voluntary isokinetic (MVIC) and isometric (MIPT) muscle strength was assessed 2.4 ± 7.1 days prior admission for allo-HCT with a st

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… The degree of physical activity was operationalized with metabolic equivalent of task (MET). MET hours per week (MET × h/week) were calculated by summing the average of self-reported hours per week spent in walking, cycling, or other physical activities. … equivalent of task; T_Therapie , months between last therapy to allo-HCT; T_Diagnosis , months between last therapy to allo-HCT Variable ( n MVIC, n MIPT) | MVIC Knee/kg (Nm) Mean ± SD | MIPT Knee/kg (Nm) Mean ± SD | MVIC Knee (Nm) Mean ± SD | MIPT Knee (Nm) Mean ± SD Diagnosis | | | | AML ( n = …

Successful treatment of an adult with Kasabach-Merritt syndrome using thalidomide, vincristine, and prednisone.

ObjectiveKasabach-Merritt syndrome is a rare disease that mainly occurs in infants and adolescents. It usually manifests as disseminated intravascular coagulation and severe bleeding, and is associated with high mortality. However, its low incidence and clinical rarity in adults mean that there is currently no well-verified treatment regimen for this disease. We report on an effective novel therapeutic regimen in a patient with Kasabach-Merritt syndrome.MethodsA woman with Kasabach-Merritt syndrome presented with a recurrent subcutaneous mass and disseminated intravascular coagulation, and was

Treatment-Associated Acute Lymphoblastic Leukemia Following Autologous Hematopoietic Stem Cell Transplant and Lenalidomide Maintenance in Patients With Multiple Myeloma.

Secondary malignancies including leukemia are an increasing concern in patients with prior primary malignancies treated with alkylating agents or topoisomerase II inhibitors. These can also be referred to as therapy-related leukemia. Therapy-related leukemia most commonly results in myelodysplastic syndrome or acute myeloid leukemia. The alkylating agent can cause chromosomal aberrations typically manifest as deletions in chromosome 11 or loss of part of complete loss of chromosomes 5 and 7. Conversely, acute lymphoblastic leukemia (ALL) has been described following maintenance therapy with im

Lifestyle in Multiple Myeloma - a longitudinal cohort study protocol.

BACKGROUND: Deterioration in bone health is one of the presenting symptoms of Multiple Myeloma (MM), a cancer of plasma cells. As a consequence of this condition, patients suffer bone pain and bone damage and report cancer-related fatigue, resulting in deterioration in their quality of life. Evidence in patients with solid tumours shows promise for the positive effects of physical activity on quality of life. However, in the case of patients with MM a better understanding of the association between physical fitness and quality of life factors is still required. Therefore, this cohort study aim

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… The time spent in activity is expressed in metabolic equivalent units (METs). … equivalent units; MM, Multiple Myeloma; PSQI, Pittsburgh Sleep Quality Index; QoL, Quality of life; UCLH, University College London Hospital Acknowledgements We would like to thank our funders, Cancer Research UK and Celgene, for supporting this study. …

Воздействие телереабилитации на физическую функцию и повседневную жизнь пациентов с амиотрофным боковым склерозом: обзор аналитического исследования.

[Целевая цель] Это исследование было направлено на разъяснение последствий телереабилитации для физической функции и повседневной жизни пациентов с амиотрофным боковым склерозом с помощью обзора литературы. [Участники и методы] Мы провели обзор аналитического исследования на основе руководящих принципов отчетности по предпочтительным позициям для системных обзоров и мета-анализов (ПРИСМА) для скопирования обзоров. Были проведены обыски баз данных PubMed, Scopus, Web of Science и ProQuest. Из выбранной литературы были извлечены такие данные, как структура, тип мероприятий, методы телереабилитац

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… ALSFRS-R: amyotrophic lateral sclerosis functional rating scale-revised; BI: Barthel index; BS: Borg scale; %FVC: % forced vital capacity; HR: heart rate; HRV: heart rate variation; M: male; SpO 2 : saturation of percutaneous oxygen; MEP: maximum expiratory pressure; METs: metabolic equivalents; PEFR … ALSFRS-R: amyotrophic lateral sclerosis functional rating scale-revised; BI: Barthel index; BS: Borg scale; %FVC: % forced vital capacity; HR: heart rate; HRV: heart rate variation; M: male; SpO 2 : saturation of percutaneous oxygen; MEP: maximum expiratory pressure; METs: metabolic equivalents; PEFR …

Effects of rice bran arabinoxylan compound on quality of life of cancer patients during active treatment: a randomised placebo-controlled pilot trial.

The effects of a plant-based immunomodulator, rice bran arabinoxylan compound (RBAC), on the quality of life (QoL) of cancer patients during active treatment are unclear. The RBAC-QoL study was a randomised, placebo-controlled, double-blind feasibility study to address the role of RBAC in cancer patients receiving systemic therapies. The primary outcome measure was patient-reported functional, symptom, and global QoL scores. Secondary and exploratory outcome measures included nutritional indices and cytokine changes. Adult patients (n = 29) with solid organ tumours (≥ stage II) undergoing syst

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… ARFS = Australian recommended food score; CAMQ = Use of complementary and alternative medicine questionnaire; MET = metabolic equivalent of task; RBAC = rice bran arabinoxylan compound. … equivalent of task (MET) score for physical activity and CAMQ score for usage and belief in complementary therapies. …

European guidance for the diagnosis and management of osteoporosis in postmenopausal women.

UnlabelledGuidance is provided in a European setting on the assessment and treatment of postmenopausal women with or at risk from osteoporosis.IntroductionThe European Foundation for Osteoporosis and Bone disease (subsequently the International Osteoporosis Foundation) published guidelines for the diagnosis and management of osteoporosis in 1997. This manuscript updates these in a European setting.MethodsThe following areas are reviewed: the role of bone mineral density measurement for the diagnosis of osteoporosis and assessment of fracture risk; general and pharmacological management of oste