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Оценка спроса на паллиативный уход у пациентов, не имеющих онкологов, в Чили.

Доступ к паллиативному уходу представляет собой новую глобальную проблему в области здравоохранения. В Чили недавно был принят закон о паллиативном уходе, предусматривающий охват паллиативным уходом неонологического населения. Таким образом, для надлежащего планирования политики в области здравоохранения необходима надежная и законная оценка спроса на паллиативную помощь. Годовая смертность от выявленных заболеваний оценивалась за периоды 2018-2020. Оценка спроса соответствует определению доли умерших пациентов, нуждающихся в паллиативном уходе, исходя из тяжести тяжелых страданий, связанных с

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… In the Chilean settings, the latter reveals a major gap in terms of access to PC, with a significant fraction of the target population (around 70% of patients who experience SHS) excluded from the social security system. …

Резюме докладов 38th - ежегодное собрание общества общей внутренней медицины.

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An Experimental Investigation of Moral Self-Violation and Mental Contamination.

This paper describes the Data Domotopia a 2300 + respondent self-administered web-based survey. It includes 100 + multi-purpose items about home-making and stillness in a moving world. We suppose that home-making can reveal coping strategies and resilience practices to make everyday life work - as home is a central location in people's activity-travel patterns. To describe this phenomenon, the concept of Domotopia is introduced, defining how people arrange, use, and experience their homes to cope with the pathologies of accelerated and liquid modernity (Bauman 2005). While the Data Domotopia i

Reconciling uncertainty of costs and outcomes with the need for access to orphan medicinal products: a comparative study of managed entry agreements across seven European countries.

BackgroundNational payers across Europe have been increasingly looking into innovative reimbursement approaches - called managed entry agreements (MEAs) - to balance the need to provide rapid access to potentially beneficial orphan medicinal products (OMPs) with the requirements to circumscribe uncertainty, obtain best value for money or to ensure affordability. This study aimed to identify, describe and classify MEAs applied to OMPs by national payers and to analyse their practice in Europe.MethodsTo identify and describe MEAs, national health technology assessments and reimbursement decision

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… France MEA process Based on article L.162-16-4 of the French Social Security Code, the retail price of a drug is set by means of a negotiated agreement between the pharmaceutical company selling the drug and the French Healthcare Products Pricing Committee (Comité économique des produits de santé, …

Strategies for promoting exercise adherence within a cancer exercise recovery program: a qualitative case study.

BACKGROUND: Physical activity (PA) plays an important role in physical health and well-being for cancer survivors. However, cancer survivors demonstrate low adherence to cancer PA guidelines. Research is needed to understand how to optimize delivery of cancer PA programs to enhance participation and adherence. In this study, we conducted an instrumental qualitative case study of a clinical cancer exercise recovery program (CERP) demonstrating high adherence (over 90% session completion), with the goal of understanding implementation strategies that patients link to higher program adherence. ME

Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015.

BACKGROUND: Healthy life expectancy (HALE) and disability-adjusted life-years (DALYs) provide summary measures of health across geographies and time that can inform assessments of epidemiological patterns and health system performance, help to prioritise investments in research and development, and monitor progress toward the Sustainable Development Goals (SDGs). We aimed to provide updated HALE and DALYs for geographies worldwide and evaluate how disease burden changes with development. METHODS: We used results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 20

Распространение и связанные с этим факторы боязни развития у пациентов с сердечной недостаточностью в Китае: аналитическая оценка.

Недостаток сердца (ВФ) является сложным, многофакторным клиническим синдромом с растущей глобальной распространенностью и высокими показателями региотерапии и смертности. Боязнь прогрессирования (ПП) является общей психологической проблемой для пациентов с хроническими заболеваниями, такими, как рак и диабет. Учитывая прогрессивный характер ВЧ, ПФ может представлять не менее важную психологическую проблему для этой группы населения. Она связана с низкой степенью готовности к лечению, снижением качества жизни и более высоким риском неблагоприятных сердечно-сосудистых заболеваний и незапланирова

Qualitative Study of Breast Cancer and Lymphoma Patients Participating in a Physical Activity Intervention: The Case for Tailored Physical Activity.

BACKGROUND: Exercise mitigates chemotherapy-related cardiotoxicity, but implementing exercise interventions during chemotherapy treatment can be challenging. Understanding the patient perspective can help refine exercise programs and facilitate successful implementation of future interventions. PURPOSE: To utilize qualitative data to optimize adherence and retention for a future randomized clinical trial involving a tailored physical activity (PA) intervention among breast cancer and lymphoma patients receiving potentially cardiotoxic chemotherapy. METHODS: Eighteen breast cancer and lymphom

Feasibility and effects of the telerehabilitation program during hematopoietic stem cell transplantation.

This study aims to identify the feasibility and effects of the telerehabilitation program for patients with hematologic cancer who underwent hematopoietic stem cell transplantation (HSCT). In this single-arm prospective study, a telerehabilitation program was administered to patients who underwent HSCT. The program utilized a camera and video conferencing system, delivering 30-minute exercise sessions based on the Otago exercise. Baseline, immediate follow-up, and 3-month follow-up examinations were performed using the European Organization for Research and Treatment of Cancer Quality of Life

Health-related quality of life and treatment satisfaction in Chronic Lymphocytic Leukemia (CLL) patients on ibrutinib compared to other CLL treatments in a real-world US cross sectional study.

The objective of this study was to describe real-world health-related quality of life (HRQoL) and treatment satisfaction of ibrutinib-treated patients with CLL compared to a reference group. This study was completed in two parts. The first portion (Norming Study) was a US online survey conducted to serve as a reference population. The Norming Study included a total of 139 patients with CLL, excluding those treated with ibrutinib: 64 were treatment naive (Tx naive), 36 were 1st line (1L), and 38 were in or had completed ≥2 lines (2L+) patients with CLL. The second portion (CLL Ibrutinib Study)

Азиатские культурные ценности и поиск помощи: перекрестное исследование на тему навязчивого сексуального поведения.

Сексуальность является сложной конструкцией, на которую влияют различные социальные и культурные факторы, и хотя сексуальное поведение, как правило, считается адаптивным к физическому и психическому благополучию, оно может стать неконтролируемым и вредным, что ведет к навязчивому сексуальному поведению (CSB). Ограниченные исследования были посвящены изучению вопроса о том, как азиатские культурные ценности могут способствовать психологическим последствиям деятельности ЦСБ и влиять на отношение к поиску профессиональной психологической помощи. В этом исследовании рассматриваются взаимосвязи меж

Integrated palliative nursing interventions for older adults with cancer: Effects on quality of life, psychological outcomes, and symptom burden.

OBJECTIVES: Older adults with cancer frequently experience high symptom burden, psychological distress, and reduced quality of life. Integrating palliative nursing interventions into routine oncology care has the potential to improve these outcomes, yet evidence examining their measurable effects remains limited. This study aimed to examine the effects of integrated palliative nursing interventions on quality of life, psychological outcomes, and symptom burden among older adults with cancer. METHODS: A quasi-experimental one-group pre-test-post-test design was conducted at King Khaled Hospita

Idiopathic systemic capillary leak syndrome: a case report.

BackgroundIdiopathic systemic capillary leak syndrome (ISCLS) is a rare disease characterized by recurrent episodes of acute life-threatening attacks of shock, hemoconcentration, and hypoalbuminemia. Increase in capillary permeability results in reversible plasma movement into the interstitial spaces followed by appearance of related symptoms or complications, including renal failure. This condition can be potentially life-threatening; however, it is easily misdiagnosed.Case presentationA 47-year-old man with no previous medical history presented to the emergency department after experiencing

Practical Guidance for the Expanded Implementation and Provision of Bispecific Antibodies for Diffuse Large B-Cell Lymphoma (DLBCL) Across Canada.

(1) Background: Bispecific antibodies (BsAbs) for the treatment of relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL) can be delivered in ambulatory healthcare settings; however, the safe and effective management of potential side effects, such as cytokine release syndrome (CRS), requires protocolized monitoring and management. (2) Methods: An Expert Working Group (EWG) of nine hematologists from across Canada, with experience in leading BsAb program implementation, combined a review of published literature, a comparison of national/provincial/regional guidance documents and protoco

Частота и распространенность множественных склерозов в Венгрии на основе рекордной увязки общенациональных многочисленных административных данных в области здравоохранения.

ЦЕЛИ: Поскольку в Венгрии проводились лишь региональные исследования по вопросу о распространенности множественного склероза (МС), мы стремились оценить его эпидемиологические особенности с использованием данных венгерской системы медицинского страхования с одним плательщиком. МЕТОДЫ: Псевудонимная база данных о жалобах, представленных больницами и амбулаторными службами в период между 2004-2016 был проанализирован и увязан с независимой базой данных о заправке амбулаторными аптеками 2010-2016. Мы установили административное определение MS и подтвердили его на медицинских записях 309 Последова

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… Since 1996, each individual is assigned a unique nine-digit personal code number (social security identifier) for lifetime, which is used in all public healthcare services, including hospitalization, outpatient specialist care, general practitioner, prescription and pharmacy dispensation of medicine, … To ensure personal data protection, the original social security identifiers were centrally anonymized for our database by the NHIF. This encrypted identifier was used for record linkage in our analysis. …

Protocol of the optimal study: Optimization of polypharmacy in geriatric oncology - A randomized controlled trial.

BackgroundPolypharmacy is very common in older cancer patients and these patients are particularly vulnerable to drug-drug interactions and adverse drug reactions because they often receive chemotherapy and symptom-relieving agents.MethodsThe primary aim of the randomized, controlled Optimization of Polypharmacy in Geriatric Oncology (OPTIMAL) trial is to test whether an advisory letter with the results of a comprehensive medication review conducted with the Fit fOR The Aged (FORTA) list to the caring physician in rehabilitation clinics improves the quality of life (QoL) of older cancer patien

Symptoms, unmet needs, and quality of life in Erdheim-Chester disease: a longitudinal registry-based analysis.

AbstractMeasurement of patient-reported outcomes (PROs) and health-related quality of life (HrQOL) are crucial for comprehensive, patient-centered cancer care. Both PROs and HrQOL have been understudied in patients with Erdheim-Chester disease (ECD), a rare cancer with protean manifestations, dense symptomatology, and frequent diagnostic delay. We sought to evaluate the longitudinal evolution of symptom burden and unmet supportive care needs in patients with ECD, and to identify associations between these PROs and HrQOL. A registry-based cohort of patients with ECD completed a PRO battery incl

Adherence to the World Cancer Research Fund/American Institute for Cancer Research recommendations for cancer prevention in adolescent and young adult (AYA) cancer survivors: results from the SURVAYA study.

PurposeFor adolescent and young adult (AYA) cancer survivors with a good prognosis, having a healthy lifestyle prevents morbidity and mortality after treatment. The aim of this study was to investigate the prevalence of (un)healthy lifestyle behaviors and related determinants in AYA cancer survivors.MethodsA population-based, cross-sectional study was performed among long-term (5-20 years) AYA cancer survivors (18-39 years old at diagnosis) registered within the Netherlands Cancer Registry. Self-reported questionnaires data about health behaviors were used to calculate the 2018 World Cancer Re

Awareness of the risk of developing medication-related osteonecrosis of the jaw among bisphosphonate users.

OBJECTIVE: In this retrospective observational study, we evaluated awareness among patients using bisphosphonates (BPs) regarding the risk of developing medication-related osteonecrosis of the jaw (MRONJ) and whether they received appropriate dental screening and treatment prior to commencing medication. METHODS: Patients using BPs who attended the endodontics clinic at Jordan University Hospital in 2019 were interviewed using a pre-designed questionnaire. Data were analysed using descriptive statistics and chi-squared tests. RESULTS: In total, 110 patients were interviewed (84 women, 26 men

Mindfulness-Based Group Medical Visits: Strategies to Improve Equitable Access and Inclusion for Diverse Patients in Cancer Treatment.

BackgroundMindfulness-based interventions (MBIs) are supported by clinical practice guidelines as effective non-pharmacologic interventions for common symptoms experienced by cancer patients, including anxiety, depression, and fatigue. However, the evidence predominately derives from White breast cancer survivors. Racial and ethnic minority patients have less access to integrative oncology care and worse cancer outcomes. To address these gaps, we designed and piloted a series of mindfulness-based group medical visits (MB-GMVs), embedded into comprehensive cancer care, for racially and ethnical