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Effect of exercise interventions on cognitive function in breast cancer patients and survivors: a systematic review with meta-analysis.

BackgroundExercise has been shown to facilitate cognitive function; however, data on changes in cognitive function in response to exercise interventions among breast cancer patients and survivors, who frequently experience cognitive impairment, have not been comprehensively synthesized. Therefore, this study aims to examine the impact of exercise interventions on cognitive function among breast cancer patients and survivors.MethodsElectronic databases including PubMed, Scopus, and Web of Science were searched from inception to December 25, 2024. A three-level meta-analysis was performed in R u

Совместные мероприятия по самоуправлению взрослых, живущих с кишечной остомией: обзор.

Справочная информация/задачи: Цель этого аналитического обзора заключалась в определении существующих данных о целях, характеристиках, результатах и посредниках по осуществлению, а также о препятствиях, с которыми сопряжены мероприятия по поддержке со стороны сверстников, направленные на содействие самоуправлению у лиц, живущих с кишечной остомией. Методы: В соответствии с методологией Института Джоанны Бриггс был проведен обзор аналитического исследования, результаты которого были представлены в соответствии с программой PRISMA Presponse for Screpting Reviews (PRISMA-ScR). В декабре был прове

Электронные платформы отчетов о результатах лечения, предоставляемых пациентами, используемые в онкологии крови: систематический обзор.

ЦЕЛЬ: Использование электронных показателей результатов (ЭПРОМ), сообщаемых пациентами, продемонстрировало свои преимущества в онкологии; однако их использование в гематологических отклонениях по-прежнему ограничено. Мы поставили перед собой цель выявить платформы, которые используются в гематологии, и описать их особенности, приемлемость, удобство использования, осуществимость, темпы осуществления и поглощения, а также данные о результатах. МЕТОДЫ: Систематический обзор был проведен после ПРИСМА 2020 Руководящие принципы. Электронные базы данных (MedLINE, EMBASE, CINAHL, PsycINFO, Cochrane) и

Изучение механизмов контроля баланса у людей с множественным склерозом в виртуальной реальности: систематический обзор.

ЦЕЛЬ: Множественный склероз (МС) снижает контроль за балансом, сказываясь на мобильности и качестве жизни. Виртуальная реальность (ВПР) открывает новые возможности для изучения механизмов сбалансированности и потенциальной реабилитации. В рамках этого обзора изучается контроль баланса у пациентов с НР с использованием VR, при этом проводится сопоставление ответов в VR и не VR-режимах с ответами со здоровым контролем. МЕТОДЫ: Этот систематический обзор проводился в соответствии с руководящими принципами ПРИСМА. Всесторонний поиск проводился по базам данных, включая PubMed, Web of Science, Scopu

Потенциальное терапевтическое воздействие ибудиластной и ретиновой кислоты на поведенческие и биохимические изменения в мышечном мозге.

Ibudilast (IBD) — новый препарат, выпущенный в качестве лекарства от множественных склерозов (MS). Ретиноиновая кислота (RA), являющаяся метаболитом витамина А, известна своими прорегенеративными и антивоспалительными свойствами, поэтому она была предложена в качестве дополнительного метода лечения для MS. Цель этого исследования заключается в изучении терапевтического воздействия RA и IBD на модели мышей, вызываемые кухонной зоной (CPZ). Seventy-two Швейцарские мыши-альбино (SWR/J) были разделены на two контроль за основными группами (n = 18); нормальная чау и CPZ (n = 54); 0.25% CPZ, смешанн

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… RA has been found to promote neurogenesis in certain brain regions, such as the hippocampus ( Bonnet et al., 2008 ), which may enhance learning, memory, and cognitive flexibility ( Behairi et al., 2016 ; Pallet and Touyarot, 2015 ). …

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

The potential impact of exercise upon symptom burden in adolescents and young adults undergoing cancer treatment

Abstract Purpose Adolescents and young adults (AYAs) experience vast symptom burden resulting from cancer treatment-related toxicities (TRTs). Evidence supports integrated exercise to mitigate several TRTs in other cohorts; however, evidence in AYAs is lacking. Conventional reporting of TRTs adopts a maximum grade approach failing to recognise the trajectory over time, of persistent, or lower grade toxicities. Alternatively, longitudinal analysis of toxicities over time (ToxT) may provide clinically meaningful summaries of this data. We evaluated the longitudinal impact of an exercise interven

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… Introduction: It has been observed that patients with chronic pain, orofacial pain (e.g. burning mouth syndrome), and sleep disorders (e.g. obstructive sleep apnea) exhibit alterations in executive functions (memory, cognitive flexibility, and planning). … flexibility, planning, organization, attention, and inhibitory control), DIGIT Span (working memory and attention), and STROOP Test (inhibition capacity and selective attention). …

Астроцитизированный PTN уменьшает дефицит гиппокампального неврогенеза и когниции в моделях множественного склероза.

Множественный склероз (MS) — аутоиммунное воспалительное заболевание, которое приводит к моторным, сенсорным, когнитивным и эффективным расстройствам. Гиппокампальное обезвоживание, обычное явление в MS, связано с нарушенной когнитивной функцией и настроением. Несмотря на это, точные механизмы, лежащие в основе когнитивных нарушений в MS, по-прежнему остаются труднодостижимыми. Плейотропхин (PTN), скрытый нейронными стволовыми клетками и астроцитами, играет решающую роль в регулировании когниции. В этом исследовании изучается роль PTN на основе астроцитов. Мы обнаружили, что генетическое удале

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… Adult hippocampal neurogenesis and cognitive flexibility - linking memory and mood Nat. Rev. Neurosci. 18 2017 335 346 28469276 10.1038/nrn.2017.45 PMC6261347 Baltan S. Jawaid S.S. Chomyk A.M. Kidd G.J. Chen J. Battapady H.D. Chan R. Dutta R. Trapp B.D. …

Burnout and job satisfaction among hematologists: A cross-sectional study.

Burnout and job satisfaction represent significant challenges among healthcare professionals, especially within high-stress specialties such as hematology. Despite the demanding nature of the field, burnout and job satisfaction among hematologists remain underexplored. This study aimed to evaluate the levels of burnout and job satisfaction in this population and to investigate their associations with sociodemographic variables. This cross-sectional study included 139 hematologists practicing in Turkey. Participants completed a sociodemographic questionnaire, Maslach Burnout Inventory and Job S

Physical health outcomes and step cadence improvements: a digital physical activity intervention in cancer survivors.

BackgroundCancer survivors experience symptoms that can often be managed with moderate-to-vigorous physical activity. Most studies are short, small, and in-person, limiting scalability. This study evaluated a 12-month digital moderate-to-vigorous physical activity intervention and its impact on long-term physical health outcomes in a large sample of cancer survivors.MethodsThis 2-arm trial was embedded within the Cancer Prevention Study-3 prospective cohort study and included survivors with cancers associated with physical inactivity. Eligible participants were randomly assigned to a digital m

Correlates of physical activity in a population-based sample of kidney cancer survivors: an application of the theory of planned behavior.

BackgroundOver half of kidney cancer survivors (KCS) are completely inactive and only a quarter are meeting physical activity (PA) guidelines. This highlights the need to identify and understand the determinants of PA in this understudied population. The purpose of this study is to determine the social cognitive correlates of PA intention and behavior in KCS using the Theory of Planned Behavior (TPB).MethodsAll 1,985 KCS diagnosed between 1996 and 2010 in Alberta, Canada were mailed a self-report survey that consisted of the Godin Leisure Time Exercise Questionnaire and standard TPB items for

Cancer-related cognitive impairment in patients with hematologic malignancies after CAR T cell therapy: a systematic review and meta-analysis of prevalence.

PURPOSE: Cancer-related cognitive impairment is one of the symptoms of neurotoxicity among patients receiving chimeric antigen receptor (CAR) T cell therapy. Evidence of the overall estimated prevalence of cancer-related cognitive impairment following CAR T-cell therapy among patients with hematologic malignancies at short-term and long-term follow-ups is lacking. This review aimed to summarize the cognitive functioning status and estimate the prevalence of cancer-related cognitive impairment at follow-up within 1 month, 1 to 12 months, and > 12 months after CAR T cell therapy. METHODS: PubMe

Experiences of Cancer-Related Cognitive Impairment Across Cancer Types: Qualitative Systematic Review.

BackgroundCancer-related cognitive impairment (CRCI) is frequently reported during cancer treatment, with 35% of patients experiencing cognitive issues even after treatment completion. Commonly reported impairments include difficulties with memory, attention, executive function, and processing speed, which often reduce daily functioning and quality of life (QoL). Despite its prevalence, CRCI remains underresearched across various cancer types, limiting understanding of the patient experience.ObjectiveThis study aims to synthesize the qualitative evidence regarding the lived experience of CRCI

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… Participant 71 Challenges in recalling intentions and understanding the use of ingredients were described, indicating impaired cognitive flexibility and working memory. These cognitive difficulties could potentially affect overall independence and self-confidence. …

A mixed methods evaluation of patient perspectives on the implementation of an electronic health record-integrated patient-reported symptom and needs monitoring program in cancer care.

BACKGROUND: As cancer centers have increased focus on patient-centered, evidenced-based care, implementing efficient programs that facilitate effective patient-clinician communication remains critical. We implemented an electronic health record-integrated patient-reported symptom and needs monitoring program ('cPRO' for cancer patient-reported outcomes). To aid evaluation of cPRO implementation, we asked patients receiving care in one of three geographical regions of an academic healthcare system about their experiences. METHODS: Using a sequential mixed-methods approach, we collected feedbac

Predictors of institutionalization of dementia patients in mild and moderate stages: a 4-year prospective analysis.

BackgroundInstitutionalization is the most important milestone in the care of dementia patients. This study was aimed at identifying relevant predictors of institutionalization in a broad empirical context and interpreting them on the basis of the predictor model proposed by Luppa et al. [Dement Geriatr Cogn Disord 2008;26:65-78].MethodsAt the start of this study, 357 patients with mild to moderate dementia were examined by their general practitioners, and a telephone interview was conducted with their caregivers. Four years later, the outcomes 'institutionalization' and 'death' were determine

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… They cover the areas ‘verbal memory’, ‘cognitive flexibility’, ‘word fluency’, ‘working memory’, and ‘long-term memory’. The DemTect is more sensitive to mild dementia than the MMSE. The evaluation can be made separately for people <60 versus >60 years of age; the maximum score is 18 points. …

Integrating digital and narrative medicine in modern healthcare: a systematic review.

The increasing integration of digital technologies in healthcare, such as electronic health records, telemedicine, and diagnostic algorithms, improved efficiency but raised concerns about the depersonalization of care. Narrative medicine has emerged as a pedagogical and clinical response to this shift, emphasizing the value of patient stories, socio-cultural contexts, and reflective practice. Understanding how digital tools support, rather than undermine, narrative competencies is critical for developing a more human-centered healthcare education. This review systematically examined empirical

The effect of patient-centered empowerment program through telenursing on self-management in people with multiple sclerosis: a double-blinded randomized clinical trial.

BACKGROUND: Multiple sclerosis (MS) is a chronic disease that presents individuals with various caregiving challenges, making their empowerment based on their real needs essential. The aim of this study was to determine the impact of a patient-centered empowerment program through telenursing on the self-management of people with multiple sclerosis (PwMS). METHODS: The present study was a double-blinded, randomized clinical trial conducted on 90 PwMS attending MS Society using a convenience sampling method with random block allocation. The inclusion criteria were a definite diagnosis of MS for

Current landscape of gene-editing technology in biomedicine: Applications, advantages, challenges, and perspectives.

The expanding genome editing toolbox has revolutionized life science research ranging from the bench to the bedside. These "molecular scissors" have offered us unprecedented abilities to manipulate nucleic acid sequences precisely in living cells from diverse species. Continued advances in genome editing exponentially broaden our knowledge of human genetics, epigenetics, molecular biology, and pathology. Currently, gene editing-mediated therapies have led to impressive responses in patients with hematological diseases, including sickle cell disease and thalassemia. With the discovery of more e

Proactive Identification and Digital Mental Health Intervention for the Treatment of Depression Among Individuals With Likely Incurable Cancer: A Pilot Randomized Clinical Trial.

BackgroundAlthough depression is prevalent and has significant consequences among individuals living with likely incurable cancer (ILLIC), optimal methods of identifying and treating depression in this population remain unknown.AimsTo evaluate a paradigm of (1) proactive identification (ID) (i.e., remotely and asynchronously from clinical encounters) of depression among ILLIC and (2) digital mental health intervention (DMHI) for depression treatment.MethodsIn this decentralized randomized clinical trial, ILLIC with elevated depressive symptoms were proactively identified using electronic healt