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Euthanasia as a safeguard for living: Anticipation and incurable cancer in a Colombian context.

This article builds on years of ethnographic conversations I sustained with my father, 89, who lives in Colombia. Soon after getting diagnosed with an incurable Multiple Myeloma-a cancer known for unleashing prolonged and painful agonies-he withdrew from oncology treatments and secured access to euthanasia (assisted-dying) on his own, bypassing medico-insurance guidelines created to regulate this medical practice and prevent abuses. Eight years after withdrawing treatments, my dad is still alive. His case shines a light on how securing access to euthanasia may have had unintended therapeutic e

Quality of life among family caregivers of cancer patients: an investigation of SF-36 domains.

BackgroundWith improving survival rates, cancer has become more of a chronic disease with long-term palliative care requirements. Thus, it is even more than ever necessary to pay careful attention to the well-being of family caregivers of cancer patients, as cancer trajectory is a challenging path for both patients and their caregivers. This study focusses on ascertaining the level of quality of life (QoL) domains and their attributable significant factors among a population of cancer family caregivers.MethodsThis was a cross-sectional study. The study population consist of caregivers of adult

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… The only significant pairwise comparison was between public health (53.01 ± 20.00) and social security (40.61 ± 19.14) insurances, P < 0.0001. No significant associations were seen between other basic characteristic of the participants and Vitality (All, P > 0.05). … Caregivers of patients with social security insurance experienced about 5 point less QoL (vitality). …

Attachment Styles and Sexual Function Among Survivors of Autologous Hematopoietic Stem Cell Transplantation: A Multicenter Study.

Background and Objectives: Autologous hematopoietic stem cell transplantation (AHSCT) offers life-saving treatment for hematologic malignancies but can result in persistent sexual dysfunction and relationship challenges. Attachment theory provides a valuable framework for understanding how enduring relational patterns influence sexual well-being. This study aimed to assess sexual function and attachment styles in AHSCT survivors and examine correlations between attachment and sexual health outcomes. Materials and Methods: A multicenter, cross-sectional study was conducted from December 2019 to

Screening for comprehensive social needs in patients with cancer: a narrative review.

BackgroundPatients with cancer who report social needs have worse quality of life, lower health-care access, and suboptimal health outcomes. However, screening for social needs does not happen systematically, and successful screening tools, strategies, and workflows have seldom been described. The downstream effects of screening including resource navigation have also not been well characterized. The objective of this narrative review was to fill these gaps.MethodsTwo investigators searched PubMed and Embase for studies that implemented a patient-facing social screening tool among patients wit

Frail older adults' challenges in using telehealth services: A scoping review.

ObjectiveTelehealth is increasingly used to expand access to healthcare, but rapid digitalization risks exacerbating exclusion among frail older adults, who often face intersecting limitations related to health, resources, and digital competence. As this group frequently has complex care needs, mapping their experiences is essential to ensure equitable access to digital care. The aim was to map the challenges frail older adults experience when using telehealth services.MethodsThis scoping review followed Arksey and O'Malley's framework and PRISMA-ScR guidelines. PubMed, CINAHL, Scopus, and Web

Национальное обследование использования медицинских ресурсов для лечения раковых заболеваний с использованием данных о состоянии здоровья населения Японии 2011 в адрес 2022.

Многодисциплинарное лечение рака значительно продвинулось вперед, особенно в том, что касается молекулярной целевой терапии, способствующей прогнозированию. Хотя эти расходы являются дорогостоящими, их финансовые последствия остаются непроверенными. Цель этого исследования заключалась в изучении общего использования ресурсов здравоохранения и выявлении факторов, определяющих стоимость лечения рака в Японии. В этом ретроспективном когортном исследовании пациенты диагностировали недуги в период с апреля 2011 и март 2022 были классифицированы по типам раковых заболеваний, и были проанализированы

Health-Related Challenges and Programs Among Agriculture Workers: A Narrative Review.

Agriculture is one of the most hazardous occupations, with many workers experiencing occupational accidents and ill health. The misuse of toxic substances, often due to inadequate protective measures, raises concerns about both individual and nature safety. However, the strenuous tasks done by the agricultural workers, especially those related to pesticide exposure and some challenges affect the farmer's health and well-being. This review paper used databases like PubMed and Google Scholar to elaborate this. English language studies are included and other languages are excluded. The health sys

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… The government scheme is known as the Pradhan Mantri Shram Yogi Maandhan Yojana is designed for the elder person safety and social security of disorganized agriculture laborers [ 29 ]. …

Комплексный подход к проблеме употребления наркотиков в сексуальных целях (Хемсекс) 3-methylmethcathinone:: отчет о деле.

Практика химиката касается употребления наркотиков во время половой жизни. Во многих статьях содержится описание химикатов и рассматриваются риски, связанные с инфекциями, передаваемыми половым путем; вместе с тем лишь в немногих статьях рассматривается вопрос о формах зависимости химикса с точки зрения диагностических критериев, предрасполагающих факторов и рекомендуемых методов лечения. Наркотики, обычно используемые в химсексуальной практике, включают новые синтетические катиноны 3-methylmethcathinone и 4-methylmethcathinone. Знания о свойствах привыкания 3-methylmethcathinone и 4-methylmet

Variability in Healthcare Expenditure According to the Stratification of Adjusted Morbidity Groups in the Canary Islands (Spain).

Morbidity is the main item in the distribution of expenditure on healthcare services. The Adjusted Morbidity Group (AMG) measures comorbidity and complexity and classifies the patient into mutually exclusive clinical categories. The aim of this study is to analyse the variability of healthcare expenditure on users with similar scores classified by the AMG. Observational analytical and retrospective study. Population: 1,691,075 subjects, from Canary Islands (Spain), aged over 15 years with data from health cards, clinical history, Basic Minimum Specialised Healthcare Data Set, AMG, hospital agr

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… Regarding the type of social security membership, 25.1% ( n = 216,630) of females were pensioners compared to 21.2% ( n = 175,536) of males. … The variables sex, age, type of Social Security membership and type of pharmaceutical contribution were obtained from the health card database of the Canary Islands Health Service. …

Cancer Prevalence Projections in Japan and Decomposition Analysis of Changes in Cancer Burden, 2020-2050: A Statistical Modeling Study.

BACKGROUND: We provide comprehensive sex-stratified projections of cancer prevalence for 22 cancer sites in Japan from 2020 to 2050. METHODS: Using a scenario-based approach, we projected cancer prevalence by combining projected incidence cases and survival probabilities. Age-specific incidences were forecasted using age-period-cohort models, while survival rates were estimated using a period-analysis approach and multiple parametric survival models. To understand changes in cancer prevalence, decomposition analysis was conducted, assessing the contributions of incidence, survival, and popula

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… The projected population from Institute of Population and Social Security that were analyzed in this study are publicly available at IPSS. The survival data analyzed in this study are available from MCIJ project. … National Institute of Population and Social Security Research (IPSS; ). 2023 Population projections for Japan: 2021 to 2070. National Institute of Population and Social Security Research2023.Available from: https://www.ipss.go.jp/pp-zenkoku/e/zenkoku_e2023/pp_zenkoku2023e.asp . 9. …

Clinical Innovation Poster Abstracts

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Уровень рабочей способности определяет конкретный профиль обесценения комплексного основного набора МКФ для множественных склерозов.

Множественный склероз (МС) неблагоприятно влияет на трудоспособность. Комплекс комплексных международных классификаций функционирования, инвалидности и охраны здоровья для НР (КМГС-МС), опубликованный Всемирной организацией здравоохранения, еще не был расширен для оценки уровня работоспособности (ВКК). Оценить относительную значимость категорий CICF-MS в сравнении с WCL. Лица, имеющие MS (PwMS), N = 129, которые были направлены в Литовское управление по оценке инвалидности и рабочей способности для определения WCL, были разделены на три группы в зависимости от процентной доли оставшегося WCL (

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… The ICF is useful for a broad spectrum of applications, such as social security, evaluation in managed health care, and population surveys at the local, national, and international levels. … Such regulations are decided by the Disability and Capacity for Work Service under the Ministry of Social Security and Labor 39 . …

Oncological Diseases and Social Costs Considerations on Undertaken Health Policy Interventions.

The growing incidence and prevalence of civilization diseases is prompting national and transnational entities to seek instruments that would reverse epidemiological trends. Not without significance is the need to design such solutions that are going to provide an improved relation between the costs incurred to maintain health or recovery and the profit for citizens of continuing to function in good health. In its strategic documents, the European Union indicates the most important development goals in each financial perspective and the tools necessary to achieve them. In the Europe 2020 strat

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… The expenses of the Polish payer of social security benefits (Social Insurance Institution) on social security benefits related to the above-mentioned most common cancers increased from 47.5 million PLN in 2014 to 53.5 million PLN in 2016 (up by as much as 11.2%). … The selection of these priorities results from the assessment of the scale of the most frequent causes of diseases and premature deaths due to civilisation diseases constituting the greatest burden on the healthcare system and social security. …

Investigating socioecological obesogenic factors in children with Autism Spectrum Disorder.

Obesity-related information in children with Autism Spectrum Disorder (ASD) is limited, and research findings are contradictory. Thus, this study aimed to use a nationwide non-clinical sample to examine the association of sociological factors with overweight status in children with ASD and reveal the degree of differences in the risk factors for overweight in children with and without ASD. The data for this cross-sectional study, based on the modified ecological system theory model, were obtained from the 2019 National Survey of Children's Health. The weighted logistic regressions were perform

Use of Herbal Medicine Is Associated With Late-Stage Presentation in Tanzanian Patients With Cancer: A Survey to Assess the Utilization of and Reasons for the Use of Herbal Medicine.

PurposeIn Tanzania, patients with cancer present late with advanced stages. Among other reasons, the use of herbal medicine (HM) might contribute to delay in diagnosis and treatment. This study aims to understand the utilization of HM and the reasons for its' use.MethodsA semistructured 30-item questionnaire with closed- and open-ended questions was applied to a cohort of patients with cancer at Kilimanjaro Christian Medical Centre. Content analysis was performed for answers to open-ended questions.ResultsThree hundred two patients were interviewed, 50.9% males and 49.1% females. The mean age

The potential of the Medical Digital Twin in diabetes management: a review.

Diabetes is a chronic prevalent disease that must be managed to improve the patient's quality of life. However, the limited healthcare management resources compared to the large diabetes mellitus (DM) population are an obstacle that needs modern information technology to improve. Digital twin (DT) is a relatively new approach that has emerged as a viable tool in several sectors of healthcare, and there have been some publications on DT in disease management. The systematic summary of the use of DTs and its potential applications in DM is less reported. In this review, we summarized the key tec

Ca2+ involvement in the action potential generation of myenteric neurones in the rat oesophagus.

OBJECTIVE: Arterial aneurysms are life-threatening but usually asymptomatic before requiring hospitalization. Oculomics of retinal vascular features (RVFs) extracted from retinal fundus images can reflect systemic vascular properties and therefore were hypothesized to provide valuable information on detecting the risk of aneurysms. By integrating oculomics with genomics, this study aimed to (i) identify predictive RVFs as imaging biomarkers for aneurysms and (ii) evaluate the value of these RVFs in supporting early detection of aneurysms in the context of predictive, preventive and personalize

Long-Term Projections of Cancer Incidence and Mortality in Japan and Decomposition Analysis of Changes in Cancer Burden, 2020-2054: An Empirical Validation Approach.

PurposeThe aim of this study was to project new cancer cases/deaths forward to 2054, and decompose changes in cancer cases/deaths to assess the impact of demographic transitions on cancer burden.MethodsWe collected data on cancer cases/deaths up to 2019, empirically validated the projection performance of multiple statistical models, and selected optimal models by applying time series cross-validation.ResultsWe showed an increasing number of new cancer cases but decreasing number of cancer deaths in both genders, with a large burden attributed to population aging. We observed the increasing in

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… We used estimated population data (1975–2019), also from CSJ, and the projected population (2020–2054) from the Institute of Population and Social Security with the medium-fertility variant and medium-mortality rate assumptions [ 29 ]. … Treatments for elderly cancer patients and reforms to social security systems in Japan Int. J. Clin. Oncol. 2022 27 310 315 10.1007/s10147-021-02099-0 35098370 PMC8801270 70. …

Person-centred care in oncological home services: a scoping review of patients' and caregivers' experience and needs.

BackgroundCancer became a chronic disease that could be managed at home. Homecare supported person-centred care, which was guided by the Picker Principles defining key elements for care delivery. The study aimed to explore and appraise the dimensions underlying cancer patients' and caregivers' experience and expectations with Home Cancer Care, adopting a person-centerd care framework.MethodsWe carried out a scoping review of the literature using three databases, PubMed, Scopus, and WoS for a total of 703 articles. PRISMA guidelines were followed. 57 articles were included in the review. The ex

Computational identification of salient cancer care topics and themes in oncology social work notes.

BackgroundSocial work notes provide a multifaceted narrative of a patient's cancer journey. Topic modeling is a computational technique that can be used to organize notes into thematic clusters and study topics in oncological social work at scale. In this study, we used the BERTopic framework to perform topic modeling of cancer social work notes and identify roles and themes frequently documented in oncological social work.MethodsWe collected 106 676 social work notes from 25 341 patients diagnosed with cancer at the University of California San Francisco. Notes were split at the sentence leve