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Case Report: The intersection of psychiatry and medicine: diagnostic and ethical insights from case studies.

The intersection of psychiatry and medicine presents unique diagnostic and ethical challenges, particularly for conditions involving significant brain-body interactions, such as psychosomatic, somatopsychic, and complex systemic disorders. This article explores the historical and contemporary issues in diagnosing such conditions, emphasizing the fragmentation of medical and psychiatric knowledge, biases in clinical guidelines, and the mismanagement of complex illnesses. Diagnostic errors often arise from insufficient integration between general medicine and psychiatry, compounded by the relian

Federated Computing in Orthopaedic Surgery: A Paradigm Shift in Collaborative Multicenter Research.

➢ Multicenter studies remain rare in orthopaedics (9.9% of recent publications) due to regulatory complexity, restrictive data-sharing policies, and administrative delays, despite their proven value in generating robust, generalizable evidence. ➢ Federated computing (FC) brings analytic code to each institution's data and returns only encrypted, aggregated results. This preserves patient privacy, maintains institutional control, and streamlines compliance by reducing or eliminating the need for complex data-use agreements. ➢ Extensive applications in other medical fields show that FC can match

Artificial intelligence across the cancer care continuum.

Artificial intelligence (AI) holds significant potential to enhance various aspects of oncology, spanning the cancer care continuum. This review provides an overview of current and emerging AI applications, from risk assessment and early detection to treatment and supportive care. AI-driven tools are being developed to integrate diverse data sources, including multi-omics and electronic health records, to improve cancer risk stratification and personalize prevention strategies. In screening and diagnosis, AI algorithms show promise in augmenting the accuracy and efficiency of medical image ana

Улучшают ли упражнения на ногах функции рук и рук для лиц с нееврологическими расстройствами? Обзор.

Цель проведения аналитического обзора, содержащего резюме существующей литературы об использовании упражнений на ногах для улучшения функции руки для лиц, страдающих неврологическими условиями. 5 базы данных (PubMed, Empase, Cumulative Index to Medrsing and Alimate Health Licture, Scopus, Cochrane Central), вторичные ссылки и 9 Серые литературные базы данных с января 1, 1947, по октябрь 28, 2025Студенты по отбору исследователей включали взрослых, живущих в неврологических условиях и осуществляющих программы тренировки с ориентацией на ногу, которые включали в себя конкретные результаты по рука

Показатели идентичности у подростков/молодых взрослых с долгосрочными физическими заболеваниями: систематический обзор.

Мы определили и оценили показатели идентичности, используемые среди подростков/молодых взрослых 16-24 - продолжительность жизни с долгосрочными физическими заболеваниями (ЛТК-П) с уделением особого внимания концептуализации, разработке и психометрическим свойствам принимаемых мер. Обзор, финансируемый сэром Хэлли Стюартом Трастом и Университетом Бата. Протокол обзора: были проведены обыски баз данных https://osf.io/bhkze.MethodFive (APA PsychNET, PubMed, Web of Science, SCOPUS и CINAHL). Исследования проводятся в том случае, если они проходят коллегиальную экспертизу, как сообщается, участники

The first hematopoietic stem cell transplantation centre in Iraqi Kurdistan: nursing perspectives and education.

AimTo describe the nursing capacity-building process within the foundation of a hematopoietic stem cell transplantation (HSCT) centre at the Hiwa Cancer Hospital (HCH), Sulaymaniyah, Iraqi Kurdistan, referring to nursing education, empowerment and leadership.Methods1) Capacity building, the process by which individuals, organisations, institutions and societies develop abilities to perform functions, solve problems and set and achieve objectives, was implemented; 2) Nurse intervention was based exclusively on training and coaching on site, which is an innovative approach, since more often expe

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… From the very beginning, efforts were dedicated to staff training: this takes the form of lectures in classrooms, bedside consultations, rounds in the clinics and coaching for focussed on the job training and task shifting [ 3 ]. …

Взаимосвязь между активными шагами и падающими психологическими факторами при множественном склерозе.

Цель: Лица с множественным склерозом (МС) сталкиваются с изменениями в балансе, такими, как плохие и ответные шаги, а также меняющиеся психологические факторы, связанные с падением, такие, как растущая обеспокоенность по поводу падения и опасения последствий падения. Такие опасения и страх могут быть связаны с мобильностью и влиять на нее. Однако эти отношения плохо понимаются людьми с MS. Цель этого исследования заключалась в изучении связи между реактивными действиями и осенними психологическими факторами, а также в оценке того, как эти отношения различаются между лицами, которые имели и не

Complementing clinical cancer registry data with patient reported outcomes: A feasibility study on routine electronic patient-reported outcome assessment for the Austrian Myelome Registry.

OBJECTIVES: Routinely assessed patient-reported outcomes (PROs), such as quality of life (QOL), are important to supplement clinical cancer data but requires rigorous implementation. This study aims at depicting the implementation procedure and evaluating the feasibility of routine electronic PRO monitoring (ePRO) for collecting data supplementing the Austrian Myeloma Registry (AMR). METHODS: Integration of ePRO monitoring into clinical routine was planned according to the Replicating Effective Programs framework. QOL data were assessed regularly during treatment and aftercare at the hematoon

Оптимизация многочисленных методов лечения миэломы в условиях ограниченности ресурсов: нынешние перспективы и проблемы.

Множественная миелома (ММ) представляет собой серьезную глобальную проблему в области здравоохранения, и за последние десятилетия уровень ее распространенности и смертности неуклонно возрастал. В настоящем обзоре содержится критический анализ нынешнего положения дел в области управления ММ с особым упором на ограниченные ресурсами условия, в которых наиболее заметны различия в диагностических возможностях и вариантах лечения. Комплексный поиск литературы был проведен с использованием многочисленных баз данных, включая рецензированные статьи, клинические руководящие принципы и резюме конференци

Artificial Intelligence and Machine Learning Technology Driven Modern Drug Discovery and Development.

The discovery and advances of medicines may be considered as the ultimate relevant translational science effort that adds to human invulnerability and happiness. But advancing a fresh medication is a quite convoluted, costly, and protracted operation, normally costing USD ~2.6 billion and consuming a mean time span of 12 years. Methods to cut back expenditure and hasten new drug discovery have prompted an arduous and compelling brainstorming exercise in the pharmaceutical industry. The engagement of Artificial Intelligence (AI), including the deep-learning (DL) component in particular, has bee

Advances in Neuroimaging of Breast Cancer Pain: An Overview.

Breast cancer is currently the most common malignant tumor, primarily affecting women, and it frequently leads to chronic pain that significantly impairs physical and mental health. Neuroimaging studies have demonstrated that breast cancer-related pain is associated with specific brain alterations, including changes in activation, connectivity, and structure of pain-processing regions. This review synthesizes findings on functional and structural brain changes related to chronic pain in breast cancer and compares them with non-cancer chronic pain patterns. By integrating recent evidence, it pr

Присутствие и воздействие усталости у пациентов с множественным склерозом.

Усталость часто встречается в множестве склерозов (MS) и отрицательно сказывается на функционировании и качестве жизни. Мы изучили клинические корреляции усталости, ее связь с депрессией и сонливостью, а также вопрос о том, улучшают ли лекарственные препараты, связанные с усталостью, результаты, о которых сообщают пациенты. В. МАТЕРИАЛЫ И МЕТОДЫ 203 Ветераны, классифицируемые по признаку наличия или отсутствия усталости. Первичными результатами были изменения в шкале усталости (СФС), изменённой шкале воздействия на усталость (MFIS) и шкале сна Epworth (ESS) от базового уровня до базового уровн

Improving rates of pneumococcal vaccination on discharge from a tertiary center medical teaching unit: a prospective intervention.

BackgroundPneumococcal disease causes significant morbidity and mortality in at-risk individuals, and is complicated by emerging antibiotic resistance. An effective, safe and cost-effective vaccine is available, but despite this many patients who would benefit from pneumococcal vaccination remain unvaccinated. The purpose of this study was to determine the rates of missed opportunities to provide pneumococcal vaccination to patients being discharged from a tertiary center medical teaching unit and to determine if a nurse coordinator-based intervention would increase rates of pneumococcal vacci

The Missing Link: Integrating Interventional Pain Management in the Era of Multimodal Oncology.

Cancer-related pain (CrP) is one of the most frequent and debilitating issues that affect the quality of life of patients with cancer. Systemic analgesics, particularly opioids, have been the cornerstone of pain management. However, the following shortcomings of the mentioned therapies, such as side effects, tolerance, and inadequate relief in refractory cases, make implementing a more complete, multimodal treatment plan necessary. Interventional pain management (IPM) uses specific invasive procedures, with different degree of invasiveness, such as nerve blocks, neurolysis, neuromodulation, an

Hope and Acceptance at the End of Life: Impact of Spirituality on Patients in Palliative Care.

IntroductionPalliative care aims to improve the quality of life of patients with serious illnesses. In this type of care, spirituality is placed alongside other dimensions: physical, psychological, and social. The end of life brings confrontation with dilemmas such as "none of this makes sense" or "was it worth it?" The acceptance or rejection of the journey presents spirituality as a dimension that accompanies the person in their existence. Interventions that allow for a review of life help facilitate reflection on regrets, unresolved issues, and an understanding of the legacy that generates

Is the Scope of Costs Considered in Budget Impact Analyses for Anticancer Drugs Rational? A Systematic Review and Comparative Study.

Background: With the increasing disease burden of cancer worldwide, more and more anticancer drugs have been approved in many countries, and the results of budget impact analyses (BIAs) have become important evidence for related reimbursement decisions. Objectives: We systematically reviewed whether BIAs for anticancer drugs consider the scope of costs rationally and compared the results of different cost scopes to provide suggestions for future analyses and decision-making. Methods: Eligible BIAs published in PubMed, Embase, Web of Science, and the Cochrane Library from 2016 to 2021 were iden

Myeloma Patient Value Mapping: A Discrete Choice Experiment on Myeloma Treatment Preferences in the UK.

BackgroundMyeloma is an incurable life-threatening hematological cancer. Recent treatment developments have seen improvements in survival; however, while patients are living longer, they are living with symptoms and treatment side effects.ObjectiveTo evaluate myeloma patients' preferences for treatment using a discrete choice experiment (DCE). This study set out to define the relative importance of key treatment attributes, characterize the risk-benefit trade-offs in patients' decision-making, and to analyze the predictive power of basic demographic factors.MethodsFour hundred seventy-five mye

European Code Against Cancer, 5th edition - occupational exposures and cancer.

Occupational exposure to cancer-causing agents is a major, yet preventable, contributor to cancer in Europe and globally. In the European Union (EU), cancer is responsible for nearly half of all work-related deaths, underscoring the critical need for prevention measures. Effective strategies typically involve regulatory and workplace measures aimed at reducing or eliminating exposure risks. Raising awareness of hazardous workplace exposures is essential to empower individuals, foster a culture of prevention, and support effective regulation. The 5th edition of the European Code Against Cancer

Unraveling the association between chronic inflammatory demyelinating polyradiculoneuropathy and peritoneal Dialysis.

BackgroundChronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a rare disease seen in the general population and has been reported as showing an increased incidence in the peritoneal dialysis (PD) population, as documented in case reports.MethodsWe conducted a case-control study using data from the Taichung Veterans General Hospital electric medical record database from the years 2010 to 2023. We defined cases as CIDP with End-stage kidney disease (ESKD) and controls as without CIDP. A logistic regression analysis was used to investigate the association between CIDP and dialysis

Насколько общим является гиперкортизолизм у пациентов с гипертензией? Факторы риска, эпидемиология и диагностика.

Эндогенный гиперкортизолизм (ЭГК) является недооцененным и клинически значительным фактором гипертонии, особенно резистентной гипертонии. После того, как EHC считается редким субъектом, он теперь воспринимается как спектр избытка кортизола, связанного с неблагоприятными кардиометаболическими результатами и ущербом, причиненным мишени. Недавно проведенные широкомасштабные исследования свидетельствуют о значительном увеличении распространенности ЭГК среди пациентов с устойчивой гипертонией и трудноконтролируемым диабетом, зачастую в отсутствие классических особенностей кушингоида. В настоящем об