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Development and Validation of the PaP Score Nomogram for Terminally Ill Cancer Patients.

The validated Palliative Prognostic (PaP) score predicts survival in terminally ill cancer patients, assigning patients to three different risk groups according to a 30-day survival probability: group A, >70%; group B, 30−70%; and group C, <30%. We aimed to develop and validate a PaP nomogram to provide individualized prediction of survival at 15, 30 and 60 days. Three cohorts of consecutive terminally ill cancer patients were used: one (n = 519) for nomogram development and internal validation, and a second (n = 451) and third (n = 549) for external validation. Multivariate analyses included

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… Of the patients, 69% had locally advanced disease, and the prevalent metastatic sites were viscera (47%), bone (22%), soft tissue (14%) and central nervous system (11%) in the development cohort and 65%, 56%, 27%, 16% and 13% in the validation cohorts, respectively. …

Beta-2 microglobulin and all-cause mortality in the era of high-flux hemodialysis: results from the Dialysis Outcomes and Practice Patterns Study.

BackgroundBeta-2 microglobulin (β2M) accumulates in hemodialysis (HD) patients, but its consequences are controversial, particularly in the current era of high-flux dialyzers. High-flux HD treatment improves β2M removal, yet β2M and other middle molecules may still contribute to adverse events. We investigated patient factors associated with serum β2M, evaluated trends in β2M levels and in hospitalizations due to dialysis-related amyloidosis (DRA), and estimated the effect of β2M on mortality.MethodsWe studied European and Japanese participants in the Dialysis Outcomes and Practice Patterns St

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… Excess β2M forms fibrillar structures and amyloid deposits [ 1 ], primarily in osteoarticular structures and the viscera [ 2 , 3 ]. β2M accumulation in the blood has been associated with a decrease in residual kidney function [ 4–6 ] and an increased risk of all-cause, cardiovascular and infectious deaths …

Laparoscopic entry techniques.

BACKGROUND: Laparoscopy is a common procedure in many surgical specialties. Complications arising from laparoscopy are often related to initial entry into the abdomen. Life-threatening complications include injury to viscera (e.g. bowel, bladder) or to vasculature (e.g. major abdominal and anterior abdominal wall vessels). No clear consensus has been reached as to the optimal method of laparoscopic entry into the peritoneal cavity. OBJECTIVES: To evaluate the benefits and risks of different laparoscopic entry techniques in gynaecological and non-gynaecological surgery. SEARCH METHODS: We sea…

Laparoscopic entry techniques.

BACKGROUND: Laparoscopy is a common procedure in many surgical specialities. Complications arising from laparoscopy are often related to initial entry into the abdomen. Life-threatening complications include injury to viscera e.g. the bowel or bladder, or to vasculature e.g. major abdominal and anterior abdominal wall vessels. Minor complications can also occur, such as postoperative wound infection, subcutaneous emphysema, and extraperitoneal insufflation. There is no clear consensus as to the optimal method of laparoscopic entry into the peritoneal cavity. OBJECTIVES: To evaluate the benefi…

Clinical features and current management experience in Gorham-Stout disease: a systematic review.

BACKGROUND: Gorham-Stout disease (GSD) is a rare complex lymphatic malformation. Since its initial description in 1838, only approximately 400 patients have been documented. There is currently no consensus on the diagnostic criteria or treatment options for GSD. The objective of this study was to review the clinical characteristics of patients with GSD and determine the current diagnostic and treatment models. METHODS: A comprehensive search of the PubMed, Web of Science, Embase, and Cochrane Library databases was conducted to identify all relevant literature on GSD published over the decade

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… Anti-cyclic peptide containing citrulline, ALP: Alkaline Phosphatase, MCTO: Multicentric carpotarsal osteolysis syndrome, MONA: Multicentric Osteolysis, Nodulosis, and Arthropathy Diseases | Distinguishing features from GSD GLA | GLA is characterized by multifocal lymphatic malformations involving bones, viscera …

Proteomic and transcriptomic analyses to explain the pleiotropic effects of Ankaferd blood stopper.

Ankaferd blood stopper is a standardized mixture of the plants Thymus vulgaris, Glycyrrhiza glabra, Vitis vinifera, Alpinia officinarum, and Urtica dioica and has been used as a topical hemostatic agent and with its clinical application established in randomized controlled trials and case reports. Ankaferd has been successfully used in gastrointestinal endobronchial mucosal and cutaneous bleedings and also in abdominal, thoracic, dental and oropharyngeal, and pelvic surgeries. Ankaferd's hemostatic action is thought to form a protein complex with coagulation factors that facilitate adhesion of

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… to being a hemostatic agent, ABS has an established role in promoting tissue repair after radiation damage and colitis; 57 bone, cartilage, muscle, and tendon remodeling; 27 , 58 , 59 and repair of dermal and epidermal tissue, 29 gastrointestinal mucosa, and full-thickness injuries in the abdominal viscera …

Carbon fibre PEEK versus titanium cephalomedullary nails for management of oncological lesions of the femur: a retrospective cohort study.

BACKGROUND: Carbon fibre reinforced polyetheretherketone (CF-PEEK) intramedullary devices have been gaining traction in the field of orthopaedic oncology. We aim to investigate the safety and efficacy of this device. METHODS: A retrospective cohort study was performed. Our primary objectives were to compare all-cause revision and the incidence of postoperative complications between CF-PEEK nails (Group 1) to titanium alloy nails (Group 2) for management of oncological lesions of the femur. Secondary objectives were to compare estimated blood loss and all-cause mortality between the two groups

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… We found no significant difference in terms of metastatic burden to the viscera ( p = 0.278), brain ( p = 0.448), other bones ( p = 0.100), and spine ( p = 0.519). Almost all patients in Group 2 had lymph node metastasis, which was significantly higher than Group 1 ( p = 0.001). …

Blastic plasmacytoid dendritic cell neoplasm: a short review and update.

Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare hematologic neoplasm (less than 1% of primary cutaneous lymphomas and acute leukemia) with a highly aggressive clinical course and frequent skin, bone marrow and central nervous system involvement. Even though there is often an early response to chemotherapy, leukemic dissemination relapses are very common and result in poor outcomes, with a median overall survival of 8 to 14 months in the first-line setting using standard combination chemotherapy regimens. Almost 90% of patients experience skin involvement as their initial site of

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… of AML on bone marrow and peripheral blood assessments, but it is also important to document response in any known extramedullary site of disease, including CNS and skin. 10 , 29 Cutaneous measurements were performed by skin biopsy and the Modified Severity Weighted Assessment Tool; lymph nodes and viscera …

Applications of Neural Network-Based Plan-Cancer Method for Primary Diagnosis of Mesothelioma Cancer.

"Malignant mesothelioma (MM)" is an uncommon although fatal form of cancer. The proper MM diagnosis is crucial for efficient therapy and has significant medicolegal implications. Asbestos is a carcinogenic material that poses a health risk to humans. One of the most severe types of cancer induced by asbestos is "malignant mesothelioma." Prolonged shortness of breath and continuous pain are the most typical symptoms of the condition. The importance of early treatment and diagnosis cannot be overstated. The combination "epithelial/mesenchymal appearance of MM," however, makes a definite diagnosi

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… Pleural mesothelioma involves “two lung tissues, the viscera of the thorax and the pleura,” accounting for approximately 75% of all mesotheliomas. It develops in the thin membrane that lines the chest cavity and lungs, the pleura. …

Smallpox vaccination and adverse reactions. Guidance for clinicians.

The guidance in this report is for evaluation and treatment of patients with complications from smallpox vaccination in the preoutbreak sett … s at the vaccination site with or without metastases to distant sites (e.g., skin, bones, and other viscera). This disease carries a high mortality rate, and management of PV should include aggressive therapy with VIG, intensive monitoring, and tertiary-level supportive care. Anecdotal experience suggests that, despite treatment with VIG, persons with cel …

Comparative efficacy of moxibustion in chemotherapy-induced leukopenia: A Bayesian network meta-analysis.

BackgroundMoxibustion has been applied in various clinical treatments, including chemotherapy-induced leukopenia. Using a Bayesian network meta-analysis, this study assessed a wide range of published data to identify the most efficient and effective method of moxibustion therapy for treating chemotherapy-induced leukopenia.MethodsPubMed, EMBASE, and eight other databases plus two clinical trial registration platforms were searched from their respective inception date to January 2024. All randomized controlled trials (RCTs) of moxibustion for chemotherapy-induced leukopenia were included. The p

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… the moxa sticks are made by mixing aromatic herbal powders, such as musk and Chinese eaglewood with moxa floss. 54 Researchers for the cited study hypothesized that thunder-fire moxibustion stimulated local nerve terminals after acting on acupoints, thereby regulating the physiological activities of viscera …

Состав органа и его результаты и управление в области множественного склероза: обзор скрипта.

Справочная информация: Растет интерес к ожирению и его распространенности, результатам и управлению в отношении людей с множественным склерозом (МС). Индекс массы тела (ИОМ) является традиционным маркером ожирения в MS, в то время как состав тела, включая отдельные отсеки тканей тела (например, жир, кости и мышцы), часто не учитывается, несмотря на его актуальность. Цель: Настоящий описательный обзор a) подчеркивает использование и полезность рентгеновской рентгеновской усвоения двух источников энергии (DEXA) в качестве точного и надежного показателя состава тела; b) тематический анализ и обоб

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… Lean soft tissue mass via DEXA includes skeletal muscle, viscera, and fluids, and, like fat and bone, can be reported regionally or for the whole body [ 53 ]. …

Усовершенствованные испытания самообслуживания в системном склерозе

Системный склероз — это системное аутоиммунное ревматическое заболевание, характеризующееся иммунными аномалиями, приводящее к васкулопатии и фиброзу. Тестирование самодисциплины становится все более важной частью диагностики и прогнозирования. Клинические врачи были ограничены антиядерной антителной (АНА), антитопоизомеразой I (также известной как anti-Scl-70) антитела и антисентромерные антитела. Многие врачи в настоящее время улучшили доступ к расширенному профилю автоантиорганических тестов. В этой статье мы анализируем эпидемиологию, клинические ассоциации и предсказанную ценность совреме

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… Introduction Systemic sclerosis (SSc) is a systemic autoimmune rheumatic disease (SARD) characterized by endothelial dysfunction, leading to small vessel vasculopathy, immune dysregulation, fibroblast dysfunction, and subsequent fibrosis of the skin and viscera [ 1 , 2 , 3 , 4 , 5 ]. …

Zusanli (ST36) Acupoint Injection With Dexamethasone for Chemotherapy-Induced Myelosuppression: A Systematic Review and Meta-Analysis.

ObjectiveMyelosuppression is the most common adverse reaction of chemotherapy, which seriously affects the course of treatment. Zusanli (ST36) acupoint injection with dexamethasone has achieved good clinical efficacy in China. This study aimed to systematically evaluate the efficacy of ST36 acupoint injection with dexamethasone in the treatment of chemotherapy-induced myelosuppression (CIM).MethodsRandomized controlled trials of CIM treated with ST36 acupoint injection with dexamethasone were retrieved from eight electronic databases. We used the Cochrane Collaboration tool to assess the risk

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… Studies have proved that the information of acupuncture can be transmitted to the relevant areas of the cerebral cortex through afferent nerves, and then the cortex can be excited to reach the nerve endings of the viscera and related organs along the efferent nerves, stimulating mast cells to release …

Image-Guided Percutaneous Ablation for Primary and Metastatic Tumors.

Image-guided percutaneous ablation methods have been further developed during the recent two decades and have transformed the minimally invasive and precision features of treatment options targeting primary and metastatic tumors. They work by percutaneously introducing applicators to precisely destroy a tumor and offer much lower risks than conventional methods. There are usually shorter recovery periods, less bleeding, and more preservation of organ parenchyma, expanding the treatment options of patients with cancer who may not be eligible for resection. Image-guided ablation techniques are c

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… even in patients with advanced cirrhosis, is relatively safe, but current challenges that are still being addressed are targeting tumors in difficult locations, such as the liver dome, structures near the rib cage, structures near large blood vessels or the heart, and structures adjacent to hollow viscera … Furthermore, there can be iatrogenic thermal damage to surrounding structures like nervous tissue, adjacent bowel, or other viscera [ 200 ]. 13. …

Prevalence and clinicopathological characteristics of de novo metastatic cancer at a major radiotherapy centre in West Africa: a cross-sectional study.

BackgroundCancer is a major public health challenge in West Africa, with a significant proportion of cancer-related deaths attributed to distant metastasis. De novo metastatic cancer (DnMC), where metastasis is detected at diagnosis, presents considerable therapeutic challenges, particularly in limited-resource settings where novel treatments are often unavailable and/or unaffordable.AimTo determine the prevalence, incidence and clinicopathological characteristics of patients diagnosed with DnMC at a major radiotherapy center in West Africa.MethodsThis was a single-institution-based quantitati

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… Metastasis in the abdomen comprised distant spread to the mesentery, peritoneum and intraabdominal viscera besides the liver. ‘Other’ metastatic sites included the kidneys, spleen and adrenal glands. …

The role of EMT-related lncRNA in the process of triple-negative breast cancer metastasis.

Triple-negative breast cancer (TNBC) is the most malignant and fatal subtype of breast cancer, which has characterized by negativity expression of ER, PR, and HER2. Metastasis is the main factor affecting the prognosis of TNBC, and the process of metastasis is related to abnormal activation of epithelial-mesenchymal transition (EMT). Recent studies have shown that long non-coding RNA (LncRNA) plays an important role in regulating the metastasis and invasion of TNBC. Therefore, based on the metastasis-related EMT signaling pathway, great efforts have confirmed that LncRNA is involved in the mol

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… complex biological process in which epithelial cells acquire the mesenchymal phenotype, thereby enabling TNBC epithelial cells to acquire strong migration and invasion capabilities, escape from local neoplasia, enter the blood and lymphatic vessels, and eventually colonize in distant organs such as the viscera …

Bite-size introduction to canine hematologic malignancies.

Hematologic malignancies are frequently diagnosed in dogs and result in a spectrum of clinical signs associated with specific disease types. The most frequently encountered hematologic tumors in dogs include lymphoma, lymphoid and myeloid leukemias, and mast cell, plasma cell, and histiocytic neoplasias. Coupled with the heterogeneous presentations of the different categories and subtypes of canine hematologic malignancies, outcomes for these tumors are also variable. Considering this, appropriate treatment options range from active surveillance to curative intent approaches harnessing surgica

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… experience within canine oncology suggests the these tumors can exhibit more aggressive behaviors, so further study of the biology of subcutaneous MCTs is warranted. 65 Mucocutaneous MCTs affecting the oral cavity are biologically aggressive. 61 Systemic disease usually manifests with infiltration of viscera …

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Mechanism and therapeutic potential of traditional Chinese medicine extracts in sepsis.

Sepsis is a complex syndrome characterized by multi-organ dysfunction, due to the presence of harmful microorganisms in blood which could cause mortality. Complications associated with sepsis involve multiple organ dysfunction. The pathogenesis of sepsis remains intricate, with limited treatment options and high mortality rates. Traditional Chinese medicine (TCM) has consistently demonstrated to have a potential on various disease management. Its complements include reduction of oxidative stress, inhibiting inflammatory pathways, regulating immune responses, and improving microcirculation. Tra

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… The “Four Syndromes” include blood stasis, toxic heat, viscera and qi obstruction as well as acute deficiency. … It regulates the functions of internal organs, promoting harmony between the five viscera and six bowels, allowing the body to achieve an optimal state through medication for self-regulation. …